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BK Medical bk3000 Advanced User's Manual

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Advanced User Guide
bk3000 & bk5000 Ultrasound Systems
16-01487-01
November 2018
For Professional Users Only

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  • Page 1 Advanced User Guide bk3000 & bk5000 Ultrasound Systems 16-01487-01 November 2018 For Professional Users Only...
  • Page 2 Any modification of or installation of software without written permission fromBK 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 bk3000 or bk5000 Ultrasound System.

  • Page 3: Table Of Contents

    Contents Chapter 1 Before You Begin ............13 Chapter 2 The User Interface .
  • Page 4 Saving Reports ..........52 Local Patient Archiving System .
  • Page 5 Color Submodes ..........84 Color Coding of Flow.
  • Page 6 Wall Filter..........104 Invert.
  • Page 7 Copying and Archiving ........134 Printing .
  • Page 8 B Mode (2D)..........160 Annotations –...
  • Page 9 Chapter 14 Neuro Pro Package ............183 Contents .
  • Page 10 Enhancing a 3D View......... 203 3D Layout Options .
  • Page 11 Configuring the bk3000 and bk5000........

  • Page 13: Before You Begin

    The bk3000 & bk5000 User Guide includes an overview of all the documentation available for the system, including different user guides. You must read the Safety chapter in the bk3000 & bk5000 User Guide before NOTE: working with the system.
  • Page 14 14 Chapter 1 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 15: The User Interface

    The User Interface Working with the Monitor This chapter introduces you to each part of the monitor (Fig 2-1). For a description of the keyboard, see Getting Started with bk3000 & bk5000. The first 3 steps for imaging are: Select a transducer.

  • Page 16: Selecting An Examination Type

    Figure 2-2. Finding a Pro Package from the list of all Pro Packages. For information about examination types, see Chapter 9, “Pro Packages” on page 107. 16 Chapter 2 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 17: Patient Information

    You can customize which measurement and image data are displayed, where they are displayed on the monitor, and the font size for measurements. For more information about this customization, see Appendix E, “Configuring the bk3000 and bk5000” or consult your BK Medical representative.
  • Page 18 The down arrow on the right of a screen key indicates that clicking the key opens a menu to choose from. The More screen keys are only visible when Advanced is on. NOTE: 18 Chapter 2 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 19 You can do the same thing for label and bodymark screen keys. Documentation Tab After acquiring the image and making measurements, use the Documentation tab for saving, reviewing, or deleting the images and reports you made. bk3000 & bk5000 Advanced User Guide (16-01487-01) The User Interface...

  • Page 20: Keyboard Control Panel

    Keyboard Control Panel The keyboard control keys are described in Getting Started with bk3000 & bk5000. Typing Special Letters or Accents Some special letters are available as keys on the keyboard. In addition, 4 accents are available on the Accent key.

  • Page 21: Controls On The Monitor

    Auto Scale Automatic Scale/PRF adjustment. B Color Select a color to tint the B-mode image. Biopsy Display a puncture line or brachy matrix. Bodymark Place a bodymark on the image. bk3000 & bk5000 Advanced User Guide (16-01487-01) Controls on the Monitor...
  • Page 22 D. Freq. Change Doppler frequency. Direction Set direction of a 3D data acquisition. Display Display 3D sculpture. Sculpture Distance Measure distance in 3D. Doppler Depth Doppler Gate depth. 22 Chapter 3 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 23 Change the left-right image orientation of all modes in the selected view. Label Select a label to put on the image. Layout Set the layout for a Doppler/M-mode split screen: vertical or horizontal. bk3000 & bk5000 Advanced User Guide (16-01487-01) Controls on the Monitor...
  • Page 24 Search entry in patient archive. The types are: Image, Clip, 3D and Report. least one exam of type... Pause Exam Pause an exam. Persist Set the persistence level of the ultrasound image in B-mode, Color mode, and Power mode. 24 Chapter 3 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 25 Set how much smoothing is applied to the displayed Doppler spectrum. Spacing Set spacing of a 3D data acquisition. Span Set the extent of the rotation of a 3D volume. Speed Set the speed of the cine movie. bk3000 & bk5000 Advanced User Guide (16-01487-01) Controls on the Monitor...
  • Page 26 Narrowing the image width allows for greater frame rate without a loss of image resolution. With some transducers, you can increase the width beyond 100% to expand the field of view. Wire Frame Display wire frame on 3D volume. 26 Chapter 3 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 27 Activates the X-Shine function for best needle visibility. Select between On+, On- and Off on the slider. X-Shine Toggle Activates the X-Shine function for best needle visibility. Toggle between On+, On- and Off. Zoom Zoom 3D volume. bk3000 & bk5000 Advanced User Guide (16-01487-01) Controls on the Monitor...
  • Page 28 28 Chapter 3 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 29: Working With The Image

    When you freeze the image, the date and time displayed on the monitor are also frozen, so the time displayed on a printed image is the time the image was frozen, not the time it was printed. bk3000 & bk5000 Advanced User Guide (16-01487-01) Working with the Image...

  • Page 30: Partial Freeze And The Update Key

    In simultaneous split-screen imaging, only one of the views can contain Color NOTE: or Power mode. Therefore, if one view has B+Color or B+Power, the other view contains only a B-mode image. 30 Chapter 4 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 31: Linked Split/Dual

    To select a label: On the Measure and Mark tab, click the label you want. (If you don’t see the one you want, click More Labels – visible when Advanced is on.) bk3000 & bk5000 Advanced User Guide (16-01487-01) Working with the Image...

  • Page 32: Bodymarks

    On the Measure and Mark tab, click the bodymark you want. (If you don’t see the one you want, click More Bodymarks – visible when Advanced is on). The bodymark appears on the monitor with an imaging plane indicator. 32 Chapter 4 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 33: Cine

    You can change some of the settings for the C function. For information about changing Cine functions, see “Clip Storage and Cine Setup” on page 250. bk3000 & bk5000 Advanced User Guide (16-01487-01) Working with the Image...

  • Page 34: Using Cine

    The B-mode image displayed is always the one that corresponds to the position of the Doppler or M-mode cursor. The image (frame) number in the Frame indicator corresponds to the B-mode image. 34 Chapter 4 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 35: Video Display

    (PAL or NTSC) that is set in the General Setup window also affects the video input. For information about the Video Setup window, see “Video Format” on page 249. To change the video setup: Click Video Setup. • The Video Setup window appears. bk3000 & bk5000 Advanced User Guide (16-01487-01) Working with the Image...

  • Page 36: Using Pip

    (open) when you turn on PiP. Video Window PiP Window Contents Not Active Video from external video signal Active Ultrasound image Table 4-1. Contents of the PiP window when it opens. 36 Chapter 4 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 37 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. bk3000 & bk5000 Advanced User Guide (16-01487-01) Working with the Image...
  • Page 38 38 Chapter 4 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 39: Making Measurements

    You cannot make measurements on video clips. For calculation formulas and information about the accuracy of different types of measurements, see “Clinical Measurements: Ranges and Accuracies” in the bk3000 & bk5000 User Guide and the Technical Data (BZ2100). To view the list of measurements: Freeze the image.

