Getting Started with SonovaE - Parks Med 5_6_1.pdfYes you can, though due to the major programming...

Getting Started with SonovaE

Includes: Installing SonovaE

Converting to SonovaE

Device Configuration

DICOM Setup

Modality Worklist Setup

HIPAA Setup

Proper Shutdown Procedure

How to Start a New Patient

Impressions & Notes

History Configuration

Test Configurations

Backup & Restore Data

Creating a Custom Sequence

Creating a Custom Header

F1 Help Files

Probe Care

Cuff Cleaning

Doppler Troubleshooting

Calibration Instructions

Computer Maintenance

Version 3.1

Getting Started with SonovaE Manual

P# 050-SONE-02, Revision 3.1

01/2015

2

Table of Contents

Introduction 3

What’s New in SonovaE 4

Installing SonovaE 5

System Requirements 5

Upgrade to SonovaE 5.6.1

from v. 5.4

5

Upgrade from Sonova & VIPxp 6

Sales Reps folder 7

Import Settings 7

Converting Sonova to SonovaE 8

Configuring Multiple Flo-Labs 8

Converting Patient Studies 8

Select A Device Warning 10

Select A Device 10

Device Configuration 11

Flo-Lab 2100 Configuration 11

Startup Settings 11

MPI Configuration 12

Temperature Sensor

(Thermometer LXTA)

14

COM Port Configuration 14

Firmware 15

DICOM Setup 16

Troubleshooting Tips 17

Modality Worklist Setup 18

Troubleshooting Tips 19

HIPAA Configuration 20

Proper Shutdown Procedure 21

Starting a New Patient 21

Using Modality Worklist 22

Modality Worklist Filters 22

Modality Worklist Unlock 23

DICOM Descriptions 24

Manage Doctors List 24

Impressions and Notes 25

History Configuration 26

Add New Categories 26

Add New Questions 27

Primary Indications 28

Test Configurations 29

Adding A Site to a Test 30

Set the Modality for each new site 31

Set the Display & Navigation

Sequence

32

Deleting a Site from a Test 32

Changing Labels 32

Changing Time Labels 33

MPI Configuration 34

Raynaud’s Pressure, Waveforms &

Thermal

35

Backup Data 36

Restore Data 38

Creating a Custom Sequence 40

Creating a Custom Header 42

Help Files 43

Probe Care 44

Cuff Cleaning 45

Doppler Troubleshooting 46

Calibration Instructions 47

Field Calibration 48

Pressure Verification 50

Cuff Volume Verification 51

Cuff Volume Worksheet 52

Computer Maintenance 53

Equipment Images 54

3

Introduction

Parks Medical Electronics, Inc would like to thank all of our customers for

helping us create our newest version of the vascular software. Over the last

several years, our sales force and factory employees have listened to you and

the needs of your vascular lab. The result: the best, most configurable, yet

easy to use vascular program on the market.

We will continue to improve our program, we welcome any

ideas or comments you may have.

Virus Protection

Parks Medical Electronics, Inc recommends each facility install and update

each machine with their virus protection software. We request the virus soft-

ware to not be scanning or updating while the Flo-Lab is being used.

Please send any comments or suggestions to:

1-800-547-6427 Option 3

1-888-356-9522

Or

[email protected]

Thank You

From the people at:

Medical Electronics, Inc

4

What’s New in SonovaE

Although SonovaE is similar to the former Sonova program, it has been completely re-written from the ground up.

Since they are both separate programs, they do not share any common files or databases. Both can reside on your

computer and will not interact in any way. You can not however run both programs at the same time.

Firmware:

The firmware is a program inside your Flo-Lab that communicates with SonovaE. This enables SonovaE to switch

modes on your Flo-Lab depending on what test you enter.

Certain settings like Bleed Rate, Auto Bleed After Inflate and the Slow Fill Rates were once set on the front

panel of the Flo-Lab. They are now set within SonovaE.

To change these settings:

From SonovaE’s opening menu, enter UTILITIES, → SYSTEM SETTINGS, → DEVICE CONFIG. Highlight

Flo-Lab 2100 in the Selected Devices window and click the CONFIG button. Enter your new parameters here

then click OK.

Other Changes within SonovaE:

Archive:

• Patient data can be backed up to various locations either locally or across the network

• A more reliable database structure than Sonova

• Study Archives allows you to print a patient without loading a study, rebuild the patient index, and data batch

functions for importing patient studies and allow batch deletes in Study Archives

Custom Configuration:

• All tests including time tests are fully configurable in SonovaE, as opposed to Sonova which only had

Doppler, Segmental Limb Pressures and VPR as fully configurable

• Graphs accept alpha/numeric label changes from modified reports

• Configuration changes may be adjusted for an individual test or all tests.

• Create additional custom studies and custom tests

• Contains a new fully configurable Custom Sequence feature

• Modifiable themes give the ability to change the colors of items within the program including the wave

display window

• Scroll back and change sweep speeds in Saved Waveforms

• Customizable onboard chart recorder

• Label configurability within the patient and study sources

• Enhanced HIPAA support

DICOM, Modality Worklist:

• Improved DICOM compliance

• Standardized Structure Reporting Tags

• Integration of Modality Worklist within SonovaE

• An “unlock” feature in Patient & Study allows the patient data to be changed if the wrong name was selected

Miscellaneous Features:

• Automatic firmware update

• Larger buttons designed for touch screen monitors

• There is a touch pad version of the History Questionnaire

• Changes to previous History demographics saved

• Full on screen context aware help menus (press F1 from any screen)

• Troubleshooting tips and a basic parts list in the F1 Help files

• Built in technical support tools

• Quick “Shutdown” feature when quitting SonovaE will save and close SonovaE and shutdown windows

• All pressure tests inflate through the right, red hose; a MPI will switch the air flow from right to left

5

Installing SonovaE

Reports:

• Full support for Rich Text Format in Notes and Impressions with spell checker

• Notes and Impressions font type, size and color changes stay as last selected

• Create your own headers directly from within SonovaE

• Adjustable header width and height

• Increased e-mail functionality with .pdf creator support

• Improved .xml export support

• Compare two studies side by side

• Customizable reporting options

• The ability to configured a Dual Trace Segmental Pressure test

• Pressure designation clarified on the report page

• Foreign time and date accepted

Can I have both Sonova and SonovaE on my system at the same time?

Yes, they are completely separate programs and do not share any common files or databases. As long as you do not

run them both at the same time, they can both reside on the system. However, they do not use the same firmware.

Can I have both SonovaE 5.6.1 and a previous version of SonovaE on my system at the same time?

Yes you can, though due to the major programming changes in SonovaE 5.6.1, the different firmware and DICOM/

MWL configurations, we recommend staying with the new version of SonovaE 5.6.1. Therefore, after a successful

install of SonovaE 5.6.1, your previous version of SonovaE will be uninstalled automatically. We strongly recom-

mend preforming a backup in SonovaE before doing the new SonovaE 5.6.1 install (for backup assistance please

review the backup instructions listed on page 36).

Is my computer capable of running SonovaE?

System Requirements:

Windows XP Pro: 512MB Ram with a Pentium 4 2.8 GHz or faster processor

Windows 7 Pro: 2 GB RAM with a 1 GHz or faster 32-bit processor

Microsoft .Net Framework 4.0 for WXP, 4.5.1 for W7

Windows XP SP3 (required for .Net Framework 4.0)

Full Administrator Rights are needed for all users

1. Backup your Saved Studies and System Settings:

Note: If upgrading to SonovaE from Sonova or VIPxp, please skip to page 6 for instructions.

At any time, you may call tech support for assistance 1-888-356-9522.

Before upgrading to SonovaE 5.6.1 from a previous version of SonovaE, please do a complete backup. From the

SonovaE opening page click UTILITIES → BACKUP; check mark both Saved Studies and System Settings.

Verify the location the backup will be saved by viewing the top box (for backup assistance please review the back-

up instructions listed on page 36). Press the F2 Backup button.

2. Quit SonovaE.

3. Install SonovaE 5.6.1

• WXP must have Service Pack 3 installed before .Net Framework 4.0 will install.

• Website installation: If you have downloaded SonovaE 5.6.1 from our secure website, please make

sure you have also downloaded the full version of .Net Framework 4.0 as this needs to be installed

before SonovaE 5.6.1 can be installed. The link is available on the SonovaE download website. To

keep up-to-date upgrade to .Net Framework 4.5.1 (W7 only).

• CD Installation: The CD will install .Net Framework 4.0 if it cannot be located on the computer.

The CD also contains .Net Framework 4.5.1 for W7.

What’s New in SonovaE continued

Upgrade to SonovaE 5.6.1 from SonovaE 5.4 & earlier

6

4. Launch SonovaE 5.6.1

• SonovaE will automatically launch once installed and will preform a firmware update.

5. DICOM & Modality Worklist (MWL)

• Go into the DICOM/MWL configuration by clicking on Utilities →System Settings →DICOM/

MWL then just escape out again. This will help the new version use the already configured settings.

6. Test functionality

• Create a New Study, give it a test name.

• Choose Lower Arterial.

• Verify the clinician and doctors names are available from the drop down menu.

• Press escape, verify your Report Header looks correct, see page 42 to make adjustments.

• Click on Test Select then Seg. Pressures.

• Test the Doppler probes, inflate on both right and left sides up to 200, test the PPG probes.

• Test Reporter, print or send your study to DICOM.

7. If it passes the functionality tests, you are ready to go.

• If not or you have any questions, please call Parks Tech Support at 1-888-356-9522.

8. Previous software versions

• If you still have an old software icon on your desktop other than SonovaE 5.6.1, please delete it so it

will not accidently be used.

How do we install SonovaE?

The installation of SonovaE is similar to the installation of any other program. If you do not understand these di-

rections or something is not working right, please call Parks Tech Support 1-888-356-9522.

1. Exit out of any programs currently running

2. We prefer to turn off all programs so click START→ RUN, type in ‘msconfig’ then click ‘0k’.

• Notice the various TABS across the top, select the Startup tab

• Select Disable All (button lower right corner). If you have a Touchscreen monitor look for something

that states TPDD, TDD or Grunzee and leave it selected (newer units do not have anything listed)

• Click ‘Apply’, ‘OK’ and ‘Yes’ to restart

• An off white window will open about the ‘System Configuration Utility,’ in the lower left corner

place a checkmark in the box for “Do Not Show This Again” then click ‘OK’.

3. Insert the CD into your on board computer CD drive or start your downloaded file.

4. The installation will open a DOS window to unzip the contents. At this time it will also verify that .Net Frame-

work 4.0 is installed. If it is not installed, it will install it now, reboot the computer if it requests. Double click

on the CD, it will then install .Net Framework 4.5.1, reboot again if it requests. Double click on the CD again,

SonovaE 5.6.1 will now install.

5. If the CD gives you an install error, close all the install windows

a. Double click on My Computer

b. Right Click on the CD-ROM, left click on Open

c. Look for the folder “dotNETFX40” then double click

d. Ignore the inside folders, double click on the single file “dotNETFX4_0setup”

e. Follow the install instructions leaving everything set to the defaults, reboot when completed

f. Next look for “dotNETFX4_5_1setup” and install it the same way then reboot when completed

g. Double click on My Computer then double click on the CD-ROM, proceed to step 5

• The downloaded SonovaE file will give a missing component error if the .Net Frameworks are not

installed

a. .Net Framework 4.0 must be installed from Microsoft Updates before SonovaE 5.6.1 will

install. Also install the most current .Net Framework 4.5.1.

Upgrade to SonovaE 5.6.1 continued

Upgrade to SonovaE from Sonova or VIPxp

7

Upgrade to SonovaE from Sonova or VIPxp continued

6. After the verification of .Net Framework 4.0 has been installed, the SonovaE install wizard will appear

• Please leave the default settings and just click Next, Next, Next…

• Please remove the old Sonova software icon from the desktop (the icon is black with a

yellow waveform).

• Once the installation has completed, there will be a new SonovaE icon on the Desktop

with the version number listed. Double click to launch SonovaE

Use these instructions for a new installation upgrade from Sonova or VIPxp:

A few of our Sales Reps. have a SonovaE folder they have created with the System Settings changes and Custom

Sequences they usually configure for their clients. Call Parks Tech Support, if we have one for your Rep., we will

have the folder zipped and can email it to you.

