Ultrasonix SonixOP User manual

SonixOP Ultrasound System
User Manual

SonixOP User Manual 00.040.388, Revision F
Ultrasonix Medical Corporation
SonixOP Ultrasound System
User Manual
Ultrasonix Medical Corporation
130 – 4311 Viking Way
Richmond, BC V6V 2K9
Canada
www.ultrasonix.com
1.866.437.9508
1.604.279.8550
1.778.296.3860 (Support)
© 2012 Ultrasonix Medical Corporation
00.040.388, Revision F, December 10, 2012
All Rights Reserved. Printed in Canada.
US Patents 6,216,029 - 6,325,759 - 6,558,326 - 6,911,008 - 7,274,325 - 8,088,070 - D654,178

SonixOP User Manual 00.040.388, Revision F Table of Contents
i
TABLE OF CONTENTS
CHAPTER 1: INTRODUCTION ........................................................................................................................................1-1
1.1 AUDIENCE ....................................................................................................................................................................1-1
1.1.1 Prescription Device ................................................................................................................................................1-1
1.2 CONVENTIONS ............................................................................................................................................................1-1
1.3 UPDATES......................................................................................................................................................................1-2
1.4 VOLTAGE DISCLAIMER ...............................................................................................................................................1-2
1.5 CONNECTIVITY DISCLAIMER .....................................................................................................................................1-2
1.6 PRIVACY DISCLAIMER ................................................................................................................................................1-2
1.7 GENERAL DISCLAIMER...............................................................................................................................................1-3
1.8 LICENSE AGREEMENT................................................................................................................................................1-3
1.9 WARRANTY REGISTRATION ......................................................................................................................................1-3
1.10 TRADEMARKS AND PATENTS....................................................................................................................................1-4
CHAPTER 2: Sonix INTRODUCTION .............................................................................................................................2-1
2.1 SYSTEM COMPONENTS .............................................................................................................................................2-1
2.2 OPERATOR CONSOLE ................................................................................................................................................2-3
2.3 CONSOLE HEIGHT, ANGLE AND SWIVEL ADJUSTMENT........................................................................................2-9
2.4 SYSTEM CASE ........................................................................................................................................................... 2-11
2.5 POWER PANEL .......................................................................................................................................................... 2-11
2.5.1 Powering the System ............................................................................................................................................ 2-11
2.5.2 Powering the System ON/OFF .............................................................................................................................2-12
2.6 BACK CONNECTIVITY PANEL ..................................................................................................................................2-13
2.7 CONSOLE CONNECTIVITY .......................................................................................................................................2-13
2.8 SonixGPS ....................................................................................................................................................................2-13
2.9 FOOTSWITCH (DUAL OR TRIPLE)............................................................................................................................2-13
CHAPTER 3: GETTING STARTED..................................................................................................................................3-1
3.1 TURNING ON SYSTEM ................................................................................................................................................3-1
3.2 CONNECTING TRANSDUCERS ..................................................................................................................................3-1
3.3 QSonix FEATURE .........................................................................................................................................................3-2
3.3.1 Quick Exam Start-Up ..............................................................................................................................................3-2
3.3.2 Operator Console Tutorial.......................................................................................................................................3-6
3.3.3 Documentation Access ...........................................................................................................................................3-7
3.4 REMOTE SUPPORT .....................................................................................................................................................3-8
3.5 TOUCH SCREEN LAYOUT ...........................................................................................................................................3-9
3.5.1 Main Touch Screen .................................................................................................................................................3-9
3.5.2 Main Touch Screen – Frozen................................................................................................................................ 3-11
CHAPTER 4: PATIENT MANAGEMENT .........................................................................................................................4-1
4.1 ENTERING PATIENT DATA .........................................................................................................................................4-1
4.1.1 Patient Information..................................................................................................................................................4-4
4.1.2 Application Information ...........................................................................................................................................4-6
4.1.2.1 OB Previous Exam (Fetal Trending)..................................................................................................................4-9
4.1.3 Exam Information..................................................................................................................................................4-12
4.2 SELECTING A TRANSDUCER ...................................................................................................................................4-14
4.3 SELECTING AN APPLICATION AND IMAGING PRESET COMBINATION...............................................................4-15
4.4 BEGINNING AN EXAM FOR A NEW PATIENT .........................................................................................................4-16
4.5 BEGINNING AN EXAM WITH NO PATIENT SELECTED...........................................................................................4-17
4.6 ENDING AN EXAM......................................................................................................................................................4-20

