MicroMaxx $ ^{\circledR} $ Ultrasound System

User Guide

MicroMaxx Ultrasound System

SonoSite, Inc.

21919 30th Drive SE

Bothell, WA 98021

USA

T: 1-888-482-9449 or 1-425-951-1200

F: 1-425-951-1201

SonoSite Ltd

Alexander House

40A Wilbury Way

Hitchin

Herts SG4 0AP

UK

T: +44-1462-444800

F: +44-1462-444801

Caution:

Federal (United States) law restricts this device to sale by or on the order of a physician.

MicroMaxx, SiteLink, SonoCalc, SonoMB, SonoRES, and SonoSite are registered trademarks or trademarks of SonoSite, Inc.

CompactFlash is a registered trademark of Symbol Technologies.

Non-SonoSite product names may be trademarks or registered trademarks of their respective owners.

DICOM is the registered trademark of the National Electrical Manufacturers Association for its standards publications relating to digital communications of medical information.

The SonoSite product(s) referenced in this document may be covered by one or more of the following patents: 5722412, 5817024, 5893363, 6135961, 6203498, 6364839, 6371918, 6383139, 6416475, 6447451, 6471651, 6569101, 6648826, 6575908, 6604630, 6817982, 6835177, 6962566, 7169108, D456509, D461895, D509900, D538432, D544962, D558351, D559390. Patents pending. Other international patents may also apply.

P06435-07 07/2008

Copyright 2008 by SonoSite, Inc.

All rights reserved.

Contents

Introduction 1

About the User Guide 1

Intended Uses 1

Conventions 4

Symbols and Terms 4

Upgrades and User Guide Updates 4

Customer Comments 4

Contact Information 5

About the System 6

About the System Software 8

Getting Started 9

Healthy Scanning Guidelines 9

System Preparation 11

Installing or Removing Battery 11

Installing or Removing CompactFlash Card 12

Using AC Power/Charging Battery 13

Turning System On/Off 14

Connecting or Removing Transducer 15

System Controls 16

Screen Layout 19

General Interaction 20

Touchpad 20

On-Screen Menus 21

Menu Controls 21

Annotation and Text 22

Forms 23

System Setup 24

Set Security Settings 25

Audio and Battery 31

Cardiac Calculations 32

Connectivity 33

Date and Time 35

Delta Key and Annotation 36

Display Information 38

IMT Calculations 39

OB Calculations Authors 40

OB Custom Measurements 42

OB Custom Tables 43

Presets 45

System Information 47

Network Status 48

Imaging 49

Patient Information 49

Transducer, Exam Type, and Imaging Mode 52

Transducer Preparation 55

General Use 56

Invasive or Surgical Use 56

Modes 57

2D Imaging 57

M Mode Imaging 61

Color Doppler Imaging 63

Pulsed Wave (PW) and Continuous Wave (CW) Doppler Imaging 65

Clips 68

Clip Acquisition Delay 69

Image and Clip Storage 70

Save to CompactFlash 70

Print to Local Printer 72

Image and Clip Review 72

Patient List 72

Patient Images and Clips 73

Annotations 74

ECG Monitoring 76

Footswitch 77

Bar Code Scanner 78

Needle Guidance 78

Measurements and Calculations 79

Measurements 79

2D Measurements 79

M Mode Measurements 83

Doppler Measurements 85

Calculations 89

Percent Reduction Calculations 90

Volume Calculation 92

Volume Flow Calculation 94

Small Parts Calculations 96

Gyn Calculations 97

OB Calculations 100

Vascular Calculations 108

IMT Calculations 110

Transcranial Doppler Calculations (TCD) 114

Cardiac Calculations 117

Patient Report 135

Connectivity and Configuration 141

System Connectivity Setup 141

System Configuration for SiteLink 141

Configuring SiteLink for Ethernet 142

Configuring SiteLink for Wireless 143

System Configuration for DICOM 147

Creating Backup for DICOM Settings 147

Configuring Locations 148

Configuring Archivers 154

Configuring Printers 157

Configuring Worklist Servers 161

Configuring Procedures 164

Importing and Exporting Configurations 165

Reviewing the Network Log 166

DICOM Usage 167

DICOM Image Archive and Print 169

Patient Information 171

DICOM Worklists 172

Troubleshooting and Maintenance 175

Troubleshooting 175

Software Licensing 177

Upgrading the System and Transducer Software 177

Upgrading Triple Transducer Connect (TTC) 183

Obtaining a License Key 184

Installing a License Key 185

Maintenance 186

Recommended Disinfectant 186

Safety 186

Cleaning and Disinfecting Ultrasound System 187

Cleaning and Disinfecting Transducers 188

Sterilizing Transducers 190

Cleaning and Disinfecting Transducer Cables 190

Cleaning and Disinfecting Battery 192

Cleaning Footswitch 192

Cleaning and Disinfecting ECG Cables 192

References 201

Display Size 201

Caliper Placement 201

2D Measurements 201

Sources of Measurement Errors 203

Acquisition Error 203

Algorithmic Error 203

Terminology and Measurement Publications 203

Cardiac References 204

Obstetrical References 210

Gestational Age Tables 211

Growth Analysis Tables 214

Ratio Calculations 215

General References 216

Specifications 219

System Dimensions 219

Display Dimensions 219

Transducers 219

Imaging Modes 220

Image Storage 220

Accessories 220

Hardware, Software, and Documentation 220

Cables 221

Peripherals 221

Temperature and Humidity Limits 221

Electrical 222

Battery 222

Electromechanical Safety Standards 222

EMC Standards Classification 223

Airborne Equipment Standards 223

DICOM Standard 223

HIPAA Standard 223

Safety 225

Ergonomic Safety 225

Electrical Safety Classification 225

Electrical Safety 226

Equipment Safety 228

Battery Safety 228

Biological Safety 230

Electromagnetic Compatibility (EMC) 230

Manufacturer's Declaration 232

The ALARA Principle 235

Applying ALARA 235

Direct Controls 236

Indirect Controls 236

Receiver Controls 236

Acoustic Artifacts 236

Guidelines for Reducing MI and TI 237

Output Display 239

Mechanical and Thermal Indices Output Display Accuracy 240

Factors that Contribute to Display Uncertainty 240

Related Guidance Documents 241

Transducer Surface