If you installed from the SonovaE CD, make sure SonovaE is closed. Double click on My Computer, double click

on the C:\ drive and then on the ParksDrivers folder. Locate the ‘Reps’ folder then double click.

• Not all reps have a specified folder

• If your sales rep. is listed, open another window by double clicking on My Computer

so we have two windows open

• Double click on the C:\ drive

• Double click on the C:\Parks folder, delete the “SonovaE” folder within

• Copy your Reps. “SonovaE” folder into the C:\Parks folder

• Launch SonovaE to verify it opens ok with the changes we made

• Continue with the next set of instructions to convert Sonova settings and studies to

SonovaE

The little (3.87MB) utility called ‘Sonova2SonovaE” will import your clinician and doctors names, any notes or

impressions you have saved to reuse and your header from Sonova 3.X.

Please make sure SonovaE has been closed before

proceeding.

If using a CD for this installation, please open the

C:\ParksDrivers folder. If using a download from the

SonovaE secure website at

parksmed.com, use the Sonova2SonovaE folder you

downloaded.

Double click on the file to start the install. Leave the

defaults, click Next, Next, Next , leave it selected to

“Complete” then Install. The software will install then

come up with a screen similar to this one but will be

filled with names.

Sales Representatives SonovaE folder

Import Settings using Sonova to SonovaE

8

Click the ‘Copy Data to SonovaE.’ The

following window will list what has suc-

cessfully copied over. Do not stress if

the Header failed as this happens fre-

quently. It may mean there are more than

one to select from in the folder. We will

be able to pull it in later (page 42).

Close these windows when completed.

If you are setting up more than one Flo-Lab with SonovaE, get one unit completely configured with the header,

clinician names, DICOM & MWL, make any study test changes and create any Custom Sequences you may use. It

is really easy to copy these configurations to the other machines and eliminate the chore of repeating the process on

each machine.

On the newly configured 2100, copy the C:\Parks folder. Before installing SonovaE on the next Flo-Lab, paste the

copy of the Parks folder onto the C:\ drive. All the configurations have now been transferred to the next machine.

Install SonovaE 5.6.1 as instructed on page 5 item #5.

Can I import patient studies from VIP, VIPxp or the old Sonova program?

Yes, we made this a separate utility to give you the option of importing none, some, or all of the patient data from

the old program.

The reason for doing this task after the copy/paste of the C:\Parks folder is because the patient studies are also con-

tained within the Parks folder. If we were to convert them first, every machine will contain the original units pa-

tient studies.

To import patient data into SonovaE from VIP, VIPxp or Sonova:

1. Exit out of any programs that may be currently running so that you are at the Windows desktop.

2. Click on the START button in

the lower left hand corner. Then

click on Programs → Parks →

SonovaE 5.6.1 → SonovaE Ar-

chived Data Importer.

Converting using Sonova to SonovaE

Configuring Multiple Flo-Labs to SonovaE

Converting Patient Studies

9

Converting Patient Studies

The following Parks Archived Data

Importer screen will appear:

3. Under Source Data, select the

program from which you wish to

pull patient data. This can be Sono-

va, VIP (DOS program), or VIPxp

(Windows XP version).

4. These boxes show the paths to

the Sonova or VIP/VIPxp and

SonovaE databases. If the database

locations you are importing from

have changed from the default

paths, click Change and browse to

find the new location. This would

be a rare occurrence. Click Reset

to return to the default path. The SonovaE path may be slightly different on your machine due to the version in-

stalled.

5. Now in the upper left corner click “Get Studies”. The ‘Loading Data From Sonova’ pops up and starts ‘tinging’

away. It may pause, just wait, it will complete and list the Patient Studies from the current Sonova database. With

VIP & VIPxp, the data will just appear in the window.

6. When finished click the “Select All Studies” button if you want all studies which are listed. All the Patient Stud-

ies in the window will be highlighted. Next click the “Import Selected Studies” button. To import selected patients,

hold ‘Crtl’ and click on each patient name you wish to import to highlight it. During the importing, it may ask if

you wish to overwrite a file, select “Yes to All.” Note: importing a large amount of patient data may take several minutes.

When the import has completed, a “Import Complete”

window will appear as shown here. It will show how

many studies were available to import, how many failed or

were skipped and the total imported.

SonovaE will not import anything that has been corrupted.

So if none were imported, make sure all your patient stud-

ies have been backed up in Sonova 3.52 or earlier.

To backup your studies in old Sonova, launch Sonova by

clicking on the Start button, go to All Programs and look

for the “Sonova for Windows folder.” Click on Sonova, the icon looks similar to this:

Once Sonova has launched, click on Study Archives then verify the Study Date is in the left col-

umn. If it is not, click the F4 Sort button until Study Date is the left column. Scroll down to find

the oldest study date and make note of it then press the Esc key.

Now click on Utilities then Backup. Click the down arrow by the Year: and choose the most current

year such as “2013” then click the F2 Backup button. Sonova will back up everything in 2013 to the C:\ Sonova_

Backup folder. When done, go back into Backup then choose the next year that needs to be backed up. Once all of

Study Archives has been backed up, call Tech Support, we will try to restore your patient studies into an empty

database then try the converter again. Parks Tech Support may be reached at 1-888-356-9522.

#3 #4

#5

#6

Will install automatically

if needed.

10

SonovaE talks to several hardware devices. It can be the Flo-Lab itself, the Multi-Port Inflator, Temperature Sen-

sor...etc.

Due to changes in the program, the specific devic-

es connected to your unit need to be selected so

SonovaE knows to look for them. If any of the

added devices are not connected, this “Select A

Device” window will appear. As you can see with

this image, there are “No devices selected” at this

time. SonovaE will check to make sure any devic-

es installed such as the Flo-Lab 2100, the

‘Thermometer’ (Temp Gun) or the new USB MPI

Power Supply, if selected, are actually connected

to the computer. Note: Pay attention to what is stated to determine

the course of action needed to be followed.

Always select “Retry” which will open the Device Configuration window.

Where do I go to select a device?

From SonovaE's opening menu, enter UTILITIES → SYSTEM SETTINGS → DEVICE CONFIGURATION.

You may also use the hot keys by pressing U, Y Then D. The following screen will appear. This screen tells

SonovaE what hardware devices are connected to this system. Note: This is only a portion of the actual screen.

The left column has a list of all the devices which can be installed, the right column under “Devices Selected” will

be blank if you are getting the message above.

Adding a device: The “Devices Available” side (left) lists what can be installed. Double click or click to highlight

the ‘Flo-Lab 2100-SX’ then click the ‘Add’ button. The ‘Flo-Lab 2100-SX (COM1)’ will now be in the “Devices

Selected” side (right). If your unit has a “Multi-Port Inflator” (MPI, (12 hoses)), add the ‘MPI-R2’ to the

“Devices Selected” side. If your unit uses a “Temperature Sensor” (used for Raynaud’s testing) add the

“Thermometer LXTA.”

You will notice that "Flo-Lab 2100 Dum-

my" is in the list. This simulates a Flo-

Lab when one is not available. It is mainly

used by the factory for software testing. It

should never be used in a clinical environ-

ment.

Deleting a Device: Click on the device

you want to delete in the ‘Devices Select-

ed’ window. The device will highlight.

Click on the “Delete” button to remove it from the list.

Config Button - The Config button allows you to configure how each device communicates with SonovaE.

Firmware Button - The firmware button allows you to update the Flo-Labs firmware program which communi-

cates with SonovaE. Please review page 15 “Firmware:” for firmware updating instructions.

To configure a device, highlight the device by clicking on it with your mouse. Then click the Config button. The

following is an explanation of each available device configuration.

Select a Device Warning

Select A Device:

11


Startup Settings:

Serial: The Flo-Lab can be run off of any serial port.

The default is COM1. Most computers newer than

2005 will only have one serial port. To change the

serial port, click on the Com Port box down arrow

and select the desired port.

TCP & Port: These are not used at this time.

New setting options for SonovaE. These use to be

configured within the firmware. The choices shown in

the image are the factory defaults.

BP Slow Fill Rate [mmHG/S]: Default: 30mmHg;

Possible Settings: 1 thru 30 (increments of 1)

The cuff inflator starts off at a preset inflation rate of 30 mm Hg/second. In an effort to minimize over-inflation (to

reduce testing time and patient discomfort). For most users, setting this rate between 12 - 15 mmHg per second

appears to be optimum.

BP Slow Fill Start [mmHG/S]: Default: 100mmHg; Possible settings: 50 to 200 (increments of 5)

Though its possible to have the Slow Fill Rate setting affect the entire inflation range, it is far more efficient (time

wise) to let the inflator fill at the standard fast rate up to a certain point, and then slow down to the Slow Fill Rate.

This option allows the user to select the level at which the Slow Fill Rate will begin. This may be increased or

decreased to the Slow Fill Start Point, in 5 mm Hg increments. Best results seem to be with this point set between

90-100 mmHg.

BP Bleed Rate [mmHG/S]: Default: 3; Possible settings: 1 to 10 (increments of 1)

The user may select a bleed down rate that provides the best trade off between measurement accuracy, and meas-

urement time. The slower the bleed down rate, the more accurate and repeatable the pressure measurement will be.

Too slow, however, may prove unnecessarily uncomfortable for the patient. With the rate set at 5, it should bleed

between 200 to 100 in 20 seconds.

NOTE: AS A GENERAL RULE, the user should expect that there may be a blood pressure measurement error

equal to the bleed rate setting (with a bleed rate setting of 3 mm Hg/sec, for example, blood pressure measure-

ments may be off as much as 3 mm Hg). This error will be slightly less on patients with heart rates faster than 60,

slightly more on patients with heart rates lower than 60. A setting of 2 - 4 mm Hg/sec is typically selected by us-

ers.

Auto Bleed After BP Inflate: Default: On [box checked]; Possible settings: Off or On

When taking blood pressure measurements, the user may choose to have the Flo-Lab begin cuff pressure bleed-

down only after the BLEED/DEF button is pressed (Auto Bleed - Off), or to have the Flo-Lab begin bleed-down

automatically after the INFLATE button is released (Auto Bleed - On).

VPR Calibration Sequence: Default: Off [box not checked]; Possible settings: On or off

Users may elect to have the instrument calculate the pulse volume of VPR waveforms (in milliliters), or not. To

choose to have the instrument make this calculation, check the VPR Calibration Sequence, to not have the instru-

ment calculate this information, uncheck the VPR Calibration Sequence. When turned on, this will cause the Flo-

Lab to double inflate, the second inflate may take up to 40 seconds to start.

Flo-Lab 2100 Configuration:

12


VPR Preset [mmHG]: Default: 60; Possible Settings: 10 to 90 (increments of 5)

Pressing and releasing the inflate button will cause the pump to inflate and settle at the preset value. It is normal for

the pump to over inflate slightly before it settles.

Plethysmograph Settle Time: Default: Fast; Possible Settings: Slow, Medium and Fast.

Allows the user to select the AC Mode “Auto-Zero Rate” applied to the displayed VPR & PPG waveforms -

labeled as FAST, MEDIUM & SLOW (corresponding to how quickly the wave will re-stabilize itself). FAST pro-

vides the most stable waveform, but can alter some slower changing elements of the wave, resulting in wave distor-

tion. Slow provides the most UN-affected (distortion free) waveform, but also shows a great deal of unwanted

waveform “drift”, such as respiratory artifact. In general, where waveforms are being viewed but not recorded/

analyzed (such as when viewing a PPG signal to determine a Digit blood pressure), the FAST works best. When

recording VPR and PPG waveforms for analysis, SLOW or MEDIUM should be used to minimize the filtering

effect on important waveform elements.

Slow—approx 9 seconds back to baseline (VPR)

Medium—approx 6 seconds back to baseline (VPR)

Fast—approx 1 second back to baseline (VPR)

MPI Options:

First choose how you want to use the MPI in your Post Exercise exams by choosing either MPI option A or MPI

option B. Select each option to see the difference in how the hoses are used.

