The Presets settings page enables you to choose some general preferences. Use the following information to help you choose the presets that are right for you:. Displays an unnumbered depth scale to the right of the image, with the maximum depth number in the lower right screen. You can change the language used in the system interface.
Changing the language requires restarting the system. Saves the image to internal storage and saves the current calculation to the patient report. The System Information settings page displays system hardware and software versions, patents, and license information. You can also specify a file format for images in patient exams that you export to a USB storage device. To help secure sensitive patient information, the USB export feature can be disabled by the administrator.
The image format you specify affects only still images. Clips export in H. Note A high compression has a smaller file size but less detail. The sort order specifies how exported files are organized. When transferring or exporting images in JPEG format, the system uses lossy compression. In some circumstances, lossy-compressed images may be inappropriate for clinical use.
For example, if you. SonoCalc IMT software uses a sophisticated algorithm to measure images, and lossy-compression may cause errors. For more information on using lossy-compressed images, consult the industry literature, including the following references:.
Chapter 4. Available imaging modes depend on the transducer and exam type. The system displays echoes in two dimensions by assigning a brightness level based on the echo signal amplitude.
To achieve the best image quality, properly adjust the gain and depth settings, viewing angle, and exam type. Adjusts the image brightness through signal amplification. To change the gain, rotate. Adjusts the depth of the image.
To change the depth, rotate the Depth knob. Gen provides a balance between resolution and penetration. When on, THI appears in the mode data area. This feature depends on transducer and. When on, MB appears in the mode. Turns needle guidelines on. Guidelines can be used for needle guidance, and depend.
If using a variable angle needle guide, tap Guide. To select the angle, tap A , B , or C. Tap Dual , and then tap Update to display the second screen and to toggle between.
The screen brightness affects battery life. To conserve battery life, adjust brightness to. Motion mode M Mode is an extension of 2D. It provides a trace of the 2D image displayed over time. A single beam of ultrasound is transmitted, and reflected signals are displayed as dots of varying intensities, which create lines across the screen.
Adjusts the signal amplification. To change the gain, rotate the Gain knob. Adjusts the depth of the scan. Defines the area of interest so that movement can then be traced over time. To change. Controls the speed of the trace.
Your options are Fast , Med , and Slow. For more information, see. A trace window appears. Color power Doppler CPD is used to visualize the presence of detectable blood flow.
Color is used to visualize the presence, velocity, and direction of blood flow in a wide range of flow states. A ROI box appears in the center of the 2D image. The current selection Color or CPD appears in the mode data area.
In Color imaging, the Color indicator bar on the upper left-hand screen displays. Using the touchpad or the touchscreen, you can change the position or size of the ROI box as needed. Tapping Position or Size , or tapping. Adjust controls as desired. Flow Med optimizes the system for medium flow states.
Wall Filter A high wall filter can reduce excessive motion or noise, while a low wall filter displays more of the raw signal. Variance Cardiac exam only Turns variance on and off.
You can adjust the depth in all imaging modes except M Mode. The vertical depth scale is marked in 0. Gain adjusts the overall gain applied to the entire image. When the image is frozen, the button color is blue.
When the image is unfrozen, the button color is white. On a frozen image, the cine icon and frame number appear above the left knob. The total number of frames appears next to the cine icon. The number changes to the current frame number as you move forward or backward.
You can zoom in 2D or Color imaging. You can freeze or unfreeze the image or change the imaging mode at any time while zooming. A ROI box appears. Using movement and fluid injection, verify the needle-tip location and trajectory.
Steep Needle Profiling technology enhances linear structures within a selected angle range on the ultrasound plane. Linear structures outside the selected angle range or the ultrasound plane — such as a bent needle — may be less apparent.
Note that linear structures are enhanced only in an outlined portion of the image. The area outside the outline remains unchanged. Note that the beam divergence of a curved array transducer may prevent a segment of the needle shaft from showing in the image. The needle tip may not show. A threeor four-sided outline indicates the enhancement area as shown in Figure on page For curved array transducers, Steep Needle Profiling technology can help identify the direction of the needle, although only segments of the needle shaft may show in the image.
See Figure on page Use movement and fluid injection to help verify the needle-tip location. The SNP control is available in 2D full-screen imaging only and on the following:. Figure Image with SNP on linear transducer.
Figure When using a curved-array transducer, only segments of the needle shaft may appear. Use a gauge to gauge needle recommended. Enhancement results can depend on the type and brand of needle used. For more information, consult the medical literature on needle visibility in ultrasound-guided procedures. Steep Needle Profiling technology is intended for in-plane procedures only. Needle Profiling technology has little or no benefit to out-of-plane procedures. When Steep Needle Profiling technology is on, additional controls are available:.
