Siemens Acuson S1000 User manual

Siemens Medical Solutions USA, Inc. 11286694-ABS-001-01-01
ACUSON S1000
ACUSON S2000
ACUSON S3000
Diagnostic Ultrasound System
Instructions for Use

ACUSON S1000
ACUSON S2000
ACUSON S3000
Product Version VE10
©2008-2017 Siemens Medical Solutions USA, Inc.
All Rights Reserved.
February 2017
3-Scape, AcuNav, ACUSON, ACUSON AcuNav,
ACUSON S1000, ACUSON S2000, ACUSON S3000,
ACUSON S Family, Advanced fourSight,
Advanced SieClear, Axius, Cadence, Clarify,
Color SieScape, Contrast Dynamics, DTI, DTO,
Dynamic TCE, ElastoGrip, ErgoDynamic, eSieCalcs,
eSieCrypt, eSieFusion, eSieImage, eSieLink,
eSieScan, eSie Touch, Evolve Package, fourSight,
HELX, microCase, Multi-D, MultiHertz, SieClear,
Siemens Remote Service, SieScape, SpaceTime,
SuppleFlex, SwiftLink, TCE, TEQ, Vector, Velocity
Vector Imaging, and Virtual Touch are trademarks of
Siemens Medical Solutions USA, Inc.
syngo is a trademark of Siemens Healthcare GmbH.
All other product names are references to third-party
products and are trademarks of their respective
companies. Siemens includes references to
third-party products in the user documentation for
informational purposes only. Siemens does not
endorse third-party products referenced in the user
documentation. Siemens does not assume
responsibility for the performance of third-party
products.
Siemens reserves the right to change its products and
services at any time. In addition, this publication is
subject to change without notice.
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. The CE marking only applies to
medical devices that have been put on the market
according to the above referenced Council Directive.
Unauthorized changes to this product are not covered
by the CE marking and the related Declaration of
Conformity.
EU Authorized Representative
Siemens Healthcare GmbH
Henkestr. 127
91052 Erlangen
Germany
Legal Manufacturer
Siemens Medical Solutions USA, Inc.
Ultrasound
685 East Middlefield Road
Mountain View, CA 94043
U.S.A.
Phone: [phone]
siemens.com/healthcare
Siemens Healthcare Headquarters
Siemens Healthcare GmbH
Henkestr. 127
91052 Erlangen
Germany
Phone: [phone]
siemens.com/healthcare

Instructions for Use i
Contents
Chapter 1
Introduction
General overview of the diagnostic ultrasound imaging system.
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 Setup
Detailed descriptions of how to transport, set up, and prepare the system for use,
including transducer connection and system startup procedures.
Chapter 4
Examination Fundamentals
Information on starting an examination, including instructions for entering and
editing patient data and selecting an exam type, imaging mode, and transducer.
Chapter 5 Transducer Accessories and Biopsy
Attachment procedures for transducer accessories and an explanation of the
biopsy (puncture) function, including a procedure for needle path verification.
Chapter 6
Transesophageal Transducer
Description of the transesophageal transducer, including cleaning and care
information for the transducer.
Chapter 7
Specialty Transducers
Description of the following specialty transducers:
9EVF4
Chapter 8
Physiologic Function
Explanation of the Physiologic function.
Chapter 9
eSieFusion Imaging
Explanation of eSieFusion imaging for viewing real-time ultrasound images aligned
with reference data acquired using another imaging modality. Includes procedures
for setting up the tracking system for eSieFusion imaging and procedures for
cleaning, disinfecting, and care of the tracking system.
Chapter 10
Virtual Touch Applications
Explanation of the following feature and options:
Virtual Touch imaging
Virtual Touch quantification
Virtual Touch IQ

ii Instructions for Use
Appendix A
Technical Description
Technical description of the ultrasound system.
Appendix B
Control Panel and Touch Screen
Description of the controls on the control panel including the special keys on the
alphanumeric keyboards.
See also: An overview and example of the control panel is located in Chapter 1 of
this manual.
Appendix C
Control Panel
(For systems without a touch screen)
Explanation of all controls and keys on the control panel, alphanumeric keyboard,
and optional footswitch.
Appendix D
On-screen Controls
Explanation of the on-screen controls for imaging, review, measurements, and
patient data management.
Appendix E Advanced Feature Controls
Explanation of the on-screen controls for advanced imaging features and clinical
application programs.
Appendix F
Acoustic Output Reference
Acoustic output reporting tables.
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.

