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GE Vivid i user manual

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1. Cancel Figure 8 35 Modifying Creating the IP address 3 Inthe Properties window enter e The DICOM server AE title This entry is case sensitive and must match exactly e The DICOM server port For some DICOM servers the default Timeout setting may be too low When configuring the DICOM storage device the following image settings should be entered in the Properties window e Check DICOM SR if required see below Keep Reopen per image unchecked e Keep Allow raw data unchecked Set Max Frame rate to 30 e Keep Only Black and White unchecked Set Compression to JPEG Set Quality to 95 e Check Allow multiframe DICOM SR DICOM Structured Reporting SR is a standardized format for medical results Vivid i and EchoPAC PC support the specialized form for Adult Echo Ultrasound Supplement 72 for M amp A results With the DICOM SR support M amp A for an exam can be sent at the end of the exam or when exported from local archive The destination can be either a server on the network Storage 202 Vivid i User s Manual 2378958 100 Rev 02 Archiving SCP or a removable media DICOM Media depending on the DICOM dataflow selected Supplement 72 does not support all M amp A results from Vivid i and EchoPAC PC Supplement 72 limits the information that is possible to send to the following Publicly coded parameters no pediatric or fetal cardiac or unassigned measurement Refer to th
2. SVGA Out SVGA output Computer monitor RGB high resolution video Universal serial bus x2 10 100 Base TX Network device Ethernet IEEE 8023 Network device Docking Bay Docking bay Connector connector AC Adapter DC voltage from Input AC adapter unit E Table 1 2 Contents of the Rear Panel Vivid i User s Manual 17 2378958 100 Rev 02 Getting started Note When turn ing ON a system while system is in standby it takes a few seconds before it responds Do not push the on off but ton again during this period A sec ond push will ini Switching On Off To switch on the unit 1 Make sure a charge battery is in place by checking the power indicator LED or connect the appropriate AC power supply adapter output to the rear of the unit see Figure 1 3 2 Press on off button on the top right of the control panel see Figure 1 6 After initialization the default scanning screen 2D mode is displayed using the active probe If the battery is too weak an appropriate message will display on screen accordingly When used with the AC Power Adaptor the system can be used regardless of the battery level The battery is automatically charged when the system is operating with the AC Power Adaptor LEDs There are two LEDs to indicate the status of the system tiate a full LED 1 Indicates power status shutdown After pressing the On Standby switch the system power is ON and this
3. 3 4 Trackball the cursor to one of the anchor points of the measurement to modify Double click the SET key to select the anchor point The selected marker turns green and is unanchored With the Trackball reposition the marker Press SET to anchor 2D Area measurements 1 2 3 4 D o Generate the 2D image Press FREEZE to stop the cineloop Press MEASURE on the Control Panel Select Area trace in the Measurement Menu see Figure 6 1 Trackball the cursor to the start point of the measurement Press SET to anchor the start point of the measurement Trace the area planetary with the Trackball The current area and circumference values are displayed in the Measurement result table and are instantaneously updated when moving the cursor Press SET to complete the measurement The measurement result is displayed in the Measurement result table To assign a label to the measurement see page 115 118 Vivid i User s Manual 2378958 100 Rev 02 Measurement and Analysis The measurements displayed on the 2D image and the cor responding results are numbered See the Status bar to get the next step to perform For measurement formulae refer to the Reference Manual 10 Repeat steps 5 through 8 to make additional area measurements 2D area measurement ratio 1 Generate the 2D image 2 Press FREEZEto stop the cineloop 3 Press MEASURE on the Control Panel 4 Select Ar
4. If the battery emits an odor or heat 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 GE or your local representative Storage of battery pack Short term less than one month 0 C 32 F 50 C 122 F Long term more than three months 10 C 50 F 35 C 95 F Use only GE recognized batteries Vivid i User s Manual 1 3 2378958 100 Rev 02 Getting started Using the Vivid i with a Battery The Vivid i can be powered by two different power sources in three different ways 1 AC power adapter only without the battery 2 AC power adapter and a battery Battery being charged in the system 3 Battery only without power from the AC power adaptor The user has indications of the states of the power sources both by a graphic icon on bottom of display while system is operating and by a pair of LED lights which operate even while the system is OFF View Current Battery Status When the system is running a status icon is displayed in the system Status bar to indicate the current battery status Table 1 1 Battery status icons Status Description AC Power is ON no battery present AC Power is ON battery is full AC Power is ON battery is partially charged AC Power is ON battery is almost empty Battery in use fully charged 80 100 Battery in u
5. Other applications 1 Press PHYSIO on the control panel to get access to the ECG controls 2 Press the assignable ECG to display the trace Adjusting the display of the ECG trace Adjusting the ECG trace sweep speed 1 Press PHYSIO on the control panel 2 Adjust the assignable button HORIZONTAL SWEEP to change the sweep speed Adjusting the ECG trace amplitude 1 Press PHYSIO on the control panel 2 Adjust the assignable button GAIN to adjust the amplitude of the trace Adjusting the ECG trace position 1 Press PHYSIO on the control panel 2 Adjust the assignable button POSITION to move the trace vertically 66 Vivid i User s Manual 2378958 100 Rev 02 Basic scanning operations Annotations Text annotations may be inserted anywhere on the screen The annotation can be free text or a pre selected text from a mode specific annotation menu or a user defined library 1 Select to display annotation for other applications Free text Draw an arrow OA Pon annotations 6 Exit annotation mode Cardiac User Edit previous annotation Arrow Pre defined application specific Edit Syst Figure 2 9 The mode specific annotation menu To insert an annotation Free text While typing use 1 BACKSPACE to de lete backward 2 3 Type the required text A suggested word corresponding to the entered characters is displayed while typing Press TAB to enter the suggested
6. 1 Export the data images demographics measurements and report for the patient s to be reviewed on a blank 190 Vivid i User s Manual 2378958 100 Rev 02 Archiving The MOD dedicat 2 ed to Export Import can be reformatted and reused dedicated formatted MOD as described in Export Import patient records examinations on page 209 Export from LocalArchive Int HD to Removable MOD Archive Make sure that the option Copy images is checked Import on EchoPAC PC Select the LocalArchive Int HD dataflow on the EchoPAC PC can be configured as default dataflow Import the data from the Export import MOD to EchoPAC PC internal harddrive using the Import function as described in the workstation user manual Import from Removable MOD Archive to LocalArchive Int HD Make sure that the option Copy images is checked Press Archive and select the patient to be reviewed Vivid i User s Manual 2378958 100 Rev 02 191 Archiving A scanner and EchoPAC PC in a direct connect environment In this scenario the data is transferred from the Vivid i to a dedicated EchoPAC PC workstation over the Ethernet either in a peer to peer connection with a crossover cable or ina network The database from the EchoPAC PC is used as the master and images are stored directly to the EchoPAC PC internal harddrive In this configuration the scanner is just an intermediate acquisition unit which after completion of a study w
7. 240 Vivid i User s Manual 2378958 100 Rev 02 Report Retrieving an archived report 1 2 3 Press RETRIEVE A list of the available reports for the actual examination is displayed The default name for a report is of type lt template type gt _ lt store date gt _ lt store time gt To display the current report select Show active exam Trackball to the report to retrieve Press SET Deleting an archived report Only members of the user group Cardiologist are allowed to store a report see page 331 1 Press MORE The additional controls are displayed Figure 9 1 Press DELETE A list of the available reports for the actual examination is displayed The default name for a report is of type lt template type gt _ lt store date gt _ lt store time gt Trackball to the report to delete Press SET Vivid i User s Manual 2378958 100 Rev 02 241 Report Direct report Oop NS Direct report enables the user to insert comments at any time during the examination that will be part of the final report Direct report provides also an overview over the measurements completed Creating comments 1 Press UPDATE MENU Select Direct report see Figure 9 2 In the Direct report screen select the comment type Type your comments in the Text field To add a measurement in the comment double click a measurement in the Measurement overview field Gr 2 O Open Direct report
8. J The unit displays the Patient information window after selecting creating patient record for further information entry The user must press Begin Exam to enter the Scanning screen Baie ail inagee on oad Gain Save all images on end exam M All images on the clipboard are automatically saved when ending an examination A dialogue window is displayed when ending an exam where the user can select between e Store all images e Select images to store e Store no images Exam screen Report headings ib Enter user defined headings for Comments Diagnosis Diagnosis and Referral reasons fields Referral Reasons DICOM images M Displays patient information name date Add visible pabent mto m of birth and ID on DICOM images DICOM images Vivid i User s Manual 325 2378958 100 Rev 02 Presets and System setup TCP IP This configuration category enables the user with administration rights to set the Transmission Protocol Internet Protocol for the system and connected remote archive CONNECTIVITY Tcpip 5 Detailed DICOM Log Fonputer Name VIVID_1 001234 acre VIVID_1 001234 Port Ho Save settings IP Address 222 2 8 Subnet Mask 55 255 252 0 Default Gateway 3 22 23 251 Remote Archive IP Addr 3 222 23 74 Remote Archive Hame ECHOSRY7 000777 Imaging Meas Text Report Connectivity System Service 1 Computer name device s name of type VIVID_I 00nnnn or ECHOPAC7 00nnnn where nnnn
9. Deletes selected entry folder or measurement in the Measurement menu The factory entries cannot be deleted Moves selected measurement or folder up or down inside the Measurement menu 298 Vivid i User s Manual 2378958 100 Rev 02 Presets and System setup Parameter Description Folder Displayed when a folder is selected in the Measurement Menu E RVA 0 Shows the entire contents of a selected mal LAX RYA s folder E SAX a M the items is displayed in the rel Dl Measurement menu AVA Planimetry LA Area TVA Planimetry RA Area e The item is hidden from the LVA d Measurement menu Measurement Displayed when a measurement is selected in the Measurement Menu Parameter Tool result Y Lyd AE Shows all the parameters related to the L IDd Index Calculated selected measurement Y EDV Teich Calculated EDY Cube Calculated e M the items is displayed in the Measurement menu e The item is hidden from the Measurement menu Only checked parameters will be displayed in the Measurement result window the worksheet and the report Auto sequence v Auto sequence 7 Prompts the next measurement in the folder Vivid i User s Manual 299 2378958 100 Rev 02 Presets and System setup Factory Measure ment categories cannot be renamed Configuration of the Measurement menu There are many more measurements and parameters in the measurement package than shown in the d
10. Focus Changes the location of the focal point s A triangular focus marker indicates the depth of the focal point Contour Controls image processing related to the extent of edge enhancement applied to an image Up Down Flips the M Mode display 180 degrees Layout Toggles the display arrangement to define relative dimensions of the 2D area M mode area and their position which is either top bottom or side by side Color maps Displays a color map menu to optimize the greyscale presentation The menu enables an option from a list of non linear gray curves or different colorized curves to be selected Use the trackball to point to a color map and press SET to activate the desired map 84 Vivid i User s Manual 2378958 100 Rev 02 Scanning Modes When power is re duced it reduces the signal to noise ratio so that the im age spectrum or color scan may be come noisier Gain Frequency Focus Dynamic Range and Com pression affect also the 2D image Gain Frequency Focus Dynamic Range and Com pression affect also the 2D image M Mode Soft menu controls Compress Controls the amount of contrast in the image An index number is displayed in the status window to indicate the relative level of compression Reject Adjust reject level When this control is increased low level echoes are rejected and appear darker in the image An index number is displayed in the status window to indica
11. IMAGING AND ANALYSIS GLOBAL LEVEL Application T on Men Settings for application Protocol Single frame live store Pharmacological 4x4 Humber of heart cycles Auto invert on steer Freeze 2d image in doppler Keep cursor when press 2D Auto freeze after 30 Min Keep cursor when changing mode Stay in cursor state when cursor is active Sort application list on exam category Left Ho Function Create New Application New Middle Ho Function Remove current application back to factory defaults Delete Right Ho Function Save image appl settings Save Imaging Meas Text Report Connectivity System Service Figure 12 4 The Application setup sheet example Vivid i User s Manual 291 2378958 100 Rev 02 Presets and System setup The Probe application configuration parameters Parameter Description Image tore Setting Single frame live store Humber of heart cycles Freeze 2d image in doppler Auto freeze after 30 v Min Protocol Pharmacological 4x4 v Auto invert on steer Image Store settings Single frame live store CJ Store cineloop M Store single frame image only e Number of heart cycles Select the number of heart cycles to store Single frame must be unchecked Auto freeze Freeze 2D image in Doppler the last 2D or color flow image is displayed when entering in Doppler mode Auto freeze after sets the time after which the system enters in free
12. Int HD gt Operator ADM Create Patient Clear search Select Patient Export 1 Press one of the headings to sort the list 4 Select the column heading border and drag to accordingly adjust column width 2 Select new archive and other pre defined 5 Expended Patient record displaying belonging services examinations 3 The system can be configured to display the Advanced search tool as default see page 321 The Search Create patient window may be slightly different depending on the Dataflow selected Figure 8 13 The extended Search Create Patient window Printing the patient list 1 Inthe Search Create patientwindow select More to display the additional menu 2 Select Print Patients The displayed patient list is printed Vivid i User s Manual 171 2378958 100 Rev 02 Archiving Selecting a patient record and editing data in the archive After locating the patient in the database see page 168 page 171 the user must select the patient record to be able to review and edit archived data Selecting a patient record from the patient list 1 Inthe Search Create patient window trackball to the actual patient and press the Trackball SET key The patient record is highlighted 2 Press SELECT PATIENT The Examination List window is displayed showing previous examinations and diagnosis information related to the selected patient See Figure 8 14 EXAMINATION LIST Local Archive Int HD Operia Date
13. Operld Date DiagCode Tape MA Report Image Disk v Use free text addresses v Examination List on Archive button v Use birthdate Automatic generation of patient ID v Use extended patient dialog Request acknowledge of End Exam action v Use extended search dialog Go directly to scanning from search Save all images on end exam Auto search for patient 9 Comments F Add visible patient info in Diagnosis DICOM images Referral Reasons Figure 12 17 The sublevel Formats example Imaging Meas Text Report Connectivity System Admin Service Configuration of the Examination list window The user can configure the examination list displayed in the Examination list window see Figure 8 14 page 172 by deleting adding columns and change the information type displayed in each column Column configuration 1 2 3 Trackball to the column to edit Press the SET key in the trackball area A sub menu is displayed see Figure 12 18 Select the action to perform Insert creates a new column Delete removes selected column e select the desired information to be displayed in the selected column Vivid i User s Manual 2378958 100 Rev 02 321 Presets and System setup 1 Insert new column to the left of the selected column 2 Delete selected column 3 Select column heading apd INSERT mi DELETE Date Operld Study StressEcho Tape Counter Lab WMScores DiagCode Disk Report I
14. The Measurement Menu is displayed in the Parameters window see example Figure 6 2 The trackball cursor is in the scanning window ready for starting measurement 1 Active application 2 Study Cardiac O Cardiac 3 Selected study Generic M Generic 4 Opened study Caliper fah Tension 5 z Area trace Area Measurements related to the area study for the cardiac application Volume d AVA Planimetry Volume s LA Area Volume MVA Planimetry Dist Ratio RA Area Area ratio MM Volume en trace Mi Mass 2 MM Shunts Dimension MM wallMotion MM Area F9 ME My Folder MM volume Exit B Mass B Shunts B wallMotion MM My Folder Figure 6 1 Example of a measurement study Vivid i User s Manual 111 2378958 100 Rev 02 Measurement and Analysis Note When enter ing the Measure ment mode for the first time the Cali per tool is selected by default When re entering the Measurement mode the first mea surement in the ac tual study that has not been performed is selected by de fault Entering a study and performing measurements 1 Press MEASURE on the front panel to enter the Assign and Measure modality The Measurement menu with a list of studies is displayed in the Parameters window see example Figure 6 2 Select any required study other than Generic study which is reserved for the Measure and Assign modality Within the selected study select the required parameter which y
15. 02 Archiving 11 A check mark is displayed in the Copied field in the Import patient window for each item imported A status message is displayed for each item imported Make sure that the operation was successful for each item imported Press Done in the mport patient window to complete the process Vivid i User s Manual 2378958 100 Rev 02 219 Archiving Disk Management When moving or copying files a copy of the patient ar chive is also created on the media When using this setting the images location displayed in the Examina tion list screen is the selected destina tion for the copy op eration even if the images are still present on the local hard drive When reviewing the exam the original images is retrieved from the local hard drive as long as they are available there When the images are deleted from the local hard drive by the auto purge function the copied images are re trieved The Disk management function allows the user to manage hard disk space while maintaining the patient database on the system The Disk management function can be used to move copy or delete images and reports from the oldest patient records configurable The Disk management function has also an auto purge feature that automatically deletes images and reports that have already been copied if the local hard disk is approaching its capacity limit Three different disk management scenarios are possib
16. 02 Report Measurements Box Filter criteria Heading Category Modes Qualifiers Cardiac v 2D VIMM Parame ter Type Box Properties v Measured Dop vV Calculated vi YT Selected measuremen gt gt Add all gt gt gt gt Add gt gt f lt lt Remove lt lt lt lt Remove all lt lt Figure 9 10 The Measurements box 4 Enter a heading e g 2D 5 Using the Filter criteria define the type of measurements to be entered e g Cardiac 2D measured and calculated The Measurement list on the left side is updated 6 From the measurement list select the measurement to insert and press Add Both single measurements or a folder may be added 7 The list of the inserted measurements is displayed in the Selected measurement list on the right side 8 Press OK 9 Select the next table cell and repeat steps 3 to 8 to insert several measurements 252 Vivid i User s Manual 2378958 100 Rev 02 Report Inserting text fields Text fields are e Containers for Referral reasons Comments and Diagnosis information e Containers for free text where the user can type information in the report 1 Select the location where to insert the text field container a table cell or directly in the report template 2 Select Insert and Text field The Text field box is displayed Text Field Heading Hl Change Font Display e Ref Reasons Free Text 1 Free Text 5 Comments Free Text 2 F
17. 2378958 100 Rev 02 Archiving e Running the Disk management function cccccnncccccnnccccnccncccccns 223 e Data Backup and Restore cid 226 DICOM SPOOIER sisi tail e 232 e Starting the DICOM spooler cecceeceeeeeeeeeeeeeeeeeeeeeeeeneeeeeees 232 154 Vivid i User s Manual 2378958 100 Rev 02 Archiving Introduction During an examination the operator stores data images and cineloops for immediate purposes The Vivid i ultrasound unit includes an integrated patient archiving system for data and image storage 4 Do not use the internal harddrive for long term image storage CAUTION The Vivid i ultrasound unit enables also storing of data and images to external databases EchoServer Magneto Optical MO disk CD R or DVD R The patient and image archives are set by the selected dataflow see page 310 about available dataflows and default dataflow selection Vivid i User s Manual 1 55 2378958 100 Rev 02 Archiving Storing images and cineloops DICOM images are stored to formatted Magneto Optical disks separately from patient data A CAUTION A CAUTION Images and cineloops that are stored during a current examination are displayed as thumbnails on the clipboard When an image is stored all the additional information that is displayed is saved with it i e probe and application selected image setting annotations or measurements The image archive is set by the dataf
18. Input output devices assigned to the current dataflow 4 Hide selected dataflow from the list of available dataflow 9 Add remove selected device to from the current 5 Option for the search function In the dataflow user defined dataflows only Search Create patient window select between 10 Adjust the settings for the selected assigned None All patients and Today s patient device Figure 12 13 The sublevel Dataflow example Vivid i User s Manual 311 2378958 100 Rev 02 Presets and System setup Dataflows available A set of pre defined dataflows is available on the unit as listed in the table below Input output devices cannot be added removed to from the pre defined dataflows However the settings for the devices can be adjusted see page 316 Dataflow Description No Archive Enables to perform an examination without storing the data to the archive LocalArchive Int HD Local archive internal harddrive The local database is used for patient archiving Images are stored to internal harddrive LocalArchive MOD Local archive Magneto Optical Disk MOD The local database is used for patient archiving Images are stored to a MOD The stored image files will consist of raw data only together with a single frame DICOM preview image no DICOM multi frame is stored LocalArchive Int HD MOD Local archive internal harddrive and Magneto Optical Disk The local database is used for patient archiving Im
19. Moving tools Figure 12 5 The Application menu setup sheet example 294 Vivid i User s Manual 2378958 100 Rev 02 Presets and System setup Configuration of the Application menu The Application menu can be configured by moving the applications up and down inside the pop up menu and from one level to the other To move an application inside one level 1 2 3 Press Default to 4 get factory setting Trackball to the application to move Press SET Press The application is moved one step up Press E The application is moved one step down To move an application from one level to the other 1 2 3 Trackball to the application to move Press SET Press as many times as necessary it the application to move is in the More menu MB if the application to move is in the Applications menu till the application has moved to the other menu Vivid i User s Manual 2378958 100 Rev 02 295 Presets and System setup Measure Text The Measure Text category deals with the following e Configuration of the Measurement menu see page 300 e Creation of user defined measurements see page 137 e Configuration of Measurement tools see page 302 e Configuration of the vascular Doppler calculation see page 303 e Configuration of the Annotation function see page 71 The measurement menu sheet The Measurement sheet enables the organization of the Factory default Meas
20. Tools see Figure 2 6 CONNECTIVITY Tools f st e Media 5 1 4 MO Disk G Refresh Label My Label Format Capacity 1094 0 MB Free space 417 1MB Formatted Database present DICOMDIR present Finalized CD DVD only Write protected Repair DICOMDIR Remote Path WSERVER HAME SHARED FOLDER Imaging Meas Text Report Connectivity System Admin Service Figure 2 6 The Tools Sheet 10 11 Select the removable media from the Media pop up menu Enter a name for the removable media in the Label field NOTE Only the following characters and signs can be used when labelling a media A Z a z 0 9 underscore _ and hyphen Do not use more than 11 characters or signs Do not use space Select Format A confirmation window is displayed Select OK to continue Wait for the display of the Information window indicating that the formatting process is completed Select OK to continue Eject the media as described below 62 Vivid i User s Manual 2378958 100 Rev 02 Basic scanning operations Do not eject the CD using the button on the CD drive Zoom Zoom is available in live and replay Ejecting removable media 1 Press ALT E to eject the disk The Eject device menu is displayed Figure 2 7 Eject Device CD DVD Writable E 5 1 4 MO Disk G Figure 2 7 The Eject device menu 2 Select the relevant media The selected media is ejected The Vivid i supports Variable displ
21. e Preview loop before store when selected enable review of cineloops before storage Preview loop before store Crop images Parameter Description rop Image Crop images when showing more than two images M In the Analysis screen removes top and bottom of the image when more than two images have been selected Doppler Parameter Description ony Doppler v Show kHz scale e Show KHz scale when selected displays the KHz scale on the left side of the Doppler spectrum see page 94 Patient Info Parameter Description Patient Info Title bar Line 1 2 selects from the Titlebar Line 1 Last FirstName pop up menu the patient information to display on the scanning screen s Title bar see page 45 Anonymous patient Anonymous patient when checked no patient information is displayed on the scanning screen s Title bar Titlebar Line 2 Birth date 290 Vivid i User s Manual 2378958 100 Rev 02 Presets and System setup Scan Info Parameter Description Scan Info Meee Se sibel selects scan information on the video T Freq C sv T Proc C LVRej record A Power D Scale A FPS D LVRej T Depth D Freq C Gain D Proc C Scale P sv Application The Application category enables the configuration of probe application specific settings presets The application specific settings can be stored and used as default presets with this probe
22. enables the user to configure display related settings e Application enables configuration of the probe and application specific settings Application menu enables configuration of the Measurement menu The Global setup sheet IMAGING AHD AHALYSIS GLOBAL LEVEL Global Application Application Menu Cine loop store Patient Info Time before heart cycle ms s VEE Ra Titlebar Line 1 Last FirstName y Time after heart cycle ms litlebar Line2 Birth date v 1000 Time span no ECG ms Anonymous patient Preview loop before store Crop Images Scan Info when showing more than two images T Octave C Freq P S D T Freg C 5w Proc C L VRej A Power D Scale A FPS D LVRej v Show kHz scale T Depth D Freq C Gain DjProc C Scalle P SV Doppler Biopsy Guides Show Center Line v Show Outer Lines v Enable 0 5 cm Markers Enable 0 25 cm Markers v Increase Line Distance With Depth Imaging Meas Text Report Connectivity System About Figure 12 3 The Global setup sheet Vivid i User s Manual 289 2378958 100 Rev 02 Presets and System setup Cineloop store Parameter Description Cineloop store Time before after heart cycle sets the total storage time span of the cineloop in ECG 10 Time before heart cycle ms 15 Time after heart cycle ms mode 1000 Time span no ECG ms e Time span no ECG sets the total storage time span of the cineloop with no ECG
23. is the system s serial number Do not change the computer name 2 IP settings system IP settings 3 Remote archive setup remote archive IP address and name EchoPAC PC or EchoServer 4 Save TCP IP settings The changes will be effective after the system is rebooted 5 Advanced DICOM log creates a detailed DICOM related report log Should be used only if DICOM issues are registred see page 341 about report log generation Figure 12 19 The sublevel TCP IP 326 Vivid i User s Manual 2378958 100 Rev 02 Presets and System setup System This configuration category is divided in two sheets System Settings enables the user to set the date and time choose the measurement unit and language for the system and enter basic information about the organization such as the institution name and department Test enables testing of the different parts of the unit This sheet is accessible to users with administration rights only The system settings SYSTEM location setup date timeformats f Settings Test Hospital GE Vingmed Ultrasound Department Development Imaging Meas Text Report Connectivity System Date and Time 20 08 2004 w 10 13 20 E Time Format Date Format Default Century Language Manual Language Units Metric v About Admin Service Figure 12 20 The System settings setup sheet Vivid i User s Manual 2378958 100 Rev 02 327 P
24. measurement container the user is prompted through a configuration procedure enabling the selection of mode specific measurements and or calculations Text field insert a container where the user can write in the report Fixed text insert a container with static text The text typed during the creation of the container will be displayed in the report The Preferences menu Description Page color sets the default background color for the template page 246 Vivid i User s Manual 2378958 100 Rev 02 Report Designing a report template Starting template designing 1 Start the Report designer see page 244 2 Press File and select New to display a blank page or use the current report template as basis template Setting the layout preferences Adjusting the report page color background 1 Press Customize and select Page Color The Color selection window is displayed 2 Select the desired color 3 Press OK Header and footer in the printed report This function is described on page 256 Inserting an information container in the report template body The different type of information to be included in a report are grouped in information containers Designing a report template consists in inserting and configuring the different information containers in the template page in an ordered manner Information containers can be inserted either Directly into the report template body this pr
25. non protocol wall motion scoring Display parameters at level v WMSI v YoHormal VOUT Width 580 pts LeftMargin 0 pr Height 200 Pts Border ol f Cancel Figure 9 12 The Wall motion scoring box Cut planes 3 Adjust the parameters and select OK The scoring diagrams are inserted in the report template 254 Vivid i User s Manual 2378958 100 Rev 02 Report Inserting Wall motion scoring diagrams container dl 2 Place the cursor right below the Wall motion scoring diagrams container Select Insert Wall motion analysis and select Score table box The Score table box is displayed Score Table Box Border 1 column Left Margin 0 e 2 columns f Change Font OK f Cancel a Figure 9 13 The Score table box 3 Adjust the layout parameters in the Score table box and select OK The Score table is inserted in the report template Editing the information container Resizing the information container 1 3 Move the Mouse cursor over the border of the container to resize The mouse cursor is changed to a cross lt Press Left mouse button once The container is displayed with anchor squares on the sides and at the corners Resize the container by dragging from the anchor points Editing the information container properties Modifying the container s specific properties Move the Mouse cursor over the border of the container to edit The mouse curso
26. 02 Basic scanning operations 2D Live Compress Reject Dynamic Range DDP Contour Diff off on 722 2435 14 1 47 5 s 2D Live Power Using the Soft Menu Rocker The Soft menu Rocker on the control panel enables the adjustment of controls mapped in the Soft menu Window see Figure 2 1 The first row of the soft menu indicates the name of the active mode and its status freeze live The following rows list the mode specific controls The relative setting of each control is indicated by a gauge bar filling the cell as the control value increases To select a control from the menu 1 Press any part of the 4 way rocker to display the soft menu 2 Press the vertical arrows on the 4 way Rocker to navigate up or down through the menu The frame of the selected row is highlighted Vivid i User s Manual 53 2378958 100 Rev 02 Basic scanning operations Note when soft menu is not access ed for a defined period of time it will time out and disap pear from the dis play To adjust values 1 Press one of the horizontal arrows on the 4 way Rocker to adjust the setting of the selected control Right arrow increases control setting Left arrow decreases control setting Trackball operation Different functions can be assigned to the trackball depending on the current active mode The trackball functions are organized in functional groups The trackball functional groups are displayed in the low
27. 1 GB 45 1 GB Free space E Spooler READY 0 Preview The Address field is configurable see Select patient information category 1 The patient information on the scanning screen is configurable see page 289 Figure 1 16 The Patient information on the scanning screen Vivid i User s Manual 2378958 100 Rev 02 45 Getting started Refer to page 186 for further informa tion on connectivity setup The combination Probe Application may be user de fined See page 291 for information on probe application configuration To select a probe with the default ap plication press SET twice on the actual probe A Connectivity on the Vivid i ultrasound unit The connectivity on the Vivid i Ultrasound unit is based on the Dataflow concept A Dataflow is a set of pre configured services e g DICOM services like storage worklist verify etc or other service types like video print standard print or messaging When starting an examination the user selects a pre configured Dataflow that will automatically customize the ultrasound unit to work according to the services associated to the Dataflow Selecting a Probe and an Application Probes and their related applications are selected from the Probes and applications pop up menus as described below Only probes currently connected are displayed in the pop up menu Only applications appropriate for the type of probe selected are shown To select
28. 4 Trackball to the actual patient record and double click the Trackball SET key or press SET once and SELECT PATIENT to select the patient The Examination list window is displayed 5 Trackball to the examination to delete 176 Vivid i User s Manual 2378958 100 Rev 02 Archiving Press the trackball SET key Press More in the Examination list window see Figure 8 14 page 172 Press Del Exam to delete the examination A warning message is displayed asking the user to confirm the action to perform see Figure 8 18 Trackball to OK and press SET to delete the selected examination o Trackball to Cancel and press SET to abort deletion Q Question You are about to delete the selected examination Cancel Figure 8 18 Delete Examination prompt To delete an image 1 2 3 Es Repeat steps 9 and 9 Press PATIENT on the Front panel Select Patient List The Search Create Patient window is displayed Type the patient Last Name and or ID Trackball to the required patient to highlight the record Press the trackball SET button The Examination list window is displayed Trackball to the actual examination in the Examination list window Press the trackball SET button Press REVIEW The images for the selected examination are displayed on the Review screen Figure 8 21 page 182 Trackball to the image to delete 10 to delete several 44 Press SET on the control panel ima
29. Allergic reactions to latex containing medical devices 362 Vivid i User s Manual 343 2378958 100 Rev 02 Safety e Electromagnetic Compatibility EMC o oococonncnnccconnnnnccncccnnnnnnnns eee 363 e Environmental protection cccceeesseeeeeeeeeeeseeeeeeeeeeseeeeseeeeee ee 365 e System disposal air ae keene ho eve eee tos 365 e Battery disposal Laia a 365 344 Vivid i User s Manual 2378958 100 Rev 02 Safety Introduction A DANGER A WARNING A CAUTION This section describes the important safety measures which should be taken before operating the Vivid i ultrasound unit Procedures for simple care and maintenance of the unit are also described Various levels of safety precautions may be found on the equipment and different levels of severity are identified by one of the following icons that precede precautionary statements in the text The following icons are used to indicate precautions Indicates that a specific hazard exists that given inappropriate conditions or actions will cause e Severe or fatal personal injury e Substantial property damage Indicates that a specific hazard exists that given inappropriate conditions or actions will cause e Severe or fatal personal injury e Substantial property damage Indicates that a potential hazard may exist that given inappropriate conditions or actions can cause e Minor injury e Property damage Marks s
30. CONFIG and select the category Measure The Measurement menu sheet is displayed see Figure 6 7 134 Vivid i User s Manual 2378958 100 Rev 02 Measurement and Analysis 2 AV Diam is a 2D measurement make sure that 2D is checked in the Measurement sheet 3 Select folder Dimension in the Measurement menu A list of all available measurements for the selected folder is displayed in the Measurement menu sheet 4 Check the box in front of AV Diam The AV Diam measurement is displayed in the folder Dimension in the Measurement menu 5 For the AV VTI measurement check Doppler in the Measurement menu sheet and select the folder Aortic in the Measurement menu 6 Check the box in front of AV Trace The AV Trace measurement is displayed in the folder Aortic in the Measurement menu MEASUREMENT amp ANALYSIS Cardiac Measurement menu MM Generic a Dimension M amp A categories f IvSd Add measurement Add folder LVIDd LV PWd IVSs LVIDs LvPws LVOT Diam RVOT Diam LVd Lys IvSd LVIDd LVPWd IVSs LVIDs LVPWs LVOT Diam LA Ao LA Diam Ao Diam Ao asc Ao Desc Diam junct ch Diam Vv Cusp AV Diam Rh Ao Isthmus LV Major LV Minor LA Major LA Minor TV Ann Diam RVOT Diam PY Ann Diam RVIDs RVAWs RVIDd MY Ann Diam Imaging Meas Text Report Connectivity System RVAWd MPA RPA LPA PEd PEs RA Major RA Minor RV Major RV Minor Admin Service PEd EP
31. Clean the drive head and media with the vendor supplied cleaning kit Advised to repeat this often to prevent future problems MOD disks must be stored away from dust and cigarette smoke Do not use alcohol or benzene to clean the MOD cartridge DVD CDRW Drive Clean the drive head and media with the vendor supplied cleaning kit Advise the user to repeat this often to prevent future problems CDs must be stored away from dust and cigarette smoke Do not use alcohol or benzene to clean the CD drive Peripherals Clean the peripherals in accordance with the respective manufacturer s directions Prevention of static electricity interference Interference from static electricity can damage electronic components in the system The following measures help to reduce the likelihood of electrostatic discharge Wipe the alphanumeric keyboard and monitor with lint free tissue or a soft cloth dampened with anti static spray ona monthly basis e Spray carpets with anti static spray because constant walking on carpets in or near the scanning room may be a source of static electricity Vivid i User s Manual 339 2378958 100 Rev 02 User maintenance 340 Vivid i User s Manual 2378958 100 Rev 02 User maintenance System self test The Vivid i ultrasound unit is designed for reliable operation and consistent high quality performance Automatic self testing facilities are provided to monitor system operation and to de
32. LED orientation marking near their head see Figure 10 1 Probes which do not have a LED have an indentation notch for orientation on the probe housing This LED or notch corresponds with the V mark on the scanning screen The V mark indicates the orientation of the probe to the scan 1 LED 2 Notch 3 V mark on screen indicates the orientation of the probe to the scan Figure 10 1 Orientation marking on probe and on screen Probe labelling Each probe is labelled with the following information Name of distributor and manufacturer Operating frequency Model number Probe serial number Year of manufacture Vivid i User s Manual 2378958 100 Rev 02 267 Probes The probe name displayed on the probe housing 1 CE mark 2 Probe name OL Loy Y Nu A MANUFACTURED FOR GE Yokogawa Medical Systems Lid Tokyo Pan M AM o on MANUFACTURED BY GE Medical Systems China Co Ltd WuXi China MANUFACTURED FOR GE Yokogawa Medical Systems Ltd Tokyo Japan MODEL NO 2333890 SERIAL NO XXXXXXXX 0459 MANUFACTURED month year IO 0 Figure 10 2 Probe labelling examples 268 Vivid i User s Manual 2378958 100 Rev 02 Probes Probe Integration A CAUTION A WARNING A This section covers e Connecting the probe e Activating the probe e Disconnecting the probe Connecting the probe Probes can be connected at any time whether the unit is on or of
33. Left Ventricular LV Contrast application has an optimized system preset for optimal resolution of endocardial borders and for optimal assessment of wall motion and wall thickening The LV Contrast application may help to identify LV thrombus and evaluate wall motion Misdiagnosis based on image artifacts Misdiagnosis in ultrasound contrast images may be caused by several artifacts most importantly Motion artifacts gives rise to signals independently of contrast presence This may be caused by patient movement including respiration or by probe movement influenced by the operator Regional drop outs caused by unintentional destruction of the contrast agent too low concentration of contrast agent poor acoustic penetration due to rib lung shadows or system failing to detect the contrast agent due to erroneous settings induced by the operator Tissue harmonics gives contrast like signals independently of the presence of contrast agent Default machine settings are set to minimize the amount these artifacts but the operator has to take these artifacts into account while analyzing the data and confirm the results using other techniques 104 Vivid i User s Manual 2378958 100 Rev 02 Contrast Imaging LV Contrast overview 1 Status window JE Johnson s 2 Soft menu ji HR HR Power 2403 2403 47 7 47 7 8 Figure 5 1 The LV Contrast acquisition screen LV Contrast controls LV Contrast assignab
34. Rare tees nner Tia Tein norte Taree ne ner Tre 274 LAMA tii lia 267 Aoi A oa Bia ae A Dia Marea 267 A a ale cco eel aiae e an wedahd 276 O O creer 46 TP 264 Pulse Pressure Vivid i User s Manual 373 2378958 100 Rev 02 Index AUS CUP AAG Ss tao 66 Pulse Pressure transducer Controls xcs te A ea ae ae 65 A A ee 94 99 CONTO Sn eet a eee ee 95 A ne tard pte cae eee O eee eae 98 OVERVIEW so ae A cael Cs 94 USING EN 98 R Radial Averaging Color IOS asses ree re ee 91 Optimizing Color MOS moria tad 93 R ferral reasons tissncitadima ddr iiracara tienda lid 173 Reject RT 80 A A O A PS 106 MEM aa aaa amelie ak 85 dir A tee meee ee 82 Optimizing WMO sia st di tddi 87 Removable media ESC a a e 63 Fash Gardino ac i ee a a O E E A 61 A csvxdesy yet ohasboadebteseranr carat e i e a aa 320 REPOM aean a T E A E er eT 235 262 Add AMIMIOS Orendain e eee 239 Configuration of the Template selection MON 259 A ET nD nT NEO n NT SLO ee erie ere R ASN 237 ES TMU Dn East EEEE A a ddan ene ee 241 Diret replier E O 242 EX DOr IMPORTS lp lates les 260 PrN tesna excise avenge cai pan ta aoa E eae Gis 240 PRL EIS VLC AAA E 241 e a Na i a tl 240 Report d sighGt mses aeea ro ho e i a a tet Rca tt 244 Desigringr a template iaa 247 Respiration AUS UMD TACO tardas 66 CMTS CLIN hese soe ee Car tas 64 A E a oa 65 ROI size Color MOS eo csceac A ed aaae 91 374 Vivid i User s Manual 2378958 100 Rev 02 Index S Y PP a AoA 343 3
35. Right arrow button gt The selected template is inserted in the Template selection menu Note Double clicking on a template in the Available template field will also insert the template in the Template menu Vivid i User s Manual 2378958 100 Rev 02 259 Report Removing a template from the Template selection menu 1 Inthe Report template menu field right field select the template to remove 2 Press the Left arrow button _ The selected template is removed from the Template selection menu Note Double clicking on a template in the Available template field will also insert the template in the Template menu Sorting the templates in the Template selection menu 1 Inthe Report template menu field select the template to move 2 Press the Up or Down arrow buttons 4 y The selected template is moved accordingly in theTemplate selection menu Deleting a report template from the system Only user defined report templates can be deled from the system 1 Inthe Available templates field left field select the report to delete Figure 9 16 2 Press Delete A Confirmation window is displayed 3 Select Yes to delete the report template Export Import of Report templates User defined report templates can be exported to a removable media and imported from the removable media into another system Vivid i EchoPAC PC Export of Report templates 1 Insert a removable media into t
