Summary of Contents for BK Medical Flex Focus 1202
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Advanced User Guide Type 1202 Flex Focus Ultrasound Systems English BB1946-S November 2018 For Professional Users Only...
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Any modification of or installation of software without written permission from BK Medical will immediately void any warranty supplied by BK Medical. Such changes will also void any service contract and result in charges to the customer for restoration of the original Flex Focus 1202 Ultrasound System.
Chapter 1 Before You Begin This user guide is for all versions of the Flex Focus 1202 Ultrasound System. Instructions apply to systems with a keyboard and systems with a touch screen and touch control panel. The Flex Focus 1202 User Guide includes an overview of all the documentation available for the system, including different user guides.
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Advanced key Workflow tabs NOTE: Keyboard is a fourth workflow tab available on systems with a touch control panel. Figure 2-1. The monitor user interface for the Flex Focus 1202. Flex Focus 1202 Advanced User Guide (BB1946-S) The User Interface...
Figure 2-2. Finding a Pro Package from the list of all Pro Packages. For information about examination types, see Chapter 8, “Pro Packages” on page 93. 14 Chapter 2 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
You can customize which measurement and image data are displayed, where they are Customizing displayed on the monitor, and the font size for measurements. For more information about this customization, see Appendix E, “Configuring the Flex Focus 1202” or consult your BK representative. Workflow Tabs Workflow tabs follow the typical workflow of a patient examination.
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It contains controls for the measurements and annotations that are set up for the examination type. Click More Meas., More Bodymarks or More Labels to see more measurements More or annotations than are immediately shown on individual screen keys. 16 Chapter 2 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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For example, pressing Shift and A results in an upper-case A. For the same time same result on the on-screen keyboard, you press the keys one at a time: first Shift, Flex Focus 1202 Advanced User Guide (BB1946-S) The User Interface...
This may take a few seconds. Autofocus Ensure that the focal range is centered in the displayed image. Flex Focus 1202 Advanced User Guide (BB1946-S) Controls on the Monitor...
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Depth + Increase maximum tissue depth shown (decrease image magnification). You can configure this so that it increases magnification. D. Freq. Change Doppler frequency. 20 Chapter 3 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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On the image tab, click Advanced. On the System tab, enter name of hospital or Hospital Name institution. Adjust hue in 3D viewer. Import Licenses Import license keys from a file. Flex Focus 1202 Advanced User Guide (BB1946-S) Controls on the Monitor...
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Specify the transparency (opacity) of a structure in 3D rendering view. Orientation Display or hide orientation markers in 3D volumes. Double-click in the image to select and drag it. 22 Chapter 3 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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(within the range) in more detail. NOTE: The wall filter value will be changed automatically when you change the PRF value. Sculpture Turn sculpting of the 3D cube on and off. Flex Focus 1202 Advanced User Guide (BB1946-S) Controls on the Monitor...
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NOTE: When you change image orientation, you may need to adjust the TGC settings for the B-mode image. Undo Undo latest action for measurements, annotations, or sculpting. Update See update on control panel. Toggle between B-mode and Doppler. 24 Chapter 3 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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Activates the X-Shine function for best needle visibility. Toggle between On+, On- and Off. Xtal / Plane Change crystal on 2052. Change imaging plane on 8848. Zoom Zoom 3D volume. Flex Focus 1202 Advanced User Guide (BB1946-S) Controls on the Monitor...
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When you freeze the image, the date and time displayed on the monitor are also Date and time of frozen frozen, so the time displayed on a printed image is the time the image was frozen, not image the time it was printed. Flex Focus 1202 Advanced User Guide (BB1946-S) Working with the Image...
The 2 views in a split screen can both be imaging simultaneously; in this case, freezing and unfreezing affect both images. To turn simultaneous imaging on and off: Click Simultan. • 28 Chapter 4 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Long click the label you want to remove. • To edit a label on the image: Click the label on the image and type the changes you want. • Flex Focus 1202 Advanced User Guide (BB1946-S) Working with the Image...
Unless you delete it or replace it with a new one, a bodymark will remain on the monitor until you change Pro Packages or begin to image a new patient. 30 Chapter 4 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Freeze the image, and when the Measure and Mark tab opens, click • Advanced. Cine indicators are displayed at the upper right of the tab, depending on the active pro package. Flex Focus 1202 Advanced User Guide (BB1946-S) Working with the Image...
Make measurements on the image or save it in the usual way. When you move a cine image after you make a measurement, the measurement NOTE: result remains, but the markers disappear (because the underlying image is different). 32 Chapter 4 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
NOTE: information about purchasing the PiP option, see the Product Data sheet. To run the PiP software, you must have a license from BK Medical. For information about activating the PiP option, see “Licenses” on page 250. Picture in Picture (PiP) lets you view two types of images at the same time, on the same monitor: an ultrasound image and a video image.
PiP Window Contents Not Active Video from external video signal Active Ultrasound image Table 4-1. Contents of the PiP window when it opens. To turn off PiP: Click PIP. • 34 Chapter 4 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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Click inside the PiP window and then press to increase or decrease the • window frame size. When you are finished, the PiP window changes size to fit the frame. Flex Focus 1202 Advanced User Guide (BB1946-S) Working with the Image...
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Repeat this until you have positioned all the markers for the measurement. The look of the markers themselves and of any lines that connect them depend NOTE: on what you are measuring. Flex Focus 1202 Advanced User Guide (BB1946-S) Making Measurements...
When the first marker is positioned, a second one appears for you to position. Pressing the Measure key starts a distance measurement. NOTE: 38 Chapter 5 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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If you have chosen to measure 2 angles, additional markers appear for you to measure another angle (beta) with the first line. Flex Focus 1202 Advanced User Guide (BB1946-S) Making Measurements...
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Figure 5-3. Using the circle measuring tool. After the markers have been positioned, you can move any of them by clicking and dragging to a new location. Click again. 40 Chapter 5 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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Figure 5-6. Drawing an ellipse. The first 2 markers determine a line that is used as the axis of rotation if you use the ellipse to measure volume. Flex Focus 1202 Advanced User Guide (BB1946-S) Making Measurements...
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All markers positioned. First marker selected. First marker repositioned. All markers positioned. Third marker selected. Third marker repositioned. Figure 5-8. Repositioning markers in an ellipse you have drawn. 42 Chapter 5 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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Figure 5-10. Drawing a polygon. After the markers have been positioned, you can move any of them by clicking and dragging to a new location. Click again. Flex Focus 1202 Advanced User Guide (BB1946-S) Making Measurements...
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A drawing cursor appears. Drag it to where you want to start drawing. Click. A second marker appears where you clicked. Drag it to draw the shape you want. 44 Chapter 5 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Position first marker. First marker positioned; Second marker positioned; position second marker. measurement terminated. Figure 5-15. Positioning 2 point markers on a Doppler mode image. Flex Focus 1202 Advanced User Guide (BB1946-S) Making Measurements...
