ULTRA User Guide

Table of Contents
Start Up & Shut Down ................................ 1
Performing an Exam Without a Worklist ........ 2-3
The Exit Button ......................................... 4
Rotating an Image in Small Increments ........ 5
Changing the Name of a View....................... 6
Adding a View During an Exam..................... 7
Move/Copy/Resend Image(Archive)…….......... 8
Shuttering................................................. 9
Burning a CD............................................. 10
Mouse Functions........................................ 11
Remote……….............................................. 12
Software Settings....................................... 13
Tools & Annotations.................................... 14
Creating or Modifying Procedures................. 15
Changing the Default Orientation................. 16
Changing the Default Techniques................. 17
Running a Reject Analysis Report................. 18-19
Button Guide………………………………………………….. 20

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 START UP

1) Turn “1” on.

This controls the power to the stand.

2) Turn “2” on.

This controls the power to the detector.

3) Turn “3” on.

This controls the power to the computer.
ULTRA software will automatically load.

MAKE SURE 1,2 & 3 ARE COMPLETELY UP BEFORE TURNING ON 4

4) Turn “4” on.

This controls the power to the generator.

SHUT DOWN
1) Turn“4” off.
2) Turn “3”off. DO NOT PRESS THE POWER BUTTON ON THE TOWER.

2a) Click the LOG OFF button in the top right corner.
2b) A confirmation box will appear:
2c) Click LOG OFF.

2 d) From Desktop, click the WINDOWS ICON then SHUT DOWN.

3) Turn“2” off.
4) Turn “1” off.

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 PERFORMING AN EXAM WITHOUT A WORKLIST
1. Select your Technologist(s):

2 . Click NEW.

3. Enter all information in the required RED boxes.

ID LAST NAME FIRST NAME SEX DOB

4. Press the TAB button, or

click on the Procedure box
and select your exam.

5. Click on your exam then click CHOOSE

or double-click your exam.

6. You will do the same for the Referring Physician box, or you can manually type in their
name.

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7. If you need to add another exam click [add exam] and select another procedure.

8. When you have added all exams at the bottom right of the screen.

THIS WILL TAKE YOU TO THE ACQUISITION SCREEN

When you
select the
view you
want to
do, the
radiation
symbol will
appear in
that box,
showing
that it is
active.

9. Select the correct body habitus of your patient for the appropriate technique.

10. Position your patient and shoot your first image.

The radiation symbol will automatically jump to the next view while the image is processing.
Once it has moved to the next view, you will be able to hit MOVE on the remote and the stand
will move to the next position.

11. Continue the procedure until you have acquired all the images needed.

12. See The Exit Button page for options to end the exam.

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 THE EXIT BUTTON

1. When you are finished with your exam(s), click the EXIT button in the bottom right hand
corner of the acquire screen.

THIS BOX WILL APPEAR

Accepts and sends Provide a reason for

all images that still the rejection of each
have a in bottom image. Nothing will
left corner of the be sent to PACS.
thumbnail.

Pauses the exam

and takes you back Takes you back to
to the worklist. the acquire screen.
You can edit patient Nothing is accepted
or study or rejected.
information before
sending to PACS.

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 ROTATING AN IMAGE IN SMALL INCREMENTS
1. Left-click once on the ROTATE IMAGE button to activate the function.
(Background will turn green.)

INACTIVE

ACTIVE

2. Left-click outside of the image. BE SURE THAT YOU DON’T CLICK ON A SHUTTER CORNER OR
LINE!

3. Drag your mouse to rotate the image to the desired angle.

4. Release the mouse button.

*click*

d
r
a
g

*release*

*If you have a touch screen, use 1 finger to drag the corner instead of the mouse*

The ROTATE IMAGE button will no longer be active once the mouse button has been released.
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 CHANGING THE NAME OF A VIEW

1. Click on the IMAGE that you want to change.

2. Click on the CHANGE VIEW button.

If you can’t see

the view you
need, then click
the light gray
box and drag
2. This box will appear. down to see
more options.

