Quick Guide

Affiniti Series Diagnostic Ultrasound Systems English

Contents
For easy reference, each section is color-coded. The color of
each section title correlates with the color band on each page in
that section.
System Overview
System Components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
Cable Managers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
Ports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Peripherals (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
Controls
Monitor Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Control Panel . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Soft Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Trackball Controls and Icon . . . . . . . . . . . . . . . . . . . . . . . . . . .12
Touch Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
4535 620 18581
Perform an Exam
Start Patient Exam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Select Transducer, Preset, and Imaging Mode . . . . . . . . . . . . .16
Contrast Imaging. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
Acquire Single Images and Loops . . . . . . . . . . . . . . . . . . . . . . .23
Print Images . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
Review Images and Loops. . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
End Exam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .24
Export Exams and Images. . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
Image Optimization
Image Brightness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
Depth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
Focus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
Zoom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
Color. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .28
2D Optimization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
Tissue Harmonic Imaging . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
1
4535 620 18581 2

Measurements and Calculations Power Management

Unlabeled Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31 Power Management Feature. . . . . . . . . . . . . . . . . . . . . . . . . . .55
Labeled Measurements and Calculations . . . . . . . . . . . . . . . . .35 Battery and AC Power Status Indicators . . . . . . . . . . . . . . . . .55
Annotation Battery Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56
Sleep Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56
Type Annotations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39
Add Annotation Labels and Arrows . . . . . . . . . . . . . . . . . . . .40 Tips
Erase Labels and Arrows . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 Move the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57
Move a Label. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43 System Setup After Moving . . . . . . . . . . . . . . . . . . . . . . . . . . .58
Modify a Label. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .43 Barcode Scanner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59
Use Body Markers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .44 System Support. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60
Protocols
Start a Protocol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47
Create a New Exam Protocol . . . . . . . . . . . . . . . . . . . . . . . . .48
Create a New Stress Echo Protocol . . . . . . . . . . . . . . . . . . . .50
Reports
View and Edit Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53
About This Guide These numbering styles are used in this Quick Guide:

Use this Quick Guide to help you perform an ultrasound exam step- Style Description
by-step. For more information, see the system Help or the User 2 Indicates a system component or a display element
Manual.
2 Indicates a step and the control location or system
Conventions component associated with the step shown in an
illustration
These terms are used in this Quick Guide:
Term Description or Action 2 Indicates a step with no callout on an illustration
Image/image area Ultrasound-scan area on the imaging display
Imaging display Information displayed on the screen of the
monitor
Select, deselect Move pointer or cursor to an item and press the
left or right trackball button to activate or
deactivate an item

4535 620 18581 3

4535 620 18581 4
System Components
1 Monitor
2 Articulating arm (Affiniti 70, optional 1
on Affiniti 50 and Affiniti 30)
3 On/Off and Sleep Mode controls
2
4 ECG/physio probe receptacle 11
5 Peripheral bay 3
10
6 Doppler probe receptacle
7 Transducer cable management tray
4
8 Wheel lock and brake
5 9
9 Transducer receptacles
6
10 Control panel 7
11 Touch screen
8

Affiniti 70 system shown

System Overview 5
System Overview 6

Cable Managers
Affiniti Series ultrasound systems offer a
unique cable management solution that
keeps transducer cables out of your way and
carries the weight of cables while you work.
For information on attaching, using, and
cleaning the cable managers, see the system
User Manual.

Affiniti 70 system shown

Ports
1 USB ports (1 on each side of control
panel, 2 behind side panel) 2 3
2 Network port
3 External monitor port (DisplayPort)
4 External monitor port (S-video)
5 External video printer port
1

1
4
5

System Overview 7
System Overview 8

Peripherals (Optional)
1 Barcode scanner (connects to any USB
port)
Small-format black-and-white image 1
2
printer (installed on shoulder of
control panel)
3 Large-format black-and-white image
printer (installed either under or on 2
shoulder of control panel)
4 DVD recorder (installed on peripheral
bay)
5 External black-and-white image printer 3 6
(connects behind side panel)
6 DVD drive (installed under handle)
4

5
Monitor Display
1 Patient bar
1
2 Left pane
3 Image area
4 Right pane
5 Tools, trackball status, and icons
2 3 4

When you select the MaxVue display, the left

and right panes are hidden (unless you pin
them in place) and the tools, trackball status,
and icons pane is minimized to show only
the trackball arbitration labels.
When the left and right panes are unpinned 5
and hidden, you can display them by
hovering the cursor on the left or right of
the display.