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Click again when you have positioned it where you want it. All lines positioned. First line selected. First line repositioned. Figure 5-18. Moving a vertical line marker you have placed on a Doppler mode image. 46 Chapter 5 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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When you have finished drawing, click the drawing cursor. Position starting point. Trace is drawn. Starting point positioned; draw trace. Figure 5-19. Drawing a freehand curve on a Doppler image. Flex Focus 1202 Advanced User Guide (BB1946-S) Making Measurements...
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Open the Patient window (see page 60). Enter patient information to start the exam. Click Capture to capture the current 2D frozen image, with any measurements. If the system is scanning, a clip capture will be started. Flex Focus 1202 Advanced User Guide (BB1946-S) Documentation...
Capturing 3D Data Sets 3D data sets are automatically saved to the patient archiving system. Saving Reports To save a report to the patient archiving system, click Save in the report. 50 Chapter 6 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Click the document thumbnail in the browser. • The frame around the document turns blue. To select or deselect all documents in the browser: On the Documentation tab, click All or None. • Flex Focus 1202 Advanced User Guide (BB1946-S) Documentation...
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DICOM printer or to a video printer. Closes current exam. Click Enter Patient... to start a new exam. End Exam Table 6-1. Documentation screen keys. 52 Chapter 6 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
To view externally stored documents: Insert a CD/DVD or insert a USB storage device into the USB connector on the left side of the keyboard. Click the CD/USB tab at the bottom of the Archive window. Flex Focus 1202 Advanced User Guide (BB1946-S) Documentation...
Explorer to view the contents of your external storage medium. ® Open the folder called Codec. Right-click the file called lagarith.inf and click Install. The codec is installed. Lagarith version 1.3.27.0 is required. NOTE: 54 Chapter 6 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
See “Using CD/DVDs” on page 56 and “Using a Network Drive” on page 58. Archiving must be done to an empty CD/DVD. After you have archived NOTE: documents to a CD, you cannot use the same CD again for archiving. Flex Focus 1202 Advanced User Guide (BB1946-S) Documentation...
If you try to copy or archive documents and the total size, including what is already in the staging area, is too big to fit on a CD/DVD, you are informed that you cannot copy the documents to the staging area. 56 Chapter 6 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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Figure 6-3. The staging area browser in the Burn CD window. The list on the left side contains a list (labeled with the time) of selections you have put in the staging area. Flex Focus 1202 Advanced User Guide (BB1946-S) Documentation...
To access the network drive from the system, you need to log on to the network using your network username and password. There are 3 ways you can do this: 58 Chapter 6 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Press the Patient key or click the patient ID at the top of the monitor. In the window that opens, click the Archive tab. A list of examinations is displayed, including each examination for each patient. Each row represents one examination of one patient. Flex Focus 1202 Advanced User Guide (BB1946-S) Documentation...
Click More, then Start new exam without clearing the image. • Examination List The Examination List contains patient IDs, names, and other information about patients in the patient archive, including the date of the last examination. 60 Chapter 6 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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Patients with committed Not applicable All patients with committed documents documents. Patients with discontinued Not applicable All patients with discontinued examinations examinations. Table 6-3. Ways to select the patients displayed in the Examination List. Flex Focus 1202 Advanced User Guide (BB1946-S) Documentation...
All local documents for the exam are deleted. The exam is deleted in the patient archive if documents for the patient have not been externally archived (that is, if they only appeared locally in the patient archiving system). 62 Chapter 6 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Open the Archive window and click Pause Exam. • To resume a paused examination: Open the Archive window. From the Examination List, select an exam with the status Pause. Click Resume Exam. Flex Focus 1202 Advanced User Guide (BB1946-S) Documentation...
If you have clicked Emergency in the login window, do not send pictures to a NOTE: PACS because they will be identified as EmergencyID and you will not be able to identify pictures from different patients. 64 Chapter 6 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
See page 53 for more information. Creating a Report To create a report: On the Documentation tab, click Report. • Flex Focus 1202 Advanced User Guide (BB1946-S) Documentation...
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Comments put in the Patient window appear in the report. You can type in up to 4 lines of remarks on the first page of the report. 66 Chapter 6 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
You cannot use an office printer directly with the USB connector on the system. The only printers you can connect directly to the system are ones listed as approved in the Product Data information. See also the Safety chapter in the Flex Focus 1202 User Guide.
Click the x in the top right corner of the list menu to close the menu and save your changes. See Appendix E, “Configuring the Flex Focus 1202” for more details. You cannot use the printer while running on battery power. Capture the NOTE: images and select them later for printing when you are again using normal power.
(AIUM/NEMA and IEC) (see the acoustic output section in the Flex Focus 1202 User Guide), but you may want to set a lower TI limit for some purposes. There are 2 types of settings you can vary: Tissue type (TIS –...
To adjust focal range: Point at the Focus indicator and press +/-. • Click one of the focus boundary indicators. Drag it and click, or press +/-. • 70 Chapter 7 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
: The TGC curve operates on the monitor image, not on the ultrasound echo. NOTE Therefore, if you move or resize the image, you may have to readjust the TGC curve. Flex Focus 1202 Advanced User Guide (BB1946-S) Imaging Modes...
To adjust the depth: On the Image tab, click Depth + or Depth -. • Place the cursor in the image field and press the +/- key on the keyboard. • 72 Chapter 7 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
To return from a combined mode to B-mode only: Press the B-Mode key. • Pressing the key several times lets you toggle back and forth between B-Mode NOTE: B-mode and any combined mode. Flex Focus 1202 Advanced User Guide (BB1946-S) Imaging Modes...
AMA can be used in B-mode, Color mode and Doppler mode. B-Mode In B-mode, the parameters that AMA adjusts are: Line density • Extended resolution • Number of focal zones • Multibeam • 74 Chapter 7 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
TEH can be used only with transducers that support harmonic imaging. Each Preset that permits TEH has default settings for overall gain, TGC gain, contour level, and contrast level for tissue harmonic imaging. Flex Focus 1202 Advanced User Guide (BB1946-S) Imaging Modes...
X-Shine uses an adjustment of ACI (Angular Compound Imaging) plus improved focusing to help the user visualize the needle during interventional procedures. A needle icon indicates where you will get the best visibility. 76 Chapter 7 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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X-Shine is available as an option (license) on specific models. See the Product Data Sheet for which models. Figure 7-2. Image showing the X-shine icon and inserted needle Flex Focus 1202 Advanced User Guide (BB1946-S) Imaging Modes...
You can add the X-Shine buttons to the monitor controls on the screen. Choose one of the X-Shine keys and also add the Needle Strength key to improve needle visibility: Figure 7-4. X-Shine slider button, X-Shine Toggle and Needle Strength slider 78 Chapter 7 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
• Variance • Velocity + Variance • Vector Flow Imaging (VFI) • Two submodes are available in Power mode imaging: Power (power Doppler) • Power + Direction (directional power Doppler) • Flex Focus 1202 Advanced User Guide (BB1946-S) Imaging Modes...
