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ACUSON Cypress
Siemens ACUSON Cypress User Manual
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Operator
’
s Manual
ACUSON Cypressâ„¢ System
MANUF
ACTURER’S NAME
:
Siemens Medical Solutions USA, Inc.
MANUF
ACTURER’S ADDRESS
:
1230 Shorebird Way
Mountain View
, CA 94043
Phone: (650)
969-91
12
(800) 422-8766
EUROPEAN REPRESENT
A
TIVE
:
Siemens Aktiengesellschaft
Medical Engineering Group
Henkestraße 127,
D-91052 Erlangen, Germany
Phone:
(49) 9131 84 2524
Document No.
1003
4330
Rev
.
01
Language: English
2
Table of Contents
Table of Contents
5
CHAPTER 1 System Overview
15
Overview of the Cypress System
16
Turning the Cypress System on and off
17
Turning the Cypress System on
17
Turning the Cypress System off
18
Logging on and off of the Cypress System
19
Logging on
19
Logging off
20
Setting up User Accounts
21
Adding Users
21
Editing or Removing Users
22
Connecting and Using Transducers
23
Magneto Optical (MO) Disk Drive
24
External Devices and Connections
25
Transporting the System
26
Proper Viewing Angle
27
System Security
28
Location of Fan and Vents
29
CHAPTER 2 Keyboard & General Controls
31
Keyboard Overview
32
Keyboard Controls
33
Mode Keys
33
Main Knob
35
Time/Gain Compensation (TGC)
35
Trackball and <ENTER> Keys
35
How to Set the Playback Speed Using the Play Function
36
Main Knob Functions
36
Soft Window Knobs
37
Function Keys
40
Alphanumeric Keys
42
Special Marks
43
CHAPTER 3 Basic Setup
45
The Setup Menu
46
About User Accounts
47
How to Specify a Setup Option
47
Navigating the Setup Menu
47
Explanation of Setup Menu Fields
48
The Presets Menu
56
Default Chapter
57
Recalling a Saved Preset
57
Storing a User-Defined Preset
57
Recalling a Saved Preset on the New Patient Screen
58
Removing a User-Defined Preset
58
Renaming a User-Defined Preset
58
Making Changes to the Current User-Defined Preset
59
Reload Preset with New Patient
59
The System Menu
60
Explanation of System Menu Fields
60
How to Specify a System Option
60
The Calculations Menu
62
The DICOM Menu
65
The Network Identification Menu
66
CHAPTER 4 Patients
67
The Patient Menu
68
Icons Used in the Patient Directory
70
Explanation of Patient Menu Buttons
72
Expanding Patient Folders
74
Study Formats
74
Adding and Editing Patients and Studies
75
Adding a New Patient
75
Registering a New Patient Using the Worklist
78
Caching of Modality Worklist Results
80
Starting a New Study
81
Editing Patient and Study Information
82
Completing a Study with no Patient Name
84
Using Existing Studies
84
Adding Data to an Existing Study
84
How to Change the Display Format
85
Viewing Existing Patient Studies
85
Removing a Study or Patient from the System
86
Batch Removal
87
Patient Reports
88
Adding a Text Comment to a Patient Report
89
CHAPTER 5 Scanning
91
Overview of the Scanning Process
92
Basic Steps to Complete a Scanning Session
92
General Information
92
Using Soft Windows
93
Using Tools
94
Saving Image Data
95
Viewing Saved Loops
96
Flagging Images
97
When to Use the Flag Function
98
Cypress System Data
99
Depth
101
Frequency
101
Trigger Modes
103
Keeping Track of Saved Loops
104
Adding Text to an Image
105
Text
105
Hiding the Factory-Defined List
107
Quick Text
108
Adding an Arrow When Quick Text Is Enabled
109
Adding an Arrow When Quick Text Is Not Enabled
109
Removing an Arrow
109
Zoom
110
Scanning
111
Activate the 2D Display
112
Main Knob Controls Compress and Gain
112
Time/Gain Compensation (TGC) Controls
112
Soft Windows 5-23
113
Tools
117
Color Flow Scanning
120
Color Gain
120
Activate the Color Flow Display
121
Main Knob Controls 2D and Color Gain
121
Color Flow Soft Windows
122
Color Flow Tools
125
Priority
125
Continuous Wave Doppler (CW) Scanning
128
