Philips epiq 7 User manual

EPIQ 7 Ultrasound System
User Manual
Release 1.0
4535 617 25341 Rev B
August 2013
© 2013 Koninklijke Philips N.V. All rights reserved. Published in USA.

Manufactured by Philips Ultrasound
22100 Bothell-Everett Highway
Bothell, WA 98021-8431
USA
Telephone: +1 425-487-7000 or 800-426-2670
Fax: +1 425-485-6080
www.healthcare.philips.com/ultrasound
This Medical Device meets the provisions of the transposition of the Medical Device Directive
93/42/EEC within the country of origin of the Notified Body concerned with the device.
European Union Representative
Philips Medical Systems Nederland B.V.
Quality & Regulatory Affairs
Veenpluis 4-6
5684PC Best
The Netherlands
WARNING
United States federal law restricts this device to sale by or on the order of a physician.
This document and the information contained in it is proprietary and confidential information of Philips Healthcare ("Philips") and
may not be reproduced, copied in whole or in part, adapted, modified, disclosed to others, or disseminated without the prior
written permission of the Philips Legal Department. This document is intended to be used either by customers, and is licensed to
them as part of their Philips equipment purchase, or to meet regulatory commitments as required by the FDA under 21 CFR
1020.30 (and any amendments to it) and other local regulatory requirements. Use of this document by unauthorized persons is
strictly prohibited.
Philips provides this document without warranty of any kind, implied or expressed, including, but not limited to, the implied
warranties of merchantability and fitness for a particular purpose.
Philips has taken care to ensure the accuracy of this document. However, Philips assumes no liability for errors or omissions and
reserves the right to make changes without further notice to any products herein to improve reliability, function, or design. Philips
may make improvements or changes in the products or programs described in this document at any time.
Unauthorized copying of this document, in addition to infringing copyright, might reduce the ability of Philips to provide accurate
and current information to users.
This product may contain remanufactured parts equivalent to new in performance, or parts that have had incidental use.
This product and its accessories are manufactured under or operate in accordance with the following United States patents and
corresponding patents in other countries: U.S. Patent Numbers 5,469,851; 5,471,989; 5,482,045; 5,485,842; 5,577,505; 5,706,819;
5,720,291; 5,735,281; 5,795,297; 5,833,613; 5,879,303; 5,891,040; 5,908,389; 5,951,478; 5,993,390; 5,993,392; 6,036,643;
6,102,863; 6,126,599; 6,126,602; 6,210,328; 6,224,552; 6,231,510; 6,251,074; 6,283,919; 6,299,579; 6,306,089; 6,315,723;
6,319,203; 6,364,828; 6,368,281; 6,380,766; 6,390,981; 6,416,477; 6,443,896; 6,447,453; 6,465,937; 6,469,957; 6,471,649;
6,491,630; 6,497,660; 6,500,120; 6,516,215; 6,527,719; 6,527,721; 6,532,819; 6,540,684; 6,544,175; 6,544,177; 6,551,248;
6,575,910; 6,629,929; 6,632,179; 6,676,606; 6,679,849; 6,685,637; 6,723,050; 6,743,174; 6,755,786; 6,755,788; 6,761,689;
2 EPIQ 7 User Manual 4535 617 25341

6,780,155; 6,824,517; 7,037,264; 7,043,062; 7,131,947; 7,439,656; 7,484,412; 7,544,164; 7,593,554; 7,637,869; 7,645,237;
7,648,461; 7,656,418; 7,704,208; 7,758,508; 7,771,354; 7,859,170; 8,030,824; 8,038,618; 8,096,947; 8,137,272; 8,161,817;
8,169,125; 8,177,718; 8,257,260; Re43,048; Re36,564.
"Chroma," "Color Power Angio," "High Q," "PercuNav," "QLAB," "SonoCT," "xMATRIX," and "XRES" are trademarks of Koninklijke
Philips N.V.
Non-Philips product names may be trademarks of their respective owners.
EPIQ 7 User Manual 4535 617 25341 3

