Chapter One Summary
Contents
1. P N No WED 20 07010E Matters need Attention To ensure operational safety and long term stable equipment performance please read this operation manual closely and understand the device functions operation and maintenance at all points before operating the device especially contents of Warning Caution and Note Misoperation or inobservance of the instructions given by manufacturer or its agents may result in device damage or personal injury The following convention works through this manual to lay special emphasis on some information Warning Stands for neglect of it will cause severe personal injury death or realized property loss Caution Stands for neglect of it will cause slight personal injury or property damage Note to remind user of installation operation or maintenance information These information 1s very significant but with no risk Any warning against dangers shall not be contained in NOTE Safety labels Device labels explanation KR Type B device N Note Refer to accompanying documents Turn on general supply O Disconnect general supply Signal output eZ USB port CG RS 232 KH IPX7 Watertight proof DI I type equipment Packing and transportation labels explanation Handle carefully Piling limit Keep dry Environmental requirements on normal operation a Environment temperature range 10 C 40 C b Relative humidity range 30 75 c Atmosphere pressure range2. 11 11 12 12 12 13 14 14 14 21 22 22 22 22 29 26 AN 21 28 30 31 32 32 32 48 2 View a saved image Cee eee cre CO cee OO cer OO cer O OO HOS see ees see OO see OO OO OO O O OHH CO OOo HOU 000 4 8 3 Review storyboard mode ss sss sss sss sss sss sss RRR ERRER ERRER ERRER RRR RR 4 9 Obstetrics calculanonsss sss sss sss sss sss sss sss ss ses sees RRR RR RRR RR RRR RR RRR RR RRR RRR can ada 4 10 REPON 5 atra eee eee eee ereer 4 11 Image processing COCO OO O OO OO Os EGO RRR GOU OO RRR OUE GOU GOU EGO OO CHO RRR GOU RRR OUE OUE Oo Os Os Us 000 4 12 Per rectum examination procedure ses ccc O O O O O GOU GOU EGO HOU GOU GOU o o GOU RRR GOU GOU HOU os GOU 00 4 13 Per vaginam examination procedure ses ess sese O O GOU EGO Os GOGO RRR GOU RRR RRR RRR os os HOU os GOU 000 4 14 Image print ses ess O OO OO OO GOU EGO OO GOU RRR eee OUE see see EGO ees cesses esses O RRR GOU Oo CHOU os Cod 006 4 15 Image upload to computer ses ess sese O O O Os GOU EGO RRR GOU RRR RRR OUE cesses os GOU CHO ro KEU tos 00 000 4 16 Shut down the equipment ses ess sese OO OO OO OO EGO RRR RRR RRR RRR RRR GOU GOU KOU CHOU ooo oo KEU oo so o 00 004 Chapter Five Transportation and Storage sse ses ses Ce O e Ce RRR RRR RRR e e e RRR ro e o o OHH so Cos 0 00 5 1 Environmental Requirements of Transportation and Storage eeeeeereerenencereereneereese 5 2 Transportation ses ess O O cee OO GOU EGO rrrrrrrnnnrnsssrssrrnrrrrrnnnnnsnsssss 5 3 Storage eee Chapter Six Check and M
3. As below BPD 061mm G A 24W 2D EDD 06 04 23 FW 0490 g BPD Biparietal diameter GA Gestation sac EDD Expected date of delivery FW Fetus weight 34 Press to select 2 FL then measure the distance according to distance measurement method the corresponding obstetrical table data display on screen right As below FL 051mm G A 28W 0D EDD 06 03 27 FL Femur length Press to select 3 AC FW then measure the distances two distances need measuring according to distance measurement method and press key again the corresponding obstetrical table data display on screen right As below D1 044mm X D2 086mm AC 204mm G A 24W 4D EDD 06 04 21 FW 0 68Kg DI distance 1 D2 AC Abdomeninal circumference distance 2 Press to select 4 HC FW then measure the distances two distances need measuring according to Measure distance measurement method and press key again the corresponding obstetrical table data display on screen right As below D1 036mm X D2 121mm HC 246mm G A 24W 4D EDD 06 04 07 FW 0 85Kg HC Head circumference Press to select 5 CRL then measure the distance according to distance measurement method the corresponding obstetrical table data display on screen right As below CRL 032mm G A 10W 4D EDD 06 07 29 CRL Crown rump length Press to select 6 GS then measure the distance according to distance measurement meth
4. Some measures can be taken for example for some fatty woman or with 39 anteposition of uterus ask her to hold fists and put it under the hips to raise the rump which is better for probe operation and complete observation Sometimes the target organs are in a higher position press the abdominal wall gently to make them approach the probe 4 Limitation Endo vaginal probe adopts high frequency probe mostly the focal area is within 10cm Cysts out the range of 10cm can not be observed well thus abdomen examination 1s necessary to cover the shortage 4 14 Image print Connect the VIDEO IN port of the video printer to the VIDEO OUT port on rear panel of the equipment then operate according to video printer operation manual 4 15 Image upload to computer Connect the USB communication port of the equipment to the computer s USB port The high speed USB2 0 mouthpiece can upload images to the computer at current time In the accompanying disc there are USB device driver image preview program Amcap and SDK documents for relevant redevelopment Install the USB device driver open Amcap EXE then you can view images according to the instruction files in the disc Using SDK documents in the disc you can process redevelopment as required 4 16 Shut down the equipment Turn power off Tips It would be better to unplug the AC supply if do not use the equipment for a long time Note Must not plug or unplug the power plug w
5. TABLE Summary of the acoustic quantities 60R 3 5 MHz convex probe M Mode Non scanning Acoustic working 3 34 frequency MHz Output power mw l tt Bounded output Power mw Attenuated output Power mw Spatial peak temporal average intensity mw cm Attenuated spatial peak temporal average 0 45 0 45 intensity mw cm Pulse pressure squared 0 021 0 021 integral mj cm Attenuated Pulse pressure 0 0049 0 0049 squared integral mj cm 2 Peak rarefactional acoustic 0 84 pressure MPa Attenuated peak rarefactional acoustic pressure MPa 1 2dB output beam area em Equivalent aperture diameter cm Depth for TIS em Depth for TIS em TIS cm Depth for TIB cm o Depth at max attenuated 5 55 pulse intensity integral cm Supplementary information 51 TABLE Summary of the acoustic quantities 60R 3 5 MHz convex probe B M Mode Non Non scanning scannin e Mode Scanning E z Scanning AON o Aaprt Aaprt gt SCannmS lem lem Maximum index value index value KEN 50 0 061 0 061 Acoustic working pr MHz Output power mw power mw Bounded output Power mw Attenuated output Power 020 020 mw Spatial peak temporal average 2 39 2 39 intensity mw cm Attenuated spatial peak temporal average intensity mw cm Pulse pressure squared 0 046 0 021 integral mj cm Attenuated Pulse pressure an 0 0049 squared integr
6. 70KPa 106KPa Environment requirements on device storage and transportation a Environment temperature range 40 C 55 L b Relative humidity range 10 100 c Atmosphere pressure range SOKPa 106KPa Tabu illness x This equipment is not suit for contain gas viscera such as lung examine A Suggesting not to examine the wounded or urgent inflammation part it could Cause across infect Below patient forbided to use vagina and recta probe Vagina colpitis such as colpitis and sexual illness discoverture people vagina abnormality menses vagina shrink vagina ultrasound exame difficulty person vagina bleeding placenta front sufferer x Below sufferer is forbidden to puncture high blood pressure coronary heart disease cruor obstacle and haemorrhage separative sufferer Implementary criteria Safety Chapter One Summary 1 1 Features This equipment 1s high resolution linear convex ultrasound scanning diagnostic equipment It adopts micro computer control and digital scan converter DSC digital beam forming DBF real time dynamic aperture RDA real time dynamic receiving apodization real time Dynamic receiving focusing DRF Digital frequency Scan DFS 8 segments TGC frame correlation technologies to endue its image with clarity stability and high resolution There are four display modes B B B B M M And 256 gray scale The system can process real time image display freeze save load zoom up and do
7. 80 c Atmosphere pressure range S6KPa 106KPa When using avoid strenuous vibration keep 1t away from devices with high field intense magnetic field or high voltage avoid strong sunlight blazing down on the display keep the device well ventilated moisture proof and dustproof 2 2 Unpacking inspection After unpacking check the device according to Packing List and install 1t according to requirements and methods described in Installation after affirm that there 1s no shipping damage Warning If there is breakage at unpacking check it is banned to use the device to ensure security 2 3 Installation 2 3 1 Connecting probe and main unit The probe socket is in the rear of the equipment and in shape of letter D Plug the probe connector and then screw down the two screws on the connector to finish connection of the mam unit and probe There is only one probe socket but it 19 compatible with all the optional probe types of the equipment A reverse process can demount the probe from the main unit Warning Do not by all means unplug or plug the probe connector at state of log on in case the probe and main unit be damaged Once the probe is connected with the main unit do not unplug nor plug it at discretion in case poor contact happen Warning The probe should be protected from felling off or crashing and the manufacturer assumes no responsibility for the kind of hazard Warning Must not touch