Instructions for Use iii
About the User and Reference Manuals
The user and reference manuals contain descriptions for the following ultrasound systems:
ACUSON S1000 diagnostic ultrasound system
ACUSON S2000 diagnostic ultrasound system
ACUSON S3000 diagnostic ultrasound system
Features and options unique to an ultrasound system are identified in Chapter 1 and
Appendix A of the Instructions for Use.
The user and reference manuals consist of the following publications.
Publication Includes
Instructions for Use Conventions and typographical conventions used in the manuals
Intended Audience
Technical description of the ultrasound system
Safety and care information for the system and compatible transducers
Procedures for system setup, examination fundamentals, and the biopsy function
Procedures and descriptions of specialty transducers, the physiologic function, and
the following imaging features:
–eSieFusion imaging
–Virtual Touch applications
Descriptions of system controls

Acoustic output data
Features and Applications
Reference*
Descriptions of image acquisition and optimization, including optional imaging
features
General and exam-specific measurements and calculations
Data management
Explanation of the clinical software programs for use on the ultrasound system
System Reference* Description of customizable system settings
Information about DICOM connectivity, network capabilities, and external devices
Clinical references
Electromagnetic Emissions
and Immunity: Guidance and
Manufacturer's Declaration*
Information regarding the electromagnetic compatibility (EMC) testing of this
system
*Languages supported by the user interface include a translation of this publication.

iv Instructions for Use
Conventions
Take a moment to familiarize yourself with these conventions.
The user and reference manuals include procedures and descriptions for ultrasound systems
with and without a touch screen. Except where noted in the manuals, descriptions apply to both
systems.
The following bullet symbols indicate procedures or descriptions for systems with and without a
touch screen:
●This bullet symbol indicates a procedure specific to systems with a touch screen.
○This bullet symbol indicates a procedure specific to systems without a touch screen.
This bullet symbol indicates a procedure or description for systems with and without a
touch screen.
–This bullet symbol indicates a procedure or description for systems with and without a
touch screen.
Except where noted in the manuals, numbered steps apply to both systems.
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.
Cross-References Examples:
See also: Biohazards, Safety and Care, Chapter 2, Instructions for Use
See also: Documentation Devices, Chapter 2, System Reference
See also: Alphanumeric Keyboard, p. 26
Customizable System
Settings
System settings available for customization are depicted as shown.
Example:
Use the system configuration menu to customize the registration form.
System Config > Patient Registration

Instructions for Use v
Examples of Interacting with the Control Panel
The following conventions are used in this manual to provide you with a description of how to
identify and use the controls and keys located on the control panel, including the alphanumeric
keyboard.
Push Controls, Press Controls, and Press or Rotate Controls
The labels on the control panel are depicted in this manual with text in upper case, boldface
type, as shown below.
Example
Convention
Push DEPTH.
Press Eto access the advanced imaging features.
Rotate the FORWARD/BACKWARD control to skip the current view in a protocol.
Press TEQ to activate or deactivate tissue equalization optimization.
To insert a body marker, press ANNOTATION and then select the required body
marker.
Rotate 2D to adjust the 2D gain.
Press Mto activate the M cursor (line) on the 2D image.
Keys on the Alphanumeric Keyboard
The labels on the alphanumeric keyboard are depicted in this manual with text in boldface type,
as shown below.
Convention
Press Delete.
Press Help on the keyboard.
○For systems without a touch screen, press F1.

