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Siemens ACUSON Cypress

Siemens ACUSON Cypress
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Operators Manual
ACUSON Cypress™ System
MANUFACTURER’S NAME: Siemens Medical Solutions USA, Inc.
MANUFACTURER’S ADDRESS: 1230 Shorebird Way
Mountain View, CA 94043
Phone: (650) 969-9112
(800) 422-8766
EUROPEAN REPRESENTATIVE: Siemens Aktiengesellschaft
Medical Engineering Group
Henkestraße 127,
D-91052 Erlangen, Germany
Phone: (49) 9131 84 2524
Document No. 10034330
Rev.
01
Language: English

Table of Contents

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Siemens ACUSON Cypress Specifications

General IconGeneral
BrandSiemens
ModelACUSON Cypress
CategoryMedical Equipment
LanguageEnglish

Summary

System Overview

Overview of the Cypress System

Provides a visual diagram and labels of the main components of the Cypress System.

Turning the Cypress System On and Off

Detailed steps on how to power on and power off the Cypress system, including warnings.

Logging On and Off of the Cypress System

Explains the process of logging into and out of the Cypress system for user account management.

Setting Up User Accounts

Guides on creating, managing, and configuring user accounts and their privileges on the system.

Connecting and Using Transducers

Provides instructions on how to properly connect and handle ultrasound transducers with the system.

Magneto Optical (MO) Disk Drive

Details the functionality and usage of the MO disk drive for data storage.

External Devices and Connections

Illustrates and describes the various external ports and their connectivity options on the system.

Transporting the System

Provides precautions and methods for safely moving and transporting the Cypress system.

Proper Viewing Angle

Explains the optimal monitor tilt and viewing angle for clear image display.

System Security

Describes the security features available to protect the system against theft.

Location of Fan and Vents

Details the placement of the system's fan and vents to ensure proper airflow.

Keyboard & General Controls

Keyboard Overview

Presents a diagram of the Cypress system keyboard and its main components.

Mode Keys

Describes the function and operation of each mode key (2D, M, Color, CW, PW, Freeze, Q SAVE).

Trackball and ENTER Keys

Explains the use of the trackball for cursor control and <ENTER> keys for input.

Main Knob Functions

Details the functions of the Main knob across different scan modes and controls.

Soft Window Knobs

Describes how the soft window knobs control functions displayed at the bottom of the screen.

Function Keys

Explains the purpose and operation of the six dedicated function keys on the keyboard.

Alphanumeric Keys

Provides instructions on using alphanumeric keys for text input and special character entry.

Special Marks

Details how to create lowercase and uppercase characters with diacritical marks.

Basic Setup

The Setup Menu

Introduces the Setup menu and how to navigate its options and fields.

Navigating the Setup Menu

Explains how to browse and select options within the Setup menu using '+' and '-' signs.

About User Accounts

Describes the User Accounts feature and its relation to system security and logon.

Explanation of Setup Menu Fields

Details the various fields available within the Setup menu and their functions.

The Presets Menu

Explains the Presets feature for storing and recalling system settings for transducers.

Storing a User-Defined Preset

Provides steps to save custom system configurations as user-defined presets.

Recalling a Saved Preset

Guides on how to load previously stored user-defined or factory presets.

The System Menu

Describes accessing and configuring background system settings.

The Calculations Menu

Explains setup options for using the system's measurement and calculation functions.

The DICOM Menu

Details DICOM setup options for transferring images and data.

The Network Identification Menu

Explains how to configure network settings for system identification and communication.

Patients

The Patient Menu

Describes how to manage patient data, studies, and access the patient directory.

Icons used in the Patient Directory

Explains the meaning of various icons used to represent patient data storage formats.

Explanation of Patient Menu Buttons

Details the functionality of each button within the Patient menu screen.

Study Formats

Describes the three available formats for saving studies: Cypress, DICOM, and Multimedia.

Adding and Editing Patients and Studies

Provides step-by-step instructions for creating, entering, and modifying patient and study information.

Registering a New Patient Using the Worklist

Guides on how to register new patients by querying a hospital information system's worklist.

Starting a New Study

Details the process for initiating a new study for an existing or new patient.

Editing Patient and Study Information

Explains how to modify existing patient and study details within the system.

Removing a Study or Patient from the System

Describes how to delete studies or entire patient records from the system.

Patient Reports

Explains how to view and print patient reports, including text comments.

Scanning

Overview of the Scanning Process

Provides general information and basic steps for completing a scanning session.

Using Soft Windows

Explains how soft windows and their control knobs are used in various scanning modes.

Using Tools

Details how to access and use the secondary image function control buttons.

Saving Image Data

Describes the methods for saving scan data as frames, loops, or series.

Viewing Saved Loops

Explains how to review saved loops using the VIEW function and associated controls.