  • Page 40: B-Mode And Color Mode Measuring Tools

    Two markers can be positioned to measure a distance, for example, the length or width of a structure. When the first marker is positioned, a second one appears for you to position. Pressing the Measure key starts a distance measurement. NOTE: 40 Chapter 5 November 2016 bk3000 & bk5000 Advanced User Guide (16-01487-00)
  • Page 41 If you have chosen to measure 2 angles, additional markers appear for you to measure another angle (beta) with the first line. bk3000 & bk5000 Advanced User Guide (16-01487-00) Making Measurements...
  • Page 42 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. 42 Chapter 5 November 2016 bk3000 & bk5000 Advanced User Guide (16-01487-00)
  • Page 43 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. bk3000 & bk5000 Advanced User Guide (16-01487-00) Making Measurements...
  • Page 44 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. 44 Chapter 5 November 2016 bk3000 & bk5000 Advanced User Guide (16-01487-00)
  • Page 45 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. bk3000 & bk5000 Advanced User Guide (16-01487-00) Making Measurements...
  • Page 46 Drag it to draw the shape you want. To delete backward from the cursor, press - on the +/- key. The cursor is automatically moved back. To undo the deletion, press +. 46 Chapter 5 November 2016 bk3000 & bk5000 Advanced User Guide (16-01487-00)

  • Page 47: Doppler Mode Measuring Tools

    Figure 5-15. Positioning 2 point markers on a Doppler mode image. After you position the markers, you can move one of them by clicking it and dragging it. Click again when you have positioned it where you want it. bk3000 & bk5000 Advanced User Guide (16-01487-00) Making Measurements...
  • Page 48 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. 48 Chapter 5 November 2016 bk3000 & bk5000 Advanced User Guide (16-01487-00)
  • Page 49 To undo the deletion, press +. 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. bk3000 & bk5000 Advanced User Guide (16-01487-00) Making Measurements...
  • Page 50 50 Chapter 5 November 2016 bk3000 & bk5000 Advanced User Guide (16-01487-00)

  • Page 51: Documentation

    Open the Patient window (see page 62). 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. bk3000 & bk5000 Advanced User Guide (16-01487-01) Documentation...

  • Page 52: Capturing 2D Images

    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. 52 Chapter 6 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 53: Local Patient Archiving System

    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. • bk3000 & bk5000 Advanced User Guide (16-01487-01) Documentation...
  • Page 54 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. 54 Chapter 6 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 55: Viewing And Editing Video Clips

    CD/DVD, network drive or USB storage device. 1. Note that if you want to view exported clips on the system, they must be exported in Lagarith format. bk3000 & bk5000 Advanced User Guide (16-01487-01) Documentation...

  • Page 56: Viewing Exported Documents On An External Computer

    To install the codec on your PC: Use Windows 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. 56 Chapter 6 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 57: Exporting Data

    Copying the document without patient ID is recommended for patient security. The documents are copied to the staging area for burning to a CD/DVD (see “Staging Area” on page 58) or to the USB storage device. bk3000 & bk5000 Advanced User Guide (16-01487-01) Documentation...

  • Page 58: Archiving To A Cd/Dvd Or Network Drive

    Files in the staging area do not disappear when you turn off the system. When you turn on the system, you are reminded if there are files in the staging area. 58 Chapter 6 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 59 To review and edit the contents of the staging area: Click Show Details. • The staging area browser appears in the Burn CD window. bk3000 & bk5000 Advanced User Guide (16-01487-01) Documentation...
  • Page 60 You are asked to confirm the deletion. Do not delete documents from the local patient archiving system until you NOTE: have verified that they have been externally archived successfully. 60 Chapter 6 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 61: Using Usb Storage Devices

    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. bk3000 & bk5000 Advanced User Guide (16-01487-01) Documentation...

  • Page 62: Patient Information

    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. 62 Chapter 6 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 63 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. bk3000 & bk5000 Advanced User Guide (16-01487-01) Documentation...

  • Page 64: Deleting Documents Or Exams From The System

    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). 64 Chapter 6 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 65: Starting A New Examination From The Examination List

    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. bk3000 & bk5000 Advanced User Guide (16-01487-01) Documentation...

  • Page 66: Password Protection Of The Patient Archiving System

    You can log in with your password at any time. When you do that, the emergency ID disappears and you must enter a patient ID. 66 Chapter 6 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 67: Hard Disk Quota

    You can save a report to the patient archiving system and view, save or archive it in the same way as you view or save other documents. See page 55. for more information. bk3000 & bk5000 Advanced User Guide (16-01487-01) Documentation...

  • Page 68: Creating A Report

    In the Miscellaneous System Setup window, uncheck Include All Images in Report. Start the exam and save images, clips, etc. Select some of the thumbnail images. On the Documentation tab, click Report. 68 Chapter 6 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 69: Editing A Report

    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 bk3000 & bk5000 User Guide.

  • Page 70: Printing Thumbnail Images

    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 bk3000 and bk5000” for more details. Printing Images Displayed on the Monitor To print an image displayed on the monitor: Press the Print key on the keyboard.

  • Page 71: Imaging Modes

    (AIUM/NEMA and IEC) (see the acoustic output section in the bk3000 & bk5000 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 –...

  • Page 72: B-Mode

    The ultrasound image is focused sharply within a selected zone, while the rest of the image is not as well focused. The bk3000 and bk5000 can use either a single focal zone or multiple (up to 3) focal zones (multiple focusing).

  • Page 73: Gain

    The sliders operate relative to their center position; when they are all NOTE: centered, the default TGC is used. However, resetting the gain to the default setting may change the relationship between the TGC sliders and the TGC curve. 1. bk5000 only. bk3000 & bk5000 Advanced User Guide (16-01487-01) Imaging Modes...

  • Page 74: Auto Gain

    To adjust the brightness/strength of Auto gain, click A-Gain Level to the right of the screen and use +/- on the keyboard to increase or decrease the strength. Adjustment here will result in a new default for all patients/body parts. NOTE: 74 Chapter 7 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 75: Zoom

    You can also resize the box by clicking one of the corners and then dragging the corner or using the +/- key. To return to the original image: Press H. • bk3000 & bk5000 Advanced User Guide (16-01487-01) Imaging Modes...

  • Page 76: Depth

    When you image in Color or Power mode, you cannot use the color bar to NOTE: change the B-mode gray scale because it is used to control the color mapping. 76 Chapter 7 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 77: Combination Modes

    In harmonic imaging, the image is created by receiving higher frequencies (harmonics) that are multiples of the transmitted frequency (f). Tissue harmonic imaging in the bk3000 and bk5000 is based on the 2nd harmonic (2f) spectrum and pulse inversion.

  • Page 78: Contrast Imaging

    The non-linear signals are received and analyzed to create the contrast image. Contrast imaging requires a software license from BK Medical and is available with selected transducers only, see the bk3000 or bk5000 Product Data Sheet. Contrast Agents...
  • Page 79 To turn contrast imaging off: Make sure that you are imaging. Click on the Contrast tab. • Press • When you turn contrast imaging off, the MI returns to its previous value. NOTE: bk3000 & bk5000 Advanced User Guide (16-01487-01) Imaging Modes...
  • Page 80 NOTE: the image, the time on the image is updated to be correct. To stop the timer: Click Timer. • The time value in the image area disappears. 80 Chapter 7 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 81: X-Shine

    A needle icon indicates where you will get the best visibility. WARNING GS-w1 Before you attempt to use BK Medical equipment, you should be trained in ultrasonography or be under the supervision of someone who is trained in ultrasonography. You should also be thoroughly familiar with the safe operation of your ultrasound system: read all the user documentation that accompanies it.

  • Page 82: Activate X-Shine Imaging

    Cycle the On+, On- and Off states on the X-Shine button on the keyboard or use your selected screen key. NOTE: Make sure that you adjust the icon to match your needle insertion side. 82 Chapter 7 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 83: Adding Buttons To The Screen

    X-Shine screen key and also add the Needle Strength slider or toggle to improve needle visibility: Figure 7-8. X-Shine slider. Figure 7-9. X-Shine toggle. To make a new screen key: Press Fn+C and click on available space (one with little circles). bk3000 & bk5000 Advanced User Guide (16-01487-01) Imaging Modes...

