Siemens ACUSON Cypress Bedienungsanleitung

Operator’s 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

transcribed, stored in retrieval systems, or translated into any language or com-

puter language, in any form or by any means, electronic, mechanical, mag-

netic, optical, chemical, manual, or otherwise, without the prior written

permission of Siemens Medical Solutions USA, Inc.

Siemens Medical Solutions USA, Inc. reserves the right to change its products

and services at any time. In addition, this manual is subject to change without

notice. Siemens Medical Solutions USA, Inc. welcomes customer input on cor-

rections and suggestions for improvements to this manual.

Although Siemens Medical Solutions USA, Inc. has attempted to ensure accu-

racy throughout this manual, Siemens Medical Solutions USA, Inc. assumes

no liability for any errors or omissions, nor for any damages resulting from the

application or use of this information.

ACR-NEMA v3 TCP/IP/Ethernet Interface Source Code licensed from

DeJarnette Research Systems, Inc.

Portions of JPEG compression software licensed from Pegasus Imaging

Corporation.

Printer drivers licensed from Epson, Inc. and Canon, Inc.

All product names are trademarks of their respective companies.

United States Federal Law restricts this device to use by or on the order of a

physician.

TRADEMARKS

CAUTION!

iii

USA, Inc. OR ITS SUPPLIERS. Such programs are licensed under the follow-

ing software license agreement:

Siemens or its suppliers retain(s) ownership of and title to any computer pro-

gram supplied with the equipment and to the trade secrets embodied in such

computer programs. Subject to the Buyer’s acceptance and fulfillment of the

obligations in this paragraph. Siemens grants the Buyer a personal, non-trans-

ferable, perpetual, non-exclusive license to use any computer program sup-

plied with the Equipment that is necessary to operate the Equipment solely on

the medium in which such program is delivered for the purpose of operating

the equipment in accordance with the instructions set forth in the operator’s

manuals supplied with the Equipment and for no other purpose whatsoever.

Buyer may not reverse-assemble, reverse-compile or otherwise reverse-engi-

neer such computer programs nor may Buyer make a copy of such program or

apply any techniques to derive the trade secrets embodied therein. In the event

of a failure by Buyer to comply with the terms of this license, the license

granted by this paragraph shall terminate. Further, because unauthorized use of

such computer programs will leave Siemens without an adequate remedy at

law, Buyer agrees that injunctive or other equitable relief will be appropriate to

restrain such use, threatened or actual. Buyer further agrees that (i) any of Sie-

mens suppliers of software is a direct and intended beneficiary of this end-user

sublicense and may enforce it directly against Buyer with respect to software

supplied by such supplier, and (ii) NO SUPPLIER OF SIEMENS SHALL BE

LIABLE TO BUYER FOR ANY GENERAL, SPECIAL, DIRECT, INDI-

RECT, CONSEQUENTIAL, INCIDENTAL OR OTHER DAMAGES ARIS-

ING OUT OF THE SUBLICENSE OF THE COMPUTER PROGRAMS

SUPPLIED WITH THE EQUIPMENT.

LICENSE AGREEMENT

WARNINGS

ELECTRICAL SHOCK HAZARD

Grounding reliability can only be achieved when equipment is

connected to an equivalent receptacle marked “HOSPITAL

GRADE.” Do not remove system covers. There are no operator

servicable parts inside. Refer servicing to qualified personnel.

DANGER

Possible explosion hazard if used in the presence of flammable

anesthetics.

WARNING

Risk of fire. Replace fuse as marked.

WARNING

The Cypress System is not intended for use as an ECG monitor

or for diagnostic ECG.

CAUTION

Total system chassis leakage current should not exceed 100µA.

ATTENTION

Before using the system, carefully read the “Safety, Technical

Description, and Accuracy” section.

IMPORTANT

Read this manual carefully before you begin using the system.