Flagging Images

Describes how to mark or unmark images, loops, and series for specific purposes.

Cypress System Data

Explains the system data displayed on screen, its variations, and related controls.

Trigger Modes

Details triggered acquisition modes for ECG-gated scanning techniques.

Adding Text to an Image

Describes two methods for adding text labels or annotations to ultrasound images.

Quick Text

Explains the Quick Text method for adding text labels using the system keypad.

Zoom

Provides steps on how to use the zoom function to enlarge portions of a scanned image.

2 D Scanning

Details the 2D sector scanning mode, including activation and controls.

TimeGain Compensation (TGC) Controls

Explains the function of the six slide-pots for adjusting image amplification by depth.

Main Knob Controls Compress and Gain

Describes how the Main knob controls Compress and 2D Gain settings in 2D mode.

2 D Soft Windows

Details the soft windows and their corresponding knobs used in 2D scanning.

Color Flow Scanning

Explains how to activate and use the color flow mapping mode and its controls.

Continuous Wave Doppler (CW) Scanning

Details the CW Doppler imaging mode, including activation and system controls.

CW Soft Windows

Describes the soft windows and their corresponding knobs for CW scanning.

CW Tools

Explains the function of the TOOLS buttons in CW scanning mode.

Pulsed Wave Doppler (PW) Scanning

Details the PW Doppler imaging mode, including activation and system controls.

PW Soft Windows

Describes the soft windows and their corresponding knobs for PW scanning.

PW Tools

Explains the function of the TOOLS buttons in PW scanning mode.

M-Mode Scanning

Details the M-Mode imaging mode, including activation and system controls.

M-Mode Soft Windows

Describes the soft windows and their corresponding knobs for M-Mode scanning.

M-Mode Tools

Explains the function of the TOOLS buttons in M-Mode scanning mode.

Cardiac Calculations

Overview of Cardiac Measurements

Introduces cardiac measurements and categorizes them into general and specific types.

Types of General Cardiac Measurements

Lists the general measurements available for 2D, M-Mode, and Spectral Doppler.

Types of Specific Cardiac Calculations

Lists specific cardiac calculations categorized by 2D, M-Mode, and Doppler modes.

Cardiac Calculations Setup

Guides on setting parameters, construction methods, and estimated values for calculations.

How to Edit the Estimated Value While Performing a Calculation

Provides steps to make temporary edits to estimated values during a calculation.

Selecting a Report Format

Explains how to choose between 'Complete' and 'Configured' report formats.

Using the Averaging Function

Describes how to enable and use the averaging function for measurements.

Using the Cardiac Calculations Package

Provides an overview of how to start and use the cardiac calculations package.

Performing General Measurements

Guides on how to perform general cardiac measurements and view results.

Performing Specific Cardiac Calculations

Details the process for performing specific cardiac calculations and obtaining results.

Saving Calculations to the Patient Report

Explains how to save measurement results and delete individual measurements from a report.

Deleting a General Measurement

Provides steps for deleting general measurements from the calculation menu.

Deleting a Specific Measurement

Guides on deleting specific measurements from the report menu.

Making Corrections to the Trace and Area Measurements

Describes how to correct trace or area outlines using the backspace key.

Setting the Trace Resolution

Explains how to adjust the resolution for trace outlines in measurements.

Viewing the Patient Report

Details the two methods for accessing and viewing patient reports.

Cardiac Formulas and References

Provides formulas for 2D cardiac measurements and a list of relevant references.

Vascular Calculations

Overview of Vascular Measurements

Introduces vascular measurements and categorizes them into general and specific types.

Types of General Vascular Measurements

Lists general vascular measurements available for 2D, M-Mode, and Spectral Doppler.

Types of Specific Vascular Calculations

Lists specific vascular calculations for 2D and Doppler modes.

Vascular Calculations Setup

Guides on setting parameters, construction methods, and managing default sites for vascular calculations.

About Construction Methods

Explains the 'Continuous' and 'Point to Point' methods for defining traces.

Selecting a Report Format

Explains how to select the 'Configured' format to display report sections with entered data.

About Default Sites for Vascular

Describes how to add, edit, delete, and manage default vascular sites in calculations.

Using the Vascular Calculations Package

Provides an overview of how to start and use the vascular calculations package.

Performing General Vascular Measurements

Guides on performing general vascular measurements and viewing results.

Performing Specific Vascular Calculations

Details the process for performing specific vascular calculations and obtaining results.

Saving Calculations to the Patient Report

Explains how to save measurement results and delete individual measurements from a report.

Deleting a General Measurement

Provides steps for deleting general measurements from the calculation menu.

Making Corrections to the Trace and Area Measurements

Describes how to correct trace or area outlines using the backspace key.