For reorienting the entire image, use the orientation control. The current selection is highlighted. Linear transducer: Use whichever setting best provides a perpendicular intersection with the dotted line.
Within the enhancement area, the more perpendicular that a linear structure is to the dotted line, the more it is enhanced. Similarly, the less perpendicular and more parallel that a linear structure is to the dotted line, the less it is enhanced. Off turns off SNP. Temporarily turning off SNP can help you identify artifacts and other structures not of interest. Avoid setting the gain too high when using Steep Needle Profiling technology, as unnecessarily high gain can cause artifacts in the image.
Also, respiratory and cardiac movement in the image may cause bright pulsating artifacts. The centerline graphic aligns with the center mark of the transducer and serves as a reference mark for the center of the displayed image. When using the Centerline feature as a reference during a freehand procedure, be aware that the centerline represents only the center of the ultrasound image and is not an accurate predictor of the path the needle will take. Ensure orientation marks on the screen and transducer are on the same side.
Figure Relationship of the centerline graphic to the transducer and the ultrasound image. Small tilts or rotations of the transducer can affect the relationship between any external reference points and the anatomy that appears on the ultrasound image.
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Please check your email for further instructions. Enter a new password. Sonosite S II. All rights reserved. Introduction Document conventions Getting Started About the system System Setup Displaying the Settings pages Imaging Imaging modes Measurements and Calculations Measurements References Measurement accuracy Troubleshooting and Maintenance Troubleshooting Cleaning and disinfecting Before getting started Clean and disinfect system and transducer to a low level non-critical uses Storing the transducer Safety Ergonomic safety IT Network Functions Glossary Terms A-1 Abbreviations A-3 Index Option to disable USB option export.
A Note provides supplemental information. Numbered and lettered steps must be performed in a specific order. Bulleted lists present information in list format but do not imply a sequence. Introduction Getting help In addition to this user guide, the following resources are available: Instructional videos available on-line. License Key A license key is required to activate the software.
Basic steps 1 Turn the system on. Note By default, the system is in 2D imaging. Getting Started Preparing the system Components and connectors The back of the system has compartments for the battery and two transducers as well as connectors for USB devices, power cord, network cable, and more.
Each connector has a symbol that describes its use. To install the battery 1 Ensure the ultrasound system is turned off. To remove the battery 1 Ensure the ultrasound system is turned off. Using AC power and charging the battery The battery charges when the system is connected to the AC power supply. Plug the system only into a grounded hospital-grade outlet.
To operate the system using AC power Caution Be sure to keep the battery inserted in the system even if the system is connected to the AC power supply. To separate the system and any connected equipment from a supply mains Cautions The equipment is not provided with an AC mains power switch. Turning the system on or off Caution Do not use the system if an error message appears on the display. To wake up the system To conserve battery life while the system is on, the system goes into sleep mode if untouched for a preset time.
To connect a transducer 1 Pull the transducer latch up, and rotate it clockwise. To remove a transducer 1 Pull the transducer latch up, and rotate it clockwise. Inserting and removing USB storage devices Images and clips are saved to internal storage and are organized in a sortable patient list.
To remove a USB storage device Removing the USB storage device while the system is exporting may cause the exported files to be corrupted or incomplete.
System controls 1 Control Turn to adjust gain, depth, cine knobs buffer, brightness, and more, depending on context. Current functions appear on-screen above the knobs.
Tap to activate an item on-screen, or to switch between 9 color box functions. Tap to print from a live or frozen scan. General interaction Touchpad The touchpad is an area centered below the screen that you can use as a pointing device.
Figure Using the touchpad You can use the touchpad to do the following: Place labels Move calipers Move and shape region of interest ROI boxes Position the M-line Point to a text field in a form Use the Select key below the touchpad to select or set the item after you have moved it.
Touch screen As an alternative to the touchpad, you can move some items directly by dragging your finger on the screen. Figure Using the touch screen Control buttons and knobs There are two types of controls on the SonoSite SII system: Screen controls The controls that appear on the touchscreen change dynamically depending on the context. System controls The buttons and knobs located below the touchscreen are persistent, but some may be disabled during certain modes or conditions.
Entering text In forms and annotations, you can enter text in text fields using either the on-screen keyboard or an external USB keyboard connected to a USB port on the system. To enter text in text fields using the on-screen keyboard 1 Using the touchpad or the touchscreen, select a text field.
