CTS-7700+ Software Upgrade

If you would like to upgrade your ultrasound software, bring your ultrasound in where you can plug it in near a computer and then follow the steps below. I cover using the USB drive to transfer the software update to your ultrasound, checking your configuration (so your system is optimized for podiatry), re-creating the custom Podiatry (or “Foot Ankle”) exam type to lock in the changes, and then (if you like) adding in custom podiatry annotation words and phrases to speed up annotating your images.

It looks like a lot of steps, but that’s only because I really try to spell it all out in significant detail. It actually only takes about 10 minutes tops.


1. On your computer, go online and download and save the zip file from this location, saving it to your desktop:


2. Double-click the downloaded file to unzip the folder it contains. This will create a folder on your desktop named "CTS-7700" or possibly "Update."

3. Go into the unzipped folder and look for a file named siui.exe. Copy THIS file (not the folder itself, only the file siui.exe) to your USB thumb drive.

4. Power on the CTS-7700+ ultrasound.

5. Insert the USB thumb drive in the back (I like to use the top USB slot).

6. Press MENU on your ultrasound (three buttons to the right of your spacebar), use your trackball (or "Value" knob) to highlight "Update System," and press "Enter" (to the right of your trackball). Choose the option for updating the software from the USB disk and press "Enter" again.

7. Wait for it to complete the process. It might restart the system for you. Wait it out, and do not interrupt the update as it is running and do not turn off the machine until it is finished. (If you do, bad things can happen.) After everything finishes, if it doesn’t restart itself, unplug the USB drive and restart it by pressing the green button in the front.


Here are the settings I want you to check before re-creating your Podiatry exam type:

1. If your practice name isn’t at the top left corner of the screen anymore, press "MENU" (three buttons to the right of your spacebar) and with "System Set-Up" selected press "Enter." Select "Facility Name" from the list and press "Enter" again. Now you can type in what you want at the top of the screen. (If you need to make a correction, use the backspace key at the top right of your keyboard.) Once you have it the way you want it, press "Enter" to return to the menu. Now check your date and time up at the top right. If you don’t like the format they are in, or if they need to be changed, highlight "Date/Time" and press "Enter" to go into those options. You can change the formats by simply highlighting the time or date format and pressing "Enter," and you can change the actual date or time by highlighting those, pressing "Enter," and then typing in the correct numbers using two digits for each. Once you are finished, press "Menu" again to exit and save the changes.

2. With a live image (make sure it says "Focus" at bottom right — if it says "Scroll," go ahead and press "Freeze" to unfreeze the image), press the "T-Ball" button above the trackball, and roll the trackball down while looking over in the box of numbers on the left side of the screen. You should see the cursor moving down through the various settings there. Make sure that "Frequency" is set to 7.5 MHz, "Width" is set to 50mm, and "ENH" is set to 3. (If any of these are not set properly, highlight the number using the trackball and turn your "Value" knob to change the value to where you want it.) When finished, press "T-Ball" again to exit.

3. I also highly recommend that you press "Menu" and with "System Set-Up" highlighted press "Enter" … then scroll down about halfway and find the settings for "Auto Freeze" and "Screensaver" and make sure both are set to "OFF." If either isn’t, highlight it, press "Enter," select "Off," and then press "Enter" again. Also make sure "Patient Info" is set to "ON" (which will display the words "ID" and "Patient" down at the bottom left of the screen). Now go down to the bottom of the system set-up menu and highligt "Return to main menu" and press "Enter." At this point, I suggest highlighting "Calc Set-Up" and pressing "Enter," then choosing "Distance" and changing it from centimeters to millimeters. Go back down to "Return to main menu," press "Enter," and once back to the main menu, press the "Menu" button again to save and exit.

4. Now press "Disk" over there on the left side of the console. Choose "Set Up" (or "Settings") and press "Enter." Now change these settings in this way: The first option on the list set to "USB Device," the second one to "JPG," and the bottom one to "Hard Drive." Press "Disk" again to exit the menu.


With those all set properly, you will likely need to re-create the custom Podiatry exam type. Here is how you do that:

1. This time press "EXAM" (two buttons to the right of the space bar).

2. Scroll all the way to the bottom of the box that comes up, highlighting "User Defined From Active" and press "Enter."

3. In the box that comes up, type "Podiatry" and press "Enter" again.

4. You should now see this in the list of exam types: "U Podiatry" (meaning user-defined podiatry exam). Highlight this and press the letter "S" (up on the keyboard, the actual "s" key — this will SET the exam type as your new default). Now the list of exam types will have this on it: "U # Podiatry." Highlight that and press "Enter" again. The dialogue box should disappear and you should see "Podiatry" now at the bottom left as your exam type.


To wrap everything up, I recommend taking a minute or two to type in some custom annotations at this point. I’m including the notes on how to do this below, or you can also find instructions by clicking here.

1.) Press MENU and with "System Set-Up" selected press Enter.

2.) Scroll to the very bottom of the list, which I believe is something like "Annotation Edit," and press Enter.

3.) A window will pop up. Before starting to type stuff in, it should be highlighting "Exam" or "Exam Select" up near the top left — press Enter, then in the resulting menu scroll down (using your trackball or the Value knob — the knob furthest to the right on your ultrasound console) and highlight the custom exam type you have set up on your system (should be "Podiatry" or "Podiatric" or "Foot Ankle"). With that highlighted, press Enter. This will take you back to the original annotation window.

4.) Using the scroll ball, move down to the first field and start typing, dropping down the next field with your trackball as you go. You probably want to put things you use most commonly at top. Typical entries include:

Plantar Fascia
Foreign Body

You have room for 15 of them. Pick things you imagine using often and would like to avoid having to type out every time. If you need to fix anything, just use the backspace key and type it in the way you want. When you finish, go to the bottom of the box and highlight "Set" (or "Save") at the bottom left and press Enter.

With these programmed into the system, after pressing "Freeze" to freeze an image you can use the "Annot" button to the left of the space bar to display this menu. Use the trackball to scroll down through the items, selecting them with "Enter" and moving the word around on the screen using the trackball, then sticking it on the screen with "Enter" again. (You can then either select another word from the annotation menu to move around on the screen, or you can make the little menu go away by pressing "Esc" to the left of the trackball.)

Give this a try. Having custom annotations in your system is going to make annotating your images much, much quicker.