Stopping a Measurement Before Completion

Explains how to stop a measurement before completion and return to menus.

Vascular Formulas and References

Provides formulas for 2D vascular measurements and a list of relevant references.

IMT Options Package

Introduces the Intima-Media Thickness (IMT) measurements package.

IMT Setup Options

Guides on setting up IMT options, including grid and AVI compression.

Types of IMT Calculations

Lists the two types of IMT calculations: Mean Distance and Standard Deviation.

Using the IMT Calculations Package

Provides steps for completing IMT measurements, including trace and site selection.

Stress Echo

Connecting and Using ECG

Details how to connect the ECG signal for display and triggering during stress echo exams.

ECG Signal Quality During Stress Echo Exam

Explains the importance of ECG signal quality and factors affecting it during stress exams.

Reducing ECG Artifacts

Recommends techniques to minimize ECG artifacts for improved signal quality.

About the Stress Protocols

Describes the available stress protocols, including stages and view sequences.

Important Stress Controls

Highlights key controls for managing stress exams, such as Protocol, Freeze, and Save.

Using the Protocol Soft Window Knob

Explains how to use the PROTOCOL knob to navigate views, labels, and states in stress protocols.

Deleting Unlabeled Loops from a Study

Provides steps to remove unlabeled loops from a patient's study.

Transferring Studies in a DICOM Format

Guides on setting up DICOM format for stress studies and image size options.

Stress Echo TOOLS

Describes the TOOLS buttons available in stress echo scanning mode, including the timer.

Conducting a Stress Echo Protocol Exam

Provides step-by-step procedures for conducting 2-Stage, 3-Stage, and Pharmacological stress exams.

Quad-Screen Soft Windows

Explains how the soft windows operate in quad-screen mode for reviewing stress echo data.

Viewing Additional Loops in a Quad

Provides steps to view additional loops within the quad-screen display.

Removing a Label

Guides on how to remove a label assigned to a loop.

Changing the ROI Position

Explains how to reposition the Region of Interest (ROI) box within a quad.

Deleting Loops

Provides instructions on how to delete loops from a study, noting they cannot be recovered.

Labeling Views

Describes methods for saving and labeling loops with stage and view labels.

Suspending the Protocol Labeling Function

Explains how to temporarily disable the protocol labeling function.

Save the Loop and then Assign a Label

Details the process of saving a loop and assigning a label to it.

Viewing the Quad-Screen Display

Guides on how to view saved loops in a full-screen or quad-screen format.

Transferring Studies

Exporting Images from the Cypress System

Overviews methods for exporting studies and images via MO disk or network.

DICOM Format to MO Disk

Details exporting studies and images in DICOM format to an MO disk.

Native Cypress System Format to MO Disk

Explains exporting studies in the proprietary Cypress format to an MO disk.

Setting an IP Address

Guides on configuring IP address, subnet mask, and default gateway for network settings.

DICOM Format to a DICOM Server via a Network

Details sending DICOM images to a networked DICOM server.

Multimedia Format

Describes converting images and reports to multimedia formats like AVI and RTF.

Multimedia Format to a Computer Via a Network

Guides on setting up a network connection to send multimedia images to a computer.

Explanation of DICOM Menu Fields

Details the DICOM server and Cypress information fields for network configuration.

Changing Server Information

Describes how to add, edit, remove, and rename server information for DICOM.

DICOM Setup for Network Transfers

Provides steps to specify DICOM settings for network transfers.

DICOM Storage Commitment

Explains how to enable and use DICOM Storage Commitment for verifying image transfers.

Setting the Network Speed

Guides on configuring network speed and duplex options for the system.

DICOM Setup For Modality Worklist

Details configuring DICOM Modality Worklist settings for patient queries.

DICOM Setup For Storage Commitment

Explains how to specify DICOM Storage Commitment settings for server verification.

Connecting the Cypress System to a Network

Provides instructions on physically connecting the Cypress system to a network.

Transferring Studies

Describes transferring studies to a server, computer, or MO disk.

Selecting Studies

Explains how to select studies from the Patient List or Study List for transfer.

Sending the Studies

Guides on configuring transfer settings, destinations, and data for sending studies.

Removing Patient Name and ID from Multimedia and DICOM Images

Describes how to remove patient identifying information from transferred images.

Troubleshooting a Network DICOM Transfer

Lists common network DICOM transfer errors and their solutions.

Transferring Studies Using the MO Drive

Details the operation of the MO drive for transferring studies.

MO Disk Drive Parts

Identifies the parts and functions of the MO disk drive.

Formatting Disks

Provides methods for formatting disks for use with the Cypress system.

Reading Native Cypress System Format Studies from the MO Disk

Explains how to read studies stored in Cypress format from an MO disk.

