MyLab® Desk How To Guide Version 5

Questions? Comments? email: mylabdesk@esaoteusa.com

Esaote North America

MyLab® Desk How To Guide

Version 5

NOTE:

MyLab®Desk is the offline viewing, measuring and exporting software provided by

Esaote to be used with MyLab® ultrasound systems. The software is provided “as
is” by the manufacturer.

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Esaote North America ..................................................................................................... 1

MyLab® Desk How To Guide ...................................................................................... 1
Version 5.................................................................................................................... 1
Frequently Asked Questions .......................................................................................... 3
Installation of MyLabDesk ....................................................................................... 7
Uninstalling MyLabDesk.......................................................................................... 8
Maintaining Your ARCHIVE Data .......................................................................... 9
Archive Maintenance ............................................................................................. 15
Screen Resolution .................................................................................................. 16
Program Layout .............................................................................................................. 17
Working with keyboard shortcuts ......................................................................... 17
Working with your mouse ...................................................................................... 17
Archive Review ....................................................................................................... 18
Reviewing Studies.................................................................................................. 19
Reviewing Exams:.................................................................................................. 20
Multiple Image View ............................................................................................... 23
Exam Comparison Tool ......................................................................................... 23
Exam Comparison Tool: Comparison Views ..................................................... 24
Exam Comparison Tool: Synchronize Loops..................................................... 24
Exam Comparison Tool: Panning Tool ............................................................... 24
Reviewing a Loop ................................................................................................... 25
Image Review Configuration ................................................................................ 26
Generic Measurements ......................................................................................... 28
Application Measurements ................................................................................... 29
Body Mark ............................................................................................................... 30
MyLabDesk Configuration ............................................................................................ 31
Application Measurements ................................................................................... 32
Report Setup & Customizing a Report ................................................................ 34
Report Heading....................................................................................................... 34
Observations and Free Text Configuration ........................................................ 37
Printers Setup ......................................................................................................... 38
Glossary ................................................................................................................... 39
Generic Measurements ......................................................................................... 40
Digital Workflow with MyLab & MyLabDesk............................................................... 41
Network Configuration ........................................................................................... 43
Configuring the IP Address of the PC ................................................................. 44
Configuring the Windows Network Share........................................................... 44
Configuring the MyLab IP Address ...................................................................... 45
Configuring the MyLabDesk Network Configuration......................................... 47
Removing a network share from MyLab/ MyLabDesk...................................... 50
DICOM Configuration ............................................................................................ 54

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DICOM Configuration (Stress Echo) ................................................................... 55
Appendix A - EMR Integration .............................................................................. 57
Appendix B - Technical Note: MyLab Preset Editing with MyLabDesk ............ 58
Appendix C – MyLab ARCHIVE Differences ...................................................... 60

Frequently Asked Questions

Supported Operating Systems?
MyLabDesk on Windows® 7, Vista?
MyLabDesk on a Mac?

Check the installation README file to confirm the supported operating

systems.

MyLabDesk does not install on the Mac operating systems (MAC OS).

However, be aware that Mac machines support dual-booting technology,

which allows the user to boot Windows or Mac operating systems. Boot
Camp, for instance, may be used on a Mac to allow Windows on a Mac.

VMWare, Parallels & VirtualBox emulation software may be installed to

run Windows on Linux or Mac computers which will allow for the
installation of Windows and therefore, MyLab Desk.

Where do I obtain the setup files for the MyLabDesk program?

The program is located in the archive review of the MyLab ultrasound system
and may be downloaded to a CD/DVD, USB device or network shared drive.

• Press the ARCHIVE REV button on the MyLab keyboard

• Click an exam or group of exams (using CTRL + Click)
• Click COPY.
o There is a checkbox to select to include the MyLabDesk setup
program.
o You may copy the study and program to CD/DVD, USB or
network share.

Can I connect MyLab / MyLabDesk to my EMR (Electronic Medical Record

software)?

EMRs typically cannot accept images directly from modalities due to the
lack of a DICOM server on the EMR. Most EMRs can manually upload
files into the patient record. MyLab/MyLabDesk can be used to provide

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images and reports in a variety of formats which may be manually
uploaded by the EMR user.
Automatic MyLab / MyLab Desk to EMR data transfer is available through
third-party software applications. For more details, please email the
mylabdesk@esaoteusa.com help desk or call for references.

Why can’t I change values (free text, observations, conclusions, etc.) on the
report’s calculation package and thus on the report print preview?

The user may be reading from a read-only device; this may be CD/DVDs
which are always read-only.

Is it possible to change the free text on MyLabDesk, then import the new free text
into the MyLab system?

• Yes. See Appendix C for step-by-step instructions.

The MyLabDesk window is not on the monitor; it is off-center to the right and I
cannot see the thumbnail images.

The resolution is typically OK in these situations (1024x768 or higher). A

resolution of 96 dpi is required for MyLabDesk to be centered on the
screen. To check:

o Right-click the desktop

o Click Properties
o Click Settings tab
o Click Advanced tab
o You will see the General tab. The resolution setting should
be 96 dpi. If not, set it and confirm. You may need to reboot
your PC.
o Recommended screen size is 1280x1024. 1024x768 will
work but the function buttons will be hidden (use ALT+TAB
to show). 800x600 is not supported.

When the user sends general exams, the measurements do not appear in the
report print preview.

The general applications of MyLab (those measurement packages with

labels VELOCITY, DISTANCE, etc.) transfer data into a CLOSED report
instead of an OPEN report because these generic reports may not have
the proper labels in MyLabDesk to populate. So, to protect the user
against false data measurements, the report is CLOSED by default. The
measurements are available from the MyLab. To view, click REPORT,
PREVIEW and NEXT in order to view the CLOSED report.

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I receive a “system error” when trying to open a study or browse to an ARCHIVE

folder.