Table of Contents 00.040.388, Revision F SonixOP User Manual
ii
4.7 EXAM IMPORT/EXPORT............................................................................................................................................4-21
4.8 STORAGE/DATABASE TABS .....................................................................................................................................4-25
4.8.1 Patients .................................................................................................................................................................4-26
4.8.1.1 Manipulating the Patients Database................................................................................................................4-27
4.8.2 DICOM Worklist ....................................................................................................................................................4-29
4.8.2.1 Manipulating the DICOM Worklist Database ...................................................................................................4-30
4.8.3 Hide.......................................................................................................................................................................4-32
4.9 USER-DEFINED PRESETS FOR NON-3D/4D FORMATS.........................................................................................4-33
CHAPTER 5: IMAGING ................................................................................................................................................... 5-1
5.1 BASIC 2D IMAGING......................................................................................................................................................5-1
5.1.1 Clarity (Speckle Reduction).....................................................................................................................................5-4
5.1.2 Spatial Compound Imaging.....................................................................................................................................5-5
5.1.3 2D Zoom Imaging ...................................................................................................................................................5-5
5.1.4 Dual Imaging Format ..............................................................................................................................................5-6
5.1.5 Quad Imaging Format .............................................................................................................................................5-7
5.1.6 Brachytherapy and the BPC8-4/10 Transducer ......................................................................................................5-8
5.1.7 M-Mode Imaging .....................................................................................................................................................5-9
5.1.7.1 Anatomic M-Mode Imaging..............................................................................................................................5-10
5.1.7.2 Color M-Mode Imaging .................................................................................................................................... 5-11
5.2 COLOR/POWER DOPPLER .......................................................................................................................................5-12
5.2.1 Color Doppler Imaging Mode ................................................................................................................................5-13
5.2.2 Power Doppler Imaging Mode ..............................................................................................................................5-14
5.2.3 Tissue Doppler Imaging (TDI) ...............................................................................................................................5-15
5.2.4 Simultaneous 2D/Color .........................................................................................................................................5-15
5.3 PULSED AND CONTINUOUS WAVE DOPPLER (PW AND CW) AND TRIPLEX .....................................................5-16
5.3.1 PW Imaging Mode ................................................................................................................................................5-19
5.3.2 CW Imaging Mode ................................................................................................................................................5-20
5.3.3 Triplex Imaging Mode............................................................................................................................................5-21
5.4 AUTO-GAIN/B .............................................................................................................................................................5-22
5.5 ELASTOGRAPHY .......................................................................................................................................................5-23
5.6 SonixShine...................................................................................................................................................................5-25
5.7 SonixGPS ....................................................................................................................................................................5-27
5.8 PANORAMIC IMAGING MODE...................................................................................................................................5-28
5.9 SonixDVR RECORDING ............................................................................................................................................5-31
5.10 2D CINE OPTIONS .....................................................................................................................................................5-32
5.10.1 2D Cine Frame Indicators .....................................................................................................................................5-32
5.10.2 2D Cine Options....................................................................................................................................................5-33
5.10.3 Cine Clip Storage ..................................................................................................................................................5-34
5.10.4 Raw Cine Manipulation .........................................................................................................................................5-35
5.10.5 Stored Thumbnail Review .....................................................................................................................................5-35
5.11 FREEHAND 3D IMAGING (ALL NON-4D SONIX TRANSDUCERS)..........................................................................5-36
5.12 STANDARD AND ADVANCED 3D/4D IMAGING ........................................................................................................5-38
5.12.1 3D/4D Touch Screen Layout .................................................................................................................................5-38
5.12.1.1 4D Cine Options ..............................................................................................................................................5-40
5.12.2 3D/4D LCD Display Layout ...................................................................................................................................5-41
5.12.2.1 3D/4D Display Mode (LCD Display and Touch Screen Options).....................................................................5-43
5.12.2.2 3D/4D Render Mode (LCD Display Options Only) ..........................................................................................5-48
5.12.2.3 3D/4D User Mode (LCD Display Options Only)...............................................................................................5-51
5.12.2.4 3D/4D Sculpt (Touch Screen Options Only) ....................................................................................................5-53
5.12.3 Additional 3D/4D LCD Display Details ..................................................................................................................5-54