8. FI 19 168 19 4 11 O22 36 3 19 175 20 0 11 929 oy ae 19 182 20 4 L 330 38 4 19 189 Zil 11 343 39 4 19 196 21 6 11 300 40 5 19 203 AA 11 62 Femur length FL Table Set1 Tokyo University Method FL WEEKS S D mm w d days 42 24 5 24 8 ees 10 10 13 0 10 44 GI 2D 12 13 4 10 46 26 0 29 14 14 1 10 48 Za 20 16 14 5 10 90 28 0 25 18 l5 2 10 52 29 0 30 20 16 0 10 94 29 9 30 22 16 4 10 D6 30 2 30 24 17 1 10 D8 alo EE 26 17 6 10 60 33 0 38 28 18 4 14 62 34 0 42 30 I 17 64 39 0 46 32 20 9 17 66 36 9 DO 34 Ales 18 68 38 0 of 36 22 9 19 70 40 0 64 38 29 0 21 12 40 2 64 40 24 0 22 63 Femur length FL Table Set2 Hadlock F P et al Method WEEKS S D FL WEEKS 5 w d days mm w d days 46 15 8 ees 10 One 10 13 0 10 48 26 1 15 12 13 4 10 90 26 6 15 14 14 1 10 I2 Al 15 16 14 5 10 94 28 4 15 18 l5 2 10 96 29 4 15 20 16 0 10 98 30 2 2l 22 16 4 10 60 31 1 2d 24 17 1 10 62 dol 21 26 17 6 10 64 33 1 YA 28 18 4 14 66 34 0 2l 30 I 14 68 34 6 21 32 20 0 14 70 39 0 Za 34 20 9 14 2 36 6 22 36 Zo 14 14 37 6 22 38 Dae ik 14 16 38 6 22 40 vA as 14 18 99 D 22 42 29 0 14 80 40 6 22 44 24 4 15 82 42 0 22 64 Crown rump length CRL Table Set1 Tokyo University Method CRL WEEKS S D mm w d days 54 12 4 7 6 6 3 T 8 6 6 7 96 29 T 10 dl T 98 13 0 7 12 1 4 T 60 13 1 T 14 O T 62 13 2 T 16 o 1 T 64 kou T 18 8 4 7 66 13 4 T 20 9 1 T 68 lio T 22
9. Tea T TU 13 6 T 24 9 4 T fe 14 0 8 26 9 6 7 14 14 1 8 28 10 2 T 16 14 2 8 30 10 3 7 18 14 3 8 32 10 4 T 80 14 4 8 34 10 6 T 82 14 5 8 36 11 0 7 S4 14 6 8 38 Ball T 86 15 0 8 40 11 3 T 88 15 1 14 42 11 4 T 90 l 14 44 11 6 T 92 15 3 14 46 12 0 T 94 15 4 14 48 2 1 T 96 109 14 DO 12 2 T 98 15 6 14 O 12 3 T 100 16 0 14 65 Crown rump length CRL Table Set2 Hadlock F P et al Method O 0 NNN DO 0 0 Q A w e Q A N O n to e A Ww Rh e pa pa pa pap pau m A SO T 4 Pl Pa en a TON NNN M0 0000000000 00000000000000 0000000000000 jS lt QOQ Ol CO N eae o a vv Nea OA CO F Oo O V Nae O Oy Ol to CO E E Rh e pap O DD dd ooo Ox O O Ay oo A a Aa a OF OTF A A A A A A ao wowo wo wo wo Ww wo Al 2 4 S 6 sal ml o 4 ES sO 0 l 2 3 4 6 6 en a 66 Gestational Sac GS Table Set1 Tokyo University Method GS WEEKS S D GS WEEKS S D mm w d days mm W d days 42 9 1 14 O 4 4 4 o O O 6 6 6 1 1 1 8 8 O 8 Oy Goo e DOD A GO e QOQ e O A e O A je 67 Gestational Sac GS Table Set2 Hadlock F P et al Method WEEKS S D GS WEEKS S D w d days mm w d days U mm 6 8 10 2 14 16 18 20 22 24 20 28 30 32 34 36 38 40 42 44 46 48 90 do 94 96 98 60 62 64 SO ARO A SE A A SON VERDE UR JW De GE SO do OP gon EO e Ro pa pao ppp pop pa pau o SO A E a fe A e
10. Tips At real time or freeze state press K to approve the location mark y then press to change the mark s direction use the direction key or trackball to mark the image area or body specimen Press 9 to select 5 TIME to modify the system s time and date The time and date input box 1s listed as bellow 23 YY MM DD HH MM SS For example the date and time are 2006 9 22 9 35 30 then the input should be YY MM DD 060922 HH MM SS 093530 Press 6 to select 6 HOSP to input hospital name input letters or numbers maximum 18 characters The hospital name input box is listed bellow PLEASE ENTER HOSP After input press any key except letter and number to confirm exit To cancel input you can press any key The hospital name will display after Hospital at the bottom of the screen see figure 3 1 shows Press to select 7 DOCT to put in doctor s name in letter or number maximum 15characters The doctor name input box is listed bellow PLEASE ENTER DOCT Press to select 8 LANGUAGE choose the system s interface language Preinstall function Press a to select 9 ERASE erase image s storage section The remind box is given bellow ERASE ALL STORAGE l MES 2 NO Press number key to confirm clearance When processing a word ERASING displays on the upper left screen to indicate that system 1s processing clearing and no other operatio
11. alo 31 4 28 6 34 6 145 19 4 o a 280 d c l ads Sou 150 20 0 18 0 22 0 289 32 4 29 86 00 0 159 20 3 18 4 22 4 290 99 30 1 36 1 160 20 6 18 8 22 8 299 33 4 90 6 36 6 165 21 2 KOZ e 300 34 1 ie AF OU zak 170 21 9 VIE 125 4 305 34 4 91 6 37 6 175 dial 20 2 24 2 310 95 l Sar 0040 180 22 4 20 6 24 6 215 30 4 92 0730 0 185 Zox l Aka tear a 320 36 1 99 090 0 190 23 4 21 6 25 6 329 36 4 34 1 39 1 195 24 0 2 60 2054 330 Sel 34 6 39 6 200 24 4 Bos 20s A 330 31 4 30 1 40 1 200 24 6 Lae Para 340 38 0 39 6 40 6 210 20 9 ZoZo 349 38 D 36 2 41 2 A 45 0 ZAN o 300 S l 36 1 41 7 220 26 2 24 1 28 9 399 39 9 91 2 42 2 220 26 6 24 6 29 0 290 zi Aos os 71
12. angles The angel range is 50 100 Tips When linear probe or rectal linear probe is used this function can not be used Reduce the angle can improve the image s frame rate and increase the cine loop frames DR vo Dynamic range adjusting key Press this key to lighten up DR on the screen top right corner Press Ct or key to adjust the dynamic range between 100dB 131dB 118 dB is recommended Depth Depth Depth Adjusting key Press or keys to adjust scan depth between 40mm 240mm The current depth displays at bootom screen see figure 3 1 The depth adjusting range of each probe is given below 7 9 MHz 20R 5 OMHz 60R 3 5MHz Endo rectal probe l 13R 6 5MHz Probe mode Micro convex Convex probe 7 5MHZz Endo cavity probe l probe HF linear probe Depth 70 240 40 90 80 150 50 120 range mm Table 3 1 Probes and their depth adjusting range 19 amp Zoom key At real time or freeze state press this key to display or close sampling windows and zooming window Reference Move zooming window and sampling window by trackball Press ra Key to switch the current window Figure 3 7 Image zooming sketch Tips Change the sizes of zooming window and sampling window by pressing or Ca keys at the same time The windows change pro rata The maximum size of zooming window is a quarter of the image display area of the screen de Image freeze key Press this key to
13. data 3 You can fulfill measurement by operating direction keys as well as trackball 4 7 Recall Penetration Sampling Line Under the real time estate single B mode press E key the screen will display the PT Sampling line it calls puncture lead line the trackball or left right direction keys can move to confirm the position if want to exit please press key 4 8 Cine loop and image storage function 22 The system provides separate memory area for storyboard view and image save 4 8 1 Saving a image Save When getting a satisfying image press to save the current image At the same time the current stored image serial number automatically displays at left top corner of the image area Such as SAVING 05 When the image s saving is finished the serial number will disappear After the saving the system enters a freeze mode 32 F press key to return to real time state The equipment can store 32 images at most and these images will be automatically numbered by their saving Save order For example The number 01 20 images has already been saved press key then the currently Save saved image will be numbered 21 When the memory is full 1 e Already 32 images in 1t then pressing key the screen will display as below STORAGE IS FULL ERASE NO 01 l YES 2 NO Tips replace the stored image number 01 press key to replace it with current image press key to exit this opera
14. figure 2 4 Figure 2 4 Charging through adaptive line 2 5 3 Charging through auto charger 1 Take out the battery from the main unit or take out the spare battery 2 Connect the flat end marked with an arrow of the auto charger to the charging terminal of the battery 3 Plug the other end of the auto charger into the cigar lighter socket 4 When the Charging indicator light on the adapter turns into red the battery is in charging when the Charging indicator light turns into green the battery 1s fully charged Refer to figure 2 5 Figure 2 5 charging through auto charger Tips 1 The input voltage of the auto charger is DC9 14V 1 5A 2 The output voltage of the auto charger is DC12 6V 1A 3 The operations and storage environment are the same as those of the main unit Chapter Three Keyboard and Trackball Operation you Probe modle amp Freq Bs Focus no amp space Frame correlation Frame rate Total gainAcoustic power PERLA Close plus and angle ae Gray level bar da Far plus and dynamic range Ege enhancement Gamaconr 3 1 Screen display PP Scan direction a Patient name a mm Scanarea p area Y b N N K Cine loop frames Playback bar Display depth Figure 3 1 Equipment interface illustration 3 2 Operating keyboard t DEPENDE SSI NES lT M Volosity mie mE Save Racal ip ie o S Ca C Figure 3 2 Operating keybo
15. frequency of each probe 1s given bellow 2 oMHz 3 oMHiz 9 OMHz 60R 3 5MHz convex array 4 5MHz 5 OMHz 5 5MHz 20R 5 OMHz micro convex probe 9 oMHz 6 5MHz 7 oMHz R13 6 5MHz endo vaginal probe 6 MHz 7 5MHz 8 oMHz 7 o MHz HF linear probe or 7 5Mz endo rectal probe The current probe frequency displays on the up right of the screen see figure 3 1 Tips 1 The device can automatically identify probes and display the probe s model when it get into the scan working estate see the top right corner of chart 3 1 2 Please shut down the system first before replacing probes Restart the system it can realize 25 automatic with default setting 4 5 Body mark ae At B B B B M 4B modes press key to active body mark There are 40 body marks press this key repeatedly to display these marks circularly 1 Abdomen AN E x Y Body front M a o Body front F J L x Body back f Body left side Fo x Body right side 2 Obstetrics L ate 6 BORG e 3 Head M a Q 4 GO 0G 26 4 6 Measurement Distance circumference area and volume can be measured by controlling the direction keys or trackball Unit of distance and circumference is mm unit of area is mm2 and volume is cm3 There are four measuring marks corresponding to measurement display DI x D2 X D3 D4 In circumference area measurement there have two measuring marks corresponding to m
