Transcript
- Welcome everyone to Fujifilm Sono Site's review
of our new PX ultrasound system
and its use in the emergency medicine environment.
I'm Caroline Waad, a clinical manager here at SonoSite,
and I'm joined by Shelly Dwyer,
a senior clinical application specialist.
We'd like to walk you through an overview of our PX system
and its features, functions,
and the benefits specifically as they relate
to emergency medicine.
We're gonna start with a short video here
and then we'll go over the features
and the functions on the system.
- Introducing the new hybrid form factor,
incorporating our touchscreen technology
with persistent keys, allowing
for easy cleaning and disinfecting.
The streamlined user interface improves workflow
and allows for fewer control
touches uniquely.
Shape buttons allow the clinician
to adjust the most commonly used controls, such as gain
and depth without ever having
to look at the system keeping focus on the patient
and the clinical imaging monitor.
The hinge head stand design allows you
to transition easily from a vertical
to horizontal workstation with a simple push
or pull of the handle, making it ideal
for bedside ergonomics.
The stand was completely redesigned
to improve workflow efficiency
by adding a tango free cable management solution.
The flexible silicon design allows for easy release
of the cables to allow for extra length of the cable
to reach the patient.
There are also dedicated gel and disinfectant wipe holders.
The PX was designed focusing on image clarity,
workflow efficiency,
and adaptability to meet our customer's needs.
Continuing to focus on ease of use, durability
and reliability.
Still covered with the five year standard warranty
and an overnight loaner program.
Next we'll be continuing at taking a look at the stand along
with our new suite of transducers.
If you take a look at the image on the left,
you see the stand in its complete vertical position
and on the right you are actually able
to see the stand in its horizontal position.
You are able to take note that there's a triple transducer
connector attached to the stand head as well
as the tangle free cable management design
and our dedicated gel and disinfectant wipe holders.
The stand height can now be adjusted from in front of,
behind or beside the the stand itself.
This is nice if the stand is actually pulled all the way
up to the bedside.
You still have that foot pedal on the side of the stand
to be able to adjust the height.
We have a new suite of transducers incorporating our legacy
technology such as broadband imaging, which allows the user
to see the whole broadband width of frequencies.
For instance, the P five one sends receives
and displays all
of the frequencies at all times without the user having
to make any adjustments.
We do not sacrifice image clarity for penetration.
I'm gonna start with our L 19 five transducer.
It's our highest range frequency transducer to date, 19
to five megahertz with a great near field resolution
and a minimum scan depth of one centimeter
and a maximum scan depth of six centimeters.
The L 12 three was designed to take the place of two
of our legacy transducers combining a wide range
of frequencies, 12 to three megahertz
and a maximum scan depth of nine centimeters,
still offering our 15 to four
or L 15 to four, which is 15 to four megahertz
and six centimeters maximum penetration
our P 5 1 5 to one megahertz
and a maximum scanned depth of 35 centimeters
with added exam types of focus, cardiac and lung.
We also have our C 5 1 5 to one megahertz
30 centimeters maximum depth with early OB
and lung exam types added to that particular transducer.
We will be showing you a few images
to demonstrate our image clarity.
Cyte has introduced the speckle reduction algorithm
to reduce noise and artifact to improve visualization
of tissue planes and structure borders.
We've improved 2D
and color frame rates as well as color performance
for less motion artifact sono cyte now offers color compare
for real-time evaluation of 2D and color images.
You'll be starting by taking a look at our L 19
five transducer.
The first image is gonna be
of a superficial vessel using our speckle reduction
algorithm to demonstrate the image clarity
of the valves at a minimum scan depth of one centimeter.
Next is another superficial vessel
demonstrating the spec reduction algorithm,
which reduces noise
and artifact for improved visualization of tissue planes
and structure borders.
The last image is demonstrating our improved color
performance with less motion artifact
and better color fill into the walls
our L 12 three.
We're gonna start by taking a look at a lung image
demonstrating nice A
and B lines on the system as well as
the next image showing our live M mode compare
and our 2D image, again showing A
and B lines our P five one.
