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Transcript

- Welcome to our Fujifilm Sauna Site webinar.

We're just gonna give our attendees a a

moment here to log in.

We'll be right with you. Thank you.

Okay. Welcome to our behind the scan webinar series.

My name is Lisa Francia

and today we have an exciting presentation

and demonstration of the new Sauna site px.

Before we begin, please be advised all attendees are muted.

You may type your questions into the q

and a box in the toolbar located at the bottom

or side of your screen at any time during the program.

This is being recorded and we will conduct the q

and a session at the end of the presentation.

Now it's my pleasure to introduce our presenters.

First we have Audra Upton, who's the director

of clinical Applications.

She's been with Fujifilm for 13 years.

She graduated from the University of Oklahoma

with a degree in ultrasound

as an a registered cardiac vascular sonographer.

Audra and her team remains customer focused

and are specialized in providing top level point

of care ultrasound education.

Next we have Craig Chamberlain, the director

of our Experience design.

Craig's been with Fujifilm Cyte

for nine years leading the experience design team.

Prior to Cyte, Craig was the president

of Carbon Design Group for seven years

where he shepherded carbon's transformation from design

services company to one

of the nation's premier full service product

development consultancies.

That shift led to a significant growth in revenue, influence

and recognition by international design.

Unity sweeping the industrial Design Excellence gold awards

for medical products in 2009.

Most recently recognized

with the Silver Industrial Design excellent award

for the SA site S two in 2016.

It's my great pleasure to introduce Craig

who will get us started today.

Thank you.

- Thank you Lisa. And as Lisa mentioned, I'm the director

of design at Fujifilm Sono site

and we're glad to have you

as participating in this webinar series

and especially our final webinar of this series

where clarity meets confidence.

Socy has a rich history of delivering innovative solutions

to our customer's needs.

With the SonoSite px, we're launching the first

of our next generation of point-of-care systems.

This product is a new platform built from the ground up

to deliver innovative solutions.

It incorporates new technologies

and new features to empower our users to accomplish more.

The Sono site PX was born from real world clinician needs

and it delivers solutions

to overcome real workflow challenges.

We began with a systematic approach to observe, immerse,

and engage with our customers in their

daily healthcare lives.

The team traveled to sites all over the world

and spent hundreds of hours with individual clinicians

and with groups to understand their needs, their workflow,

and their obstacles.

We brought back more than 400 data points that led

to the laid the foundation

for the product development process for the Sono site px.

Those data points show up in both the overall product

and in the smallest details of the Sono site PX system.

The result of all of that research and then design

and engineering and clinical engineering is the

Sono site px.

We designed every detail of this system

to provide innovative solutions to customers in the point

of care settings where they, that they face every day.

Its purpose is to

as assist clinicians in improving patient outcomes

by providing diagnostic confidence

for any patient anywhere, anytime.

Sono Site PX supports many different use models within the

hospital and office environments.

Throughout the development process, we strove

to improve access to provide our clinicians

with confidence while all the while keeping things simple.

We accomplish this by making socy PX adaptable

to the many environments our clinicians provide care in

by delivering amazing image clarity

and by delivering workflow efficiency for every clinician.

So let's take a look a quick look at some

of the workflow enhancements

that we have in the Sono site px,

there are many situations when every second counts.

That's why Sono Site PX has been designed

around every detail

of the way clinicians work and deliver care.

Complex workflows have been removed to lower cognitive load

and we've created optimized layouts

and data entry forms that reduce screen taps

and button pushes.

Imaging has been optimized for each individual exam type

or preset by provide,

and that provides quick access

to the answers our clinicians are looking for

and management of all the patient data is found in a single

location that integrates seamlessly

with Sono site synchronicity.

Workflow manager, Sono site PX exam types

or presets have been designed for

what we call plunk imaging.

So optimized imaging partnered with optimized workflow

to display the most used functions as well

as exam specific annotations and calculations.

Whether you're performing a cardiac exam

or an MSK study, the touch panel will provide you with

an optimized set of controls streamlined

for the job you're you're trying to do.

Calculations are also optimized based on your selected

preset and organized in a way

that makes them easily accessible based on the

goal of your exam.