4 EPIQ 7 User Manual 4535 617 25341

Contents
1Read This First .............................................................................................................. 15
Intended Audience ..............................................................................................................15
Intended Use .......................................................................................................................15
Warnings .............................................................................................................................. 16
Warning Symbols ................................................................................................................. 17
User Information Components ............................................................................................17
Product Conventions ........................................................................................................... 18
User Information Conventions ............................................................................................19
Upgrades and Updates ........................................................................................................21
Customer Comments ........................................................................................................... 21
Supplies and Accessories ..................................................................................................... 21
Customer Service ................................................................................................................. 22
Recycling, Reuse, and Disposal ............................................................................................22
2Safety ........................................................................................................................... 27
Basic Safety .......................................................................................................................... 27
Electrical Safety ................................................................................................................... 29
Defibrillators ................................................................................................................33
Fire Safety ....................................................................................................................34
Mechanical Safety ................................................................................................................ 34
Equipment Protection .......................................................................................................... 36
Product Compatibility .......................................................................................................... 37
Symbols ................................................................................................................................ 38
Biological Safety ................................................................................................................... 46
FDA Medical Alert on Latex .........................................................................................49
ALARA Education Program ...........................................................................................50
Output Display .............................................................................................................54
Control Effects .............................................................................................................58
Related Guidance Documents .....................................................................................60
Acoustic Output and Measurement ............................................................................60
Acoustic Output Tables ................................................................................................63
Acoustic Measurement Precision and Uncertainty .....................................................63
Operator Safety ................................................................................................................... 65
Contents
EPIQ 7 User Manual 4535 617 25341 5

Repetitive Strain Injury ...............................................................................................65
Foot Switch Warning ...................................................................................................65
Philips Transducers ......................................................................................................66
Glutaraldehyde Exposure ............................................................................................66
Infection Control ..........................................................................................................66
Electromagnetic Compatibility ............................................................................................68
Radio-Frequency Emissions .........................................................................................69
ECG Signal ....................................................................................................................70
Electrostatic Discharge Precautions ............................................................................70
Electromagnetic Emissions ..........................................................................................71
Approved Cables for Electromagnetic Compliance .....................................................72
Approved Transducers for Electromagnetic Compliance ............................................73
Approved Accessories for Electromagnetic Compliance .............................................73
Electromagnetic Immunity ..........................................................................................74
Electromagnetic Interference ......................................................................................77
Recommended Separation Distance ...........................................................................79
Avoiding Electromagnetic Interference .......................................................................81
Use Restrictions Due to Interference ...........................................................................81
3System Overview .......................................................................................................... 83
System Capabilities .............................................................................................................. 83
Measurements .............................................................................................................83
Transducer Types .........................................................................................................84
Image Acquisition and Review .....................................................................................84
Patient Data Protection ...............................................................................................84
System Options ....................................................................................................................84
Imaging Options ...........................................................................................................85
Connectivity Capabilities .............................................................................................85
Clinical/Analysis Applications ......................................................................................86
QLAB Advanced Quantification Software Options .......................................................86
Stress Echocardiography ..............................................................................................87
Data Security ................................................................................................................88
PercuNav Image Fusion and Interventional Navigation ..............................................88
System Components ............................................................................................................ 88
Video Monitor ..............................................................................................................90
Control Module ............................................................................................................90
Contents
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On/Off (Power) Control ...............................................................................................92
Data Storage ...............................................................................................................93
Peripherals ...................................................................................................................95
Transducer Receptacles and Cable Management ........................................................96
Physio (ECG) Receptacles .............................................................................................98
Wheel Brakes and Steering Locks ................................................................................99
4Preparing the System .................................................................................................. 101
Connecting Devices ............................................................................................................ 101
External Printers ........................................................................................................102
Connecting an External Printer ..................................................................................103
Configuring Local Printers ..........................................................................................104
Connecting the Foot Switch .......................................................................................105
Connecting an External DVD Recorder ......................................................................105
Connecting an External Color Monitor ......................................................................105
Connecting the System to a Network ................................................................................ 106
Moving the System ............................................................................................................ 106
Preparing and Moving the System .............................................................................108
Positioning the System in Confined Spaces ...............................................................111
Setting Up After Moving ............................................................................................112
5Using the System ........................................................................................................ 113
Turning the System On and Off ......................................................................................... 113
Setting the System Time and Date .....................................................................................114
Using the Brakes and Steering Locks .................................................................................115
Monitor Adjustments ........................................................................................................116
Positioning the Monitor .............................................................................................117
Changing the Monitor Tint .........................................................................................117
Changing the Default Monitor Brightness .................................................................118
Automatic Display Dimming ......................................................................................119
System Controls ................................................................................................................. 119
Control Panel .............................................................................................................119
Control Panel Adjustments ........................................................................................121
Adjusting Control Panel Brightness ...........................................................................121
Positioning the Control Panel ....................................................................................121
Setting the Depth Control ..........................................................................................122
Touch Screen .............................................................................................................122
Contents
EPIQ 7 User Manual 4535 617 25341 7

