Flex Focus Type 1202 Getting Started Guide

Sliders to release scanner unit. See page 14.

ON/Standby button

1

Array transducer socket

2

Mechanical transducer (and 3D mover) socket

3

CD/DVD reader/writer USB 2.0 con‑ nector

Cable holder and release handle. Grab control panel on both sides and pull up on the 2 release handles while you move control panel up or down to adjust system height. Do not use excessive force. USB 2.0 connector for touch control panel

Turn knob to make system easier or harder to rotate on stand Note: Tighten knob before moving system.

2

Getting Started with Flex Focus 1202 • BB1911-I • October 2018

Lock wheels before use

Before You Start Before you turn on the system, make sure that the installation has been approved by a qualified electrician or by hospital safety personnel. For systems with battery support, make sure that the batteries are charged fully before you turn on the system.

Turning System On and Off When you turn the system on or off, you must give the system enough time to save and recover open files and unsaved data. Otherwise, a serious system failure may occur that requires technical support. Caution S-c4: Never unplug the system from the wall while it is running. Turn off the system and wait for the light on the keyboard and the ON/Standby button to go out before unplugging.

1

To Turn On: Press ON/Standby button one time. Wait until startup screen disappears before you do anything else. To Turn Off: Make sure system is completely up and running. Press ON/Standby button one time. Note : Always follow the recommended procedure for shutting down your system.

2

Connecting Transducers Array Transducers To Connect: 1. 2.

Insert transducer plug into socket with locking lever in 3 o’clock position. Turn locking lever on transducer plug clockwise to 6 o’clock position.

To Disconnect: 1. 2. 3.

3

Freeze image. Turn locking lever on plug counterclockwise to 3 o’clock position. Remove plug from socket.

Mechanical Transducers To Connect: 1. 2.

Align red mark on plug with red dot on transducer socket. Insert plug in socket.

To Disconnect: 1. 2.

Pull back on plug locking mechanism (collar). Remove plug from socket. Getting Started with Flex Focus 1202 • BB1911-I • October 2018

3

Performing an Exam Keys are described on pages 6 and 7.

1.

Press Patient key. Enter patient information. (Tab to move between fields.) Click Start New Exam.

2.

To change transducer type, press button on transducer or press Probe key and select transducer (probe).

3.

To change exam type, press Exam type key. Select examination type.

4.

Imaging starts in B‑mode.

5.

Select highest frequency possible (Freq on monitor) to give needed penetration.

6.

Adjust other imaging parameters. Turn Depth and Gain dials to adjust depth and gain as needed.

7.

When you want to make a measurement or capture an image, press Freeze key to freeze image. (Measurement tab opens.)

8.

To make a measurement, press Measure key or select measurement keys on monitor. Make the measurement.

9.

Press Capture key to capture the image (save it to system hard disk). It appears as a thumbnail at the top of the monitor. Frozen = image, Unfrozen = clip. Capture turns red while recording. Click again to stop recording.

10. Press Freeze key to start imaging again. 11. Press End exam key to conclude exam.

4

Getting Started with Flex Focus 1202 • BB1911-I • October 2018

Exam Type

selected Pro Package

An examination type specifies both a Pro Package and a Diagnostic Setup. The Pro Package affects the system user interface - which tabs and controls are displayed, which measurements are allowed, etc. The Diagnostic Setup affects the ultrasound image - sets the gain, depth, frequency, etc.

selected Diagnostic Setup

Viewing and Copying Images To select captured images to view them or copy them to another device, use the docu‑ ment pane at the top of the monitor (described on pages 8 and 9).

View Double-click thumbnail in document pane. Document is displayed in image area.

Copy to USB or CD/DVD To Copy Captured Images: 1. 2. 3. 4.

Insert USB device or CD/DVD. Click each image to be copied. Frame turns blue. Click Copy, then select destination (USB or CD/DVD). The options without Patient ID are recommended for patient security. Images are copied to USB immediately. Click USB Eject to remove USB device. When you select CD/DVD, images are copied to a staging area. To copy them to the CD/DVD, click Burn CD and follow instructions.

System Busy When the system is busy, a spinning disk appears on the lower right hand side of the monitor.

Note: Wait until the spinning disk disappears before using any controls, including buttons on the transducer.

Power Save Systems with battery support can go into power save mode and the monitor will turn off. To Restore the System to Normal Power: „„

or „„

Press a key or press the transducer button move the trackball or touch the touch pad.

Getting Started with Flex Focus 1202 • BB1911-I • October 2018

5

Keyboard TGC sliders Adjust gain in different parts (depths) of the image

See ‘Performing an Exam’ page 4

Doppler

Color

B-Mode Image

Adjust a value or size of zoom box, etc.

