M-Turbo

- [Voiceover] The screen layout includes the patient header
at the top of the screen,
which displays the current patient name, ID number,
institution, and date and time of the study.
The symbols displayed on the right of the screen
provide information about system status.
There is information on the exam type, transducer,
AC connected, battery level, and a number indicating
the amount of internal storage remaining.
The system meets the AIUM standard by providing
a continuous display of the mechanical index.
When the image is frozen, you can select a frame
by scrolling with the gain knob, touch pad, or arrow keys.
This number indicates the frame displayed.
If the A and B shortcut keys have functions assigned,
an icon for each key will be displayed here.
If a USB memory stick is in use, a USB icon
will be displayed to indicate it is active.
Just to the left of the symbols, the depth marker
displays marks in 0.5 centimeters, 1 centimeter,
and 5 centimeter increments, depending on the depth.
The mode data is displayed at the top left of the screen.
The current image mode information, such as Gen, Res, Pen,
THI, SonoHD, or SonoMB, will be displayed here.
When color Doppler is active, the pulse repetition frequency
will be displayed.
When pulse Doppler is active, the pulse repetition frequency
will be displayed and information regarding the angle
of the ROI box, the sample line angle,
and the sample volume size will be displayed.
If a calculation package has been selected,
the calculation menu and measurement results
will be displayed to the bottom left of the screen.
This completes the overview on the system control panel
and screen layout.
Now that you are finished with the overview of the system,
you are ready to scan.

Brightcove ID

5508121173001

https://youtube.com/watch?v=HNRPRrMlg80

M-Turbo: Performing an Ultrasound Exam

Read more about M-Turbo: Performing an Ultrasound Exam

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Learn basic system functions for scanning with your Sonosite M-Turbo® Ultrasound System.

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- [Voiceover] This sort video will outline the steps
to optimize the ultrasound system
to perform an examination.
To start this study, press the Patient Key.
Enter the information into the appropriate fields,
including patient name, ID number,
date of birth, gender, and exam type.
When you have completed patient information entry,
press Done.
The Exam Type symbol will now indicate
the exam type that has been selected.
Use the coupling gel to remove any air
between the transducer face and the skin surface.
The system has advanced image optimization technology
that greatly simplifies user controls.
Many of the controls such as Tissue Harmonic Imaging,
SonoMB,
and SonoHD
are automatically activated with exam type.
Therefore only a few controls
may need to be adjusted to obtain the best image quality.
This tutorial will review the key functions
that are used most frequently when optimizing an image.
Please refer to the user manual for a complete explanation
of all controls that may be adjusted.
Once you have located the area of interest,
adjust the depth of image to center the area of interest
in the middle of the image display.
As you adjust the depth,
the maximum depth number changes
in the lower right corner of the screen.
Select to the desired optimization setting
from the onscreen menu.
Res provides the best resolution possible.
Gen provides a balance between resolution and penetration.
Pen provides the best possible penetration.
For quick optimization of the gain settings on the system,
press the Auto Gain key.
The system will evaluate the image and apply the appropriate
gain level settings to the image.
If you would prefer to change the gain settings manually,
turn the Near, Far, or Gain knobs on the lower left side
of the control panel to increase or decrease
the amount of gain applied to the Near field,
Far field, or the Overall image.
You may save the image you have frozen
or review individual frames in the cine buffer.
The cine buffer can be accessed
using the touch pad or Gain knob.
Moving across the touch pad or turning the Gain knob
to the left reviews images retrospectively.
And moving to the right reviews images prospectively.
The frame number will change dynamically as the touch pad
or Gain knob is manipulated.
A measurement may be performed on a frozen image.
Activate calipers by pressing the Caliper key.
Move the caliper to the point of interest
by using the touch pad.
An active measurement will be displayed
in the bottom left corner.
To perform a linear measurement,
place the caliper at the point of interest
and press the Set key.
Another caliper will be activated.
Move the caliper to the point of interest
to complete the measurement.
Area measurements may be obtained
by using the Ellipse or Manual Trace methods.
To label the image, select the Text key on the keyboard.
You may select a text label from the annotation lists
or type the label on the screen.
When you are ready to store your image,
select Save to save the image to the internal storage.
Approximately 64,000 images may be stored
on the internal storage.
Press the Freeze key or 2D Mode key
to return to live imaging.
Press the Color key to activate Color Doppler
or Color Power Doppler.
A region of interest, ROI box,
will appear in the center of the screen.
Use the touch pad or arrow keys on the control panel
to change the position or size of the ROI box.
Use the Select key to toggle
between changing position or size of the ROI box.
The settings for color will be displayed
in the top left corner of the screen.
Select the desired sensitivity
from the onscreen context menu.
Low optimizes the system for low flow state.
Med optimizes the system for medium flow states.
High optimizes the system for high flow states.
Use the Gain knob to adjust the overall color gain level
for Color Power Doppler or Color Doppler.
You may freeze a color image to save
or review individual frames in the cine buffer.
Just as in 2D imaging,
the cine buffer can be accessed using the touch pad,
Gain knob, or arrow keys.
Press the 2D or Color key to return to 2D imaging.
Color Doppler may be used to quickly identify
where blood flow is located in a structure.
Pulsed Wave Doppler may be used to detect
and measure the velocity of blood flow through a vessel.
To activate Pulsed Wave Doppler,
press the Doppler key.
A Doppler sample line will appear.
Use the touch pad or arrow keys
to place the sample line in the blood vessel.
Note that the color ROI box
is tied to the Doppler sample line.
Press the Doppler key again
to activate the Doppler Spectral Trace.
Press the Update key to toggle
between the Doppler Spectral Trace and 2D imaging.
Select Freeze to stop the Doppler Spectral Trace
when an adequate sample is obtained.
To review the trace at different points in time,
use the touch pad, arrow keys, or Gain knob
to access the cine buffer.
Measurements may be performed on the Doppler Spectral Trace
by selecting the Caliper key or Calcs menu key.
If desired, press the Save key to save the image
with the measurements displayed.
Press the Freeze key to return
to the live Doppler Spectral Trace
or press 2D Imaging to exit Pulsed Wave Doppler.
When you have acquired all images for the study,
press the Patient key and choose End Exam
from the onscreen menu
to finalize the exam and end the study.
This concludes this brief review of imaging modes
and system controls to optimize the ultrasound image.
For an extensive review of system features and functions,
please refer to the system user manual.