16. quantities 7 5MHz High frequency linear probe B M Mode Non Non 2 scanning scannin l E Mode Scanning E S Scanning pen AaprtS Aaprt gt scanning lem lem Maximum index value index value 098 98 0 136 0 140 Acoustic working A OO MHz Output power mw power mw 0 060 060 0 060 060 Bounded output Power 5 12 5 12 mw Attenuated output Power 0 021 mw Spatial peak temporal average 31 34 intensity mw cm Attenuated spatial peak temporal average 11 95 intensity mw cm Pulse pressure squared integral mj cm Attenuated Pulse pressure 0 074 0 074 squared integral mj cm Peak rarefactional E A ES 3 pressure MPa Attenuated peak rarefactional acoustic pressure MPa 1 2dB output beam area cm Equivalent aperture diameter A OO a at max attenuated 2 55 pulse intensity integral cm Supplementary information 61 Appendix B Gestational Table Head circumference HC Table Set1 Hadlock F P et al Method WEEKS S D HC WEEKS S D w d days mm w d days e 8 210 23 11 HC mm 96 0 l 63 14 0 8 217 Z 11 70 12 6 8 224 24 3 15 TI 13 2 8 Z 29 1 15 04 10 8 238 20 6 15 91 14 1 8 245 26 4 15 98 14 4 8 292 E 15 105 15 0 8 299 28 1 15 112 15 3 8 266 29 0 15 119 15 6 8 213 29 6 15 126 16 3 8 280 90 5 21 133 16 6 8 281 31 4 21 140 17 2 8 294 32 4 21 147 17 6 8 301 33 9 21 154 18 3 11 308 34 3 Zi 161 18 6 11 315
17. shall be stated as either B Mode 13 Power up mode user defined or not applicable n a Freeze IEC 1157 4 2 21 Acoustic initialization fraction If appropriate in systems in which the user defined the initialization mode this shall be 15 Initialization mode stated as either user defined or not B Mode applicable n a IEC 1157 4 2 2n If the system has acoustic output freeze then Accoustic output this shall be stated as yes otherwise it shall 16 LA Yes freeze be stated as no IEC 1157 4 2 20 49 EN Output beam dimensions cm TABLE Summary of the acoustic quantities 60R 3 5MHz convex probe B Mode Non Non scannin scannin l Mode Scanning E 2 Scanning Non l AaprtS Aaprt gt scanning l pon l Acoustic working E MHz Output power mw power mw Bounded output Power mw Attenuated output Power mw Spatial peak temporal average intensity mw cm Attenuated spatial peak temporal average intensity mw cm Pulse pressure squared 0 046 integral mj cm Attenuated Pulse pressure 0 031 squared integral mj cm 2 Peak rarefactional acoustic 103 pressure MPa Attenuated peak rarefactional acoustic pressure MPa 1 2dB output beam area em Equivalent aperture diameter cm Heap mgen 1 1 To oo DepthforTmB em J f 1 po n o Depth at max attenuated pulse intensity integral cm Supplementary information 50
18. the contact pin in the probe connector Warning Please handle the equipment carefully 2 3 2 Installing and removing battery Install battery Set the battery into the battery slot in the right direction and then fasten the battery with the fixing screw refer to figure 2 1 Figure 2 1 battery installation Remove battery Loosen the fixing screw pull the battery out from the slot refer to figure 2 2 Figure 2 2 battery removal 2 4 Power Supply The equipment provides two automatic switch over modes to supply power adapter and built in battery 2 4 1 Power supply with adapter 1 Check the input power cord plug of the adapter to see if it matches the EPS outlet 2 Check the EPS to see if it is in the specified range and the power cord to see if it is connected well 3 Check the adaptor to see if it works well Plug the power cord into the AC input outlet switch on the power switch of the outlet if the DC output indicating light turns on green it works well 4 Shut the power switch of the outlet 5 Insert the DC output plug of the adapter into the DC14V 3A outlet in the rear of the equipment switch on the outlet 6 Turn on the main unit and the equipment 1s ready for operation now 2 4 2 Battery Operation 1 Install the battery correctly on the main unit 2 Switch on the power switch on the left side of the equipment When the main unit is power on the power indicator will turn on 3 The equipment can sta
19. Do not discard it mixing with other household garbage 6 3 Main unit maintenance Instrumentation environment should accord with 2 1 operation environmental requirement If device enclosure needs cleaning shutdown the device first and then wipe with alcohol sponges Device should not turn on and off frequently When the device does not work for a long time pack the device according to the instructions on the packing Store it properly in the warehouse The storage environment should accord with 5 1 Transportation and storage environmental requirements 6 4 Probe maintenance Probe is an expensive part and frangible Never hit it or drop it on floor When not working place the probe in the box and press key to set the probe at freeze state Please use medical ultrasound coupling gel during diagnoses The water prevention level is IPX7 so do not let water exceed the acoustic window see figure 6 1 6 2 6 3 6 4 6 5 Do daily inspection on the probe enclosure to see if it is cracked and avoid liquid leakage to spoil the inner components L LO Dal SG T Figure 6 1 C3 1 60R 3 5MHz convex probe water proof sketch Figure 6 2 EC1 1 Endocavity probe water proof sketch i Figure 6 3 L3 1 7 5MHz HF linear probe water proof sketch Figure6 4 C1 6 20R 5 0MHz convex probe water tight sketch Figure 6 5 EL3 1 7 5MHz rectal probe water proof sketch Once the probe is connected to the main unit do not remove it at
20. Introduction Chapter One Summary eee tet eee aa nsesooononooouonooononooononoooooooosooononooonanooononooonnnnon 1 l l Features ses sees essea 1 2 Range of application tt sees ee et eee eee eee EE EEE 1 3 Technique specifications gt sse eee eee eee eee ane eee Ee EEE EEE 1 4 Pane chart 000 000 000 eee eee CC 666 666 666 666 666 CC 666 666 666 666 666 666 666 666 666 666 666 666 666 666 666 666 666 ooo 1 5 Basic principle 1 6 Equipment constituent eer ereer reer errer rer rre ereer EEE EEE EE l T shape cc cc 0 000 00000 Chapter Two Installation sss sss sss ess sse s es con cee Ke con RRR RRR co RRR casaco ce corar e co conta nado 2 1 Operating environmental requirements Ee EES REE ett ete EE EEE EEE E E CEE eee eee EE K 2 2 Unpacking inspeCtiON gt sese eee eee eee Eeee Ee EEE EEE 2 3 Installation COCO OCO GOGO O OU EGO RRR CO GON eee eee eee CO eee ses GON RRR HOS RRR OO KON OO 00 0 000 2 3 1 Connecting probe and main Uit 90 tt se see EEE EEE EEE E EE eee eee eee E EEE EEE EEE 2 3 2 Installing and removing battery 46 eee eee eer eer eE non E E EEE EEE EEE 2 4 Power Supply 2 4 1 Power supply with adanpnter s esse eee eee eee eee Ee EEE EEE EEE 2 4 2 Battery Operation 99 eee eee eee E eee EE EEE 2 5 Battery charging 2 5 1 Charging through main unite se esse eee e eee eee eee EE E EEE EEE EE EEE 2 5 2 Charging through adaptive line esse sse eee eee e eee eee EE EE E EEE EEE EEE 2 5 3 Charg
21. Mode Non scanning Acoustic working frequency MHz aki sen Output power mw En a O n on on Bounded output Power mw Attenuated output Power mw Spatial peak temporal average intensity mw cm Attenuated spatial peak temporal average intensity mw cm Pulse pressure squared 0 0097 integral mj cm Attenuated Pulse pressure 000 squared integral mj cm Peak rarefactional acoustic 1 08 pressure MPa Attenuated peak rarefactional acoustic pressure MPa 2dB output beam area cm Equivalent aperture diameter a Depth for TIS em for TIS cm Depth for TIB em ao on ao on S S Depth at max attenuated pulse intensity integral cm Supplementary information 56 TABLE Summary of the acoustic quantities 13R 6 5 MHz antrum probe M Mode Non scanning Acoustic working 462 nu MHz E output Power mw Attenuated output Power MO 006 mw Spatial peak temporal average intensity mw cm Attenuated spatial peak temporal average 0 22 intensity mw cm Pulse pressure squared 0 0029 0 0029 integral mj cm Attenuated Pulse pressure 9 0914 0 0014 squared integral mj cm 2 Peak rarefactional acoustic 0 70 pressure MPa Attenuated peak rarefactional acoustic pressure MPa 1 2dB output beam area em Equivalent aperture diameter cm Depth for TIS em Depth for TIS em TIS cm Depth for TIB cm o Depth at ma
22. Type Transducer No CP0540100 1 Maximum power mW Maximum temporal average power output P IEC 1157 4 2 2a mn Peak negative acoustic pressure frequency Output beam monn kaa tees 420 Soatial peak temporal average derived Ispta mW cm2 intensity IEC 1157 42 2d l Ultrasound instrument console settings a Distance form the transducer output face to A the point of maximum pulse pressure squared 25 integral IEC 1157 42 21 1 1 99 Wpb6 mm 6dB pulse width GL P IEC 1157 4229 Pulse repetition rate o IEC 1157 4 2 2h di srr Hz Scan repetition rate IEC 1157 42 2h ap de Dimensions parallel II and 1 perpendicular to the reference direction shall be specified For scanning modes these shall refer to the central scan line only In Output beam 10 l E many cases especially contact systems these 4 37 dimensions cm2 l dimensions may be taken as the geometrical dimensions of the ultrasonic transducer or ultrasonic transducer element group IEC 1157 4 2 21 Arithmetic mean acoustic working frequency Des ens 422 ser w power up fraction A ESA system in RR the user defines the Pomo power up mode this shall be stated as either B Mode user defined or not applicable n a Freeze IEC 1157 4 2 21 Acoustic initialization fraction E If appropriate in systems in which the user defined the initialization mode this shall be 15 Initialization mode stated as either user defined or not B Mode a
23. aintenances e eeeeeeeeeeseeeoeeeeeoeeeeeoeeeeeoeeeenoeoeouoeoeoeoeoeooeoocoees 6 1 Check CRER O 6 2 Service life ooo oooooooormoncancanannconannconacrconccrcorcrrccrccrccrccrccrrcrccrrorccrrrssrss 6 3 Main unit maintenance ss sss eororrrcrccanccacanccccancccconcccconcccccrcccccrcrcccrccrccrcccccccsoso 6 4 Probe maintenance ee sss sss sss sss s s 5 S s 5 S eet 5 5 S 5 5 5 RRR RR RRR RR RRR RR RRR RR RRR RR RRR RRR RRR 6 5 Cleansing ses ess sese cee GGE GOU EGO AGO GOU OO RRR OUE GOU RRR EGO OO OO OO eee eee RRR eee GOU GOU CHOU KOU CHO ro ross 6 6 Correct usage of probe COCO sese OO OO ces OO OO eee RRR eee OHH GOU O O cee LOU ces OO KEU KEU oo RRR ss o ss o UU 0 004 6 7 Battery INFOTMATIONs S s 5 S 5 5 ee K 5 5 S S 5 K 5 5 K tees KSSR RRR RRR RRR RRR RRR RRR ancas aros cascas cascas caso 6 8 Instrument test and Calibrations sss sss sss sss ss s s s s s s 5 S 5 5 S 5 5 55 RRR RRR RRR RRR RRR RRR Chapter Seven Malfunction Examination and Troubleshooting eettereerereeeeneerecennercenene 7 1 Examination cercrecescercesssscessccccccccccccccccccccccscccccscccsccscssscscssscscssccscescescesces 7 2 Troubleshooting ses ses O OO OO Os EGO EGO GOU RRR OO OUE GOU GOU EGO O esses esses GOU OUE GOU GOU KOU HOU CU 0 000 Appendix A Sound Output Specifications Table eeeeeeeceeccnccoccncconcneconcnaconcnoooooooooooooone Appendix B Gestational Table CO OCO Ce RRR 666 o RRR RRR GOU RRR RRR RRR RRR e o o RRR KEU KCE oo KOU UEH co 000 Introduction Version V1 10E
