SonoSite NanoMaxx User manual

NanoMaxx
Ultrasound System
User Guide c
0086

NanoMaxx
Ultrasound System
User Guide

ii
SonoSite,Inc.
2191930thDriveSE
Bothell,WA98021
USA
T:1‐888‐482‐9449or1‐425‐951‐1200
F:1‐425‐951‐1201
SonoSiteLtd
AlexanderHouse
40AWilburyWay
Hitchin
HertsSG40AP
UK
T:+44‐1462‐444800
F:+44‐1462‐444801
NanoMaxx, SiteLink, SonoCalc, SonoHD, SonoMB, SonoSite, and the SonoSite logo are registered trademarks or trademarks of SonoSite,
Inc.
DICOM is the registered trademark of the National Electrical Manufacturers Association for its standards publications relating to digital
communications of medical information.
The SonoSite ultrasound system referenced in this document may be covered by one or more of the following U.S. patents: 5722412,
5817024, 5893363, 6135961, 6203498, 6364839, 6371918, 6383139, 6416475, 6447451, 6471651, 6569101, 6648826, 6575908, 6604630,
6817982, 6835177, 6962566, 7169108, 7449640, 7534211, 7549961, 7588541, 7591786, 7604596, 7643040, D456509, D461895, D509900,
D538432, D544962, D558351, D559390, D591423, D592750, D592760, and by the following counterpart foreign patents: AU727381,
AU730822, CA2372158, CA2373065, CN ZL 97113678.5, CN ZL 98106133.8, CN ZL 98108973.9, CN ZL 200830007734.8, DE60021552.0,
DE60029777.2, DE60034670.6, DE69730563.5, DE6980539.6, DE69831698.3, DE60 2004 23 816.3-08, FR0815793, FR0875203, FR0881492,
FR1175713, FR1180970, FR1589878, GB0875203, GB0881492, GB1175713, GB1180970, GB1180971, GB1589878, IT0815793, IT0881492,
IT1175713, IT1589878, KR528102, KR532359, NO326202, NO326814, NZ542968, RCD000897368-0001, SP0815793, SP0881492,
SP1589878. Patents pending.
Caution: Federal (United States) law restricts this device to sale by or on the order of a
physician.
P12529‐03 06/2010
Copyright2010bySonoSite,Inc.
Allrightsreserved.

iii
Contents
Introduction
Conventions ...................................................................................................................vii
Customer comments ..................................................................................................vii
Chapter 1: Getting Started
About the system ........................................................................................................... 1
Preparing the system .................................................................................................... 2
Compartments and connectors ...................................................................... 2
Dock ...........................................................................................................................2
Kickstand ................................................................................................................. 2
Installing or removing the battery ................................................................. 2
Using AC power and charging the battery ..................................................3
Turning the system on or off ............................................................................3
Connecting transducers ..................................................................................... 3
Inserting and removing USB storage devices ............................................4
Screen layout ................................................................................................................... 5
General interaction ....................................................................................................... 5
Touchscreen ........................................................................................................... 5
Knob .......................................................................................................................... 6
Entering text ........................................................................................................... 6
Preparing transducers .................................................................................................. 6
Intended uses ..................................................................................................................7
Chapter 2: System Setup
Displaying the setup pages ........................................................................................ 9
Restoring default settings .......................................................................................... 9
Administration setup .................................................................................................... 9
Security settings .................................................................................................... 9
User setup .............................................................................................................10
Exporting or importing user accounts ........................................................10
Exporting and clearing the Event log .........................................................11
Logging in as user ..............................................................................................11
Choosing a secure password ..........................................................................11
Annotations setup .......................................................................................................12
Audio, Battery setup ...................................................................................................12
Connectivity setup ......................................................................................................12
Date and Time setup ..................................................................................................13
Display Information setup ........................................................................................13
OB Calculations setup ................................................................................................13
Presets setup .................................................................................................................13
System Information setup ........................................................................................13