  • Page 84: Color Mode And Power Mode

    In a Color mode image, the frequencies of the reflected ultrasound waves are measured to show the velocity and direction of the blood flow. The result is displayed in color on the monitor. 1. bk3000 and bk5000. 2. bk5000 only. 84 Chapter 7 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 85: Independent D-Mode/C-Mode Steering

    • When you image in Color or Power mode, you cannot use the color bar to NOTE: change the B-mode gray scale because it is used to control the color mapping. bk3000 & bk5000 Advanced User Guide (16-01487-01) Imaging Modes...

  • Page 86: Elastography

    You should also be thoroughly familiar with the safe operation of your ultrasound system: read all the user documentation that accompanies it. No further training is required, but BK Medical offers training in how to use the system. Consult your BK Medical representative for information.

  • Page 87: Color Box

    Repeat the measurement process outside the ROI. The strain ratio appears under the image in a purple box. Note that the strain ratio is reported as an inverse value. bk3000 & bk5000 Advanced User Guide (16-01487-01) Imaging Modes...

  • Page 88: Diameter Comparison Measurement

    A diameter line inside the ROI (elastography screen). A diameter line inside the ROI (B-mode screen). The E- over B- diameter measurement Figure 7-12. A diameter comparison measurement. 88 Chapter 7 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 89: Vector Flow Imaging (Vfi)

    Vector Flow Imaging (VFI) Vector Flow Imaging is available as an option on the bk3000 and bk5000 ultrasound systems. Normally, color imaging shows only axial flows. Vector Flow Imaging is a technology that uses ultrasound pulses in both axial and lateral directions. The measured signals are therefore sensitive to both axial and transverse motion.
  • Page 90 Saturation/Brightness = Speed The center of the square is black. Black indicates zero flow. 90 Chapter 7 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 91: Using Vfi

    Using VFI VFI is activated by selecting an appropriate VFI preset. VFI presets are only available with the 14L3 and 10L2w transducers for bk3000 and transducers 6C2, 14L3, 10L2w and 8L2 transducers. You can choose from the Carotid VFI preset or the Vein VFI preset.

  • Page 92: Streamlined Vfi Workflow

    Inverting the Doppler spectrum (when needed) • Selecting the appropriate Scale/PRF (Pulse Repetition Frequency) • Adaptively adjusting Doppler sample volume size (PW gate) • Assisted Volume Flow Measurement • 92 Chapter 7 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 93: Assisted Doppler Gate Placement

    Selecting the Appropriate Scale/PRF If the manually specified Scale/PRF is too low or too high, it can be adjusted using VFI data. To activate assisted Scale/PRF adjustment: Click Auto Scale ON/OFF: • bk3000 & bk5000 Advanced User Guide (16-01487-01) Imaging Modes...

  • Page 94: Assisted Volume Flow Rate Estimation

    Check to make sure that the Doppler gate only covers one vessel. Otherwise, the real-time Doppler gate volume flow measurement may not be precise. only over one vessel 94 Chapter 7 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 95: Asymmetric Doppler Gate Cross

    Outline of VFI Workflow The screen capture in Fig 7-19 outlines the main features of the VFI workflow: Asymmetric Doppler gate Figure 7-19. Outline of VFI workflow with 14L3 transducer. bk3000 & bk5000 Advanced User Guide (16-01487-01) Imaging Modes...

  • Page 96: Doppler Mode - Spectral Doppler

    The dotted line represents the Doppler line. The lines at right angles to Fig 7-21 (a) that show the Doppler gate. A diagonal line (relative to the Doppler line) indicates a sample volume Fig 7-21 (b) with angle correction. 96 Chapter 7 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 97: Adjusting The Doppler Mode Image

    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 7-21 on page 96. The false sample volumes should always be placed outside a vessel. bk3000 & bk5000 Advanced User Guide (16-01487-01) Imaging Modes...

  • Page 98: Sweep Speed

    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 7-22). You can adjust how the two windows are displayed. 98 Chapter 7 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 99: M-Mode Line

    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. bk3000 & bk5000 Advanced User Guide (16-01487-01) Imaging Modes...
  • Page 100 Pro Package. (Puncture guide or brachy matrix settings will be saved as part of the setup.) Click Save. 100Chapter 7 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 101: Continuous Wave Doppler Mode

    Adjusting the Thermal Index Limit Before you use CW Doppler mode, check that the TI settings are appropriate. The current TI tissue type and limit are displayed just under the BK Medical logo in the upper left corner of the monitor.

  • Page 102: Cw Doppler Line

    You can adjust the position of the line to get information from samples in various parts of the B-mode image. Place the focus region indicator on the region of interest. The system must be imaging when you do this. 102Chapter 8 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 103: Audio Volume

    This may take a few seconds. Gain You can adjust the gain of the CW Doppler mode image. The view must be imaging when you do this. bk3000 & bk5000 Advanced User Guide (16-01487-01)Continuous Wave Doppler Mode...

  • Page 104: Scale

    To invert the spectrum or to return to the default: Press to toggle between the default and inverted spectrum coding. • Inverse The frequency axis is inverted to match the spectrum. 104Chapter 8 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 105: Baseline

    Click Sweep on the right side of the monitor and select the submode you want • (or point at Sweep and press +/-). The current setting is displayed on the monitor next to Sweep. The time axis is updated. bk3000 & bk5000 Advanced User Guide (16-01487-01)Continuous Wave Doppler Mode...
  • Page 106 106Chapter 8 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 107: Pro Packages

    Before you perform any puncture procedure, including therapy, make sure you have read the warnings in the Puncture and Brachytherapy section of the Safety chapter in the bk3000 & bk5000 User Guide. WARNING P-w1 Before you start imaging, verify that the type number or name of the transducer and the type number or description of the needle guide you are using match the number displayed on the monitor.

  • Page 108: Presets

    After you have positioned all the markers, the result appears at the bottom left side of the monitor, see Fig 2-1 on page 15. To redefine measurement screen keys, see Appendix D, “Redefining Screen Keys – Label, Bodymark, and Measurement”. USA only 108Chapter 9 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 109: Doppler Measurements

    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 bk3000 & bk5000 Advanced User Guide (16-01487-01) Pro Packages...

  • Page 110: Stenosis

    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. 110Chapter 9 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 111: Vf (Volume Flow)

    Click Auto and make sure that TAM or TAMX is selected. Position 2 line markers to specify the time interval (number of cycles) over which the frequency values are averaged. (See Fig 9-2.) bk3000 & bk5000 Advanced User Guide (16-01487-01) Pro Packages...

  • Page 112: Ri And Pi (Resistance Index And Pulsatility 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). To measure RI: Click RI. 112Chapter 9 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 113: Real-Time Measurements

    The following measurements can be made and displayed in real time, so that they are continually updated during imaging: • • • • TAMX • • • • To turn real-time measurements on and off: On the Measure and Mark tab, click Real-Time. • bk3000 & bk5000 Advanced User Guide (16-01487-01) Pro Packages...

  • Page 114: Noise Limit

    Carotid Measurements Structured Reporting You can measure velocities and ratios at three sites: proximal, mid and distal. 114Chapter 9 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 115: Calculations

    NOTE: sure you have read the warnings in the Puncture and Brachytherapy section of the Safety chapter in the bk3000 & bk5000 User Guide. For information about calculating PSAD see the Urology Pro Package chapter. bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 116: Patient Setup

    Figure 9-4. Longitudinal outline of organ showing the start position for planimetry. Different stepping units to control the spacing between the sections are available for use with different transducers. 116Chapter 9 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 117 You can use Ellipse for measuring in one plane and Freehand in the other plane. The system calculates the volume, and results are displayed on the monitor and entered into the Urology report. bk3000 & bk5000 Advanced User Guide (16-01487-01) Pro Packages...

  • Page 118: Performing A Biopsy Or Puncture Procedure (Including Brachytherapy)

    To highlight a different dot, click it. The previously highlighted dot returns to • normal and the new one is highlighted. Click here to select a different brachy matrix or puncture guide Figure 9-5. A brachy matrix on the image area. 118Chapter 9 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 119 The vertical line disappears and the ruler markers appear in their new positions. You can set up the system so that a vertical 0 line is always visible, along with NOTE: the markers as shown in Fig 9-6. bk3000 & bk5000 Advanced User Guide (16-01487-01) Pro Packages...