vi Instructions for Use
Touch Screen Controls
The six controls directly below the touch screen are not labeled on the control panel. In this
manual, you can identify the function assigned to the control by the text in boldface type within
brackets, as shown below.
Example
Convention
Press or rotate [EI Color] to select a color map.
Other Controls
These controls do not have labels on the control panel. In this manual, you can identify the
function assigned to the control with descriptive text.
Example
Convention
Slide the DGC sliders to adjust the depth gain compensation.
Roll the trackball to adjust the size of the field of view.
LED Controls
(For systems without a touch screen)
The six controls directly below the LED panel are not labelled on the control panel. In this
manual, you can identify the function assigned to the control by the text in boldface type within
brackets, as shown below.
Example Convention
Press or rotate [EI Color] to select a color map.
Soft Key Controls and Scroll Wheel
(For systems without a touch screen)
Soft key controls are located above the trackball with corresponding selections on the image
screen. In this manual, the on-screen labels are depicted with boldface type, as shown below.
Example
Convention
Soft keys Press the
THI
soft key.
Scroll wheel Rotate the scroll wheel to select
Resize Full
.

Instructions for Use vii
Examples of Interacting with On-screen Objects
In this manual, the following conventions are used to provide you with a description of how to
identify and use menu selections and other software selections, including on-screen icons and
objects.
Toolbar Controls
Controls located on the toolbar are indicated by boldface type, as shown below.
Example
Convention
Click Patient Registration on the toolbar.
Touch Screen Controls
Except for the labels on the lowest row, the labels on the touch screen are depicted in this
manual with text in boldface type, as shown below.
In this manual, procedures describe how to interact with objects on the touch screen.
Example Convention
TEQ Set Select TEQ Set.
--- To change the orientation of the transducer marker, drag the dot around the circle
on the touch screen.
The labels on the lowest row of the touch screen are depicted in this manual with text in
boldface type within brackets, as shown below. Press or rotate the control directly below the
label to activate the function assigned to the control.
Example
Press or rotate [
EI Color
] to select a color map.
Procedures
In this manual, procedures include the following conventions to describe user actions.
Note: Press POINTER to display the cursor on the image screen, if necessary.
Term
Description
Press The action of pressing a control on the control panel.
Rotate The action of rotating a control on the control panel.
Select The action of highlighting an on-screen object, making a selection from a list, or
enabling an on-screen selection.
The action of rolling the trackball to position the pointer on an on-screen
selection in a list or menu and then pressing the left or right key on either side
of the trackball.

Also, the action of tapping the touch screen.
Click The action of rolling the trackball to position the pointer on an on-screen control or
object and then either pressing the left or right key on either side of the trackball.
Double-click The action of pressing the left or right key on either side of the trackball twice
quickly.
Drag The action of rolling the trackball to position the pointer on an on-screen object
and then pressing and holding the left key next to the trackball to move the
object around the screen.
The action of using your finger to touch and position or resize an object on the
touch screen.

viii Instructions for Use
Intended Audience
The intended audience for the user and reference manuals includes the following users.
User
Interaction with Ultrasound Equipment
Expected Experience and Other Characteristics
Sonographer Acquires diagnostic views of anatomy,
blood flow, and related pathology
Performs measurements and analysis of
the acquired images
Prepares exam data for review and
interpretation by a qualified physician
Ranges from novices (for example, students) to
advanced practitioners with certification in multiple
subspecialties
Educated in anatomy, physiology, patient care, and
identification of pathology in ultrasound images
Many sonographers have a Bachelor's degree;
some have advanced degrees in related health
care subjects
Cardiologist Performs invasive and non-invasive
ultrasound exams
Interprets exam data, including
echocardiography exam data
Writes and assembles exam findings in
a report
Medical doctor
Expert in diagnostic imaging, including computed
tomography (CT), magnetic resonance imaging
(MRI), X-ray, ultrasound, and nuclear medicine
Advanced training in imaging physics with typically
four to six years of post-doctoral training in the field
of cardiology
Maternal-fetal
Medicine
Obstetrician/
Perinatologist
Performs ultrasound exams
Interprets exam data
Writes and assembles exam findings in
a report
Medical doctor
Manages high-risk obstetrical patients for the safe
and successful delivery of the fetus
Skilled in interpreting ultrasound exam data
Radiologist
and Internist
Performs ultrasound exams
Interprets exam data
Writes and assembles exam findings in
a report
Medical doctors
Expert in diagnostic imaging, including CT, MRI, X-
ray, ultrasound, and nuclear medicine
Advanced training in imaging physics with typically
two to six years of post-doctoral training in the field
of radiology
System
Administrator
and Customer
Service
Engineer
Configures the ultrasound system for
use in a networked environment
A System Administrator is an individual within your
organization who is designated to set up system
parameters to connect the ultrasound system or
workstation to a picture archiving and
communication system (PACS).
Customer Service Engineers are Siemens
representatives who configure the ultrasound
system or workstation during software installation
and support troubleshooting activities.