24. al mj cm Peak rarefactional gg dk L m pressure MPa Attenuated peak rarefactional acoustic pressure MPa 1 2dB output beam area em Equivalent aperture diameter cm Depth for TIS em Depth for TIS em TIS cm Depth for TIB em a a O O RO Depth at max attenuated 5 55 pulse intensity integral cm Supplementary information 52 TABLE Summary of the acoustic quantities 20R 5 0MHz convex probe B Mode Non scanning Acoustic working frequency MHz S AOR Output power mw ee a O e n Bounded output Power mw Attenuated output Power mw Spatial peak temporal average intensity mw cm Attenuated spatial peak temporal average intensity mw cm Pulse pressure squared 0 0095 integral mj cm Attenuated Pulse pressure 020055 squared integral mj cm Peak rarefactional acoustic 077 pressure MPa Attenuated peak rarefactional acoustic pressure MPa 2dB output beam area cm Equivalent aperture diameter a Depth for TIS em for TIS cm Depth for TIB em a on ao on on S Depth at max attenuated pulse intensity integral cm Supplementary information 53 TABLE Summary of the acoustic quantities 20R 5 0MHz convex probe M Mode Non scanning Acoustic working 493 a MHz Co output Power mw Attenuated output Power mw Spatial peak temporal average intensity mw cm Attenuated spatial peak temporal averag
25. ard sketch LA Alphabet keys Press these keys at annotation mode to put in characters at the cursor position Among the alphabet keys there are some keys with dual functions At freeze press this key to enter or exit report interface detail in 5 7 At real time or freeze press this key to adjust acoustic the Equipment has 80 percent and 100 percent can switch to each other circle At real time or freeze press this key to clear notation and report information on the image or the characters area Total gain control key There are four steps 25 30 35 40 Press this key to set them circularly Under the real time estate single B mode press this key a To display the puncture lead detail operation see 4 6 5 In real time estate press this key to switch the probe frequency detail operation see4 4 Press this key to overturn up down of the image see chart 3 3 Press this key to overturn left right of the image see chart 3 4 Under B BB 4B modes press this key to activate l 7 The body mark detail operation see 4 5 Figure 3 3 Image up and down flip sketch Figure 3 4 Image left and right flip sketch Tips probe scan direction indicator inside the red circle is the image left right overturn mark The equipment default scan mode is the left chart s scan mode Space key At annotation press this key to input space after cursor 15 ai Backspace key At annota
26. ase tell the patient that it is needed to put the probe into her vagina Explain the course and advantages of per vaginam ultrasonic examination and release her tension 2 Patient posture Take the posture of bladder lithotripsy 3 Scanning method Put some coupling gel into the disposable sterilizing plastic jacket or a condom and then cover it on probe apply some coupling gel on the cover and separate the nymphae with left hand to expose vaginal orifice hold the probe with right hand and put it into the vagina gently can check The position of probe in vagina will influence the image definition In general put the probe closely against vagina vault or cervix Sometimes it 1s depending so move or rotate the probe for a better known of the cavum pelvis For the moment there 1s no hard and fast rule for image position The near field can be the upper as well as the lower Please identify the image direction As same as per abdomen ultrasonic examination first take vertical section scanning and check the uterine position size outline and each stool section muscle wall and endomembrane echo state as well as cervix vertical section Wiggle the probe right and left to display the two ovaries image Then contra rotate probe 90 to scan the uterine and two appendices cross section Since most of per vaginam ultrasonic examinations are taken on average examining table instead of special gynecologic examining table probe operation might be influenced
27. ated Pulse pressure S 7 0 059 squared integral mj cm Peak rarefactional acoustic pressure MPa Attenuated peak rarefactional acoustic pressure MPa 1 2dB output beam area em Equivalent aperture diameter cm Depth for TIS em Depth for TIS em TIS cm Depth for TIB em a n ao n n S Depth at max attenuated pulse intensity integral cm Supplementary information 59 TABLE Summary of the acoustic quantities 7 5MHz High frequency linear probe M Mode nx mM ms ms ms mB mB ric Non Non scanning scanning Mode Scanning Scanning Aaprt lt Aaprt gt das l E l mn Maximum index value index value 098 98 00014 0014 0 0052 0052 Acoustic working A MHz Output power mw power mw 0 060 060 0 060 060 Bounded output Power mw Attenuated output Power om 021 mw Spatial peak temporal average 31 34 intensity mw cm Attenuated spatial peak temporal average 11 95 intensity mw cm Pulse pressure squared 0 19 0 19 integral mj cm Attenuated Pulse pressure Ng 0 074 squared integral mj cm Peak rarefactional acoustic pressure MPa Attenuated peak rarefactional acoustic pressure MPa 2dB output beam area em Equivalent aperture diameter cm Depth for TIS em kew RS O O RO Depth for TIB em Depth for TIB em TIB cm Depth at max A pulse intensity integral cm Supplementary information 60 TABLE Summary of the acoustic
28. e At real time of freeze press this key to save the current image refer to 4 5 1 Image Saving for details Load image Press this key to recall the stored image refer to 4 5 2 Image loading for details Measurement For volume fetus weight measurement and histogram see 4 4 for details MTI Cine loop At freeze state press this key to enter cine loop refer to 4 5 3 Cine Loop for details Measurement operation Cooperate with 4 cd keys to finish the measurement of distance girth area cubage Detail 17 operation see chapter four Confirmation For menu selection when operating by trackball Confirm the contents when noting At real time or freeze press this key to display body mark A Cancel key Within the annotate operation cancel the annotate comment Within the distance measurement finish the distance s measurement B B display model At any state press this key to enter B mode default mode 1s single B at starting up Double B display mode key Press this key to enter BB mode And there will be two B mode images displayed on the screen One of them 1s a Frozen image and the other is a real time image Repress this key can make the two images switch between the states of Frozen or real time Press Freeze key to freeze these two images LI BM M mode display key Press this key to enter B M mode B mode and M mode images will be displayed on the scr
29. e 0 52 intensity mw cm Pulse pressure squared 0 0085 0 0085 integral mj cm Attenuated Pulse pressure 50040 0 0040 squared integral mj cm 2 Peak rarefactional acoustic pressure MPa Attenuated peak rarefactional acoustic pressure MPa 1 2dB output beam area em Equivalent aperture diameter cm Depth for TIS em Depth for TIS em TIS cm Depth for TIB cm o Depth at max attenuated 2 30 pulse intensity integral cm Supplementary information 54 TABLE Summary of the acoustic quantities 20R 5 0MHz convex probe B M Mode Non Non scanning scanning Non Scanning i l AaprtS Aaprt gt scanning lem lem Acoustic working nu MHz Raso AOR E output Power mw Attenuated output Power mw Spatial peak temporal average intensity mw cm Attenuated spatial peak temporal average 0 52 intensity mw cm Pulse pressure squared 0 0095 0 0085 integral mj cm Attenuated Pulse pressure 0 0077 0 0040 squared integral mj cm 2 Peak rarefactional acoustic 0 77 pressure MPa Attenuated peak rarefactional acoustic pressure MPa 1 2dB output beam area em Equivalent aperture diameter cm Depth for TIS em Depth for TIS em TIS cm Depth for TIB cm o Depth at max attenuated 3 05 pulse intensity integral cm Supplementary information 55 TABLE Summary of the acoustic quantities 13R 6 5 MHz antrum probe B
30. e following comment The name input box will appear on screen as follows PLEASE ENTER NAME After input press any key except letter number keys to exit To cancel input you can press any key The name will display after NAME on top of the screen For example input WANG NING then press any non character Zoom key e g to finfish input Press 2 J to select 2 AGE to put in patient age 3 characters at most The age input box is given bellow PLEASE ENTER AGE After input press any key except letter number keys to exit To cancel input you can press any key The age will display after AGE on top of the screen For example input 27 then press any non number key e g to finfish input Press 3 to select 3 SEX to put in patient sex The input box is given bellow PLEASE ENTER SEX l MALE 2 FEMALE Press 1 to select 1 MALE and 2 to select 2 FEMALE Press to select 4 COMMENT to enter image notation The white cursor will display on the screen Move the trackball cursor you can annotate anywhere within the image area At the same time the bottom of the screen will display the Chinese character s shortcut key press the corresponding number keys 0 9 the cursor will input the same characters Cancel When finishing the comment press _J key on the board to end this operation or press ar to cancel the comment