ACUSON Cypress™ Operator’s Manual v

CHAPTER 1 System Overview

Overview of the Cypress System 1-2

Turning the Cypress System On and Off 1-3

Turning the Cypress System ON 1-3

Turning the Cypress System OFF 1-4

Logging On and Off of the Cypress System 1-5

Logging On 1-5

Logging Off 1-6

Setting Up User Accounts 1-7

Adding Users 1-7

Editing or Removing Users 1-8

Connecting and Using Transducers 1-9

Magneto Optical (MO) Disk Drive 1-10

External Devices and Connections 1-11

Transporting the System 1-12

Proper Viewing Angle 1-13

System Security 1-14

Location of Fan and Vents 1-15

Contents

vi ACUSON Cypress™ Operator’s Manual

CHAPTER 2 Keyboard & General Controls

Keyboard Overview 2-2

Keyboard Controls 2-3

Mode Keys 2-3

Trackball and <ENTER> Keys 2-5

Main Knob 2-5

Time/Gain Compensation (TGC) 2-5

Main Knob Functions 2-6

How to Set the Playback Speed using the Play Function 2-6

Soft Window Knobs 2-7

Function Keys 2-10

Alphanumeric Keys 2-12

Special Marks 2-13

CHAPTER 3 Basic Setup

The Setup Menu 3-2

Navigating the Setup Menu 3-3

How to Specify a Setup Option 3-3

About User Accounts 3-3

Explanation of Setup Menu Fields 3-4

The Presets Menu 3-12

Storing a User-Defined Preset 3-13

Recalling a Saved Preset 3-13

Recalling a Saved Preset on the New Patient Screen 3-14

Renaming a User-Defined Preset 3-14

Removing a User-Defined Preset 3-14

Making Changes to the Current User-Defined Preset 3-15

Reload Preset with New Patient 3-15

The System Menu 3-16

How to Specify a System Option 3-16

Explanation of System Menu Fields 3-16

The Calculations Menu 3-18

The DICOM Menu 3-20

The Network Identification Menu 3-22

CHAPTER 4 Patients

The Patient Menu 4-2

Icons used in the Patient Directory 4-4

ACUSON Cypress™ Operator’s Manual vii

Contents

Explanation of Patient Menu Buttons 4-6

Study Formats 4-8

Expanding Patient Folders 4-8

Adding and Editing Patients and Studies 4-9

Adding a New Patient 4-9

Registering a New Patient Using the Worklist 4-12

Caching of Modality Worklist Results 4-14

Starting a New Study 4-15

Editing Patient and Study Information 4-16

Completing a Study with No Patient Name 4-18

Using Existing Studies 4-18

Adding Data to an Existing Study 4-18

Viewing Existing Patient Studies 4-19

How to Change the Display Format 4-19

Removing a Study or Patient from the System 4-20

Batch Removal 4-21

Patient Reports 4-22

Adding a Text Comment to a Patient Report 4-23

CHAPTER 5 Scanning

Overview of the Scanning Process 5-2

General Information 5-2

Basic Steps to Complete a Scanning Session 5-2

Using Soft Windows 5-3

Using Tools 5-4

Saving Image Data 5-5

Viewing Saved Loops 5-6

Flagging Images 5-7

When to Use the Flag Function 5-8

Cypress System Data 5-9

Trigger Modes 5-13

Keeping Track of Saved Loops 5-14

Adding Text to an Image 5-15

Text 5-15

Hiding the Factory-Defined List 5-17

Quick Text 5-18

Adding an Arrow when Quick Text is Enabled 5-19

Adding an Arrow when Quick Text is Not Enabled 5-19

Removing an Arrow 5-19

Zoom 5-20

Contents

viii ACUSON Cypress™ Operator’s Manual

2D Scanning 5-21

Activate the 2D Display 5-22

Time/Gain Compensation (TGC) Controls 5-22

Main Knob Controls Compress and Gain 5-22

2D Soft Windows 5-23

