<p begin="00:00:29.113" end="00:00:30.551" style="s2">- [Voiceover] The Sonosite S-Series</p>
<p begin="00:00:30.551" end="00:00:34.234" style="s2">has advanced automated image<br />optimization technology</p>
<p begin="00:00:34.234" end="00:00:37.341" style="s2">that greatly simplifies user controls.</p>
<p begin="00:00:37.341" end="00:00:40.631" style="s2">Many controls are automatically<br />adjusted by the system</p>
<p begin="00:00:40.631" end="00:00:43.124" style="s2">depending upon depth selection.</p>
<p begin="00:00:43.124" end="00:00:46.599" style="s2">Therefore, only a few controls<br />may need to be adjusted</p>
<p begin="00:00:46.599" end="00:00:49.356" style="s2">to obtain the best image quality.</p>
<p begin="00:00:49.356" end="00:00:51.846" style="s2">This tutorial will<br />review the key functions</p>
<p begin="00:00:51.846" end="00:00:55.456" style="s2">that are used most frequently<br />when optimizing an image.</p>
<p begin="00:00:55.456" end="00:00:59.009" style="s2">Please refer to the user guide<br />for a complete explanation</p>
<p begin="00:00:59.009" end="00:01:02.042" style="s2">of all controls that may be adjusted.</p>
<p begin="00:01:02.042" end="00:01:04.698" style="s2">To enter information on the patient form,</p>
<p begin="00:01:04.698" end="00:01:07.215" style="s2">place the cursor on the Last Name field</p>
<p begin="00:01:07.215" end="00:01:08.941" style="s2">and press Select.</p>
<p begin="00:01:08.941" end="00:01:11.594" style="s2">A soft keyboard will be displayed.</p>
<p begin="00:01:11.594" end="00:01:13.613" style="s2">Highlight the appropriate character,</p>
<p begin="00:01:13.613" end="00:01:17.492" style="s2">and press the Select<br />key to enter the text.</p>
<p begin="00:01:17.492" end="00:01:20.359" style="s2">Enter the information in<br />to the appropriate fields</p>
<p begin="00:01:20.359" end="00:01:23.387" style="s2">including patient name and ID number.</p>
<p begin="00:01:23.387" end="00:01:26.662" style="s2">This screen is also used<br />to select the exam type,</p>
<p begin="00:01:26.662" end="00:01:28.981" style="s2">the exam label, and provide data</p>
<p begin="00:01:28.981" end="00:01:31.400" style="s2">regarding who performed the examination</p>
<p begin="00:01:31.400" end="00:01:34.453" style="s2">and the institution<br />where it was performed.</p>
<p begin="00:01:34.453" end="00:01:36.914" style="s2">All information entered<br />here will be displayed</p>
<p begin="00:01:36.914" end="00:01:39.247" style="s2">on the image display screen.</p>
<p begin="00:01:40.088" end="00:01:42.415" style="s2">After you have entered<br />the patient information,</p>
<p begin="00:01:42.415" end="00:01:43.332" style="s2">press Done.</p>
<p begin="00:01:44.901" end="00:01:47.837" style="s2">Confirm the message,<br />"This is a new patient.</p>
<p begin="00:01:47.837" end="00:01:49.229" style="s2">"Do you want to continue?"</p>
<p begin="00:01:49.229" end="00:01:50.562" style="s2">by selecting OK.</p>
<p begin="00:01:53.400" end="00:01:55.114" style="s2">Once the patient is entered,</p>
<p begin="00:01:55.114" end="00:01:58.798" style="s2">all saved images are<br />linked to that patient.</p>
<p begin="00:01:58.798" end="00:02:02.013" style="s2">Patient information can<br />be edited during the exam</p>
<p begin="00:02:02.013" end="00:02:04.606" style="s2">by pressing the Patient key,</p>