Brightcove ID

5508120226001

https://youtube.com/watch?v=S-wojEALpW8

M-Turbo: Image Review and Export

Read more about M-Turbo: Image Review and Export

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Learn how to review and export images on your Sonosite M-Turbo® Ultrasound System.

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- [Voiceover] This video will demonstrate how to
save images in clips, recall these images for review,
archive, or export images to a USB device.
Images or clips of the ultrasound study,
may be obtained and saved
to internal storage on the system.
To save a frozen image,
select the save button.
Images of the screen display or patient reports
can be saved to print or export.
To save a clip,
press the save clip key.
A clip length of 2 to 60 seconds can be selected.
To view a report of all patient data and measurements,
select the report key.
This information can be saved
with a patient exam by pressing the save key.
Each page of the report can be viewed
by pressing the next key in the on-screen menu.
Save each page of the report to include
with the patient exam information.
Press the review key to view a patient list.
The patient list displays all exams stored
on the internal storage of the ultrasound system.
The list can be displayed alphabetically
or by the order of archival.
A to Z, Z to A, or most recent, or earliest.
The header at the top of the screen
identifies patient and image information for the study.
This includes patient name, ID number,
date and time of the exam,
the sonographer's initials, and connectivity.
Completed, suspended, archived.
To review a patient exam,
use the up and down arrows
to select a patient exam from the list.
The exam highlighted in white is active.
To select a patient exam to archive,
check the box on the left.
To choose additional patients,
just scroll down and select each exam.
Notice each patient exam has a check mark
to indicate it is included.
Once you have completed the selection,
select export to send all images
to the USB device or archival device.
Up to three USB devices may be connected
to the system at one time.
Select the USB device prior to exporting images.
This is a brief overview of image review and archival.
For more complete information,
please refer to the user manual.

Brightcove ID

5508134318001

https://youtube.com/watch?v=ZWCKKi5sQ3Q

How to: FAST Exam: System Set Up

Read more about How to: FAST Exam: System Set Up

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Learn the M-Turbo system startup sequence for the FAST exam.