In general, this is an error due to the program’s inability to read or write

to/from a device. Check the read/write/modify permissions of the folder or
the USER. Be sure to install/run MyLabDesk by a user who has
administrator permissions.

MyLabDesk requires read, write and modify security permissions for the
C:\MyLabDeskData & C:\Program Files\MyLabDesk folders in addition to
an ARCHIVE folder the user browses. If MyLab or another user has
access to the same study, you may experience the error if attempting to
delete or modify the study.

Which folder do I share in order for MyLab to transfer directly to the MyLabDesk
program?

Share the C:\MyLabDeskData folder (the ROOT folder of ARCHIVE

folder). Within this folder, there is the folder ARCHIVE which MyLab
modifies by reading and writing the us_archive.xml file (the master
database file).

What is the largest size of MyLabDesk archive?

MyLabDesk is designed to support the same size of archive as the MyLab;

so ~ 40-120 Gbytes, however larger archive sizes are not
uncommon. The larger the database the more likely the data is to become
corrupt and fail. Running the Recover Archive utility is VERY
IMPORTANT (see Archive Maintenance) as the size of the archive
increases. Esaote North America recommends keeping the archive small
in size (< 120 Gbytes) and running the recover archive once per week.

Will MyLabDesk read DICOM images? What type of images does MyLab and
MyLabDesk export?

MyLab and MyLabDesk will not display/read DICOM studies.

The COPY function is the only format the MyLab and MyLabDesk will
read/write/modify.

• Using COPY will produce a folder called ‘Archive.’ It opens with MyLab
or MyLabDesk only.

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• Using DICOM will produce a folder called ‘Images’ and a file named
‘DICOMDIR.’ It opens by a PACS software system or DICOM viewer
software.
• Using EXPORT will produce a folder named with the patient’s first and
last name. The exported images open with Microsoft Paint, Imaging,
Media Player, other default or specified PC applications.

Can you tell me the average size of the exams?

The typical Cardiac exam (normal):

COPY = 39 MByte
DICOM = 48 MByte *
EXPORT = 52 MByte

One loop (3 R-R cycle) and one still image:

COPY Format
• Still = ~604 Kbyte
• Loop = ~2.3 Mbyte

DICOM Format
• Still = ~150 Kbyte
• Loop = ~5.3 Mbyte

*Default compression settings – Low quality (lossy JPEG baseline) still image,
Medium Quality loop)

EXPORT Format
• Still (.bmp – uncompressed ) = ~1.5 Mbyte
• Still (.png – lossless compression) = ~250 Kbyte
• Still (.jpg – lossy compressed) = ~100 kbyte
• Loop (.avi, MPEG4V2) = ~1.6 Mbyte

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Installation of MyLabDesk
Check the README file located in the MYLABDESKSETUP folder for up-to-date,
recommended PC specifications.

• Intel Core 2 Duo E7500 (CPU) 2.66 GHz or better

• 2 GByte (or more) of RAM
• A video card with 512 Mbyte (or better) RAM
o Supporting 1280x1024 pixels resolution and 32 bit color
depth*
• At least 50 Gbyte hard drive space available
• Microsoft WINDOWS XP, Microsoft VISTA operating system
(Check your installation’s README file.)

*256 MByte Video Card is an acceptable substitute for the 512 MByte version.

Installation Procedure Steps:

(1) Obtain a copy of MyLabDesk from the MyLab ultrasound machine.

(2) Insert the USB device, CD/DVD containing the MyLabDesk Setup folder.
(3) In the MyLabDesk Setup folder, Double-click the Setup file (Setup.exe).
(4) If Microsoft’s .NET is not installed, the .NET wizard will appear first. Click
to agree with the license, choose the default settings (by clicking NEXT)
and allow the installation to finish.
(5) Once the .NET framework is installed OR if the .NET framework has
previously been installed, the MyLabDesk setup should begin
automatically.
(6) Click START to begin the installation to the default directories
(recommended).
(7) Choose the installation choice HUMAN or VET.
(8) The installation will begin scrolling through each component’s installation.
During the Adobe SVG installation, the license agreement will appear in
your default web browser. You may need to allow the ‘blocked content’ to
appear. Agree to allow the script to run so the Adobe SVG program loads.

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After agreeing to the license you may close the Internet Explorer (or
default Web browser) window.
(9) DirectX update and C++ Distributable programs will also install.
(10) The installation finishes with a tone from the speakers and a DONE
button appears.
(11) The MyLabDesk icon is created on your desktop. Double-click to
begin using the program.

If an error occurs during the installation, please click export log and email the text
file to mylabdesk@Esaote North America.com.

Uninstalling MyLabDesk

MyLabDesk Version 3.00 and above:

Click START.
Click ALL PROGRAMS.
Click ESAOTE.
Click UNINSTALL.

Previous versions or manual uninstall:

MyLabDesk uninstall is not available through the Windows control panel.

Uninstall of the MyLabDesk program must be done by manually deleting folders.

Programs associated with MyLabDesk may be removed if they are not used by
other programs*. These programs are listed and may be removed through
Control Panel | Add/Remove Programs.

1. Shutdown and reboot the PC to ensure all associated services and

programs are stopped.
2. Manually DELETE the MyLabDeskData folder and MyLabDesk Program
folder. By default, these folders are located:
a. C:\MyLabDeskData
b. C:\Program Files\MyLabDesk
3. In the Windows control panel:
a. Click Add/Remove Programs
b. Click each of the following programs, listed then REMOVE:
i. Adobe SVG Viewer*

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ii. Microsoft .NET framework *
iii. MSXML 4.0 Parser and SDK*
iv. Microsoft C++ 2005 redistributable

*If unsure, leave the programs installed as other programs may depend on their availability.