iv
USB Devices setup .......................................................................................................14
Limitations of JPEG format ..............................................................................14
Chapter 3: Imaging
Imaging modes ............................................................................................................17
2D imaging ...........................................................................................................17
M Mode ..................................................................................................................17
CPD and color Doppler imaging ...................................................................18
Adjusting depth and gain .........................................................................................18
Freezing, viewing frames, and zooming .............................................................19
Turning guidelines on and off .................................................................................19
Annotating images .....................................................................................................19
Adjusting screen brightness ....................................................................................20
Patient information form ..........................................................................................20
Patient information form fields .....................................................................21
Images .............................................................................................................................21
Saving images ......................................................................................................21
Reviewing patient exams ................................................................................21
Printing and deleting images .........................................................................23
Exporting to a USB storage device ...............................................................23
Imaging modes and exams available by transducer ......................................24
Chapter 4: Measurements and Calculations
Measurements ..............................................................................................................25
About saving measurements (IMT and OB exam) ..................................25
Working with calipers .......................................................................................25
Measuring .............................................................................................................26
Calculations ..................................................................................................................27
IMT calculations ..................................................................................................27
OB calculations ....................................................................................................29
Patient report .......................................................................................................31
Chapter 5: Troubleshooting and Maintenance
Troubleshooting ..........................................................................................................33
Software licensing .......................................................................................................33
Maintenance ..................................................................................................................34
Cleaning and disinfecting ........................................................................................34
Cleaning and disinfecting the ultrasound system ..................................34
Cleaning and disinfecting transducers .......................................................35
Cleaning and disinfecting the battery or dock ........................................37
Chapter 6: Safety
Ergonomic safety .........................................................................................................39

v
Position the system ............................................................................................40
Position yourself ..................................................................................................40
Take breaks, exercise, and vary activities ...................................................41
Electrical safety classification ..................................................................................41
Electrical safety .............................................................................................................42
Equipment safety .........................................................................................................44
Battery safety .................................................................................................................44
Clinical safety .................................................................................................................45
Hazardous materials ...................................................................................................46
Electromagnetic compatibility ...............................................................................46
Manufacturer’s declaration .............................................................................47
ALARA principle ...........................................................................................................50
Applying ALARA ..................................................................................................51
Direct controls .....................................................................................................51
Indirect controls ..................................................................................................52
Receiver controls .................................................................................................52
Acoustic artifacts ..........................................................................................................52
Guidelines for reducing MI and TI ..........................................................................52
Output display ..............................................................................................................54
MI and TI output display accuracy ................................................................54
Factors that contribute to display uncertainty ........................................55
Related guidance documents ........................................................................55
Transducer surface temperature rise ....................................................................56
Acoustic output measurement ...............................................................................56
In Situ, derated, and water value intensities .............................................56
Tissue models and equipment survey ........................................................57
Acoustic output tables ......................................................................................58
Terms used in the acoustic output tables ..................................................68
Acoustic measurement precision and uncertainty ................................70
Labeling symbols .........................................................................................................71
Chapter 7: References
Measurement accuracy .............................................................................................75
Sources of measurement errors .............................................................................75
Measurement publications .....................................................................................75
IMT references ......................................................................................................75
OB references .......................................................................................................76
Gestational age tables ......................................................................................76
Chapter 8: Specifications
Supported transducers ..............................................................................................79
Imaging modes ............................................................................................................79
Image storage ...............................................................................................................79
Accessories .....................................................................................................................79
Peripheral ........................................................................................................................79
Environmental limits ...................................................................................................79

vi
Operating ..............................................................................................................79
Shipping and storage ........................................................................................79
Electrical ..........................................................................................................................80
Battery .............................................................................................................................80
Electromechanical safety standards .....................................................................80
EMC standards classification ...................................................................................80
Airborne equipment standards ..............................................................................80
HIPAA standard .............................................................................................................80
Glossary
Terms ................................................................................................................................81
Abbreviations ................................................................................................................83
Index ..............................................................................................................................85