The first image we're gonna take a look at is a
four chamber heart.
This image is gonna show our improved 2D frame rate
and our image clarity due to
that speckle reduction algorithm.
The next image we're going
to be showing you live color compare again with improved
frame rates in both 2D and color.
Next we have the liver
and kidney interface demonstrating image clarity
with tight pixel size and tissue differentiation.
The last image is gonna demonstrate the clarity from the
speckle reduction algorithm, which lends
to virtually no image artifact.
Our C five one, the first image we're going
to take a look at is the aorta
and if you notice the delineation between the tissue planes
and the structure borders, again due
to our speckle reduction algorithm.
Now we're gonna be taking a look at our liver
and kidney interface again
with the C5 one transducer demonstrating image clarity
with tight pixel size
and smooth clean borders looking at the spleen
and left kidney between the rib space window
again demonstrating exquisite image clarity.
Now we're gonna be focusing on a live demonstration
and what we're gonna start off
with is I'm gonna focus on the control panel
and our persistent keys that you see down at the bottom.
So again, the persistent keys are uniquely shaped.
The uniquely shaped buttons allow the clinician
to focus on the patient and the clinical imaging monitor
and not which buttons they are actually pushing.
Our touch screen that you see here
is going to allow you to go directly into scan
by going directly into scan.
It's going to allow us to
enter patient information from here,
change the transducer quickly depending on the triple
transducer connector that we,
which transducer we have hooked up
to the triple transducer connector
and then allowing us to go into the learning tutorials.
So I'm gonna go into learn
and we're gonna focus on the learning
tutorials that we have here.
There are over 150 embedded learning tutorials
that we have embedded on the ultrasound system now,
and we have added the
pathology option that you see here
and here as well along with the
embedded tutorials that you see on the ultrasound system.
We also have our Sauna Cyte Institute,
which is our online education, along
with the 150 embedded tutorials that you see on the system.
You can a, also access them from the Sauna Site Institute
along with pre-recorded webinars
and a courses that you are able to complete
and at the end of the completion
of the course you can get a a completion certificate.
I'm gonna exit out
and go back now again into our control panel.
And again, as I mentioned,
they have color coded the op certain options on
the control panel.
Those are uniquely designed that way to draw your eye
to those specific features to try
and remind you that maybe we need
to enter patient information
or if we wanted to go in to learn.
It's actually over on this feature here.
The next thing that I'd like
to point out is we are actually on the L 19 five transducer
that you see here on a venous setting.
On that setting, you can actually see
that the most commonly used parameters here in the center
have been pulled out for image optimization.
The other thing with that is we also have the information
and the help option that you see here.
And then along with all of the imaging parameters,
there is actually an I icon
in the upper right hand corner of those.
So let's say for example, we wanted to know what
procedure mode meant if I go into procedure mode,
it actually tells me what procedure mode does for us
and takes the guesswork out of it.
So what I'm gonna go over now is we've actually added an A
TGC option as well.
So when I tap on TGC, that actually stands
for time gain compensation
and it's gonna pull up the option to allow you
to still just adjust your nearfield resolution image
as well as your farfield image for your gain control.
You have a sliding midfield control now that you're able
to adjust for your gain
and then still the ability to use your auto game feature.
With this particular system, I am gonna go into transducers
and exams and I am actually going
to change quickly into my arterial setting on my linear
transducer and I'm gonna demonstrate some live scanning
of my carotid artery now.
And what I want to demonstrate with this
is I'm gonna show you the color compare.
So I'm gonna go into color
and as you can see with me speaking, there's no noise.
I'm gonna go into more control
and I'm gonna go into color compare
- Shelley, I'm just gonna point out to everyone
that if we look at the 2D image
and the color image, we have very high frame rates.
There's no bleeding outside of the the vessel.
The we have superior color fill
and saturation of the color within
that vessel all the way out to the vessel walls.