Maintaining Your ARCHIVE Data

Maintaining your MyLabDesk application is made easy with software tools from
Microsoft and third-party vendors. It is very important to design a data backup
strategy. An example:

• Use Microsoft’s backup program to automatically backup the entire

computer as often as required (once per week, for instance). Destination
may be an external USB hard drive device or networked hard drive.
• MyLabDesk’s COPY function will create an ARCHIVE folder compatible
with MyLab systems and MyLabDesk software (always check which
version!). Use COPY to create an archive of your studies (perhaps
selecting a month of studies). Select your PC’s desktop as the COPY
destination and burn the created ‘Archive’ folder to DVD with Windows or
your favorite third-party DVD burning software. Label the DVD with the
dates of the selected exams (‘Month of September,’ for instance.). Place
the DVD into a plastic sleeve or DVD binder and you have an ‘offline’
storage solution.
o Esaote North America recommends the use of high quality CDs and
DVDs such as the Tayio Yuden.
• It is up to you to plan and execute the backup strategy that best fits your
company’s practices. When in doubt, consult with local IT support in your
area to create a custom data backup solution.

Please Run Archive Recover (See MyLabDesk How To Guide Pg 13) once a
week to optimize the MyLab/MyLab Desk database. Archive Recover rebuilds

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the vital database files. This should be done when there are no users accessing
the data folder (through the MyLabDesk network).

• Burn DVDs in COPY format once a week or month, your choice. The
COPY format is the most flexible, allowing the possibility to convert the
studies into DICOM/EXPORT in the future.

• DVD formats supported: DVD-r, DVD+r. The cost is the same. DVD-r
offers only a fractional speed improvement over DVD+r.

• Backup PCs on a regular basis (once a week) either locally to USB or to

network. If the PC begins to act up simply restore the PC and continue
working.

• Windows offers a backup utility or third-party software/services.

• Keep a limited number of studies on the MyLab (only 2-3 month's worth
normally). I suggest at the beginning of the third month, be sure the first
month's studies are archived (using COPY to DVD or network) and delete
them from the machine. You may choose to keep a USB hard drive
connected the MyLab as a short term reference.

• USB hard drives tested: Maxtor 300 Gbyte, Seagate 300 Gbyte, Western
Digital My Book 1 TByte. Although these drives offer HUGE storage, it is
better to keep the archive sub-divided into folders by month (for
instance). MyLab/MyLab Desk will respond faster and offer fewer
problems in managing the data.

The ultimate in digital data management is to have a detailed disaster recovery

plan in place for all data of the business. That plan is more detailed but also
includes off-site data backups (either taking USB drives home each night) or
subscribing to a virtual storage network. Most people like the USB or digital tape
solution because of cost.

Please send inquiries for more details on all things digital/connectivity related to
mylabdesk@esaoteusa.com.

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Organizing Studies with Year | Month Folders

It is possible to use MyLab and MyLabDesk to BROWSE to your USB, network

shared device and create new folders to organize your studies.

Creating a month-by-month archive for your MyLabDesk:

• Organizes the studies by month
• Reduces the size of the main Archive
o Improves performance of MyLabDesk as well as when reading
studies over the network
o Reduces the need to run recover archive as the Archive folder for a
month is reduced in size

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• Select one or a number of studies by left-clicking the study (LC), CTRL+LC

to select multiple studies or SHIFT + LC to select a page of studies.
• Click COPY.
• Click BROWSE.
• Click the grey box in order to view the MY COMPUTER window.

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• Click the destination device of your choice:

o USB device, network attached storage (NAS) or computer shared
folder
• Click the “Make New Folder” button to create and name a new folder to
use as your destination, for instance:
o 2009
 Jan
 Feb
 March
 Etc.
 If you end up with a “New Folder” folder; simply right-click the
folder and left-click the RENAME option to name the folder
appropriately.
• When you use COPY to store studies into the ‘Jan’ folder
MyLab/MyLabDesk creates a folder called Archive in the January
subfolder.
o 2009
 Jan
• Archive

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• To view the studies, simply right-click the network archive icon and
browse to the device (in the same manner as above), to the appropriate
subfolder.

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Archive Maintenance

The Archive of MyLabDesk may need to be rebuilt in case the Archive size is
large, missing studies or incomplete studies are seen or as general,
preventative maintenance.

• Disconnect the MyLab and MyLabDesk from the network or shut down.
• Click on the ARCHIVE you wish to recover (Local Archive, USB, Network
or browse to your Archive location).
• Right-click the system hard drive icon.
• Left-click the ‘Recover Archive’ menu selection.
• The archive will be searched for all images and the database files rebuilt.
• The process may take a few minutes or up to an hour or more, depending
on the size of the archive folder and the performance of your PC.

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It is recommended that the recover archive procedure be performed once a
week, in general, for best performance of your software and ultrasound
system.

Screen Resolution

The recommended resolution*, allowing the entire program to be viewed, is

1280x1024 or higher. The minimum supported resolution is 1024x768 (32 bit, 96
dpi). The difference between the two is shown below:

• 1280x1024
• program buttons are
shown on the left-side
• no toggle needed to
activate the program
buttons
• MyLabDesk program
enclosed in a window

• 1024x768
• program buttons are
hidden from view
• program buttons may be
viewed by pressing
ALT+TAB together OR
clicking on the finger
(pointing to button) icon
at the top of the screen
• MyLabDesk not enclosed
in window
• must click ALT+Q or Quit
button to exit program

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• Right-click on the desktop, click PROPERTIES & SETTINGS to display the

resolution.

Program Layout

Working with keyboard shortcuts

• Keyboard shortcuts are available for the majority of the features.
• The button ALT is used in conjunction with the labeled key. For instance
to QUIT the program, press and hold ALT plus press Q.
• Each shortcut key combination is listed on the control button.

Working with your mouse

• The mouse controls most of MyLabDesk’s features

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o Clicking on a control button (PLAY to stop or start a multi-frame
image)
o Right-clicking to release the mouse pointer control from the
program or from the program’s control (examining a multi-frame
image frame-by-frame, measurements, etc.)

Archive Review

• Archive Review section of MyLabDesk.