  • Page 120: Using The Ob, Gyn, And Gyn Follicles Pro Packages

    It is not possible to base a CI measurement on an HC measurement that is NOTE: made with any measuring tool other than an ellipse. 1. This system is not market cleared by the FDA for IVF use in the USA. 120Chapter 9 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 121: Calculation Methods

    Nuchal Translucency Nuchal translucency measurements require special training. See Caution NT-c1 in the Measurements section of the Safety chapter in the bk3000 & bk5000 User Guide. Calculation Methods General Information This Pro Package contains measuring tools that can be used to calculate gestational age (GA), fetal weight (FW), and expected date of confinement (EDC).
  • Page 122 Figure 9-8. Campbell BPD curve in OB report. Fig 9-9 shows the position of the AC measured today compared to AC reference curves based on the BPD measured previously. 122Chapter 9 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 123 The report page shown in Fig 9-11 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. bk3000 & bk5000 Advanced User Guide (16-01487-01) Pro Packages...
  • Page 124 Current FW Figure 9-11. Warsof fetal weight curve in OB report. 124Chapter 9 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 125: Vascular Pro Package

    Carotid measurement information can be found under “Carotid Velocities” on page 114 Important: Read Getting Started with bk3000 & bk5000 for basic controls. Read transducer user guides for more information before doing biopsies. Read Care and Cleaning for sterilization instructions.

  • Page 126: Setting Up The Patient - Patient Id

    Image and freeze. Press Split Screen again, image in the second screen. Freeze. To go back to full screen, press the Split Screen key for more than 1 second. 126Chapter 10 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 127: Color Mode (Cfm)

    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 to use VFI. VFI is only available for NOTE: some transducers.

  • Page 128: Volume Flow

    Figure 10-2. Measure and Mark tab in the Vascular Pro Package. 1. VF (auto) means Volume Flow based on Auto TAM, where TAM is Time Average Mean. 128Chapter 10 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 129: Labels

    Vertically: Press the Return key after you type the label. • Bodymarks The following vascular bodymarks are available: Left Arm Right Arm Right Leg Left Leg Left Carotid Artery Right Carotid Artery Figure 10-3. Vascular bodymarks. bk3000 & bk5000 Advanced User Guide (16-01487-01) Vascular Pro Package...

  • Page 130: Measurements And Calculations

    Freeze the image and click the top tab for your area of interest, for example Right Leg Veins. Click Vessel/Diameter and choose a blood vessel from the drop-down menu. 130Chapter 10 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 131 To measure vessel closure time (VCT), click the screen key for the blood vessel and measurement (for example, RFV VCT.) Place first cursor at beginning of reflux and click. Place second cursor at end of reflux and click. Vessel closure time is displayed. bk3000 & bk5000 Advanced User Guide (16-01487-01) Vascular Pro Package...

  • Page 132: Using Reports

    When you have finished making measurements, click on any thumbnail images you want in the report. They will appear on the second page of the report. Click Report on the Documentation tab. 132Chapter 10 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 133: Capturing And Documenting Images

    Figure 10-13. To Save or Print a report. Capturing and Documenting Images Cine Review To use cine review: Freeze image. Turn B-Mode key to scroll back through imaging. bk3000 & bk5000 Advanced User Guide (16-01487-01) Vascular Pro Package...

  • Page 134: Capturing Images

    Copying and Archiving Copying or Archiving Images and Clips To copy or archive images and clips: Select thumbnail images. On Documentation tab, select where to send the images. 134Chapter 10 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 135: Printing

    Scroll through the list that appears and click the printer you want. 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 bk3000 and bk5000” for more details. Customization Examples New Presets Saving a new preset: Make sure image is not frozen and is in B-mode.

  • Page 136: Default Pro Packages And Presets

    Click Set Pro Package as Default and Set Preset as Default (if you are changing both). Click Close. User-defined presets will not have an icon associated with them. NOTE: 136Chapter 10 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 137: Making A New Screen Key

    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. bk3000 & bk5000 Advanced User Guide (16-01487-01) Vascular Pro Package...

  • Page 138: Vascular Measurement Abbreviations

    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 138Chapter 10 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 139: Artery Measurements

    Right Bypass Graft Proximal Anastomosis Peak RBGAp PS Systole RBGAd PS Right Bypass Graft Distal Anastomosis Peak Systole RCIA PS Right Common Iliac Artery Peak Systole REIA PS Right External Iliac Artery Peak Systole bk3000 & bk5000 Advanced User Guide (16-01487-01) Vascular Pro Package...
  • Page 140 Left Popliteal Artery Peak Systole LPTAd PS Left Posterior Tibial Artery Distal Peak Systole LPTAm PS Left Posterior Tibial Artery Mid Peak Systole LPTAp PS Left Posterior Tibial Artery Proximal Peak Systole 140Chapter 10 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 141: Where To Find More Information

    Label, Bodymark, and Measurement” and Appendix E, “Configuring the bk3000 and bk5000”). The tables and formulas that the system uses for calculations are in the Technical Data (BZ2100) on the User Documentation CD. bk3000 & bk5000 Advanced User Guide (16-01487-01) Vascular Pro Package...
  • Page 142 142Chapter 10 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 143: Cardiac Pro Package

    Basic Cardiac imaging • Emergency medicine cardiac imaging (FATE) • Important: Please see Getting Started with bk3000 & bk5000 for basic controls. • Read transducer user guides for more information before doing biopsies. • Read Care and Cleaning for sterilization instructions.

  • Page 144: Setting Up The Patient - Patient Id

    Freeze the image in order to make measurements. Unfreeze to restart M-Mode. Click the M-Mode cursor to reposition it with the trackball. To exit M-mode, click the M-Mode tab. 144Chapter 11 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 145: Color Mode (Cfm)

    Default is update mode, which means that when you first press the Doppler Mode key you get a live 2D image but no spectral Doppler. To get a live spectral Doppler tracing: Press the Update key (above the Doppler Mode key). bk3000 & bk5000 Advanced User Guide (16-01487-01) Cardiac Pro Package...

  • Page 146: Annotations

    To edit a label on the image, click the label (label turns blue). Use backspace to move through the label and edit it. (You can also use the arrow keys on the keyboard to move the cursor while editing.) 146Chapter 11 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 147: Bodymarks

    LVV (Left Ventricular Volume) • EF (Ejection Fraction) PFV (Peak Flow Velocity) • PG (Pressure Gradient) VTI (Velocity Time Integral) • PG (Pressure Gradient) MPG (Mean Pressure Gradient) HR (Heart Rate) • bk3000 & bk5000 Advanced User Guide (16-01487-01) Cardiac Pro Package...

  • Page 148: Lvv (Left Ventricular Volume)

    (in metric units) in the text box that appears. (Height and weight can also be entered in the Patient Window.) Click OK and the calculation will be displayed on the screen. 148Chapter 11 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 149 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) • bk3000 & bk5000 Advanced User Guide (16-01487-01) Cardiac Pro Package...

  • Page 150: Doppler Measurements

    Place cursor at Doppler baseline at first line and use trackball to trace waveform to second line. Click Select to finish the measurement. System will automatically calculate: ET (Ejection Time) (ms) • VTI (Velocity time Integral) (cm) • 150Chapter 11 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 151: Hr (Heart Rate)

    HR is displayed. It is averaged over 8 beats. Create a Measurement D Mode screen key using Fn+C on the keyboard: Select • HR (with the desired number of beats to measure) and rename it. bk3000 & bk5000 Advanced User Guide (16-01487-01) Cardiac Pro Package...