vii
Introduction
Introduction
ThisNanoMaxxUltrasoundSystemUserGuide
providesinformationonpreparingandusingthe
NanoMaxx™ultrasoundsystemandoncleaning
anddisinfectingthesystemandtransducers.It
alsoprovidessystemspecifications,andsafety
andacousticoutputinformation.
Theuserguideisforareaderfamiliarwith
ultrasoundtechniques.Itdoesnotprovide
traininginsonographyorclinicalpractices.
Beforeusingthesystem,youmusthave
ultrasoundtraining.
SeetheapplicableSonoSiteaccessoryuserguide
forinformationonusingaccessoriesand
peripherals.Seethemanufacturer’sinstructions
forspecificinformationaboutperipherals.
Conventions
Theuserguidefollowstheseconventions:
•AWARNINGdescribesprecautionsnecessary
topreventinjuryorlossoflife.
•ACautiondescribesprecautionsnecessaryto
protecttheproducts.
•Numberedstepsinproceduresmustbe
performedinorder.
•Itemsinbulletedlistsdonotrequirea
sequence.
•Single‐stepproceduresbeginwith.
Symbolsandtermsusedonthesystemand
transducerareexplainedinChapter 1,Chapter 6,
andGlossary.
Customer comments
Questionsandcommentsareencouraged.
SonoSiteisinterestedinyourfeedbackregarding
thesystemandtheuserguide.Pleasecall
SonoSiteat888‐482‐9449intheUS.Outsidethe
US,callthenearestSonoSiterepresentative.You
canalsoe‐mailSonoSiteat
[email protected].
Fortechnicalsupport,pleasecontactSonoSiteas
follows:
SonoSite Technical Support
Phone
(US or Canada):
877-657-8118
Phone
(Outside US and
Canada):
425-951-1330
Or call your local
representative.
Fax: [phone]
E-mail: [e-mail]
Web site: www.sonosite.com
Click Resources > Support
& Service.
Europe Service Center
Phone [phone]
E-mail: uk.ser[email protected]

viii Customer comments

Chapter 1: Getting Started 1
Getting Started
Chapter 1: Getting Started
About the system
TheNanoMaxx™ultrasoundsystemisa
portable,software‐controlleddevicethat
acquiresanddisplayshigh‐resolution,real‐time
ultrasoundimages.Featuresavailableonyour
systemdependontheconfiguration,transducer,
andexamtype.
Youneedalicensekeytoactivatethesoftware.
See“Softwarelicensing”onpage 33.
Figure 1 System front (top) and back (bottom)
Basic steps
1Turnthesystemon.
2Attachatransducer.
3TapPatient,andcompletethepatient
informationform.
4TapModeandselectanimaging
mode.
Bydefault,thesystemisin2D
imaging.
1Handle
2Knob
3Powerswitch
4Touchscreen
5 Battery compartment
6 USB ports (on side)
7 Transducer compartment
8 Kickstand
9 Dock connector (See the table “Connectivity
symbols on dock.”)
8
79
5
24
3
1
6

2 Preparing the system
Preparing the system
Compartments and connectors
Thebackofthesystemhasabattery
compartment,atransducercompartment,anda
connectorfortheNanoMaxx™dock.Theside
hastwoUSBports.(SeeFigure 1onpage 1.)
Dock
Thedockhasportsforthepowersupply,printer
cable,andmore.Itattachestothebackofthe
system.(SeeFigure 1onpage 1.)Eachporthasa
symbolthatdescribesitsuse.
To connect the dock
Insertthedockintoitsconnectorontheback
ofthesystem.(SeeFigure 1onpage 1.)
ThetopofthedockhastheSonoSitelogo.
Kickstand
Thekickstandletsyousetthesystemuprighton
aflatsurface.Youcanextendthekickstandas
neededforyouroptimalviewingangle.
Figure 2 Back of system with kickstand extended
Installing or removing the battery
To install the battery
1Disconnectthepowersupplyfromthe
ultrasoundsystem.
2Slidethetwo‐prongedendofthebatteryinto
theendofthebatterycompartmentnearthe
handle.
3Pushdownonthelockingleveruntilthe
batterysnapssecurelyinplace.
To remove the battery
1Disconnectthepowersupplyfromthe
ultrasoundsystem.
2Holdingthesystembacksidedown,carefully
pushdownthelockinglever,andcatchthe
batteryasitdropsfromthecompartment.
Connectivity symbols on dock
Symbol Definition
DC input
Audio out
Print control
Composite video out
Composite video in
WARNING: To avoid electrical shock to the
patient, do not simultaneously
touch the patient and the dock if it
is disconnected from the system
and connected to AC power.
WARNING: To avoid injury to the operator and
to prevent damage to the
ultrasound system, inspect the
battery for leaks prior to installing.
To avoid data loss and to conduct a
safe system shutdown, always keep
a battery in the system.

