Esaote MyLabX9 User manual

Rev. 02
February 2021
MyLabX9
ADVANCED OPERATIONS
350080400

MyLab - ADVANCED OPERATIONS ii

MyLab - ADVANCED OPERATIONS iii
INTRODUCTION
Introduction
This manual details MyLab operations and describes the available optional
packages.
The manual is composed of the following sections:
Section 1: Advanced Features.
Section 2: Image Optimization.
Section 3: Measurements.
Section 4: Archiving.
Advanced tools, like 3D/4D, are described in dedicated and optional
manuals.
In this manual system controls are indicated using the following graphical
conventions:
Control panel buttons are indicated by GREY CAPITAL LET-
TERS.
Touchscreen keys are indicated by BOLD BLUE CAPITAL
LETTERS.
Touchscreen software strings are indicated by NORMAL BLUE
CAPITAL LETTERS.
Screen software buttons and options are indicated by BOLD
BLACK CAPITAL LETTERS.
Screen software strings are indicated by NORMAL BLACK
CAPITAL LETTERS.
The confirmation button is always indicated throughout the manual as EN TER, the
menu context button as UNDO.
Select/Click means positioning the cursor with the trackball over the desired
option and pressing EN TER to confirm.
Double click means positioning the cursor with the trackball over the desired
option and pressing EN TER twice.
Tap means touching with your finger the desired command on the touch screen.

MyLab - ADVANCED OPERATIONS iv
Swipe means placing your finger on the desired area of the touch screen and
moving it to the left or to the right.
WARNING In this manual WARNING identifies a risk for the patient and/or the
operator.
CAUTION The word CAUTION describes the precautions necessary to protect the
equipment.
NOTE In this manual NOTE points out information of special interest but not
related to risks for patient, operator or device.
Be sure to understand and observe each of the cautions and warnings.
The MyLab systems have multiple configurations and feature sets. All are
described in this user manual but not every option may apply to your system.
System features are dependent on your system configuration, transducer, and
exam type. Not all the system features are approved in all Countries.
Keep the manual with the equipment for future reference.
All the information included in this manual is relative to the following Esaote
ultrasound equipments: MyLabX9.
In this manual, all the above mentioned systems are referred to as MyLabX9 or
MyLab.
Unless specifically noted, the sections of this manual pertain to all the
systems.

ADVANCED
FEATURES
ADVANCED FEATURES

INDEX
MyLab - ADVANCED OPERATIONS iii
ADVANCED
FEATURES
Table of Contents
1 Annotations................................................................................... 1-1
Free Text Annotations............................................................................... 1-2
By Sentence / By Word Annotations...................................................... 1-2
Glossary by Word.................................................................................... 1-2
Glossary by Sentence .............................................................................. 1-3
Editing and Relocating Annotations........................................................ 1-4
Annotations Configuration ....................................................................... 1-4
Settings for All Applications.................................................................. 1-5
Settings for a specific Application ........................................................ 1-5
Glossary Configuration ..................................................................... 1-6
Glossary Organization in the Touchscreen.................................... 1-7
2 Bodymarks.................................................................................... 2-1
Bodymark Activation ................................................................................. 2-1
Bodymarks Configuration ......................................................................... 2-3
Settings for a specific Application ........................................................ 2-3
Bodymark Configuration .................................................................. 2-4
Bodymark Organization in the Touchscreen................................. 2-4
3 Acquisition Protocols ................................................................... 3-1
Configuration Menu................................................................................... 3-1
Available Actions..................................................................................... 3-4
Set Acquisition.................................................................................... 3-4
Select Frame & Store......................................................................... 3-4
Select Frame & Measurement .......................................................... 3-5
Manage Annotations.......................................................................... 3-6
Save Clip.............................................................................................. 3-6
Working with Protocols............................................................................. 3-7
4 Security ......................................................................................... 4-1
Security Configuration Menu.................................................................... 4-1
Settings Tab.............................................................................................. 4-2
Users Tab.................................................................................................. 4-3
User Accounts .................................................................................... 4-3
Security Access to the System................................................................... 4-5
Access Security Control............................................................................. 4-6
Protection from Viruses ............................................................................ 4-6
Malware Infection.................................................................................... 4-7
MyLab Operating System Patches Policy ............................................ 4-7
Firewall...................................................................................................... 4-7