Touch Screen Layout ..................................................................................................123
Touch Screen Controls ...............................................................................................124
Utilities Touch Screen ................................................................................................125
System Tab Touch Screen Controls ............................................................................125
Trackball .....................................................................................................................126
Soft Key Controls .......................................................................................................127
Using the Keyboards ..................................................................................................128
Status Icons ................................................................................................................129
Power Management ..........................................................................................................130
Sleep Mode ................................................................................................................131
Battery Indicators ......................................................................................................132
System Security .................................................................................................................. 133
Logging On to the System ..........................................................................................133
Logging Off of the System ..........................................................................................134
Changing Your Password ...........................................................................................134
Imaging Display .................................................................................................................. 135
Patient Bar .................................................................................................................136
Image Area .................................................................................................................136
Tools and Icons Area ..................................................................................................138
Emergency Studies ............................................................................................................. 138
Temporary ID .............................................................................................................139
Starting Emergency Studies .......................................................................................139
Setting the Auto Freeze Function ...................................................................................... 140
Transducer Receptacles and Cable Management ..............................................................140
Selecting a Transducer ....................................................................................................... 142
Selecting a Preset ............................................................................................................... 143
ECG Feature .......................................................................................................................143
DVD, CD, and USB Devices .................................................................................................143
Media Compatibility ..................................................................................................143
DVD Drive ..................................................................................................................144
Loading and Ejecting a Disc ........................................................................................144
Erasing a DVD .............................................................................................................144
USB Devices ...............................................................................................................145
DICOM Viewer ...........................................................................................................146
6Customizing the System .............................................................................................. 147
Contents
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Presets ............................................................................................................................... 147
Setting the Default Transducer and Preset ................................................................148
Clinical Applications and Presets ...............................................................................148
Quick Save Presets .....................................................................................................148
Creating Quick Save Presets ......................................................................................149
Deleting Quick Save Presets ......................................................................................149
Copying Quick Save Presets to Removable Media .....................................................149
Loading Quick Save Presets from Removable Media .................................................150
System Setups ....................................................................................................................150
Changing Setups ........................................................................................................151
Hiding the Doppler Velocity Minus Sign ....................................................................151
System Options ..................................................................................................................152
Custom Procedures ............................................................................................................ 152
Creating a Custom Procedure ....................................................................................152
Selecting a Custom Procedure ...................................................................................153
7Performing an Exam .................................................................................................... 155
New Patient Exams ............................................................................................................ 155
Entering Patient Data .................................................................................................156
Selecting in the Worklist ............................................................................................156
Searching in the Worklist ...........................................................................................157
Hiding Patient Name and ID on Images .....................................................................157
Imaging Modes .................................................................................................................. 158
Selecting a Transducer ....................................................................................................... 158
Annotation .........................................................................................................................159
Adding Labels .............................................................................................................159
Adding Labels Using the Keyboard ............................................................................161
Adding an Image Title ................................................................................................161
Displaying Body Markers ...........................................................................................161
Recording ........................................................................................................................... 162
Using the DVD Recorder ............................................................................................162
Printing .............................................................................................................................. 163
Printing in Live Imaging ..............................................................................................163
Review ............................................................................................................................... 164
Starting Review ..........................................................................................................164
Navigating Thumbnails and Images ...........................................................................165
Contents
EPIQ 7 User Manual 4535 617 25341 9