MPI Option A:

Dual Hose Option. Right Brachial and Ankle; Left Brachial and Ankle.

MPI Option B:

Single Hose Option.

Red hose used for the highest

Brachial, Orange for Right

Ankle, Black for Left Ankle

MPI Configuration:

13


The MPI needs to be configured for the correct color of air connectors (rings), they are either red or silver (gray).

These rings circle each hose on the MPI. In the “Devices Selected” window (yellow) select the MPI-R2 [MPI de-

vice] then click the ‘Config’ button.

Transport:

Serial: The new USB MPI power supplies

started shipping with new units starting

10/27/10 and use a USB port.

In SonovaE 5.6.1, the Windows operating sys-

tem is allowed to pick the COM port to be used.

So we want to leave this set to “AUTO

COMx.” As you can see in the image, the

“Com Port:” has a drop down box we can

choose a specific COM port if needed.

PCI: Any computer using WXP may have a

MPI PCI card installed. For this reason, we

need to have the PCI checked. SonovaE 5.6.1

will detect if this PCI card is installed and use

it. If it doesn’t, it will use the Serial port option

instead. Please uncheck this if you have W7.

Model MPI:

Select appropriate device type.

Red Air Connectors

Silver Air Connectors

Look at your MPI where the multi-colored hoses plug in. What color are the rings around each hose?

Options are Red, Silver or Gray (Gray = Silver)

Config MPI Colors:

The colors selected represent the hose color used for each port on the MPI. This color change

will affect the hose representation in every test. This is

a global change.

To change the ports hose color, select the port name

[Arm], the Color window pops up. Select the color for

that port, click OK, the indicated color will change to

the chosen color.

Example: The Arm color

is typically White, if Pink

has been chosen, the color

by Arm will now be Pink.

14


Com Port Configuration:

Temperature Sensor (Thermometer LXTA):

The optional Thermometer, used in the Upper and Lower Arterial Raynaud’s test, can run off of a second serial

port or by using a USB to Serial converter. The computer sees the USB to Serial converter as a standard serial

port. The configure screen is as follows.

The same as with the MPI-R2, the Windows operat-

ing system is allowed to pick the COM port to be

used. So we want it selected to “Serial, Com Port:”

and leave this set to “AUTO COMx.” The “Com

Port:” has a drop down box so we can choose a spe-

cific COM port if needed.

Be sure to follow the set up instructions that came

with your temperature sensor.

Select the temperature format that you would like

displayed in the test and on the report.

Your options are Celsius or Fahrenheit.

When you start a new patient in SonovaE. You can enter either Lower or Upper Arterial. Then enter the Ray-

naud’s test. The function keys at the bottom of the screen will list the choice of Pressures, Waves or Thermal. If

Thermal is available to be selected, then the Temperature Sensor has bee configured correctly.

For more information on Raynaud’s please view page 35 “Test Configuration/Raynaud’s.”

With the new Auto configuration for the COM Ports, we do not need to

specify the port unless there is an issue with Windows. The best way to

decide which COM Port Windows has selected, go to Windows Device

Manager.

Windows XP:

To Access Device Manager from the Windows Desktop, right click on

the My Computer icon, left click on Properties. Select the Hardware tab

then click on the Device Manager button.

Windows 7:

To Access Device Manager from the Windows Desktop, right click on

the Computer icon, left click on Properties. Select Device Manager from

the left Panel.

This image shows the various COM Ports Windows has assigned to the

devices. “Communications Port (COM1) is always the Flo-Lab top so

leave it as selected. But as you can see there are two USB Serial Ports

one on COM2 and the other on COM3; one for the USB MPI power

supply the other for the Temperature Sensor.

To determine which COM Port is being assigned to a device, unplug one and see which USB Serial Port goes

away. You now know which COM Port to select in SonovaE Device Config for that piece of equipment.

15


SonovaE is the first software from Parks Medical Electronics that verifies the chksum (a value) of the firmware

each time it launches.

What is Firmware?

The firmware is a programmed microchip inside your Flo-Lab

that communicates with SonovaE. This enables SonovaE to

switch modes on your Flo-Lab depending on which test you

enter.

In SonovaE 5.6.1, the firmware update has been automated. If

an invalid checksum has been detected, you may see this win-

dow pop-up, just let it run.

If you have been instructed to do a firmware refresh from

Parks Tech Support please access the firmware update from SonovaE's opening menu, enter UTILITIES → SYS-

TEM SETTINGS → DEVICE CONFIG. You may also use the hot keys by pressing U, Y Then D.

This is a partial image of the Device Config window, highlight the “Flo-Lab 2100(COM1)” and click the

“Firmware” button.

This firmware window appears, click the “Update”

button (circled, it’s grayed out because the process has

already begun in this image). When complete, click

the “Exit” button which will appear.

Resource: Will allow a previous version of firmware

to be downloaded. This will be used only for trouble-

shooting possible firmware issues.

Note: When selected to Resource mode, you will receive a re-

minder message each time SonovaE launches stating it is using

version x.xx when a newer version x.xx is available.

File: Will open a browse window. If there has been a new

version of firmware saved on the computer which does not

show in the Resource list, locate the file to use.

Please do not change the setting from Auto unless Parks

Tech Support instructs you to do so.

Once the update has completed, click the Exit but-

ton. If using “Resource,” click OK.

Please Note: For reasons of using

different firmware, you cannot return

to using the old Sonova 3.52, the

studies will not be accurate. Please

remove the Sonova 3.52 icon from

the desktop so someone does not

open it accidentally.

Firmware

16

DICOM Setup

DICOM is a feature that allows the user to send patient studies to the hospitals PACS system. It can then be

viewed at different stations within your hospital.

The setup is simple. The information that you need to enter will come from your IT department or your PACS

Administrator. Your onboard computer will also need to be set up to talk to your hospital’s network. This will

usually require an IP address, Subnet Mask and Default Gateway to be entered into the Windows network connec-

tion. These addresses will also need to be provided by your IT department or Network Administrator.

Where do I go to set up DICOM and Modality Worklist?

From SonovaE's opening menu, enter UTILITIES → SYSTEM SETTINGS → DICOM/MWL. You may also

use the hot keys: U, Y, and then I. The following DICOM/MWL screen will appear:

Obtain the following infor-

mation from your PACS Admin

or IT Dept: (write here for fu-

ture reference, please be exact)

IP Address or File Path:

Port number:

AE Title:

SCP (Called):

SCU (SonovaE):

Storage Type:

Transfer Syntax:

Add:

To Start, click “Add” give the

server a name. This is just a la-

bel, it doesn’t get sent anywhere,

it is only used to reference each

individual server. Then click

“OK’. You may have more than one server but each server must have its own name.

Enable: Check this box to allow DICOM to send the patient's report to that server. You can send to just

one or all of your servers.

Remove: Click on this button to remove the DICOM server that is selected in the DICOM Servers win-

dow. You will be prompted to confirm the deletion.

Destination Server, SCP Configuration: IP Address: Enter the DNS name or IP Address of the server you are sending your images to.

Port: Enter the available port of your DICOM server.

Timeout: This is seconds to allow the transmission to complete. The farther away the server, the longer

the time. Example: If the Server is located 30 miles away, set the time out for 30-35 seconds. This will

give the larger studies time to finish sending.

SCP (Called): Enter the ‘SCP AE Title’ of the PACS server that you are sending to.

SCU Configuration: SCU AE Title: This is a descriptive title of the instrument from which you are sending the report (the

Parks Flo-Lab model 2100). This tells your server where the report came from. This name needs to be

configured in the server so that it knows to accept the study from this machine.

Multiple server capabilities

Just Enable or Disable.

17

DICOM Setup

Storage Type: Report Image: Select to send the report as an image. It will look identical to the report you see on the

report screen.

Invert (Negative): Check this box to turn the patient report into a negative image. This is useful for

backlit viewing stations. It will have a black background with white text.

Note: You may check both Report Image and Invert to send one of each report type.

Structured report: Check to send the report as a structured report.

If you want a Report Image and a Structured report sent, create two servers; on one have the Report Image

selected, the second, make sure the name is different, recommend adding a “-SR” in the name to identify

which is the structured report. Now select Structured Report. (When sending, two reports will send; one

will be the Report Image the second will be the Structured Report.)

Test Configuration: Echo: Once all of your parameters have been entered, click on this button. It will ping the PACS server

and let you know if it successfully communicates or not. This will test the IP address, Port and the AE

Titles.

Send: This button will actually send a test file to the PACS server. It will let you know if it is successful.

This verifies the IP address, the Port, the SCP & SCU AE Titles and the Transfer Syntax are correct.

Note: You may test the configurations of each server however, there is not an image to send for the

Structured Report as it is sending data from an actual test. (You will be able to test but not actually

send a report if you do not have a “DICOM programmed dongle”. Please contact your sales representative

for DICOM prices.)

Generate New SeriesInstanceUID:

If checked, it will create a new UID each time the report gets sent.

If unchecked, it will overwrite the previous report file when the same report gets sent more than once.

(default)

Transfer Syntax:

DICOM Data Encoding is specific to each type of PACS service. Check the box for the encoding format needed,

one or more may be selected at the same time. Most PACS systems use the Implicit Little Endian and the Explicit

Little Endian, if the type of transfer syntax is unknown then leave the default selection of Implicit & Explicit Little

Endian. It will send both, your PACS server will pick the one it wants.

Explicit Little Endian—Parks Default {32 bit)

Implicit Little Endian—Parks Default. Old language, Sonova 3.52 used this one. {2 bit}

Explicit Big Endian {32 bit}

rleLossless (1.2.840.10008.1.2.5) {Run Length Encoded data

compression (very compressed)}

We do not compress the image, it sends as a full size .jpeg. If you are

experiencing compression issues, look to your PACS server as it may

be compressing it when sending to a workstation. Always view your

testing on the server, if it looks good on the server but not on the work-

station, it is a network issue.

If your report image looks odd, you may need to change the choice of

Transfer Syntax. Test by selecting just one option at a time, all PACS

systems are suppose to be compatible with the old language “Implicit

Little Endian.” You may also need to change the network adapter

speed to “100Mbps Full Duplex.”

Troubleshooting Tips:

18


Modality Worklist (MWL) allows you to pull patient information from your facility’s patient database into the

SonovaE program. The parameters for the MWL server that you enter will need to come from your PACS admin-

istrator or IT department.

Obtain the following information

from your PACS Admin or IT

Dept: (write here for future refer-

ence, please be exact)

IP Address or File Path:

Port number:

AE Title:

SCP (Called):

SCU (SonovaE):

Filters:

Transfer Syntax:

Add:

To Start, click “Add” give the server a name. This is just a label, it doesn’t get sent anywhere, it is only used to

reference each individual server. Then click ‘OK’. You may have more than one server but each server must have

its own name. Now fill in the blanks.

Enable: Check this box to allow this MWL server to receive the patient list.

Remove: Click on this button to remove the MWL server that is selected in the Servers window. You

will be prompted to confirm the deletion.

Server Settings:

IP Address: Enter the IP Address for the MWL server that is the source of the patient information.

Called AE: This is the AE Title of the MWL server that is the source of the patient information.

Calling AE: This is the AE Title of the Parks Flo-Lab model 2100. Transfer Syntax: Data Encoding is specific to each type of MWL service. Check the box for the encod-

ing format needed, one or more may be selected at the same time. Leave the two “Default” selected.

Explicit Little Endian (1.2.840.10008.1.2.1) “Default”

Implicit Little Endian (1.2.840.10008.1.2) “Default”

Explicit Big Endian (1.2.840.10008.1.2.2)

Filters: Give the ability to limit your patient information request. The more filters listed the less data received.

Station AE Title: Pulls only the patient information only with this title name.

Study Type: Pulls only the patients for this particular type of study.

Modality: Choose a specific Modality such as US (default) for Ultrasound.

Days Back: The number of days prior to the current date that SonovaE will look at when a query gets

made of the MWL server. (-1= 11:59PM of the previous night)

Days Forward: The number of days ahead of the current date that SonovaE will look at when a query

gets made of the MWL server. (+1= 12:00AM tomorrow)

Exam Date: Patients listed in this date range will be pulled from the MWL server.