  • Page 152: Cardiac Output

    Click CO (Cardiac Output) and measure the diameter for LVOT in B-mode. Figure 11-5. B-mode LVOT measurement. Click Color and/or Doppler. On the LV tab, click CO. Figure 11-6. Cardiac Output measurement. 152Chapter 11 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 153: Using Reports

    Freeze the image. Press Capture key on keyboard or click Capture on Measure and Mark tab. Thumbnail of saved image appears in the document browser at the top of the monitor. bk3000 & bk5000 Advanced User Guide (16-01487-01) Cardiac Pro Package...

  • Page 154: Copying And Archiving

    Click the printer you want on the drop-down menu that appears. 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. 154Chapter 11 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 155: Customization Examples

    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 bk3000 and bk5000” for more details. Customization Examples Creating a Custom Keyboard Key for M-Mode You may want to make a user-defined key so you can quickly access M-Mode.

  • Page 156: Fate (Focus Assessed Transthoracic Echocardiography)

    Parasternal Long Axis View- M-Mode line through RV, IVS, MV end point To measure: In M-mode, click Mitral Valve. Measure the distance between MV e-point and IVS in systole. MSS calculation appears. Figure 11-8. MSS measurement. 156Chapter 11 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 157 Place the cross at the highest systolic excursion. Click TAPSE again. Place the next cross at the lowest diastolic excursion. The vertical distance is now measured between the two crosses. bk3000 & bk5000 Advanced User Guide (16-01487-01) Cardiac Pro Package...

  • Page 158: Where To Find More Information

    Label, Bodymark, and Measurement” and Appendix E, “Configuring the bk3000 and bk5000”). The tables and formulas that the system uses for calculations are in the Technical Data (BZ2100) on the User Documentation CD. 158Chapter 11 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 159: Urology Prostate Pro Package

    Urology Prostate Pro Package This Pro Package contains information useful for basic urology imaging, including prostate imaging. Important: Please see Getting Started with bk3000 & bk5000 for basic controls. • Read transducer user guides for more information before doing biopsies. •...

  • Page 160: Setting Up The Patient - Patient Id

    Move the TGC sliders on the keyboard to the right or left to adjust the TGC • curve (differential gain). The shape of the TGC curve is temporarily displayed to the right of the image as a curved vertical line. 160Chapter 12 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 161 In case of any inconsistency, stop imaging, turn off the system, and contact your local BK Medical representative. bk3000 & bk5000 Advanced User Guide (16-01487-01)Urology Prostate Pro Package...

  • Page 162: Annotations - Labels And Bodymarks

    Type and edit your own labels on screen: Type the text you want for the label. You can move the label while you are typing it. Click to accept the label text and position. 162Chapter 12 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 163: Customizing Labels And Bodymarks Using Advanced Mode

    As a default, the system erases all annotations on unfreeze Aligning labels: Horizontally: Press the space bar on the keyboard after you type the label. • Vertically: Press the Return key after you type the label. • bk3000 & bk5000 Advanced User Guide (16-01487-01)Urology Prostate Pro Package...

  • Page 164: Bodymarks

    Drag it to the position you want, and click again to finish. 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. 164Chapter 12 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 165: Measurements And Calculations

    The PSAD (Prostate Specific Antigen Density) will be calculated after the PSA has been entered and prostate volume has been measured. : You can change the order of measurement from WHL to LHW by clicking NOTE Vol LHW. bk3000 & bk5000 Advanced User Guide (16-01487-01)Urology Prostate Pro Package...

  • Page 166: User Reports

    Freeze the image. Press Capture key on keyboard or click Capture on Measure and Mark tab. Thumbnail of saved image appears in the document browser at the top of the monitor. 166Chapter 12 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 167: Copying And Archiving

    Click the printer you want from the drop-down menu that appears. 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. bk3000 & bk5000 Advanced User Guide (16-01487-01)Urology Prostate Pro Package...

  • Page 168: Customization Examples

    Scroll through the list that appears and click the printer you want. 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 bk3000 and bk5000” for more details. Customization Examples New Presets Saving a new preset: Make sure image is not frozen.

  • Page 169: Where To Find More Information

    (Appendix D, “Redefining Screen Keys – Label, Bodymark, and Measurement” and Appendix E, “Configuring the bk3000 and bk5000”). The tables and formulas that the system uses for calculations are in the Technical Data (BZ2100). bk3000 & bk5000 Advanced User Guide (16-01487-01)Urology Prostate Pro Package...
  • Page 170 170Chapter 12 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 171: Surgery Pro Package

    This Pro Package contains information useful for basic Surgery Imaging including: surgery measurements • Important: Read Getting Started with bk3000 & bk5000 for basic controls. • Read transducer user guides for more information before doing biopsies. • Read Care and Cleaning for sterilization instructions.

  • Page 172: Setting Up The Patient - Patient Id

    Image and freeze. Press Split Screen again, image in the second screen. Freeze. To go back to full screen, press the Split Screen key for more than 1 second. 172 Chapter 13 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 173: Color Mode (Cfm)

    In case of any inconsistency, stop imaging, turn off the system, and contact your local BK Medical representative. WARNING P-w2...

  • Page 174: Doppler Mode

    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. Bodymarks Figure 13-2. Measure and Mark tab in the Surgery Pro Package. 174 Chapter 13 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 175: Labels

    Typed labels will now always appear at the default position. Aligning labels: Horizontally: Press the space bar on the keyboard after you type the label. • Vertically: Press the Return key after you type the label. • bk3000 & bk5000 Advanced User Guide (16-01487-01) Surgery Pro Package...

  • Page 176: Bodymarks

    Measurement is displayed on the monitor below the image. For multiple measurements, repeat the steps. Freehand Measurements – Area and Circumference To measure the area and circumference: On the Measure and Mark tab, click Freehand. 176 Chapter 13 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 177: Volume

    In either case, open the thumbnail to print from the monitor. Capturing and Documenting Images Cine Review To use cine review: Freeze image. bk3000 & bk5000 Advanced User Guide (16-01487-01) Surgery Pro Package...

  • Page 178: The Document Browser

    Copying and Archiving Copying or Archiving Images and Clips To copy or archive images and clips: Select thumbnail images. On Documentation tab, select where to send the images. 178 Chapter 13 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 179: Printing Images

    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 bk3000 and bk5000” on page 291 for more details. bk3000 & bk5000 Advanced User Guide (16-01487-01) Surgery Pro Package...

  • Page 180: Customization Examples

    User-defined presets will not have an icon associated with them. NOTE: Making a New Screen Key To make a new screen key: Press Fn+C and click on available space (one with little circles) 180 Chapter 13 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 181: Customizing Labels And Bodymarks Using Advanced Mode

    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. bk3000 & bk5000 Advanced User Guide (16-01487-01) Surgery Pro Package...

  • Page 182: Where To Find More Information

    Label, Bodymark, and Measurement” and Appendix E, “Configuring the bk3000 and bk5000”) The tables and formulas that the system uses for calculations are in the Technical Data (BZ2100) 182 Chapter 13 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 183: Neuro Pro Package

    Imaging with Brainlab Cranial Navigation systems. • Important: Please see Getting Started with bk3000 & bk5000 for basic controls. Read transducer user guides for more information before doing biopsies. Read Care and Cleaning for sterilization instructions. Read bk3000 & bk5000 User Guide before system use.

  • Page 184: Setting Up The Patient - Patient Id

    Image and freeze. Press Split Screen again, image in the second screen. Freeze. To go back to full screen, press the Split Screen key for more than 1 second. 184Chapter 14 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 185: Color Mode (Cfm)

    In case of any inconsistency, stop imaging, turn off the system, and contact your local BK Medical representative. WARNING P-w2...