Controls 9
Controls 10

Control Panel
1 Touch screen
2 On/Off control
1
3 Sleep Mode control
4 Soft key controls 2
5 Imaging mode controls
4 12
6 TGC slide controls
7 Measure, Label, Erase and Pointer 3
controls 5 11
8 Trackball and trackball buttons
9 iSCAN, Acquire 1, and Freeze
controls
10 Dual, Depth, Focus, Acquire 2, and 6
Acquire 3 controls
10
11 Zoom control
7 8 9
12 Support control
Soft Keys
The soft key controls are located along the top of the control panel.
Corresponding soft key labels are at the bottom of the touch screen.
Labels indicate the available functions, which depend on the active
mode, preset, and transducer.
• Touching a soft key label selects a function. You can also press a
soft key control to switch among the available functions. (You
can disable press behavior for soft keys to prevent unintentional 3
presses when you turn a soft key control. See the system Help.)
2
• Turning a soft key control sets the selected function’s value.
• Touching the page indicator displays the next page of touch 1
controls, if one is available. You can also swipe the touch screen
with the tip of your finger to move between touch screens.

1 Soft key controls For example:

2 Soft key labels • To activate the 2D Opt soft key, touch the 2D Opt soft key
label, or press the knob (soft key control) below the label.
3 Touch screen page indicator • To switch among available optimization settings, turn the 2D
Opt soft key control.

Controls 11
Controls 12

Trackball Controls and Icon NOTE

In the MaxVue display, display of the trackball arbitration icon
• The functions of the trackball buttons are indicated by the depends on the Trackball Legend Style for MaxVue setting
trackball arbitration icon on the imaging display and change to in the setups.
match your current task.
2 1 2
• In menus, to select or deselect an item, use the trackball to
move the pointer to an item and press the left or right trackball
button.
• During measurements, trackball buttons have these default
function unless they are changed in the Analysis setups:
– Left: switch between anchor points
– Middle: complete measurements
– Right: either switch between anchor points or start a new
measurement, depending on the current preset

1 Trackball and trackball buttons

2 High-use controls
3 Trackball arbitration icon (with button-function labels)
3
Touch Screen
1 Workflow area 6
1 5
2 Tabs
2
3 Controls
7
4 Soft key labels
5 Transducers and presets
6 Tools 3

7 Sub-mode controls (such as Contrast,

Biopsy, or Panoramic)
8 General-purpose soft keys
9
9 Touch screen page indicator
4 8 10 8
10 Dynamic imaging-mode soft keys

Controls 13
Controls 14
Start Patient Exam
Begin an exam by completing the patient data, selecting a transducer, and selecting a procedure and study type.

1 To begin an exam, touch Patient.

2 For a new patient, enter patient data (last name required). Also, you can enter patient data from a scanned barcode (see “Barcode
Scanner” on page 59). To move between fields, use the Tab key, or the trackball.
3 Select a Procedure and verify the Study Type, and then enter any study-related patient history.
4 Click Done. Now you can select the transducer and preset. See “Select Transducer, Preset, and Imaging Mode” on page 16.
Note the following about starting exams:
• If patient data is unavailable, use Temporary ID to start the exam. Patient data or a temporary ID is necessary for acquisition and saving.
• You can enter patient data within 24 hours, unless the system is configured for Send as You Go or batch export. See the system Help.
• If the system connects to a networked patient-information system, you can select the patient from the modality worklist.
• At the end of the exam, to save the study data and exit the exam, touch End Exam.

Perform an Exam 15
Perform an Exam 16

Select Transducer, Preset, and Imaging Mode 5 3D displays a touch screen tab that lists the available 3D modes,
which depend on the active transducer and preset, and in
Presets include default image optimization, calculation options, and
Cardiology exams, automatically displays a 3D image.
mode settings. Available presets are transducer-dependent. During
an exam, you can switch transducers and presets as needed.
1 2 3 4 5

1 Connect a transducer. Names of all connected transducers

appear at the top of the touch screen.
c
2 Touch the name of a transducer.
3 Touch one of the displayed presets.
Active transducers and presets are highlighted in amber.
Imaging Modes Accessed from Control Panel

1 Systems with cardiac options: CW (continuous-wave Doppler)

displays a spectrum of blood-flow information along an
interrogation line. Systems without cardiac options: CPA (Color
Power Angio) provides color amplitude information (excluding
velocity).
2 PW (pulsed-wave Doppler) displays a spectrum of blood-flow
velocity information using a discrete sample volume at a specific
location.
3 2D displays a 2D image and returns to 2D from any other mode.
4 Color displays directional color velocities with a 2D image.
To use 2D, Color, or CPA imaging: To start 3D imaging:

1 Press 2D or Color, or depending on your system configuration, 1 Press 3D.

press or touch CPA.
2 In Color or CPA, adjust the ROI box size and position using the 2 See “Using 3D Imaging” on page 21.
trackball.
NOTE
3 To optimize the image, use the soft keys. When activating 3D from 2D, the 3D color ROI lateral position
inherits its properties from the 2D color ROI position.
To use PW or CW Doppler:

1 Press PW or (on systems with cardiac options) CW.

2 To position the PW sample volume (interrogation point), use
the trackball.
3 To activate the spectral display, press the middle trackball
button.
4 To optimize the display, use the soft keys.
5 To perform measurements, press Freeze and begin a
measurement.
6 To exit Doppler, press 2D.

