In this video, we are going
to go over many of the features
available to you while you are
scanning with your Philips
Lumify system.
We're going to go ahead and
start from the exam main
screen. First hit "Scan".
Once you are actively scanning
with your Lumify system,
this is what you'll see:
You have your ultrasound image
in the middle, your depth
indicator on the left in
centimeters, and then your
system information on the right
hand side of the image.
On the ultrasound image itself,
you'll also see your
orientation marker, which
corresponds with the gray
orientation marker on your
transducer.
The blue icon with a snowflake
on it is your freeze control.
When you freeze the image, you
have other controls available
to you.
This is your cine loop slider.
It records the last few seconds
of your exam and allows you to
pick the ultrasound image you
like best.
If you want to capture that
image, [beep sound] tap the
camera icon to "Save the
Image." The beep lets
you know that it has been
saved.
You can tap on the "Measure"
icon to bring up options for
measuring.
You can make up the for
distance measurements, or one
ellipse with two distant
measurements on one image.
If you have reached the maximum
measurements allowed on the
image, you'll need to clear the
measurements by tapping "Clear
All".
When you add an ellipse
measurement, touch in the
center of the ellipse to move
the whole object.
Touch on one side to adjust
that size or to rotate that
side of the object.
You can also use two fingers to
pinch and zoom, or to change
the shape of the measurement.
For distance measurement, you
can independently choose to
move each of the ends of your
measurement.
You'll see the measurements
indicated in blue in the top
left of the ultrasound image.
You can also annotate a frozen
image.
When you touch the icon for
"Annotate," the keyboard comes
up. Type your annotation.
Tap "Done" or tap off
of the keyboard onto the
ultrasound image.
Drag and drop that annotation
anywhere you like on the
ultrasound image.
To delete the annotation, you
can either tap on it again and
hit the "Delete" key on
your keyboard or you can long
press on the annotation and hit
"Delete Annotation."
Other important features are
the full screen mode and the
center line control.
The full screen and center line
controls are available
regardless of whether or not
the image is frozen.
The center line control allows
you to place a center line
marker on your image,
this center line on your image
corresponds with a center line
on your transducer and can
be useful for needle guidance
procedures.
In the lower right-hand corner,
you'll see the full screen
icon.
If you tap that, you'll see
some of the controls disappear.
This gives you the ability to
use your device's screen to
view the maximum ultrasound
image.
To get out of "Full Screen"
just simply tap the "Full
Screen" icon or hit the "Back"
button if you're using an
Android device.
The most commonly used controls
are the Depth and Gain.
You adjust the Depth and Gain
by simply scrolling up or down
over the dial.
Now let's review the color flow
feature.
You have two options for color
flow: fast flow
and slow flow.
Generally fast flow is
optimized for arterial flow
and slow flow is optimized
for venous flow.
When you tap one of those
options a color box will
appear.
Position the color box over the
area of interest by touching
inside the color box (the
box will turn yellow) and drag
the box to the desired
location.
You can adjust the size of the
color box by pinching or
spreading your fingers inside
the color box.
Note: If you spread or pinch
outside the color box you
zoom and unzoom the image.
To adjust the angle of the
color box, touch the dot
on the bottom and drag it to
the right or to the left.
While you are in color flow,
use gain to adjust the color
gain.
Scroll up to increase gain
and scroll down to decrease
gain.
To get out of color, simply tap
the color flow icon again.
Now let's review the M-mode
feature.
When you touch M-mode the
M-mode cursor will appear.
Move the cursor to the desired
location, the m-mode trace
will appear and the 2D display
will be above the M-mode trace.
You can reposition the M-mode
cursor on the 2D image.
To get out of M-mode, simply
press the M-mode icon
once more.
Let's review the "Save Loop"
option.
The length of the video loop
that is saved is set within the
settings of your Lumify system.
In this case, if I open my
settings, the very top option
is your loop duration.
Right now, it is set to three
seconds - that is a default.
Loop length can be set from one
second to ten seconds.
If during my exam I want to
save a loop I can just tap the
"Save Loop" icon.
Once you hear the beep, that
means your loop has been saved
to your exam
[beep sound].
The small arrow on a side is
a page indicator - If
you touch the arrow, or if you
slide the control panel, you'll
see a secondary menu with the
option to "Save Image"
by tapping that icon.
Hearing [beep sound] the beep
means you've saved an image.
On the power adjustment
control, sliding down lowers
the power and sliding up
increases the power.
If at any point during your
exam you need to change
transducers, just simply
disconnect the existing
transducer and connect the new
one.
You can adjust the exam preset
at any time during an exam -
just tap the menu icon
on the top-left and select
the new exam preset.
During an exam you can edit
the patient information.
It's very important to remember
that once the exam is ended,
you are no longer able to edit
the patient information.
If you don't tap the "End Exam"
button, your exam will remain
open and editable for
24 hours (or for whatever
duration you have set within
your connectivity profile).
Let's talk about the ability to
calculate a fetal age.
When you are using the OB/GYN
exam preset OB fetal
age calculations available.
In this case, I'm using an
S4-1.
To access those calculations
to go to the secondary page
(either touch the page
indicator arrow or swipe
the display).
Tapping your fetal age icon
will initiate that process
and the steps on the screen
will guide you through that.
In this case, it says "Freeze,
then measure".
So, I freeze the image
and tap the measurement that I
want to look at, such as head
circumference.
The ellipse measuring tool will
automatically pop up on the
screen.
I'll put that where I need that
to be.
I tap "Confirm Measurement"
and then go through each of
these measuring tools,
confirming measurements after
you've completed each one.
At the end you'll see all
those measurements summarized.
If you tap the green bar the
top of your control panel,
you'll see all those
measurements recorded.
To get out of the fetal age
calculation function, simply,
on your menu, swipe to the left
or tap the chevron sign
and then tap the fetal age
control.
Now you've learned how to use
the system to perform an exam,
it may be helpful now to review
the videos dealing with
connectivity and exporting
so you can ensure your exam
gets safely archived to the
right location.