4. Select the correct name of the view and click CHOOSE.

5. The view will then be changed to the correct name and reprocess the image.

6
 ADDING A VIEW DURING AN EXAM
1. Click on the ADD VIEW button.

If you can’t see

the view you
need, then click
the light gray
box and drag
2. This box will appear. down to see
more options.

3. Select the correct view you want to add and click CHOOSE.

4. The view will then be added to the bottom of the procedure box.

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 Move/Copy/Resend Image (Archive)

1. From the WORKLIST, COMPLETED TAB OR BY ADDING A NEW PATIENT, select the
patient you want to recover the image for.

2. Click ACQUIRE.

3. In the acquire screen, select the ARCHIVE

button in the lower right corner.

4. This box
will appear.

*Locate the patient

that you want
to recover the
image(s) for.

5. Double-click or select the image and click the RECOVER button at the bottom of the list.
*If you have multiple images to recover, then you can hold down the control button and
left-click the images you need.
Then click RECOVER.

6. Image(s) are restored to the bottom of the selected procedure box in the acquire screen.
Use the post-processing tools as needed and accept the image(s).
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 SHUTTERING
THERE ARE 2 DIFFERENT WAYS TO CORRECT A MISSED SHUTTER:

1. Manually adjust either the corners or lines to the appropriate shape.

When you hover over either one of these, they will turn blue.
This means that you can drag them freely.

2. Draw your own shutter box by right-clicking the shutter icon, then left-clicking 3 dots in a
clockwise or counter-clockwise direction.

Rt. click

Lt. click

CLICK THE ICON TO REPROCESS THE IMAGE FOR MISSING PARTS.

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 BURNING TO A CD/USB

1. Select your patient from

the COMPLETED tab.

2. Click the MORE button.

3. All procedures for your selected patient will be highlighted.
Deselect any procedures you do not wish to burn by clicking on them.

4. Click on the button to burn images to a CD.

Click on the button to burn images to a USB.

5. Your burn options will appear in the middle of the screen:

Include Viewer: Should always be selected

so that the CD can run on other computers.

Anonymize DICOM: Deletes the patient’s

name and demographics. (Great for students!)

Compression: Select for patients with

many procedures or images.

4. Insert a CD into the drive and select START.

5. The process will show at the top left corner of the screen in this order:

THEN THE COMPUTER WILL

EJECT THE COMPLETED CD.

6. Check the CD in another computer to ensure that the data was correctly
burned.

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 MOUSE FUNCTIONS
ZOOM IN - Scroll wheel up.
ZOOM OUT - Scroll wheel down.
PAN - Click and hold the wheel, then move your mouse.

WINDOW/LEVEL - Left or Right-Click

Increase Brightness
The whole image will get
brighter

Increase Contrast Decrease Contrast

The white pixels will get The white pixels and dark
more white and the dark pixels will change to make
pixels will get darker image more gray

Decrease Brightness
The whole image will get darker

11
 REMOTE FUNCTIONS
DO NOT USE
These buttons are used for a
different system.

MOVEMENTS LOCK
Will lock all buttons on the U-arm SPEED
and remote. When the Controls the speed of the
“Movements Lock” function is U-arm movements. The
active this icon will appear yellow icon will change on the
on the U-arm screen. screen to tell you which
mode you are in.
HOME POSITIONS Turtle = Slow
Rabbit = Fast
These buttons will move to
preset positions A B MOVE
A: 40” horizontal tube Will move the stand to the
B: 40” vertical tube position that is
programmed through the
DETECTOR ROTATION A B software. Must press and
Rotates the detector only. hold until stand screen
says: “Position Reached.”
A: Moves the “top” side, down
Sometimes if you release
B: Moves the “bottom side, down A B the button again, it will
speed up the rotation.

SID
Increases & Decreases SID
+: Increases SID
- : Decreases SID
A B
ARM ROTATION
Rotates the arm only
A: Moves the “top” to the
left.
B: Moves the “top” to the
right.

DO NOT USE
These buttons are used for a
different system.

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 SOFTWARE SETTINGS

1. Click on the OPTIONS button in the top right corner of the home screen.
or
The bottom right corner of the acquisition screen.

2. PASSWORD BOX WILL APPEAR.

adc4me
After the password has been entered...