<p begin="00:02:04.606" end="00:02:08.543" style="s2">however, if the patient<br />name or ID number changes,</p>
<p begin="00:02:08.543" end="00:02:11.298" style="s2">a new patient is created.</p>
<p begin="00:02:11.298" end="00:02:13.003" style="s2">If you have not already done so,</p>
<p begin="00:02:13.003" end="00:02:16.257" style="s2">select the exam type from<br />the secondary controls</p>
<p begin="00:02:16.257" end="00:02:18.772" style="s2">on the left of the image display.</p>
<p begin="00:02:18.772" end="00:02:20.655" style="s2">The exam choices available</p>
<p begin="00:02:20.655" end="00:02:24.065" style="s2">are dependent upon the<br />connected transducer.</p>
<p begin="00:02:24.065" end="00:02:27.683" style="s2">Selecting the exam type will<br />optimize the system settings</p>
<p begin="00:02:27.683" end="00:02:30.899" style="s2">for the clinical exam you have chosen.</p>
<p begin="00:02:30.899" end="00:02:35.654" style="s2">You may change the exam type<br />at any time during this study.</p>
<p begin="00:02:35.654" end="00:02:38.875" style="s2">The exam type symbol will<br />change in the top right corner</p>
<p begin="00:02:38.875" end="00:02:40.966" style="s2">or the image display to indicate</p>
<p begin="00:02:40.966" end="00:02:44.164" style="s2">the exam type has been selected.</p>
<p begin="00:02:44.164" end="00:02:46.595" style="s2">Use a coupling gel to remove any air</p>
<p begin="00:02:46.595" end="00:02:50.839" style="s2">between the transducer<br />face and the skin surface.</p>
<p begin="00:02:50.839" end="00:02:53.665" style="s2">Once you have located<br />the area of interest,</p>
<p begin="00:02:53.665" end="00:02:57.771" style="s2">adjust the depth of the image<br />to center the area of interest</p>
<p begin="00:02:57.771" end="00:03:00.730" style="s2">in the middle of the image display.</p>
<p begin="00:03:00.730" end="00:03:04.013" style="s2">For quick optimization of the<br />gain settings on the system,</p>
<p begin="00:03:04.013" end="00:03:06.016" style="s2">press the Auto Gain key.</p>
<p begin="00:03:06.016" end="00:03:08.093" style="s2">The system will evaluate the image</p>
<p begin="00:03:08.093" end="00:03:11.963" style="s2">and apply the appropriate<br />gain level settings.</p>
<p begin="00:03:11.963" end="00:03:14.565" style="s2">If you would prefer to<br />change the gain settings,</p>
<p begin="00:03:14.565" end="00:03:16.832" style="s2">turn the Gain knob to the Near,</p>
<p begin="00:03:16.832" end="00:03:19.621" style="s2">Far, or default Overall mode.</p>
<p begin="00:03:19.621" end="00:03:22.447" style="s2">This will increase or<br />decrease the amount of gain</p>
<p begin="00:03:22.447" end="00:03:27.281" style="s2">applied to the Near field, Far<br />field, or the Overall image.</p>
<p begin="00:03:27.281" end="00:03:30.531" style="s2">To toggle between gain<br />compensation selections,</p>
<p begin="00:03:30.531" end="00:03:32.985" style="s2">press the Gain knob.</p>
<p begin="00:03:32.985" end="00:03:35.177" style="s2">Once the desired image is obtained,</p>
<p begin="00:03:35.177" end="00:03:37.063" style="s2">you may freeze the image.</p>
<p begin="00:03:37.063" end="00:03:39.713" style="s2">At this point, you may save the image,</p>
<p begin="00:03:39.713" end="00:03:43.380" style="s2">review individual frames<br />in the cine buffer,</p>
<p begin="00:03:45.199" end="00:03:46.449" style="s2">zoom the image,</p>
<p begin="00:03:50.752" end="00:03:52.502" style="s2">or take measurements.</p>
