SonoSite S-Cath User manual

SSeries
Ultrasound System
User Guide

S Series
Ultrasound System
User Guide

ii
S Series, S-Cath, S-FAST, S-GYN, S-ICU, S-MSK, S-Nerve, S-Women’s Health, SiteLink, SonoHD, SonoMB, SonoSite, V-Universal, 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(s) 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.
Manufacturer
FUJIFILM 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
EC Authorized Representative
FUJIFILM SonoSite B.V.
Joop Geesinkweg 140
1114 AB Amsterdam,
The Netherlands
Australia Sponsor
FUJIFILM SonoSite Australasia Pty Ltd
114 Old Pittwater Road
BROOKVALE, NSW, 2100
Australia
Caution: Federal (United States) law restricts this device to sale by or on the order of a
physician.
P07525-04 11/2017
Copyright 2017 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 .................................................................................................... 1
Compartments and connectors ...................................................................... 1
Installing or removing the battery ................................................................. 2
Using AC power and charging the battery .................................................. 3
Turning the system on or off ............................................................................3
Connecting transducers ..................................................................................... 4
Inserting and removing USB storage devices ............................................ 4
System controls .............................................................................................................. 5
Screen layout ................................................................................................................... 6
General interaction ....................................................................................................... 7
Touchpad ................................................................................................................. 7
Control keys and knobs ......................................................................................7
Entering text ........................................................................................................... 7
Preparing transducers .................................................................................................. 8
Training videos ............................................................................................................... 9
Intended uses ..................................................................................................................9
Chapter 2: System Setup
Displaying the setup pages ......................................................................................11
Restoring default settings ........................................................................................11
Administration setup ..................................................................................................11
Security settings ..................................................................................................11
User setup .............................................................................................................12
Exporting or importing user accounts ........................................................12
Exporting and clearing the Event log .........................................................13
Logging in as user ..............................................................................................13
Choosing a secure password ..........................................................................13
Annotations setup .......................................................................................................13
Audio, Battery setup ...................................................................................................14
Cardiac Calculations setup ......................................................................................14
Connectivity setup ......................................................................................................15
Date and Time setup ..................................................................................................15
Display Information setup ........................................................................................15
Network Status setup .................................................................................................15
OB Calculations setup ................................................................................................16

iv
Presets setup .................................................................................................................16
System Information setup ........................................................................................16
USB Devices setup .......................................................................................................16
Limitations of JPEG format ..............................................................................17
Chapter 3: Imaging
Imaging modes ............................................................................................................19
2D imaging ...........................................................................................................19
M Mode imaging ................................................................................................20
CPD and Color imaging ....................................................................................20
PW and CW Doppler imaging ........................................................................21
Adjusting depth and gain .........................................................................................23
Freezing, viewing frames, and zooming .............................................................24
Imaging modes and exams available by transducer ......................................24
Annotating images .....................................................................................................26
Patient information form ..........................................................................................27
Patient information form fields .....................................................................28
Images and clips ..........................................................................................................29
Saving images and clips ...................................................................................29
Reviewing patient exams ................................................................................29
Printing, exporting, and deleting images and clips ...............................31
Chapter 4: Measurements and Calculations
Measurements ..............................................................................................................33
About saving measurements .........................................................................33
Working with calipers .......................................................................................33
2D measurements ..............................................................................................34
M-Mode measurements ...................................................................................35
Doppler measurements ...................................................................................35
Calculations ...................................................................................................................37
Calculations menu .............................................................................................37
Performing and saving measurements in calculations ........................38
Displaying and deleting saved measurements in calculations .........38
Cardiac calculations ...........................................................................................39
EMED calculations (S-FAST) ............................................................................48
Gynecology (Gyn) calculations ......................................................................48
OB calculations ....................................................................................................49
Volume calculations ..........................................................................................51
Patient report ................................................................................................................52
OB patient report ................................................................................................52
Cardiac patient report .......................................................................................52
EMED worksheets (S-FAST) ......................................................................................53
MSK worksheets (S-MSK) ..........................................................................................53