Perform an Exam 17
Perform an Exam 18

Imaging Modes Accessed from Touch Screen

1 Elasto (strain and shear wave elastography) displays 1 2 3

information (an elastogram), about tissue stiffness or elasticity.
Available only on certain transducers. For details and full
procedures, see the system Help.
2 M-mode samples across the 2D image to display moving
structures over time on a sweeping display.
3 CPA (Color Power Angio imaging) provides color amplitude
information (not velocity). CPA may be on the control panel, To use M-mode:
instead of the touch screen, depending on your system
configuration. 1 Touch M-mode.
4 TDI (Tissue Doppler Imaging) displays tissue-motion
information for 2D images. Can be used in combination with 2 Use the trackball to move the M-line to the anatomy of interest.
PW Doppler or Color. In noncardiac presets, press the middle trackball button to
3
display the trace. In cardiac presets, the trace appears
NOTE
Some imaging modes may be unavailable, depending on your automatically.
system configuration. 4 Use the trackball to adjust the M-line.
5 To perform measurements, press Freeze and begin a
measurement.
To use CPA imaging: To use TDI:
1 Optimize a 2D image, and then do one of the following:
1 Press CPA.
• To start 2D TDI, touch TDI.
2 Adjust the ROI box size and position by using the trackball. • To start M-mode TDI, touch TDI, and then touch M-
3 Adjust the 2D gain by turning 2D, and adjust CPA gain by Mode.
turning CPA. • To start PW TDI, touch TDI, position the cursor, and then
To start compression (strain) or shear wave elastography: press PW.
2 To position the interrogation line, use the trackball.
1 Select a transducer and preset that support elastography.
3 To optimize the image, use the soft keys.
2 Touch Elasto.
3 Do one of the following:
• To start compression (strain) elastography, touch Elasto
Strain, if it is not already selected.
• To start shear wave elastography, touch ElastPQ.
4 For information on completing elastography measurements and
saving images and results, see the system Help.

Perform an Exam 19
Perform an Exam 20

3D and xPlane Imaging Modes

NOTE
Some 3D imaging modes may be unavailable, depending on the
configuration of your system, the transducer, and the preset.
• 3D displays 3D volume data from a single-sweep acquisition.
• 4D displays a continuous acquisition of multiple 3D volumes that
captures 3D data and movement (4D).
• STIC displays multiple fetal heart cycles in a single sweep
acquired with a mechanical transducer. The system processes
the acquired data to calculate the fetal heart rate and create a
volume cineloop sequence of a single composite heart cycle.
• 3D Zoom/Preview displays the image in xPlane preview. Also
used to enter 3D Zoom from 2D zoom or xPlane zoom.
• Full Volume displays a volume that is wide in both azimuth and
elevation, enabling capture of the entire heart in the volume.
• Freehand 3D displays an uncalibrated series of 2D frames in
cine memory. After acquisition, the system renders a 3D volume
image from the 2D frames.
• xPlane displays two orthogonal simultaneous live images.
Using 3D Imaging
To perform 3D imaging with a non-xMATRIX transducer:
1 Select a transducer and a preset. (This and your system
configuration affect which 3D acquisition modes are available.)
2 Press 3D and touch one of the 3D acquisition controls.
3 When you are ready to begin 3D imaging, touch Start 3D.
4 To freeze or stop 3D imaging, touch Stop 3D.
5 Use the 3D touch screen controls to optimize and manipulate
the 3D data.
6 Save 3D data using the controls on the touch screen or control
panel.
7 To exit 3D and return to live 2D imaging, press 2D.
NOTE
When activating 3D from xPlane imaging, these 3D settings
inherit their properties from the xPlane imaging settings in
parentheses: 3D Color ROI lateral position (xPlane Color ROI
position); 3D tilt type (xPlane tilt type); 3D MPR tilt (xPlane tilt);
3D MPR rotation (xPlane rotation).
Perform an Exam
To perform Live 3D imaging with an xMATRIX transducer:
1 Select a transducer and a preset. (This and your system
configuration affect which 3D acquisition modes are available.)
Press 3D to start live 3D acquisition. The 3D image appears on
2
the display.
Use the 3D touch screen controls to optimize and manipulate
3
the 3D data.
4 To save the 3D data, press the Acquire control that is
configured for that purpose.
5 To exit 3D and return to live 2D imaging, press 2D.
NOTE
When activating 3D from 2D Color, the 3D Color ROI lateral
position inherits its properties from the 2D Color ROI position.
21
Perform an Exam
To use xPlane imaging:
1 Select an xMATRIX transducer and touch xPlane.
2 Touch Tilt to select Elevation or Lateral.
To place the tilt indicator along the anatomy of interest, use the
3
trackball.
4 To apply the tilt to a color-flow image, press Color.
5 To magnify the image, press Zoom, position the zoom box at
the anatomy of interest, and press Zoom again.
NOTE
When activating xPlane imaging from 3D, these xPlane imaging
settings inherit their properties from the 3D settings in
parentheses: xPlane tilt (3D MPR tilt); xPlane rotation (3D MPR
rotation).
22
Contrast Imaging
1 Select a transducer that supports contrast imaging, and touch
Contrast.
2 Begin imaging. Adjust overall gain and the TGC gain only as
needed.
3 After the contrast agent is injected and the saline flush is
complete, if you want to use the timer, touch Contrast Timer.
4 To use Flash, do one of the following to trigger the flash frames:
• Touch Flash.
• Adjust the Flash Frames and Flash Power settings on
the 2D touch screen.
5 To acquire a contrast loop, press the Acquire control that is
configured to acquire loops. If you change some settings
(Depth, Cont. Opt, and Persistence) during acquisition, the
acquisition stops immediately. To resume, press Acquire again.
6 To reset the timer during a new injection of contrast agent,
touch Contrast Timer again.
Acquire Single Images and Loops Print Images
You can acquire and save a single frame or a cineloop sequence. The To print still images:
frame or sequence is saved in the patient study, and a thumbnail is
available in the live imaging display and the Review display.
1 Configure the Acquire and Alt Print controls in the setups.