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- The FAST exam.
The FAST stands for
focus assessment with sonography for trauma.
It's a classic fore-exam view of the torso.
There's also what's also described
as a extended FAST that includes
a further examination of the lung,
which we'll take you to in a later segment,
as well as long bones,
as well as expanded views of the heart.
Let's go ahead and start with the basic FAST exam.
First thing you're going to do, is choose your transducer.
For the FAST exam you're gonna want to use
a phased array transducer.
We've chosen a phased-array transducer for the FAST exam
for a particular reason.
The small, tiny footprint of the transducer
allows us to do great intercostal scanning,
it also provides great echocardiac graphic examinations
allowing us to get good views of the full torso.
Now we're gonna choose the exam type on the machine.
We'll hit the exam button,
we'll choose the type examine that we want,
we'll hit select and we will be ready
to start the FAST exam.
Who do you do a FAST exam on?
Anyone that you're worried about serious internal injury.
That would be a blunt trauma or a penetrating trauma.
Now the areas I'm gonna examine carefully
would be the peritoneal space,
the pericardial space, and the pleural space.
And I'm gonna take you through these one-by-one.
Often what comes up is which space do you evaluate first?
Certainly if it's blunt trauma we're gonna look
at the peritoneal space first,
so we're gonna start really at Morison's pouch,
and if it's a penetrating injury
I like to start at the heart first.
So we're gonna examine the pericardial space first.

Brightcove ID

5726740432001

https://youtube.com/watch?v=klqeADRgvkM

M-Turbo: Brachial Plexus Supraclavicular Level - 2 Post Injection

Read more about M-Turbo: Brachial Plexus Supraclavicular Level - 2 Post Injection

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Clinical Specialties

Anesthesiology (Regional)

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Image

M-Turbo: Abdomen 03

Read more about M-Turbo: Abdomen 03

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M-Turbo: Spleen Longitudinal.

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Advanced Needle Visualization for Primary Care

Read more about Advanced Needle Visualization for Primary Care

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Sonosite's Advanced Needle Visualization brightens the appearance of the needle at the touch of a button. This video discusses the technology from the perspective of a primary care physician.

Testimonial

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- Soon as we turn on the function of the
advanced neo visualization, the image quality stays the same
and we just see greater echos when we insert the needle.
So I haven't noted any decrement to the
image resolution and quality.
In my practice it's really added increased speed.
I'm getting to the target more directly with less time.
Getting in and out, which always makes the patient happier
and certainly it reduces the amount of pain
that might be involved in a procedure.
- So the ability to see the needle going through tissue
makes their clinical procedures safer,
makes it faster, obviously better for the patient.
- It appears maybe two, three, four times brighter.
Seems to have a better echo during the entire procedure.
- Basically, the enhanced visualization technology
is a softer grade, and it's very easy to use.
There's no extra equipment or specialty needles
that have to be part of the procedure.
Hard to close, it works with any needle out there,
and it's basically available at the push of a button.
- The beauty of it is that there really is no setup time.
It actually speeds up the procedure
'cause it's easier to see the needle.
So if anything it's a time saving technique.
I think it really can enhance learning
and becoming competent in performing aspirations
and biopsies and a variety of different
needle localization techniques
in a much quicker, safer fashion.
- There's really no other competitor that has
anything quite like what we're doing.
There's a few technologies out there
that try to help see the needle tip.
The bigger issue I see with those
is that they take a long time to set up,
and they're also expensive.
There's hardware involved.
This was a proprietary software algorithm
that we can upgrade any turbo or S system on the market.
- You get all the visualization that you really need
and you don't need to use any special needles,
you don't need to use a larger needle.
The larger the caliber of the needle,
the more painful and the more potential for complications
so I get great visualization with a 25 gauge needle.
- The reason we're excited is because now we can
for the first time say that stick needle angles
are no longer a problem for ultrasound imaging.
- I think it's one of our biggest
breakthroughs in a long time,
and again it meets the criteria.
It addresses a real problem that our customers
and our clinicians are dealing with every day.
It's inexpensive, it's simple, and it works.
- It is a game changer in the market
of ultrasound guided procedures.
It's the speed, the ease of use,
the reduction of time to completion of the procedure,
the safety features, all of those are
a win-win situation for doctor and patient alike.

Brightcove ID

5508117994001

https://www.youtube.com/watch?v=uScA7ilzdvM