INDEX
MyLab - ADVANCED OPERATIONS iv
Correct management and privacy of patient data...................................4-8
Data interface and transmission protocol ..........................................4-10
Wired network...................................................................................4-10
Wireless network...............................................................................4-10
Storage media ....................................................................................4-10
Storage format...................................................................................4-10
5 Remote Service..............................................................................5-1
How to Access to Remote Service ...........................................................5-1
Pre Conditions..........................................................................................5-1
Network Connection...............................................................................5-2
Remote Service Connection ...................................................................5-2
6 Using the Needle Guides..............................................................6-1
Displaying the Needle Guide ....................................................................6-1
Needle Length ..........................................................................................6-4
After the Examination................................................................................6-5
Checking the Guide Alignment.................................................................6-5
Needle Enhanced Imaging.........................................................................6-6
Biopsy Configuration..................................................................................6-7
7 QPack............................................................................................7-1
QPack Activation ........................................................................................7-1
QPack analysis on frozen clips ..............................................................7-1
QPack analysis on archived clips...........................................................7-2
Touchscreen controls in QPack................................................................7-3
Intensity Curve .........................................................................................7-4
QPack deactivation..................................................................................7-5
8 Screen sharing and MyLab Remote .............................................8-1
Second monitor ...........................................................................................8-1
Physical clone............................................................................................8-2
Smart clone ...............................................................................................8-2
Video streaming and MyLab Remote.......................................................8-2
Web Portal tab ....................................................................................8-3
Streaming tab.......................................................................................8-4
MyLab Remote tab.............................................................................8-5
Streaming video activation......................................................................8-5
MyLab Remote activation.......................................................................8-5
Use in sterile environment ................................................................8-7
Camera streaming........................................................................................8-7
9 VPan ..............................................................................................9-1
VPan Acquisition.........................................................................................9-1

INDEX
MyLab - ADVANCED OPERATIONS v
ADVANCED
FEATURES
Exam End................................................................................................. 9-2
Reviewing a VPan Image........................................................................... 9-3
Measurements.............................................................................................. 9-4
Storing the Reconstructed Image............................................................. 9-4
10 HyperDoppler..............................................................................10-1
Overview.................................................................................................... 10-1
Activation................................................................................................... 10-1
Procedure for frozen clips.................................................................... 10-1
Procedure for archived clips................................................................ 10-2
Touchscreen controls in HyperDoppler............................................... 10-3
HyperDoppler Deactivation ................................................................... 10-5
Appendix.................................................................................................... 10-7
Flux and vorticity................................................................................... 10-7
Shaded functions ................................................................................... 10-7
Steady Streaming.................................................................................... 10-8
A ECG Cables ................................................................................. A-1
Checking the ECG Cable ......................................................................... A-1
Cleaning and Disinfecting the ECG Cable............................................ A-1

INDEX
MyLab - ADVANCED OPERATIONS vi

MyLab - ADVANCED OPERATIONS 1 - 1
Chapter
1
ADVANCED
FEATURES
1 - Annotations
Annotations function provides the capability to place comments and arrows
on an image to identify anatomical structures and locations.
Annotations can be activated typing a comment of free text by the QWERTY
keyboard (Free Text Annotations) and/or inserting pre-defined comments
from a glossary by pressing ABC (By Sentence or By Word Annotations).
Annotations can be inserted both in real time and in freeze, during
measurements, in Exam review and Archive review.
Annotations appear on all saved images and clips and on prints as well.
When Annotations are activated, the system displays the following
touchscreen:
Fig. 1-1: Annotations
and the following controls (it may change depending on the type of selected
annotation):
BY WORD
BY SENTENCE
alternatively activates the By word and By sentence annotation modality.
Refer to next paragraph for further details.
DELETE ALL cancels the whole edited text. The same button has to be pressed to cancel
the displayed text.
DELETE LAST WORD cancels the last edited text without exiting.

ANNOTATIONS
MyLab - ADVANCED OPERATIONS 1 - 2
DELETE LINE cancels the whole row where the cursor is without exiting.
INSERT ARROW when pressed, it displays an arrow; rotating the knob, it rotates the arrow.
Place the arrow using the trackball and confirm the final position by pressing
the EN TER key.
OK closes the annotation session without erasing the inserted text.
SET HOME sets the default position (HOME) for the annotation cursor based on the
present position.
SCROLL when in By Sentence Annotation, this knob scrolls the list of words.
UNDO key closes the annotation session.
Free Text Annotations
Pressing any alphanumeric key of the QWERTY keyboard during the exam
automatically activates text input and text is placed in the HOME position. If
AUTOMATIC WORD RECOGNITION is enabled, during the typing, MyLab suggests
the word, present in the glossary, starting with the same letters while rotating
the trackball it browses the glossary.
To confirm the proposed word press Enter or go on with typing text, then
confirm pressing EN TER.
The text can be placed anywhere within the image area using the trackball.
By Sentence / By Word Annotations
Pressing ABC, you can insert both a sentence and a single word taken from a
configurable glossary.
MyLab displays the glossary associated to the active preset. Press the
APPLICATIONS tab to browse the glossaries available with other applications.
Glossary by Word
To select a word follow this procedure.
Procedure 1. Press ABC.
2. If necessary select the desired glossary by browsing the
navigation tabs.

