Siemens ACUSON Cypress User manual

Operator’s Manual
ACUSON Cypress™ System
MANUFACTURER’S NAME: Siemens Medical Solutions USA, Inc.
MANUFACTURER’S ADDRESS:1230 Shorebird Way
Mountain View, CA 94043
Phone: [phone]
[phone]
EUROPEAN REPRESENTATIVE: Siemens Aktiengesellschaft
Medical Engineering Group
Henkestraße 127,
D-91052 Erlangen, Germany
Phone: [phone]
Document No. 10034330
Rev. 01
Language: English

ii
Copyright © 2006 by Siemens Medical Solutions USA, Inc.
All rights reserved. No part of this publication may be reproduced, transmitted,
transcribed, stored in retrieval systems, or translated into any language or com-
puter language, in any form or by any means, electronic, mechanical, mag-
netic, optical, chemical, manual, or otherwise, without the prior written
permission of Siemens Medical Solutions USA, Inc.
Siemens Medical Solutions USA, Inc. reserves the right to change its products
and services at any time. In addition, this manual is subject to change without
notice. Siemens Medical Solutions USA, Inc. welcomes customer input on cor-
rections and suggestions for improvements to this manual.
Although Siemens Medical Solutions USA, Inc. has attempted to ensure accu-
racy throughout this manual, Siemens Medical Solutions USA, Inc. assumes
no liability for any errors or omissions, nor for any damages resulting from the
application or use of this information.
ACR-NEMA v3 TCP/IP/Ethernet Interface Source Code licensed from
DeJarnette Research Systems, Inc.
Portions of JPEG compression software licensed from Pegasus Imaging
Corporation.
Printer drivers licensed from Epson, Inc. and Canon, Inc.
All product names are trademarks of their respective companies.
United States Federal Law restricts this device to use by or on the order of a
physician.
COPYRIGHT
TRADEMARKS
CAUTION!

iii
All computer programs copyright 2000–2006 by Siemens Medical Solutions
USA, Inc. OR ITS SUPPLIERS. Such programs are licensed under the follow-
ing software license agreement:
Siemens or its suppliers retain(s) ownership of and title to any computer pro-
gram supplied with the equipment and to the trade secrets embodied in such
computer programs. Subject to the Buyer’s acceptance and fulfillment of the
obligations in this paragraph. Siemens grants the Buyer a personal, non-trans-
ferable, perpetual, non-exclusive license to use any computer program sup-
plied with the Equipment that is necessary to operate the Equipment solely on
the medium in which such program is delivered for the purpose of operating
the equipment in accordance with the instructions set forth in the operator’s
manuals supplied with the Equipment and for no other purpose whatsoever.
Buyer may not reverse-assemble, reverse-compile or otherwise reverse-engi-
neer such computer programs nor may Buyer make a copy of such program or
apply any techniques to derive the trade secrets embodied therein. In the event
of a failure by Buyer to comply with the terms of this license, the license
granted by this paragraph shall terminate. Further, because unauthorized use of
such computer programs will leave Siemens without an adequate remedy at
law, Buyer agrees that injunctive or other equitable relief will be appropriate to
restrain such use, threatened or actual. Buyer further agrees that (i) any of Sie-
mens suppliers of software is a direct and intended beneficiary of this end-user
sublicense and may enforce it directly against Buyer with respect to software
supplied by such supplier, and (ii) NO SUPPLIER OF SIEMENS SHALL BE
LIABLE TO BUYER FOR ANY GENERAL, SPECIAL, DIRECT, INDI-
RECT, CONSEQUENTIAL, INCIDENTAL OR OTHER DAMAGES ARIS-
ING OUT OF THE SUBLICENSE OF THE COMPUTER PROGRAMS
SUPPLIED WITH THE EQUIPMENT.
LICENSE AGREEMENT

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WARNINGS
ELECTRICAL SHOCK HAZARD
Grounding reliability can only be achieved when equipment is
connected to an equivalent receptacle marked “HOSPITAL
GRADE.” Do not remove system covers. There are no operator
servicable parts inside. Refer servicing to qualified personnel.
DANGER
Possible explosion hazard if used in the presence of flammable
anesthetics.
WARNING
Risk of fire. Replace fuse as marked.
WARNING
The Cypress System is not intended for use as an ECG monitor
or for diagnostic ECG.
CAUTION
Total system chassis leakage current should not exceed 100µA.
ATTENTION
Before using the system, carefully read the “Safety, Technical
Description, and Accuracy” section.
IMPORTANT
Read this manual carefully before you begin using the system.