SonixOP User Manual 00.040.388, Revision F Table of Contents
iii
5.12.4 3D/4D Image Acquisition ......................................................................................................................................5-55
5.12.4.1 3D Imaging ......................................................................................................................................................5-56
5.12.4.2 4D Imaging ......................................................................................................................................................5-57
5.12.5 Optimization of Acquired Images..........................................................................................................................5-58
5.12.6 Spline Editing of 3D/4D Images ............................................................................................................................5-60
5.12.7 Repositioning the ROI Box....................................................................................................................................5-63
5.12.8 Repositioning the MPR Plane Intersection Point ..................................................................................................5-64
5.12.9 3D/4D Presets.......................................................................................................................................................5-65
5.12.9.1 Selecting a Default 3D/4D User (Preset).........................................................................................................5-65
5.12.9.2 User-Defined 3D/4D Presets ...........................................................................................................................5-66
5.12.9.3 Loading 3D/4D Presets ...................................................................................................................................5-67
5.12.9.4 Resetting Factory Defaults ..............................................................................................................................5-68
CHAPTER 6: CLINICAL ANALYSIS................................................................................................................................6-1
6.1 GENERIC 2D MEASUREMENTS .................................................................................................................................6-4
6.1.1 2D Linear Measurement .........................................................................................................................................6-4
6.1.2 Area or Circumference Measurement.....................................................................................................................6-6
6.1.2.1 Ellipse Method Area or Circumference Measurement.......................................................................................6-6
6.1.2.2 Continual Method Area or Circumference Measurement ..................................................................................6-7
6.1.2.3 Point by Point Area or Circumference Measurement ........................................................................................6-8
6.1.2.4 Cross Area or Circumference Measurement.....................................................................................................6-9
6.1.3 Volume Calculation ...............................................................................................................................................6-10
6.1.4 Percent Diameter Reduction Calculation (% Diam Red) ...................................................................................... 6-11
6.1.5 Percent Area Reduction Calculation (% Area Red) ..............................................................................................6-12
6.1.5.1 Ellipse/Ellipse Method of Area Reduction Calculation.....................................................................................6-12
6.1.5.2 Ellipse/Trace Method of Percent Area Reduction Calculation.........................................................................6-13
6.1.5.3 Trace/Trace Method of Percent Area Reduction Calculation ..........................................................................6-14
6.2 M-MODE MEASUREMENTS ......................................................................................................................................6-15
6.2.1 M-Mode Heart Rate Measurement .......................................................................................................................6-15
6.2.2 M-Mode Slope Measurement (Time, Distance and Slope) ...................................................................................6-16
6.2.3 M-Mode Distance Measurement...........................................................................................................................6-16
6.3 PW/CW DOPPLER MEASUREMENTS ......................................................................................................................6-17
6.3.1 Velocity Measurements.........................................................................................................................................6-17
6.3.2 Doppler Manual Trace Measurement ..................................................................................................................6-19
6.3.2.1 Doppler Manual Trace Measurement – Continual Method .............................................................................6-19
6.3.2.2 Doppler Manual Trace Measurement – Point by Point Method ......................................................................6-20
6.3.3 Doppler Auto-Trace Measurement (Spectrum Range) .........................................................................................6-20
6.3.4 Doppler Heart Rate Measurement ........................................................................................................................6-21
6.4 ELASTOGRAPHY MEASUREMENTS ........................................................................................................................6-22
6.5 3D/4D MEASUREMENTS ...........................................................................................................................................6-23
6.6 OB-SPECIFIC MEASUREMENTS/CALCULATIONS ..................................................................................................6-23
6.7 FERTILITY-SPECIFIC MEASUREMENTS/CALCULATIONS .....................................................................................6-24
6.8 REPORTS AND WORKSHEETS ................................................................................................................................6-25
6.8.1 Accessing Reports/Worksheets ............................................................................................................................6-25
6.8.2 Obstetrics Report ..................................................................................................................................................6-27
6.8.3 Vascular Reports...................................................................................................................................................6-28
6.8.4 Billing and QA Review Report/Worksheet Options ...............................................................................................6-28