With the Socy px,

we've introduced a focused cardiac exam type,

which provides a more targeted set of calculations

to choose from to improve your efficiency when evaluating

heart function, to diagnose overall patient wellbeing.

This includes our new volume status

and assisted cardiac output calculations,

which remove complexity when assessing fluid responsiveness.

In addition to workflow,

we listened when our customers told us how, told us

how important imaging clarity is to them.

Sono PX delivers the most advanced image clarity we have

ever offered using a new proprietary speckle reduction

technology and the introduction

of a new family of transducers.

Sono PX was designed

to provide our clinicians an unparalleled level

of confidence to diagnose

and treat their patients with improved penetration,

faster frame rates, better tissue resolution,

and improved color performance.

Delivering the image clarity our clinicians need to

to be more accurate and efficient in their workflows.

So what does all this improved image clarity

and detail mean for you?

Well, it allows you to see more and do more.

It empowers clinicians to more easily interpret images,

including seeing finer details to

and better tissue resolution and support, faster diagnosis

and time to treatment.

I mentioned earlier we have a whole new family

of transducers for the sono px

and today I wanna highlight the the Socy P five one.

The P five one phased array transducer was designed

with single crystal technology

that provides higher sensitivity, produces less artifact

and has better penetration.

The new speckle reduction technology

and faster frame rates seen on the sono site.

PX work together with the P five one

to generate the superb cardiac imaging seen here along

with a new feature introduced the sono site

PX color compare.

Color compare provides the ability

to simultaneously assess in both 2D and color,

but the P five one doesn't stop there.

Also included are optimized exam types for BO, for abdomen

and lung making this the perfect assistant

for performing cardiac abdominal

and lung exams with a single transducer solution.

Also available on the cardiac

and abdominal exam types is right zoom,

right zoom improves spatial resolution

and is beneficial for seeing detail in cardiac valves

as well as any structure where visualization

of small details and measurements is important.

The image on in the image on the right,

you see a per sternal long axis view of the heart

and in its focused on the left ventricle

and we use this

for our assisted cardiac output measurements.

Audra Upton, our director of clinical applications, is going

to take a deeper dive into these measurements in our

live demonstration.

Audra,

- Thank you so much Craig.

As Craig said, my name is Audra Upton, I am the director

for the clinical applications team.

If you've had the pleasure of joining us

for the previous webinars, then you've seen the px,

you've seen an overview of the system, we've gone

through the workflow efficiency

and the improvements we've made from a workflow standpoint.

Last week, bill Medford took us through some improvements

that we made with image clarity

and today we're gonna kind of tie it all together

and we're gonna be demonstrating some improvements

that we've made with some of our calculations.

Specifically, we're gonna be going over volume status

and the assisted cardiac output.

Before we do that,

I do just wanna provide a very brief overview.

So what you're seeing on your screen now is

that hybrid system,

and what I mean by that is the top portion is a touch panel

and the bottom portion are tactile keys.

We're actually gonna start out first by just going into

that patient information screen.

So this is that green button.

Once I type that, it's gonna take me

to the patient demographic screen.

Now don't worry if you didn't mean to tap

that you still have access to change your transducer

or go go directly into scanning.

What we're gonna do first here is gonna select the

transducer, and so we're gonna select transducer.

And what I just want to show you is

that the system is designed with triple transducer connect.

So you can see we have three transducers connected right

now, our L 12 three, our C five one and our P five one.

Now today we're gonna be focusing primarily on

that P five transducer.

As Craig mentioned, it really is important

that you choose the correct exam type for what it is

that you're going to be scanning

because based on that exam type, the imaging parameters,

the optimization controls, annotations

and calculations are all going to be optimized for

that specific exam type.

So right now we're actually gonna be doing the majority

of our scanning today on that focused cardiac exam type.

So it's already selected.

So we're just gonna simply tap scan

and it's gonna take us to that touch panel.

Just a reminder, this touch panel is going

to adapt based on the transducer chosen,

the exam type chosen,

and then obviously the imaging mode that we're going

to be scanning in down at the bottom

of the interface are those tactile keys.

And those tactile keys really are those persistent keys

that they're the most common parameters that are updated

or optimized independent of the transducer

or the exam type chosen.