Doppler spectrum. The color bar is different in the 2 Power submodes. In Power + Direction, the bar is vertical but the intensity changes in the horizontal direction. 80 Chapter 7 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
NOTE: and the 8822 vascular transducer, and certain Pro Packages and Presets. It requires a Vector Flow Imaging license from BK Medical. It is recommended only to use Vector Flow Imaging up to a depth of 30 mm of the...
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Saturation/Brightness = Speed The center of the square is black. Black indicates zero flow. 82 Chapter 7 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
(toward or away from the transducer), especially in low flow situations with correspondingly low PRF. These artifacts will not affect the color mode (CFM) image, so it is important to check in B-mode. Flex Focus 1202 Advanced User Guide (BB1946-S) Imaging Modes...
Pressing Doppler Gate will also adjust the Doppler baseline. If the initial Scale/PRF is far from correct, or the Doppler baseline is not adjusted correctly, it may be necessary to press Doppler Gate more than once. Flex Focus 1202 Advanced User Guide (BB1946-S) Imaging Modes...
WARNING VFI-w6 Check to make sure that the Doppler spectrum does not alias. Otherwise, the real-time Doppler volume flow measurement may not be precise. spectrum aliasing 86 Chapter 7 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Outline of VFI Workflow The screen capture below outlines the main features of the VFI workflow: Asymmetric Doppler gate Volume flow rate estimation Figure 7-11. Outline of VFI workflow. Flex Focus 1202 Advanced User Guide (BB1946-S) Imaging Modes...
The dotted line represents the Doppler line. The lines at right angles to Fig 7-13 (a) that show the Doppler gate. A diagonal line (relative to the Doppler line) indicates a sample volume Fig 7-13 (b) with angle correction. 88 Chapter 7 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
HPRF (high PRF) is automatically used. When HPRF is active, the Doppler line shows the actual sample volume, and false sample volumes (shown dotted). See Fig 7-13 on page 88. The false sample volumes should always be placed outside a vessel. Flex Focus 1202 Advanced User Guide (BB1946-S) Imaging Modes...
B-mode image, they are applied to the M-mode image. The M-Mode Image When M-mode is selected, the monitor is divided into two windows (see Fig 7-14). You can adjust how the two windows are displayed. 90 Chapter 7 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
When you have changed the setup, you can save it as a new Preset. To save a Preset: On the Image tab, click Advanced. Then click Save. The Save Preset window appears. Flex Focus 1202 Advanced User Guide (BB1946-S) Imaging Modes...
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Pro Package. (Puncture guide or brachy matrix settings will be saved as part of the setup.) Click Save. 92 Chapter 7 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Read have read the warnings in the Puncture and Brachytherapy section of the Safety puncture and brachy- chapter in the Flex Focus 1202 User Guide. therapy warnings WARNING P-w1 Before you start imaging, verify that the type number or name of the transducer and the...
Continue to position all needed markers. After you have positioned all the markers, the result appears on the left side of the monitor, at the bottom (see Fig 2-1 on page 13). 94 Chapter 8 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
The correct placement of vascular calculation markers is indicated in the figure; their abbreviations are as follows: Start systole Minimum diastole Peak systole End diastole End systole Flex Focus 1202 Advanced User Guide (BB1946-S) Pro Packages...
ST Dist 2 – Measures the residual lumen of the vessel. • The ST Dist value is updated continuously on the monitor; if you move one of the markers, you reposition the markers. 96 Chapter 8 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Figure 8-2. Measuring TAM on the Doppler spectrum. To measure TAM or TAMX using the automatic Doppler curve: Click Auto and make sure that TAM or TAMX is selected. Flex Focus 1202 Advanced User Guide (BB1946-S) Pro Packages...
RI (Resistance Index) To calculate RI and the A/B and B/A ratios, place one marker to measure Peak Systolic Frequency (PS) and one to measure End Diastolic Frequency (ED). 98 Chapter 8 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Real-Time Measurements The following measurements can be made and displayed in real time so that they are continually updated during imaging: • • • • TAMX • • • • Flex Focus 1202 Advanced User Guide (BB1946-S) Pro Packages...
Carotid Measurements Structured Reporting You can measure velocities and ratios at three sites: proximal, mid and distal. 100Chapter 8 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
For detailed instructions for using the measuring tools, see “Measurements and Calculations” on page 37. For more information about Doppler measurements, see “Doppler Measurements” on page 95. Flex Focus 1202 Advanced User Guide (BB1946-S) Pro Packages...
(AT) and longitudinal plane (AL). To make an empirical volume calculation: On the Measure and Mark tab, click Ellipse and draw an ellipse to outline the organ. 102Chapter 8 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
NOTE: puncture and sure you have read the warnings in the Puncture and Brachytherapy section of the brachy- Safety chapter in the Flex Focus 1202 User Guide. therapy warnings For information about calculating PSAD with the Brachy Pro Package, see PSAD “Calculating PSAD”...
To make a planimetry calculation: Record a B-mode image at the far end of the organ. Move the transducer back one step. Freeze the image. On the Measure and Mark tab, click Pr-Planimetry. 104Chapter 8 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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The largest area that can be seen. • The two sections must be: At right angles to each other. • At right angles to the transducer axis. • Taken from the same transducer position. • Flex Focus 1202 Advanced User Guide (BB1946-S) Pro Packages...
Click the Type number or brachy matrix name displayed at the top of the image area. Click the puncture guide or brachy matrix you want. To remove the brachy matrix from the monitor: Press the Puncture Guide key. • 106Chapter 8 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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You can set up the system so that a vertical 0 line is always visible, along with NOTE: the markers as shown in Fig 8-6. User-Definable Brachy Matrix and Ruler You can also define your own brachy matrix and ruler. See page 243. Flex Focus 1202 Advanced User Guide (BB1946-S) Pro Packages...
Nuchal translucency measurements require special training. See the caution in the Measurements section of the Safety chapter in the Flex Focus 1202 User Guide. 1. This system is not market cleared by the FDA for IVF use in the USA.
Here is an example of a report. A previous BPD measurement was entered in the Patient window to be used as a basis for the curves. The reports on the system will not look exactly like the one illustrated here. NOTE: Flex Focus 1202 Advanced User Guide (BB1946-S) Pro Packages...
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Figure 8-8. Campbell BPD curve in OB report. Fig 8-9 shows the position of the AC measured today compared to AC reference curves based on the BPD measured previously. 110Chapter 8 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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The report page shown in Fig 8-11 shows how much the fetal weight measured today deviates from the fetal weight expected for today’s gestational age. Today’s gestational age is predicted from the previously measured BPD and the elapsed time. Flex Focus 1202 Advanced User Guide (BB1946-S) Pro Packages...
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Current FW Figure 8-11. Warsof fetal weight curve in OB report. 112Chapter 8 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Please see Getting Started with Flex Focus for basic controls. Read transducer user guides for more information before doing biopsies. Read Care and Cleaning for sterilization instructions. Read Flex Focus 1202 User Guide before using the system. Contents Presets •...
