Siemens ACUSON Antares User manual

Siemens Medical Solutions USA, Inc. 10033049-ABS-001-01
ACUSON Antares Ultrasound Imaging System
[1] Instructions for Use

[1] INSTRUCTIONS FOR USE i
[1] Instructions for Use
Product Version 3.5
Siemens Medical Solutions USA, Inc.
Ultrasound Division
1230 Shorebird Way
Mountain View, CA 94043-1344
U.S.A.
[phone]
[phone]
CE Declaration
This product is provided with a CE marking in accordance with the
regulations stated in Council Directive 93/42/EEC of June 14, 1993,
concerning Medical Devices. Siemens Medical Solutions USA, Inc., is
certified by Notified Body 0123 to Annex II.3 – Full Quality System.
Authorized EC Representative:
Siemens Aktiengesellschaft
Medical Solutions
Henkestraße 127
D-91052 Erlangen
Germany
©2001–2005 Siemens Medical Solutions USA, Inc.
All Rights Reserved.
August 2005
Printed in the United States of America.
ACUSON Antares, SONOLINE Antares, Extend, Clarify, SieScape, fourSight, 3-Scape,
SieClear, DIMAQ, MultiHertz, TEQ, Cadence, StellarPlus, Ensemble, Multi-D,
ErgoDynamic, microCase, SuppleFlex, syngo, Axius, and Crescendo are trademarks of
Siemens Medical Solutions USA, Inc.
CIDEX, CIDEX Plus, CIDEX OPA, Milton, Virkon, Gigasept FF, and STERRAD are
trademarks of their respective owners.
Siemens reserves the right to change system specifications at any time.

ii [1] INSTRUCTIONS FOR USE

[1] INSTRUCTIONS FOR USE iii
Table of Contents
[1] Instructions for Use
Chapter Title Chapter Description
Chapter 1
Introduction
General overview of the diagnostic ultrasound imaging system,
including system options, features, and design.
Chapter 2
Safety and Care
Detailed information on system safety and how to care for and
maintain the system, transducers, and transducer accessories.
Chapter 3
System Controls
A fundamental reference chapter explaining the function of on-
screen selections, and of each control and key located on the control
panel and keyboard. Includes descriptions of the on-screen
selections, the controls, and the keys for use with all system-specific
features and options.
Refer to the Accessories and Options chapter of the System
Reference for a list of system-specific features and options, including
transducers.
Chapter 4
System Setup
Detailed descriptions of how to transport, set up, and prepare the
system for use, including transducer connection and system startup
procedures.
Chapter 5
Beginning an Examination
Information on starting an examination, including instructions for
entering and editing patient data and selecting an exam type,
imaging mode, and transducer.
Chapter 6
Technical Description Technical description of the ultrasound system.
Note: Not all features and options described in this publication are available to all users.
Please check with your Siemens representative to determine the current availability of
features and options.
Refer to the Accessories and Options chapter of the System Reference for a list of
system-specific features and options, including transducers.

iv [1] INSTRUCTIONS FOR USE

[1] INSTRUCTIONS FOR USE v
About This Manual
The Instructions for Use consists of two volumes:
 [1] Instructions for Use
The [1] Instructions for Use includes both a general overview and a
technical description of the ultrasound imaging system. This manual
contains detailed information on the safety and care of the ultrasound
system and its transducers. A chapter is dedicated to the description of
all system controls. The [1] Instructions for Use also includes the
procedures for system setup and beginning an exam.
 [2] Instructions for Use
The [2] Instructions for Use includes procedures for acquiring and
optimizing images. This manual provides procedures for general and
exam-specific measurements and calculations. It is organized by the
following categories: Image, Calcs, Patient Data, and Resources.
The System Reference provides reference information for the ultrasound
imaging system.
The Electromagnetic Emissions and Immunity: Guidance and Manufacturer's
Declaration publication provides information regarding the electromagnetic
compatibility (EMC) testing of this system.

vi [1] INSTRUCTIONS FOR USE
Conventions
Conventions used throughout this manual are listed below. Take a moment
to familiarize yourself with these conventions.
Warnings, Cautions, and Notes
WARNING: Warnings are intended to alert you to the importance of following
the correct operating procedures where risk of injury to the patient or system
user exists.
Caution: Cautions are intended to alert you to the importance of following
correct operating procedures to prevent the risk of damage to the system.
Note: Notes contain information concerning the proper use of the system and/or correct
execution of a procedure.
Control Panel Keys and Controls
Controls and keys located on the control panel are identified by uppercase
boldface type.
Example: Rotate the MENU control.
Keys located on the keyboard are identified by boldface type.
Example: Press the Patient key located on the keyboard.
On-Screen Objects
On-screen objects such as task card tabs, menu selections, buttons, entry
fields, names of forms and dialogs, and group boxes are identified by
boldface type.
Example: The system displays the Image task card.
Selection of On-Screen Objects
The SELECT key on the control panel functions as a point-and-select device
when used with the trackball (similar to a computer mouse). To select an
on-screen object (such as a task card tab or a button), roll the trackball to
position the pointer (cursor) on the object and then press the SELECT key
on the control panel.