CW Gain
128
Volume
128
Activate the CW Display
129
Main Knob Controls Volume and CW Gain
129
CW Soft Windows 5-40
130
Filter
130
CW Tools
131
Baseline
133
Pulsed Wave Doppler (PW) Scanning
133
PW Gain
133
Scale
133
Activate the PW Display
134
Main Knob Controls PW Gain and Volume
134
PW Soft Windows 5-45
135
Invert
136
PW Tools
138
M-Mode Scanning
140
Activate the M-Mode Display
141
Main Knob Controls Gain and Compress
141
M-Mode Soft Windows
142
M-Mode Tools
143
CHAPTER 6 Cardiac Calculations
145
Overview of Cardiac Measurements
146
Types of General Cardiac Measurements
146
Types of Specific Cardiac Calculations
147
Cardiac Calculations Setup
148
About Construction Methods
148
How to Add or Change an Estimated Value Using Setup
148
Setting Parameters
148
How to Edit the Estimated Value While Performing a Calculation
149
Selecting a Report Background Color
149
Selecting a Report Format
149
Using the Averaging Function
149
Using the Cardiac Calculations Package
151
Performing General Measurements
151
Performing Specific Cardiac Calculations
153
Saving Calculations to the Patient Report
154
Entering a Heart Rate
155
Deleting a General Measurement
156
Deleting a Specific Measurement
156
Saving Frames Containing Measurement Graphics
156
Making Corrections to the Trace and Area Measurements
157
Setting the Trace Resolution
157
Stopping a Measurement before Completion
157
Viewing the Patient Report
157
Changing the Position of a CALC Menu
158
Setting a Default Position for the CALC Menu
158
Cardiac Formulas and References
159
Formulas
159
M-Mode Formulas
162
Doppler Formulas
164
Cardiac Calculation References
168
CHAPTER 7 Vascular Calculations
169
Overview of Vascular Measurements
170
Types of General Vascular Measurements
170
Types of Specific Vascular Calculations
171
Vascular Calculations Setup
172
About Construction Methods
172
Setting Parameters
172
About Default Sites for Vascular
173
Adding Default Sites for Vascular
173
Selecting a Report Background
173
Selecting a Report Format
173
Changing the Position and Order of the Vascular Sites
174
Editing Default Vascular Sites
174
Removing Default Vascular Sites
174
Restoring Factory Defaults to Vascular Sites
174
Using the Vascular Calculations Package
175
Performing General Vascular Measurements
175
Performing Specific Vascular Calculations
177
Saving Calculations to the Patient Report
178
Saving Frames Containing Measurement Graphics
178
Deleting a General Measurement
179
Deleting a Specific Measurement
179
Making Corrections to the Trace and Area Measurements
179
Changing the Position of a CALC Menu
180
Stopping a Measurement before Completion
180
Viewing the Patient Report
180
Setting a Default Position for the CALC Menu
181
Vascular Formulas and References
182
Formulas
182
Doppler Formulas
183
Vascular Calculation References
184
IMT Options Package
185
IMT Setup Options
185
Types of IMT Calculations
185
Using the IMT Calculations Package
186
Turning the IMT Grid on and off
187
Using the IMT On-Screen Labels
187
IMT Formulas
188
IMT References
188
CHAPTER 8 Stress Echo
189
Connecting and Using ECG
190
Stress Echo ECG Cables and Connectors
191
ECG Signal Quality During Stress Echo Exam
194
Reducing ECG Artifacts
194
About the Stress Protocols
195
Important Stress Controls
197
Using the Protocol Soft Window Knob
198
Deleting Unlabeled Loops from a Study
199
Transferring Studies in a DICOM Format
199
Stress Echo TOOLS
200
Conducting a Stress Echo Protocol Exam
201
Step-By-Step Stress Echo Exam
201
Quad-Screen Soft Windows
207
Viewing Additional Loops in a Quad
207
Changing a View or Stage Label
208
Changing the ROI Position
208
Deleting Loops
208
Removing a Label
208
Labeling Views
209
Saving and Labeling Loops
209