Table of Contents 00.040.388, Revision F SonixOP User Manual
iv
CHAPTER 7: TEXT, ANNOTATIONS AND PICTOGRAMS............................................................................................ 7-1
7.1 TEXT AND ANNOTATIONS...........................................................................................................................................7-2
7.1.1 Set Text Home Position...........................................................................................................................................7-3
7.1.2 Annotations (Keyboard Text)...................................................................................................................................7-3
7.1.3 Application-Specific Annotations.............................................................................................................................7-4
7.1.4 Deleting Text/Annotations .......................................................................................................................................7-4
7.1.5 Text Arrows .............................................................................................................................................................7-5
7.2 PICTOGRAMS...............................................................................................................................................................7-6
CHAPTER 8: SYSTEM SETUP ....................................................................................................................................... 8-1
8.1 USER SETTINGS..........................................................................................................................................................8-5
8.1.1 SonixLive Setup ......................................................................................................................................................8-5
8.1.1.1 SonixLive and VLC Media Player ......................................................................................................................8-7
8.1.1.2 SonixLive and Windows Media Player ............................................................................................................8-13
8.1.1.3 SonixLive Status Bar Settings .........................................................................................................................8-15
8.1.1.4 Activating/Deactivating SonixLive....................................................................................................................8-16
8.1.2 Remote Support....................................................................................................................................................8-17
8.1.3 Chat Support.........................................................................................................................................................8-18
8.2 ADMINISTRATOR SETTINGS ....................................................................................................................................8-19
8.2.1 Presets..................................................................................................................................................................8-20
8.2.1.1 Show/Hide Imaging Presets ............................................................................................................................8-22
8.2.2 Presets – Annotations ...........................................................................................................................................8-23
8.2.2.1 Modify Annotations ..........................................................................................................................................8-24
8.2.3 Presets – Pictograms............................................................................................................................................8-25
8.2.3.1 Modify the Pictograms Attached to Presets.....................................................................................................8-26
8.2.4 Presets – Measurements ......................................................................................................................................8-27
8.2.4.1 Modify the Available Touch Screen Measurements Packages........................................................................8-28
8.2.5 Annotations ...........................................................................................................................................................8-29
8.2.5.1 Text Arrow Customization................................................................................................................................8-30
8.2.6 Measurements ......................................................................................................................................................8-31
8.2.6.1 Managing Worksheet Settings.........................................................................................................................8-35
8.2.6.2 Show/Hide Applications, Measurement Packages and Measurements ..........................................................8-36
8.2.6.3 Managing Custom Measurements...................................................................................................................8-40
8.2.6.4 Reordering Measurements ..............................................................................................................................8-48
8.2.6.5 Managing Author Settings ...............................................................................................................................8-49
8.2.6.6 Managing OB Tables .......................................................................................................................................8-51
8.2.7 Training Tutorials...................................................................................................................................................8-54
8.2.7.1 Manipulating Training Tutorials........................................................................................................................8-55
8.2.8 SonixGPS .............................................................................................................................................................8-58
8.2.9 Biopsy Guide.........................................................................................................................................................8-59
8.2.10 System Settings ....................................................................................................................................................8-60
8.2.10.1 Password Protection........................................................................................................................................8-64
8.2.10.2 Export/Import User Data..................................................................................................................................8-65
8.2.10.3 Reset User Data Settings to Factory Defaults.................................................................................................8-67
8.2.11 Network.................................................................................................................................................................8-68
8.2.11.1 Ethernet (LAN) Network Configuration ............................................................................................................8-70
8.2.11.2 Dialup Network Configuration .........................................................................................................................8-71
8.2.11.3 Chat Support ...................................................................................................................................................8-72
8.2.11.4 Remote Support ..............................................................................................................................................8-72