ANNOTATIONS
MyLab - ADVANCED OPERATIONS 1 - 3
ADVANCED
FEATURES
3. If necessary swipe to scroll the touchscreen pages.
4. Tap on the desired word: it is displayed on the screen in
HOME position or at the right side of the last word settled
or at cursor position.
5. Depending on the settings of Annotation Configuration
Menu, the word can be definitely placed, edited or moved.
Press ACTION to change function:
• When the word is yellow with cursor blinking it can be edited.
• When the word is yellow contoured by a frame it can be
placed on the screen moving the trackball.
• When the word is gray it is definitely placed.
6. Edit or place the word, then press Enter to confirm its
final position.
Glossary by Sentence
The sentence is composed of four words. On the touchscreen the system
displays the list of the available words, organized in columns: the first column
lists the available words for the first term of the sentence, the second column
for the second term and so on.
To select the words in the sentence:
Procedure 1. Press ABC.
2. If necessary select the desired glossary by browsing the
navigation tabs.
3. Tap on each word of the sentence to select it: the sentence is
displayed on the screen contoured by a frame. When the
available words are more than the displayable, you can scroll
each column rotating SCROLL.
4. The sentence is displayed on the screen contoured by a frame
(unless FIX is selected as First Cursor Action in the
Annotation Configuration Menu).
5. Move the trackball to place the sentence, then press Enter 
to confirm its final position: the sentence is positioned and
the frame disappears.

ANNOTATIONS
MyLab - ADVANCED OPERATIONS 1 - 4
Editing and Relocating Annotations
Once the annotation is confirmed on the screen it can be edited and moved
in another place.
Text Editing To edit Free Text and By Word Annotations (By Sentence Annotations can
not be modified):
1. Place the cursor on the text to be modified and press EN TER
to highlight it.
2. If necessary press ACTION to switch to EDIT modality (refer
to the Annotations Configuration paragraph).
3. Move the trackball to place the cursor.
4. Use the left/right arrow keys of the alphanumeric keyboard.
Place the cursor on the desired position to edit the text.
5. Edit the text and press EN TER to confirm.
Text Relocation To relocate Free Text, By Word and By Sentence Annotations:
1. Place the cursor on the text to be moved and press EN TER to
highlight it: the text is contoured by a frame.
2. If necessary press ACTION to switch to MOVE modality (refer
to the Annotations Configuration paragraph).
3. Move the trackball to place the text in the new position, then
press EN TER to confirm its final position: the sentence is
positioned and the frame disappears.
Annotations Configuration
Refer to the “Getting
Started” manual for
information on the
configuration procedure.
Press MENUthen ANNOT to enter in the Annotations Configuration Menu. It
is organized in two main areas: the left side shows the list of all saved
annotations, organized by applications, and the right side the glossary
configuration menu.
NOTE When an application is selected, FACTORY retrieves all factory annotations
and deletes all user customized glossaries saved for that application.
The glossary configuration menu changes depending on the selection made
on the left list, (ALL APPLICATIONS option or an application/customized
glossary).

ANNOTATIONS
MyLab - ADVANCED OPERATIONS 1 - 5
ADVANCED
FEATURES
Settings for All Applications
When ALL APPLICATIONS has been selected, the menu allows the user to
enable the following parameters:
Settings for a specific Application
When an application/customized glossary has been selected for editing, the
configuration menu is organized with internal folders, selectable using the
tabs displayed on the top of the menu.
Parameter Action
FONT SIZE It sets the font size.
AUTOMATIC WORD
RECOGNITION
It enables the Automatic word recognition.
DELETE WHEN
UNFROZEN
When enabled, the text is automatically deleted as
soon as real time is resumed.
TEXT REPLACEMENT
ENABLED
When selected, the new word is placed starting
from the HOME position and any existing word in
such position is overwritten.
When not selected, the new word is placed at the
right side of the last existing one, and a space
character is automatically placed in between.
FIRST CURSOR
ACTION
It sets the trackball functionality when text is
highlighted, whether it shall move (MOVE option
cursor displayed on the screen) or edit (EDIT option
text contoured by a frame) the highlighted text. A
third option (FIX option) places the selected word
and allows to select a new one.