v
Chapter 5: Troubleshooting and Maintenance
Troubleshooting ...........................................................................................................55
Software licensing .......................................................................................................55
Maintenance ..................................................................................................................56
Cleaning and disinfecting the ultrasound system ..................................57
Cleaning and disinfecting transducers .......................................................58
Cleaning and disinfecting the battery or USB keyboard ......................59
Recommended disinfectants ..................................................................................60
Chapter 6: Safety
Ergonomic safety .........................................................................................................67
Position the system ............................................................................................68
Position yourself ..................................................................................................68
Take breaks, exercise, and vary activities ...................................................68
Electrical safety classification ..................................................................................69
Electrical safety .............................................................................................................70
Equipment safety .........................................................................................................72
Battery safety .................................................................................................................72
Clinical safety .................................................................................................................73
Hazardous materials ...................................................................................................74
Electromagnetic compatibility ...............................................................................74
Manufacturer’s declaration .............................................................................75
ALARA principle ...........................................................................................................79
Applying ALARA ..................................................................................................79
Direct controls .....................................................................................................80
Indirect controls ..................................................................................................80
Receiver controls .................................................................................................80
Acoustic artifacts ..........................................................................................................80
Guidelines for reducing MI and TI ..........................................................................81
Output display ..............................................................................................................83
MI and TI output display accuracy ................................................................84
Factors that contribute to display uncertainty ........................................84
Related guidance documents ........................................................................85
Transducer surface temperature rise ....................................................................85
Acoustic output measurement ...............................................................................86
In Situ, derated, and water value intensities .............................................86
Tissue models and equipment survey ........................................................87
Acoustic output tables ...............................................................................................88
Terms used in the acoustic output tables ............................................... 119
Acoustic measurement precision and uncertainty .............................121
Labeling symbols ...................................................................................................... 122
Chapter 7: References
Measurement accuracy .......................................................................................... 127
Sources of measurement errors ..........................................................................128

vi
Measurement publications and terminology ................................................ 128
Cardiac references ........................................................................................... 128
Obstetrical references .................................................................................... 132
Gestational age tables ................................................................................... 133
Ratio calculations ............................................................................................ 135
General references .......................................................................................... 136
Chapter 8: Specifications
Supported transducers ........................................................................................... 137
Imaging modes ......................................................................................................... 137
Images and clips storage ....................................................................................... 137
Accessories .................................................................................................................. 137
Peripherals .................................................................................................................. 137
Medical grade ................................................................................................... 137
Non-medical grade ......................................................................................... 138
Temperature and humidity limits ....................................................................... 138
Operating ........................................................................................................... 138
Shipping and storage ..................................................................................... 138
Electrical ....................................................................................................................... 138
Battery .......................................................................................................................... 138
Electromechanical safety standards .................................................................. 138
EMC standards classification ................................................................................ 139
Airborne equipment standards ........................................................................... 139
HIPAA standard .......................................................................................................... 139
Glossary
Terms ............................................................................................................................. 141
Abbreviations ............................................................................................................. 143
Index ........................................................................................................................... 151

vii
Introduction
Introduction
ThisS SeriesUltrasoundSystemUserGuide
providesinformationonpreparingandusingthe
SSeries™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: [email protected]om
Web site: www.sonosite.com
Click Support.
Europe Service Center
Phone [phone]
E-mail uk.ser[email protected]om