Chapter 1: Getting Started 3
Getting Started
Using AC power and charging the
battery
Thebatterychargeswhenthesystemis
connectedtotheACpowersupply.Afully
dischargedbatteryrechargesinlessthanfive
hours.
ThesystemcanrunonACpowerandchargethe
batteryifACpowerisconnectedtothesystem.
Thesystemcanrunonbatterypowerforupto
twohours,dependingontheimagingmodeand
thedisplaybrightness.Whenrunningonbattery
power,thesystemmaynotrestartifthebatteryis
low.Tocontinue,connectthesystemtoAC
power.
To operate the system using AC power
1Connectthedocktothesystem.
2ConnecttheDCpowercablefromthepower
supplytoitsportonthedock.SeeFigure 1on
page 1.
3ConnecttheACpowercordtothepower
supplyandtoahospital‐gradeelectrical
outlet.
Turning the system on or off
To turn the system on or off
Pressthepowerswitch.(See“Systemfront
(top)andback(bottom)”onpage 1.)
To wake up the system
Toconservebatterylifewhilethesystemison,
thesystemgoesintosleepmodeifuntouchedfor
apresettime.Toadjustthetimeforsleepdelay,
see“A u d i o , Batterysetup”onpage 12.
Tapthescreen.
Connecting transducers
WARNING: If users in the United States connect
the equipment to a 240V supply
system, the equipment shall be
connected to a center-tapped
single phase supply circuit.
Caution: Verify that the hospital supply
voltage corresponds to the power
supply voltage range. See
“Electrical” on page 80.
Caution: Do not use the system if an error
message appears on the screen.
Note the error code and turn off the
system. Call SonoSite or your local
representative.
WARNING: To avoid injury to the patient, do
not place the connector on the
patient. Operate the ultrasound
system in the V-Universal Stand or
on a convenient surface to allow air
flow past the connector.
To avoid the risk of electrical shock,
do not touch the transducer
connector (which is in the
transducer compartment) on the
system when the transducer is not
connected. See Figure 1 on page 1.
Caution: To avoid damaging the transducer
connector, do not allow foreign
material in the connector.

4 Preparing the system
Figure 3 Connect the transducer
To connect a transducer
1Pullthetransducerlatchup,androtateit
clockwise.
2Alignthetransducerconnectorwiththe
connectoronthebackofthesystem,and
insertthetransducer.
3Turnthelatchcounter‐clockwise.
4Pressthelatchdown,securingthetransducer
connectortothesystem.
To remove a transducer
1Pullthetransducerlatchup,androtateit
clockwise.
2Pullthetransducerconnectorawayfromthe
system.
Inserting and removing USB storage
devices
Imagessavetointernalstorageandareorganized
inasortablepatientlist.Youcanarchivethe
imagesfromtheultrasoundsystemtoaPCusing
aUSBstoragedevice.Althoughtheimages
cannotbeviewedfromaUSBstoragedeviceon
theultrasoundsystem,youcanremovethe
deviceandviewthemonyourPC.
Youcanalsoimportandexportuseraccountsand
theEventlogusingaUSBstoragedevice.
Note: SonoSitesupportstheUSBstoragedevice
includedoptionallywiththesystem.Otherbrandsare
untestedandmaynotperformasexpected.
To insert a USB storage device
InserttheUSBstoragedeviceintoaUSB
port onthesystem.SeeFigure 1on
page 1.
TheUSBstoragedeviceisreadywhenthe
USBiconappears.
Toviewinformationaboutthedevice,see
“USBDevicessetup”onpage 14.
WARNING: To avoid damaging the USB storage
device and losing patient data from
it, observe the following:
• Do not remove the USB storage
device or turn off the ultrasound
system while the system is
exporting.
• Do not bump or otherwise apply
pressure to the USB storage
device while it is in a USB port on
the ultrasound system. The
connector could break.
Caution: If the USB icon does not appear in
the system status area on-screen,
the USB storage device may be
defective or password-protected.
Turn the system off and replace the
device.