19


Test Configuration: Echo: Once all of your parameters have been

entered, click on this button. It will ping the

MWL server and let you know if it success-

fully communicates or not. This will test the

IP address, Port and the AE Titles.

Receive: This button will actually pull the

patient list from the MWL server.

This window will show the current list pulled

from your MWL server. If a patient list has

not been received, verify a patient has actual-

ly been entered for today.

Note: SE 5.6.1 has a middle initial column.

Filters:

To verify or change the query for this test, click the “Filter” button. This window appears.

General:

The query may be specified by the various filters

which are set. This screen is for this configuration

test only.

Exam Date: The format is from date to

date (yyyymmdd-yyyymmdd). In this

image, the date will pull all patient infor-

mation for 2010, August 11. There are

various ways this may be configured.

Modality: US, the basic standard for Ul-

trasound. Change the Modality to fit with

your MWL server.

Station AE Title: The name of the specif-

ic server title used to pull names from.

Study Type: Looking for a patient for a

specific Study Type like Lower Arterial,

Upper Arterial etc.

Patient:

Name: List a specific patient name to

locate only that persons information.

Id: Query a specific patient by their Patient ID.

Accession Number: A unique identifier assigned by the RIS (Radiology Information System).

Sex: Typically M or F, will list all male or female patients.

DOB: Will query all patients with a specific birth date.

The most common issues with MWL pertains to network connectivity, the Modality filter configuration of the

MWL server and the Days to retrieve. If you are not getting your list, check these items. Remove all filters except

for the date, do you get your worklist now? Verify there are patients listed in the system. Try changing the Exam

Date to a couple of days ahead, do you get a list now? Make sure Windows time and date are correct.

Troubleshooting Tips:

20

HIPAA Configuration

User accounts lets you setup and manage the different users that will need access to the SonovaE software. This

allows anyone with administrator rights to view audit logs and set any of the features within the Administration

section. If the user only has user rights, they will not be able to enter the Administrator section of the SonovaE

software. After making changes to the Administrator section, SonovaE will prompt you for a restart of SonovaE.

Where do I add user accounts?

From SonovaE's opening menu, enter

UTILITIES → SYSTEM SETTINGS →

USER ACCOUNTS. You may also use

the hot keys by pressing U, Y Then U.

This screen will appear.

To add a new user, click on the Add

button. Enter the user name, password and

privileges. There are two types of user

privileges.

Administrator - Allows you to manage the user list

and change settings within the Administration screen.

None of these will be active until you have unchecked

the "Disable Administration" box in the Administra-

tion Screen.

Users - Will not be able to Add new users or change

any settings within the Administration screen.

There must be at least one User with

Administrator rights entered into the

User Accounts. When you have as many

Administrator and users as you would

like, activate HIPAA.

How do I activate HIPAA?

Enter the Administration screen, select

from the opening menu of SonovaE

UTILITIES → SYSTEM SETTINGS

→ ADMINISTRATION. You may

also use the hot keys by pressing U, Y

then A. Uncheck the DISABLE AD-

MINISTRATION box as indicated,

press (Esc) Exit to save changes. For

more information about this screen,

press ‘F1’ for the Help in SonovaE.

NOTE: If your facility is concerned with just anyone being able to call and change this password, please have a

department head or an authorized person call Parks Technical Support and setup a security code word. Anyone

with this code word will be authorized to change this password. We will request a document on company letterhead

to be faxed with names of those authorized to change the password. Fax: (503) 591-9753.

To reset the Admin password, call: Technical Support (888) 356-9522. Please be at your machine when calling.

Uncheck this box to

turn HIPAA on.

21

Quit SonovaE, quit Windows then turn off.

When quitting SonovaE 5.6.1, click on the

Windows red ’X’ or click ‘Quit SonovaE’

from the opening screen then choose

“SHUTDOWN”, SonovaE will save the

current study, close SonovaE and shutdown

Windows. The carts power may then be

turned off.

Starting a New Patient

Upon entering SonovaE, the following menu

will appear. This is SonovaE's Start screen.

From this screen, you may start a New

Study, pull up a previous study from Study

Archives, enter the Utilities menus or Quit

SonovaE.

To start a new patient, enter New Study.

If MWL (Modality Work List) has

been configured, your MWL server

will be queried for the patient list.

Please review page 22 for MWL

information.

Otherwise, you will automatically

be entered into the Last Name field.

Type the patients last name (the first

letter will auto capitalize), press the

Enter key to move to the first name

field and type in the first name.

As you type, common names will

highlight from the patient log until

you hit a point where they do not

match.

If it highlights a name that matches your

patient (It’s best to also double check the

patient ID and date of birth). Press F3 or

double click it to pull up that patient info.

Or, once you have typed in the patient

name, press Enter.

Choose your study type (Lower Arterial,

Upper Arterial, Venous or Carotid) by us-

ing the mouse or arrow keys on either the

remote or keyboard and press Enter.

Continue instructions on page 23.

Proper Shutdown Procedure:

22


Using Modality Worklist:

If MWL has been configured, when

New Study has been selected, the

Worklist will be available to select the

patient. It is configured to query all

patients for the current date. If chang-

es in the date or other filters are de-

sired to be set, please click the “(F9)

Filters” button (shown in yellow at

the top of the window).

(F12) Patient Input:

If you need to enter a patient which is not found in the MWL, select the “(F12) Patient Input” button in the lower

right hand corner to enter the patient name. Press enter to save the name then proceed by selecting the Study Type.

MWL has been configured to always query today’s date. To verify or change the query for this specific test, enter

the specific requirements here.

General:

Exam Date: The format is from date to date

(yyyymmdd-yyyymmdd). In this image, the date

will pull all patient information for 2010, August

11. There are various ways this may be config-

ured.

Modality: US, the basic standard for Ultrasound.

Change the Modality to fit with your MWL serv-

er.

Station AE Title: The name of the specific sta-

tion or unit title designated to send the studies to.

Study Type: Looking for a patient for a specific

Study Type like Upper Arterial, Lower Arterial,

Venus or Carotid.

Patient:

Name: List a specific patient name to locate only

that persons information.

Id: Query a specific patient by their Patient ID.

Accession Number: A unique identifier assigned by the RIS (Radiology Information System).

Sex: Typically M or F, will list all male or female patients.

DOB: Will query all patients with a specific birth date.

Modality Worklist Filters:

23


Selecting New Study when not using Modality Worklist

will show a page similar to this image. It will have a list of

all your previous patient names.

At the top under Patient Name: in the Last: box start

typing in the patients last name. SonovaE will search the

patient list below for matches. If it comes up with the cor-

rect name, verify the patient ID and DOB are correct. If it

is the same patient, you may press “(F3) Select Patient.”

If the patient has not been previously entered, finish enter-

ing the last name then the First: name; press enter then

select the Study Type: (Lower Arterial, Upper Arterial,

Venous or Carotid).

The “Patient & Study” screen will appear. Fill in the patient

information, select or add doctors, add DICOM description (if

used), and enter patient notes.

If using MWL, the Patient & Study screen will look as the fol-

lowing image with the patient name, ID, DOB, Age, Gender &

Accession/Case boxes locked (grayed out).

Many customers requested these fields from MWL be locked

because they didn’t want changes made from their MWL serv-

ers. Since then, various other customers have from time to time

chosen the wrong patient name, did the study, then figured out

their error thus being unable to make any change to the patient

information.

Therefore, we have made a change so the MWL locked

fields may be temporarily unlocked to adjust for such

accidents. Notice the new button in the lower left corner

“(F9) Unlock MWL.”

When it gets unlocked the grayed out boxes become availa-

ble for editing. When done, press the (F9) Lock MWL but-

ton or press escape, the fields will automatically lock upon

exiting.

Modality Worklist Unlock:

24


(F5) Manage Lists:

Manage the doctors name list.

Add Doctor: Add more names to the list.

Edit Doctor Info:

Highlight doctor to be edited. Change the

Name, Title, Examined By, Read By,

Referred By. Which ever field has been

checked, that particular name will appear

in that field to be chosen.

Delete:

Will delete the selected name.

(Esc) Exit:

To return to Patient & Study.

When you have completed the Patient & Study window,

press (Esc) Exit, this report page appears.

The left side menu will allow you to continue on with the

rest of the study by choosing ‘Test Select’. The right por-

tion of the screen is an image of the report. This is the

first page of your report with all of the patients’ infor-

mation that you have entered to this point. It also contains

your header and/or footer which you created. Verify it

looks as desired. To adjust the Header/Footer please refer

to page 42.

(F3) Study Codes:

Use this screen to enter the various DICOM codes needed for each patient study.

Click in the highlighted field under code or description to enter information.

(F6) Add Label:

Click to add another code field.

(F7) Delete: Will delete the selected line.

(Esc) Exit:

Will save changes and Exit.

DICOM Description:

Manage Doctors List:

25

Impressions and Notes

The Impressions and Notes screens allow you to insert notes on History, Patient and Clinic information and within

each test of SonovaE. You can also save notes that are commonly entered to save time. The Impressions (located

in each study types main

menu) and the notes for all

tests work the same. The

following is an explanation of

all functions.

The text window works the

same way as most word pro-

cessors. Once the note has

been typed, the font attributes

may be changed by the size,

bold, italic, underline or the

color to make it stand out on

the report.

To change any or all of these features:

Highlight the text to modify by left clicking with the mouse and dragging it over the text to be changed.

Select each type of modification

Bold, Italic, Underline, Font type (Arial is default), size or change color.

The rest of the functions will save time from having to type the same types of notes over and over. Once one or all

of these saved notes are inserted, they too can be modified the same as above.

(F4) Insert File - Will insert a note from the "Insert File Name" list. These files can be created to keep repetitive

typing to a minimum. Also, as the example shows, they can be used as signature lines.

(F5) Save File - Saves all text in the text box as a file. It will put the file under whatever file folder is highlighted.

(F6) Change Folder - Changes to the File Folder that is highlighted. All file names will be displayed in the File

Name section for that folder.

(F7) New Folder - Creates a new folder allowing you to categorize your notes. To delete any unwanted files or

folders, you will need to exit SonovaE. For Impressions, double click on My Computer, the Local Disk C:\, Parks,

SonovaE, Imps; for Notes C:\Parks\SonovaE\Settings\Notes. Delete them from these locations.

(F3) Spell Check - Once you are finished with your notes, pressing F3 on the keyboard will scan your notes for

miss spelled words and display a box with sugges-

tions of the correct spelling for that word.

Ignore - Ignores the miss spelled word.

Ignore All - Will ignore that word if or when it

finds it again.

Add - Adds the word to a list that will always rec-

ognize it as a correct spelling.

Replace - Will replace the found miss spelled word

with one that is highlighted in the Suggestions list.

Replace All - Will replace all instances of that

word with one that is highlighted in the Suggestions

list.

Options - Gives general information about Spell

Check (Version, About).

Cancel - Cancels your changes and exits out of

Spell Check.

26


Where do I configure my history questions and answers?

From SonovaE's opening menu, enter UTILITIES → SYSTEM SETTINGS → ADVANCED SETUP → MAN-

AGE HISTORY. You may also use the hot keys by pressing U, Y, S Then H. The following screen will appear.

Use Touchpad as Default:

The touchpad is a great new feature in SonovaE with or without a touch

screen monitor. Checking this box will activate the touchpad every time

you enter history.

Select Study: To customize your history questions, Double click on the study type you

want to use (Lower Arterial, Upper Arterial, Venous, Carotid). This

will display the History Configuration screen.

Available

Categories: SonovaE can have multiple history categories. By de-

fault, History is the only category listed after the initial

install of the SonovaE software. Each category will dis-

play as different tabs at the top of the History entry

screen.

Questions: This is a list of questions which may be selected for the

Available Category. The questions that are not selected

and will not appear in the History screen (left side Se-

lected Questions: list). To select a question, Highlight

the desired question then press the ">" button. It will

move over to the SELECTED QUESTIONS column.

If you would like to move all questions to the Selected Question list, just press the ">>" button.

