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VINNO6 Basic User Manual EN_label changed

1. Measurement Unit Accuracy Conditions Distance Lateral mm 5 Axial mm 5 Depth mm 5 Perimeter L amp W Ellipse Polygon Spline B Trace mm 10 Pee ET B Harmonic Ellipse Polygon Spline Trace mm 2 10 Volume L amp W amp H mm 3 30 Angle deg 5 Time s 5 M PWD TD Slope Velocity mm s 10 M Acceleration mm s 2 10 PW SV Depth mm 2mm PWD TD Velocity cm s 0 100cm s 10 100 130cm s 5 PWD CWD 50 only for reference CFI Angle cm s 0 60deg 5 Correction 60 80deg 12 PWD 14 2 10 Basic Performance Specification The table below lists this device basic performance specification of B mode including the penetration lateral resolution axial resolution dead area slice thickness lateral geometry distance precision and axial geometric distance accuracy Basic Performance Specification in B mode Specification 2 9C Frequeccy M 5 3 4 e e Hz 256 265 VINNG 8000098 Penetration mm 2160 2160 2100 2100 250 Lateral lt 3 Depths80 lt 3 Depths80 lt 2 Depths6 lt 2 Depths6 lt 2 Depths4 Resoultion mm lt 4 g0 lt Depths1 lt 4 80 lt Depths1 0 0 0 30 30 Axial lt 2 Depth lt 80 lt 2 Depth lt 80 Resolution mm lt 3 80 lt Depth lt 1 lt 3 80 lt Depth lt 1 e oo SE 30 30 Dead Area mm l
2. Thickness mm Lateral Distance lt 20 lt 20 lt 20 lt 20 lt 20 Precision Axial Distance lt lt lt lt lt Precision e Se Sa Se SH Specification G4 9E R 11 5 convex Frequeccy MHz 5 6 5 8 10 Penetration mm 280 240 240 230 Lateral lt 2 Depth lt 40 lt 2 Depth lt 30 lt 2 Depth lt 30 lt 1 Depth lt 30 Resoultion mm Dep Dep Dep Dep Axial lt 1 Depth lt 40 lt 1 Depth lt 40 lt 1 Depth lt 40 lt 0 5 Depth lt s30 Resolution mm Den Dep DEP Dep Dead Area mm lt 5 lt 4 lt 4 lt 3 lt 4 lt 4 lt 5 lt 5 Lateral Distance lt lt lt lt Precision E SE Sa Axial Distance lt lt lt lt Precision Sa 2 a Specification D4 9E R 11 5 convex Frequeccy MHz 5 6 5 8 10 Penetration mm gt 80 gt 40 gt 40 230 Lateral lt 2 Depth lt 40 lt 2 Depth lt s30 lt 2 Depth lt s30 lt 1 Depth lt 30 Resoultion mm Dep Dep Dep Dep Axial lt 1 Depth lt 40 lt 1 Depth lt 40 lt 1 Depth lt 40 lt 0 5 Depth lt 30 Resolution mm Dee Dep Dep Dep Dead Area mm lt 5 lt 4 lt 4 lt 3 lt 4 lt 4 lt 5 lt 5 Lateral Distance lt 20 lt 10 lt 10 lt 5 Precision Axial Distance lt lt lt lt Precision Di 2 a Specification F4 9E R 11 5 convex Frequeccy MHz 5 6 5 8 10 Penetration mm 280 240 240 230 Lateral lt 2 Depth lt 40 lt 2 Depth lt 30 lt 2 Depth lt 30 lt 1 Depth lt 30 Resoultion mm Dep Dep Dep Dep Ax
3. 2D Automatic Optimization The Auto key on the control panel can optimize 52 265 VINNG 8000098 the contrast resolution according to the histogram of the scan area After Auto is pressed this causes the automatic optimization of the gray scale to enhance the contrast After Auto is pressed again the automatic optimization function is switched off When the auto function is active the key is highlighted Harmonic Imaging The harmonic imaging reflects the harmonic of the nominal transmitted frequency such as double threefold and fourfold It gives the better grayscale contrast compared to the standard ultrasound imaging Pressing HAR leads harmonic imaging After switched on this key is highlighted If not it means that the selected probe does not support this function L R and U D They allow the operator to fold the image from left to right or right to left and up to down or down to up as shown below for reference Indicator of orientation OO Left Right WW Up Down VINNG 53 265 8000098 5 2 2 Trapezoid View Trapezoid view will enlarge the scanning area in order to let the operator see more For example the linear probe scanning image is a rectangle but after this function works the scanning image will change to a trapezoid which has a larger scanning view in the bottom After TView on B mode menu is selected this button will be highlighted and the scanning image w
4. e Config Items Select one item if it has more than one method the system will enter change method page the operator can select different methods or target items here Selected methods will be used after back to measurement menu and selected target items will display in the result window Select and hold on one item move it to the first position then this item is set to be the default one Config Folders Distance Perimeter Volume Stenosis A B Ratio Ant CCA IMT L Ant CCA IMT R Post CCA IMT L Post CCA IMT R Vas Plaque HIP q L HIP a R ih ies Save amp Exit Save VINNG 121 265 8000098 Chose Method Volume Ellipse Ellipse Ellipse amp H e Add Remove Select the desired measurement items select Save or Save amp Exit the system returns to the measurement menu and all selected items are displayed The unselected items will be removed Aorta Diameter Renal Vol L Renal Vol R Spleen Vol Bladder Prostate El Select All See Save amp Exit Save Exit Note Distance is default setting in B mode Different examination application has factory default setting in B mode measurement The operator can enter the setting menu to change Perimeter setting in B mode The steps are as follows 1 Select Perimeter button in configuration page The system will display all 122 265 VINNG 8000098 approaches of perimeter measurement length and width el
5. 2 Select AC 3 Select the measurement method Trace as the default setting from the configuration menu and an active tracing caliper displays on the image screen 4 To position the trace caliper move the trackball 5 To fix the trace start point press Enter The system fixes the first caliper and the trace caliper changes to an active tracing caliper 6 To trace the measurement area move the trackball around the anatomy 7 To complete the measurement press Enter The system displays the abdominal circumference in the results window Note Before completing the spline measurement e To erase the line little by little back from its current point press Clear key once e To clear the trace caliper and the current data measured press Clear for at least 2 seconds Anter posterior Trunk Diameter APTD To measure Anter posterior Trunk Diameter the steps are as follows 1 Press Measure 2 Select APTD and an active tracing caliper displays on the image screen 3 Perform a standard distance measurement The system displays the anter posterior trunk diameter in the results window Transverse Trunk Diameter To measure Transverse Trunk Diameter 1 Press Measure 2 Select TTD and an active tracing caliper displays on the image screen 3 Perform a standard distance measurement The system displays the transverse trunk diameter in the results window 166 265 VINNG 800009
6. M mode the default measurement is Distance Default measurement is Velocity in the PW mode Measurement erasing Measurement results can be deleted from system memory as follows e After the image is unfreeze the system will erase all displayed completed measurement results calculation results and result window However measurement and calculation results will be kept in the worksheet e After Clear is pressed the system will erase the latest measurement result Holding Clear will erase all measurement and calculation results e f New Patient is selected the system will erase all measurement results calculation results and worksheet e To clear the second caliper which is activated and activate the first one press Clear Measurement results worksheet After the measurement is completed all effective measurement results will be entered on the worksheet automatically In measure page touch Worksheet then select different applications the system will display all measurement results as shown below VINNG 99 265 8000098 X6 16L VAS Superf Vessel Name HAR General Enable 0 02 Enable Enable Distance 161 0 11 SL Exit Edit 04 27 2014 Superf Vessel 1 2 3 This is for repeating measurements of the same item The maximum is 5 times If the number of repeated measurements exceeds 5 the worksheet will only save the last 5 measurement results Avg This is for pos
7. 3D MCut Touching 3D MCut to go to multi slices display Interval Adjusts the interval distance between each slice Slice Number Different slice number can be selected 4x4 3x3 2x2 Cut Plane Smaller image size due to display screen limitation The operator can select which plane A B or C is to be cut by Cut Plane group keys The first displayed image is the selected plane with slice line Rotation direction Rotation Steer key will rotate the MCut image by X Y or Z axis X Y and Z can be selected on the touch panel Rotate M PW CF keys can also rotate the images M is corresponding X direction PW is corresponding Y direction CF is corresponding Z direction Pressing Freeze on the control panel to go back to the initial 3D mode status After data acquisition the system is in the frozen status as all operations are based on already acquired data Pressing B on the control panel to go back to the normal 2D mode VINNG 8000098 8 1 3 Free View Touching FreeView to go to Freeview mode Direction Adjusts the direction in which Freeview unfolds the slice Route Different kinds of slice route control Line straight line pattern start by mouse click end by mouse click Polyline polyline pattern start by mouse click end by mouse double click Curve curve pattern start by mouse click end by mouse double click Clear Undo the slice route by press clear button on
8. During real time parameters on the touch panel can be adjusted Also the Slice Number and Cut Plane can be changed Touch End MCut on the touch panel or press Freeze on the control panel to go into frozen mode and the following touch panel UI appears Image screen displays the last frame before frozen Notes 1 Vol by Vol To view the volume one by one the default is the last volume 2 Speed To define what speed cine will be They are 100 75 50 and 25 It is only active after the Auto Cine button is highlighted 3 Select Auto Cine for play back The default is Auto Cine e Pressing Freeze on the control panel or selecting Start MCut on the touch panel the system will go to 4D multi cut real time again to be initial status If go to 3D 4D MCut mode those buttons on the top of the touch panel can be selected e Anytime during 3D or 4D mode press B and the system will go back to 2D mode VINNG 85 265 8000098 8 4 STIC View Up Down vY Rotation Direction Y v Display format Image Reference 2 EI Start STIC tel Save Preset Render MPR A B e Press Start STIC to enter into STIC mode If STIC algorithm failed because of incorrect data acquisition or parameter configuration there will be a warning info on the screen and the system will be automatically back at Pre3D state If STIC succeeds system will e
9. VINNG 55 265 8000098 5 3M Mode The M mode imaging provides the echo information of motion with change of time derived from a stationary ultrasound beam M mode is used along with a 2D image with one line through the 2D image which is called the M cursor This cursor identifies the position of the ultrasound beam The motion of the echo information at this position over time is to display M mode 5 3 1 M mode Activation of M mode By pressing M on the control panel the system goes to M mode Use the trackball to move the M cursor left or right by moving the trackball left or right 2D and M mode stopped by pressing Freeze on the control panel The main menu on the touch panel is as shown below Ped ein Cardiac General Dynamic Range Sweep Speed lt 119cB gt lt gt Display format Operator can change the display format by selecting it on the to uch panel In format there are two kinds of display One is side by side while th e other one is up and down In each type of the format different splits between B and M traces displays can be selected In side by side format there are thr ee kinds H 1 2 H3 4 and Full In up and down there are three kinds V2 3 V1 2 and V1 3 Dynamic Range This allows the operator to enhance the grayscale range to 56 265 VINNG 8000098 make it easier to display pathology Selec
10. e AR Max PG 7 Vmax1 D Vmax2 To execute the two velocity measurements the steps are as follows 1 Press Measure 2 Select the double velocity measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the caliper at the desired measurement point move the Trackball 4 To complete the first velocity measurement press Enter The system displays the first velocity measurement in the results window and a second active caliper with a vertical and horizontal dotted line displays 5 To position the caliper at the desired measurement point move the trackball 6 To complete the second velocity measurement press Enter The system displays the second velocity measurement and Max PG in the results window Single Slope Measurement e AR PHT To execute the slope measurement the steps are as follows 1 Press Measure 2 Select the slope measurement to be executed a vertical and horizontal dotted VINNG 197 265 8000098 line and an active tracing caliper will display on the image screen 3 To position the active caliper at the start point to be measured move the trackball 4 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second caliper at the end point to be measured move the trackball 6 To complete the measurement press Ent
11. Clear 8 Press Enter Another caliper will display on the image screen 9 Move the trackball to draw one line outside the vessel which is parallel with the vessel wall in order to set the measurement length Note To erase the painted line and activate an active tracing caliper press Clear 10 Press Enter to complete the measurement The system will display the measurement result about intima media thickness as follows e Average e Max e Min e Standard Deviation e Successful Points 136 265 VINNG 8000098 e Pvalue Vas Plaque Vascular sclerosis atheromatous plaque grade The steps are as follows 1 Scan carotid artery to gain a good image quality and then press Freeze 2 Press Zoom once to amplify the image in order to identify vessel intima media and extima 3 Press Measure 4 Select Vas Plaque 5 Input and select Vas Plaque measurement parameter e Change the assigned area number and vascular wall limited thickness Factory default setting is 3 and limited thickness is 1 0 cm e Select displayed measurement result parameter in configuration page a Maximum value in each area m Average value in each area a Variance yield in each area a Maximum value in all measurements Average value in all measurements a Variance yield in all measurements 6 After complete the setting press Back to return to the measurement menu The system will display a horizontal line and
12. O A B Ratio FLOW VOL Config Kai E A K Mean PG Worksheet Body Comments Pattern Resistance index setting in PW mode The steps are as follows 1 Select RI button in configuration page The system displays all measurement methods for RI measurement ED diastole end speed and MD minimum systole speed 2 Select the desired measurement method on the touch panel After settings are finished select Save on the touch panel VINNG 125 265 8000098 A and B ratio measurement setting in PW mode The steps are as follows 1 Select A B ratio button in configuration page The system will display all measurement methods for A B ratio measurement speed time and acceleration methods 2 Select the desired measurement method on the touch panel After settings are finished select Save on the touch panel Flow volume measurement setting in PW mode The steps are as follows 1 Select FLOW VOL button in configuration page The system will display all measurement methods for FLOW VOL measurement TAMEAN and TAMAX methods 2 Select the desired measurement method on the touch panel After settings are finished select Save on the touch panel Note If TAMAX measurement method is selected the final calculation result is considered one compensation factor between 0 5 and 1 0 Other measurement setting folder in PW mode Other measurement setting folders use the same approach as the G
13. mode the system has the capability to enter HQ surface rendering mode after the data acquisition e The 3D display format can be changed One is the full screen image display mode and the other consists of two or four image displays A B C plane and 3D rendering e The rendering view angle can be selected from front to back or from back to front or from right to left or from left to right or from up to down or from down to up This selection button will be on the touch panel e Select Start3D on the touch panel to start 3D data acquisition or press AD on the control panel to start data acquisition During data acquisition the touch panel will show a status bar to indicate the progress of data acquisition The image screen will only display the scanned images continuously at the same speed as the 4D probe sweep The operator needs to hold the probe well in order to obtain a good data acquisition e Select a gray map by touching the relevant gray map button e Select a 3D map by touching the relevant 3D map button 72 265 VINNG 8000098 3D Data Acquisition e After data acquisition has finished the 3D image display format is based on the one which was selected before data acquisition View Render Type Baby Face w Up Down Graylnv Rotation Direction i Render y v SurfTextu TranspM aaa E re ax SurfSmo fey Eel Se X ray Fix ROI Auto Rotate GradLigh TranspMi t n i Display
14. 10 1 10 2 10 3 10 4 10 5 VI 8 2 2 AD CINE ModE dvvsissccccaccosticaracsaicdaacasnacea ncaa aea aa seen esas a EEA Eaa Eaa 81 8 2 3 3D MCut of Cine Mode 82 MICU AOE E EE E E E E 84 BES ao a OW AA EERE EEE AEE NEE A E E E E E E See A 84 ST UL 86 OTHER MODES eae 87 Tissue Doppler Imaging TD ccvsccsniccsevscsscnsesssetccececescccctddessidvcassessedcecctedeasc csesvasassstnassccine 87 Tissue Velocity Imaging TVI cccccccccsssssssssssssseseseeeeccccccccccececeasssesesseseseeecsecesesaaaagags 87 GEN TEE 87 9 22 DI WOrktlOW icsvccsivsass dcccacarecsaacenacatnecantsea dgavaceneccbecsanedenedanasarananexibaasanecahedenusaratanee 87 ElastOgraphy sessecsssccicccecccicestssssssvessdsecsnscadecdencceseessesvccesevenstenseccucsoacevadadueszeiescdsasccasessbeases 90 MEASUREMENT AND CALCULATION Qu cccessstssssttessesessesnceesssneseesnnneee 92 li O D d 92 10 1 1 Measurement Workflow cccccccccccccscesseceeccsceeeesesssseeueeeeseeeeeeecessseeseeeeneees 92 10 1 2 Positions of the measurement keys cceeeeeessesssteeececeessseeseeeuaeeeeeeeesseseteeeees 94 10 1 3 Measurement system Setting 94 10 1 4 Basic introduction in measurement FUNCTION cccceeeeeeeeseceeeeeeescesseeeeeeees 98 10 1 5 Generic measurement list in each mode 101 10 1 6 Measurement setting in each mode ou eeeeeeeceesssteeeceeeeeseseneeseaeeeeeesesseeaaee 119 Abdominal MEASUrEMENES ieseeicssesseccssccedeccscucescsvenndestavesee
15. 2 TVI s ROI size and position can be changed by pressing ROI on the control panel and moving the trackball combination The operation is the same as the other ROI adjustment such as color ROI 3 Adjust parameters on the touch panel menu VINNG 87 265 8000098 C Cardi Ped Abd SE Cardiac General Invert Sync Display mn T Full Screen Frequency PRF lt 3 3MHz gt lt 14KHz gt The parameters corresponding to up down keys are described as follows Frequency It enables the adjustment of the transmission frequency to control the sensitivity or the level of penetration Line Density Controlling line density will impact the frame rate and the trade off between the spatial and the temporal resolution PRF It adjusts the repetition rate of Doppler pulses transmitted to acquire the data for color mapping This adjustment influences the Nyquist limit which is the ability to detect the maximal velocity without color aliasing Color Level It controls the level of color threshold Over threshold setting number will not be displayed The keys functions on the touch panel menu are described as follows Invert It is able to invert the color scheme between the positive and negative tissue velocities Baseline Adjusts the color map either toward or away from the probe to highlight the tissue motion dynamic range Transparency Indicates the visibility of background image Image display is as shown
16. 4 Prepare for an examination and Patient data archive Before starting an examination it is recommended to enter a new patient s information before begin to scan The patient information can also be entered while scanning but the operator has to determine whether the corresponding image belongs to the patient or not before storing The operator can pull out the patient s information from the archive and start a new examination The patient information is the same as before For new patient information the recommendations are as follows 1 Patient ID 2 Patient name 3 Birth date age gender This is stored together with the patient s images and will be transferred with the images of the corresponding patient to the archive The information and application data below may differ in different examinations and we recommend that it should also be entered 1 Physician operator 2 Basic data in relevant application category 4 1 Beginning a New Patient After New Patient on the touch panel is selected the system will be in frozen status and the Freeze key on the control panel is highlighted to show this The patient screen will be displayed as shown below Press Freeze on the control panel or select Exit on the touch panel to go back to the main menu without saving the information If the operator inputs some information on this page and select Save amp Exit the system will create a new patient
17. Clear for at least 2 seconds Single Trace combined with Single Distance Measurement e Diastolic Period A2C LAEDV A4C LAEDV e Systolic Period A2C LAESV A4C LAESV In the M mode of Cardiac examination the LA Measurement Folder includes the following measurements Single Distance Measurement e LA Diam To execute the single distance measurement the steps are as follows 1 Press Measure 2 Select the distance measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the active caliper at the most anterior point to be measured move the trackball 4 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second caliper at the most posterior point to be measured move the trackball 6 To complete the measurement press Enter The system displays the vertical distance between the two points in the results window VINNG 203 265 8000098 A B Ratio Diam Measurement e LA Ao e LA Diam e AoDiam To measure LA Ao the steps are as follows 1 Press Measure 2 Select LA Ao a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 Perform two standard distance measurements on LA Diam and Ao Diam 4 The system displays LA Diam AoDiam and LA Diam AoDiam Ration in the results windo
18. Electro magnetic influence In the working frequency range of the ultrasound system from 1 to 18MHz can be visible in the range from 200 to 500mV m influence depending on the probe connected VINNC 253 265 8000098 Safety classification a Type Class b Type BF applied part Ultrasound probe Type CF applied part ECG electrode c No defibrillation proof applied part d Waterproof level IPXO except transducer lens is IPX7 probe housing to cable is IPX4 but intra operative probe housing to cable is IPX7 e NOT category AP equipment or category APG equipment Ambient temperature 10 C to 40 C or 50 F to 104 F of operational temperature Relative Humidity 30 to 75 in operation Stock and transportation temperature 10 C to 50 C or 14 F to 122 F Stock and transportation humidity less than 90 RH no condensation Barometric Pressure 700 to 1060 hPa Humidity 30 to 85 no condensation when operating And in stock and transport conditions it should be less than 90 RH no condensation Dimension Width 340mm Length 387mm Height 72mm Weight Basic unit without accessories approx 3 8kg 14 2 2 Power supply Power requirement 100V 240VAC 50Hz or 60Hz Power consumption Nominal lt 170VA 14 2 3 Operator panel Control panel Ergonomic designed control panel with interactive back lighting Touch panel 8 projected capacitive touch panel in high resolution and color And it is the operator
19. e Distance e Volume e Angle e Stenosis e A B Ratio The typical measurement items of Urology application are as follows Bladder Volume To calculate Bladder Volume make three distance measurements The steps are as follows 1 Press Measure 2 Select Bladder and an active tracing caliper displays on the image screen 3 Perform a standard distance measurement The system displays the distance value in the results window 4 Repeat Step 3 to make the second and third distance measurement Note Three distance measurements can be made in the dual display format by pressing Left Right on the control panel 5 After the third distance measurement is completed the system displays the bladder volume in the results window Renal Length VINNG 147 265 8000098 To measure Renal Length the steps are as follows 1 Press Measure 2 Select Renal Len L or Renal Len R and an active tracing caliper displays 3 Perform a standard distance measurement The system displays the renal length in the results window Renal Volume To calculate Renal Volume make three distance measurements The steps are as follows 1 Press Measure 2 Select Renal Vol L or Renal Vol R and an active tracing caliper displays 3 Perform a standard distance measurement The system displays the distance value in the results window 4 Repeat Step 3 to make the second and third distan
20. record and store this information to start scanning When enter New Patient page there will be an auto ID in Patient ID the Operator can use this ID or input her his own one If set prefix in system setting the prefix will be added VINNG 35 265 8000098 20140901002 Family Name Middle Name Save amp Exit Note 1 BSA is body s surface area and will be automatically calculated when the data above weight and height is filled in 2 The empty box is the data input field After the relevant place is selected the alphanumeric keyboard will appear and the alphanumeric keyboard can be selected to input data or characters 3 Either birth date or age needs to be keyed in the other one will be automatically calculated based on the time of the system For this reason it is very important that the system time be correct There are three gender options N A male or female 4 If the inputted ID is the same with the exited one the system will give one warning message There re some patient records match the creating patient do you want to view details The operator selects different options to continue Yes review and select exist record No create new record Go back new patient If there is no patient ID or name select Save amp Exit on the touch panel and the system will display a message for three options to select from The options are Exit without new patient New pa
21. to upload again or select Delete to delete the file 12 6 3 Worklist Worklist SCP AET input service class provider s application entity title Worklist SCP address input service class provider s IP address Worklist SCP port input service class provider s port Enable Worklist enable it to get patient list from server Worklist Special Config 240 265 VINNG 8000098 Specify Local AET Only list the patient s whose AET is the same with the local AET set in General if it is enabled e Force Date Format Only start date can be selected when filter the patients if it is enabled the end data is the current data e Auto Load Worklist Get the patient list from worklist server automatically if it is enabled Convert patient name to Double byte for querying End query when end of sequence Patient Name Format Family name at the first or first name at the first 12 6 4 Print Print SCP AET input service class provider s application entity title Print SCP Address input service class provider s IP address Print SCP port input service class provider s port Enable print Enable it to connect the DICOM printer 12 7 Service Tool This menu includes auto diagnostic functions for each electrical part and catches software log files in order for engineers to identify the root cause 12 7 1 Demo mode Enable this function loop playback the images in the clipboard 12 7 2 Electrical parts auto diagnostic
22. two velocities and horizontal time interval between the two points in the results window VINNG 201 265 8000098 Single Trace Measurement e AV Trace To execute the trace measurement the steps are as follows 1 Press Measure 2 Select the trace measurement to be executed an active trace caliper displays 3 To fix the start point press Enter 4 To trace the velocities of the desired portion of the spectrum move the trackball Note To re edit the existing trace line press Clear once and move the trackball again 5 To complete the measurement press Enter The system displays the measurement values in the results window To configure the trace measurement Configure the single trace measurement to define the parameter that needs to be calculated and displayed in the results window 1 Press Measure 2 Select Config then select AV Trace button and a menu displays 3 Choose the measurement to be executed Cardiac Left Atrium LA Measurement Folder In the B mode of Cardiac examination the LA Measurement Folder includes the following measurements Single Distance Measurement e LA Diam e LAd Major e LAd Minor e LAs Major e LAs Minor To execute the single distance measurement the steps are as follows 1 Press Measure 2 Select the distance measurement to be executed and an active tracing caliper displays 3 To position the active caliper at the start poi
23. 3 To position the caliper at the desired measurement point move the trackball 4 To complete the measurement press Enter The system displays the velocity measurement in the results window Double Velocity Measurement e AV Max PG D Vmax1 D Vmax2 To execute the two velocity measurements the steps are as follows 1 Press Measure 2 Select the double velocity measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the caliper at the desired measurement point move the trackball 4 To complete the first velocity measurement press Enter The system displays the first velocity measurement in the Results Window and a second active caliper with a vertical and horizontal dotted line displays 5 To position the caliper at the desired measurement point move the trackball 6 To complete the second velocity measurement press Enter The system displays the second velocity measurement and Max PG in the results window Single Time Interval Measurement e AV Acc Time e AV Dec Time e AVET e AVHR 200 265 VINNG 8000098 To execute the time interval measurement the steps are as follows 1 Press Measure 2 Select the time measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the caliper at the start point move the Tra
24. HEINS Uterus Prostate Late FullScreen Center Line os d Frequency Focus Position es lt 5MHz gt lt gt EI Note 1 All the scanning operations should be performed through the control panel while all the image optimizing operations such as the image adjustment annotation settings and data base management should be performed through the touch panel 2 The numbers indicate the adjustable parameter The default number depends on the application setting 3 Enable TView the image will be wider in the bottom than the top to obtain a wider vision 4 L R means to fold image from the left to the right or the right to the left U D means to fold image from the up to the down or the down to the up 48 265 VINNG 8000098 5 Full Screen can make the image to be zoomed as full screen size in order to enlarge the image The image size is from the top to the bottom of the screen and the width is enlarged accordingly 6 VTissue can automatically calculate the best acoustic velocity in tissue on the basis of the scanning data to improve the image quality After this button is selected it will be highlighted to show this function is active Touch it again to remove this function and the echo speed will return to pre set one 7 No VTissue in HAR mode All available parameters are as follows Frequency By regulating this parameter the operator can strike a balance between resolution and pen
25. Name test Patient ID 123 Gender Age 25 Exam Date 07 10 2015 Perf Physician ms Lon Ref Physician ic fo Preview Store Bl Cancel Exit ator Note 1 The measurement worksheet will be generated automatically without operator s operation 2 The patient and the physician information will come from the database automatically The information revised manually After the relevant blank box is selected the alphanumeric keyboard will appear in the bottom right to input the data After edit the patient data select Preview the updated data will display in the report 3 In Image Zone select one or more images select Preview the selected images will appear in the report 4 In OB Graph select Save to save the current graph and this graph will appear in OB Graph in Report Select Preview the graph will appear in the report 5 In Worksheet select one probe application all results will be displayed Select Preview the results will appear in the report If the current patient s fetus number is 2 or more and do some measurements with every fetus then enable Fetus Compare all measurement results in every VINNG 43 265 8000098 fetus will be listed in column 6 In Comments the operator can input some comments here Select Preview the comments will appear in the report 7 In Template the operator can select General
26. method three distance measurements are needed to calculate the follicle volume Three distance measurements can be made in the dual display format by pressing Left Right on the control panel 6 After the third distance measurement is completed the system displays the follicle volume in the results window En Endometriosis Thickness To measure Endometriosis Thickness the steps are as follows 1 Press Measure 2 Select En and an active tracing caliper displays on the image screen 3 Perform a standard distance measurement The system displays the endometriosis thickness in the results window The measurement menu of Gynecology application can be configured by adding or removing the measurement items in B mode Refer to Measurement Menu Configuration in the chapter General Measurements for how to configure of the measurement menu 10 5 2 PW mode measurements In PW mode of Gynecology application it includes measurement folders as follows e General Measurement Folder e Ao Aorta Measurement Folder e Desc Aorta Measurement Folder e Umbilical Measurement Folder e Placenta Measurement Folder e Uterus Measurement Folder 144 265 VINNG 8000098 Follicle Measurement Folder MCA Measurement Folder Configure the measurement menu of Gynecology application by adding or removing the measurement folders in PW mode Refer to the Measurement Menu Configuration in the
27. rendering images In 2D mode this key can steer an interest box such as the color interest box and the 2D linear image 21 Depth changes scanning depth 22 Freeze freezing and unfreezing scanning 23 Print the function of this key can be defined during system set up By default it is set as the print function However it can also be set to save to USB or save to HDD 24 Save to USB the function of this key can be defined during system set up By default set to store images to the U disk through the USB port 25 Save to HDD the function of this key can be defined during system set up session By default set to store images on the clipboard to the Hard disk After this key is pressed before the image is frozen by pressing Freeze key it will store the cine loop from the most recent session the cine loop time can be changed in the system settings After the image is frozen it will store the last frame single image 26 Left this key can generate a dual image display The left image is the active one and the right image is the static one 27 Right this key can generate a dual image display The right image is the active one and the left image is the static one 28 Power key switches the device on and off 29 Trackball operator can use the trackball to move the cursor or the line or the ROI box etc 1 6 Optional peripheral devices Black white video printer USB VINNG 5 265 8000098 Digital c
28. 1 3 About this document e Before attempting to use this device read and fully understand all contents in the document to properly operate this device paying particular attention to all Warnings Cautions Notes and Notices Due to space limitations this manual does not make perfect any problem please contact VINNO technical staff e In order to use the device correctly keep this manual with the device at all times e This manual accompanies the VINNO 6 only e The most extensive configuration is described within this manual including the maximum number of the options and the accessories Not every function option or accessory described may have been purchased or licensed on your device VINNG 1 265 8000098 e This manual forms part of the accompanying documentation for this product The remaining documents in the set are listed Advanced Technical Manual Service Manual 1 4 Product description This device is a professional premium performance real time scanning system The various probes make many applications possible This device provides the following diagnostic possibilities B mode M mode CF and PDI mode Spectral Doppler pulsed wave and continuous wave PW and CW Tissue Doppler TD Volume mode 3D and 4D real time 3D Intended use This device is intended for use by a qualified physician for the following ultrasound evaluation clinical applications 2 265 Abdomen Obstetrics Fetal Gynecology Sm
29. 1 7 1 Parameter term explanation All parameters in the parameter field are abbreviated and stand for the following meanings AP Acoustic Power DG Digital Gain Fq Frequency WF Wall Filter DR Dynamic Range FR Frame Rate SD Sample Depth 1 8On line manual In the system setting menu of the touch panel there is a Show Manual key By selecting this key the operator manual will be displayed for operator to refer to VINNG 7 265 8000098 2 Safety 2 1 Introduction This device is designed for the safety of the patient and operator Before operating the device read this chapter thoroughly with care please The manufacturer guarantees the safety and reliability of the device only if all cautions and warnings are followed Strictly observe all Warnings Cautions Notes and Safety markings within this document and on the machine Intended use This device is intended for use by a qualified physician for the following ultrasound evaluation clinical applications e Abdomen e Obstetrics Fetal e Gynecology e Small parts including thyroid breast testes etc e Cardiac Adult and pediatric e Vascular e Urology including prostate e TCD Intraoperative e Pediatrics e Small Joints Icon description Several levels of safety precautions may be found in this manual Different levels of concern are identified by one of the following icons with signal words KSE Indicates a hazard which if not avoided could result in
30. 10 4 Vessel measurements Brief introduction Based on different applications vessel measurement provides several different measurement items e Carotid artery e Upper artery e Upper vein e Lower artery e Lower vein e Vessel puncture e Trans cranial Doppler 10 4 1 B mode measurements In the vascular application measurement menu includes generic measurement and specific measurements such as vessel wall intima media thickness etc In B mode generic measurements in the vessel application include measurements as follows e Depth e Distance e Stenosis e AandB ratio In B mode specific measurements in the vessel application include measurement items as follows IMT intima media thickness measurement Intima media average thickness can be measured to be the index of arteriosclerosis Note Due to the character of the ultrasound image principle the rear wall IMT measurement is more accurate than antetheca Manual IMT measurement The steps are as follows 1 Scan the carotid artery to gain relevant good image quality and press Freeze 2 Press Zoom once to amplify the image in order to identify vessel intima VINNG 135 265 8000098 media and extima 3 Press Measure 4 Select the proper direction left or right and rear wall or antetheca CCAIMT 5 Select CCAIMT carotid artery intima media thickness setting menu 6 Select Manual measurement approach
31. 110mm_ gt 100mm 80mm gt 100mm 90mm F2 5CE gt 100mm gt 120mm gt 110mm gt 100mm gt 130mm gt 110mm gt 100mm gt 80mm gt 100mm gt 90mm VINNG 8000098 4 0MHz gt 75mm gt 75mm gt 80mm 4 0MHz gt 65mm 5 0MHz gt 55mm 4 0MHz gt 65mm 5 0MHz gt 55mm 4 0MHz gt 65mm 5 0MHz gt 55mm eau 4 0MHz gt 65mm 5 0MHz gt 55mm 4 0MHz gt 70mm 5 0MHz gt 65mm 6 3MHz gt 55mm 5 0MHz gt 45mm pow 6 3MHz gt 40mm O E LO x lt ey KA CO EC 8 0MHz gt 40mm 10 0MHz gt 25mm 5 0MHz gt 45mm 6 3MHz gt 40mm 8 0MHz gt 40mm 4 0MHz gt 70mm 5 0MHz gt 65mm 4 0MHz gt 70mm 5 0MHz gt 65mm 6 3MHz gt 55mm 8 3MHz gt 25mm 10MHz gt 25mm X9 22L 12 5MHz gt 25mm 14 3MHz gt 20mm 16 7MHz gt 20mm 11 1MHz gt 25mm X10 23L 12 5MHz gt 20mm 14 3MHz gt 20mm 1 7MHz gt 120mm crap 20MHz gt 120mm 2 5MHz gt 120mm 3 3MHz gt 110mm 1 7MHz gt 120mm 2 0MHz gt 120mm 2 5MHz gt 120mm 3 3MHz gt 110mm Lo KA CO me VINNG 263 265 8000098 Penetration CW 1 7MHz gt 120mm G1 4P 2 0MHz S1 6P 264 265 VINNG 8000098
32. 261 16MB 39 265 Note Patient Exam 1 After New Exam in Archive menu is selected the probe and application screen will appear see 4 2 2 and then select probe and application After the application is selected select Exit to go to the normal scan UI 2 After End Exam in main menu is selected the current patient s examination will cease the progress at this moment there is no any patient is selected The report of this examination cannot be stored but can be printed the information of this exam can t be edited in Archive and the button Edit in worksheet will be gone New exam can be added in Archive or new a patient to do examination 3 Select View Edit all patient information can be edited if the selected exam is not ended and the patient is added in 24 hours But only relevant application category s data can be edited if the patient is added 24 hours ago 4 After selecting one file name it means it is selected If selecting more files select other files for selection If want to remove the selection select that file again 5 In the initial entering the latest patient s information will be displayed In order to search certain files input the information in the search input field and then select Search on alphanumeric keyboard to search according to the input data Touch Patient ID Name Last Scan or other tabs all patients in the list will
33. 3 To position the caliper at the desired measurement point move the trackball 4 To complete the measurement press Enter The system displays the velocity measurement in the results window Double Velocity Measurement e PR Max PG n Vmax1 n Vmax2 e PREnd Max PG n Vmax1 n Vmax2 e PV Max PG n Vmax1 n Vmax2 To execute the two velocity measurements the steps are as follows 1 Press Measure 2 Select the double velocity measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the caliper at the desired measurement point move the trackball 4 To complete the first velocity measurement press Enter The system displays the first velocity measurement in the results window and a second 214 265 VINNG 8000098 active caliper with a vertical and horizontal dotted line displays 5 To position the caliper at the desired measurement point move the trackball 6 To complete the second velocity measurement press Enter The system displays the second velocity measurement and Max PG in the results window Single Time Interval Measurement e PV Acc Time e PV DecTime e PVET e Qto PV close To execute the time interval measurement the steps are as follows 1 Press Measure 2 Select the time measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the im
34. 4 80 lt Depth lt 130 lt 3 Depth lt 80 lt 4 80 lt Depth lt 130 lt 3 Depth lt 80 lt 4 80 lt Depth lt 130 Axial Resolution mm lt 2 Depths80 lt 2 Depths80 lt 2 Depth lt 80 Dead Area mm lt 7 lt 7 lt 7 Slice Thickness mm lt 8 lt 7 lt 7 Lateral Distance Precision lt 20 lt 20 lt 20 Axial Distance Precision lt 10 lt 10 lt 10 VINNG 8000098 261 265 Specification S1 6P Phased Array FEDER ig 2 75 3 5 4 25 5 Hz ESCHER siap gt 140 gt 140 gt 80 gt 80 mm Lateral lt 3 Depths80 lt 3 Depth lt 80 lt 3 Depth lt 80 lt 2 Depths lt 2 Depths Resoultion m lt 4 80 lt Depths1 lt 4 80 lt Depths1 lt 4 80 lt Depths1 40 40 m 30 30 30 Axial Resolution m lt 2 Depths80 lt 2 Depths80 lt 2 Depths80 n m P lt 7 lt 7 lt 7 lt 5 lt 5 Area mm Slice Thickness mm lt 7 lt 7 lt 7 lt 7 lt 7 Lateral Distance lt 20 lt 20 lt 20 lt 20 lt 20 Precision Axial Distance Precision lt 10 lt 10 lt 10 lt 10 lt 10 Note The degree of uncertainty of slice thickness measurement is 20 The table below lists this device s basic performance in terms of penetration in CF mode PDI mode PW mode and CW mode Penetration Probe CF PW 262 265 G2 5C 2 9C D3 6C gt 100mm EES gt 110mm gt 100mm gt 130mm gt
35. 8000098 e Enable FTP storage Enable it to connect FTP server During uploading there is an icon showing the number of the uploading images If the file upload to server failed there will be an error icon on the right bottom corner of the main screen Click the icon popup the file list of fail uploaded Select Retry to upload again or select Delete to delete the file Images of all formats can be uploaded to FTP server but only DICOM images can be downloaded and viewed 12 6 DICOM 12 6 1 General DICOM file format Lossless bitmap Lossless compressed jpeg Lossy compressed jpeg Local setting e Local AET input service class user s application entity title e Local Address input service class user s address e Local port input service class user s port 12 6 2 Storage Storage SCP AET input service class provider s application entity title Storage SCP address input service class provider s IP address Storage SCP port input service class provider s port Enable storage enable it save DICOM image to PACS server Please select Save DICOM to HDD and DICOM server first in Print Only DICOM image can be uploaded to DICOM Storage Server During uploading there is an icon showing the number of the uploading images If the file upload to server failed there will be an error icon on the right bottom corner of the main screen Click the icon popup the file list of fail uploaded Select Retry
36. Classification on the HIP aB measurements The steps are as follows 1 Select Hip Growth Type Definition after the HIP aB measurements and the system shows the pediatric hip dysplasia classification as shown below Type I normal according to age Type Ia Dysplasia delayed ossification within 3 months Type IIb Dysplasia delayed ossification after 3 months Type Ma Subluxation partial dislocation with weak echo on hyaline convexity Type Mb Subluxation partial dislocation with echo dense on hyaline convexity Type IV Total luxation dislocation 2 The pediatric hip dysplasia type can be rated based on the result of the HIP aB measurements Acetabular Cartilage Thickness To measure Acetabular Cartilage Thickness make a single distance measurement The steps are as follows 1 Press Measure 2 Select ACT and an active tracing caliper displays on the image screen 3 Perform one standard distance measurement and the system displays the acetabular cartilage thickness in the results window 10 7 2 PW mode measurements The PW mode of Pediatric application includes the following measurement folder e General Measurement Folder e Anterior cerebral artery measurement folder e Middle cerebral artery measurement folder e Posterior cerebral artery measurement folder VINNG 155 265 8000098 Configure the measurement menu of Pediatric application by adding or removing the measurem
37. IEC 60601 Compliance level Electromagnetic test level environment guidance Electrostatic 6 kV contact 6 kV contact Floors should be wood concrete or discharge ESD 8 kV air 8 kV air ceramic tile If floors are covered IEC 61000 4 2 with synthetic material the relative humidity should be at least 30 Electrical fast 1 kV for power 1 kV for power Mains power supply quality should transient burst supply lines supply lines be that of a typical commercial or IEC 61000 4 4 hospital environment Surge 1 kV line s and 1 kV line s and neutral Mains power supply quality should IEC 61000 4 5 neutral be that of a typical commercial or hospital environment Voltage dips lt 5 U lt 5 U Mains power supply quality should short gt 95 dip in Us gt 95 dip in U7 be that of a typical commercial or interruptions and for 0 5 cycle for 0 5 cycle hospital environment If a dip or an voltage variations 40 Ur 40 Ur interruption of mains power supply on power supply 60 dip in Uy 60 dip in Uy occurs the current of this device input lines for 5 cycles for 5 cycles may drop from the normal level IEC 61000 4 11 70 Ur 70 Ur and it may be necessary to use 30 dip in Uy 30 dip in Uy uninterruptible power supply for 25 cycles for 25 cycles UPS lt 5 U lt 5 U gt 95 dip in Us gt 95 dip in U for 5s for 5s Power frequency 3 A m Not applicable Not