Chapter 1: Getting Started 5
Getting Started
To remove a USB storage device
RemovingtheUSBstoragedevicewhilethe
systemisexportingmaycausetheexportedfiles
tobecorruptedorincomplete.
1WaitatleastfivesecondsaftertheUSB
animationstops.
2RemovetheUSBstoragedevicefromtheport.
Screen layout
Figure 4 Screen layout
General interaction
Touchscreen
Thetouchscreenhascontrolsthatchange
dynamicallydependingoncontext.Forexample,
freezinganimagedisplaysthecontrolsfor
zooming,performingmeasurements,and
reviewingthecinebuffer.
Youcanalsorepositionsomeelements(for
example,thezoomboxorcalipers)bydragging
withyourfinger.Forbestresults,trythe
following:
•Using
thebackofyourfingernailinsteadof
yourfingertip
•Pressingfirmly
•Draggingfromnexttotheelement,insteadof
onit
Toselectacontrol,tapitwithyourfinger.A
controlfunctionsinoneofthefollowingways:
•Cyclesthroughalistofsettings.Identifiedby
aplussign .
• Displaysalistfromwhichtoselect.Identified
byanarrow .Tappingthecontroldisplays
andcollapsesthelist.
•Worksinconjunctionwiththeknob.
Identifiedbyadoublecircle .
1Text
Text entered using on-screen keyboard.
2Pictograph
Indicates anatomy and transducer position. You
can select anatomy and screen location.
3 Orientation marker
Shows image orientation.
4Measurement
5 Mode data and system status
Current imaging mode information (such as
Gen, MB) and system information (such as exam
type, transducer, and battery charging). To
specify details, see “System Information setup”
on page 13.
2
13
9
45
10
6
7
8
6 Patient header
Includes current patient name, patient ID
number, institution, user, date, and time.
7 Depth marker
Marks in .5 cm, 1 cm, and 5 cm increments
depending on depth. To specify style, see
“Presets setup” on page 13.
8 Controls available in the current context.
See “Touchscreen” on page 5.
9 Ultrasound image
10 Measurement data

6 Preparing transducers
•Turnsafeatureonoroff.
•Performsanactionsuchassavinganimage.
ThePage x/xcontroldisplaysadditionalcontrols.
Knob
Theknobworksinconjunctionwithsome
touchscreencontrolsandadjustsgain,depth,
brightness,annotations,andmore.
Informs,youcanusetheknobinsteadofthe
touchscreencontrolstonavigatethroughmost
fieldsandlists,asfollows:
•Turnclockwiseforthenextfield.
•Turncounter‐clockwiseforthepreviousfield.
•Presstoselectthehighlightedfield.
Entering text
Informsandannotations,youcanentertextin
textfieldsusingtheon‐screenkeyboard.
To enter text using the on-screen keyboard
1Tapatextfield.
Theon‐screenkeyboardappearswiththetext
fieldatthetop.
2Tapeachcharacteryouwanttoenter.
•turnscapitallettersonoroffforthe
nextletterentered.
•Ä,ñdisplaysandhidesinternational
characters.
•Symbolsdisplayssymbolsand
punctuation.
•A aturnscapitallettersonandoff.
•Deletedeletesthecharacterrightofthe
pointer.
•<and> repositionthepointerwithintext
entered.Youcanalsotapinthetext.
3(Optional)Informs,navigateamongtext
fields:
•TapNexttoadvancetothenextfield.
•TapPrevtoreturntothepreviousfield.
4TapDone.
Preparing transducers
Acousticcouplinggelmustbeusedduring
exams.Althoughmostgelsprovidesuitable
acousticcoupling,somegelsareincompatible
withsometransducermaterials.SonoSite
recommendsAquasonic®gelandprovidesa
samplewiththesystem.
Forgeneraluse,applyaliberalamountofgel
betweenthetransducerandthebody.For
invasiveorsurgicaluse,applyatransducer
sheath.
WARNING: Some transducer sheaths contain
natural rubber latex and talc, which
can cause allergic reactions in
some individuals. Refer to
21 CFR 801.437, User labeling for
devices that contain natural rubber.
Some gels and sterilants can cause
an allergic reaction on some
individuals.
Caution: To avoid damage to the transducer,
use only gels recommended by
SonoSite. Using gels other than the
one recommended by SonoSite can
damage the transducer and void
the warranty. If you have questions
about gel compatibility, contact
SonoSite or your local
representative.
SonoSite recommends that you
clean transducers after each use.
See “Cleaning and disinfecting
transducers” on page 35.