36. Safety Chapter 14 Safety MUO A CHOIR caia ias 345 e Owner responsibility utcatiniasdceativcncteswdeietenseeterenuinincwaiwentunnandusunan as 346 e Important safety considerations coommccccnnnncccnnnnannnnnnnancnnnnannnnnnna oe 347 e Notice against user modification cccccccccccccccnnnnnnnnnnnnnos 347 e Regulatory information oomccccnnoconnnanaconananacccnnnonacennnanccnnanaacn nana oe 348 e Standards used ut ads 348 e Device labels crasas 349 s ACOUSTIC OULU oir 353 e Definition of the acoustic output parameters eeeee 353 e Acoustic output and display on the Vivid i eeeeeeeeeeeees 353 A A Ng esa eeu ssrA anna 354 e Safety statement naa dic pico 355 e System controls affecting acoustic output cccccconccccccccccccnannncnos 355 e Patient safety sucia a Zs 357 e Patient identification oooonnnnnccccnnnnincconcccccnnnnnnnncncnncnnnnnannnno 357 e Diagnostic information oa cia 357 e Mechanical hazards uscar ia li 358 e Personnel and equipment Safety commmccccncccconononencncnnnnnnnenenenenannnnnas oe 359 e Explosion Nazario ita iia aves 359 e Electrical hazard tie 359 Biological hazard smiir a Situs didas 360 e Pacemaker hazard titan 360 Electrical safety conoci dia bs 361 DEVICE claSssifMCAONS casada oo 361 e Internally connected peripheral devices ooococcnnccccccccccccccnncos 361 e External Connection of other peripheral devices 361 e
37. Select the type of information System Menu a Save As Create insert pre defined text 4 Text field mage Properties List of measurements completed Direct Report Exits the Direct report Cancel Measurements o LVOT Diam 2 SV MOD A4C 15 LVLs AAC 6 LVEDV MOD A4C 440 92 n f TS O Figure 9 2 The Direct report 242 Vivid i User s Manual 2378958 100 Rev 02 Report Inserting pre defined text input 1 Select the insertion point in the Text field 2 Select Insert text The Insert text window is displayed see Figure 9 3 Hormal echo Technically d Summary co Left ventricle Thrombus Mass tumor LV EF Cavity size Global wall thi Shape Global systoili Hypo regional Normal Low normal Borderline Mildly decreased Mild to moderat Moderatly decre Left atrium Right atrium Right ventricle Aortic valve Hot well visua Edit Delete Close More gt gt Figure 9 3 The Insert text window Moderate to sev Severely decrea Akinetic regio Dyskinetic re Akinesis with The pre defined text list is organized in a three level hierarchy Selecting one item in the first column displays pre defined text entries related to the selected text in the second and third column 3 Navigate through the pre defined text list by selecting items in the columns and double click on the desired pre defined text to be inserted If an entry i
38. Shunts M pisa MM Event Timing Das My Folder 1 Select the user defined folder 2 Press Add measurement Figure 6 9 The Measurement menu sheet 1 Select the user defined folder e g My Folder in the 1 38 Vivid i User s Manual 2378958 100 Rev 02 Measurement and Analysis Measurement menu Add measurement Parameter v AVE Y y f t Time ET Hame Measurement menu 2 Press Add Measurement in the Measurement menu sheet The Add measure window is displayed ADD MEASUREMENT E OK cancel e Blank Use copy of Figure 6 10 The Add measure window 3 MCO and AV ET are measurements that already exist on the system check Use copy of and select MCO from the drop down menu 4 Select OK to add the MCO measurement 5 Repeat steps 2 to 4 to add the AV ET measurement Creation of the formula MEASUREMENT AHALYSIS Cardiac M Generic MM Mitral Valve Add folder MEA categories MM Aortic MM Pulmonary Vein MM pulmonic ia Tricuspid Valve MM Shunts Mi pisa MM Event Timing My Folder MCO Averaging De AVET difference Aver Calculated Calculated 1 Select the last measurement 2 Double click and enter the formula name 3 Select to create the formula Figure 6 11 The Measurement menu sheet Vivid i User s Manual 1 39 2378958 100 Rev 02 Measurement and Analysis Doppler Operators Formula The formula for this example is as follow My L
39. TA 41 3 MB 21 02 2002 2 1 MB 7 2 MB 2003 0 0 KB 10 12 2002 10 12 2002 58 3 MB Preview Create Patient Cl ar search Select Patient Export 1 Press one of the headings to sort the list 4 Select the column heading border and drag to accordingly adjust column width 2 Select new archive and other pre defined 5 Expended Patient record displaying belonging services examinations 3 Extended menu The Search Create patient window may be slightly different depending on the Dataflow selected Figure 8 12 The Search Create Patient window Vivid i User s Manual 2378958 100 Rev 02 169 Archiving The list of searching filters may vary de pending on the Dataflow selected The unit can be con Advanced search To restrain the search to a specific patient group one or more filters may be applied to the search The table below shows the filters applicable to a patient search Searching filter Echolab Diag code Date of birth time span Examination date time span Current date Images Stress examinations Report Searching with filter 1 Trackball to the More button in the Search Create Patient figured to display window can 2 Press SET on the control panel fault see page 321 The Search Create Patient window is extended displaying the searching filters see Figure 8 13 3 Type the information in the required searching filter field 4 Type the patient Last Name and or ID The mat
40. The pre defined text list is organized in a three level hierarchy Selecting one item in the first column displays pre defined text entries related to the selected text in the second and third column Navigate through the pre defined text list by selecting items in the columns and double click on the desired pre defined text to be inserted If an entry in the third column is inserted the selected text in the second column is also inserted Press More gt gt to display the full text for the selected entry Lung artifact Technically difficult study Body habitus Summary comments Left ventricle Thrombus ann fbsemnneri Technically difficult study w Delete More gt gt Figure 8 15 The Insert text window Vivid i User s Manual 2378958 100 Rev 02 173 Archiving Creating editing and deleting text input These features are described in The Comment texts sheet on page 306 Diagnosis code Entering a Diagnosis code 1 Inthe Examination list window select Code see Figure 8 14 The Entered Code window is displayed 2 Select Add The Code list window is displayed 3 Double click the code to enter The selected code is displayed in the Examination list window 1 The Entered Code window lt a 2 The Code list window fdd na i Delete My Code 1 My Code 2 My Code 3 My Code 4 Figure 8 16 Entering Diagnosis codes Deleting an entered Diagnosis code 1 Inthe Examination list w
41. Tilt Enables the axis of the 2D image to be tilted to the left or to the right By default the axis of the 2D image is vertical Contour Controls the image processing related to the extent of edge enhancement applied 106 Vivid i User s Manual 2378958 100 Rev 02 Contrast Imaging The Diff control de Diff on off GS e raty Affects the level of reverberation in the image The teandth b of fooal A reverberation in the image is reduced when Diff control is turned on turned on DDP Data Dependant Processing Performs temporal processing which reduces random noise without affecting the motion of significant tissue structures Vivid i User s Manual 107 2378958 100 Rev 02 Contrast Imaging A WARNING A CAUTION Running LV Contrast The LV Contrast application works with the 3S RS and 6T RS probes 1 Press APPLICATION on the control panel A list of the connected probes is displayed The Application menu for the selected probe is listed 2 Trackball to LV Contrast application 3 Press SET to launch the application 4 Perform the acquisition Always read and follow carefully the manufacturer instructions on the contrast agent label Optimizing LV Contrast The default setting for the LV contrast application is optimal setting for the application On 3S probe MI 0 5 Freq 1 7 3 4 Focus 9 cm However depending on the acoustic window of the patient or the specific contrast agent bein
42. a Delete Imaging Meas Text Report Connectivity System About Admin Service 1 List of text inputs 2 Text input name 3 Text input display area free text area 4 Create a text input Figure 12 9 The Diagnostic codes sheet Creating a diagnostic codes 1 Select New text to create a new diagnostic code see Figure 12 9 2 Inthe Code field enter a name for the diagnostic code 3 Trackball to the Text input display area 4 Press SET 5 Enter the text Vivid i User s Manual 305 2378958 100 Rev 02 Presets and System setup To add a diagnostic code to an examination refer to Diagnosis code on page 174 Deleting a diagnostic code In the Code list field trackball to the diagnostic code to delete see Figure 12 9 1 2 3 4 Press SET Trackball to Delete Press SET The Comment texts sheet This sheet enables the creation and deletion of text inputs that can be used when entering comments in the Examination list window see Figure 8 14 page 172 Hormal echo Technically difficult Summary commen Left ventricle Thrombus Mass tumor Left atrium Right atrium Right ventricle Aortic valve Mitral valve Tricuspid valve Pulmonic valve Aorta Aortic dissection Pulmonary veins IVC hepatic veins Pericardium Pulmonary artery Reading physicians Imaging Edit Meas Text REPORT LOOKUP VALUES Comment Texts LV EF Cavity size Global wa
43. abrasions Equipment for loose or missing hardware Control panel for defects To avoid electrical shock hazard do not remove panels or covers from the unit 336 Vivid i User s Manual 2378958 100 Rev 02 User maintenance A CAUTION Virus Protection To minimize virus vulnerability Vivid i is configured with a minimal set of open ports and with all network services not actively used by the system closed down This significantly reduces the risk of a virus attack on Vivid i GE is continuously judging 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 3rd party technology used Microsoft and other security patches that addresses serious issues with Vivid i will be made available to customers after GE verification of those patches Cleaning the unit General Cleaning Frequent and diligent cleaning of the Vivid i ultrasound unit reduces the risk of spreading infection from person to person and also helps to maintain a clean working environment When performing Cleaning Procedures to prevent the risk of system damage always observe the following precautions e Use only cleaning materials and solutions recommended in the procedures described in Table xx on page xx Do not use any solutions or products not listed in the Vivid i User Manual Do not spray any liquid directly onto the Vivi
44. an application oS gt Press APPLICATION and select the application to edit Press APPLICATION again Trackball to Preset in the Application pop up menu The Application setup sheet see Figure 12 4 is displayed Change the parameters as desired see page 292 Press Save to store the changes Applicable only on user defined applications Vivid i User s Manual 2378958 100 Rev 02 293 Presets and System setup Deletion of an Application 1 2 3 4 Press APPLICATION and select the application to delete Press APPLICATION again Trackball to Preset in the Application pop up menu The Application setup sheet see Figure 12 4 is displayed Press Delete to remove the selected application Application menu The Application menu category enables rearrangement of the the Application menu to best suit the user s requirements The Application menu is a two levels pop up menu The first level called Application displays the most frequently used applications in any desired order The second level called More displays the less frequently used applications IMAGING AND ANALYSIS GLOBAL LEVEL n f Application Menu Applications Cardiac Cardiac_1 Cardiac_2 Exercise OStress Default Pharm Stress Delete More Abdominal Renal 59 Pediatric Fetal Heart Cranial Imaging Meas Text Report Connectivity System Admin Service 1 First menu level 2 Second menu level 3
45. any circumstances be altered to a configuration rated less than that specified for the current Do not use an extension cord or adapter plug 1 Connect the AC power adaptor output plug into the appropriate socket on the rear of the Vivid i 2 Ensure that the wall outlet is of appropriate type 3 Secure the power plug in the wall outlet AC Adapter Use only the special AC Power adapier for Vivid i specifically designed and approved by GE 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 power adapter in a ventilated area such as a desk when you use it to run the Vivid i Do not cover the AC power adapter with paper or other items that will reduce cooling do not use the AC power adapter inside a carrying case Battery The lithium ion battery provides power when an AC power source is not available A battery in the battery bay is standard with the Vivid i You can expect one hour of battery life with a single fully charged battery Lithium ion batteries last longer than conventional batteries and do not require replacement as often The lithium ion technology used in the system s battery is significantly less hazardous to the environment than the lithium metal technology used in some other batteries such a watch batteries Used batteries should not be placed with common household waste products Contact local autho
46. at tut ete J 99 PW DODD ia A A 96 NP eae oa ante eae ea ena hale adc acai hiad E 67 74 A E O ae ea 71 A O E o Waar EEr anne loriobabe 70 Era Na 70 A TA 67 Application SP RNA 46 Assignable KOYS iiss otra nese os ace Mio ae ee 49 1d OT IIA ON Eee Wer rTM nre TS 158 B Baseline LO 0 oll 06 eerie tava a etc eae re rie tiles RR rE ice Rv ree eT RO ee eae ND 90 A A 95 Optimizing Color MO Ue dl DU Dude ta 93 PIDO A A eat 95 BodymatK AAA 73 Vivid i User s Manual 367 2378958 100 Rev 02 Index C Care and Maintenance ecc coi ii iba 336 340 A evar rernte cee renter i erento a erro MSU Tey A Corner RTC mT MORTON Ce mt 56 60 COMO oar RV TORS ia 58 OVA e tad eos 56 A O a taal Rech Bch A 158 DS VENI TA 59 Cleaning LITRES OUIMGN Unitins a tale stiller vegeta ok i ale see sa al 337 Color 2D A E sla RE LT 92 Color maps 2D MOG EMAAON0 y Maertia bier hates he abbecthteco aN 80 Color Modes edi 90 EA A ERA eat ae AO 96 MeaMoOde ecc e do a O E id R 84 PW DOSE encia 96 Color M Mode OVGIVIGW 2 60565 coe ee ee ee 89 BUS VV ES esas A E RS O 92 Color A A nent a eeii 88 93 A A A a 90 A a A E CE 93 A 88 US O o 92 CUM lll ed 173 Compress 2D ee AN 80 CW DOPPI A 96 iV GONITAS reoni e E E E E OE E R 106 M MOdE man aaa o Hants a E AA I 85 Optimizing CW DO n e i R asians 98 Optimizing MEMO e do 87 Optimizing PW DAI o es e eo a e ld dE 98 PIDO DIS 96 Configuration see System setup Connecting PS es oa cd 15 Connecting the UN
47. basis or moved from one place to another Full shutdown the entire system is shut down Full shutdown is recommended if the system is not intended to be used for a whole day or longer It is recommended to perform a full shutdown at least once a week Full shutdown After switching off 1 Press on off button on the top left of the control panel the system wait at The Exit dialogue window is displayed least ten seconds be fore turning it on again Vivid i User s Manual 1 9 2378958 100 Rev 02 Getting started In case of total lock 2 SYSTEM EXIT L on Information System Administrator is logged on as ADM Logon Time 23 08 2004 08 35 Shutdown Cancel Figure 1 5 The Exit dialogue window Select Shutdown up of the system The shutdown process takes a few seconds and is hold the on off but completed when the control panel illumination is turned off ton down a few sec onds to turn the Standby mode system off 1 Press on off button on the top left of the control panel In case of total lock 2 up of the system hold the on off but ton down a few sec onds to turn the system off The Exit dialogue window is displayed Figure 1 5 Select Standby The system enters Standby mode The system remains in Standby mode for approximately XX hours using the internal battery Note When the system is operating if the power cable is removed from the wall outlet or the Power Adaptor
48. below the baseline or both Max and or Mean to display max and or mean velocities 5 Inthe Modify Calcs menu select the measurements and calculations to be displayed in the Measurement result table 6 Press Save as default to set the selected calculations to be default when a new study or exam is started 9 Above Below Both Max Mean AT TAMEAN VOLUME FLOW HR Py Save As Default Return Selected vessel Vessel location parameters Manual auto calculation controls Other vessels A O NS Vascular _ Generic SI carotid CCA Prox Mid Rt PS ED MD Show All Transfer Cancel Transfer Auto Live Frozen Modify Calcs ICA BULB ECA VERT More Trace parameters Selected measurements and calculation to appear in the Measurement result table Assign measurement and calculation Figure 6 6 Vascular measurement menu example 130 Vivid i User s Manual 2378958 100 Rev 02 Measurement and Analysis Using Auto vascular calculation 1 Perform the scan and press FREEZE The system performs the calculation automatically and the pre defined measurements and calculation are displayed in the Measurement result table The following controls may be adjusted from the control panel CYCLE SELECT change the selected cycle TRACE SENSITIVITY optimize the trace contour CURSOR SELECT select Peak systolic or End diastolic marker The selected marker can be moved t
49. can be stored The examination or part of it can also be stored on video tape CD R DVD R and other various media depending on available options 76 Vivid i User s Manual 2378958 100 Rev 02 Scanning Modes 2D Mode 2D Mode overview cardiac adult ae 46 cardiac GEMSI Ultrasound 3S RS MI 1 2 HR 93 15 11 04 13 35 ADM Cardiac Tis 0 8 15 11 04 13 36 43 Tissue Octave Freq 1 73 4 MHz Proc 16 21610 2 Power 0 dB 55 0 13 0 cm 2D Live Compress Reject Dynamic Range DDP Contour Diff off on t r j A Ea fa ag ra A Jl Ee EM EX ATGT ATGT 32 6 32 6 s im 2B 20 Live UpDown Dual Focus Pa Power Leftmight BColor Maps Focus marker Probe orientation marker Status window Soft menu Controls marked with R are also available in freeze and cine replay popa Figure 3 1 The 2D screen cardiac Vivid i User s Manual 17 2378958 100 Rev 02 Scanning Modes 1 Assignable keys 4 Soft menu Width Compress R Frequency Reject R Focus Dynamic Range Frame rate DDPR Up Down R Tilt Left Right R Speckle reduce e Cineloop in Freeze only Contour Dual focus Diff On Off B color maps Power e Select all 5 Freeze 2 Zoom 6 2D 3 Depth 7 Gain Figure 3 2 The 2D controls on the front panel 78 Vivid i User s Manual 2378958 100 Rev 02 Scanning Modes In combined mode press ACT MODE to toggle between modes and access t
50. e Class II Equipment Vivid Console 2 Degree of protection against electric shock Type BF Applied part 3 for Probes marked with BF symbol e Continuous Operation e System is Ordinary Equipment IPX0 Probes are IPX1 1 Class Equipment EQUIPMENT in which protection against electric shock does not rely on BASIC INSULATION only but includes a protective earth ground This additional safety precaution prevents exposed metal parts from becoming LIVE in the event of an insulation failure 2 Class Il Equipment EQUIPMENT in which protection against electric shock does not rely on BASIC INSULATION only but in which additional safety precautions such as DOUBLE INSULATION or REINFORCED INSULATION are provided 3 Type BF Applied Part TYPE B APPLIED PART providing a specified degree of protection against electric shock with particular regard to allowable LEAKAGE CURRENT Table 14 1 Type BF Equipment Normal Mode Single Fault Condition Patient Leakage Less than 100 microA Less than 500 microA Current 352 Vivid i User s Manual 2378958 100 Rev 02 Safety Acoustic output Definition of the acoustic output parameters Thermal Index Tl is an estimate of the temperature increase of soft tissue or bone There are three thermal index categories e TIS Soft tissue thermal index The main TI category Used for applications that do not image bone TIB Bone thermal
51. ence aus eumeencnue 59 e Storing images and CINCIOOPS emmmmcccccccnoncccnccnncnnnnnnancnonennnnnnncnnnnnnn ones 60 e To store a single image 4a jaca al A 60 e TO store a cineloop scarico teca 60 e Using removable Media c seeeeceeeeeseeeeeeeeeeeeneseeceeeeeeeeneeeeeees nn 61 e Recommendation concerning CD and DVD handling 61 e Writing on CD or DVD Media ccccccccnnnonncccnnnnncncccccnnccnncanancccnnnnos 61 e Formatting removable Media oooocccccccnncccccncccccnnncccccnnnnnnnannnaninon 61 e Ejecting removable media vos 63 ZOOM E A O O A T 63 e To Magnify an image acia a 63 e Performing measurements cnmmacnnannncnnncnncnnnnnnnncnnnn nn eee 63 Physiological EGG trace cwicsiccccciscuseaussssscncscccveccssinsatwicccsndeeaasdacuats acne 64 e Connecting the EC Gi anna tr 64 e Physio controls at nn cias 65 e Displaying the ECG trace iscnminccapnaid coli cdtess 66 Vivid i User s Manual 47 2378958 100 Rev 02 Basic scanning operations e Adjusting the display of the ECG trace sssesesseeeneeees 66 e ANNOtATONS arica ines 67 e o insert an annotation ii dei 67 FO editannotatioM aca 70 e TO erase annotation ccccccccoccccnnncccnnoncnnncnnnnononnnononononnnnnnnonononenonos 70 e Configuration of the pre defined annotation list 71 A KG sree eke tS it ete a e ed o o O 73 48 Vivid User s Manual 2378958 100 Rev 02 Basic scanning operations Assignab
52. entering such data Ensure that the correct patient ID is provided on all recorded data and hard copy prints Identification errors could result in an incorrect diagnosis Diagnostic information The images and calculations provided by the system are intended for use by competent users as a diagnostic tool They are explicitly not to be regarded as the sole irrefutable basis for clinical diagnosis Users are encouraged to study the literature and reach their own professional conclusions regarding the Clinical utility of the system The user should be aware of the product specifications and of the system accuracy and stability limitations These limitations must be considered before making any decision based on quantitative values If in doubt the nearest GE Ultrasound Service Office should be consulted Equipment malfunction or incorrect settings can result in measurement errors or failure to detect details in the image The user must become thoroughly familiar with the operation of the unit in order to optimize its performance and to recognize possible malfunctions Application training is available through the sales representative Be certain to ensure privacy data of patient information Vivid i User s Manual 357 2378958 100 Rev 02 Safety Mechanical hazards Damaged probes or improper use and manipulation of the transesophageal probe may result in injury or increased risk of infection Inspect probes frequently for shar
53. factor to all the parameters X s Example if you have the formula Y a X and you set the formula result to be in cm you have to convert the parameter X from meter default SI unit to cm by dividing the parameter by 100 The formula with a result in cm should be defined as follow Y a X 100 Calculation Alternative unit Time ms msec min h E CU CI ten cm dm cm mm inch feet pixels Area me dm2 cm2 cm 2 mm2 inch2 Volume pms dm3 cm3 I dl cl ml gallon quart Vivid i User s Manual 1 43 2378958 100 Rev 02 Measurement and Analysis Calculation Alternative unit Volume flow dm3 s cm3 s l s dl s cl s ml s m3 min dm3 min cm3 min l min L min dl min cl min ml min ml m2 Other mmHG Date WeekDay Day NoUnit l minm2 g m2 cm m2 144 Vivid i User s Manual 2378958 100 Rev 02 Measurement and Analysis Measurement result table The display of the Measurement result table can be minimized and moved to prevent the table obscuring parts of the ultrasound image Minimizing the Measurement result table 1 Repeat step 1 to en large the Measure ment result table Trackball to the symbol e on the heading of the Measurement result table see Figure 6 16 Press SET The Measurement result table is minimized to the heading bar Moving the Measurement result table Alternative Rotate 1 the assignable RESULT WINDOW to m
54. file 2 Selected image 8 Measurement tool 3 Single frame image 9 E mail support 4 Cineloop 10 Display previous next image 5 Freeze run cineloop 11 Display the MPEGVue patient list 6 Scrolling tool during freeze Figure 8 6 The MPEGVue screen Performing measurements on MPEGVue images The following measurements can be performed on MPEGVue images Distance and area in 2D images Height time and slope in M mode images e Velocity and time in Doppler modes 164 Vivid i User s Manual 2378958 100 Rev 02 Archiving To perform measurements on MPEGVue images 1 Ina2D image select the Measurement Tool see Figure 8 6 The distance measurement tool is automatically selected 2 Perform the distance measurement To perform an area measurement right click on the imageand select Area Then perform the area measurement In other modes select the Measurement Tool see Figure 8 6 and perform the measurement E Mail support for MPEGVue Sending images or examinations via E mail The selected image or the entire examination can be send by e mail as an attachment providing that the computer has a mail client application e g MS Outlook MS Outlook Express To send an image 1 Select the image to send on the clipboard and press the E mail button see Figure 8 6 The E Mail dialog window is displayed Figure 8 7 Send Receive Mail xx m Selecte E Mail action Send Current Exam I Attach Send Playe
55. for a retrieved image the date and time at which it was stored Probe and Application Displays the currently selected probe and application or for retrieved image the probe and application that were used See page 46 and page 269 for further information on how to select probe and application Live scanning related information Displays if available the current values for Mechanical Index MI for the current active image e Thermal Index T1 for the current active image probe temperature for TE probe e Heart rate HR Archive Information Displays the currently selected patient and image archives 36 Vivid i User s Manual 2378958 100 Rev 02 Getting started Parameters window Displays scan mode or application specific parameters In scanning mode the parameters for the active mode are highlighted This window also displays zoom information and image groups in image browser Soft menu window Displays the mode specific controls operated from the 4 way rocker on the control panel The mode specific menus are described in Chapter 3 Scanning Modes on page 75 For operating procedure of the 4 way rocker see page 53 Clipboard Displays the thumbnail images representing the acquired data during the current examination The status bar Consists of four information fields as follows Service iLing button wrench icon Enable access to the GE Medical Systems on line service center Connectivity status icon Dis
56. for the time duration specified by the manufacturer Do not immerse the probe in liquid beyond the level specified for that probe see Figure 10 4 Never immerse the probe connector or probe adapters in liquid The probe should not be exposed to the germicide longer than specified to achieve the desired effect DO NOT soak or saturate probes with solutions containing alcohol bleach ammonium chloride compounds In addition TE probes must not be immersed in solutions containing hydrogen peroxide 3 Rinse the part of the probe which was in contact with the germicide according to the germicide manufacturer s instructions 4 Wipe dry with a soft towel or air dry the probe CREUTZFELD JACOB DISEASE Neurological use on patients with this disease must be avoided If a probe becomes contaminated there is no adequate disinfecting means 274 Vivid i User s Manual 2378958 100 Rev 02 Probes 1 Fluid level 38 2D P2D aD P6D 2 Contact face with patient M38 58 8 environment 7 108 3v Y ann ann e ESC 7L 3 5C 10L 5c 12L M7G 8c M12L a S es tin ae III ADE oe ar Figure 10 4 Probe immersion levels Vivid i User s Manual 275 2378958 100 Rev 02 Probes Probe safety A WARNING A WARNING This section includes information on hazards to both the user and the equipment as follow Electrical hazards e Mechanical hazards e Biological hazards Electrical haz
57. highlight the examination 3 Press REVIEW on the control panel The stored images for the selected examination are displayed in the Review screen see Figure 8 21 To analyze images 1 Press SET on the images to analyze 2 Press ANALYZE Vivid i User s Manual 1 81 2378958 100 Rev 02 Archiving A cardiac adult GEMSI Ultrasound 3S RS HR 121 V cardiac 15 11 04 14 28 04 ADM Cardiac 15 11 04 14 28 54 Page 1 of 2 D Review Screen S E Select all Speed Frame Change Page Select page More 1 Page number 3 Selection tools 2 Selected image bold frame Figure 8 21 The Review screen Select images from the Image list screen The procedure described below enables the analysis of images belonging to different examinations for a selected patient record If images are stored on multiple removable media they have to be restored to the local hard drive prior to review as described below 1 Inthe Examination list window see Figure 8 14 page 172 182 Vivid i User s Manual 2378958 100 Rev 02 Archiving press Image list The mage list screen is displayed see Figure 8 24 showing thumbnails of stored images for the actual patient sorted by examination If the images are stored on a removable media that is not mounted the image thumbnail is replaced by a symbol 2 Press SET on the images to review or press ANALYSE to review all images e If all images are availab
58. image quality Adjust Variance to detect flow disturbances Adjust Sample volume SV to a low setting for better flow resolution or a higher setting to more easily locate disturbed flows Adjust Frequency to optimize the color flow display Higher settings improve resolution Lower settings improve depth penetration and sensitivity This does not affect the frequency used for 2D and M Mode Adjust Power to obtain an acceptable image using the lowest setting possible Adjust the following settings to further optimize display of the image Use Invert to reverse the color assignments in the color flow area of the display Use Tissue priority to emphasize either the color flow overlay or the underlying greyscale tissue detail Use Baseline to emphasize flow either toward or away from the probe Use Radial and Lateral Averaging to reduce noise in the color flow area Radial and Lateral Averaging smooths the image by averaging collected data along the same horizontal line An increase of the lateral averaging will reduce noise but this will also reduce the lateral resolution Use all noise reduction controls with care Excessive application may obscure low level diagnostic information Vivid i User s Manual 2378958 100 Rev 02 93 Scanning Modes PW and CW Doppler PW and CW Doppler overview 4 cardiac adult GEMS Ultrasound 3S RS MI 0 5 IE cardiac 15 11 04 14 02 21 ADM Cardiac Tis 1 5 15 11 04 14 02 23 T
59. into the Measurement menu 2 Press SET 3 Press or to move the selection up or down inside the Measurement menu Deleting an item in the Measurement menu 1 Trackball to the entry to delete in the Measurement menu 2 Press SET 3 Press BM to delete the item Display hide a folder or a measurement in the Measurement menu The Measurement menu Folders and Measurements can be configured to display only the entries folders and measurements of interest To hide a folder or a measurement 1 Uncheck the actual folder or measurement in the Folder or Measurement field in the Configuration window To display a hidden folder or measurement 1 Check the actual folder or measurement in the Folder or Measurement field in the Configuration window Creating a user defined folder 1 If the folder is to be inside another folder select the actual folder in the Measurement menu 2 Press Add folder The Measurement menu is updated 3 Select the new folder and Enter the folder name in the Name text field Adding a measurement to a folder The user can either add a pre defined measurement or create a new measurement with user defined parameters to a folder see page 135 for more information Vivid i User s Manual 301 2378958 100 Rev 02 Presets and System setup The Advanced sheet The Advanced sheet enables further configuration of the Measurement function The settings are divided into application specific paramete
60. light becomes brighter and watermark becomes less visible increase the brightness till watermark is visible again To adjust the Contrast of the display monitor On the alphanumeric keyboard press ALT Steer gt to increase contrast or ALT Steer lt to decrease contrast The contrast adjustment tool appears at bottom of screen as shown in Figure 1 11 The default setting of the screen is recommended to be at maximal contrast setting as shown in Figure 1 11 gt HAMANAR Figure 1 11 Contrast Control Vivid i User s Manual 41 2378958 100 Rev 02 Getting started Starting an examination Beginning an exam consists of three steps e Creating a new patient record or starting a new examination from an existing patient record see below e Selecting Probe and Application see page 46 e Start scanning see page 46 Creating a new Patient record or starting an examination from an existing patient record Starting an examination 1 Press PATIENT The Patient Handling screen is displayed af GEMSI Ut i JO 121 Figure 1 12 The Patient Handling Screen 2 Press CREATE NEW PATIENT To create an opera If the unit is password protected a Log In window will tor ID see appear asking for operator ID and password as explained page 331 in Figure 1 13 42 Vivid i User s Manual 2378958 100 Rev 02 Getting started Data stored only for the duration of the current examination Select th
61. report is saved Use the worksheet see page 147 to facilitate the review and adjustment of data before generating a report The final report can be printed on a regular laser printer 236 Vivid i User s Manual 2378958 100 Rev 02 Report Creating a report Reports summarize data obtained in the examination They can contain data and images Once generated the report can be viewed images can be added wall segment diagrams can be assigned and text can be entered in the free text fields All other information must be changed from the Patient information window and the Worksheet screen Working with the report function 1 Press REPORT The default template for the current examination is displayed see Figure 9 1 The information entered during the examination in automatically filled out e g demographic Diagnosis Comments etc Vivid i User s Manual 237 2378958 100 Rev 02 Report 2 Preview Cardiac report Complete Images Some image 1 image 2 ent ld 370 epa pos Me ame me GE Vingmed Ultrasound image 3 image 4 Development in pos 1 Assigned keys e Print Store Retrieve Template Designer MORE menu e Save as Delete Figure 9 1 The Report screen and assigned keys 238 Vivid i User s Manual 2378958 100 Rev 02 Report To choose another report template 1 The Template selec tion menu can be configured to dis play only the tem plates of i
62. reviewed before operation of the A unit CAUTION Finding information Table of Contents lists the main topics and their location Headers and Footers give the chapter name and page number Index provides an alphabetical and contextual list of topics Vivid i User s Manual 3 2378958 100 Rev 02 Introduction Conventions used in this manual DANGER A WARNING A CAUTION 2 column layout the right column contains the main text The left column contains notes hints and warnings texts Keys and button on the control panel are indicated by over and underlined text ex 2D refers to the 2D mode key Bold type describes button names on the screen Italic type describes program windows screens and dialogue boxes Icons highlight safety issues as follow Indicates that a specific hazard exists that given inappropriate conditions or actions will cause e Severe or fatal personal injury e Substantial property damage Indicates that a specific hazard exists that given inappropriate conditions or actions will cause e Severe personal injury e Substantial property damage Indicates that a potential hazard may exist that given inappropriate conditions or actions can cause e Minor injury e Property damage Vivid i User s Manual 2378958 100 Rev 02 Introduction Contact information If additional information or assistance is needed please contact the local distributor or the a
63. started Description Displays the examination report Displays the available body marks for the current application Erases all previously typed annotations and body marks Provides access to controls for ECG trace The ECG controls appear on the soft menu Displays an arrow that can be used to point ata specific structure in the image Enables text annotation to be inserted on the image The annotations can be typed or selected from a configurable menu Can be used to delete text during text annotation 34 Vivid i User s Manual 2378958 100 Rev 02 Getting started oP oe oS OND The Scanning screen GEMS Ultrasound 24 10 04 16 31 42 ESV Teich 3 LA Diam Ao Diam LYOT Diam 2 10 cm RA Area y im xP Variance FrameRate Baseline Simultan 21 20 19 13 Current patient data Date amp time of original image Institution Operator ID Application amp Temperature indicator for TEE probe Probe Mechanical amp Thermal Index Current date amp time Heart rate Parameter window all modes 11 12 13 14 15 16 Greyscale Color bar Soft menu window Clipboard navigator Cine progress bar Current menu name Soft menu control button ADM Pediatric 7 cave e q a VP e ce E O 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 7S RS M1 0 8 HR 96 Tis 1 3 24 10 04 16 31 42 Tissue Freq Proc Power FP
64. sweep Color M Mode only Adjusts the horizontal refresh rate of the M Mode area of the display Scale Adjusts the repetition rate of the Doppler pulses transmitted to acquire the data for color flow mapping The Scale Nyquist limit should be adjusted so that no aliasing occurs while still having good resolution of velocities The Nyquist limit should be somewhat above the maximum velocity found in the data Baseline Adjusts the color map to emphasize flow either toward or away from the probe Baseline is available in both Live and Freeze LVR Low Velocity Rejection LVR also called Wall motion filter enables the extent of low velocity removal to be adjusted Invert Enables the color scheme assigned to positive and negative velocities to be inverted Invert is available in live and cine replay Variance Controls the amount of variance data added to a color display Variance enables computer aided detection of turbulent flow e g jets or regurgitation Variance is available in live and cine replay Color maps Displays a menu of color map options Use the trackball to point to a color map and press SET to activate the desired color map Each color map is assigning different color hues to different velocities Cineloop in Freeze Color 2D mode only Allocates different cineloop control functions to the assignable soft keys 90 Vivid i User s Manual 2378958 100 Rev 02 Scanning Modes Use Averag
65. the Export patient window to export all patient records e Press Today to display today s examinations and select the actual examinations Fill in the Exam between field to display the patient records done during a specific time period and select the actual records Vivid i User s Manual 2378958 100 Rev 02 211 Archiving e Fill in the Born between field to display the patient records of patients born during a specific time period and select the actual records 8 Adjust the following settings if available as desired e Delete selected patient s after copy e Copy images Copy only exams with on line images when checked only selected examinations with accessible images will be copied Press Copy If one or more patient examination is already present in the destination archive the Export Import conflict window is displayed see Figure 8 42 For each conflicting item select Keep to keep the existing examination in the destination archive Replace to replace the existing examination with the corresponding item in the source archive IMPORT EXPORT COHFLICTS Last name First name Pat id Exam Date K Replace Images Demo 020202 15 02 2002 Images Demo 020202 21 02 2002 Images Demo 020202 03 02 2003 Images Demo 020202 24 04 2003 Figure 8 42 The Export Import conflict window Press OK to resume export A progress indicator is displayed When done a status window is displayed showing the nu
66. the cursor Press SET to anchor the point The depth value cm is displayed in the Measurement result table 120 Vivid i User s Manual 2378958 100 Rev 02 Measurement and Analysis See the Status bar to get the next step to perform The measurement display color on the M Mode changes from green to red af ter completion of the measurement The measurements displayed on the M Mode image and the corresponding results are num bered M Mode Measurements In M Mode the user can perform distance and time measurements This measurement package has also the following pre defined measurement studies LA Ao e LV RV M Mode Length measurements Generate the M Mode image Press FREEZE to stop the cineloop Press MEASURE on the Control Panel Select caliper in the Measurement Menu Trackball the cursor to the start point of the measurement Press SET to anchor the start point of the measurement Trackball the cursor to the measurement end point The current distance value is displayed in the Measurement result table and is instantaneously updated when moving the cursor 8 Press SET to anchor the end point of the measurement The measurement result is displayed in the Measurement result table 9 To assign a label to the measurement see page 115 10 Repeat steps 5 through 8 to make additional length measurements Editing M Mode Length measurements 1 Trackball the cursor to one of the a
67. the keyboard Ensure the cable is free Be sure that the probe head is clean before placing the probe in its storage case Transporting Probes When transporting a probe a long distance store it in its carrying case Storing Probes It is recommended that all probes be stored in the carrying case provided First place the probe connector into the carrying case Carefully wind the cable into the carrying case Carefully place the probe head into the carrying case DO NOT use excessive force or impact the probe face 40 Vivid i User s Manual 2378958 100 Rev 02 Getting started Adjusting the display monitor The LCD screen brightness controls may need periodic adjustment due to changes in ambient light On the bottom left corner of the screen you should be able to see a dark yet visible letter V which is called Watermark If the watermark is not visible it is because the screen is adjusted too dark relative to the surrounding bright ambient light conditions In this situation the screen brightness should be adjusted To adjust the Brightness of the display monitor On the alphanumeric keyboard press ALT PgUp to increase brightness or ALT PgDown to decrease brightness The brightness adjustment tool appears at bottom of screen as shown in Figure 1 10 eH Figure 1 10 Brightness Control In a totally dark room it is recommended to set brightness down all the way all rectangles are empty When ambient
68. 0 Rev 02 Getting started A WARNING L CAUTION Two interchangeable USB ports digital printer CD RW and other peripherals Docking connector for future external devices Port for DC IN AC Power Adapter SVGA Output VCR option or External monitor LAN 10 100 Base TX Ethernet network connector PCMCIA port for wireless card Ejection lever for PCMCIA device NoOaPOoON a Figure 1 3 Peripherals Accessory Connector Panel Accessory equipment connected to the analogue and digital interfaces must be certified according to the respective IEC standards e g IEC 60950 for data processing equipment and IEC 60601 1 1988 for medical equipment Any person connecting additional equipment to the signal input part or output part is configuring the medical system and is therefore responsible that the system complies with the requirements of the system standard IEC 60601 1 1 2000 If in doubt consult the technical service department or your local representative Do not touch the conducting parts of the USB or Ethernet cables when connecting equipment to the unit The connection of equipment or transmission networks other than as specified in these instructions can result in electric shock hazard Alternate connections will require verification of compatibility and conformity to IEC EN 60601 1 1 by the installer 16 Vivid i User s Manual 2378958 100 Rev 02 Getting started Socket Signal type Device type Note
69. 02 Presets and System setup Languages Parameter Description Language Select the desired language for the system Manta Landa from the pop up menu Manual language Select the desired language for the Online manual If not available the English manual will be displayed as default Units Parameter Description Units Metric Select the desired units Metric or US from the pop up menu About The About sheet gives informations about the ultrasound unit concerning e software e hardware e Probes Vivid i User s Manual 329 2378958 100 Rev 02 Presets and System setup Administration Only users with ad The Admin category deals with the following ministration rights have access to this setup category see page 331 Disk management enables the management of the hard disk space while maintaining the patient database on the system see page 223 Backup enables the backup procedures for local patient and report archives as well as system and user defined configuration see page 227 Restore enables data retrieving of patient and report archives as well as system and user defined configuration presets from a backup see page 230 Users deals with operators registration operator s rights setting and registration of staff related to an examination e g referral doctors sonographers etc System Administration keeps track of all the options implemented in the unit U
70. 1 Deleting an archived report eeeeececeeeeeeeseeeeeeeeeeeeeeeeees 241 Directo diari o da 242 Greating Commen Sacco ii 242 Creating pre defined text iputS occocnnnncccccnnnnconncnccccnns 243 Report GESIQMEN saci sieissinetn cate candeateniwchurnsanecdivansteusudeeuttaauausuducasyl 244 Accessing the Report designer ccceeeeeeeeseeeeeees 244 Report designer OVervieW ooooccccccccoccccccccconononcncnnnnnnnannnnnos 244 Saving the report template ccccceeeeeeeeeeeeeeeeeeeeeeeees 257 To exit the Report designer cccceeeceeteeeeeeeeeeeeeteeeees 258 Report templates management eccceesseeeeeeeeeeeneeeeeeeeeees 258 Configuration of the Template selection menu 259 Export Import of Report templates ooooocccncccccccnccccccnncco 260 Chapter 10 Probes Probe Overview iii idad 264 Supported probes wks eo aie nen aio 264 Probe labelling lat tii id 267 Vivid i User s Manual 7 2378958 100 Rev 02 Probe Integration csi dins 269 Connecting the probe occccnnnnncccnnnnnnnncccccccnnncnanancccnnnnnnnns 269 Activating the DIODE rusia 269 DISCONNECTING the PrODE weiss ocre ons 270 Care and Maintenance ccccceseeseeeeeeeeesesseeeeeeeeeeessenneeeees 271 Planned Mantenance visor 271 Probe Slide AS 276 El cifical hazardS ias 276 Mechanical Nazas 276 Biological hazards A O A OS 277 Chapter 11 Peripherals IMroducloNioaincirn iaa 280 A latin
71. 1 6 The Vivid i Control Panel Vivid i User s Manual 25 2378958 100 Rev 02 Getting started Key illumination The keys on the control panel are illuminated according to their availability illumination in green the key function is currently active Illumination in yellow the key function is available but not active in the current state of the scanner No illumination The key is not available in the current state of the scanner Power On Off key Description Turns the unit ON and OFF Sets the unit to Standby Description Displays the Archiving opening page Enables the user to perform the following functions Application e Create a new patient record Edit the current patient s information Browse the Patient List to search for patient records End the current examination For further information refer to page 42 Displays the Select Probe and Application dialog box that enables the users to select the desired probe and application preset for the current examination For information about selecting probes refer to page 46 and page 263 26 Vivid i User s Manual 2378958 100 Rev 02 Getting started Description Brings the scanner into the Image review mode that enables the user to select images from the clipboard for analysis activate the image browser or enter the Image Review screen where bigger previews of the images are shown for image se