Selected Questions: This column lists the chosen questions that will appear on your history screen. To remove any of these questions,

click on the question to highlight then press the "<" button. The question will move to the QUESTIONS list and

will no longer appear on the history screen. To move all questions out of the SELECTED QUESTIONS list, just

press the "<<" button.

To arrange the history questions in a specific order, Highlight the

question that you want to move then click the UP ARROW or

DOWN ARROW button, available in the lower portion of the center

column, until it is located where you want. Repeat until all questions

are in the desired order.

How do I add New Categories? From the History Configuration screen, Click the (F2) Categories

button. A full explanation follows.

(F2)Categories: Allows you to add or delete new categories. These will display as tabs

on the history screen in the patients study. For this example,

"Dr. Roberts History" has been added.

27


Enter the name of your new category in the

CATEGORY: input box (yellow box on the

previous image), then press ENTER on the

keyboard or click the (Enter) ADD button.

The new category will appear in the list shown

on the previous page.

To Delete a Category: Click on the category in the list that you wish to

delete. Press the F5 key on your keyboard or

click the (F5)Delete button.

UP and DOWN Buttons: The category list is in the order in which the

tabs will display on the History screen as seen

in this image. You can arrange them by high-

lighting the category and press either the UP or

DOWN arrow to move it to the position that you want. Repeat until the categories are in the desired order. The

image above shows the additional tab with “Dr. Roberts History” listed on the History page in the patients study.

How do I add or modify questions and answers? From the History Configuration Screen, press F3 on the keyboard or click on the (F3)Questions button.

The following the History Master Question List screen will appear.

This displays all the questions that are

available. For this example, the question

"Feeling OK" has been added

(Highlighted in blue).

To Add a question: In the Question: input box at the bot-

tom, enter a short version of the question

(Rest Pain or Diabetic for example).

Press the (Enter) Add button. It will

populate the 1st column in the list.

(F3) Full Text: The full text is a longer form of the actu-

al question. This will be displayed if

you are using the touch pad feature in

history. Until defined, it will always

display "Need to Do".

To add the full text question, click on the (F3) Full Text

button.

Full Text is the complete question to ask the patient com-

pared to the short label created previously. When done press

(ESC) Exit. You will now see the longer question listed in

the second column.

28


(F4) Answers: These are all possible answers to the questions. Click on the

question that you want to add or modify the answers for, it

will highlight. Then select (F4) Answers, this screen will

appear.

Enter one of the possible answers into the “Answers:” input

box and press (Enter) Add. It will add to the list under

Possible Answer. Repeat until all answers have been entered

for your question, each must be on a separate line.

When all answers for this question have been entered, press

escape to view the Question Master List and view the Ques-

tion, the Long Question and the possible answers which have

entered.

Please refer back to page 26 to add these new questions to

your list of “Selected Questions.”

At the History Configuration page, place a �� in “Include Primary

Indications”. Next, click the down arrow by the box under

“Available Categories” and choose “Primary Indicators”. In the

lower right corner click the “(F3) Primary Ind.”

A “Configure Primary Indications” window opens up.

Enter each Indication one at a time pressing the (Enter) Add

button after each. Every Indication should be on its own line.

Once all are entered, press Esc. Choose the ‘”Primary

Indicator” again from the drop down menu. As stated on

page 26, use the center arrows to add your Indications to

the “Selected Question” list.

When entering History in a patient study your list of

Primary Indicators will be available for your choice.

Primary Indications

29

Test Configurations

Configuring a test can be done with two methods, Permanent and for the Current patient only. Each configuration

below will describe both methods.

How do I change a test configuration for the current patient only?

This is done within the actual test that you want to modify. From within (any) test, Press ALT+F12. The Config-

ure “Test Sites” screen

will appear.

Make any change per

instructions starting on

page 31, when done,

press (ESC) Exit. Your

changes will hold for the

current patient and will

return to the set default

on the next patient.

Where do I go to change the defaults permanently?

From SonovaE's opening menu, enter UTILITIES → SYSTEM SETTINGS → ADVANCED SETUP →

SYSTEM DESIGNER → DESIGN TESTS. You may also use the hot keys by pressing U, Y, S, S Then T.

The following screen will appear:

From this screen, you will select the test that you wish to configure by highlighting the test in the list then click the

Edit Test button. The layout for the chosen test will display. Follow the instructions for permanent default chang-

es. If you make a mistake and want to set back to factory defaults, do not save changes when escaping out.

How do I delete a test? SonovaE 5.6.1 has been changed

so none of the core tests can be

deleted. Please go to DESIGN

STUDIES, to remove a test from

your menu. F1 Help for instruc-

tions

How do I Restore Defaults?

Please make note of any changes

made to other tests. SonovaE

5.6.1 uses a different dataset

(programming) than previous ver-

sions. Restoring a test will reset

all tests to the new defaults. Once

all the tests have been reset to the

new dataset, Restore Defaults will

only change the one chosen test

30

Test Configurations

Adding a Site to a test:

This screen appears for the

Permanent (Global) change.

A site may be added here by

pressing “F2 Add Site”.

When clicking on the F2

ADD SITE button. The

following “Add Site(s)”

input window will appear:

To have the same screen as

shown on page 29, just press

“F12 Config Site” then skip

to page 31, “Set the modali-

ty for each new site.”

As shown above, there is a label for both right

and left sides. The default site label is always

"New Site", enter the ‘Right Site Name:’ (15

Characters max). Click on “Edit Mapping “

to choose the exam site on the appropriate

‘Upper Body’ or ‘Lower Body’ image. The

program will automatically fill in the Left side

and choose the Left side mapping. For this

example, we will keep the label as "New Site".

31

Test Configurations

Set the modality for each new site.

To finish configuring your New Site, press the “F12 Config Site” button in the lower right hand corner.

The modality is the type of wave you will be acquiring (Doppler, PPG, VPR). You can configure it to any one that

you want. Under the TEST SITES list, highlight one of the New Sites that you want to configure.

Choose the proper option for:

Modality

• Doppler

• Photoplethysmograph (PPG)

• VPR.

Data Type

• Waveform

• Pressure

Channel

• Channel A

• Channel B (VPR & PPG make

sure this gets selected for the Left

side)

Grade List

• leave as default

MPI Port

• Choose appropriate site if using

cuffs and an MPI (Multi-Port Inflator)

Sweep Speed

• 1, 5, 10, 25, or 50

Device Settings (Option: Value)

Doppler:

• Output Filter: Mean, 3.5, 7, 14 or 28

• Probe Frequency: 4MHz or 8MHz

• Recording: Normal or Invert

PPG & VPR:

• Mode: Arterial or Venous

• Settle Time: Fast, Medium or Slow

Repeat for each site needing change.

As can be seen in this cropped view of the Test Config-

ure screen, our “New Site” has been added to the bottom

of the list on both the right and left side.

Test Sites:

In this cropped image, the new sites

we have added, “Right New Site”

and “Left New Site” has Data Type

as (W)=Waveform, the Modality

has been configured for Doppler at

8.3 MHz with an Output Filter of

3.5Hz.

Right New Site: (W) Doppler 8/3.5

Left New Site: (W) Doppler 8/3.5

32

Test Configurations

Now you can move your New Sites to the desired position in both the DISPLAY SEQUENCE and the NAVIGA-

TION SEQUENCE. The Display Sequence is the order that it appears when you enter the test.

The Navigation Sequence is the order in which the waveform or pressure is acquired (the next field after saving).

Highlight the site you want to move and

click on the UP or DOWN arrow buttons

until it is positioned where you want.

Repeat for any other sites that you want

to move.

Once the Display Sequence, Navigation

Sequence and Modalities have been set,

click the (ESC) Exit button. You will be

back to the Test Configure screen; view

your sites and their positions, if they are

correct then press escape again and select

to save your changes.

Once again, if this was done through the Utilities menu, it will be a permanent default setting. If done within the

actual test, it will be for this patient only and for this test only. It will save the changes when Esc is press; you will

then be in the “Test Choices” menu. Select your test again to view the changes and to do your exam.

Set the Display & Navigation Sequence:

Display Sequence Navigation Sequence

Deleting a Site from a Test:

Deleting a site from a test is done in the same area

(permanent or one time), as Adding a site.

From the Test Configure screen, highlight the site

that you wish to delete and click the (F8)Delete Site

button. If this is a Bi-lateral test such as VPR or

Segmental BP, both Right and Left sites will delete.

Repeat until you have deleted all desired sites and

click the (ESC) Exit button to save your settings and exit.

For a permanent label change, enter UTILITIES →

SYSTEM SETTINGS → ADVANCED SETUP →

SYSTEM DESIGNER → DESIGN TEST. You

may also use the hot keys by pressing U, Y, S, S Then

T. Highlight the test that you want to modify and

press the Edit Test button.

This screen will appear. For the current patient only,

follow these steps within the actual test by clicking the

(F12) Config. Sites button.

Double click on the label that you wish to rename. It

will highlight as shown in this example. Type in the

new label name then press enter. Repeat for the same

label on the left side. For this example, "Popliteal" has

been changed to "Pop" as seen in the next image.

Changing Labels:

33

Test Configurations

The label will need to be changed for

both right and left sides.

Changing Time Labels:

Changing time labels for tests such as

Exercise or Reactive Hyperemia can be

done as a permanent configuration to

meet the protocol of your vascular lab

or can be configured on the fly for the

special needs of a patient. However you

choose to configure, it is done the same

way. The only difference is where it

gets changed.

For current patient only:

Enter the patient test as normal. Press

the Alt key then follow the steps below.

To permanently change your time labels: From SonovaE's opening menu, enter UTILITIES → SYSTEM SETTINGS → ADVANCED SETUP →

SYSTEM DESIGNER → DESIGN TEST. You may also use the hot keys by pressing U, Y, S, S Then T. From

the Design Test screen, highlight the test you want to modify and click the Edit Test button. A screen that

represents the test will appear. Follow the steps below.

These are the default time

labels for any of the time

span tests. The testing

location such as Brachial,

Ankle, Digit may change

depending on which test you choose and whether it is for waveforms, pressures or temperature. In these examples,

we are only concerned about the time label for the columns.

Recommendation: Start with the number of

columns. If you do not want all 10 time fields,

decide how many you do want including the

“Rest” as this cannot be changed due to the

(F2) Copying Resting feature used in the

pressure time tests. Use the (F11) Delete Last Column button to remove any excess columns.

In a single Patient Study, hold down the “Alt” key then press “(F11) Delete Last Column.”

Double click on any one of these time labels

and they will all highlight. Change the label

names the way you want them, use the TAB

key on the keyboard to move to the time label

to be changed. Once you have modified all

the time labels, press the ESC key on

your keyboard.

You have now customized the time

labels for the exercise test to meet the

protocol of your vascular lab.

34

Test Configurations

The Multi Port Inflator (MPI) option is designed for ease and speed of performing vascular studies. For the tests

that use the MPI (VPR, Segmental Pressures, Exercise, Reactive Hyperemia, Raynaud's, Thoracic Outlet, Digits

and Venous Reflux) the configuration is the same. The following is an explanation of the MPI configuration, it

references a permanent change for the desired test.


SYSTEM DESIGNER → DESIGN TEST. You may also use the hot keys by pressing U, Y, S, S Then T. From

the Design Test screen, highlight the test to be modified and click the Edit Test button. A screen that

represents the test will appear. Continue with the following steps.

To the left of each site label is a color code for the MPI. This indicates what port will inflate for that site.

The example shows Low-

er Arterial, Segmental

Pressures default settings.

The outer box represents

the hose set, red for right

and yellow for left. The

colored inner square will

match the color of the

hose to use.

To change the port hose that the air will come

from, click on the colored square to the left of the

site that you want to change. The following

screen will appear:

Click on the label button (Arm, H. Thigh, Etc) of

the port that you want the chosen site to inflate.

Once you have made your selection, you will be

brought back to the test screen. Repeat this step

until you have configured all the ports to be

changed. This can be configured in any order.

There are no limitations.

Clear Port - Disables the selected site. This port

will not be active and there will no longer be a

color code associated for that site.

(Esc) Cancel - Escapes back to the test screen and

cancels any changes that have been made.