38. Length the steps are as follows 1 Press Measure 2 Select Ft and an active tracing caliper displays 3 Perform a standard distance measurement The system displays the foot length in the results window Placenta Thickness PT To measure Placenta Thickness the steps are as follows 1 Press Measure 2 Select PT and an active tracing caliper displays VINNG 175 265 8000098 3 Perform a standard distance measurement The system displays the placenta thickness in the results window Amniotic Fluid Index AFI To calculate the Amniotic Fluid Index make measurements of the four quadrants of the uterine cavity The system adds these four measurements together to calculate the Amniotic Fluid Index The steps are as follows 1 Press Measure 2 Select AFI The first distance measurement AFI Q1 is already selected 3 Make a standard distance measurement for the first quadrant a To position the active caliper at the start point move the trackball b To fix the start point press Enter The system fixes the first caliper and displays a second active caliper c To position the second active caliper at the end point move the trackball A dotted line connects the measurement points d To complete the measurement press Enter The system displays the distance value in the results window 4 When the measurement of the first quadrant is completed unfreeze the image and m
39. Notes e To delete the current result and start the next measurement press Clear once e To activate and edit relevant measurement after one measurement is complete the operator can select relevant items to display submenu e To delete all measurement results press and hold down Clear Perimeter Length and width method Perimeter can be measured by two distances length and width The steps are the process of the measurement as follows 1 Press Measure 2 Select Perimeter in the measurement menu 3 Select L amp W approach in the perimeter menu Caliper will display on the image screen 4 Measure the two distances separately 5 After the two distance measurements are complete the system will display perimeter in the measurement results window Notes e To delete the current result and start the next measurement press Clear once e To exit measurement function press Measure again Perimeter Ellipse method Perimeter can be measured by ellipse The steps are the process of the measurement as follows 1 Press Measure 102 265 VINNG 8000098 2 Select Perimeter in the measurement menu 3 Select Ellipse approach in the perimeter menu A caliper will display on the image screen 4 Position the first point and press Enter The system will fix the first caliper and display the second caliper 5 Position the second point and press Enter to conf
40. OB template or different formats for multi images Select OB template in report there is some information of GA and EDD if do the related measurements Y Patientinfo ImageZone OBGraph Worksheet Comments Template Template General Department r Hospital name Print copies Address T Patient Info Nik e 1 01 C002 1 1 f00L Get ij OB Graph Comments Preview Store EE Cancel Exit 8 Select Store this report can be saved 9 Select Store to USB save the report to one USB device 10 Printer can be selected on the top left corner 4 2 6 Bluetooth Plug in one Bluetooth dongle select one patient in Archive touch Bluetooth Send button to enter Bluetooth page 44 265 VINNG 8000098 Bluetooth device list Device name No bluetooth dongle After scanning list all nearby Bluetooth devices Select one device and select one or more images touch Send to send the images to the selected device Before send the images the system will pair with the remote device first If power saving mode of the system is on the operator need to restart the system 4 2 7 Email Before use Email the operator need to enable the network and set email settings in Sys Setting Select one patient in Archive touch Email Send button to enter Email page Input one or more addressees then select images touch Send to send the images by email Addressee
41. Parallel Region Guideline And Tolerance Line gt If select Parallel Region user can select Biopsy Parallel Line Distance 0 2 0 3 0 5 0 8 1 1 5 e Ul Theme there are two options Ocean blue Simple Dark After reboot the system the selected theme will be effective e Comments fontsize Set different fontsize for comments e Show Login Window Enable it the login window will appear when boot the system Disable it the system starts to scan at once when boot it e Body Pattern size Adjust the size of body pattern displayed on the image e Full Screen Enable it set Full Screen as default e Caps Lock as default Set Caps as default for Alphanumeric keyboard e Patient ID prefix Add prefix for patient ID e Show help tips to universal commands panel There are help tips when touch the little arrow at the left bottom corner of the touch panel or slide the touch panel from the left edge after enable this function e There is one button for the online operator manual After Show Manual is selected the operator manual will appear After changing settings select Save or Save amp Exit on the touch panel to save the information If selecting the Save it will save current page information only without changing menu page If selecting Save amp Exit it will save current page information and exit out from system setting menu Select Exit to exit from the system setting menu w
42. Position This can be moved up and down in order to position the ECG of the relevant imaging as desired ECG Lead This allows the operator to select which lead s ECG wave to display on the screen The ECG wave of different leads can be selected as follows Lead I Record ECG between the right arm and the right leg Lead Il Record ECG between the right arm and the left leg Lead Ill Record ECG between the left arm and the left leg The ECG signal input can be either from an internal or external ECG device The internal input is to connect the standard electrode leads to this device so that the operator can access the ECG wave in the system The external input means that connect one special cable to connect with an external ECG device which inputs the ECG signal to this device Note To connect an external ECG device a special cable is available Please VINNG 31 265 8000098 contact VINNO to obtain The ECG trace image displays in the screen as shown below 3 13 Multiple display formats This operation which described hereby is only for B mode CF PDI mode PW CW mode and M mode 3D and 4D mode operations are different from these operations the operator can refer to the 3D and 4D chapters accordingly There are two approaches to have multiple display formats One is to press L and R keys The other is to select buttons on the touch panel Dual Quad and A B ic and DILL Left
43. Rotate Zoom key to rotate probe icon even after exit Body Pattern move the trackball to change the icon s position Enable Cursor key and put the cursor on the body pattern then move the trackball to change the body pattern s position Press Enter to fix the body pattern s position 3 10Cine Mode While scanning a certain number of frames the most recent examination images sequence will be stored in the cineloop memory after Freeze key is pressed The sequence will be replayed continuously By moving the trackball horizontally the sequence can be reviewed frame by frame The length of the cine can be more than 1 min in the standard setting This length depends on the number of the scan lines the scan depth and other parameters In freeze mode the touch panel UI is as shown below Adjusting the parameters on the touch panel UI can manage the image 28 265 VINNG 8000098 Us a ia pa Cardiac General L R U D GI Q Full Screen Cine Single Start Frame End Frame 10 A FrameByFrame o ARR R Note 1 Cine Single can switch the display image from the cine mode to the single image mode Highlighted button means cine mode and non highlighted button means single mode 2 Start Frame End Frame control which frame to start from and which to end in order to display continuously as a loop 3 Speed controls cine speed as 400 200 100 60 50 40 20 3 11Zo0o0m function Af
44. The strong or weak signal is displayed as varying shades of gray The strong signals are displayed as bright while the weaker signals are less bright 7 1PW mode Pulsed Wave Doppler A sample volume cursor is located on the PW cursor and it indicates where along the ultrasound beam the spectral analysis is being performed 7 1 1 Operation of PW mode main menu After PW on the control panel is pressed the system will enter PW mode PW rotation key will increase or decrease the gain by clockwise and counterclockwise The main menu is as shown below em Rz Ca E Cardiac Cardiac Invert Triplex PRF Baseline lt 68KHz gt lt 30 gt Sample Volume lt 3mm gt VINNG 63 265 8000098 Note 1 If CF or PDI mode is inactive the relevant CF PDI button will not be displayed Only when CF or PDI is on CF PDI and B buttons on the top left are in active mode for ready to switch 2 In three key group buttons Auto Trace Mode Direction only one of the three button keys such as Off or Frozen or Live Off or Mean or Max Above or Both or Below can be activated and highlighted 3 In the Angle Correct up down key if up or down is held the angle will be adjusted by a large amount continuously Duplex and Triplex When the system is in 2D CF PW mode it will hav
45. applicable 50 60 Hz magnetic field IEC 61000 4 8 NOTE Uris the a c main voltage prior to application of the test level VINNG 19 265 8000098 Electromagnetic immunity Guidance and manufacturer s declaration electromagnetic immunity This device is intended for use in the electromagnetic environment specified below The customer or the operator of this device should ensure that it is used in such an environment Immunity IEC 60601 Compliance Electromagnetic environment guidance test test level level Portable and mobile RF communications equipment Conducted RF 3 Vrms 3 Vrms should be used no closer to any part of this device IEC 61000 4 6 150 kHz to including cables than the recommended separation 80 MHz distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance Radiated RF 3 V m 3 V m d 124P Fees SS See to d LP 80 MHz to 800 MHz H d 23NP 800 MHz to 2 5 GHz where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation Distance in meters m Field strengths from fixed RF transmitters as determined by an electro magnetic site survey should be less than the compliance level in each frequency range Interference may occur in the proximity of equipment marked with the following symbol Del NOTE 1 At 80 MHz and 800 MHz
46. approaches 2 Select the required measurement item After settings are finished select Save on the touch panel 10 1 6 2 M mode measurement setting In M mode there are 7 types of generic measurements and specific measurements relevant with application All measurements can be set in the setting menu VINNG 123 265 8000098 VAS Carotid General Depth Distance Slope Velocity Stenosis A B Ratio Body Comments Pattern Select Config on the touch panel to enter setting menu Please refer to 11 1 6 1 the configuration operation is the same as it in B mode A and B ratio measurement setting The steps are as follows 1 Select A B ratio button in configuration page The system will display all measurement methods Diameter time and acceleration methods 2 Select the desired measurement method on the touch panel After settings are finished select Save on the touch panel 10 1 6 3 PW mode measurement setting General measurement folder setting in PW mode In the general measurement folder there are 19 types of generic measurements and specific measurements with relevant applications The system will display the measurement options as shown below 124 265 VINNG 8000098 DESEE Ere A o a a Config Folders zen Ka vies Sr aw Add Remove Acceleration A B Ratio ee een Save i a eg PED Neo Head emery 7 ene H CA L MCA R PCA Velocity i Acceleration TAMEAN
47. by diffusion filter SGC Scanline gain compensation Gain compensation for tissue image scan line 5 1 2 Freeze mode In freeze mode the touch panel UI appears as shown below The stored image can be optimized by adjusting the parameters or changing the maps when needed 50 265 VINNG 8000098 ee E w Cardiac General L R U D GI Q Full Screen Cine Single Start Frame End Frame Slip lt i gt Speed FrameByFrame lt 100 gt GT CES 1 me Note 1 In Freeze mode no adjustment is available for the Frequency Focus Position Focus Line Density Sharpen unlike the live B image 2 Cine Single allows images to be switched to display as either cine mode or single image mode The highlighted button means the cine mode and non highlighted button means the single image mode 3 Start Frame End Frame controls which frame to start from and which to end in order to display continuously as a loop 4 Speed controls the cine speed as 400 200 100 60 50 40 20 5 In freeze mode switch to CF PDI or PW CW freeze mode if available for adjustment by selecting mode buttons on the upper section of the screen VINNG 51 265 8000098 5 2 Operation 5 2 1 General operation Gain With rotation of the B key on the control panel the overall brightness of 2D image is adjusted All incoming echoes are amplified with the same digital gain value regardless of the
48. can be measured by tracing The steps are as follows 1 Press Measure 2 Select Area in the measurement menu 3 Select Tracing method in the area measurement menu The active caliper 106 265 VINNG 8000098 will display on the image screen 4 To move caliper to the start point move the trackball 5 Press Enter to fix the start point The active caliper will display in the screen 6 Trace the measurement dotted line along which the anatomy needs to be measured 7 After the tracing is completed and the Enter is pressed Then the result will display in the results window Notes Before complete the tracing measurement e Press Clear once to clear a segment of the trace line e To clear caliper and current measurement data press Clear for at least 2 seconds Volume measurement Volume can be measured by one of the approaches as follows Single line L i e single distance method Dual line L amp W i e dual distance method Triple line L amp W amp H i e triple distance method Single ellipse Single ellipse and single line method Refer to Distance measurement to know how to measure distance for details Refer to Perimeter and Area measurement to know how to measure ellipse for details To measure volume through single or dual distance method the steps are as follows 1 Press Measure 2 Select Volume in the measurement menu
49. ccccccceseceecccceceeesseeeeccueuscececsssssueeegeessesueneeeseeeseueues 147 10 6 2 PW Mode measurements 152 10 7 P diatric Measurements css cacssesscecssacesessdeceicucessecencaessceetecssteceevasssteieeteaduessessessesesss sesecoes 153 10 7 1 B Mode measurements ccccccccseceeeccceccceeseeeesceeeucesecsssseeueeseessssueeeeeseseseeeaes 153 10 7 2 PW mode MeaSUreMe Ns cccececcccccceseeesececceeeeuceeeeceseseeeesecsseeueueeeseeseueees 155 10 8 Obstetrics Measurements cccciccccecsiecsscorccsoscsseccsecsocsssocvescescocsscoscnsbncscbacecbssasceseecebasccbasse 157 10 8 1 B Mode measurements ccccccceseccccccceceeesseeeeseueuceceeessesueeesecssesueueeeseesseueees 158 10 8 2 MModemeasurements 180 10 8 3 PW mode MeaSUreME NtS ccceecceccccceseeeseeeececeeueecceccseseeeeeessesueuceeeesseueaes 180 10 9 Cardiac Measurements ssscessecccscccccescccessecessecceeccceececcuseseceeccccuscececeecuseseeeaceeeeseceusees 182 11 PROBES AND BIOPSY ssssssssnnnnnunnnnnnnnnnnnnunnnnunnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnannnnannnnannna 222 11 1 PRODEOVORVIOW eege ee eege 222 11 2 PRODOS sissssccsecccsscccccsssscsssvensecctessceesseucssevevsuscsccssuevsseeeusacvesvovesssvebasveucsvovenscvcssasdesesenesceneses 222 11 3 Probe CONNECTION and CISCONNECTION ccsseccsssecsssccccsccccscsecesceccceccecessceecseeaeseeceaceeeans 226 11 4 WIE GIN AN CO nace oecczcusccotecesnccectexcnaesesecetscesucceccuscescesescerec exscassusceccssescevetccscu
50. chapter General Measurements for how to make the configuration of the measurement menu General Measurement Folder In the General Measurement Folder it includes measurement items as follows Other M Velocity PS ED MD TAMAX PI RI PS ED ED PS A B Ratio Velocity Time Acceleration HR easurement Folders In the other Measurement Folders they include the measurement items as follows It might have minor differences depending on the different factory settings e e e VINNG 8000098 Velocity PS ED MD TAMAX PI RI PS ED ED PS A B Ratio Velocity Time Acceleration HR 145 265 Configure the measurement menu of all measurement folders by adding or removing the measurement items in the measurement folders Refer to the Measurement Menu Configuration in the chapter General Measurements for how to make the configuration of the measurement menu 146 265 VINNG 8000098 10 6 Urology Measurements Introduction Urology measurements provide several types of measurement items e Bladder e Prostate e Renal e Kidney and ureter e Pelvic Floor dysfunction 10 6 1 B Mode measurements Urology measurements include general measurement items and some typical measurement items such as Bladder Volume Renal Length Renal Volume and Prostate Volume General measurements in 2D mode include measurement items as follows Refer to the chapter General Measurements in detail e Depth
51. death or serious injury CAUTION A Indicates a hazard which if not avoided could result in moderate or minor injury and property damage 8 265 VINNG 8000098 2 2 Owner responsibility Notice against operator modification WARNING A Never modify this device including the system components the software the cables and any other device components or accessories A safety hazard may occur resulting from unauthorized modification Do not attempt to disassemble the device if you are not trained and authorized by the manufacturer The operator must familiarize themselves with these safety measures and avoid situations that can result in injury or damage 2 3 Regulatory Notice This device has been tested to meet all applicable requirements According to 93 42 EEC it is a class Ila medical device Conformity to Standards The following standards have been used and the product is therefore certified in compliance with IEC 60601 1 E3 2005 Corr1 2006 Corr2 2007 Medical electrical equipment Part 1 General requirements for basic safety and essential performance IEC 60601 1 2 2007 Electromagnetic compatibility Requirements and tests IEC 60601 1 6 2010 Usability IEC 60601 2 37 2007 Medical electrical equipment Particular requirements for the safety of ultrasonic medical diagnostic and monitoring equipment IEC 61157 2007 Declaration of acoustic output parameters ISO 10993 1 2009 Biological evaluation of medical devices IEC 623
52. defined and configurable layout UI LCD monitor 15 6 high resolution monitor with wide view angle 178 to 178 Horizontal swivel angle 30 150 254 265 VINNG 8000098 14 2 4 Console Design e active probe ports 14 2 5 Transmitter Frequency range Broadband system 1 to 18MHz automated adaptation to the probe used Control of acoustic output 10 100 Focusing selectable transmit focal width and focal depth 14 2 6 Receiver Frequency range Broadband system 1 to 20MHz automated adaptation to the probe used Focusing Digital dynamic focusing system accuracy of focus 5ns Sample rate SOMHz 14 2 7 Scan Converter Image resolution 1920 x 1080 Image Lines max 1024 Scan angle max 360 14 2 8 Cine Loop Memory Call back sequence manually frame by frame Call back automatically from 20 to 400 of real time rate with selectable start and end point 14 2 9 Basic Measurement Accuracy The table below lists the basic measurement accuracy of this device in order to guide the operator to use this instrument for clinical diagnosis when the number VINNG 255 265 8000098 of changes or measurement error may arise The error may be due to the limitations of the instrument itself or inappropriate operation of the operator If a operator regulates the operation according to the operational guidelines can make the potential measurement error reduced to a minimum
53. depth Turning Gain control clockwise makes the entire image brighter and counterclockwise makes the image less bright The digital gain value is displayed on the screen Depth Rotating Depth on the control panel can move the different depth of the image This change can only be in real time scan mode When turned clockwise the depth range of the 2D image is enlarged and the display size of the image is reduced to display the entire depth range When turned counterclockwise the depth range of the image is reduced and the display size of the image is magnified Note 1 Maximum and minimum depth varies according to the different probes used 2 Actual depth is displayed in the information header TGC slides controls Using the TGC slides control keys on the control panel can vary the gain in the certain depth of the 2D image Sliding to the left decreases the gain in the corresponding specific 2D depth Sliding to the right increases the gain in the corresponding specific 2D depth B Steer Rotation Steer key on the control panel can steer the B image right direction center no steer left direction Clockwise movement of it is right steer when in the center status or center steer when in the left status Counterclockwise is center when in the right steer status or left steer when in the center status The drawing below is shown as reference B steer only exists in the linear probes Right Center Left
54. each mode Topics are as follows e Measurement workflow e Position of the measurement key e Measurement system settings e General introduction to measurement e The list of generic measurements in each mode e How to configure measurement in each mode 10 1 1 Measurement Workflow For a patient the system classifies information according to type of examination category and measurement These terms are defined as follows 92 265 VINNG 8000098 1 Examination application types which include e Abdominal e Obstetrics e Gynecology e Urology e Pediatrics e Cardiac e Vessel e Small organs e g breast testes thyroid e Trans cranial Doppler 2 Category After an application is selected the system allows the operator to select a certain category For example the following examination categories can be selected in the pediatrics application e Early e Mid e Late e Fetal heart 3 Measurement This is measurement and calculation for analysis of anatomy for example of kidney length Measurement includes several categories of data For instance in order to measure kidney volume the length width and height need to be measured VINNG 93 265 8000098 10 1 2 Positions of the measurement keys D u p Measure activates measurement caliper and current measurement and calculation setting Clear during measurement press this key to clear measured caliper and relevant results Holding this key down
55. end point on PW image 4 The system will provide the results automatically In config page the operator can select target items to display in the result window Cardiac Mitral Valve MV Measurement Folder In B mode of Cardiac examination the MV Measurement Folder includes measurements as follows Single Distance Measurement e MV Ann Diam e EPSS e MR Radius only available in the CFI mode To execute the single distance measurement the steps are as follows 1 Press Measure 2 Select the distance measurement to be executed and an active tracing caliper displays 3 To position the active caliper at the start point move the trackball 4 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second active caliper at the end point move the trackball A dotted line connects the measurement points if preset accordingly 6 To complete the measurement press Enter The system displays the distance value in the results window Area Measurement and the measurement method option can be Polygon Spline and Trace where Trace method is the default setting e MVA by PHT To execute the area measurement by Trace method the steps are as follows 1 Press Measure 2 Select the area measurement to be executed 3 Select the measurement method Trace as the default setting from the configuration menu and an active tra
56. es eege en E EE E EE E A Seege eeiedegieeehee ege reg eege uewietels 55 5 3 RN d E 56 S31 OR EE 56 5 3 2 Freeze in M MOd iecisccicecsssccivsssscceaescswedsasssesdsnasanscctvaasesdevassecacassaesetsneesesdsaadsecdeaes 57 6 CF COLOR FLOW MODE PDI POWER DOPPLER MODE 58 6 1 CF mod OPeatiON ss ssssescdscssssecscecccecccenccdeeasseadscaccdeascensede cosssscdeacdessddadecaccctecds EEN 58 6 1 1 Main menus of Ckmode 58 6 1 2 CF box position and SIZE ssesessesessressseserertrsssssssessrtrersssstrrrenerseresssertrensrssestreet 61 6 1 3 CF mod gain el nnsa anakaa o iih a ah 62 6 2 Power Doppler PDI r arae rr aeaaee aae EENS 62 7 PW AND CW MODE SPECTRAL DOPPLER MODEL ssesseesrseeeersed 63 7 1 PW mode Pulsed Wave Doppler sssssssssssssssseeeeeeecccccccccsssssssssssssssceeseeeceesesesaasees 63 7 1 1 Operation of PW mode Main menu 63 7 1 2 Operation of PW mode SUD menu 67 7 2 CW mode Continuous Wave Doppler ccssssssssssssssssscccccceeceesceesssessessssassssnceseneeeees 68 7 3 Er ezen PW CW E E E bereest dees E A 69 8 E E 70 8 1 SUALIC SD E 70 8 1 1 Workflow EE 70 BAEZ FSD e EE 76 SE Free VICW ss cecceacs succeeds susssaccadvagesassapneSbosdcsuwsadescoduegans edel dde deeg 77 814 ET e EE 77 8 2 AD EAU UIMG a cecssecensscecedcececssdecceczecsssezed9eseaencuecesteceszerss asstersbsseseseeesenedv oneaensvesestessecsesese 79 VINNG V 8000098 8 3 8 4 9 1 9 2 9 3 10
57. format Image Reference oth VM bd FreeView 3D MCut El Save Preset MagicCut Notes 1 After selected in HQSurface acquisition mode the touch panel menu is displayed as above There is one adjustment button HQ Light to adjust the rendering light position for a different rendering appearance 2 In this mode HQSurface rendering or the other rendering mode can be selected VINNG 73 265 8000098 3 In the general acquisition mode there is no HQSurface rendering mode and the time for data acquisition and the processing will be short If general acquisition mode is selected the touch panel menu is displayed as shown below Category View Render Type GA Baby Face zs Up Down Gray GrayInv Curve Rotate Reset Rotation Direction Render O gt l J X v SurfTextu TranspM re ax Fix ROI Auto Rotate SurfSmo Display format Image Reference oth Xray d MCut FreeView 3D MCut GradLight Ke Geh fen A E Save Preset MagicCut Light Notes 1 Slide the touch panel from the left edge more parameters can be adjusted 2 Movement step It will impact the rotation angle step in 3D image when enable Auto Rotate By selecting a high number the movement will be faster 3 After the 3D image is activated and highlighted one of the X Y and Z directions will be active while the others are inactive The active one is highlighted and the Rotation Steer key on the con
58. horizontal 198 265 VINNG 8000098 dotted line and an active tracing caliper will display on the image screen 3 To position the active caliper at the start point move the trackball 4 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second active caliper at the end point move the Trackball A dotted line connects the measurement points if preset accordingly 6 To complete the measurement press Enter The system displays the distance value in the results window Area Measurement and the measurement method option can be Polygon Spline and Trace where Trace method is the default setting e AVA e AV A e Trans AVAd e Trans AVAs To execute the area measurement by Trace method the steps are as follows 1 Press Measure 2 Select the area measurement to be executed 3 Select the measurement method Trace as the default setting from the configuration menu and an active tracing caliper displays 4 To position the trace caliper move the trackball 5 To fix the trace start point press Enter The system fixes the first caliper and the trace caliper changes to an active tracing caliper 6 To trace the measurement area move the trackball around the anatomy 7 To complete the measurement press Enter The system displays the measured area value in the results window Note Before completing the spline measure
59. keyboard For Polyline pattern and Curve Pattern it will undo the last segment of polyline or curve Image Refernece Change the referece image at the left side of the screen Press A will show sagittal plane Press B will show coronal plane Press C will show transverse plane Slice Thickness Freeview is not only able to do different regular or irregular plane but also able to dissect the volume with variable plane thickness by adjusting Slice Thickness Rotate M PW CF keys can also rotate the images M is corresponding X direction PW is corresponding Y direction CF is corresponding Z direction 3D Map Map configure for plane image at right side Gray Map Map configure for reference image at left side Pressing Freeze on the control panel to go back to the initial 3D mode status After data acquisition the system is in the frozen status as all operations are based on already acquired data Pressing B on the control panel to go back to the normal 2D mode 8 1 4 MagicCut Touching MagicCut to go to MagicCut mode Erase Mode Adjusts the way to edit the volume There are four edit methods Small Circle small rubber to erase finely Big Circle big rubber to erase coarsely Inside Lasso edit volume by Lasso inside the Lasso will be erased Outside Lasso edit volume by Lasso inside the lasso will be kept while others will be erased Undo Undo the last e
60. little by little back from its current point press Clear k once 162 265 VINNG 8000098 e To clear the trace caliper and the current data measured press Clear for at least 2 seconds Cerebellar Diameter CD To measure Cerebellar Diameter the steps are as follows 1 Press Measure 2 Select CD and an active tracing caliper displays on the image screen 3 Perform a standard distance measurement The system displays the cerebellar diameter in the results window Transverse Cerebellar Diameter TCD To measure Transverse Cerebellar Diameter the steps are as follows 1 Press Measure 2 Select TCD and an active tracing caliper displays on the image screen 3 Perform a standard distance measurement The system displays the transverse cerebellar diameter in the results window Binocular Diameter BD To measure Binocular Diameter the steps are as follows 1 Press Measure 2 Select BD and an active tracing caliper displays on the image screen 3 Perform a standard distance measurement The system displays the binocular diameter in the results window Outer Orbital Diameter OOD To measure Outer Orbital Diameter the steps are as follows 1 Press Measure 2 Select OOD and an active tracing caliper displays on the image screen 3 Perform a standard distance measurement The system displays the outer orbital diameter in the results window Inter Orbit
61. loop 3 Speed control cine speed as 400 200 100 60 50 40 20 4 In frozen mode B or PW CW mode if available can be switched for adjustment by selecting the mode buttons on the top left 6 1 2 CF box position and size The ability to change the CF mode box size and the position can provide the flexibility in imaging After ROI highlighted pressed from the normal status trackball movement will change the box size Right left movement will increase decrease the box size from side by side view Up down movement of the trackball will increase decrease the box size from up and down view When ROI on the control panel is not highlighted default status the trackball movement will change the position of the color box VINNG 61 265 8000098 6 1 3 CF mode gain control Rotating CF can adjust the CF mode digital gain in order to change the sensitivity If CF gain control is too low it will be difficult to detect the small abnormalities in flow and will possibly result in an underestimation of the large flow disturbances If CF gain control is too high the noise will be introduced and disturb normal flow detection So CF gain needs to be adjusted properly to ensure continuous flow display and also be set as high as possible unless the random color speckle appears Similar to the other gain key clockwise increases and counterclockwise decreases gain 6 2 Power
62. makes the following changes GA LMP BBT is now GA GA and shows the age entered In the Patient Data section the GA changes In the Patient Data section the EDD shows an updated date using the GA entered e Fetus Position type information about the fetus position e Placenta type information about the placenta If there is one connected printer select Print to print the OB graph 10 8 2 M Mode measurements In M mode of Obstetrics application it includes measurement items as follows e Depth e Distance e LVEF e HR e A B Ratio 10 8 3 PW mode measurements 180 265 In PW mode of Obstetrics application it includes measurement folders as follows e General e Aorta e Desc Aorta e Umbilical e Placenta e Uterus e Follicle e MCA General Measurement Folder e Velocity e PS e ED e MD e TAMAX e PI VINNG 8000098 e RI e HR Other Measurement Folders e Velocity e PS e ED e Pl e RI e HR Note Configure the measurement menu of all Measurement Folders by adding or removing the measurement items in the Measurement Folders Refer to the Measurement Menu Configuration in the chapter General Measurements for how to make the configuration of the measurement menu VINNG 181 265 8000098 10 9 Cardiac Measurements Introduction Based on the application of different subjects age and weight Cardiac measurement provides the different measurement
63. of PSA and PPSA Coefficient in the above coefficient window Note The value of PSA and PPSA Coefficient can be entered at the urology patient screen also 5 PSAD and PPSA are automatically calculated and the system displays the value in the results window Pelvic Floor Dysfunction Measurement BNR Bladder Neck Rest Measurement To take the Bladder Neck Rest Measurement the steps are as follows 1 Acquire the bladder image when the patient is in the rest status and press Freeze 2 Press Measure 3 Select BNR and a horizontal baseline displays on the image screen 4 Move the trackball to adjust the position of the baseline at the trailing edge of the symphysisosslum pubis and press Enter Note It shows positive values below the baseline and negative values above the baseline 5 When the baseline is fixed an active tracing caliper displays on the image screen Move the trackball to position the caliper at the leading edge of the bladder neck 6 Perform a standard distance measurement and the system displays the value in the results window BNS Bladder Neck Stress Measurement To take the Bladder Neck Stress Measurement the steps are as follows 1 Acquire the bladder image after the patient finishes the Valsalva and press Freeze 2 Press Measure 3 Select BNS and a horizontal baseline displays on the image screen 4 Move the trackball to ad
64. on the PW CW button on the touch panel can let the operator switch to PW CW screen for parameter change 3 The PDI mode does not have an Invert button 4 Slide the touch panel to the left to obtain more parameters Frequency This setting controls the transmit frequency With a higher frequency the lower flow velocities are displayed better at the given PRF but the penetration depth is reduced With a lower frequency the sensitivity in depth will be increased PRF The Pulse Repetition Frequency PRF governs the displayed velocity range Increasing the PRF will increase the range of velocity High PRF will avoid aliasing of blood However higher PRF will have a loss of sensitivity to low flow velocities Wall Filter Wall motion filters are used to eliminate the vessel wall motion and the cardiac motion noise that is low in the velocity and high in the intensity Packet Size It controls the number of samples gathered for a single color flow vector This allows the operator to improve the color sensitivity and accuracy of color averaging if increasing the packet size or increase the frame rate if decreasing the packet size Color Level This function eliminates the small color noise or motion artifact signals L R After this button is selected the image will be folded from left to right and right to left U D After this button is selected the image will be folded from up to down and down to up Inv
65. on the first page of the main menu as below B Abd Abd Res G Abd Pen Kidney OB Early eneral L R U D E OPINO Uterus Prostate Late FullScreen Center Line Ee es d Frequency Focus Position es lt 5MHz gt lt gt EI Operator defined setting After the parameter adjustments is finished go to the second page of the main menu select Save Preset the adjustments can be save to the selected application Or enter Probe amp App select Save or Save amp Exit to save the changes Slide the touch panel from the left edge open the menu as below In this menu New Patient Archive End Exam Sys Setting Body Pattern Comments and Report can be selected VINNG 23 265 8000098 EH Archive Report Sys Setting Probe amp App Select Probe amp App the operator can rename the application set one application as default and reset all changes And also add one user defined application or delete one user defined application Ped Abd Cardiac General IEN Wa ez Bn Fv D es Save Save amp Exit Exit Rename Setas Delete Reset default 3 6 Image Storage Select Store to HDD to save VRD DICOM or AVI image to the system hardisk select Store to USB to save VRD DICOM or AVI image to the connected USB device In system setting the image format can be changed please refer 13 4 1 24 265 VINNG 8000098 In 3D 4D mod
66. point until all required points are set 7 Fix the final caliper and press Enter in order to finalize spline curve Note Press Enter twice to complete trace measurement Before completing the measurement delete the calipers one by one by pressing Clear 8 After measurement is completed by pressing Enter twice the results window will display the result Perimeter Tracing method Perimeter can be measured by tracing method The steps are the process of the measurement as follows 1 Press Measure 2 Select Perimeter in the measurement menu 3 Select Tracing approach in the perimeter menu Caliper will display on the image screen 4 To move the first caliper in the start point move the trackball 5 To fix the start point press Enter Tracing caliper will change to an activated caliper 6 The trackball can be used to trace the anatomical structure of the measurement field The tracing curve will change to a dotted line 7 To complete measurement press Enter twice and the results window will display the perimeter result Notes e Before completing the measurement press Clear once to clear a segment of the trace line e To clear the tracing caliper and the current measurement data press Clear for at least 2 seconds Area measurement Length and width method Area can be measured by length and width The steps are as follows 104 265 VINNG 8000098 1
67. second area measurement 5 Measure the area of the exterior vessel 6 Results window displays two area results and stenosis percentage Refer to the area measurement to know how to measure area A and B rate In B mode A and B ratio can be calculated by diameter or area measurement Diameter The steps are to calculate A and B ratio by diameter measurement as follows 1 Press Measure VINNG 109 265 8000098 2 Select A B ratio in the measurement menu 3 In the A B ratio measurement menu select the Diam approach and an active tracing caliper will display on the image screen 4 Measure the first diameter distance The system displays another caliper for the second distance measurement 5 Proceed with the second distance measurement 6 The system will display two distance measurement results A and B ratio First diameter is A and second diameter is B Refer to the distance measurement for details on the distance measurement approach Area The steps are to calculate A and B ratio by area measurement as follows 1 Press Measure 2 Select A B ratio in the measurement menu 3 In the A B ratio measurement menu select the Area approach and an active caliper will display on the image screen Note Here different area measurement methods length amp width ellipse polygon spline and tracing method can be selected 4 Proceed with area A measurement The system will di
68. several vertical lines The number of vertical lines is determined by assigned areas The interval line divides the whole image area equally 7 Use the trackball and Rotation Steer key to adjust the horizontal line in order to be parallel with vascular wall Press Enter to complete the adjustment The system will display another caliper VINNG 137 265 8000098 8 Use the trackball to move the caliper and press Enter in order to measure the thickness in any place as required 9 The system displays the following measurement and calculation results e All measurement results e Display all parameters which are set in setting menu a Maximum value in each area m Average value in each area a Variance yield in each area a Maximum value in all measurements Average value in all measurements a Variance yield in all measurements The number of all measurement points which exceed vascular wall limitation and the number of all areas which exceed vascular wall limitation 138 265 VINNG 8000098 10 4 2 M mode measurements In M mode measurement menu includes measurement items as follows e Depth e Distance e Stenosis e AandBratio e Heart rate Refer to the Generic measurement in detail for those measurements Increase or reduce measurement items in the measurement setting menu based on their own requirements Refer to M mode measurement setting information in detail 10 4 3 PW mode measureme
69. systole peak speed e ED diastole end speed e MD Minimum speed in diastole period e TAMAX maximum speed in time average e PI Pulsatility index e RI resistance index e PS ED e ED PS e A Bratio Velocity Time Acceleration e HR Refer to the Generic measurement in detail for those measurements Increase or reduce measurement items in the measurement setting menu based on their own requirement Refer to M mode measurement setting information in detail Measurement folder for other anatomic structure In PW mode other measurement folders based on an atomic structure include measurement items as follows e Velocity e PS systole peak speed e ED Diastole end speed e PI Pulsatility index e RI Resistance index Increase or reduce measurement items in the measurement setting menu based on requirements Refer to PW mode measurement setting information in detail 130 265 VINNG 8000098 10 3 Small organ measurements Brief introduction Based on different applications small organ measurement provides several different measurement options e Thyroid e Breast e Testis e Musculoskeletal e Upper and lower extremity joint e Nerve block 10 3 1 B mode measurements The small organ application measurement menu includes generic measurement and specific measurement such as length of thyroid isthmus thyroid volume testis volume etc In B mode generic measurement in small p
70. the configuration menu and an active tracing caliper displays on the image screen 4 To position the active caliper of the polygon move the trackball 5 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 6 To position the second caliper move the trackball 7 To fix the second point press Enter The system fixes the second caliper and displays a third active caliper 8 To position the third caliper move the trackball 9 To fix the third point press Enter The system fixes the third caliper and displays a next active caliper Note At least three calipers are needed to form a polygon 10 Repeat Steps 8 9 to add more caliper of the polygon 11 To complete the measurement press Enter The system displays the fetal trunk area in the results window Note Before completing the polygon measurement e To erase the line little by little back from its current point press Clear once e To clear the trace caliper and the current data measured press Clear for at least 2 seconds To measure Fetal Trunk Area with the Spline method make a spline trace measurement The steps are as follows 1 Press Measure 2 Select FTA 3 Select the measurement method Spline as the default setting from the configuration menu and an active tracing caliper displays on the image screen 4 To position the active caliper of the spline mov
71. the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people a Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which this device is used exceeds the applicable RF compliance level above this device should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or relocating this device b Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m VINNG 8000098 20 265 Recommended separation distances Recommended separation distances between portable and mobile RF communications equipment and this device This device is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the operator of this device can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and this devic
72. the second caliper and displays a third active caliper 8 To position the third caliper move the trackball 9 To fix the third point press Enter The system fixes the third caliper and displays a next active caliper Note At least three calipers are needed to form a spline 10 Repeat Steps 8 9 to add more calipers to the spline 11 To complete the measurement press Enter The system displays the head circumference in the results window Note Before completing the spline measurement e To erase the line little by little back from its current point press Clear once e To clear the trace caliper and the current data measured press Clear for at least 2 seconds To measure Head Circumference with the Trace method the steps are as follows 1 Press Measure 2 Select HC 3 Select the measurement method Trace as the default setting from the configuration menu and an active tracing caliper displays on the image screen 4 To position the trace caliper move the trackball 5 To fix the trace start point press Enter The system fixes the first caliper and the trace caliper changes to an active tracing caliper 6 To trace the measurement area move the trackball around the anatomy 7 To complete the measurement press Enter The system displays the head circumference in the results window Note Before completing the spline measurement e To erase the line Before completing
73. the second standard distance measurement 5 Calculate the area of levator hiatus automatically and the system displays the values in the results window The measurement menu of Urology application can be configured by adding or removing the measurement items in B mode Refer to the Measurement Menu Configuration in the chapter General Measurements for how to make the configuration of the measurement menu VINNG 151 265 8000098 10 6 2 PW Mode measurements The PW mode of Gynecology application includes the following measurement folder General Measurement Folder General Measurement Folder The General Measurement Folder includes the following measurement items Velocity PS ED MD TAMAX PI RI PS ED ED PS FLOW VOL The measurement menu of Urology application can be configured by adding or removing the measurement items in PW mode Refer to Measurement Menu Configuration in the chapter General Measurements for how to make the configuration of the measurement menu 152 265 VINNG 8000098 10 7 Pediatric Measurements Introduction Pediatric measurements provide several types of measurement items e Neonatal Head e Neonatal Abdomen e Pediatric Abdomen e Pediatric Hip e FAST 10 7 1 B Mode measurements Pediatric measurements include general measurement items and some typical measurement items such as HIP a HIP aB and acetabular cartilage thickness General mea
74. the vertical distance between the two points in the results window Single Slope Measurement e D E Excursion e D E Slope e E F Slope To execute the slope measurement the steps are as follows 1 Press Measure 2 Select the slope measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the active caliper at the start point to be measured move the trackball 4 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 192 265 VINNG 8000098 5 To position the second caliper at the end point to be measured move the trackball 6 To complete the measurement press Enter The system displays the slope vertical distance and horizontal time interval between the two points in the results window e A B Ratio Slope e MVE A Ratio m MV Vel A m MV Vel E To measure A B Ratio Slope the steps are as follows 1 Press Measure 2 Select MV E A Ratio a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the velocity A move the trackball 4 To fix the velocity A press Enter The system fixes the first caliper and displays a second active caliper 5 To position the velocity A move the trackball 6 To complete the measurement press Enter to fix the velocity B The system displays the v