Capturing Images and Loops .............................................................................................. 165
Measurement and Analysis ............................................................................................... 167
Performing a 2D Distance Measurement ..................................................................168
Measuring M-Mode Distance ....................................................................................169
Measuring the Doppler Trace on a Sweeping Display ...............................................169
Obtaining a Typical Labeled Measurement ...............................................................169
Measuring Then Labeling ...........................................................................................170
Ending an Exam .................................................................................................................. 170
8Transducers ................................................................................................................ 173
Selecting a Transducer ....................................................................................................... 173
Setting the Default Transducer and Preset ........................................................................174
Clinical Applications and Transducers ...............................................................................174
Indications for Use and Supporting Transducers ...............................................................176
xMatrix Array Transducers ................................................................................................. 177
X5-1 Description ........................................................................................................177
X6-1 Description ........................................................................................................178
Transducer Maintenance ................................................................................................... 178
Acoustic Artifacts ............................................................................................................... 179
Acoustic Artifacts in 3D Imaging ................................................................................181
Transducer Covers ............................................................................................................. 183
Ultrasound Transmission Gels ...........................................................................................184
Transducer Storage ............................................................................................................ 185
Storage for Transport ................................................................................................185
Daily and Long-Term Storage .....................................................................................186
9Intraoperative Transducers ......................................................................................... 187
Operators of Intraoperative Transducers ..........................................................................187
Intended Uses for Intraoperative Transducers ..................................................................188
Patient Safety During Intraoperative Studies ...................................................................188
Patient-Contact Parts .................................................................................................189
Preventing Intraoperative Transducer Problems ..............................................................190
L15-7io Description ............................................................................................................ 190
Preparing Transducers for Intraoperative Use ..................................................................191
Disposable Drapes .....................................................................................................192
Accessories for Intraoperative Transducers ..............................................................192
Electrical Safety and Intraoperative Transducers .............................................................. 192
Contents
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Leakage Current Testing for Intraoperative Transducers ..................................................193
Testing Intraoperative Transducer Leakage Current (Source) ...................................196
Testing Intraoperative Transducer Leakage Current (Sink) .......................................197
10 Transesophageal Transducers ..................................................................................... 199
Operators of TEE Transducers ...........................................................................................199
Patient Safety During TEE Studies ......................................................................................200
Patient-Contact Parts .................................................................................................204
Preventing TEE Transducer Problems ................................................................................204
Electrical Safety and TEE Transducers ...............................................................................205
Leakage Current and TEE Transducers .......................................................................206
Reducing Risks of Using TEE Transducers ..................................................................206
TEE Deflection Control Basics ........................................................................................... 207
X7-2t TEE Transducer Description .....................................................................................209
Using the X7-2t TEE Transducer .........................................................................................210
X7-2t Deflection Controls ..........................................................................................211
Manipulating the X7-2t Tip ........................................................................................213
Rotating the X7-2t Image Plane ................................................................................215
S7-3t TEE Transducer Description .....................................................................................216
Using the S7-3t TEE Transducer ........................................................................................217
S7-3t TEE Controls .....................................................................................................218
Manipulating the S7-3t TEE Tip ..................................................................................220
S7-3t TEE Array Rotation ...........................................................................................221
Rotating the S7-3t TEE Array .....................................................................................222
Checking the TEE Transducer ............................................................................................. 223
TEE Transducer Inspection .........................................................................................223
TEE Transducer Controls Inspection ..........................................................................223
Special Considerations for TEE Studies ..............................................................................223
Patient Selection for TEE Transducer Use ..................................................................224
Preparing Patients for TEE Studies ............................................................................225
TEE Study Guidelines .................................................................................................225
Tip Fold-Over ..................................................................................................................... 226
Recognizing Tip Fold-Over .........................................................................................226
Correcting Tip Fold-Over ............................................................................................227
Preventing Tip Fold-Over ..........................................................................................227
TEE Temperature Sensing .................................................................................................. 228
Contents
EPIQ 7 User Manual 4535 617 25341 11