The shape of the TGC curve is temporarily displayed to the right of the image as a curved vertical line. Split Screen Adjust imaging in full screen before using split. Imaging changes in one screen do not affect the other screen. 114Chapter 9 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
To use VFI - Vector Flow Imaging: On the Color tab, click the Submode screen key. Click VFI to select it as the submode. You must have a license from BK Medical ApS to use VFI. VFI is only NOTE: available for some transducers.
NOTE: means that clicking it will cause a drop-down list to be displayed. 1. VF (auto) means Volume Flow based on Auto TAM, where TAM is Time Average Mean. 116Chapter 9 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
To set a default position for system labels (labels that you click to select): Position label on image. System labels Click Advanced and then click on circle on top right of label. Click Settings... Flex Focus 1202 Advanced User Guide (BB1946-S) Vascular Pro Package...
Drag it to the position you want, and click again. Setting default position: Position bodymark on image. Click Advanced and then click on circle on top right of bodymark. Click Settings... Click Set as Default Position. 118Chapter 9 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Check boxes can be used to record the state of the blood vessel: COMP. Compression SPONT. Spontaneous PHASIC Phasic AUGM. Augmentation REFLUX Reflux This information can be recorded in a report. Flex Focus 1202 Advanced User Guide (BB1946-S) Vascular Pro Package...
(for example, RFA PS). Place cursor at peak systole and click. Peak systolic velocity (PS) is displayed. Using Reports Setting up a report: On the Documentation tab, click Report. 120Chapter 9 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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Edit the report if you need to. You can edit in the report itself or on the editing Edit a report measurement tab for the report. To change a measurement, click the number (measurement). In the figure below, that means click on 57.3. Flex Focus 1202 Advanced User Guide (BB1946-S) Vascular Pro Package...
Capturing Frozen Images Saving (capturing) images to system hard disk: Freeze the image. Click Capture. Thumbnail of saved image appears in the document browser at the top of the monitor. 122Chapter 9 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
The images are printed. To open a thumbnail image and then print it: Double-click the thumbnail image to open it. On the Measure and Mark tab, click Print. Flex Focus 1202 Advanced User Guide (BB1946-S) Vascular Pro Package...
Click the x in the top right corner of the list menu to close the menu and save your changes. See Appendix E, “Configuring the Flex Focus 1202” for more details. You cannot use the printer while running on battery power. Capture the NOTE: images and select them later for printing when you are again using normal power.
Click on circle top right of screen key. See the drop-down menu of possible choices. Select the label or bodymark you want by clicking on the circle next to it in the list. Flex Focus 1202 Advanced User Guide (BB1946-S) Vascular Pro Package...
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Make sure the image is not frozen. Click Advanced, then Customize. Click the Labels/Marks tab, and then, in the window that appears, the Miscellaneous tab. Uncheck Clear Labels on Unfreeze. 126Chapter 9 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Left Common Femoral Vein Valve Closure Time LSFJ VCT Left Saphenofemoral Junction Valve Closure Time LFVp VCT Left Femoral Vein Proximal Valve Closure Time LFVm VCT Left Femoral Vein Mid Valve Closure Time Flex Focus 1202 Advanced User Guide (BB1946-S) Vascular Pro Package...
Label, Bodymark, and Measurement” and Appendix E, “Configuring the Flex Focus 1202”) The tables and formulas that the system uses for calculations are in the Technical Data (BZ2100) on the User Documentation CD. 130Chapter 9 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Please see Getting Started with Flex Focus for basic controls. Read transducer user guides for more information before doing biopsies. Read Care and Cleaning for sterilization instructions. Read Flex Focus 1202 User Guide before system use. Contents Presets •...
B-Mode key on the keyboard. Transducer Orientation Trans Transducer 8837 Sag - Transducer mark to right shoulder • 8837 Trans – Mark to left shoulder • 132Chapter 10 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Adjust gain by turning the Doppler Mode key or using the Gain screen control. Press the Doppler Angle key to activate the Doppler angle control, then adjust the angle with +/- key or trackball. Flex Focus 1202 Advanced User Guide (BB1946-S) Cardiac Pro Package...
To set a default position for system labels (labels that you click to select): Position label on image. System labels Click Advanced and then click on circle on top right of label. 134Chapter 10 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Figure 10-1. M-Mode/LV Volume measurements. If you want to calculate BSA (Body Surface Area), click BSA and enter patient height and weight (in metric units) in the text box that appears. 136Chapter 10 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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When you are finished, click (press Select key). Calculations will be shown automatically on the screen for: EdV (End Diastolic Volume) • EsV (End Systolic Volume) • EF (Ejection Fraction) • SV (Stroke Volume) • Flex Focus 1202 Advanced User Guide (BB1946-S) Cardiac Pro Package...
Freeze Doppler spectrum. Measurement line appears. Place line at beginning of Doppler waveform. Another measurement line appears. Place this line at the end of the Doppler waveform. A cursor appears. 138Chapter 10 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
These marker positions are used to calculate amplitudes (CE, DE and CA), slopes (DE and EF), and the CA:CE ratio. HR (Heart Rate) In M-mode: In advanced screen, freeze M Mode image. Click LV tab. Flex Focus 1202 Advanced User Guide (BB1946-S) Cardiac Pro Package...
HR (with the desired number of beats to measure) and rename it. Cardiac Output Click CO (Cardiac Output) and measure the diameter for LVOT in B-mode. Figure 10-5. B-mode LVOT measurement. Click Color and/or Doppler. 140Chapter 10 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Reports can be saved as documents or captured NOTE: as images but cannot be printed directly from the thumbnails. In either case, open the thumbnail to print from the monitor. Flex Focus 1202 Advanced User Guide (BB1946-S) Cardiac Pro Package...
To print an image displayed on the monitor: Print images displayed on Press the Print key on the keyboard. • monitor You can customize how the Print key works. 142Chapter 10 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Click the x in the top right corner of the list menu to close the menu and save your changes. See Appendix E, “Configuring the Flex Focus 1202” for more details. You cannot use the printer while running on battery power. Capture the NOTE: images and select them later for printing when you are again using normal power.
• AMA is On. This means that both the frame rate and resolution are • automatically preserved when depth or color box size are changed. M-mode measurements only • 144Chapter 10 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Place the cross at the highest systolic excursion. Click MAPSE again. Place the next cross at the lowest diastolic excursion. The vertical distance is now measured between the two crosses. Flex Focus 1202 Advanced User Guide (BB1946-S) Cardiac Pro Package...
Redefining screen keys and configuring the appearance of on-screen • information, keys, input fields, etc. (Appendix D, “Redefining Screen Keys – Label, Bodymark, and Measurement” and Appendix E, “Configuring the Flex Focus 1202”) 146Chapter 10 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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The tables and formulas that the system uses for calculations are in the Technical Data (BZ2100) on the User Documentation CD. Flex Focus 1202 Advanced User Guide (BB1946-S) Cardiac Pro Package...
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Please see Getting Started with Flex Focus for basic controls. Read transducer user guides for more information before doing biopsies. Read Care and Cleaning for sterilization instructions. Read Flex Focus 1202 User Guide before system use. Contents Presets •...