Chapter 1: Getting Started 7
Getting Started
To apply a transducer sheath
SonoSiterecommendstheuseofmarket‐cleared,
transducersheathsforintracavitaryorsurgical
applications.Tolessentheriskofcontamination,
installthesheathonlywhenyouarereadyto
performtheprocedure.
1Placegelinsidethesheath.
2Insertthetransducerintothesheath.
3Pullthesheathoverthetransducerandcable
untilthesheathisfullyextended.
4Securethesheathusingthebandssupplied
withthesheath.
5Checkforandeliminatebubblesbetweenthe
faceofthetransducerandthesheath.
Bubblesbetweenthefaceofthetransducer
andthesheathmayaffecttheultrasound
image.
6Inspectthesheathtoensurethatthereareno
holesortears.
Intended uses
Thesystemtransmitsultrasoundenergyinto
variouspartsofthepatient’sbodytoobtain
ultrasoundimagesasfollows.
Fortheintendedtransducerandimagingmodes
foreachexamtype,see“Imagingmodesand
examsavailablebytransducer”onpage 24.
Abdominal Imaging ApplicationsYoucanassess
theliver,kidneys,pancreas,spleen,gallbladder,
bileducts,transplantedorgans,abdominal
vessels,andsurroundinganatomicalstructures
forthepresenceorabsenceofpathology
transabdominally.
Cardiac Imaging ApplicationsYoucanassessthe
heart,cardiacvalves,greatvessels,surrounding
anatomicalstructures,overallcardiac
performance,andheartsizeforthepresenceor
absenceofpathology.
Gynecology and Infertility Imaging Applications
Youcanassesstheuterus,ovaries,adnexa,and
surroundinganatomicalstructuresforthe
presenceorabsenceofpathology
transabdominally.
Interventional Imaging ApplicationsYoucanuse
thesystemtoprovideultrasoundguidancefor
biopsyanddrainageprocedures,vascularline
placement,peripheralnerveblocks,spinalnerve
blocksandtaps,amniocentesis,andother
obstetricalproceduresandtoprovideassistance
duringabdominalandbreastsurgery.
Obstetrical Imaging Applications Youcanassess
thefetalanatomy,viability,estimatedfetal
weight,gestationalage,amnioticfluid,and
surroundinganatomicalstructuresforthe
presenceorabsenceofpathology
transabdominally.CPDandcolorDoppler
(Color)imagingisintendedforevaluatingthe
presenceorabsenceofflow.
WARNING: To prevent contamination, the use
of sterile transducer sheaths and
sterile coupling gel is
recommended for clinical
applications of an invasive or
surgical nature. Do not apply the
transducer sheath and gel until you
are ready to perform the
procedure.

8 Intended uses
Pediatricand NeonatalImaging ApplicationsYou
canassessthepediatricabdominalandpelvic
anatomy,pediatrichips,andsurrounding
anatomicalstructuresforthepresenceorabsence
ofpathology.
Superficial Imaging ApplicationsYoucanassess
thebreast,thyroid,testicle,lymphnodes,
hernias,musculoskeletalstructures,softtissue
structures,andsurroundinganatomical
structuresforthepresenceorabsenceof
pathology.Youcanusethesystemtoprovide
ultrasoundguidanceforbiopsyanddrainage
procedures,vascularlineplacement,peripheral
nerveblocks,andspinalnerveblocksandtaps.
Vascular Imaging ApplicationsYoucanassessthe
carotidarteries,deepveins,andarteriesinthe
armsandlegs,superficialveinsinthearmsand
legs,greatvesselsintheabdomen,andvarious
smallvesselsforthepresenceorabsenceof
pathology.
WARNING: To prevent injury or misdiagnosis,
do not use this system for
Percutaneous Umbilical Blood
Sampling (PUBS) or in vitro
Fertilization (IVF) The system has
not been validated to be proven
effective for these two uses.
CPD or Color images can be used as
an adjunctive method, not as a
screening tool, for the following:
• Detection of structural anomalies
of the fetal heart
• Diagnosis of Intrauterine Growth
Retardation (IUGR)
To avoid errors in fetal growth
estimation, do not use the system
as a fetal growth screening tool. The
system does not provide fetal
growth data.