• Each archive location may be used to import/read MyLab studies.
• Local/USB and network locations must have permissions set to
READ/WRITE/MODIFY to allow manipulation of measurements and
reports.

From left to right:

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• Review Button – Opens/closes selected exams from selected archive
location.
• Local Archive – The hard drive of the PC where MyLabDeskData folder is
installed (default is the C:\). This icon is dark, meaning it is the selected
ARCHIVE.
• CD/DVD drive – CD/DVD media are Read-only. To use
measurement/reporting tools, first select the studies and use COPY to
LOCAL ARCHIVE, for read/write/modify permissions.
• USB drive – USB connected storage device. The program searches for
‘Removable Device’ with the lowest character alphabetically. So, E:\ drive
would be recognized before your F:\ drive.
• Network (Windows File Sharing) and Browse to any Archive folder location
by right-clicking the Network Archive icon.

Reviewing Studies

With MyLab and MyLabDesk it is possible to review studies from any device
connected to your PC; hard-wired or networked.

The archive review section of MyLabDesk includes:

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• Exam Review button
o Toggles the view from archive review to exam(s) review.

• Archive Locations
o Local hard drive, CD/DVD, USB device, Network Shared Drives.

• It is possible to BROWSE to the Archive folder located on the PC, USB

device, network location by RIGHT-CLICKING the Network Archive icon.

• Database Search Filter

o Search the selected archive location by: Last Name, First Name, ID,
Exam, Exam Date, Time, Application, Diagnosis

Reviewing Exams:

• Left-click on the patient name and click the Review button.

• Double-click the patient name.
• Select multiple patient names by holding CTRL + left-click.
• Select a range of patient names by left-clicking the top-most name, scroll
to the last patient, hold SHIFT + left-click.

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It is recommended to open and review the multiple exams rather than opening
one exam, returning to archive review, selecting and opening another exam, etc.

Opening multiple exams will save time and mouse clicks.

• With multiple exams selected as above, click the Review button to enter
the exam review screen.

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When reviewing exams, the center screen shows the image selected from the
thumbnail images on the right side of the window. The exam list is to the left of
the thumbnails. The EXAM button controls which exam is displayed, PAGE
toggles the user through exams by skipping over eight images while SCROLL
selects one thumbnail to display at a time.

• The selected thumbnail shows an arrow in the upper left corner and a light
frame around the image.
• An image may be selected by clicking the desired thumbnail image or by
using the PAGE or SCROLL buttons.

• An exam may selected by clicking the desired exam or you can use the
EXAM button to scroll through the exam list.

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Multiple Image View

By clicking the Multiple Image viewing button, the study is displayed in rows and
columns; up to 4x4 depending on the number of images available in the study.

• Select the study you wish to review.

• Click the Review button or double-click the patient name to open.

• Click the Multiple Image Review button to toggle to the review screen.
• You may double-click on an image to view in the magnified, 1x1 view.
• You may exit multiple image view by clicking the review icon.

Exam Comparison Tool

• Select one or two studies to view.
o To select two exams: click the first exam to select, hold CTRL and
click the second study.

• Click the open icon.

• Click the Exam Comparison icon.

• Click the image to review from the thumbnail (the small images to the
right).
• Move the cursor arrow to the quadrant you wish to place the image and
left-click to add the image to the quadrant view. Repeat this process to
add other images.

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Exam Comparison Tool: Comparison Views

• Select from 2x2 view or 4x4 image views to compare two images or four

images with the view button:

Exam Comparison Tool: Synchronize Loops

• In exam compare mode, it is possible to synchronize the loops shown with

the synch button:

Exam Comparison Tool: Panning Tool

• In exam compare mode, it is possible to select an image and move or pan
the image in order to obtain a different view:
o Select the image from either 2x2 or 4x4 view.

o Click the Pan button.

o Move your mouse to position the image.

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o Right-click to leave the panning mode.

Zoom

• In exam compare mode, it is possible to zoom a selected image:

o Click the image of your choice to select or drag the image from the
thumbnail to the review quadrant.
o Use the scroll wheel or, press ZOOM and use the mouse
movement to zoom in/out.
o Use the RESET button to return the image zoomed to the default

size and position.

Reviewing a Loop

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• Reviewing a loop is controlled by the PLAY, BEGIN/END, CINE MODE,

SPEED buttons and the mouse. Loops automatically start when clicked.
PLAY toggles the loop on/off or start/stop.

• When stopped, the mouse controls which frame is displayed. This is and
shown by the frame counter.

• Right-click when you are finished reviewing the loop to gain control of the
mouse pointer.

• SPEED toggles loop playback speed +5 (fast) to -5 (slow).

Image Review Configuration

Image review allows you to set the brightness and contrast to better display the
images. You may choose to raise or lower both contrast and brightness. After
making the change it is necessary to restart the application.

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• Move the slider by clicking the arrow and moving the mouse left or right.
• Click OK to accept the change.
• Restart the application.

Import from USB

It is possible to overwrite the presets in MyLabDesk with the presets from the
MyLab unit. The existing presets are overwritten and lost, replaced with the
presets introduced from the MyLab.

The presets include changes in the Application Measurements, Reports,

Report Printing Layouts, Glossary and Observations.

• Click SETUP MENU.

• Insert the USB device containing the MyLab presets.
• Click IMPORT FROM USB.
• Restart the MyLabDesk application.

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Generic Measurements

Generic measurements are measurements displayed and may be saved on the

image, but do not populate the report. Generic measurements are user
configurable through the SETUP MENU.

• Click GENERIC or ALT+G.

• The measurement is active automatically.
• Position the cursor with the mouse and perform the measurement with a
left-click.
• To select another measurement, right-click and move the mouse up/down.