2D Tools 5-27

Color Flow Scanning 5-30

Activate the Color Flow Display 5-31

Main Knob Controls 2D and Color Gain 5-31

Color Flow Soft Windows 5-32

Color Flow Tools 5-35

Continuous Wave Doppler (CW) Scanning 5-38

Activate the CW Display 5-39

Main Knob Controls Volume and CW Gain 5-39

CW Soft Windows 5-40

CW Tools 5-41

Pulsed Wave Doppler (PW) Scanning 5-43

Activate the PW Display 5-44

Main Knob Controls PW Gain and Volume 5-44

PW Soft Windows 5-45

PW Tools 5-48

M-Mode Scanning 5-50

Activate the M-Mode Display 5-51

Main Knob Controls Gain and Compress 5-51

M-Mode Soft Windows 5-52

M-Mode Tools 5-53

CHAPTER 6 Cardiac Calculations

Overview of Cardiac Measurements 6-2

Types of General Cardiac Measurements 6-2

Types of Specific Cardiac Calculations 6-3

Cardiac Calculations Setup 6-4

Setting Parameters 6-4

About Construction Methods 6-4

How to Add or Change an Estimated Value Using Setup 6-4

How to Edit the Estimated Value While Performing a Calculation 6-5

Selecting a Report Format 6-5

Selecting a Report Background Color 6-5

Using the Averaging Function 6-5

Using the Cardiac Calculations Package 6-7

ACUSON Cypress™ Operator’s Manual ix

Contents

Performing General Measurements 6-7

Performing Specific Cardiac Calculations 6-9

Saving Calculations to the Patient Report 6-10

Entering A Heart Rate 6-11

Saving Frames Containing Measurement Graphics 6-12

Deleting a General Measurement 6-12

Deleting a Specific Measurement 6-12

Making Corrections to the Trace and Area Measurements 6-13

Stopping a Measurement Before Completion 6-13

Setting the Trace Resolution 6-13

Viewing the Patient Report 6-13

Changing the Position of a CALC Menu 6-14

Setting a Default Position for the CALC Menu 6-14

Cardiac Formulas and References 6-15

2D Formulas 6-15

M-Mode Formulas 6-18

Doppler Formulas 6-20

Cardiac Calculation References 6-24

CHAPTER 7 Vascular Calculations

Overview of Vascular Measurements 7-2

Types of General Vascular Measurements 7-2

Types of Specific Vascular Calculations 7-3

Vascular Calculations Setup 7-4

Setting Parameters 7-4

About Construction Methods 7-4

Selecting a Report Format 7-5

Selecting a Report Background 7-5

About Default Sites for Vascular 7-5

Adding Default Sites for Vascular 7-5

Editing Default Vascular Sites 7-6

Removing Default Vascular Sites 7-6

Restoring Factory Defaults to Vascular Sites 7-6

Changing the Position and Order of the Vascular Sites 7-6

Using the Vascular Calculations Package 7-7

Performing General Vascular Measurements 7-7

Performing Specific Vascular Calculations 7-9

Saving Calculations to the Patient Report 7-10

Saving Frames Containing Measurement Graphics 7-10

Deleting a General Measurement 7-11

Deleting a Specific Measurement 7-11

Contents

xACUSON Cypress™ Operator’s Manual

Making Corrections to the Trace and Area Measurements 7-11

Stopping a Measurement Before Completion 7-12

Viewing the Patient Report 7-12

Changing the Position of a CALC Menu 7-12

Setting a Default Position for the CALC Menu 7-13

Vascular Formulas and References 7-14

2D Formulas 7-14

Doppler Formulas 7-15

Vascular Calculation References 7-16

IMT Options Package 7-17

IMT Setup Options 7-17

Types of IMT Calculations 7-17