viii Customer comments

Chapter 1: Getting Started 1
Getting Started
Chapter 1: Getting Started
About the system
TheSonoSiteSSeriesultrasoundsystemisa
portable,software‐controlleddeviceusing
all‐digitalarchitecture.TheSSeriesincludesthe
following:
•S‐Cath™ultrasoundsystem
•S‐FAST™ultrasoundsystem
•S‐GYN™ultrasoundsystem
•S‐ICU™ultrasoundsystem
•S‐MSK™ultrasoundsystem
•S‐Nerve™ultrasoundsystem
•S‐Women’sHealth™ultrasoundsystem
Thesystemhasmultipleconfigurationsand
featuresetsusedtoacquireanddisplay
high‐resolution,real‐timeultrasoundimages.
Featuresavailableonyoursystemdependon
systemconfiguration,transducer,andexamtype.
Alicensekeyisrequiredtoactivatethesoftware.
See“Softwarelicensing”onpage 55.On
occasion,asoftwareupgrademayberequired.
SonoSiteprovidesaUSBdevicecontainingthe
software.OneUSBdevicecanupgrademultiple
systems.
Basic steps
1Turnthesystemon.(Forpowerswitch
location,see“Systemcontrols”onpage 5.)
2Attachatransducer.
3PressPatient,andcompletethepatient
informationform.
4Ifallimagingmodesarelicensed,pressMode,
andselectanimagingmode.
Bydefault,thesystemisin2Dimaging.
Preparing the system
Compartments and connectors
Thebackofthesystemhascompartmentsforthe
batteryandtransduceraswellasconnectorsfor
USBdevices,powercords,cables,andmore.The
sidehasadditionalconnectors.(SeeFigure 1on
page 2.)

2 Preparing the system
Figure 1 System Back (Top) and Side (Bottom)
Eachconnectoronthebackandsideofthesystem
hasasymbolthatdescribesitsuse.
Installing or removing the battery
1Handle
2Transducer
3 Locking lever for battery
4 Connectors (See the table “Connectivity
Symbols on System.”)
5Battery
5
4
2
1
4
3
Connectivity Symbols on System
Symbol Definition
USB
DC input
RS-232 (DVD recorder or bar code
scanner)
Composite video out
Print control
S-video out
S-video in
DVI video out
Ethernet
Audio out
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
To install the battery
1Disconnectthepowersupplyfromthe
ultrasoundsystem.
2Slidethetwoprongsatthebottomofthe
batteryintothebatterycompartmentonthe
backofthesystem.
3Lowerthebatteryintothecompartment.
4Firmlypressthebatteryuntilthelockinglever
popsup.
To remove the battery
1Disconnectthepowersupplyfromthe
ultrasoundsystem.
2Pushdownonthelockingleveratthetopof
thebattery,andliftthebatteryup.
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DCpowercablefromthepower
supplytotheconnectoronthesystem.See
Figure 1onpage 2.
2Connect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
controls”onpage 5.)
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 14.
Pressakey,ortouchthetouchpad.
WARNING: The equipment shall be connected
to a center-tapped single phase
supply circuit when users in the
United States connect the
equipment to a 240V supply
system.
Caution: Verify that the hospital supply
voltage corresponds to the power
supply voltage range. See
“Electrical” on page 138.
Caution: Do not use the system if an error
message appears on the display.
Note the error code and turn off the
system. Call SonoSite or your local
representative.

4 Preparing the system
Connecting transducers
Figure 2 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.
3Insertthetransducerconnectorintothe
systemconnector.
4Turnthelatchcounterclockwise.
5Press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andclipsaresavedtointernalstorageand
areorganizedinasortablepatientlist.Youcan
archivetheimagesandclipsfromtheultrasound
systemtoaPCusingaUSBstoragedevice.
Althoughtheimagesandclips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.
TherearethreeUSBportsonthesystem:twoon
theback,andoneontheside.ForadditionalUSB
ports,youcanconnectaUSBhubintoanyUSB
port.
Note: Thesystemdoesnotsupportpassword‐
protectedUSBstoragedevices.Makesurethatthe
USBstoragedeviceyouusedoesnothavepassword
protectionenabled.
WARNING: To avoid injury to the patient, do
not place the connector on the
patient. Operate the ultrasound
system in the S Series stand, the
V-Universal™ stand, or on a
convenient surface to allow air flow
past the connector.
Caution: To avoid damaging the transducer
connector, do not allow foreign
material in the connector.