[1] INSTRUCTIONS FOR USE vii
Special Terms
Special terms are indicated in boldface italicized text and are accompanied
by a brief description on their first use in the manual.
Example: When the trackball is used to make menu selections, it is
assigned to the
pointer function.
Cross References
When additional information exists within this or other manuals, a
reference graphic and the name of the book is provided in the right
column. If the information exists within the chapter, a cross-reference to
the page number is listed. Otherwise, information is referenced by topic
and chapter number. The System Reference organizes information by
category, topic, and chapter number.
System Presets
You can use the options and settings available in the system presets menu
to set up the ultrasound system with your preferences. Presets define the
configuration of the system software whenever you power on the system.
You can press the Presets key on the keyboard or select the Presets button
on the image screen to access the system Presets menu.
A complete listing of system presets is located in the System Reference.
Whenever a system preset is discussed in other chapters or in the User and
Reference Manuals, a graphic is provided in the right column.
The graphic identifies a preset option or setting in the system presets menu
that is available for you to customize your ultrasound system. The name of
the category on the menu containing the system preset is listed for
your convenience.
Example: Use the system presets to set the number of heart cycles to
include between the two vertical lines.
[1] Instructions for Use
System Controls Ch 3
[2] Instructions for Use
IMAGE:
Imaging Ch 1
System Reference
Acoustic Tables Ch 1
System-wide
Meas. Tools

viii [1] INSTRUCTIONS FOR USE

[1] INSTRUCTIONS FOR USE 1 - 1
1 Introduction
System Overview ............................................................................................... 3
Configurations ............................................................................................... 4
Language Formats.................................................................................. 4
Transducers............................................................................................ 4
Intended Use....................................................................................................... 5
Operating Modes................................................................................................ 6
Image Screen Layout ......................................................................................... 7
Screen Saver ................................................................................................. 7
Sample Image Screen ............................................................................ 8
Image Task Card..................................................................................... 9
Documentation Devices................................................................................... 10
Patient Data Management........................................................................... 11
Measurements and Reports ............................................................................ 12
System Presets................................................................................................. 12
User-Defined Exam Type ................................................................................. 12

1 Introduction
1 - 2 [1] INSTRUCTIONS FOR USE

1 Introduction
[1] INSTRUCTIONS FOR USE 1 - 3
System Overview
The Antares system is a high-resolution, digital, broadband diagnostic
ultrasound imaging system. In addition to 2D-mode and M-mode imaging,
the system is integrated with pulsed Doppler, Color Doppler, and
Power Doppler imaging.
The system utilizes broadband, multi-frequency transducer technology and
state-of-the-art image processing techniques.
Example of the left-front view of the ultrasound system.
1 User-adjustable
monitor with two
forward-facing
speakers
2 User-adjustable
control panel
3 Front handle
4 Language-specific
alphanumeric
keyboard
5 Central brakes
6 Front swivel wheels
7 Physio panel
8 Recordable compac
t
disk (CD-R) drive
9 Power ON/OFF
(Standby)
10 Transducer holders

1 Introduction
1 - 4 [1] INSTRUCTIONS FOR USE
Configurations
The Antares system is available in 100V~, 115V~, and 230V~ mains voltage.
Language Formats
Operating system software and control panel overlays are available in
English, German, French, Spanish, and Italian languages.
Transducers
Wideband MultiHertz multiple frequency transducer technology supports
imaging frequencies from 2.0 MHz to 13 MHz. Multiple frequency capability
is available for all transducers in 2D, M, Color, Power, and Doppler modes.
You can connect up to three array transducers to the imaging system, with
one transducer being the active transducer.
[1] Instructions for Use
System/Hardware
Options Ch 6
System Reference
System-specific
features Ch 2
System-specific
options Ch 2
System-specific
transducers Ch 2
Example of
overlays Ch 2

1 Introduction
[1] INSTRUCTIONS FOR USE 1 - 5
Intended Use
Caution: In the United States of America, federal law restricts this
device to sale or use by, or on the order of, a physician.
The Antares ultrasound system supports the following applications:
 Abdominal (Renal)
 Obstetrics (Fetal Echo)
 Gynecology
 Small Parts (Breast, Testicle, Thyroid)
 Musculoskeletal/Superficial Musculoskeletal
 Pediatric (Abdomen, Infant Hip, and Neonatal Cephalic)
 Vascular (Arterial and Venous)
 Digital
 Urology (Penile, Pelvis, Prostate)
System Reference
Listing of
Transducers
and Intended
Application Ch 1

1 Introduction
1 - 6 [1] INSTRUCTIONS FOR USE
Operating Modes
 2D-mode: 2D-mode is the default setting. When the system is powered
on, the image screen displays in 2D-mode.

M-mode: Full screen M-mode display and 2D/M-mode display
are available.

Pulsed Doppler: Pulsed Doppler can display a spectrum simultaneously
with a 2D image. An update function is available to toggle a frozen
2D image with a real-time spectrum, or a real-time 2D image with a
frozen spectrum.

