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6
z.one ultra and z.one ultra sp OPERATOR MANUAL 6-7
Figure 6-6. P8-3TEE Transducer
Intended Use The physician conducting the examination must exercise sound medical
judgement in the selection of patients for this transducer and be properly trained in
endoscopic techniques as prescribed by current medical practices. The P8-3
TEE
transducer is intended to be used on adult patients.
The TEE examination is performed to give the physician a more extensive
examination of the heart than could be obtained with standard transthoracic
imaging. The transducer is inserted into the esophagus or stomach of the patient
and is used to obtain 2-D, M-Mode, PW, CW, and Color Doppler images of the
heart.
WARNING: The P8-3TEE transducer should be used only by a qualified physician
who has received appropriate training in proper operation of the transducer and in
endoscopic techniques as dictated by current relevant medical practices.
Visual
Examination
Before use, visually examine and feel all portions of the transducer, especially the
gastroscope shaft and the flexible section at the distal end of the gastroscope.
Inspect the flexible section with the transducer deflection both straight and
deflected. There should be no discontinuities, bumps, dents, holes, abrasions,
bite-marks, or any other evidence of wear or damage found.
The hard plastic section at the distal end of the transducer should be smooth and
firmly attached to the gastroscope shaft.
The cable and the connector that attach the transducer to the ultrasound console
should be free from evidence of damage.
Check the proper mechanical operation of the transducer. Rotate the scan plane
with the push-buttons on the handle (see
“Transducer Scan Plane Rotation
Control” on page 6-11). Make sure the rotation is smooth for all scanplanes.
Deflect the tip in both anterior/posterior and left/right flexon using the deflection
control wheel on the handle (see
“Friction Lock Operation” on page 6-10). Make
sure the deflection operates smoothly.
Flexible
Shaft
Strain
Deflection
Control Wheels
Control
Handle
Articulation
Section
Transducer
Cable
100-cm
Mark
Transducer
Connector
Distal
Transducer
Tip
- Ultrasound Systems 1
- 1-877-966-2731 2
- Contents 3
- Introduction 17
- Intended Use 18
- In This Manual 18
- Chapter Overview 19
- The Basics: 21
- and SmartCart sp 21
- Workstation 23
- Scan Module 23
- SmartCart Workstation 23
- SmartCart/SmartCart sp LCD 24
- Full Screen 25
- Image Display 25
- Video Level 26
- Adjustment 26
- Security Lock 29
- Powering ON/OFF 30
- Height Adjustment 32
- LCD Display Position 32
- Wheels & Brakes 32
- Footswitch (Option) 34
- Rear I/O Panel 34
- USB Memory Sticks 35
- Imaging Controls: 37
- ■ A full-size image 41
- Imaging Screen 43
- SmartCart sp screen 44
- Scan Engine battery 44
- Non-Imaging 48
- Measurements 49
- Patient 49
- Schedule 49
- Department Schedule 50
- ZPak Battery Charging Status 50
- Button Name Menu 51
- Trackball Sensitivity 54
- Set Time, Date, and Language 56
- Sleep and Shutdown 57
- Password Protection 57
- None. Select Worklist 58
- Cache if you have applicable 58
- DICOM worklist 58
- Exam in Progress 59
- Scan Engine and Scan Module 61
- Scan Engine Battery 64
- ■ Less than 25% Charge 67
- ■ Less than 10% Charge 67
- ■ Battery dangerously low 67
- To Charge a Battery 68
- To Recalibrate a Battery 68
- AC Power Adapter 69
- Virtual 72
- Keyboard 72
- Figure 5-2. Scan Engine VKB 72
- User Controls 73
- Imaging Tab 75
- Exam Presets Tab Tools Tab 75
- Patients Tab 75
- GREEN box (see Figure 5-7) 76
- Menu Icons 77
- Table 5-2. Menu Icons 77
- Denotes Factory 78
- Exam Preset 78
- Press Select to 78
- Transducers and 79
- MTP Option 79
- Scan Engine/Scan Module. You 80
- SmartCart/SmartCart sp or 80
- Multi-Transducer Port Option 81
- Scan Engine/Scan Module 82
- Transducer Protective Sheath 83
- Biopsy Guide 83
- TEE Transducer (P8-3TEE) 84
- Preparation for 86
- TEE tip. The handle is 87
- TEE tip 87
- Right/Left 88
- Unlock - White 89
- Lock - Red 89
- LEFT / RIGHT 89
- CAUTIONS 91
- TEE – Care and Maintenance 92
- ZONARE Technical Support 93
- Cleaning Wipe Method 94
- Leakage 95
- Safety Testing 95
- Leakage Test Setup 96
- Figure 6-19. Leakage Tester 97
- Button Function 97
- 98
- Transducer Applications 99
- Transducer Biopsy Guide 100
- This page intentionally blank 104
- Patient Information Form 105
- Worklist 106
- SmartCart/SmartCart sp 107
- To Begin a New Exam 108
- Scan Engine 109
- To Restart a Closed Exam 110
- To Create a New User Preset 110
- To Close an Exam 110
- Programmable Keys 113
- To Configure Function Keys 114
- Live and Frozen Images 115
- To Operate Pan Zoom 117
- Working with 118
- To Activate Dual Mode 120
- Optimize 122
- Configuration 122
- Operation 123
- Table 7-1. B-Mode Controls 125
- B Control 125
- Motion Mode (M-Mode) Imaging 133