75. trace caliper move the trackball 5 To fix the trace start point press Enter The system fixes the first caliper and the trace caliper changes to an active tracing caliper 6 To trace the measurement area move the Trackball around the anatomy 7 To complete the measurement press Enter The system displays the measured area value in the results window Note Before completing the spline measurement e To erase the line little by little back from its current point press Clear once e To clear the trace caliper and the current data measured press Clear for at least 2 seconds In the M mode of Cardiac examination the RV Measurement Folder includes the following measurements Single Distance Measurement e RVAWd e RVIDd e RVAWs e RVIDs To execute the single distance measurement the steps are as follows 1 Press Measure 2 Select the distance measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the active caliper at the most anterior point to be measured move the trackball 4 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second caliper at the most posterior point to be measured move the trackball 6 To complete the measurement press Enter The system displays the vertical distance between the two poi
76. will clear all annotations body pattern measurement results and cursor Trackball use this to move the caliper By pressing enter the caliper will remain fixed Move the trackball again to fix a new point with the caliper and press enter This enables the operator to measure straight and curved lines and shapes of many kinds Enter confirms the measurement Cursor key after this key is pressed the cursor will appear on the screen Touch panel all measurement function can be selected on the panel 10 1 3 Measurement system setting On the touch panel enter Sys Setting menu and select Measure then display setting items as follows 94 265 Cursor Type is the default factory setting for cursor type Other cursor types can also be selected to replace the factory setting Cursor Size 8x8 is the factory setting Other size can also be selected for cursor size Cursor Size When Measure 5x5 is factory setting Other size can be also selected for shape cursor size Use Arrow Cursor for indication on image Enable it and enable Cursor there is an arrow on the image Show Result Window During measurement results are displayed in the results window with measurement number and are updated VINNC 8000098 simultaneously until complete All results are displayed in the measurement results window If necessary this window can be deleted To delete the window select Show Res
77. will display on the image screen 4 Move the trackball to position the caliper in point A 5 Press Enter to fix the measurement point The system will display the second caliper 6 Move the trackball to position the point B 7 Press Enter to complete measurement The system will display two measured time results A and B ratio Speed The steps are as follows 1 Press Measure 2 Select A B ratio in the measurement menu 3 Select Velocity measurement approach in A B ratio menu A vertical and horizontal dotted line and an active caliper will display on the image screen 4 Move the trackball to position the caliper in A point 5 Press Enter to fix measurement point The system will display the second caliper 6 Move the trackball to position point B 7 Press Enter to complete measurement The system will display two measured time results A and B ratio VINNG 113 265 8000098 10 1 5 3 PW mode measurement There are 19 types of measurement in PW mode Speed include PV Peak Velocity Time include AT Accelerate Time Acceleration PS Peak Speed in systole period ED The speed in the end of diastole period MD Minimum speed in diastole period TAMAX maximum speed in time average TAMEAN mean speed in time average TAMIN minimum speed in time average PI Pulsatility Index RI Resistance Index PS and ED ratio ED and PS ratio Aan
78. 04 2006 Medical device software Software life cycle processes IEC 62366 2007 Medical devices Application of usability engineering to medical devices Council Directive 93 42 EEC on Medical Device Directive 2002 96 EC on Waste Electrical and Electronic Equipment 2 4 Label Icon description Label Description Location VINNG 9 265 8000098 This is the indicator for company address Rear of unit This is the indicator for part number Rear of unit This is the serial number indicator Rear of unit This indicates manufacture time Rear of unit General Warning Sign Rear of unit MUST read the document accompanying the device Rear of unit This is type BF equipment in which protection against the electric shock does not rely on the basic insulation only The operator shall Provide additional safety precautions such as double insulation or reinforced insulation for protective earthing or reliance upon installation conditions Rear of unit Equipment Type CF indicates the equipment which has a floating applied part possessing a degree of protection suitable for direct cardiac contact Rear of unit x e Bl GPCR This symbol indicates that the waste of electrical and the electronic equipment must not be disposed as unsorted municipal waste and must be collected separately Contact an authorized representative of the manufacturer for information concerning
79. 3 Select L or L amp W method in the volume measurement menu The active caliper will display on the image screen 4 Proceed with single or dual distance measurement 5 The result will display in the results window Notes Use Clear to delete measurement and calculation result To measure volume by triple distance method the steps are as follows 1 Press Measure 2 Select Volume in the measurement menu 3 Select L amp W amp H method in the volume measurement menu The active caliper will display on the image screen Notes Triple distance can complete in dual image display format First measurement normally is done in midsagittal plane 4 Proceed with single distance and dual distance measurement 5 Volume result is displayed in the results window VINNG 107 265 8000098 To measure volume by ellipse method the steps are as follows 1 Press Measure 2 Select Volume in the measurement menu 3 Select Ellipse method in the volume measurement menu The active caliper will display on the image screen 4 Proceed with ellipse measurement 5 Volume result is displayed in the results window To measure volume by ellipse and single distance method the steps are as follows 1 Press Measure 2 Select Volume in the measurement menu 3 Select Ellipse amp H method in the volume measurement menu The active caliper will display on the image screen Note
80. 8 Trunk Cross sectional Area AxT To calculate Trunk Cross sectional Area there are five measurement methods APAD amp TAD Ellipse Polygon Spine and Trace Ellipse and APTD amp TTD method are the most common settings To measure Trunk Cross sectional Area with the APTD amp TTD method make two distance measurements 1 Press Measure 2 Select AxT 3 Select the measurement method APTD amp TTD as the default setting from the configuration menu and an active tracing caliper displays on the image screen 4 Perform a standard distance measurement The system displays the distance value in the results window 5 Repeat Step 3 to make the second distance measurement 6 After the second distance measurement is completed the system displays the trunk cross sectional area in the results window To measure Trunk Cross sectional Area with the Ellipse method make an ellipse measurement The steps are as follows 1 Press Measure 2 Select AxT 3 Select the measurement method Ellipse as the default setting from the configuration menu and an active ellipse displays on the image screen 4 To position the active caliper of the ellipse move the trackball 5 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 6 To position the second caliper move the trackball 7 Adjust the Ellipse control and an ellipse with an initial c
81. Adjust the inclination of the linea by the Rotation Steer key 7 Fix the linea with the Enter key and the system displays the anglea in the results window HIP aB To measure HIP aB The steps are as follows 1 Press Measure 2 Select HIP aB L or HIP aB R and a horizontal line displays on the image screen Adjust the baseline to align with the acetabular convexity by the trackball Adjust the inclination of the baseline by the Rotation Steer key Fix the baseline with the Enter key and the system displays the linea Adjust the inclination of the linea by the Rotation Steer key Fix the linea with the Enter key and the system displays the lineB Adjust the inclination of the lineB by the Rotation Steer key Fix the lineB with the Enter key and the system displays the anglea and angle in the results window ee ONT a es Measurement configuration of HIP aB The steps are as follows 1 Select the configuration menu of HIP aB measurement and the system shows its measurement method as shown below 2 Select the measurement method Group or Ungroup to complete the measurement setting 154 265 VINNG 8000098 Note Baseline linea and lineB always intersect at the acetabular convexity Therefore the operator should keep the three lines intersect at one point when using either the Group method or Ungroup method Pediatric Hip Dysplasia
82. An active tracing caliper will display on the image screen 7 Use the trackball to move caliper and trace extima inter side of carotid artery Press Enter to fix the first caliper and the system display another operating caliper 8 Use the trackball to move the caliper and trace intima inter side of carotid artery 9 Press Enter to complete the measurement The system will automatically calculate vessel wall intima media average thickness for tracing part Auto IMT measurement Auto IMT measurement means to measure the intima thickness of far field and near field vessel wall Intima thickness of near field means the distance between extima and intima Intima thickness of far field means the distance between extima and intima in far field The steps are as follows 1 Scan carotid artery to gain relevant good image quality and press Freeze 2 Press Zoom once to amplify the image in order to identify the vessel intima media and extima 3 Press Measure 4 Select the proper direction left or right and rear wall or antetheca CCAIMT 5 Select CCAIMT carotid artery intima media thickness setting menu 6 Select Auto measurement approach An active tracing caliper displays on the image screen 7 Move the trackball to draw one line inside the vessel which is parallel with the vessel wall in order to set the measurement length Note To erase painted line and activate the active caliper press
83. Auto Invert when steering on flow or Doppler Auto Freeze after a period of idle time minutes Never 5 10 15 30 45 60 15 is the factory setting if the system run 15 minutes with no operation it will be frozen Turn off the display while freezing automatically Turn off the main screen and touch panel while the system freezing automatically Press any key or touch the touch panel to activate the main screen and touch panel again Counterclockwise rotate to increase depth Enable it the depth will be VINNG 231 265 8000098 increased when rotate Depth key counterclockwise e Default state of SyncDisplay If selecting Enable when enter CF mode it has two images on main screen the left one is 2D image the right one is 2D CF image If selecting Disable when enter CF mode it only has 2D CF image e Automatically refresh tissue image when Doppler MDLine is moved In PW CW TD mode move MDLine tissue image will be activate automatically for a while e Replay Doppler Audio Play doppler audio for replayed doppler images if it is enabled C3D C4D use ContrastGain Adjust contrast gain of C3D C4D image when rotate Gain key after enable this function e 3D 4D use Depth Mapping There is Depth Mapping in 3D 4D menu after enable this function And the operator can enable disable Depth Mapping e The Contrast Bubble type default typeA typeB typeC e Biopsy gt Biopsy line type Guide line
84. D mode 5 PW press this key to enter PW mode 6 CW press this key to enter CW mode 7 TVI press this key to enter TVI mode 8 CF press this key to enter CF mode 9 PDI press this key to enter PDI mode 10 4D press this key to enter 3D 4D mode 11 B press this key to enter B mode 12 HAR press this key to enter Harmonic imaging 4 265 VINNG 8000098 13 Cursor once pressing this key the cursor will be displayed on the screen It can be moved using the trackball 14 M D line push this key to display the desired line in M mode or PW CW mode Moving the trackball can change the line position 15 ROI size ROI stands for range of interest Pushing this key allows the operator to change the size of ROI by operating the trackball up or down movement allows to enlarge or reduce the ROI size vertically right or left movement to enlarge or reduce the ROI size horizontally 16 Auto automatically optimizes the relevant image such as B mode image color and pulse wave 17 Measure to view the image measurements The measurement items can be selected in the measurement menu 18 Clear to erase the annotation body pattern or measurement result on the display Pushed once it will erase the last one If held for a longer period minimum 2 seconds it will erase all results 19 Enter to confirm the action identified by an arrow 20 Rotation Steer in 3D 4D mode this key allows operator to rotate the
85. Doppler PDI Power Doppler is intended to compensate some deficit of the Color Doppler Its advantages comparing Color Doppler are less dependent on the incident angle no aliasing less dependent on the direction and sensitive to slow flow After PDI on the control panel is pressed the system will enter PDI mode The CF rotation key will impact gain of PDI by clockwise or counterclockwise rotation Similar to the other rotators clockwise increases the gain and counterclockwise decreases the gain The layout is similar with the color mode However the color bar will have a difference in the color mode the color bar has two colors to indicate the flow direction To probe is red away from probe is blue PDI color bar does not have the direction information and it indicates the power of flow PDI menu is similar with the color mode However all velocity determined functions are not available in PDI for example there is no Invert button The operation of PDI is similar to Color Doppler too and can refer to CF mode operation 62 265 VINNG 8000098 7 PW and CW mode Spectral Doppler Mode The spectral Doppler describes the Doppler shift signal within a sample volume It displays scroll from left to right and displays the spectral distribution of Doppler shift frequency over time The frequency or velocity values appear on the vertical axis and time along the horizontal axis
86. Favorites VINNG 45 265 8000098 After send successfully the addressee s will be saved in the list 4 2 8 View menu After View in the Archive is selected the system goes to the view function and menu as shown below LEE Display format Patient ID demo G50 Exam Date 01 26 2015 Multi selection vnc vent Single Dual F Quad s Image Reference A Save To 2 T ie ko Back Exit View Only Note 1 After entering the view mode select the images and then select Single or Dual or Quad to display the images in the different formats Select the other images and the different view modes to be displayed Single means that the image screen will display the first selected image Dual means that the image screen will display the last two selected images as the dual image display format Quad means that the image screen will display the last four selected images as the quarter image display format Only VRD images can be displayed in dual or quad formats 2 After small images are selected the image box will be highlighted If Multi selection is enabled the first select in the relevant image means selection the second select means un selection 3 Select button More to enter More page the operator can send images via Bluetooth Email or save images to DVD Touch these buttons to enter relevant pages 4 By selecting Back go back to the A
87. M e Osaka e Shinozuka OB Table Type According to different area different OB Table Type Fetal age and fetal growth table can be selected Selecting the OB Table Type pull down menu the system can display items as follows for global setting e ASUM e ASUM2000 e Chitty e FCFU_CFEF e Hadlock e Hansmann e Jeanty e JSUM e Merz e Shinozuka 1 VINNG 97 265 8000098 e Shinozuka 2 e Berkowitz e Eik Nes e Kurtz e Osaka e Paris e Rempen e Tokyo e Yarkoni e ASUM2001 e Nelson e Robinson e Mercer e Hellman e Mayden e Bertagnoli e Eriksen e Goldstein e Hill OB Measure Item GA Table Config To config GA table for every measurement item Heart Cycle To set the default value for heart cycle 10 1 4 Basic introduction in measurement function Press Measure and the system will enter measurement mode General Distance A B Ratio Body Comments Pattern 98 265 VINNG 8000098 Notes e To stop image acquisition before measurement press Freeze e To adjust accuracy of caliper move the trackball e To delete the caliper and measurement data before complete sequence measurement press Clear e To repeat the measurement select the relevant measurement item on the touch panel Notes After Measure is pressed and it enters the measurement status the system will go to the default measurement setting in the relevant application For example in B
88. Move the caliper to position B 7 Press Enter to complete the measurement The system will display two time results and A B ratio in the results window Acceleration Calculate A and B ratio through acceleration the steps are as follows 1 Press Measure 2 Select A B ratio in the measurement menu 3 In the A B ratio setting menu select Acceleration method A vertical and horizontal dotted line as an active tracing caliper will display on the image screen 4 Proceed with the position A acceleration measurement e Move the trackball to position the caliper in start point e Press Enter to fix the start point The second caliper will display e Move the trackball to position the caliper in end point e Press Enter to complete the measurement The system will display acceleration in the results window and second acceleration caliper will display 5 Proceed with B acceleration measurement using the same as above steps The system will display two acceleration results and A B ratio in the results window FLOW VOL Flow volume The steps are as follows 1 Press Measure 2 In the normal Doppler measurement menu select FLOWVOL Max PG maximum pressure gradient The steps are as follows 1 Press Measure 2 In the normal Doppler measurement menu select Max PG Mean PG mean pressure gradient The steps are as follows 1 Press Measure 2 In the n
89. PX4 IPX7 IPX4 Ge The grade of waterproof for all convex probes linear probes and phased array probes can refer this picture G2 5C convex Center frequency 4MHz Frequency range in B mode 2 5 5MHz Grade of waterproof Transducer IPX7 housing to cable IPX4 F2 5CE convex Center frequency 4MHz 222 265 VINNG 8000098 Frequency range in B mode 2 5 5 MHz Grade of waterproof Transducer IPX7 housing to cable IPX4 G4 9E Endocavity Center frequency 6 5MHz Frequency range in B mode 5 10 MHz Grade of waterproof Transducer IPX7 housing to cable IPX4 aes Ag IPX7 lt N IPX4 The grade of waterproof for all endocavity probes can refer this picture D4 9E 4D Endocavity Center frequency 6 5MHz Frequency range in B mode 5 10MHz Grade of waterproof Transducer IPX7 housing to cable IPX4 F4 9E Endocavity Center frequency 6 5MHz Frequency range in B mode 5 10 MHz Grade of waterproof Transducer IPX7 housing to cable IPX4 G4 9M Micro convex Center frequency 6 5MHz Frequency range in B mode 5 10MHz Grade of waterproof Transducer IPX7 housing to cable IPX4 X4 12L linear Center frequency 7 3MHz Frequency range in B mode 6 12MHz Grade of waterproof Transducer IPX7 housing to cable IPX4 X6 16L high frequency Linear Center frequency 10OMHz Frequency range in B mode 7 3 14MHz VINNG 223 265 8000098 IPX7 IPX7 Grade of waterpr
90. Press Measure 2 Select Area in the measurement menu 3 Select L amp W method in the area measurement menu The active caliper will display on the image screen 4 Measure the two distances in sequence press Enter to fix the start point then move the trackball and press Enter to confirm the second point for distance measurement 5 After the two distance measurements is completed the area result will display in the result window Note Before completing the area measurement e To clear the current measurement data press Clear once The system will display the original caliper to restart measurement e To exit measurement function before completing measurement press Measure again Area measurement Ellipse method Area can be measured by ellipse The steps are as follows 1 Press Measure 2 Select Area in the measurement menu 3 Select Ellipse method in the area measurement menu The active caliper will display on the image screen 4 Press Enter to fix the start point then the second caliper is displayed 5 Move the trackball to the second position and press Enter for confirmation The system will fix the second point and third caliper and ellipse shape display 6 To position the third caliper and ellipse move the trackball and press Enter for confirmation 7 Results will display in the results window Notes Before completing ellipse measure
91. S S dacasecdscececesccseasects 1 1 4 Product CESCHIPUION cccseiescssesedsidstessdecsccesedsscctetesteieccessessatesouussevesssussesuseeds Veas EENE SE ate G see 2 1 5 Mechanical System sei cssssiccesascsecscedsvesceuccsss scccucde sb raoun Lae a LOr Aeae La AEk D AEn EL SASA EKEREN 3 1 5 1 System laYOUt E 3 1 5 2 Mechanical adjustment cccccsscccssscccseseeececesseeeceesseeecsssseeseeeseaeeeesesseeesseseas 3 15 3 KEY DO ane WEE 3 1 6 Optional peripheral devices c s cscdeccccecceccecsdectececdececdassca ccbiccSeesecevsscescuncececectecssceesscedsceees 5 1 7 Display ANNOtatiOl EE 6 1 7 1 Parameter term explanation cccsessscecceeeeeecesesesneeeeceeeesseeeeeseeeeeeeeeeseeeaneaea 7 1 8 On Lime ET E 7 2 SAFETY EE 8 2 1 IMEFODUCHION isiceiscccescescccseccscecdseedscessstececedienccecetctsvascesseced eees eascdsveseboveshasedscdvacevancceeceasbodseses 8 2 2 OWEN ES PONSIDIITY E 9 2 3 Regulatory Note cciccccc cease sccsesesvevevdecscessce SEENEN NEESS EENS 9 2 4 label Cond Scription siviccccsssiscccesdesesctosesscscteceuvssceceastsveve cesseesetecsusesccscssusssccesesssveseeusessveees 9 2 5 Safety and Warning NOVICES sccccccecccececsescedeccceccececccaseesesssensevessecesccasececcetcesesseescesesesessaseses 12 2 5 1 ACOUSTIC OUTPUT cisssicsscccaccieccessssecccavecssotsaaasecdsaacssecsaacssedenasecdcvassovesseeasedseeesbedeeas 12 Z2 5 2 Patient Safety egene deeg Ser Zeene Zeen eege baw geed 13 2 5 3 Probe Safety sasssa a aaa a a e
92. Single ellipse and distance can be measured in dual display format The first measurement normally proceeds in midsagittal plane The second measurement proceeds in the axial plane normally Press Left or Right to activate dual display format 4 Proceed with single distance and ellipse measurement 5 Volume result is displayed in the results window Notes To change parameters during volume measurement the steps are as follows before restarting measurement 1 Check every item s measurement result in the results window 2 If data is not accurate or blank select editing of relevant measurement or relevant menu in the bottom then measure and calculate again Reminders e Result is most accurate in midsagittal plane and axial plane measurement e To display midsagittal plane and axial plane simultaneously use dual display format Angle Measurement The steps are as follows 1 Press Measure 2 Select Angle in the measurement menu The active caliper will display on the image screen 3 Use the trackball to move the caliper 4 Press Enter to fix the first caliper and the second caliper will display 5 Use the trackball to move the second caliper to desired position 6 Press Enter to fix the second caliper and third caliper will display 7 Use the trackball to move the third caliper to the desired position 8 Press Enter to fix the fourth caliper The result is displayed in resul
93. To erase the line little by little back from its current point press Clear key once e To clear the trace caliper and the current data measured press Clear for at least 2 seconds Fetal Cardiac Thorax Diameter Ratio CTDR To measure Fetal Cardiac Thorax Diameter Ratio make two distance measurements The steps are as follows 1 Press Measure 2 Select CTDR and an active tracing caliper display 3 Perform a standard distance measurement The system displays the distance value in the results window 4 Repeat Step 3 to make the second distance measurement 5 After the second distance measurement is completed the system displays the cardiac thorax diameter ratio in the results window Fetal Cardiac Thorax Area Ratio CTAR To measure Fetal Cardiac Thorax Area Ratio make two area measurements The steps are as follows 1 Press Measure 2 Select CTAR and an active tracing caliper displays 3 Perform a standard area measurement with the default measurement method The system displays the area value in the results window 4 Repeat Step 3 to make the second area measurement 5 After the second area measurement is completed the system displays the cardiac thorax area ratio in the results window Spinal Length SL To measure Spinal Length the steps are as follows 1 Press Measure 2 Select SL and an active tracing caliper displays 3 Perform a standard distance me
94. UV and an active tracing caliper displays on the image screen 3 Perform a standard distance measurement The system displays the distance value in the results window 4 Repeat Step 3 to make the second distance measurement 5 When the second distance measurement is completed the system calculates the residual urine automatically and displays the value in the Results Window Note RUV ml D1 cm x D2 cm x 5 9 14 9 UTDMAX Maximum Uterine Down Position Measurement To measure the maximum position of uterine down The steps are as follows 1 Acquire the uterine image when the patient is on the stress status and click the Freeze button 2 Press Measure 3 Select UTDMAX and a horizontal baseline displays on the image screen 4 Move the trackball to adjust the position of the baseline at the trailing edge of the symphysisosslum pubis and press Enter Note Positive values are shown below the baseline and negative values above the baseline 5 When the baseline is fixed an active tracing caliper displays Move the trackball to put the caliper at the bottom position of the uterus 6 Perform a standard distance measurement and the system displays the value 150 265 VINNG 8000098 in the results window RADMAX Maximum Ampulla Recti Down Position Measurement To measure the maximum position of ampulla recti down the steps are as follows 1 Acquire the image of ampulla recti when the patient is i
95. VINNO 6 Basic User Manual VINNO 6 Revision 1 L Esr Copyright 2014 by VINNO Technology Suzhou Co Ltd Intellectual Property Statement Intellectual Property Rights All copyright trademark domain name patent trade secret and other intellectual property rights existing in our product and this Manual will remain the sole property of VINNO Technology Suzhou Co Ltd hereinafter referred to as VINNO WINNC is the trademark of VINNO and it is duly registered in the People s Republic of China and other countries All rights reserved Without prior written consent by VINNO any reproduction modification storage in a retrieval system or retransmission or otherwise in any form or by any means regarding any part of intellectual property rights herein are illegal and strictly prohibited Any infringement of the intellectual property rights will be pursued vigorously and VINNO may seek injunction relief and indemnifications available under all applicable laws and regulations Confidential Information All or part of the materials and information contained in this Manual which are created or developed on the basis of VINNO s intellectual property rights are strictly confidential and privileged You should keep the Manual confidential until all such confidential information becomes available to the public Disclosure of the information in this Manual in any manner or by any means without prior written permission o
96. aea a EEE a EAE aE 14 2 5 4 Personnel and equipment satety 14 2 5 5 Electrical Safety scvcccsccicsssocsaisssasavsanescevessecaceasessasaviassocsaassacasassaececsvaasecccaessesadves 16 3 START THE SYS DEM i wises siesnsecicavtessnenadtsnacsncgsscnnsrduachivesscnsteraseanestdtyarssdensendesennte 22 3 1 Gene lal EET E E A 22 3 2 FAE VT 22 VINNG Il 8000098 3 3 3 4 3 5 3 6 3 7 3 8 3 9 3 10 3 11 3 12 3 13 3 14 3 15 4 1 4 2 IV Poweron BOO UP si scsciassccssscecccccoccocciecevesssvassevesoccebececbuccbavessassvaceeeaseceucsdeeoneeanscsevesensave 22 Power Off Shutdown EE 22 Probe and application Selection cccccccsessseessssssssceeeeeeccccccecccecscccsssseseeeeeeeeeseeeeeeeanseeees 23 3 5 1 Plug probe connector into this device 23 3 5 2 Probe and application selection ss sssssssessrssssesrersseressrrreserenrerssrrersnerensrrnenes 23 wf 24 LTE 25 Patient Gata isescscccecitecscceoccecouvessseessuvscedevecedocecccusessessssdeesdesssensswceccatedcuesdseaseseserseccsssesueeeses 25 image le E E 25 3 9 1 Character ANMOtation siiicissccsiscosscdasccciacagessseces ccanscasnacss scabsdanedsnedseosdecerteadsnaesbaseces 25 3 9 2 Arrow Indicator EE 27 3 9 3 Body PattenN asean ea onne a a ea a a Ee 27 CINE MOOG aa EE E A E 28 ZOOM FUNCTION eaa EAEE EE E E E T 29 CMN 29 3212 1 ECG trace Operation cstesescsssccsccessccastcsassaetsdsdasvsacaandessesbivesscaasssandesaecsssedvecssteanye 30 Multip
97. age screen 3 To position the caliper at the start point move the trackball 4 To fix the first caliper press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second caliper at the end point move the trackball 6 To complete the measurement press Enter The system displays the horizontal time interval between the two calipers in the results window A B Ratio Time Measurement e PV Ratio e PV Acc Time e PVET To measure PV Ratio the steps are as follows 1 Press Measure 2 Select PV Ratio a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 Perform two standard time interval measurements on PV Acc Time and PVET 4 The system displays PV Acc Time PVET and PV Acc Time PVET Ratio in the results window Single Slope Measurement e DR Acc e DR PHT e DV Acc To execute the slope measurement the steps are as follows 1 Press Measure 2 Select the slope measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen VINNG 215 265 8000098 3 To position the active caliper at the start point to be measured move the trackball 4 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second caliper at the end point to be measured move t
98. agon 8 The rest can be done in the same manner in order to complete measurement in any polygon method After the measurement is completed by pressing Enter twice the results window will display the result Notes e Before completing the measurement press Clear to delete the current measurement data The system will display previous caliper and start relevant measurement step again e To exit measurement before measurement is complete press Measure Perimeter Spline method Perimeter can be measured by spline The steps are the process of the VINNG 103 265 8000098 measurement as follows 1 Press Measure 2 Select Perimeter in measurement menu 3 Select Spline approach in the perimeter menu Caliper will display on the image screen 4 To move the first caliper to the start point move the trackball 5 Press Enter to fix the start point The first caliper will be fixed and the second caliper appears in the same position as the first caliper position Note Press Clear once to delete the second caliper and the first caliper will be activated If Clear is pressed again the first caliper and spline line will disappear 6 To fix the second caliper move the trackball and press Enter The third caliper will appear in the same position Note Same function of Clear key as above At least three points are needed to trace a spline curve Continuously set the trace
99. al 4D probe it will control the overall scan area or thickness if there is a very small angle with high quality then it will have a high contrast volume image 7 After Comments on the touch panel is selected the touch screen will go to the Comments menu At this time the touch panel image format is same as image screen After finished select Exit to go back to the previous menu 8 After Body pattern on the touch panel is selected the touch screen will go to the Body Pattern menu in order for the operator to select the body pattern and move the probe indicator direction in the body pattern VINNG 71 265 8000098 9 Category Different categories can be selected in the pull down menu the available categories are different with different applications 10 Curve Enable Curve to change the shape of render ROI by moving the trackball After data acquisition finished render ROI s shape can be changed as the same Enable ROI key change the size of render ROI by moving the trackball But if 3D is selected for Image Reference neither render ROI nor curve ROI can be changed 11 Fix ROI Enable it ROI can t be edited ROI again but the center point of the image can be moved 12 Flip The image can be flipped 90 180 or 270 degree 13 The data acquisition mode can be selected There are two rendering modes one is General and the other is HQSurface In HQSurface
100. al Diameter IOD To measure Inter Orbital Diameter the steps are as follows 1 Press Measure 2 Select IOD and an active tracing caliper displays on the image screen 3 Perform a standard distance measurement The system displays the inter orbital diameter in the results window Humerus Length HL To measure Humerus Length the steps are as follows 1 Press Measure 2 Select HL and an active tracing caliper displays on the image screen 3 Perform a standard distance measurement The system displays the humerus length in the results window VINNG 163 265 8000098 Anter posterior Abdominal Diameter APAD To measure Anter posterior Abdominal Diameter the steps are as follows 1 Press Measure 2 Select APAD and an active tracing caliper displays on the image screen 3 Perform a standard distance measurement The system displays the anter posterior abdominal diameter in the results window Transverse Abdominal Diameter To measure Transverse Abdominal Diameter the steps are as follows 1 Press Measure 2 Select TAD and an active tracing caliper displays on the image screen 3 Perform a standard distance measurement The system displays the transverse abdominal diameter in the results window Abdominal Circumference To calculate Abdominal Circumference there are five measurement methods APAD amp TAD Ellipse Polygon Spine and Trace Ellipse and APAD amp TAD metho
101. alified service personnel should try the measures one or more to address and solve the problem as follows e Determine the identity of the affected equipment and replace the affected equipment one or more e Relocate this device or the affected equipment to increase the distance in between e Use a different power supply source from the affected equipment for this device s power supply e Call your service personnel for more advice please General Information 1 Products equipped with a power source plug should be plugged into a fixed power socket that features the protective earthing conductor Never use any adaptor or converter to connect with a power source plug i e three prong to two prong converter 2 Locate this device as far away as possible from other electronic equipment 3 Be sure to use only the cables provided by or designated by VINNO company Connect these cables following the installation procedures i e wire power cables separately from signal cables 4 For designation of the Peripheral Equipment Connectable to this Product refer to the operator manual These Peripherals can be connected to the product without compromising its EMC performance 5 Avoid using equipment not designated for this device Failure to comply with this instruction may result in poor EMC performance of the product 6 Notice against Operator Modification Never modify this product Unilateral operator modification may cause the degra
102. all parts including thyroid breast testes etc Cardiac Adult and pediatric Vascular Urology including prostate TCD Intraoperative Pediatrics Small Joints VINNG 8000098 1 5 Mechanical system 1 5 1 System layout 1 Monitor 2 Touch Panel 3 Control Panel 4 Probe Port 5 ECG Port 1 5 2 Mechanical adjustment The image screen panel allows to move forward and backward and tilted to different degrees It can also be laid down into a flat position in order to be convenient and protected during transportation 1 5 3 Keyboard 1 5 3 1 Touch panel Except for the functions triggered by the control panel the touch panel represents the main operator interface for operation The touch panel is highly sensitive and consists of a flat monitor It is easy to VINNG 3 265 8000098 operate even under dim light conditions and allows for comfortable access to the control menu Notes This touch panel can be blocked by a strong magnetic field Avoid magnetic field interference The touch panel may be impacted by any foreign body lying on it To guarantee maximum performance it is recommended to clean the touch panel regularly 1 5 3 2 Control Panel Le ke ce Ge fa 20 2 1 TGC these 6 section slides can adjust TGC Time Gain Control in 6 different positions 2 Gain adjust the gain in every mode 3 M press this key to enter M mode 4 TD press this key to enter T
103. ame e Probe serial number e Year of manufacture e Regulatory marks VINNG 225 265 8000098 11 3 Probe connection and disconnection Only approved probes can be connected with this device The probe can be connected or disconnected from the probe port at any time When the probe is connected to this device it is automatically detected After inserting the probe connector into this device the operator needs to lock the probe by pressing the locker into the probe connector To disconnect the probe the operator can push the locker and let the locker pop up for un locking Then pull the probe connector straight out of the probe port 11 4Maintenance d CAUTION Improper handling can lead to early probe failure and electric shock hazards Only follow the specific cleaning and disinfection procedures provided in this chapter and the germicide manufacturer s instructions Improper cleaning and disinfection procedures will result in probe failure which will void probe warranty 11 4 1 Inspecting the probe After each use needs to inspect the probe clean the probe and disinfect the probe if required Inspect the probe before each use and an approved d CAUTION If any damages are found DO NOT uses the probe until it has been inspected and released for further use by VINNO qualified person After each use inspect the lens the probe housing and the cable as shown below figure Check whether there is damage area that might all
104. amp white thermal printer The printer devices are controlled from Print key on the control panel Store to HDD or Store to USB keys can be also configured as printing key Alternatively the Print key can be also configured as storage function Refer to system set up chapter When pressing Print key on the control panel the image displayed on the screen is printed on B amp W or Color Printer which depends on the key assignment configuration 13 3 Approved printers The following printers are approved as printing peripherals e B amp W thermal video printer Sony UP D897MD e B amp W thermal video printer Sony UP D898MD e Color thermal video printer Sony UP D25MD Refer to the document accompanying those peripherals to be familiar with specification If the operator wants to install the driver of the third party printer please contact VINNO 246 265 VINNG 8000098 14 Operator maintenance and technical data 14 1System maintenance As there are no components with short working lives periodic maintenance inspection is not mandatory However some customer quality assurance programs may require the additional inspections at periods of frequency different from those listed in this manual d CAUTION The operator must ensure that safety inspections are performed at least every 12 months according to the requirements of the patient safety standard IEC 60601 1 Only trained person are allowed to perfor
105. and Right key to be dual display If the initial format is single image display after Left on the control panel is pressed the system will display two images The left side image is real time and the right side image is the last frame static image at the same mode By pressing Left again the system returns to the single image display Pressing Right the right side image will be real time and the left side image will be the last frame static image If the initial format is single image display after Right on the control panel is pressed the system will display two images The right side image will be real time and the left side image will be the last frame static image at the same mode If Right is pressed again the system will go back to the single image display If Left is pressed the left side image will be real time and the right side image 32 265 VINNG 8000098 will be the last frame static image Use Dual button on the touch panel to go into dual display format Display Format The first button is single display the second is dual and the third one is quarter After Dual on the touch panel is selected the system will have dual image display A position image will be real time and A button will be highlighted by default B position image will be last frame static image at the same mode Select B button to active the B position image Th
106. arents per the physician s judgment either during the examination or shortly thereafter An offer of choice about viewing the fetus An offer of choice about learning the sex of the fetus if such information becomes available However an ultrasound examination should not be carried out for the sole purpose of identifying the sex of the fetus Ultrasound examination performed solely to satisfy the family s desire to know the sex of the fetus to view the fetus or to obtain a picture of the fetus should be discouraged Acoustic Output Considerations General warning This device is a multi use device which is capable of exceeding FDA pre enactment acoustic output spatial peak temporal average intensity limits for fetal applications CAUTION It is prudent to conduct an examination with the minimum amount and duration of acoustic output necessary to optimize the image s diagnostic value Concerns surrounding fetal exposure Always be aware of the acoustic output level by observing the Acoustic Output Display In addition become thoroughly familiar with the Acoustic Output Display and equipment controls affecting output Training It is recommended that all operators receive proper training in fetal Doppler applications before performing them in a clinical setting Contact a local sales representative for training assistance please VINNG 157 265 8000098 Introduction Obstetrics measurements provide several types of measur
107. art application includes measurement items as follows e Distance e Volume e Stenosis Refer to the generic measurement for more details In B mode the specific measurement in small part application includes measurement items as follows Length of thyroid isthmus Length of thyroid isthmus can be measured by a single distance The steps are as follows 1 Press Measure 2 Select AP Length of thyroid isthmus and an active tracing caliper will display on the image screen 3 Move the trackball to position the caliper at the start point 4 Press Enter to fix the start point The second caliper will display on the image screen 5 Move the trackball to position the end point If it has a relevant system measurement preset a dotted line connects the two measurement points 6 Press Enter to complete the measurement The system will display length of thyroid isthmus in the results window VINNG 131 265 8000098 Thyroid volume Thyroid volume is normally measured by the three distances method The steps are as follows 1 Press Measure 2 Select proper direction left or right Thyroid Volume An active tracing caliper will display on the image screen Note The three distances can be measured in the dual image display format First measurement can be processed in the midsagittal plane and the second measurement can be processed in axial plane To use dual image display format press L
108. asurement The system displays the spinal length in the results window Femur Length FL To measure Femur Length the steps are as follows 174 265 VINNG 8000098 1 Press Measure 2 Select FL and an active tracing caliper displays 3 Perform a standard distance measurement The system displays the femur length in the results window Ulnar Length ULNA To measure Ulnar Length the steps are as follows 1 Press Measure 2 Select ULNA and an active tracing caliper displays 3 Perform a standard distance measurement The system displays the ulnar length in the results window Radius Length RAD To measure Radius Length the steps are as follows 1 Press Measure 2 Select RAD and an active tracing caliper displays 3 Perform a standard distance measurement The system displays the radius length in the results window Tibial Length TIB To measure Tibial Length the steps are as follows 1 Press Measure 2 Select TIB and an active tracing caliper displays 3 Perform a standard distance measurement The system displays the tibial length in the results window Fibular Length FIB To measure Fibular Length the steps are as follows 1 Press Measure 2 Select FIB and an active tracing caliper displays 3 Perform a standard distance measurement The system displays the fibular length in the results window Foot Length To measure Foot
109. asurement and transfer to worksheet in the meantime The system will display HR in the result window 10 1 5 4 3D 4D mode measurement After 3D data acquisition press Measure key to enter measurement but only support 3 measurements Distance Perimeter and Area In 4D MCut mode after select Start 4D MCut press Measure key stop scanning and enter measurement only support 3 measurements Distance Perimeter and Area 10 1 6 Measurement setting in each mode 10 1 6 1 B mode measurement setting In B mode there are 8 generic and relevant specific measurements The relevant VINNG 119 265 8000098 measurement settings can be made in the setting menu Select Config on the touch panel to enter setting menu Config Folders HIP aB R Distance Perimeter Volume Stenosis A B Ratio Ant CCA IMT L Ant CCA IMT R Post CCA IMT L Post CCA IMT R Vas Plaque HIP a L HIP a R HIP a L Save amp Exit Save e Config Folders Display all folders different applications or modes have different folders Select one or more folders select Save amp Exit the selected folders will added to measurement menu Unselect one or more folders they will be removed from measurement menu There is only one folder in some applications it will be General Config Items Add Remove a ar Save amp Exit Save Exit 120 265 VINNG 8000098 Config Items K l Ve WE Save amp Exit Save Exit
110. ata can be imported to the system again 4 2 4 Import patient or examination data After Import in the Archive is selected the system changes to be the menu shown as below The operator can import the data and the information of the patients from the outside media However those data should only be VRD or DICOM format Otherwise they cannot be imported The operator can adjust that data once they are imported to the system Selecting the importing media USB DVD or Server and can also use the search function to find the specific information about the corresponding patient in the importing media By selecting the file name select the file or by selecting Select All on the touch panel to select all files Pressing Start Import to starts the import process Go back to the Archive menu by selecting Back and can go back to the scan mode by selecting Exit Import From Import From Patient ID Name Birthday Last Date Image Size Management Ha Kibb Patient ID Name Birthday Last Date Image Size Touch the arrow on the right side of the touch panel to obtain the examination 42 265 VINNG 8000098 file list Then import one particular examination file from this menu 4 2 5 Report After Report in Archive is selected or select Report on main menu the touch panel screen goes to the menu as shown below Patient Info Image Zone OBGraph Worksheet Comments Template