The shape of the TGC curve is temporarily displayed to the right of the image as a curved vertical line. Split Screen Adjust imaging in full screen before using split. Imaging changes in one screen do not affect the other screen. 150Chapter 11 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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Changes you make to the offset of a programmable puncture guide will affect ALL Offset programmable puncture guides. This could lead to incorrect puncture lines for a different changes guide than the one you wanted to change. Flex Focus 1202 Advanced User Guide (BB1946-S) Neuro Pro Package...
When an annotation screen key is colored (different from the default color), it NOTE: means that clicking it will cause a drop-down list to be displayed. 152Chapter 11 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
To set a default position for system labels (labels that you click to select): Position label on image. System labels Click Advanced and then click on circle on top right of label. Flex Focus 1202 Advanced User Guide (BB1946-S) Neuro Pro Package...
Click it or click near it, so that a frame around it turns blue. Drag it to the position you want, and click again. Setting default position: Position bodymark on image. 154Chapter 11 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
A marker appears to use for measuring Width. Use the trackball to move the marker to the start position and click. Position the second marker and click to finish the Width measurement. Flex Focus 1202 Advanced User Guide (BB1946-S) Neuro Pro Package...
Click Cine Play on the right side of the monitor and press the +/- key to turn it on and off. The Document Browser Captured images are displayed as thumbnails in the document browser at the top of the monitor. 156Chapter 11 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Printing Images Displayed on the Monitor To print an image displayed on the monitor: Print images displayed on Press the Print key on the keyboard. • monitor You can customize how the Print key works. Flex Focus 1202 Advanced User Guide (BB1946-S) Neuro Pro Package...
Click the x in the top right corner of the list menu to close the menu and save your changes. See Appendix E, “Configuring the Flex Focus 1202” for more details. You cannot use the printer while running on battery power. Capture the NOTE: images and select them later for printing when you are again using normal power.
Select the key name (for example, Labels clear all) from the drop-down list that appears. Press Fn+C to save your new configuration and leave Configuration Mode. Flex Focus 1202 Advanced User Guide (BB1946-S) Neuro Pro Package...
• automatic communication of changes in ultrasound settings • Contact with the Company Contact your Brainlab representative, who can help you with the setup. 160Chapter 11 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
1 GB/s LAN minimum) transducer compatible with IGSonic for BK Medical: Craniotomy transducer • (8862) or Burr hole transducer (8863) transducer adapter for IGSonic for BK Medical with IGSonic reference array • license for IGSonic for BK Medical. •...
Restart the ultrasound system. Connecting to Brainlab Curve™ or Kick™ Cranial Navigation System Flex Focus Connections NOT USED Transducer connectors LAN connector Figure 11-5. Flex Focus LAN and transducer connectors 162Chapter 11 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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To connect using S-video: Connecting via S-video Connect the S-video output from the Flex Focus DVI/VGA to S-video • Converter Kit to the S-video input on the Brainlab Curve system. Flex Focus 1202 Advanced User Guide (BB1946-S) Neuro Pro Package...
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S-video Converter Kit to the S-video inputs on the Brainlab Kick system. via S-video Figure 11-10. The Y-cable for connecting S-video from the DVI/VGA to S-video Converter Kit to the Kick system. 164Chapter 11 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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Flex Focus. Test the Established Connections Make sure that the connection works, that is, that the Brainlab system can see the input from the Flex Focus. Flex Focus 1202 Advanced User Guide (BB1946-S) Neuro Pro Package...
Label, Bodymark, and Measurement” and Appendix E, “Configuring the Flex Focus 1202”) The tables and formulas that the system uses for calculations are in the Technical Data (BZ2100) on the User Documentation CD. 166Chapter 11 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
The 3D function of the Flex Focus can be purchased as an option. For more information, see the Flex Focus Product Data sheet that accompanies this user guide. To run the 3D software, you must have a license from BK Medical ApS. For information about activating the 3D option, see “Licenses” on page 250.
If there is a mismatch, the resulting volume can be mirrored. After you acquire the image, you must check the reconstructed volume to make sure that it is a correct representation of the data. 168Chapter 11 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Acquisition – see page 172 • Viewing – see page 173 • Working with the 3D image – see page 174 • Save, Capture and Close – see page 182 • Flex Focus 1202 Advanced User Guide (BB1946-S) 3D Imaging...
Check all the connections. Connect the mover, if needed. Choose the Preset you want. Optimize the 2D image. You cannot turn on 3D if the image is frozen. Unfreeze the NOTE: image 170Chapter 11 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Be especially careful if you have changed the orientation (either up/down or left/right) of the 2D image (changed its orientation). In this case, the system will not make any automatic adjustments of orientation before 3D acquisition. The effect Flex Focus 1202 Advanced User Guide (BB1946-S) 3D Imaging...
After you have acquired a 3D data set, it is displayed as a volume in the image area. You can select various ways of viewing the volume, and you can use various tools and settings to enhance the image. 172Chapter 11 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Measure (only in Cube view) – Shows or hides the measurement lines or • boundaries on the volume, the Measurement menu (on the right side of the monitor), and Measurement results (on the left side of the monitor). Flex Focus 1202 Advanced User Guide (BB1946-S) 3D Imaging...
You can then move the tilted cut plane in and out (slice) as described before. Moving the Volume To move the volume: Move the cursor so that it is inside the volume. Hold down the Shift key and the Select key. 174Chapter 11 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Move the cursor to where you want the label. Type the label. Click. (You can drag the label to reposition it before you click; however, after you click, you cannot edit the label, only delete it.) Flex Focus 1202 Advanced User Guide (BB1946-S) 3D Imaging...
Delete the user view that is currently selected. appear below Del. Figure 11-5. Options for User Views. The 6 Data Presentation Views There are 6 different ways you can view the 3D data set. 176Chapter 11 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
When you click (or double-click, in the case of a polygon) the final point for the measurement, a number appears next to the lines you have drawn. The number is used to label the measurement results. The results appear under the image. Flex Focus 1202 Advanced User Guide (BB1946-S) 3D Imaging...
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To make a volume measurement on a 3D Cube: Click Volume on the 3D General tab. Click Step and set the distance between slices of the cube that will be used for the volume measurements. 178Chapter 11 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Click Volume again to finish the volume measurement. For information about accuracy of measurements on acquired and NOTE: reconstructed planes, see the Flex Focus 1202 User Guide. WARNING 3D-w1 Measurements obtained with the 3D system and used in diagnosis must be carefully and thoughtfully performed to ensure accurate quantitative assessment.
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The longer you hold the Select key down, the more surface is removed. Release the Select key when you are finished. Displaying Sculpture Results Click Display to toggle between a view showing the result of sculpting and the unsculpted view. 180Chapter 11 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
This view has three orthogonal plane views and a view showing the positions of these intersecting planes within the volume. The planes can be moved by adjusting them in the intersecting view. Flex Focus 1202 Advanced User Guide (BB1946-S) 3D Imaging...