<p begin="00:03:55.397" end="00:03:59.362" style="s2">The cine buffer can be<br />accessed using the Gain knob.</p>
<p begin="00:03:59.362" end="00:04:01.633" style="s2">Turning the Gain knob counterclockwise</p>
<p begin="00:04:01.633" end="00:04:04.309" style="s2">reviews images retrospectively,</p>
<p begin="00:04:04.309" end="00:04:06.484" style="s2">and moving the Gain knob clockwise</p>
<p begin="00:04:06.484" end="00:04:09.220" style="s2">reviews images prospectively.</p>
<p begin="00:04:09.220" end="00:04:11.546" style="s2">The frame number will change dynamically</p>
<p begin="00:04:11.546" end="00:04:14.691" style="s2">as the Gain knob is manipulated.</p>
<p begin="00:04:14.691" end="00:04:18.043" style="s2">Press the Zoom key to<br />activate the touch pad</p>
<p begin="00:04:18.043" end="00:04:21.685" style="s2">to pan the image to the area of interest.</p>
<p begin="00:04:21.685" end="00:04:25.441" style="s2">A measurement may be<br />performed on a frozen image.</p>
<p begin="00:04:25.441" end="00:04:29.229" style="s2">Activate calipers by<br />pressing the Caliper key.</p>
<p begin="00:04:29.229" end="00:04:31.450" style="s2">Move the caliper to the point of interest</p>
<p begin="00:04:31.450" end="00:04:33.367" style="s2">by using the touch pad.</p>
<p begin="00:04:34.239" end="00:04:36.321" style="s2">To measure from the skin surface,</p>
<p begin="00:04:36.321" end="00:04:39.825" style="s2">place the caliper at the area of interest.</p>
<p begin="00:04:39.825" end="00:04:41.647" style="s2">An active measurement will be displayed</p>
<p begin="00:04:41.647" end="00:04:45.651" style="s2">in the bottom left corner<br />of the image display.</p>
<p begin="00:04:45.651" end="00:04:47.844" style="s2">To perform a linear measurement,</p>
<p begin="00:04:47.844" end="00:04:50.206" style="s2">place the caliper at the point of interest</p>
<p begin="00:04:50.206" end="00:04:52.727" style="s2">and press the Set key.</p>
<p begin="00:04:52.727" end="00:04:55.489" style="s2">Another caliper will be activated.</p>
<p begin="00:04:55.489" end="00:04:57.567" style="s2">Move the caliper to the point of interest</p>
<p begin="00:04:57.567" end="00:04:59.900" style="s2">to complete the measurement.</p>
<p begin="00:05:02.221" end="00:05:03.961" style="s2">Area measurements may be obtained</p>
<p begin="00:05:03.961" end="00:05:06.294" style="s2">by using the Ellipse Method.</p>
<p begin="00:05:15.048" end="00:05:17.385" style="s2">If further image optimization is needed</p>
<p begin="00:05:17.385" end="00:05:19.836" style="s2">based on the patient's body habitus,</p>
<p begin="00:05:19.836" end="00:05:23.342" style="s2">select the 2D Optimization<br />feature on page two</p>
<p begin="00:05:23.342" end="00:05:26.225" style="s2">of the secondary controls.</p>
<p begin="00:05:26.225" end="00:05:28.710" style="s2">This feature automatically<br />adjusts features</p>
<p begin="00:05:28.710" end="00:05:32.877" style="s2">such as focal zones, transducer<br />frequency, and bandwidth.</p>
<p begin="00:05:34.232" end="00:05:37.578" style="s2">Res provides the best resolution possible.</p>
<p begin="00:05:37.578" end="00:05:41.740" style="s2">Gen provides a balance between<br />resolution and penetration.</p>
<p begin="00:05:41.740" end="00:05:45.547" style="s2">Pen provides the best<br />possible penetration.</p>
<p begin="00:05:45.547" end="00:05:48.655" style="s2">Color Doppler may be<br />used to quickly identify</p>