Instructions for Use 1 - 1
1 Introduction
System Overview ................................................................................................ 3
System Review.............................................................................................. 4
Control Panel ...................................................................................................... 7
Example of Control Panel.............................................................................. 7
Intended Use ....................................................................................................... 9
Contraindications........................................................................................... 9
ACUSON S1000 Ultrasound System............................................................. 9
Indications for Use Statement .............................................................. 10
ACUSON S2000 Ultrasound System........................................................... 11
Indications for Use Statement .............................................................. 11
ACUSON S3000 Ultrasound System........................................................... 12
Indications for Use Statement .............................................................. 12
Transducers and Intended Applications ...................................................... 13
Image Screen Layout........................................................................................ 19
Screen Saver............................................................................................... 19
Sample Image Screens ............................................................................... 20

1 Introduction
1 - 2 Instructions for Use

1 Introduction
Instructions for Use 1 - 3
System Overview
The ACUSON S Family ultrasound systems are designed to streamline clinical workflow from
image acquisition to archival in a diagnostic setting for general imaging, vascular, and cardiac
applications. The system supports software-based applications, exam-specific imaging presets,
measurements, body markers, annotations, patient reports, and system diagnostics. The
system design is based upon image quality, knowledge-based workflow, adaptive ergonomics,
and innovative applications.
Operating modes for the system include:
2D-mode
2D-mode with THI (Tissue Harmonic Imaging)
Dual mode
2D/M-mode
M-mode with THI
M-mode with CDV
Pulsed Wave Doppler
Color Doppler Energy (CDE)
Color Doppler Velocity (CDV)
Steerable Continuous Wave Doppler
Auxiliary Continuous Wave Doppler
See also: Technical Description, Appendix A, Instructions for Use

1 Introduction
1 - 4 Instructions for Use
System Review
Example of the ultrasound system.

1 Introduction
Instructions for Use 1 - 5
1 User-adjustable high-resolution flat panel monitor with two forward-facing speakers
2 Touch screen
For systems without a touch screen, this is the location of the alphanumeric keyboard
3 User-adjustable control panel (height and swivel)
4 Front handle
5 Cable hanger
6 Retractable alphanumeric keyboard (for systems with a touch screen)
7 Transducer ports
8 Auxiliary continuous wave Doppler transducer port
9 Footswitch connector
10 Central brakes
11 Front swivel wheels
12 Parking port for transducers
13 Physio panel
14 CD/DVD-RW drive
15 Transducer and gel holders
16 Power ON/OFF
(Standby)

1 Introduction
1 - 6 Instructions for Use
Example of the ultrasound system, back view.
1 Rear handle
2 Cable hanger
3 Input/output panel with audio and video connections
4 Rear swivel wheel with brake
5 AC tray panel
6 Back panel
7 Storage bin
8 Shelf

1 Introduction
Instructions for Use 1 - 7
Control Panel
The ultrasound imaging system has a combination of keys, rotary knobs, push and rotate
controls, and toggle controls. A trackball provides access to on-screen objects. The keys and
controls are logically arranged to require a minimum number of hand and eye movements.
Example of Control Panel
Example of the control panel and touch screen on the ultrasound system.
1 Power on/off
For systems without a touch screen, the power on/off control, the backlighting and task lighting control,
the volume control and microphone control, and transmit power control are located above the
alphanumeric keyboard.