MPI Configuration:

35

Raynaud’s:

The Raynaud’s test is now available in Lower Arterial as well as Upper Arterial and can be performed in three

ways, Pressures, Waveforms or the optional Thermal using a Temperature Sensor (Temp Gun). Use the (F11)

function button to switch between Pressures and Waveforms, use the (F12) function button to switch to Tempera-

ture. The Temperature options will not be available unless a Temperature Sensor has been purchased, the dongle

installed and the ‘Thermometer LXTA’ has been configured in “Device Config.” Please review page 14.

The image below shows the test screen for Lower Arterial Raynaud’s Pressures followed by the Lower Arterial

Raynaud’s Waveform then the Raynaud’s Thermal Measurement image. The only change for the Upper Arterial

Raynauds screens will be the labels of the test sites as well as the image shown on the report.

Raynaud’s uses the active modality PPG for its pressure measurement and waveforms.

On your report, Waveforms will produce a page for each column similar to the Doppler or VPR tests. Pressures

will produce a report on the first page similar to the Segmental BP report.

Raynaud’s Thermal Measurement uses a Temperature Sensor (Temp Gun) to record the patients digit temperatures

after the cold immersion. This is a separate add-on feature which requires a dongle programmed for Thermal in

order to access this particular portion of the test.

The Temp Gun may be configured for either Fahrenheit

or Celsius. Please review page 14 for configuration.

Test Configurations

36

Backup Data

Backing up patient data is always important, whether it is SonovaE

or any other program which contains data that you don’t want to

lose. Parks Medical Electronics, Inc. suggests that you backup data

as much as possible (eg: daily, weekly, monthly). Parks recom-

mends that you follow your facility’s policy for backing up patient

information.

Where do I go to Backup data?

From SonovaE's opening menu, enter Utilities → Backup. You

may also use the hot keys: U Then B. The following Backup

screen will appear:

Backup Path: This is where your backup data will be saved (the example here

shows the default path). SonovaE will remember the last path you

selected and display it.

To change the path:

Click on Change Path to choose another backup path. This will

display all available drives: Local (C: disk, Zip, a Removable Flash Drive and any available network drives).

SonovaE will not backup directly to a CD drive. The Browse For Folder window shows all the available drives to

your computer including any network drives. After you have a successful backup to the new path, SonovaE will

remember the new backup location for the next time.

Click to highlight the drive you wish to use to backup data. If you wish to browse deeper into any drive, click on

the "+" to expand the path of the drive. Highlight the desired drive and click OK. The path will appear in the

Backup Path box.

Use Default Path: Resets the backup path to C:\SonovaEBackup (default setting).

Backup Options:

Select one or both:

System Settings: Includes any custom changes you have made to SonovaE

(eg: doctor info, custom sequence, header, label changes).

Saved Studies: Includes all patient information that is in your Study Archives in the

data to be backed-up.

(Note: Backing up patient studies does not remove them from the patient archives.)

Patient Backup Options:

Select one:

All Studies: Backs up all the patient records in the Study Archives.

Date Range: Backs up a selected date range of patient data. Choose a From and To date

by clicking on the down arrow next to the dates. This window will appear for

each:

Use the arrow keys to the left and right of the date to choose the month then click on the day for From. Repeat to

select a To date.

37

Backup Data

Click the (F2) Backup button (or F2 on the keyboard) to begin the backup process.

You will be notified when the backup is complete.

As you can see from the previous page the default settings backup the files to C:\SonovaEBackup. If the default

has been changed, please make note of the desired destination on this page for future reference.

How do I back up the data on a CD?

As mentioned previously, SonovaE will not copy directly to

a CD. Double click on My Computer, double click on ‘Local

Disk C:\. Locate the C:\SonvoaEBackup folder. Right click

on it, a little menu pops up, go to ‘Send To:’ and choose the

CD-RW drive (usually at the bottom of the list).

Place a blank CD in your CD-RW drive.

Double click on My Computer then

double click on the CD drive.

The window will open to reveal an image similar to the im-

age below. Click on the left side “Write these files to CD”.

Another window opens with a highlighted box; you may type

in a short name for the CD like today’s date then click Next.

It will burn your CD. When done

just click the Finish button. Take

your CD out of the drawer and

label it.

This process did not take your

data off the computer, it just made

a copy of it onto the CD. The files

are encrypted, the only way any-

one can view the files is if they

restore them into SonovaE.

New Flo-Labs and new computers purchases after

August 8, 2011 will have the most current Microsoft

Operating System (OS) installed. Each new OS has some

small and large changes.

One of those changes for Windows 7 is this image when a

blank CD has been loaded. If you select the “Like a USB

flash drive” as shown here, a standard CD will be config-

ured so additional items may be burned onto the CD at a

later time. Unless the CD being used is an RW

(rewriteable), the files burned to it cannot be deleted.

Locate the file by double clicking on the “Computer”

icon, double click on “OS C:\” then follow the instruc-

tions above for WXP. Note: SonovaE will work the same in either Operating System.

Windows 7:

Windows XP:

38

The Restore feature allows you to restore backed up patient studies and/or system settings.

When complete, SonovaE will prompt you for a restart of SonovaE.

Where do I find the Restore Utility?

From SonovaE's opening menu, enter UTILITIES → RESTORE. Or you may use the hot keys by pressing U

then R. The following screen will appear.

Restore Source: The Restore Source is the path and device

that you are going to get your backup

from (The C: drive, CD drive…etc).

Click the Choose File button.

Depending on your Operating System,

one of these windows below will appear.

Browse to the device (C: drive, CD drive… etc).

You will see a list of all backups made to that fold-

er or device. The backup file and name contain the

date and time the backup was made.

Double click on the backup that you wish to re-

store. You will be brought back to the restore

screen with the backup file you selected in the

“Backup file path:” field.

Click the Load button (Restore From Backup image),

SonovaE will get the file ready for the restore.

Restore Data

Windows XP image

Windows 7 image

39

Restore Data

Select Data to Restore:

System Settings: Restores the system settings that you have

backed up (eg: doctor info, custom sequence,

header, label changes).

Saved Studies: Restores the selected patient data.

You may select both System Settings and

Saved Studies.

Study Info Date Range:

Restore All: Restores all backup patient data in your

chosen backup file.

Select Date Range: Allows you to select a data range for

restore.

Date Range: Restores a selected date range of patient data. Choose a From and To date by click-

ing on the down arrow next to the dates. This window will appear for each.

Use the arrow keys to the left and right

of the date to choose the month then

click on the day for From. Repeat to

select a To date.

Select Patient: Allows you to restore a single patient.

Once you have chosen your restore options, click

the (F2) Restore button or press F2 on the key-

board. The restore will start and inform you when

complete. It will require a restart of SonovaE.

The restored patient data may be viewed in the

“Study Archives.”

If they do not show, click the “F9 Rebuild Index”

button in the lower right hand corner.

40


This feature allows you to set up a custom sequence to streamline your vascular studies. They can be set up to

match your facilities protocol, specific patient needs, or individual vascular tech preferences.

Where do I go to set up my custom sequence?

From SonovaE's opening menu, enter UTILITIES → SYSTEM SETTINGS → CUSTOM SEQUENCE. You

may also use the hot keys: U, Y, and then C. The following Custom Sequence Setup screen will appear:

How do I set up the custom sequence?

From the Custom Sequence Setup screen:

Select a Study:

Choose a study from the drop-down menu so it shows in

the window: Lower Arterial, Upper Arterial, Venous or

Carotid.

Click Add New Sequence:

Enter a name in the input window that is descriptive of

your sequence.

Select either “Bi-Lateral” or “Time Span.”

Bi-Lateral Test Options:

Digit Pressures and Waveforms,

Doppler, Segmental BP and VPR.

Time Span Test Options:

Exercise Pressures and Waveforms,

Raynaud’s Pressure, Thermal and Waveforms, and

Reactive Hyperemia Pressures and Waveforms.

Once you have given your new sequence a name and chosen the sequence type, press “(Enter) Add” to save.

Select a Sequence: Choose the sequence name that you added from the

drop-down menu so it shows in the window.

Bi-Lateral Test Options

Time Span Test Options

41


Site Selection Mode:

Single Channel Mode: Lets you pick each individual test site unilat-

erally (right or left) for ultimate customiza-

tion (eg: L Brachial).

Dual Channel Mode: Makes all of your test site selections bi-lateral

(eg: R Brachial, L Brachial). These will always be

grouped together in the sequence.

Doppler uses Single Channel Mode only. VPR &

PPG may be selected as Single or Dual Channel.

Select a Test: Choose the type of test that you want to use to begin the sequence. Highlight the test in the window.

Select a Site: The window will show all of the available sites for

that test type. This is an image of a “Single Channel

Mode” list. Click to highlight the site that you want

to add to the list then click “Add Site”. This site

will move down to the window below labeled “Site

Sequence.”

Continue adding test sites from any of the study types until all the sites you want are listed.

As you can see in this image, the sequence may be configured with single or dual or both channel modes.

What if I don't like the order of my sequence?

Select the sequence that you want to modify. If it is not showing in the Select a Sequence window, select it from

the drop-down menu.

From the Site Sequence window, click on the Site Name you want to move. With the test site highlighted, click on

Move up, Move down or Remove button to move the selected site name to the desired location. Repeat until the

sites in the Site Sequence window appear in the desired order. Example: If the R Brachial is to be the first field to

record the patients pressure or waveform, it should be at the top of the list. If the Digit is the next field, then Digit

should be next in line. Press (Esc) Save & Exit to save and exit the Custom Sequence Setup screen.

How can I delete a sequence?

If the sequence that you want to delete is not showing in the Select a Sequence window, select it from the drop-

down menu. With the sequence name in the Select a Sequence window, click the delete button on the keyboard.

You will not be prompted to confirm the deletion so be sure you have chosen correctly.

How do I activate the sequence?

Start a new patient as normal (Enter patient name and demographics into the Patient and Study screen). The Test

Select menu will have a Custom Sequence button at the top (This will only exist if a custom sequence has been

created). Clicking on the Custom Sequence button will display a list of all configured sequences. Click on the

desired sequence then select the button “(Enter) Run Sequence”.

42


Custom headers or footers can be created within the SonovaE program and can greatly improve the look of your

reports.


SYSTEM DESIGNER → REPORT OPTIONS. You may also use the hot keys by pressing U, Y, S, S Then R.

Click on the Report Sections tab. The following screen will appear.

Click on the “Report Sections” tab,

Highlight "HeaderUser" and click the Edit

button.

The following screen will appear. Note: If

creating a custom footer, select

"FooterUser" and follow the same instruc-

tions.

Graphic Image: You will first want to set the size by clicking on the Size drop down buttons. The sizes are adjustable for header

height and width in increments of inches and halves. Once the size is set, you will know how much room you have

to work with. However, it can be adjusted at any time.

Note: The bigger the header the less space will be available on the front page of the patients report.

Click on the Add Image button (If you have an image to import). Browse to your image (BMP, JPG, TIF...etc)

and double click. The image will appear in the work space. There will also be an "Image 1" label to the left. Eve-

ry Image will produce an "Image #" so that they can be manipulated separately .

The image size may be

changed by grabbing the right

side or bottom of the box with

your mouse and resize until it

appears as desired.

Grab inside the box and posi-

tion it where you want. You

can also click the Left, Center,

Right buttons in the blue bar

above to position it correctly.

Repeat for as many different

graphic images that you wish.

Note: If inserting ICALV type

logos, reduce the pixel size be-

fore pulling them into SonovaE.

The size from ICALV is so large,

it can interfere with the Backup

process in SonovaE.

43


Text: Click the Add Text button. A yellow text box will appear in the work space. A "Text 1" label will also appear in

the left column. Every new text box will produce a "Text #" so that it can be manipulated separately. Type your

text in the box. To resize the box, grab the right side or bottom of the yellow box with your mouse and stretch or

shrink it to the desired size.

Right click inside the box to reveal a menu (As seen on the previous page). Here you can Center, Right or Left

Justify the text within the text box, change the font attributes and the font color. The upper blue bar will Left,

Right or Center justify the text box within the full sized header box or you can drag and drop where you want.

Repeat for as many text boxes you desire.