Also, if I call your attention deep to the carotid,
we can also see Shelly's vertebral artery
blinking in the in the distance there in the far
field in the 2D image.
Again, we can see the increased frame rate as well
as two 2D image clarity.
We can see the intima and the adventitia there.
There we go. So it's superior image clarity as well.
Nicely done, Shelly.
- Okay, so I'm gonna take us back out to 2D imaging
and then I'm gonna quickly transition from the linear
transducer over to the phased array.
And what I'm gonna do when I go in
to the phased array is I wanna touch a little bit on the
difference between the focused cardiac exam type
and the cardiac exam type.
The focus cardiac exam type.
When you go into your calculations package,
it's gonna be directed towards essential cardiac function
to determine overall wellbeing of the patient.
If we go into the cardiac calculations package under cardiac
exam type, it's a more comprehensive
calculations package
and it's gonna provide a more detailed analysis
of the structures and functions of the actual heart.
So I'm gonna go into actual the focus cardiac exam type,
and I am going to start off
by scanning my IVC
and I wanna go over the differences now that we offer
with the IVC collapse option.
So I'm gonna start off by just scanning my IVC,
decrease the depth a little bit.
I'm gonna go into my ammo.
I'm gonna start by getting an ammo trace.
I'm gonna go through a full respiratory cycle,
I'm gonna freeze the image.
Once I've froze in the image,
I'm then gonna go into my calc package
and I'm gonna go over what's called go under what's called
volume status.
When I go in under volume status, you now see the option
for IVC collapse.
You see an IVC max and an IVC min
and you also see dis extensibility.
The IVC collapse under IVC max
and IVC min is for spontaneously breathing patients.
The dis sensibility measurement is actually
for those patients that are mechanically ventilated.
So I'm gonna go in and I'm gonna go in
and do a max measurement.
I'm gonna push the select button
and I'm gonna use my track pad to move the second cursor.
I'm gonna save the image and then gonna go in
and do my min, I'm gonna select
move the cursor, save the image,
and you're actually able to see
that the calculations show up on the right hand side
of the control panel.
And then as well at the top of the imaging monitor,
you actually now see A IVC collapse percent.
I'm gonna go back into 2D
and now what I'm gonna do is I'm gonna demonstrate our new
calculation of assisted cardiac output.
And to be able to do that, I'm gonna start
with a per sternal long view of the heart
where we're gonna actually focus on my
LVOT and I'm gonna go into
zoom, our right zoom that we have
and I'm gonna zoom up.
I wanna make sure that the valve is open,
I'm gonna freeze the image.
I can scroll back a little bit to make sure
that the valve is open.
I'm gonna go into my calc option
and I'm gonna go back to focus cardiac.
And then I'm gonna go into
where it says assisted cardiac output.
The system is very adaptable
and knows that I'm only in 2D,
so it's only gonna gimme the option to do my LVOT diameter.
I'm gonna select on that,
I'm gonna do my LVOT diameter calculation.
I'm gonna save the picture, which will save the picture
and save the calculation.
Again, I'm gonna do a modified view
where I'm doing my super sternal notch
and getting my descending aorta
to actually do my pulse wave doppler calculation.
And I am turn on color,
I descending aorta.
So now what happens is, is as I updated the doppler,
it actually pulled up my tracing and my wave form.
The system now automatically calculate
five different wave forms for you
and the five different wave forms are going
to automatically do cardiac output stroke,
volume BPI and your heart rate.
It's automatically calculating those for you.
The other thing is, is I am highlighted on the first option
as far as the calculation goes.
So what I'm able to do is if I don't like that calculation,
I can use my track pad to go ahead
and adjust the measurements
and then when I'm happy with the measurements, I can go
through and I can confirm
all of my measurements.
And then I'm gonna wanna go ahead and and save that.
And what that does for us is if you take a look on the
screen, we're actually looking at pre and post.
So what I did was I did the calculation pre meaning
that we haven't given a fluid bolus
and we have not done a passive leg raise to see
how the patient is gonna respond to that.