Suspending the Protocol Labeling Function
209
Save the Loop and then Assign a Label
210
Viewing the Quad-Screen Display
211
Save and Label Loops from Freeze Mode
213
Trimming Frames from a Loop
213
Save and Label the Loop Simultaneously
214
CHAPTER 9 Transferring Studies
215
Exporting Images from the Cypress System
216
DICOM Format to MO Disk
216
Overview
216
Native Cypress System Format to MO Disk
217
Setting an IP Address
217
DICOM Format to a DICOM Server Via a Network
218
Multimedia Format
219
Multimedia Format to a Computer Via a Network
219
Explanation of DICOM Menu Fields
220
Changing Server Information
222
DICOM Setup for Network Transfers
222
DICOM Storage Commitment
224
Setting the Network Speed
224
DICOM Setup for Modality Worklist
225
DICOM Setup for Storage Commitment
226
Connecting the Cypress System to a Network
227
Transferring Studies
228
Selecting Studies
228
Sending the Studies
231
Troubleshooting a Network DICOM Transfer
235
Transferring Studies Using the MO Drive
236
MO Disk Drive Parts
236
Formatting Disks
237
Reading Native Cypress System Format Studies from the MO Disk
238
Copying Studies from an MO Disk to the Cypress System (Batch Restore)
239
Troubleshooting an MO Disk Transfer
240
CHAPTER 10 Safety, Technical Description, and Accuracy
241
Important Warnings and Notices
242
Electrical Shock Hazard
242
Explosion Hazard
242
Safety Information and Other Warnings
242
Display Monitor Radiation
242
Prescription Device Statement
242
Intended Use
243
Intended Use of the Cypress System Ultrasound Imaging System
243
Safety Overview of Intended Use
243
Cardiac Studies
244
Intraoperative Cardiac Studies
244
Neonatal Cephalic Studies
245
Pediatric Studies
245
Peripheral Vascular Studies
246
Fetal Studies
247
Abdominal Studies
248
ACUSON Acunav Diagnostic Ultrasound Catheter
248
Patient Safety
249
Exposure to Ultrasound Energy - Acoustic Output
249
Reducing Acoustic Exposure on the Cypress System - Implementing ALARA
250
Electrical Warnings
251
Infection Control
251
Sterilization
252
Infection Control Reference
253
Patient Contact Materials
253
U.S. Food and Drug Administration Medical Alert
254
Peripheral Device Connections
255
Ultrasound Contrast Agents
256
Operator Safety Issues
257
Carpal Tunnel Syndrome
257
Electrical Safety
257
Explosion Hazards
257
Glutaraldehyde Exposure
258
Infection Control
258
Transporting and Placing the System
259
Technical Description and Accuracy
260
Specifications
260
Electromagnetic Interference
262
Labeling Icons
263
Measurement Accuracies
265
Accuracy by Transducer Type
265
Potential Sources of Error During Scanning
268
Measurement Accuracy References
270
CHAPTER 11 Maintenance, Care, and Service
271
Cleaning the System
272
Cleaning the MO Disk Drive
273
Maintenance
274
Preventive Maintenance
274
Transducer Maintenance
274
Hard Drive Maintenance
275
MO Disk Drive Maintenance
275
Frequency of Maintenance
276
Electrostatic Discharge Protection
276
Troubleshooting
277
LCD Screen
277
No Power
277
Fuse Replacement
278
Trackball Maintenance
279
Cleaning the Cypress Trackball
279
Connecting External Devices
281
APPENDIX A Connecting External Devices
283
Connecting a Video Printer
283
Connecting a SVHS VCR
285
Connecting a VCR and Video Printer
287
Connecting an External Monitor
289
Connecting an External Keyboard
290
Printing Reports
291
APPENDIX B Printing Reports
292
Connecting an Ink-Jet Printer
292
Printing Patient Reports
293
Printing the Active Study
295
Printing Reports from Calculations
296
Index
297
4
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Siemens ACUSON Cypress Specifications
General
Brand
Siemens
Model
ACUSON Cypress
Category
Medical Equipment
Language
English
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