1 Introduction
1 - 8 Instructions for Use
2 Touch screen with selections for each operating mode's optimization parameters and functions,
measurement labels and tools, review selections, and selections for exam types and transducers. You
can tap the touch screen to make a selection.
Six controls are located on the control panel with corresponding selections on the touch screen. Press,
rotate, or press and then rotate these controls to select a setting.
For systems without a touch screen, six controls on the control panel have corresponding selections on
the LED panel. Additionally, the image menu includes the mode-specific optimization parameters and
functions, measurement labels and tools, review selections, and the access to exam types and
transducers.
For systems without a touch screen, this location includes soft key selections available for the active
mode or function. Soft key selections correspond to the controls and scroll wheel on the control panel
directly above the trackball.
3 Doppler audio volume control
For systems without a touch screen, this control includes a microphone and is located above the
alphanumeric keyboard.

1 Introduction
Instructions for Use 1 - 9
Intended Use
WARNING: The analysis of results from an ultrasound examination requires that you are trained
in the interpretation of diagnostic ultrasound studies and are qualified to make clinical
diagnoses.
Caution: In the United States of America, federal law restricts this device to sale or use by, or
on the order of, a physician.
Caution: Ultrasound is used as an imaging aid, but may have further restrictions specific to
in-vitro fertilization (IVF), chorionic villus sampling (CVS), and percutaneous umbilical cord blood
sampling (PUBS) procedures. Observe local laws and regulations.
Contraindications
The ultrasound system is not intended for ophthalmic use or any ophthalmic application causing
the acoustic beam to pass through the eye.
ACUSON S1000 Ultrasound System
The ACUSON S1000 ultrasound system supports the following applications:
Abdominal (Renal)
Obstetrics (Fetal Echo)
Gynecology
Small Parts (Breast, Testicle, Thyroid)
Musculoskeletal
Pediatric (Abdomen, Infant Hip, and Neonatal Cephalic)
Cardiac
Vascular (Arterial and Venous)
Digital
Urology (Penile, Pelvis, Prostate)

1 Introduction
1 - 10 Instructions for Use
Indications for Use Statement
Product Indications for Use Statement
ACUSON S1000
Ultrasound System
The S1000™ ultrasound imaging systems are intended for the following applications: Fetal,
Abdominal, Intraoperative, Pediatric, Small Parts, Transcranial, OB/GYN (useful for
visualization of the ovaries, follicles, uterus, and other pelvic structures), Cardiac, Pelvic,
Neonatal/Adult Cephalic, Vascular, Musculoskeletal, Superficial Musculoskeletal, and
Peripheral Vascular applications.
The system also provides the ability to measure anatomical structures {fetal, abdominal,
intraoperative, pediatric, small organ, neonatal cephalic, adult cephalic, cardiac, trans-
esophageal, transrectal, transvaginal, peripheral vessel, musculo-skeletal (conventional),
musculo-skeletal (superficial) and neonatal cardiac} and calculation packages that provide
information to the clinician that may be used adjunctively with other medical data obtained
by a physician for clinical diagnosis purposes.
syngo Arterial Health
Package (AHP)
The Arterial Health Package (AHP) software provides the physician with the capability to
measure Intima Media Thickness and the option to reference normative tables that have
been validated and published in peer-reviewed studies. The information is intended to
provide the physician with an easily understood tool for communicating with patients
regarding state of their cardiovascular system.
This feature should be utilized according to the "ASE Consensus Statement; Use of Carotid
Ultrasound to Identify Subclinical Vascular Disease and Evaluate Cardiovascular Disease
Risk: A Consensus Statement from the American Association of Echocardiography; Carotid
Intima-Media Thickness Task Force, Endorsed by the Society for Vascular Imaging."
ACUSON AcuNav
Ultrasound Catheter
The catheter is intended for intracardiac and intraluminal visualization of cardiac and great
vessel anatomy and physiology, as well as visualization of other devices in the heart of
adult and pediatric patients.