Acquire controls can be configured to print, save images to the hard 2 Display the live or frozen image that you want to print.
drive, and to send to PACS in the setups. For configuration Do one of the following:
3
instructions, see the system Help.
• Press the Acquire control that is configured to print
To acquire a still image: images.
1 Press Freeze. • Touch Alt Print or another touch screen printing control.
2 Use the trackball to scroll to the frame that you want to
NOTE
acquire.
You can also configure the Acquire controls to start and stop
3 To acquire the image, press the Acquire control that is DVD recording.
configured to acquire image images.
To acquire image loops:
1 Use the Loop Length soft key to set the loop duration. The
buffer may be unable to hold the entire sequence for long
durations.
2 In live imaging or while reviewing a cineloop sequence, press the
Acquire control that is configured to acquire image loops.
3 To trim the loop, turn the Trim Left and Trim Right controls.

Perform an Exam 23
Perform an Exam 24

Review Images and Loops End Exam

To review the acquired images and loops of an exam: To end an exam:
1 Touch Review. 1 Touch Patient.
2 Use Review Page to cycle through available thumbnails. 2 Update the patient data, if necessary.
3 Display a single image full screen or 4 images by touching 3 Touch End Exam.
Layout.
4 Press Freeze to stop playing a loop.
5 Use Cine Speed to adjust the speed of a loop.
6 Touch Review again to close review and return to live
imaging.
Export Exams and Images To export an image:

To export an exam in DICOM: 1 In the Review display, select one or more images.
1 End the exam. 2 Click Export.
2 In the Patient Directory, select one or more exams. To select 3 In the Export dialog box, select a destination.
all exams, click Select All.
4 Select an export format (DICOM or JPEG/AVI).
3 Click Export.
5 To remove identifying information from the DICOM data sent
4 In the Export dialog box, select a destination. with the exam, select Deidentify Data, if available.
5 Select the DICOM export format. 6 To send the selected images, click OK.
6 To remove identifying information from the DICOM data sent
with the exam, select Deidentify Data, if available.
7 To send the selected exams, click OK.

Perform an Exam 25
Perform an Exam 26
Image Brightness

1 To automatically adjust overall brightness, press iSCAN or

touch AutoSCAN.
2 To adjust brightness at various depths, use the TGC slide
controls.
3 Turn a mode knob to adjust the gain for that mode.

4 To adjust brightness along the lateral edges of the image, use the
LGC sliders on the touch screen.
1

Depth 3 4
2
3 To increase or decrease the field of view, turn Depth. The
depth is in the lower right side of the display. In the setups, you
can select to display depth markers along the side of the image.

Focus
4 Turn Focus to adjust the 2D focal depth. The focal zone
indicator is to the right of the image. To change the focal range,
press Focus and then turn the knob.

Image Optimization 27
Image Optimization 28

Zoom
1 To magnify the entire image display, turn Zoom.
2 To magnify a specific region of interest:
a. Press Zoom to display an ROI box.
b. Adjust the size and location of the ROI box with
trackball and its left and right buttons.
c. Press the middle trackball button to magnify the
contents of the ROI box. 1
d. Use the trackball to pan the contents of the ROI box,
or turn Zoom to further magnify the image. (In Color
mode, pan is unavailable.)