<p begin="00:05:48.655" end="00:05:51.803" style="s2">where blood flow is<br />located in a structure.</p>
<p begin="00:05:51.803" end="00:05:54.865" style="s2">Press the Color key to<br />activate Color Doppler</p>
<p begin="00:05:54.865" end="00:05:57.328" style="s2">or Color Power Doppler.</p>
<p begin="00:05:57.328" end="00:05:59.833" style="s2">A region of interest or ROI box</p>
<p begin="00:05:59.833" end="00:06:02.664" style="s2">will appear in the center of the screen.</p>
<p begin="00:06:02.664" end="00:06:06.831" style="s2">Use the touch pad to change<br />the position of the ROI box.</p>
<p begin="00:06:07.962" end="00:06:10.413" style="s2">The system settings for<br />color will be displayed</p>
<p begin="00:06:10.413" end="00:06:13.679" style="s2">in the top left corner of the screen.</p>
<p begin="00:06:13.679" end="00:06:17.059" style="s2">Use the Gain knob to adjust<br />the overall color gain level</p>
<p begin="00:06:17.059" end="00:06:20.895" style="s2">for Color Power Doppler or Color Doppler.</p>
<p begin="00:06:20.895" end="00:06:22.838" style="s2">When you freeze a color image,</p>
<p begin="00:06:22.838" end="00:06:24.701" style="s2">the Gain knob can also be used</p>
<p begin="00:06:24.701" end="00:06:28.618" style="s2">to review individual<br />frames in the cine buffer.</p>
<p begin="00:06:29.978" end="00:06:33.395" style="s2">Press the 2D key to return to 2D imaging.</p>
<p begin="00:06:34.662" end="00:06:36.568" style="s2">When you are ready to store your image,</p>
<p begin="00:06:36.568" end="00:06:39.229" style="s2">press the Save key to save the image</p>
<p begin="00:06:39.229" end="00:06:41.847" style="s2">to the internal storage.</p>
<p begin="00:06:41.847" end="00:06:45.797" style="s2">The capacity of the internal<br />storage is four gigabytes,</p>
<p begin="00:06:45.797" end="00:06:48.380" style="s2">or approximately 32,000 images.</p>
<p begin="00:06:49.644" end="00:06:53.036" style="s2">To save an image clip, press the Clip key.</p>
<p begin="00:06:53.036" end="00:06:55.796" style="s2">Clips are stored prospectively.</p>
<p begin="00:06:55.796" end="00:06:59.359" style="s2">The length of the clip can be<br />determined on the Clip menu.</p>
<p begin="00:06:59.359" end="00:07:03.526" style="s2">A clip length of two to 60<br />seconds can be selected.</p>
<p begin="00:07:07.013" end="00:07:09.794" style="s2">The clip may be reviewed by selecting List</p>
<p begin="00:07:09.794" end="00:07:13.877" style="s2">in the patient exam list,<br />and then pressing Play.</p>
<p begin="00:07:16.553" end="00:07:20.004" style="s2">When you have acquired all<br />images and clips for the study,</p>
<p begin="00:07:20.004" end="00:07:23.451" style="s2">press the Patient key and choose End Exam</p>
<p begin="00:07:23.451" end="00:07:26.303" style="s2">from the onscreen menu<br />to finalize the exam</p>
<p begin="00:07:26.303" end="00:07:27.803" style="s2">and end the study.</p>
<p begin="00:07:28.998" end="00:07:32.068" style="s2">This concludes this brief<br />review of imaging modes</p>
<p begin="00:07:32.068" end="00:07:36.525" style="s2">and system controls to<br />optimize the ultrasound image.</p>
<p begin="00:07:36.525" end="00:07:39.901" style="s2">For an extensive review of<br />system features and functions,</p>
<p begin="00:07:39.901" end="00:07:43.151" style="s2">please refer to the system user guide.</p>