72. 2378958 100 Rev 02 Safety Regulatory information The GE Vingmed Ultrasound product families are tested to meet all applicable requirements in relevant EU Directives and European International standards See Standards used below Any changes to accessories peripheral units or any other part of the system must be approved by the manufacturer GE Vingmed Ultrasound Ignoring this advice may compromise the regulatory approvals obtained for the product Please consult your local GE Vingmed Ultrasound representative for further details Standards used The Vivid i ultrasound unit is a Class device type BF according to Sub clause 14 of IEC 60601 1 1988 To fulfill the requirements of relevant EC directives and or European Harmonized International standards the following documents standards have been used 93 42 EEC Medical Devices Directive MDD EN 55011 CISPR 11 3 1991 Emitted noise according to Class B requirements Electromagnetic Susceptibility IEC 60601 1 1988 Medical Electrical Equipment Part 1 General EN 60601 1 1990 Requirements for Safety UL 2601 1 8 1994 CLASSIFIED BY UNDERWRITERS LABORATARIES INC WITH RESPECT TO ELECTRICAL SHOCK FIRE AND MECHANICAL HAZARDS ONLY IN ACCORDANCE WITH UL2601 1 AND CAN CSA C22 2 NO 601 1 IEC 1157 EN 61157 1994 Requirements for the declaration of the acoustic output of medical diagnostic ultrasonic equipment EN 60601 1 2 2001 Medical Electrical E
73. 36 Johnson J Le ar hn 999 1012 Time motion cursor conventional M Mode Depth Scale Focus Marker Time Scale PSN Figure 3 3 The cardiac M Mode screen top bottom This unit has two types of M Mode e Conventional M Mode MM displays a distance time plot of a cursor line in the axial plane of the 2D image Anatomical M Mode AMM displays a distance time plot from a cursor line which is independent from the axial plane AMM is available in greyscale or in color modes M Mode and 2D Mode display areas can be side by side or top bottom Conventional M Mode can be combined with Color see Color M Mode overview on page 89 Vivid i User s Manual 83 2378958 100 Rev 02 Scanning Modes On some low fre quencies the sys tem switches automatically to second harmonic mode The word Octave appears in the status win dow M Mode controls M Mode assignable controls Horizontal sweep Adjusts the horizontal refresh rate of the M Mode area of the display Horizontal sweep does not change the acquisition resolution so that user can change the horizontal sweep in replay with no loss of quality Frequency Resolution Enables the adjustment of the probe s operating frequency Rotate the knob clockwise to increase the frequency The selected frequency is displayed in the status window For some probes applications the lowest frequency settings will be Octave imaging settings
74. 43 2378958 100 Rev 02 Getting started If the unit is configured to display the Patient information window follow the steps below 1 Enter additional patient information if required Select between cardiac obstetric gynecology etc to enter application specific patient info Displayed when the button More is depressed see Figure 1 15 Press EXAM LIST fo 2 Press Begin exam or any active scanning key to start the display the previous examination examinations and In the scanning screen the patient information is displayed diagnosis informa A A Hon e eA on the left side of the Title bar see Figure 1 16 patient Enter addi tional patient infor mation if required ee GEMS Ultrasound 3S RS MI 1 0 HR 68 Jo 15 11 04 11 57 42 ADM Cardiac Tis 0 8 6 15 11 04 11 58 18 ae 4 T Operator Login SEARCH CREATE PATIENT J ADM Last Name Dataflow Patient ID Name Local Archive Int First Name i ddimmiyyyy Age aihama ee Images WIVID_1 000110 Arc Category Cardiac Sex female __ male Echolab Born between ig Image disk Diagn code o Today Capacity 45 1 GB r Free space 45 1 GB Images Stress No Report Category Diagn Phys f Patient List 1 4records fetched of total 4 Show All we Last Name FirstName Patient ID Birthdate Exam Date img Str Rep Size Code patient1 p41 1411 2004 patient2 3234232 14 11 2004 i patient3 p3 15 11 2004 Status READY E patient4 t5 15 11 2004 Jobs 0 Sp
75. 58 100 Rev 02 205 Archiving CONNECTIVITY Name WorklistLocal Archive DICO Direct search All patients Search Criterian Imaging Add to List 1 The dataflow sheet 2 The Properties window for the Worklist device 3 The Search criteria window Figure 8 38 Adjusting the Search criteria Checking the connection to the DICOM server 1 Inthe Dataflow sheet select the DICOM device to verify the connection to 2 Press Check The verification process may takes several seconds 206 Vivid i User s Manual 2378958 100 Rev 02 Archiving A green check mark is displayed in front of the DICOM device if the verification is successful e A red cross is displayed in front of the DICOM device if the verification failed Data management Scanner s dataflow configuration 1 2 3 4 5 Press CONFIG and log on as administrator Select the Connectivity category and Dataflow subgroup The Dataflow sheetis displayed Select a DICOM server dataflow Press CONFIG to exit Press OK in all messages appearing under exit Reboot the scanner Performing a study Online scanner Create a new patient and perform the examination in a usual manner During the examination images are temporarily stored in the local buffer on the system At the end of the study press END EXAM on the Control panel The save images dialogue window is displayed 7 Question Unsaved image s Which do you w
76. 65 BOO cal Niza RS 360 A A r Soom 359 Equipment S MN aia 359 EXPIOSIO Mz aid 359 Mechanic Maza a baaa 358 Pacemaker Maz redondas 360 PANAS SU oe 357 Personnel SV i E E E E E 359 Sample volume Glor Mode nyos a aS 91 GW Dopplera eco rra e dl e 96 Optimizing Color Mode aa 93 Optimizing CW Doppler sce fase tcc a tee tera a oars a oa 98 Optimizing PW Bye amp e a e e sre Ue a enn awe ea eee o nv emer ee 98 EDO ii 96 Scale O RE Tee ee 90 Scanning A A alee mnTErE Toe Ie 35 A A a 46 A acetone een am ia a eacRNT 9 Soft Men ROCKET rad AAA ee 49 USINO O O 53 System Controls affecting acoustic UI edo ll 355 Se A een eee 18 System Set e POPE A O eee aes 283 334 PII G ALI ON et cessed ii 291 CoOnnectivitys cht A 309 326 EXamiIn ato TWIN o io 321 o o 321 ri O O 289 Language airada 327 MEAN A AAA AAA R 296 O cued t 321 a cal ca a A cote ee 290 A a eg acca lank acerca tet a le ae a es 291 Starting system A A PA 287 IES A AO 327 A A tence aed ocntg E otiaana nas team cea 334 Vivid i User s Manual 375 2378958 100 Rev 02 Index A O aei 331 T Pe A nek Aas it Yc 326 TGC see Time Gain Compensation iconos 80 Tilt tele aia ed ee RE 81 A a e e 106 Time Gain Compensation TGC A NO E dass hora oa naar aeons A 80 Opimizing 2D o ob 82 Optimizing MMS tt a asias 87 Tissue priority Color MAdS esti cda pacta 91 Optimizing Color Mdee RD 93 Trackball Operati ON cassiniae A A N S 54 V Variance Color MOUS al al 90 Optimizi
77. 8 MPECGVUIO e VUE airis 160 e Retrieving and editing archived information ooooooccccnonnnnnnccnnnnnna oe 168 e Locating a patient record oooooonnccccccnnccccccccnccccnnnnnnncncnnnnnnnnannnnos 168 e Selecting a patient record and editing data in the archive 172 e Deleting archived information oooonnnnnnnncccncnnncanoccccnccnncnannnnno 176 e Moving examinations sia cnn acts eae dade 178 e Review images in archive cccccesesseeeeeeeeseeeeeeeeeeeeeensneeeneeees oe 181 e Review the images from a selected examination 181 e Select images from the Image list screen ooonnccccccccnninacncco 182 CONNEOCHVIY irc ear cin we 186 e The dataflow CONCOPlissoaaa ici 186 e Stand alone scanner scenario ooocccccnccncnccccccccnnnnnnncncnnnnnnnnnncnnos 189 e A stand alone scanner and a stand alone EchoPAC PC ENVIE bios iaa 190 e A scanner and EchoPAC PC in a direct connect environment 192 e A scanner and EchoPAC PC in a network environment 196 e A scanner and a DICOM server in a network ceeeeeeeee 198 e Export Import patient records examinations ommmmccccccnnnnnnanannnnns oe 209 e Exporting patient records examinations ooccccccconcccccccccccnnannncnos 209 e Importing patient records examinationsS ooococcconccccccccccccnannncnos 216 Disk Management ministre di au 220 e Configuring the Disk management function cooonncccccccccnccannncoo 221 Vivid i User s Manual 153
78. 958 100 Rev 02 323 Presets and System setup Parameter Description Auto search for patient In the Search Create Patient window see page 44 page 169 and page 171 M The system searches automatically through the patient archive selected while entering patient information LJ The system searches through the patient archive after pressing SET Pre defined text directly In the Examination list window see page 172 M the Insert text key launches pre defined text input Y Predefined text directory C the Insert text key open the extended text field AAA Examination list on Archive button When a patient is selected pressing ARCHIVE will M open the Examination list window for the selected patient J open the Patient Information window for the selected patient Automatic generation of patient ID In the Search Create Patient window page 44 M Patient ID is not required when entering a new patient in the archive The system generates automatically an ID number J Patient ID is required when entering a new patient in the archive Request acknowledge of End Exam action M The user is asked to confirm action when ending an examination 324 Vivid i User s Manual 2378958 100 Rev 02 Presets and System setup Parameter Description Go directly o scanning from search M The unit goes directly to the Scanning screen after selecting creating patient record
79. A 10 Connectivity BUS e rd oe I aha chee 318 Dadas a e a eet ee le IO eo wh 310 OVENI E Wiren EE A E O Ra 309 368 Vivid i User s Manual 2378958 100 Rev 02 Index Contour Ua Satie hg el 81 V GCOMM AS Bcctee caries cece SO 106 MEMOd6e 2 sn ee ert cere A ie ee or SE 84 Optimizing DOT AOS a do o ed dao 87 A A acct R 103 108 EV Gontra st Imagihg A Cate a lA en Gaia dh ete ie 104 Control IAS Ecce acto a en ence a 25 34 CW DOD DOE conocer ee ae eee a 94 99 A A bao t 95 A O A Ore na an SEO eRe nic 98 CSG WN apostle A a ce Sh e ol 94 A TOS 98 D DDP DA deep aden eae ease areas eca eda 81 IE 0 gh 2c cen rere II CEE ROUTH EU Se TET 107 OPINA e a e a do 82 Delete EXAMINAN A eSNG Aes aan 176 MAS AAA ie 177 Ratentrecord x tases sick etn teas elites Aiba Rela T O E eed Secrest ate 176 Depth O Mie ee ano nie See Bed ee Ree ahd 80 A etea ae eee wets 82 Diagnosis code seiner eee Ra O 174 Bite vdiasihauedabrtannaaiee e one 173 DIG OM SPOOR e EAE 232 DICOM AV GMC AMON erre lc id pom ainda cd bal cried 320 Diff On Off e es endo an Edd 81 Diff on off A 107 A AR 242 DIS a a di de 226 Disk MAN sd 220 CONUN tata 221 destination device oo eee eeccecccsseessssssssecsssecsssccsssccsssccssscsssscssseccssscessecsssscsssecsssecsseecssecsiessieeesieee 222 MAM UAL SAM nce Ricco ia o tra e O Secon ae autho tes 223 CUNNING ON 223 Vivid i User s Manual 369 2378958 100 Rev 02 Index SP tine beeen tid Neca th destaereti Ria uth uaa
80. C PC depending on the environment can be exported to a removable media or to a DICOM server Database information patient and report archives can be exported with or without images No data is deleted from the source archive when exporting data unless the command Delete selected patient s after copy is checked in the Export patient window see Figure 8 41 page 211 Similarly patient records examinations from the local archive on one system can be imported to the local archive on another system via a removable media Database information can be imported with or without images No data is deleted from the source archive when importing data In addition patient records from a removable archive can be imported to a remote archive Echo server If an examination is opened it must be closed before performing Export Import of patient records examinations to guarantee that CAUTION all data is included in the transfer Exporting patient records examinations 1 Insert a blank formatted see page 320 removable media in the drive 2 Press PATIENT on the Front panel then select Patient List The Search Create Patient window is displayed Figure 8 12 page 169 3 Select the source archive in the Dataflow field e LocalArchive Int HD exports data from the local archive RemoteArch RemoteHD exports data from an Echo server 4 Press Export in the Search Create Patient window Vivid i User s Manual 209 2378958 100 Rev 02 Archiv
81. DiagCode Tape MA Report Image Disk SRV 15 02 2002 Local HD adm 21 02 2002 Local HD ADM 03 02 2003 Local HD ADM 24 04 2003 ADM 19 08 2004 E gt TT TT T T Referral Reasons Gieori lost Comments Insert Text Diagnosis Code Insert Text 1 The information displayed in the Patient listis 3 Insert pre defined text in the Comment field configurable see page 321 4 Select the column heading border and drag to 2 Go to Search Create Patient window see adjust column width page 169 Figure 8 14 The Examination list window 172 Vivid i User s Manual 2378958 100 Rev 02 Archiving Editing Referral Reasons Comments and Diagnosis The user can edit the actual text in the Examination List window using the alphanumeric keyboard and by inserting pre defined text input The user is responsible for patient demographic data diagnostic A information or any other patient related information entered in CAUTION the database Text edition 1 2 Use the Arrow keys 3 to move text mark 4 er In the Examination list window Figure 8 14 trackball to the required field Press SET Using the alphanumeric keyboard edit the information Press ARCHIVE on the control panel to quit the archive Inserting pre defined text input Hormal echo In the Examination list window trackball to Insert Text over the actual field Press SET The nsert text window is displayed see Figure 8 15
82. Disk management system can be set up so that a reminder is displayed at a regular time span 220 Vivid i User s Manual 2378958 100 Rev 02 Archiving Configuring the Disk management function Configuration of the Disk management system can only be done by user with administration rights 1 2 3 Pens Press CONFIG If required log on as administrator Select the Admin category In the Admin category select the sheet Data Management ADMIN Disk Management Backu Reminder Interval Every Manage files Older gt e SM_CPY_INFO 6 gt Operation Delete Destination Device 5 1 4 MO Disk G On Path Imaging Meas Text Report Connectivity System About Admin Service Sets the reminder time interval for running Disk management Sets the files to be managed based on the examination dates Sets the Disk management to copy move or delete images Sets the destination device Figure 8 50 The Disk management sheet Disk management schedule settings 1 Next to Reminder interval specify the number of days weeks you want the system to prompt you to perform disk management This setting should be set based on the activity of your office institution If None is selected no reminder is displayed Vivid i User s Manual 2378958 100 Rev 02 221 Archiving To be able to select a network shared folder in the Desti nation device field its path must have been entered once in the f
83. FREEZE to stop the cineloop Press MEASURE on the Control Panel Select Point Caliper in the Measurement Menu Trackball the cursor to the position to measure The current velocity is displayed in the Measurement result table and is instantaneously updated when moving the cursor Press SET to anchor the point The velocity m s and pressure mmHg values are displayed in the Measurement result table Velocity and Pressure caliper measurements JO Q eO IN a Generate the spectrum to be measured Press FREEZE to stop the cineloop Press MEASURE on the Control Panel Select Caliper in the Measurement Menu Trackball the cursor to the start point of the measurement Press SET to anchor the start point of the measurement Trackball the cursor to the measurement end point The current velocity and pressure values are displayed in the Measurement result table and are instantaneously updated when moving the cursor Press SET to anchor the end point of the measurement The following measurement results are displayed in the Measurement result table e Velocity and pressure at anchor point positions e Velocity V3 and pressure p3 differences between 124 Vivid i User s Manual 2378958 100 Rev 02 Measurement and Analysis The measurement display on the spec trum and the corre sponding result are numbered Adjust Compress and reject controls to optimize the Doppler signal The measurement display color on s
84. Figure 2 2 The Assignable Keys and Soft Menu The soft menu provides access and user control of different system parameters The contents of the soft menu is different for every system mode This provides access to the relevant settings in each of the different modes There are several different control key elements in the soft menu area as follows Variable Single parameter button Baseline In this example the Baseline parameter can be increased by pressing the upper or right hand area of the corresponding assignable circular button on the keyboard The same parameter can be decreased by pressing on the lower or left hand area of the same button 50 Vivid i User s Manual 2378958 100 Rev 02 Basic scanning operations The bar in the center of the button graphic changes its length to reflect the change in the value of the controlled parameter An alternative method for modifying the parameter associated with this button is to click with the mouse pointer on the relevant area of the button graphic Variable Dual parameter button In this example the button has access to either Frame Rate or Low Vel Reject parameters When the Frame Rate upper label is highlighted the parameter Frame Rate can be increased by pressing on the right hand area of the circular assignable button and decreased by pressing on the left hand area of the button When pressing on the bottom area of the b
85. Flow Transcranial 18 x 24 mm CW Doppler Abdomen PW Doppler 2D mode Cardiology Frequency 3 0 M Mode Pediatric heart Foot print 8 0 MHz Color Flow Coronary 15x 21 mm CW Doppler Neonatal head PW Doppler Abdomen Obstetrics 2D mode Cardiology Frequency 4 0 M Mode Pediatric heart Foot print 12 0 MHz Color Flow Coronary 10x 14 mm CW Doppler Neonatal head PW Doppler 264 Vivid i User s Manual 2378958 100 Rev 02 Probes Linear Array probes Mode Intended use Technical data 2D mode Peripheral Frequency 3 2 7 5 MHz M Mode vascular Foot print 17 x 58 mm Color Flow Small parts CW Doppler PW Doppler Curved Array Convex probes Mode Intended use Technical data 2D mode Abdomen Frequency 2 2 M Mode Aorto lliac Foot print 6 0 MHz Color Flow Fetal Heart FOV 15 x 62mm CW Doppler Obstetrics 58 degrees PW Doppler Pelvic Renal Doppler probe Mode Intended use Technical data CW Doppler Cardiology Frequency 2 0 MHz CW Doppler Vascular Frequency 6 0 MHz Vivid i User s Manual 265 2378958 100 Rev 02 Probes Multiplane Transesophageal Phased Array probe Mode Intended use Technical data 2D mode Transesophag M Mode eal Cardiology Color Flow CW Doppler PW Doppler Frequency 2 9 6 7 MHz 266 Vivid i User s Manual 2378958 100 Rev 02 Probes Probe orientation Some probes are provided with a green light
86. Full Shutdown mode and remove the AC power plug from the wall outlet 2 Fold the LCD screen to the fully closed position Note the marks on Disconnect all cables linking the system or peripherals to each cable to recon any off board peripheral devices and network t them later ip ida EE 4 Secure the units power cable on the Cart 5 Place all probes securely on the cart Ensure that the probe cables do not protrude from the unit or interfere with the wheels 6 Ensure that no loose items are left on the unit a To ensure safety while moving the unit 1 Ensure that the LCD screen is in the locked position 2 Proceed cautiously when crossing door or elevator thresholds Do not attempt to move the unit using cables or probe connectors Take extra care while moving the unit on inclines 3 Ensure that the unit does not strike the walls or door frames 4 Ensure the pathway is clear 5 Move the unit slowly and carefully A Avoid ramps that are steeper than 10 degrees CAUTION 22 Vivid i User s Manual 2378958 100 Rev 02 Getting started Transporting the unit Take extra care when transporting the unit by vehicle In addition to the moving precautions listed on page 22 follow the procedure described below 1 Disconnect all probes and secure them in their boxes 2 Remove the Vivid i system from the Cart and place it in the travel bag supplied by GE or an equivalent suitable travel bag Unit accli
87. G copy is created and stored to the destination set during the configuration of the dataflow Reading an MPEG exam A MPEG exam can be read from any computer with Windows 98 2000 XP provided that DirectX 8 1 or later and Windows Media Player 7 1 or later are installed In addition the following requirements should be met CPU speed 700 MHz or faster RAM memory 128 MB or more e Screen resolution 1024 x 768 pixels recommended e Colors 24 bit or higher The PC should be configured for Auto play 162 Vivid i User s Manual 2378958 100 Rev 02 Archiving To read an MPEG exam 1 Access the media by following one of the options below To read MPEG exams stored on a CD insert the MPEGVue CD into the drive The Patient Listis displayed Figure 8 5 To read MPEG exams stored on other media insert the media or locate the network shared folder containing the MPEG exams and double click on the file START_MPEGVue bat The Patient Listis displayed Figure 8 5 Patient List NAME Exam pue KD QTS06032003 Patient2 Test 0603 2003 QOTSO7032003 Patient3 Test 07 03 2003 1 Select the examination date Figure 8 5 The MPEGVue Patient List 2 Select the desired examination date to display the belonging images The MPEGVue screen is displayed Figure 8 6 Vivid i User s Manual 1 63 2378958 100 Rev 02 Archiving 1 Clipboard select the image to display 7 Save image as MPEG or Bitmap
88. GE Medical Systems Technical Publications Vivid i CE osas User Manual Volume 1 GEVU 2378958 100 GEVU Rev 02 Operating Documentation Copyright 2005 By General Electric Co GE Medical Systems MANUAL STATUS GE Medical Systems All rights reserved No part of this 2378958 100 manual may be reproduced stored in a retrieval system or 6 7 2005 transmitted in any form or by any means electronic mechanical photocopying recording or otherwise without the prior written permission of GE Medical Systems COMPANY DATA GE Medical Systems Ultrasound Israel Ltd Einstein Bldg 7 Etgar st P O Box 2006 Tirat Hacarmel 39120 Israel Tel 972 4851 9555 Fax 972 4851 9500 Table of Contents Introduction ATA a aia 1 Safely hinian 6 UUO O aa aia araia aari Eaa Edda naair ais aa 1 Interference caution io ccococcoccnicnnncincniacan ncaca danna rra nan ce duna nnmnnn nnn 1 Indications TOM USO is 2 ContraliidicatiONS coordinan 2 Manual Contents cuicos iaa ainia andara 3 Finding information jrsecc ere iia al 3 Conventions used in this Manual cccccesssseeeeeeeeeeeeeeteeeees 4 Contact informaticas 5 Chapter 1 Getting started INTFOCUCTON coccion irc 8 Preparing the unit fOr USO oooommnconncncnnnnnnoccncnnnnnnnnnacnncnnnanacnnnnnnns 9 A rics pidestectteepiesttnediecerneriacieteeedbastectteedaetioaae 9 Connecting SUN ras 10 Moving and transporting the unit ooooannccccccncnnnonacoconenn
89. IMP MCO AV ET AV ET 1 2 In the user defined folder e g My folder select the last measurement created e g AV ET Double click Name in the last line in the Parameter list in the Measurement menu sheet Enter the name for the formula e g My LIMP Select E The Edit formula window is displayed EDIT FORMULA OK a Cancel KA Check Functions Figure 6 12 The Edit formula window 10 11 Select from the Operators drop down menu In the Doppler drop down list select MCO My Folder MCO Make sure to select the measurement located in the user defined folder e g My Folder Select from the Operators drop down menu In the Doppler drop down list select AV ET My Folder AVET Select from the Operators drop down menu Select from the Operators drop down menu In the Doppler drop down list select AV ET My Folder AVET The Formula line should display MCO AVET AVE T 140 Vivid i User s Manual 2378958 100 Rev 02 Measurement and Analysis No units are necessary since the formula is a ratio see also About units on page 143 12 Press Check to make sure that the syntax for the formula is correct User defined measurements Some user defined formula may require measurements that do not exist on the system The following example based on a generic distance measurement illustrates how to create user defined measur
90. Image Browser and Image Selection screens The amount of data stored from 2D live is defined by the settings of the current application The application setting controls the number of cycles included or time span if ECG is not active time span before R wave etc refer to page 289 and page 291 for further information The amount of data stored in images from 2D replay is determined by the defined cineloop Images can be stored in either DICOM and GE Raw Data formats or DICOM format only depending in the dataflow configuration refer to page 310 for further information To store a single image 1 Press FREEZE 2 Press STORE to store the image digitally The thumbnail of the image is displayed on the clipboard See also page 156 for further information To store a cineloop While in scanning mode press the STORE button to store the last heart cycle loop It is possible to configure this function in several ways Cineloops may be stored directly or after preview depending on how the system is configured While in cine loop preview mode press STORE to store the selected loop Cineloop length and loop selection is adjustable in several ways The procedure for cineloop storage is described on page 156 60 Vivid i User s Manual 2378958 100 Rev 02 Basic scanning operations Using removable media A CAUTION A CAUTION The following removable media can be used for data storage e 5 1 4 Magneto
91. LED is lit Color Green LED 2 Indicates battery status When the battery is charged the LED is green When the battery power is low the LED is orange Color Green and Orange Password Protection Log In During the turn on process the system may require the user to enter a password in order to operate it Personal IDs and associated passwords can be configured in the Vivid i See Presets and System setup on page 283 for more information If IDs and passwords have been entered and the Use Auto Logon is Off see Users on page 331 for details the Operator Login Window appears requesting for an ID and 18 Vivid i User s Manual 2378958 100 Rev 02 Getting started password when Power up sequence is completed or when it is required OPERATOR LOGIN Operator Password Emergency 1 Operator Select the relevant Operator name 2 Password Enter the Operator s password 3 Emergency Data stored for the duration of the current examination only 4 Logon Select type of Log on for example Standard logon 5 Cancel Cancel Log on Figure 1 4 Operator Login Window Switching off the unit When the Vivid i is switched off the system performs an automatic shutdown sequence The unit can be switched off into two states Standby mode most of the system is powered down but a certain portion of the unit remains energized The standby mode allows a shorter reboot time when the system is used on a daily
92. Make the corresponding two measurements The measurements and the corresponding A B Ratio are displayed in the Measurement result table Doppler measurements The system can detect the trace automatically or the user can draw the trace manually Auto vascular calculation The system performs calculation automatically on the spectrum trace The auto vascular calculation can operate in live freeze or be turned off Live Frozen and Off commands in the Measurements menu From the Modify Calcs menu the user can e select the calculations to be displayed in the Measurement result table e set the calculations that should be default when an exam is started Save as default command e turn on the automatically detected trace to display max and or mean trace Max and Mean commands e display forward flow reverse flow or both flows Above Below and Both commands Setting up auto vascular calculation 1 Press MEASURE The Vascular measurement menu is displayed Figure 6 6 2 Press Auto and select between e Live calculation displayed on the real time image Freeze calculation displayed on the frozen image e Off auto vascular calculation is turned off 3 Press Modify Calcs The Modify Calcs menu is displayed Figure 6 6 4 Select Vivid i User s Manual 1 29 2378958 100 Rev 02 Measurement and Analysis Above Below or Both to select the spectrum to perform the calculations on i e above or
93. Manual 2378958 100 Rev 02 Archiving Creating a MPEGVue exam using the dataflow Local Archive Int HD eVue eVue The dataflow must be configured before first time use as follows 1 Press CONFIG and log on as administrator 2 Select the Connectivity category and Dataflow subgroup The Dataflow sheet is displayed 3 Select the dataflow Local Archive Int HD eVue in the Name pull down menu CONNECTIVITY Imaging Meas Text Report Connectivity System About Admin Service Figure 8 3 The Dataflow Sheet 4 Select the eVue device in the Selected devices pane and press Properties The eVue properties window is displayed Vivid i User s Manual 1 61 2378958 100 Rev 02 Archiving Remote paths of network volumes must be entered once in the Remote path field before they can be selected from the Destina tion Pull down menu EVue Properties Include Report layer Installation Max Framerate 30 Figure 8 4 The eVue properties window 5 Selecta removable media or a network volume remote path as the destination in the Destination pull down menu 6 Check the options as required 7 Select OK and press CONFIG To create an MPEG exam using the dataflow Local Archive Int HD eVue 1 Press ARCHIVE The Search Create patient window is displayed 2 Select the dataflow Local Archive Int HD eVue 3 Perform an exam When saving an image it is stored as raw data to the local machine an MPE
94. Measurement result table 126 Vivid i User s Manual 2378958 100 Rev 02 Measurement and Analysis Vascular measurements B Mode measurements The following instructions assume that you first scan the patient and press FREEZE Stenosis Stenosis by diameter 1 2 3 4 Press MEASURE on the control panel Open Stenosis in the Measurement menu Select Sten Diam Make a distance measurement of the inner area of the blood vessel Make a distance measurement of the outer area of the blood vessel The distance measurements and the Stenosis are displayed in the Measurement result table Stenosis by area 1 2 3 4 Press MEASURE on the control panel Open Stenosis in the Measurement menu Select Sten Area Make a trace measurement of the inner area of the blood vessel Make a trace measurement of the outer area of the blood vessel The area measurements and the Stenosis are displayed in the Measurement result table Volume The volume calculation can be made from one two or three distance measurements 1 2 3 Press MEASURE on the control panel Select Volume in the Measurement menu When doing volume calculation from three distance measurements i e biplane volume the measurements should be done in dual mode displaying a sagittal and an axial view One measurement is usually made in the sagittal plane and two measurements in the axial plane Vivid i U
95. OM format from to a DICOM formatted 5 25 MO disk DICOM CD read DICOM CD read Read DICOM Media from the CD drive DICOM Server DICOM server Store pure DICOM images to a DICOM device DICOM Print DICOM Print Send images to a DICOM printer 314 Vivid i User s Manual 2378958 100 Rev 02 Presets and System setup Dataflow Description Query Retrieve Query Retrieve Retrieve images from a DICOM server To select the default dataflow 1 Select the dataflow in the Name drop down menu see Figure 12 13 2 Check the Default box The dataflow will be selected by default when restarting the unit 3 Check the Direct Store box to have data stored automatically to the archive no buffer storage To create a new dataflow 1 Press Add The Add dataflow window is displayed Question Add Dataflow 3 7 Enter new name Workflow14 cancer Figure 12 14 The Add dataflow window 2 Enter a name for the new dataflow 3 Press OK 4 Select an Input device in the Available inputs outputs field and press the Right arrow button to assign the service to the dataflow 5 Repeat step 4 to assign input output devices as desired Most dataflows consist of one input device and one or several output devices However in two cases it is possible to have two input devices when defining a dataflow with DICOM Worklist or DICOM Query Retrieve in combination with a database 6 Adjust the device s p
96. Optical disk from Sony only 1 3 2 3 2 6 5 4 8 6 and 9 1 Gb e USB Flash Card e CD R CD RW is not supported DVD R Use only 24x or higher CD R Recommendation concerning CD and DVD handling To avoid data loss never touch the recordable surface of a disk Handle the disk only by the outer edge Do not place it face down on a hard surface Fingerprints or scratches will make the disk unusable Before usage verify that disk surface has no visible scratches If there are any scratches do NOT use the disk Writing on CD or DVD media Use specifically recommended for writing on CD or DVD media Never use a solvent based permanent marker on such media The following pens are recommended e Dixon Ticonderoga Redi Sharp Plus Sanford Powermark e TDK CD Writer e Smart and Friendly CD Speed Marker Formatting removable media MOD CD R and DVD R media must be formatted before use as described in below The formatting process will erase any data present on the disk Vivid i User s Manual 61 2378958 100 Rev 02 Basic scanning operations Removable media used during Disk space management or Backup do not need to be format ted the formatting process is part of these procedures To Format a removable media 1 2 3 Insert the media into the drive Press CONFIG If required log on to the system The Configuration package is opened Select the category Connectivity and select the sheet
97. PS MD ED TAMAX and PI are displayed in the Measurement result table Peak systole End diastole PS ED and End diastole Peak systole ED PS ratio 1 2 Select PS ED or ED PS Position the caliper at Peak systole or End systole and press SET to anchor the caliper Position the second caliper at End diastole or Peak systole and press SET to anchor the caliper and complete the measurement The Peak systole End diastole and PS ED or ED PS ratio are displayed in the Measurement result table Resistive index Rl 1 2 Select RI Position the caliper at Peak systole and press SET to anchor the caliper Position the second caliper at end diastole and press SET The Peak systole End diastole and RI are displayed in the Measurement result table TAMAX TAMEAN Volume Flow With Auto trace on Select TAMAX TAMEAN or Volume Flow Position the caliper at the start point and press SET to anchor the caliper Position the second caliper at the end point and press SET to anchor the caliper and complete the measurement A trace is displayed between the two calipers and corresponding measurements are displayed in the Measurement result table With Manual trace on Select TAMAX TAMEAN or Volume Flow Position the caliper at the start point and press SET to anchor the caliper Using the trackball draw the trace to the end point and press SET Vivid i User s Manual 2378958 100 Rev 02 133 Measurement and Analy
98. Rev 02 Archiving Dataflow selection Select a dataflow from the Search Create Patient window see Creating a new Patient record or starting an examination from an existing patient record on page 42 or configure the system with a default dataflow from the Configuration management package as described below Default dataflow selection 1 2 3 Press CONFIG and log on as administrator if required Select the Connectivity category and Dataflow subgroup The Dataflow sheet is displayed see Figure 8 27 Select the desired dataflow in the Name pull down menu and check the option Default Press CONFIG to exit the Configuration management package CONNECTIVITY Dataflow Additional Outputs ol Formats Tepig 2 Dataflow Local Archive Int HD Direct Store jirect search All patients Imaging Meas Text Report Connectivity System Service Select Connectivity category Select Dataflow subgroup Select a dataflow Default option for the selected dataflow Figure 8 27 Default dataflow setting 188 Vivid i User s Manual 2378958 100 Rev 02 Archiving Stand alone scanner scenario In this scenario images will most likely be reviewed from images stored in the internal archive If digital images are stored they should be stored on the scanner s internal harddrive Vivid i Figure 8 28 Stand alone scanner with LocalArchive Int HD dataflow Data management Data acquisition 1 Select t
99. S Depth Color Gain Scale 11 Freq sv LVRej Octave 3 5 6 9 MHz 0M1 2 610 7 10 23 84 cm s CF Live Tissue Priority Sample vol 1 2 DDP Frequency Lateral avg Radial avg iB gt r 13 184 4540 3 8 93 9 s 14 Pos CF Live 15 Invert Power Color Maps 7 16 Trackball assignment Service and iLing Caps on off Soft menu toggle button Clipboard image number Loop icon 4 way soft menu control Watermark area for screen calibration Prompt Status information Clipboard Heart rate Depth scale Focus marker TEE Scan plan indicator Probe orientation marker Measurement result table measurement mode Logo Figure 1 7 The scanning screen Vivid i User s Manual 2378958 100 Rev 02 35 Getting started The patient infor mation displayed on the Title bar is con The scanning screen is divided in several areas as follows The title bar From the left Patient Information Displays the information that uniquely identifies the patient such as patient name identification number and birth date figurable see ah A page 290 This information is entered in the New patient window as described on page 42 Institution name The institution name is entered from the configuration package See page 327 for more detailed information Operator ID Identification code of the operator See page 331 for creating operator ID s Date and time Displays the current date and time or
100. SS R R My Distance Area MM volume B Mass shunts Mi TSI time pisa Mi TSI Surface MM wallMotion 1 Select the scanning mode for the measurement to add to the Measurement menu 2 Select the folder for the measurement to add 3 Select the measurement to add Figure 6 7 Configuration of the Measurement menu 135 Vivid i User s Manual 2378958 100 Rev 02 Measurement and Analysis Configuration of the Measurement result table If AV CO calculation is not displayed in the Measurement result table follow the following procedure 1 Press CONFIG and select the category Measure The Measurement menu sheet is displayed The AV CO calculation is based on Doppler AV Trace measurement in the folder Aortic check Doppler in the Measurement menu sheet and select the folder Aortic In the folder Aortic select AV Trace measurement A list of all available calculations for the selected measurement is displayed in the Measurement menu sheet Check the box in front of AV CO The AV CO calculation will be displayed in the Measurement result table 136 Vivid i User s Manual 2378958 100 Rev 02 Measurement and Analysis User defined formulas User defined formulas can be created using existing measurements or by defining new measurements The following example describes the creation of a formula based on existing measurements A GE Ultrasound does not take any responsibility for the correctness o
101. Scroll in freeze Cine speed in replay Figure 2 5 The cineloop controls on the front panel Vivid i User s Manual 57 2378958 100 Rev 02 Basic scanning operations Cineloop controls Cineloop assignable controls e Os Left Right Marker Move the left and right markers to expand or trim the cineloop boundaries Cycle select Selects the heart cycle to be played back Number of cycle Controls the number of heart cycles to be included in the loop Select All Select all heart cycles First cycle Last cycle Selects the first or last heart cycle to be played back Cineloop Starts cineloop acquisition Cineloop Freeze Control 2D Freeze Toggles between replay and freeze modes Cineloop trackball controls Scroll When the scan mode is frozen trackball to move the current marker and review the images Cine speed In cine replay mode move the trackball left or right to adjust the speed of the cineloop playback 58 Vivid i User s Manual 2378958 100 Rev 02 Basic scanning operations To jump directly to the first or to the last heart beat press the assignables FIRST CYCLE or LAST CYCLE Using cineloop Selection of a cineloop 1 Press FREEZE The left and right markers on the ECG trace are displayed on either side of the last detected heart cycle Press the 2D FREEZE button to un freeze the cineloop and let it run between the default setting of left and right borders To
102. Text Report Connectivity System About Admin Service Figure 8 63 The Restore sheet 4 Inthe Restore sheet select one of the following options e Patient archive to restore the patient records System configuration to restore all system settings 230 Vivid i User s Manual 2378958 100 Rev 02 Archiving and user presets OR One or several System configuration items to restore parts of the system settings and user presets see Figure 8 63 5 Make sure that Backed up copy is selected 6 Select the appropriate Source device The Restore procedure OVERWRITES the existing data on the A local hard drive Make sure to select the correct device CAUTION 7 If restore is done from a backup on a removable media insert the media in the drive 8 Select Restore now Depending on the selection one or two Restore confirmation windows are displayed Figure 8 64 Warning Warning Would you like to replace current Patient Are you sure you want to replace current cic see hea system setting with setting from G Cancel if 3 Cancel Figure 8 64 Restore confirmation windows 9 Ensure that the correct source is selected an select OK The selected items are copied to the systems If items from the system configuration are restored the system needs to be rebooted The Reboot system window is displayed Figure 8 65 Warning Reboot to activate new settings Figure 8 65 Reboot system prompt 10 Select OK to reboot the
103. UPDATE MENU The Worksheet menu is displayed 3 Trackball to Include Value 4 Press SET Manually changing a value Individual measured values can be manually changed using the alphanumeric keyboard To manually change a value 1 Trackball to the value that is to be changed 2 Press SET 3 Use the alphanumeric keyboard to enter the required value To restore automatic calculation 1 Trackball to the relevant cell in the Method column 2 Press SET A pop up menu is displayed showing the different calculation options available Figure 6 18 3 Press SET The value is re calculated according the method selected Deleting measurement parameter 1 Trackball to the measurement parameter to delete 2 Press UPDATE MENU The Worksheet menu is displayed 3 Trackball to Delete Value 4 Press SET Vivid i User s Manual 1 49 2378958 100 Rev 02 Measurement and Analysis 1 50 Vivid i User s Manual 2378958 100 Rev 02 Purposely Left Empty Chapter 7 Purposely Left Empty For Future purposes Vivid i User s Manual 1 51 2378958 100 Rev 02 Purposely Left Empty 152 Vivid i User s Manual 2378958 100 Rev 02 Archiving Chapter 8 Archiving Aligo GU CHION is lt a 155 e Storing images and Cinel00pS cccseeeeeeeeeeeeeeeeeeeeeeeeeeeeseeeeeeee e 156 A O 157 o Mn Menton tata lua caked ein ae cis 157 e Saving stored images and cineloops to a standard format 15
104. Using the alphanumeric keyboard edit the information Do NOT use or in patient information fields as these characters might cause problems with some DICOM devices 6 Press the EXAM LIST assignable to go back to the Examination list window OR Press PATIENT on the control panel to quit the archive Vivid i User s Manual 1 15 2378958 100 Rev 02 Archiving Only user logged in with full operator rights can delete pa tient records see page 331 for further information Deleting archived information To delete a patient record 1 Press PATIENT on the Front panel 2 Select Patient List The Search Create Patient window is displayed Figure 8 12 page 169 Type the patient Last Name and or ID Trackball to the actual patient record Press SET to highlight the patient record to delete Press Delete in the Search Create Patient window A dialogue box is displayed asking for confirmation of the deletion Figure 8 17 7 Trackball to OK and press SET on the control panel D oe ES Question You are about to delete patient 020202 Images Demo Push OK to continue or push Cancel to abort OK Cancel j Figure 8 17 Delete patient record confirmation prompt To delete an examination 1 Press PATIENT on the Front panel 2 Select Patient List The Search Create Patient window is displayed Figure 8 12 page 169 3 Type the patient Last Name and or ID depending on system configuration
105. a label A Only assigned measurements will be saved CAUTION Starting the Measure and Assign modality 1 Press MEASURE on the control panel The Measurement Menu is displayed in the Parameters window see example Figure 6 3 2 Select the Generic study if not already selected and trackball to the required measurement tool 3 Press SET on the trackball area to activate the measurement tool The cursor is moved back to the scanning window ready for measurement 1 Measurement tools 5 Cardiac m z Generic Caliper Area trace Volume Volume d Volume s Dist Ratio Area ratio Open trace R R Figure 6 3 The 2D Mode Measurement tools Cardiac application 114 Vivid User s Manual 2378958 100 Rev 02 Measurement and Analysis The selection of a measurement with out pre defined la bels will not display the Parameter la bel menu A CAUTION Post measurement assignment labels Each type of measurement within each mode can be associated with a set of pre defined parameter labels Parameter labels can be assigned to the highlighted measurement by the user To assign a parameter label to a measurement 1 Trackball to the actual measurement in the Measurement result table see Figure 6 4 2 Press SET A Parameter label menu is displayed 3 Trackball through the Parameter label menu to highlight the required label 4 Press SET to assign the highlighted parameter label to t
106. a probe and an application 1 Press APPLICATION on the control panel A list of the connected probes is displayed 2 Trackball to the desired probe 3 Press SET An Application menu for the selected probe is displayed 4 Trackball to the desired application 5 Press SET to launch the application Make sure that the probe and application names displayed on the screen correspond to the actual probe and application selection CAUTION Check that the correct TI category is displayed see Chapter 14 Thermal Index on page 353 TIB must be displayed when a fetal application is selected 46 Vivid i User s Manual 2378958 100 Rev 02 Basic scanning operations Chapter 2 Basic scanning operations This chapter describes basic operations related to scanning Some operations described in this chapter are fully described in the respective chapters throughout the manual This chapter includes the following information e Assignable keys and Soft Menu Rocker cccccccceeeeeeeseeeeeeee 2222 49 e Using the Soft Menu Rocker oooococccccccconcccccconcconcncccccncnananancnnnnnns 53 e Trackball OPeralO Marmiton ci aelocds San 54 e Trackball assignment A Di 54 e The system mMenu cascada 55 e CINGIOOP operation cmecixicoicconanconcan circa incidan race dans wane 56 CINGIGOP OVEIMIOW sepsis 56 CINEIOOD COMMMOIS cere co eaaa arae tas sae eng aa hesari aons iadaaa a Eaua iE 58 e Using cineloop ian ae tea eee lonas eat are