Color
To improve flow-velocity identification:
• Touch Color Map to apply different color maps.
• Touch Baseline to change the position of the zero baseline.
• Touch Flow Opt to optimize the Color or CPA image
sensitivity for the flow state.
• Touch Freq Opt to adjust the color frequency.
• Touch Scale to adjust the color velocity scale.
2D Optimization
Several settings optimize between resolution and penetration.
Available settings depend on the active transducer. Use the 2D Opt
soft key to set the fundamental imaging optimization. The fusion icon
indicates the setting.
• Res optimizes for resolution for areas of interest at shallow
depths.
• Gen optimizes the balance between Res and Pen settings for
general imaging needs.
• Pen optimizes for better penetration for areas of interest at
deeper depths.
Image Optimization
Tissue Harmonic Imaging
Harmonic imaging optimization enhances border definition and
reduces artifacts at various depths. Use the Harmonics soft key to
turn harmonic imaging on and off. In harmonic imaging:
• 2D optimization settings are preceded by an H. For example,
HPen.
• The fusion icon indicates the setting with a circle around the
fundamental imaging optimization setting.
NOTE
For technically difficult patients, to brighten the deeper part of
the image, turn Harmonics off, and select the Pen 2D Opt
setting, adjust Focus to the deepest depth, and move the lower
TGC slide controls to the right.
29
Image Optimization 30
Unlabeled Measurements 8 Acquire a single frame by using the control that is configured to
acquire a single frame.
Available unlabeled measurements depend on the active exam preset.
Results are displayed and included with the image, but they are not
imported into the report. 2
Linear Measurements
To perform a simple measurement in 2D, Doppler, or M-mode: 1

1 Press Freeze.
2 Press or touch Measure, and then touch Tools.
3 Select a measurement tool.
4 Use the trackball to place the first caliper.
5 Do one of the following:
• To complete a depth measurement, press the trackball
button to which End is assigned in the setups.
• To proceed with a distance measurement, click to anchor
the first caliper and display the second caliper.
6 Place the second caliper.
7 To complete the distance measurement, press the trackball
button to which End is assigned in the setups.

Measurements and Calculations 31

Measurements and Calculations 32

Continuous Trace Measurements

Perform trace measurements in 2D or Doppler. Results are displayed 2
and acquired with the image, but they are not imported into the
report. 1

1 Press Freeze.
2 Press or touch Measure, and then touch Tools.
3 Touch Continuous Trace to display a caliper.
4 Use the trackball to move the caliper to the perimeter of the
shape to be measured and click to place the caliper.
5 Use the trackball to guide the caliper around the perimeter of
the shape. As you move the caliper, the shape is traced on the
display.
NOTE
Reversing the trackball direction begins to erase the trace.
6 To complete the measurement, press the trackball button to
which End is assigned in the setups.
Automatic Heart Rate Measurement
You can automatically measure heart rate for inclusion in the patient
report, if an ECG trace is active, and if Heart Rate Tool in the
Analysis setups is set to Automatic:
1 In 2D mode touch M-mode, or press PW or CW.
2 In noncardiac presets, press the middle trackball button to
display the trace. In cardiac presets, the trace appears
automatically.
3 Press Freeze.
4 Press or touch Measure, and then touch Tools.
5 Touch Heart Rate. The heart rate appears in the results and in
the report.
For obtaining the heart rate with physio data, see the system Help.
NOTE
When you start an exam, you must press Measure on the
control panel to display the Measure tab on the touch screen.
Measurements and Calculations
M-Mode and Doppler Measurements
1 In 2D mode touch M-mode, or press PW or CW.
2 Noncardiac presets: Press the middle trackball button to display
the trace. Cardiac presets: The trace appears automatically.
3 Press Freeze.
4 Press or touch Measure and then Tools in the touch screen.
5 Touch a measurement label to display a caliper.
6 Use the trackball to position the first caliper and click to anchor
it.
Use the trackball to position the second caliper and click to
7
anchor it. The measurements and calculations appear in the
results.
8 To complete the measurement, click the trackball button to
which End is assigned in the setups.
33
Measurements and Calculations 34