Color Doppler: Color Doppler displays in a 2D-mode image and in
2D/Doppler display.

Power Doppler: Power Doppler displays in a 2D-mode image and
2D/Doppler display.

1 Introduction
[1] INSTRUCTIONS FOR USE 1 - 7
Image Screen Layout
The monitor on the ultrasound system displays clinical images together with
important operating parameters, patient data, and control commands. The
primary tasks during an exam are grouped into task cards that follow the
high-level workflow of an exam. The available task cards are Image, Calcs,
Review, and Compose. Images are acquired and optimized in the Image
task card, measurements are made in the Calcs task card, data is reviewed
in the Review task card, and any post-processing functions are done in the
Compose task card.
Many fields or areas of data displayed on the screen are multi-functional. The
image field can display a 2D-mode image, M-mode sweep, Doppler spectrum,
and their combinations, calipers, pictograms and annotation text, biopsy
guidelines, and CINE icons. An image can be inverted on a vertical axis and
reversed on a horizontal axis to facilitate viewing and measurements.
EMC Note: Operating the ultrasound imaging system in close proximity to sources of
strong electromagnetic fields, such as radio transmitter stations or similar installations
may lead to interference visible on the monitor screen. However, the device has been
designed and tested to withstand such interference and will not be permanently
damaged.
Screen Saver
The screen saver feature automatically freezes the system and replaces the
active display with a screen-saver display after the system has been inactive
for a specified number of minutes. Use system presets to designate this
period of time. Exit the active screen saver display by pressing any key,
adjusting any control, or rolling the trackball.
Note: The screen saver feature is not available when the system is in VCR playback or
Biopsy.
Basic System

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Sample Image Screen
Example of a typical image screen during 2D-mode with color imaging.
1 Color bar and display.
2 Color Doppler
region of interest (ROI).
3
Gray bar and gray map .
4
Image status . Displays Depth in
centimeters, a Zoom (Z) indicator,
frames per second (fps), and CINE frame
counter.
5
Trackball status .
6
Shortcut buttons . Accesses the
Patient Registration, Report, Patient
Browser, Film Sheet, system presets,
and the online Help. They are an
alternative to the function keys on the
keyboard.
7
Task card . The available task cards are
Image, Calcs, Review, and Compose.
Images are acquired and optimized in the
Image task card. Measurements are
made in the Calcs task card. Data is
reviewed in the Review task card, and
any post-processing functions are
performed in the Compose task card.
8
Group box . Displays groups of controls
that allow the user to modify screen
formats and controls for system features
and options.
9
Parameter menu .Displays image
optimization parameters for each
operating mode.
10
Patient banner . Information for
identifying the patient, operator,
institution, date, and time.

1 Introduction
[1] INSTRUCTIONS FOR USE 1 - 9
Image Task Card
Example of an image screen with the Image task card active.
1 Priority mode indicator on the
Parameter menu
2 Mechanical and Thermal Indices
3 Transducer Orientation Indicator
4 Focal Point markers
5 DGC curve
6 Task card tabs (Image, Calcs, Review,
Compose)
7 Group boxes (Imaging, VCR, and
Physio)
8 Transducer drop-down menu
9 Exam type drop-down menu
10 Transmit Power
[2] Instructions for Use
IMAGE:
Parameter menu Ch 1
Group box Ch 1
Drop-down menu Ch 1

1 Introduction
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Documentation Devices
Caution: Peripheral devices specified for use with the ultrasound system are
listed in the System Reference. Any use of other devices with the system is at
the user's risk.
The system supports a maximum of three documentation devices
connected to the system in the following configurations:
 Up to three documentation devices, all off-board
 Up to two documentation devices on-board, with one device off-board
 Any single documentation device on-board, with up to two devices
off-board
Check with your sales representative when ordering a peripheral device to
ensure you are ordering a valid combination. The following devices are
available:
 Black and white printer, (3" x 4" [A6] format)
 Color printer (5" x 7" [A5] or 3" x 4" [A6] format)
 Videocassette recorder (VCR) with either NTSC or PAL format
Note: Some documentation devices may be controlled using the system control panel,
others may need to be operated remotely.
Note: Refer to the manufacturer's instructions for specific information concerning the
operation of these devices.
WARNING: Accessory equipment connected to the analog and digital
interfaces must be certified according to the respective EN and IEC standards
(for example, EN 60950 and IEC 60950 for data processing equipment and
EN 60601-1 and IEC 60601-1 for medical equipment). Furthermore, all
configurations shall comply with the system standards EN 60601-1-1 and
IEC 60601-1-1. Anyone who connects additional equipment to any signal input or
signal output ports configures a medical system and is therefore responsible
that the system complies with the requirements of the system standards
EN 60601-1-1 and IEC 60601-1-1. Siemens can only guarantee the performance
and safety of the devices listed in the System Reference. If in doubt, consult
Siemens service department or your local Siemens representative.
System Reference
CD drive Ch 5
Accessories and
Options Ch 2