111. ategory Used for the applications that does not image or visualize bones e TIB bone thermal index bone located in a focal region Used for the fetal application e TIC cranial bone thermal index bone located close to the surface Used for the transcranial application Mechanical Index MI is the estimated likelihood of tissue damage due to the cavitations Safety statement d CAUTION Although no harmful biological effects have been demonstrated for ultrasound frequencies intensities and exposure times we recommend the operator to use the lowest acoustic output settings producing acceptable diagnostic information System controls affecting acoustic output The TI and MI show the highest possible acoustic intensity for a given mode obtainable only when the combination of control settings that results in maximum output is selected Most settings result in a much lower output There are several notes as follows e The duration of an ultrasound examination is as important as the acoustic output since the patient exposure to output is directly relevant to the ultrasound scanning time e The better image quality can accelerate the clinical result reducing the 12 265 VINNG 8000098 overall duration of an examination Therefore any image quality improvement can help to reduce patient exposure Probe selection As long as the appropriate application is available any probe of this device can be used and meet the li
112. atically calculate the estimated delivery date by LMP EDDbyLMP EDDbyGA EDDbyGA When the system obtains the gestational age GA the system will automatically calculate the delivery date gestational age estimates EDDbyGA Multiple Fetus Measurement The system allows to measure and report multiple fetus development If more than one fetus is imaged during the examination enter the number of fetuses in the patient information window and there will be ABCD in measurement menu take 4 fetuses for example e A B C Dis the specific fetus and 4 is the fetal quantity e Switch among A 4 B 4 C 4 and D 4 to take the measurement on the specific fetus Estimated Fetal Weight EFW Measurement Estimated Fetal Weight measurement is applied for OB Mid and OB Late application only If Auto Select EFW Method is enabled in system setting after do one or more OB related measurements like BPD FL HC AC the system will select one method to calculate EFW automatically If it is disabled select one method the do the related measurements the system will calculate EFW EFW methods are depended on the selected EFW table in the system setting OB Curve Graph OB Graphs allow to assess fetal growth compared to a normal growth curve When a patient has completed two or more ultrasound examinations the graphs can be used to look at fetal trending For multi gestational patients can plot all fetuses and compare the growth on the grap
113. atility index e RI resistance index e PS ED e ED PS e A Bratio Velocity Time Acceleration e FLOWVOL flow volume e HR Increase or reduce measurement items in the measurement setting menu based on their own requirement Refer to the PW mode measurement setting information in detail Vessel automatically tracing and measurement The vessel auto tracing and measurement function can automatically detect and identify the heart cycles For artery flow it can automatically identify the PS peak speed in systole period MD minimum speed in diastole and ED end speed in diastole and then automatically calculate the PI pulsatility index and RI resistance index For vein flow it can automatically detect the peak 140 265 VINNG 8000098 velocity PV Activate vessel auto tracing and measurement The system supports auto tracing and measurement during live scanning freeze and cine loop To activate auto tracing and measurement function select the Live option in the Auto Trace menu of the touch panel in PW mode automatically display auto tracing and measurement in real scanning image or the Frozen option automatically display auto tracing and measurement in frozen image To stop vascular auto tracing and measurement select Off Auto tracing menu on the touch panel Auto Trace m Frozen Live Set vascular auto tracing and measurement pa
114. ays a second active caliper 6 To position the second caliper move the trackball 7 To fix the second point press Enter The system fixes the second caliper and displays a third active caliper 8 To position the third caliper move the trackball 9 To fix the third point press Enter The system fixes the third caliper and 172 265 VINNG 8000098 displays a next active caliper Note At least three calipers are needed to form a polygon 10 Repeat Steps 8 9 to add more calipers to the polygon 11 To complete the measurement press Enter The system displays the thorax circumference in the Results Window Note Before completing the polygon measurement e To erase the line little by little back from its current point press Clear key once e To clear the trace caliper and the current data measured press Clear for at least 2 seconds To measure Thorax Circumference with the Spline method make a spline trace measurement The steps are as follows 1 Press Measure 2 Select THC 3 Select the measurement method Spline as the default setting from the configuration menu and an active tracing caliper displays 4 To position the active caliper of the spline move the trackball 5 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 6 To position the second caliper move the trackball 7 To fix the second point press Ent
115. ays a second active caliper 5 To position the second caliper at the end point move the trackball 6 To complete the measurement press Enter The system displays the horizontal time interval between the two calipers in the results window Single Slope Measurement e TRAcc e TV PHT To execute the slope measurement the steps are as follows 1 Press Measure 2 Select the slope measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the active caliper at the start point to be measured move the trackball 4 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second caliper at the end point to be measured move the trackball 6 To complete the measurement press Enter The system displays the slope two velocities and horizontal time interval between the two points in the results window Single Trace Measurement e TRTrace e TV Trace To execute the trace measurement the steps are as follows 1 Press Measure 2 Select the trace measurement to be executed an active trace caliper displays VINNG 211 265 8000098 3 To fix the start point press Enter 4 To trace the velocities of the desired portion of the spectrum move the trackball Note To re edit the existing trace line press Clear once and move the trackball aga
116. ball 6 To complete the second velocity measurement press Enter The system displays the second velocity measurement and Max PG or velocity ratio in the results window Single Time Interval Measurement e MV Acc Time e MV Dec Time e MVET e MVADur e MVTTP To execute the time interval measurement the steps are as follows 1 Press Measure 2 Select the time measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the caliper at the start point move the trackball 4 To fix the first caliper press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second caliper at the end point move the trackball 6 To complete the measurement press Enter The system displays the horizontal time interval between the two calipers in the results window Single Slope Measurement e MR Acc e MV Acc e MV Dec e MV PHT e MPA by PHT To execute the slope measurement the steps are as follows 194 265 VINNG 8000098 1 Press Measure 2 Select the slope measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the active caliper at the start point to be measured move the trackball 4 To fix the start point press Enter The system fixes the first caliper and displays a secon
117. be ordered as ascending or descending 6 Easy Compare During live scanning or select one image on the clipboard enter Archive select one image of one patient select Easy Compare the system exit Archive and enter dual display format on the right display live scanning image or the image selected on the clipboard on the left display the image selected in Archive Management 1 After save to USB or DVD on the touch panel is selected the selected file will be stored to those media directly After save to Server on the touch panel is selected the selected files will be stored to the relevant servers If the server IP hasn t been set the server setting dialogue will appear to ask the operator to set the server IP and folder Then press the Enter key to store directly 2 Delete the selected patient file or files by selecting Delete Patient on the touch panel 3 Delete the selected examination file or files by selecting Delete Examination on the touch panel 40 265 VINNG 8000098 4 2 2 New Examination from Archive menu After New Exam in Archive menu is selected the touch panel UI will be shown as shown below General Patient ID SS f Weight Second ID l E Height Family Name f i i BSA Middle Name First Name i Per Physician Birthday Ref Physician Age Operator Gender Comments E Cancel Save amp Exit Note 1 After Back i
118. below in TVI 88 265 VINNG 8000098 VINNG 89 265 8000098 9 3 Elastography Workflow Select the probe and application and scan in B or Harmonic mode to determine the field of view then activate the El mode by touching the El button on the touch panel and determine the region of interest ROI the region of interest can be moved and zoomed through the ROI button and track ball on the keyboard Continuously press the tissue through the probe and there will be a strength bar displayed on the screen if the pressure is too small or too large the El mode will not work If the pressure is appropriate the El mode will work normally and display the strain image together with the gray image of B or Harmonic mode For the strain image different color indicate different stiffness usually blue indicate hard tissue and red indicate soft tissue The strain and strain ratio can be measured to diagnose pathologic tissues C Uterus Prostate OB Early BCE Invert Sync Display E Full Screen Frequency Focus Position lt 4MHz gt lt gt s AA WinSize Overlap The El quality can be optimized by adjusting the parameters WinSize and OverLap determine the resolution and smooth of the image Sensitivity indicates the burst number of the transmit wave Smooth indicates the spatial filtering of the image Transparency indicates the visibility of background image Persistence indicates the frame averaging of the contin
119. caliper 6 To trace the measurement area move the trackball around the anatomy 7 To complete the measurement press Enter The system displays the fetal trunk area in the results window Note Before completing the spline measurement e To erase the line little by little back from its current point press Clear key once e To clear the trace caliper and the current data measured press Clear for at least 2 seconds Transverse Thorax Diameter THD To measure Transverse Thorax Diameter the steps are as follows 1 Press Measure 2 Select THD and an active tracing caliper displays on the image screen 3 Perform a standard distance measurement The system displays the transverse thorax diameter in the results window Thorax Circumference ThC To calculate Thorax Circumference there are five measurement methods L amp W Ellipse Polygon Spine and Trace Ellipse and L amp W method are the most default settings VINNG 171 265 8000098 To measure Thorax Circumference with the L amp W method make two distance measurements The steps are as follows 1 Press Measure 2 Select THC 3 Select the measurement method L amp W as the default setting from the configuration menu and an active tracing caliper displays on the image screen 4 Perform a standard distance measurement The system displays the distance value in the results window 5 Repeat Step 3 to make the second distan
120. ce measurement 6 After the second distance measurement is completed the system displays the thorax circumference in the results window To measure Thorax Circumference with the Ellipse method make an ellipse measurement The steps are as follows 1 Press Measure 2 Select THC 3 Select the measurement method Ellipse as the default setting from the configuration menu and an active ellipse displays on the image screen 4 To position the active caliper of the ellipse move the trackball 5 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 6 To position the second caliper move the trackball 7 Adjust the Ellipse control and an ellipse with an initial circle shape displays Note To position the ellipse and to size the measured axes move the calipers move the trackball 8 To complete the measurement press Enter The system displays the thorax circumference in the results window To measure Thorax Circumference with the Polygon method make a polygon trace measurement The steps are as follows 1 Press Measure 2 Select THC 3 Select the measurement method Polygon as the default setting from the configuration menu and an active tracing caliper displays 4 To position the active caliper of the polygon move the trackball 5 To fix the start point press Enter The system fixes the first caliper and displ
121. ce measurement Note Three distance measurements can be made in the dual display format by pressing Left Right 5 After the third distance measurement is completed the system displays the renal volume in the results window Prostate Volume To calculate Prostate Volume make three distance measurements The steps are as follows 1 Press Measure 2 Select Prostate Vol and an active tracing caliper displays on the image screen 3 Perform a standard distance measurement The system displays the distance value in the results window 4 Repeat Step 3 to make the second and third distance measurement Note Three distance measurements can be made in the dual display format by pressing Left Right 5 After the third distance measurement is completed the system displays the prostate volume in the results window PSAD and PPSA Measurement PSAD and PPSA measurements can be made after Prostate Volume measurement The definition of PSAD and PPSA is as follows PSAD Prostatic Specific Antigen PSA Density defined as PSAD PSA Volume PPSA Predicted Prostate Specific Antigen defined as PPSA Volume x PPSA Coefficient To measure PSAD and PPSA the steps are as follows 1 Press Measure 2 Measure Prostate Volume 3 Select PSA and PPSA Coefficient edit the coefficients 148 265 VINNG 8000098 PSA PPSA Coefficient 4 Enter the value
122. cetsssectectsceease 226 11 4 1 Inspecting the probe cc cccccceccesssssteeeeeeeeseeeeeeeneeeeceeeesseeeeeeaeaeeeeeeeeseeeenea 226 11 4 2 Special handling Imnstructlons 227 11 5 Probe Sabet y se scseccicessisccvcstissccccesniescecesavssecvncousscsdeceabedsdecbansssceusaoessscecteosdueaveusesseseeebedse 229 11 6 BIOPSY vtec sicccctcccstevsdesesdecttcncseccsstecsiesendessicnssucostuccsiscentacttesostesstecasiseseiaecdansceassteasececescccous 230 12 SYSTEM SET TIN 1 231 12 1 GC CU 231 12 2 keng CN 233 12 3 Measurement ogseueierbe ege gg EN NENNEN ENEE AEN AEN ENEE A ENEE NEE ENEE eege 233 12 4 E EE 237 12 5 N UWOEK wisisccciecccisccctsuctescusseccncssonesscacssecsesdasvecsuteassseasseeves sevuviecusdecoucsveusessusessscscdcssacssvaste 238 125 1 Generalean eucisevaasstberssadabevaddonavadabmsasngabsaaviahdendiawaxoadeawdeonde 238 125 2 UE 239 12 5 3 du ELE AA A 239 VINNG VII 8000098 12 6 12 7 12 8 12 9 12 10 13 13 1 13 2 13 3 14 14 1 14 2 Vil 125 4 EIB vesezvanstee dated pos cede e ea Ea NE deR ue Zeg ei ve geg 239 DICOM sisssiccccssssvisccicccsiacedsscesacsedecodncendossdensstosebhocadesondessdecssiesetseseisscoisosiescsbessssasedeseedecoss 240 12 6 1 D pn trall e uedeeegeegektegd eegene fens d r tows bauscedceenetansinguayebeton Eed eet 240 KT 240 E WorkliSt gei dasdvasiezgie teuiesshiest ders canis ege eege er ee EE 240 T264 REIDEN 241 El TEEN 241 ER GE uer e Le E 241 12 7 2 Electrical pa
123. cing caliper displays VINNG 191 265 8000098 4 To position the trace caliper move the trackball 5 To fix the trace start point press Enter The system fixes the first caliper and the trace caliper changes to an active tracing caliper 6 To trace the measurement area move the Trackball around the anatomy 7 To complete the measurement press Enter The system displays the measured area value in the results window Note Before completing the spline measurement e To erase the line little by little back from its current point press Clear once e To clear the trace caliper and the current data measured press Clear for at least 2 seconds In M mode of Cardiac examination the MV Measurement Folder includes measurements as follows Single Distance Measurement e EPSS To execute the single distance measurement the steps are as follows 1 Press Measure 2 Select the distance measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the active caliper at the most anterior point to be measured move the trackball 4 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second caliper at the most posterior point to be measured move the trackball 6 To complete the measurement press Enter The system displays
124. ckball 4 To fix the first caliper press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second caliper at the end point move the trackball 6 To complete the measurement press Enter The system displays the horizontal time interval between the two calipers in the Results Window A B Ratio Time Measurement e AN Ratio e AN Acc Time e AVET To measure AV Ratio the steps are as follows 1 Press Measure 2 Select AV Ratio a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 Perform two standard time interval measurements on AV Acc Time and AVET 4 The system displays AV Acc Time AVET and AV Acc Time AVET Ratio in the results window Single Slope Measurement e AV Acc e AN Dec e AVA by PHT To execute the slope measurement the steps are as follows 1 Press Measure 2 Select the slope measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the active caliper at the start point to be measured move the trackball 4 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second caliper at the end point to be measured move the trackball 6 To complete the measurement press Enter The system displays the slope
125. complete the measurement press Enter The system displays the horizontal time interval between the two calipers in the results window In the PW mode of Cardiac examination the TV Measurement Folder includes the following measurements Single Velocity Measurement e TRVmax e TV Vmax To execute the velocity measurement the steps are as follows 1 Press Measure VINNG 209 265 8000098 2 Select the velocity measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the caliper at the desired measurement point move the trackball 4 To complete the measurement press Enter The system displays the velocity measurement in the results window Double Velocity Measurement e TRMax PG n Vmax1 n Vmax2 e TV Max PG n Vmax1 n Vmax2 e TVE A Ratio D MV Vel A D MV Vel E To execute the two velocity measurements the steps are as follows 1 Press Measure 2 Select the double velocity measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the caliper at the desired measurement point move the trackball 4 To complete the first velocity measurement press Enter The system displays the first velocity measurement in the results window and a second active caliper with a vertical and horizontal dotted line displays 5 To positio
126. d are the default settings To measure Abdominal Circumference with the APAD amp TAD method make two distance measurements The steps are as follows 1 Press Measure 2 Select AC 3 Select the measurement method APAD amp TAD as the default setting from the configuration menu and an active tracing caliper displays on the image screen 4 Perform a standard distance measurement The system displays the distance value in the results window 5 Repeat Step 3 to make the second distance measurement 6 After the second distance measurement is completed the system displays the abdominal circumference in the results window To measure Abdominal Circumference with the Ellipse method make an ellipse measurement The steps are as follows 1 Press Measure 2 Select AC 3 Select the measurement method Ellipse as the default setting from the configuration menu and an active ellipse displays on the image screen 4 To position the active caliper of the ellipse move the trackball 5 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 6 To position the second caliper move the trackball 7 Adjust the Ellipse control and an ellipse with an initial circle shape displays Note To position the ellipse and to size the measured axes move the calipers 164 265 VINNG 8000098 move the trackball 8 To complete the measu
127. d active caliper 5 To position the second caliper at the end point to be measured move the trackball 6 To complete the measurement press Enter The system displays the slope two velocities and horizontal time interval between the two points in the results window Single Trace Measurement e MR Trace e MV Trace To execute the trace measurement the steps are as follows 1 Press Measure 2 Select the trace measurement to be executed an active trace caliper displays 3 To fix the start point press Enter 4 To trace the velocities of the desired portion of the spectrum move the Trackball Note To re edit the existing trace line press Clear once and move the trackball again 5 To complete the measurement press Enter The system displays the measurement values in the results window To configure the trace measurement Configure the single trace measurement to define the parameter that needs to be calculated and displayed in the Results Window 1 Press Measure 2 Select Config then select MR Trace or MV Trace button and a menu displays 3 Choose the measurement to be executed Multiple Time Interval Measurement LV TEI Index e MV C O dur e LVET To execute the time interval measurement the steps are as follows 1 Press Measure 2 Select LV TEI Index to be executed a vertical and horizontal dotted line and an active tracing caliper will display on t
128. d restart measurement e To exit measurement function before completing measurement press Measure again Area measurement Spline method Area can be measured by spline The steps are as follows 1 Press Measure 2 Select Area in the measurement menu 3 Select Spline method in the area the measurement menu The live caliper will display on the image screen 4 To fix the trackball into the start point after positioned press Enter After the first caliper is fixed the second active caliper is displayed in the same position as the first caliper Notes Press Clear once the second caliper disappears and the first caliper is activated If the Clear key is pressed again the first caliper disappears and the spline curve is canceled 5 To position the second caliper move the trackball and press Enter to confirm The third active caliper will display in the same position as the second caliper Notes The spline curve needs at least 3 points to make it Continuously set trace points until all needed points are set 6 To confirm the last caliper press Enter again in order to confirm the final spline curve Notes Press Enter twice to complete trace measurement Before completing the measurement the points can be erased one by one by pressing Clear 7 After the measurement is completed the results window will display the result Area measurement Tracing method Area
129. dB ratio A B ratio Speed ratio a Time ratio Acceleration ratio FLOWVOL Flow Volume MaxPG maximum pressure gradient MeanPG Mean pressure gradient SN Stroke Volume a Each volume diameter cardiac a Time mean speed in each stroke volume a Cardiac output Heart rate Note To carry out this operation 1 Scan vessel to be measured in B or B plus CF mode 2 Turn to PW image 3 Press Freeze key Speed Time Interval and Acceleration Measurement Speed cm s or m s In PW mode the steps of proceeds with speed measurement are as follows 1 Press Measure 2 Select Velocity in the measurement menu A vertical and horizontal dotted line and a caliper will display on the image screen 3 Move the trackball to position the speed measurement point 4 Once position is fixed press Enter 114 265 VINNG 8000098 5 The result will be displayed in the results window Time interval The steps are as follows 1 Press Measure 2 Select Time in the measurement menu A vertical and horizontal dotted line as and an active tracing caliper will display on the image screen 3 Move trackball to position the first measurement point 4 After position is fixed press Enter The system will display the second caliper 5 Move the trackball to position the second measurement point 6 Press Enter to complete the measurement The system will display time interval be
130. dation in EMC performance and may lead to the serious hazards for the patient and the operator Modification of the product includes a Changes in the cables length material wiring etc b Changes in the system insulation layout c Changes in the system configuration components d Changes in the securing system parts cover open close 7 Operate this device with all covers closed If a cover is opened for any reason ensure that is shut before starting resuming operation NOTE Operating this device with any cover open may affect EMC performance 18 265 VINNG 8000098 WARNING A Do not use the following devices near this VINNO Ultrasonic system Devices which transmit radio waves such as cellular phones radio transceivers mobile radio transmitter radio controlled toy etc Use of these devices can cause this VINNO Ultrasonic system to perform outside the certified specifications Keep these devices powered off when kept near this device Medical staff in charge of this device is required to instruct technicians patients and other people who may be around this device to fully comply with the above regulations Electromagnetic immunity Guidance and manufacturer s declaration electromagnetic immunity This device is intended for use in the electromagnetic environment specified below The customer or the operator of this device should ensure that it is used in such an environment Immunity test
131. different unit for normal distance measurement Show GA LMP BBT on status bar If there is GA LMP BBT for the current patient display it on the status bar Show GA after Measure During measurement select whether or not to display the estimated fetal age automatically If the fetal age is selected to be displayed in system set up the measurement results window will display estimated age after a measurement If not the estimated age will not be displayed in the results window Add 1 week to EDD Calac If this item is selected delivery time will be increased by 1 additional week Show EDD after Measure During measurement select whether or not the estimated delivery time is displayed automatically after measurement If estimated delivery time display is selected in the system setting the estimated delivery time will appear in the results window after measurement If not estimated delivery time will not appear in the results window Show Percentile after Measure Enable it after finish the OB related VINNG 235 265 8000098 measurement show the percentile according to the OB table Auto Select EFW Method Enable it the system will select EFW method automatically when do EFW related measurements GA Display Format To change the display format for GA after enable Show GA after measure EFW GP Table According to different areas different OB Table Type gt EFW GP Table estimated fetal weight tab
132. display format press Left or Right 3 Proceed with the single and dual distance measurement 4 The system will display three distances and the prostate volume result in the results window The number of measurement items in B mode can be added to or reduced based on each operators measurement requirements Refer to the measurement setting for how to set measurements in detail 10 2 2 M mode measurements In M mode the measurement menu includes these measurement items e Stenosis e AandBratio e Heart Rate Refer to the Generic measurement in detail for those measurements Measurement items in the measurement setting menu can be added to or reduced based the operator s requirements Refer to M mode measurement setting information in detail 10 2 3 PW mode measurements In PW mode the measurement menu includes these measurement folders e Generic measurement folder e Aorta measurement folder VINNG 129 265 8000098 e Common hepatic artery measurement folder e Renal artery measurement folder e Renal vein measurement folder e Postcava measurement folder e Superior mesentery artery measurement folder Increase or reduce measurement items in the measurement setting menu based on their own requirement Refer to PW mode measurement setting information in detail Generic measurement folder In PW mode the generic measurement folder includes items as follows e Velocity e PS
133. dit operation Support multiple Undo operations until the whole volume is recovered no edit left Redo Retrieve the edit undid by Undo operations VINNG 77 265 8000098 e Reset Reset the volume to original state 78 265 VINNG 8000098 8 2 4D real time 8 2 1 Workflow e After 4D key on the control panel in B is pressed the system will enter 3D 4D mode e At the same time the image screen will display one image with the active ROI The touch panel menu will display as the 4D touch panel below before the scan Category ae a Curve Baby Face w Rotate Reset Rotation Direction X v Display format Save Preset Notes View Up Down wv Flip 270 Image Reference A B Render Type Gray GrayInv Render SurfTextu re SurfSmo oth GradLight HQ Surface TranspM ax X ray UE n Light 1 Select the 4D setting in this UI before starting the 4D real time scan Select the Display Format Render View Comments Body Pattern and other buttons which can refer to the 3D UI description After selecting finish The operator can select Start 4D on the touch panel or press 4D on the control panel to start the 4D real time scan 2 During this time the image screen displays the normal image similar as the status before selecting the 4D button The only difference is that the image wil
134. dotted line of all measurement when replay one image which contains measurements Show depth guideline Display a dotted line when do the measurement of Depth If the probe is linear and TView is disabled the dotted is not needed Show brief annotation Enable it display brief annotations when do the measurements Auto adjust cursor size for tiny distance px If the distance is shorter than 10 20 30 or 50 pixels the cursor size will becomes very small This function is disabled if select off Auto snap range setting px If the measurement method is Trace Polygon or Spline when the distance between the end point and the start point is shorter than 10 20 30 or 50 pixels the measurement will VINNG 8000098 finish automatically and the last cursor back to the start point This function is disabled if select off Annotation font size To change the font size of the annotation select the size from the Annotation font size pull down menu e 10 e 12 e 14 e 16 e 18 e 20 e 22 Show result of protocol items in worksheet If the current measurement is multi step like olume L amp W amp H before finish the measurement enter Worksheet this measurement item will be displayed This function is disabled if select off Show comment of measure item Explain the measurement item in local language Unit for normal distance related measurement cm mm Select
135. e B button will be highlighted Selecting the single display format button will go back to the normal one image display Use Quad button on the touch panel to go into quarter display format Display Format The first button is single display the second is dual and the third one is quarter A B CT and D button are as shown below Image Reference After Quarter on the touch panel is selected the system will have quarter image display A position image will be real time and A button will be VINNC 33 265 8000098 highlighted by default and the A button is highlighted The B C and D are the last frame static image Select the B C or D button to activate B C or D position image Only one image can be activated at one time 3 142D Image size change In B mode slide the touch panel to the left There is a parameter Image Angle These parameters are used to adjust the image size 3 15 Environment This device must be in the proper environment This applies to in the operation storage and transport Requirements of the environments are listed as shown below Requirement Temperature Humidity Air pressure Transport shipping 10 50 C 0 90 700 1060 hPa Storage 10 50 C 0 90 700 1060 hPa Operation 10 40 C 30 75 700 1060 hPa 34 265 VINNG 8000098
136. e Before completing the spline measurement e To erase the line little by little back from its current point press Clear key once e To clear the trace caliper and the current data measured press Clear for at least 2 seconds Single Trace combined with Single Distance Measurement e Diastolic Period A2C LVEDV A4C LVEDV e Systolic Period A2C LVESV A4C LVESV When the single plane area length method is applied area of cross section of the left ventricle A and length of the long axis of the left ventricle L are measured and length of the short axis of the left ventricle D is calculated from these data using the following formula on the assumption that the left ventricle is a spheroid e A2CA L LVAd LVLd LVAs LVLs e A4CA L LVAd LVLd LVAs LVLs e Bi plane A2C amp A4C A L A2CLVAd LVLd A2CLVAs LVLs A4CLVAd A4CLVAs To execute the multiple area and multiple distance measurements the steps are as below 1 Enter Measure select the measurement item 2 Press Enter key to start the measurement 3 Fix the area with the relevant method 186 265 VINNG 8000098 4 Fix the distance 5 Repeat step 3 4 for twice or three times to complete the measurement When the Single plane Enter Simpson Disc method is used the long axes L of apical two chamber or four chamber views is divided equally into 20 and the inside diameters of the short axes ai and bi o
137. e Duplex and Triplex scanning mode Duplex mode means that the system only activates 2D CF or 2D PW If 2D CF mode is active and real time scanning the PW will be a static image In this time the touch panel will go to the CF mode By selecting the top left side mode keys can switch menu mode If 2D PW mode is active and real time scanning mode CF mode will be a static image In this time the touch panel will go to the PW mode The operator can press Enter on the control panel to switch between one of them Triplex mode means that the system will have real time scanning for both 2D CF and PW The operator can select Duplex or Triplex button on the touch panel to activate the mode accordingly Only one of Triplex and Duplex mode can be activated and highlighted in one time The default setting Duplex or Triplex depends on the application Sample volume position and width In PW a specific area along the ultrasound beam is sampled This is called the sample volume which is located on the ultrasound beam and is displayed as two lines perpendicular to the beam line The location and the size of the volume can be changed The location can be adjusted by the trackball Moving the trackball up the sample volume will move up and moving the trackball down the sample volume will move down Moving the trackball lef
138. e is selected on the touch panel the image screen will automatically display volume by volume The Speed can be adjusted to play back slowly The available Speed is 100 75 50 and25 After Auto Cine is selected this button will be highlighted Selected again this will end the auto cine function Auto cine sequence will be from start volume to end volume and then it starts from the first volume again 2 Pushing the Vol by Vol up down key can view the volumes one by one VINNG 81 265 8000098 8 2 3 When pressing Freeze on the control panel or selecting Start 4D on the touch panel the UI will go back to the 4D touch panel during scan All images and volumes can be reviewed during this time This allows the operator to concentrate 4D data acquisition during real time and afterwards review all volume in detail Vol by Vol slice by slice in cine mode After Auto Cine is selected on the touch panel the system will play back continuously 3D MCut of Cine Mode Go to multi slice cut in Cine mode by selecting 3D MCut on the touch panel Then the touch panel will go to UI as shown below in order for the operator to see Slices Rotation Direction X v Auto Cine Slice Number View Slice lt 2 gt lt gt Rotate Reset Cut Plane Le A BackTo4D t Save Preset Notes 1 82 265 Vol by Vol View the volume one by one the default setting is th
139. e the operation of image storage is similar The image saved in the hardisk will be displayed in the clipboard The operator can select the saved images after enable Cursor to replay Save the image during scanning it will be cine Save the image after freeze the system it will be one frame When replay one cine image saved in 3D 4D mode the operator needs to select Auto Rotate or Auto Cine 3 7 Freeze image Select Freeze on the bottom right of the control panel enables the system to switch from the scan mode to the frozen mode When the key is orange backlit it is in frozen mode which means the image is static When the key is green backlit it is real scan mode in which the scan image is in real time Select New Patient Archive Probe amp App Sys Setting or Body Pattern the system will switch to frozen mode 3 8 Patient data Normally the operator needs to input a new patient s information before scanning the new patient Alternatively pull up an old patient s data from the archive for a new examination of the old patient Read chapter 4 for reference 3 9Image Annotation 3 9 1 Character Annotation Select Comments button VINNG 25 265 8000098 After the Comments is selected the touch screen will display as above On the left side there are some frequent terms to be selectable in order to quickly add those comments to the image screen by dragging t
140. e as recommended below according to the maximum output power of the communications equipment Rated maximum Separation distance according to frequency of transmitter output power m of transmitter 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz W ds NP ds NP d 23VP 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 2 1 2 2 3 10 3 8 3 8 7 3 100 12 12 23 For transmitters rated at a maximum output power not listed above the recommended separation distanced in meters m can be estimated using the equation for the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people VINNG 8000098 21 265 3 Start the system 3 1 General The first installation must only be performed by authorized personnel The system has a default setting which is applicable for most cases Experienced operator can change the default setting and store it as an operator defined setting 3 2 Safety warnings CAUTION A When this device is moved from a cold environment such as the stock room into a warm room it is necessary to wait several hours for the machine to d
141. e color coded electrode cable each electrode cable is attached to the corresponding electrode by a color coded press on type connector The electrode complies with IEC standards Names and color codings refer to the following description Yellow L p n 412680 106 Red R p n 412680 108 Black N p n 412680 107 Connect the ECG trunk cable into the circular socket marked ECG on the I O panel on the front of the device as shown below SW ECG og 3 12 1 ECG trace operation ECG There is an ECG button in the menu of every mode The operator can enable or disable it After it is enabled the button is highlighted and ECG menu will display It is enabled by default in Cardiac applications 30 265 VINNG 8000098 New Patient Body Pattern DS Archive Comments OF Sys Setting Probe amp App ECG 2 50 ECG Gain ECG Position ECG Sweep ECG Lead 2 In ECG menu adjust several parameters by up down buttons such as the ECG Gain the ECG position the ECG Sweep and the ECG Lead ECG Gain The amplitude of the ECG wave can be changed by pushing the up down key ECG Sweep To change lateral scan adjust the speed of the ECG wave This function is available only in 2D and CF mode This parameter is adjusted by selecting the ECG sweep button on the touch panel ECG sweep speed is the same as M mode and PW lateral scan sweep speed Alternatively sweep speed can be adjusted in M and PW mode ECG
142. e distance measurement the steps are as follows 1 Press Measure 2 Select the distance measurement to be executed and an active tracing caliper displays 3 To position the active caliper at the start point move the trackball 4 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second active caliper at the end point move the trackball A dotted line connects the measurement points if preset accordingly 6 To complete the measurement press Enter The system displays the distance value in the results window Area Measurement The measurement method options are Polygon Spline and Trace where Trace method is the default setting e PVA e PV A To execute the area measurement by Trace method the steps are as follows 1 Press Measure 2 Select the area measurement to be executed 3 Select the measurement method Trace as the default setting from the configuration menu and an active tracing caliper displays 4 To position the trace caliper move the trackball 5 To fix the trace start point press Enter The system fixes the first caliper and the trace caliper changes to an active tracing caliper 6 To trace the measurement area move the trackball around the anatomy 7 To complete the measurement press Enter The system displays the measured area value in the results window Note Before completing th
143. e distance measurements The steps are as follows 1 Press Measure 2 Select UT and an active tracing caliper displays on the image screen 3 Perform a standard distance measurement The system displays the distance value in the results window 4 Repeat Step 3 to make the second and third distance measurement Note Three distance measurements can be made in the dual display format by pressing Left Right 5 After the third distance measurement is completed the system displays the uterus volume in the results window Endometriosis Thickness En To measure Endometriosis Thickness the steps are as follows 1 Press Measure 2 Select En and an active tracing caliper displays on the image screen VINNG 159 265 8000098 3 Perform a standard distance measurement The system displays the endometriosis thickness in the results window Ovary Volume OV To calculate Ovary Volume make three distance measurements normally The steps are as follows 1 Press Measure 2 Select OV L or OV R and an active tracing caliper displays on the image screen 3 Perform a standard distance measurement The system displays the distance value in the results window 4 Repeat Step 3 to make the second and third distance measurement Note Three distance measurements can be made in the dual display format by pressing Left Right 5 After the third distance measurement
144. e last volume Speed Defines what speed cine will be They are 100 75 50 and 25 It is only active after the Auto Cine key is highlighted Interval Adjusts the interval distance between each slice Slice Number Different slice number can be selected 4x4 3x3 2x2 Cut Plane Smaller image size due to display screen limitation The operator can select which plane A B or C is to be cut by Cut Plane group keys The first displayed image is the selected plane with slice line Rotation direction Rotation Steer key will rotate the MCut image by X Y or Z axis X Y and Z can be selected on the touch panel VINNG 8000098 7 Rotate M PW CF keys can also rotate the images M is corresponding X direction PW is corresponding Y direction CF is corresponding Z direction 8 Select Auto Cine for play back 9 In all modes by selecting the top buttons such as 3D 4D or MCut the system will return to the beginning of that mode Press B on the control panel to return to normal 2D mode VINNG 83 265 8000098 8 3 MCut 8 3 1 Workflow e After 4D on the touch panel is selected the system goes into 4D mode Select MCut on the top to enter 4D multi cut mode Rotation Direction Y v ie Slice Number View Slice Kp 2X5 gt lt gt Rotate Reset Cut Plane ae gt i A B MCut Start MCut t Save Preset Notes 1 In the Cut Plane gr
145. e spline measurement e To erase the line little by little back from its current point press Clear once e To clear the trace caliper and the current data measured press Clear for at least 2 seconds In the M mode of Cardiac examination the PV Measurement Folder includes the following measurements Single Time Interval Measurement e Q to PV close To execute the time interval measurement the steps are as follows VINNG 213 265 8000098 1 Press Measure 2 Select the time measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the caliper at the start point move the trackball 4 To fix the first caliper press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second caliper at the end point move the trackball 6 To complete the measurement press Enter The system displays the horizontal time interval between the two calipers in the results window In the PW mode of Cardiac examination the PV Measurement Folder includes the following measurements Single Velocity Measurement e PR Vmax e PREnd Vmax e PV Vmax To execute the velocity measurement the steps are as follows 1 Press Measure 2 Select the velocity measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen
146. e the above measurements Cardiac Left Ventricular LV Measurement Folder In B mode of Cardiac examination the LV Measurement Folder includes measurements as follows Single distance measurement e LVIDd e LVPWd e LVIDs e LVPWs e LVd Major e LVd Minor e LVs Major e Duve Minor e LVOT Diam To execute the single distance measurement the steps are as follows 1 Press Measure 2 Select the distance measurement to be executed and an active tracing caliper displays 3 To position the active caliper at the start point move the trackball 4 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second active caliper at the end point move the trackball A dotted line connects the measurement points if preset accordingly 6 To complete the measurement press Enter The system displays the distance value in the results window Multiple distance measurement e LV Study 184 265 VINNG 8000098 IWSd LVIDd LVPWd W s LVIDs LVPWs e DV Study Simple LVIDd LVIDs To complete the LV Study or LV Study Simple measurement perform six or two standard distance measurements continuously To configure the measurement setting of LV Study the steps are as follows 1 Press Measure 2 Select Config then selects LV Study button and a menu displays a Select Cube or Teichh
147. e the trackball 5 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 6 To position the second caliper move the trackball 7 To fix the second point press Enter The system fixes the second caliper and 170 265 VINNG 8000098 displays a third active caliper 8 To position the third caliper move the trackball 9 To fix the third point press the Enter key The system fixes the third caliper and displays a next active caliper Note At least three calipers are needed to form a spline 10 Repeat Steps 8 9 to add more caliper of the spline 11 To complete the measurement press Enter The system displays the fetal trunk area in the results window Note Before completing the spline measurement e To erase the line little by little back from its current point press Clear key once e To clear the trace caliper and the current data measured press Clear for at least 2 seconds To measure Fetal Trunk Area with the Trace method the steps are as follows 1 Press Measure 2 Select FTA 3 Select the measurement method Trace as the default setting from the configuration menu and an active tracing caliper displays on the image screen 4 To position the trace caliper move the trackball 5 To fix the trace start point press Enter The system fixes the first caliper and the trace caliper changes to an active tracing
148. e trackball 6 To complete the measurement press Enter The system displays the horizontal time interval between the two calipers in the results window Single Trace Measurement e RVOT Trace To execute the trace measurement the steps are as follows 1 Press Measure 2 Select the trace measurement to be executed an active trace caliper displays 3 To fix the start point press Enter 4 To trace the velocities of the desired portion of the spectrum move the trackball Note To re edit the existing trace line press Clear once and move the trackball again 5 To complete the measurement press Enter The system displays the measurement values in the results window To configure the trace measurement Configure the single trace measurement to define the parameter that needs to be calculated and displayed in the Results Window 1 Press Measure 2 Select Config then select RVOT Trace button and a menu displays 3 Choose the measurement to be executed Single Trace combined with Single Distance Measurement VINNG 207 265 8000098 e SV Stroke Volume n SV Diam D SV TAMEAN CO HR SI CI To measure SV the steps are as follows 1 Press Measure 2 Select SV 3 Select SV Diam and perform the single distance measurement 4 Select SV TAMEAN and perform the single trace measurement 5 The system displays SV and SI measu