User Views, measurements and the result of sculpting. Capture – Saves the 3D volume document to the system hard disk. • Close – Closes the 3D viewer. • 182Chapter 11 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
The filename of an exported document specifies the date and time the image was captured. For example, 2D_20131022_135426_FV12345.dcn would be the label on an 2D image of patient FV12345 that was captured on October 22, 2013 at 1:54:26 P.M. (13:54:26). Flex Focus 1202 Advanced User Guide (BB1946-S) DICOM...
A document was not sent successfully. Table 12-1. DICOM status indicators. If you click the DICOM status indicator, the DICOM Status window appears. Figure 12-1. The DICOM status window. 184Chapter 12 November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
If you try to start or resume examinations on patients with discontinued examinations, you will be prompted to choose between these options: Continue the existing examination • Delete existing examination and start a new • Cancel • Flex Focus 1202 Advanced User Guide (BB1946-S) DICOM...
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A function that lets you review a series of previously acquired images. Select Click (long) Pointing at an on-screen control and pressing the key for at least 1 second. See Getting Started with Flex Focus. Flex Focus 1202 Advanced User Guide (BB1946-S)
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Adjusting the depth of a zoomed image changes the magnification even though the transducer surface is not necessarily visible at the top of the image. 188Appendix A November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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International Electrotechnical Commission. image review See cine. Intraoperative – during a surgical operation. In vitro fertilization. NOTE: This system is not market cleared by the FDA for IVF use in the USA. Flex Focus 1202 Advanced User Guide (BB1946-S)
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A technique to control the image area by using time delays on an array transducer. Pulsatility index. planimetry Measuring the surface area and perimeter of an object by tracing its boundaries. Point of interest. 190Appendix A November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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Start systole. steering You can steer the Doppler beam of a linear transducer to vary the beam angle. This can be useful for examining flow in blood vessels parallel to the transducer surface. Flex Focus 1202 Advanced User Guide (BB1946-S)
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Time Average Max. T-area Transverse Area. True echo harmonics. BK Medical ApS’s trademarked term for its pulse inversion tissue harmonic imaging system. Time gain control. The TGC curve determines variable amplification applied to echoes from different depths in the tissue.
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IVC VCT Inferior Vena Cava Valve Closure Time IVSd Interventricular Septal Thickness, diastole IVSs Interventricular Septal Thickness, systole Kidney (H, L, Vol or W) Length L Ellipse Empiric Longitudinal Ellipse 198Appendix B November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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Left Common Carotid Artery Distal Peak Systole LCCAm ED Left Common Carotid Artery Mid End Diastole LCCAm PS Left Common Carotid Artery Mid Peak Systole LCCAp ED Left Common Carotid Artery Proximal End Diastole Flex Focus 1202 Advanced User Guide (BB1946-S)
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Left Internal Carotid Artery Mid Peak Systole LICAp ED Left Internal Carotid Artery Proximal End Diastole LICAp PS Left Internal Carotid Artery Proximal Peak Systole LFAd Dia Left Femoral Artery Distal Vessel outside diameter 200Appendix B November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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Left Boyd's Perforating Vein Vessel outside diameter LPerf-B VCT Left Boyd's Perforating Vein Valve Closure Time LPerf-C Dia Left Cockett's Perforating Vein Vessel outside diameter LPerf-C VCT Left Cockett's Perforating Vein Valve Closure Time Flex Focus 1202 Advanced User Guide (BB1946-S)
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Left Posterior Tibial Vein Proximal Vessel outside diameter LPTVp VCT Left Posterior Tibial Vein Proximal Valve Closure Time LSClav ED Left Subclavian Artery End Diastole LSClavA PS Left Subclavian Artery Peak Systole 202Appendix B November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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Left Ventricular Outflow Tract Diameter, systole LVOT PFV Left Ventricle Outflow Tract Peak Flow Velocity LVPEP Left Ventricle Pre-ejection Period LVPWd Left Ventricle Posterior Wall Thickness, diastole LVPWs Left Ventricle Posterior Wall Thickness, systole Mean Abdominal Diameter Flex Focus 1202 Advanced User Guide (BB1946-S)
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Osaka Fetal Weight from Clinical Gestational Age Peak A Atrial Contraction Peak E Early Diastolic Flow PEP/ET LV Pre-ejection period/LV Ejection time Ratio Persson Persson Fetal Weight from Clinical Gestational Age 204Appendix B November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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Prostate Outline Peak Systole PS/ED Peak Systolic End Diastolic Ratio Prostate-Specific Antigen PSAD PSA density: PSA divided by prostate volume PSUA Peak Systole Uterine Artery RATV Dia Right Anterior Tibial Vein Vessel outside diameter Flex Focus 1202 Advanced User Guide (BB1946-S)
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Right Common Iliac Vein Vessel outside diameter RCIV VCT Right Common Iliac Vein Valve Closure Time RDPA Dia Right Dorsalis Pedis Artery Vessel outside diameter RDPA PS Right Dorsalis Pedis Artery Peak Systole Real-Time Real-Time 206Appendix B November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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RGSV-C VCT Right Great Saphenous Vein of Calf Valve Closure Time RGSV-T Dia Right Great Saphenous Vein of Thigh Vessel outside diameter RGSV-T VCT Right Great Saphenous Vein of Thigh Valve Closure Time Flex Focus 1202 Advanced User Guide (BB1946-S)
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Right Profunda Femoris Vein Vessel outside diameter RPFVp VCT Right Profunda Femoris Vein Valve Closure Time RPopA Dia Right Popliteal Artery Vessel outside diameter RPopA PS Right Popliteal Artery Peak Systole 208Appendix B November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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Right Soleal Vein Vessel outside diameter RSL VCT Right Soleal Vein Valve Closure Time R Thy-H Right Thyroid Height R Thy-L Right Thyroid Length R Thyroid Vol. Right Thyroid Vol. (Proc) R Thy-V Right Thyroid Volume Flex Focus 1202 Advanced User Guide (BB1946-S)
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Empiric Transversal Ellipse T Empiric Empiric Transversal T Freehand Empiric Transversal Freehand Time Average Mean Velocity by Manual Trace TAPSE Tricuspid Annular Plane Systolic Excursion Tibia Length THAP Thorax Anteroposterior Distance 210Appendix B November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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Velocity Time Integral Aortic Valve VTI LVOT Velocity Time Integral Left Ventricle Outflow Tract VTI MV Velocity Time Integral, Mitral Valve VTI PV Velocity Time Integral, Pulmonic Valve Width Williams Williams Fetal Weight from Clinical Gestational Age Flex Focus 1202 Advanced User Guide (BB1946-S)
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212Appendix B November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
DICOM setup (if licensed), page 255 • Pro Package and Presets To open the setup window for Pro Packages and Presets: Click the Pro/Setup tab. (This is the default start page when you open the • customization window. Flex Focus 1202 Advanced User Guide (BB1946-S)
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Restore factory default Presets. If you click this, a table appears where you can • select the setups to restore. Save the active Preset with a different name. • 214Appendix C November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
(like Freeze) to take place. Tod do this, select <Disabled>. (Pressing the button will still activate an inactive transducer, however.) The same key can have different functions in different Pro Packages. Flex Focus 1202 Advanced User Guide (BB1946-S)
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• Print (DICOM) • Zoom • Freeze • Print (PCL5) • Zoom/Pan Reset • Harmonic • Print (PCL6) • To open the Key Assignment Setup window: Click the Keys/Menus tab. • 216Appendix C November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Depth on the monitor and press +, the depth is increased. (This means that the magnification of the ultrasound image get smaller.) You can reverse this setting if you want to use the depth controls as magnification controls. Flex Focus 1202 Advanced User Guide (BB1946-S)
You can reset the system to the factory default setup in this window. NOTE: To open the General Setup window: Click the System tab, and then, in the new window that appears, the General • tab. 218Appendix C November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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You can select PAL or NTSC for video output. For more information about video settings, see “Video I/O Setup” on page 228. Date/Time You can change the date and time in the usual Microsoft® Windows® Date/Time Properties Setup window. You cannot change existing time stamps. Flex Focus 1202 Advanced User Guide (BB1946-S)
Clip Storage and Cine Setup You can use the Clip Storage and Cine Setup window to change how the Clip Browser and Cine functions work. 220Appendix C November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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Figure C-5. The Clip Storage and Cine Setup window when forward capture is enabled. Figure C-6. The Clip Storage and Cine Setup window when forward capture is not enabled. The options in the Clip Storage and Cine Setup window are explained in Table C-2. Flex Focus 1202 Advanced User Guide (BB1946-S)