107. ac Sex female male Echolab Born between Diagn code Exam between i Today Images Stress No Report Category Diagn Phys Patient List 16 records fetched of total 16 Show All Last Name First Name Patient ID Birthdate Exam Date img Str Rep Size Code Images Demo 020202 02 01 1902 Images Some 370 Operator Figure 8 19 The Move exam window 5 Search and select the target patient record 6 Press Move Exam A warning message is displayed asking the user to confirm the action to perform see Figure 8 20 A Make sure that the patient record selected is correct CAUTION Vivid i User s Manual 179 2378958 100 Rev 02 Archiving Warning You are about to move exam from patient 020202 to patient 370 Are you sure you want to move the exam Cancel Figure 8 20 Moving examination prompt 7 Trackball to OK and press SET An information window is displayed to confirm the operation 8 Press OK 1 80 Vivid i User s Manual 2378958 100 Rev 02 Archiving Review images in archive There are two ways to access to archived images Review the images from a selected examination Select images from the Image list screen displaying all the images sorted by examination sessions for the actual patient Review the images from a selected examination 1 Inthe Examination listwindow see Figure 8 14 page 172 trackball to the actual examination 2 Press SET on the control panel to
108. ages are stored to the internal harddrive and to a MOD as DICOM Media The stored image files both to internal harddrive and to the MOD will consist of both DICOM multi frame if cineloop and raw data Local Archive Int The local archive is used for patient HD DICOM Server archiving Images are stored to the internal hard drive and to a DICOM server Some of the measurements are stored if DICOM SR is turned on see page 202 312 Vivid i User s Manual 2378958 100 Rev 02 Presets and System setup Dataflow Description RemoteArch RemoteHD Remote Archive Remote HD DICOM Server This dataflow RemoteArchive MOD cannot be used with an ImageVault 3 0 server WL LA DServ Worklist LocalArchive DI the local COMServer Int HD database is not searched only the DICOM Modality Worklist Remote archive remote harddrive A remote database either on EchoPAC workstation or on EchoServer is used for patient archiving Images are stored to a network image volume either internal HD on EchoPAC workstation or EchoServer volume A remote database is used for patient archiving Images are stored to a network image volume and to a DICOM server Some of the measurements are stored if DICOM SR is turned on see page 202 Remote archive Magneto Optical Disk A remote database either on EchoPAC workstation or on EchoServer is used for patient archiving Images are stored to a MOD Moda
109. ame ECHOPAC7 000000 Imaging Meas Text Report Connectivity System Admin Service 1 Computer name device s name of type 3 Remote archive setup remote archive IP VIVID7 00nnnn or ECHOPAC7 00nnnn where address and name EchoPAC PC or nnnn is the system s serial number Do not EchoServer change the computer name 4 Save TCP IP settings The changes will be 2 IP settings system IP settings effective after the system is rebooted Figure 8 31 TCP IP setting 3 Inthe P settings area enter The IP address for the scanner The subnet mask for the scanner The IP address for the Default Gateway Vivid i User s Manual 193 2378958 100 Rev 02 Archiving A CAUTION 4 Inthe Remote archive setup area enter The IP address for the remote archive The name of the remote archive 5 Press Save settings and reboot the system Direct connect with online acquisition Data management Scanner s dataflow configuration 1 Select the RemoteArch RemoteHD dataflow as default dataflow When saving the study on the scanner the images are transferred from the scanner s image buffer to the harddrive of the EchoPAC PC Patient demographics measurements and reports are transferred on the fly when entering the information on the Vivid i Review on the EchoPAC PC workstation 1 Select the LocalArchive Int HD dataflow on the EchoPAC PC can be configured as default dataflow Do NOT open a study on the EchoPAC PC worksta
110. an Echo server network or EchoPAC PC direct connect or network Query Retrieve imports data from a DICOM server 6 Press OK 21 6 Vivid i User s Manual 2378958 100 Rev 02 Archiving The Import patient window is displayed see Figure 8 48 eg GEMS Ultrasound 3S RS MI 1 0 HR 81 JO 15 11 04 12 25 24 ADM Cardiac Tis 0 8 15 11 04 12 28 51 Operator Login IMPORT PATIENT CDDUD Archive More pda Last Name Patient ID DB CD DVD First Name Birthdate ddimmiyyyy Age Sex female male 127 0 0 1 CDRW Patient List 6 records fetched of total 6 Show All Last Name First Name Patient ID Birthdate Exam Date Copied Status Msg ith John 1234567 16 07 1938 Jane 33445566 12 07M936 i Maria 778934567 291011927 5 Hansen James 55443322111 19 06 1920 20 07 2004 Import v Copy Images FreeDisk 268 7 MB Import to Operator Copy Select All Figure 8 48 The Import patient window 7 Search and select the patient records to import in the Patient list The following selection methods can be used e Press and hold down SHIFT while selecting patient records examinations to select several consecutive items ata time e Press and hold down CTRL while selecting patient records examinations to select several discrete items e Press Select all in the Import patient window to export all patient records Press More to dis e Press Today to display today s examinations and select play the extended the actual exa
111. anges or modifications could void the user s authority to operate the equipment To comply with the regulations on electromagnetic interference all interconnecting cables to peripheral devices must be shielded and properly grounded Use of cables not properly shielded and grounded may result in the equipment causing or Vivid User s Manual 363 2378958 100 Rev 02 Safety responding to radio frequency interference in violation of the European Union Medical Device Directive and FCC regulations Do not use devices which intentionally transmit RF signals for example cellular phones transceivers or radio controlled products in the vicinity of this equipment as it may cause performance outside the published specifications Keep the power to these types of devices turned off when near this equipment 364 Vivid i User s Manual 2378958 100 Rev 02 Safety Environmental protection System disposal To be added Battery disposal To be added Vivid i User s Manual 365 2378958 100 Rev 02 Safety 366 Vivid i User s Manual 2378958 100 Rev 02 Index Index Numerics 2D Soft menu Cono als 80 DONO CI 77 82 SR ks A E A S 79 Ss E A A aD AARS 82 O Pde LA 77 RDS PII nasa e sams aa eatin oem nee 82 A Active mode gain Sola A O E 93 Optimizing CW DO ao 98 Optimizing PW EOP ST di 98 Advanced lo 302 303 Angle correction A A A 96 Optimizing CW a o el 99 Optimizing PW Doppler scott cass e abc
112. ant to save Select J None Figure 8 39 The Save images dialogue window Vivid i User s Manual 2378958 100 Rev 02 207 Archiving Press All to save all images on the DICOM server or press Select to display the Image review screen where to select specific images to be saved The images are transferred to the server via the DICOM spooler Press ALT S to display the DICOM spooler see DICOM spooler on page 232 for further details Offline scanner When working offline the images are stored in the DICOM spooler Images can be sent to the DICOM server when re connecting the system to the network To save images acquired offline on the DICOM server 1 With the scanner connected press ALT S to display the DICOM spooler Select one or several studies in the DICOM spooler window Press Resend The images of the selected studies are transferred to the DICOM server 208 Vivid i User s Manual 2378958 100 Rev 02 Archiving Export import patient records examinations A Patient records examinations from the local archive on one system Vivid i or EchoPAC PC can be exported to the local archive on another system via a removable media Patient records examinations from the local archive can also be exported directly to a remote archive Echo server DICOM server or EchoPAC PC depending on the environment In addition patient records examinations from a remote archive Echo server or EchoPA
113. arameters as described below Vivid i User s Manual 31 5 2378958 100 Rev 02 Presets and System setup 7 To remove a device from the dataflow select the device in the Selected devices field and press the Left arrow button Adjusting the assigned devices 1 Select the device in the Selected devices field 2 Press Properties The Properties window is displayed 3 Adjust the device specific parameters as desired see table below Not all the settings listed below apply to all devices General settings Definition Name Free text give a descriptive name for the device Image settings Definition Allow raw data M save data in both raw and DICOM format J save data in DICOM format only Max Framerate Select 25 30 or Full from the pop up menu Full original acquisition is default Compression Select compression type or no compression Quality Set picture quality from 1 to 100 A low picture quality level allows high data compression while a high picture quality restrains the compression Allow Multiframe M allow cineloop storage Connection settings Definition Retry Set maximum number of connection tentatives time interval between tentatives and time out 31 6 Vivid i User s Manual 2378958 100 Rev 02 Presets and System setup DICOM settings Definition AE Title The Application Entity Title is set during DICOM configuration Refer to the network specifications P
114. ards Probes are driven by electricity which can injure the patient or user when exposed to contact with conductive solution Do not immerse the probe into any liquid beyond the level shown in Figure 10 4 Never immerse the probe connector or adaptors into any liquid Do not subject the probe to mechanical shock or impact which may result in cracks or chips in the housing and degrade performance Inspect the probe before and after each use as described on page 272 for damage or degradation to the housing strain relief lens and seal DO NOT apply excessive force to the probe cable to prevent insulation failure Electrical leakage checks should be performed regularly by a GE service representative or qualified hospital personnel according to the procedures described in EN 60601 1 IEC 60601 1 19 Mechanical hazards Take precaution to avoid mechanical hazards Observe immersion levels as displayed in Figure 10 4 page 275 Inspect probes for sharp edges or rough surfaces that could injure sensitive tissue DO NOT bend or pull the cable forcefully to avoid mechanical shock or impact to the probe 276 Vivid i User s Manual 2378958 100 Rev 02 Probes Biological hazards Transesophageal probes require a special handling Refer to the A user documentation enclosed with these probes CAUTION To minimize disease transmission legally marketed and sterile pyrogen free sheaths should be used for each probe re
115. are also calculated EDV End diastole volume ESV End systole volume SV Stroke volume EF Ejection Fraction To perform LV study 1 Generate the M Mode image Press FREEZE to stop the cineloop Press MEASURE on the Control Panel Select LV study in the Measurement Menu Trackball the cursor along the time axis to the required point to start measurement of IVSd 6 Press SET The starting point for the measurement is anchored 7 Trackball to the end point of the measurement er 122 Vivid i User s Manual 2378958 100 Rev 02 Measurement and Analysis The current value is updated while mov ing the cursor 8 Press SET The IVSd measurement end point is anchored and the value is displayed in the Measurement result table The end point of the IVSd is also the start point for the LVIDd 1 Trackball to the end point of the LVIDd measurement 2 Press SET The LVIDd measurement end point is anchored and the value is displayed in the Measurement result table The end point of the LVIDd is also the start point for the LVPWd 1 Trackball to the end point of the LVPWd measurement 2 Press SET The LVPWd measurement end point is anchored and the value is displayed in the Measurement result table 3 Repeat steps 5 through 2 to measure IVS LVID and LVPW in systole RV study The RV study consists of measurement in fixed time mode of Right ventricular internal dimension RVID in both
116. atient window is displayed Figure 8 12 4 Type the patient Last Name and or ID 168 Vivid i User s Manual 2378958 100 Rev 02 Archiving A CAUTION The automatic searching tool dis playing matching patient information in the Patient list can be turned off see page 321 Last Name First Name Category Patient List Last Name g images ES e Dataflow Local Archive Int HD Operator ADM Cardiac Do NOT use or in patient information fields as these characters might cause problems with some DICOM devices When default configured the system automatically searches to see if the patient is already in the database The result of this search is displayed in the Patient list field Trackball to the actual patient and press the Trackball SET key The patient record is highlighted Press SELECT PATIENT Or Press in front of the actual patient record and select the desired examination The Examination List window for the actual patient is displayed refer to Figure 8 14 GEMS Ultrasound 3S RS MI 1 0 15 11 04 11 43 27 ADM Cardiac Tis 0 8 SEARCH CREATE PATIENT es More Patient ID 3 Birthdate ddimmiyyyy Age l Archive Int H Images WIVID_1 000110 Arc Sex female _ male a Image disk y ci 4records fetched of total 4 Show All FirstName PatientiD Birthdate Exam Date img Str Rep Size Code Demo 020202 02 01 1902 24 04 2003
117. ay zoom The Display zoom magnifies the image display in both frozen and live 2D M Mode and combined modes with Doppler To Magnify an image 1 Press the ZOOM button The resulting magnified image appears in the acquisition window while the un magnified image is displayed in the control window showing the outlined zoom region 2 Use the Trackball to position the zoom area over the desired portion of the image 3 Use the SET button to toggle between Zoom Scale and Zoom location panning Both Scale and Pan are controlled by trackball 4 To turn off the Display zoom press the ZOOM button again Performing measurements To perform measurements 1 Press MEASURE to enter the Measurement mode Refer to page 109 for further information Vivid i User s Manual 63 2378958 100 Rev 02 Basic scanning operations Physiological ECG trace The physiological module consists of a single connector which can accept either a set of electrodes cable or an External ECG cable capable of handling external ECG signals from other diagnostic ECG devices The scanned image that is displayed is synchronized with the ECG trace In M Mode or Doppler the traces are synchronized to that particular mode s sweep The operator can control the gain the position and the sweep rate of the traces using the assignables on the control panel Connecting the ECG The ECG cable consists of a circular connector on one end of the cable and a tripl
118. cessary 4 Press FREEZE to stop imaging Conventional Color M Mode 1 While in Color Mode press cursor on the control panel 2 Use the trackball to position the cursor over the required area of the image 3 Press MM the Color M mode sweep will start to sweep 4 Press FREEZE to stop imaging 1 While in Color Mode press M on the control panel The Color M mode sweep will start to sweep 2 Use the trackball to position the cursor over the required area of the image 3 Adjust horizontal sweep Gain Frequency Focus Dynamic Range Compression and Contour to optimize the display if necessary 4 Press FREEZE to stop imaging Anatomical M Mode Anatomical M Mode is only available for cardiac applications 1 Enter live M mode 2 Press the assignable AMM soft key to enter Live Anatomical M mode Continue to step 4 below 1 From the 2D Live press FREEZE 2 Press MM to access the Freeze Anatomical M Mode 3 Use the trackball to position the cursor over the required area of the image 4 Press TRACKBALL to allow free rotation of the solid full length cursor line throughout the 2D image 5 Rotate the solid cursor line to the desired direction 6 Press TRACKBALL twice and reposition the intersection point to the desired position along the cursor line 86 Vivid i User s Manual 2378958 100 Rev 02 Scanning Modes The M Mode area of the display up dates as the M Mode signal is constructed Ref
119. ching data is displayed in the Patient listwhen the automatic search function is turned on Sorting data The search result can be sorted according to the fields displayed in the patient list in ascending or descending order To sort data 1 Inthe Patient list field Trackball to the field header by which the sort is to be performed Figure 8 13 page 171 2 Press SET on the control panel The patient list is sorted in ascending order according to the field selected 170 Vivid User s Manual 2378958 100 Rev 02 Archiving 3 Press SET once more The patient list is sorted in descending order according to the field selected 4 GEMS Ultrasound 3S RS MI 1 0 HR 68 JO 15 11 04 11 43 27 ADM Cardiac Tis 0 8 15 11 04 11 55 04 Operator Login ADM SEARCH CREATE PATIENT Dataflow Last Hame i Patient ID Name Local Archive Int h First Name Birthdate dd immiyyyy A Images WIVID_1 000110 Arc Category Cardiac Sex female male A Image disk Echolab Born between co Capacity 45 1 GB Diagn code Exam between 7 Today Free space 45 1 GB Images Stress Ho Report Category Diagn Phys Patient List 2 records fetched of total 16 Show All 3 a 0 1 Last Mame y Last Name gt First Nam Patient Patient ID Birthdate Exam Date img Str Rep Size Code j 470 020202 0201 1902 24 2003 Spooler e Status READY 7 Images Demo rd Jobs 0 image Some 10 12 2002 Preview Dataflow Local Archive
120. commended for intra cavity procedures Adequate cleaning and disinfection are essential to prevent disease transmission It is the responsibility of the user to verify and maintain the effectiveness of the infection control procedures in use Vivid i User s Manual 277 2378958 100 Rev 02 Probes 2 8 Vivid i User s Manual 2378958 100 Rev 02 Peripherals Chapter 11 Peripherals ANTOQUCHON 2 aa 280 P INtING ar a 281 e To print an A O e utidnnenen cmon weaned 281 e Specifications for peripherals oooomoncccccnonnnnccnccononnnnanaccncnonenanaanannne e 282 279 Vivid i User s Manual 2378958 100 Rev 02 Peripherals Introduction A CAUTION A WARNING This chapter provides information on peripherals that can operate with the Vivid i ultrasound unit as follows e VCR Color Thermal Video Printer Black amp White Thermal Video Printer Use only GE Medical Systems approved internal equipment when replacing an internal peripheral External peripheral equipment must be CE marked and in compliance with related standards EN 60601 1 or EN 60950 Conformance to EN 60601 1 1 2000 must be verified All devices meeting IEC60950 must be kept outside of the patient environment as defined in IEC60601 1 1 2000 unless it according to IEC60601 1 1 2000 is equipped with additional protective earth or extra isolating transformer Commercial devices such as laser cameras printers VCRs and exte
121. contained in this manual It is advisable to maintain a list of authorized operators Should the system fail to operate correctly or if the unit does not respond to the commands described in this manual the operator should contact the nearest field GE Ultrasound Service Office For information about specific requirements and regulations applicable to the use of electronic medical equipment consult the local state and federal agencies 346 Vivid i User s Manual 2378958 100 Rev 02 Safety Important safety considerations Notice against user modification Never modify this product including system components software cables and so on User modification may cause safety hazards and degradation in system performance All modification must be done by a GE qualified person The equipment is not suitable for use in the presence of flammable anesthetic mixture with air or with Oxygen or Nitrous Oxide This section includes considerations for the following e Patient safety Personnel and equipment safety The information contained in this section is intended to familiarize the user with the hazards associated with the use of the unit and to alert them to the extent to which injury and damage may occur if the precautions are not observed Users are obligated to familiarize themselves with these safety considerations and to avoid conditions that could result in injury or damage Vivid i User s Manual 347
122. ct Measure In the Measure category select Annotation The Annotation sheet is displayed where the user can add delete or re arrange the annotation text see Figure 2 11 To re arrange the annotation list 1 2 3 4 Trackball to the actual annotation text Press SET Press the relevant button i e Delete Move up or Move down to apply change Press save to store the new annotation list To add an annotation text Peo Nes Trackball to the text entry field see Figure 2 11 Press SET to activate the text cursor Type the new annotation text Press add The new annotation text is added at the end of the list Press save to store the new annotation list Vivid i User s Manual 2378958 100 Rev 02 71 Basic scanning operations MEASUREMENT amp ANALYSIS if CRETU Application Move Up SD f Move Down fi Delete O S C Reset LIFO Cancel Imaging Meas Text Report Connectivity System Service Rearrange list Delete selected text Reset to factory default Add new text to the list Enter new text SP a na Figure 2 11 The Annotation Menu Configuration Dialog Box 72 Vivid i User s Manual 2378958 100 Rev 02 Basic scanning operations Bodymarks Bodymarks are small graphic images that represent the anatomy being examined Using bodymarks the user can indicate the position that the probe was in during the examination Inserting a bodymark 1 Press the alphanum
123. cting patients and employees from disease transmission liquid chemical germicides must also be selected to minimize potential damage to the transducer Refer to the Probe Care Card enclosed in the probe case or to http Awww gemedicalsystems com rad us probe_care html for the latest list of compatible cleaning solutions and disinfectants Low level disinfection 1 After cleaning the probe and cable may be wiped with a tissue sprayed with a recommended disinfectant Use additional precautions e g gloves and gown when decontaminating an infected probe Vivid i User s Manual 2 3 2378958 100 Rev 02 Probes Follow the manu facturer s instruc tions for storage use and disposal of the disinfection so lution A WARNING A WARNING A WARNING High level disinfection High level Disinfection destroys vegetative bacteria lipid amp non lipid viruses fungi and depending highly on time of contact is effective on bacterial spores This is required for endocavity TV TR TE probes after contact with mucosal membrane High level disinfection procedure 1 Prepare the germicide solution according to the manufacturer s instructions Use only germicides that are listed in the Probe Care Card enclosed with the probe In addition refer to the local national regulations Do not steam autoclave or subject the probe to Ethylene Oxide ETO 2 Place the cleaned dried probe in contact with the germicide
124. d i User s Manual 2378958 100 Rev 02 Archiving Enter Passwerd Figure 8 9 The Password window 5 Enter a password and select OK The exam is sent and a confirmation window is displayed 6 Click OK in the confirmation window Opening an MPEGVue exam from one or more E mails 1 Inthe MPEG viewer press the E mail button see Figure 8 6 page 164 The E mail dialog window is displayed see Figure 8 7 page 165 2 Click Receive exam The Password dialog window is displayed see Figure 8 9 page 167 3 Enter the password and click OK The exam is decompressed and opened in the viewer Then the E mail s containing the MPEG examination is deleted Vivid i User s Manual 1 67 2378958 100 Rev 02 Archiving Retrieving and editing archived information Locating a patient record To create an opera 1 Press PATIENT on control panel tor ID see If the unit is password protected a Log In window page 331 Figure 8 10 will appear asking for user ID and password 1 Select the operator OPERATOR LOGIN Operator Password A Emergency Log on Cancel Figure 8 10 The Operator login window The unit canbecon 2 Press Log on when completed figured to automati The Archive entry screen is displayed Figure 8 11 cally generate a patient ID see page 321 Create New Patient Patients List End Exam Figure 8 11 Archive entry screen 3 Click the Create New Patient button The Search Create p
125. d i covers LCD Display or keyboard Do not allow any liquid to drip or seep into the system e Prior to cleaning turn OFF power to the system LCD Display Cover On a 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 them wipe down the top front back and both sides of the unit Do not spray any liquid directly onto the unit 1 Rinse the cloth sponge with clean running water and wipe the unit surfaces again 2 Use a dry soft lint free cloth to dry the unit surfaces Vivid i User s Manual 337 2378958 100 Rev 02 User maintenance 3 Wait for the unit surfaces to dry completely Note In the event that disinfection is required or any stubborn stains remain remove them with a soft dust free cloth on which a small quantity of isopropyl rubbing alcohol has been absorbed as described below for cleaning the Keyboard LCD Display On a weekly basis gently wipe the LCD Display with a dry soft lint free non abrasive folded cloth Note In the event that you see a scratch like mark on the LCD Display this may be a stain transferred from the Keyboard or Trackball when the LCD Display Cover was pressed from the outside Proceed as follows Wipe or dust the stain gently with a soft dry cloth I
126. d presets to be used The access to the entire configuration package is user configuration dependent see page 331 To open the Configuration package 1 Press CONFIG on the alphanumeric keyboard The Log In window is displayed asking for operator ID and password see Figure 12 1 2 Select Log on when completed The Setup dialogue window is displayed see Figure 12 2 1 Select the operator 2 Type password OPERATOR LOGIN Operator 4 40m Password ra Emergency Cancel Figure 12 1 The Operator login window Vivid i User s Manual 287 2378958 100 Rev 02 Presets and System setup Overview 1 Sublevel tabs for the selected Setup category 2 Setup categories 3 Selected Setup category The configuration management package consists of a Setup dialogue window divided in different setup categories with sublevels sheets labelled with tab The functionality of each configuration category and associated sublevels are described on the following pages Time before heart 15 Time after heart cycle ms 1000 Time span no ECG ms Preview loop before store imag when showing more than two image Show kHz scale Biop Show Center Line v Show Outer Lines v Enable 0 5 cm Markers Enable 0 25 cm Markers Meas Text Report Figure 12 2 The Setup dialogue window structure 288 Vivid i User s Manual 2378958 100 Rev 02 Presets and System setup Imaging Global
127. dataflow selected one or several DICOM devices may have to be configured 1 Select a DICOM device in the Selected devices pane and Vivid i User s Manual 1 99 2378958 100 Rev 02 Archiving press Properties see Figure 8 33 CONNECTIVITY Dataflow Dataflow verint HD Properties Imaging Meas Text Report Connectivity System Admin Service 1 Select the DICOM device 2 Press Properties Figure 8 33 Display of the DICOM device Properties window The Properties window for the selected DICOM device is displayed Figure 8 34 200 Vivid i User s Manual 2378958 100 Rev 02 Archiving Worklist properties IP address DICOMSERVER 10 0 0 4 Verification Name Worklistl AE Title MERGE_WORK_SCP PotNo 107 500 Search Criterias Cancel Figure 8 34 DICOM worklist properties window 2 Select the DICOM server from the IP address pull down menu Follow the steps below if the IP address settings for the DICOM server need to be modified or created Select lt Modify gt from the P address pull down menu The Ps window is displayed Select the DICOM server and press Modify in the Ps window or press Add if creating a new IP address The Enter name and IP window is displayed Enter the name and or IP address of the server and press OK to return to the Properties window Vivid i User s Manual 2378958 100 Rev 02 201 Archiving Enter name and Ip DICOMSERVER 10 f Cancel
128. diastole and systole To perform RV study 1 Generate the M Mode image Press FREEZE to stop the cineloop Press MEASURE on the Control Panel Select RV study in the Measurement Menu Trackball the cursor along the time axis to the required point to start measurement of RVIDd 6 Press SET The starting point for the measurement is anchored 7 Trackball to the end point of the measurement Press SET The measurement end point is anchored and the RVIDs measurement value is displayed in the Measurement result table A new free moving cursor is displayed on the image ready for the next measurement 9 Repeat steps 5 through 8 to measure RVIDs The RVIDs value is displayed in the Measurement result table ql PI o Vivid i User s Manual 1 23 2378958 100 Rev 02 Measurement and Analysis For measurement formulae refer to the Reference Manual The measurement display on the spec trum and the corre sponding results are numbered The measurement display color on the spectrum changes from green to red af ter completion of the measurement Doppler Measurements The following measurements may be calculated on Doppler mode spectra Maximum peak and mean velocity Maximum and mean pressure gradient Pressure half time PHT Velocity time integral VTI Mitral valve area MVA derived from PHT Velocity and Pressure point measurements 1 Or O Generate the spectrum to be measured Press
129. e Trackball can be used to scroll through the cine loop Activates or freezes 2D mode In simultaneous mode pressing 2D FREEZE will activate or deactivate the 2D image leaving the other mode display unchanged In freeze mode stops starts the cineloop Multiple Format Key Description Enables multiple image display windows in which two or four images can be viewed simultaneously When reducing the number of images the active window will always been kept Measurement control The following key is used to take measurements and perform calculations Description Activates the Measurement amp Analysis M amp A calculation program This program is context sensitive and will display relevant measurements to the current mode and application Also activates measurement tools unassigned measurement See page 109 for further details on M amp A 30 Vivid i User s Manual 2378958 100 Rev 02 Getting started Print and Record Control Key Description Record For future use Prints the current imaging screen content to a selected configurable printer For more information about printing Refer to page 281 The PRINT key can also be configured for alternative storing of images Refer to page 318 Trackball operation The Trackball area consists of the trackball and five surrounding keys Description Trackball Used for navigation and together with the surroundin
130. e Vivid i Reference manual for a complete list of supported parameters Basic modes 2D M mode Color Flow PW and CW Doppler Publicly coded methods not Modified Simpson or Bullet Refer to the Vivid i Reference manual for a complete list of supported methods Basic derivations Average Last no references between the derived measurements and the ones they were made from Wall Motion Scoring individual segment scores only according to 16 segment model no graded Hypokinesis only Hypokinesis is used Activating DICOM SR DICOM SR must be activated for each DICOM device 1 2 Press CONFIG and log on as administrator Select the Connectivity category and Dataflow subgroup The Dataflow sheet is displayed Select the DICOM dataflow to configure in the Name pull down menu see Figure 8 32 Select a DICOM storage device in the Selected devices pane and press Properties The Properties window for the selected DICOM stogare device is displayed Vivid i User s Manual 2378958 100 Rev 02 203 Archiving Dicom Storage properties Verification Storage commitment Y MPPS AE Title DICOMSTI PortNo 105 DICOM SR Cancel Figure 8 36 DICOM storage properties window 5 Check the option DICOM SR 6 Select OK 7 Press CONFIG Storing as DICOM SR When ending an exam the measurements are sent together with the images to the DICOM storage device selected To end an exam and store the measurements a
131. e backup prompt When this prompt appears select one of the following options e Select OK to replace the existing files and begin backup e Select Eject to replace media and resume backup e Select Cancel to abort backup 11 During backup Progress windows are displayed Figure 8 60 showing the current operation being performed Information Ci Backing up patient archive Information Ci Backing up system configuration Cancel Cancel Figure 8 60 Backup progress windows 12 At the end of the process the media is ejected and the Backup completed window Figure 8 61 is displayed Information Q Backup is completed Figure 8 61 Backup completed window Select OK Vivid i User s Manual 229 2378958 100 Rev 02 Archiving The Backup result is displayed on the Backup sheet Figure 8 62 Archive to backup v Patient Archive Completed v System Configuration Completed Figure 8 62 Backup result 13 Make sure to physically label the media An identification of the system should also be noted on the media and a backup log should be kept File the media in a safe place Restore procedure 1 Press CONFIG 2 Select the category Admin 3 Select the Restore sheet Figure 8 63 ADMIN Restore Archive To Restore v Patient Archive System Conf Imaging Presets e Backed up copy Source Device 5 114MO Disk G Factory Defaults Remote Path Restore Now Imaging Meas
132. e color coded electrode connectors on the other end Each electrode cable hooks up to the appropriate stick on electrode by a color coded clip type connector The color coding of the electrodes follows one of two standards that are common in different parts of the world Refer to the following table AHA USA IEC Europe Asia RA White L Yellow RL Green N Black 64 Vivid i User s Manual 2378958 100 Rev 02 Basic scanning operations ECG Connector Figure 2 8 The Patient ECG Connector Port Physio controls Physio assignable controls Common controls Horizontal sweep Adjust the refresh rate of the physiological trace This control is active only in 2D and color modes The sweep speed of the physio traces in M Mode and Doppler is identical to the M Mode or Doppler horizontal sweep adjusted by the user Gain Enables the user to change the amplitude of the physiological trace displayed on the screen Position Enables the user to move the physiological trace on the screen ECG Turns the ECG trace on and off Vivid i User s Manual 65 2378958 100 Rev 02 Basic scanning operations To turn the ECG display off press PHYSIO and press the assignable ECG The ECG signal s amplitude may vary between patients due to different skin moisture and other physiological pa rameters Displaying the ECG trace Cardiac applications The ECG is turned on by default in all cardiac applications
133. e low level diagnostic information CAUTION Adjust the following settings to further optimize the display of the image Use the Horizontal sweep to optimize the sweep speed e To view signal detail use the Velocity range to enlarge the vertical spectral Doppler trace Use Invert to reverse the vertical component of the spectral Doppler area of the display Use Angle correction to steer the ultrasound beam to the blood flow to be measured Not typically required during cardiac studies Vivid i User s Manual 99 2378958 100 Rev 02 Scanning Modes 1 00 Vivid i User s Manual 2378958 100 Rev 02 Purposely left empty Chapter 4 Purposely left empty For Future purposes Vivid i User s Manual 1 01 2378958 100 Rev 02 Purposely left empty 102 Vivid i User s Manual 2378958 100 Rev 02 Contrast Imaging Chapter 5 Contrast Imaging gt TRO GU odi o a ria NA 104 e Left Ventricular Contrast Imaging ooommncccncncnnnnnnnnacanenenenenaananane oe 104 e LV Contrast A IN ae al a ct ac Sie oe Aine 105 e LV Contrast controls A a sewed 105 e Running LV Contrast isis 108 e Optimizing LV Contrast iia 108 Vivid i User s Manual 103 2378958 100 Rev 02 Contrast Imaging Introduction Vivid i supports Left Ventricular Contrast imaging Optimized for endocardial border detection and assessment of wall motion and wall thickening Left Ventricular Contrast Imaging A WARNING The
134. e operator OPERATOR LOGIN Operator A CAUTION The unit can be con figured to automati cally generate a patient ID see page 321 To restrain the search to special category of patient record press More and use the search ing filters The automatic search tool display ing matching pa tient information in the Patient list can be turned off see page 321 Password Emergency Figure 1 13 The Operator login window 3 Press Log on when completed The Search Create Patient window is displayed see Figure 1 14 4 Type the patient Last Name and or ID Do NOT use or in patient information fields as these characters might cause problems with some DICOM devices When default configured the system automatically searches to see if the patient is already in the database The result of this search is displayed in the Patient List field If the Patient name is on the patient record list 1 Trackball to the actual patient and double click the Trackball SET key or press SET once and then Select patient The unit is ready for scanning or the Patient information window is displayed Figure 1 15 depending on system configuration see page 321 If the Patient name is not on the patient record list 1 Press Create Patient The unit is ready for scanning or the Patient information window is displayed Figure 1 15 depending on system configuration see page 321 Vivid i User s Manual
135. e the measurement The acceleration and or the acceleration time is displayed in the Measurement result table Heart rate Heart rate is calculated by selecting two identical points over four heart cycles 1 2 Select HR Position the caliper at a recognizable point in the first cycle and press SET to anchor the caliper Position the second caliper at the identical point in the fourth cycle and press SET to anchor the caliper and complete the measurement The Heart rate is displayed in the Measurement result table Peak systole PS End diastole ED and Mid diastole MD 1 2 Select PS ED or MD Position the caliper at the corresponding measurement point and press SET to complete the measurement The selected measurement is displayed in the Measurement result table Pulsatility index Pl With Auto trace on Select PI Position the caliper at the beginning of the wave form and press SET to anchor the caliper Position the second caliper at end diastole and press SET A trace is displayed between the two calipers and PS MD ED TAMAX and PI are displayed in the Measurement result table With Manual trace on Select PI Position the caliper at the beginning of the wave form and press SET to anchor the caliper 132 Vivid i User s Manual 2378958 100 Rev 02 Measurement and Analysis 3 Using the trackball draw the trace to the end diastole and press SET The trace is displayed and
136. e ua ira Sa neta 18 e Moving and transporting the unit occccccnnnncnanancnononnnnacanonenenananannn eno 22 e Moving the unit ON a Cart coccccncccccccccccnanannnonnncnnnnnnncnnnnnnnnnnnnnnnnnnns 22 Transporting ING Unit soso 23 e Unit acclimation time ooooocococcc naniciconanonananaccncnnnanannnncnnnnnnnnncnno 23 gt System GESCrIPTON ica aaa a 24 SYSTEM OVGIVIOW Lancia ic 24 A av tet sie enti aia cache aii 25 e The Scanning screen cet ied teense ped dicos 35 e Connecting and disconnecting probes eseeeeeeeeeeeeeeeeeeeeees 38 e Adjusting the display Monitor soii bind 41 e Starting an examination fo csecisiciccscaesnvassndeandadwendunasenawccdduesaususwars mena 42 e Creating a new Patient record or starting an examination from an existing patient record msc iris 42 e Selecting a Probe and an Application ooooocccnncccccccnnnncccaccccnnnn 46 Vivid i User s Manual 7 2378958 100 Rev 02 Getting started Introduction Only qualified physicians or ultrasound sonographers should perform scans of patients for medical diagnostic reasons Request training if needed An authorized GE representative will unpack and install the unit Do not attempt to install the unit alone The Vivid does not contain any operator serviceable internal components Ensure that authorized personnel do not tamper with the unit Perform regular preventive maintenance See System Care and Maintenance for more informat
137. e unit or to unplug it If flammable substances are detected evacuate and ventilate the area before turning off the unit Electrical hazard The internal circuits of the unit use high voltages capable of causing serious injury or death by electrical shock WARNING To avoid injury Do not remove the unit s protective covers No user serviceable parts are inside If servicing is required contact qualified technical personnel e Connect the attachment plug to a hospital grade grounding outlet to ensure adequate grounding e Do not place liquids on or above the unit Conductive fluids seeping into the active circuit components may cause short circuiting which could result in an electrical fire An electrical hazard may exist if any light monitor or visual indicator remains on after the unit is turned off Fuses blown within 36 hours of being replaced may indicate a malfunctioning electrical circuit within the system In this event Vivid i User s Manual 359 2378958 100 Rev 02 Safety the unit must be checked by GE Ultrasound service personnel No attempt should be made to replace the fuses with others of a higher rating Biological hazard For patient and personnel safety beware of biological hazards while performing transesophageal procedures To avoid the risk of disease transmission Use protective barriers gloves and probe sheaths whenever necessary Follow sterile procedures as required e Thoro
138. e used when performing Disk management Do not use the same removable media on several systems 222 Vivid i User s Manual 2378958 100 Rev 02 Archiving Running the Disk management function The Disk management function can be run at any time In addition the user may be prompted to run Disk management if the time since the last Disk management operation performed has reached the setting for the Reminder interval see page 221 or if the local hard drive is about to reach its capacity limit Disk management manual start a 2 Press PATIENT on the control panel then select Patient list The Search Create patient window is displayed In the Search Create patientwindow press More to display additional menu options and select Disk management The Disk management welcome screen is displayed Figure 8 51 The Disk management operation either copies removes or deletes files from the local archives depending on the Disk management configuration see page 221 Make sure that the correct configuration is set deleted from local HO when AA Cancel Figure 8 51 The Disk management welcome screen 3 Press Next The Storage size information window is displayed Figure 8 52 Verify the information displayed If using removable media the operation may require several media as specified on the screen Make sure to gather the necessary number of disks Vivid i User s Manual 2378958 100 Rev 02 223 A
139. ea ratio in the Measurement Menu see Figure 6 1 5 Perform two area measurements as described in steps 5 through 8 in the above section The measurement results including the ratio of the two measured areas are displayed in the Measurement result table Editing 2D Area measurements 1 Trackball the cursor to the anchor point of the area measurement to modify 2 Press SET twice Double click to select the anchor point The selected marker turns green and is unanchored 3 With the Trackball reposition the marker 4 Press the SET to anchor 2D Volume measurements The measurements described in this section enable volume measurement in a defined zone The measurements tool generates results by two methods e Method of Disk displayed as Vmod in the Measurement result table known as Simpson s method e Area Length method displayed as Va l in the Measurement result table To perform a volume measurement 1 Generate the 2D image Press FREEZE to stop the cineloop Press MEASURE on the Control Panel Select Volume in the Measurement Menu see Figure 6 1 Trackball the cursor to the start point where a volume is to be measured ee le ac Vivid i User s Manual 119 2378958 100 Rev 02 Measurement and Analysis See the Status bar to get the next step to perform The measurement display color on the 2D image changes from green to red af ter completion of the measurement The measure
140. ecceeesesseeeeeeeeeseeseeeeeeeeeeeeeeees 61 Recommendation concerning CD and DVD handling 61 Formatting removable Media cccccceceseeeeeeeeteeeseeeeeees 61 Ejecting removable Media cooomonoccccnnnccccnccccccnnnnanancncnnnnns 63 ZOO nitrilo 63 To Magnify an MATO ici el delos 63 Performing MeasureMentS occcccnnnnnnncncnncnnnnnnnncncnnnnnnanancnnrnnnnnannnes 63 To perform measurements cccconoonocccccnnnonancncnnnnnnnnnannncnnnnnnnns 63 Physiological ECG Wace cciviiocacar canciones 64 Connecting the ECG 222 cciheek a ebetetdeanecsetheewndeiealaidabaetbecntes 64 ENYSIO CONTOIS foci neta extant eta takers 65 Displaying the ECG trace secsccc cccuncvatdeacesecevetees aactiyesatncals 66 Adjusting the display of the ECG trace cccccccccncnnnnnnnnncnno 66 Annota ONS isis aaa 67 To insert ANAM OLAON ee teeta ad do 67 TO edit ANO ercer torero aereas 70 TO erase annotation ooooooocccncccconccccccononanancncnnnnnnnnnannnnnnnnnnnns 70 Configuration of the pre defined annotation list 71 Chapter 3 Scanning Modes IMTFOdU CIO arnaarna id emanean anani aianiria iaiia 76 2D MOG ninia 77 2D Mode Overview 5 feces iene eee i ees 77 2D Mod CONOS sisas eS 79 A A ete A E reve hore 82 4 Vivid i User s Manual 2378958 100 Rev 02 M Mode OVeIVIeW cooooccccccccccoooocccccnnnnncnncnnncnnnnnnnnnnnnnnnnnnnnncnnos 83 M Mode Con to Sisi its 84 Using MMS ati hele nc othe aa ill 85 Optimizing M Mode oooooccccccnn
141. ecta removable media or a network volume remote path as the destination in the Destination pull down menu Check the options as required 4 Select OK and press CONFIG o Vivid i User s Manual 215 2378958 100 Rev 02 Archiving Importing patient records examinations 1 Insert the removable media of the source archive in the corresponding drive MO drive or CD ROM 2 Press PATIENT on the Front panel then select Patient List The Search Create Patient window is displayed Figure 8 12 page 169 3 Select destination archive in the Dataflow field e LocalArchive Int HD imports data to the local archive RemoteArch RemoteHD imports data to an Echo server network or an EchoPAC PC direct connect 4 Press Import in the Search Create Patient window The Import dialogue window is displayed see Figure 8 47 IMPORT From To Removeable MOD Archive Local Archive Int HD To change destination press cancel and change current dataflow Cancel Figure 8 47 The Import Dialogue window 5 Select one of the following source archive from the Source drop down menu Removable MOD Archive imports raw and DICOM data if present from a MOD e Pure DICOM MOD525 imports DICOM data only from a MOD Removable CD Archive imports raw and DICOM data if present from a CD R e Pure DICOM CD R imports DICOM data only from a CD R Remote Import Export Archive imports raw and DICOM if present data from
