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Table of Contents3
Getting Started9
Package Contents9
Intended Users10
Intended Use/Indications for Use10
Contraindications11
General Warnings and Cautions11
Symbols in this User Guide13
User Guide Conventions13
Customer Support14
KOSMOS Overview15
What Is KOSMOS15
KOSMOS Clinical Applications15
Training16
KOSMOS Classifications16
Patient Environment17
KOSMOS Capabilities17
Overview17
Using Ultrasound, ECG, and da Signals Simultaneously17
Using KOSMOS19
Kosmos Hardware19
Kosmos Bridge19
Kosmos Torso20
KOSMOS Power Supply21
KOSMOS Bridge Stand21
Kosmos ECG Patient Cable21
Binaural Headset22
Connecting Kosmos Torso22
Connecting the Power Supply23
Setting up the Kosmos Bridge Stand24
Turning Kosmos Bridge on and off24
Turning on Kosmos Bridge and Kosmos Torso24
Turning off Kosmos Bridge25
General Interaction26
Home Screen26
Imaging Screen: Ultrasound Tab (B-Mode)27
Imaging Screen: Three-Signal Tab27
Ultrasound Controls28
On-Screen Keyboard28
Understanding the Different Waveforms29
Ecg29
Configuring KOSMOS Settings31
Setting Imaging Preferences31
Configuring ECG and da Signals32
Setting the Language, Date, and Time32
Adjusting the Volume33
Setting Brightness33
Configuring Administrator Preferences33
Managing Security Settings33
Managing PACS Archives35
Installing Software Updates37
Managing Network and Internet Settings38
Setting the Sleep Mode Interval38
Changing Privacy Settings38
Viewing Information about KOSMOS39
Registering KOSMOS39
Resetting KOSMOS to the Factory Settings39
Wireless Networking40
Functions40
Connection Specifications40
Incorporating ECG and da Signals43
Overview43
Ecg43
Benefits of Using ECG and da Signals with Ultrasound44
Using the Kosmos ECG Patient Cable45
Attaching the Kosmos Binaural Headset47
Viewing the ECG and da Signals48
Signal Scrolling48
ECG Signal Indicator49
Preserving the ECG and da Signals When Freezing an Image or Taking a Clip49
Archiving and Exporting ECG and da Waveforms49
Performing an Exam50
Overview50
Exam Workflows51
Recommended Workflow51
Quick Workflow52
Managing Exams53
Starting an Exam53
Searching for an Exam53
Deleting Exams53
Completing Exams54
Managing Patient Data54
Adding a New Patient54
Searching for a Patient54
Changing to Another Patient55
Editing a Patient Record55
Merging Two Patient Records55
Deleting Patient Records56
Imaging Modes57
B-Mode57
M-Mode57
Color-Mode59
Image Mode Controls61
Acquiring Images and Clips62
Completing an Exam62
Reviewing an Exam64
Starting an Exam Review64
Annotating Images and Clips64
Navigating to the Edit Image Screen65
Annotation Tools66
Measuring with the Caliper Tool66
Deleting Annotations67
Managing Images and Clips68
Selecting Images and Clips69
Trimming and Saving Images and Clips69
Deleting Images and Clips69
Reviewing and Editing a Report70
Editing a Report70
Exporting Images and Clips to a USB Drive71
Completing an Exam Review72
Archiving an Exam to a PACS Server72
Deleting an Exam73
Kosmos Torso76
Kosmos Torso Sheaths76
Ultrasound Transmission Gels77
Kosmos Torso Storage77
Storage for Transport77
KOSMOS Maintenance78
Cleaning and Disinfecting78
General Cautions78
Kosmos Bridge79
Kosmos Torso80
Kosmos ECG Patient Cable84
Recycling and Disposal87
Troubleshooting87
Preventive Inspection, Maintenance, and Calibration87
Safety90
Electrical Safety90
References90
Labeling Symbols91
Contact Information96
Biological Safety97
ALARA Education Program97
Acoustic Output Tables99
Measurement Accuracy106
Control Effects106
Related References106
Transducer Surface Temperature Rise107
ECG Supplemental Information107
Ergonomics108
Electromagnetic Compatibility109
Electromagnetic Emissions110
Electromagnetic Immunity111
Separation Distances114
Intentional Radiator114
Class B Device115
Industry Canadian Statement115
Standards116
Hipaa116
Dicom116
Specifications118
System Specifications118
Kosmos Torso Dimensions118
Kosmos Bridge Dimensions118
ECG Cable119
Power Supply119
Environmental Operating and Storage Conditions119
Operating, Charging, Transport, and Storage Condition Ranges120
Mode of Operation120
Power Supply (Charger)120
Internal Batteries121
IT Network122
Wireless Networking122
Functions122
Connection Specifications122
Network for Connecting the Device122
Specifications for the Connection123
Hardware Specification123
Software Specifications123
Security123
IT Network Failure Recovery Measures124
Glossary126

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