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When checked, cine starts when you freeze the image. (You can restore this setting to the factory default, too.) Table C-2. Settings in the Clip Storage and Cine Setup window. 222Appendix C November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Printer Setup brightness window. In this window, you can also specify whether images printed with a USB printer are archived automatically. (If the patient ID is missing, the printed image is not archived.) Flex Focus 1202 Advanced User Guide (BB1946-S)
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Consult the user guide for the printer if you are in doubt. Select the correct printer driver from the drop-down box (see Fig C-8). Click Config. The Printer Configuration window opens. 224Appendix C November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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Type the printer’s IP address in the Network Address field. Click Install. The name you have given to the printer appears in the Printer Name field at the top of the window. Click Close. Flex Focus 1202 Advanced User Guide (BB1946-S)
To open the Network Drive Setup window: Click the System tab, and then, in the new window that appears, the Network • Drive tab. Figure C-11. The Network Drive Setup window. 226Appendix C November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Click Export. A log file is created and copied to your USB device. To send it to the Service department at BK Medical, zip the file and send it to support@bkmedical.com. Video I/O Setup Video I/O format (NTSC or PAL) is changed in the General Setup window (see page 219).
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90°; this cannot be changed from the system. You must adjust this on the external equipment to avoid seeing the video image rotated. Figure C-14. Cloned video display if external monitor is not rotated. 228Appendix C November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
External Video Out disabled (inactive) Monitor turns off “freezes” Systems without battery support LCD backlight decreases, “freezes” monitor stays on Table C-3. Power Save Mode on systems with and without battery support. Flex Focus 1202 Advanced User Guide (BB1946-S)
• lifespan. This is also considered better for the environment. Here, charging is inhibited if a battery charge level is greater than 80%. For more information about using the battery support, see Flex Focus 1202 User Guide. Miscellaneous System Setup You can use the Miscellaneous System Setup window to customize a variety of functions.
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Figure C-16. The Miscellaneous System Setup window. Flex Focus 1202 Advanced User Guide (BB1946-S)
Use the Curve Setup window (page 238) to define a new curve or edit an existing Defining curves one. Use the Miscellaneous Measurement Setup window (page 241) to set various measurement parameters and change the way in which measurements are displayed. 232Appendix C November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
To open the Measurement Definition Setup window, which displays a list of all user-defined measurements: Click the Measurements tab and then the other Measurements tab. • Figure C-17. The Measurement Definition Setup window. You have the following options in the Measurement Definition Setup window. Flex Focus 1202 Advanced User Guide (BB1946-S)
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Edit.) The following window appears (when you click New). Select a template that the measurement will be based on. (This step does not appear if you are editing an existing measurement.) 234Appendix C November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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Select dependencies, one at a time. (Gestational age measurements skip this step and go to Step 6.) That is, click Insert and select the measurements whose results will be used by the new measurement. Click Next and jump to Step 7. Flex Focus 1202 Advanced User Guide (BB1946-S)
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<tool name>.<dependency result name> <tool name>.<dependency result name>,ARG_LIST Table C-7. Formula syntax for measurements. Click Finish. (If the formula contains errors, you will not be able to continue until you correct them.) 236Appendix C November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
You use the Curve Setup window to define a curve or to edit an existing user-defined one. To open the Curve Setup window: Click the Measurements tab and then the Curve tab. • Flex Focus 1202 Advanced User Guide (BB1946-S)
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If the selected curve is user-defined, you can edit the information in the fields. The actual values of the curve are listed below the other information fields. 238Appendix C November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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There is no limit to the number of values you can enter to define a curve. Table C-8. Information fields in the Curve Setup window. You have the following options in the Curve Setup window. Flex Focus 1202 Advanced User Guide (BB1946-S)
You can only edit curves that you have defined. Curves that come with the NOTE: system cannot be edited. Miscellaneous Measurement Setup To open the Miscellaneous Measurement Setup window: Click the Measurements tab and then the Miscellaneous tab. • 240Appendix C November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Marks (Bodymarks, Labels, Puncture Guides) You can customize the bodymark and label setup. You can also change the offset of a programmable brachy matrix puncture guide or set up a brachy ruler. Flex Focus 1202 Advanced User Guide (BB1946-S)
Label Setup To open the Label Setup window: Click the Labels/Marks tab, and then, in the window that appears, the Label • Catalogs tab. Figure C-21. The Label Setup window. 242Appendix C November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
If the box is not checked, a brachy ruler will never be displayed with a sagittal view, but you will still be able to see and use the biopsy guides for sagittal views, where appropriate Flex Focus 1202 Advanced User Guide (BB1946-S)
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To define a new matrix or edit an existing user-defined matrix: In the Brachy Matrix Setup window, click New, or select an existing measurement and click Edit. The following window appears. 244Appendix C November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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(holes per cm), and the horizontal and vertical offset of the matrix. The system calculates the number of rows and columns and the hole spacing in each direction. When the both offsets are 0, the matrix looks like this: Flex Focus 1202 Advanced User Guide (BB1946-S)
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(holes/cm) and the horizontal and vertical offset of the ruler. The system calculates the number of rows and columns and the hole spacing in each direction. When the both offsets are 0, the matrix looks like this: 246Appendix C November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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Matrix Alignment and Calibration WARNING B-w4 To avoid harming the patient, check the needle alignment (and recalibrate if neccessary) before each use. The best accuracy that can be expected is a 3mm deviation. NOTE: Flex Focus 1202 Advanced User Guide (BB1946-S)
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If the echo is superimposed on the dot in the matrix on the monitor, then insert a needle through B4 and F4. If the echo for the needles in these holes are also in the correct position, no further adjustment is required. 248Appendix C November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Click the Labels/Marks tab, and then, in the window that appears, the • Miscellaneous tab. Select the Pro Package in the left pane and make your changes under Setup in • the right pane. Figure C-23. The Miscellaneous Marks Setup window. Flex Focus 1202 Advanced User Guide (BB1946-S)
Figure C-24. The License Manager window. Type the license key in the fields in the Add License box. Click Apply License. The Licenses in system list is updated. Close the License Manager window. 250Appendix C November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Figure C-25. The Export/Import window opened to the Pro Packages. To export a Pro Package or system setting: From the list on the left, select the item you want to export. Click Export. Flex Focus 1202 Advanced User Guide (BB1946-S)
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Delete Pro Package. Under System Settings, you can export or import 3D presets • Bodymarks • DICOM (if licensed) • General Settings • Gui Control Assignments • Labels • Video • 252Appendix C November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
CD/DVD or a USB storage device. You are prompted for a file name to which the Presets will be saved. The selected Presets are saved, with their existing names, as part of the named file. Flex Focus 1202 Advanced User Guide (BB1946-S)
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In the right-hand list, select the Pro Package you want to import them to, or click New Pro Package to create a new one to contain the imported setups. 254Appendix C November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
DICOM is not installed on the Flex Focus as a default. You must purchase a DICOM Installing and setting up license from BK Medical ApS before a qualified service technician can install DICOM on your system. The 1202 Service Manual contains instructions for service personnel to use when setting up your DICOM system.