You're always gonna be evaluating the depth

that you're imaging at or the gain.

You're gonna wanna be able to freeze your image

or change your imaging modes.

So you can always find those persistent keys

down at the bottom.

Now if you take a look, you'll notice

that those keys are uniquely shaped.

We did that on purpose

and that is so that you, as you're scanning,

you can actually reach over

to the machine without looking away from your patient

or looking away from the clinical monitor.

And you can feel just by by the shape of the button itself

or the raised portions

and you can know with confidence exactly where you are,

where you are on the system

and know which button you're going to be selecting.

Okay, so first we're actually, I'm gonna switch you back.

We're gonna talk about that touch panel just a little bit,

but more specifically the calc package update.

So all I'm gonna do here is just tap the calc button,

which is one of those tactile keys down at the bottom

because we have the P five one transducer activated

and we're in the focused cardiac exam type.

We're going to see the calculations available to us within

that specific exam type.

I'm gonna go ahead and just select volume status

and I just wanna show you something really quickly

and what you'll notice is that a portion

of the measurements are actually grayed out.

And that is because right now I'm currently in a live 2D

image, and so this is just one way

that the PX is actually adapting for me

or it will adapt as I move through my workflow.

So what this is telling me is

that I'm not currently imaging in a mode where I could,

where I could actually use these measurements.

Now as soon as I freeze my image

because I'm in 2D, you will notice that the IVC maximum

and minimum as well as the LVOT diameter,

they become prominent because those are measurements

that now can be performed from a frozen 2D image.

Later on when we get into the doppler, you'll notice

that those doppler specific measurements,

those become activated.

Before we get into the process of how

to perform these measurements, I just wanted

to remind everybody of a new feature on the,

from a workflow perspective.

So let's say that you go up and you grab the machine

and you're scanning and you have a difficult

scan 'cause right?

Not every patient scans easily

and you finally get that image that you need,

you freeze your image

and you go into calcs only to find

that you have actually been scanning

underneath the wrong exam type

and you don't see the calculation

that you want available to you.

Now previously what you would've had

to have done is unfreeze your image, go back,

change your exam type, re-scan,

and then access the calculation that you need.

Well, not anymore.

So once I activate calcs, you'll notice at the top

where it says packages then focused cardiac

and now right now we're in volume status.

All you have to do is go to packages

and what you will see is the every calculation package

that is available for this specific transducer,

which is the P five one.

So you can see I can access abdomen calculations, cardiac,

the focus, the GYNM, MS, msk, the list goes on.

So that allows you to have your workflow uninterrupted

and you can access the calculation that you need, proceed

how you need, and then if you need to change your exam type

as you move forward through your exam, then that's great.

Okay, so let's go ahead and get started.

Now what we're gonna be doing first is we're gonna be

talking about evaluating volume

status on a patient.

And specifically right now we're gonna first focus on IVC

collapsibility.

Now just a reminder, IVC collapses measured specifically

for spontaneously breathing patients.

Now what you're gonna see as we go through this live demo,

I'm gonna be switching back

and forth from our live image that you see back to

that control panel because I want you

to have an appreciation for exactly the steps

that we're, that we're taking to perform these measurements.

So right now you can see we have the IVC going.

I'm actually gonna go ahead

and we're gonna do this measurement with M mode.

So what I'm doing is I'm just gonna hit the M down on

the tactile keys.

This brings up my cursor.

I'm gonna move my cursor from right to left.

I hit M again

and it's going to activate that M mode tracing.

Once have a full respiratory cycle, then I'm going

to simply freeze my image

and once it's frozen you can then see along

that end mode tracing, I can locate

where the patient had inspiration versus expiration.

Now going back to the control panel, you will notice

that when I hit calcs you will see

volume status be one of my options.

So I'm gonna go into volume status.

Now we have two options here.

You can see we have IVC collapse

and then we have the sensibility.

So first let's talk specifically about IVC collapse

because that is for spontaneously breathing patients.

So this allows us to

perform the measurement both from a maximum diameter

and a minimum diameter.

And when we do that, the system is going to be giving us

percent change or the percent collapse

and that will then allow us to be able to assess

or estimate right atrial pressure.