SonixOP User Manual 00.040.388, Revision F Table of Contents
v
8.2.12 DICOM Configuration............................................................................................................................................8-73
8.2.12.1 DICOM Storage Settings .................................................................................................................................8-74
8.2.12.2 DICOM Print Settings ......................................................................................................................................8-81
8.2.12.3 DICOM Worklist Settings.................................................................................................................................8-86
8.2.13 Custom Keys.........................................................................................................................................................8-88
8.2.14 Peripherals............................................................................................................................................................8-90
8.2.14.1 Paper Printer ...................................................................................................................................................8-91
8.2.14.2 LCD Display.....................................................................................................................................................8-93
8.2.14.3 VCR/Photo ......................................................................................................................................................8-94
8.2.14.4 Footswitch .......................................................................................................................................................8-95
8.2.14.5 Brightness/Contrast.........................................................................................................................................8-97
8.2.14.6 Touch Screen ..................................................................................................................................................8-98
8.2.15 Display Settings ..................................................................................................................................................8-101
8.2.16 Patient Settings...................................................................................................................................................8-102
8.2.16.1 EMR Settings ................................................................................................................................................8-107
8.2.17 Status Bar ...........................................................................................................................................................8-108
8.2.18 Capture Settings ................................................................................................................................................. 8-111
8.2.19 Imaging Modes ................................................................................................................................................... 8-113
8.2.20 Documentation Settings...................................................................................................................................... 8-115
8.2.21 Software Update ................................................................................................................................................. 8-117
8.2.22 Licensing............................................................................................................................................................. 8-119
8.3 SERVICE MENU .......................................................................................................................................................8-122
CHAPTER 9: IMAGE STORAGE, REVIEW, TRANSFER AND PRINT ...........................................................................9-1
9.1 IMAGE STORAGE.........................................................................................................................................................9-1
9.2 IMAGE REVIEW ............................................................................................................................................................9-2
9.2.1 Deleting Image(s)/Exam(s) .....................................................................................................................................9-8
9.3 IMAGE TRANSFER.......................................................................................................................................................9-9
CHAPTER 10: CONNECTIVITY, PERIPHERALS AND SOFTWARE ...........................................................................10-1
10.1 BACK CONNECTIVITY PANEL ..................................................................................................................................10-1
10.2 CONSOLE CONNECTIVITY .......................................................................................................................................10-2
10.3 ULTRASONIX-APPROVED DEVICES .......................................................................................................................10-3
10.3.1 Connecting an External Television to the System ................................................................................................10-3
10.3.1.1 Method 1: Via the TV’s HDMI or DVI Input......................................................................................................10-4
10.3.1.2 Method 2: Via the TV’s PC IN Connector ........................................................................................................10-5
10.4 PERIPHERAL RECEPTACLE .....................................................................................................................................10-6
10.5 SonixGPS ....................................................................................................................................................................10-7
10.6 CONNECTING THE USB FOOTSWITCH (DUAL OR TRIPLE) ..................................................................................10-7
10.7 USB PRINTER MOUNTING KIT .................................................................................................................................10-8
10.8 PERIPHERAL TRAY ...................................................................................................................................................10-9
10.8.1 USB Printer Mounted on the Peripheral Tray .....................................................................................................10-10
10.9 TRANSDUCER HOLDERS AND CABLE HOOKS ....................................................................................................10-12
10.10 SOFTWARE ..............................................................................................................................................................10-13
10.10.1 Anti-Virus Protection ...........................................................................................................................................10-13

Table of Contents 00.040.388, Revision F SonixOP User Manual
vi
APPENDIX A: SAFETY ...................................................................................................................................................A-1
A.1 SAFETY........................................................................................................................................................................ A-1
A.1.1 ALARA Principle and Output Displays ................................................................................................................... A-1
A.2 BASIC PRECAUTIONS ................................................................................................................................................ A-2
A.3 SONIXGPS PRECAUTIONS ........................................................................................................................................ A-3
A.4 SYMBOL DEFINITIONS ............................................................................................................................................... A-4
A.5 ELECTRICAL SAFETY REQUIREMENTS................................................................................................................... A-5
A.5.1 System ................................................................................................................................................................... A-5
A.5.2 Additional Hardware............................................................................................................................................... A-5
A.6 EMC (ELECTROMAGNETIC COMPATIBILITY) REQUIREMENTS ............................................................................ A-6
A.6.1 System ................................................................................................................................................................... A-6
A.6.2 Additional Hardware............................................................................................................................................... A-6
A.7 ENVIRONMENTAL CONDITIONS ............................................................................................................................... A-7
A.7.1 System ................................................................................................................................................................... A-7
A.8 LIMITING TRANSDUCER SURFACE HEATING ......................................................................................................... A-7
A.9 LATEX .......................................................................................................................................................................... A-7
APPENDIX B: SYSTEM SPECIFICATIONS ...................................................................................................................B-1
APPENDIX C: TRANSDUCER SPECIFICATIONS .........................................................................................................C-1
C.1 TRANSDUCER DISCLAIMER ...................................................................................................................................... C-1
C.2 ACOUSTIC OUTPUT RECORDING TABLES .............................................................................................................. C-1
C.3 ULTRASOUND INDICATIONS FOR USE TABLES.................................................................................................... C-26
APPENDIX D: MAINTENANCE AND CLEANING ..........................................................................................................D-1
D.1 TRANSDUCERS........................................................................................................................................................... D-1
D.1.1 Guidelines .............................................................................................................................................................. D-1
D.1.2 Ultrasound Coupling Gels ...................................................................................................................................... D-1
D.1.3 General Transducer Maintenance ......................................................................................................................... D-2
D.1.3.1 Inspection and Testing...................................................................................................................................... D-3
D.1.3.2 Storing and Packaging...................................................................................................................................... D-3
D.1.4 General Transducer Cleaning/Disinfecting Recommendations and Warnings .....................................................D-4
D.1.5 Cleaning/Disinfecting Non-Invasive Transducers .................................................................................................. D-5
D.1.5.1 Cleaning Non-Invasive Transducers................................................................................................................. D-6
D.1.5.2 Disinfecting Non-Invasive Transducers ............................................................................................................ D-6
D.1.6 Cleaning/Disinfecting Endocavity Transducers...................................................................................................... D-7
D.1.7 Sterilization............................................................................................................................................................. D-8
D.2 SHIPPING TRANSDUCERS FOR SERVICE ............................................................................................................... D-9
D.3 RECOMMENDED FREQUENCY OF HIGH-LEVEL MAINTENANCE PROCEDURES ............................................... D-9
D.4 CLEANING SYSTEM COMPONENTS ......................................................................................................................... D-9
D.4.1 LCD Display and Cabinet .................................................................................................................................... D-10
D.4.1.1 LCD Display Cabinet ...................................................................................................................................... D-10
D.4.1.2 LCD Display Screen ...................................................................................................................................... D-10
D.4.2 Touch Screen ...................................................................................................................................................... D-11
D.4.3 Operator Console ................................................................................................................................................ D-11
D.4.4 Power Cord ......................................................................................................................................................... D-11
D.4.5 SonixGPS Components ....................................................................................................................................... D-12
D.4.6 Transducer Holders and Cable Hooks ................................................................................................................ D-12
D.4.7 Footswitch (Dual and Triple) ............................................................................................................................... D-12
D.4.8 Peripheral Tray and Basket ................................................................................................................................. D-13
D.4.9 System Filter ....................................................................................................................................................... D-13