Capture Trackball and keys with PC-mouse functionality Select

Print Select

Select Cancel/Undo

Freeze: Start/ Stop imaging

User-defined keys. See the Flex Focus 1202 Advanced User Guide.

Keys are Backlighted

6

If light is

Key function

Bright

On

Dim

Available but not on

Off

Unavailable

Monitor Brightness Increase

+

Decrease

+

Default setting

+D

Getting Started with Flex Focus 1202 • BB1911-I • October 2018

B-Mode Image Keys Focus

Select focus indicator on monitor Harmonic Press for on and off B-Mode/Gain When imaging: Press: B-mode Turn: B-mode gain When frozen: Turn: Scroll Cine Press: Change dial to Post Gain Measure Start default measurement

Spectral Doppler Keys Doppler Angle Angle on and selected Long press: Angle off

Puncture Guide Puncture line or brachy matrix on 3D

3D on, or step through 3D states

Long press: 3D off

Zoom/Depth Turn: Adjust depth Press: Zoom box on Turn: Resize zoom box 2nd press: Zoom area inside box 3rd press: Zoom off, dial returns to Depth Long press: Zoom off Calculate Start first measurement for default calculation

Color Doppler Keys Steer Change beam angle in Color/Power/ Doppler modes

Update Changes which Triplex mode is imaging and which is frozen Long press: Unfreeze both views

Power Mode Press for on and off

Doppler Mode Press: Doppler mode Turn: Doppler mode gain In B-mode, controls MI In M-mode, controls M mode gain

Color Mode Press: Color mode Turn: Color/Power mode gain

Doppler Gate In B-mode, Doppler gate on In Doppler mode, assign cursor to Doppler gate

Volume Baseline Scale Adjust Color/Power/ Doppler scale/PRF) Invert Invert Doppler spec‑ trum (or color scale)

Color Box Assign cursor to color box

Home Return to default settings for current exam type

Auto B-mode returns to default preset gain. D-mode optimizes PRF (scale) and baseline.

Split Screen Split screen so 2 views are displayed, or change which view is active Long press: Split screen off

Imaging Plane Change imaging plane on biplane and triplane transducers

Long press = press for 1–3 seconds.

Getting Started with Flex Focus 1202 • BB1911-I • October 2018

7

Monitor Functionality Select transducer

Select exam type

Enter patient information

Double-click or drag to enlarge and view captured image or clip

Pull here to enlarge image thumbnails

Document pane Click and drag to adjust focus area

Puncture line

Click here to select a different brachy matrix or puncture guide

Measurements shown here

Image data shown here

UA1250

Imaging Mode tabs

Workflow tabs

To minimize all tabs, click the workflow tab on top. To open again, click any tab.

8

To open a workflow tab that is not on top, click it.

Getting Started with Flex Focus 1202 • BB1911-I • October 2018

Start/stop imaging

Monitor Controls The Pro Package determines what tabs are available and which controls they contain. For example, the M-mode tab or 3D tab is available only when it is part of the selected Pro Package. Available controls depend on whether the image is scanning or frozen. Note: “Click a tab” means click the tab name.

Workflow Tabs Workflow tabs open automatically as needed. That way, only relevant controls are displayed. You can also open a tab manually to see its controls as described on page 8. “Freeze” toggles between Image and Measure and Mark tabs.

Imaging Mode Tabs Controls on the Image workflow tab are grouped on various Imaging Mode tabs. „ „ To start an imaging mode, click the tab while imaging. It opens so you can use the relevant controls. „ „ Click Image tab to display mode tabs on the top. In order to activate, click Unfreeze. „ „ Clicking the imaging mode tab on top turns off that imaging mode.

Visible Controls Tabs can be customized to include different controls, so your monitor may not look exactly like the one pictured. The Flex Focus 1202 Advanced User Guide contains information about customizing your setup.

Basic Tabs (Advanced Off)

Advanced Tabs (Advanced On)

Basic tabs contain the most often used con‑ trols.

To see and use all available controls for a work‑ flow tab, click Advanced.

Getting Started with Flex Focus 1202 • BB1911-I • October 2018

9

Touch Monitor Note: The ultrasound image part of the monitor is not touchsensitive. Make sure that the monitor is clean before you start imaging. If you attach a sterile cover to the lower part of the monitor (to cover the monitor controls), make sure that the scanned image is not covered. Look directly at the monitor, not at an angle, to ensure that your touch is accurate. If a monitor key is not highlighted, you cannot use it – you may need to freeze or unfreeze the image. To click a monitor control, tap it with your finger or use the touch pad on the control panel. The monitor reacts when you remove your finger, not when you touch it. To undo a measurement, double click and hold. For “More” lists, use the slide bar on the right to scroll up and down in the list. Document Pane (Top of Monitor) Slide your finger down the right side of the pane to enlarge the documents. To browse through the documents, flick your finger across the thumbnails. Drag to review thumbnails.