149. e trackball to position the start measurement point 4 Press Enter to fix the start point 5 Move the trackball to trace spectrum in maximum mean or minimum 6 Press Enter to complete the measurement The result will be displayed in the results window Note To remove trace line during tracing press the Clear or Freeze key PI Pulsatility Index measurement The steps are as follows 1 Press Measure 2 Select PI in the measurement menu A vertical and horizontal dotted line as an active tracing caliper will display on the image screen 3 Move the trackball to position the start measurement point 4 Press Enter key to fix the start point The second caliper will display in the system 5 Move the trackball to trace the whole wave 6 Press Enter to complete the measurement The system will display results of peak speed in systole period minimum speed of diastole period the speed of the end of diastole period TAMAX and PI in results window Resistance index RI measurement In PW mode PI can be calculated by ED or MD measurement By ED measurement The steps are as follows 1 Press Measure 2 Select RI in the measurement menu 3 In the RI setting menu select ED method A vertical and horizontal dotted line as an active tracing caliper will display on the image screen 4 Move the trackball to position the start measurement point in peak sp
150. ea measurement to be executed 3 Select the measurement method Trace as the default setting from the configuration menu and an active tracing caliper displays 4 To position the trace caliper move the trackball 5 To fix the trace start point press Enter The system fixes the first caliper and the trace caliper changes to an active tracing caliper 6 To trace the measurement area move the trackball around the anatomy 7 To complete the measurement press Enter The system displays the measured area value in the results window Note Before completing the spline measurement e To erase the line little by little back from its current point press Clear once e Toclear the trace caliper and the current data measured press Clear for at least 2 seconds In the M mode of Cardiac examination the TV Measurement Folder includes the following measurements Single Time Interval Measurement e Qto TV close To execute the time interval measurement the steps are as follows 1 Press Measure 2 Select the time measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the caliper at the start point move the trackball 4 To fix the first caliper press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second caliper at the end point move the trackball 6 To
151. easured press Clear for at least 2 seconds To measure Trunk Cross sectional Area with the Trace method the steps are as follows 168 265 VINNG 8000098 1 Press Measure 2 Select AxT 3 Select the measurement method Trace as the default setting from the configuration menu and an active tracing caliper displays on the image screen 4 To position the trace caliper move the trackball 5 To fix the trace start point press Enter The system fixes the first caliper and the trace caliper changes to an active tracing caliper 6 To trace the measurement area move the trackball around the anatomy 7 To complete the measurement press Enter The system displays the trunk cross sectional area in the results window Note Before completing the spline measurement e To erase the line little by little back from its current point press Clear key once e To clear the trace caliper and the current data measured press Clear for at least 2 seconds Fetal Trunk Area FTA To calculate Fetal Trunk Area there are five measurement methods LTD amp TTD Ellipse Polygon Spine and Trace Ellipse and LTD amp TTD method are the most default settings To measure Fetal Trunk Area with the LTD amp TTD method make two distance measurements The steps are as follows 1 Press Measure 2 Select FTA 3 Select the measurement method LTD amp TTD as the default setting from the co
152. eat is deformed or discolored or in a way appears abnormal during use recharging or storage immediately remove it and stop using it If you have any questions about the battery consult VINNO or your local representative e Short term less than one month storage of battery pack e Store the battery in a temperature range between 0 and 50 d CAUTION e Long term 3 months or more storage of battery pack Store the battery in a temperature range between 20 and 45 e Upon receipt of this device and before first time usage it is highly recommended that the opertor performs one full discharge charge cycle If the battery has not been used for gt 2 months the operator is recommended to perform one full discharge charge cycle It is also recommended to store the battery in a shady and cool area with FCC full current capacity e One Full Discharge Charge Cycle Process 250 265 VINNG 8000098 1 Full discharge of battery to let this device automatically shut down 2 Charge this device to 100 FCC full current capacity 3 Discharge of this device for complete shut down takes one hour for discharge e When storing packs for more than 6 months charge the pack at least once during the 6 month timeframe to prevent leakage and deterioration in performance e Use only VINNO recognized batteries Battery Replacement and Disposition Battery replacement every three years is recommended Contact a local Service Repres
153. ective ways to prevent transmission between patients but ultrasound probes are complex and expensive devices that have to be reused Therefore using protective sheaths and following the proper hygienic process between patients is extremely important in order to minimize the risk of a disease A CAUTION Adequate cleaning and disinfection are necessary to prevent disease transmission It is the responsibility of this device operator to verify and maintain the effectiveness of the infection control procedures in use Always use sterile legally marketed probe sheaths for intra cavity and intro operative procedures Cleaning and disinfecting probes KT Probes must be disconnected from this device during cleaning disinfecting operations Failure to do so can damage this device Cleaning procedure e Disconnect the probe from this device e Remove the coupling gel by wiping the probe lens with soft cloth e Wipe the probe and cable with a soft cloth moisten in a warm soap and water solution lt 27 C e Wipe the probe and cable with a soft cloth moisten in clean water lt 27 C until all soap is removed e Wipe dry with a soft towel d CAUTION To minimize the risk of infection from blood the probe and all disposable which have contacted blood or other potential infection material must be handled in accordance with infection control procedures Operator must wear protective gloves when handling potentially infectious materials Dis
154. eed of systole period 5 Press Enter to fix the start point Second caliper will display in the system 6 Move the trackball to position the second caliper in the speed of the end of diastole period 7 Press Enter to complete the measurement The system will display PS ED and RI in the results window Through MD measurement The steps are as follows 1 Press Measure 2 Select RI in the measurement menu 3 In the RI setting menu select MD method A vertical and horizontal dotted line as an active tracing caliper will display on the image screen 4 Move the trackball to position the start measurement point in peak speed of 116 265 VINNG 8000098 systole period 5 Press Enter to fix the start point Second caliper will display in the system 6 Move trackball to position the second caliper in the minimum diastole speed 7 Press Enter to complete the measurement The system will display PS ED and RI in the results window PS and ED or ED and PS ratio To calculate PS and ED or ED and PS ratio the steps are as follows 1 Press Measure 2 Select PS ED or ED PS in the measurement menu A vertical and horizontal dotted line as an active tracing caliper will display on the image screen 3 Move the trackball to position the caliper in systole peak speed PS or diastole end speed ED 4 Press Enter to fix point Second caliper will display 5 M
155. eft or Right 3 Proceed with the single and dual distance measurement 4 The system will display distance and thyroid volume in the results window Testicle Volume Testicle volume is normally measured by the three distances method The steps are as follows 1 Press Measure 2 Select proper direction left or right Testicle Volume An active tracing caliper will display on the image screen Note The three distances can be measured in dual image display format First measurement can proceed in the midsagittal plane and the second measurement can proceed in axial plane To use dual image display format press Left or Right 3 Proceed with the single and dual distance measurement 4 The system will display distance and thyroid volume in the results window Increase or reduce measurement items in the measurement setting menu based on their own requirements Refer to B mode measurement setting information in detail 10 3 2 M mode measurements In M mode the measurement menu includes these measurement items e Depth e Distance Refer to the Generic measurement in detail for those measurements Increase or reduce measurement items in the measurement setting menu based on their own requirements Refer to M mode measurement setting information in detail 132 265 VINNG 8000098 10 3 3 PW mode measurements In PW mode measurements include these measurement folders e Generic meas
156. ehumidify before starting the machine due to the temperature change of the environment 3 3 Power on Boot up 1 Connect the power cable to this device Plug the power cable into a hospital grade power socket with the proper rated voltage 2 Or use the battery 3 Push the ON OFF switch on the control panel After the system is switched on and booted up for a couple of minutes the 2D image for the previously selected transducer is displayed If no probe is connected in the previous selected transducer the Probe amp App menu will appear the touch panel screen so that select probes operator All peripherals which are connected to the outlets of this device can be switched on only after the system is switched on 3 4Power off Shutdown d CAUTION To avoid loss of the current patient data as well as all the measurement data it is necessary to save the data to one patient in any mode menu of the touch panel screen before switching off this device If not saved this device will display a warning after re booting 22 265 VINNG 8000098 Push the ON OFF switch on the control panel to shut down the system 3 5 Probe and application selection 3 5 1 Plug probe connector into this device The probe plug process is as follows 1 Plug the probe connector into an available probe slot 2 Push the lock on the top of the probe connector to lock the connector 3 5 2 Probe and application selection Select application
157. eline Display a dotted line when do the measurement of Depth If the probe is linear and TView is disabled the dotted is not needed Show brief annotation Enable it display brief annotations when do the measurements Auto adjust cursor size for tiny distance px If the distance is shorter than 10 20 30 or 50 pixels the cursor size will becomes very small This function is disabled if select off Auto snap range setting px If the measurement method is Trace Polygon or Spline when the distance between the end point and the start point is shorter than 10 20 30 or 50 pixels the measurement will finish automatically and the last cursor back to the start point This function is disabled if select off Annotation font size To change the font size of the annotation select the size from the Annotation font size pull down menu e 10 e 12 e 14 e 16 e 18 e 20 e 22 Show result of protocol items in worksheet If the current measurement is multi step like olume L amp W amp H before finish the measurement enter Worksheet this measurement item will be displayed This function is disabled if select off Show comment of measure item Explain the measurement item in local language Unit for normal distance related measurement cm mm Select different unit for normal distance measurement Show GA LMP BBT on status bar If there is GA LMP BBT for the curren
158. elocity A velocity B and velocity A velocity B ratio in the results window In the PW mode of Cardiac examination the MV Measurement Folder includes the following measurements Single Velocity Measurement e MR Vmax e MV Vmax To execute the velocity measurement the steps are as follows 1 Press Measure 2 Select the velocity measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the caliper at the desired measurement point move the trackball 4 To complete the measurement press Enter The system displays the velocity measurement in the results window Double Velocity Measurement e MR Max PG n Vmax1 m Vmax2 e MV Max PG m Vmax1 m Vmax2 VINNG 193 265 8000098 e MVE A Ratio 7 MV Vel A e MV VelE To execute the two velocity measurements the steps are as follows 1 Press Measure 2 Select the double velocity measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the caliper at the desired measurement point move the trackball 4 To complete the first velocity measurement press Enter The system displays the first velocity measurement in the results window and a second active caliper with a vertical and horizontal dotted line displays 5 To position the caliper at the desired measurement point move the track
159. ement items e OB Early e OB Mid e OB Late e Fetal Heart 10 8 1 B Mode measurements Obstetrics measurements include general measurement items and some typical measurement items such as GS CRL NT OB Ratio Estimated Fetal Weight OB Curve and OB Table General measurements of 2D mode mainly consist of the measurement items below Refer to the chapter General Measurements for more detailed information e Depth e Distance e A BRatio The typical measurement items of Obstetrics application are as shown below Gestational Sac GS To measure the size of gestational sac the method of measurement can be configured 1 Press Measure 2 Select GS with the measurement method Max and an active tracing caliper displays 3 Perform a standard distance measurement and the system displays the maximum diameter of the gestational sac in the results window To calculate the size of gestational sac with the Mean measurement method make three distance measurements The steps are as follows 1 Press Measure 2 Select GS with the measurement method Mean and an active tracing caliper displays on the image screen 3 Perform a standard distance measurement The system displays the distance value in the results window 4 Repeat Step 3 to make the second and third distance measurement Note Three distance measurements can be made in the dual display format by pressing Left Ri
160. eneral measurement setting Refer to the General measurement folder setting 126 265 VINNG 8000098 10 2 Abdominal measurements Brief introduction Based on different applications abdominal measurement provides several different types of measurement options e General abdomen e Difficult abdomen e Kidney e Renal vessel e Abdominal trauma 10 2 1 B mode measurements The measurement menu in the Abdominal application includes generic measurement and specific measurement such as aorta diameter renal length and renal volume In B mode generic measurement in abdominal application covers the following criteria e Depth e Distance e Volume e Angle e Stenosis e AandB ratio Refer to the General measurement for more detail on those measurements In B mode specific measurements in the abdominal application include the following items Aorta diameter Aorta diameter can be measured by single distance measurement The steps are as follows 1 Press Measure 2 Select Aorta Diameter then a caliper will display on the image screen 3 Move the trackball to position the caliper in the start point 4 Press Enter to fix the start point The second active caliper will display 5 Move the trackball to position the second caliper in the end point 6 Press Enter to complete the measurement The system will display the aorta diameter result in the results window Re
161. ent folders in PW mode Refer to the Measurement Menu Configuration in the chapter General Measurements for how to make the configuration of the measurement menu General Measurement Folder In the General Measurement Folder it includes measurement items as follows Velocity PS ED MD TAMAX PI RI PS ED ED PS Flow VOL The measurement menu of Urology application can be configured by adding or removing the measurement items in PW mode Refer to Measurement Menu Configuration in the chapter General Measurements for how to make the configuration of the measurement menu 156 265 VINNG 8000098 10 8 Obstetrics Measurements Examination Preparation Prior to an ultrasound examination the patient should be informed of the clinical indication specific benefits potential risks and alternatives if any In addition if the patient requests information about the exposure time and intensity it should be provided Patient access to educational materials regarding ultrasound is strongly encouraged to supplement the information communicated directly to the patient Furthermore these examinations should be conducted in a manner and take place in a setting which assures patient dignity and privacy Prior material knowledge and approval of the presence of nonessential personnel with the number of such personnel kept to a minimum Anintent to share the information obtained with the p
162. entative for the replacement of the battery Used batteries will be discarded appropriately by VINNO NOTE Disposing of the battery should meet local law and regulatory requirements NOTE Dispose of the system according to local law and regulatory requirements AC Adapter A CAUTION Do not use an AC adapter without approval by VINNO Be sure that nothing rests on the AC adapter s power cable and that the cable is not located where it can be tripped over or stepped on Place the AC adapter in a ventilated area such as a desk when you use it to run this device Do not cover the AC adapter with paper or other items that will reduce cooling do not use the AC adapter inside a carrying case Battery label VINNC 251 265 8000098 GlobTek Inc www alobtek com MEDICALATE POWER SUPPLY amaan PIN TRICZ6000GS0011 RVB MODEL 4 5 GTM43004P 12024 4 0 T3 INPUT SA KI 240V 50 60Hz 2 0A OUTPUT tht 20V 6 0A Intertek 4007497 Con tor ms to ANSE AAMI Std ESS0501 1 Cot ene ye Bl Conforms to ANSLUL Sid GR Cen to CANCSA MA C22 NO 1990 1 a IEC EN60335 1 r GlobTek Inc SOA w PIN3 4 V Shield Shield EFFICIENCY LEVEL V RoHS2 IP40 WWYY MADEIN CHINA HES Mi F R2000 LL FIE t AC Label 252 265 VINNC 8000098 14 2 Technical Data 14 2 1 General Model VINNO 6 Serial number marked in identification plate on the rear side of this device Identification plate Example
163. enu A vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 Use the trackball to move the caliper in measurement start point 4 Press Enter to finalize the start point The system will display the second active caliper 5 Use the trackball to position the second measurement point 6 Press Enter to complete measurement 7 The distance result will be displayed in the results window Time interval measurement M mode time interval measurement is to measure horizontal interval between two calipers The steps are as follows 1 Press Measure 2 Select Time in the measurement menu A vertical and horizontal dotted line and an active caliper will display on the image screen 3 Use the trackball to move caliper in the measurement start point 4 Press Enter to finalize start point The system will display a second active caliper 5 Use trackball to position the second measurement point 6 Press Enter to complete measurement The time interval result will be displayed in the results window Speed measurement In M mode use the slope between two points to gain the speed of the two points The steps are as follows VINNG 111 265 8000098 1 Press Measure 2 Select Slope in the measurement menu A vertical and horizontal dotted line and an active caliper will display on the image screen 3 Use the trackball to move the caliper i
164. er The system displays the slope two velocities and horizontal time interval between the two points in the results window Single Trace Measurement e AR Trace To execute the trace measurement the steps are as follows 1 Press Measure 2 Select the trace measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To fix the start point press Enter 4 To trace the velocities of the desired portion of the spectrum move the trackball Note To re edit the existing trace line press Clear once and move the trackball again 5 To complete the measurement press Enter The system displays the measurement values in the results window To configure the trace measurement Configure the single trace measurement to define the parameter that needs to be calculated and displayed in the Results Window 1 Press Measure 2 Select Config then select AR Trace button and a menu displays 3 Choose the measurement to be executed Cardiac Aortic Valve AV Measurement Folder In the B mode of Cardiac examination the AV Measurement Folder includes the following measurements Single Distance Measurement e AV Diam e AV Cusp e AR Radius only available in the CFI mode To execute the single distance measurement the steps are as follows 1 Press Measure 2 Select the distance measurement to be executed a vertical and
165. er The system fixes the second caliper and displays a third active caliper 8 To position the third caliper move the trackball 9 To fix the third point press Enter The system fixes the third caliper and displays a next active caliper Note At least three calipers are needed to form a spline 10 Repeat Steps 8 9 to add more caliper of the spline 11 To complete the measurement press Enter The system displays the thorax circumference in the results window Note Before completing the spline measurement e To erase the line little by little back from its current point press Clear key once e To clear the trace caliper and the current data measured press Clear for at least 2 seconds To measure Thorax Circumference with the Trace method the steps are as follows 1 Press Measure 2 Select THC 3 Select the measurement method Trace as the default setting from the configuration menu and an active tracing caliper displays VINNG 173 265 8000098 4 To position the trace caliper move the trackball 5 To fix the trace start point press Enter The system fixes the first caliper and the trace caliper changes to an active tracing caliper 6 To trace the measurement area move the Trackball around the anatomy 7 To complete the measurement press Enter The system displays the thorax circumference in the results window Note Before completing the spline measurement e
166. ert This function inverts the color display in relation to the direction of the flow Normally the red color represents flow to the probe and the blue color represents away from the probe After inverting the color will represent different Color map Those allow the operator to select different color coding for blood flow display similar to the post processing curves with gray scale of B image Select to enter configuration page all maps are displayed here Select one map the operator can delete it from map list or added it to the map list 8 maps can be added at most Line density It determines the line density within the CF box VINNG 59 265 8000098 Sync Display After this button is selected there will be two images on main screen the left one is 2D image the right one is 2D CF image In order to have more parameters to change slide the touch panel to the left to enter the more parameter menu as shown below Baseline Flash Reduction OI lt gt CFPure17 CFPure18s Line Density Persistence CFPure19 lt gt CFPure20 CFPure21 Wall Filter Packet Size d 284 7Hz gt Ke all M AC CFVariance4 CFVarianceS E ColorLevel Sensitivity CFVariancel Save Preset Note Slide the touch panel to the right to go back normal CF PDI mode menu Persistence It smoothes the image by performing a temporal averaging which improves the appearance of the color image Flash Reductio
167. es information on peripherals that can operate with this device as follows e Color thermal printer e Black amp White thermal printer d CAUTION Only use VINNO approved equipment as internal peripherals External peripheral equipment must be CE marked and in compliance with relevant standards EN 60601 1 or EN 60950 Anyone who uses this device with external peripheral equipment that are powered from a separated wall receptacle is considered to be configuring a medical system is therefore responsible to verify that the system complies with EN 60601 1 All devices meeting IEC60950 must be kept outside the patient environment as defined in IEC60601 1 2005 unless equipped with additional earth or extra isolating transformer Commercial devices such as laser printers VCRs and external monitors usually exceed allowable leakage current limits and when plugged into separate AC outlets are in violation of patient safety standards Suitable electrical isolation of such external AC outlets or providing the device with extra protective earth will be required in order to meet UL2601 1 and IEC60601 1 standards for electrical leakage d CAUTION When using the peripheral devices observe all warnings and cautions given in the peripheral operator manuals please 13 2 Printing A CAUTION Do not connect printer power cable to other devices except the VINNG 245 265 8000098 approved printer This device can support a color and a black
168. ess Freeze unfreeze status in this time on the control panel 4D real time scanning will end and the 4D cine mode will start VINNG 8000098 e Four images and single image formats image display are the same as 3D e During scanning All parameters can be changed as same as before scan Also The ROI size and position can be changed by pressing ROI on the control panel and moving the trackball In the meantime if the 4D reference image position is active the 4D image can be rotated by rotating Rotation Steer on the control panel on X Y or Z axis which depends on which axis is active and highlighted If other reference image position is active all images can be rotated e Inthe four image display format there are rotation axes on image A B ee 8 2 2 4D Cine Mode e After End 4D on the touch panel is selected or Freeze on the control panel is pressed the system will switch automatically to freeze mode 4D Cine mode The Cine mode menu is displayed as shown below The selected format and last acquired volume will be presented on the image screen Category View Render Type ett Baby Face v Up Down Gray Graylnv Curve Rotate Reset Rotation Direction Render II v SurfTextu TranspM X oe re ax Auto Cine SurfSmo Display format Image Reference oth tay A B GradLight pe 3D MCut HQ Surface Light Save Preset Notes 1 After Auto Cin
169. ess can be input and edit Select time format by 12 hours or 24 hours date format by Month Day Year Year Month Day or Day Month Year Select Date Time Zone and Time But the selected Time Zone is only effective after rebooting Select which language will be used in the general But the selected language is only effective after rebooting Time Span for VRD AVI DICOM image can be set in this menu Clicking up down arrow can increase or decrease time span by 5 seconds dragging the sliding block can increase or decrease time span too And the Max cine loop time can be set up to 1500 seconds for VRD 30 seconds for DICOM and AVI Take 10 seconds time span for example to explain how it works gt If the operator press Store to HDD while scanning to store the cine loop a 10 second VRD cine will be saved However If the real time scan time is less than 10 second the length of the cine is the scanning time gt Ifthe operator press Freeze while scanning to scroll the time interval from start frame to end frame will be 10 seconds as set If the operator wants to save it touch Cine Single to enable cine play and then press Store to HDD to save Select thermal index display which is one of TIS TIB and TIC TIS is the Soft Tissue Thermal Index TIB is Bone Thermal index TIC is Cranial Bone Thermal Index Auto Level The level is low medium high Auto Frequency Change the frequency of modes automatically
170. esults window If necessary this window can be deleted To delete the window select Show Result Window again tl Expander Alignment Window Position The position of the measurement result window can be changed To move the window select the option from the list below e LT Left Top e LB Left Bottom VINNG 233 265 8000098 234 265 e RT Right Top e RB Right Bottom Font Size To change the font size in the results window select the size from the Font Size pull down menu e 10 e 12 e 14 e 16 e 18 e 20 Retain measure results after unfreeze Unfreeze the system in measure enter measure again if select Retain all measurements results of unfinished items are retained if select Clear all measurement results are cleared Show Cursor line During measurement the system will display one dotted line to indicate measurement After the position is selected when using touch panel measurement the system will display measurement line Enable is selected for Show cursor line If Disable is selected the system will erase the dotted line and only display the caliper with a number Hold Measure on Image During measurement the system will display one dotted line to indicate measurement If Hold Measure on Image is selected and enabled by pressing Enable all measurement items on the image will be saved If Disable is pressed the system will erase the
171. etration High frequency generally means a better resolution at the cost of a worse penetration Focus Position It is to select the depth of current focus or foci The focus position is indicated on the right hand side Focus This allows the operator to select the number of foci The number of foci depends on the probe selected VFusion This function enhances the contrast resolution with better tissue differentiation and clear organ borders When the level is 0 this function is switched off VSpeckle This function reduces the speckle noise in the ultrasound image Notes This process smoothes the image so potentially some structures can be smeared out Dynamic Range This allows the operator to enhance the grayscale to make the image easier to display Line density This helps to keep a balance between the image resolution and the frame rate A higher line density means a better resolution but a slower frame rate VSharpen By this function the edge of the image can be more easily observed with the naked eye The higher the level of VSharpen the better the edge of the image can be VINNG 49 265 8000098 Image Angle This function can be used to change the scanning angle A small angle can provide a faster frame rate but the scanning area is smaller Persistence Frame averaging can eliminate the image speckle of the 2D images Several frame averaging levels can be set in this menu Gray Filter Certain echo sig
172. f 20 disks in directions perpendicular to the long axes are obtained Left ventricular volume is calculated from the total sum of the cross sectional areas of the 20 discs The areas of the left ventricular cavity are obtained on the assumption that each disc is oval e A2C Enter Simpson Disc Method LVEDV LVESV e A4C Enter Simpson Disc Method LVEDV LVESV e Modified Simpson Disc Method A2CLVEdV A2CLVESV A4CLVEdV A4CLVESV To execute the multiple area and multiple distance measurements the steps are as below 1 Enter Measure select the measurement item Press Enter key to start the measurement Fix the trace Fix the vertex Repeat step 3 4 for twice or more times to complete the measurement ede e In M mode of Cardiac examination the LV measurement folder includes measurements as follows Single Distance Measurement e LVIDd e LVPWd e LVIDs e LVPWs To execute the single distance measurement the steps are as follows 1 Press Measure 2 Select the distance measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the active caliper at the most anterior point to be measured move the trackball 4 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper VINNG 187 265 8000098 5 To position the second caliper at the most posterio
173. f VINNO is strictly forbidden Without prior written consent by VINNO any reproduction modification storage in a retrieval system or retransmission of the information or otherwise making it available to the public in any form or by any means is illegal and strictly prohibited VINNG I 8000098 Disclaimer VINNO assumes no liability for use of this document if any unauthorized changes to the content or format have been made Every care has been taken to ensure the accuracy of the information in this document However VINNO assumes no responsibility or liability for errors inaccuracies or omissions that may appear in this document VINNO reserves the right to modify the product without further notice to improve reliability function or design This manual is provided without warranty of any kind implied or expressed including but not limited to the implied warranties of merchantability and fitness for a particular purpose CAUTION A In the United States Federal law restricts this device to sale distribution and use by or on order of a licensed physician I VINNG 8000098 Content 1 GENERA E 1 1 1 INCFODUCHION siciecsccccc cscctacedsctivscesaseed cosstcducestevasevececasccetccte sstevosevesssesvecesdeesccencceueasseaseensevests 1 1 2 Contact INFOMATION ccscccscicscecscisccacesesdsetissesvesaseccedces sdesdveessessstnssscesscceccccsasusnsdscstdces ccseteeets 1 1 3 About this document gege egkEVEENEEECN EENS eae a a TEENS ISa
174. ght 5 After the third distance measurement is completed the system displays the average diameter of the gestational sac in the results window Yolk Sac YS 158 265 VINNG 8000098 To measure the size of Yolk Sac the steps are as follows 1 Press Measure 2 Select YS and an active tracing caliper displays on the image screen 3 Perform a standard distance measurement The system displays the size of yolk sac in the results window Crown rump Length CRL To measure the Crown rump Length the steps are as follows 1 Press Measure 2 Select CRL and an active tracing caliper displays on the image screen 3 Perform a standard distance measurement The system displays the crown rump length in the results window Nuchal Translucency Thickness To measure the Nuchal Translucency Thickness if select the method Manual the steps are as follows 1 Press Measure 2 Select NT and an active tracing caliper displays on the image screen 3 Perform a standard distance measurement The system displays the nuchal translucency thickness in the results window If select the method Auto the steps are as follows 1 Press Measure 2 Select NT and an active tracing caliper displays on the image screen 3 Fix one dotted box in the interest area the system will provide the measurement value automatically Uterus Volume UT To calculate Uterus Volume make thre
175. he trackball 6 To complete the measurement press Enter The system displays the slope two velocities and horizontal time interval between the two points in the results window Single Trace Measurement e PAEDP e PR Trace e PV Trace To execute the trace measurement the steps are as follows 1 Press Measure 2 Select the trace measurement to be executed an active trace caliper displays 3 To fix the start point press Enter 4 To trace the velocities of the desired portion of the spectrum move the trackball Note To re edit the existing trace line press Clear once and move the trackball again 5 To complete the measurement press Enter The system displays the measurement values in the results window To configure the trace measurement Configure the single trace measurement to define the parameter that needs to be calculated and displayed in the results window 1 Press Measure 2 Select Config then select PR Trace or PV Trace button and a menu displays 3 Choose the measurement to be executed Cardiac Right Atrium RA Measurement Folder In the B mode of Cardiac examination the RA Measurement Folder includes the following measurements Single Distance Measurement e RAd Major e RAd Minor e RAs Major e RAs Minor To execute the single distance measurement the steps are as follows 216 265 VINNG 8000098 1 Press Measure 2 Select the di
176. he angle which is between the ultrasound beam and the blood flow should be maintained between O and 20 degrees in order to display the vessel in longitudinal section and the angle cursor must be positioned parallel to the vessel axis Rotating key Rotation Steer or pressing it the angle changes Sweep Speed By pushing the relevant up down key can adjust speed The faster sweep speed may be useful to analyze flow curves Others Frequency and Wall Filter can be adjusted the same as color mode 7 1 2 Operation of PW mode sub menu Sliding the touch panel to the left the submenu will display as shown below VINNG 67 265 8000098 Display format S Gray Filter Map V 2 3 H 1 2 1 gt DGray1 DGray2 V 1 2 H 3 4 Dynamic Range Audio Volume DGray4 V 1 3 Full d 121dB gt lt gt DCool4 DColor3 Frequency Wall Filter 25MHz gt lt 179 8Hz gt DCalor4 DColor1 DColor2 Jet Save Preset Audio Volume This allows to change the volume of the audio signal for the PW spectrum Gray Filter In order to eliminate low level echoes caused by noise the operator can adjust this value to remove the certain level of echoes before processing Dynamic Range The Dynamic range refers to the compression of the grayscale information into suitable range for the display It can enhance a certain grayscale range which makes it easier to display pathology When increasing dynamic range thi
177. he image screen VINNG 195 265 8000098 3 To position the caliper at the start point move the trackball 4 To fix the first caliper press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second caliper at the end point move the trackball 6 To complete the measurement press Enter The system displays the horizontal time interval between the two calipers in the results window Cardiac Aortic Measurement Folder In B mode of Cardiac examination the Ao Measurement Folder includes measurements as follows Single Distance Measurement e AoDiam e Ao Arch Diam e AoAscDiam e AoDescDiam e Ao Isthmus e AoSTJunct To execute the single distance measurement the steps are as follows 1 Press Measure 2 Select the distance measurement to be executed and an active tracing caliper displays on the image screen 3 To position the active caliper at the start point move the trackball 4 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second active caliper at the end point move the Trackball A dotted line connects the measurement points if preset accordingly 6 To complete the measurement press Enter The system displays the distance value in the results window In M mode of Cardiac examination the Ao Measurement Folder includes the foll
178. hing the relevant gray map button VINNG 75 265 8000098 14 3D map Select a 3D map by touching the relevant 3D map button 15 Rotate Reset Reset the image if it is rotated 16 Save Preset Save current parameter settings into the application 8 1 2 76 265 The image position can be changed by moving the trackball the direction is same as the trackball To change the ROI size the same as other modes by using the ROI key on the control panel and trackball In two or four image display format there are rotation axes on image AT B C In single image display format only 3D rendering image displays on the image screen Rotation Steer key will rotate the 3D image by X Y or Z axis X Y and Z can be selected on the touch panel There is a direction indicator in each plane image in order to identify the direction match with probe orientation In A Plane one mark indicates the scan start point against the probe mark In 3D mode Comments and Body Pattern can be activated Slide the touch panel to the next page select Single display format drag the 3D image it will rotate along the finger Touch 3D image once come out axis Z guide drag the 3D image along the circle it will rotate along Z axis If select Dual or Quad drag the 2D image it can be moved drag the 3D image it will rotate as in single mode The 2D image and 3D image both can be zoomed in out by two fingers
179. hose terms Those words will be different based on different applications and probes Select and hold a certain section of the image area and after that an alphanumeric keyboard will appear for adding annotations By selecting and holding the previous comment it can be edited with the back blank of the edit field turned grey After the other field is selected the previous annotation will become a confirmed annotation The operator can add their own terms in the first open box After entering the words select Enter key on the alphanumeric keyboard and the terms will be stored After the Delete is selected this button will be highlighted and there will be a delete sign appearing beside each comment the comment can be deleted by selecting the delete sign After the Delete is selected again this key will return to normal and the delete sign for each comment will disappear Select Delete All to delete all the comments Alphanumeric keyboard shown as shown below 26 265 VINNG 8000098 Notes 1 Select CapsLock operator can input capitals 2 Select Tl operator can input symbols the alphanumeric keyboard will be closed 3 9 2 Arrow Indicator Drag arrow indicators on the comment screen to move them to the image area to indicate the nidus Arrow can be rotated after it is selected 3 9 3 Body Pattern After the Body Pattern is se
180. hs The system provides the following two basic types of graphs VINNG 177 265 8000098 e Fetal Growth Curve Graph show one measurement per graph These graphs show the normal growth curve positive and negative standard deviations or applicable percentiles and ultrasound age of the fetus using the current measurement For multi gestational pregnancies can view all fetuses If previous examination data is available the graph can show fetal trending e Fetal Growth Bar Graph shows the ultrasound age and the gestational age based on patient data Plot all measurements on one graph To view OB graphs The steps are as follows 1 Press Measure 2 Select OB Graph only for OB application select Graph Type 3 The system provides 5 types of display format on Fetal Growth Curve Graph Single Dual Quad Multi fetal Compare and Multi fetal Parallel these 2 types only work when there are 2 or more fetuses 3 1 Single display format displays a fetal growth curve graph of any a maternity measuring parameter Dual display format displays two fetal growth curve graphs of any two maternity measuring parameters parallel Quad display format displays four fetal growth curve graphs of any four maternity measuring parameters together 3 2 Multi fetal Compare and Multi fetal Parallel are for the fetal growth curve graph of multiple fetuses Multi fetal Compare displays the fetal growth curve graph of the comparison amo
181. hs30 lt 0 5 Depths30 lt 0 5 Depths30 Dead Area mm lt 2 lt 2 lt 2 lt 2 Lateral Distance lt 5 lt 5 lt 5 lt 5 Precision Axial Distance Precision lt 5 lt 5 lt 5 lt 5 Specification D3 6C R 40 convex Frequeccy MHz 3 4 5 5 5 Penetration mm 2140 280 240 240 Lateral So De pinan lt 2 Depth lt 40 lt 2 Depth lt 30 lt 2 Depth lt 30 Resoultion mm lt 4 80 lt Depth lt 130 Axial g lt Resolution mm lt 2 Depth lt 80 lt 1 Depth lt 40 lt 1 Depth lt 40 lt 1 Depth lt 40 Dead Area mm lt 7 lt 5 lt 4 lt 4 Slice lt 7 lt 5 lt 8 lt 7 Thickness mm Lateral Distance lt 20 lt 20 lt 10 lt 10 Precision Axial Distance lt 10 lt 10 lt 5 lt 5 Precision Specification D3 6CE R 40 convex Frequeccy MHz 3 4 5 6 Penetration mm 2140 280 240 Lateral Resoultion mm lt 3 Depth lt 80 lt 4 80 lt Depth lt 130 lt 2 Depth lt 40 lt 2 Depth lt 30 Axial Resolution mm lt 2 Depth lt 80 lt 1 Depth lt 40 lt 1 Depth lt 40 Dead Area mm lt 7 lt 5 lt 4 Slice Thickness mm lt 6 lt 6 lt 7 Lateral Distance lt 20 lt 20 lt 10 Precision Axial Dist xia istance An 240 S Precision Specification G1 4P Phased Array Frequeccy MHz 2 2 75 3 5 Penetration mm 2140 2140 2140 Lateral Resoultion mm lt 3 Depth lt 80 lt
182. ial lt 1 Depth lt 40 lt 1 Depth lt 40 lt 1 Depth lt 40 lt 0 5 Depth lt 30 Resolution mm Den pep loej Dep Dead Area mm lt 5 lt 4 lt 4 lt 3 Slice Thickness mm lt 5 lt 5 lt 5 lt 4 Lateral Distance lt 20 lt 10 lt 10 lt 5 Precision Axial Distance lt 10 lt 5 lt 5 lt 5 Precision Specification G4 9M R 11 5 convex 258 265 VINNG 8000098 Frequeccy MHz 5 6 5 8 10 Penetration mm 280 240 240 230 Lateral Resoultion mm lt 2 Depths40 lt 2 Depths30 lt 2 Depths30 lt 1 Depths30 Axial Resolution mm lt 1 Depths40 lt 1 Depth lt s40 lt 1 Depth lt 40 lt 0 5 Depths30 Dead Area mm lt 5 lt 4 lt 4 lt 3 Slice Thickness mm lt 5 lt 3 lt 3 lt 4 Lateral Distance lt lt lt lt Precision O i SH s Axial Distance lt lt lt lt Precision a Specification X4 12L F4 12L linear GER 6 7 3 8 5 10 12 ooo gt 50 gt 50 gt 50 gt 30 gt 30 Lateral lt 2 Depths4 lt 2 Depths4 lt 2 Depths4 lt lt lt lt Resoultion mm 0 0 0 SE st Qepinss0 Axial lt 1 Depths5 lt 1 DepthsS5 lt 1 Depth lt s5 lt 0 5 Depths3 lt 0 5 Depths3 Resolution mm 0 0 0 0 0 Dead Area mm lt 3 lt 3 lt 3 lt 2 lt 2 Slice lt 4 lt 4 lt 4 lt 4
183. ill be inactive Speeding up down key will change the rotation speed in order to give the operator more time to see the images 10 After data acquisition the system is in frozen status After Freeze is pressed at this time the system will go back to the 3D initial status 11 HQSurface Touch this button to obtain a high quality rendering image 12 There are two render types Gray and Graylnv The Gray type is rendering echogenic tissue structure On the contrary Graylnv rendering type intends to display hypoecho structures bladder uterus tec Rendering approaches In the rendering group keys there are two different rendering methods One is Surface mode the other is Perspective mode Each method has several approaches Only one of the approaches can be selected at one time Each approach s explanation is as follows SurfTexture Surface rendering mode based on Marc Levoy s research which displays the surface of the object SurfSmooth Apply smooth filter to the volume date which displays a smoothed surface of the object GradLight Surface rendering with the Phone light model which displays the surface of the object with light on it TranspMax Displays only voxels with high echo response X ray Displays all voxels with equal probability TranspMin Displays only voxels with low echo response Light Displays the object by its distance to the observer 13 Gray map Select a gray map by touc
184. ill be trapezoid shape to have a wider view in the bottom 5 2 3 PView Panoramic view function provides the ability to construct and view a static 2D image which is wider than the field of view of the selected probe It constructs an extended image from the individual image frames as the operator moves the probe along the surface of the skin 5 2 3 1 Operation 1 Select PView on the touch panel to enter PView mode 2 To start acquiring the image select Start on the control panel Then move the probe slowly steadily and in uniform motion lengthwise Make sure that the probe stays in one plane throughout the scan The image is stored as you perform the scan and can be monitored during acquisition 3 To complete the scan select Stop 4 Press Reacquisition to clear the extended image and return to the normal image and the operator can start again Selecting the Exit on the touch panel goes back to the normal image scan A CAUTION The quality and usefulness of the extended images is impacted by the probe motion The incorrect technique can generate a defective image A good quality extended image is characterized by the smooth edges and a clear direction All structures visible in properly scanned 2D images can be easily identified A poor quality extended image can be recognized by its rough and curved edges Also it may contain sections showing noise and defects next to sections of clear struc
