JustVision 200/400 Knobology Instructions

JustVision 200/400 Knobology Instructions

JustVision 200/400 Knobology Instructions

This document describes controls on the Keyboard and Function panel of the JustVision Ultrasound Console. Diagrams with number codes are included on pages 1-2. For nomenclature of this document, K will refer to Keyboard controls, and F will refer to Function Panel controls.

4 Steps to Begin Scanning

1. Turn on power by moving the GREEN power switch to the up position. (2 switches on the JV400). 2. Press New Patient Control <1K>. 3. Press Program Preset <2K>. Choose exam type by pressing the corresponding number on the keyboard. 4. The cursor will default to the Patient ID Field. Using the alphanumeric characters on the keyboard, enter the patients name. Begin scanning

Image Optimization (During Exam)

TGC <6K> Time Gain Compensation

Time Gain Compensation (TGC) allows for amplification of the returning sound waves. The further a sound wave travels, the more its returning echo diminishes in strength. For this reason, the sound waves returning from greater depths must be boosted. TGC allows for more finite and accurate adjustments of the returning echos from specific depths by allowing you to boost or reduce them independently. As an analogy, TGC functions much like an equalizer on a stereo system. Rather than adjusting the volume of the entire sound spectrum (Gain), you can adjust individual bands. To adjust TGC: Slide the pods to the right to increase gain, to the left to decrease gain. Keep pods adjusted for uniform tissue echogenicity. A lower setting in the near field is optimal for resolution and near-field distinction.

JustVision 200/400 Knobology Instructions

IP <16F> The IP knob is multi-functional. It controls the Operating Frequency when pushed.

The JustVision Ultrasound can operate at 3 distinct center frequencies. This center frequency lies in the middle of the Broad Band Imaging spectrum. By use of Dynamic Echo Tracking, the JustVision transmits sound waves in the frequency ranges above and below the center frequency. As a reminder, the relationship between frequency, resolution and depth is as follows: As Frequency increasesresolution increases, penetrable depth decreases. As Frequency decreasesresolution decreases, penetrable depth increases. Pushing the IP Knob will change the Center Frequency. The screen indicator for the Center operating frequency is in the upper right hand corner of the monitor. The unit must be in real time to change the Center Frequency (NOT in freeze mode discussed later). Center Frequency C60 5.0 MHz C60 6.0 MHz C60 7.0 MHz .Broadband Spectrum... (High end at 7.0 MHz, low end at 3.5 MHz) (High end at 8.0 MHz, low end at 4.0 MHz) (High end at 9.0 MHz, low end at 5.0 MHz)

IP <16F>

The IP knob is multi-functional. It controls Image Processing when turned.

Image processing controls the contrast and grayscale parameters of the screen image. IP is measured on a scale from 1 to 8. The unit must be in real time to change the IP (NOT in freeze mode discussed later). The screen indicator for IP value is in the lower right hand corner of the monitor. It is the first of two numbers (the second number refers to the Gain setting, discussed later): 5/80 Settings 1-4 have more contrast and edge enhancement (1 or 2 is ideal for cardiac imaging). Settings 5-8 produce smoother images with more grayscale (5 or 6 is ideal for abdominal).

Depth <13F> The Depth setting adjusts the field of view that is displayed on the screen. This setting does NOT adjust the depth that the sound waves actually travel. The depth of actual sound wave travel can only be controlled by changing the center frequency (discussed above). The screen indicator for depth is in the lower right corner of monitor (in centimeters).
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JustVision 200/400 Knobology Instructions

To adjust the field of view depth: Dial left to increase depth (increase field of view). Dial right to decrease depth (decrease field of view).

Gain <17F> The Gain control adjusts the amplification of all RETURNING echos across the entire imaging spectrum. This setting does not increase the strength or amount of sound waves being transmitted those values are inherent to the transducer being used and cannot be adjusted. Gain is measured on a scale of 60-100. The Gain screen indicator is in the lower right corner of the monitor (displayed with the IP setting discussed above). 5 / 80 (Default setting = 80) To adjust the Gain: Turn the Gain knob clockwise to increase amplification. Turn the Gain knob counter-clockwise to decrease amplification.

FREEZE & PLAYBACK OF IMAGES Freeze <18F> Pressing the Freeze button will freeze the current image on the monitor.

CINE-loop IP <16F> The IP knob is multi-functional. It controls CINE-Loop when FREEZE mode is engaged. CINE-Loop is the capture of a clip of images. The JustVision series is constantly maintaining a 1-2 second memory of images (while in B-Mode). Pressing the Freeze button, as above, will display the most recent image (frame). The IP button controls CINE-Loop once Freeze has been engaged. (Remember, this same button controls depth and frequency when Freeze is NOT engaged). To control CINE-Loop Playback: Press once to replay the memory loop at full speed. Press again to replay the loop at half speed, and a third time to replay at quarter speed. Turn the IP knob to replay the loop frame by frame. A CINE-loop may contain anywhere
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JustVision 200/400 Knobology Instructions

from 32-96 separate frames. The Frame indicator is located in the upper right corner of the monitor screen and displays the frame number. Also, RT = first frame, LT = last frame. Pressing Freeze <18> will return the system to live scanning, and the IP knob will resume prior controls.