  • Page 186: Doppler Mode

    Bodymarks Label groups – click to see labels in a group Figure 14-1. Measure and Mark tab in the Neuro Pro Package. 186Chapter 14 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 187: Labels

    Click on the image where you want the default label position to be. In Customize (advanced unfrozen screen) click Label, then Mark/Misc. Click Always insert labels at default position. Typed labels will now always appear at the default position. bk3000 & bk5000 Advanced User Guide (16-01487-01) Neuro Pro Package...

  • Page 188: Bodymarks

    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. 188Chapter 14 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 189: Measurements And Calculations

    Position the second marker and click to finish the Width measurement. Unfreeze and change imaging plane. Freeze image. Repeat the first steps (clicking Volume each time) to measure Height and Length. Volume is calculated and displayed. bk3000 & bk5000 Advanced User Guide (16-01487-01) Neuro Pro Package...

  • Page 190: Using Reports

    Click to scroll through thumbnails Handle to enlarge Handle to display thumbnails thumbnails on more than one row Figure 14-3. The handles and scroll arrows in the document browser. 190Chapter 14 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 191: Capturing Images

    Click Print and select a printer in the drop-down menu that appears. A change in key assignment only affects the particular Pro Package that is selected in the left pane on the tab. bk3000 & bk5000 Advanced User Guide (16-01487-01) Neuro Pro Package...

  • Page 192: Customization Examples

    Scroll through the list that appears and click the printer you want. 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 bk3000 and bk5000” for more details. Customization Examples New Presets Saving a new preset: Make sure image is not frozen.

  • Page 193: Making A New Screen Key

    Make sure that Advanced is On, then click More Labels to display a list of labels. Select the ones you want to autocomplete by clicking the circle to the left of the label. bk3000 & bk5000 Advanced User Guide (16-01487-01) Neuro Pro Package...

  • Page 194: Imaging With Brainlab

    For installation and connection, see the Setup Guide IG36483 on web.bkmed.dk. During surgery, the transducer is in a special support bracket (the transducer adapter). Figure 14-4. The Brainlab N11C5s/N13C5 transducer adapter. 194Chapter 14 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 195: Spinal Cord Pro Package

    Label, Bodymark, and Measurement” and Appendix E, “Configuring the bk3000 and bk5000”) The tables and formulas that the system uses for calculations are in the Technical Data (BZ2100). 1. USA only. bk3000 & bk5000 Advanced User Guide (16-01487-01) Neuro Pro Package...
  • Page 196 196Chapter 14 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 197: 3D Imaging

    2D image, as described in Chapter 5, “Making Measurements”. 3D License The 3D function of the bk3000 and bk5000 can be purchased as an option. For more information, see the bk3000 and bk5000 Product Data sheets that accompany this user guide.

  • Page 198: Controlling Transducer Movement

    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. 198Chapter 15 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 199: 3D Imaging Overview

    Acquisition – see page 202 • Viewing – see page 202 • Working with the 3D image – see page 204 • Save, Capture and Close – see page 212 • bk3000 & bk5000 Advanced User Guide (16-01487-01) 3D Imaging...

  • Page 200: Preparations

    You cannot acquire 3D data sets unless you have entered a patient ID. If you NOTE: have not entered a valid patient ID, you will be prompted to do so. The default patient ID is the current time and date. 200Chapter 15 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 201: Adjusting The Image Capture Settings

    2D image on the resulting 3D volume can be confusing, so we recommend that you do not change the default orientation of the 2D image before acquiring a 3D data set. bk3000 & bk5000 Advanced User Guide (16-01487-01) 3D Imaging...

  • Page 202: Acquisition

    Viewing a 3D Data Set On the 3D General tab, there are different View and Preset controls. These are described in detail later in this chapter: 202Chapter 15 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 203: Enhancing A 3D View

    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). bk3000 & bk5000 Advanced User Guide (16-01487-01) 3D Imaging...

  • Page 204: Working With The 3D Image

    To move the volume: Move the cursor so that it is inside the volume. Hold down the Shift key and the Select key. The cursor looks like a hand. 204Chapter 15 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 205: Annotating A 3D View

    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.) You can add additional labels. bk3000 & bk5000 Advanced User Guide (16-01487-01) 3D Imaging...

  • Page 206: User Views

    Return to the default view. below Del. Figure 15-4. Options for User Views. The 6 Data Presentation Views There are 6 different ways you can view the 3D data set: 206Chapter 15 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 207: Cube View

    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. bk3000 & bk5000 Advanced User Guide (16-01487-01) 3D Imaging...
  • Page 208 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. 208Chapter 15 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 209: Render View

    Click Volume again to finish the volume measurement. For information about accuracy of measurements on acquired and NOTE: reconstructed planes, see the bk3000 & bk5000 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.
  • Page 210 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. 210Chapter 15 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 211: Mip View

    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. bk3000 & bk5000 Advanced User Guide (16-01487-01) 3D Imaging...

  • Page 212: 6-Up View

    User Views, measurements and the result of sculpting. Capture – Saves the 3D volume document to the system hard disk. • Close – Closes the 3D viewer. • 212Chapter 15 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 213: Dicom

    The filename of an exported document specifies the date and time the image was captured. For example, 2D_20181022_135426_FV12345.dcm would be the label on an 2D image of patient FV12345 that was captured on October 22, 2018 at 1:54:26 P.M. (13:54:26). bk3000 & bk5000 Advanced User Guide (16-01487-01) DICOM...

  • Page 214: Archiving To A Pacs

    A document was not sent successfully. Table 16-1. DICOM status indicators. If you click the DICOM status indicator, the DICOM Status window appears. Figure 16-1. The DICOM status window. 214Chapter 16 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 215: Deleting A Document

    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 • bk3000 & bk5000 Advanced User Guide (16-01487-01) DICOM...
  • Page 216 216Chapter 16 November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 217: Appendix A Glossary

    When Color mode or Power mode imaging is turned on, the color box is superimposed on the B-mode image. The color box outlines the area of the tissue in which flow information is available. bk3000 & bk5000 Advanced User Guide (16-01487-01) Glossary...
  • Page 218 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. 218Appendix A November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 219 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. bk3000 & bk5000 Advanced User Guide (16-01487-01) Glossary...
  • Page 220 Date. Long click Pointing at an on-screen control and pressing the Select key for at least 1 second. See Getting Started with bk3000 & bk5000. Long press Pressing a key for 1 second or more. See Getting Started with bk3000 & bk5000.
  • Page 221 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. bk3000 & bk5000 Advanced User Guide (16-01487-01) Glossary...
  • Page 222 TAMX Time Average Max. T-area Transverse Area. True echo harmonics. BK Medical’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.