High Q Analysis Measurements 10 Use the trackball to reposition one or more points.
High Q measurements are available in all non-cardiac presets. To finalize the trace and display the High Q measurements,
11
touch Adjust to select Off.
1 In 2D mode, press PW.
2 Obtain the Doppler image that you want to measure.
3 Do one or both of the following:
• Touch Mean Trace. The mean trace appears in pink on the
spectral Doppler waveform.
• Touch High Q. The peak trace appears in blue on the
spectral Doppler waveform.
4 Touch Direction to select Above, Below, or Both. (Trace
direction establishes which portions of the Doppler waveform
are included in the mean or peak trace.)
5 Touch Adjust to select Markers and position the left and right
markers.
6 Touch Illustrate to edit the Doppler trace and points.
7 Touch Adjust to select Trace.
8 Select the pointer on the trace that you want to adjust, and use
the trackball to reposition the trace.
9 Touch Adjust to select Points.
Labeled Measurements and Calculations
Available labeled measurements and calculations depend on the exam
preset, imaging mode, and your system configuration. You can
complete labeled measurements and calculations from two places:
• Calc List (on the left side of the display)
• Touch screen
Changes made in one are automatically reflected in the other.
You can configure the Calc List and the touch screen in the
Analysis setups (see the system Help). The Auto Launch label lets
you automatically launch measurements in a group.
When you complete a measurement or calculation, a check mark
appears next to the corresponding touch screen label, and the results
appear here:
• Results area of the imaging display
• Calc List
• Report (where you can edit results during or after the exam)
You can map custom measurements and calculations to the DICOM
SR format. For more information, see the system Help.

NOTE
To remove measurements from the image, press Erase.

Measurements and Calculations 35

Measurements and Calculations 36

To perform a labeled measurement from the Calc List:

3
1 Press Freeze.
2 Press Pointer.
3 In the Calc List, click the measurement that you want to use.
4 Use the trackball to place calipers and perform measurements.
5 To complete the measurement, press the trackball button to
which End is assigned in the setups.

2 1
To perform a labeled measurement or calculation from the touch
screen: 2

1 Press Freeze.
1
2 Press Measure and touch the Calc Package tab.
3 Touch a measurement or calculation label.
4 Use the trackball to place cursors and perform measurements.
The results appear on the display. Calculations results appear
below the measurement results, when all of the required
measurements are complete.
5 To complete the measurement and display the results in the
Calc List and in the report, press the trackball button to which
End is assigned in the setups. A check mark appears on the
touch screen label.

Measurements and Calculations 37

Measurements and Calculations 38
Type Annotations
NOTE
Label Key Behavior (in the System Settings setups, on the 1
Display tab) sets the Label control either to display and hide
the Labels tab or to bring each subpage to the front.
To type a label in the default home position:

1 Press Label to enter annotation mode.

2 Use the touch screen keyboard to type free text.
3 To exit annotation mode, press and hold Label or press Label,
depending on the Label Key Behavior setting.

To type text anywhere on the display:

1 Press Label to enter annotation mode.

2 Use the trackball to position the cursor anywhere on the
display.
3 Use the touch screen keyboard to type free text.

Annotation 39
Annotation 40

Add Annotation Labels and Arrows

You can add text on the display with annotation lists and exam- 1
specific labels. If text replace is enabled, you can replace a label with a
previously defined label. For information on configuring the
annotation lists, see the system Help.
To add labels to an image: 2

1 Press Label.
2 Touch Labels.
3 Use the trackball to position the cursor in the image area.
4 Touch a label to display it.
5 To place another label repeat steps 2 through 4.
o
To add an arrow:

1 Press Label. 1

2 Touch Labels.
3 Press the Arrow soft key.
2
4 Position the arrow with the trackball. Rotate the arrow with the
trackball or the Arrow soft key.
5 Click to anchor the arrow.

Annotation 41
Annotation 42

Erase Labels and Arrows NOTES

• Repeatedly touching Erase Last erases each arrow in the
1 Press Label. reverse order of placement on the image, and then when all
2 Touch Labels. arrows are erased, it does the same to the labels.
• When you change the display between the standard display
3 Do one of the following: and the MaxVue display, any on-screen labels and arrows
• To erase a single label from the image, select the label and could disappear.
press Erase.
• To erase arrows, touch Erase Arrow, which erases arrows
in the reverse order of placement on the image.
• To erase all labels and arrows, touch Erase All or press
Erase.
• To delete a single word in a label, place the cursor to the
right of the word and press Backspace.
Move a Label Modify a Label
You can move labels on live and frozen images on the imaging display 1 Press Label.
and on native data images in Review.
2 Touch Labels.
1 Press Label.
3 Move the cursor over the label.
2 Touch Labels.
4 Use the keyboard to add or remove text from the label.
3 Click the label you want to move.
5 Move the cursor away from the label.
4 Use the trackball to change the position of the label.
5 Click to anchor the position.