142. ections or chapters in the user manual which give information related to components on the ultrasound unit or to accessories marked with this same label see also page 350 Other precautions or prudent use recommendations are indicated in the note sections in the left column These are Use of the Vivid i ultrasound unit as a prescription device under the order of a physician Maintaining an optimum unit environment Reference to the User s Manual Vivid i User s Manual 345 2378958 100 Rev 02 Safety Owner responsibility A CAUTION For USA only Federal law restricts this device to use by or on the orders of a physician It is the responsibility of the owner to ensure that anyone operating the system reads and understands this section of the manual However there is no representation that the act of reading this manual renders the reader qualified to operate inspect test align calibrate troubleshoot repair or modify the system The owner should make certain that only properly trained fully qualified service personnel undertake the installation maintenance troubleshooting calibration and repair of the equipment The owner of the Vivid i ultrasound unit should ensure that only properly trained fully qualified personnel are authorized to operate the system Before authorizing anyone to operate the system it should be verified that the person has read and fully understands the operating instructions
143. ed text All input for the comments Connectivity page 309 e Dataflow Create new dataflows or Admin configure existing dataflows e Additional outputs Configure the PRINT key Admin f e Tools Formats removable media All e Formats Configures the Examination list All window display and other options related to the patient management TCPIP Sets the Transmission Protocol Internet Protocol e Settings Sets the date and time format Admin language and units e Test Enables testing of the different Admin parts of the unit Displays information about the All page 329 software hardware and probes Vivid i User s Manual 285 2378958 100 Rev 02 Presets and System setup Category and sublevel Description access Refer to e Backup Local archive and system Admin configuration backup e Restore Restore local archive and Admin system configuration from a backup e Unlock patient Unlock patient records that were Admin not properly finished This sheet is for service staff Admin only Deals with printer definition and keyboard configuration e Users Operator and referring staff Admin registration operator s rights settings 286 Vivid i User s Manual 2378958 100 Rev 02 Presets and System setup Starting the Configuration package To access the Configuration package the user has to log on as a specific user see page 331 This ensures user specific and user defined settings an
144. eeeeeeeeeeeeeeeeennees 241 e Deleting an archived report coooononcccccnncccconccccccnnnnnnccccnnnnnnnnnnnnss 241 gt Direct report ninia ae sa 242 e Creating COoMmMments most 242 e Creating pre defined text inputs oooonnnnnncccnnnnninncccccccccnnannnnos 243 Report designer iicenucicanananondancncinnan cananea as aia ta 244 e Accessing the Report designer eeesecceeceeeeeeeeeeeeeeeeeeeeeees 244 e Report designer OVeIvieW ccceceeeeeeeeneeeeeeeeeeeeeeeeeeeeeeenaaees 244 e Designing a report template oooooooccccnccccicccccccccnonanaccccnoncnnnnnnnno 247 e Saving the report template cceeeeeseeeeeeeeeeeeeeeeteeeeeeeeeeeaaees 257 e To exit the Report designer cccceeeeseeceeeeeeeeeeeeeeeeeeeeeeeees 258 e Report templates Management mmcccccnnnnncncncnennnnnanacnnenonnnnananenenena oe 258 e Configuration of the Template selection menu ce 259 e Export Import of Report templates oooooonocccccnncccnccccccccccnonanancnos 260 Vivid i User s Manual 235 2378958 100 Rev 02 Report Introduction The Vivid i system enables the creation of patient and examination reports containing measurements images and analysis that were made during the examination The layout of the reports is defined by generic templates delivered with the system Custom templates can also be made Saved reports are read only Therefore it is recommended that the data be carefully reviewed before the
145. efault Measurement menu Use the configuration system to set up the measurements that should be available in the Measurement menu and which parameters should be calculated see also Measurement package configuration on page 134 Display of the Measurement categories 1 Press M amp A categories in the Configuration window The M amp A categories are displayed in a pop up window see page 298 2 Check the categories to be displayed Uncheck the categories to hide To copy a Measurement category 1 Press M amp A categories in the Configuration window The M amp A categories are displayed in a pop up window see page 298 2 Move the trackball marker over the M amp A category name 3 Press SET to highlight the category 4 Press Create copy A copy of the selected measurement category is displayed in the Measurement menu To rename the Measurement category 1 Select the Measurement category in the Measurement menu 2 Enter a new name in the Measurement field Selection of a Measurement category 1 Trackball to the Measurement menu heading 2 Press SET The measurement categories are displayed ina sub menu 3 Trackball to the measurement category of interest 4 Press SET The measurement category is displayed 300 Vivid i User s Manual 2378958 100 Rev 02 Presets and System setup Only user created items can be delet ed Moving an item in the Measurement menu 1 Trackball to the entry to move
146. ements MEASUREMENT amp ANALYSIS Cardiac Measurement menu MM Generic Ivar f l tat mi On Dimension Add measurement Add folder M amp A all gt gt 2D l E MM LviDd Dop LvPWd fF YT IVSs LVIDs LVPWs LVOT Diam RVOT Diam LA Diam PEd 1 Select the appropriate scanning mode 2 Select the appropriate folder 3 Press Add measurement Figure 6 13 The Measurement menu sheet 1 Press CONFIG and select the category Measure 2 Inthe Measurement menu sheet select the appropriate scanning mode for the measurement to be created e g 2D 3 Select the appropriate folder in the Measurement menu e g Dimension 4 Press Add Measurement in the Measurement menu sheet The Add measure window is displayed Vivid i User s Manual 141 2378958 100 Rev 02 Measurement and Analysis ADD MEASUREMENT a Cancel Blank Use copy of Figure 6 14 The Add measure window 5 Check Blank and press OK The Measurement menu sheet is updated MEASUREMENT amp ANALYSIS Cardiac Measurement menu MM Generic Dimension f Add measurement f Add folder M amp A categories f 1WSd LvIDd LvPwd ES LVIDs LVPWs Name My Distance LVOT Diam Tool RVOT Diam e PEd Paramet E Tool result i Precision Averaging EPSS v Hame Distance 3 Aver f R R Hame Time Hame E Calculated My Distance 1 Enter a name for the measurement 2 Select the appropriate measurement tool 3 Double click a
147. er right corner of the screen Each group can have one or more controls that can be selected using the keys on the trackball area as described below The trackball area consists of The trackball used as a cursor control in acquisition mode scrolling control in freeze mode and as a selecting tool like a mouse cursor in post processing mode The ZOOM key enables quick access to control zoom position and or size see Figure 2 3 The TRACKBALL key Toggles between the available trackball function assignments displayed in the Status bar The SET key Performs the selected control or highlighted menu item The UPDATE MENU key enables quick access to various functions form a pop up menu see Figure 2 3 The STORE key enables digital storage of information displayed in the currently active image window see Figure 2 3 Trackball assignment The trackball has a multi mode function The functions available from the trackball are mode dependent The available trackball functions for the active mode are displayed on the right side of the Status line Figure 2 3 54 Vivid i User s Manual 2378958 100 Rev 02 Basic scanning operations To change trackball assignment 1 Press TRACKBALL in the Trackball area until the desired function is selected highlighted The system menu The system menu enables a quick access to image related functions see Figure 2 3 System Menu Save As Image Propert
148. er to control sensitivity or level of penetration The selected frequency is displayed in the status window Adjusting Frequency may affect Sample Volume PW and LVR settings Frame rate Adjusts the frame rate The relative setting of the frame rate is displayed in the status window under 2D Power Controls the amount of acoustic power applied in all modes When power is set to maximum it is equal to or less than the maximum acoustic power permitted by the FDA The Thermal Index Tl and the Mechanical Index MI are displayed on the screen Vivid i User s Manual 97 2378958 100 Rev 02 Scanning Modes Controls and oper ations for PW and CW mode are the same unless other wise noted Sample Volume ad justment may affect the Scale Frame rate and LV rej set tings Refer to page 291 about creating pre sets Frequency and Frame rate settings may affect the Low Velocity Reject Using PW CW Doppler modes There are two ways to start PW CW Doppler Alternative 1 1 Press PW or CW A scanning screen is displayed with a Doppler cursor on the 2D mode image and a Doppler spectrum in the lower part of the screen Use the trackball to position the Doppler cursor line and in PW the sample volume location over the area of interest In PW with the Soft menu rocker key adjust the sample Volume SV To enlarge the SV press the Right arrow of the rocker To narrow the SV press the Left arrow of the roc
149. er to page 291 about creating pre sets Except for Contour all the controls list ed in the optimizing M Mode section will also affect the 2D image Repeat steps 4 and 5 to change the angle of the solid cursor line if necessary Press TRACKBALL to activate scrolling control on the trackball Use the trackball to scroll through the data acquired at that location The M Mode display will vary accordingly Optimizing M Mode The use of preset gives optimum performance with minimum adjustment If necessary the following controls can be adjusted to further optimize the M Mode display Adjust Horizontal sweep to optimize the display resolution Adjust Gain and TGC controls to adjust the range to be imaged Use the Frequency move to higher frequencies or the Frame rate control move to lower frame rate to increase resolution in image Use the Frequency move to lower frequency to increase penetration Adjust Focus to move the focal point s around the region of interest in the M Mode display Adjust Dynamic range to optimize the useful range of incoming echoes to the available greyscale Adjust Compress and Contour to further optimize the display Adjust Reject to reduce noise while taking care not to eliminate significant low level diagnostic information Vivid i User s Manual 2378958 100 Rev 02 87 Scanning Modes Color Mode Color Mode overview 4 cardiac adult GEMS Ultrasound 3S RS Us card
150. eric key BODYMARK The Bodymark menu is displayed showing a selection of bodymarks relative to the selected exam category 1 Select and display bodymark list for other applications 2 Edit probe marker position and User orientation ara 9 3 Erase bodymark O 4 Bodymark list for the current application 5 Insert an arrow 6 Insert user defined text Cardiac Figure 2 12 The Bodymark menu 2 Trackball to the desired bodymark and press SET The bodymark with a probe marker is displayed on the scanning screen 1 Probe marker O a A Figure 2 13 The bodymark with probe marker 3 Using the trackball adjust the position of the probe marker and press SET Vivid i User s Manual 73 2378958 100 Rev 02 Basic scanning operations 4 Using the trackball adjust the probe marker orientation and press SET Editing a bodymark 1 Press the alphanumeric key BODYMARK The Bodymark menu is displayed 2 Press Edit 3 Using the trackball adjust the position of the probe marker and press SET 4 Using the trackball adjust the probe marker orientation and press SET Deleting a bodymark 1 Press the alphanumeric key BODYMARK The Bodymark menu is displayed 2 Press Delete 74 Vivid i User s Manual 2378958 100 Rev 02 Scanning Modes Chapter 3 Scanning Modes An A wave 77 lt 2D Mode ove M W cat ea aaa eaea a a a aaie 77 e 2D Mode controls ety is a 79 Using 2D a co ta tin Gkp
151. ermal Index Tl and the Mechanical Index MI are displayed on the screen Vivid i User s Manual 81 2378958 100 Rev 02 Scanning Modes Using 2D Refer to page 291 The 2D Mode is the system s default mode about creating pre 4 Press 2D on the control panel to access 2D mode sets Check the Displays 2 Optimize the image by adjusting the image controls brightness and con described in the previous section trast setting before If necessary use preset for optimum performance with i oh Slack minimum adjustment imaging controls see page 41 Sag Optimizing 2D The following controls can be adjusted to optimize the 2D Mode display e Use the Gain and TGC controls to optimize the overall image Use the Depth control to adjust the range to be imaged Use the Focus control to center the focal point s around the region of interest Use the Frequency move to higher frequencies or the Frame rate control move to lower frame rate to increase resolution in image e Use the Frequency move to lower frequency to increase penetration e Use the Reject control to reduce noise in the image Use the DDP control to optimize imaging in the blood flow regions and make a cleaner less noisy image A Always use the minimum power required to obtain acceptable images in accordance with applicable guidelines and policies WARNING 82 Vivid i User s Manual 2378958 100 Rev 02 Scanning Modes M Mode M Mode overview
152. es for that application Other parameters which optimize performance for the selected application are also set automatically and should assist in reducing the patient exposure time See page 46 for information on selecting probes and application presets Changing imaging modes Acoustic output depends on the imaging mode selected The choice of mode 2D M Mode Doppler or Color Flow determines whether the ultrasound beam is stationary or in motion This greatly affects the energy absorbed by the tissue See Chapter 3 Scanning Modes on page 75 for complete information on changing imaging modes When operating in a combined mode such as 2D and M Mode the total acoustic output comprises contributions from each individual mode Depending on the modes in use either or both output indices may be affected The user can override the default settings but care should be taken to observe the displayed MI and TI values Power It is possible to change the power in all operating modes so that the operator can use the ALARA principle 356 Vivid i User s Manual 2378958 100 Rev 02 Safety Patient safety A WARNING A CAUTION Patient identification The concerns listed in this section can seriously affect the safety of the patient undergoing a diagnostic ultrasound examination Always include proper identification with all patient data and verify the accuracy of the patient s name and or identity number when
153. esi Late cetera eee eee 337 Prevention of static electricity interference 339 System SCH ASST vis ssissscccesecieeciesdarsesceeecdecdteccsawis csneredizedsiedessstecees 341 System malfunction oooooocccccccnnononanaccnononanancncnononcnanannncnnnnns 341 Chapter 14 Safety WATFOGUCUON ti ao 345 Owner responsibility ccccccceesseeeeeeeeeeseeeeeeeeeeeseeseeeeeeeenenees 346 Important safety Considerations cccccceeeeeeeeeeeeesteeeeeneeeees 347 Notice against user MOdification eeeesseeeseeeeeees 347 Regulatory information cecceseeesseeeeeeeeeeeeeeeeeeeeeeeseeeeeeees 348 Standards Usina dina ie 348 Device dlabelSiiiicanaiana i iaa 349 Label Icon Description id dida 349 Classifications iaa 352 ACOUSTIC OUT DUN nara 353 Definition of the acoustic output parameters 0 353 Acoustic output and display on the Vivid 353 AER A a cst mesons esti ones heeanetou dieu N 354 Safety Statement ses vecget ws dadas 355 System controls affecting acoustic output eee 355 Patient Safety coinciden 357 PatientidenttcaMON ad Ana 357 Vivid i User s Manual 9 2378958 100 Rev 02 Diagnostic information suspicacias 357 Personnel and equipment Safety ccccesssseeeeeesseeeseeeeeeeeees 359 Explosion MAZANG ccf ad ts did 359 Electrical Mazatlan di 359 Biological hazard tias cia 360 Pac maker Nazas 360 Electrical safety ira ene
154. ess FREEZE to stop the cineloop Press MEASURE on the Control Panel Select Caliper in the Measurement Menu see Figure 6 1 Trackball the cursor to the start point of the measurement Press SET to anchor the start point of the measurement Trackball the cursor to the measurement end point The current distance value is displayed in the Measurement result table and is instantaneously updated when moving the cursor Press SET to anchor the end point of the measurement The measurement result is displayed in the Measurement result table To assign a label to the measurement see page 115 Repeat steps 5 through 8 to make additional length measurements Vivid i User s Manual 2378958 100 Rev 02 117 Measurement and Analysis The measurements displayed on the 2D image and the cor responding results are numbered See the Status bar to get the next step to perform The measurement display color on the 2D image changes from green to red af ter completion of the measurement 2D length measurement ratio k Generate the 2D image Press FREEZE to stop the cineloop Press MEASURE on the Control Panel Select Dist ratio in the Measurement Menu see Figure 6 1 Perform two lengih measurements as described in steps 5 through 8 in the above section The measurement results including the ratio of the two measured lengths are displayed in the Measurement result table Editing 2D Length measurements 1
155. ets Vivid i User s Manual 227 2378958 100 Rev 02 Archiving To be able to select a shared network folder the path of type serv er name share na me must be entered once in the Remote Path field 8 Select a removable media or a shared network folder as destination If the backup is done to a removable media insert a dedicated media in the drive 10 Select Start backup The following situations may occur e The system is checking that the removable media is inserted If not a dialogue window is displayed Figure 8 57 prompting the user to insert a media w Information Q There is no media inside the tray Insert media Figure 8 57 Insert media prompt Insert the media and select OK The system is checking if the media needs to be formatted If yes the media is automatically formatted An Information window is displayed Figure 8 58 showing the media label Information Media was successfully formatted with label 2906040257c AAA Ok Cancel Figure 8 58 Media formatted with label Write down the label and select OK e The system is checking if there is already a backup copy on the media If yes a dialogue window is displayed Figure 8 59 asking the user if the backup should be replaced 228 Vivid i User s Manual 2378958 100 Rev 02 Archiving Current media 127 0 0 1 MOD525 contain x previous Backup information overwrite Figure 8 59 Replac
156. f Do not allow the probe head to hang freely Impact to the probe head may result in irreparable damage Do NOT touch the patient and any of the connectors on the ultrasound unit simultaneously including ultrasound probe connectors To connect a probe 1 Hold the probe connector horizontally with the cable pointing towards you 2 The lever on the Vivid i should be down all the way 3 Align the connector with the probe port and carefully push into place 4 Lift the lever on the Vivid i up all the way 5 Position the probe cable so that it is not resting on the floor Take the following precautions with the probe cables e Keep free from the wheels CAUTION Do not bend cable sharply Activating the probe When a probe is connected to the unit it is automatically detected Vivid i User s Manual 269 2378958 100 Rev 02 Probes To select a probe and an application 1 Press APPLICATION on the control panel A list of the connected probes will pop up The list will contain the name of the probe in the main connector and the name of the CW pencil probe connected to the small connector 2 Trackball to the desired probe An application menu for the desired probe is then listed 3 Trackball to the desired application 4 Press SET to launch the application Make sure that the probe and application names displayed on the A screen correspond to the actual probe and application selection REN Check that the c
157. f the stain remains moisten a soft lint free cloth with water or a 50 50 mixture of isopropyl alcohol and water that does not contain impurities Wring out as much of the liquid as possible then wipe the LCD Display again Do not let any liquid drip into the computer Be sure to dry the LCD Display before closing the cover Control Panel and Keyboard Control Panel On a 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 Squeeze excess liquid from the cloth sponge them wipe down the Control Panel Do not spray any liquid directly onto the Control Panel 1 Rinse the cloth sponge with clean running water and wipe the Control Panel again 2 Useadry soft lint free cloth to dry the Control Panel 3 Wait for the Control Panel surfaces to dry completely 338 Vivid i User s Manual 2378958 100 Rev 02 User maintenance Keyboard Clean the keyboard as described above for cleaning the Control Panel Note In the event that disinfection is required or any stubborn stains remain absorb a small quantity of isopropyl rubbing alcohol on a soft dust free cloth Wipe the surface of the keycaps with the cloth making sure that no liquid drips on or between the keys Allow to dry Magneto Optical Disk MOD
158. f the user defined functions CAUTION User defined formula example The workflow for user defined formula is e Ifthe user defined formula is based on several measurements of different types create a user defined folder in the Measurement menu so that all measurements and the formula are grouped together If the formula is based ona single measurement you may select an existing appropriate folder Add the measurement s needed for the formula to the user defined or existing folder e Create the formula based on the added measurements The following procedure describes the creation of user defined LIMP formula as follow My LIMP MCO AV ET AV ET Vivid i User s Manual 137 2378958 100 Rev 02 Measurement and Analysis Creation of a user defined folder MEASUREMENT amp ANALYSIS Measurement menu Add measurement Add folder M amp A categories 1 Select the appropriate scanning mode 2 Create a folder in the Measurement menu Figure 6 8 The Measurement menu sheet 1 Press CONFIG and select the category Measure 2 MCO and AV ET are Doppler measurements select Doppler in the Measurement menu sheet 3 Select Add folder 4 Give the folder a name e g My Folder Adding measurements MEASUREMENT AHALYSIS Cardiac f Measurement menu d le Annot i Generic MM Mitral Valve f Add measurement i Add folder M amp A categories j MM Aortic MM pulmonary Vein MM pulmonic MM Tricuspid Valve M
159. g CW DA a a ll e 98 Optimizing Melide at e no e do tee 87 Optimizing PD e enn ee 98 PW DODD da a E aaah tame 97 G Gain A O saeia avo 80 Optimizing 20 et aero ee an o a o ce eee 82 Optimizing WSIS oe ss tes cartes ceat ese ate ieee do ds 87 H Horizontal sweep E A Eee oc rene ot ee ee en 90 COW tddi 95 M Mode id ana odias 84 Optimizing EW DO ao 99 Optimizing MIMOS a dl ates 87 Optimizing PW Doppler 99 PODIO a anaconda 95 Images Saving as Rd a la ae 158 Import Palencia 216 Invert A oO nS 79 Color ModE Bee renner enna anne SEE E A cece reneged Eres ene O Eee ener Sent eo Senne 90 A in 95 Optimizing Color ModE id 93 Optimizing CW Doppler o a o ee 99 Sal ercn sate att Goan eek Meet th A eee adeie 99 EY DOD arta 95 Vivid i User s Manual 3 1 2378958 100 Rev 02 J A Eel cok A 158 L Language O line MA sere ter amine Mnn nina eae Mer ON eee Neer 329 OV SUTIN eich ie alas cat Ra eet ha ce ee a ema ena 329 Lateral Averaging Color ONS ranea aara aE ia ei 91 Optimizing Color Mode at cast a oa aL rie ek 93 Layout E A ene cree rear te Poet Oe Mr OPC OS ee nner ee On A ee ne 96 MEM OG Cosh encon iaa 84 FPW GIS as O std es seid ert A E a a athlete 96 Low Velocity Reject see LVR CP es tl ed ne do lt ll 95 LVR Color Mod eat alta 90 A A AEEA 95 Optimizing COME ot ih si tects she ace too than eee as nhc cca tate 93 Optimizing CW Doppler cessio aerirero rii e EE OE ee 98 Optimizing PW Ble s dia 98 M Magneto O
160. g keys to move select or activate objects on the screen Controls image magnification Press to activate Zoom mode use trackball and SET button toggle to pan or change zoom factor Zoom is available in both Live and Replay Controls the trackball assignments between the mode specific options By pressing TRACKBALL the trackball function will cycle through the possible assignments which are indicated in the lower right corner of the screen see page 54 Vivid i User s Manual 31 2378958 100 Rev 02 Getting started Description Depending on the situation see Figure 2 3 page 55 Performs the selected control or highlighted menu item Toggles between the Trackball functions within the active group Update Menu In Freeze activates menu with additional options and controls not available from the assignable keys In live mode toggles between 2D imaging and live time motion imaging Doppler M Mode Stores the currently active imaging window to disk The stored information depends on the configuration of the current application Stored images are shown on the clipboard Assignable keys soft keys amp 2 The functions of the assignable keys vary according to the mode and or module in which the user is working Description Assignable Three 4 way knobs whose mode specific Circular functions vary according to the scan mode and position that is currently active This assignab
161. g used there may be a need for further adjustment If image quality is not acceptable before contrast injection the power level should be increased When contrast is observed in the left ventricle the power should be reduced to a level giving homogenous opacification with no destruction shown as a swirling pattern of the contrast agent in the LV cavity Ifa swirling pattern is observed and persists after the LV cavity has been filled with contrast the power should be reduced until homogenous opacification is obtained Too high Power setting will destroy the contrast agent in the LV cavity 108 Vivid i User s Manual 2378958 100 Rev 02 Measurement and Analysis Chapter 6 Measurement and Analysis Aliko lU odito a 2 T 110 e The Assign and Measure modality cconnncnnnncnnnnnnnncccccnonenenanananns oe 111 e Starting the Assign and Measure modality ccccccnnnnnnnnn 111 e Entering a study and performing measurements 006 112 e Measure and Assign modality oooocccccnnnnicocononenananannnnnnnnnnanancnnnnnnn oe 114 e Starting the Measure and Assign modality eeeeeeeeees 114 e Post measurement assignment labels eeeeeeeeeeeeeeees 115 e Cardiac measurements scseeeeeeeeeeeeseeeeeeeeeeeeeneeeeeeeeseneeseeeeeees oe 117 2D Meas remeniS Ai 117 e M Mode Measurements cccceeeeeeneceeeeeeeeeeeeeeeeeeeeeeeaeaees 121 e Doppler Measureme
162. ge is found DO NOT use the probe until it has been A inspected and released for further use by a GE service CAUTION representative After each use 1 Inspect the lens the probe housing and the cable Figure 10 3 2 Look for damage that might allow liquid into the probe Before each use 1 Inspect the lens the probe housing and the cable Figure 10 3 2 Look for damage that might allow liquid into the probe 3 Test the functionality of the probe Housing Strain relief Seal Lens PANAS Figure 10 3 Probe parts 272 Vivid i User s Manual 2378958 100 Rev 02 Probes Cleaning and disinfecting probes Transesophageal and intraoperative probes require a special 5 handling Refer to the user documentation enclosed with these CAUTION probes Cleaning probes Cleaning procedure 1 Disconnect the probe from the unit 2 Remove the coupling gel by wiping the probe lens with a soft cloth 3 Wipe the probe and cable with a soft cloth moisten in a warm soap and water solution lt 80 F 27 C 4 Wipe the probe and cable with a soft cloth moisten in clean water lt 80 F 27 C until all soap is removed 5 Wipe dry with a soft towel Disinfecting probes In order to provide users with options in choosing a germicide GE Medical Systems routinely reviews new medical germicides for compatibility with the materials used in the transducer housing cable and lens Although a necessary step in prote
163. ges Vivid i User s Manual 2378958 100 Rev 02 177 Archiving 11 12 Press Delete A pop up dialog box is displayed asking for confirmation of the deletion Trackball to OK and press SET on the control panel The image is deleted To delete an image from the clipboard 1 2 3 If in live press FREEZE Press TRACKBALL until the Pointer tool is selected Move the pointer over and select the image to delete in the clipboard Press the Update Menu button Select Delete clipboard cell from the Update menu A pop up dialog box is displayed asking for confirmation of the deletion Trackball to OK and press SET on the control panel The image is deleted Moving examinations An examination can be moved from one patient record to another This feature should only be used if an examination was performed and stored to a wrong patient record When moving an examination verify that the target patient A record is correct CAUTION In the Search Create Patient window press in front of the patient record containing the examination s to move see Figure 8 12 page 169 Select the examination to move Press More in the lower right hand corner of the Search Create Patient window Press Move Exam The Move exam window is displayed 178 Vivid i User s Manual 2378958 100 Rev 02 Archiving Move Exam To New Patient Last Name Patient ID First Hame Birthdate ddmmiyyyy Age Category Cardi
164. ges as well as reports measurement and analysis data By utilizing dataflows the user can configure the Vivid 7 ultrasound unit to optimally meet the connectivity needs of the facility while keeping the user interface unchanged The dataflow concept allows the flexibility of data to be obtained from various sources and allows data to flow to various output sources Dataflow examples Refer to Dataflow on page 310 for a complete list and description of supported dataflows Stand alone scanner The figure below illustrates two different dataflows for a stand alone scanner 186 Vivid i User s Manual 2378958 100 Rev 02 Archiving A LocalArchive Int HD dataflow The local database is used for patient archiving Images are stored to internal harddrive Figure 8 25 Stand alone scanner dataflows Scanner in a network The figure below illustrates two different dataflows for a scanner connected to a network B RemoteArch Remote HD dataflow A remote database here EchoPAC PC is used for patient archiving Images are stored to a remote archive here EchoPAC PC EchoPAC PC O C Worklist LocalArchive DICOM Server Int HD dataflow Search in the DICOM Modality Worklist the patient found is copied into the local database Images are stored to a DICOM server and to the internal hard drive O Figure 8 26 Scanner in a network dataflows example Vivid i User s Manual 1 87 2378958 100
165. h emission limits for a Group 1 Class A Medical Device as stated in EN 60601 1 2 2001 IEC 60601 1 2 2001 All types of electronic equipment may characteristically cause electromagnetic interference with other equipment transmitted either through air or connecting cables The term Electromagnetic Compatibility EMC indicates the capability of the equipment to curb electromagnetic influence from other equipment while at the same time not affecting other equipment with similar electromagnetic radiation Radiated or conducted EMC can cause distortion degradation or artifacts in the ultrasound image which could potentially obscure diagnostic information There is no guarantee that interference will not occur ina particular installation If this equipment is found to cause or respond to interference which may be determined by turning equipment on and off qualified service personnel should attempt to correct the problem by one or more of the following measures Re orient or re locate the affected device e Increase the separation between the unit and the affected device Power the equipment from a source other than that of the affected device e Consult the service representative for further suggestions The manufacturer is not responsible for any interference or responses caused by the use of interconnecting cables other than those recommended or by unauthorized changes or modifications to this unit Unauthorized ch
166. h in a DICOM Modality Worklist the patient found is copied into a remote database The patient information and the examination results are stored to a remote database Images are stored to a DICOM server and to an image network volume as pure DICOM in both locations Query Retrieve retrieve images from a DICOM server based on query parameters This scenario requires that the scanner is configured to be connected to the DICOM server as described below Scanner s connectivity configuration The scanner s TCP IP settings must be configured as described in Scanner s TCP IP settings on page 193 In addition to work against the DICOM server the following information has to be entered in the scanner The DICOM server IP address The DICOM server port number 198 Vivid i User s Manual 2378958 100 Rev 02 Archiving The DICOM server AE title the server s name Typically source for this information in the network administrator Setup of the DICOM server in the scanner s configuration management package DICOM dataflow selection 1 Press CONFIG and log on as administrator 2 Select the Connectivity category and Dataflow subgroup The Dataflow sheet is displayed 3 Select the DICOM dataflow to configure in the Name pull down menu see Figure 8 32 CONNECTIVITY Imaging Meas Text Report Connectivity System Service Figure 8 32 The Dataflow sheet DICOM devices configuration Depending on the DICOM
167. he measurement The assigned measurements may be reviewed in the Worksheet see page 147 Up to five assigned measurements with the same label can be stored in the patient archive Only assigned measurements will be saved Measurements without assignment will be lost when scanning is resumed Vivid i User s Manual 11 5 2378958 100 Rev 02 Measurement and Analysis 1 Parameter Label menu 2 Selected label L 3 09 ITA L 4 08 cm Assignment 3 Assigned measurement en Images Demo d6 02 01 1902 OL 2L 309 enlf LVIDd 4 06 c EDV Teich 72 36 ml Figure 6 4 Measurement assignment To assign a user defined parameter label 1 Trackball to the actual measurement in the Measurement result table see Figure 6 4 2 Press SET A Parameter label menu is displayed 3 Trackball to User and press SET The Enter new parameter window is displayed 116 Vivid i User s Manual 2378958 100 Rev 02 Measurement and Analysis Enter new parameter OK Cancel Figure 6 5 The Enter new parameter window Type a name for the parameter label Press OK The user defined parameter label is assigned to the selected measurement Cardiac measurements See the Status bar to get the next step to perform The measurement display color on the 2D image changes from green to red af ter completion of the measurement 2D Measurements 2D Length measurements 1 ABE Or eO Generate the 2D image Pr
168. he LocalArchive Int HD dataflow as default dataflow In this configuration the local database is used for patient archiving Images are stored to internal harddrive Image review The same dataflow is used for review on the system Vivid i User s Manual 1 89 2378958 100 Rev 02 Archiving A stand alone scanner anda stand alone EchoPAC PC environment In this scenario the EchoPAC PC one or several is used for review of studies acquired on one or more Vivid i without being connected via a private or a local area network Images can be stored on the scanner s internal harddrive recommended or on a dedicated MOD Images stored on the internal harddrive Vivid i Vivid i dataflow LocalArchive IntHD EXP export from LocalArchive Int HD to Removable MOD Archive IMP import from Removable MOD Archive to LocalArchive Int HD EchoPAC PC dataflow LocalArchive Int HD Figure 8 29 A stand alone scanner and a stand alone EchoPAC PC environment with images stored on the scanner s harddrive In this configuration images are first stored on the scanner s harddrive and then exported from the scanner s harddrive to a MOD and finally imported from the MOD to the EchoPAC PC s internal harddrive Data management Scanner s dataflow configuration 1 Select the LocalArchive Int HD dataflow as default dataflow The local database is used for patient archiving Images are stored to internal harddrive Export from Vivid i
169. he drive 2 Press CONFIG and select Report The Report template sheet is displayed Figure 9 16 page 259 3 Select Export Templates 260 Vivid i User s Manual 2378958 100 Rev 02 Report The available user defined templates are displayed in the Export template dialogue window Export Templates Select Templates To Export y Report My Report 2 Select Target Device 5 1 4 MO Disk G Ok j Cancel Figure 9 17 The Export template dialogue window 4 5 8 Select the templates s to export Multiple selection can be done using SHIFT or CTR key Select the desired removable media under Select target device Press OK A Confirmation window is displayed Press OK The selected template s are exported to the removable media Press ALT E and select the media to eject Import of Report templates 1 2 Insert the removable media with the report template s to import Press CONFIG and select Report The Report template sheet is displayed Figure 9 16 page 259 Select Import Templates The Import template window is displayed Vivid i User s Manual 2378958 100 Rev 02 261 Report Import Templates f Cancel 7 Figure 9 18 The Import template window 4 Select the source device from the pull down menu 5 Press OK A Confirmation window is displayed 6 Press OK The templates are imported into the system 7 Press ALT E and select the med
170. i User s Manual 2378958 100 Rev 02 Archiving Last Name Patient ID readable from a regular computer Ultrasound images are stored as MPEG and saved reports as CHM files The export destination must be configured see page 213 Press OK The Export patient window is displayed see Figure 8 41 ASG TES ADM a ate 15 11 04 18 19 16 ie EXPORT PATIENT Removable MOD 525 More poy ea Dataflow Name DB CD DVD First Hame Birthdate ddimmiyyyy Age Sex Echolab Images 127 0 0 1 CDRW female male Born between Image disk Diagn code Exam between j Today Patient List 16 records fetched of total 16 Show All Last Name First Name Patient ID Birthdate Exam Date Copied Status Msg a Images Demo 020202 Ela 5 Images Some 370 Delete selected patient s after copy v Copy Images Copy only exams with on line images Status READY Jobs 0 Import 43 0 GB 91 1 MB Export from Operator Copy Select All Figure 8 41 The Export patient window 7 Press More to dis play the extended Export patient window if neces sary Search and Select the patient records examinations to export in the Patient list The following selection methods can be used e Press and hold down SHIFT while selecting patient records examinations to select several consecutive items at a time e Press and hold down CTRL while selecting patient records examinations to select several discrete items e Press Select all in
171. ia ena ada dada id 117 Vivid User s Manual 5 2378958 100 Rev 02 Vascular M aSUreMe NS 2 0 cceeccncceeeceeccneceneceecceeseneceescnsseneeeees 127 B Mode measurements cscccceeeeeeeeeeeeeeeeeeeeeeneeeeees 127 M Mode Measurements ococcccccnconoccccccnncncnanncccnnnnnnnnncnnnnnn 128 Doppler measurement ooooccccccccnnoccnoccnononanancnonnnnnnnnnanoccnnns 129 Measurement package Configuration ecccesseseeeeneeeeees 134 Measurement package configuration example 134 User defined formulas cccccessseeeeeeeenseseeeeeseeseeseeeeeeeeeeees 137 User defined formula example ooooooocccccccconoccccccccccnanncnons 137 ADO UNS nanana a aoe ia aaa bes 143 Measurement result table cccccsssseeeeeeeeeeeeeseeeeeeeeeeeeeeeeeeeeeeees 145 Minimizing the Measurement result table 145 Moving the Measurement result table eee 145 Deleting measurements oooccccccnnonoccccccnncnnnnancccnnnnnnnnnnnnnnn 146 Works heel oi sake scadatixiasvdedavacuetcaccuesvancasiteawed 147 VT VN ati A A ARA Did 147 Chapter 7 Purposely Left Empty For Future PUTOS OS cien dae cola 151 Chapter 8 Archiving INTFOGUCUON ici ae 155 Storing images and Cinel00pS ccccccccocccccnccnononnnnannnononenananancnenos 156 Stoning a CINCIOOP isin uo e oeeeeeese 157 Saving stored images and cineloops to a standard format158 MPEG VUIGIOV UG ina aaa aa a teu e EE aAa aea ERa ATi 160 Retrie
172. ia to eject 262 Vivid i User s Manual 2378958 100 Rev 02 Probes Chapter 10 Probes e Probe OVervieW init l n wa 264 e Supported ProLiant 264 e Probe orientation sais cies See at se ie Se aN i reenn 267 e Probe labelling savas tia 267 Probe Integration nani endiensemnaneeaseneunis de 269 e Connecting the probe ooocccccnnconnccccconnnnnccccnnncnnnnnnnncncnnnncnnnncnnns 269 e Activating the probe sssssssssssssssoeseeerrrnnnnnnnnnnneseseeeeereeererennnnnn 269 e Disconnecting the probe recinto 270 e Care and Maintenance csseeeeeeeeseeeeeeeeeeeeeeeneeeeeeeeeeeseeeeeeeeees oe 271 e Planned maintenance cussisara narra 271 e Inspecting the probe aA A vada inn kalo he ada kanas 272 e Cleaning and disinfecting probes ccseeeeeeeeeeeeeeeeeeeeeeeeseees 273 gt Probe safety ccccecviecvciisnsasndiniwcvewecensecsvenaeenwennwedaciiuwanveeewsanininsacerecen iu 276 SE lecttiGal NAZANGS ai Sate herrea susie dis 276 e Mechanical hazards eeciocoaciinnranicoonnrrnadlcn ire 276 e Biological hazards oran 277 Vivid i User s Manual 263 2378958 100 Rev 02 Probes Probe overview The Vivid i ultrasound unit supports four types of probes e Phased Array Sector Linear Array e Curved Array Convex e Continuous Wave Doppler Supported probes Phased Array Sector probes Mode Intended use Technical data 2D mode Cardiology Frequency 1 5 M Mode Coronary Foot print 3 6 MHz Color
173. iac 15 1104 13 56 15 ADM Cardiac 15 11 04 13 51 36 Tissue Octave Freq 13 4 MHz Proc om EA FPS 19 0 Depth 19 0 cm Color Gain 10 dB Scale 3 87 kHz 2 4 MHz 1 1 mm 24 95 cmis CF Live Tissue Priority Sample vol DDP Frequency Lateral avg Radial avg 180 3123 9 5 164 6 s CF Live FrameRate Baseline Mariance Invert a Power Simultan Color Maps Probe orientation marker Color bar Color sector marker Status window Soft menu Sp pen sa Figure 3 4 The Color Mode screen 88 Vivid i User s Manual 2378958 100 Rev 02 Scanning Modes Color M Mode overview g cardiac adult GEMS Ultrasound 3S RS JO cardiac 15 11 04 13 55 01 ADM Cardiac 15 11 04 13 55 05 Tissue Octave Freq 1 7 3 4 MHz Proc 1M6 21610 2 Ps 174 Al A Depth 14 0 cm Color Gain 11 dB Scale 4 00 kHz Freq 2 4 MHz sv 11 mm LVRej 25 80 cm s OS De CM Freeze Tissue Priority F 1 A A i Y e E e gt gt gt E 21342134 123 7 1237 s Scroll CM Freeze Horizon Sweep baseline Variance Invert Layout Color Maps Time motion cursors Color bar Focus marker Flow sector marker Time scale Status window Soft menu NOa Pon Figure 3 5 The Color M Mode screen top bottom display Vivid i User s Manual 89 2378958 100 Rev 02 Scanning Modes Color data pro duced by very low flow may cause in terference Color Mode controls Color Mode assignable controls Horizontal
174. ic scanning operations Text overlays There are 2 layers of the text in annotations which can be selected by toggling the TEXT key Text1 is the default choice This function enable the user to show hide different or all annotations To edit annotation 1 2 5 6 Press the alphanumeric key TEXT Press Edit in the Annotation menu The pointer is changed to a cross marker Trackball to the annotation to edit Press SET Once selected the annotation can be moved freely The text can be edited using the following alphanumeric keys RIGHT ARROW moves the text cursor forward LEFT ARROW moves the text cursor backward TAB moves the text cursor by word forward SHIFT TAB moves the text cursor by word backward BACKSPACE deletes backward DELETE deletes the selected word INSERT toggles the text entry state from overwrite to insert mode Do the appropriate changes to the annotation Press SET to anchor the edited annotation To erase annotation The user can erase all annotations on the screen in one operation or erase annotations one by one To erase all annotations 1 Press the alphanumeric key PAGE ERASE If using text overlays page erase applies only to the displayed layer s 70 Vivid i User s Manual 2378958 100 Rev 02 Basic scanning operations Configuration of the pre defined annotation list 1 2 3 Press CONFIG In the Configuration package sele
175. id aas aoada eienares aaie saae na saida 361 Device classifications ccccceceeeeeeeeeeeeeneeeeeeeeeeeseneeeees 361 Internally connected peripheral devices ccooo 361 Internally connected battery oooooooccccc ncccconcccccnonnnnnccncnnnnn 361 External Connection of other peripheral devices 361 Allergic reactions to latex containing medical devices 362 Electromagnetic Compatibility EMC cccssseseseeeeeeees 363 Environmental protection ccccccscseeeeeeeeeeesseeeeeeeeeeeeeeeeeeeeeeees 365 System disposal os ceiis soece co ecseracteneaens eal enguecoieeceusse sete 365 10 Vivid i User s Manual 2378958 100 Rev 02 Introduction Introduction Attention A CAUTION Safety The Vivid i ultrasound unit is a compact high performance portable digital ultrasound imaging system The system provides image generation in 2D B Mode Color Doppler Power Doppler Angio M Mode Color M Mode PW and CW Doppler spectra Tissue Doppler imaging TDI and LVO Contrast option applications The fully digital architecture of the Vivid 7 unit allows optimal usage of all scanning modes and probe types throughout the full spectrum of operating frequencies Read and understand all instructions in the User s Manual before attempting to use the Vivid i ultrasound unit Keep the manual with the equipment at all time Periodically review the procedures for ope
176. id i does not monitor the thermal exposure time The displayed Tl is coded as follow Color Recommended thermal exposure time 0 0 0 4 Dimmed The maximum possible MI and Ispta on the Vivid i is within the limits set in Track 3 in the FDA 510 k guide of 1997 MI lt 1 9 and Ispta lt 720 mW cm2 ALARA Ultrasound procedures should be performed using output levels and exposure times As Low As Reasonably Achievable ALARA while acquiring clinical information Training During each ultrasound examination the user is expected to weigh the medical benefit of the diagnostic information that would be obtained against the risk of potential harmful effects Once an optimal image is achieved the need for increasing acoustic output or prolonging the exposure cannot be justified It is recommended that all users receive proper training in applications before performing them in a clinical setting 354 Vivid i User s Manual 2378958 100 Rev 02 Safety Contact the GE Ultrasound sales representative for training assistance Safety statement GE Vingmed Ultrasound safety statement Although no harmful biological effects have been demonstrated for ultrasound frequencies intensities and exposure times used in examination with the GE Vingmed Vivid i system GE Vingmed Ultrasound recommends using the lowest acoustic output settings which will produce diagnostically acceptable information System controls affecting acou