SonixOP User Manual 00.040.388, Revision F Table of Contents
vii
APPENDIX E: MODE ACTION AND IMAGING PARAMETER OPTIONS ..................................................................... E-1
APPENDIX F: OB AND CARDIAC AUTHORS ................................................................................................................F-1
APPENDIX G: REFERENCES ........................................................................................................................................ G-1
G.1 OB................................................................................................................................................................................. G-1
G.1.1 OB Gestational Age ............................................................................................................................................... G-1
G.1.2 OB Growth Analysis............................................................................................................................................... G-3
G.2 CARDIAC...................................................................................................................................................................... G-4
APPENDIX H: GLOSSARY............................................................................................................................................. H-1

Table of Contents 00.040.388, Revision F SonixOP User Manual
viii

SonixOP User Manual 00.040.388, Revision F Chapter 1: Introduction
1-1
CHAPTER 1: INTRODUCTION
1.1 AUDIENCE
This user manual is a reference for operators using a SonixOP ultrasound system. It is designed for a
reader familiar with ultrasound imaging techniques; it does not provide training in sonography or clinical
practices. Before using the system the operator must have ultrasound training.
1.1.1 Prescription Device
1.2 CONVENTIONS
The following conventions are used in this manual:
• cross-references for such things as tables, page numbers, sections and chapters are in blue, bold face,
non-italic type (e.g., Chapter 2: SONIX Introduction) and are active hyperlinks when the manual is in
Portable Document Format (PDF)
• words that are bold italic refer to items on the LCD display and touch screen
• icons are used to represent operator console buttons. Keyboard items are represented in BOLD
UPPER CASE (e.g., SHIFT or TAB)
• "Press" and "Turn" indicate the actions required to activate the operator console buttons and dials
• "Tap" indicates the action required to activate a touch screen item
• "Select" directs the operator to choose an item(s) from onscreen pages, menus, dialogs, etc., using the
console trackball and onscreen cursor or tapping the touch screen to make the selection
•aWarning describes precautions necessary to prevent injury or loss of life
•aCaution describes precautions necessary to protect the Sonix system and its associated products
•aNote contains helpful information and hidden functionality
• items marked IMPORTANT contain vital information that must be understood and followed, but which
will not endanger either people or equipment
• bulleted lists present information in list format, but do not imply a sequence
• when operating instructions must be performed in a specific order, the steps are numbered
• instructions separated by ">" indicate that multiple items must be selected (e.g., "Select Administrator
> Status Bar" indicates that the user must first select the "Administrator" option, then when the next
dialog is presented, select the "Status Bar" option).
Note: This is not a service manual. The SonixOP Service Manual is available for qualified service
personnel.
Caution: United States law restricts this device to sale or use by, or on the order of a Physician.