Annotation 43
Annotation 44

Use Body Markers

To place and move a body marker: 1

1 Press Label.
2 Touch Body Markers. The default body marker for that
transducer and preset appears in the default location.
2
3 To replace the default marker, touch another body marker.
4 Use the trackball to select and move the body marker on the
image display.
5 Click the left or right trackball button to highlight the probe
icon.
6 Use the trackball to position the probe icon.
7 Turn the Rotate Probe soft key to change the probe angle.
To erase a body marker:

1 Press Label. 1

2 Touch Body Markers.

3 Touch Erase Body Mark, or press Erase.
2

Annotation 45
Annotation 46
Start a Protocol
Philips provides a standardized set of views to help navigate through
the workflow of an exam by automating many of the user interface
tasks, such as annotations and measurements.

1 Touch the name of the transducer you want to use.

2 Select a preset.
3 Touch either Stress Protocol or Exam Protocol.
4 Touch the protocol for your exam.

Controls at the top of the Protocol pane help you navigate a

protocol. To display a control name, hover over the control.

Protocols 47
Protocols
Create a New Exam Protocol
You can create a completely new protocol or create a protocol
based on one of the default system protocols.
1 Touch the name of the transducer that you want to use.
2 Touch Protocol.
3 In the left pane of the imaging display, click the Protocol tab.
4 Do one of the following:
• Touch Create, or touch Duplicate and then touch the
protocol on which you want to base the new protocol.
• On the Protocol tab, right-click the protocol on which
you want to base your new protocol and click Duplicate
or New.
5 In the New Protocol dialog box, type a name for your custom
protocol.
48
6 Click Properties, and make the changes that you want for
your protocol.
• Select Beats or Time from the Method menu.
• Select a Prospective or Retrospective Acquisition
Type.
• Select View or Sequential from the Display By menu.
• To start DVD recording during a protocol, select DVR
Autostart.
• To start a timer during a protocol, select Timer
Autostart.
• To enable Auto Mode, select Automatic Imaging Mode
Switching.
7 To make your custom protocol available for multiple
applications, select the applications in the Applications section
of the Protocol Properties dialog box, and then click OK.
8 In the protocols list, expand the protocol by clicking the plus
sign (+), if necessary.
9 Edit the current view in View Properties. Repeat for other
views as necessary.
• Select a View Name.
• Select the Imaging Mode for the view.
• For imaging modes that support 3D, click 3D and then
select a 3D Mode.
• Select an Acquisition Type.
• If you selected Loop from the Acquisition Type menu,
select Length.
• Select the Image Display type.
• Select a Rotational Angle.
• Add an annotation label or body marker to the view.
• Add a measurement to the view.
• To allow manual view advancement, select Manual View
Advance.
10 To change the order of protocols or views in the list, select one
and click or to move it. You can also click the protocol
or view in the list and drag it to the new position.
11 Click or touch Save Protocol or Save and Exit.

Protocols 49
Protocols
Create a New Stress Echo Protocol
You can create a completely new protocol or create a protocol
based on one of the default system protocols.
1 Touch the name of the transducer that you want to use.
2 Do one of the following:
• Touch Protocol and then the Stress Protocols tab.
• Click the Protocol tab on the left side of the display and
then click the plus (+) sign next to Stress Protocols.
3 Do one of the following:
• Touch Create, or touch Duplicate and then touch the
protocol on which you want to base the new protocol.
• In the Stress Protocols list, right-click the protocol on
which you want to base your new protocol and click
Duplicate or New.
4 In the dialog box, type a name for your custom protocol, and
then click OK.
5 Click Properties.
50
6 In the Protocol Properties area, make the changes that you
want for your protocol.
• Select Beats or Time from the Method menu.
• Select a Prospective or Retrospective Acquisition
Type.
• Select One or Four for the number of Loops per View.
• Select Full or Quad for the Image Format.
• Select View, Stage or Sequential from the Display by
menu.
• To defer image selection, select Auto Defer Imaging
Selection.
In the protocols list, expand the protocol by clicking the plus
7
(+) sign.
8 Select a stage and make your changes in the stage properties 10
area. Repeat for other views as necessary.
• Select if you want the stage to be Multi-cycle.
• To start DVR recording during a protocol, select DVR
Autostart.
• To start a timer during a protocol, select Timer
Autostart.
• To defer image selection, select Auto Defer Imaging
Selection.
• To create a new stage, click Create Stage.
• To create a new stage that is the same as the selected stage, 11
click Duplicate Stage.
• To delete a stage, click Delete Stage.
9 Expand the stage in the protocol by clicking the plus (+) sign.
Select a view and make your changes, repeating for other views
as necessary.
• To change the view, select a view from the View Name
menu, or type a new view name.
• Select a Mode.
• Select a Length.
• To add new views, click Create View.
• To remove views, click Delete View.
• To add the same view to all stages in a protocol, click Add
View to All Stages.
Click or touch Save Protocol or Save and Exit.