177. ield next to Remote path A Disk management settings 1 Select a number of days weeks or months or a specific date next to Manage files older than Only files older than the specified setting are copied or moved If None is selected all files are copied or moved 2 Next to Operation select one of the following options e Copy the images and reports from the examinations older than the specified setting defined in step 1 are copied to the specified destination After using this setting the files exist in two locations the local hard drive and the media used to copy to Move the images and reports from the examinations older than the specified setting defined in step 1 are copied to the specified destination verified and then deleted from the local hard drive After using this setting the files exist in one location the media used to move the files to They are removed from the local hard drive Delete the images and reports from the examinations older than the specified setting defined in step 1 are deleted from the hard drive Check Keep dates together to preventthe system from saving examinations with same date on different removable media Destination device settings 1 Next to Destination device select a removable media or a network shared folder If using removable media it is recommended to use dedicated media to the Disk management process Removable media used CAUTION for data backup must not b
178. ies Direct Report Delete Clipboard Cell Scroll Pos Cancel Zoom key select to enlarge or reduce the image size on the screen Trackball key select trackball assignment from the functions available in the Status line Set key perform the selected control or highlighted menu item Update Menu key select the operation to perform from the pop up System menu Store key store information displayed in the currently active image window SP ON 2 Figure 2 3 The Trackball area Vivid i User s Manual 55 2378958 100 Rev 02 Basic scanning operations Cineloop operation When no ECG is When the scan mode is frozen the unit automatically displays connected a cine cineloop boundary markers on either side of the last detected gauge is displayed heartcycles The cineloop boundaries can be adjusted using indicating the cur the cineloop assignable controls to cover one or more heart rent frame in the cineloop cycles Cineloop overview 1 ECG 4 Right marker 2 Left marker 5 Heart rate or Cine speed in replay 3 Current frame 6 Cine frame number values Figure 2 4 The cineloop controls display 56 Vivid i User s Manual 2378958 100 Rev 02 Basic scanning operations 1 Assignable keys 2 Image Store Left marker 3 Freeze Start stop cineloop Right marker 4 Trackball Cycle select Number of cycles First Cycle Last Cycle Sync Cineloop Select all
179. ill not contain any patient information measurements or images Up to three scanners can be connected to one EchoPAC PC if the workstation has the EchoPAC Share option enabled EchoPAC PC Vivid i dataflow RemoteArch RemoteHD EchoPAC PC dataflow LocalArchive Int HD Figure 8 30 A scanner and EchoPAC PC in a direct connect environment peer to peer or network The acquisition can be done online or offline Both situations are described below Scanner s connectivity configuration If working in a peer to peer connection with a crossover cable between a Vivid i and an EchoPac PC the default delivery TCP IP settings should be used If working in a network follow the procedure described below to configure the scanner 192 Vivid i User s Manual 2378958 100 Rev 02 Archiving Scanner s TCP IP settings To be able to use the network functions when connected to a hospital network the scanner must have a proper network address Typically source for this information in the network administrator 1 Press CONFIG and log on as administrator 2 Select the Connectivity category and TCP IP subgroup The TCPIP subgroup is displayed CONNECTIVITY Tcpip Computer Hame VIVID7 001234 Detailed DIC g AE Title VIVID7 001234 Port Ho f Save settings 3 9 fi Advanced Settings IP Address 3 222 2 8 Subnet Mask 55 255 252 0 Default Gateway 222 23 251 Remote Archive IP Addr Remote Archive N
180. ime 232 Vivid i User s Manual 2378958 100 Rev 02 Archiving DICOM JOB SPOOLER Last Name Patient ID Destination Type Contents Status Error nformatior Refresh Only non active jobs can be deleted Only jobs that failed or are in hold can be resent Delete Resend Send To Hide Select All Figure 8 66 The DICOM job spooler window Deleting a job 1 2 3 4 Trackball to the job to delete in the DICOM job spooler window Press SET Trackball to Delete Press SET Resending a job 1 w Trackball to the job to re send in the DICOM job spooler window Press SET Trackball to Resend Press SET Vivid i User s Manual 2378958 100 Rev 02 233 Archiving Only jobs that failed or are in hold can be sent to anew Sending a job to a new destination 1 Trackball to the job to send in the DICOM job spooler window destination 2 Press SET 3 Trackball to Send to 4 Press SET A dialogue window is displayed 5 Select the new destination from the Destination popup menu 6 Trackball to Send 7 Press SET 234 Vivid i User s Manual 2378958 100 Rev 02 Report Chapter 9 Report SNOU ON caia a an 236 Creating A report usa 237 e Working with the report function oococcnnnccccnnncnnncccccccncnnnnnnnnoos 237 A OT 240 e To store a report ui aces doc 240 e Retrieving an archived report ccceeceseeeeeeeee
181. index bone located in a focal region Used for fetal application e TIC Cranial bone thermal index bone located close to the surface Used for transcranial application Mechanical Index MI is the estimated likelihood of tissue damage due to cavitation The absolute maximum limits of the MI is 1 9 as set by the FDA 510 k guidance of 1997 Ispta The Ispta is the Spatial Peak Temporal Average Intensity The absolute maximum limit of Ispta is 720 MW cm as set by the FDA 510 k guidance of 1997 Acoustic output and display on the Vivid i In the title bar two fields are allocated for the display of power values as shown in Figure 14 1 1 GE Vingmed Ultrasound M3S 07 12 01 8 59 44 Cardiac MI 1 0 0 Tls 0 9 0 1 Title bar 2 MI 3 TI Figure 14 1 The display of MI and TI on the screen Vivid i User s Manual 353 2378958 100 Rev 02 Safety The Vivid i chooses the correct category based on mode of operation and chosen application and presents only one TI to the operator It is therefore important that the operator chooses the right application The Vivid i has an internal limit of 4 0 on TI IEC87 has suggested some time dependent thresholds that are partly implemented on the Vivid i as color coding of the thermal index The color coding scheme together with the thermal exposure times in the table below are not meant as limits on TI or exposure time but as an aid for the operator Note that the Viv
182. indow select Code see Figure 8 14 The Entered Code window is displayed 2 Inthe Entered Code window select the code to delete and press Delete Creating a Diagnosis code 1 Inthe Examination list window select Code see Figure 8 14 The Entered Code window is displayed 174 Vivid i User s Manual 2378958 100 Rev 02 Archiving A WARNING A CAUTION Alternative Press any active scanning mode key 2 Select Add The Code List window is displayed 3 Select New 4 Enter the new code 5 Select Done to exit See also The diagnostic codes sheet on page 305 Editing Demographic details If you modify the Patient ID Last name First name or Date of birth on a patient in the archive be aware that the contents of the archived images for that patient is not updated If the images are stillin the buffer and not yet archived the image files are updated if you modify any patient information but not if the images are archived So if any of these images are later on exported to DICOM media or DICOM server they will still contain the original patient information as it was before you did the modification in the archive The system does not alter the contents of the image files at all when doing DICOM export 1 Press the PATIENT button on the control panel 2 Select Patient Details The Patient information window is displayed 3 Trackball to the field to edit 4 Press SET on the control panel 5
183. ing The Export dialogue window is displayed From EXPORT To Local Archive Int HD Removeable MOD Archive To change source press cancel and change current dataflow Cancel OK Figure 8 40 The Export Dialogue window 5 Select one of the following destinations from the Destination drop down menu Removable MOD Archive exports raw and DICOM if present data to a removable MOD Pure DICOM MOD525 export DICOM data only to a removable MOD Removable CD Archive exports raw and DICOM if present data to a CD R Pure DICOM CD R export DICOM data only to a CD R Remote Import Export Archive exports raw and DICOM if present data to an Echo server network or EchoPAC PC direct connect or network Pure DICOM Storage exports DICOM data only to a DICOM server Excel file exports data to a spreadsheet The excel file is stored in the location defined in the Sublevel Tools in the Configuration package see page 214 HL7 exports examination results to the Vivid HL7 Gateway which feeds the results to HIS through HL7 protocol M amp A and diagnosis codes are stored as an Excel file reports are stored as CHM files The file path to the shared volume on Vivid HL7 Gateway must be pre configured in the Sublevel Tools in the Configuration package see page 215 DICOM Print prints images to a DICOM printer via DICOM spooler MPEGvue exports examinations to MPEGVue format 210 Vivid
184. ing EN 60950 should be kept outside of the patient environment as defined in IEC 60601 1 1 2000 Other external devices such as laser cameras printers VCRs and external monitors usually exceed allowable leakage limits and when plugged into separate AC outlets that are then connected to the unit are in violation of patient safety standards Suitable electrical isolation of such external AC outlets may be required in order to meet UL2601 1 and IEC 60601 1 1988 standards for electrical leakage Vivid i User s Manual 361 2378958 100 Rev 02 Safety Allergic reactions to latex containing medical devices Due to reports of severe allergic reactions to medical devices containing latex natural rubber the FDA advises health care professionals to identify latex sensitive patients and be prepared to treat allergic reactions promptly Latex is a component of many medical devices including surgical and examination gloves catheters incubation tubes anesthesia masks and dental dams Patient reaction to latex has ranged from contact urticaria to systemic anaphylaxis For more details regarding allergic reaction to latex refer to FDA Medical Alert MDA91 1 March 29 362 Vivid i User s Manual 2378958 100 Rev 02 Safety Electromagnetic Compatibility EMC NOTE This unit carries the CE mark It complies with regulatory requirements of the European Directive 93 42 EEC concerning medical devices It also complies wit
185. ing con trols with caution so as not to obscure significant diagnos tic information When power is re duced it reduces the signal to noise ratio so that the im age may become noisier gt Color Mode Soft menu controls Tissue priority Emphasize either the color of the color mode or the greyscale tissue detail of the 2D image Tissue priority is available in both Live and Freeze Sample volume Adjusts the size of the color flow Doppler sampling area Lower setting gives better flow resolution while a higher setting increases sensitivity and helps to locate turbulent flows Frequency Enables the adjustment of the transmission frequency to control the sensitivity or the level of penetration The selected frequency is displayed in the status window Adjusting Frequency may affect Sample Volume and LVR settings Lateral Averaging Color 2D only Smooths the image by averaging collected data along the same horizontal line An increase of the lateral averaging will reduce noise but this will also reduce the lateral resolution Radial Averaging Smooths the image by averaging collected data along the same radial line An increase of the radial averaging will reduce noise but this will also reduce the radial resolution Power Controls the amount of acoustic power applied in all modes When power is set to maximum it is equal to or less than the maximum acoustic power permitted by the FDA The Thermal I
186. ion Maintain a clean environment Turn OFF and if possible disconnect the system before cleaning the unit See Cleaning the system for more information Never set liquids on the unit to ensure that liquid does not drip into the control panel or unit A All the warnings in Important safety considerations on page 347 should be read and understood before operating the WARNING unit 8 Vivid i User s Manual 2378958 100 Rev 02 Getting started Preparing the unit for use The Vivid i ultrasound unit must operate within the proper environment and in accordance with the requirements described in this section Before using the system ensure that the requirements are met Site requirements Optimal operation of the unit can be obtained by implementing the following requirements Power requirements The Vivid i ultrasound unit is powered either by its internal battery or by a separate power supply adaptor unit connected to a separate power outlet for any range of 100 230 VAC 50 60 Hz A Operating the unit with the wrong voltage range causes damages voiding the factory warranty WARNING Operating Environment Ensure that there is sufficient air flow around the Vivid i ultrasound unit when installed or operated Environmental requirements The Vivid i ultrasound unit requires constant maintenance of its operational environment Different temperature and humidity requirements are specified for operation
187. is disconnected from the Vivid i the system will continue to operate using the internal battery When battery power is reduced below a certain level the system automatically shuts down into Standby mode Eventually if left for a long time the system will switch from Standby mode to full shut down 20 Vivid i User s Manual 2378958 100 Rev 02 Getting started Turning on the system at the new location 1 In order to maintain the battery charge it is recommended to plug the AC cable into a proper power outlet If a charged battery is in place the power plug does not need to be plugged into the wall outlet 2 Press on off button Figure 1 6 3 Ifthe system does not turn ON the battery may be drained In this case plug the power plug into the wall outlet and try again When turning on a system in standby it takes a few seconds before it responds Do not push the on off button again during this period A second push will initiate a full shutdown The system can be used regardless of the battery level The battery is automatically charged when the system is plugged to the wall outlet It takes about 2 hours to charge a completely discharged battery This may gradually change as battery ages with time Vivid i User s Manual 21 2378958 100 Rev 02 Getting started Moving and transporting the unit Moving the unit on a Cart To prepare the unit to be moved 1 Turn the system OFF either in Standby or
188. issue Octave Freq 1 7 3 4 MHz r Proc 71116 2 6 0 2 Power 0 dB FPS 90 8 Depth 17 0 cm Doppler Scale LVRej 3 9 cmis Freq 2 0 MHz sv 45 mm 11 0 cm PW Freeze Quick Angle Compress O 11 30 1 30 1 s Scroll PW Freeze Horizon Sweep Baseline Angle Correct Reject DColor Maps Sample volume PW only Angle correction marker Velocity scale Low velocity reject Nyquist velocity Doppler baseline Frequency scale optional see page 288 Status window Soft menu EONOgrten gt Figure 3 6 The PW CW Doppler Mode screen 94 Vivid i User s Manual 2378958 100 Rev 02 Scanning Modes Maximum velocity depends on sample volume size sample volume position and frequency settings If the Doppler mode is combined with Color mode the color map will be also inverted PW and CW Doppler controls PW and CW Doppler assignable controls Horizontal sweep Adjusts the horizontal refresh rate of the Doppler area of the display Horizontal sweep is available in live and cine replay Baseline Enables the Doppler baseline to be shifted up and down The default Doppler baseline is set at the center of the vertical aspect of the Doppler display dividing evenly the flow toward and away from the probe By adjusting the baseline a larger portion of the analysis is assigned to the flow direction present Baseline is available in live and cine replay Velocity range Enables the vertical
189. iving ASMA A F maanamni z OA Examination Examination date and archive location Selected image Preview of selected image Missing images a POND Figure 8 24 The Image list screen Vivid i User s Manual 1 85 2378958 100 Rev 02 Archiving Connectivity This section describes the communication and connection options for the Vivid 7 ultrasound unit with other devices in the hospital information system This section covers the procedures for configuration and optimal data management from a Vivid i in the following scenarios A stand alone Vivid i page 189 e A Vivid i and one or several EchoPAC PC workstations in a sneaker net environment page 190 A Vivid i and an EchoPAC PC workstations in a direct connect environment page 192 e A Vivid i and a DICOM server in a network page 198 e A Vivid i and one or more PC stations in MPEGvue or eVue environment The dataflow concept Communication between the Vivid i ultrasound unit and other information providers on the network takes the form of dataflows Selecting a dataflow will automatically customize the ultrasound unit to work according to the services associated with this dataflow Each dataflow defines the location and format of patient information Patient information can include demographic data and ima
190. jection 80 Vivid i User s Manual 2378958 100 Rev 02 Scanning Modes When power is re duced it reduces the signal to noise ratio so that the im age may become noisier Dynamic Range Enables control of the dynamic range or contrast of the image When dynamic range is set high the image is softer and more low level data is visible DDP Data Dependent Processing Performs temporal processing which reduces random noise without affecting the motion of significant tissue structures An index number is displayed in the status window under Proc to indicate the relative DDP level Tilt Enables the axis of the 2D image to be tilted to the left or right By using this control in combination with angle control the image can be aligned to the direction of interest and frame rates be optimized By default the axis of symmetry of a 2D image is vertical Applicable only for cardiology applications Contour Controls image processing related to the extent of edge enhancement applied to an image Diff On Off Affects the level of reverberations in the image When turned On the frame rate or the number of focal zones will decrease while the reverberations will be attenuated Applicable only for cardiology applications Power Controls the amount of acoustic power applied in all modes When power is set to maximum it is equal to or less than the maximum acoustic power permitted by the FDA The Th
191. ker Alternative 2 1 2 3 Press CURSOR on the control panel A cursor line is displayed on the 2D image With the trackball adjust the position of the cursor line Press PW or CW Optimizing PW CW Doppler modes The use of preset gives optimum performance with minimum adjustment If necessary the following controls can be adjusted to further optimize the PW CW modes display Adjust the Active mode gain to set the gain in the spectral Doppler area Adjust Low velocity reject to reduce unwanted low velocity blood flow and tissue movement In PW mode adjust Sample volume to low setting for better resolution or higher setting to more easily locate the disturbed flows Adjust the Compress setting to balance the effect of stronger and weaker echoes and obtain the desired intensity display Adjust Frequency to optimize flow display Higher setting will improve resolution and the lower setting will increase the depth penetration Adjust Frame rate to a higher setting to improve motion detection or to a lower setting to improve resolution 98 Vivid i User s Manual 2378958 100 Rev 02 Scanning Modes The Doppler Power Adjust Power to obtain an acceptable image using the setting affects only lowest setting possible This is particularly important in CW ted operating mode as the energy duty cycle is 100 constant modes Use all noise reduction controls with care Excessive A application may obscur
192. l focus Activates Dual focus mode To adjust the location of the Dual focus activate the FOCUS assignable Vivid i User s Manual 79 2378958 100 Rev 02 Scanning Modes 55 Dam Color maps Displays a color map menu to optimize the greyscale presentation The menu enables an option from a list of non linear gray curves or different 2D colorized curves to be selected Use the trackball to highlight a color map and press SET to activate the desired map Cineloop in Freeze only Allocates different cineloop control functions to the assignable soft keys Gain When rotated clockwise increases the overall gain applied to the received echo signals equally for all depth Time Gain Compensation TGC Compensates for depth related attenuation in an image The sliders nearest the operator affect the far field TGC amplifies returning signals to correct for the attenuation caused by tissue at increasing depths Depth Sets the maximum far field distance that will be imaged Decreasing the depth may allow higher frame rates 2D Soft menu controls Compress Controls the amount of contrast in the 2D image An index number is displayed in the status window to indicate the relative level of compression Reject Adjust reject level When this control is increased low level echoes are rejected and appear darker in the 2D image An index number is displayed in the status window to indicate the relative level of re
193. lace as shown in Figure 1 8 Ar N Figure 1 8 Probe Connection to the Vivid i 38 Vivid i User s Manual 2378958 100 Rev 02 Getting started 5 Lift the connector locking lever see Figure 1 9 upwards to the full horizontal position to lock in place Figure 1 9 Probe Connection Locking Lever 6 Carefully position the probe cord so that it is free to move and is not resting on the floor When the probe is connected it is automatically activated Fault conditions can result in electric shock hazard Do not touch A the surface of probe connectors which are exposed when the CAUTION probe is removed Do not touch the patient when connecting or disconnection a probe Cable Handling Take the following precaution with probe cables Do not bend the cable acutely Deactivating the Probe Press the FREEZE key to deactivate the probe When deactivating the probe the probe is automatically placed in Standby mode Disconnecting the Probe Probes can be disconnected at any time It is recommended that the probe should not be active when being disconnected Vivid i User s Manual 39 2378958 100 Rev 02 Getting started To disconnect a probe 1 2 Freeze the image by pressing FREEZE Press the connector locking lever down to unlock the connector Pull the probe and connector straight out of the probe port Carefully slide the probe and connector away form the probe port and around the right side of
194. ladd nage A 82 s Optimizing 2D pesi et eet Ag eee ae cdg ede ee 82 MMO L PENNEN EEE E E Gukd 83 e M Mode OVEIMIEW saunas 83 e M Mode controls c iciessedeneastartSecteetisbedidadiateedediad ida 84 lt Usma MEMOS aras iaa 85 Optimizing M aMOdE cocaina it 87 Color Mode iii dd a cone 88 e Color Mode overview coococcocccocooocccccccccnnconnncnnnnnnnnnnnccnccnnnnnnnnncnnnnno 88 e Color Mode Controls economicas ener ntndis 90 lsmaGolor Mode cantan ooo vico 92 e Optimizing Color Mode cccccccccocccccccccnonannancncncconannncnoncnnnnnnnn cocino 93 e PW and CW Doppler cian rada 94 e PW and CW Doppler Overview oooccccooonccccccccccccccccccncncannnnccnnnnns 94 e PW and CW Doppler controls cccccnnnnccccnnncccnncccccccncnnnnnancncnnno 95 e Using PW CW Doppler modes c occccccccnocccccccccocononoccnononannnancnnncnns 98 e Optimizing PW CW Doppler modes cccceceeeeeeeeeeeeeeeeeees 98 Vivid i User s Manual 75 2378958 100 Rev 02 Scanning Modes Introduction See page 156 for further information on image and cineloop storage The Vivid i ultrasound scanner provides several basic scanning modes and several options for combining the use of these modes The following scanning modes are described in this chapter 2D Mode Imaging M Mode Imaging Anatomical M Mode Color Mode Imaging Doppler Mode Imaging Angio When performing an examination using any of these modes images and image sequences cineloops
195. le knob is used to control variable parameters The assigned functions are indicated above the knob onthe LCD display The mode specific functions for these knobs are described in Chapter 3 Scanning Modes on page 75 32 Vivid i User s Manual 2378958 100 Rev 02 Getting started Key Description Assignable Four assignable buttons whose mode specific Buttons functions vary according to the scan mode and position that is currently active These assignable buttons are used as on off toggles for different controls on the menu The assigned functions are indicated above the button on the LCD display The mode specific functions for these buttons are described in Chapter 3 Scanning Modes on page 75 The soft menu rocker Key Description Soft Menu A 4 way rocker used to access mode specific Rocker menus select a menu option and adjust option related values The vertical arrows are used to select the menu options e The horizontal arrows are used to adjust the values The mode specific menus are described in Chapter 3 Scanning Modes on page 75 _ The Alphanumeric Function keys Description Displays the on line version of the user manual Displays the configuration dialog box allowing user configuration of various settings on the scanner Diagnostics of the system is activated by pressing Shift gt CONFIG Vivid i User s Manual 33 2378958 100 Rev 02 Getting
196. le depending on the system configuration Moving Files the user runs the Disk management function on a regular basis to move images and reports from older patient records to removable media or to a network volume Using this setting moved images and reports are deleted from the local hard drive and copied to the specified destination This scenario prevents the local disk to fill up and keeps images and reports from the most recent patient records on the local disk Using this scenario the user can control what should remain on the system while keeping the disk free space at an operational level Copying Files the user runs the Disk management function on a regular basis to copy images and reports from older patient records to removable media or to a network volume To prevent the local disk to fill up the auto purge function automatically deletes files that were previously copied when the disk free space has reached the minimum allowed limit This scenario lets the system automatically manage the disk space on the system e Deleting Files the user runs the Disk management function on a regular basis to delete images and reports from older patient records Ensure that you have established a data management protocol for your office institution The user MUST manage the removable media used when running Disk management by keeping a log and by creating a media filing system A person should be in charge of performing the process The
197. le controls Width Controls the size and angular width of the image sector A smaller angle generally produces a scan with a higher frame rate Frequency Enables the adjustment of the probe s operating frequency A higher frequency gives better resolution Focus Changes the location of the focal point A triangular marker on the depth scale along the image sector indicates the position of the focal point Vivid i User s Manual 1 05 2378958 100 Rev 02 Contrast Imaging Lower frame rate gives better resolu tion Too high Power lev el will destroy the contrast agent Frame rate Controls the line density Up Down Enables the 2D image to be flipped 180 degrees Left Right Enables the display of a mirrored image When applied the reference marker V moves to the other side of the image Angio Turns Coded harmonic angio color on off B Color maps Displays a 2D maps menu to optimized the grey scale presentation The menu enables an option from a list of non linear grey curves or different 2D colorized curves to be selected LV Contrast Soft menu controls Power Controls the amount of acoustic power applied to the transmitted pulse Compress Controls the degree of image contrast Reject Controls the Echo rejection level When increased low level echoes are rejected and appear darker in the 2D image Dynamic Range Controls the image contrast A high dynamic range setting gives a softer image
198. le keys and Soft Menu Rocker 2D Live Compress Reject Dynamic Range DDP Contour Diff off on 93 159 1 Active mode amp status 2 Filling gauge progress bar 3 Selected control shows highlighted frame To toggle between modes in combined mode press ACTIVE MODE Figure 2 1 A the 4 Way Rocker B Soft Menu C the assignable keys on the control panel The function of the assignable keys and the controls assigned to the soft menu vary according to the mode in which the system is running A detailed description of each function is provided with each scanning mode in the following imaging mode sections In combined modes i e combined Color flow and PW Doppler one mode is active live while the other is frozen In this case the assignable keys and Gain rotary knob controls parameters associated with the active mode Switching the active mode will change the key and Gain rotary knob assignments accordingly Vivid i User s Manual 49 2378958 100 Rev 02 Basic scanning operations Using the Assignable Keys Soft Menu The bottom of the display screen contains a graphics area of soft menu and assignable keys This area of the screen is designed to match a parallel set of physical buttons the assignable keys refer to Figure 2 1 located on the upper portion of the control panel An example of a soft menu is shown in below Color Maps Assignable Keys Soft menu Soft Menu Rocker 8338 8
199. le the images are displayed for review If some of the images are not available locally the Restore images window is displayed Restore Image Dialog of the selected images are not available locally ect one of the follow Cancel Figure 8 22 The Restore images window 3 Select between e Restore only the selected images only selected images that are not available locally are restored Restore all images of the selected exam all images that are not available locally in the exams where an image was selected are restored e Restore current patient restores all images in all examinations 4 Press OK Vivid i User s Manual 183 2378958 100 Rev 02 Archiving The nsert media window is displayed Skip Media Figure 8 23 The Insert media window 5 Insert the required media 6 Select between e OK the images on the mounted media are restored on the local hard drive If not all the required images are on the inserted media the user is prompted to insert another media until all required images are restored on the hard drive Skip media the images stored on the media required are not restored If not all the required images are on the inserted media the user is prompted to insert another media until all required images are restored on the hard drive e Cancel no images are restored The selected images are displayed for review 1 84 Vivid i User s Manual 2378958 100 Rev 02 Arch
200. lection Refer to page 181 for details on the review of images Displays the Measurement worksheet where the user may edit or delete measurements change averaging etc Refer to page 147 for details on how to operate the worksheet Vivid i User s Manual 2378958 100 Rev 02 27 Getting started Scan Mode Selection keys The following keys are used to select the required scan mode and to select additional tools that enhance the application s oo capabilities Refer to page 75 for detailed information about scanning Description Displays the 2D live acquisition mode that is the default scanning screen for the unit For further information on 2D scanning refer to page 77 M Mode can be Displays the M Mode examination screen and added from a 2D enables M Mode functions Used for viewing scan also in motion patterns For further information refer to replay page 83 Displays the examination screen in Color Flow Mapping mode Used to display color coded blood flow information For further information refer to page 88 Displays the examination screen in Pulsed Wave Doppler mode Used for displaying the Doppler spectrum of blood flow at a selected part of the anatomy For further information refer to page 94 CW mode is not Displays the examination screen in Continuous available on all Wave Doppler mode Allows examination of scanning probes blood flow data all along the Doppler CW curso
201. lity Worklist local archive DICOM server and local harddrive Search in the DICOM Modality Worklist the patient found is copied into local database The patient information and the examination results are stored to the local the database Images are stored to a DICOM Server and to an image volume on the local hard drive Some of the measurements are stored if DICOM SR is turned on see page 202 Vivid i User s Manual 2378958 100 Rev 02 313 Presets and System setup Dataflow Description Worklist RemoteArchive Modality Worklist remote archive DICOMServer RemoteHD DICOM server and remote harddrive Search in the DICOM Modality Worklist the patient found is copied into a remote database The patient information and examination results are stored to a remote database Images are stored to a DICOM Server and to an image network volume as pure DICOM in both locations Worklist Remote Archive This dataflow is used in a network Remote Storage environment that includes Vivid HL7 Gateway The patient list in the Search Create Patient window is coming from Vivid HL7 Gateway through DICOM Modality Worklist All patient data and images are stored to EchoServer Raw DICOM MOD Raw image format to from a DICOM Magneto Optical Disk Read Write images in raw format from to a DICOM formatted 5 25 MO disk DICOM MOD Pure DICOM image format to from a DICOM Magneto Optical Disk Read Write images in pure DIC
202. ll thick Shape Global systolic f Hypo regional sy Akinetic regional Dyskinetic regio Akinesis with sc Hot well visualized Abnormal septal Anterior MI Posterior MI Inferior MI Lateral MI Anterioseptal MI Apical MI Antero apical MI Postero lateral MI Diastolic filling Membranous VSD Infundibular VSD Inlet VSD Muscular VSD VSD shunt ps Delete Report Connectivity Apical septal wall Full text Mid septal wall Basal septal wall Apical lateral wall Mid lateral wall Basal lateral wall Mid anterior septum Basal anterior sept Mid posterior wall Basal posterior wall Mid inferior wall Mid anterior wall Mid anterior septal Apical inferior wall Basal inferior wall Apical anterior wall Basal anterior wall Move up i Move down System Admin Service Figure 12 10 The Comment texts sheet 306 Vivid i User s Manual 2378958 100 Rev 02 Presets and System setup The pre defined text list is organized in a three level hierarchy Selecting one item in the first column displays pre defined text entries related to the selected text in the second and third column Creating pre defined text input First level 1 Select the first level 2 Press New The Enter new text window is displayed Enter new text Text Full text ok Cancel Figure 12 11 The Enter new text window 3 Enter a title in the Text field Enter the pre defined text in the Full text field 4 P
203. llowing example describes how to configure the Carotid Doppler calculations 1 In the Modify Calculations sheet select Vascular next to M amp A Categories The Vascular measurement category is displayed Select Carotid The available calculations are displayed Check the desired calculations to be performed Select Save Vivid i User s Manual 2378958 100 Rev 02 303 Presets and System setup Report The Report configuration category is divided in three sheets Templates enables the configuration of the Template selection menu and the export import of user defined templates See Report templates management on page 258 for more information e Diagnostic codes enables the creation of pre defined text inputs to be used in the Diagnosis information field in the Examination list window see Figure 8 14 page 172 Comment texts enables the creation of pre defines text inputs to be used in the Comment information field in the Examination list window see Figure 8 14 page 172 304 Vivid i User s Manual 2378958 100 Rev 02 Presets and System setup The diagnostic codes sheet This sheet enables the creation and deletion of text inputs that can be used when entering diagnostic codes in the Examination list window see Figure 8 14 page 172 REPORT LOOKUP VALUES f Diag Codes Comment Text Code List My Code 1 My Code 2 My Code 3 My Code 4 D Code My Code 1 O Full Text OA
204. low selected see page 310 about available dataflows and default dataflow selection Do not use the internal harddrive for long term image storage A formatted see page 320 Magneto Optical Disk is recommended for image archive If working off line with a dataflow pointing to a DICOM server the images stored during the examination will have to be manually resent in the DICOM spooler page 232 when reconnecting the unit Resend all jobs that are failed or on hold See page 232 for more information on DICOM spooler In addition stored images and cineloops can be saved to a removable media in the standard formats JPEG AVI cineloop MPEG and DICOM see page 158 156 Vivid i User s Manual 2378958 100 Rev 02 Archiving Storing an image Images are displayed chronologically on the clipboard 1 While scanning in any mode press FREEZE 2 Trackball to scroll through the cineloop and select the required image 3 Press STORE The image is stored and a thumbnail is displayed on the clipboard A serial number appears on each thumbnail start from 1 in chronological order Storing a cineloop A cineloop is a sequence of images recorded over a certain time frame The time frame can be adjusted to cover one or more heart cycles The stored cineloops are displayed chronologically on the clipboard Cineloops can be stored at any time during the scanning session The user can choose to preview the cineloop befo
205. mage MA Referral Reasor Imaging Meas Te Figure 12 18 Configuration of the Examination list window 322 Vivid i User s Manual 2378958 100 Rev 02 Presets and System setup Other configuration settings Parameter Description v Use free text addresses v Use birthdate v Use extended search dialog v Use extended search dialog Use free text addresses In the Patient information window see page 45 M The address information e g street city etc is entered in type specific fields J The address information is entered in a single field free text Use Date of birth In the Patient information window see page 45 enter either the patient age or the birth date M Enter age Date of birth field not available J Enter Date of birth the age is calculated Use extended patient dialog In the Patient information window see page 45 M The entire patient information data is displayed J Patient information data displayed is restricted to a minimum e g name and Patient ID When unchecked press More to display the entire patient information data Use extended search dialog In the Search Create Patient window see page 44 page 169 and page 171 M All the searching filters are displayed as default The searching criteria are restricted to a minimum When unchecked press More to display all the searching filters Vivid i User s Manual 2378
206. mation time Following transport the unit may be very cold or hot Allow the unit to acclimate before being switched on Acclimation will take one hour for each 2 5 C increment when the unit s temperature is below 10 C or above 40 C e p p p p p E pe e O CC e Js p e e os ja CC A R Vivid i User s Manual 23 2378958 100 Rev 02 Getting started System description System overview i 09 Display latch LCD display Power indicator On Off button Battery ECG cable connector Pedoff probe connector Probe locking handle Probe connector 2 00 99 pr gt CN a O O 009 Q Monitor hinge Softmenu buttons Alpha numeric keyboard Functional keyboard Trackball Speakers Rear panel connectors Anti theft cable insertion 24 Vivid i User s Manual 2378958 100 Rev 02 Getting started Control panel The following pictures illustrate the layout of the Vivid i control panel The buttons and controls are grouped together for ease of use A detailed description of the buttons is provided on the following pages 1 Assignable keys soft menu elements 7 Extended keyboard part of the Extended keyboard 8 Trackball 2 Soft menu rocker 9 Trackball buttons 3 TGC sliders 10 Mode selection keys 4 GAIN rotary 11 Navigation keys 5 Alphanumeric keyboard 12 Freeze keys 6 Alphanumeric function keys Help Config 13 On Off button Annotate Figure
207. mber of patient records that have been successfully exported 10 Press OK 212 Vivid i User s Manual 2378958 100 Rev 02 Archiving A check mark is displayed in the Copied field in the Export patient window for each item exported A status message is displayed for each item exported Make sure that the operation was successful for each item exported 11 Press Done in the Export patient window to complete the process Do not eject theCD 12 Press ALT E to eject the disk using the button on The Eject device menu is displayed the CD drive CD DVD Writable E 5 1 4 MO Disk G Figure 8 43 The Eject device menu 13 Select the relevant media The selected removable media is ejected Export Configuration The destination for Export of patient records to Excel HL7 and MPEG must be configured prior to use This is done from the Dataflow sheet in the Configuration package To display the Dataflow sheet 1 Press CONFIG and log on as administrator 2 Select Connectivity category and Dataflow subgroup The Dataflow sheetis displayed Figure 8 3 page 161 3 Select the dataflow Misc Export in the Name pull down menu Vivid i User s Manual 213 2378958 100 Rev 02 Archiving CONNECTIVITY Name Misc Export idden Selected device ba Input lt l Outputs E EVue Properties Imaging Meas Text Report Connectivity System Service Figure 8 44 The Dataflow Sheet Configuring an Excel Expo
208. ments displayed on the 2D image and the cor responding results are numbered See the Status bar to get the next step to perform The measurements displayed on the 2D image and the cor responding results are numbered 6 7 8 9 10 11 12 Press SET to anchor the start point of the measurement Trackball the cursor to draw the length Press SET to anchor the second point Drag the cursor with the Trackball to outline the area of interest The current area circumference and Area Length Volume Va l values are displayed in the Measurement result table see Figure 6 1 and are instantaneously updated when moving the cursor Press SET to complete the measurement The measurement results including Vmod Simpson are displayed in the Measurement result table see Figure 6 1 To assign a label to the measurement see page 115 Repeat steps 5 through 10 to make additional volume measurements 2D Depth measurements The measurements described in this section enable depth measurement from the probe to a selected point To perform a depth measurement 1 2 3 4 Generate the 2D image Press FREEZE to stop the cineloop Press MEASURE on the Control Panel Press the assignable POINT to select the depth measurement function Trackball the cursor to the position to measure The current distance from the probe is displayed in the Measurement result table and is instantaneously updated when moving
209. minations vi ida et saan Fill out the Exam between field to display the patient window if neces A tere 4h sary records done during a specific time period and select the actual records Fill out the Born between field to display the patient records of patients born during a specific time period and select the actual records 8 Adjust the following settings as desired Vivid i User s Manual 217 2378958 100 Rev 02 Archiving Lastname Firstname Paid Images Images Images Images Copy images Copy only exams with on line images when checked only selected examinations with accessible images will be copied 9 Press Copy If one or more patient examination is already present in the destination archive the Export Import conflict window is displayed see Figure 8 42 For each conflicting item select Keep to keep the existing examination in the destination archive Replace to replace the existing examination with the corresponding item in the source archive IMPORT EXPORT CONFLICTS Exam Date 15 02 2002 21 02 2002 03 02 2003 24 04 2003 o Demo 020202 Demo 020202 Demo 020202 Demo 020202 Figure 8 49 The Export Import conflict window Press OK to resume import A progress indicator is displayed When done a status window is displayed showing the number of patient records that have been successfully imported 10 Press OK 218 Vivid i User s Manual 2378958 100 Rev
210. modify setting of the left or right borders press the CINELOOP assignable The selected heart beat is played back Press on the assignable CYCLE SELECT to move from heart beat to heart beat to select the heart cycle of interest Press on the assignable NUM CYCLES to increase or decrease the number of heart beats to be played back Adjust LEFT MARKER and RIGHT MARKER assignables to trim or expand the cineloop boundaries Adjustment of cineloop playback 1 If in freeze mode press the assignable 2D FREEZE to start cineloop replay Use the Trackball to increase or decrease the speed of the cineloop playback The speed factor is displayed on the right side of the ECG see Figure 2 4 To view a cineloop frame by frame 1 If not in freeze mode press the 2D FREEZE button to freeze the cineloop Use the Trackball to scroll through the cineloop frame by frame Or Use the Speed Frame softkey button Vivid i User s Manual 2378958 100 Rev 02 59 Basic scanning operations Storing images and cineloops Images stored on the clipboard dur ing the scanning session are for im mediate purposes At the end of the ex amination the data should be archived in the patient ar chiving system re fer to page 153 Images and cine loops can be stored at any time during the scanning session A thumbnail of the stored image is displayed on the clipboard on the scanning screen An icon will also be displayed in the
211. n or Last 6 Measurement type selection Figure 6 17 The Worksheet screen Cardiac Vivid i User s Manual 147 2378958 100 Rev 02 Measurement and Analysis Using Worksheet 1 Press WORKSHEET on the control panel and select the measurement type see Figure 6 17 To scroll through pages 1 Select PAGE DOWN or PAGE UP To select the type of value 1 Trackball to the relevant cell in the Method column 2 Press SET A pop up menu is displayed showing the different options available Figure 6 18 1 Average of the measurements taken 2 Maximum measurement 3 Minimum measurement 4 Last measurement that was taken Lt Figure 6 18 The Calculation method options list 3 Trackball to the required option 4 Press SET The value is updated accordingly Excluding or including measurements One or more measurement values from a set of measurements for a parameter can be excluded when doing average calculation To exclude a measurement 1 Trackball to the measurement value to exclude 2 Press UPDATE MENU The Worksheet menu is displayed When excluded the 3 Trackball to Exclude Value measurement dis 4 Press SET play turns grey 148 Vivid i User s Manual 2378958 100 Rev 02 Measurement and Analysis An asterisk indi cates that the value has been manually altered The calcula tion type is changed to Edit To include a measurement 1 Trackball to the measurement value to include 2 Press