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• Left-click the desired measurement to select. Repeat as necessary.
• Multiple measurements are shown on the left side of the image.
• NOTE: Generic measurements do NOT populate the report.
• NOTE: Generic measurements are NOT stored automatically.
• In order to save a copy of the image with generic measurements:
o Perform the generic measurement.

o Click the IMAGE Button or ALT+I.

o A copy of the image with the generic measurement is made and
stored at the end of the current exam.
• Right-clicking to exit will free the mouse from controlling the image or
measurements.

Application Measurements

MyLabDesk offers the same measurement packages that are available in the
MyLab system from where it was copied. The setup/presets are identical to those
on the machine. Presets are transferable from MyLab to MyLabDesk and offer a
convenient way to program to your own specifications (see Setup Menu).

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• Click MEASURE or ALT+M.

• The measurement is active automatically.
• Position the cursor with the mouse and perform the measurement with a
left-click.
• To select another measurement, right-click and move the mouse up/down.
• Left-click the desired measurement.
• Multiple measurements are shown on the left side of the image.
• Application measurements are stored as taken, automatically, in the
Report calculation package.
• Right-clicking to exit will free the mouse from controlling the image or
measurements.
• In order to save additional copies of the image with application
measurements:
o Perform the measurement.

o Click the IMAGE Button or ALT+I.

o

o A copy of the image is made and stored at the end of the current
exam.

Body Mark

Body marks are available to add to the selected image. Type of body mark is
dependent on the exam type (cardiac, vascular, etc.).

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• Click the MARK button or ALT+B.

• Choose between the shown body marks by using the MARK button or F3.
• Position the arrow with the mouse.
• Left-click the mouse to anchor the arrow on the mark.
o Use the Arrow button or F4 shortcut key to change the direction of
the arrow.
• Click the CLEAR button to remove the body mark.
• The body mark is automatically saved on the image.
• Right-click to exit the body mark control.

MyLabDesk Configuration
The SETUP MENU button (ALT+S) is the main interface into the user-defined
setups for:

• Report
o Report setup includes header configuration, text size, background
colors, logos, etc.
o Observations and free text configuration.
• Application Measurements

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o Measurement packages for Cardiac, Vascular, etc.
o You may turn measurements on or off.
o You can control which measurements are displayed in the printed
Report.
• Generic Measurements
o The user setup for generic measurement button
o Unique configuration available for each exam type.
• Glossary
o Setup of the annotation glossary for on-image text.
o Unique setup for each applicatio
o Configurable libraries
• Peripherals
o Windows printers setup
o Print 1 and Print 2 buttons available for individual configuration.
o Each print button supports a choice of print layouts (1x1, 2x2, 2x3).
• Network Configuration
o Allows you to map MyLabDesk network archive location to a shared,
network drive.
• DICOM Configuration
o Allows you to change DICOM parameters: AE Title, DICOM
Compression, Stress Echo format, DICOM Report Type.
• Export Settings
o Allows you to choose Image and loop compression formats for the
EXPORT function.
• General Configuration
o Allows the user to change Language, Date format, Time format,
Height and weight, Center information and the VET or Human
Environment.
• Image Review Configuration
o Allows you to configure image brightness and contrast.
• Import From USB
o Allows you to import the presets saved on the USB device from the
associated MyLab ultrasound.
o All annotations, measurement and report options are import and
user-defined changes are overwritten.

Application Measurements

The setup and configuration of the packages are edited by clicking SETUP
MENU | REPORT | APPLICATION MEASUREMENTS then by the package.

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Each measurement package is available to be edited in terms of how the
measurement is taken and how it appears in the report section.

• PREVIOUS and NEXT buttons toggle the view to the next or previous
application, Doppler, M-Mode, B-Mode.
• SCROLL buttons toggle the view through the selected MODE.
• Include Page turns the entire section on/off in the reporting package.
• Enable Average turns on/off the averaging mode of the report.
• WS “Worksheet” check boxes allow or disallow the selected measurement.
o WS supersedes PL. If WS is unchecked, PL is automatically off
(even if the PL box is checked).
• PL “Print Layout” turns the selected measurement on/off on the printed
report.
o Again, WS supersedes PL. PL is available only if WS is checked.
• Factory Settings will permanently replace the user configuration with the
factory settings.
• Mode controls the behavior of the measurement function.
o ON: the measurement is available to the user.

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o OFF: the measurement is not available to the user.
o AUTOMATIC: the measurement is available to the user and is
toggled to automatically.
o CONTINGENT: the measurement is dependent on a previous
measurement.

Report Setup & Customizing a Report

You may setup the report with unique headers per application, fonts, colors, logo
images, etc.

User defined report options:

• Report Header
• Measurement print layout (see Application Measurements section for details)
• Free Text
• Observations
• NOTE: While these options may be turned on/off, placement of the text is
controlled by the program and is not user-defined.
• NOTE: The color banners and images on the report print out may be
changed by the Internet Explorer settings. To check the IE settings:
o Open Internet Explorer
o Click Tools
o Click Options
o Click Advanced
o Scroll to the Printing option
o Click ‘Print background colors and images’
o Click Apply
o Click OK

Report Heading

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Report heading allows the user to create unique headings per application. The
report heading menu is available in Setup Menu, Report.

• Each Title text box may contain multiple lines of text.

• Each Title text box is user configurable
o Text font, text size, text color, background color
• A logo may be set using the Change button.

o Standard PC graphics accepted (.bmp, .gif, .jpeg, .png)

• Factory settings (blank) will permanently overwrite existing configuration if
applied.

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Observations and Free Text Configuration

• The Field selected is updated automatically when the Title: text is edited
• The Content selection may be edited, order changed or deleted by:
o Selecting the preexisting text, clicking Edit
o Clicking Add and entering custom text
o Selecting the entry and clicking Delete
• Factory Settings will permanently change the observations to the
program’s default.
• NOTE: Observations may be stored on the MyLab machine, saved as a
preset to USB and imported into MyLabDesk using SETUP MENU |
IMPORT FROM USB.