Now what I'm gonna do now I'm gonna go ahead

and unfreeze my image

because I want to show you that one of the changes

that we've made with this system is go ahead,

I'm gonna go ahead and freeze my image right now

and then just show you with the volume status

that we now have multiple ways to evaluate volume status.

So go back to two, I'm gonna go back into 2D,

now I'm gonna go into my calcs.

Okay, so back to this first menu here where we have

that IVC collapse because again, we're in 2D,

but what I wanna specifically point out is the ability

to look at not just IVC collapse IVC collapse ratio

to evaluate a patient's volume status,

but we've now introduced the ability

to look at a patient's L-V-O-T-V-T-I.

And if you'll notice above where it says pre L-V-O-T-V-T-I,

there's a pre option

and then right to the right there's a post option.

And what this is for is this allows you

to perform a fluid challenge

or a maneuver such as a passive leg raise

to really evaluate a patient's fluid responsiveness.

So in a moment we're gonna be demonstrating this

with assisted cardiac output,

but the nice thing with this measurement is that it's going

to give you a percent change.

And so it's really giving you that extra layer

of information that previously we did not offer.

Therefore, just giving you more confidence in how you need

to proceed in treating, in treating your patients.

You'll also notice on the display

where it says respiratory variation, this is also new.

So I mentioned earlier that IVC collapse is specific

for spontaneously breathing patients.

Well we all know that we treat patients

who are mechanically ventilated

and this option under respiratory variation is going

to give you the options that you have in order

to assess a patient that is mechanically ventilated.

Now doing, looking at a patient's L-V-O-T-V max

or at A VTI, instead

of the system giving you a percent change calculation

result, it's gonna be giving you a percent variation.

And as I mentioned, percent variation can be used

specifically in assessing mechanically ventilated patient's

volume status and is calculated by comparing the change

of stroke volume between inspiration and expiration.

And we've given you multiple ways to do that.

If you didn't want

to look at specifically the percent variation,

we do have that IVC extensibility.

So it's performed exactly how you do an IVC collapse ratio

except now we're looking at the disability.

So you all know that

during mechanical ventilation the IVC diameter increases

with positive inspiratory pressure

and then the amount of distension can be measured

to assess a patient's volume status

and really help in predicting their fluid responsiveness.

Now you heard me mention earlier something

that we are calling assisted cardiac output.

The thing that I love about assisted cardiac output is

that it really does take the information

that we're providing you from a percent change standpoint

and we're giving it all to you

through a new feature called assisted cardiac output.

Assisted cardiac output specifically removes steps

and complex complexity

that you typically find from performing a cardiac

output manually.

And we're gonna be walking you through exactly

how to do that.

So to do a cardiac output, you always want to start

with a parasternal long axis view.

So we're just gonna grab that really quickly

and we're gonna be focusing on

that left ventricular outflow tract

because that's the diameter that we're gonna be using.

If you're familiar with calculating cardiac output,

then you know it requires two views.

So first it's going to start out with

that parasternal long axis view

and here momentarily we're gonna be switching over

and getting an apical five chamber view.

So first this is a great view as Craig mentioned, one thing

that we have added on the PX is the ability

for a right zoom cardiac scanning.

So I'm actually just gonna hit the zoom option

and I'm going to place that zoom box.

Now I can change the size of that zoom box if I wanted to,

but I'm just gonna move that zoom box over the area

of the LVOT

and then I'm going to hit zoom again,

that's gonna activate the zoom

and then you can see we've zoomed up on this area.

Now we're gonna freeze the image so that it's mid systole

where the aortic valve is open.

Now if you freeze the image

and you froze it a little late,

don't worry if you'll actually notice once the image is

frozen you can use the track pad in the center

of the tactile keys and you can actually rewind

or fast forward to the, to the portion of the image that has

that aortic valve open.

Once we do that, then we're just gonna go back to

that calcs button on the tactile keys.

This is going to bring up the calcs menu.

Now we're already in assisted cardiac output.

You can see LVOT diameter is the one that's activated.

I have selected that now I'm just gonna switch back over,

show you where it is that we're gonna be measuring.

We're just gonna be measuring that diameter of the LVOT.

It's always from inside to inside. There we go.