Ensuring Safe TEE Temperatures ...............................................................................229
Manual Auto-Cool Feature ........................................................................................229
Using the Temperature Display ................................................................................230
Patient Temperature .................................................................................................231
Entering Patient Temperature ...................................................................................231
Resuming Imaging After Auto-Cool ...........................................................................231
Patient Care After a TEE Study ...........................................................................................232
TEE Accessories and Supplies ............................................................................................233
Bite Guards ................................................................................................................233
TEE Transducer Covers ..............................................................................................233
Tip Protectors ............................................................................................................234
Disposable Drapes .....................................................................................................234
TEE Leakage Current Test .................................................................................................. 234
TEE Test Background ..................................................................................................234
Testing TEE Transducer Leakage Current ...................................................................237
TEE Transducer References ...............................................................................................238
11 Endocavity Transducers .............................................................................................. 239
Operators of Endocavity Transducers ................................................................................239
Patient Safety During Endocavity Studies .......................................................................... 239
Preparing Transducers for Endocavity Use ........................................................................240
C10-3v Description ............................................................................................................. 241
C10-4ec Description ...........................................................................................................241
Patient-Contact Parts .........................................................................................................242
Biopsy with Endocavity Transducers .................................................................................243
12 Biopsy Guides ............................................................................................................. 245
Attaching and Removing a Biopsy Guide ...........................................................................245
Biopsy Guideline Display ....................................................................................................246
Displaying the Biopsy Guideline .........................................................................................247
Moving the Biopsy Depth Cursor .......................................................................................248
Biopsy Guide Alignment ....................................................................................................249
Preparation for Alignment Verification .....................................................................249
Verifying the Biopsy Guide Alignment .......................................................................250
Performing a Biopsy Procedure ......................................................................................... 252
Biopsy Guide Maintenance ................................................................................................254
13 Transducer Care .......................................................................................................... 255
Contents
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Transducer Care Safety ...................................................................................................... 255
Latex Product Alert ....................................................................................................256
Transmissible Spongiform Encephalopathy ...............................................................257
Choosing the Correct Transducer-Care Method ................................................................ 257
Transducer, Cable, and Connector Cleaning ......................................................................258
Cleaning a Transducer ...............................................................................................260
Cleaning and Disinfecting Cables and Connectors .....................................................261
Transducer Disinfection ..................................................................................................... 263
Isopropyl Alcohol Restrictions ...................................................................................264
Disinfecting Transducers Using a Wipe or Spray Method .........................................264
Transducer Disinfection by Immersion ......................................................................266
Minimizing the Effects of Residual Disinfectant ........................................................267
Disinfecting Non-TEE Transducers by Immersion ......................................................268
Cautions for TEE Transducer Disinfection ..................................................................269
Disinfecting TEE Transducers by Immersion ..............................................................270
Disinfecting TEE Transducers with an AER .................................................................273
Transducer Sterilization .....................................................................................................273
Sterilizing Transducers by Immersion ........................................................................275
Disinfectants Compatibility ................................................................................................276
Disinfectant Types .....................................................................................................277
Factors Affecting Disinfectant Efficiency ...................................................................278
Disinfectants and Cleaning Solutions Compatibility Table .........................................278
14 System Maintenance .................................................................................................. 287
Cleaning and Maintaining the System ............................................................................... 287
Cleaning the System and ECG Equipment .................................................................287
Disinfectants for System Surfaces .............................................................................289
Disinfecting System Surfaces .....................................................................................290
System Control Panel Maintenance ...........................................................................291
Cleaning the Trackball ................................................................................................291
Cleaning the System Air Filter ....................................................................................291
Specifying and Resetting the Air Filter Maintenance Status ......................................293
Transducer Maintenance ...................................................................................................293
Printer and DVD Recorder Maintenance ...........................................................................294
Troubleshooting ................................................................................................................. 295
Error Messages .................................................................................................................. 296
Contents
EPIQ 7 User Manual 4535 617 25341 13

Test Patterns ...................................................................................................................... 296
Transferring the Test Patterns ...................................................................................296
Using the Test Patterns ..............................................................................................296
Testing the System ............................................................................................................. 297
For Assistance .................................................................................................................... 297
15 Specifications .............................................................................................................. 299
Safety and Regulatory Requirements ................................................................................302
16 Index .......................................................................................................................... 303
Contents
14 EPIQ 7 User Manual 4535 617 25341