ACUSON Cypress™ Operator’s Manual v
CHAPTER 1 System Overview
Overview of the Cypress System 1-2
Turning the Cypress System On and Off 1-3
Turning the Cypress System ON 1-3
Turning the Cypress System OFF 1-4
Logging On and Off of the Cypress System 1-5
Logging On 1-5
Logging Off 1-6
Setting Up User Accounts 1-7
Adding Users 1-7
Editing or Removing Users 1-8
Connecting and Using Transducers 1-9
Magneto Optical (MO) Disk Drive 1-10
External Devices and Connections 1-11
Transporting the System 1-12
Proper Viewing Angle 1-13
System Security 1-14
Location of Fan and Vents 1-15
Contents

Contents
vi ACUSON Cypress™ Operator’s Manual
CHAPTER 2 Keyboard & General Controls
Keyboard Overview 2-2
Keyboard Controls 2-3
Mode Keys 2-3
Trackball and <ENTER> Keys 2-5
Main Knob 2-5
Time/Gain Compensation (TGC) 2-5
Main Knob Functions 2-6
How to Set the Playback Speed using the Play Function 2-6
Soft Window Knobs 2-7
Function Keys 2-10
Alphanumeric Keys 2-12
Special Marks 2-13
CHAPTER 3 Basic Setup
The Setup Menu 3-2
Navigating the Setup Menu 3-3
How to Specify a Setup Option 3-3
About User Accounts 3-3
Explanation of Setup Menu Fields 3-4
The Presets Menu 3-12
Storing a User-Defined Preset 3-13
Recalling a Saved Preset 3-13
Recalling a Saved Preset on the New Patient Screen 3-14
Renaming a User-Defined Preset 3-14
Removing a User-Defined Preset 3-14
Making Changes to the Current User-Defined Preset 3-15
Reload Preset with New Patient 3-15
The System Menu 3-16
How to Specify a System Option 3-16
Explanation of System Menu Fields 3-16
The Calculations Menu 3-18
The DICOM Menu 3-20
The Network Identification Menu 3-22
CHAPTER 4 Patients
The Patient Menu 4-2
Icons used in the Patient Directory 4-4

ACUSON Cypress™ Operator’s Manual vii
Contents
Explanation of Patient Menu Buttons 4-6
Study Formats 4-8
Expanding Patient Folders 4-8
Adding and Editing Patients and Studies 4-9
Adding a New Patient 4-9
Registering a New Patient Using the Worklist 4-12
Caching of Modality Worklist Results 4-14
Starting a New Study 4-15
Editing Patient and Study Information 4-16
Completing a Study with No Patient Name 4-18
Using Existing Studies 4-18
Adding Data to an Existing Study 4-18
Viewing Existing Patient Studies 4-19
How to Change the Display Format 4-19
Removing a Study or Patient from the System 4-20
Batch Removal 4-21
Patient Reports 4-22
Adding a Text Comment to a Patient Report 4-23
CHAPTER 5 Scanning
Overview of the Scanning Process 5-2
General Information 5-2
Basic Steps to Complete a Scanning Session 5-2
Using Soft Windows 5-3
Using Tools 5-4
Saving Image Data 5-5
Viewing Saved Loops 5-6
Flagging Images 5-7
When to Use the Flag Function 5-8
Cypress System Data 5-9
Trigger Modes 5-13
Keeping Track of Saved Loops 5-14
Adding Text to an Image 5-15
Text 5-15
Hiding the Factory-Defined List 5-17
Quick Text 5-18
Adding an Arrow when Quick Text is Enabled 5-19
Adding an Arrow when Quick Text is Not Enabled 5-19
Removing an Arrow 5-19
Zoom 5-20