ANNOTATIONS
MyLab - ADVANCED OPERATIONS 1 - 6
Fig. 1-2: Glossary Configuration Menu
The glossary configuration menu shows:
in the center the touchscreen layout. Both modalities “By
Word” and “By Sentence” have their dedicated touchscreen,
selectable through the corresponding tab;
on the right the selected application and the lists of all words
available in all glossaries, organized as FACTORY and CUSTOM
lists;
on the bottom the fields where the customized glossary is
named and described.
Glossary Configuration
Procedure 1. Select either BY WORD or BY SENTENCE modality;
2. select the desired word from the right list with the trackball.
The word can be selected either by scrolling the list with the
trackball or by entering searching criteria in the SEARCH field;
3. by keeping EN TER pressed, drag and drop the word in the
desired position of the touchscreen;
4. for each modality, words can be organized in different levels:
select first the desired PAGE using the trackball and then
drag and drop the word in the desired page. Words organized
in more pages (or levels) can be scrolled swiping left/right on
the touchscreen. Repeat the procedure to add other words.
5. ADD WORD field allows to add new words into the glossary.
Using the alphanumeric keyboard enter the desired word and
press Enter to confirm: the system automatically adds the

ANNOTATIONS
MyLab - ADVANCED OPERATIONS 1 - 7
ADVANCED
FEATURES
new word to the CUSTOM list. To delete a customized word,
place the cursor on the word to be removed and, by keeping
EN TER pressed, drop it into the waste bin.
Glossary Organization in the Touchscreen
Words can be freely positioned within the touchscreen.
Moving a Word Select the word with the trackball and by keeping the EN TER key pressed,
move it in the desired position. Release EN TER to confirm.
Deleting a Word Place the cursor on the word to be removed and by keeping the EN TER key
pressed drop it into the waste bin.

ANNOTATIONS
MyLab - ADVANCED OPERATIONS 1 - 8

MyLab - ADVANCED OPERATIONS 2 - 1
Chapter
2
ADVANCED
FEATURES
2 - Bodymarks
Bodymarks are schematic drawings of anatomical sections. A vector overlays
the mark to indicate the probe position. Active bodymarks with probe
markers are displayed at the bottom left of the screen.
Bodymarks are organized in groups: each application has its specific set of
bodymarks.
Bodymark Activation
Bodymarks can be activated both in real time, in Exam review and in Archive
review by pressing MARK. Once activated, the touchscreen displays the group
of marks associated to the active application and preset while on the
Navigation Bar other anatomical districts are listed when available.
Tap on each tab to browse the marks available for other districts, rotate
APPLICATIONS (i.e. VASCULAR) knob at the bottom-right of the touchscreen
to browse the marks available with other applications.
Procedure 1. Press MARK.
2. If necessary, change application and/or select the desired
bodymark library.
3. Select the bodymark on the touchscreen: the mark is
displayed on the screen. You can also rotate MARK to change
selection.
4. If in Dual format, use the LEFT or RIGHT button to correctly
match the mark to the corresponding image.
5. Increase/decrease the dimensions of the bodymark rotating
SIZE.
6. The arrow on the bodymark indicates the probe marker. Use
the trackball to position it.
7. Use the ROTATE button to rotate the arrow. Alternatively
you can also press MARK; the arrow becomes green and can
be rotated by rotating MARK.
8. Press OK or EN TER to confirm.

BODYMARKS
MyLab - ADVANCED OPERATIONS 2 - 2
Once confirmed, bodymark can be moved in any position on the image by
selecting it and dragging it to the new position. Bodymarks can be moved
over annotations and measurements; when this happens the label is
maintained below the bodymark itself.
The following controls are available:
SET HOME once the bodymark is selected to be moved on the image, this key sets the
default position (HOME) for the bodymark based on the current position.
SIZE increases/decreases the size of the bodymark.
DELETE BODYMARK exits without displaying any bodymark. The same button has to be pressed to
cancel the displayed mark.
Bodymarks can be added on archived images and sequences, but they are not
saved on retrieved images or clips.