And now I'm just simply gonna save that.

You'll notice that as I save it, we now have

that measurement demonstrated on the touch panel

on the right side.

So you can see now on that L-V-O-T-D option,

it has a little one in the upper left hand corner

demonstrating that we have one measurement

and then you can clearly see the measurement displayed

on the right side.

Now from here we're actually going to unfreeze our image

and we are gonna move to an apical five chamber view.

So I'm gonna just hit 2D that takes zoom off

and now we're gonna get that apical five chamber.

Now with assisted cardiac output,

I'm gonna show you two ways to use this new software.

We can use this both with a live image

and from a frozen image.

The first example is going to be demonstrating the software

with a live image.

So I have the apical five chamber.

I personally always like to use color in conjunction.

If you're ever having a hard time getting a clear 2D image

color can really help you in locating where

that outflow tract is because you can easily see as

that blood flow is heading out of the left ventricle

through the outflow tract, it's clearly blue.

And then that would help me identify exactly where

that outflow tract is.

Now I have color where I want it.

I'm just gonna hit D on the tactile keys.

This brings up doppler.

I'm gonna place my doppler gate within the area

of the left ventricular outflow tract.

I hit D again, this is actually going

to activate my doppler signal.

Now I'm gonna switch back

because I wanna show you something on the control panel.

So we have our live tracing.

What I'm gonna do is I'm actually gonna hit Cal

and when I hit calcs you will notice

that the control panel shows both pre and post.

I wanna make sure that the pre is highlighted.

So you can see around

that cardiac output the box is highlighted.

Now I'm gonna switch back over to my ultrasound image

because what I want to demonstrate to you is

that you can actually see the software is automatically

measuring the wave form.

And if you look in the upper left hand corner,

you can see a real time feed of the cardiac output.

So 5.6, 5.7, 5.8.

You can see it cycling through

and it's giving me the cardiac output at that point for

that specific waveform.

Now once you feel like you have a good waveform set

of waveforms, you're simply going to freeze your image

As soon as I freeze, you will notice

that I now have five wave forms measured on the ultrasound

image on that doppler signal.

This is where the PX has really taken the

complexity out of performing a cardiac output measurement.

So again, traditionally you would've had to do

your LDOT diameter, you would've had to trace your velocity

waveform and then you would've had to measure your,

your heart rate assisted cardiac output is actually doing

two of those three measurements for you.

Now this is where I love how this software works.

I'm gonna switch over to the control panel

because what I want to show you is that on the right side

of your image we're actually showing our work.

So I equate this to like if you're performing long division,

you have to show your work of how you came to

that conclusion, how you got the result that you got.

And that's what we're doing here

for you is we're showing you our work,

we're showing you based on each individual waveform, what

that cardiac output is, what the VTI is

and what the heart rate is.

And what that allows for you

as the physician is it allows you to be the physician

and to make the call whether

or not the software maybe grabbed

or a a wrong beat

or maybe it calculated heart rate

and had one that was just off access and

and didn't cap didn't capture it correctly.

This is where you have the ability to confirm

as many measurements as you want

or you can delete whichever one that you want.

Now in this instance I'm gonna show you,

I'm gonna switch back over because

what you're gonna notice is if you look at each waveform

right now, they are dotted lines.

So let's say that I wanted

to maybe change the measurement on the second one.

So all I have to do is on the control panel I tap

the second measurement.

I now can use my track pad

and you'll notice as I use that track pad, I can rework

that tracing, I can hit select,

I can adjust the heart rate if I didn't like the

individual measurement.

So you still have control over the measurement itself,

but let's say that you're happy with the way it measured,

then all you need to do is simply hit confirm.

You're gonna confirm each individual measurement on the

control panel and you will watch how each

of the dotted lines then comes solid.

And after I do that, I simply save it

and that's gonna save that into my calculation.

Now this is the pre measurement.

What you're gonna do now is you're going

to do either your fluid challenge

or you're going to perform that maneuver

of a passive leg raise.

In doing so, after you've given your fluid challenge,

you've done your maneuver, you're going

to repeat the measurement.

So we're gonna pretend that we just performed,

we just pushed a bolus of fluids.

You're now scanning your patient.