31. easurement area to the end point by controlling the trackball Reference 3 Press a key again to end the measuring of circumference and area 4 Press key and repeat the above steps 2 3 to process another measurement Two groups of data can be measured at most And the measuring results display on the screen right as given below 28 Figure 4 4 Circumference and area measuring sketch Freehand method Cl and Alare the circumference and area of the first group data C2 and A2 are the circumference and area of the second group data C1 C2 is the ratio of the two circumferences A1 A2 1s the ratio of the two areas b Ellipse measuring method 1 Press key to select Ellipse method an ellipse measuring mark display on the screen which is named the measured area can be moved to any place on the image by trackball 2 Press key then move the trackball to change the size of this measured area Move trackball left and right the measured area shrinks or enlarges horizontally Move trackball up and down to shrink or enlarge the measured area vertically Tips Press key repeatedly to shift between moving the mark and adjust the size by trackball Reference 3 Press rem key Move trackball to adjust the angle of the measured area 4 Press key to finish measuring 5 Press key and repeat the above steps 2 4 to process another measurement Two group s data can be measured at most And the measuring results display on the screen r
32. easurement display as below Cl Al x C2 A2 4 6 1 Distance measurement Operation steps Distance 1 Press fm key and the first cursor appears on the screen Reference 2 Press tow key the second cursor appears on the screen Reference 3 Move the cursor to the start point of this measurement by controlling the trackball press freno key again to confirm the start point 4 Move another cursor to the end of this measurement press to fulfill the measurement and exit Tips Reference Press tna key repeatedly to switch between the start and end points of the measurement 5 Go on measuring just repeat step 1 4 to get at most 4 groups of distance measurement The measuring results 27 display on the screen right as the following figure shows Figure 4 3 Distance measurement sketch The four groups of data are D1 D2 D3 D4 among them D1 D2 is the ratio of D1 and D2 D3 D4 is the ratio of D3 and D4 4 6 2 Circumference and Area Measurement The circumference and area can be measured in two ways Press ON to display this menu as given below Put in I FREEHAND 2 ELLIPSE Option 1 is FREEHAND measuring method and option 2 is ELLIPSE measuring method a Freehand method operation 1 Press m key to select frechand method and call out the measuring cursor move the cursor to the start point of the measurement Reference 2 Press tre key and move the cursor along the edge of the m
33. ee 0 0 2 4 0 2 2 4 4 0 2 4 4 6 0 3 3 D 0 0 2 4 0 2 6 0 4 0 0 pl Sa 68 Biparietal diameter BPD Table Set1 Tokyo University Method BPD WEEKS S D BPD WEEKS S D mm w d days mm w d days 56 D gt 11 98 11 Zo 24 20 29 26 ale 28 29 29 30 ai IA 39 34 39 o O ooo 0 1 A A A A A NN 31 39 42 O oOo oOo oa O O e e e O O O Lar uU QoQ oO N Ol OO o 0 0 4 U 0 W m ed AU o 0 o ne SU o T U 4 ee 69 Biparietal diameter BPD Table Set2 Hadlock F P et al Method BPD WEEKS S D BPD WEEKS S D mm w d days mm W d days 60 ZA 16 62 16 Zi 20 26 Zil Z 28 29 30 Jl Js 39 39 34 JI 36 O SO OO YO OO ove 38 39 40 41 e e N O A A OO Q O e N A oO QO e V A Q e A Ro v 0 il A ll A 0 A AU A O A al o ela Ro A ak 0 o 0 70 Abdominal circumference AC Table Set1 Hadlock F P et al Method AC WEEKS 95 Conf WEEKS 95 Conf mm W d Limits d W d Limits d 100 15 4 Lo a 299 21 9 LISO L O 105 16 1 14 2 13 0 240 28 1 26 0 30 4 110 16 4 14 6 18 4 245 20 O 26 930 9 115 16 6 15 0 18 8 290 E T 21 0 31 4 120 17 2 15 4 19 2 299 29 9 20 ks 9 125 17 6 IHS pu ES Pah 260 90 1 Zle A Osi 130 18 1 16 2 20 2 269 30 4 21 60 33 6 135 18 4 16 6 20 6 210 oke 28 1 34 1 140 19 1 IEO E E
34. een BM or B M for shortened form At the same time B mode real time image 1s on the left and M mode real time image 1s on the right Press this key again to enter M mode then M mode image will be displayed on the screen Press this key to convert from BM to M M to BM E 4B mode display key Under the single B or BB mode press this key to enter 4B mode and display 4B mode images One is real time the other three are all frozen images Press this key repeatedly to switch each image between freeze and real time circularly Press the freeze key to get four Frozen images Single B mode BB mode BM mode 18 M mode 4B mode Figure 3 6 Five display modes sketch Adjusting keys Adjusting keys are used to adjust focus position dynamic range scanning angle zoom cine loop See Chapter 4 Operation Procedures FPin L S Focus number selection Press this key to lighten up the focus number on the screen right top press again to change the focus numbers There are two focus at most Press this key to switch between one focus to two Xx Focus space selection When set the focus number as two their distance can be adjusted There are 5 levels focus space 2 3 4 5 6 and press this key repeatedly to switch among them circularly Scan angle selection key Press this key to lighten up the Angle on the up right screen press Ct or Ca to change the scanning
35. eport interface 4 11 Image processing 37 Image Press key to display the image processing menu as given below It provides image positive negative flip GAMA calibration statistic histogram edge gain and other image processing functions 1 Posi Nega 2 GAMA calibration 3 Histogram 4 Edge enhancement 5 Exit Press to select 1 Posi Nega to change the image polarity as given below Figure 4 12 polarity sketch Press to select 2 GAMA calibration to lighten up GAMA on the up right of the screen There are 4 levels G1 G2 G3 and OFF press 9 to select them circularly Tips This function is set for video output and external devices e g video printer adjustment and is recommended to set at OFF during operation Press to select 3 Histogram to process histogram statistics as the following procedure Image At freeze press J L key to display the menu select 3 Histogram to call out a rectangle window on the Measure image press LE key to calculate the gray scale pixel numbers The result displays on screen right as the following figure shows Figure 4 13 Histogram sketch 38 Horizontal ordinate indicates gray scale degree vertical ordinate indicates number PT indicates total quantity of pixel dots in the rectangular window Gm indicates the corresponding gray scale of the curve at the vertical peak Pm indicate the quantity of pixel dots at Gm gray scale Fr
36. erce normal hit pierce temperature 4000V 1min No flashover No 2 Test the software of obstetrics area and circumference measurement please refer to Appendix C for detailed data 46 Chapter Seven Malfunction Examination and Troubleshooting Chapter Seven Malfunction Examination and Troubleshooting 7 1 Examination Examine whether the supply power is in normal state The power line of the main frame has been properly connected and inserted in the electric socket Examine whether the probe has been connected to the device correctly 7 2 Troubleshooting Troubleshooting see the following diagram Malfunction phenomena Troubleshooting aid 1 Check the supply power Power adapter indicate light does 2 Check the adapter power cable and Not work connector plug Check the main unit supply power Main unit power light doe not work Cable and whether the connection Is all right 1 Check the adapter supply power the supply power effected by other equipment strike fire distur The screen display disconnected stripe 2 Environment check effected by disturb snowflake shape disturb Around magnetic field disturb 3 Check the probe connector plugs and connector jack 1 Adjust overall gain 4 Screen image display not clear i 2 Adjust fake colour contral key 47 Appendix Sound Output Specifications Table TABLE Summary of the acoustic quantities 20R 5 OMHz convex probe B Mode Test Mode B MODE Transducer
37. hen the equipment is not shut down If it needs to switch on the equipment immediately after just shutdown please wait for 2 or 3 minutes to avoid breaking the equipment 40 Chapter Five Transportation and Storage Chapter Five Transportation and Storage 5 1 Environmental Requirements of Transportation and Storage Environmental temperature 40 C 55 C Relative humidity 10 100 Atmospheric pressure SOKPa 106KPa 5 2 Transportation All marks printed on the packing box are in accordance with the requirements of GB T191 2008 lt Packing Storage and Transportation Marks gt Simple shockproof installations are made in the packing box which adapt to voyage railway and highway and steamship transportation Avoid rain inversion and impact 5 3 Storage e When the device is stored for more than 6 months take out the device from the packing box Electrify the device for 4 hours and then put the device into the packing box according to the instructions way on the packing box Do not crisscross piling devices or keep the device to floor wall and ceiling e Keep the repository ventilative Avoid direct sunshine and caustic gas 41 Chapter Six Check and Maintenance 6 1 Check Check the equipment s power line and probe cable regularity 1f found any disrepair Broken phenomena taboo and relacing it immediately 6 2 Service life service life is 6 years The Discard the device according to local law