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Printers Setup

Buttons Print 1 and Print 2 are user configurable in SETUP MENU | PRINTERS.
Printers may be any attached PC printer or printing software (.pdf creator
program, Microsoft office document writer, etc.).
• Select Peripheral:
o Set to Windows Printer
• Select Model
o Set to the printer or printing software of choice
• Choose Layout
o Consider unique layouts for image prints (2x2) and report printing
(1x1).
• Factory Settings will permanently change your user settings to factory
default settings.
• NOTE: Not all printer models support high resolution image printing and do
not print high-quality images. Image resolution of 600 dpi or better is
recommended.
• Printing to software printers such as Adobe and pdfCreator is possible.

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Glossary

The glossary of application annotations is user customizable and configurable.

Existing libraries may be added, edited or deleted. New glossaries may be built
from scratch. Mode is by word or by sentence. Editing libraries:

• Choose Mode, by word or by sentence.

• Choose library.
• Double-click the text box and type.
• Click Save Library to save.
• To add a new library, click New Library and type in a name.
• Click OK to save changes.
• The Glossary changes may be saved to USB device (“thumb” drive
provided with the MyLab system) by saving the PRESETS of the machine.
You may import the Glossary into MyLabDesk by clicking SETUP MENU |
IMPORT FROM USB.

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Generic Measurements

• Select the Application.

• Select the Mode.
• Add generic measurements by clicking the check box.
• Change the default measurement by clicking the drop-down box and
clicking the desired measurement.
• Click OK to confirm.

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Digital Workflow with MyLab & MyLabDesk

MyLabDesk software offers viewing, reporting and archiving in a user interface
which is similar to the MyLab ultrasound machine. The software allows the user
a full range of clinical application measurements which until recently were only
available on the MyLab ultrasound machine. With MyLabDesk, clinical
measurement packages are available for use on archives located on network
shared resources or appliances, USB devices or the local hard drive.

MyLabDesk software provides other convenient options such as multiple printer

support options and multiple print layout configurations, three image format
export options, network file sharing for access to a common database and no
license stipulations for multiple installations.

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MyLab digital workflow offers the user, system and office administrators many
choices for digital transfer and storage of exams. Efficiency is increased with the
ability to connect the MyLab and MyLabDesk via a local network. Stand-alone
servers, network appliances and USB hard drives, together with managed
integration, offer even the novice user the tools to network, archive and share
data.

If you are planning to integrate MyLab into your office network:

• Contact your local IT support for initial network setup and advice for
automated backups.
• If proficient in networking terms and techniques, MyLab offers standard
Windows networking interfaces.
• In any case, plan ahead for data recovery. Backup your system’s data
often.
• Protect the data with the appropriate security tools available from your PC
and software vendors.

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• NOTE: Any peripheral device which installs drivers must be supported
and installed by a Esaote North America Esaote representative.
• If you have any questions regarding MyLab’s digital workflow or
MyLabDesk, please e-mail your questions to MyLabDesk@Esaote North
America.com.

NOTE: MyLabDesk is designed to read MyLab archive files from software at or

below the currently-installed version number. Archives from devices above the
currently-installed MyLabDesk software will not be read.

NOTE: MyLabDesk will attempt to read an older archive and may do so if the
currently-installed version is greater than the software which created the archive;
once it has read the archive, the archive format is changed to match the recent
software and will be UNREADABLE by the original MyLabDesk version. It is
important to make a copy of the Archive folder in order to maintain the original
archive configuration and compatibility with older MyLabDesk versions.

Network Configuration

MyLab and MyLabDesk offer the user a configuration menu to map (connect to) a
shared folder over the LAN (local area network) network which allows
MyLabDesk the ability to open studies through the network from the network
shared drive.

A basic knowledge of Windows and networking is required, as well as the

network name or IP address of the PC hosting the shared folder and the name of

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the folder share; for instance, \\192.168.1.66\MyLabDeskData. And finally, the
user name and password with permissions to read/write/modify the network
share 192.168.1.66\administrator and associated admin password.

Configuring the IP Address of the PC

The IP Address is the set of numbers which identify the PC to the members of a
network. By default, Windows PCs are set to obtain an IP address automatically
(known as DHCP). It is also possible to manually configure the PC to a known
set of numbers (known as STATIC IP).

To configure the IP address in Windows XP:

• Click START.
• Click CONTROL PANEL.
• Click NETWORK CONNECTIONS.
• Double-click LOCAL AREA CONNECTION.
• In the General tab, click INTERNET PROTOCOL (TCP/IP) and
PROPERTIES.
• Click OBTAIN AN IP ADDRESS AUTOMATICLALY (for DHCP) OR Click
USE THE FOLLOWING IP ADDRESS and manually enter.
• If unsure about IP address, contact your network administrator.

Configuring the Windows Network Share

There are several choices when choosing a network share

• To copy studies directly to a user’s PC: share the C:\MyLabDeskData

folder. MyLabDesk will automatically update the subfolder ARCHIVE of
the C:\MyLabDeskData directory (folder).

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• To copy studies to a network share allowing multiple users access: choose
a PC hard drive or USB drive, server OR network archive storage (NAS)
device. MyLabDesk and MyLab setup are identical.
• We recommend local IT support for advanced network sharing. We are
available via email mylabdesk@Esaote North America.com for assistance
via email, online meetings and phone support.
• We recommend, before creating a shared folder, that a new user is
created. The new user can be managed easily and used by MyLab to
connect to the shared folder. This new user should be allowed FULL
CONTROL permissions which, in turn, will allow MyLab and users
connecting as this user to have proper use of the MyLab studies.

Configuring the MyLab IP Address

Configure the MyLab IP address to connect to the LAN network. The MyLab
offers both DHCP (automatic IP) and STATIC (manual IP) configuration.

1. Click ARCHIVE REVIEW.

2. Place the pointer on the ‘hard drive’ icon.

3. Use your left or right trackball buttons to access the drop-down menu (if
you see OPERATIONS, click CANCEL and use the opposite trackball
button).
4. Click on the IP ADDRESS CONFIGURATION menu.