Using the IMT Calculations Package 7-18

Turning the IMT Grid ON and OFF 7-19

Using the IMT On-screen Labels 7-19

IMT Formulas 7-20

IMT References 7-20

CHAPTER 8 Stress Echo

Connecting and Using ECG 8-2

Stress Echo ECG Cables and Connectors 8-3

ECG Signal Quality During Stress Echo Exam 8-6

Reducing ECG Artifacts 8-6

About the Stress Protocols 8-7

Important Stress Controls 8-9

Using the Protocol Soft Window Knob 8-10

Deleting Unlabeled Loops from a Study 8-11

Transferring Studies in a DICOM Format 8-11

Stress Echo TOOLS 8-12

Conducting a Stress Echo Protocol Exam 8-13

Step-By-Step Stress Echo Exam 8-13

Quad-Screen Soft Windows 8-19

Viewing Additional Loops in a Quad 8-19

Removing a Label 8-20

Changing the ROI Position 8-20

Deleting Loops 8-20

Changing a View or Stage Label 8-20

Labeling Views 8-21

Saving and Labeling Loops 8-21

Suspending the Protocol Labeling Function 8-21

Inhaltsverzeichnis

Andere Siemens Medizinische Geräte Handbücher

Siemens

Siemens Artis Q Bedienungsanleitung

Siemens

Siemens acuson Sequoia Installationsanleitung

Siemens

Siemens POLYMOBIL Plus Installationshandbuch

Siemens

Siemens Drager Medical Fabius GS Montageanleitung

Siemens

Siemens MULTIMOBIL 5C Bedienungsanleitung

Siemens

Siemens MammoReport Plus Technische Daten

Siemens

Siemens MULTI-ECHO EPI 4A21 Bedienungsanleitung

Siemens

Siemens Drager medical Apollo SW 4.n Betriebsanleitung

Siemens

Siemens MAMMOMAT 1000 Nova Bedienungsanleitung

Siemens

Siemens AXIOM Iconos R200 Bedienungsanleitung

Siemens

Siemens POLYMOBIL III Betriebsanleitung

Siemens

Siemens SOMATOM Bedienungsanleitung

Siemens

Siemens MAMMOMAT 3000 Bedienungsanleitung

Siemens

Siemens Servo Screen 390 Bedienungsanleitung

Siemens

Siemens MOBILETT Plus Betriebsanleitung

Siemens

Siemens POLYMOBIL Plus Betriebsanleitung

Siemens

Siemens POWERMOBIL Gebrauchsanweisung

Siemens

Siemens Healthineers UniPOC RAPIDPoint 500 Bedienungsanleitung

Siemens

Siemens ARCADIS Varic Installationshandbuch

Siemens

Siemens MOBILETT XP Installationshandbuch

Siemens

Siemens SONOLINE G50 Bedienungsanleitung

Siemens

Siemens SIREMOBIL Iso-C Gebrauchsanweisung

Siemens

Siemens MAMMOMAT 1000 Nova Anleitungen und Rezepte

Siemens

Siemens SOMATOM Sensation 16 Benutzerhandbuch

Beliebte Medizinische Geräte Handbücher anderer Marken

TekTone

TekTone Tek-CARE160 Bedienungsanleitung

NeuroMetrix

NeuroMetrix Quell 2.0 Bedienungsanleitung

AMT

AMT XLR8 Bedienungsanleitung

EDAN

EDAN SONOTRAX Pro Bedienungsanleitung

Restorative Therapies

Restorative Therapies RT300 Bedienungsanleitung

Gendex

Gendex Expert DC Bedienungsanleitung

Dexcowin

Dexcowin ADX4000W Bedienungsanleitung

Libelium

Libelium MySignals Bedienungsanleitung

Acelity

Acelity V.A.C.ULTA 4 Bedienungsanleitung

Caputron

Caputron ActivaDose II tDCS Bedienungsanleitung

Plinth 2000

Plinth 2000 93CDT Bedienungsanleitung

GE SENOGRAPHE 800T Bedienungsanleitung

GE Definium 5000 Bedienungsanleitung

Kanmed

Kanmed GE-1380 Bedienungsanleitung

Huntleigh

Huntleigh FD1 Bedienungsanleitung

Stryker

Stryker SPR Plus Bedienungsanleitung

Tobii Dynavox

Tobii Dynavox I-Series Bedienungsanleitung

S-Capepod

S-Capepod Evac Cocoon Bedienungsanleitung