185. in 5 To complete the measurement press Enter The system displays the measurement values in the results window To configure the trace measurement Configure the single trace measurement to define the parameter that needs to be calculated and displayed in the results window 1 Press Measure 2 Select Config then select TR Trace or TV Trace button and a menu displays 3 Choose the measurement to be executed Single Trace combined with Single Distance Measurement e SV Stroke Volume n SV Diam D SV TAMEAN CO HR SI CI To measure SV the steps are as follows 1 Press Measure 2 Select SV 3 Select SV Diam and perform the single distance measurement 4 Select SV TAMEAN and perform the single trace measurement 5 The system displays SV and SI measurement values in the results window CO HR To measure CO the steps are as follows 1 Press Measure 2 Select SV 3 Execute SV measurement first 4 Select CO HR and perform the measurement on HR 5 The system displays CO and CI measurement values in the results window Cardiac Pulmonary Valve PV Measurement Folder In the B mode of Cardiac examination the PV Measurement Folder includes the following measurements Single Distance Measurement e Pulmonic Diam e PV Ann Diam 212 265 VINNG 8000098 e PR Radius only available in the CFI mode To execute the singl
186. infecting probes Although representing a necessary step in protecting patients and employees from disease transmission liquid chemical germicides must also be selected to minimize potential damage to the transducer It is important to use germicides 228 265 VINNG 8000098 of probe recommended by VINNO company Below is the list of germicides for each probe e Alkazyme e Klenzyne e Steranios 2 e Cidex OPA Low level disinfection After cleaning the probe and cable may be wiped with a tissue sprayed with a recommended disinfectant When decontaminating an infected probe use additional precautions such as gloves and gown High level disinfection High level disinfection destroys vegetative bacteria This is required for endocavity probe after contact with mucosal membrane High level disinfection procedure e Prepare the germicide solution according to the manufacturer s instructions e Place the cleaned dried probe in contact with germicide for the time duration specified by the manufacturer e Rinse the part of the probe which was in contact with the germicide according to the germicide manufacturer s instructions e Wipe dry with a soft towel or air dry the probe Note We do not recommend that the operator use colored ultrasound gel Long term use may cause discoloration of the probe housing although the discoloration does not affect the performance and functionality of the probe Returning shipping probes and repa
187. int move the trackball 4 To fix the first caliper press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second caliper at the end point move the trackball 6 To complete the measurement press Enter The system displays the horizontal time interval between the two calipers in the results window Single Trace Measurement e PAVTI e Systemic Vein VTI To execute the trace measurement the steps are as follows 1 Press Measure 2 Select the trace measurement to be executed an active trace caliper displays 3 To fix the start point press Enter 4 To trace the velocities of the desired portion of the spectrum move the trackball Note To re edit the existing trace line press Clear once and move the trackball again 5 To complete the measurement press Enter The system displays the measurement values in the results window 220 265 VINNG 8000098 Double Trace Measurement e Qp Qs To complete the Qp Qs measurement perform the two standard single trace measurements VINNG 221 265 8000098 11 Probes and Biopsy 11 1 Probe overview This device supports following types of probes e Curved array Convex e Linear array e Phase array e 4D probe e Endocavity e Intra operative 11 2Probes S2 9C convex Center frequency 5MHz Frequency range in B mode 2 6 5MHz Grade of waterproof Transducer IPX7 housing to cable I
188. int press Clear once e Toclear the trace caliper and the current data measured press Clear for at least 2 seconds Cardiac System Measurement Folder In the B mode of Cardiac examination the System Measurement Folder includes the following measurements Single Distance Measurement e IVC Diam e Systemic Vein Diam e PDA Diam e PFO Diam e VSD Diam e ASD Diam VINNG 217 265 8000098 e PEd To execute the single distance measurement the steps are as follows 1 Press Measure 2 Select the distance measurement to be executed and an active tracing caliper displays 3 To position the active caliper at the start point move the trackball 4 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second active caliper at the end point move the trackball A dotted line connects the measurement points if preset accordingly 6 To complete the measurement press Enter The system displays the distance value in the results window Multiple Distance Measurement e IVS 7 IVSd 7 IVSs e RV LV 7 RVIDd 7 LVIDd 7 RVIDs 7 LVIDs To complete the IVS and RV LV measurement perform the multiple standard distance measurements continuously In the M mode of Cardiac examination the System Measurement Folder includes the following measurements Single Distance Measurement e PEd To execute the single distance measureme
189. ir parts When return a probe or part for service needs to clean and disinfect the probe or part prior to packing and shipping this device Ensure that the follow probe cleaning and disinfection instruction This ensures that the employees in the transportation industry as well as the people who receive the package are protected from any risk 11 5Probe Safety KSE Ultrasound probes are highly sensitive medical devices that can easily be damaged by improper handling DO NOT use a damaged or defective probe Failure to follow these precautions can result in serious injury and VINNG 229 265 8000098 equipment damage 11 6Biopsy The data in the following list is the depth which is the distance between the surfaces with the cross point The cross point is between the biopsy angle line and the center line for probes in this device Cross point depth H can be referred the diagram as an example as shown below Unit cm Probes for Biopsies fixed Multiple Angles Angle G2 5C 4 0 6 0 8 0 G4 9E Steel reusable Infinite X4 12L 2 0 4 0 6 0 X6 16L 1 5 2 5 3 5 G1 4P 4 0 5 5 8 0 S1 6P 4 0 5 5 8 0 230 265 VINNG 8000098 12 System Setting 12 1General After Sys Setting in B mode main menu is selected the system will enter the system settings menu The default first entrance is General In the display menu the following items can be changed Hospital name department and addr
190. ircle shape displays Note To position the ellipse and to size the measured axes move the calipers move the trackball 8 To complete the measurement press Enter The system displays the trunk cross sectional area in the results window To measure Trunk Cross sectional Area with the Polygon method make a polygon trace measurement The steps are as follows 1 Press Measure 2 Select AxT 3 Select the measurement method Polygon as the default setting from the configuration menu and an active tracing caliper displays on the image screen 4 To position the active caliper of the polygon move the trackball 5 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 6 To position the second caliper move the trackball VINNG 167 265 8000098 7 To fix the second point press Enter The system fixes the second caliper and displays a third active caliper 8 To position the third caliper move the trackball 9 To fix the third point press Enter The system fixes the third caliper and displays a next active caliper Note At least three calipers are needed to form a polygon 10 Repeat Steps 8 9 to add more calipers to the polygon 11 To complete the measurement press Enter The system displays the trunk cross sectional area in the results window Note Before completing the polygon measurement e To erase the line litt
191. ircumference with the Spline method make a spline trace measurement The steps are as follows 1 Press Measure 2 Select AC 3 Select the measurement method Spline as the default setting from the configuration menu and an active tracing caliper displays on the image screen 4 To position the active caliper of the spline move the trackball 5 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 6 To position the second caliper move the trackball 7 To fix the second point press Enter The system fixes the second caliper and displays a third active caliper 8 To position the third caliper move the trackball 9 To fix the third point press Enter The system fixes the third caliper and VINNG 165 265 8000098 displays a next active caliper Note At least three calipers are needed to form a spline 10 Repeat Steps 8 9 to add more caliper of the spline 11 To complete the measurement press Enter The system displays the abdominal circumference in the results window Note Before completing the spline measurement e To erase the line little by little back from its current point press Clear key once e To clear the trace caliper and the current data measured press Clear for at least 2 seconds To measure Abdominal Circumference with the Trace method the steps are as follows 1 Press Measure
192. irm The system will display the third caliper and trace the ellipse shape 6 Finalize the third caliper and ellipse by moving the trackball Press Enter The system will fix the third caliper and ellipse 7 Measurement results window will display perimeter result Notes e Before completing the measurement press Clear and the current measurement data will be deleted The system will display the previous caliper and start the relevant measurement step again e To exit measurement before measurement is complete press Measure Perimeter Polygon method Perimeter can be measured by a polygon The steps are the process of the measurement as follows 1 Press Measure 2 Select Perimeter in the measurement menu 3 Select Polygon approach in the perimeter menu Caliper will display on the image screen 4 Position the first point and press Enter The system will fix first caliper and display second caliper 5 Position the second point and press Enter to confirm The system will fix the second caliper and display the third caliper and trilateral trace 6 To position third caliper move trackball and press Enter for confirmation The system will fix the third caliper and display the fourth caliper and quadrilateral 7 To position the fourth caliper move the trackball and press Enter for confirmation The system will fix the fourth caliper and display the fifth caliper and pent
193. is completed the system displays the ovary volume in the results window Biparietal Diameter BPD To measure Biparietal Diameter the steps are as follows 1 Press Measure 2 Select BPD and an active tracing caliper displays on the image screen 3 Perform a standard distance measurement The system displays the biparietal diameter in the results window Occipito frontal Diameter OFD To measure Occipito frontal Diameter the steps are as follows 1 Press Measure 2 Select OFD and an active tracing caliper displays on the image screen 3 Perform a standard distance measurement The system displays the occipito frontal diameter in the results window Head Circumference HC To calculate Head Circumference there are five measurement methods BPD amp OFD Ellipse Polygon Spine and Trace Ellipse and BPD amp OFD method are the most common settings To measure Head Circumference with the BPD amp OFD method make two distance measurements The steps are as follows 1 Press Measure 2 Select HC 3 Select the measurement method BPD amp OFD as the default setting from the configuration menu and an active tracing caliper displays on the image screen 4 Perform a standard distance measurement The system displays the distance value in the results window 160 265 VINNG 8000098 5 Repeat Step 3 to make the second distance measurement 6 After the second distance measuremen
194. is device Run a virus scan for USB memory stick in your computer before using The following functions can be configured into those three keys 2 external foot switches e Print Select Details to choose different printers gt Printer connected by USB thermal printer or normal printer gt Printer connected by network connect the network first then add one network printer gt DICOM printer connect the network first then connect one DICOM printer Also Display format can be changed in Details Select the different display formats in pull down menu If Draw background is enabled draw black background when print images And Paper size and Orientation can be changed e Store Select Details to select different destinations and file formats gt Destination HDD USB File Server need to connect one file server first VINNG 237 265 8000098 DICOM Storage Server need to connect one DICOM storage server first FTP Server need to connect one FTP server first gt File Format VRD DICOM AVI or Image e Freeze Unfreeze e Donothing Note 1 If store file format is VRD or DICOM there is an option Store single frame image after it is enabled one single frame image is stored even when the system is in live scan mode 2 If Including patient information on snapshot is enabled preview the stored image in Report there are patient ID and name on the image 3 If store destinatio
195. ithout saving any information 232 265 VINNG 8000098 12 2LCD Tests Select LCD Tests on the top left side of the system setting menu to enter LCD testing menu In this LCD tests menu select the test pattern on the screen in order to test LCD quality such as Gradient H Color Bands Response Time Ref Sub Pixel Font White Inversion All Response Sharpness D Black Select Exit Test to exit LCD test or 10 seconds later it exits automatically Select Exit to exit system setting menu or switch to other menu within the system setting group by selecting the other setting key 12 3 Measurement On the touch panel enter Sys Setting menu and select Measure then display setting items as follows Cursor Type is the default factory setting for cursor type Other cursor types can also be selected to replace the factory setting Cursor Size 8x8 is the factory setting Other size can also be selected for cursor size Cursor Size When Measure 5x5 is factory setting Other size can be also selected for shape cursor size Use Arrow Cursor for indication on image Enable it and enable Cursor there is an arrow on the image Show Result Window During measurement results are displayed in the results window with measurement number and are updated simultaneously until complete All results are displayed in the measurement r
196. just the position of the baseline at the trailing edge of the symphysisosslum pubis and press Enter Note It shows positive values below the baseline and negative values above the baseline 5 When the baseline is fixed an active tracing caliper displays Move the trackball to put the caliper at the leading edge of the bladder neck 6 Perform standard distance measurement and the system displays the value in the results window VINNG 149 265 8000098 BND Bladder Neck Down Measurement To take the Bladder Neck Down Measurement The steps are as follows 1 Measure BNR and BNS 2 Select BND and the system displays the BND value in the results window Note BND BNR BNS DWT Detrusor Wall Thickness Measurement To measure Detrusor Wall Thickness make three distance measurements on the wall of the bladder The steps are as follows 1 Press Measure 2 Select DWT and an active tracing caliper displays on the image screen 3 Perform a standard distance measurement The system displays the distance value in the results window 4 Repeat Step 3 to make the second and third distance measurement 5 After the third distance measurement is completed the system displays the average detrusor wall thickness in the results window RUV Residual Urine Measurement To calculate Residual Urine make two distance measurements The steps are as follows 1 Press Measure 2 Select R
197. l PBB and poly brominated diphenyl ether PBDE 10 indicates the number of years during which the hazardous substance s will not leak or mutate so that the use of this product will not result in any severe environment pollution personal injury or damage to any assets Only for China Probe connector Indicates the presence of the hazardous substance s above the maximum concentration value The maximum concentration values for electronic information products are set by the People s Republic of China Electronic Industry Standard SJ T11364 2006 including the hazardous substances such as lead mercury hexavalent chromium cadmium poly brominated biphenyl PBB and poly brominated diphenyl ether PBDE 20 indicates the number of years during which the hazardous substance s will not leak or mutate so that the use of this product will not result in any severe environmental pollution personal injury or damage to any assets Only for China Rear of unit C 0197 This product carries the CE Mark 0197 for VINNO Rear of unit VINNG 8000098 11 265 Pe EEN Rear of unit Clearance 2 5 Safety and Warning notices 2 5 1 Acoustic output Definition of the acoustic output parameters Thermal Index TI is an estimate of the temperature increase of the soft tissue or bone There are three thermal index categories e TIS soft tissue thermal index the main TI c
198. l have an ROI appear in order for the operator to change position and size 3 In dual display format it will be A or B or C plane 4D image display 4 In single image display format only 4D rendering image displays on the image screen VINNG 8000098 79 265 Select all settings and change the ROI size in this time To change the ROI position the same as other modes by using the ROI key on the control panel and trackball Category GA Baby Face w Rotate Reset Rotation Direction X Ki Display format Save Preset Notes During the real time scanning the parameter can also be changed The 4D rendering image can be rotated by rotating Rotation Steer on the control panel need to select 4D active image reference and which X Y or Z axis After A B or C plane is activated and highlighted the Rotation Steer key can shift A B C plane and rotate 3D image 1 80 265 View Up Down v Image Reference A B Render Type Gray GrayInv Render SurfTextu TranspM re ax SurfSmo oth X ray GradLight TranspMi n HQ Surface Light Rotate M PW CF keys can also rotate the images M is corresponding X direction PW is corresponding Y direction CF is corresponding Z direction At this time the Start End 4D button is highlighted If the operator select this button on the touch panel or pr
199. le can be selected After the pull down menu is selected the system displays items for selection as follows e Hadlock e JSUM e Osaka e Shinozuka OB Table Type According to different area different OB Table Type Fetal age and fetal growth table can be selected Selecting the OB Table Type pull down menu the system can display items as follows for global setting e ASUM e ASUM2000 e Chitty e FCFU_CFEF e Hadlock e Hansmann e Jeanty e JSUM e Merz e Shinozuka 1 e Shinozuka 2 e Berkowitz e Eik Nes e Kurtz e Osaka e Paris e Rempen e Tokyo e Yarkoni e ASUM2001 e Nelson e Robinson e Mercer e Hellman 236 265 VINNG 8000098 e Mayden e Bertagnoli e Eriksen e Goldstein e Hill OB Measure Item GA Table Config To config GA table for every measurement item Heart Cycle To set the default value for heart cycle 12 4Extended key Printing and Save Keys in Control panel There are three keys on the right side of the control panel to start printing and saving functions They are Print Store to HDD and Store to USB which are marked on the control panel Here the HDD means the system s HDD which stores OS application software system setting and patient data This section can configure those keys for following usage And Foot Switch can be configured too WARNING A The operator must make sure that USB memory stick is virus free before connecting it with th
200. le by little back from its current point press Clear key once e To clear the trace caliper and the current data measured press Clear for at least 2 seconds To measure Trunk Cross sectional Area with the Spline method make a spline trace measurement The steps are as follows 1 Press Measure 2 Select AxT 3 Select the measurement method Spline as the default setting from the configuration menu and an active tracing caliper displays on the image screen 4 To position the active caliper of the spline move the trackball 5 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 6 To position the second caliper move the trackball 7 To fix the second point press Enter The system fixes the second caliper and displays a third active caliper 8 To position the third caliper move the trackball 9 To fix the third point press Enter The system fixes the third caliper and displays a next active caliper Note At least three calipers are needed to form a spline 10 Repeat Steps 8 9 to add more caliper of the spline 11 To complete the measurement press Enter The system displays the trunk cross sectional area in the results window Note Before completing the spline measurement e To erase the line little by little back from its current point press Clear once e To clear the trace caliper and the current data m
201. le display dr E E 32 2D ImageSize CRANE 4 cccccciciiscctsssctsseccensdsecccensssseccceesesvecceuesssceeestersacensdsncceeneueesteerascersiee 34 Environment ossei stoeren aea s ao aea ao EES aa OESAU REAST a 34 PREPARE FOR AN EXAMINATION AND PATIENT DATA ARCHIVE 35 Beginning a New Patient cccscccssesssecccccossssccsedcavesscsesssteessssesetsxscossees suscssssessstcasecsseccessssros 35 4 1 1 General data section oc eeecccsssssssseeeeceeessssneeeecseeeceeseeeeneeeeeeeeeeeeesseesaeeeeeeeeess 37 4 1 2 Application data information section 37 BU CNIVG E EEE TTT T A 39 4 21 Initial Archive Me MU soins sen ninaa deed a aaa aa 39 4 2 2 New Examination from Archive menu 41 4 2 3 Export patient or examination data 41 4 2 4 Import patient or examination data 42 4A REPOL GE 43 e WON TE e EE 44 e e 2 SH Cu UE 45 ART MIG W Den eegene see teevhdsnideabicesidendvieas E dena aguidessdeateea inant iuavdauaaniiicevie 46 VINNG 8000098 AZ 9 WOGKIISE EE 47 5 2D B MODE M MODE wesssstsatiticiiesesdusiaievidisndsancanantvaaesadasanuesshaiwtaaavincntaumvenscinlaivs 48 5 1 DD MOG TE 48 5 1 1 Main B mode menu 48 S 12 Freeze Mode ieiti kinteun enaa aa earen ane ESE E NEESS EEN 50 5 2 OperatiO E 52 5 2 1 General operation sicccccccsecccasssecccaescscccaassscdsaasacccs seacsesdenassscdeasseneedsnassecdsaadseccsees 52 5 2 2 Trap zoid AE eegene snn aeee Zeg Sege Seege ea Eea e EEEa EEKE EEEE 54 SAS PVEN eet Eesen Dee 54 BZ Ae IMAP ee neater
202. lected all body patterns will display on the touch panel for the operator to select After one of those patterns is selected the body pattern box will turn green and the body pattern will appear on the bottom right side of the image screen for reference Now rotate Rotation Steer key on the control panel to change the probe indicator s orientation in the body pattern Use the trackball to move the probe indicator in the different position of the body pattern symbol The touch panel will go back to the previous menu by selecting Exit Note that after returning to the basic UI the body pattern and probe indicator cannot be changed By selecting Body Pattern again the probe indicator s direction and position can be changed The touch panel screen after entering the body pattern status is as shown below VINNG 27 265 8000098 Body Patterns CARD lt MSCL PED TAYT Exit Import Select different applications can show different body patterns Select Import to import body patterns from a USB memory stick After the Import key is selected the operator can follow the procedure to import body patterns In this case the operator has to copy a body pattern from his own PC in JPEG format In system setting the size of body pattern can be adjusted please refer 13 1 If enable Use BodyPattern key in system setting the operator can enter Body Pattern by pressing Zoom key
203. lete the first velocity measurement press Enter The system displays the first velocity measurement in the Results Window and a second active caliper with a vertical and horizontal dotted line displays 5 To position the caliper at the desired measurement point move the Trackball 6 To complete the second velocity measurement press Enter The system displays the second velocity measurement and Max PG in the results window Single Time Interval Measurement e LVET e LVHR To execute the time interval measurement the steps are as follows 1 Press Measure 2 Select the time measurement to be executed a vertical and horizontal dotted VINNG 189 265 8000098 line and an active tracing caliper will display on the image screen 3 To position the caliper at the start point move the trackball 4 To fix the first caliper press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second caliper at the end point move the trackball 6 To complete the measurement press Enter The system displays the horizontal time interval between the two calipers in the results window Single Trace Measurement e DOT Trace To execute the trace measurement the steps are as follows 1 Press Measure 2 Select the trace measurement to be executed an active trace caliper displays 3 To fix the start point press Enter 4 To trace the velocities of the de
204. lipse polygon spline and trace 2 Select the required measurement item After settings are finished select Save on the touch panel Note Different applications have factory default settings in B mode measurement The operator can enter the setting menu to change Area setting in B mode The steps are as follows 1 Select Area button in configuration page The system will display all approaches of area measurement length and width ellipse polygon spline and trace 2 Select the required measurement item After settings are finished select Save on the touch panel Volume setting in B mode The steps are as follows 1 Select Volume button in configuration page The system will display all approaches of area measurement single line double line triple line single ellipse single ellipse and single line 2 Select the required measurement item After settings are finished select Save on the touch panel Stenosis setting in B mode The steps are as follows 1 Select Stenosis button in configuration page The system will display all approaches of area measurement diameter and area 2 Select the required measurement item After settings are finished select Save on the touch panel A and B ratio setting in B mode The steps are as follows 1 Select A B ratio button in configuration page The system will display all approaches of area measurement diameter and area
205. ll be opposite Auto Trace After Live or Frozen on the Auto Trace category of the touch panel is selected the auto trace function will start to work The auto trace function can be switched off by selecting Off Only one of them is available and highlighted at one time After auto trace function is switched off the operator can trace the curves manually Auto Trace Off Frozen Live Trace Direction The operator can also select different trace directions to be Above Both or Below Above means that the trace will be the top of the curve of the spectrum Both means that the trace will be the mean between the top curve and the bottom curve of the spectrum Below means that the trace will be along the bottom curve of the spectrum The corresponding evaluation is automatically displayed on the monitor and updated in every heart cycle VINNG 65 265 8000098 Direction Above Below Both Trace Mode Operator can select trace mode to be Max Mean or Off Trace Sensitivity Select the trace sensitivity to balance the sensitivity and artifacts The high sensitivity settings may cause artifacts The low sensitivity may cause smoothing to some incident events Acoustic Power By pressing Acoustic Power on the touch panel can change the transmit power The high acoustic power output has better penetration PRF The velocity ra
206. lt 4 Thickness mm Lateral Distance lt 10 lt 10 lt 10 lt 5 lt 5 Precision Axial Distance lt lt lt lt lt Precision ae Si ae Specification X6 16L linear SE 7 3 8 5 10 12 14 Penetrationim ep gt 50 gt 30 gt 30 gt 30 m E lt 2 Depth lt 4 lt 2 Depth lt 4 Resoultion mm 0 Ge o pens lt 1 Depth lt 30 lt 1 Depth lt 30 lt 1 Depth lt 30 tales lt 1 Depth lt 5 lt 1 Depth lt s5 lt 0 5 Depth lt 3 lt 0 5 Depth lt 3 lt 0 5 Depth lt 3 Resolution mm 0 0 0 0 0 Dead Area mm lt 3 lt 3 lt 2 lt 2 lt 2 Slice lt 4 lt 4 lt 3 lt 3 lt 3 Thickness mm Lateral Distance lt 10 lt 10 lt 5 lt 5 lt 5 Precision Axial Distance lt 5 lt 5 lt 5 lt 5 lt 5 Precision VINNG 8000098 259 265 Specification U5 15LE linear Frequeccy MHz 6 7 3 8 5 10 12 Penetration m 250 250 250 230 230 m Lateral lt 2 Depths4 lt 2 Depths4 lt 2 Depths4 lt 1 Depths30 lt 1 Depth lt 30 Resoultion mm 0 0 0 Axial lt 1 Depths5 lt 1 Depth lt s5 lt 1 Depth lt s5 lt 0 5 Depths3 lt 0 5 Depths3 Resolution mm 0 0 0 0 0 Dead Area mm lt 3 lt 3 lt 3 lt 2 lt 2 Slice lt 4 lt 4 lt 4 lt 4 lt 4 Thickness mm Lateral Distance lt 10 lt 10 lt 10 lt 5 lt 5 Precision Axial Distance lt 5 lt 5 lt 5
207. lt 5 lt 5 Precision Specification 14 11T linear Frequeccy MHz 6 7 3 8 5 10 11 Penetration m gt 50 gt 50 gt 50 gt 30 gt 30 m Lateral 2 Depths4 lt 2 Depths4 lt 2 Depths4 lt 1 Depths30 lt 1 Depths30 Resoultion mm 0 0 0 Axial lt 1 Depths5 lt 1 DepthsS5 lt 1 Depth lt sS5 lt 0 5 Depths3 lt 0 5 Depths3 Resolution mm 0 0 0 0 0 Dead Area mm lt 3 lt 3 lt 3 lt 2 lt 2 Slice lt 4 lt 4 lt 3 lt 3 lt 3 Thickness mm Lateral Distance lt 10 lt 10 lt 10 lt 5 lt 5 Precision Axial Distance lt 5 lt 5 lt 5 lt 5 lt 5 Precision Specification X9 22L linear Frequeccy MHz 9 12 15 18 Penetration mm 230 230 230 230 Lateral Resoultion mm lt 1 Depth lt 30 lt 1 Depth lt 30 lt 1 Depth lt 30 lt 1 Depth lt 30 Axial Resolution mm lt 0 5 Depths30 lt 0 5 Depths30 lt 0 5 Depths30 lt 0 5 Depths30 Dead Area mm lt 2 lt 2 lt 2 lt 2 Slice Thickness mm lt 5 lt 4 lt 4 lt 4 Lateral Distance lt 5 lt 5 lt 5 lt 5 Precision Axial Distance Precision lt 5 lt 5 lt 5 lt 5 Specification X10 23L linear Frequeccy MHz 10 13 17 20 Penetration mm 230 230 230 230 260 265 VINNG 8000098 Lateral Resoultion mm lt 1 Depths30 lt 1 Depths30 lt 1 Depths30 lt 1 Depths30 Axial Resolution mm lt 0 5 Depths30 lt 0 5 Dept
208. lude proper identification with all patient data and verify the accuracy of the patient s name and or the identity number after entering the data Ensure VINNG 13 265 8000098 all recorded data has the correct patient ID Identification errors can result in an incorrect diagnosis Diagnostic Information The images and calculations provided by this device are intended for use by the competent the operator as a diagnostic tool They are explicitly not to be regarded as the sole basis for the clinical diagnosis The operator is encouraged to study the literature and reach their own professional conclusions regarding the clinical utility of this device d CAUTION Special care is required to ensure the maximum privacy of the patient information 2 5 3 Probe Safety Mechanical hazards A CAUTION Damaged probes or the improper use of probes may result in injury or increased the risk of infection The operator needs to frequently inspect the probe for damage in particular looking for sharp or rough surface damage WARNING A Never use intensive force when manipulating the intra cavity probes The operator is required to be familiar with all instructions and precautions provided with probes Electrical Hazard WARNING A Probes are powered by electricity and can injure the patient or operator when exposed to contact with the conductive solution A damaged probe may increase the risk of electric shock Inspect probes frequently f
209. m the safety inspections mentioned above To ensure maintaining good operating conditions of this device we recommend the customer internal maintenance plan includes the following procedures 14 1 1 Inspecting this device d CAUTION If any defect is observed DO NOT operate this device and inform a qualified service person Inspect the following parts on a monthly basis Connectors on cables for any mechanical defects Entire length of electrical and power cables for cuts or abrasions Equipment for loose or missing hardware Control panel and touch panel defects Caster brakes KSE To avoid electric shock hazard DO NOT remove panels or covers from this device VINNG 8000098 247 265 14 1 2 Virus protection To minimize virus vulnerability this device is configured with a minimal set of open ports and all network services not active used This significantly reduces the risk of a virus attack VINNO Company is continuously assessing the need for additional actions to reduce vulnerability of equipment this includes vulnerability scanning of our products and evaluation of new security patches for the third party technology used A CAUTION This device should only be used with an internal Local Area Network LAN 14 1 3 Cleaning this device Frequent and diligent cleaning of this device will reduce the risk of spreading infection from person to person and also help maintain a clean working environment When perfor
210. mation for gynecology UR patient information for urology The OB application patient information section is as shown below VINNC 37 265 8000098 Note 1 LMP last menstrual period enter the first day of the last menstrual period 2 BBT basal body temperature enter the date of the most recently recorded basal body temperature before the last menstrual period Data cannot be entered in this field if LMP data was entered before It is possible to enter data for either LMP or BBT Then the EDD and GA will be calculated based on the LMP or BBT 3 EDD Physician should either enter the estimated date of delivery or this can be automatically calculated after entering the LMP or BBT If EDD is entered the LMP and GA can be calculated 4 GA gestational age automatically calculated after entering the LMP or BBT 5 Gravida enter the patient s history of pregnancies 6 Para enter the patient s history of live births 7 AB enter the patient s history of abortions 8 Ectopic enter the patient s history of ectopic pregnancies 9 Fetus select the number of fetus es 1 to 4 GYN application patient information section is as shown below General OB UR Para Gravida AB Ectopic UR application patient information field is as shown below PPSA Coefficient 38 265 VINNCG 8000098 Note 1 PSA prostate specific antigen enter the value of it 2 PPSA Coefficient ente
211. ment e To erase the line little by little back from its current point press Clear once e To clear the trace caliper and the current data measured press Clear for at least 2 seconds In the M mode of Cardiac examination the AV Measurement Folder includes the following measurements Single Distance Measurement e AV Cusp To execute the single distance measurement the steps are as follows 1 Press Measure 2 Select the distance measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the active caliper at the most anterior point to be measured move VINNG 199 265 8000098 the trackball 4 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second caliper at the most posterior point to be measured move the trackball 6 To complete the measurement press Enter The system displays the vertical distance between the two points in the results window In PW mode of Cardiac examination the AV Measurement Folder includes measurements as follows Single Velocity Measurement e AV Vmax To execute the velocity measurement the steps are as follows 1 Press Measure 2 Select the velocity measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen
212. ment e To clear ellipse and the current measurement data press Clear once The system will display the original caliper and restart measurement e To exit measurement function before completing measurement press Measure again Area measurement Polygon method Area can be measured by polygon The steps are as follows 1 Press Measure 2 Select Area in the measurement menu 3 Select polygon method in the area measurement menu The active caliper will display on the image screen 4 Press Enter to fix the start point then the second caliper is displayed 5 Move the trackball to the second position and press Enter for confirmation The system will fix the second point and third caliper and triangular shape VINNG 105 265 8000098 display 6 To position third caliper move the trackball and press Enter The system will fix the third point and the fourth caliper and quadrilateral display 7 To position fourth caliper move the trackball and press Enter The system will fix the fourth point and the fourth caliper and pentagon display 8 The rest can be done in the same manner and any polygon can be used to measure area After measurement is complete the system will display the results in the results window Notes Before completing ellipse measurement e To clear ellipse and the current measurement data press Clear once The system will display the original caliper an
213. method eA and B ratio Diameter ratio Squaremeter ratio Note Press Measure and the system will enter frozen mode automatically Depth measurement The steps are as follows 1 Press Measure one caliper will be displayed on the image screen 2 Move the cursor to measurement menu to select Depth category 3 To move the caliper position use the trackball 4 After moving the trackball to the position for measurement press Enter for confirmation 5 The system will display depth in the measurement results window VINNG 101 265 8000098 The notes can help operator for depth measurement as follows Notes e To delete current result and start next measurement press Clear once e To activate and edit relevant measurement select relevant items to display submenu e To delete all measurement results press and hold down Clear Distance Measurement The steps are as follows 1 Press Measure 2 Select the Distance measurement category if current measurement is not 3 Move caliper to the measurement start point with the trackball 4 Press Enter to confirm start point The system will fix one caliper and a second caliper appears 5 Move the second caliper to the end point with the trackball 6 Press ROI before fix the second point the first point is re activated then move the caliper if needed 7 Press Enter to complete the distance measurement
214. ming cleaning procedures to prevent the risk of system damage always observe following precautions e Use only recommended cleaning materials and solutions e Do not spray any liquid directly onto this device s covers LCD display touch panel and control panel e Do not allow any liquid to drip or seep into this device e Prior to cleaning turn OFF power of this device System cabinet cleaning e Ona weekly basis moisten a soft non abrasive folded cloth or sponge with a mild general purpose non abrasive soap and water solution DO NOT use any solution containing abrasive powder or strong chemicals such as acid or alkaline Squeeze excess liquid from the cloth sponge and then wipe down the top front back and both sides of this device e Rinse the cloth sponge with clean running water and wipe this device surfaces again e Usea dry soft line free cloth to dry this device surfaces e Wait for this device surfaces to dry completely before turn on the system Note If disinfection is required wipe with a soft dust free cloth and a small quantity of isopropyl alcohol 248 265 VINNG 8000098 LCD Display cleaning On a weekly basis gently wipe the LCD display with a dry soft lint free non abrasive folded cloth Wipe or dust the stain gently with a soft dry cloth If the stain remains moisten a soft lint free cloth with water or a 50 50 mixture of isopropyl alcohol and water Wring the cloth to remove as much liquid as pos
215. mitation of the acoustic output requirement Application selection Selecting the probe and application will provide the acoustic output within the limitation of the acoustic output requirement Changing imaging modes Acoustic output depends on the imaging mode selected The choice of mode will greatly affect the energy absorbed by the tissue After a combined mode is completed such as 2D and CF mode the total acoustic output comprises contributions from each individual mode Concerning surrounding fetal exposure Always be aware of the acoustic output level by observing the acoustic output display The operator is recommended to become familiar with this device s controls affecting the acoustic output OB examination KI Prior to an ultrasound examination the patient should be informed of the clinical applications which include specific benefits potential risks and alternatives In addition if the patient requires information about the exposure time and intensity they should be provided An ultrasound examination should not be performed to satisfy the family s desire to know the fetal sex according to several countries laws which include China using an ultrasound examination to detecting the fetal sex gender is prohibited 2 5 2 Patient Safety KSE The concerns listed in this section can seriously affect the safety of the patient undergoing a diagnostic ultrasound examination Patient Identification Always inc
216. n It reduces movement artifacts in the image Line density Higher line density will improve the resolution and the reduce frame rate Base Line It can be used to prevent aliasing in one flow direction similar to the Doppler baseline shift Shifting baseline will enlarge the velocity range in one direction Transparency Indicates the visibility of background image Acoustic Power It adjusts transmit acoustic power The higher acoustic power has better penetration Steer Rotation Steer key on the control panel can steer the CF image right 60 265 VINNG 8000098 direction center no steer left direction After Freeze on the control panel is pressed the system enters frozen mode and the touch panel UI will change to the one below Using the trackball reviews the image frame by frame similar to the B mode no matter whether it is in the cine or single mode The image in the cine mode or single frame mode can be reviewed by selecting Cine Single on the touch panel In single mode the last frame is displayed in the initial entrance Ped C See Cardiac General Invert Sync Display GI G Full Screen Cine Single Start Frame End Frame lt Sen 3 9332 gt Speed FrameByFrame lt 100 gt Ms S 1 WS Note 1 In Frozen mode there will be no panoramic view function 2 Start Frame End Frame control which frame to start from and which to end in order to display continuously as a
217. n is USB DICOM Storage Server File Server or FTP Server there is an option Backup stored file in Local Machine after it is enabled the image will be stored to the server and HDD 4 If store destination is DICOM Storage Server or FTP Server there is an option Auto image data transfer after end exam If it is enabled the image will be stored to the server after the exam is ended If it is disabled the image will be stored to the server immediately Factory default configuration as below e Print key SONY UP X898MD e Store to HDD key Save VRD to HDD e Store to USB key Save image to USB e Built in Foot Switch Do nothing e External Foot Switch 1 Do nothing e External Foot Switch 2 Do nothing Config Network Printer Select Search to find network printers display all available printers If the printer is installed it can be used directly Otherwise Install should be selected to install the printer s driver Also installed printers can be uninstalled 12 5Network 12 5 1 General This configuration category enables the operator to set the network for the syste m and connected remote archive 238 265 VINNG 8000098 If one network cable is plugged in the operator can do the following settings to connect the network e If enable Auto config IP address the system will connect to the network automatically e If disable Auto config IP address the o
218. n measurement start point 4 Press Enter to finalize the start point The system will display a second active Caliper 5 Use the trackball to position the second measurement point 6 Press Enter to complete measurement The system will display the speed between the two points Heart Rate measurement Heart rate can be calculated in M mode The steps are as follows 1 Press Measure in the desired image 2 Select HR in the measurement menu A vertical and horizontal dotted line and an active caliper will display on the image screen 3 Position one identifiable point in one heart cycle by moving the trackball 4 Press Enter to fix the first point The system will display the second caliper 5 Move the trackball to the same position as the first one in the second cycle Note The number of measured cycles can be selected in the HR menu from 1 to 5 The number of required measurement cycles is displayed in the information bar at the bottom of the screen 6 Press Enter to complete measurement and transfer the calculation into the worksheet The system will display heart rate in the results window Stenosis measurement The stenosis measurement in M mode is the same as diameter measurement method in B mode It measures the percentage between two distances The steps are as follows 1 Press Measure 2 Select Stenosis in the measurement menu A vertical and horiz
219. n the caliper at the desired measurement point move the trackball 6 To complete the second velocity measurement press Enter The system displays the second velocity measurement and Max PG or TV E A Ratio in the results window Single Time Interval Measurement e TCO e TVTTP e TVA Dur e Q to TV close To execute the time interval measurement the steps are as follows 1 Press Measure 2 Select the time measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the caliper at the start point move the trackball 4 To fix the first caliper press Enter The system fixes the first caliper and displays a second active caliper 210 265 VINNG 8000098 5 To position the second caliper at the end point move the trackball 6 To complete the measurement press Enter The system displays the horizontal time interval between the two calipers in the results window Multiple Time Interval Measurement RV TEI Index e TV C O dur e RVET To execute the time interval measurement the steps are as follows 1 Press Measure 2 Select RV TEI Index to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the caliper at the start point move the trackball 4 To fix the first caliper press Enter The system fixes the first caliper and displ
220. n the stress status and press Freeze 2 Press Measure 3 Select RADMAX and a horizontal baseline displays on the image screen 4 Move the trackball to adjust the position of the baseline at the trailing edge of the symphysisosslum pubis and press Enter Note Positive values are shown below the baseline and negative values above the baseline 5 When the baseline is fixed an active tracing caliper displays Move the trackball to position the caliper at the bottom of the ampulla recti 6 Perform a standard distance measurement and the system displays the value in the results window Rectocele Depth and Width Measurement To measure Rectocele Depth and Width make two distance measurements The steps are as follows 1 Press Measure 2 Select Rectocele and an active tracing caliper displays on the image screen 3 Perform one standard distance measurement and the system displays the rectocele depth in the results window 4 Perform another standard distance measurement and the system displays the rectocele width in the results window Levator Hiatus Stress Measurement To measure Lavator Hiatus Stress make two distance measurements and the system calculates the area automatically The steps are as follows 1 Press Measure 2 Select Levator Hiatus Stress and an active tracing caliper displays on the image screen 3 Perform the first standard distance measurement 4 Perform
221. nal Length VINNG 127 265 8000098 Renal length can be measured by single distance measurement The steps are as follows 1 Press Measure 2 Select certain direction of Renal Length left or right then a caliper will display on the image screen 3 Move the trackball to position the caliper in start point 4 Press Enter to fix the start point The second active caliper will display 5 Move the trackball to position the second caliper in the end point 6 Press Enter to complete the measurement The system will display the renal length result in the results window Renal Volume Renal volume is normally measured by the three distance method The steps are as follows 1 Press Measure 2 Select a certain direction of Renal Volume left or right and then a caliper will display on the image screen Note Three distances can be measured in the dual image display format The first measurement can be processed in the midsagittal plane and the second measurement can be processed in the axial plane To use dual image display format press Left or Right 3 Proceed with the single and dual distance measurement 4 The system will display three distances and the renal volume result in the results window Spleen volume Spleen volume is normally measured by the three distance method The steps are as follows 1 Press Measure 2 Three distances can be measured in the dual image display f