Chapter 1: Introduction 00.040.388, Revision F SonixOP User Manual
1-2
1.3 UPDATES
Updated user manuals will be available for all future Sonix ultrasound system updates.
1.4 VOLTAGE DISCLAIMER
The system voltage setting is configured in the factory.
It is the user's responsibility to ensure the system is used only under the electrical conditions dictated by
Ultrasonix Medical Corp. Failure to comply with these conditions may result in damage to the system which
is not covered by the Ultrasonix warranty.
1.5 CONNECTIVITY DISCLAIMER
1.6 PRIVACY DISCLAIMER
To protect patient data, Ultrasonix strongly recommends regular patient/image file back-up and purging of
older patient files stored on the system. Refer to Chapter 9: Image Storage, Review, Transfer and Print
for details on transferring patient data.
Caution: For users running the 100V–120V system, always ensure the utility supply voltage is 100V–
120V @ 50/60 Hz.
For users running the 200V–240V system, always ensure the utility supply voltage is 200V–240V @
50/60 Hz.
Caution: System networking options are intended for use inside your organization's firewall.
Organizations that elect to configure/use the networking functionality provided by Ultrasonix are
assuming all liabilities and risks associated with that decision.
IMPORTANT: The contents of the system hard drive may include Personal Health Information that must
be protected as dictated by local or state laws (for example, Federal Privacy Act or the Health
Insurance Portability & Accountability Act (HIPAA)). In order to ensure regulatory compliance,
Ultrasonix will not remove the system hard drive — and the patient data it contains — from the
customer site.
In the event the hard drive must be removed from the system, it will be returned to the customer. Final
disposition of the hard drive and its data will remain the customer's responsibility.

SonixOP User Manual 00.040.388, Revision F Chapter 1: Introduction
1-3
1.7 GENERAL DISCLAIMER
Certain licensed features, hardware options and transducers may not be certified in all markets. Consult
your local Ultrasonix Authorized Distributor or Sales Representative to determine availability in your area.
1.8 LICENSE AGREEMENT
Portions of the Sonix computer programs have been patented by Ultrasonix Medical Corporation
(Ultrasonix) or are patent pending, and are licensed under the following software license agreement:
Ultrasonix, or its suppliers, retain(s) ownership of and title to any computer program supplied with the
Equipment and to the trade secrets embodied in such computer programs. Subject to the Buyer’s
acceptance and fulfillment of the obligations in this paragraph, Ultrasonix grants the Buyer a personal, non-
transferable, perpetual, non-exclusive license to use any computer program supplied with the Equipment
that is necessary to operate the Equipment solely on the medium in which such program is delivered for
the purpose of operating the Equipment in accordance with the instructions set forth in the operator’s
manuals supplied with the Equipment and for no other purpose whatsoever. Buyer may not reverse –
assemble, reverse – compile or otherwise reverse – engineer such computer programs nor may Buyer
make a copy of such program or apply any techniques to derive the trade secrets embodied therein. In the
event of a failure by Buyer to comply with the terms of this license, the license granted by this paragraph
shall terminate. Further, because unauthorized use of such computer programs will leave Ultrasonix
without an adequate remedy at law, Buyer agrees that injunctive or other equitable relief will be appropriate
to restrain such use, threatened or actual. Buyer further agrees that (i) any of the Ultrasonix suppliers of
software is a direct and intended beneficiary of this end-user sublicense and may enforce it directly against
Buyer with respect to software supplied by such supplier, and (ii) NO SUPPLIER OF ULTRASONIX SHALL
BE LIABLE TO BUYER FOR ANY GENERAL, SPECIAL, DIRECT, INDIRECT, CONSEQUENTIAL
INCIDENTAL OR OTHER DAMAGES ARISING OUT OF THE SUBLICENSE OF THE COMPUTER
PROGRAMS SUPPLIED WITH THE EQUIPMENT.
1.9 WARRANTY REGISTRATION
To protect your investment, ensure the warranty registration card included with your system has been
completed and returned to Ultrasonix (using the envelope provided) or register online at
www.ultrasonix.com/register.
Note: Warranty registration will ensure uninterrupted Technical Support and system updates.

Chapter 1: Introduction 00.040.388, Revision F SonixOP User Manual
1-4
1.10 TRADEMARKS AND PATENTS
Ultrasonix Sonix systems are protected under US Patents 6,216,029 - 6,325,759 - 6,558,326 - 6,911,008 -
7,274,325 - 8,088,070 - D654,178.
The following are trademarks of Ultrasonix Medical Corporation: SonixGPS™, SonixShine™,
SonixTablet™ and SonixTouch™.
Windows©is a trademark of Microsoft Corporation.
DICOM®(Digital Imaging and Communications in Medicine) is the registered trademark of the National
Electrical Manufacturers Association (NEMA) for its standards publications relating to digital
communications of medical information.
All other products and brand names mentioned in this document are trademarks of their respective
companies.