Contents
viii ACUSON Cypress™ Operator’s Manual
2D Scanning 5-21
Activate the 2D Display 5-22
Time/Gain Compensation (TGC) Controls 5-22
Main Knob Controls Compress and Gain 5-22
2D Soft Windows 5-23
2D Tools 5-27
Color Flow Scanning 5-30
Activate the Color Flow Display 5-31
Main Knob Controls 2D and Color Gain 5-31
Color Flow Soft Windows 5-32
Color Flow Tools 5-35
Continuous Wave Doppler (CW) Scanning 5-38
Activate the CW Display 5-39
Main Knob Controls Volume and CW Gain 5-39
CW Soft Windows 5-40
CW Tools 5-41
Pulsed Wave Doppler (PW) Scanning 5-43
Activate the PW Display 5-44
Main Knob Controls PW Gain and Volume 5-44
PW Soft Windows 5-45
PW Tools 5-48
M-Mode Scanning 5-50
Activate the M-Mode Display 5-51
Main Knob Controls Gain and Compress 5-51
M-Mode Soft Windows 5-52
M-Mode Tools 5-53
CHAPTER 6 Cardiac Calculations
Overview of Cardiac Measurements 6-2
Types of General Cardiac Measurements 6-2
Types of Specific Cardiac Calculations 6-3
Cardiac Calculations Setup 6-4
Setting Parameters 6-4
About Construction Methods 6-4
How to Add or Change an Estimated Value Using Setup 6-4
How to Edit the Estimated Value While Performing a Calculation 6-5
Selecting a Report Format 6-5
Selecting a Report Background Color 6-5
Using the Averaging Function 6-5
Using the Cardiac Calculations Package 6-7

ACUSON Cypress™ Operator’s Manual ix
Contents
Performing General Measurements 6-7
Performing Specific Cardiac Calculations 6-9
Saving Calculations to the Patient Report 6-10
Entering A Heart Rate 6-11
Saving Frames Containing Measurement Graphics 6-12
Deleting a General Measurement 6-12
Deleting a Specific Measurement 6-12
Making Corrections to the Trace and Area Measurements 6-13
Stopping a Measurement Before Completion 6-13
Setting the Trace Resolution 6-13
Viewing the Patient Report 6-13
Changing the Position of a CALC Menu 6-14
Setting a Default Position for the CALC Menu 6-14
Cardiac Formulas and References 6-15
2D Formulas 6-15
M-Mode Formulas 6-18
Doppler Formulas 6-20
Cardiac Calculation References 6-24
CHAPTER 7 Vascular Calculations
Overview of Vascular Measurements 7-2
Types of General Vascular Measurements 7-2
Types of Specific Vascular Calculations 7-3
Vascular Calculations Setup 7-4
Setting Parameters 7-4
About Construction Methods 7-4
Selecting a Report Format 7-5
Selecting a Report Background 7-5
About Default Sites for Vascular 7-5
Adding Default Sites for Vascular 7-5
Editing Default Vascular Sites 7-6
Removing Default Vascular Sites 7-6
Restoring Factory Defaults to Vascular Sites 7-6
Changing the Position and Order of the Vascular Sites 7-6
Using the Vascular Calculations Package 7-7
Performing General Vascular Measurements 7-7
Performing Specific Vascular Calculations 7-9
Saving Calculations to the Patient Report 7-10
Saving Frames Containing Measurement Graphics 7-10
Deleting a General Measurement 7-11
Deleting a Specific Measurement 7-11

Contents
xACUSON Cypress™ Operator’s Manual
Making Corrections to the Trace and Area Measurements 7-11
Stopping a Measurement Before Completion 7-12
Viewing the Patient Report 7-12
Changing the Position of a CALC Menu 7-12
Setting a Default Position for the CALC Menu 7-13
Vascular Formulas and References 7-14
2D Formulas 7-14
Doppler Formulas 7-15
Vascular Calculation References 7-16
IMT Options Package 7-17
IMT Setup Options 7-17
Types of IMT Calculations 7-17
Using the IMT Calculations Package 7-18
Turning the IMT Grid ON and OFF 7-19
Using the IMT On-screen Labels 7-19
IMT Formulas 7-20
IMT References 7-20
CHAPTER 8 Stress Echo
Connecting and Using ECG 8-2
Stress Echo ECG Cables and Connectors 8-3
ECG Signal Quality During Stress Echo Exam 8-6
Reducing ECG Artifacts 8-6
About the Stress Protocols 8-7
Important Stress Controls 8-9
Using the Protocol Soft Window Knob 8-10
Deleting Unlabeled Loops from a Study 8-11
Transferring Studies in a DICOM Format 8-11
Stress Echo TOOLS 8-12
Conducting a Stress Echo Protocol Exam 8-13
Step-By-Step Stress Echo Exam 8-13
Quad-Screen Soft Windows 8-19
Viewing Additional Loops in a Quad 8-19
Removing a Label 8-20
Changing the ROI Position 8-20
Deleting Loops 8-20
Changing a View or Stage Label 8-20
Labeling Views 8-21
Saving and Labeling Loops 8-21
Suspending the Protocol Labeling Function 8-21