Chapter 2: System Setup 9
Setup
Chapter 2: System Setup
Thesetuppagesletyoucustomizethesystem
andsetpreferences.
Displaying the setup pages
To display a setup page
1TapOptionsandselectSetup.
2Doanyofthefollowing:
•SelectthesetuppagefromthePagelist.
•TapPreviousorNextuntilthepage
appears.
•WiththePagelisthighlighted,pressthe
knob.Turntheknobtohighlightthepage,
andthenpresstheknob.
Toreturntoimagingfromasetuppage,tap
Done.
Restoring default settings
To restore default settings for a setup page
Onthesetuppage,tap Reset.
To restore all default settings
1Turnthesystemoff.
2ConnectthesystemtoACpower.(See“To
operatethesystemusingACpower”on
page 3.)
3Whilepressingdowntheknob,pressand
releasethepowerswitch.Releasetheknob
aftertwobeeps.
Thesystembeepsseveraltimes.
Administration setup
OntheAdministrationsetuppage,youcan
configurethesystemtorequireuserstologin
andenterpasswords.Requiredloginhelps
protectpatientdata.Youcanalsoaddanddelete
users,changepasswords,importandexportuser
accounts,anddisplaytheEventlog.
Security settings
Securitysettingsonthesystemallowyoutomeet
theapplicablesecurityrequirementslistedinthe
HIPAAstandard.Usersareultimately
responsibleforensuringthesecurityand
protectionofallelectronicprotectedhealth
informationcollected,stored,reviewed,and
transmittedonthesystem.
To log in as Administrator
1OntheAdministrationsetuppage,type
AdministratorintheNamebox.(See
“Enteringtext”onpage 6.)
WARNING: Health care providers who maintain
or transmit health information are
required by the Health Insurance
Portability and Accountability Act
(HIPAA) of 1996 and the European
Union Data Protection Directive
(95/46/EC) to implement
appropriate procedures: to ensure
the integrity and confidentiality of
information; to protect against any
reasonably anticipated threats or
hazards to the security or integrity
of the information or unauthorized
uses or disclosures of the
information.

10 Administration setup
2Typetheadministratorpasswordinthe
Passwordbox.
Ifyouneedtheadministratorpassword,
contactSonoSite.(See“SonoSiteTechnical
Support”onpage vii.)
3TapLogin.
To log out as Administrator
Turnofforrestartthesystem.
To require user login
YoucansetthesystemtodisplaytheUserLogin
screenatstartup.
1LoginasAdministrator.
2IntheUser Loginlist,selectOn.
•Onrequiresausernameandpasswordat
startup.
•Offallowsaccesstothesystemwithouta
usernameandpassword.
To change the administrator password or let
users change passwords
1LoginasAdministrator.
2UnderUser List,selectAdministrator.
3Doanyofthefollowing:
• Changetheadministratorpassword:
UnderUser Information,typethenew
passwordinthePasswordboxand
Confirmbox.(See“Choosingasecure
password”onpage 11.)
•Letuserschangetheirpasswords:Select
thePassword changescheckbox.
4TapSave.
User setup
To add a new user
1LoginasAdministrator.
2TapNew.
3UnderUser Information,fillintheName,
Password,andConfirmboxes.(See“Choosing
asecurepassword”onpage 11.)
4(Optional)IntheUser box,typetheuser’s
initialstodisplaytheminthepatientheader
andintheUserboxinthepatientinformation
form.
5(Optional)SelecttheAdministration Access
checkboxtoallowaccesstoalladministration
privileges.
6TapSave.
To modify user information
1LoginasAdministrator.
2UnderUser List,selecttheuser.
3UnderUser Information,makechangesas
desired.
4TapSave.
Anychangetotheusernamereplacesthe
previousname.
To delete a user
1LoginasAdministrator.
2UnderUser List,selecttheuser.
3TapDelete.
4Tap Yestoconfirmdeletion.
To change a user password
1LoginasAdministrator.
2UnderUser List,selecttheuser.
3TypethenewpasswordinthePasswordbox
andConfirmbox.
4TapSave.
Exporting or importing user accounts
Theexportandimportcommandsletyou
configuremultiplesystemsandbackupuser
accountinformation.