SonixOP User Manual 00.040.388, Revision F Chapter 2: Sonix Introduction
2-1
CHAPTER 2: Sonix INTRODUCTION
Congratulations on your purchase of the Ultrasonix Sonix Ultrasound system. The Sonix is a high quality, easy to
use diagnostic ultrasound system that is stable, highly mobile and designed to be convenient and comfortable to
operate.
The various system components, including the LCD display, operator console with touch screen, cart, and
transducers, may be configured to better support system use.
2.1 SYSTEM COMPONENTS
Figure 2-1: SonixOP System Components
Note: The front wheels on the SonixOP lock completely (i.e., when locked, no movement is allowed in any
direction), while the rear wheels lock directionally.
10
11
8
6
1
5
3
4
2
12
7
13
9

Chapter 2: Sonix Introduction 00.040.388, Revision F SonixOP User Manual
2-2
Table 2-1: System Components
1LCD Display
2Speakers
3Touch Screen
4Operator Console
5Front Connectivity Panel (USB ports)
6Front Pull Handles
7Transducer Holders
8System Case with Three (3) Transducer Ports
9Optional Uninterruptible Power Supply (UPS) with External Breaker Access (Not available on this platform)
10 Foot Rest
11 Wheel Base with Four (4) Locking Wheels
12 Rear Pull Handles
13 Foot Pedal

SonixOP User Manual 00.040.388, Revision F Chapter 2: Sonix Introduction
2-3
2.2 OPERATOR CONSOLE
The operator console comprises a panel with patient management, system setup and ultrasound imaging
controls: trackball, buttons, dials, toggle buttons, touch screen and keyboard. These operator controls
enable Sonix functions (e.g., changing imaging modes and adjusting parameters such as Time Gain
Compensation (TGC), Depth, etc.).
Figure 2-2: Operator Console
Note: Many features are licensed options and may not be active on all systems. Refer to 8.2.22 Licensing
to determine what features are active and Appendix B: System Specifications for details on
available options.
1
2
5
3
6
4
12
11 10
9
8
7
13
20
19
18
17
1615
14
29
28
27
26 25 24 23
2221
30
39
38 37 36
35
34
33
32 31
40
49484746
45
434241
50
53
52
51
44

Chapter 2: Sonix Introduction 00.040.388, Revision F SonixOP User Manual
2-4
Table 2-1: Operator Console Controls
Item Icon System Control Functionality
1Power Button
System ON/OFF button, located on the console support beneath
the LCD display. Refer to 8.2.10 System Settings to configure
Shutdown Options.
Refer to 2.5.2 Powering the System ON/OFF for the exact
location of the power button.
2Trackball Used to position the onscreen arrow graphic, flashing text cursor,
arrow cursor, calipers, etc.
3QSONIXButton
Provides access to:
• Quick exam start-up
• Sonix Operator Console Tutorial
•Remote Support.
Print Controls
41 Button (Custom
Key 1)
One of four (4) programmable buttons (8.2.13) used to:
• auto-store/print images or Cine loops to a configured printer,
archive, etc.
• access certain functions such as Exam Review and
Measurement Packages.
52Button (Custom
Key 2)
One of four (4) programmable buttons (8.2.13) used to:
• auto-store/print images or Cine loops to a configured printer,
archive, etc.
• access certain functions such as Exam Review and
Measurement Packages.
6ARCHIVE Button
(Custom Key 3)
One of four (4) programmable buttons used to:
• auto-store/print images or Cine loops to a configured printer,
archive, etc.
• set to provide access to the Exam Management/Image
Review system.
7 SELECT Button
Provides a wide variety of functions depending on the imaging
state (e.g., selects/sets measurements, selects onscreen menu
items, etc.) as well as left-click mouse button functionality.
8UPDATEButton
Provides a wide variety of functions depending on the imaging
state (e.g., toggle between image fields on Dual/Quad image,
toggle between 2D and Doppler Trace image fields, toggles the
active caliper, etc.) as well as right-click mouse button
functionality.
9 FREEZE Button
Pause/resume a live image.
Additionally, using Custom Key settings (8.2.13) the console
button can be configured to move directly to Measure.