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5. For DHCP, click ‘Obtain the IP Address automatically’ and the MyLab will
update the IP address from the network server.

6. For STATIC (manual) IP address configuration, Click MANUAL:

a. Enter the IP address of your choice (you may lead? leave off
leading zeros, for instance 192.001.001.001 becomes 192.1.1.1).
b. The MASK is the SUBNET MASK and is usually 255.255.255.0.
c. The GATEWAY is the router for the network; if in doubt, you may
duplicate the numbers used for the IP address.

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Configuring the MyLabDesk Network Configuration

Which folder do I share?

…to use the browse function in MyLabDesk and browse to the network share

Share any folder on a PC, server or network attached storage device

(NAS). You will be able to browse to the ARCHIVE folder and view,
measure and report.

… in order for MyLab to transfer directly to the MyLabDesk program?

Share the C:\MyLabDeskData folder (the ROOT folder of ARCHIVE

folder). Within this folder, there is the folder ARCHIVE, which MyLab
modifies by reading and writing the us_archive.xml file (the master
database file).

• Press MENU (located among the MyLab function buttons; not the alpha-
numeric keyboard).
• Click NETWORK CONFIGURATION (SETUP MENU in MyLabDesk).
• Click Add to start and be sure to have:
o The PC name or IP address of the computer sharing the folder.
o User name and password with read/write/modify rights.
o If you have questions, please ask your local IT support.

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• Add your Description. This can be any text.

• Click Enabled (just to be sure).
• Click Connect Drive…
o This will start the Windows Drive Mapping Wizard.

• Windows will select the drive letter automatically.

• You may click Browse to select the PC and folder share.
• You may manually type in “\\” + IP address or name of the PC + “\” + folder
share name.
• After entering or browsing to the network share, click Finish.

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• Enter the IP address (OR PC domain name) followed by a forward slash “\”
and the name of a user with “FULL CONTROL” Security and Sharing
permissions to the network file share. For instance, the ADMINISTRATOR
user or a user with ADMINISTRATOR rights.
• We recommend creating a new local PC user for the MyLab.
• Click OK to confirm.

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Removing a network share from MyLab/ MyLabDesk

Removing a network share may be done by the following method.

• Click on the Main Menu OR the SETUP MENU (for MyLabDesk).

• Click the NETWORK DIRECTORY sub-menu.

• Click the network share to select.

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• Click EDIT.

• Click DISCONNECT DRIVE.

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• Click the network share you wish to delete.

• Click OK.

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• Click CANCEL.
• Click to select the drive letter, DELETE and OK to finish.

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DICOM Configuration

DICOM copy is available in MyLabDesk; that is, the ability to copy selected
exams to a local (hard drive or USB) or network location. The DICOM menu
selection allows the user to define the AE TITLE of MyLabDesk, the
compression value of the images and loops and how stress echo exams are
viewed in a DICOM viewing software (by stage, view or single image).

The report may be configured as a DICOM image file (export to other servers, the
default) or may be configured to export to Biopacs which embeds the
measurements as .xml data for software to decode and populate a report and in
DICOM Structured Reports (Cardiac from STD 9.12, Cardiac and Vascular as of
STD 10.x).

DICOM compression is set in the Quality tab; high, medium and low stands for
the overall quality of the images.

Images
• Uncompressed, RGB image = high quality = largest file size
• RLE, lossless compression = medium quality = smaller file size
• Lossy JPEG = low quality = smallest file size

Loops
• Uncompressed = Very large file sizes typically used only for testing
purposes or high-end video production.
• High quality = low compression = largest file size
• Medium quality = medium compression = smaller file size
• Low quality = high compression = smallest file size
o NOTE: All loops are compressed with the same type of
compression

MyLabDesk does NOT connect to DICOM server software and does NOT
perform DICOM network transfers (DICOM Store, etc). MyLabDesk may be
used to produce unique DICOM archives; DICOMDIR files and IMAGES folders
for selected studies. You may burn these files to CD and thus produce a DICOM
compliant archive or use a PACS or DICOM reader to reference and upload the
studies.

For information on connecting your MyLab unit to a DICOM server, please e-mail
mylabdesk@Esaote North America.com for more information or see the MyLab
User Manual.

DICOM Conformance statements are available for MyLab ultrasound units:

http://www.esaote.com/products/ultrasound/statements/confstat.hTM.

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DICOM Configuration (Stress Echo)

The DICOM menu, STRESS IMAGES menu determines the DICOM & EXPORT
layout of selected Stress Echo exams. After selecting the STRESS IMAGES
export style, the program must be restarted.

• BY STAGE (default)

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• BY VIEW

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• SINGLE VIEW

Appendix A - EMR Integration

MyLabDesk does not offer an HL7 interface, the official protocol used by EMRs,
however there is an option to print an electronic document and manually upload
and ‘attach’ the to the patient record.

Try out several of the free software installations available for .pdf printing. There
are many free and commercial options available. The software installs on a PC
and acts like a printer. In fact, you are ‘printing’ an electronic document.
MyLabDesk recognizes the pdf printer and sends the report and images to the
pdf printer which then prompts you for the destination folder to save the file.

Electronic documents can be saved with security options and encrypted to

protect patient privacy.

For more information on integrating MyLab and MyLabDesk to your EMR, please
e-mail mylabdesk@Esaote North America.com.

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Appendix B - Technical Note: MyLab Preset Editing with MyLabDesk

Software: All MyLab® and MyLab®Desk software

As a MyLab user, you may find it helpful to use MyLabDesk in order to add/edit
free text observations, edit measurement labels, report headings etcetera, in
order to customize reports. Updating the MyLab with the new presets is simple.
This document describes how to import the presets after editing the settings in
MyLabDesk.