38. ight as given below 29 Figure 4 5 Circumference and area measuring sketch Ellipse method Cl and Alare the circumference and area of the first group data C2 and A2 are the circumference and area of the second group data C1 C2 is the ratio of the two circumferences A1 A2 is the ratio of the two areas Attention Ellipse measure operation can only be done under the freeze estate 4 6 3 Volume measurement Volume can be measured in two ways 1 Volume measurement utilizes 3 axle method to measure 3 groups of distances and then calculate them To fulfill volume measurement first measure three distances and then press key to get the volume If the measured distance data 1s less than three groups pressing does not get volume 1f four distances information are measured when pressing key the result 1s the value of the first three data D1 D2 D3 Operation procedure take kidney as an example 1 Get the kidney cross section image and profile section image respectively and freeze them 2 Measure the long axis and short axis lengths of kidney cross section with distance measurement method 3 Measure the diameter of kidney profile section with distance measurement method Measure 4 NM a lt key to fulfill volume measurement The volume cost displays at the lower right corner of the screen behind Vml as the following figure shows 30 Figure 4 6 volume measurement sketch 3 axil metod 2 Utilizes ellipse mea
39. ing through auto charger gt s sse eee eee ree Cee CE CE E CEE EEE Chapter Three Keyboard and Trackball Operation 555s ees eee ee Ce E EE 3 1 Screen display 3 2 Operating keyboard sese eee eee ee eee 3 3 Track balls cre xes Chapter Four Operation Procedures 555 tre eee eee eee eee eee EEE EEE EEE EEE 4 1 Start the equipment 19 n test tren ee eee ses tot EEE EEE 4 2 Diagnosis COP CO eee oem eee eee eee 666 666 OCO OED EEE EEE 666 OO 666 NEN OEE EEE 666 666 CER EOD OHH EER 666 666 SED 666 OEE 000 4 3 Notation cce 4 4 Probe frequency switchover 19998 tre eee eee E eee EE EEE EEE 4 5 Body mark COP COREE O OO 666 666 666 666 666 666 666 666 EEE 666 666 666 666 666 666 OEE 666 666 666 666 EEL OEE OES 666 666 660 4 6 Measurement 000 000 000 000000000 666 CCO 666 ee 666 666 666 666 666 666 666 666 666 666 666 666 666 666 666 666 666 666 666 66 0 4 6 1 Distance measurement S s 5 S 5 S 5 5 ces 5 5 5 ane S 5 5 ae ott SERRE aco ecoa RRR RRR RR corro soc cessa das 4 6 2 Circumference and Area Measurements s sss ess sse ess ess eee eee eee ee eee Renee Kee 4 6 3 Volume Measurement eee coommmorrrnanaccanacanonoccncccconcccoroccnccororccccrccccororcccccsssso 4 6 4 Heart rate measurement only at B M modes EA 4 7 Recall Penetration Sampling LinG tett eee eee eee et ass onn EEE EEE EEE EE EEE 4 8 Cine loop and image storage fUnctiON 4 SS tt see annan oo E CEE CEE EEE EEE EEE EEE 4 8 1 Saving a image 10 10 10 10 10 10 11
40. ll too heavy when operating the trackball 2 Keep the trackball surface clean 21 Chapter Four Operation Procedures 4 1 Start the equipment Switch on the equipment indicator light on the panel turns on and the start interface shows on screen Press any key to enter the state of scanning Adjust the display brightness contrast overall gain to acquire a satisfying visual effect 4 2 Diagnosis Apply an amount of contact agent medical ultrasound coupling gel to the diagnostic parts of patient body and then press the acoustical window of the probe on the part closely The cross section acoustic image of tissues will be displayed on the screen move the probe properly to locate the optimum position for the investigation depth meanwhile adjust the overall gain near field gain far field gain or the focus properly to acquire an optimal cross section acoustic image of the diagnostic part Note 1 Do not press the probe too much to avoid breaking the probe or causing discomfort 2 Do use proper probe and frequency for the target part 4 3 Notation Annotation Press key to activate notation menu Show as below NAME AGE SEX COMMENT TIME HOSP DOCT LANGUAGE ERASE OBTABLE EXIT E ee Figure 4 2 Notation menu Press key to select 1 NAME to enter the patient name 15 characters maximum can be put in letter 22 number or space press to delete the input mistakes Same as th
41. mation 1 The equipment is fitted with rechargeable li ion battery 2 For optimum efficiency the new battery must be charged and discharged regular service not enforced discharging two or three rounds completely 3 The battery can be charged and discharged for hundred times but it will be worn out When the work time shortens apparently please replace it with a new one 4 Be sure to use electricity charger appointed by Co Ltd 1 e AC adapter to charge the battery Do not connect the battery to the electricity charger AC adapter when charging is not needed Do not connect the battery to the electricity charger AC adapter longer than 10 hours otherwise the battery life may shorten The fully charged battery will discharge by itself if it is long time out of use 5 Extreme environment temperature overcooling or overheating will influence battery charging effect Must not charge the battery near the ignition source or under extreme hot condition Do not use or store battery near source of heat such as fire or heater If find the battery 1s leaking or smelling move the battery away from the naked flame immediately 6 Don t go on using non serviceable battery and electricity charger AC adapter 7 Don t try demounting battery 8 Don t short circuit the battery 9 Do not throw the battery into the fire or heat it otherwise it would trigger an explosion 10 Do not souse or wet the battery 11 Do not incorrectly connect
42. n can be done at this moment When the reminder disappears the image storage 1s cleared Press to give up and exit 24 Press LA to select A OBTABLE to put in obstetric table The system is built in two OB tables TOKYO HADLOCK Table TOKYO is suitable for Asian and Table HADLOCK is suitable for European The remind box 1s given bellow PLEASE ENTER OBTABLE 1 TOKYO 2 HADLOCK Press A bro select TOKYO press 2 bo select HADLOCK Tips Head circle HC abdomen circle AC only have the Hadlock form this equipment does Not provide the HC AC form under the Tokyo formula Press qB to select B EXIT to exit comment menu Tips 1 When image storage erasing is in process system reminds Erasing please do not take other operations in case the equipment is damaged 2 The trackball can be used for operating the menu when the menu displays move the trackball Gonfirm up and down to select the items when the selected item is lightened press Jee to enter it LN key functions O at real time or freeze state press this key to clear off the measure marks comments measurement results doctor name age and sex in image area O At report interface clear off all the information and measurement results except Hospital doctor and comment information 4 4 Probe frequency switchover PR a At real time estate MES key change the working frequency of the probe The
43. ndo vaginal probe probe probe Display depth mm 240 max 16 levels adjustable lt 2 depth S lt 3 depth S Lateral keep Gu lt 1 depth 60 lt 1 depth lt 40 Resolution 80 60 mm lt 2 depth S lt 1 depth Axial lt 1 depth 80 lt 1 depth 40 80 60 Blind zone mm lt lt lt lt Pe so lt ao position lt 5 lt 5 Distance circumference area volume heart rate GA FW EDD precision Vertical lt 10 lt 10 Display mode B B B B M M 4B Image gray scale 256 level Scan depth 40mm 240mm 1 4 Pane chart Digital wave bundle synthesize Correlation M Mode AJ Processing Address Transmitting Control Video Frame w B Mode Regulation Synthesizing RAM A Address Crystal Diagram and E Gray Read and Oscillator CPU Character Levels Write Control Figurel 1 electronic principle pane chart Video synchronizat 1 5 Basic principle Digital Ultrasonic Diagnostic System works in this following procedure different tissues of human body possess different densities and speeds of transmission of ultrasound 1 e different acoustic impedance product of media density and sound speed when piezo chip transductor gets certainly regulated electric impulse it will produce ultrasound with certain frequency when this ultrasound sound energy is injected into human body different organ surfaces will produce reflection echo the different size reflection is received by the transd
44. nt measurement items Therein distance circumference area volume ect will be saved in Routine Report measuring results such as gestation age expected date of delivery fetus weight etc will be saved m Obstetrics Report At B BB BM 4B mode when fulfilling patient information comment diagnoses and foci distance A circumference area volume measurements keep the image in freeze state press key to switch to Routine Report interface as given bellow 36 Cots MN 144mm Figure 4 10 Routine report sketch At B BB 4B mode when fulfilling patient information comment diagnoses gestation age and expected date of cs delivery Fetus weight measurements keep the image in freeze state press key to display Obstetrics Report interface as given bellow a N a Til a ns Ta a FLEEPD AC gt RATIO a PR MT TEN f Figure 4 11 Obstetrics Report sketch Tips Annotation 1 At report interface press key to add comments but other content can not be amended At most three times Biparietal diameter BPD femur length FL Crown rump length CRL Gestation sac GS can be measured at most three times 1 2 3 indicate the measuring times AVG indicates the average value of these three measurements 2 Fetus weight FW BPD AC is acquired from calculation on Biparietal diameter BPD and circumference of abdomen AC 3 Press Ur key repeatedly to switch between diagnoses interface and r
45. od the 35 corresponding obstetrical table data display on screen right As below GS 035mm G A 08W 0D EDD 06 08 17 GS Gestation sac Press to select 7 First day of last menses a reminder displays Put in the first date of the last menses MM DD This reminder ask to put in the first date of the pregnant woman s last menses in the date format MM DD For example May 11 put in 05 11 When the correct date is put measuring result will displays at EDD on screen right in the format of YY MM DD for example 07 02 21 means that the expected date of delivery is on February 21 2007 Note In expected date of delivery calculation the system date must be correct The default standard pregnancy period in the system is 40 weeks In last menses method measuring if the time interval between the input date and the system date exceeds 40 weeks the inward date will not be accepted and need to be put in again Under the condition of item 1 if the inward date is bigger than the current system date it will be regarded as the date of the last year Clear After measurement press a key to clear the screen for the next measurement Otherwise Press to select 8 Exit to exit OB table 4 10 Report The information of patient diagnostic comments measuring results as well as hospital date time doctor will be saved in the report System will generate a routine report page automatically according to differe