212. n the third column is inserted the selected text in the second column is also inserted Press More gt gt to display the full text for the selected entry Creating pre defined text inputs This feature is described in The Comment texts sheet on page 306 243 Vivid i User s Manual 2378958 100 Rev 02 Report Report designer The Report designer software package enables the user to create report templates that best suit its needs Designing a report template consists of choosing the information to display in the report e g header footer logo patient information images measurements etc and arrange it in the report viewer The Report designer function is based on the information container concept each type of information is included within a container with parameters that can be configured size color font properties information to display etc Accessing the Report designer 1 Press REPORT on the Control panel The Report screen is displayed 2 Press DESIGNER The Report designer screen is displayed with the selected template in the Report template design area see Figure 9 4 Report designer overview 1 Menu bar E File Edit Insert Preferences 2 Report template design area Cardiac report cone Name Patient Id Age Birthdate Height Figure 9 4 The Report designer screen 244 Vivid i User s Manual 2378958 100 Rev 02 Report The menu bar The File menu Desc
213. nagement procedure see page 220 DO NOT use the local hard drive for long term image storage The backup of the patient archive on the hard drive and the system configuration is done from the configuration management package as described on page 227 Data from Backup Restore disks may be restored to the local hard drive using the Restore procedure as described on page 230 Only users with administration rights see page 331 have access to the backup Restore function 226 Vivid i User s Manual 2378958 100 Rev 02 Archiving Backup procedure 1 Press PATIENT on the control panel then select Patient list The Operator login window is displayed 2 Select the operator with administration rights enter the password and press Log on The Search Create patient window is displayed 3 Inthe Search Create patient select the dataflow Local Archive Int HD Figure 8 55 Dataflow Local Archive Int HD Figure 8 55 Dataflow selection for backup 4 Press CONFIG 5 Select the category Admin 6 Select the Backup sheet Figure 8 56 ADMIN nt Backup Resto 13 08 2004 v System Configuration cces 13 08 2004 51 4MO Disk G ftart backup Imaging Meas Text Report Connec tivity System Figure 8 56 The Backup sheet 7 Inthe Backup sheet select one of the following options e Patient archive to backup the patient records System configuration to copy system settings and user pres
214. nananannnnonos 22 Moving the unit on a Callas isis 22 Transporting the UNit ssssscceeeeeeeeeeeeeeeesseeeeesseseeees 23 Ait ACCIIMANON MIM Ges cestas 23 System GESCHIPLON iii 24 System OVRIVIO Wocooooooccncccooooononnnnnnnnonnnnnnnnnnnnncnnnnnnannnananonnnnos 24 Connecting and disconnecting probes ococcccccncccccccccnnnnnn 38 Starting an CXAMINALION cccseeeeeeeeeeeeeeeeeeeeeeeeeeneeeeeeeeeseneenees 42 Creating a new Patient record or starting an examination from an existing patient reCOrd cccceeeeeeseeeeeeeeeeeeeeeeeeeeeeees 42 Selecting a Probe and an ApplicatiON ooooccnnnnoncccnnnnnnn 46 Chapter 2 Basic scanning operations Vivid i User s Manual 2378958 100 Rev 02 Assignable keys and Soft Menu Rocker ccoccccccccoooooonanannn 49 Using the Assignable Keys Soft Menu oooocccccccccccccccnnnnns 50 Using the Soft Menu Rocket cccceeeeseceeeeeeeeeeseeeeeees 53 Trackball operations 54 Trackball assignment cece ee eeceee cette eeeeeeeeeeeeeeeeeneeeeeeeeeees 54 TING system MEN isis 55 Cineloop Operation airada 56 Cineloop OVEIVICW cceeeeeeeecceeeeeeeeseeeeeeeeeeseeaeeeeeeeeeneaes 56 Storing images and CINCIOOPS cccccccccnononccnncncnonnnnnnnnnnnnnnnananncnnnnns 60 To store a single IMAGE see suvecveodsncrazgcctevesussieersasi aiieecesacrast 60 TO StOKG A CINCIOO Ds ceisecte cette o aa 60 Using removable Meia cccsssse
215. nchor points of the measurement to modify 2 Press SET twice double click The selected marker turns green and is unanchored 3 With the Trackball reposition the marker to a new position 4 Press SET Ao LA study 1 Generate the M Mode image 2 Press FREEZE to stop the cineloop 3 Press MEASURE on the Control Panel Saori A Vivid i User s Manual 121 2378958 100 Rev 02 Measurement and Analysis See the Status bar to get the next step to perform The current value is updated while mov ing the cursor 4 Select Ao LA in the Measurement Menu 5 Trackball the cursor along the time axis to the required point to start measurement of Aorta root diameter 6 Press SET The starting point for the measurement is anchored 7 Trackball to the end point of the measurement 8 Press SET The measurement end point is anchored and the value is displayed in the Measurement result table A new free moving cursor is displayed on the image ready for the next measurement 9 Repeat steps 5 through 8 to measure Left Atrium The LA value is displayed in the Measurement result table The Ao LA ratio is displayed in the Measurement result table LV study The LV study consists of measurements in fixed time mode in both systole and diastole of e interventricular septum thickness IVS e Left ventricular internal dimension LVID e Left ventricular posterior wall thickness LVPW The following parameters
216. ncnonnccccnnnnnnanccncnonnnnnnnncnnnnnnnnanennn 341 Vivid i User s Manual 335 2378958 100 Rev 02 User maintenance System Care and Maintenance A CAUTION A CAUTION A WARNING Having been determined by GE Medical Systems engineers that your Vivid i system has no high wearing components likely to fail due to frequent use no Periodic Maintenance Inspections are mandatory However some Customer Quality Assurance Programs may require additional tasks and or inspections to be performed at periods of frequency different from those listed in this manual The user must ensure that safety inspections are performed at least every 12 months according to the requirements of the patient safety standard IEC 60601 1 1988 Only trained persons are allowed to perform the safety inspections mentioned above Technical descriptions are available on request To ensure that the Vivid i unit constantly operates at maximum efficiency we recommend that the following procedures be observed as part of the customer s internal routine maintenance program Inspecting the system If any defects are observed or malfunctions occur DO NOT operate the equipment and inform a qualified service person Monthly Examine the following on a monthly basis or whenever there is a reason to assume that any issue may have occurred e Connectors on cables for any mechanical defects Entire length of electrical and power cables for cuts or
217. nction and creation of users The configuration management package consists of a Setup dialogue window divided in different setup categories with sublevels The table below summarizes the contents and access rights of the different categories and sublevels of the Vivid i configuration package Category and sublevel Description Refer to page 289 page 296 284 Vivid i User s Manual 2378958 100 Rev 02 Imaging e Global Sets the cineloop controls and display Sets the patient information display Sets the scan information displayed on the video record e Application Configures the probe and application specific settings Measure Text e Measurement menu Configures the Measurement Advanced menu by selecting and defining the sequence of the measurements and calculation to perform Creates user defined measurements Configures vascular Doppler calculations to be performed e Modify calculations e Application menu Configures the Application All menu Presets and System setup Category and sublevel Description access Refer to e Annotation Configures the Annotation menu All Customize and create pre defined annotation Templates Configures the Report All templates menu by selecting and ordering the templates to show in the menu e Diagnostic codes Create or delete pre defined text All input for the referral reasons and diagnosis e Comment texts Create or delete pre defin
218. nd enter the formula name Figure 6 15 The Measurement menu sheet 6 Inthe Measurement menu sheet enter the name for the measurement e g My Distance 7 Select the appropriate measurement tool in the drop down menu next to Tool e g 2D Caliper 8 Double click Name in the appropriate parameter e g Distance and enter a name for the parameter e g My Length If desired change the unit and the number of decimals for the measurement by double clicking the values under Unit and Precision see also About units on page 143 142 Vivid i User s Manual 2378958 100 Rev 02 Measurement and Analysis About units Be aware of the following All units are calculated in Sl units see table below e If no unit is specified in the Edit formula window when defining a formula the displayed value will be in SI unit To define a different unit 1 When creating a formula enter the desired unit the resulting value should use E g if Y in the formula Y f x is to be displayed in cm enter cm in the Unit field The Unit field is case sensitive make sure to enter the exact unit as shown in the table below Alternative unit column 2 When creating the formula be sure that all parameters all the X s in Y f x are in SI units All default parameters in the system are in SI units If the resulting value of a user defined formula is set to be displayed in a unit that is not SI you must apply the correct conversion
219. ndex TI and the Mechanical Index MI are displayed on the screen Trackball controls ROI Region Of Interest size When the trackball command Size is selected see also Trackball operation on page 54 the height and width of the color area or ROI is adjusted from the trackball Vivid i User s Manual 91 2378958 100 Rev 02 Scanning Modes The assignable con trols of the trackball are displayed in the trackball status bar in the bottom right corner of the screen The assignable con trols of the trackball are displayed in the trackball status bar ROI Region Of Interest position When the trackball command Pos position is selected see also Trackball operation on page 54 the position of the color area or ROI is adjusted with the trackball Using Color Mode Color 2D 1 From an optimized 2D image press COLOR 2 Use the trackball to position the ROI frame over the area to be examined Press SET The instruction Size should be highlighted in the trackball status bar If not press SET again to select Size NOTE If the trackball control Pointer is selected press TRACKBALL to be able to select between Position and Size controls 4 Use the trackball to adjust the dimensions of the ROI To enlarge or narrow the ROI move the trackball to the left or right To lengthen or shorten the ROI move the trackball up or down 5 Press SET when the desired size is obtained to allow repositioning of
220. ng Color Mode 93 Velocity range CW DOppI6 ist ecaennciecay A Mn ee 95 Optimizing CW Mle oc f gente metcee sees ad 99 Optimizing PW B10 e a peemrere tee o Tne 99 PW OP AE ONE 95 WwW Width 52 I een nen E EOE r E a a 79 EA Man nah a lanl a e I 105 WV ORS INe Cl A E EEES OS 147 376 Vivid i User s Manual 2378958 100 Rev 02 GE Medical Systems GE Medical Systems Telex 3797371 P 0 Box 414 Milwaukee Wisconsin 53201 U S A Asia Pacific Latin America North America GE Ultraschall TEL 49 212 28 02 208 Deutschland GmbH amp Co KG FAX 49 212 28 02 431 BeethovenstraBe 239 Postfach 11 05 60 D 42655 Solingen GERMANY
221. nlock patient enables to unlock patient records that were not properly terminated see page 334 330 Vivid i User s Manual 2378958 100 Rev 02 Presets and System setup Users The Users sheet deals with operators registration operator s rights setting and registration of referring members related to examinations e g referring and diagnosing physicians ADMIN Delete Y Cardiologist HospAdmin vV Sonographer DiagPhys v Operator SysAdmin v Fellow GEAdmin Autologon Disable Autologoff min Imaging Meas Text Report Connectivity System About Admin Service Figure 12 21 The Users setup sheet Users are divided in groups with different rights There are two types of groups User groups members of these groups see table below are allowed to login on the system when selected together with the group Operator They have group specific rights e Referring groups members of these groups Diagnosing physician and Referring doctor are not allowed to login on the system They are registered as references that can be associated to a patient record Vivid i User s Manual 331 2378958 100 Rev 02 Presets and System setup Table 12 1 The User groups Po Right see definition below Right Right see definition below definition below L Activated yoda JUlId t yoda Group Cardiologist a A soma CIN ES fran EXCITA EOS ES FA ES ICEX INN ES IF ECC CO E FE EC The righ
222. nt with online acquisition Data management Scanner s dataflow configuration 1 Select the RemoteArch RemoteHD dataflow as default dataflow in the sublevel Dataflow in the subgroup Connectivity of the Configuration management package see page 310 and following pages When saving the study on the scanner the images are transferred from the scanner s image buffer to the server Patient demographics measurements and reports are transferred on the fly when entering the information on the Vivid i Review on the EchoPAC PC workstation 1 Select the RemoteArch RemoteHD dataflow on the EchoPAC PC can be configured as default dataflow Do NOT open a study on the EchoPAC PC workstation before the A study is closed on the scanner CAUTION 2 Press Archive and select the patient to be reviewed 1 96 Vivid i User s Manual 2378958 100 Rev 02 Archiving Network environment with offline acquisition Data management Press Today to dis play today s exams to ease the search Scanner s dataflow configuration for offline acquisition When offline select the LocalArchive IntHD dataflow The local database is used for patient archiving Images are stored to internal harddrive Export examinations done offline from the scanner to the server When reconnected export the data images demographics measurements and report for the examination s done offline to the server as described in Export Import patient records e
223. nterest see page 259 Press the assignable TEMPLATE The Template selection menu is displayed showing the available report templates organized by application Do one of the following Select a template from the current application template list Select another application and select the desired template from the sub menu displayed Note From a sub menu select Back to return to the current application template list The selected template is displayed on the screen Note After selecting a different report template the selected template becomes the default template which will be selected next time To change patient information 1 3 4 Trackball to heading of the information to change The trackball marker is changed to a hand with pointing finger Wy Press SET on the Trackball area The original location of the data is displayed Change the information entered if required Press REPORT when completed To add an image to the report Images are inserted in the report by dragging a selected image from the clipboard into an Image container in the report 1 2 Trackball to the Image of interest in the Image clipboard Press and hold down the SET key and using the trackball drag the selected image in the Image container in the report To move images between image containers press and hold down the SET key and using the trackball drag the selected image to the new location To remove an image fr
224. nts cccceeeeseeceeeeeeeeeeeeeaeeeeeeeeeeaaeees 124 e Vascular measurements eeeeeeeeeeeeeeeeeeeeeeeeeeeneeeeeeeeeeeeneeeeeeeeeees oe 127 e B Mode measurements cncccocccocooooooncnnnnnnnnnnnnnononnnnnncnnnnnananann nono 127 e M Mode Measurements cccceeeeeseccceeeeeeeeeseeeeeeeeeeeseeees 128 e Doppler measurements vectorial 129 e Measurement package configuration mmccccccccccnnnnccncnnonnnnnannnnenena oe 134 e Measurement package configuration example 0 134 e User defined formulas ccccccceseseseeeeesecceeeeeeeeeeeeeeeeeeeeeeeensennnenene oe 137 e User defined formula example ccccceeeeeeeeeeeeeeeeeeeeeeeeees 137 ADOQUINES aaa 143 e Measurement result table ooooonnnnnnnccconnnnccccccncnnnnnnnnnccnnnennnaccnnnenenn oe 145 e Minimizing the Measurement result table eeeeeeteeeees 145 e Moving the Measurement result table cceeeeeeeeeeeeeeeees 145 e Deleting measurements issnsiononcat ao lan dcrici pts 146 e WOPKSINCCD dd 147 A cathe wine aE ete veloc e hla a i iE 147 e USING Worksheet 2 0 cceccececestecestectedecndnanecnsieshpannsscnducnenpeeeeetendes 148 Vivid i User s Manual 109 2378958 100 Rev 02 Measurement and Analysis Introduction A study is a set of related measure ments or measure ments that are logically grouped together The mea surements in a study are some times used in a for mula to calculate ne
225. o the mode specific controls On some low fre quencies the sys tem switches automatically to second harmonic mode The word Octave appears in the status win dow The 2D mode displays a two dimensional gray scale image of the tissue within the probe s field of view 2D mode can be combined with M Mode see M Mode on page 83 e Color Mode see Color Mode on page 88 CW or PW Doppler Mode see PW and CW Doppler on page 94 e Color and Doppler Modes triplex 2D Mode controls 2D assignable controls Width Controls the size or angular width of the 2D image sector A smaller angle generally produces an image with a higher frame rate Focus Changes the location of the focal point s A triangular focus marker indicates the depth of the focal point Frame rate Adjusts frame rate FPS The relative setting of the frame rate is displayed in the status window When adjusting frame rate there is a trade off between spatial and temporal resolution Frequency Enables the adjustment of the probe s operating frequency The selected frequency is displayed in the status window For some probes applications the lowest frequency settings will be Octave imaging settings Invert Left Right Invert enables a mirror image of the 2D image to be created The left right reference marker V moves to the other side of the image Up Down Invert enables the 2D image to be flipped 180 degrees Dua
226. o a new location Press SET to anchor the marker to its new location Assigning auto calculations 1 To undo the assign ment press Cancel transfer In the Vascular Measurement menu Figure 6 6 select The actual vessel name Prox Mid or Dist the location of the vessel Proximal Middle or Distal Rt or Lt right or left side of the patient Press Transfer to assign the measurements and calculations The Measurement result table is updated accordingly and the measurements and calculations are added to the worksheet and report Manual vascular calculation When doing manual measurements the system can detect the trace automatically or it can be drawn by the user This is controlled by the Auto and Manual commands is the Measurement menu The following instructions assume that you first scan the patient and press FREEZE 1 Adjust the vessel location parameters in the Vascular measurement menu Figure 6 6 Select the measurement to be performed from the Measurement menu or from the Show All menu for additional measurements Perform the measurement as described below Vivid i User s Manual 2378958 100 Rev 02 131 Measurement and Analysis Acceleration Acceleration time AT 1 2 Select Accel or AT Position the caliper at the start point and press SET to anchor the caliper Position the second caliper at the end point and press SET to anchor the caliper and complet
227. o the Report templates sheet 1 Press CONFIG and select the Report category The Report category sheet is displayed 258 Vivid i User s Manual 2378958 100 Rev 02 Report Templates Diag Cod Available Templates Predefined templates Cardiac General Imaging Images Obstetrics and Gynecology Small Parts Vascular User defined templates Cardiac My Report My Report 2 REPORT LOOKUP VALUES Report Template Menu Section Cardiac Adult CEBT03 4 Images Adult Complete Adult Complete images Adult Medium Adult Medium images Adult Short Adult Short 4 Images Adult Stress Bulls Eye Adult Stress Cut Views Adult Valves Adult Valves 4 Images Pediatric Cardiac Complete Delete fait Template Import Templates Export Templates Imaging Meas Text Report Connectivity System Admin Service Figure 9 16 The Report template sheet Configuration of the Template selection menu The Template selection menu displays the application specific report templates that can be selected when creating a report The Template selection menu can be configured to display only the templates of interest Inserting a template in the Templates selection menu 1 2 Press CONFIG and select Report The Report template sheet is displayed Figure 9 16 In the Available templates field left field select the template to insert in the Template selection menu Next to Section select the appropriate application Press the
228. ocedure does not allow side by side insertion the information container will normally cover the width of the report template page e Within a table this procedure allows side by side insertion of several information containers Inserting a table 1 Press the Left mouse button at the desired insertion point in the Report template design area 2 Press Insert and select Table The Container properties window is displayed see Figure 9 5 3 Adjust the parameters as desired 4 Press OK The table is displayed in the template Vivid i User s Manual 247 2378958 100 Rev 02 Report Note To modify an inserted table double click in an empty area in the table A selection menu is displayed where the user can add delete a row or a column or open the Table properties window Insert Table f g Box Alignment Left Ho of Columns 2 Ho of Rows Width 580 Pixels Height Pixels Border f Cancel Figure 9 5 The Table properties window Inserting a logo 1 Provide the hospital logo in JPEG or Bitmap format onto a CD or MO disk 2 Select the location where to insert the logo a table cell or directly in the report template 3 Select Insert and Logo The Logo box is displayed Logo Box Select a Logo Import Logo Left Margin Height 0 60 Pts Figure 9 6 The Logo box 248 Vivid i User s Manual 2378958 100 Rev 02 Report 4 Select a logo or if not available select Import l
229. of the header and footer select File and Print preview Variable Description pid Patient ID Saving the report template Replace an existing template Factory templates cannot be overwritten 1 Press File and select Save A dialogue window is displayed asking for confirmation 2 Select Yes to save the report template No to discard the report template Cancel to go back to the Report designer without saving the report template Save existing template with a new name 1 Press File and select Save as The Save as template window is displayed Vivid i User s Manual 257 2378958 100 Rev 02 Report Save Template As Template Name Cancel j Figure 9 15 The Save as template window 2 Enter a name for the template 3 Press OK The template is saved To exit the Report designer 1 Select File and Exit The Exit window is displayed 2 Inthe Exit window select one of the following e Yes to save the report template and exit the application e No to exit the application without saving the changes made in the report template e Cancel to return to the application Report templates management This section describes e Configuration of the Template selection menu Deletion of user defined report templates Export import of user defined report templates The report templates management is done from the Report templates sheetin the system configuration package To access t
230. ogo Browse and select the logo and select OK 5 Specify the appearance 6 Select OK Inserting fixed text Fixed text is an entry that cannot be changed in the report e g hospital information 1 Select the location where to insert the fixed text a table cell or directly in the report template 2 Select Insert and Fixed text The Fixed text box is displayed Fixed Text Enter The Text Here Properti A Border 0 Text Align Left Height 25 Pts Box Left Margin 0 EN fi Change Font OK Cancel Figure 9 7 The Fixed text box 3 Enter the text and specify the appearance 4 Select OK Vivid i User s Manual 249 2378958 100 Rev 02 Report Inserting archive information Archive information contains all the objects of the different information menus Patient Exam Study and Site Information You may display the archive information over two columns using a table container as described below 1 Insert a table for the archive information to the desired location a table cell or directly in the report template 2 Select the first table cell 3 Select Insert and Archive information The Archive information box is displayed Archive Information Box Heading Box Properties Heading Link Hone Patient Information Exam Information Site Information PHame MDate Msite Hame Patient Id MoOperid Minstallation Date Mage Moperator Name WWard MWBirthdate MRef Doc MaAddres
231. om the library select the pre defined text to remove and press Del To order the pre defined text in a section select the pre defined text to move and select Up or Down buttons to move the word accordingly To exchange sections order enter the sections to swap next to Swap columns button and press Swap columns 10 Press Save to store the library 68 Vivid i User s Manual 2378958 100 Rev 02 Basic scanning operations NOQPYN SB MEASUREMENT amp ANALYSIS n f Customize nnotat mi ac Column nr 1 Column nr 2 Column nr 3 z t gt IVS Lv Add gt 145 Add gt my lAdd gt R Py Imaging Meas Text Report Connectivity System Service The Application pane Library section Insert selected pre defined text in the section Remove selected pre defined text from the section Move pre defined text within the section Re order sections Save Library Figure 2 10 The Arrow menu sheet Using the Library Press any ARROW key The pre defined texts from the last used group are displayed in the Status bar at the bottom of the screen with the active word within square brackets To select a pre defined text within a section press ARROW UP or ARROW DOWN until the desired word is selected To change section Press LEFT ARROW until the desired section is displayed in the Status bar To insert the selected pre defined text press RIGHT ARROW Vivid i User s Manual 2378958 100 Rev 02 69 Bas
232. om the report press and hold down the SET key and using the trackball drag the selected image back to the clipboard Vivid i User s Manual 2378958 100 Rev 02 239 Report To print a report Only members of the user group Cardiologist are allowed to print a report see page 331 1 Press PRINT The report is printed on the default printer A status window is displayed showing the printing process For printer configuration see Chapter 11 Peripherals on page 279 To store a report Only members of the user group Cardiologist are allowed to store a report see page 331 1 2 Press STORE The report is stored in the Report archive A confirmation window is displayed when completed Press OK Alternative storage Reports can also be saved in a user defined locations in the following formats Compiled HTML CHM files readable from any web browser Portable Document Format PDF files readable with Adobe Acrobat reader not available on EchoPAC PC Press MORE The additional controls are displayed Figure 9 1 Press SAVE AS The Save as dialogue window is displayed Select the destination folder from the Save in pull down menu The default location is the Export folder The Report archive folder is selected by default The default name for the report is of type lt exam DICOM UID gt Select PDF or CHM format from the Save as type pull down menu Press SAVE
233. on for protective earthing or reliance upon installation conditions Vivid i User s Manual 349 2378958 100 Rev 02 Safety Purpose Location Equipment Type CF indicates ECG connector equipment having a floating applied part having a degree of protection suitable for direct cardiac contact Bottom of unit 0344 Alternating current This symbol indicates that the waste Bottom Cover of electrical and electronic equipment must not be disposed as unsorted municipal waste and must be collected separately Please contact an authorized representative of the manufacturer for information concerning the decommissioning of your equipment Protective earth ground T Equipotentiality indicates terminal to Bottom of unit be used for connecting equipotential conductors when interconnecting grounding with other equipment Attention Consult accompanying Various documents alerts the user to refer to the user documentation when complete information cannot be provided on the label CAUTION Dangerous voltage used Various to indicate electric shock hazards 350 Vivid i User s Manual 2378958 100 Rev 02 Safety Purpose Location Apply a short push on the ON OFF Keyboard button to shut down the system Vivid i User s Manual 351 2378958 100 Rev 02 Safety Classifications Type of protection against electric shock e Class Equipment AC Adapter 1
234. onnccccnnnncncnonacccnnnnnnnnancncnnnnnnnnns 87 Color Mode sanitaria ii 88 Color Mode OVervieW ccccccconocccccnnccncnnoncccnnnnnnnnnncnncnnnnnnnns 88 Color M Mode OVervieW ococoomooccccnnnncconoonccccnnnnannccnnnnnnananos 89 Using COEM casita al alos 92 PW and CW Doppler sssseeeceeeeeeeeseeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeneeees 94 PW and CW Doppler overview ccccccceseeeeeeeeeeeereeeeees 94 Optimizing PW CW Doppler MOdeS coooooccccccccccncccccccccnnnnno 98 Chapter 4 Purposely left empty For Future purposes sitincscisasiescedewiudiaesssnstuinannransnewsaedaaeatennnedsains 101 Chapter 5 Contrast Imaging AAA APP een 104 Left Ventricular Contrast IMaging oooocccccconnnnnccccnenennaaaacnenens 104 LV Contrast OVerVieWennocccmmmcmmmemmccrecerecnnnnnnnnnanananananannnnnnnnnnnns 105 LV Contrast controls sic ironia dada eran 105 Optimizing LV Cod ates hes eh ee het ec eg 108 Chapter 6 Measurement and Analysis INTFOUCTON ccocicionacinaa iii 110 The Assign and Measure modality oocoonnncccnnnnncnnnnncccnnnnnnnnnas 111 Starting the Assign and Measure modality 111 Entering a study and performing measurements 112 Measure and Assign MOAIity ccccccssseeeeeceeeeeeeeeeeeeeeeeeeeeeeees 114 Starting the Measure and Assign modality 114 Cardiac measurements ccccceeeeeeeeeeeeeeeeeeeenenneneeeeeeeeeeeeeeeeeeeees 117 2D M asurementS solidar
235. ooler Dataflow Local Archive Int HD Operator ADM Preview Y J TN Begin Exam Exam List End Exam Search 1 Press one of the headings to sort the list 4 Extended menu accordingly 5 The system can be configured to display the 2 Select the column heading border and drag to Advanced search tool as default see adjust column width page 321 3 Select new archive and other pre defined 6 Expended Patient record displaying belonging services examinations Figure 1 14 The Search Create Patient window 44 Vivid i User s Manual 2378958 100 Rev 02 Getting started GEMS Ultrasound 15 11 04 11 05 43 Gg patient1 90 patient1 PATIENT INFORMATION Local Archive Int HD LastName patient Patient ID pi First Name Birthdate Age Operator Sex Address BP Phone Contrast Ref Doc Study Id Diagn Phys Accession WardMDept Development Tape Echolab Exam Date Begin Exam End Exam 1 The date format is configurable see page 327 3 2 The window can be configured to display the expanded patient info as default see page 321 4 1511 2004 3S RS ADM Cardiac MI 1 0 Tis 0 8 Dl 1 ddimmiyyyy Cardiac Z Counter dd mmiyyyy Exam List Search page 321 Figure 1 15 The Patient Information window HR 80 15 11 04 11 08 01 Operator Login ADM Dataflow Name Local Archive Int H Images WIVID_1 000110 Arc Image disk Capacity 45
236. orrect TI category is displayed see Thermal Index on page 353 TIB must be displayed when a fetal application is selected Disconnecting the probe To disconnect probes 1 Push the locking lever on the Vivid i all the way down The probes that are 2 Remove the connector from the port do rd the 3 Ensure that the probe head is clean before placing the stored in their stor probe in its storage case age case 270 Vivid i User s Manual 2378958 100 Rev 02 Probes Care and Maintenance A CAUTION A CAUTION This section covers e Planned maintenance e Probe inspection e Probe cleaning e Probe disinfection Planned maintenance Improper handling can lead to early probe failure and electric shock hazards DO follow the specific cleaning and disinfection procedures provided in this chapter and the germicide manufacturers instructions Failure to do so will void probe warranty Transesophageal and intraoperative probes require a special handling Refer to the user documentation enclosed with these probes It is recommended to keep a maintenance log and note all probe malfunctions Follow the maintenance schedule below to ensure optimum operation and safety After each use e Inspect the probe e Clean the probe e f required disinfect the probe Before each use e Inspect the probe Vivid i User s Manual 271 2378958 100 Rev 02 Probes Inspecting the probe If any dama
237. ort The Port no is allocated during DICOM configuration Refer to your network specifications Verify the connection to another DICOM application Storage commitment Send a request to a PACS asking it to permanently archive image s Modality Perform Procedure Step send information typically to a HIS that a scheduled exam has been started performed or interrupted Vivid i User s Manual 31 7 2378958 100 Rev 02 Presets and System setup Additional outputs The Additional outputs sheet deals with configuration of the PRINT and ALT keys on the control panel Several outputs e g Video Print Laser print DICOM storage etc can be associated to the keys i e hitting PRINT can result in printing a Color video print and storage to a DICOM media CONNECTIVITY o Pa Dataflow Additional Outputs Tools Formats Tcpip Button Att Print gr Y able outputs Dicom MODS5 25 Dicom Print Dicom storage Image generated Format Dicom dcm Capture Area Image frames tr Single Video Area 2 Single Multiple e hole Screen e Secondary Capture Imaging Meas Text Report Connectivity System About Admin Service ml Outputs reto clipboard f Dicom Print lt 3 icom MODS 25 Check 2 XA Image compression Quality gg 1 Select between PRINT and ALT keys 5 Adjust the device settings for the selected 2 Available output devices that can be assigned assigned device to the cur
238. ou intend to measure Perform the measurement The parameter s name and measured value will appear in the result window To perform a measurement from another study 1 2 Trackball to the required study Press SET on the trackball area The study folder is opened displaying the measurements related to this study Other related studies may also be available from within the study Trackball to the measurement to perform Press SET on the trackball area to activate the measurement tool The cursor is moved back to the scanning window Perform the measurement Completed measurements are marked with a check mark Figure 6 2 When the measurement operation is completed the next measurement on the list is automatically selected To skip a measurement in a study 1 2 Trackball to the desired measurement Press SET to activate the measurement tool 112 Vivid i User s Manual 2378958 100 Rev 02 Measurement and Analysis 1 Performed measurement 2 Next measurement is automatically selected Cardiac MN Generic MN Dimension T a MVA Planimet AVA Planimetry h LA Area RA Area i volume Mi Mass i Shunts E wWallMotion MM My Folder Exit Figure 6 2 Display of a performed measurement example Vivid i User s Manual 2378958 100 Rev 02 113 Measurement and Analysis Measure and Assign modality In this measurement modality the user performs a measurement and assign
239. ove the Measure 2 ment result table 3 from corner to cor 4 ner on the Acquisi tion window 1 Minimize maximize table 2 Move table Trackball to the symbol on the heading of the Measurement result table see Figure 6 16 Press SET to grab the table Trackball the Measurement result table to a new position Press SET to anchor the table Figure 6 16 Measurement result table display tools Vivid i User s Manual 2378958 100 Rev 02 145 Measurement and Analysis Deleting measurements 1 Trackball to the measurement to delete in the Measurement result table and press SET A menu is displayed 2 Select Delete Measurement 146 Vivid i User s Manual 2378958 100 Rev 02 Measurement and Analysis Worksheet The worksheet function enables the user to review edit delete or print data independently of a report All measurements and calculations taken during the examination can be viewed at any time using the worksheet Overview Gg Dimon Mark GEMSI Ultrasound MI 0 8 JO 17 02 04 9 44 29 Tis 3 0 Height cm eight kg BSA BP Page 1 1 M Mode Measurements Valu M m m2 m3 m m5 Dimen LA Ao Ao Diam 2 41 cm Av 2 41 LA Diam 2 36 cm Av 2 36 LAJAo 0 98 0 98 AOILA 1 02 1 02 CRT MVO 21 37 ms Av 21 37 MVC 49 82 ms Av 49 82 Cardiac l M Mode PageOChange B Mode Doppler 1 Measurement type 4 Measured calculated values 2 Measurement parameter 5 Value type 3 Value Averaging Max Mi
240. p pointed or rough surface damage that could cause injury or tear protective barriers gloves and sheaths Transesophageal probe safety Never use excessive force when manipulating the transesophageal probe The detailed operator manual enclosed with the transesophageal probe must be read carefully Electrical Hazard A damaged probe may increase the risk of electric shock if conductive solutions come in contact with internal live pads Inspect probes often for cracks or openings in the housing and holes in and around the acoustic lens or other damage that could allow moisture to enter Become familiar with the use and care precautions described in Chapter 10 Probes on page 263 358 Vivid i User s Manual 2378958 100 Rev 02 Safety Personnel and equipment safety A DANGER A The hazards listed below can seriously affect the safety of personnel and equipment during a diagnostic ultrasound examination Explosion hazard Never operate the equipment in the presence of flammable or explosive liquids vapors or gases Malfunctions in the unit or sparks generated by fan motors can electrically ignite these substances Operators should be aware of the following points to prevent such explosion hazards If flammable substances are detected in the environment do not plug in or turn on the system If flammable substances are detected after the system has been turned on do not attempt to turn off th
241. pectrum changes from green to red af ter completion of the measurement Adjust Compress and reject controls to optimize the Doppler signal 9 anchor point position e Time difference dT between anchored points position To assign a label to the measurement see page 115 10 Repeat steps 5 through 8 to make additional measurements Manual Doppler trace measurements fi 2 3 4 Generate the spectrum to be measured Press FREEZE to stop the cineloop Press MEASURE on the Control Panel Select Manual trace in the Measurement Menu A vertical green cursor is displayed on the spectrum Trackball the cursor to the start point on the left side of the trace Press SET to anchor the start point of the measurement With the trackball trace the Doppler envelope The trace can be adjusted while tracing by moving the cursor backward to erase portion of the trace or the entire trace and then create the trace again Press SET to complete the trace The following measurement results are displayed in the Measurement result table Maximum and mean Velocities Maximum and mean pressures e Env Ti e Velocity time integral VTI Trackball the cursor to the start point of the next heart beat Press the SET to anchor the next heart beat starting point The heart rate BPM is displayed in the Measurement result table Automatic Doppler trace measurements 1 2 3 4 Generate the spectrum to be measured P
242. plays the network status Connected or disconnected Power amp Battery status Displays the power status Amount of battery charge and if AC adapter is connected see page 14 Prompt status field Displays system messages or prompts the user for actions Trackball assignments fields Displays the available assignments of the trackball The current assignment is highlighted The acquisition window Displays the ultrasound image with relevant indicators such as depth focus probe orientation marker physiological traces etc Vivid i User s Manual 37 2378958 100 Rev 02 Getting started A CAUTION A WARNING Probes can be con nected or changed any time while the Connecting and disconnecting probes Probes can be connected or changed at any time regardless of whether the system is powered ON or OFF Handle the probes gently while connecting and disconnecting Do NOT touch the patient and any of the connectors on the ultrasound unit simultaneously including ultrasound probe connectors To connect a probe 1 Place the probe s carrying case on a stable surface and open the case 2 Carefully remove the probe and unwrap the probe cord DO NOT allow the probe head to hang freely impact to the probe head could result in irreparable damage itis on 3 Press the probe connector locking lever refer to Figure 1 9 downwards 4 Align the connector with the probe port and carefully push into p
243. ppropriate support resource listed bellow Europe GE Ultraschall KG Tel 0130 81 6370 Deutschland GmbH amp Co Tel 49 0 212 28 02 208 BeethovenstraBe 239 Postfach 11 05 60 D 42655 Solingen USA GE Medical Systems Tel 1 800 437 1171 Ultrasound Service Engineering Fax 1 414 647 4090 4855 W Electric Avenue Milwaukee WI 53219 On line Applications Support Tel 1 800 682 5327 or 262 524 5698 Canada GE Medical Systems Tel 1 800 664 0732 Ultrasound Service Engineering 4855 W Electric Avenue Milwaukee WI 53219 On line Applications Support Tel 1 800 682 5327 or 262 524 5698 Asia GE Ultrasound Asia Tel 65 291 8528 Service Department Ultrasound Fax 65 272 3997 298 Tiong Gahru Road 15 01 06 Central Plaza Singapore 168730 Vivid i User s Manual 5 2378958 100 Rev 02 Introduction Latin and South America GE Medical Systems Tel 1 305 735 2304 Ultrasound Service Engineering 4855 W Electric Avenue Milwaukee WI 53219 On line Applications Support Tel 1 800 682 5327 or 262 524 5698 Brazil GE Ultrasound Tel 55 11 887 8099 Rua Tomas Carvalhal 711 Fax 55 11 887 9948 Paraiso Cep 04006 002 Sao Paulo SP 6 Vivid i User s Manual 2378958 100 Rev 02 Getting started Chapter 1 Getting started e Preparing the unit for use ici ains 9 e Site requirements said 9 e Connecting the unit o o ds aah 10 e Switching On Off 2vane Ata aaa al
244. ptical Disk Formatting A y 320 Measurements A ti tre seas fu ea mney ane EE Ne En SCP nee eee tee et 134 User defined TO Mulas e oa 137 Measurements Caria ccccccccccccesssssssssssssssesesssssssmunnussssnssssssssesseseeeseseesensuuansansee 109 145 Dt A e A io 117 DO ooa E REMC RO re 124 MME renesanse aa a Mah as e e e ed dd 121 Measurements Vascular B MOdO coto cn a e as ed als ie eared 127 A ade eleva aereuebieanciapdaenst e Sr ata teiaha 129 MeMode Aceu sec enetin r dd a o 128 Ms A ee Oe ee en ney Ben Oe CSTE aE eee rE PEEL 83 87 Anatomical WALI CG ser 10 i brad 86 AA o A A cleanin 84 Conventional M Mode lt 0 lt doin ia 85 86 372 Vivid i User s Manual 2378958 100 Rev 02 Ss tet exacts cate tencen te eae a aaa aa 87 O O ER ot ES 83 A NOT 85 o Ale EEE 41 adj sting NONE oi 41 adjusting ORE ASE ont ivan 41 MOI INSI AN as 22 MPEG ANS trail 160 POPE Ve WM 160 O A a aaa Seen a eal e SSENT 18 P Patient Entering MOMO nara dean 42 Phono AQUSINO TACO evade 66 A A A O A Cena nee ee PCE erat 65 Physiological e A O A O A ata ai 64 66 Power AENA AS 81 Color ModE a a E e a OP tener Nene ne Poe aT race eet 91 OIDO rs dl add e lo 97 E O cnr eee NA 106 MEMOS oca NAAA 85 Optimizing SOLO MOS tddi 93 PANDO aa 97 Probes ACI ALIN UG ii doo 269 e etc tse tl Ast ce lee rad Me ada ea dee rt 271 A A RET Tee O emcee eRe nen 273 o ea A nan oN Cater One Rape ter E a 38 269 A e 38 270 DISINTECING eies R ten on
245. quipment part 2 Collateral standard Electromagnetic compatibility Requirements and tests EN 60601 1 2 37 2001 Medical Electrical Equipment part 2 Particular requirements for the safety of ultrasound medical diagnostics and monitoring equipment 2001 348 Vivid i User s Manual 2378958 100 Rev 02 Safety IEC 60601 2 27 Medical electrical equipment Part 2 Particular requirements for the safety of electrocardiographic monitoring equipment IEC 60601 1 4 Medical electrical equipment Part 1 4 General requirements for collateral standard Programmable electrical medical systems ISO 10993 1 Biological evaluation of medical devices ISO 13485 Quality management standards for medical devices 93 42 EEC Medical Devices Directive Note Any rest en ergy within our scanners or their components will be 0344 below 60 V DC or 2 mj Device labels Label Icon Description The following table describes the purpose and location of safety labels and other important information provided on the equipment Label Purpose Location Identification Plate Manufacturer s name and address Bottom of unit Model Electrical ratings Device Listing Certification Labels Equipment Type BF in which Probe connectors protection against electric shock does not rely on basic insulation only Provides additional safety precautions such as double insulation or reinforced insulation because there is no provisi
246. r For further information refer to page 94 Toggles the cursor display on off in 2D scanning mode For future use 28 Vivid i User s Manual 2378958 100 Rev 02 Getting started Basic Mode Parameter Adjustment Controls The following controls are used to modify and adjust the unit s display to best suit the user s requirements such as color gain zoom and image depth according to the mode being operated by the user Controls Description Gain rotary Controls the total gain of the active mode gray scale images in 2D Mode or the total gain of other activated modes such as M Mode Color PW or CW Doppler mode Active mode In combined mode switches between the mode specific assignable controls and total gain of the currently used modes Acti K Six sliding keys that compensate for depth related attenuation in an image The upper slider corresponds to the smallest depth Controls the displayed depth of tissue scan Has no effect in replay Changes the angle of the cursor on linear probes The steering angles are fixed for each linear probe This key has no effect with sector imaging probes Vivid i User s Manual 29 2378958 100 Rev 02 Getting started Freeze keys ME The freeze keys are used to freeze images and cine loops in all modes for on line analysis and storage for future use Description Stops or restarts all data acquisition When scan is frozen th
247. r Software Send Current Image Receive Exam Prey Next gt gt Close Figure 8 7 The E mail dialog window 2 Select Send Current Image The E mail address window is displayed Figure 8 8 Vivid i User s Manual 1 65 2378958 100 Rev 02 Archiving Send the study by email Send Tox a John Johrlcom al cue Figure 8 8 The E mail address window 3 Select an existing address or enter anew address Up to 10 addresses can be entered 4 Select Send The E mail with the image is sent and a Confirmation window is displayed Select OK The person receiving the E mail can open the image in Windows Media Player To send a complete examination Examinations send by E mail as attachments are zip compressed encrypted and password protected If the size of the exam is too large to be sent as a single attachment it is divided in several file attachments sent with several E mails 1 Open the examination to send in MPEG viewer and press the E mail button see Figure 8 6 The E mail dialog window is displayed see Figure 8 7 page 165 2 Select Send Current Exam The E mail address dialog window is displayed see Figure 8 8 page 166 If the recipient has never installed the MPEGVue viewer on his PC before you would need to check the flag Send software 3 Select an existing address or enter a new one 4 Select Send The Password window is displayed Figure 8 9 166 Vivi
