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
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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

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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

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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

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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

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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

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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