46. om the above figure in the rectangular area the total number of pixel dots 1s 10000 At dray scale 16 there are 461 dots the most image pixel dots Press 4 to select 4 Edge enhancement to lighten up the EDGEEN on the up right screen Then edge enhancement 19 adjustable There are 9 levels OFF EE1 EE8 which can be adjusted by pressing Ct 9 Tips This function is a special item and recommended to set at OFF during operation Press to select 5 Exit to exit the menu 4 12 Per rectum examination procedure 1 Empty the rectum before inspection after cleansing enema the patient take left lateral position put some coupling gel around the endo rectal probe tip and put on the rubber sleeve one time use 2 During inspection ask the patient to release the anus or take defecating then breathe deeply to cooperate doctor s inspection The first is anus digital examination to know the position size texture of the lesion and see if it is painful when pressing it and if there 1s blood on the finger 3 Put the probe into anus about 2 3cm slowly take a close look at the image then go deep into the recta gradually and check each position At the same time press gut gently by putting hand on pubes at lower rump to enhance image definition 4 13 Per vaginam examination procedure 1 Preparation before inspection It is different from ultrasonic examination per abdomen no need to suffuse the bladder But ple
47. or to enter manual review mode Press Ce to play increase image Cine loop by frame and press 9 to play decrease by frame And press key to return to auto review mode 3 When review at B B B mode switch between B B and B to play the images in difference windows Mi L Free 4 To exit cine loop press key Tips 1 If changing the image scanning mode probe or display mode cine loop can not be processed immediately Normally cine loop can be done 30 seconds after scanning 2 At cine loop mode roll trackball can play cine by single frame When roll trackball up cine is played from small number to big roll it down the reverse Press Cine loop key to go on auto playback 3 Replace probe or change the scan angle the cine loop frame may change The standard results depend on the display data on the left bottom of the screen 4 9 Obstetrics calculation The equipment can calculate gestation age expected date of delivery according to 7 parameters such as BPD FL AC HC CRL GS first day of the last menses Therein BPD AC HC can be used to calculate fetus weight OB tabl e Press key to display obstetrics table menu as given below TOKYO 1 BPD FW 2 FL 3 AC FW 4 HC FW 5 CRL 6 GS 7 LMP 8 EXIT Figure 4 9 Obstetrics table menu sketch Press to select 1 BPD FW then measure the distance according to distance measurement method the corresponding obstetrical table data display on screen right
48. pplicable n a IEC 1157 4 2 2n If the system has acoustic output freeze then Accoustic output this shall be stated as yes otherwise 1t shall 16 Yes freeze be stated as no IEC 1157 4 2 20 48 3 31 1 TABLE Summary of the acoustic quantities 20R 5 OMHz convex probe M Mode Test Mode M MODE Transducer Type Transducer No CP0540100 Maximum temporal average power output Maximum power mW IEC 1157 42 29 0 070 Test Peak negative acoustic pressure Output beam intensity 5 0MHZ lob mWiem n 0 039 Soatial peak temporal average derived IsptalW cm intensity 1 26 IEC 1157 4 2 2d Ult d inst t le settings eee L Distance form the transducer output face to the point of maximum pulse pressure squared Lp mm integral IEC 1157 42 21 o lies 6dB pulse width e 3 30 pos mm IEC 1157 4 2 28 L 2091 Pulse repetition rate EI prr KHz IEC 1157 4 2 2h 0 148 wa Scan A rate eo E n Dimensions parallel II and al perpendicular to the reference direction shall be specified For scanning modes these shall refer to the central scan line only In many cases especially contact systems these dimensions may be taken as the geometrical dimensions of the ultrasonic transducer or ultrasonic transducer element group TEC 1157 4 2 21 Arithmetic mean acoustic working frequency it EC IST 422 MEM Acoustic power up fraction j In system in which the user defines the power up mode this
49. rt operation Note When the charging electric quantity indicator flashes it means the battery is running up and needs charging 2 5 Battery charging There are 3 ways to charge the battery 2 5 1 Charging through main unit 1 Install the battery correctly into the main unit 2 Insert the plug of output DC14V 3A of the adapter into the DC14V 3A interface on the rear 3 Connect power cord of Input AC100 240V 50 60Hz of the adapter to the AC EPS 4 No matter the main unit is power on or shut down when the Charging Electric Quantity indicator turns on in circulation the adapter is charging the battery When the four LED turn on at the same time the battery 1s fully charged Tips To prolong the service life of the battery please do not stop charging until the charging indicator light indicates the battery is fully charged Figure 2 3 charging through main unit 2 5 2 Charging through adaptive line 1 Take out the battery from the main unit or take out the spare battery 2 Connect the round end of the adaptive line to the Charging DC12 6V 1A terminal of the adapter and the flat end to the charging terminal of the battery 3 Connect power cord of Input AC100 240V 50 60Hz of the adapter to the AC EPS 4 When the Charging indicator light on the adapter turns into red the battery is in charging when the Charging indicator light turns into green the battery 1s fully charged Refer to
50. splay the OB table and press the number keys to carry out the corresponding function Image Processi 2209 Image Post process menu Press this key to display image post process menu and press the number keys to carry out the corresponding function Reset Press this key to restart the system when malfunction and misoperation make the system DEAD unable to start 16 the system by pressing any other key M Valacity Frame correlation factors regulation M mode velocity option This key has two functions At B M mode or M mode enter real time state press this key to adjust the refresh velocity of M mode image B M mode equipment has 3 00S 2 508 2 008 1 258 four level reflash speed M mode equipment has 6 005 5 008 4 008 2 505 four level reflash speed Press this key repeatedly to set the velocity circularly The current velocity displays on the right of the screen Figure3 5 M speed display sketch map At B B B and 4B modes enter real time state press this key the frame correlation factors will display on the right top of the screen then press the ED to adjust the parameters of frame correlation factors The system provides eight factors 0 25 0 35 0 45 0 55 0 65 0 75 0 85 and 0 95 Press the continuous key the eight factors 1s setting circularly The current parameter appears on the right top of the screen see figure 3 1 amp Save imag
51. suring method to measure 2 groups of areas and then calculate them Operation procedure take kidney as an example 1 Get the kidney cross section image and profile section image respectively and freeze them 2 Measure the circumference and area of kidney cross and profile section with circumference and area measuring method 3 Press key to fulfill volume measurement The volume value will be calculated automatically and displays on screen right behind Vm1 as the following figure shows Figure 4 7 volume measurement sketch Ellipse method Tips If only a group of circumference and area are measured Volume will not be displayed 4 6 4 Heart rate measurement only at B M modes 1 At B M modes move trackball or direction keys to change the sampling line position and freeze it to acquire a satisfying heart beat oscillogram 2 Measure the distance between the three cardiac cycles wave peaks according to distance measurement method 4 groups data display at screen lower right corner they are heart rate HR unit C P M rate of slope EF unit mm s hour T unit mS refresh velocity ST unit s As following figure shows 31 Figure 4 8 Heart rate measurement Tips Clear Clear 1 Please identify the functions of key and key Press key to delete 2 measuring marks and results press N key to clear off all annotation notes including Doctor name age and sex and measuring marks results as well as report
52. switch between freeze and real time display Tips The screen s right bottom is displayed a freezen which means the image has been freezen Overall Y Gain 0 Overall gain adjusting key Press A key to increase the overall gain and press vV to reduce the overall gain Y j mm Near field gain adjusting key Press A key to increase near field gain and press V key to reduce near field gain Y Far 7 ar field gain adjusting key Press A key to increase far field gain and press vV key to reduce far field gain The current near field gain far field gain and overall gain are displayed respectively after N F and G on the upper screen Tips under real estat G key is the overall gain adjust key equipment has 25 30 35 40 totally four level parameter contiunely press this key those four level parameter will circle setting 20 3 3 Track ball Track ball 1s fast convenient in operation In this equipment the trackball functions show as below e Move measuring mark during measurement e Select these items in the menu during operation e Move the cursor at annotation state e Move the sampling line at BM mode e Display the puncture guide line s and moves it e Control movie replay on single frame show at cine loop mode e Move the sampling window and zooming window at zooming state e At histogram statistic mode Move the statistic sampling window Tips 1 do not press the trackba