The text with each box will be the same

size. If you want different sizes, create a

new text box for each size (eg. As seen in

this image the facility name is larger than

the address, two text boxes were used.)

To change the text attributes, right click in

the text box then choose Change Font.

To edit an existing Text or Graphic: Click on the appropriate Text # or Image #

that you wish to Edit. A box will appear

around the item, you can then edit.

Clear Selected: Will clear the item that is currently active

with a box around it.

Clear All: Will clear all text and images.

The above image is an example of a simple header. You can be as simple or elaborate as you wish.

Help Files

SonovaE has a fully integrated help files system. By pressing “F1” from any page in SonovaE the help file window

will pop up. If you select the Index tab at the top of the left column, you may locate the desired topic, double click

and the information for that topic will be displayed.

You will find various

troubleshooting tips

in the help files for

DICOM & MWL,

Doppler, MPI, PPG

& VPR and Segmen-

tal Pressures.

A Parts list with the

most common parts

and cuffs.

44

Probe Care

Probe Design and Frequency: Each probe consists of two crystals; one transmits

ultrasound waves and one receives the reflected

waves. The initial energy beam is as wide as the

crystal.

The probe frequency is specific to each instrument.

The probe’s two connectors can be plugged into

either of the two jacks on the Doppler unit that match

the probe frequency. The frequency is identified

on the panel next to the jacks and on the label

attached to the probe cable (probes manufactured

before September 2006 will only be inscribed).

Disconnect the probes from the Doppler unit only for

sterilization.

Remove the red protective covering from the probe

tip before use.

Warning! Damage to either crystal will impair or prevent probe

function. The material covering the crystals can be

damaged by ECG cream or paste, abrasion, soaking

in alcohol or disinfectants, and excessive heat.

Inspect the Probe: Before each use, inspect the probe for any cracks

or breaks in the protective epoxy covering. Damage

that could allow for ingress of conductive fluids,

such as acoustical coupling gel, can create a shock

or burn hazard if the Doppler unit’s metal case is

grounded and comes in contact with or is used with

other electronic equipment.

Use Coupling Gel: The probe requires a conductive medium to maintain

an interface between the skin and the probe for

signal transmission. Use only a coupling gel made

for ultrasonic applications.

PPG Sensor The PPG sensor does not use coupling gel. User may opt

to wipe with a small amount of alcohol, surface germi-

cidal cloth, or liquid disinfectant after use. Do not use

bleach.

The PPG sensor must NOT be immersed for cleaning.

Continued on page 45

Standard Pencil Probe Frequency: high: 8.0-9.9 MHz

low: 3.9-4.4 MHz

Diameter: high 3/8 in; low 1/2 in

Cable length*: 5 ft standard

Description: Standard diagnostic probe.

PPG Sensor Diameter: 1/2 in

Cable length: 6’3” standard Description:

For instruments with a PPG jack. An infrared signal is

transmitted by a diode and received by a photo detector.

USES NO GEL.

Positioning the Pencil Probe 1. Place the pencil probe over the approximate position

of the target vessel. Align the probe’s crystals paral-

lel to the vessel for best artery-vein separation.

2. Tilt the back of the pencil probe to an angle of about

15 degrees from perpendicular, making certain there

is gel in the pathway between the probe and the

skin, and listen for the best signal.

Care and Cleaning of the Probes

45

Pencil Probes: 1. Remove the gel with a soft tissue after each probe use.

2. Wash any dried gel off the probe with running water.

DO NOT scrape off dried gel to avoid damaging the coating over the crystals.

3. User may opt to wipe probe tip with alcohol, surface germicidal cloth, or liquid disinfectant (do not soak). Rinse

probe tip with warm water to remove any residue after cleaning/germicidal agent dries. Do not use bleach.

Do Not Autoclave the Probes: Temperatures above 57.2 degrees Celsius (135 degrees Fahrenheit) destroy the crystal activity and cause the cover-

ing over the individual cables and the outer sheath to shrink and crack. With a raised temperature, a severe loss of

sensitivity will occur.

Autoclaving will void the probe warranty.

Parks Medical Electronics, Inc. warrants probes against defects in materials and workmanship for a period of six

months. Parks will, at its discretion, replace or repair free of charge, including labor, all parts which prove to be

defective and subject to such warranty.

This warranty does not apply to any probe not used according to instructions or damaged by abuse, accident,

alteration, misuse, and/or tampering.

Technical Support: If you experience problems that cannot be resolved by following the troubleshooting guide in the operating manual,

visit our website or call technical support M-F, 7 AM - 3:30 PM, Pacific Time.

Flo-labs: 1-888-356-9522

Probe & Cuff Care

PARKS Medical Electronics, Inc. Probe Information Sheet

Cleaning & Sterilizing Parks Vascular Cuffs

Cleaning Cuffs: Straight and Contoured Cuffs:

• Remove bladder from the covering.

• Wash the nylon cover in washing machine on

gentle cycle.

• Line dry.

• Make sure the cuff is completely dry before

replacing the bladder.

Disinfecting

Contour Thigh & Straight cuffs • Wipe cuffs thoroughly with alcohol wipes and

allow to air dry.

• If cuff is visibly contaminated:

• Wash in washing machine on gentle

cycle.

• Line dry.

• Wipe with alcohol wipes.

Digit and Penile Cuffs: • Wipe cuffs with a clean soap and water solution.

Sterilizing Cuffs: Two Methods for Straight and contoured Cuffs:

1. A solution of 5% chlorine bleach in water.

2. Gas sterilize at temperatures up to 140F. (60C),

then ventilated to ensure they dry completely.

Tips on Caring for your Cuffs: • Do not autoclave Parks cuffs.

• Never clean latex cuffs with alcohol products.

• Do not over-inflate cuff. It can cause the bladder to

stretch causing the seams to leak.

• Only inflate if connected to a patient. The cuffs can

withstand more pressure when constrained.

46

Inspect the epoxy covering that protects the crystal; if it has cracks, bubbles, or has pulled away from the probe

housing then the probes will need to be replaced.

PROBE OR EXTERNAL INTERFERENCE:

The noise making it hard to use the Doppler may be coming from an external source.

Possible interference:

Fluorescent lights

Other Doppler equipment in operation working close by

High electrical field radiological equipment adjacent to area

Radio interference from a mobile service or other devices that use radio frequencies

Police or security station nearby

Military locations occasionally will have a higher incident of interference, especially with the HI probe.

Refrequencing to a high range such as 9.7 MHz may correct this issue.

Vibration from construction in a nearby room or area

To Test:

Hold the probe first by the probe body (the metal part) and listen, then hold the probe by the cable and listen.

Do you notice a difference?

Holding the Metal = Quiet = Good Probe

Holding by metal or cable = Noisy = probably a bad probe or outside interference.

Holding by the Cable = Quiet but by the Metal is Noisy = outside interference.

IMPORTANT

BE SURE THE PROBE FREQUENCY MATCHES THE TUNING OF THE INSTRUMENT.

The probe frequency is specific to each instrument. Please use the frequency that was set up when the unit left the

factory unless it was refrequenced for a previous interference issue. If the frequency was changed, please make

sure those who order replacement probes are aware of the change and order the correct frequency. When ordering a

replacement, specifying the frequency marked on the connector end of the cable, engraved on the metal of a pencil

probe, or specified on a label attached to the cable (e.g. 9.7, 8.3, 8.1, 3.9 etc.). (NOTE: Probes manufactured before

September 2006 will only be inscribed.) Don't just order "4 Mhz" or "8 Mhz" because that is what is marked on the

front panel of the Flo-Lab or Mini-Lab.

For troubleshooting tips on other Flo-Lab components in SonovaE click F1 Help, look for “Troubleshooting.”

Doppler Troubleshooting

47

Notice

This information has been provided to assist you in meeting

accreditation standards set forth by the Intersocietal Commission

for the Accreditation of Vascular Laboratories (ICAVL).

Parks recommends that you perform the complete field

calibration procedure on your Parks Flo-Lab after every 1000

hours of use or once a year.

To perform both the calibration test and the cuff volume

verification/calibration test, it will be necessary to purchase

the calibration test fixture (Parks part #80-2100) and for

units purchased after May 2007 the 1000 ml chamber

(Parks part #986-3003-26) from the factory.

Please call Parks Medical Electronics, Inc. at 1-800-547-6427

option 0, M-F, 7:00AM—3:30PM Pacific Time. We will need

the model number of your instrument to provide the correct

calibration equipment.

Flo-Lab 2100-SX

Calibration Test and Pressure Test,

Cuff Volume Calibration / Verification,

and Computer Maintenance

Parks Medical Electronics, Inc. Mailing Address: PO Box 5669, Aloha, OR 97006-0669 USA

Shipping Address: 19460 SW Shaw St. Aloha, OR 97007-1242 USA

Telephone: 503-649-7007 • Flo-Lab Technicial Support Toll Free: 1-888-356-9522

Fax: 503-591-9753 • e-mail: [email protected] • Web Site: www.parksmed.com

48

1. Position the Flo-Lab cart with the back next to a sturdy table or workbench.

2. TURN THE CARTS MAIN POWER SWITCH OFF (O) (located on the lower right-hand side of the cart).

Unscrew and remove the monitor tie down, slide the monitor out of the bracket and set the monitor on the

bench leaving its cable and connections intact. Remove the screws (6-8 depending on mfg. date) holding

the Flo-Lab top cover. Set the cover aside.

3. Inside the right front corner of the Flo-Lab you will see a grey colored metal box enclosure. Remove the

four (4) screws (2 top right & 2 lower left) and take off the cover. Inside the enclosure there are five (5)

plug-in circuit boards and one other board mounted behind at a right angle to the others.

4. Carefully remove the left most plug-in circuit card with the 8.3 marked on the silver box (it may be a dif-

ferent frequency like 9.7 if it has been changed). Replace it with the Model 80 calibration fixture card with

the component side of the board facing to the left. Connect the cable that was furnished with the Model 80

card to the jack in the top of the card and to the EXTERNAL INPUT jack on the back of the Flo-Lab.

To verify the correct cable, see the back page, Equipment Images, for the continuity test.

5. Turn ON ( | ) the Flo-Lab cart and computer. The computer will boot into Windows and automatically

load the SonovaE software. From the opening menu press the “F3” key to open the CHART RECORDER

screen. On the Model 80 calibration fixture, turn the POWER switch ON. Switch to either the CAL A or

CAL B position.

6. On the Flo-Lab front panel, press the DOPPLER/ON button. The 8 MHz LED (8.3 MHz) should be illu-

minated. Next press the MENU button (located directly to the left of the front panel LCD display (little

green screen, firmware menu)) to advance to “5—EXTERNAL SIGNAL OFF”. Press the UP button (to

the right of this display) to turn the signal ON. Press the Bleed/Def button on the top right corner below

the inflate button.

7. Use the POSITION knob on the front panel of the Flo-Lab to move the white cursor position to the 1st

division from the bottom of the display. Turn the SIZE control clockwise until the signal is maximized

(100). Should display an 8 division signal, ± 10% (7.5—8.5 divisions are good see figure 1, next page).

8. Press the MENU button to advance to “5—EXTERNAL SIGNAL ON”. Press the UP button to turn the

signal OFF. Press DOPPLER/ON. Switch the Model 80 calibration fixture power OFF. Remove the ca-

ble between the Model 80 calibration fixture and the EXTERNAL INPUT jack. Press the Bleed/Def

button on the top right corner below the inflate button.

9. Press the Doppler ON button in the center of the front panel. On the left side of the Flo-Lab front panel,

use the POSITION control to center the trace in the grid on the computer monitor. Turn the Flo-Lab

SIZE control counter-clockwise to set SIZE A to 85.

10. Set the switches on the Model 80 calibration fixture to “A” and “ON”. Verify there are 5 green LEDs un-

der TOWARD lit. After 2 or 3 seconds, set the Model 80 to “B”. Verify there are 5 red LEDs under

AWAY lit (4-6 LEDs are acceptable on either side, if there are a lot more, say 10, call the factory; this is

configured for 8.3 MHz, if the card is 9.7 MHz, there will be more). Switch back and forth from “A” to

“B” several times. Press the F9 key to “freeze” the trace on the computer monitor. Please review the exam-

ple in figure 2 on the next page.