Special Monitor Controls Monitor Control Function/Note Reset

Return to default settings for the exam type

B Gain Near

Adjust the gain in the near part of the image

B Gain Far

Adjust the gain in the far part of the image

Multiselect

When this is on, documents you select are added to a selection. When this is off, only the one document you select remains selected.

Keyboard on the Monitor Click Enter patient and a monitor keyboard opens for you to enter patient information. You can also access the keyboard via the Keyboard tab.

Shift, Ctrl, Alt and fn Monitor Keys Use these special keys to type special characters or obtain additional keyboard function‑ ality. For example, click Shift and then click 5 to type %.

10

Getting Started with Flex Focus 1202 • BB1911-I • October 2018

Touch Control Panel Capture an image to the system hard disk or print it. User-defined.

Touch pad to move cursor on monitor. Select

Adjust value or size of zoom box, etc. Hold‑ ing your finger on the key repeats the action.

In B-mode, adjust Depth. If Doppler on, adjusts Doppler PRF. If Color is on but not Doppler, adjusts Color PRF. Adjust gain for one mode only, the first in this list that is active: Doppler, Color, Power, B-mode.

Freeze. Start/Stop imaging.

To Select: Press anywhere on the +/- key (except at either end) or press anywhere on the touch pad. To Drag: To drag an object on the monitor, select it and slide your finger on the touch pad to move the cursor. If you use the touch pad to select, keep your finger down after the sec‑ ond press and slide it around. Long Click (to Delete a Measurement, Label or Body Mark From the Monitor): 1. Place the cursor. 2. Press the touch pad or Select twice, holding the second press to be a long press.

The Remote Control UA1237 for the Flex Focus 1202 touch monitor is described in the Flex Focus 1202 User Guide. Getting Started with Flex Focus 1202 • BB1911-I • October 2018

11

Basic Monitor Controls Key

Function/Note

3D *

Turn on 3D imaging

ACI *

Angular Compound Imaging (improve organ definition)

Archive

Send to PACS (DICOM) or staging area for archive CD

Biopsy

Display puncture line or brachy matrix

Bodymark

Bodymark on image

Capture

Save image (if frozen) or clip (if imaging) to system hard disk

Copy

Copy to USB or CD/DVD

Depth -

Decrease max. tissue depth shown (increase magnification)

Depth +

Increase max. tissue depth shown (decrease magnification)

Dyn. Range

Adjust contrast

ETD *

Enhanced Tissue Definition (reduce speckle)

Freeze/Unfreeze

Start/stop imaging

Freq

Change imaging frequency

Gain

Adjust gain of selected mode

Harmonic

Tissue harmonic imaging

L/R

Image orientation left/right

Pro Package

Select different Pro Package

Res/Hz

Select resolution/frame rate

Save...

Save setups

Scale

Adjust Color/Power/Doppler scale/PRF

Simultan

Both split-screen views imaging simultaneously (Color or Power mode in one view only)

Size

Image bigger or smaller

Split

Split screen into 2 views

U/D

Image orientation up/down

These are the controls needed for basic examinations. For information about other controls, see the Flex Focus 1202 Advanced User Guide. * Optional, not available on all versions of the Flex Focus 1202

12

Getting Started with Flex Focus 1202 • BB1911-I • October 2018

Your Custom Keys Key

Function/Note

Your Notes

Getting Started with Flex Focus 1202 • BB1911-I • October 2018

13

Undocking and Docking the Scanner Unit Removing the Scanner Unit From a Docking Unit 1 Turn off the system and disconnect all transducers. Push the 2 sliders away from the middle.

2

The scanner unit tilts forward in the dock. sliders

3

4

Hold the scanner unit securely while you reach inside the slot to release the safety bracket. The bracket may be warm.

14

Remove the scanner unit from the dock.

Getting Started with Flex Focus 1202 • BB1911-I • October 2018

Docking the Scanner Unit

1

2

Tip the top of the scanner unit back until it clicks into place.

Tip the scanner unit and slide it into the dock.

3

The system looks like this when it is correctly docked.

Getting Started with Flex Focus 1202 • BB1911-I • October 2018

15

This Book is not a Complete User Guide Before you use the system, you must read the Safety chapter in the Flex Focus 1202 User Guide. It contains safety information that is important for avoiding injury and for avoiding damage to the equipment. You must also read Care and Cleaning, which contains information about cleaning and disinfection as well as information about required inspections, calibration and maintenance. The Flex Focus 1202 Advanced User Guide contains detailed information for the advanced user. bkmedical.com This guide is also available on the BK Medical website. Please go to the Customer Service section to download user manuals. If you have comments about the user documentation, please write to us at [email protected]. We would like to hear from you. © 2018 BK Medical Information in this document may be subject to change without notice.