Again, you're gonna repeat that last step.

You're gonna get your LVOT in the apical five chamber.

You're gonna grab doppler except this time you're gonna make

sure that the post measurement is selected.

So go ahead and hit B

and this time we're gonna make sure that

that post measurement is selected on our control panel.

So I hit cals, I'm gonna make sure post is

activated and now it's going to be grabbing my measurement.

Again, you can see up at the top it says post

cardiac output.

And now I'm going to freeze that image,

it's going to grab five new measurements.

I'm now going to confirm those measurements

and you will see now in the upper left hand corner

how it's now giving me a cardiac output percent change

and it's giving me a stroke volume percent change as well

as a VTI percent variation change.

So all the information

that you would've gotten had you performed the measurement

separately within volume status,

we are actually giving you in this one calculation.

And like I said, what really

what most physicians are finding

that they really like about this is

that the system does trace those wave forms really well.

But it still gives you the the capability If you need

to make some minor adjustments, you certainly can.

Now what I wanna show you just lastly is

going back to 2D

and going back to that control panel, I just wanna show you

how you now have access to the report and the worksheet

and all of those measurements.

We're just gonna go to that reports tab

up in the upper left

and now we have those measurements

captured in a report page, both pre and post.

And you can save that as an image

and then that becomes part of your patient record.

And, and two, I wanna, I wanna say this as well.

So let's say you're not to this point where you're ready

to be performing calculations just yet, that's fine.

Maybe you need to master how to get the views.

This ultrasound system also has onboard learning,

so I'm just gonna go back to that 2D image

and I'm gonna show you that learn function on the system.

So if you really do need to start with the basics,

we're gonna go into acute care

and there are videos on here that show how

to perform BA basic scans.

How do you get a para sternal long access view?

How do I get that apical five chamber view?

The machine can take you through that.

In addition to the videos on the machine,

we also have the Sauna Cyte Institute,

which is an online learning platform that

as sauna site customers you have access to.

In addition to that, it's my team, my team

of clinical specialists, we're stenographers

and we can come out to your facility

and we can provide hands-on training with you as well.

We have resources for you really to give you the confidence

that you need to be able to treat your patients and

and give them the care that they need as well.

Thank you so much for taking some time, allowing us

to give an overview of the system of a couple

of these changes that we've made with these,

with these calculations.

I hope you found it to be super beneficial.

Right now we're actually gonna go ahead and move to a Q

and a session, so if you have any questions, feel free

to type that in to the Q and A box

and we will do our best to get them answered for you.

- Great, thank you Audra

and Craig for the presentation and demonstration.

We do have a few questions. First, can you hear me okay?

'cause I had a little audio problem.

- Yes. - Okay, great. Just wanna make sure.

So this improvement with the cardiac output,

what was the inspiration for making this

change, this improvement?

- So in in speaking with physicians, they would tell you

that they love the information that it, that it gives them,

but they found teaching it

and performing some of the steps of the measurement

to be really tedious, specifically tracing a waveform

and that really was a barrier for them.

And so we wanted to find a way to take some

of the difficult portions out for them

but still provide them with a lot of information,

more information that's gonna be able to,

to help them in treating their patients.

And with assisted cardiac output, as I showed,

you really only have to perform that one measurement

of the LVOT diameter.

Your next steps is really just activating the software

and letting the software do the remainder

of the measurements for you.

- Right? So it's much more efficient.

So how many steps have been reduced

with the assisted cardiac output when compared to

- Other So previously, yeah, so previously you would've had

to have gotten a para sternal long axis performed the LVOT

diameter moved to the apical five, you know,

placed your doppler, traced your wave form

and captured a heart rate.

So of the three measurements that you would've had

to done individually, you now only have to do one.

So it's really a three step process to like a one

and a half step process

because again, you still have to activate the software for

that final step, but you don't have

to perform those individual measurements.

- Right, right. Great.

And and how is evaluating volume status different on the px,

the Soto site PX versus the other products?

- So on our previous products we have IVC

collapse ratio.

Now you can always go in

and do your own VTI or Vmax.

We have that a available,

but we don't have the calculation of the pre and the post.

So what that means is you could perform the individual

measurements but you would have to take those components

and put it into a calculation to get that result

of the percent change

or the percent percent variation change.