Chapter 1: Getting Started 5
Getting Started
To insert a USB storage device
InserttheUSBstoragedeviceintoaUSBport
onthesystem.SeeFigure 1onpage 2.
TheUSBstoragedeviceisreadywhenthe
USBiconappears.
Toviewinformationaboutthedevice,see
“USBDevicessetup”onpage 16.
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fivesecondsaftertheUSBanimation
stops.
2RemovetheUSBstoragedevicefromtheport.
System controls
Figure 3 System Controls:
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.
1 Power switch Turns the system on and off.
2 Control keys Perform an action or make a
selection based on context.
Current names appear
on-screen adjacent to the keys.
3Control
knobs
Adjust gain, depth, cine buffer,
brightness, and more. Can also
perform an action. Are turned,
pressed, or both, depending on
context. Current names appear
on-screen above the knobs.
4 Touchpad Moves the pointer and other
items.
5 Touchpad
key
Works in conjunction with the
touchpad. Is pressed to activate
an item on-screen.
2
3
2
45
1

6 Screen layout
Screen layout
Figure 4 Screen Layout
1 Mode data area Current imaging mode information and settings (for example, Gen, THI, MB). For
definitions, see “Glossary.”
2 Orientation marker Provides indication for image orientation.
3 Text Text entered using keyboard.
4 Picto Pictograph to indicate anatomy and transducer position. You can select anatomy and
screen location.
5Image Ultrasoundimage.
6Measurementand
calculations data
area
Current data on measurements and calculations.
7 Patient header Includes current patient name, patient ID number, institution, user, and date/time.
8 System status Information on system status (for example, exam type, transducer, AC connected,
battery charging, and USB).
9 Depth marker Marks in .5 cm, 1 cm, and 5 cm increments depending on depth. To specify style, see
“Presets setup” on page 16.
10 Controls Names of controls available in the current context. (See also “Control keys and knobs”
on page 7.)
3
9
8
7
6
1
2
10
4
5

Chapter 1: Getting Started 7
Getting Started
General interaction
Touchpad
Informsandthesetuppages,thetouchpadis
similartoamouseonportablePCs.Usingthe
touchpad,youmovethepointertoanitemand
thenclick(pressthekeybelowthetouchpad)to
activatethatitem.
Inothercontexts,thetouchpadadjustsand
movesitemson‐screen:calipers,regionof
interest(ROI)box,andmore.Clickingcantoggle
amongselecteditems.
Control keys and knobs
Thecontrolkeysandknobschangedynamically
dependingoncontext.Forexample,freezingan
imagemaydisplaythecontrolsforzooming,
performingmeasurements,andreviewingthe
cinebuffer.Thecurrentnameappearson‐screen
nexttothekeyorknob.
Toselectacontrolkey,pressit.Toselectacontrol
knob,pressit,turnit,orboth,dependingon
context.
Functionality
Ingeneral,acontrolfunctionsinoneofthe
followingways:
Knob or key
•Turnsafeatureonoroff.
•Performsanactionsuchassavingor
returningtothepreviousscreen.
•Displaysadditionalcontrols.
Knob only
•Makesfineradjustmentstogain,depth,
PRFscale,gatesize,andmore.
•Scrollsthroughthecinebufferandsaved
images.
Key only
•Cyclesthroughalistofsettings.
• Displaysalistfromwhichtoselect.
Identifiedbyanarrow .Pressingthe
keydisplaysthelist.
•Activatestheright‐handknob.Thesekeys
areidentifiedbyadoublecircle .When
pressed,thekeyisoutlined,alongwith
theright‐handknob.
Page x/xdisplaysadditionalcontrols.
Entering text
Informsandannotations,youcanentertextin
textfieldsusingeithertheon‐screenkeyboardor
anexternalUSBkeyboardconnectedtoaUSB
portonthesystem.
IfusinganexternalUSBkeyboard,youenter
charactersbytyping.TheTABkeynavigates
amongtextfields.
To enter text in text fields using the
on-screen keyboard
1Clickatextfield.
Theon‐screenkeyboardappearswiththetext
fieldatthetop.
2Clickeachcharacteryouwanttoenter.
•TheÄñkeydisplaysandhides
internationalcharacters.
•TheSYMBOLSkeydisplayssymbolsand
punctuation.
•TheCAPSLOCKkeyturnscapital
lettersonandoff.
•TheSHIFTkeyturnscapitalletterson
oroffforthenextletterentered.
WARNING: To avoid contamination, do not use
the USB keyboard supplied by
SonoSite in a sterile environment.
The USB keyboard is not sterilized
and cannot withstand sterilization.