Annotations ABC <8K> Annotations can be added to any image currently displayed on the screen (live or frozen). Pressing the ABC button on the Keyboard will display the annotation cursor. The trackball is used to move the cursor to the location at which you want to make the annotation. After pressing the ABC button, annotations can be added in the following ways: Dial the multi-functional dial <7F> to scroll through pre-programmed labels. Enter labels by typing with the keyboard. Press the MENU <1F> key. Scroll with trackball to highlight the desired label, or press NEXT <9F> to view additional label selections. Press SET <8F> to select label. To add multiple annotations to the same image, press the ABC button again and repeat the steps above. To delete screen annotations, press the Delete key on the keyboard.

Print <14F> Pressing the Print button will print the current screen image (provided the printer is installed). FREEZE mode must be engaged for this feature to work. Return to live scanning by pressing Freeze <18F>.

MEASUREMENTS: B-MODE
MEAS 1 <2F> The first measurement tool is used to determine lengths and distances. Press the MEAS 1 key. A cross-hair caliper appears. Using the trackball, position the caliper and press SET. A second caliper appears, position the trackball at the other end point and press SET. The measurement value appears on the lower portion of the monitor.

JustVision 200/400 Knobology Instructions

A second distance measurement can be acquired. Push NEXT to display a second set of calipers, and repeat the steps as above.

MEAS 2 <2F> The second measurement tool is used to determine area and perimeter measurements (trace). Press the MEAS 2 key. A cross-hair caliper appears. Using the trackball, position the caliper and press SET. Move the caliper to an adjacent area on the perimeter of the structure being measured and press set. Continue until the structure being measured is surrounded. (The number of markers required will depend on the shape and curvature of the area being measured. Push NEXT a final time, and the system will draw a line connecting the markers. Area A and Length L measurements will appear on the lower portion of the screen.

MEASUREMENTS: M-MODE Acquiring the Best Image for M-Mode Measuring: Press M/B <10F> to split the screen. On the B-Mode image, position the dotted cursor with the trackball to dissect the area to be measured. The corresponding M-Mode image will be displayed. Adjust the TGC and Gain to sharpen the wall margin definition in the m-mode image. Use the Sweep Speed <5F> (User Function F4 controls) to adjust the M-Mode speed. (Slower for Bradycardia, faster for Tachycardia). When the desired image is obtained, press Freeze.

MEAS 1 <2F> The first measurement tool is used to determine Left Ventricular Function (wall thickness, fractional shortening, etc.) Press the MEAS 1 key. A cross-hair caliper appears. Using the trackball, position the caliper to the IVS during Diastole. Press SET. Move the cursor and repeat for LV and Posterior wall positions in Diastole. After these 3 measurements have been SET, press NEXT. Repeat the same three measurements during Systole. (See the basic manual for an example).

The various measurements are calculated and displayed on the screen.

JustVision 200/400 Knobology Instructions

The JustVision Report Package allows you to take an average of up to three separate measurements. Obtain the first set of measurements as above. To enter them into the Report Package: Push User Function <5F> F1. This enters the measurements into the cardiac report package. To acquire a second (and third) set of measurements: Turn off MEAS 1, resume scanning, and capture another M-Mode image. Press MEAS 1 and the previous measurements will be displayed. Press the NEXT button until the diastolic measurements are highlighted. Press SET. The previous measurements will be deleted from the screen (but kept in the Report Package memory). Repeat as above for the second set of measurements. Press User Function <5> F1 to enter into package. (Accessing the Report Package is described below). Repeat process for a third set of measurements if desired.

MEAS 2 <2> The second measurement tool is used to calculate Left Atrium/Aortic Ratio. With MEAS 2 highlighted, move and set the cursor as described previously to measure the left atrium and aorta. Measurements are displayed on the monitor and can be entered into the Report Package for averaging as above.

REPORT PACKAGE Press MENU <1F>. Use the trackball to scroll to REPORT and press SET. The report will be displayed. (Note that the last 3 measurements will always be maintained. For this reason it is important to create a New Patient <1K> for each case to clear the memory.) To print a copy of the report press PRINT <14F> while the report is displayed on the monitor. To exit the report press MENU <1F>, scroll to return, press SET.

JustVision 200/400 Knobology Instructions

ADDITIONAL KNOBOLOGY Dual Screen <12F> This feature splits the screen for two real-time B-mode images. Press Dual to activate the left screen. Obtain the desired image. Press Dual again to freeze the left image. The right screen will activate. When the desired image is obtained on the right side, press the Freeze button. Press Freeze again to unfreeze the image. (To unfreeze a particular side, press the Dual key until the indicator dot on the bottom of the screen indicates which side is activated.) Press the B Single <11F> key to return to a single image screen.

Body Mark <3F> This feature provides anatomical icons for documenting and annotating scanning planes. It is not commonly used in veterinary medicine.

Pan/Expand <4F> This feature expands and magnifies the screen image. It will expand the image from a point in the center of the screen. This feature does not work in Freeze mode. To control Pan/Expand: Press Pan/Expand <4F>, then turn the multifunction dial <7F>. Turn clockwise to expand, counterclockwise to shrink. Use the trackball to pan the image vertically to visualize the far or near field views.

USER FUNCTION KEYS <5F> The User Function Keys have been pre-programmed by Sound Technologies. F1 Average (Enters cardiac measurements into cardiac package to average) F2 Turn characters on/off on the monitor (image remains) F3 Turn image on/off (characters remain) F4 M-Mode sweep speed adjustment F5 High Frames Per Second (HFPS). Doubles the frame rate by reducing chevron F6 EPSS measurement (Measurement 3)