The Symbols key displays symbols and punctuation. Tap Prev to return to the previous field. Some gels and disinfectants can cause an allergic reaction in some individuals. Acoustic coupling gel Acoustic coupling gel must be used during exams.
Although most gels provide suitable acoustic coupling, some gels are incompatible with some transducer materials. To apply a transducer sheath To lessen the risk of contamination, install the sheath only when you are ready to perform the procedure. Intended uses The SonoSite SII ultrasound system is a general purpose ultrasound system intended for use by qualified physicians and healthcare professionals for evaluation by ultrasound imaging or fluid flow analysis of the human body.
Abdominal imaging applications You can assess the liver, kidneys, pancreas, spleen, gallbladder, bile ducts, transplanted organs, abdominal vessels, and surrounding anatomical structures for the presence or absence of pathology transabdominally. Cardiac imaging applications You can assess the heart size and function, cardiac valves, great vessels, visualize blood flow through cardiac valves, and assess for the presence or absence of pathology.
Gynecology and infertility imaging applications You can assess the uterus, ovaries, adnexa, and surrounding anatomical structures for the presence or absence of pathology transabdominally or transvaginally.
Interventional imaging applications You can use the system to provide ultrasound guidance for biopsy and drainage procedures, vascular line placement, peripheral nerve blocks, amniocentesis, and other obstetrical procedures. Obstetrical imaging applications You can assess the fetal anatomy, viability, estimated fetal weight, gestational age, amniotic fluid, and surrounding anatomical structures for the presence or absence of pathology transabdominally or transvaginally.
CPD or Color images can be used as an adjunctive method, not as a screening tool, for the detection of structural anomalies of the fetal heart, and as an adjunctive method, not as a screening tool, for the diagnosis of Intrauterine Growth Retardation IUGR Pediatric and neonatal imaging applications You can assess the pediatric and neonatal abdominal, pelvic, and cardiac anatomy, pediatric hips, neonatal head, and surrounding anatomical structures for the presence or absence of pathology.
Superficial imaging applications You can assess the breast, thyroid, testicle, lymph nodes, hernias, musculoskeletal structures, soft tissue structures, ophthalmic structures, and surrounding anatomical structures for the presence or absence of pathology.
Arterial and venous imaging applications You can assess the carotid arteries, deep veins and arteries in the arms and legs, superficial veins in the arms and legs, great vessels in the abdomen, and various small vessels feeding organs for the presence or absence of pathology.
System Setup Use the Settings pages to customize the system and set preferences. The Settings pages are organized into the following categories: Administration - Control access to the system, including user accounts and passwords.
System Setup Administration setup On the Administration settings page, you can configure the system to require users to log in and enter passwords. To log in as Administrator 1 On the Administration settings page, type Administrator in the Name box. Note The entries for Name and Password are case-sensitive. To require user login You can set the system to display the User Login screen at startup.
On requires a user name and password at startup. To change the administrator password or let users change passwords 1 Log in as Administrator. Administering users These settings enable you to manage user information directly. To add a new user 1 Log in as Administrator. To modify user information 1 Log in as Administrator. To delete a user 1 Log in as Administrator. To change a user password 1 Log in as Administrator.
Exporting or importing user accounts The export and import commands let you configure multiple systems and back up user account information. To export user accounts 1 Insert a USB storage device. To import user accounts 1 Insert the USB storage device that contains the accounts. All user names and passwords on the system are replaced with the imported data. Logging in as user If user login is required, the User Login screen appears when you turn on the system.
To log in as user 1 Turn on the system. To change your password 1 Turn on the system. Choosing a secure password To ensure security, choose a password that contains uppercase characters A-Z , lowercase characters a-z , and numbers System setup Annotations settings On the Annotations settings page, you can customize predefined labels and set the preference for managing text when unfreezing images.
To predefine a label group You can specify which labels are available for an exam type when annotating an image. To specify text retention when unfreezing You can specify which text to keep when you unfreeze an image or change the imaging layout.
Offering a fluid-resistant touch screen interface that is easy to clean and disinfect, combined with unprecedented ease of use, the NanoMaxx system sets a new standard in patient safety. When patient safety, bedside diagnosis or accurate needle guidance is a priority, the NanoMaxx system is the ideal tool to deliver results. Toggle Navigation. Sign in. My Bench Sign out. Forums News. One moment please My Bench Close. Sign In. Not A Member? Join MedWrench. Receive Summary Emails?
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