8 Preparing transducers
•TheDELETEkeydeletesthecharacterright
ofthepointer.
3(Optional)Informs,navigateamongtext
fields:
•ClickNexttoadvancetothenextfield.
•ClickPrevtoreturntothepreviousfield.
4Toexitthekeyboard,clickoneofthe
following:
•OKtosavechanges.
•2Dtosavechangesanddisplay2D
imaging.
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.
ForinformationaboutpreparingtheTEEx
transducer,seetheTEExTransducerUserGuide.
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.
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 58.
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.

Chapter 1: Getting Started 9
Getting Started
6Inspectthesheathtoensurethatthereareno
holesortears.
Training videos
TheSonoSite®EducationKey™trainingvideos
areanoptionalfeature.
Note: Trainingvideosareunavailablewhilethe
systemisarchivingorexportingdata.
To display the list of videos
1InserttheEducationKeyUSBdeviceintoa
USBport.(See“ToinsertaUSBstorage
device.”)
2PressPatient.
3PressReview.Ifthereisanactiveexam,press
List.
4ClicktheVideostab.
5Ifthelistdoesnotappear,selectthecorrect
USBdevice:
aPressSelect USB.
bIntheSelect USB device for media playback
dialogbox,selecttheEducationKeyUSB
device(“Training”appearsunderType),
andthenclickSelect.
Note: ImageGalleryisanunsupportedfeature.
To view a video
1Displaythelistofvideos.
2Selectthevideo.
3PressView.
Thevideobeginsplaying.
4Pressanyofthefollowing,asneeded:
•Adjuststhevolume.Thehigherthe
number,thelouderthesound.Zeroismute.
•BackRewindsthevideo10seconds.
•Pause Pausesthevideo.
•PlayResumesplayingofapausedvideo.
•ForwardAdvancesthevideo10seconds.
To exit a video
Pressoneofthefollowing:
•Listtoreturntothevideolist.
•Donetoreturnto2Dimaging.
Intended uses
Thesystemtransmitsultrasoundenergyinto
variouspartsofthepatient’sbodyusing2D,color
Doppler(Color),andcolorpowerDoppler(CPD)
toobtainultrasoundimagesasfollows.
Fortheintendedtransducer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.
CPDimagingisnotavailableincardiacimaging
Gynecology and Infertility Imaging Applications
Youcanassesstheuterus,ovaries,adnexa,and
surroundinganatomicalstructuresforthe
presenceorabsenceofpathology
transabdominallyortransvaginally.
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

10 Intended uses
obstetricalproceduresandtoprovideassistance
duringabdominal,breast,andneurological
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ortransvaginally.CPDand
Colorimagingareintendedforhigh‐risk
pregnantwomen.High‐riskpregnancy
indicationsinclude,butarenotlimitedto,fetal
hydrops,placentalabnormalities,aswellas
maternalhypertension,diabetes,andlupus.
Pediatric and Neonatal Imaging ApplicationsYou
canassessthepediatricabdominalandpelvic
anatomy,pediatrichips,neonatalhead,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,ophthalmic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feedingorgans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.
WARNING: To avoid injury to the patient, use
only an Ophthalmic (Oph) exam
type when performing imaging
through the eye. The FDA has
established lower acoustic energy
limits for ophthalmic use. The
system will not exceed these limits
only if the Oph exam type is
selected.