Material needed: One (1) USB memory stick or USB hard drive. The USB
device must NOT use U3 technology! The U3 technology will not allow the
MyLab to save or load presets. Remove the U3 technology by visiting the
uninstall page of the U3 website: http://www.u3.com/uninstall/.

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Step 1: Save the PRESETS from the MyLab to a USB memory stick.

• Insert a USB stick into the MyLab.

• Press MENU.
• Select PRESETS.
• Select SAVE PRESETS.
• Allow time for the MyLab to save the machine’s presets to USB.
• Remove the USB device when finished.

Step 2: Replace the presets with the current (edited) files from your PC running
MyLabDesk.

• Double-click or Open My Computer.

• Double-click or Open C:\MyLabDeskData folder.
• Double-click or Open the PRESETS folder.
• Right-Click to select the specific preset you are interested in importing into
MyLab.
• Select COPY.
• View the contents of the USB device (you should see the “MyLabPresets”
folder and a DATA file).
• Double-click or Open “MyLabPresets.”
• Click to select the specific preset you wish to update.
• Press DELETE on the keyboard to remove the application preset from the
USB device.
• Click EDIT and PASTE to paste the new application preset folder onto the
USB device.
• Remove the USB device when the copy is finished.

Step 3: Load the new, edited presets into the MyLab.

• Insert a USB stick into the MyLab.

• Press MENU.
• Select PRESETS.
• Select LOAD PRESETS.
• Since the presets are from the same MyLab, nothing should change
except the application presets you have edited with MyLabDesk. For
instance, your network connection settings shouldn’t be affected.

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Appendix C – MyLab ARCHIVE Differences

Systems Affected: MyLab®70XV?, MyLab® 50 XV?, MyLab®30, MyLab®25

MyLab® 25,30,50XV Software: 8.x, 7.x
MyLab® 70XV Software: 3.0
Software: MyLab®Desk Version 2.0 build(s) and prior releases

MyLab and MyLab Desk’s ARCHIVE folders are unique for each software
installation. The differences in the structure of the ARCHIVE may prevent access
by systems running MyLab STD 6.12 and prior releases. Take care in

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understanding these differences when accessing patient studies created by
MyLab ultrasound machines running different software levels.

The incompatibility of the different software versions (STD 6.12 & prior and STD
7.X & higher) is true for writeable/modifiable archive locations: such as local hard
drives, USB devices or network shares where the newer software may change
the format of the original ARCHIVE structure and therefore, preventing the
previous (older version) software access and providing the following error
message:

MyLabDesk version 3.xx/2.xx (available from MyLab STD 8.x/7.x) shows the
following message / warning when attempting to access an older ARCHIVE:

• MyLab 6.12 ARCHIVE, once accessed by a 8/7.xx MyLab/MyLabDesk will

change the format from 6.12 to 7.xx making the ARCHIVE incompatible
with the STD 6.12 Mylab/MyLabDesk.

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• Example: One or several MyLab and/or MyLabDesk installations

accessing the shared archive folder on a network.

• MyLab/MyLabDesk can access an ARCHIVE on a USB device or network

share(s) when the ARCHIVE has been created by a machine with the
same software release (STD X.XX).

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• MyLab/MyLabDesk STD 6.12 (and below) cannot access an ARCHIVE on
a USB device or network share(s) when the ARCHIVE has been created
by a machine with a more recent version of software; release (for instance,
STD 7.1 being accessed by STD 6.12).

• In the above example, MyLab with STD 7.1 may access but not alter the
STD 6.12 archive using the read only option. MyLab and/or MyLabDesk
from STD 6.12 do not offer a ‘read only’ option; so accessing older
archives (from previous releases such as STD4.x, STD5.x) will always
change the format to the STD 6.12. This issue was addressed in the 7.X
release with the ‘read only’ option.

• MyLab/MyLabDesk from STD 7.X does offer the ‘read only’ option. The
‘read only’ option allows MyLab/MyLabDesk to access the ARCHIVE
folder and allow you to view studies but not modify the studies (add
measurements to the report, for example). You may use the COPY button
to copy the study to the LOCAL ARCHIVE; which then allows
modifications to take place.

• CONTINUE will PERMENATELY CHANGE the structure of the ARCHIVE

folder.

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• OPEN AS READ-ONLY will NOT change the ARCHIVE folder and allow
older units access.

• A workaround solution is to create multiple network shares; one for each

archive type. MyLab supports up to five (5) different, shared network
locations.

o If MyLab #1 is at STD6.12, create access to a unique network

archive. Then, if accessing the archive with a newer version of
MyLabDesk, use the OPEN AS READ-ONLY option to access and
COPY files to the LOCAL ARCHIVE of the MyLabDesk used to
view the files.

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o You may also install the STD6.12 MyLabDesk on another PC or the
same PC only on a different hard drive partition or separate USB
device. For example, the STD 7.X MyLabDesk installed on the C:\
drive and the STD6.12 MyLab Desk may be installed on a USB
device, ex. G:\. This is an advanced example, but is possible,
allowing measurements and reporting which the OPEN AS READ-
ONLY option does not.

• NOTE: It is not possible to write a report on a READ-ONLY archive. First,

use COPY to copy the studies to the LOCAL ARCHIVE in order to allow
measurements and reporting. Of course, the study will assume the format
of the LOCAL ARCHIVE.

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U.S. Headquarters: ESAOTE NORTH AMERICA ESAOTE, Inc.

8000 Castleway Drive Indianapolis, Indiana 46250
Phone: 317 813.6000 or 800 428.4374 Fax: 317 813.6600 E-mail: info@Esaote North America.com www.Esaote North
America.com

©2009 Esaote North America Esaote, Inc. All rights reserved.

Specifications subject to change without notice. MyLab is a registered trademark of Esaote, S.p.A. Windows® is a
registered trademark of Microsoft Corporation. DICOM is a registered trademark of the National Electrical Manufacturers
Association. All other trademarks are the property of their respective owners.

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