  • Page 223: Appendix B Measurement Abbreviations

    Adenoma (H, L, Vol or W) Amniotic Fluid Index Aortic Valve All (M-Mode) Alpha1 Alpha1 Angle Alpha2 Alpha2 Angle using 180° Alpha3 Alpha3 Angle using 360° ALSs Aortic Valve Leaflet Separation, systole Angle Angle bk3000 & bk5000 Advanced User Guide (16-01487-01)Measurement Abbreviations...
  • Page 224 Beta2 Angle using 180° Beta3 Beta3 Angle using 360° Bladder Bladder Outline Bladder (H, L, Vol or W) Bladder Neck Descent Biparietal Diameter BPD - Campbell Campbell Biparietal Diameter 224Appendix B November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 225 Hansmann Crown Rump Length CRL - Hobbins Hobbins Crown Rump Length CRL - Jeanty Jeanty Crown Rump Length CRL - Persson Persson Crown Rump Length CRL - Robinson Robinson Crown Rump Length bk3000 & bk5000 Advanced User Guide (16-01487-01)Measurement Abbreviations...
  • Page 226 FD 3 (3) Follicle Diameter (3 distances, distance 3) Femur Length FL/AC Femur Length / Abdominal Circumference FL/BPD Femur Length / Biparietal Diameter FL - Campbell Campbell Femur Length 226Appendix B November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 227 FW - Warsof (AC,BPD) Warsof Fetal Weight Gestational age Gamma1 Gamma1 Angle Gamma2 Gamma2 Angle using 180° Gamma3 Gamma3 Angle using 360° Gleason Score Gleason Score Gestational Sac GS 1 Gestational Sac (1 distance) bk3000 & bk5000 Advanced User Guide (16-01487-01)Measurement Abbreviations...
  • Page 228 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 228Appendix B November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 229 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 bk3000 & bk5000 Advanced User Guide (16-01487-01)Measurement Abbreviations...
  • Page 230 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 230Appendix B November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 231 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 bk3000 & bk5000 Advanced User Guide (16-01487-01)Measurement Abbreviations...
  • Page 232 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 232Appendix B November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 233 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 bk3000 & bk5000 Advanced User Guide (16-01487-01)Measurement Abbreviations...
  • Page 234 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 234Appendix B November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 235 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 bk3000 & bk5000 Advanced User Guide (16-01487-01)Measurement Abbreviations...
  • Page 236 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 236Appendix B November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 237 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 bk3000 & bk5000 Advanced User Guide (16-01487-01)Measurement Abbreviations...
  • Page 238 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 238Appendix B November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 239 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 bk3000 & bk5000 Advanced User Guide (16-01487-01)Measurement Abbreviations...
  • Page 240 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 240Appendix B November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 241 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 bk3000 & bk5000 Advanced User Guide (16-01487-01)Measurement Abbreviations...
  • Page 242 242Appendix B November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 243: Appendix C Setting Up And Customizing Your System

    Appendix C Setting Up and Customizing Your System The bk3000 and bk5000 include default setups that were created to optimize the ultrasound images and make it easy for you to use the different transducers, Pro Packages, and presets. You can customize the system so that it is easy to enter and select exactly the information you need, and so that the default setups fit your needs.

  • Page 244: Pro Package And Presets

    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. • 244Appendix C November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 245: Doppler And M-Mode Monitor Layout

    (like Freeze) to take place. To 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. bk3000 & bk5000 Advanced User Guide (16-01487-01)Setting Up and Customizing Your System...

  • Page 246: Imaging

    • Extended Resolution • Print (DICOM) • Zoom/Pan Reset • Freeze • Print (PCL5) • Harmonic • Print (PCL6) To open the Key Assignment Setup window: Click the Keys/Menus tab. • 246Appendix C November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 247: Assigning User-Defined Keys

    Set the mouse (cursor) speed. • Set the mouse cursor to be hidden after a specified period of inactivity. • Set the way the depth control works. • bk3000 & bk5000 Advanced User Guide (16-01487-01)Setting Up and Customizing Your System...

  • Page 248: System Setup

    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. 248Appendix C November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 249 Language changes will not take effect until you restart the system. NOTE: Video Format You can select PAL or NTSC for video output. For more information about video settings, see “Video I/O Setup” on page 258. bk3000 & bk5000 Advanced User Guide (16-01487-01)Setting Up and Customizing Your System...

  • Page 250: 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. To open the Clip Storage and Cine Setup window: Click the System tab, and then the Clip Storage/Cine tab. • 250Appendix C November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 251 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-1. bk3000 & bk5000 Advanced User Guide (16-01487-01)Setting Up and Customizing Your System...
  • Page 252 Select this to export the Lagarith codec to a CD/DVD or USB device. Restore Factory Defaults Restores factory default clip storage or cine settings. Table C-1. Settings in the Clip Storage and Cine Setup window. 252Appendix C November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 253: 3D Setup

    Do not use this new window to change anything else because your settings will be overruled by the settings in the Printer Setup window. bk3000 & bk5000 Advanced User Guide (16-01487-01)Setting Up and Customizing Your System...
  • Page 254 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. 254Appendix C November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 255: Password Setup

    The Password Setup window opens for you to change your password. If password protection is disabled, then only the checkbox “Password Protection Enabled” (without a check) is displayed. Only a superuser can enable or disable password protection. bk3000 & bk5000 Advanced User Guide (16-01487-01)Setting Up and Customizing Your System...

  • Page 256: Network Archiving

    To open the Version Information window: Click the System tab, and then, in the new window that appears, the Version tab. • 256Appendix C November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 257 Click Export. A log file is created and copied to your USB device. To send it to the BK Service department, zip the file and send it to support@bkmed.dk. bk3000 & bk5000 Advanced User Guide (16-01487-01)Setting Up and Customizing Your System...

  • Page 258: Video I/O Setup

    The resolution on the internal monitor is 1024x1280. (This is because the monitor, with a standard resolution of 1280x1024, has been rotated 90°.) 258Appendix C November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 259: Battery Support Setup

    Without battery support, the system ‘freezes’, the LCD backlight decreases and the monitor stays on. With battery support, the system reacts differently depending on whether the external video is enabled or disabled: bk3000 & bk5000 Advanced User Guide (16-01487-01)Setting Up and Customizing Your System...

  • Page 260: Miscellaneous System Setup

    • 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 bk3000 & bk5000 User Guide. Miscellaneous System Setup You can use the Miscellaneous System Setup window to customize a variety of functions.
  • Page 261 Figure C-17. The Miscellaneous System Setup window. bk3000 & bk5000 Advanced User Guide (16-01487-01)Setting Up and Customizing Your System...

  • Page 262: Measurements

    Use the Curve Setup window (page 268) to define a new curve or edit an existing one. Use the Miscellaneous Measurement Setup window (page 271) to set various measurement parameters and change the way in which measurements are displayed. 262Appendix C November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 263: User-Defined Measurements

    Click the Measurements tab and then the other Measurements tab. • Figure C-18. The Measurement Definition Setup window. You have the following options in the Measurement Definition Setup window: bk3000 & bk5000 Advanced User Guide (16-01487-01)Setting Up and Customizing Your System...
  • Page 264 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.) 264Appendix C November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 265 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. bk3000 & bk5000 Advanced User Guide (16-01487-01)Setting Up and Customizing Your System...
  • Page 266 <tool name>.<dependency result name> <tool name>.<dependency result name>,ARG_LIST Table C-6. Formula syntax for measurements. Click Finish. (If the formula contains errors, you will not be able to continue until you correct them.) 266Appendix C November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 267: Curves

    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. • bk3000 & bk5000 Advanced User Guide (16-01487-01)Setting Up and Customizing Your System...
  • Page 268 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. 268Appendix C November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 269 There is no limit to the number of values you can enter to define a curve. Table C-7. Information fields in the Curve Setup window. You have the following options in the Curve Setup window. bk3000 & bk5000 Advanced User Guide (16-01487-01)Setting Up and Customizing Your System...

  • Page 270: Miscellaneous Measurement Setup

    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. • 270Appendix C November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 271 Whether you want displayed measurement cursors to be larger. • Make sure to select the appropriate Pro Package on the left side of the window NOTE: before defining the settings. bk3000 & bk5000 Advanced User Guide (16-01487-01)Setting Up and Customizing Your System...

  • Page 272: Marks (Bodymarks, Labels, Puncture Guides)

    To open the Label Setup window: Click the Labels/Marks tab, and then, in the window that appears, click the • Label Catalogs tab. Figure C-22. The Label Setup window. 272Appendix C November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 273: Transperineal Matrix, Brachy Matrix And Ruler, And Programmable Puncture

    If you create a user-defined matrix, it is your responsibility to verify that the matrix that Verify user- appears on the monitor corresponds to the physical matrix you are using. defined guide bk3000 & bk5000 Advanced User Guide (16-01487-01)Setting Up and Customizing Your System...
  • Page 274 In the Brachy Matrix Setup window, click New, or select an existing measurement and click Edit. The following window appears: Select the transducer that the matrix will be used with, and name the matrix. Click Next. 274Appendix C November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 275 Assuming that the transducer is at the bottom of the image, positive offsets move the matrix to the right or up, negative offsets move it to the left or down. Click Next. bk3000 & bk5000 Advanced User Guide (16-01487-01)Setting Up and Customizing Your System...
  • Page 276 (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: 276Appendix C November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 277 Check the alignment of a reusable puncture guide or transperineal biopsy matrix if you have any reason to suspect that it has been damaged. BK Medical recommends that you check them once a month, or more often in case of heavy use.
  • Page 278 Watch the image of the needle tip and measure its deviation from the puncture line or matrix point shown on the monitor. Decide whether the accuracy is acceptable. 10 If the accuracy is not acceptable, contact your BK Medical service representative. To calibrate programmable matrices: Fill a suitable tank with saline.

