In a Houston hospital department or a multi-site imaging group, a new ultrasound system has to do more than make good images. It has to pull the right patient from the worklist, send studies to PACS, push measurements into the reporting software, pass the IT security review and match the other systems sonographers already use. This guide covers those integration and fleet questions so they are settled before purchase, not after. Systems are part of our new and refurbished medical equipment for sale.
The DICOM services to confirm
DICOM is the standard that lets imaging equipment talk to PACS and other hospital systems. "DICOM-ready" on a listing is not enough; each service below is usually a separate software option.
| Service | What it does | Why it matters |
|---|---|---|
| Storage | Sends images and clips to PACS | The basic requirement for any diagnostic system |
| Modality worklist | Pulls scheduled patients and orders from the RIS or EHR | Stops typing errors in names and IDs, which cause misfiled studies |
| Storage commitment | Confirms PACS actually received and kept the study | Lets the system safely clear local storage |
| Performed procedure step (MPPS) | Reports that the exam started and finished | Keeps the worklist and billing in step |
| Structured report (SR) | Sends measurements as data, not pictures | Measurements flow into OB, vascular or echo reporting software without retyping |
On a refurbished system, check which of these options are licensed on the specific unit. Adding an option later can mean a software key from the manufacturer, which is not always available for older systems.
Setup details your IT team will ask for
- A static IP address, subnet and gateway for the ultrasound system
- The AE titles, IP addresses and ports for PACS, the worklist server and any reporting system
- Which network the system sits on; many hospitals place imaging devices on a separate medical device network
- A test patient and test study, sent and checked in PACS before go-live
We complete this setup with your IT team on installation day and send a test study end to end before the first patient.
Security review
Ultrasound systems run a computer operating system, and older ones may run versions that no longer receive security updates. Hospital IT teams usually ask for the manufacturer's MDS2 form (ANSI/NEMA HN 1-2019), a standard disclosure of a device's security features. Ask for it, along with the operating system version and whether the manufacturer still provides security patches for that system. A system that cannot be patched may still be acceptable on a segmented network, but that is a decision for your IT team before purchase.
When the network goes down
Ask how the system behaves when PACS or the worklist is unavailable. Most systems queue studies locally and send them when the connection returns, but local storage is finite. Check the hard drive capacity, how the system warns staff that it is filling up, and how studies can be exported by USB as a backup. Agree a downtime procedure with IT, including manual patient entry, so a network outage does not stop scanning or create misfiled studies.
Fleet fit
When a department already runs several systems from one family, adding a different brand has hidden costs:
- Training: sonographers move between rooms; different controls slow them down and increase errors.
- Presets: exam presets and measurement packages need to be rebuilt and kept consistent.
- Probes: within a family, probes can often move between systems, which helps when one fails.
- Service: one family means one set of spare parts and one service relationship.
Buying a refurbished unit from the same family as your existing fleet is often the most practical way to add a room or replace a failed system without retraining staff.
Replacing systems in phases
Large Houston departments rarely replace every system at once. A common approach is to replace the oldest or least reliable systems first, keep the newer ones, and standardize on one family over two or three budget cycles. Systems that come out of service can be resold or recycled with documentation through our medical equipment disposition service.
Checklist before you buy
- DICOM options licensed on this unit, in writing
- Software and operating system versions, and whether security patches are available
- MDS2 form for the model
- Probe list with serial numbers and test results; our probe testing walkthrough explains what good results look like
- Compatibility of probes with your existing systems
- Warranty terms; ours is 90 days on reconditioned systems
Delivery and service in Houston
Houston is about 240 miles from our Garland headquarters. We confirm delivery and installation dates when you order, and installation, DICOM setup and service visits are scheduled in advance. Service requests receive a response in under 8 business hours, Monday through Friday. For repair, probe service or a rental while a system is down, see our ultrasound repair, sales and rental page.
To plan an ultrasound purchase that fits your PACS and fleet, call (469) 767-8853 or send us a request with your current systems and PACS vendor.
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