222. nals can be filtered by this function to avoid noise Smooth This smoothens out the image by reducing the number of pixels Focus Width Using this key changes the focus zone width Acoustic Power This allows the operator to change the transmitted acoustic power Biopsy After this button is selected the biopsy guide line will display on the image screen Some biopsies have different angles to be selected If this is the case the system will display the selectable angles for the operator to select from Different probes feature different biopsy guide lines VNear In the 2D touch panel menu use the arrow in the VNear key to increase or decrease or switch off the level of compounding When the level is O this function is switched off When the level is 1 2 3 one more focus will be added if the position of the current focus es is gt 5 cm If there are the most focuses this function doesn t work NeedleEnhance Only works with linear probes To enhance the needle image when do biopsy When this function is enabled a red boundary line will be displayed to show the effective border which should not be crossed rotating key Rotation Steer changes its angle to match the needle make sure the angle between the red line and the needle is 90 Pressing key Rotation Steer changes the direction EdgeEnhance Improving image quality and contrast by enhancing its edge and detail information and decreasing noise to improve SNR
223. nearest you NOTE The battery is designed to work with this device only Only use the batteries authorized by VINNO A WARNING VINNG 249 265 8000098 e The battery has a safety device Do not disassemble or alter the battery e Charge the batteries only when the ambient temperature is between 0 and 50 and discharge the batteries between 0 and 60 Do not short circuit the battery by directly connecting the negative terminals with metal objects Do not heat the battery or discard it in a fire Do not expose the battery to temperature over 60 Keep it away from fire and other heat sources Do not charge the battery near a heat source such as a fire or heater Do not leave the battery in direct sunlight Do not pierce the battery with a sharp object hit it or step on it Do not use a damaged battery e Do not solder a battery Do not connect the battery to an electrical power outlet KSE If this device is not being used on a monthly basis the battery needs to be removed during the lengthy non use period d CAUTION To avoid the battery bursting igniting or fumes from the battery causing equipment damage observe the following precautions Do not immerse the battery in water or allow it to get wet Do not put the battery into a microwave oven or pressurized container e If the battery leaks or emits an odor remove it from all possible flammable sources e If the battery emits an odor or h
224. nfiguration menu and an active tracing caliper displays on the image screen 4 Perform a standard distance measurement The system displays the distance value in the results window 5 Repeat Step 3 to make the second distance measurement 6 After the second distance measurement is completed the system displays the fetal trunk area in the results window To measure Fetal Trunk Area with the Ellipse method make an ellipse measurement The steps are as follows 1 Press Measure 2 Select FTA 3 Select the measurement method Ellipse as the default setting from the configuration menu and an active ellipse displays 4 To position the active caliper of the ellipse move the trackball 5 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 6 To position the second caliper move the trackball VINNG 169 265 8000098 7 Adjust the Ellipse control and an ellipse with an initial circle shape displays Note To position the ellipse and to size the measured axes move the calipers move the trackball 8 To complete the measurement press Enter The system displays the fetal trunk area in the results window To measure Fetal Trunk Area with the Polygon method make a polygon trace measurement The steps are as follows 1 Press Measure 2 Select FTA 3 Select the measurement method Polygon as the default setting from
225. ng all fetuses Multi fetal Parallel displays the fetal growth curve graphs of all fetuses parallel in the separate graph 4 The system provides two types of display format on Fetal Growth Bar Graph Single and Multi fetal Parallel only work when there are 2 or more fetuses 4 1 Single display format displays a fetal growth bar graph 4 2 Multi fetal Parallel displays the fetal growth curve graphs of all fetuses parallel in the separate graph Fetal Growth Curve Graph e The horizontal axis shows the fetal age in weeks The system determines this age from the data on the patient information window e The vertical axis shows one of the following For measurements mm or cm For ratios percent For fetal weight grams e The Fetal Growth Curve Graph shows the information for the selected 178 265 VINNG 8000098 measurement as follows The normal growth curve The standard deviations or relevant percentiles The gestational age of the fetus using patient data vertical dotted line Using the current ultrasound measurement data where the fetus is on the growth curve e The legend at the bottom of the graph shows the symbols and colors that indicate data for fetal trending Past and Present and multiple gestation Fetus in the Multi fetal Compare Display format e To select which measurement want to display on the Fetal Growth Curve Graph a On the graph display the system displays a list of measurements b Select
226. nge on display is controlled by the pulse repetition frequency PRF As the PRF increases the velocity measurable range is increased too As the display scale increases the maximum Doppler shift information can be increased The relevant up down key increases or reduces PRF Possible the maximum sampling frequency can be automatically adapted based on the sample volume depth After the certain level of PRF is exceeded the system is activated into HPRF high PRF mode mode which can increase the maximum measurable flow velocity further The normal maximum measurable flow velocity is determined by the measuring 66 265 VINNC 8000098 depth of the sample volume In order to further increase measurable flow velocity to reach the normal limitation one or more additional sample volumes is added along with the ultrasound beam cursor as the virtual sample volume The blood flows recorded by the virtual sample volume are overlaying the actual Doppler signal of the main sample volume Baseline The change of PW spectrum baseline can enlarge the velocity range in one direction The displayed velocities or the frequencies on the upper and lower edge of the screen show the maximum measuring velocity range The up down key corresponding to baseline can change it up or down Steer PW line can be steered Only works with linear probes Angle Correct To obtain the optimum resolution and the accuracy from the Doppler measurements t
227. nt move the trackball 4 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second active caliper at the end point move the Trackball A dotted line connects the measurement points if preset accordingly 6 To complete the measurement press Enter The system displays the distance value in the results window Area Measurement and the measurement method option can be Polygon 202 265 VINNG 8000098 Spline and Trace where Trace method is the default setting e LAAd e LAAs To execute the area measurement by Trace method the steps are as follows 1 Press Measure 2 Select the area measurement to be executed 3 Select the measurement method Trace as the default setting from the configuration menu and an active tracing caliper displays 4 To position the trace caliper move the trackball 5 To fix the trace start point press Enter The system fixes the first caliper and the trace caliper changes to an active tracing caliper 6 To trace the measurement area move the trackball around the anatomy 7 To complete the measurement press Enter The system displays the measured area value in the results window Note Before completing the spline measurement e To erase the line little by little back from its current point press Clear once e To clear the trace caliper and the current data measured press
228. nt the steps are as follows 1 Press Measure 2 Select the distance measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the active caliper at the most anterior point to be measured move the trackball 4 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second caliper at the most posterior point to be measured move the trackball 6 To complete the measurement press Enter The system displays the vertical distance between the two points in the results window 218 265 VINNG 8000098 Multiple Distance Measurement e IVS n IVSd e W s e RV LV Ty RVIDd Ty LVIDd Ty RVIDs Ty LVIDs To complete the IVS and RV LV measurement perform the multiple standard distance measurements continuously In the PW mode of Cardiac examination the System Measurement Folder includes the following measurements Single Velocity Measurement e PVeinVel A e PVeinVelsS e PVeinVel D e PVeinVd e PVeinVs e Systemic Vein Vd e Systemic Vein Vs e VSD Vmax e ASD Vmax To execute the velocity measurement the steps are as follows 1 Press Measure 2 Select the velocity measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the caliper at the desired mea
229. nter into 4D Cine Mode as a normal rendering 3D Mcut STIC provides MCut display mode Refer to MCut section Display Format Render MCut MPR Multi Planar reconstruct display Axial Coronal and Sagittal planes 86 265 VINNG 8000098 9 Other Modes 9 1 Tissue Doppler Imaging TD Tissue Doppler Imaging uses the Doppler principle to provide information about tissue motion direction and velocity The motion will be shown as a wave profile Select the TD on the control panel and the system goes into Tissue Doppler mode Image display format and the touch panel menu will be similar to PW CW But the PW CW key changes to TD key The operation workflow is similar to PW CW Refer to PW CW session for operation please 9 2 Tissue Velocity Imaging TVI 9 2 1 TVI overview TVI calculates and color codes velocities in tissue The velocity information is acquired by the sampling of tissue Doppler velocity values 9 2 2 TVI Workflow TVI function is only available in cardiac application of the sector probe If the right application and probe is not selected before entering this mode the system gives a warning to remind the operator to change accordingly The ECG needs to be connected before proceeding with the TVI procedure 1 Select the TVI on the control panel and the system will enter TVI mode In the TVI mode new operator menu displays on the touch panel as shown below
230. nts In PW mode measurement menu include measurement folders as follows e Generic measurement folder e Arteria carotid communis measurement folder e Internal carotid measurement folder e External carotid measurement folder e VA measurement folder e BULB measurement folder e BIF measurement folder e STA measurement folder e InnomA measurement folder e Middle cerebral artery measurement folder e Posterior cerebral artery measurement folder Increase or reduce measurement items in the measurement setting menu based on their own requirements Refer to PW mode measurement setting information in detail Generic measurement folder In PW mode the general measurement folder includes items as follows e Velocity e Time e Acceleration e PS systole peak speed e ED diastole end speed e MD Minimum speed in diastole period e TAMAX maximum speed in time average VINNG 139 265 8000098 e TAMEAN mean speed in time average e PI Pulsatility index e RI resistance index e PS ED e ED PS e A Bratio Velocity Time Acceleration e FLOWVOL flow volume e HR Other vascular measurement folder In PW mode the vascular measurement folder includes measurement items as follows e Velocity e Time e Acceleration e PS systole peak speed e ED diastole end speed e MD Minimum speed in diastole period e TAMAX maximum speed in time average e TAMEAN mean speed in time average e PI Puls
231. nts in the results window Double Distance Measurement VINNG 205 265 8000098 e RV Study e RVIDd e RVIDs To complete the RV Study measurement perform the two standard distance measurements continuously Single Time Interval Measurement e RVPEP e RVET To execute the time interval measurement the steps are as follows 1 Press Measure 2 Select the time measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the caliper at the start point move the trackball 4 To fix the first caliper press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second caliper at the end point move the trackball 6 To complete the measurement press Enter The system displays the horizontal time interval between the two calipers in the results window In the PW mode of Cardiac examination the RV Measurement Folder includes the following measurements Single Velocity Measurement e RVOT Vmax To execute the velocity measurement the steps are as follows 1 Press Measure 2 Select the velocity measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the caliper at the desired measurement point move the trackball 4 To complete the measurement press Enter The system displays
232. olor printer USB LAN printer Wireless printer 1 7 Display annotation 1 warns 12 5 om me 1 VINNO manufacturer s trade mark 2 Hospital Name it can be modified by the operator to enter a particular name The default is empty 3 Depth indicates how deep the scan image is reaching 4 MI Tl indicate the size of Acoustic Mechanical and Thermal Index 5 Probe and application show what the current probe and application are selected and used 6 Clip board images this field displays the batch of the temporarily stored images which are stored in HDD 7 This field indicates some of the parameters such as digital gain frequency frame rate acoustic output power The displayed parameters are different in different modes 8 Image area it is the field where the image is displayed including all mode images such as B CF PDI M and PW CW 9 Date Time this field indicates the current date and time This date and time can be modified in the system setting menu 10 Perf Physician this field shows the performing physician s name 11 Patient information this field shows the current patient name and ID If there is some information of OB input when new the patient display GA too 12 USB Network status If one USB device is plugged in the left icon appears If connect with the network the right icon appears If connect with one server the middle icon appears 6 265 VINNG 8000098
233. olz as the calculation formula b Choose the parameters that need to be calculated and displayed in the results window LVEDV LVESV SV EF CO SI Cl LVIDd Index LVd Mass LVd Mass Index LVd Mass ASE LVd Mass Index ASE LVIDs Index LVs Mass LVs Mass Index LVs Mass ASE LVs Mass Index ASE FS IVS and LVPW Note The calculation of some parameters need to use HR and BSA where HR can be gotten from ECG device and BSA can be calculated through the patient s height and weight Area Measurement and the measurement method option can be Polygon Spline and Trace where Trace method is the default setting e 2CLVAd e 2CLVAs e ACLVAd e 4ACLVAs e SLVAd e SLVAs e Endo LVAd e Endo LVAs e EpiLVAd e Epi LVAs e LVOT Area To execute the area measurement by Trace method the steps are as follows 1 Press Measure 2 Select the area measurement to be executed 3 Select the measurement method Trace as the default setting from the configuration menu and an active tracing caliper displays VINNG 185 265 8000098 4 To position the trace caliper move the trackball 5 To fix the trace start point press Enter The system fixes the first caliper and the trace caliper changes to an active tracing caliper 6 To trace the measurement area move the Trackball around the anatomy 7 To complete the measurement press Enter The system displays the measured area value in the results window Not
234. ontal dotted line and an active caliper will display on the image screen 3 Measure the distance in the inter vessel area The system will display another active caliper 4 Proceed with the distance in the exterior vessel area 5 The system will display each distance and stenosis percentage in the results window Refer to the distance measurement for details A and B ratio In M mode A and B ratio can be measured through diameter time and speed measurement 112 265 VINNG 8000098 Diameter Calculate A and B ratio through diameter approach the steps are as follows 1 Press Measure 2 Select A B ratio in the measurement menu 3 Select Diam measurement approach in the A B ratio menu A vertical and horizontal dotted line and an active caliper will display on the image screen 4 Proceed with the first distance measurement The system will display another vertical and horizontal dotted line caliper for second measurement 5 Proceed with the second distance measurement 6 The system will display each distance and the A B ratio Note The first distance is A and the second distance is B Refer to the distance measurement for details Time Calculate A and B ratio through time the steps are as follows 1 Press Measure 2 Select A B ratio in the measurement menu 3 Select Time measurement approach in A B ratio menu A vertical and horizontal dotted line and an active caliper
235. oof Transducer IPX7 housing to cable IPX4 U5 15LE linear Center frequency 8 5MHz Frequency range in B mode 6 12MHz Grade of waterproof Transducer IPX7 housing to cable IPX4 F4 12L linear Center frequency 7 3MHz Frequency range in B mode 6 12MHz Grade of waterproof Transducer IPX7 housing to cable IPX4 14 11T Intra operative Center frequency 7 3MHz Frequency range in B mode 6 11MHz Grade of waterproof IPX7 Sei 17 18L X9 22L linear Center frequency 15MHz Frequency range in B mode 9 18MHz Grade of waterproof Transducer IPX7 housing to cable IPX4 D3 6C 4D convex Center frequency 4 5MHz Frequency range in B mode 3 6MHz Grade of waterproof Transducer IPX7 housing to cable IPX4 224 265 VINNG 8000098 D3 6CE 4D convex Center frequency 4 5MHz Frequency range in B mode 3 6MHz Grade of waterproof Transducer IPX7 housing to cable IPX4 S1 6P Phased Array Center frequency 3 5MHz Frequency range in B mode 2 5MHz Grade of waterproof Transducer IPX7 housing to cable IPX4 G1 4P Phased Array Center frequency 2 75MHz Frequency range in B mode 2 3 5MHz Grade of waterproof Transducer IPX7 housing to cable IPX4 Probe orientation Each probe has one mark in one side of the probe head This mark indicates the start point of scanning Probe Labeling Each probe is labeled with the following information e Name of manufacture e Model n
236. options of each chamber and the corresponding valve in diastolic and systolic period e General e LV e MV e Ao e AV e LA e RV e TV e PV e RA e System Overview Cardiac measurements provides the main measurement folders General LV MV Ao AV LA RV TV PV RA and System on the B M CF PW CW TD mode of this device Measurement Configuration of Measuring Option Folders To configure the measurement folder options 1 Press Measure 2 Select the configuration menu of the measurement folder options Note Measurement folder option may not be same in the different mode 3 Choose the measurement folder option which to have or uncheck the measurement folder option which does not need but has been chosen 4 After finishing the configuration press Back to return to the previous menu and the system shows the measurement folder list which has chosen To add the new measurement folder option 1 Press Measure 2 Select the configuration menu of the measurement folder options Note Measurement folder option may not be same in the different mode 3 Select Add and the system shows as the following window to add the new measurement folder 4 Input the name of the new added measurement folder move the trackball and press OK or press Cancel to return to the previous menu 5 The system returns to the measurement menu and shows Add button in 182 265 VINNG 8000098
237. or cracks or openings in the housing and holes in and around the acoustic lens or other damage 2 5 4 Personnel and equipment safety Explosion hazard 14 265 VINNG 8000098 WARNING A Never operate this device in the presence of flammable or explosive liquids vapors or gases The operator should be aware of the points to prevent such explosion hazards as follows e f flammable substances are detected in the environment do not plug in or turn on this device In addition do not unplug or turn the device off if it has been turned on before e H flammable substances are detected evacuate and ventilate the area before turning off this device Electrical Hazard OG WARNING e Internal circuits of this device use high voltages capable of causing serious injury or death by the electric shock e The OPERATOR MUST NOT touch accessible LIVE parts of USB DVI Audio ports and the PATIENT simultaneously e USB DVI and Audio ports ONLY connect the PARTS or DEVICES which DO NOT have the external electrical hazard risk Any configurations by such connection must comply with the requirements of the IEC60601 1 It is the responsibility of the person who connects the parts or devices and configures a medical system to verify that this device complies with the requirements of the IEC60601 1 If you have any questions contact your service representative for information To avoid injury A WARNING e Do not remove this device s protecti
238. ormal Doppler measurement menu select Mean PG SV Diam Stroke volume diameter The steps are as follows 1 Press Measure 2 In the normal Doppler measurement menu select SV 3 Select SV Diam in the SV menu 118 265 VINNG 8000098 SV TAMEAN stroke volume TAMEAN The steps are as follows 1 Press Measure 2 In the normal Doppler measurement menu select SV 3 Select SV TAMEAN in the SV menu CO Cardiac output The steps are as follows 1 In the normal Doppler measurement menu select SV 2 Proceed SV measurement first 3 Select CO HR to measure the heart rate Heart rate measurement In PW mode heart rate can be calculated the steps are as follows 1 Press Measure after gain image 2 Select HR in the measurement menu A vertical and horizontal dotted line and an active tracing caliper will display on the image 3 Move the trackball to position an identifiable point in the first heart cycle 4 Press Enter to fix the first caliper The system will display the second caliper 5 Move the second caliper to be the same position as the first one in the second heart cycle Note Set required heart cycles for measurement in the HR menu Heart cycle range from 1 to 5 In the bottom information bar of the image screen the system will display the number of heart rate which needs to be measured 6 Press Enter to complete me
239. ormat The first measurement can be processed in the midsagittal plane and the second measurement can be processed in the axial plane To use the dual image display format press Left or Right 3 Proceed with the single and dual distance measurement 4 The system will display three distances and the spleen volume result in the results window Bladder volume Spleen volume is normally measured by the three distance method The steps are as follows 1 Press Measure key 2 Select Bladder Volume and then a caliper will display on the image screen Note Three distances can be measured in the dual image display format The first measurement can be processed in the midsagittal plane and the second 128 265 VINNG 8000098 measurement can be processed in the axial plane To use the dual image display format press Left or Right 3 Proceed with the single and dual distance measurement 4 The system will display three distances and the bladder volume result in the results window Prostate volume Prostate volume is normally measured by the three distance method The steps are as follows 1 Press Measure 2 Select Prostate and then a caliper will display on the image screen Note Three distances can be measured in dual image display format The first measurement can be processed in the midsagittal plane and the second measurement can be the processed in axial plane To use the dual image
240. oup if the operator selects A that means the cut plane is A plane In this time the initial image and the first image of the multi display is the B plane image in order to show the slice position and the slice line is vertical If B is selected the cut plane is B plane In this time the initial image and the first image of the multi display is the A plane image in order to show the slice position and the slice line is vertical If C is selected the cut plane is C plane In this time the initial image and the first image of the multi display is the A plane image in order to show the slice position and the slice line is horizontal e Before starting 4D data acquisition the initial image display will only be a 2D image The View Slice Slice Number Cut Plane DAT B or C and other parameter can be adjusted as Ul indicated e Select Start MCut on the touch panel to start real time data acquisition Real time data acquisition and the display will stop after End MCut is selected The image displays real time slices image How many slices are 84 265 VINNG 8000098 displayed depends on how many slice numbers are selected on the touch panel Notes 1 Slice Number Smaller image size Different slice numbers can be selected 4x4 3x3 2x2 In real time 4D and play back of MCut mode all slices are live and active In 3D multi cut slices are single frame not live display
241. ove the trackball to position the second caliper in diastole end speed ED or systole peak speed PS 6 Press Enter to complete the measurement The system will display PS ED and PS ED or ED PS ratio in results window A and B ratio In PW mode A and B ratio can be measured through speed time or acceleration Speed Calculate A and B ratio through speed the steps are as follows 1 Press Measure 2 Select A B ratio in measurement menu 3 In the A B ratio setting menu select Velocity method A vertical and horizontal dotted line as an active tracing caliper will display on the image screen 4 Move trackball to position the caliper in speed A 5 Press Enter to fix the measurement point Second caliper will display in the system 6 Move the trackball to position the second caliper in B speed 7 Press Enter to complete the measurement The system will display two speed results and A B ratio in the results window Time Calculate A and B ratio through time the steps are as follows 1 Press Measure 2 Select A B ratio in the measurement menu 3 In the A B ratio setting menu select Time method A vertical and horizontal dotted line as an active tracing caliper will display on the image screen VINNG 117 265 8000098 4 Move the caliper to position A 5 Press Enter to fix the measurement point Second caliper will display in the system 6
242. ove to the second quadrant 5 After the image is obtained then Freeze and Measure are pressed The system prompts to continue with the AFI measurements Make sure that the next quadrant has been selected 6 Perform a standard distance measurement for the second third and fourth Quadrants repeat step 2 7 When all four quadrants have been measured the system calculates the AFI total and displays it in the results window OB Ratio e HC AC e FL AC e FL BPD e CI BPD OFD e FL HC e TCD AC To get the ratio result need to finish the two sub items GA LMP GA LMP Gestational age that is calculated based on the date of Last Menstrual Period GA GA GA GA Gestational age GA is to show from the zona binding count that day to birth The normal maturity is 38 weeks 266 days for the fetus Because of zona binding the time cannot be precisely calculated It can only be estimated 176 265 VINNG 8000098 and the average time could be reduced by 2 weeks according to the menstrual age calculation When in the patient information input the date of the last menstruation and the system will automatically calculate the gestational age GA Another method is to measure the results calculated according to some gestational age EDDbyLMP EDDbyLMP Estimated delivery date that is calculated from the time of Last Menstrual Period When in the patient information input the end time period of time the system will autom
243. ow the liquid into the probe 226 265 VINNG 8000098 Lens Probe orientation mark Housing Cable Strain relief Before each use inspect the lens the probe housing and the cable Check whether there is damaged area that might allow liquid into the probe When connected to this device needs to test the functionality of the probe Note Only qualified ultrasound gel is approved for use 11 4 2 Special handling instructions Using protective sheaths KS Protective barrier may be required to minimize disease transmission Use of legally marketed sterile probe sheath is strongly recommended for intro cavity and intra operative procedures Instructions Each probe sheath kit consists of a flexible and elastic sheath which can cover the probe and cable WARNING A DO NOT use an expired sheath Before using probe sheaths verify whether the term of validity has expired Also read sheath document careful to avoid allergic reaction in sensitive individuals Probe handling and infection control Ultrasound system utilizes ultrasound energy that must be coupled to the patient by direct physical contact Depending on the type of examination this contact can be different ranging from intact skin in a normal examination to VINNC 227 265 8000098 re circulation blood in surgical procedure The level of risk of infection varies greatly with the type of contact Single use or disposable device may be one of the most eff
244. owing measurements Single Distance Measurement e AoDiam To execute the single distance measurement the steps are as follows 1 Press Measure 2 Select the distance measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the active caliper at the most anterior point to be measured move the trackball 4 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second caliper at the most posterior point to be measured 196 265 VINNG 8000098 move the Trackball 6 To complete the measurement press Enter The system displays the vertical distance between the two points in the results window In PW mode of Cardiac examination the Ao Measurement Folder includes measurements as follows Single Velocity Measurement e AR Vmax e AREndVmax e Coarc Pre Dust e Coarc Post Dust To execute the velocity measurement the steps are as follows 1 Press Measure 2 Select the velocity measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the caliper at the desired measurement point move the trackball 4 To complete the measurement press Enter The system displays the velocity measurement in the results window Double Velocity Measurement
245. perator needs to input IPv4 Subnet mask and Default gateway If one wireless network adaptor is plugged in the operator can do the following settings to connect the network e Reboot the system after plug in the adaptor e Select one network input the password then touch Enter e Or select Other input the network name and password then touch Enter 12 5 2 File Server If the operator wants to connect one server e Input the server address in Server Path and touch Confirm e H the server needs authentication enable User Authentication then input username and password After all settings are ready select the Save or Save amp Exit key to save all setting in the system 12 5 3 Email Setting Email Account Input the email account here for sending emails Email Password Email account s password SMTP Server Input SMTP server here SMTP Port Input SMTP port here Secure Mode There are 2 secure modes Normal and SSL Email Subject and Email Body There is default template of email subject and email body the operator can edit them e Addressee Input one addressee here and select Test to test the email account setting 12 5 4 FTP FTP server address Input FTP server address FTP server port Input FTP server port FPT sub folder Input the store path on the server FTP account Input FTP account FTP password Input FTP password VINNG 239 265
246. r point to be measured move the trackball 6 To complete the measurement press Enter The system displays the vertical distance between the two points in the results window Multiple Distance Measurements e LV Study IVSd LVIDd LVPWd IVSs LVIDs LVPWs e LV Study Simple LVIDd LVIDs To complete the LV Study or LV Study Simple measurement perform six or two standard distance measurements continuously To configure the measurement setting of LV Study the steps are as follows 1 Press Measure 2 Select Config then selects LV Study button and a menu displays a Select Cube or Teichholz as the calculation formula b Choose the parameters that need to be calculated and displayed in the results window LVEDV LVESV SV EF CO SI Cl LVIDd Index LVd Mass LVd Mass Index LVd Mass ASE LVd Mass Index ASE LVIDs Index LVs Mass LVs Mass Index LVs Mass ASE LVs Mass Index ASE FS IVS and LVPW Note The calculation of some parameters need to use HR and BSA where HR can be gotten from ECG device and BSA can be calculated through the patient s height and weight Single Time Interval Measurement e LVPEP e DNEI e MVcf e HR R R To execute the time interval measurement the steps are as follows 1 Press Measure 2 Select the time measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on
247. r the value of the predicted PSA coefficient If the operator does not want to enter all the data the examination can be started by selecting B or Freeze on the control panel or selecting Save amp Exit on the touch panel Note If there is a temporary measurement and the image without entering any patient s information and without storage after a new patient is created an information dialog for option will appear If select OK the current image and the measurement will be stored in the new patient s archive If select Cancel the image and the measurement will be deleted 4 2 Archive After Archive on the touch panel is selected the system will go to the Archive mode The touch panel UI will be as shown below and the image screen is in the frozen status Pressing Freeze at any time in this mode the system will go back to the scan mode and the touch panel UI will go to the relevant scan mode accordingly 4 2 1 Initial Archive Menu Patient Exam 5 Patient ID Birthday Gender Last Date Image Size Report Oo New Exam View Edit res f Send via Bluetooth Management Send via Email E Exit VINNG 8000098 demo 20141226001 20141226000 20141225000 rev 9707 demo vinno Scan Date Application 12 26 2014 12 26 2014 261 16MB 12 26 2014 68 26MB 12 26 2014 1 07GB 12 25 2014 5 50MB 12 24 2014 17 92MB 12 23 2014 859 12MB Image Size
248. rackball the 2D image can be reviewed frame by frame After Enter on the control panel is pressed the M mode will be active and then the operator can move the trackball horizontally to recall the stored M sequence Pressing Enter again the system will go to 2D mode control VINNG 57 265 8000098 6 CF Color Flow Mode PDI Power Doppler Mode The Color Flow imaging and Power Doppler imaging uses the Doppler principle to build the image It gives the information about blood flow velocity direction quality and timing This information is used to overlay a color image onto the 2D grayscale scan image 6 1CF mode operation 6 1 1 Main menus of CF mode The activation of CF mode Pressing CF on the control panel will activate the CF mode Then the CF box appears in the active 2D image Gain is controlled by rotation of this key After this key is pressed the menu appears on the touch panel scan mode as shown below C Cardiac Ped Abd Cardiac General Invert Sync Display E Full Screen Frequency PRF 2 5MHz gt lt 43KHz gt Note 1 All main functions for scanning operations will come from the control panel The touch panel function keys are mainly focused on the image adjustment annotation setting and database management 2 The B button is for the operator to switch to B mode parameter change If 58 265 VINNG 8000098 PW or CW is
249. rameter e Select vascular auto tracing method e Select maximum or average speed continuous trace e Select Max or Mean in Trace Method menu on the touch panel e Select tracing direction e Tracing detection can be used in above baseline below baseline or combination above below peak velocity data Select Above Below or Both in the Trace Direction menu in order to set peak velocity data Set vascular auto tracing and measurement result After selecting the Dynamic or Static option in the Auto trace menu in PW mode the operator can set which measurement and calculation results will be displayed in the vascular auto tracing and measurement result window The following parameters can be selected PS MW TAMAX TAMEAN TAMIN PI RI PS ED ED PS PV and HR Note PV is to detect peak velocity in vein flow So it is mutually exclusive from other measurements In other words if PV is selected other measurements will be isolated The following steps are to execute auto tracing and measurement 1 Reboot system 2 Proceed with scanning 3 Activate the auto vascular tracing and measurement function Dynamic or Static The system will automatically execute tracing measurement and calculation VINNG 141 265 8000098 Note Select in real time which measurement and calculation will be displayed in the auto vascular tracing and measurement result window through vascular auto tracing and mea
250. ration e Export to USB Export all user defined data to one USB device include data of Application amp Parameters Measurements Comments and System Setting Select Export to start e Import from USB Select Import come out one dialog for the operator to select which item is needed to import If there is no user defined data Empty UserDefine config will be displayed e Delete UserDefine Configuration After select Delete the system need to restart Then all userdefine configurations are cleared all settings are reset as factory default 242 265 VINNG 8000098 12 7 8 System Upgrade There is one Check button to check the system upgrade e Plug in USB memory stick e Select Check button e The system will check the available new version software from the USB memory stick If the USB memory stick has valid upgrade select OK the system start upgrade 12 8 Features Installed Features List all features can be used at the current moment including standard features and optional features that already got license Available Features List all features those are optional but no license 12 9User Management This section defines the operator s ID the operator authority and login procedure setting When enter the system as a certain user the operator can select User Management in System Settings Once enter the system as a certain user the status
251. rchive 5 By selecting Exit on the touch panel or pressing Freeze on the control 46 265 VINNG 8000098 panel go back to the previous scan mode 4 2 9 Worklist After enable Worklist in system setting there is a Worklist tab in Archive And there is another tab Local Data display all patients created on the local machine The system get the patients from worklist server automatically when enter Archive if enable Auto Load Worklist Choose one patient select Select Current to start the exam If capture some images do some measurements or add some comments the current patient will be saved to local data Choose the start and end date then select Search to load all patients in this period If select Reset only load the patients of the day If input patient ID or name then select Search download the searched patient s from the worklist server VINNG 47 265 8000098 5 2DB mode M mode 5 12D Mode 5 1 1 Main B mode menu Pressing B on the control panel will change from any mode to the B mode display except HAR mode The operation of HAR is similar to B The B mode menu on the touch panel is as shown below The parameters can be adjusted such as Frequency Focus Position and slide the touch panel to the second and third page more parameters can be adjusted B Abd Abd Res Abd Pen Kidney OB Early General L R U D
252. rement press Enter The system displays the abdominal circumference in the results window To measure Abdominal Circumference with the Polygon method make a polygon trace measurement The steps are as follows 1 Press Measure 2 Select AC 3 Select the measurement method Polygon as the default setting from the configuration menu and an active tracing caliper displays on the image screen 4 To position the active caliper of the polygon move the trackball 5 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 6 To position the second caliper move the trackball 7 To fix the second point press Enter The system fixes the second caliper and displays a third active caliper 8 To position the third caliper move the trackball 9 To fix the third point press Enter The system fixes the third caliper and displays a next active caliper Note At least three calipers are needed to form a polygon 10 Repeat Steps 8 9 to add more calipers to the polygon 11 To complete the measurement press Enter The system displays the abdominal circumference in the results window Note Before completing the polygon measurement e To erase the line little by little back from its current point press Clear once e To clear the trace caliper and the current data measured press Clear for at least 2 seconds To measure Abdominal C
253. rement values in the results window CO HR To measure CO the steps are as follows 1 Press Measure 2 Select SV 3 Execute SV measurement first 4 Select CO HR and perform the measurement on HR 5 The system displays CO and CI measurement values in the results window Cardiac Tricuspid Valve TV Measurement Folder In the B mode of Cardiac examination the TV Measurement Folder includes the following measurements Single Distance Measurement TV Ann Diam e TRRadius only available in CFI mode To execute the single distance measurement the steps are as follows 1 Press Measure 2 Select the distance measurement to be executed and an active tracing caliper displays 3 To position the active caliper at the start point move the trackball 4 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second active caliper at the end point move the Trackball A dotted line connects the measurement points if preset accordingly 6 To complete the measurement press Enter The system displays the distance value in the results window Area Measurement The measurement method options are Polygon Spline and Trace Trace method is the default setting 208 265 VINNG 8000098 e TVA To execute the area measurement by Trace method the steps are as follows 1 Press Measure 2 Select the ar
254. ring with pacemakers is minimal However as this device generates high frequency electrical signals the operator should be aware of the potential hazard LCD Monitor ee e To avoid injuries or system damage NEVER place any object or liquid on the monitor e DO NOT place any object on the ventilation slots Blocking the ventilation slots obstructs proper airflow and may result in fire electric shock or equipment damage e DO NOT scratch or press on the panel with any sharp objects such as a pencil or pen as this may result in damage to the monitor 2 5 5 Electrical Safety Internally connected peripheral devices d CAUTION This device together with the internal connected peripheral devices such as the printers or the DVDRW meets all the standards listed in chapter 2 1 This statement is applicable only when tested peripherals listed in 16 265 VINNG 8000098 chapter 13 are plugged into the AC outlets provided in this device External connection of other peripheral devices KIT Other external devices such as laser cameras printers and external monitors usually exceed the medical standard allowable current leakage If they are plugged into separate AC outlets and then connected to this device it represents a violation of patient safety standards Suitable electrical isolation of such external AC outlets may be required to meet the electrical leakage limit requirement Device movement d CAUTION When moving
255. rts auto diagnostic tools 241 12 7 3 Display Backlight Config A 242 12 7 4 S Video OUTPUE iriser isis aneian aisanana iaaiiai 242 12 75 POWER oanien e a E a E Ea a a E EES 242 12 7 6 Software log file download ceeeeceessteceeeeeeeecesesenneeeeeeceeseeesaeeasaeeeeeeeeeseeaaea 242 12 7 7 Export Import UserDefine Configuration 242 12 7 8 System Upgrade ccceeccesssccccccececcesesenseeeeeeeeeeeceseeeneeeeeeceeeseeeeseeaeeeseeeeeeeeaea 243 FOATULES s scccsseccscccsccsesscssesssncssasetsesckescstessssussseosisveeesonvecsesessseestseustecsessesesssessesdseesseassseases 243 User Management cccssccssecccssseccsseeccececcnssccccseecseeceeceesecsesesseeccesescessoueseeaeseeeseeseqons 243 bereede Eden 244 ACCESSORIES AND PERIPHERAL S ccccsecseteseetesieseeseeseenieseeeseenenenees 245 de Te d BE 245 Nd TT 245 TN ET NU E 246 OPERATOR MAINTENANCE AND TECHNICAL DATA eeeseseeseen 247 SYSTEM MAINTENANCE EN 247 14 1 1 Inspecting this device ce cccccccccessssteeeeeeeeeeeeeeseneeeececeseceeeeeeeaeseseeeeeseeened 247 14 1 2 Virus pDrotectlon ii niiannisne srianan niian 248 14 1 3 Cleaning this deViICE ceccccccccecccceessssneeeeeeeeeeceeseeneeeececeeeseesesesaeteseeeeeseesnea 248 EN EN ng EE 249 Technical Data 253 TAZA TEE 253 T4 2 2 Power SUPPLY sssecusceccatencevessecsiies ged Z eegEe ENEE Ee Ee Eege EEN 254 14 2 3 Operator panel civscocscescccvucasscsssccascassccivacssscasacsaccsaaatanecadacencasvac
256. s of both pre3D ROI and render ROI can be changed by moving the trackball Press Enter key to fix pre3D ROI its color becomes yellow and render ROI becomes blue At this moment only render ROI s position can be changed by moving the trackball Press Enter key again the below line of render ROI becomes dotted line too and the size of render ROI can be changed by moving the trackball 70 265 VINNG 8000098 Category View Render Type Baby Face v Up Down Vv Gray GrayInv Rotation Direction Render X ke 270 v SurfTextu TranspM re ax SurfSmo Display format Image Reference oth X ray Ap o A B Start 3D TranspMi n GradLight H O e o Surface light Save Preset Notes 1 Slide the touch panel from the left edge more parameters can be adjusted 2 VSpeckle Speckle noise reduction level 3 Quality Resolution level high good mid low the default setting is good Low means a fast sweep speed and low scan density High means a slow sweep speed and a high scan density with have the best volume resolution 4 Threshold This means the minimum level of gray displayed The scan echo which is lower than the threshold will be suppressed in order to make the volume image cleaner and with less noise 5 Transparency This can adjust the transparency in detail during the surface rendering mode 6 Volume Angle This means 4D probe scanning angle in tradition
257. s selected the system will go back to the Archive menu 2 After the application is selected select the detail application button and then Exit is selected the system will go back to the normal scan screen The system will start the scanning mode using the selected probe and application 3 At any time after Freeze on the control panel is pressed the system will go to the scan mode in the original examination not the new examination 4 The previous information about the Examination Physician the Ref Physician and the Operator data will display in the relevant areas by default The operator can also change it by selecting this field After this field is selected the alphanumeric keyboard will appear for data input 4 2 3 Export patient or examination data If this device is connected to a USB DVD device or a server the relevant button will be highlighted Select one or more patients files in the Archive and then select the USB DVD or Server button Then the data will be stored to the selected device The button VRD DICOM or AVI needs to be selected if the VINNG 41 265 8000098 operator wants to export the images of relevant format After the operator want to save the data of some examinations select the examination and select View then select a device to save There are 3 different formats for saving the data VRD DICOM and Image only VRD and DICOM format d
258. s will decrease the brightness to more gray shades and less contrast When decreasing the dynamic range it will increase the brightness to be less gray shades and more contrast Spectrum Optimize It processes several near by spectra to optimize spectrum display The identified number indicates a number of spectra to be processed 7 2CW mode Continuous Wave Doppler CW mode operation is same as PW mode which can refer PW mode operation steps The main difference between CW and PW is that CW can detect much faster flood shifts 68 265 VINNG 8000098 7 3 Freeze in PW CW After Freeze on the control panel is pressed the image will be in single frame display status To recall stored PW CW sequence by moving the trackball horizontally If selecting Duplex and pressing Freeze both the 2D and PW image will freeze At this moment selecting B on the top of the touch panel to switch to B menu the B image loop can be recalled VINNG 69 265 8000098 8 3D 4D 8 1Static 3D 8 1 1 Workflow e Pressing 4D to enter 3D 4D mode In 4D mode select 3D 4D or MCut button to switch different modes Entering one mode can adjust the ROI Pre3D ROI is blue and render ROI is green Move the trackball to change the position of pre3D ROI and render ROI Enable ROI key pre3D ROI becomes dotted line at this moment the size