Read This First
This manual is intended to assist you with the safe and effective operation of your Philips
product. Before attempting to operate the product, read this manual and strictly observe all
warnings and cautions. Pay special attention to the information in the “Safety” section.
The user information for your Philips product describes the most extensive configuration of the
product, with the maximum number of options and accessories. Some functions described may
be unavailable on your product's configuration.
Intended Audience
Before you use your user information, you need to be familiar with ultrasound techniques.
Sonography training and clinical procedures are not included here.
This document is intended for sonographers, physicians, and biomedical engineers who operate
and maintain your Philips product.
Intended Use
This product is intended to be installed, used, and operated only in accordance with the safety
procedures and operating instructions given in the product user information, and only for the
purposes for which it was designed. For indications for use, see “Indications for Use and
Supporting Transducers” on page 176. However, nothing stated in the user information
reduces your responsibility for sound clinical judgment and best clinical procedure.
Installation, use, and operation of this product is subject to the law in the jurisdictions in which
the product is used. Install, use, and operate the product only in such ways that do not conflict
with applicable laws or regulations, which have the force of law.
Use of the product for purposes other than those intended and expressly stated by Philips, as
well as incorrect use or operation, may relieve Philips or its agents from all or some
responsibility for resultant noncompliance, damage, or injury.
1
Intended Audience Read This First
EPIQ 7 User Manual 4535 617 25341 15

WARNING
System users are responsible for image quality and diagnosis. Inspect the data that is being
used for the analysis and diagnosis and ensure that the data is sufficient both spatially and
temporally for the measurement approach being used.
Warnings
Before using the system, read these warnings and the “Safety” section.
WARNING
Do not remove the protective covers on the system; hazardous voltages are present inside.
Cabinet panels must be in place while the system is in use. All internal adjustments and
replacements must be made by a qualified Philips Ultrasound field service engineer.
WARNING
To avoid electrical shock, use only supplied power cords and connect only to properly
grounded wall (wall/mains) outlets.
WARNING
Do not operate this system in the presence of flammable gases or anesthetics. Explosion can
result. The system is not compliant in AP/APG environments as defined by IEC 60601-1.
WARNING
Medical equipment must be installed and put into service according to the special
electromagnetic compatibility (EMC) guidelines provided in the “Safety” section.
WARNING
The use of portable and mobile radio-frequency (RF) communications equipment can affect
the operation of medical equipment.
Read This First Warnings
16 EPIQ 7 User Manual 4535 617 25341

Warning Symbols
The system may use the following warning symbols. For additional symbols used on the system,
see the “Safety” section.
Warning Symbols
Symbol Description
Identifies a safety note.
Dangerous voltages: Appears adjacent to high-voltage terminals, indicating the presence of
voltages greater than 1,000 Vac (600 Vac in the United States).
Identifies ESD (electrostatic-discharge) sensitivity of a connector that is not tested as
specified in IEC 60601-1-2. Do not touch exposed connector pins. Touching exposed pins
can cause electrostatic discharge, which can damage the product.
Indicates that the user should see the instructions for use for safety information.
User Information Components
The user information provided with your product includes the following components:
•User Information CD: Includes all of the user information, except the Operating Notes. The
instructions for using the CD are included with the CD.
•Operating Notes: Contains information that clarifies certain product responses that might
be misunderstood or cause user difficulty.
•User Manual: Provided with the product and included on the CD. The User Manual
introduces you to features and concepts, helps you set up your system, and includes
important safety information. This manual also includes procedures for basic operation. For
detailed operating instructions, see the Help.
•Quick Guide: Provided with the product and included on the CD. The Quick Guide helps you
perform an ultrasound exam step-by-step.
Warning Symbols Read This First
EPIQ 7 User Manual 4535 617 25341 17