3. THIS BOX WILL APPEAR

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 TOOLS & ANNOTATIONS TAB
1. Click on the TOOLS & ANNOTATIONS tab.

GENERAL INSTRUCTIONS

To Add:
1. Click ADD under the section you need.
(Annotations, Technologists, or Rejection Reasons)
2. Type in the annotation/tech’s name/rejection reason.
3. Click APPLY.

To Delete:
1. Select the annotation/tech’s name/rejection reason.
2. Click REMOVE.
3. Click APPLY.

To Edit:
1. Select the annotation/tech’s name/rejection reason.
2. In the “Entry” box, edit the text.
3. Click APPLY.

WHEN YOU ARE FINISHED WITH ALL EDITING, CLICK OK.

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 CREATING OR MODIFYING PROCEDURES

1. Click on the PROCEDURE TEMPLATES tab.

2. Click NEW.

3. “00000 Unnamed Procedure”

will populate in the
TEMPLATE NAME box.

TO MODIFY ANY PROCEDURE

a) Select the procedure to modify.
b) Use the up, down, remove buttons.
c) To add a view, follow step 5.
4. Press backspace on your
keyboard then type in the name
Of the procedure you want to add.

5. Add the views you want in the

procedure using the
NEW SUBJECTS TO ADD box.
This box is set up like a subject tree.
The “+” sign will expand the list.
For a wrist procedure, for example:
You would expand “Upper Extremity”
then expand “Wrist” to be able to see
the wrist views.

6. Click OK at the bottom right of the

configuration box.
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 CHANGING THE DEFAULT ORIENTATION

1. Click on the SUBJECT TREE tab.

2. Right click on
the view you want
to modify.

3. Left click on the

PROPERTIES option.

TO CHANGE DEFAULT ROTATION

a) Double click on the Auto-Rotate number.
b) Type in the number you want it to rotate to.
This number will be 0, 90, 180, or 270.
Adding 90° will rotate the image clockwise.
Subtracting 90° will rotate counter-clockwise.

TO CHANGE DEFAULT MIRRORING

a) Double click on the Auto-Mirror number.
b) Type in the “1” if it is “0”. Type in “0” if it is “1”
Use this option only if you need to flip your
image horizontally.

4. After typing in the correct number for the setting, press ENTER on your keyboard.
5. Select CONFIRM to apply the change.
6. Click OK at the bottom right of the configuration box.

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 CHANGING THE DEFAULT TECHNIQUES
1. Click on the SUBJECT TREE tab.

2. Right-click on
the view you want
to modify.

3. Left-click on the
EDIT APRs... option.

Preferred Termination kVp and mA Manual Phototimed

Choose either “Manual” Select what kVp and mA Select what mAs you Select your chambers,
or “Phototimed” as your you would like for all 6 would like for all 6 body density setting, and the
default technique setting. body habitus settings. habitus settings. maximum mAs allowed.

Note: kVp and mA station will

stay the same for manual and
phototimed techniques.

4. Select CONFIRM to apply the change

5. Click OK at the bottom right of the configuration box.
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 RUNNING A REJECT ANALYSIS REPORT
1. Click on the PROGRAM SETTINGS tab.

2. Click on the ACTIVITY LOG button.

3. After selecting which filters you need, select CREATE/PRINT REPORT.

Note: You can

edit what appears
on your report
by adjusting the
Date Range and
User filter.

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 4. This box will appear. Click OK.

5. A document containing your Reject Anaylsis information will be generated.

Click the PRINT icon.

6. A “Save As” box will appear.

Select which folder you would like your reports to be saved in.

Name the file.

Click SAVE.

7. You can then access the folder to view, print, or save to a flash drive.

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 KMHA ULTRA BUTTON GUIDE

Reprocess
1. If the auto shutter has missed and cut off part of your image.

Annotations Rotate Rotate Flip Flip

Reset Reset Rotate Auto Positioning Guide
90° 90° Image Image
Entire W/L Image Shutter
to the to the Top to Left to
Image Only Slightly Icon
Left Right Bottom Right

Multiple Manual Add Delete Rename DO NOT

Stitch Unreject Reject

on 1 a View a View a View USE
Icon

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