259. sible then wipe the LCD display again Control panel cleaning DO NOT spray any liquid directly onto the control panel e Ona weekly basis moisten a soft non abrasive folded cloth or sponge with a mild general purpose non abrasive soap and water solution or general purpose disinfectant DO NOT use any solution containing abrasive powder or strong chemicals such as acid or alkaline e Squeeze excess liquid from the cloth sponge and then wipe down the control panel e Rinse the cloth sponge with clean running water and wipe this device surfaces again e Usea dry soft line free cloth to dry this device s surfaces e Wait for this device surfaces to dry completely before turning on the system DVDRW drive cleaning Clean the drive head and media with the vendor supplied cleaning kit DVD or CD must be stored away from dust and cigarette smoke Do not use alcohol or benzene to clean the DVDRW drive Peripherals Clean the peripherals in accordance with the respective manufacturer s directions 14 1 4 Battery Battery The lithium ion battery provides power when an AC power source is not available Lithium ion batteries last longer than conventional batteries and do not require replacement as often You can expect one hour of battery life with a single fully charged battery Used batteries should not be placed with common household waste products Contact local authorities for the location of a chemical waste collection program
260. sired portion of the spectrum move the trackball Note To re edit the existing trace line press Clear once and move the trackball again 5 To complete the measurement press Enter The system displays the measurement values in the results window To configure the trace measurement Configure the single trace measurement to define the parameter that needs to be calculated and displayed in the Results Window 1 Press Measure 2 Select Config then select LVOT Trace and a menu displays 3 Choose the measurement to be executed Single Trace combined with Single Distance Measurement e SV Stroke Volume n SV Diam D SV TAMEAN CO HR SI CI To measure SV the steps are as follows 1 Press Measure 2 Select SV 3 Select SV Diam and perform the single distance measurement 4 Select SV TAMEAN and perform the single trace measurement 5 The system displays SV and SI measurement values in the results window 190 265 VINNG 8000098 CO HR To measure CO the steps are as follows 1 Press Measure 2 Select SV 3 Execute SV measurement first 4 Select CO HR and perform the measurement on HR 5 The system displays CO and Cl measurement values in the results window To execute Semiauto Trace the steps are as follows 1 Press Measure 2 Select item Semiauto Trace 3 Fix the start and
261. splay another active caliper for second area measurement 5 Proceed with area B measurement 6 The system will display two area measurement results and the A B ratio in result window Refer to the area measurement section for details on the area measurement approach 10 1 5 2 M mode measurement There are 7 generic measurements in M mode e Depth e Distance e Time e Speed e Heart rate e Stenosis e Aand Bratio Diameter ratio Time ratio Speed ratio Note 110 265 VINNG 8000098 There are the following assumptions before proceeding with measurement 1 The image screen is displaying anatomy to be measured 2 System is in M mode If not enter M mode 3 The system is in Frozen state If not press Freeze Anatomic depth measurement M mode anatomic depth measurement is the same as B mode It measures the depth between the measured point and the top of image the steps are as follows 1 Press Measure once A vertical and horizontal dotted line and an active tracing caliper will display on the image 2 Use the trackball to position the depth to be measured 3 Use the Enter to finalize the position 4 The depth result will be displayed in the results window Distance measurement The same as B mode in distance measurement It measures the distance between two calipers The steps are as follows 1 Press Measure 2 Select Distance in the measurement m
262. ssascssdeseccsecsanals 254 TA 2 4 Console DeSigticassccicsceceissicedssszacisctandsiavaanisaebscacevendavansahentehaeadaassiadevsancedeeaceastis 255 Tat Transmitter Assiciation ad igi e Ed aoei 255 VINNG 8000098 VA26 RECEIVE raene veiled vovsdeasseeedebuecsuieecedavicndadesdccetaseuseelcoeaseenees 255 JCT Scan CONVENE fs esccccassegecaescedeces sevens cessucsetedaceaptusasscdsecasccaneesteten Wiancseteuuseeenss 255 14 2 8 Cine LOOP Memory ssssssssssssssssssssssserersssseserererstrtsssererenersssetrtrttrerenessserrrenenn 255 14 2 9 Basic Measurement ACCcuUracCy cccsesssececcceeeseseeseseeeeceeeeseeeeaeeaaaeeeeeeseeeeeeaea 255 14 2 10 Basic Performance Spechflcation 256 VINNG IX 8000098 1 General 1 1 Introduction VINNO 6 hereinafter referred to as this device is a professional digital color ultrasonic diagnostic apparatus It transmits ultrasound waves into the body tissues and displays the echo images of the tissues and blood flow accordingly 1 2 Contact Information This device is developed and manufactured by VINNO Technology Suzhou Co Ltd China Contact information is as follows Telephone 86 512 62873806 Fax 86 512 62873801 Address 4F 5F C8 Building No 218 Xinghu Rd Suzhou Industrial Park Jiangsu 215123 China Authorized European Representative Wellkang Ltd www CE marking eu EC Address 29 Harley St London W1G 9QR UK Tel 44 20 30869438 32876300 Fax 44 20 76811874
263. stance measurement to be executed and an active tracing caliper displays 3 To position the active caliper at the start point move the trackball 4 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second active caliper at the end point move the trackball A dotted line connects the measurement points if preset accordingly 6 To complete the measurement press Enter The system displays the distance value in the results window Area Measurement and the measurement method option can be Polygon Spline and Trace where Trace method is the default setting e RAAd e RAAs To execute the area measurement by Trace method the steps are as follows 1 Press Measure 2 Select the area measurement to be executed 3 Select the measurement method Trace as the default setting from the configuration menu and an active tracing caliper displays 4 To position the trace caliper move the trackball 5 To fix the trace start point press Enter The system fixes the first caliper and the trace caliper changes to an active tracing caliper 6 To trace the measurement area move the trackball around the anatomy 7 To complete the measurement press Enter The system displays the measured area value in the results window Note Before completing the spline measurement e To erase the line little by little back from its current po
264. surement point move the trackball 4 To complete the measurement press Enter The system displays the velocity measurement in the results window Double Velocity Measurement e VSD Max PG n Vmax1 n Vmax2 e PVein S D Ratio Ty PVeinVel S Ty PVeinVel D To execute the two velocity measurements the steps are as follows VINNG 219 265 8000098 1 Press Measure 2 Select the double velocity measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the caliper at the desired measurement point move the trackball 4 To complete the first velocity measurement press the Enter key The system displays the first velocity measurement in the results window and a second active caliper with a vertical and horizontal dotted line displays 5 To position the caliper at the desired measurement point move the trackball 6 To complete the second velocity measurement press Enter The system displays the second velocity measurement and VSD Max PG or PVein S D Ratio in the results window Single Time Interval Measurement e PVein A Dur e IVCT e IVRT To execute the time interval measurement the steps are as follows 1 Press Measure 2 Select the time measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the caliper at the start po
265. surement setting menu Selectable parameters are PS ED MD TAMAX TAMEAN TAMIN PI RI PS ED ED PS PV and HR PV is to detect peak velocity of vein flow It is mutually exclusive of other measurements that is once PV is selected other measurements are automatically isolated 4 Press Freeze all vascular measurement and calculation results will display in the results window 142 265 VINNG 8000098 10 5Gynecology Measurements Introduction Gynecology measurements provide several types of measurement items e Uterus and Pelvis e Follicle 10 5 1 B Mode measurements For Gynecology measurements it includes general measurement items and some typical measurement items such as Uterus Volume Uterus Ovary Volume OV Follicle Volume and Endometriosis Thickness En For general measurements of 2D mode it mainly includes Depth and Distance measurement items Refer to chapter General Measurements in detail e Depth e Distance The typical measurement items of Gynecology application are as follows UT Uterus Volume To calculate Uterus Volume make three distance measurements The steps are as follows 1 Press Measure 2 Select UT and an active tracing caliper displays 3 Perform a standard distance measurement The system displays the distance value in the results window 4 Repeat Step 3 to make the second and third distance measurement Note Make three distance measurements in the d
266. surements of 2D mode mainly consist of the following measurement items Refer to the chapter General Measurements for more detailed information e Distance e Area e Volume e Angle e Stenosis e A BRatio The typical measurement items of Pediatric application are as follows Pediatric Hip Dysplasia Measurement It is helpful to evaluate children s hip dysplasia by calculating the HIP a and HIP aB To calculate HIP a and HIP aB three lines are defined as follows 1 Baseline a line connected acetabular convexity and the cross point among the joint capsule perichondrium and ilium 2 Acetabular roof line Linea a line connected acetabular convexity and inferior to hip 3 Inclination line Line a line connected acetabular convexity and acetabular labrum Angle a is the angle between baseline and line a and angle Bis the angle between baseline and line B VINNG 153 265 8000098 B line a b Ilium c Acetabular labrum Baseline d Many strands of top e Acetabular roof S f Cz ER HIP a To measure HIP a The steps are as follows 1 Press Measure 2 Select HIP a L or HIP a R and a horizontal line displays on the image screen 3 Adjust the baseline to align with the acetabular convexity using the trackball 4 Adjust the inclination of the baseline by the Rotation Steer key 5 Fix the baseline with the Enter key and the system displays the line 6
267. t patient display it on the status bar Show GA after Measure During measurement select whether or not to display the estimated fetal age automatically If the fetal age is selected to be displayed in system set up the measurement results window will display VINNG 8000098 estimated age after a measurement If not the estimated age will not be displayed in the results window Add 1 week to EDD Calac If this item is selected delivery time will be increased by 1 additional week Show EDD after Measure During measurement select whether or not the estimated delivery time is displayed automatically after measurement If estimated delivery time display is selected in the system setting the estimated delivery time will appear in the results window after measurement If not estimated delivery time will not appear in the results window Show Percentile after Measure Enable it after finish the OB related measurement show the percentile according to the OB table Auto Select EFW Method Enable it the system will select EFW method automatically when do EFW related measurements GA Display Format To change the display format for GA after enable Show GA after measure EFW GP Table According to different areas different OB Table Type gt EFW GP Table estimated fetal weight table can be selected After the pull down menu is selected the system displays items for selection as follows e Hadlock e JSU
268. t 5 lt 5 lt 4 lt 4 lt 3 Slice Thickness mm St lt 7 lt 5 lt 5 lt 7 kateral Distance cjg lt 15 lt 15 lt 15 lt 10 Precision Axial Distance lt 40 lt 10 lt 10 lt 10 lt 5 Precision Specification G2 5C R 50 convex Frequeccy MH 2 3 4 e 5 5 z oe gt 140 gt 140 gt 80 gt 80 gt 80 Lateral lt 3 Depths80 lt 3 Depths80 2 Depths4 lt 2 Depths4 lt 2 Depths4 Resoultion m lt 4 80 lt Depths1 lt 4 80 lt Depths1 0 0 0 m 30 30 mate lt 1 Depths4 lt 1 Depths4 lt 1 Depths4 Resolution m lt 2 Depths80 lt 2 Depths80 R ES SS SES z pins 0 0 0 m pesg lt 7 lt 7 lt 5 lt 5 lt 5 Area mm Slice lt lt lt lt lt Thickness mm k an e SS Lateral Distance lt 20 lt 20 lt 20 lt 20 lt 20 Precision Axial Distance lt 10 lt 10 lt 10 lt 10 lt 10 Precision Specification F2 5CE R 59 9 convex Frequeccy MH 2 3 A e 5 5 z ne gt 140 gt 140 gt 80 gt 80 gt 80 Lateral lt 3 Depths80 lt 3 Depths80 lt 2 Depths4 lt 2 Depths4 lt 2 Depths4 Resoultion m lt 4 80 lt Depths1 lt 4 80 lt Depths1 0 0 0 m 30 30 atte lt 1 Depths4 lt 1 Depths4 lt 1 Depths4 Resolution m lt 2 Depths80 lt 2 Depths80 SES SS SR 7 Pens 0 0 0 m pesg lt 7 lt 7 lt 5 lt 5 lt 5 Area mm Slice lt 7 lt 5 lt 5 lt 5 lt 5 VINNG 257 265 8000098
269. t is completed the system displays the head circumference in the results window To measure Head Circumference with the Ellipse method make an ellipse measurement The steps are as follows 1 Press Measure 2 Select HC 3 Select the measurement method Ellipse as the default setting from the configuration menu and an active ellipse displays on the image screen 4 To position the active caliper of the ellipse move the trackball 5 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 6 To position the second caliper move the trackball 7 Adjust the Ellipse control and an ellipse with an initial circle shape displays Note To position the ellipse and to size the measured axes move the calipers move trackball 8 To complete the measurement press Enter The system displays the head circumference in the results window To measure Head Circumference with the Polygon method make a polygon trace measurement The steps are as follows 1 Press Measure 2 Select HC 3 Select the measurement method Polygon as the default setting from the configuration menu and an active tracing caliper displays on the image screen 4 To position the active caliper of the polygon move the trackball 5 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 6 To posi
270. t or right will move the PW cursor left or right PW automatic optimization To perform the auto optimization by pressing Auto on the control panel After this key is pressed the system will automatically detect the highest flow velocity and adjust the velocity scale PRF accordingly in order to display the velocity in full scale properly At the same time the baseline will be shifted in order to display the full spectrum Display format 64 265 VINNG 8000098 Display format Operator can change the display format by selecting it on the to uch panel In format there are two kinds of display One is side by side while th e other one is up and down In each type of the format different splits between B and PW traces displays can be selected In side by side format there are th ree kinds H 1 2 H3 4 and Full In up and down there are three kinds V2 3 V1 2 and V1 3 The V2 3 display format is as shown below Invert This function inverts the PW spectrum display in relation to the direction of flow The displayed spectrum is inverted around the baseline The velocity or frequency scale changes accordingly After Invert on the touch panel is selected this function will work Spectrum above baseline is the blood flow towards the transducer and spectrum below baseline is the blood flow away from the transducer in normal orientation In invert status the orientation wi
271. t processing method of measurement results The options are Average Minimum Maximum and Last The desired method is selected from the pull down menu by selecting the relevant position 1 is for all items 2 is for the related item Unit The unit of measurement value and displayed result The operator can select different units by touching the uint Print Print the worksheet by the selected printer Edit Button Edit is selected the operator can change the unit and statistics and change the method of EFW If the data is highlighted it is selected for calculating Average Minimum and etc and it will appear in the report The first three items LMP GA LMP and EDD LMP are from patient information and the rest items are calculated by the measurement results If there is more than one fetus other fetuses information will be listed here too 100 265 VINNCG 8000098 10 1 5 Generic measurement list in each mode 10 1 5 1 B mode generic measurement There are 8 generic measurements in B mode eDepth eDistance ePerimeter a Length and width method a Ellipse method a Polygon method a Spline method Tracing method eArea m Length and width method a Ellipse method Polygon method a Spline method Tracing method eVolume a Single line method a Dual line method Triple line method a Single ellipse method Single ellipse and single line method eAngle eStenosis a Diameter method Squaremeter
272. ter Zoom is pressed on the control panel the system will enter zoom mode In zoom mode there are two image displays The normal image with ROI is on the left The zoomed image is on the right Use the trackball to move the ROI position Rotating the Zoom key can make the amplification smaller or larger Clockwise makes the ROI size smaller but a larger amplification can be achieved Alternatively a counterclockwise rotation makes the ROI larger but the amplification is smaller If enable Use BodyPattern key in system setting the operator can enter zoom mode by pressing Depth key Rotate Depth key to zoom in out 3 12 ECG Trace The ECG module consists of a single connector into which a set of electrode cables can be inserted The scanning image is synchronized with the ECG traces VINNG 29 265 8000098 In M or PW CW mode the trace is synchronized to the particular scanning Adjust parameters such as the gain position and scanning rate of the trace using the relevant keys in the main menu of each mode d CAUTION Do not use the ECG waveform of this device for diagnosis or monitoring It is only to be used for reference purposes in normal ultrasound scanning Connecting the internal ECG The ECG cable is a modular cable consisting of two different cable parts e The Trunk a single cable connecting to this device is at one end with a six pin plug and a cable splitter device at the other end e Atripl
273. the decommissioning of your equipment Rear of unit On off button Warning system shutdown using the On off button does not disconnect the ultrasound unit from the main voltage To disconnect the ultrasound unit from the main voltage after the system shutdown set the circuit breaker close to the main inlet to OFF as described in 3 3 Control panel Warning dangerous voltage This is a warning mark for an electric shock A R f unit hazard to indicate there is a potential electric S shock risk GI This is the mark for no line bound during Rear of LCD packing 10 265 VINNG 8000098 This is the warning mark indicating risk of hand injuries Rear of console This is the equipotential connection mark The operator needs to connect the equipotential op i a Rear of unit points of the device in order to reach the same potential This is the protective earthing mark to indicate f f Inside of unit which device or part is protected by earthing e Operator Authorized European Representative Address Manual e Indicates the presence of hazardous substance s above the maximum concentration value The maximum concentration values for electronic information products are set by the People s Republic of China Electronic Industry Standard SJ T11364 2006 including the hazardous substances such as lead mercury hexavalent chromium cadmium poly brominated bipheny
274. the desired measurement The system displays the Fetal Growth Curve Graph for the selected measurement Fetal Growth Bar Graph e The fetal growth bar graph shows current examination measurements and the normal growth range based on the gestational age It shows all measurements on one graph The horizontal axis shows the gestational weeks The red vertical shows GA by LMP EDD or GA inputted by operator The white X shows the ultrasound average age using the current measurement The green rectangle shows the normal age range for the measurement e Toadd anew measurement to be displayed on the Fetal Growth Bar Graph do one of the following a On the graph display the system displays a list of measurements b Select the desired measurement The system displays the new selected measurement on the Fetal Growth Bar Graph To Edit Patient Data on the Fetal Growth Graph When working with graphs can change or enter the patient data as follows Note Select the field to be changed or entered The system allows to input the patient data e LMP the time of last menstrual period of the patient e BBT the time of basal body temperature of the patient e GA this field is computed using the LMP BBT Avg US date on the Patient Information Window Or show the data inputted e EDD this field is computed using GA To change GA VINNG 179 265 8000098 a Select the field b Type the correct weeks or days The system
275. the image screen 3 To position the caliper at the start point move the trackball 188 265 VINNG 8000098 4 To fix the first caliper press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second caliper at the end point move the trackball 6 To complete the measurement press Enter The system displays the horizontal time interval between the two calipers in the results window In PW mode of Cardiac examination the LV Measurement Folder includes the following measurements e Single Velocity Measurement e LVOT Vmax To execute the velocity measurement the steps are as follows 1 Press Measure 2 Select the velocity measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the caliper at the desired measurement point move the Trackball 4 To complete the measurement press Enter The system displays the velocity measurement in the results window Double Velocity Measurement e LVOT Max PG n Vmax1 m Vmax2 To execute the two velocity measurements the steps are as follows 1 Press Measure 2 Select the double velocity measurement which to be execute a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the caliper at the desired measurement point move the Trackball 4 To comp
276. the new added measurement folder Choose this button to add the measurement item for this measurement folder Note e For how to add measurement items in the measurement folder refer to Measurement Customization in the General Measurements e The following Cardiac Measurements are organized in accordance with the measurement folder firstly secondly according to the mode and finally based on the type of the measurement e Configure the measurement item and refer to the corresponding section in the General Measurements e Measurement of the last letter d general said diastolic the letter s general said systolic In B mode of Cardiac examination the General Measurement Folder includes measurements as follows e Depth e Distance e Circumference or Perimeter e Area e Volume e Volume d e Volumes e Stenosis Diam Area e A B Ratio Diam Area In M mode of Cardiac examination the General Measurement Folder includes measurements as follows e Distance e Time e Slope or Velocity e A B Ratio e HR In the PW mode of Cardiac examination the General Measurement Folder includes measurements as follows e Velocity e Time e Acceleration e TAMAX e TAMEAN VINNCG 183 265 8000098 e A B Ratio a Velocity Time a Acceleration e FLOW VOL e Max PG e Mean PG e SV a SV Diam a SV TAMEAN COHR e HR Note Refer to the chapter General Measurements for how to execute and configur
277. the velocity measurement in the results window Double Velocity Measurement e RVOT Max PG m Vmax1 7 Vmax2 To execute the two velocity measurements the steps are as follows 1 Press Measure 2 Select the double velocity measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 206 265 VINNG 8000098 3 To position the caliper at the desired measurement point move the trackball 4 To complete the first velocity measurement press Enter The system displays the first velocity measurement in the results window and a second active caliper with a vertical and horizontal dotted line displays 5 To position the caliper at the desired measurement point move the trackball 6 To complete the second velocity measurement press Enter The system displays the second velocity measurement and Max PG in the results window Single Time Interval Measurement e RVET To execute the time interval measurement the steps are as follows 1 Press Measure 2 Select the time measurement to be executed a vertical and horizontal dotted line and an active tracing caliper will display on the image screen 3 To position the caliper at the start point move the Trackball 4 To fix the first caliper press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second caliper at the end point move th
278. this device rotate the control panel to be in the middle from the left and right view and also push the control panel as far back as possible then move it to the lowest position ECG Use d CAUTION Do not use this device s ECG wave for diagnosis and monitoring Only use an ECG cable which is approved by VINNO Defibrillator Use CAUTION A Do not use this device with a defibrillator Use of Electrosurgical unit A CAUTION Keep the Electrosurgical unit away from ECG leads to avoid the potential interference to the ECG wave Electromagnetic Compatibility EMC This device can produce and use the radiation RF energy All types of electronic equipment may characteristically cause the electromagnetic interference with other equipment either transmitted through air or connecting cables The term EMC indicates the capability of this device to curb the electromagnetic influence from other equipment and at the same time not affect other equipment with the similar electromagnetic radiation from itself VINNG 17 265 8000098 This product is designed to fully comply with the EN60601 1 2 IEC60601 1 2 Class A in medical electric equipment EMC regulations Proper installation following the service manual is required in order to achieve the full EMC performance of the product In the event of issues relevant to EMC turning on off this device is able to evaluate whether an EMC relevant problem has occurred the operator or qu
279. tient with auto ID and Go back to patient page Select New patient with auto ID and the system will automatically give a number for new patient ID Select Exit without new patient and the system will go back to real scan mode without patient ID If Go back to patient page is selected the system will go back to the new patient page 36 265 VINNG 8000098 GO Back to New Patient 4 1 1 General data section Patient ID ID number max 30 characters Second ID ID number max 15 characters Family Name patient s family name max 20 characters Middle Name patient s last name max 20 characters First Name patient s first name max 20 characters Birth Day patient s date of birth Age patient s age the age is calculated and displayed automatically after entering birth date Sex N A female male pull down menu Perf Physician Name of the performing physician max 30 characters Ref Physician Name of the referring physician max 30 characters Operator Name of the operator max input is 30 characters 4 1 2 Application data information section General This category has the basic patient information for many applications which include Abdomen Cardiology Vascular Neurology Small parts Pediatrics and Orthopedics In this section enter height and weight and then BSA body surface area will be calculated automatically OB patient information for obstetrics GYN patient infor
280. ting the up down key can change the different dynamic control curves Acoustic Power This can adjust the transmit power by selecting the up down key Sweep Speed This can adjust the different sweep speeds by selecting the up down key on the control panel which matches the relevant touch panel indicator Gray Filter It determines the threshold above which the ultrasound echoes are displayed on the screen in order to suppress the smaller echoes The Gray Filter value is displayed in the relevant information area on the touch panel VSharpen This allows the existing information easily visible through the digitally processing Gain This can adjust the overall brightness of the M mode trace The adjustment of the Gain control determines the amplified amount which applied to the received echoes M gain function only influences the M trace With clockwise the entire image becomes brighter With counterclockwise the entire image becomes less bright 5 3 2 Freeze in M mode After Freeze on the control panel is pressed the image will be in the single frame display status The operator can move the trackball horizontally to recall the stored M sequence By selecting Single Cine on the touch panel can be changed to the Cine mode After this button is selected this button will be highlighted The 2D image will be automatically replayed The start frame and end one can be changed in the B menu By moving the t
281. tion the second caliper move the trackball 7 To fix the second point press Enter The system fixes the second caliper and displays a third active caliper 8 To position the third caliper move the trackball 9 To fix the third point press Enter The system fixes the third caliper and displays a next active caliper Note At least three calipers are needed to form a polygon 10 Repeat Steps 8 9 to add more caliper of the polygon 11 To complete the measurement press Enter The system displays the head circumference in the results window Note Before completing the polygon measurement e To erase the line little by little back from its current point press Clear once e To clear the trace caliper and the current data measured press Clear VINNG 161 265 8000098 for at least 2 seconds To measure Head Circumference with the Spline method make a spline trace measurement The steps are as follows 1 Press Measure 2 Select HC 3 Select the measurement method Spline as the default setting from the configuration menu and an active tracing caliper displays on the image screen 4 To position the active caliper of the spline move the trackball 5 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 6 To position the second caliper move the trackball 7 To fix the second point press Enter The system fixes
282. tools There are several following automatic diagnostic tools for different electrical parts e Keyboard gt Select Diagnostic to detect if there are some keys stuck gt Press the keys on the keyboard the related button on the touch panel will be highlighted e Touch panel gt Test Touch every point on the touch panel to check if all points work well gt Calibration Do calibration for the touch panel gt Reset Reset calibration data to default e LCD Monitor e Probe Board VINNG 241 265 8000098 e Transport Save the information of PCIE status to one log file and it can be downloaded Please refer Software log file download e Acceptor e Mainboard e DCDC board 12 7 3 Display Backlight Config The display backlight of Main Screen and touch screen can be adjusted and reset 12 7 4 S Video Output Select different resolution for video output SVGA 800X600 PAL 720X576 NTSC 720X480 12 7 5 Power Display power information temperature voltage current capacity percent charging state and other Shut down after closing lid Minutes Immediately 1 5 10 15 20 12 7 6 Software log file download There is one Report button to send this issue to service engineer e Report Current Issue input some words to descript the issue e Report Copy the description words to the log e Download log file Download all log files to one connected USB device 12 7 7 Export Import UserDefine Configu
283. trol panel can only rotate the 3D image in the corresponding direction accordingly X Y or Z direction The operator can select X Y or Z direction by selecting the corresponding key After A B or C plane is activated and highlighted the Rotation Steer key can shift A B C plane and rotate 3D image 4 The highlighted image position reference key AT B or C plane or 3D indicates which image is active for adjustment Select the image on the main screen the image reference on the touch panel will jump to the relevant plane 5 The Threshold and Transparency can be changed after 3D data acquisition 74 265 VINNG 8000098 6 Speed This controls playback speed 100 will be same as a real scan and then 75 50 25 7 Slice position allows a displacement of the center along the intersection lines of the sectional planes A B or C Reference image A The sectional plane migrates from the front to the rear through the volume body Reference image B The sectional plane migrates from the left to the right through the volume body Reference image C The sectional plane migrates from the top to the bottom through the volume body 8 View These define the rendering orientation from which to view 3D 9 Auto Rotate It lets the 3D image continuously rotate along the rotation direction After selected this button will be highlighted If it is selected again it w
284. ts 108 265 VINNG 8000098 window Stenosis Diameter stenosis can be calculated by diameter or area approaches Diameter Note After using diameter approach to calculate stenosis do not measure distance in vertical angle It can result in inaccurate estimation of stenosis It is better to measure vessel diameter in the cross sectional perspective The steps are to calculate stenosis by diameter approach as follows 1 Press Measure 2 Select Stenosis in the measurement menu 3 In the stenosis measurement menu after the Diam approach is selected an active tracing caliper will display on the image screen 4 Measure the inter vascular distance The system will display another caliper for second distance measurement 5 Measure the distance of exterior vessels 6 The results window will display each measured distance and stenosis percentage Refer to the distance measurement to know how to measure distance Area The steps are to calculate stenosis by area approach as follows 1 Press Measure 2 Select Stenosis in measurement menu 3 In Stenosis measurement menu after Area approach is selected an active tracing caliper will display on the image screen Notes Different area measurement approaches can be selected such as length amp width ellipse polygon spline and tracing method 4 Measure the area of inter vascular The system will display another active caliper for
285. tures If any poor quality extended image has been generated the scan has to be 54 265 VINNG 8000098 repeated and the poor image considered as useless Any measurement based on a poor image is to be considered not correct Note that the accuracy of measurement in the extended images is limited and can be lower than measurement on the B images It is not recommended to use this measurement be aware that any diagnostic conclusion must not be made based on panoramic image alone and needs to be checked with other diagnostic procedures Precaution for uniform motions as follows e Make sure that there is enough gel along the scan path e Move the probe slowly and steadily e It must be ensured that the probe during the acquisition of the extended image always remains in contact with the skin e Keep the motion within the same scan plane and do not change the direction of movement during the scan e Deeper scanning needs slower motion of the probe due to more data acquisition needed 5 2 4 Map The gray map determines the displayed brightness of an echo With a different gray map a harder or softer image can be obtained Image gray can be adjusted both in the freeze and scan mode After a gray map is selected the relevant button is highlighted Select to enter configuration page all maps are displayed here Select one map the operator can delete it from map list or added it to the map list 8 maps can be added at most
286. tween two calipers in the results window Acceleration m s2 The steps are as follows 1 Press Measure 2 Select Acceleration in the measurement menu A vertical and horizontal dotted line and an active caliper will display on the image screen 3 Move the trackball to position the first measurement point 4 Once position is fixed press Enter The system will display the second caliper 5 Move the trackball to position the second measurement point 6 Press Enter to complete the measurement The system will display the acceleration between two points and the time interval result in the results window PS Peak speed in systole period ED The speed in the end of diastole period and MD Minimum speed in diastole period measurement The steps are as follows 1 Press Measure 2 Select PS ED or MD in the measurement menu A vertical and horizontal dotted line as an active tracing caliper will display on the image screen 3 Move the trackball to position the measurement point 4 Press Enter to complete measurement The system will display peak speed in systole period the speed in the end of diastole period and the minimum speed in diastole period TAMAX TAMEAN and TAMIN measurement The steps are as follows 1 Press Measure 2 Select TAMAX TAMEAN or TAMIN in the measurement menu A live tracing caliper will display on the image screen VINNG 115 265 8000098 3 Move th
287. ual display format by pressing the Left Right on the control panel 5 After the third distance measurement is completed the system displays the uterus volume in the results window OV Ovary Volume To calculate Ovary Volume make three distance measurements as normal The steps are as follows 1 Press Measure 2 Select OV L or OV R and an active tracing caliper displays 3 Perform a standard distance measurement The system displays the distance value in the results window 4 Repeat Step 3 to make the second and third distance measurement Note Three distance measurements can be made in the dual display format by VINNG 143 265 8000098 pressing Left Right on the control panel 5 After the third distance measurement is completed the system displays the ovary volume in the results window Follicle Follicle Volume To measure Follicle Volume the steps are as follows 1 Press Measure 2 Select Follicle L or Follicle R 3 Select the measurement method as shown below menu or use the default one and an active tracing caliper displays 4 Perform a standard distance measurement The system displays the distance value in the results window 5 Repeat Step 3 to make the second and third distance measurement Notes Refer to chapter General Measurements for the single distance dual distance and three distance measurement methods As for Mean measurement
288. ult Window again tl Expander Alignment Window Position The position of the measurement result window can be changed To move the window select the option from the list below e UI Left Top e LB Left Bottom e RT Right Top e RB Right Bottom Font Size To change the font size in the results window select the size from the Font Size pull down menu e 10 e 12 e 14 e 16 e 18 e 20 Retain measure results after unfreeze Unfreeze the system in measure enter measure again if select Retain all measurements results of unfinished items are retained if select Clear all measurement results are cleared Show Cursor line During measurement the system will display one dotted line to indicate measurement After the position is selected when using touch panel measurement the system will display measurement line Enable is selected for Show cursor line If Disable is selected the system will erase the dotted line and only display the caliper with a number Hold Measure on Image During measurement the system will display one dotted line to indicate measurement If Hold Measure on Image is selected and enabled by pressing Enable all measurement items on the image will be saved If Disable is pressed the system will erase the dotted line of all measurement when replay one image which contains measurements VINNG 95 265 8000098 96 265 Show depth guid
289. uous images 90 265 VINNG 8000098 Map indicates the mapping of strain value and the display color There is one measurement item only working in El mode StrainRatio It is a ratio of two values of strain Fix these two values of strain in ROI box then the system will get the ratio VINNG 91 265 8000098 10 Measurement and calculation The measurement and calculation results from the ultrasound image can be used to supplement other clinical approaches Its measurement accuracy depends not only on the system accuracy but also on the impact of different medical approaches If necessary indicate the medical approach relevant to the measurement and calculation In the meantime record the details of the researcher and calculation method and database in the system Refer to the relevant original article as some clinical operation approaches are recommended by researchers Note Before starting an examination it is normally necessary to input new patient information Refer to chapter 4 Any measurement can be repeated as long as the measurement is selected again Note The following measurement methods are normally carried out by using the trackball and enter button All the calculation formulas are listed in the Advanced Technical Manual 10 1 Introduction This chapter provides system set up information relevant with measurement It also introduces what generic measurements are possible and how to make those measurements in
290. urement folder e Vessel measurement folder Increase or reduce measurement items in the measurement setting menu based on their own requirement Refer to PW mode measurement setting information in detail Generic measurement folder In PW mode the general measurement folder includes these measurement items e Velocity e PS systole peak speed e ED diastole end speed e MD Minimum speed in diastole period e TAMAX maximum speed in time average e PI Pulsatility index e RI resistance index e PS ED e ED PS e A Bratio a Velocity Time Acceleration e FLOWVOL flow volume e Max PG Maximum pressure gradient e Mean PG Mean pressure gradient e SV D Stroke Volume SV Diam stroke volume diameter a SVTAMAX stroke volume maximum speed in time average a CO caridac output Refer to the Generic measurement in detail for PW measurements Vessel measurement folder In PW mode the vessel measurement folder normally includes these items e Velocity e PS systole peak speed e ED diastole end speed VINNG 133 265 8000098 e MD Minimum speed in diastole period e TAMAX maximum speed in time average e PI Pulsatility index e RI resistance index e PS ED e ED PS Increase or reduce measurement items in the measurement setting menu based on their own requirements Refer to the PW mode measurement setting information in detail 134 265 VINNG 8000098
291. ve covers No operator serviceable parts are inside If servicing is required contact a qualified technician e Connect the attachment plug to a hospital grade earthing socket to ensure adequate earthing e To avoid the risk of electric shock this equipment must only be connected to a supply main with protective earth e Never use any adaptor or converter of a three prong to two prong type to connect with a main power plug The protective earth connection will be lost e Do not place liquids on or above this device Conductive fluids seeping into the active circuit components may cause a short circuit which can result in an electrical fire e An electrical hazard may exist if any light monitor or visual indicator remains on after this device is turned off VINNG 15 265 8000098 d CAUTION Do not use this device if a safety problem is known to exist This device needs to be verified by qualified service personnel before returning to use Biological hazard KI Beware of biological hazards after performing trans vaginal procedures To avoid the risk of disease transmission e Use protective barriers such as probe glove and follow sterilization procedures as required e Thoroughly clean the probes after each patient examination and disinfect or sterilize as needed e Follow all in house infection control policies as they apply to the personnel and equipment Pacemaker hazard WARNING A The possibility of this device interfe
292. vsvesousecousdeotoadensaceesnseacsseieosoases 127 10 2 1 B mode measurements seeeeesssseessrereresessrrrrrrrrrtrrreesseretereesseresessererrreeesereeee 127 10 2 2 M mode measurements ccccccececcccccceceeeseeeeceueueeceeceseseeeuseesseeueeeeseeeseueaes 129 10 2 3 PW mode MeaSUreMENKS ccceeccccccccecceeeseeesceeeeceeecssseseueeseessseuenseeeesesseeaes 129 Small Of gan ET ETC 131 10 3 1 B mode measurements sseeessscseessrrrrresessrrrrrrsrrrtrresesserttrreesseresessrrerereeesereeee 131 10 3 2 M mode MeaSUreME NMS sssini enrete nenn ee an eeN nae Saa Eae da ensina 132 10 3 3 PW mode MeaSUreMENKS cceececcccccceceeseeeseceeeeeeeccssseeeeeeessseueeeeseseseeeaes 133 VESSEL measure MENES scccsstcaceseicevescdesscdescdseasvsacevesceoescdcesisvesseccsveseneaccsesssecasceeusencustserevasss 135 10 4 1 Bmodemeasurements 135 10 4 2 M mode measurements ccccccecececcccceceeeseeeecseeeuceccessseseeeeeesseeueueeseesseueaes 139 10 4 3 PW mode measurements semoirs a a aa a a araa E 139 Gynecology Measurements sssssssssssssssrssssssssssssssssssssssssssssssssssssseesesesesssssesnsnsnsnneeeeeee 143 10 5 1 B Mode measurements 0ccccccccccccccccccccccccccceeccececceceeeeeeseceeeeessuuueeeueeauaeaanaes 143 VINNG 8000098 10 5 2 PW modemeaeurements 144 10 6 Urology Measurements iiccicaicscccisscevcccecccecscccnssscsscencstessdscectsvsescaccenssdeetecessecssenssscesvecessts 147 10 6 1 B Mode Measurement
293. w Cardiac Right Ventricular RV Measurement Folder In the B mode of Cardiac examination the RV Measurement Folder includes the following measurements Single Distance Measurement e RVAWd e RVIDd e RVAWs e RVIDs e Bvd Major e RVd Minor e RVs Major e RVs Minor e RVOT Diam e LPA Diam e RPA Diam e MPA Diam To execute the single distance measurement the steps are as follows 1 Press Measure 2 Select the distance measurement to be executed and an active tracing caliper displays 3 To position the active caliper at the start point move the trackball 4 To fix the start point press Enter The system fixes the first caliper and displays a second active caliper 5 To position the second active caliper at the end point move the trackball A dotted line connects the measurement points if preset accordingly 6 To complete the measurement press Enter The system displays the distance value in the results window Area Measurement and the measurement method option can be Polygon Spline and Trace where Trace method is the default setting e RVAd 204 265 VINNG 8000098 e RVAs e LPAA e RPAA To execute the area measurement by Trace method the steps are as follows 1 Press Measure 2 Select the area measurement to be executed 3 Select the measurement method Trace as the default setting from the configuration menu and an active tracing caliper displays 4 To position the
294. will be shown in the left bottom of the LCD monitor Please refer 1 7 Auto Login There is one Auto Login button 1 If enabled a check mark will indicate auto login feature is active The system will then automatically login as what you set it to be next time you start the system 2 If disabled System will not log in automatically Then user can either log in as a certain authorized user or select the cancel button to enter without authority Authority levels 1 Administrator can new modify and delete a user and use Auto Login feature 2 User can only use Auto Login feature 3 No authority select Cancel to login cannot enter user management system The following steps show how to manage users Add New User VINNG 243 265 8000098 e Input User Name Password e Select Admin administration or User authority e Select Enter button to confirm adding action The factory default Administrator account is as below Name admin Password admin Modify User e Select the user in user list e Select the user icon to modify the password Remove operator e Select the user to be removed in user list e Press X button to delete this user 12 10 About The list displays Software Version Hardware Version Dongleld License CopyRight 244 265 VINNG 8000098 13 Accessories and Peripherals 13 1 Introduction This chapter provid

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