- ✱ in the 134
- M Control 135
- ■ Press Dual button 140
- SmartCart 141
- SmartCart sp 141
- Trackball. Press Set to 144
- PW Doppler 148
- PW Doppler Controls 149
- SmartCart systems 156
- CW Control SmartCart 158
- Enter 3D Mode 160
- Enter 4D Mode 160
- Postprocessin 162
- MPR Mode 163
- Tomo Mode 164
- SmartCart/ 165
- Postprocessing - Softkeys 166
- Elastography 168
- Strain Acquisition 169
- Relative (Normalized) Strain 170
- Absolute Strain 170
- Compound 171
- Norm Strain 171
- Cross Corr 171
- Elastography Measurements 175
- Ocular Preset 177
- Contrast Imaging 178
- Softkeys 179
- Control Panel Controls 181
- Annotations 185
- QWERTY keyboard 187
- To Add Item to a List 188
- To Remove Item from a List 188
- To Rename a List 189
- To Enter List Text 192
- To Exit Annotations 193
- To Place Annotations 195
- To Enter Free-Form Text 195
- To Use Arrows 198
- Measurements and 203
- Calculations 203
- Measure and 204
- Calcs Menus 204
- Data Display 205
- Box (DDB) 205
- Calculation Packages 206
- Figure 9-4. Calcs Menu 207
- Worksheets and Reports 208
- User Customizable Worksheets 209
- Ending & Restoring Exams 212
- Softkey Description 212
- Printing Reports 213
- Parameter Setting 214
- Printing OB & GYN Reports 215
- To Setup Serial Port 216
- To Set Up Export/Import 216
- Live Image 217
- Frozen Image 217
- Circ/Area 218
- (Ellipse) 218
- To Measure Volume 220
- To Measure Velocity 222
- Pulsatility 223
- Systolic/ 226
- Diastolic Ratio 226
- To Measure A/B Ratio 227
- OB Calculation Package 228
- Worksheets 230
- Figure 9-18. OB Report 233
- OB Calculation 233
- Trending 233
- To Enter OB Trending Data 233
- Drop-down list 234
- Procedures for 235
- Packages 235
- To Acquire GS Calculation 235
- /SmartCart sp Press Report 236
- /SmartCart sp Press Calc 236
- Abdominal 238
- Package 238
- Liver/Spleen 239
- Pancreas 239
- Gyn and Follicular Package 240
- Pediatric Hip Package 241
- Bony Roofline 242
- Cartilage Roofline 242
- Vascular Packages 243
- Grafts Submenu Selections 244
- 2D/B Mode and Doppler 245
- Auto-Dop Trace 246
- Abdominal Vascular 247
- Obstetrics Pediatric 247
- Gynecology Small Parts 247
- To Access Auto Params Menu 249
- To Measure Volume Flow 251
- Measurement Accuracy 253
- Velocity 256
- Accuracy in PW 256
- Estimation 256
- Echocardiography Option 257
- Cardiac Exam Preset: 259
- SmartCart sp or Scan 261
- To Use ECG Function 262
- To Activate ECG Trace 262
- Exit On/Off 263
- Position 263
- Doppler 266
- Doppler Mode 267
- Table 7-4 on page 7-45 270
- Archive and Review 273
- Storage Media Screen 274
- Parameter Description 275
- To Select Compression Level 276
- To Store to FTP 277
- Option Description 277
- ■ Default is checked 278
- Still & Clip Image Store 281
- Still Images 282
- 3D/4D Volume Data 283
- Keyboard Keys 284
- Deleting Images and Exams 289
- X is drawn across the image 290
- To Delete All Exams 291
- Restarting an Exam 292
- Annotations and Measurements 293
- Exporting Exams 293
- To Export Exams to FTP Site 294
- SmartCart Control Panel 295
- ■ DICOM or Non-DICOM 296
- ■ On or Off 296
- ■ Check if desired 296
- ■ Select JPEG or TIFF 298
- Requirements 299
- Navigation of 300
- Button/Key Description 301
- ↑ (up arrow) 303
- ↓ (down arrow) 303
- Tab/Control Description 304
- Importing Exams 306
- Parameters Description 308
- Emergency System Backup 310
- Printers and Peripherals 311
- Figure 12-2. AVED I/O Panel 312
- # Function Direction 312
- ON and OFF 313
- To Operate 314
- Figure 12-5. Printer Screen 316
- DICOM and FTP 319
- Connectivity 319
- Wireless Network Connectivity 321
- Storage Media 321
- Location 322
- DICOM Menu 323
- Printers 325
- Figure 13-10. Printer Screen 326
- Network Storage 328
- Parameters 329
- Parameters (Continued) 330
- Storage job not 331
- IQ Scan Data and 331
- IQ Scan Data, see page 11-10 331
- DICOM Structured Reports 332
- QWERTY Tab key (or Trackball 333
- DICOM Worklist 334
- Store/Print Buttons 337
- FTP Storage 339
- User Maintenance 343
- User Diagnostics Panel 345
- To Access the Settings Screen 347
- Presets To Backup Presets 348
- Figure 14-9. USB Prompt 349
- To Restore Presets 350
- System To Back Up System 352
- To Restore System Setup 353
- Factory 354
- To Restore Factory Presets 354
- Software Upgrade/Installation 356
- Power Button 357
- Basic System Care 359
- Transducer Maintenance 362
- ZONARE Technical 363
- System Functionality 364
- Verifying Peripherals 365
- Shipping and Storage 365
- Troubleshooting 367
- Subsidiaries 368
- Trouble-shooti 368
- No ECG operation 370
- Acoustic 371
- Artifacts 371
- Power-ON 373
- Problems 373
- Send Log Files to ZONARE 376
- Specifications 377
- Type Parameter Value 378
- Glossary, Abbreviations, and 383
- Body Pattern Graphics 383
- Abbreviations 386
- Abbreviation Meaning 387
- Exam Type(s) 392
- Numerics 395
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