11. The trace on the monitor will look like a square wave, 8 divisions in amplitude (7.5—8.5 as stated in #7).

FIELD CALIBRATION

49

12. Press the F9 key to re-start the trace on the computer monitor. Set the switch on the Model 80 calibration

fixture to “OSC”.

13. After a few seconds, press the button below the MEAN LED under the “OUTPUT FILTER—Hz” on the

Flo-Lab front panel. Press it until the light below the MEAN is lit. To test the other filter settings press the

right output filter button one at a time and watch the change in the size of the wave. The MEAN setting is

always a flat line, the waveform will increase in size as each filter light is lit. Please review the example in

figure 3 below.

14. If you want a print out of your waveform, press F10 to save the waveform. Make sure the printer is turned

on. Press F6 PRINT then F10 to print the waveform. This Chart Recorder does not save to view later.

15. Press (Esc) out of the test screen. Click on Click on “Quit” SonovaE then select SHUTDOWN (version

5.6). For earlier versions select YES to quit SonovaE then close Windows by clicking in the Start button in

the lower left-hand corner of your screen. Choose SHUTDOWN or TURN OFF COMPUTER. Wait

until the computer shuts down then turn OFF (O) the Flo-Lab main power switch.

16. Remove the Model 80 calibration fixture card and replace the original 8.3 MHz (or 9.7) RF circuit board.

17. Replace the Doppler enclosure cover and its (4) screws.

Note: This test verifies the current calibration remains within factory specifications. If any major variations

are noticed, please call Parks Medical Electronics, Inc. tech support at 1-888-356-9522.

Scope Screen Examples

#10

B

#10

A

Figure 2

28

14

7 3.5 Mean

#13 Output Filter

Figure 3

Figure 1

#7

FIELD CALIBRATION

50

NOTE: For optimum performance for your Flo-Lab system, use only the hoses furnished with the system.

The calibration of cuff volume and volume change is based on using the nine foot black hoses and

adapters as furnished. Any other length or size of tubing or the addition of an in-line air chamber will

cause the reported cuff volume to be increased or decreased by the increase/decrease in volume.

1. Connect an electronic pressure meter and manometer to the BLACK hose with RED ends (you will need

to provide a ‘T’ type adapter to connect both instruments to one hose) which is connected to port “A” on

the back of the Flo-Lab (NOT the MPI (Multi-Port Inflator)). Turn ON ( | ) the Flo-Lab cart and computer.

The computer will boot into Windows and automatically load the SonovaE software. From the opening

menu press the “F3” key to open the CHART RECORDER screen. On the front panel press the VPR but-

ton. The only lights on the front panel will be “A Red,” “VPR” and “Arterial”.

♦ SonovaE layout: SonovaE columns are set for working with a patient that is laying on a bed next

to the machine. The patients right side is the left column (Red) the patients left side is the right col-

umn (Yellow). We refer to the patients right (Red) or their left (Yellow) side.

2. DO NOT USE THE FLO-LABS INTERNAL INFLATOR FOR THIS PROCEDURE as your pres-

sure meter may be damaged. USE ONLY A HAND BULB TYPE OF MANOMETER.

3. Pump the manometer to 40 mm as read on your electronic pressure meter. Take note of the reading under

“CUFF A” on the front panel display (little green screen, upper right corner) of the Flo-Lab and also the

reading in the upper left of the computer monitor. The readings must be within 5mm of your electronic

pressure meter reading (if the measurement reads significantly greater, call the factory).

4. Pump the pressure to 200mm on your electronic pressure meter. Again compare the readings on the com-

puter monitor and the front panel (little green screen, upper right corner) on the Flo-Lab to your electronic

pressure meter. The readings must be within 5mm of your electronic pressure meter reading.

5. Move the connections to the BLACK hose with YELLOW ends which is connected to port “B” on the

back of the Flo-Lab. Press the right arrow key on the keyboard to move the highlighted field to the LEFT/

YELLOW side in SonovaE. Press the VPR button again. The front panel lights will switch to “B”, with

“VPR” and “Arterial” lights lit. Repeat the tests as done in steps 2, 3 and 4. View “CUFF B” on the front

panel display (little green screen, lower right corner) of the Flo-Lab. (if the measurement reads significant-

ly greater, call the factory).

6. Disconnect your electronic pressure meter from the Flo-Lab. Press (Esc) out of the test screen. click on

QUIT and select SHUTDOWN (version 5.6). For earlier versions select YES to quit SonovaE then close

Windows by clicking in the Start button in the lower left-hand corner of your screen. Choose SHUT-

DOWN or TURN OFF COMPUTER. Wait until the computer shuts down then turn OFF (O) the Flo-

Lab main power switch.

7. Replace the Flo-Lab top cover and its six to eight screws. Slide the computer monitor back into the brack-

et then secure with the tie-downs four screws.

8. The calibration tests are now complete. For cuff volume verification, proceed to the next page.

Testing for Port C has been removed from the SonovaE software due to lack of use.

PRESSURE VERIFICATION

51

The Flo-Lab is totally automated and requires no additional action by the technologist above and beyond what

is normally required to acquire good pulse volume waveforms. Your Flo-Lab has been calibrated at the factory

to accurately determine the cuff volume. However, since the goal of calibrated pulse volume waveforms is to

provide accurate and repeatable results, the technologist should initially and occasionally verify that the system

is performing properly and should also be aware of several factors which can affect the results. The following

information is provided to help you obtain the most accurate and meaningful pulse volume amplitude infor-

mation.

You must purchase the 1000 ml volume chamber from the factory (Parks part #986-3003-26) to perform

the cuff volume verification/calibration test. Please call the factory at 1-800-547-6427, option 0.

1. Turn ON ( | ) the Flo-Lab and computer. From the opening menu press the “F3” key to open the CHART

RECORDER screen. The highlighted field will be the RIGHT/RED side which is channel A/Port A. Press

the VPR button on the front panel. The only lights on the front panel will be “A Red,” “VPR” and

“Arterial”

2. On the Flo-Lab front panel, press the MENU button and advance to menu “8—VPR CAL. SEQUENCE

OFF/ON”. Press the UP to turn the VPR CAL sequence ON. Connect the 1000 ml chamber to the

BLACK hose with RED ends which is connected to the port “A” on the back of the Flo-Lab (NOT the

MPI (Multi-Port Inflator)).

3. Verify your highlighted field (active field) is on the RIGHT/RED side. Press the “INFLATE” button. The

Flo-Lab will inflate, deflate, then re-inflate the 1000 ml volume chamber (there could be a 40 second wait

before the re-inflate occurs). As the second inflation starts, the calculated volume of the chamber will ap-

pear under the label “R Cuff (A):” on the left side of the graph on the computer monitor. The calculated

volume should be within +/- 3 of the value marked on the chamber. If not, press the “MENU” button to

advance the menu to “9—VPR CAL. A FACTOR”. Use the worksheet on the following page to track your

calculations. If the calculated volume was high, press the “UP” button to increase the constant. If the vol-

ume was low, press the “DOWN” button to decrease the constant. Press “DEFLATE”, then “INFLATE”

to repeat the test. Note that an exact match may not occur, since the calculated volume changes by about 10

ml for each digit that the CAL factor is changed. Record the final “A CAL Factor” for future reference.

4. Connect the BLACK hose with YELLOW ends to the 1000 ml volume chamber. Use an arrow key to

switch the active field from the RIGHT/RED to the LEFT/YELLOW side. Press the VPR button for this

side. The only lights on the front panel will be “B Yellow,” “VPR” and “Arterial”. The calculated volume

of the chamber will appear under the label “L Cuff (B):” on the left side of the graph on the computer moni-

tor. B CAL factor is verified in the same way that A was, except the B CAL factor is displayed in the

menu “10—VPR CAL, B FACTOR”. Please follow step #3 for cuff B volume verification. Record the fi-

nal “B CAL Factor” for future reference.

5. The cuff volume calibration test is now complete. On the Flo-Lab front panel, press the MENU button and

advance to menu “8—VPR CAL. SEQUENCE OFF/ON”. Press the DOWN button to turn the VPR CAL

sequence OFF. Press (Esc) out of the test screen. Click on “Quit” SonovaE then select SHUTDOWN

(version 5.6). For earlier versions select YES to quit SonovaE then close Windows by clicking in the Start

button in the lower left-hand corner of your screen. Choose SHUTDOWN or TURN OFF COMPUTER.

Wait until the computer shuts down then turn OFF (O) the Flo-Lab main power switch. Replace the black

hoses with the short pigtails. Place the black hoses in the drawer.

CUFF VOLUME VERIFICATION/CALIBRATION

52

A CAL FACTOR A VOLUME AIR

CHAMBER

VOLUME

B CAL FACTOR B VOLUME

The volume calibration factor is easy for a technician to change. Check the #9 A CAL & #10 B CAL Factors

in the firmware menu (little green screen) before starting. If you find your factors are a long way off, standard

range is 90-110, save yourself some time by adjusting to 96 for a starting point.

In the table below, place the volume shown on your air chamber in the center column. You will be calibrating

to this volume.

These instructions assume you are hooked up on the proper port and ready to start on #3 of the Cuff Volume

Verification test on the previous page.

First check the CAL Factor for the port you are working on and write it in the appropriate CAL Factor col-

umn. Run your test and write the volume showing on the monitor in the Volume column. Calculate the differ-

ence between this volume and the value on the air chamber.

As stated in #3: If the calculated volume was high, press the “UP” button to increase the constant. If the vol-

ume was low, press the “DOWN” button to decrease the constant. Press “DEFLATE”, then “INFLATE” to

repeat the test. Write the new CAL Factor in the next box. Keep repeating this process and writing down the

corresponding volume. The calculated volume should be within +/- 3 of the value marked on the chamber.

If your air chamber is 997, then the target area will be 994-1000.

CUFF VOLUME VERIFICATION/CALIBRATION WORKSHEET

53

During regular usage of your Flo-Lab, dust can accumulate inside the computer. Excess dust can cause the

computer to run inefficiently or even prevent it from working at all. Dust in the computer has been known to

cause the PC to freeze up. It is recommended that the computer be removed from the Flo-Lab cart and cleaned

every six months.

1. Unscrew the 3 Phillips head screws that hold the back access door closed

2. Disconnect the cables connected to the back of the computer (i.e., printer, monitor etc.) and the strap that

holds the computer in.

3. Once the computer is out, remove the side panel.

4. Using compressed air or a vacuum hose, clean out the dust from the inside of the computer. Pay extra at-

tention to the fan mounted directly on top of the processor (See Image Below). Also make sure you in-

spect the rest of the fans to make sure they are all operating correctly (there is one in the power supply and

sometimes a case fan mounted on the front or rear of the case); you will probably have either two or three

fans in the computer.

5. When finished, replace the cover on the computer

and put it back into the Flo-Lab cart. Replace all

cables and the strap to hold the computer in place.

6. Once in Windows run the system defrag. Click

Start> All Programs> Accessories> System

Tools> Disk Defragmenter. Click Analyze, when

complete, click Defragmenter if needed.

Microsoft Windows Updates on Parks Medical Electronics Flo-Labs

Parks Medical Electronics, Inc. encourages our customer to be up to date with all Microsoft Windows updates.

This ensures that your system is running to its full potential.

Please Remember to never download or perform an update while the machines is being used. Exit out of all

programs properly before the update.

Virus Protection

Parks Medical Electronics, Inc. recommends each facility install and update each machine with their virus pro-

tection software. We request the software to not be scanning or updating while the Flo-Lab is being used.

Processor Fan

COMPUTER MAINTENANCE

54

EQUIPMENT IMAGES

Model 80 Card. P# 80-2100

Also need an electronic pressure meter.

This is an example of the device.

Parks does NOT sell these meters.

They are standard in most Biomedical

shops.

2100-SX Flo-Lab Back View

Model 80

Switch View

Model 80 cable

Comes with the Model 80 card

1000cc Air Chamber. P# 986-3003-26

Sphygmomanometer

P#989-1104-10

Includes SMC locking luer

55

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