And this system, we now have multiple ways

to do it and as we showed, does that pre in the post

measurement for you.

- Right. And a question just popped up on that topic,

I think we can ask this here, how reboot,

how reproducible is the assisted cardiac output?

- So I've had the opportunity now to go

and demo this quite a lot

and obviously I typically am the one

who demonstrates it first.

But I have been so impressed with physicians

like attending physicians and then residents and fellows

and even medical students who then can walk

away from me

and pre perform this measurement really, really easily.

And you know, something that I always,

so I'm a cardiac sonographer

and it's difficult when you have a tracing

that's gonna be automatic.

I wanted to see it in action with, do I have

to have the perfect waveform in order for it to be able

to detect the waveform?

And now you certainly can't just have a ton

of spectral noise and, and all of that,

but you don't have to have that perfect waveform.

The software is really, it detects it really well.

So I think we've done a really good job on being able

to reproduce the ability to, to do

that measurement and use that function.

I'm not sure if we lost Laura or not,

but I do see another question that has come in

and it says, oh are you there?

- I'm in and out. So if you could ask that question

that's on the list that would, sorry.

- Yeah, so there was one other question

that said if the work list will be used

to select the patient, is it an added step

to open the work list

or can the machine be set up to display the work list

by default?

So it is,

it is a step now we can default the system

to when we first started, we call it that kiosk view

where you see, you know, what do you wanna do,

do you wanna go straight to scanning

or choosing transducer, so forth and so on.

Now we can have the system default to

that patient demographic screen.

So it always triggers the user to have

to put in patient information information.

But what you'll see on that screen, there will be a button

and it will say query.

And so you will need to push that one button so it's not,

we can eliminate some of the steps

and just bring it in to where you have

to physically query that work list.

- Wonderful. Thank you for taking that question.

It looks like that's all the questions for right now.

Yes, I think that is all.

- Alright, well thank you for attending our, our webinars

and last webinar we have

and we please check out the website,

keep tabs on the website for our upcoming webinar schedule.

There's gonna be more of these as we, as we delve more into

how to use the the Sono site.

Px. Thank you for your time.

Sonosite PX point-of-care ultrasound system delivers the most advanced image clarity Sonosite has ever offered, giving clinicians an unparalleled level of confidence for diagnostic and procedural applications. Take a closer look in this demo.

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Craig Chamberlain
Presenter: Craig Chamberlain
Position: Director, Experience Design, Fujifilm Sonosite

Craig Chamberlain has been with Fujifilm Sonosite for nine years, leading the Experience Design Team (XDT). The XDT has responsibility for gathering user insights, developing innovative solutions to user pain points, and designing the physical and digital interactions our users have with Sonosite products. In 2016, the XDT was recognized with a silver IDEA award for the Sonosite SII. Prior to Sonosite, Craig was President of Carbon Design Group for seven years, where he shepherded Carbon's transformation from a design services company to one of the nation’s premier full-service product development consultancies. That shift led to significant growth in revenue, influence, and recognition by the international design community, with Carbon sweeping the IDEA Gold awards for medical products in 2009.

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Audra Upton
Presenter: Audra Upton, BS, RDCS, RVT
Position: Director, Clinical Applications, Fujifilm Sonosite

Audra Upton is the Director of the Clinical Applications team with more than 13 years of experience with Fujifilm Sonosite. She graduated from the University of Oklahoma with a degree in ultrasound and is a registered cardiac and vascular sonographer. Audra and her team remain customer-focused and are specialized in providing top-level point-of-care ultrasound education.

This educational webinar is intended for healthcare professionals and not for patients or consumers. The material is provided for general educational purposes, as a reference and a supplement to professional experience, education and training, and should not be considered the exclusive source for this type of information. This educational webinar is not intended to recommend any device for a particular indication or to provide indications for use for any device. At all times, it is the professional responsibility of the practitioner to exercise independent clinical judgment in each particular situation. Fujifilm assumes no responsibility or liability for any misuse of the information imparted in this webinar. This educational webinar does not supplement, replace, or supersede device labeling, including instructions for use, which accompanies any FUJIFILM Sonosite product.