Copying Studies from an MO Disk to the Cypress System (Batch Restore)

Guides on restoring studies from an MO disk to the Cypress system's hard drive.

Troubleshooting an MO Disk Transfer

Lists common MO disk transfer errors and their solutions.

Safety, Technical Description, and Accuracy

Important Warnings and Notices

Highlights critical warnings regarding electrical shock, explosion hazards, and radiation.

Intended Use

Describes the system's intended applications and the types of studies it supports.

Cardiac Studies

Details how cardiac studies obtain images for anatomy and blood flow analysis.

Pediatric Studies

Explains how pediatric studies obtain images for heart and organ abnormalities.

Neonatal Cephalic Studies

Describes obtaining brain structure images for neonatal cephalic studies.

Peripheral Vascular Studies

Explains how peripheral vascular studies obtain images for vessel analysis.

Fetal Studies

Describes obtaining fetal images for structural and blood flow analysis.

Abdominal Studies

Details how abdominal studies obtain images for organ and vessel analysis.

Patient Safety

Addresses hazards that can influence patient safety and methods to reduce exposure.

Reducing Acoustic Exposure on the Cypress System - Implementing ALARA

Provides specific steps to minimize acoustic exposure during scanning.

Electrical Warnings

Highlights warnings related to electrical safety to prevent injury.

Infection Control

Details crucial procedures for infection control, especially for transducer hygiene.

Sterilization

Explains sterilization procedures for noncritical and semicritical device applications.

Patient Contact Materials

Discusses biocompatibility of materials used in transducers and latex sensitivity.

U.S. Food and Drug Administration Medical Alert

Provides information from an FDA medical alert regarding allergic reactions to latex.

Peripheral Device Connections

Warns about connecting peripheral devices and certification requirements.

Operator Safety Issues

Addresses safety concerns for operators, including electrical safety and carpal tunnel syndrome.

Carpal Tunnel Syndrome

Discusses the association of repetitive scanning with CTS and prevention recommendations.

Glutaraldehyde Exposure

Provides information on OSHA regulations and safe handling of glutaraldehyde.

Technical Description and Accuracy

Details system specifications, classifications, and environmental conditions.

Specifications

Lists technical specifications including model, manufacturer, power requirements, and classifications.

Physical Specifications

Provides dimensions and weight of the Cypress system.

Electromagnetic Interference

Addresses compliance with EMC limits and measures to correct interference.

Labeling Icons

Explains the meaning of various icons used for system labeling.

Measurement Accuracies

Discusses factors influencing measurement accuracy and accuracy by transducer type.

Accuracy of Primary Measurements

Details the accuracy and range for primary measurements like distance, velocity, time, and heart rate.

Accuracy of Derived Calculations

Provides accuracy and range for standard derived calculations.

Potential Sources of Error During Scanning

Identifies potential sources of error during scanning and their explanations.

Maintenance, Care, and Service

Cleaning the system

Provides instructions for cleaning the system's external surfaces and display screen.

Cleaning the MO Disk Drive

Details the procedure for cleaning the lens actuator of the MO disk drive.

Maintenance

Covers preventive maintenance practices and transducer inspection guidelines.

Preventive Maintenance

Lists basic and regular maintenance practices to prevent system failures.

Transducer Maintenance

Provides guidelines for regularly checking transducers for wear or damage.

MO Disk Drive Maintenance

Lists points to maintain MO disk drive and MO disk performance and reliability.

Hard Drive Maintenance

Advises on managing the internal hard drive for long-term storage of studies.

Frequency of Maintenance

Provides a guide to the frequency of maintenance procedures for system components.

Electrostatic Discharge Protection

Outlines basic steps for electrostatic discharge precautions during service.

Fuse Replacement

Provides step-by-step instructions for replacing system fuses.

Trackball Maintenance

Details how to clean the trackball and internal surface of the ball-cage.

APPENDIX A Connecting External Devices

Connecting a Video Printer

Provides steps for connecting a video printer to the Cypress system.

Connecting a SVHS VCR

Guides on connecting a SVHS VCR to the Cypress system for video recording.

Connecting a VCR and Video Printer

Details connecting both a VCR and a video printer to the Cypress system.

Connecting an External Monitor

Provides steps for connecting a VGA-compatible monitor to the Cypress system.

Connecting an External Keyboard

Guides on connecting a PS/2-compatible keyboard to the Cypress system.

APPENDIX B Printing Reports

Connecting an Ink-Jet Printer

Provides steps for connecting a compatible ink-jet printer to the Cypress system.

Printing Patient Reports

Guides on printing patient reports, including single patient or group reports.

Printing the Active Study

Provides steps to print the patient report of the currently active study.

Printing Reports from Calculations

Explains an alternate method of printing patient reports using the Calculations function.

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