53. the positive and negative polarity 12 Do not directly connect the battery to wall outlet or car lit socket 13 Must not short circuit the positive and negative polarity of the battery with led or other metal objects Must not transport nor store the battery with necklace hair pin or other metal objects 14 Must not pierce battery shell with nail or other sharp objects must not hammer nor step on the battery 15 Must not hit cast the battery and avoid mechanical shock on it 16 Must not bead the battery terminals 17 Must not decompound the battery in any way 18 Must not place the battery in microwave oven or pressure vessels 19 Must not combine the battery with primary battery such as dry battery or battery with different capacity models and types 20 Do not use the battery if it is smelling heating straining discolored or with other abnormal phenomena and remove it from the current consumer or electricity charger immediately and stop using it any longer 21 Do deal carefully with the discarded battery according to local related waste handling regulations 45 6 8 Instrument test and calibration 1 Check the leakage current of the device annually referring to the following data Standard Test Items Requirements Continuous V PREN Single current lt 1000 leakage malfunction current Crust Normal under creepage normal Single current lt 500 temperature malfunction creepage Sinole endurance hit pi
54. tion Select 2 No to abandon saving image then Save again the system will remind you if you want to cover image number 02 reason by analogy in turn Tips When the image memory is full if some saved images are reloaded then processing the saving operation the system will remind you if you want to delete this loaded image and save the current there from this serial number 4 8 2 View a saved image Recall At real time or freeze press key to display the following dialog box Please put in image number AH a dackapas Input the saved image number e g 01 then presses any key except numbers and letters Press J backspace key to clear the mistakes and input again to load the first image On the screen left bottom 01 32 means 01 1s the serial number and 32 1s the total amount of saved images in the memory Press to load other images Press gt key to return to real time or freeze state Repeat the above steps to load other images Tips O You can not load any image from an empty memory area O The input number should be from 01 to 32 when the input number is more than 32 the system will not take any operation 4 8 3Review storyboard mode 33 After starting up system has entered the real time state first collect cine loop images it will last for 30 seconds 1 Switch the equipment into freeze mode Press key to review images in circulation 2 During review press Ct
55. tion press this key to delete the input characters At non annotaion this key is the fake color control key the equipment provides five display Coloure when start up the equipmen s default colour is blue green background press This key the five colour cycle display then choose the colour needed The sequence is blue green background yellow blue background red light blue background black and white red background black and white o J lo Number character and direction key Numbers are used for time date settings age notation and function menu and selection When doing the measurement the direction key is used to move the meansure cursor sampling Line chart Statistic window puncture lead part enlarge sampling window and enlarge window Number character includes below double function keys Press this key to move cursor or sampling line left Press this key to move cursor up e gt Press this key to move cursor down a a B Press this key to move cursor or sampling line right Control the cursor moving speed by direction keys 3 J Clear Press this key to clear off the measuring marks notation data and measurement results on the image When some i menu is displayed it can not be cleared until the current task is finished ABC Notation Press this key to display the notation menu and press the above mentioned numbers or letters for notation OB OB Table Press this key to di
56. uctor which emitted ultrasound and is changed into electric impulse when this electric impulse is amplified demodulated digital scanned shifted and some other handling video standard signal is produced and organ cross sectional images are displayed on the monitor 1 6 Equipment constituent 1 6 1 Standard configuration pieces 4 Mainframe included one HYLB 319 battery 60R 3 5 MHz convex probe SP 2 power adapter Adapter power cable video frequency connect cable Charge wiring High speed USB connect cable User manual Z Inspection report Packing list 1 6 2 Optional pieces 4 20R 5 0MHz convex probe 4 7 5MHz High frequency linear probe 13R 6 5MHz vagina probe 7 5MHz recta probe Monitor Video frequency printer Sony UP 895MD Car charger 0049 Z HYLB 319 battery 1 7 shape Figurel 2 mainframe shape size s sketch map Es A DC 14v 3A O VGA VIDE Power Supply port VGA output Video out Probe port Figurel 3 mainframe back port sketch map Radiating hole Power switch Figurel 4 power switch sketch map of left side of the mainframe Charging battery indicator light O 0000006050063 Ea 0000000 po 000 000 V B 9000 689000 0 6 Figurel 6 under side sketch map of mainframe Chapter Two Installation 2 1 Operating environmental requirements a Environment temperature range 5C 40 C b Relative humidity range
57. will to avoid poor contact Note Do not press the probe on the patient too long to avoid discomfort 6 5 Cleansing 1 When the enclosure needs cleaning wipe it with soft dry cloths and then wipe gently with sponge dipped with 75 medical alcohol 2 When the inner part of the equipment needs cleaning power off the equipment first and open the enclosure and 43 vacuum it 6 6 Correct usage of probe In order to extend probe s service life and obtain optimum performance follow the instructions as below ON DWN Nn BW N e 9 Periodic inspection on probe cable socket and acoustic window Shutdown the device first and then connect or disconnect the probe Do not drop probe or flint body and never hit the probe acoustic window otherwise probe should be damaged Put the probe in the probe box when it is not in use Never heat the probe Never bend or pull probe cable otherwise the internal connection should be broken Use coupling gel only on probe header and then clean probe Inspect probe acoustical window enclosure and cable seriously after probe cleaning Never use the probe again if any crack or breakage is found Most of Probe could not be disinfected If antisepsis needed please use the asepsis probeheadgear 10 Suggesting to use asepsis probe headgear and asepsis gel during all antrum probe clinic application Do not open the probe headgear and gel package 44 6 7 Battery infor
58. wn flip left and right flip black and white flip and capacity cine loop Multi level scanning depth angle dynamic range acoustic power frame correlation factor regulation and focus number focal space focus position etc It offers more than 40 body marks Date clock display Name sex age doctor hospital annotation Distance circumference area volume heart rate measurement preset two obstetric tables to measure GA FW and EDD Many probes are optional for clinic diagnosis demands PAL D video output offers connection to external video image printer and big display and other equipments High speed USB port provides real time image transfer to the PC Using the touch pucker keyboard and tracball to operate it s quick convenience agility The equipment 1s jet molding enclosure and potable structure the usage of non industrial frequency transformer switching power supply programmable parts FPGA and surface mounting technology SMT make the whole unit highly compact The equipment is buildup by host probe adapter The maid probe is 60R 3 5MHz convex probe the optional probe is 20R 5 0MHz convex probe 13R 6 5MHz antrum probe 7 5MHz High frequency linear probe 7 5MHz recta probe 1 2 Range of application Be the same with the body belly viscera s ultrasound examine 1 3 Technique specification Model 20R 5 0MHz 7 5MHz HF linear probe Probe 60R 3 5MHz 13R 6 5MHz micro convex 7 5 MHz endo rectal convex array e
59. x attenuated 2 35 pulse intensity integral cm Supplementary information 57 TABLE Summary of the acoustic quantities 13R 6 5MHz antrum probe B M Mode nx JM ms ms ms mB po be po be Mode Scanning Scanning ka koi das ka e ao koi cm Acoustic working 436 frequency MHz Bounded output Power 1 00 1 00 mw Attenuated output Power 0 026 mw Spatial peak temporal average intensity mw cm Attenuated spatial peak temporal average intensity mw cm Pulse pressure squared 0 0097 0 0029 integral mj cm Attenuated Pulse pressure 0 0079 0 0014 squared integral mj cm Peak rarefactional acoustic pressure MPa Attenuated peak rarefactional acoustic pressure MPa 2dB output beam area 0 15 cm Equivalent aperture diameter cm Depth at max attenuated S 2 40 pulse intensity integral cm Supplementary information 58 TABLE Summary of the acoustic quantities 7 5MHz High frequency linear probe B Mode m ots ms ms mB mB mc Non Non scanning scanning Mode Scanning Scanning Aaprt lt Aaprt gt AD l ve l mn Maximum index value index value 08 83 KEN 135 EM 135 Acoustic working mame MHz Output power mw power mw mw Attenuated output Power mw Spatial peak temporal average intensity mw cm Attenuated spatial peak temporal average intensity mw cm Pulse pressure squared 2 0 16 integral mj cm Attenu
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