•Help: Available on the system in some languages and included on the CD, the Help contains
comprehensive instructions for using the system. The Help also provides reference
information and descriptions of all controls and display elements. To display the Help, touch
on the touch screen.
•Acoustic Output Tables: Included on the CD, it contains information about acoustic output
and patient-applied part temperatures.
•Medical Ultrasound Safety: Included on the CD, it contains information on bioeffects and
biophysics, prudent use, and implementing ALARA (as low as reasonably achievable).
•Shared Roles for System and Data Security: Included on the CD, it contains guidelines to
help you understand how the security of your Philips product could be compromised and
information on Philips' efforts to help you prevent security breaches.
•Media Compatibility: Included on the CD, it contains current information on media that are
compatible with your system.
Product Conventions
Your Philips product uses certain conventions throughout the interface to make it easy for you
to learn and use:
• Three unlabeled buttons near the trackball are used with the trackball. The two buttons on
either side of the trackball are called the "left and right trackball buttons," and they operate
somewhat similarly to PC mouse buttons. The button above the trackball is called the
"middle trackball button," and it is used to update the imaging display, complete
measurements, and other operations as specified in procedures. The trackball arbitration
icon, at the bottom of the display, indicates the current functions of the trackball buttons.
• Tabs along the top of the monitor display let you choose additional sets of setup options.
Tabs along the top of the touch screen let you choose additional pages of controls.
• To type text into a text field, click in the field and use the keyboard.
• To display a list, click the down arrow . To scroll through a list, click the arrows at either
end of the scroll bar or drag the scroll box up or down.
• Controls on the control panel include buttons, knobs, slide controls, and a trackball. Press a
button to activate or deactivate its function. Turn a knob to change the selected setting.
Press a knob-button to activate its function, or turn it to change the selected setting. Move
a slide control to change its setting. Roll the trackball in the direction that you want to move
an object.
Read This First Product Conventions
18 EPIQ 7 User Manual 4535 617 25341

• Controls on the touch screen include buttons, knob labels, and sliders. To use a touch
screen button, simply touch it. To use a touch screen knob label, touch the label and adjust
the corresponding knob, located directly below it on the control panel. If two knob labels
are available for the knob, you must first touch the knob label that you want to adjust. To
use a slider, swipe the slider button, or touch a location on the slider, to move the slider
button.
• Many tabs on the touch screen contain two pages of controls. To display the second page,
place your finger on the touch screen and swipe to the left. To return to the first page, place
your finger on the touch screen and swipe to the right.
• Some areas of the display include chevrons . Clicking displays or hides additional
information, options, or fields.
User Information Conventions
The user information for your product uses the following typographical conventions to assist
you in finding and understanding information:
• All procedures are numbered, and all subprocedures are lettered. You must complete steps
in the sequence they are presented to ensure success.
• Bulleted lists indicate general information about a particular function or procedure. They do
not imply a sequential procedure.
• Control names and menu items or titles are spelled as they are on the system, and they
appear in bold text. Exceptions are the trackball, the buttons adjacent to it, and the TGC
slide controls, all of which are unlabeled.
• Symbols appear as they appear on the system.
• The pointer is the cursor used to select elements on the display. Use the Pointer control to
display the pointer.
•Point means to position the tip of the pointer or cursor on an item on the display.
•Click means to move the pointer or cursor to an object and press one of the unlabeled
trackball buttons located on either side of the trackball.
•Select means to move the pointer to an object and press one of the unlabeled trackball
buttons located on either side of the trackball to "highlight" the object (such as an item in a
list), or in the case of a check box or "radio button," to fill the object. Deselect means
clicking the item to remove the highlight or fill.
•Double-click means to quickly click twice to select an object or text.
User Information Conventions Read This First
EPIQ 7 User Manual 4535 617 25341 19

•Drag means to place the pointer over an object and then press and hold the left or right
trackball button while moving the trackball. Use this method to move an object on the
display.
•Touch means to press a button on the touch screen, located above the control panel.
•Swipe means to touch the touch screen with the tip of your finger and move your finger in a
quick motion either to the left or to the right. This action displays an additional touch
screen, if one is available.
•Highlight means to change the color of a display selection (such as an item in a list) or
overlay it with a colored bar, usually by clicking.
• The left side of the system is to your left as you stand in front of the system, facing the
system. The front of the system is nearest to you as you operate it.
• Transducers and pencil probes both are referred to as transducers, unless the distinction is
important to the meaning of the text.
Information that is essential for the safe and effective use of your product appears throughout
your user information as follows:
WARNING
Warnings highlight information vital to the safety of you, the operator, and the patient.
CAUTION
Cautions highlight ways that you could damage the product and consequently void your
warranty or service contract or ways that you could lose patient or system data.
NOTE
Notes bring your attention to important information that will help you operate the product
more effectively.
Read This First User Information Conventions
20 EPIQ 7 User Manual 4535 617 25341
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