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256Appendix C November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Close the menu by clicking the X in the upper right corner or clicking anywhere outside the menu. : A B-mode measurement can only be changed to another B-mode NOTE measurement, and a D-mode measurement can only be changed to another D-mode measurement. Flex Focus 1202 Advanced User Guide (BB1946-S)
Position it on the monitor in what you want to be the default position. Click the right circle on the key to open the Key Definition window. (See Fig D-1.) Click Settings, then Set as default position. 258Appendix D November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
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Close the Key Definition menu. Click Advanced to turn it off. You are prompted to save your changes. Be sure to turn off Advanced after you make changes because otherwise they NOTE: will not be saved. Flex Focus 1202 Advanced User Guide (BB1946-S)
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260Appendix D November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
To redefine an existing key: On the key, click the small circle in the top left corner (see Fig E-1.) A menu appears for editing the key (as shown with the ETD key sample in Fig E-2.) Flex Focus 1202 Advanced User Guide (BB1946-S)
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When you are in Configuration mode, you can identify the keys that are visible in Visibility of keys Basic mode – they have a filled circle in top left corner (as shown in Fig E-3.) 262Appendix E November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
The fields on the Imaging tabs are divided into two sections. The lower section is Keys in lower section common to all mode tabs and appears regardless of what mode tab is in the upper appear on all section. imaging tabs Flex Focus 1202 Advanced User Guide (BB1946-S)
When you are reviewing a clip or image, clicking Report, or connecting a USB device, an extra menu appears above the Documentation tab as shown (and circled) in Fig E-8. Figure E-8. The extra Documentation tab menu. 264Appendix E November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
You can view and work with the display areas of the monitor when in Configuration mode; the display areas are outlined by dotted lines. See Fig E-10. Flex Focus 1202 Advanced User Guide (BB1946-S)
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– or if you don't have the tabs shown at all – you Configuration can make it available by having it displayed in an info box. mode 266Appendix E November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
To copy tabs and softkeys (GUI controls) from one Pro Package to another: Insert the memory stick in the system. Click Customize…, select the Import/Export tab. Select the Pro Package. Click the System Settings tab. Select GUI Control Assignments. Click Export. Flex Focus 1202 Advanced User Guide (BB1946-S)
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Go to the Import/Export tab on the second system and click the System Settings tab. 10 Select GUI Control Assignments and click Import. The controls will be imported into whatever Pro Package is open on the NOTE: second system. 268Appendix E November 2018 Flex Focus 1202 Advanced User Guide (BB1946-S)
Index tilting a plane 174 Numerics untracked freehand 168 2D images, saving 50 user views 176 volume measurement 178 2050 transducer 168 warning about measurements 169 2052 transducer 168 ways to view a data set 176 4-Up view 181 Wire Frame 173 6-Up view 182 Zoom 173 8818 transducer 168...
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to a network drive 56 brightness of key labels 217 to a PACS 65 brightness of monitor, adjusting. See Getting Start- to CD, wait to delete from hard disk 65 ed.book array transducer 187 Burn CD window 57 Auto (Cardiac measurement) 187 automatic curve tracing 100 Doppler mode 89 Capture while not scanning (setup) 222...
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always export codec with 222 child 238 capture while not scanning 222 creating a new 240 clear buffer on freeze 222 editing an existing 240 clear buffer on start timer 222 parent 238 clear buffer on unfreeze (setup) 222 type 239 clip storage options 222 Curve Setup window enable storage 222...
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images in 122 measuring PI automatically 99 manipulating thumbnails 51 measuring PI manually 99 document browser tools 52 measuring RI 99 documents placing marker to measure RI 98 copying to a CD or USB storage device 55 real-time measurements 99 deleting 62 EDC (measurement) 189 viewing externally stored 53...
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focus position, adjusting (B-mode) 70 format of copied 54 FOI (field of interest) 189 freezing and unfreezing 27 follicle diameter measurements 109 image orientation, adjusting 19 format image review. See cine. archived documents 54 images copied documents 54 format 54 DICOM 54 imaging 30 exported documents 54...
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MD (minimum diastole) MPPS (definition) 190 correct placement of marker 95 multiple clips in pulsatility index 98 capturing (screen control) 20 measuring PI manually 99 setting file length of each clip 222 real-time measurement 99 setting total recording length of all clips in a se- mean trace curve quence 222 automatic 97...
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definition 190 power mode saving to 55 directional 79 PAL 219 Power + Direction 79 parent curve 238 Power save mode 229 partial freeze 28 power supply cord 191 password preset restrictions 226 caution about identical names 255 superuser default 226 exporting 253 password protection importing 254...
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performing 106 Save (in Curve Setup window) 240 puncture line 106 Save Diagnostic Setup window 91 warning about changing offset of programmable saving puncture guides or brachy matrixes 151 2D images 50 warning to verify puncture guide number 151 3D data sets 50 puncture guide Diagnostic Setups 91 verify that number is correct on monitor 106...
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system triplex. See combination mode. logging in 64 True Echo Harmonics. See tissue harmonic imaging. using without logging in 64 system settings exporting 251 urology measurements importing 252 empirical method 102 HWL 102 ejecting storage device 58 definition 97 storage device, exporting to 252 real-time measurement 99 user-defined keys, setting up 215 ways to measure 97...
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video video clips 53 output modes 228 VL (measurement) 211 video clips volume flow measurement warning about diameter capturing 50 markers (VFI) 86 format 54 volume flow rate estimation, assisted (VFI) 86 format of copied 54 volume flow, calculating 97 joining 52 volume measurement (3D), making 178 saving 50...
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