So it tells you in the upper left hand corner
of the imaging monitor that this is a prem measurement
and it gives you the VTI percent variation.
It gives you the cardiac output, the stroke volume, the VTI
and the the heart rate.
So now I'm gonna go back out and unfreeze the image
and go back to 2D.
I'm gonna come back and we're gonna say that we gave my,
gave me my fluid bolus
or did the passive leg raise,
I'm gonna come back into color, go back into Doppler,
and now when I go into Doppler I'm gonna select post,
I'll go ahead and freeze the image.
And again, I went in
and I selected post for the measurement.
I'm gonna go ahead and I'm gonna confirm all five
of my measurements that we're able to see here.
I'm gonna go ahead and take the picture
and now the calculation is going
to calculate the cardiac output percent change
as well as the stroke volume percent change
and the post VTI percent variation
and all of this is gonna be post
and it tells you that on your clinical imaging monitor.
From here I wanna transition over
to our C five one transducer.
So I'm gonna go into transducers and exams
and I'm gonna go into the abdominal exam, type on
that C5 one.
I wanna show you the liver
and kidney interface,
tight pixel size, nice delineation
between the tissue planes and the structure borders.
And again, that's all due to
that speckle reduction algorithm.
The other thing that I'd like to point out here is when I
freeze the image, I'm actually in an abdominal
exam type setting if I go into my calc package.
But let's say for example, I actually wanted
to be scanning ob.
Instead of doing a calculation for the abdomen,
I can now go back into packages
and those packages will allow me to access any
of the calculations packages that are associated
with the PX ultrasound system.
On our previous Cyte models, you used to have
to physically go out and either change the transducer
and change the exam type, which then would
unfortunately have you have, would've lost the image
that you had saved and you can't do the calculation.
This system allows you to be able to do that.
So I can go in to any
of the calculation packages from this
point in a nutshell.
That is our PX ultrasound system.
Please remember this is still covered
with the the same five year standard warranty
that you're used to with Sauna Site products along
with the overnight loaner program that we have, as well
as access to our Sauna Site Institute
and those 150 learning tutorials
that you have embedded on the system as well as the ones
that are on the Sono Site Institute.
With that, I'm gonna go ahead
and turn it back over to Caroline
so we can go ahead and finish up.
- Thank you, Shelly.
So thank you everyone for joining us for this overview
of our new PX ultrasound system.
We'll be forwarding you this presentation by email
for your reference moving forward.
If you would like an onsite demo
or to speak to your local area territory manager,
please let us know and we'll make the arrangements for you.
Lastly, I'd like to encourage everyone
to take a look at our website@www.sonosite.com.
We have a plethora of pertinent information
and education material on our site, excuse me,
including our newly FDA cleared COVID-19 resource guide,
which supports you in the use of ultrasound
to triage undiagnosed patients with COVID-19.
Thank you so much for joining us today for our webinar,
and have a good day.
Seconds count in emergency medicine. In this on-demand webinar, learn how advanced ultrasound image clarity supports more accurate, real-time diagnoses and faster treatment in the emergency room. Watch the webinar for a guided tour of the Sonosite PX POCUS solution.
What You'll Learn
- How our most advanced image clarity helps you diagnose more accurately
- Review the streamlined user interface designed to improve your workflow
- Key Sonosite PX features, such as the built-in durability designed and tested to withstand the emergency environment
- We’ll take a closer look at the new family of advanced digital transducers
- Learn how simplified cleaning and disinfection provides optimal infection control
Shelly Dwyer has been a registered sonographer for 25 years. She is registered in abdomen and OB/GYN. She has been with Sonosite for 17 years and covers the Baltimore area.
Carolyne Wedelstaedt has 25 years of experience as a sonographer in the medical imaging industry and is registered in abdomen, OB/GYN and breast imaging. She is currently a clinical manager and has been with Fujifilm Sonosite for the last 14 years. She holds a Bachelor of Science in Corporate Communications from Castleton University in Vermont.
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.