Protocols 51
Protocols 52
View and Edit Reports To add images to a report:

During or after an exam, use Review to examine images and loops 1 Touch Review.
acquired during the exam. Use Report to review measurements,
patient data, and images that you want to include in the report, and 2 Select one or more images by clicking on the number on the
to add comments and findings. Use either Review or Report to image or by clicking Select All.
export, close, or open studies. 3 Click Add to Report.
The system creates multiple reports for appended exams, unless you 4 To view the report, touch Report.
configure it to create a single report for a study. For details, see the
system Help.
You can create custom report templates. For more information, see To view or edit a report for an active exam:
the system Help.
1 Touch Report.
To open a report for a saved exam:
2 Click Edit Report.
1 Touch Review.
Select the exam that you want, and click Open. The exam
3 Click the tab for the information type that you want to edit.
2
opens in Review. 4 Edit the findings, comments, and measurements, as necessary.
3 To view the report, touch Report.

Reports 53
Reports 54
Power Management Feature Battery and AC Power Status Indicators
CAUTION
The system is running on AC power, and the battery is
The battery option only ensures quick system startup and easy
80% to 100% charged.
movement of the system. You cannot perform scans while in
battery mode.
The system is running on AC power, and the battery is
The system includes a power management feature that monitors the 60% to 80% charged.
power level of the optional battery and notifies you when the battery
is low on charge. Additionally, the power management feature can
safely shut down the system before the battery loses power. The system is running on AC power, and the battery is
40% to 60% charged.
The battery charge level is indicated by icons on the system display.
For battery information, click the icons.
The system is running on AC power, and the battery is
20% to 40% charged.

The system is running on AC power, and the battery is 0%

to 20% charged.

The system is running on AC power, and the battery is not

charged or is disconnected.

Power Management 55
Power Management 56

Battery Information Sleep Mode

• Battery charging occurs whenever the system is connected to CAUTION
AC power. Sleep Mode works as described below when the system includes
• When the system is turned on and in Sleep Mode, the battery the optional battery. Without the battery, you can put the
powers the system. system into Sleep Mode, but if you disconnect the power cord,
the system loses power.
• For the fastest charge rate, turn off the system.
• Charge the battery whenever the battery icon is red. To put the system in Sleep Mode, press or disconnect the
• The system shuts down automatically when the charge level power cord.
becomes critically low. To prolong battery life, connect the
To awaken the system, connect the power cord to restore AC power
system to AC power as soon as the battery icon turns red.
• If the battery icon on the control panel does not appear when and press .
the system is properly connected to AC power, contact your
Philips representative.
• When shipping the system, make sure the battery is removed or
inserted upside down to prevent electrical discharge.
• If the battery needs to be replaced, contact your Philips
representative.
Move the System
WARNING
Do not drape the power cord over any of the cable hooks or the handle on the system cart. Damage to the cord or power receptacle unit
can occur if the cart is raised.

1 Either press for Sleep Mode (systems with a battery option), or press to turn off the system, and disconnect the power cord.

2
Squeeze the release levers on the front handle and use the handle to center the control module and move it to a comfortable height for
moving.
3 Disconnect all external cables, including those to power, network, and external devices. Secure all cables, transducers, and accessories so
that they do not interfere with the wheels.
4 Lock the monitor arm by pressing the articulating sections of the arm together. Attach the transport strap to the monitor arm at the
point closest to the monitor.
5 Release the wheel brakes.
6 Move the cart using the front handle.

Tips 57
Tips 58

System Setup After Moving

CAUTION
If the system behaves abnormally after moving, contact your
Phillips service representative immediately. The components are 2
4
installed securely and can withstand considerable jostling;
however, excessive jostling can cause a system failure.

1 Position the system and set the brakes, and then connect the
power, network, and other cables.
2 Release the monitor from its locked transport position by
pressing the release button.
3 Position the monitor.
4 Squeeze the release levers on the front handle and position the
control module to the position you want.
5 Press to turn on the system.
Barcode Scanner
With a barcode scanner you can:
• Enter patient data
• Select and review an exam
• Select a patient from a worklist
To enter patient data from a barcode:

1 Connect a Philips-approved barcode scanner to a USB port on your ultrasound system.

2 Touch Patient.
3 Scan the barcode.
4 Confirm that the correct fields are populated with the scanned information.

5 If you want to input scanned barcode data in other fields, select the field manually, and then repeat steps 3 and 4.
6 When you are finished, click Done.
For details about the barcode scanner and its other uses, see the system Help or the User Manual.

Tips 59
Tips 60

System Support
Pressing the Support control displays Philips SupportConnect. You can complete the following tasks in SupportConnect:
• Configure your system
• Configure and manage your system network
• Manage remote services (remote services depend on your system configuration)
• Monitor your system, collecting and reporting performance information
• Connect remotely to the Philips service center
© 2020 Koninklijke Philips N.V.
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Printed in the USA

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