  • Page 279: Miscellaneous Marks Setup

    Apply (or press Enter.) Set the font size for labels to make it easier to read their information. Select the size of your arrow. bk3000 & bk5000 Advanced User Guide (16-01487-01)Setting Up and Customizing Your System...

  • Page 280: Licenses

    Licenses Some functions of the bk3000 and bk5000 are optional; you must have a specific license to use them. The available options also depend on the system version you purchased. When you purchase an option, you receive a 16-character license key. To activate the option, you must type the license key into the License Manager window.
  • Page 281 If the staging area contains files waiting to be archived to CD/DVD, you will not be allowed to export to a CD/DVD until you have burned the archive CD/DVD. Type in a file name when you are prompted. bk3000 & bk5000 Advanced User Guide (16-01487-01)Setting Up and Customizing Your System...

  • Page 282: Importing Or Exporting Presets

    Importing or Exporting Presets You can export presets to a USB storage device or CD/DVD and then import them to another bk3000 or bk5000 system. You can also export customized setups before an upgrade as a backup. After a software upgrade, you must import presets you have created or modified back into the system.
  • Page 283 The selected presets are saved, with their existing names, as part of the named file. To import a preset: In the Preset Export/Import window (Fig C-28), click Import. The Files List window appears. bk3000 & bk5000 Advanced User Guide (16-01487-01)Setting Up and Customizing Your System...
  • Page 284 New Pro Package to create a new one to contain the imported setups. If you are creating a new Pro Package, type in a file name when you are prompted. Click Import. 284Appendix C November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 285: Dicom Setup

    “correct” Pro Package. DICOM Setup DICOM is not installed on the bk3000 or bk5000 as a default. You must purchase a DICOM license from BK Medical before a qualified service technician can install DICOM on your system.
  • Page 286 286Appendix C November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 287: Appendix D Redefining Screen Keys - Label, Bodymark, And Measurement

    : 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. bk3000 & bk5000 Advanced User Guide (16-01487-01)Redefining Screen Keys – Label, Bodymark, and Measurement...

  • Page 288: Other Settings

    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. 288Appendix D November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)
  • Page 289 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. bk3000 & bk5000 Advanced User Guide (16-01487-01)Redefining Screen Keys – Label, Bodymark, and Measurement...
  • Page 290 290Appendix D November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 291: Appendix E Configuring The Bk3000 And Bk5000

    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.) bk3000 & bk5000 Advanced User Guide (16-01487-01)Configuring the bk3000 and bk5000...
  • Page 292 When you are in Configuration mode, you can identify the keys that are visible in Basic mode – they have a filled circle in top left corner (as shown in Fig E-3.) 292Appendix E November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 293: Unavailable Spaces

    The fields on the Imaging tabs are divided into two sections. The lower section is common to all mode tabs and appears regardless of what mode tab is in the upper section. bk3000 & bk5000 Advanced User Guide (16-01487-01)Configuring the bk3000 and bk5000...

  • Page 294: Special 3D Mode Tab

    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. 294Appendix E November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 295: Patient Dialog

    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. bk3000 & bk5000 Advanced User Guide (16-01487-01)Configuring the bk3000 and bk5000...
  • Page 296 – or if you don't have the tabs shown at all – you can make it available by having it displayed in an info box. 296Appendix E November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 297: Prioritizing The Display Of Measurements And Settings

    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. bk3000 & bk5000 Advanced User Guide (16-01487-01)Configuring the bk3000 and bk5000...
  • Page 298 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. 298Appendix E November 2018 bk3000 & bk5000 Advanced User Guide (16-01487-01)

  • Page 299: Index

    Index Wire Frame 203 Numerics Zoom 203 2D images, saving 52 3D data sets, saving 52 3D Setup window 253 4-Up view 211 3D Tabs 18 6-Up view 212 4-Up view (3D) 211 accuracy 209 6-Up view (3D) 212 acquisition, stopping 202 aligning or deleting a face 205 animating the volume 205 Acc (measurement) 223...
  • Page 300 B/A (measurement) 217 C (on monitor, next to frequency) 79 baseline Capture while not scanning (setup) 252 CW Doppler mode 105 capturing clips 52 battery capturing images 51 critical low 260 cardiac imaging low 260 bodymarks 147 maximum life 260 capturing clips 154 maximum operation time 260 capturing frozen images 153...
  • Page 301 enable storage 252 parent 268 export clip storage codec 252 type 269 frame rate 252 Curve Setup window length 252 information fields in 269 restore factory defaults 252 options in 270 codec picture 268 export 252 purpose 267 installing on your PC 56 CW Doppler indicator color bar on B-mode image 101...
  • Page 302 DICOM viewer 56 directions 202 Discontinue Examination 215 correct placement of marker 109 distance, measuring 40 in A/B (Stuart Index) 112 document in A/B ratio 112 caution about deleting 60 in A/B, definition 217 printing 69 in B/A, definition 217 saving 51 in formula for resistance index 112 selecting or deselecting in document browser 53...
  • Page 303 Heart Rate (1-10) (measurement) 228 HIPAA F1, F2 (measurement) 219 about 51 factory setup, restoring 250 compliance 51 – FATE (cardiac imaging) 156 definition 219 FATE measurements 156 password protection of database on system 66 FFT spectrum. See Doppler spectrum. HPRF 97 FFT, definition 219 HR, real-time measurement 113...
  • Page 304 typing special letters or accents 20 polygon 45 license key 280 MI (Mechanical Index) License Manager window 280 and CHI 79 licenses checking setting for contrast imaging 80 about 280 CW Doppler 101 installing 280 MIP (definition) 220 Linked Split/Dual 31 Miscellaneous Marks Setup window 279 LMP 120 Miscellaneous Measurement Setup window 270...
  • Page 305 definition 220 definition 220 report 121 real-time measurement 113 obstetrics report 121 office printer about 35 setting up 254 adjusting the window 37 ON/standby button (definition) 222 plane, imaging. See imaging plane. Opacity (3D Render setting) 209 planimetry orientation definition 221 image, changing 21 description 116 orientation of imaging plane 29...
  • Page 306 correct placement of marker 109 RVOT diameter s (measurement) 240 real-time measurement 113 PSA 221 PSA factor sagittal imaging plane 29 setting 271 sample volume PSAD Doppler mode 96 definition 221 false 96 pulse repetition frequency 221 false, moving 97 puncture false, with HRPF 97 performing 118...
  • Page 307 stitch line 222 using 80 stored documents, viewing 53 TIS 222 superuser tissue harmonic imaging name and password 255 advantages 78 privileges 255 description 77 sweep speed limitations 78 CW Doppler mode 105 using 77 sweep speed, Doppler mode 98 training before using equipment 86 Sync Steer 97 transducer button...
  • Page 308 workflow (illustration) 95 exported documents (on system) 55 video video clips 55 output modes 258 VL (measurement) 241 video clips volume flow rate estimation, assisted (VFI) 95 capturing 52 volume flow, calculating 111 format 56 volume measurement (3D), making 208 format of copied 56 voxel, definition 222 joining 54...

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