248. r is changed to a cross f Double click on the Left mouse button Vivid i User s Manual 2378958 100 Rev 02 255 Report 3 The Container box is displayed Adjust the parameters specific to the selected container Note Some information containers have additional parameters that may be adjusted by selecting Box properties Inserting a new page 1 2 3 In the template position the Mouse cursor at the insertion point Press the Left mouse button Press Insert and select Page Break Inserting header and footer Header and footer may be defined to be displayed in the printed report The header and footer are not visible in the on screen report To insert header and footer in the printed report 1 Select File and Page setup The Page setup box is displayed Page Setup Url tatic Printer default e Portrait Landscape leader and footer Header pnmXcXpidXrPage cp of tp Footer Exam date exd r Print Date prd Y Different for first page Header Footer r Print Date prd Cancel Figure 9 14 The Page setup box Adjust the printing orientation Define the header and footer for the printed report by typing text and entering the required variables listed in the table below 256 Vivid i User s Manual 2378958 100 Rev 02 Report Check Different on first page and create a specific header footer for the first page 4 Select OK To check the display
249. ration and safety precautions For USA only United States law restricts this device to sale or use by or on the order of a physician All information in Chapter 14 Safety on page 343 should be read and understood before operating the Vivid i ultrasound unit Interference caution A Use of devices that transmit radio waves near the unit could cause it to malfunction CAUTION Devices not to be used near this equipment Devices which intrinsically transmit radio waves such as cellular phones radio transceivers mobile radio transmitters Vivid i User s Manual 1 2378958 100 Rev 02 Introduction radio controlled toys and so on should not be operated near the unit Medical staff in charge of the unit are required to instruct technicians patients and other people who may be around the unit to fully comply with the above recommendations Indications for use The Vivid i ultrasound unit is intended for the following applications Abdominal Cardiac Small Organ Pediatric Fetal Transesophageal Peripheral Vascular Neonatal Adult Cephalic Contraindications The Vivid i ultrasound unit is not intended for ophthalmic use or any use causing the acoustic beam to pass through the eye Vivid i User s Manual 2378958 100 Rev 02 Introduction Manual contents The Vivid i User s Manual is organized to provide the information needed to start scanning immediately The safety instruction must be
250. rchiving Plaese review the details storage Patient Archive 284 94 MBytes SM_NEEDED_DISK_GB Figure 8 52 The Storage size information window The media doesnot 4 Insert a removable media into the specified drive need to be format 5 Press Next ee The Copying files window is displayed Figure 8 53 information f Cancel Figure 8 53 The copying files window The system automatically formats and labels new disks If the media contains backup or export data a Warning window is displayed 6 Select one of the following options e Cancel the Disk management process is stopped e Eject the media is ejected a new media must be 224 Vivid i User s Manual 2378958 100 Rev 02 Archiving inserted to resume the Disk management process e OK Export disk only the export data on the disk is deleted and the Disk management process is resumed This choice is not available if the disk contains backup data The information displayed on the Copying files window is updated while the files are being copied 7 If more than one media is necessary the filled media is ejected and a dialogue window is displayed asking the user to label the ejected disk and insert a new media Press OK after the new media is inserted The operation is resumed When all the files are copied the media is automatically ejected 8 Press Next to continue The Summary window is displayed Figure 8 54 showing a list of the di
251. re storage or save the cineloop directly as described below Preview and storage of a cineloop 1 While scanning in any mode press FREEZE 2 Press the Assignable CINELOOP 3 Determine the best cineloop to store using the assignables see page 56 for further information on cineloop operation 4 Press STORE The cineloop is stored and a thumbnail is displayed on the clipboard The loop icon appears on the thumbnail image indiacting that the image stored is a loop A serial number appears on each thumbnail starting from 1 in chronological order Direct storage of a cineloop Depending on whether the system has been configured to enable or disable the Preview Loop before store function see page 289 the following procedures enable the cineloop to be stored directly Vivid i User s Manual 1 57 2378958 100 Rev 02 Archiving Storing cineloop without preview The function Preview Loop before store is disabled see page 289 1 While scanning press STORE The last valid cineloop is stored in the archive and a thumbnail is displayed on the clipboard Scanning resumes immediately Storing cineloop with preview The function Preview Loop before store is enabled see page 289 1 While scanning press STORE The last valid cineloop is previewed on the screen but not stored 2 If desired press CINELOOP and adjust the cineloop to be stored using the assignables see page 56 3 Press STORE to save
252. red When using the mains outlets the unit should be connected to a fixed power socket which has the protective grounding connector Never use an extension cord or adapter plug Failure to provide an adequate earth circuit can cause electrical shock resulting in serious injury 10 Vivid i User s Manual 2378958 100 Rev 02 Getting started Voltage level check Check the label on the Vivid i s AC power adaptor Figure 1 1 GAY Manstodured lor GE Healthcare Miwoulee Waconsin USA AC Adapter for GE Vividi Model 2378947 2 Rev 000 input 100 240V 2 3 LIA 50 60Hz Output 192W 5 24 A Aux Output SV 2A O Class TE X K A A SN 11636 Figure 1 1 The rating label Check the voltage range indicated on the label e 100 240 V 1 08 0 45 A 50 60 Hz A If the mains supply is not within the specified range do not connect the unit to the power source Contact the dealer to have WARNING the unit adjusted to the specific mains supply Vivid i User s Manual 11 2378958 100 Rev 02 Getting started A WARNING A CAUTION Note The battery is designed to work with Vivid i sys tems only Only use the batteries autho rized by GE Connecting to the electrical outlet The unit s power must be supplied from a separate properly rated outlet to avoid risk of fire Refer to Power requirements on page 9 for rating information The power cord should not under
253. ree Text 6 Diagnosis Free Text 3 Free Text 7 Free Text 4 Free Text 8 Width 192 Pts Border f Height 60 Pts Left Margin 0 Title Align Left Oo Change Font Figure 9 11 The Text field box 3 Enter a heading 4 From the Display field select one of the following options Referral reasons displays the information entered in the Direct report see page 242 or in the Examination list window e Comments displays the information entered in the Direct report see page 242 or in the Examination list window Vivid i User s Manual 253 2378958 100 Rev 02 Report Diagnosis displays the information entered in the Direct report see page 242 or in the Examination list window Free text 1 8 creates an empty free text container 5 If desired adjust the font settings for the header and data Inserting Wall motion scoring analysis containers Two different containers must be inserted for the Wall motion scoring analysis A Wall motion scoring diagrams container Cut planes or Bull s eyes A Wall motion scoring table Inserting Wall motion scoring diagrams container 1 Select the location where to insert the free text container a table cell or directly in the report template 2 Select Insert Wall motion analysis and select between Cut planes and Bull s eye The corresponding Wall motion scoring box is displayed Cut Planes Wall Motion Score Box Select level number in stress protocol 0
254. rent button 6 Select the type of images to produce and adjust 3 Output devices assigned to the current button image settings 4 Add or remove selected device to from the 7 Printer configuration see page xx current button Figure 12 15 The sublevel Additional outputs example 318 Vivid i User s Manual 2378958 100 Rev 02 Presets and System setup The image configuration parameters The table below gives a list of the configuration parameters To configure the Print or Alt Print key 1 In Button field select Print or Alt Print 2 Select an output device in the available outputs field and press the Right arrow button to assign the service to the dataflow 3 Press Properties The Properties window is displayed 4 Adjust the device specific parameters as desired Some of the settings can be changed directly in the Image to Produce field in the sublevel Additional outputs Configuration parameter Format Select between Raw DICOM DICOM e AVI e JPEG Image frames Select between e Single stores single frame only e Multiple stores cineloop e Secondary Capture screen shot Image compression Select compression mode from the pop up menu Quality Set picture quality from 1 to 100 A low picture quality level allows high data compression while a high picture quality restrains the compression Capture Area Select between e Video Area 1 e Whole Screen 2 To remove a device select
255. resets and System setup Location Parameter Description Location porron e Hospital Enter the hospital name up to 64 i characters This information is displayed on the scanning screen s Title bar up to 24 characters and on the image properties of all saved images e Department Enter the department name up to 64 characters This information is pa ees displayed on the image properties of all od saved images Date and Time Parameter Description Date and Time e Date sets the date Select the correct 20 08 2004 v 10 20 25 E date from the pop up window e Time sets the time Press the arrow head Time Format buttons to set the time hour min sec Time Format select the desired format Date Format 24 or 12 AM PM from the pop up menu e Date Format select the desired format LAME EU or US from the pop up menu e Default Century select the desired format 1900 2000 or None from the Changes done on the date or time format POP UP Menu will be effective only after rebooting the 1900 the number 19 is automatically system displayed when entering the year in the patient date of birth to edit century press BACKSPACE twice 2000 the number 20 is automatically displayed when entering the year in the patient date of birth to edit century press BACKSPACE twice None four digits must be typed when entering the patient year of birth 328 Vivid i User s Manual 2378958 100 Rev
256. ress FREEZE to stop the cineloop Press MEASURE on the Control Panel Select Auto Trace in the Measurement Menu A vertical green cursor is displayed on the spectrum Trackball the cursor to the starting point Vivid i User s Manual 2378958 100 Rev 02 125 Measurement and Analysis 6 Press SET to anchor the start point of the measurement 7 Trackball to the end trace position 8 Press SET to anchor the end point of the trace The trace is automatically generated and the following measurements are displayed in the Measurement result table Maximum and mean Velocities Maximum and mean pressures e Env Ti e Velocity time integral VTI 9 Trackball the cursor to the next heart beat 10 Press SET to anchor the next heart beat starting point The heart rate BPM is displayed in the Measurement result table MV E A ratio Generate the spectrum to be measured Press FREEZE to stop the cineloop Press MEASURE on the Control Panel Select MV E A ratio in the Measurement Menu Adjust Compress 1 2 3 4 5 Trackball the cursor to the peak of the E wave 6 7 8 9 1 and reject controls to optimize the Doppler signal Press SET to anchor the point Drag cursor to baseline to mark dT Press SET on the trackball area to anchor the second point Trackball the cursor to the peak of A wave O Press SET to anchor the point the velocity at peak for E and A waves and the calculated E A ratio are displayed in the
257. ress OK Second and third level 1 Select an item in the first column The pre defined text input to be created in the second and third column will be related to this selection only 2 Select the second or third column 3 Press New The Enter new text window is displayed Figure 12 11 4 Enter a title in the Text field Enter the pre defined text in the Full text field 5 Press OK Vivid i User s Manual 307 2378958 100 Rev 02 Presets and System setup Editing a pre defined text input 1 Select the term to edit in one of the columns 2 Press Edit 3 The Edit text window is displayed Edit text Text Hormal echo Full text Hormal echo F Cancel Figure 12 12 The Edit text window 4 Edit the text in both the Text and Full text fields 5 Press OK Deleting a pre defined text input 1 Select the item to delete in one of the columns 2 Press Delete 3 A Confirmation window is displayed 4 Press Yes The selected text input is deleted including the belonging text inputs 308 Vivid User s Manual 2378958 100 Rev 02 Presets and System setup Connectivity This configuration setup category deals with Dataflow connection and communication setup of the ultrasound unit with other devices Additional output configuration of the PRINT and ALT keys on the control panel e Tools formatting of removable media e Formats configuration of the Examination list window and other tool
258. ription e New start working on an new template e Save save the template using the same name Factory report templates cannot be overwritten e Save as save the template using a new name e Page setup define printing orientation and header footer for the printed report e Print Preview display a print preview of the report template Exit exit the Report designer and returns to the report function The user can choose whether to save the updates or restore the original template The Edit menu Description e Delete remove the selected object from the report template e Undo restore the previous state of the report template Vivid i User s Manual 245 2378958 100 Rev 02 Report The Insert menu Description Page Break insert a new page in the report template e Table configure and insert a table in the report template Logo select and insert a logo to the report template e Archive info select and insert data from the following categories Patient information Exam information Site information Anatomical graphics select and insert an anatomicalgraphic cardiac vascular or TEE Image create a container for the display of ultrasound images Wall motion analysis insert a container for the display of Stress Echo analysis results cut planes Bull s eye and scoring table Measurements insert a container for the display of measurements and calculations When creating a
259. rities for the location of a chemical waste collection program nearest you 12 Vivid i User s Manual 2378958 100 Rev 02 Getting started A WARNING A WARNING A CAUTION The battery has a safety device Do not disassemble or alter it Charge the batteries only when the ambient temperature is between 0 and 65 C 32 and 149 F and discharge the batteries between 10 and 55 C 14 and 131 F Do not short circuit the battery by directly connecting the battery terminals with metal objects Do not heat the battery or discard it in a fire Do not expose the battery to temperature over 60 C 140 F Keep it away from fire and other heat sources Do not charge the battery near a heat source e g fire or heaters 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 Do not solder a battery Do not connect the battery to an electrical outlet If the Vivid i is not being used on a monthly basis the battery needs to be removed during lengthy non use period 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 Ifthe battery leaks or emits an odor remove it from all possible flammable sources
260. rnal 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 When using peripheral device observe all warnings and cautions given in peripheral operator manuals 280 Vivid i User s Manual 2378958 100 Rev 02 Peripherals Printing For details on the Thermal video printers operation consult the manu facturer operator manual provided with the printer The Vivid i ultrasound unit can support a color and a black amp white thermal video printer The printer devices are controlled from the PRINT key on the control panel The PRINT key can also be configured to perform alternative storage i e storage to DICOM media or secondary capture See page 318 for configuration of the PRINT key To print an image 1 Press PRINT on the Control panel The image displayed on the screen is printed on B amp W or Color printer depending on the key assignment configuration see page 318 Vivid i User s Manual 281 2378958 100 Rev 02 Peripherals Specifications for peripherals Please refer to the documentation accompanying the peripherals 282 Vivid i User s Manual 2378958 100 Rev 02 Presets and System set
261. rs and global parameters MEASUREMENT amp AMAL YSIS Adwanced MSA category Parameter Value Detautt caliper 20 Tweo point Default caliper 30 Default caliper AMM Default caliper CAMA Detawt caliper CF Default caliper CM Two point Default caliper CW Single point Detautt method Doppler Aver Parameter Vatuc on Upper lor aco n ciinca parameter Draw ellipse ine Drave Volum Imaging Meas Text Report Connectivity System Service Figure 12 7 The Advanced sheet Parameter configuration 1 When pointing ata 2 parameter an expla nation label is dis played If configuring application specific parameters select an application from the M amp A category pull down menu Select the configuration value next to the parameter to configure A pull down menu is displayed see Figure 12 7 Select a new value from the pull down menu 302 Vivid i User s Manual 2378958 100 Rev 02 Presets and System setup The Modify Calculations sheet The Modify Calculations sheet is used to configure the calculations to be performed when doing a Doppler vascular measurements MEASURERICHT amp ANALYSES Modify Cales M amp A Categories Vascular Vascular Generic Corotid LEA LEY TCD UEA UEY Renal TAMEAN Volumeflow HR Py Save imaging Meas Text Report Connectivity System About Admin Service Figure 12 8 The Modify Calculations sheet Parameter configuration The fo
262. rt 1 Select the Excel storage device in the Selected devices pane and press Properties The Excel properties window is displayed Excel Properties Destination 51 4MO Disk G Remote Path e Binary Cancel Figure 8 45 The Excel properties window 214 Vivid i User s Manual 2378958 100 Rev 02 Archiving Remote paths of network volumes must be entered once in the Remote Path field before they can be selected from the Destina tion pull down menu Remote paths of network volumes must be entered once in the Remote Path field before they can be selected from the Destina tion pull down menu 2 Selecta removable media or a network volume remote path as the destination in the Destination pull down menu 3 Select OK and press CONFIG Configuring an HL7 Export 1 Select the HL7 device in the Selected devices pane and press Properties The HL7 properties window is displayed HL Properties Destination 51 4MO Disk G Remote Path ile forrr Include Report Cancel Figure 8 46 The HL7 properties window 2 When configuring this feature for the first time the path for the HL7 export destination must be entered in the Remote path field format server name share name 3 Select OK and press CONFIG Configuring an MPEGVue Export 1 Select the eVue device in the Selected devices pane and press Properties The eVue properties window is displayed Figure 8 4 page 162 2 Sel
263. s MHeight WRef Doc Hame MPhone UWWeight MDiagn Phys MrFax WMedical History MDiagn Phys Name ME mail Msex g MCounter Mode MaAddress MTape MiManufacturer Cancel Figure 9 8 The Archive information box 4 If desired enter a heading and select a heading link from the pull down menu 5 Select the Information parameters to be displayed in the first cell Select Box properties to change the font alignment appearance etc 6 Select OK 7 Select the next table cell and repeat steps 3 to 6 to enter the remaining archive information 250 Vivid i User s Manual 2378958 100 Rev 02 Report Inserting an image container 1 Select the location where to insert the fixed text a table cell or directly in the report template 2 Select Insert and Image The Ultrasound image box is displayed Ultrasound Image Box Heading 280 Pts Height Pts Border Left Margin 0 w Title Align Left Hi Change Font Cancel Figure 9 9 The Ultrasound image box 3 If desired enter a heading set the container size and specify the text appearance 4 Select OK Inserting measurement containers You may display the measurements over several columns using a table container as described below 1 Insert a table for the measurements to the desired location 2 Select the first table cell 3 Select Insert and Measurements The Measurement box is displayed Vivid i User s Manual 251 2378958 100 Rev
264. s DICOM SR 1 Press PATIENT and select End Exam The DICOM SR Information window is displayed informing the user that not all measurements may be sent as DICOM SR Storing as DICOM SR Some measurements may not be stored KA Ignore Cancel Figure 8 37 The DICOM SR information window 204 Vivid i User s Manual 2378958 100 Rev 02 Archiving 2 Select one of the following Save the supported measurements are stored as DICOM SR e Ignore no measurements are saved as DICOM SR e Cancel cancels the end exam process Adjusting the Search criteria When selecting a DICOM Worklist dataflow or Query Retrieve search criteria can be set for the system to use when searching the database 1 2 Press CONFIG and log on as administrator Select the Connectivity category and Dataflow subgroup The Dataflow sheet is displayed see Figure 8 38 Select a DICOM Worklist dataflow or the Query Retrieve dataflow Select the Worklist or Query Retrieve device in the Selected devices pane and press Properties The Properties window for the selected DICOM device is displayed Press Search criteria The Search criteria window is displayed Select a Search criteria from the Select tag pull down menu Enter a value if required or leave blank if not to be used This entry is case sensitive and must match exactly Press Add to list Press OK to close the Search criteria window Vivid i User s Manual 23789
265. s related to patient management e TCPIP internet protocol configuration Vivid i User s Manual 309 2378958 100 Rev 02 Presets and System setup Dataflow Communication between the Vivid i ultrasound unit and other information providers on the network takes the form of dataflows Each dataflow defines the transfer of patient information and images from an input source to the unit and from the unit to one or several output sources A dataflow is a set of pre configured settings Selecting a dataflow will automatically customize the unit to work according to the settings associated with this dataflow Dataflows are configured in the Dataflow sublevel sheet in the Connectivity setup category as described below The Dataflow sublevel sheet is only available to users with administration rights 310 Vivid i User s Manual 2378958 100 Rev 02 Presets and System setup CONHECTIVITY Dataflow Additional Outputs Tools Formats Tcpip Dataflow Name Local Archive Int HD Oz Direct Store f Hidden S ed de A Inputs D oe E Outputs d Check Check J Imaging Meas Text Report Connectivity System About Admin Service 1 Select a dataflow to edit 6 Add Remove a user defined dataflow Factory defined dataflows cannot be edited 7 Available input output devices that can be 2 Use selected dataflow as default assigned to the current dataflow 3 Store data directly to archive 8
266. s technical nda adit E E 281 To print an TIN A 281 Specifications for peripherals eeccessseeeeeeeeeeeseeeeeeeeees 282 Chapter 12 Presets and System setup Introduction isasi eneee aaa aaa aaa aiaei 284 Starting the Configuration package ccccsssseeeceeeeseeeeeeeees 287 To open the Configuration package ooooooocccccccncncccccccnccnnns 287 DO as 288 MAI cases ences cca eaten te uatieunivnnnasuipinnstadedwavucweubuasiewmueebuetiedwa dail 289 The Global setup Sheet ooooooonnnccccnnnnconnccccccnncnacanancconnnnnnns 289 A O 291 aa llei hearer tener ereny tk Creer ey er tree tee OF 294 Measute Text nierien an lola laa 296 The measurement menu sheet cccccnooncccccccncnncaannccnnnnnnnns 296 The Advanced Shertis niniaicia 302 Parameter configuratiON ooooonncccccnnncnnnocccccnnnnnnnncncnnnnn 302 The Modify Calculations Sheet oooooccccconancccccccnnnnnanacancncnnnnannnes 303 Parameter CONMTIQUIALION fusiones 303 A A re o o AA 304 The Comment texts Sheet ooooooocccccccncoooccccccnnccncnnancnonnnnnnns 306 8 Vivid i User s Manual 2378958 100 Rev 02 E 320 Formats isa dada 321 SUM es 327 The system SettidgS oooooccccononoccccccnononanncnnccnnnnnnnncncnnnnns 327 ADO intestine nice A E 329 POMS AUIOM o aa 330 Chapter 13 User maintenance System Care and MaintenanNCe ooccccccccnnnnnccccnennnnananancnenennanannn 336 Inspecting the system etica dis disidi iii 336 Gleaning the Unit apr
267. scale of the Doppler spectrum and the maximal detectable velocity to be modified Velocity range directly controls the pulse repetition frequency which is responsible for the setting of the Nyquist limit the ability to detect maximum velocity without aliasing Scale Enables the low velocity portions of the spectrum to be filtered since the Doppler spectrum and audio may contain strong wall motion signals The amount of Low Velocity Reject is indicated by the green vertical bar at the right end of the baseline Invert Enables the Doppler spectrum to be flipped 180 degrees so that negative velocities are displayed above the baseline and positive velocities below the baseline Invert is available in live and cine replay LPRF PW mode Sets the pulse repetition frequency for the PW Doppler acquisition of flow data Enables toggling between high and low Pulse Repetition Frequency PRF When the Doppler PRF is raised beyond a certain limit more than one Doppler gate is displayed on the screen Vivid i User s Manual 95 2378958 100 Rev 02 Scanning Modes In non cardiac ap plications Angle correction is con trolled from the Trackball Layout Toggles the display arrangement to define relative dimensions of the 2D area Doppler spectrum area and their position which is either top bottom or side by side Color maps Displays a drop down menu of different Doppler colorization maps Use the trackball to select
268. se partly charged 25 80 Battery in use battery is discharged 10 25 Battery in use battery is almost empty 0 10 3 o La O 5 When the user clicks on the displayed icon a status description appears 14 Vivid User s Manual 2378958 100 Rev 02 Getting started Note When the bat tery power is low and the user cannot charge the battery in time the system automatically shuts down in 2 minutes This protects the whole system You need to save all un saved data before the system shuts down or you may lose useful informa tion Refer to page 279 for further informa tion on peripherals A CAUTION Battery Power Low Warning If the battery is in use and the battery power is 10 or less a warning message appears to warn the user that the battery power is low and that it needs to be charged A Warning Battery power is low Please charge the battery immediately or system will be shut down in 2 minutes E Figure 1 2 Low Battery Power Warning Peripherals Accessory connection The external Peripherals accessories connectors are situated on the rear side of the unit See Figure 1 3 Peripherals Accessory Connector Panel Vivid i peripherals and accessories can be properly connected using the rear connector panel Use only approved peripherals accessories or probes DO NOT connect any accessories or probes without approval by GE Vivid i User s Manual 1 5 2378958 10
269. ser s Manual 2378958 100 Rev 02 127 Measurement and Analysis When doing volume calculation from one or two distance measurements make one or two distance measurements and press MENU or CLEAR The distance measurement s and the volume calculation are displayed in the Measurement result table A B Ratio In B Mode A B Ratio can be measured by diameter or area A B Ratio by diameter 1 Press MEASURE on the control panel 2 Open A B Ratio in the Measurement menu 3 Select between Ratio Diam Ratio Area 4 Make the corresponding two measurements The measurements and the corresponding A B Ratio are displayed in the Measurement result table M Mode Measurements The following instructions assume that you first scan the patient and press FREEZE Stenosis 1 Press MEASURE on the control panel 2 Select Stenosis in the Measurement menu 3 Make a distance measurement of the inner area of the blood vessel 4 Make a distance measurement of the outer area of the blood vessel The distance measurements and the Stenosis are displayed in the Measurement result table A B Ratio In M Mode A B Ratio can be measured by diameter time or velocity 1 Press MEASURE on the control panel 2 Open A B Ratio in the Measurement menu 3 Select between 128 Vivid i User s Manual 2378958 100 Rev 02 Measurement and Analysis Ratio Diam Ratio Time Ratio Velocity 4
270. sis The trace is displayed and the corresponding measurements are displayed in the Measurement result table Measurement package configuration A list of all cardiac calculations with needed measurements and location in the Measurement package can be found in the Reference manual There are many more measurements and parameters in the measurement package than shown in the default Measurement menu Use the configuration system to set up the measurements that should be available in the Measurement menu and which parameters should be calculated The following example based on calculation of AV CO Cardiac Output by Aortic Flow describes how to configure the measurement package so that necessary measurements and the resulting calculations are displayed on screen Measurement package configuration example Calculation of Cardiac Output by Aortic Flow requires measurement of AV diameter located in the folder Dimension 2D mode AV VTI located in the folder Aortic Doppler AV Trace Heart rate If a calculated parameter e g AV CO in AV Trace measurement requires another parameter to be calculated e g AV Diam the user must first measure the required parameter e g AV Diam before the dependent parameter e g AV CO in AV Trace gets calculated Configuration of the Measurement menu If the AV diameter measurement is not present in the folder Dimension in the Measurement menu follow the following procedure 1 Press
271. sks used EZ Space Management Wizard Completed Print Summary betailed Summary Figure 8 54 The summary window Select Print summary to print the list for archiving purpose e Select Detailed summary to display the list of the patient records copied 9 Make sure that all media are physically labeled according to the list displayed in the Summary window The media Vivid i User s Manual 225 2378958 100 Rev 02 Archiving A DANGER A CAUTION label should also have an identification of the system the Disk management was run from 10 Press Done to complete the Disk management operation and file the media Data Backup and Restore The Backup Restore function enables the user to e Copy Restore the patient archive e Copy Restore the system configuration The Copy Restore system configuration feature enables the user to configure several units with identical presets providing that the units have the same software version To minimize accidental loss of data perform backup of the patient archive stored on the local hard drive at least once a week GE Medical Systems is not responsible for lost data if the suggested backup procedures are not followed and will not aid in the recovery of lost data There is no backup function for the images or reports no creation of a safety copy For long term storage images and reports should be moved to removable MOD or to a network shared folder using the Disk ma
272. stic output The operator controls that directly affect the acoustic output are discussed in the Acoustic Output Data Tables in the Reference Manual These tables show the highest possible acoustic intensity for a given mode obtainable only when the maximum combination of control settings is selected Most settings result in a much lower output It is important to note the following e The duration of an ultrasound examination is as important as the acoustic output since patient exposure to output is directly related to the exposure time Better image quality yields faster clinical results making it possible to complete the relevant ultrasound examination more rapidly Therefore any control that improves the quality of the examination can help to reduce patient exposure even though it may not directly affect acoustic output Probe selection As long as the appropriate application is available any probe can be used with the knowledge that the intensities fall at or below those stated in the Acoustic Output Data Tables The duration of patient exposure is most likely minimized with the use of a probe that is optimized to provide resolution and focal depth appropriate to the examination Vivid i User s Manual 355 2378958 100 Rev 02 Safety Application selection Selecting the probe and application preset appropriate to a particular ultrasound examination automatically provides acoustic output limits within FDA guidelin
273. storage and transportation Requirement Temperature Humidity Air Pressure Operational 10 40 C 30 85 700 1060 hPa 10 60 C 30 95 700 1060 hPa Transport 10 60 C 30 95 700 1060 hPa Vivid i User s Manual 9 2378958 100 Rev 02 Getting started The Vivid i ultra sound unit is ap proved for use in hospitals clinics and other environ mentally qualified facilities in terms of the prevention of ra dio wave interfer ence Operation of the unit in an inap propriate environ ment can cause electronic interfer ence to radios and television sets situ ated near the medi cal equipment A WARNING Electromagnetic interferences Ensure that the unit is protected from electromagnetic interferences as follows e Operate the unit at least 4 5 meters fifteen feet away from equipment that emits strong electromagnetic radiation Shield the unit when operating it in the vicinity of radio broadcasting equipment if necessary Connecting the unit A GE qualified person should perform the initial system installation Connecting the Vivid i ultrasound unit involves preliminary checks of the power adaptor unit and cord voltage level and compliance with electrical safety requirements Use only power supply cords cables and plugs provided by or designated by GE Medical Systems Ensure that the power cord and plug are intact and that the power plug is the proper hospital grade type where requi
274. system Vivid i User s Manual 231 2378958 100 Rev 02 Archiving DICOM spooler DICOM spooler displays the current DICOM output jobs The jobs may be Storage Print Modality Performed Procedure Step or Storage Commitment The DICOM spooler is used for checking the current job s status when a job is saved or when the total spooler status on the right of the Archive windows displays an error From the DICOM spooler the user can also Delete non active jobs Resend a job that has failed or is in hold Send a job that has failed or is in hold to a new destination The job s status displayed in the DICOM spooler window can be Pending the job is complete waiting to be active e In hold the job is incomplete waiting for more images Append the job is connected to the destination device but is waiting for more images Direct store function e Active the job is complete and connected to the destination device e Failed the job is complete but one or more images failed to transmit to the destination device Done the job is saved to the destination device The jobs that are done are removed from the spooler after a while Starting the DICOM spooler 1 On the alphanumeric keyboard press and hold down the ALT key and press S The DICOM spooler window is displayed see Figure 8 66 The DICOM spooler window is automatically updated every minute Press Refresh to update the information displayed at any t
275. tat dette whi leas 221 E 222 DISK ICSI ORG cies cues as oe eed ald li al ila E areata aad 226 Doppler see PW or CW Doppler Dual focus 2 D RENALI LIAE abla erecta doll ariel nacidas o nd AS NA e o at 79 Dynamic Range EVO us ias 106 Dynamic range O tl ins 81 A eet cote lent sat tessianin bt aataalenetiactsatt terntetinietdat then a a a 85 OptimMizINO M Mode ds 87 E ECG AUS MAC eS 66 A aie dana ane a a ree ees 64 CONTOS ith te Yes aha c ts thet Lethe eh ca cee a aa E E A 65 A ene ReneS SITE Te 160 Examination A td o id le bl 42 Export Patient FECO S eecccccsessssessssescssessscssseccssecessecsssscsssecsssecessecsssecsusccssscessscessecessscessecesuecessecenseessee 209 F File Mana MEM ias 220 Focus A e od o es ld 79 EA PP E ee eis NN nace 105 M MOGG2 2 ht5e uo Ae a lactea tieso td di ste ata tue E ale 84 Optimizing 2D eremi eE eae eon are near ne DEO a oe E ere eee 82 Optimizing MM e a ten ae hak 87 Formatting Removable Mella caian ta tadas 320 Frame rate A E O OR 79 A O eon rene ne 97 Optimizing E W DOP OIG in seroit a een ne alee a eben ise ecr 98 Optimizing MeMOdE a dial ciao 87 Optimizing PW Di aid 98 PODIO e lo rie 97 370 Vivid i User s Manual 2378958 100 Rev 02 Frequency AAA AAA AAA 79 A E E a tas 91 As A A A 97 BS 0g t OOO UE un A Renee treet eee RRC NOPER rn arLa ne nTETR om 105 M Mode ict ast nai A be aateapestedsectanepoaaet 84 Optimizing Color Mode a 93 Optimizin
276. te the relative level of rejection Power Controls the amount of acoustic power applied in all modes When power is set to maximum it is equal to or less than the maximum acoustic power permitted by the FDA The Thermal Index TI and the Mechanical Index MI are displayed on the screen Dynamic Range Enables control of the dynamic range or contrast of the image When dynamic range is set to High the image is softer and more low level data is visible Using M Mode Conventional M Mode greyscale 1 While in 2D Mode press cursor on the control panel 2 Use the trackball to position the cursor over the required area of the image 3 Press MM the M mode sweep will start to sweep 4 Press FREEZE to stop imaging OR 1 While in 2D Mode press MM on the control panel The M mode sweep will start to sweep 2 Use the trackball to position the cursor over the required area of the image Vivid i User s Manual 85 2378958 100 Rev 02 Scanning Modes Gain Frequency Focus Dynamic Range and Com pression affect also the 2D image Anatomical M Mode can also be used with previ ously acquired digi tally stored 2D images The Trackball as signable Pos Posi tion is activated The Trackball as signable Angle is activated The Trackball as signable Pos is acti vated 3 Adjust horizontal sweep Gain Frequency Focus Dynamic Range Compression and Contour to optimize the display if ne
277. tect malfunction as soon as possible thereby eliminating unnecessary downtime The detection of any serious malfunction may result in immediate interruption of scanner operation System malfunction In the event of error or system malfunction the user may generate and export a log file to a removable media as described below and contact authorized service personnel Generating a logfile 1 Press ALT D on the alphanumeric keyboard The Problem description dialogue window is displayed see Figure 13 1 2 Typeinadescription of the problem Notes should be made regarding the selected probe the imaging mode and the application that was being used at the time of malfunction If applicable try to describe the button or key pushing sequence that immediately preceded the problem Check the mention System lockup if applicable 3 Press Save to create a logfile Vivid i User s Manual 341 2378958 100 Rev 02 User maintenance System problem reporting escription of issue Destination fi Cancel Figure 13 1 The Problem description dialogue window Exporting the logfile 1 Press ALT Don the alphanumeric keyboard to display the Problem description dialogue window again 2 Select the destination where to export the logfile MOD or CD R 3 Press Export A Zip file named logfile_ lt date gt _ lt time gt zip is copied on to the selected removable media 342 Vivid i User s Manual 2378958 100 Rev 02
278. tes a still image of the Vivid i User s Manual 159 2378958 100 Rev 02 Archiving image area and the Title bar The secondary capture is not available when saving images as DICOM or RawDICOM 9 Select the image compression type JPEG or Rle or no compression 10 Enter in the desired Image quality between 10 and 100 A high quality setting will give a lower compression 11 Inthe Save as type field select one of the following formats RawDICOM saves the still image or cineloop in both GE raw format and DICOM format DICOM saves the still image or cineloop in pure DICOM format e JPEG saves a still image in JPEG format MPEG saves the still image or cineloop in MPEG format AVI saves the cineloop in AVI format 12 Press Save A file is saved in the selected archive MPEGVue eVue MPEGVue eVue enables the user to export or save an exam images measurements and reports into MPEG format readable from a regular Windows computer together with a special MPEG viewer MPEG exams can be created using the Export function MPEGVue or by using the dataflow Local Archive Int HD e Vue eVue The MPEGVue option is used to create MPEG exams on finished exams The eVue option is used to create MPEG exams when performing the exam upon saving the images Creating an MPEG exam using the Export function MPEGVue Refer to Exporting patient records examinations on page 209 160 Vivid i User s
279. the ROI if desired 6 Press FREEZE to stop imaging Color M Mode 1 From M Mode press COLOR or from Color Mode press MM 2 Use the trackball to position the color area in the M Mode display Press the SET button The instruction Size should be highlighted in the trackball status bar If not press SET again to select Size NOTE If the trackball control Pointer is selected press TRACKBALL to be able to select between Position and Size controls 4 Use the trackball to adjust the dimension of the color area To enlarge the color area move the trackball up To narrow the color area move the trackball down 5 Press SET when the desired size is obtained 2 2 92 Vivid i User s Manual 2378958 100 Rev 02 Scanning Modes Refer to page 291 about creating pre sets The scale value may affect FPS Low Ve locity Reject and Sample Volume Frequency setting may affect FPS SV and Low Velocity Reject The Power setting affects all other op erating modes A CAUTION Optimizing Color Mode The use of preset gives optimum performance with minimum adjustment If necessary the following controls can be adjusted to further optimize the Color Mode display Adjust the Active mode gain to set the gain in the color flow area Adjust Scale to the highest setting that provides adequate flow detection Adjust Low Velocity Reject to remove low velocity blood flow and tissue movement that reduces
280. the cineloop A thumbnail is displayed on the clipboard Saving stored images and cineloops to a standard format Stored images and cineloops can be saved to a removable media in the following standard formats Stillimages JPEG MPEG DICOM and RawDICOM Raw data DICOM e Cineloops AVI MPEG DICOM and RawDICOM Raw data DICOM Images can also be stored as MPEG format on a CD R using the Export function as described on page 160 Procedure 1 Trackball to the required image or loop icon on the clipboard 2 Press SET The selected image is displayed 3 Press UPDATE MENU on the control panel The System menu is displayed 158 Vivid i User s Manual 2378958 100 Rev 02 Archiving System Menu Save As Image Properties Direct Report Cancel Figure 8 1 The System menu 4 Trackball to Save as 5 Press SET The Save as menu is displayed Save in archive 1 4MODisk G Filename Image01 Store Image only Secondary capture Quad View Compression Quality 95 Save as type Mpeg wmu Figure 8 2 The Save as menu 6 Select the desired removable media from the Save in archive pull down menu 7 Enter a file name in the File name field If the image or cineloop is saved as DICOM or RawDICOM the file name is automatically generated to follow the DICOM standard 8 Select between Store image only saves the image or cineloop only Store secondary capture crea
281. the desired map and press SET to activate the map Quick angle and Angle correction Enables correction of the Doppler velocity scale by defining the angle between the Doppler beam and the investigated blood vessel or blood flow A thin cross bar on the Doppler cursor will rotate as the control is adjusted Angle correction is available in both Live and Freeze Quick angle adjusts the angle by 60 degrees Angle correction adjusts the angle between zero and 90 degrees with one degree increment PW CW Doppler Soft menu controls Sample volume In PW mode set the longitudinal size of the region to be sampled for measurement Adjusting Sample volume may affect the PRF Nyquist limit settings SV does not apply to CW mode where the volume sampled is the full length of the area indicated by the cursor line Compress Enables control over the contrast of the Doppler spectrum When compression is raised the spectrum image becomes softer and some low level background noise may appear Compress is available in both Live and Freeze Reject Enables undesirable background noise to be removed from the Doppler spectrum resulting in a darker background Reject is available in both Live and Freeze 96 Vivid i User s Manual 2378958 100 Rev 02 Scanning Modes When power is re duced it reduces the signal to noise ratio so that the im age may become noisier Frequency Adjusts the transmission frequency in Doppl
282. the device in the Selected devices field and press the Left arrow button Vivid i User s Manual 31 9 2378958 100 Rev 02 Presets and System setup Tools The Tools sublevel sheet deals with e formatting of removable media MO disk CD R DVD R e Creation or re creation of a DICOM directory on a removable media containing DICOM images Enter a remote path of a network shared folder server name share name for Export of system error log file Save as function for images CONNECTIVITY Tools Fors 51 4MODisk G Refresh My Label Format Capacity 1094 0 MB Free space 417 1MB Formatted Yes Database present Yes DICOMDIRpresent Yes Finalized CD DVD only Write protected Ho Repair DICOMDIR Remote Path SERVER HAME SHARED FOLDER Imaging Meas Text Report Connectivity System About Admin Service Figure 12 16 The sublevel Tools Creation of a DICOM directory 1 Insert the media in the drive 2 Select Repair DICOM DIR Wait for the display of the Information window indicating that the process is completed 320 Vivid i User s Manual 2378958 100 Rev 02 Presets and System setup To adjust column width select and drag column head ing border Formats The Formats sublevel enables configuration of the Examination list window see Figure 8 14 page 172 and other tools related to patient management as described below CONNECTIVITY Formats Columns in examination listing
283. tion before the study is closed on the scanner 2 Press Archive and select the patient to be reviewed 194 Vivid i User s Manual 2378958 100 Rev 02 Archiving Direct connect with offline acquisition Data management Press Today to dis play today s exams to ease the search Scanner s dataflow configuration for offline acquisition When offline select the LocalArchive IntHD dataflow The local database is used for patient archiving Images are stored to internal harddrive Export examinations done offline from the scanner to EchoPAC PC When reconnected export the data images demographics measurements and report for the examination s done offline to EchoPAC PC as describes in Export Import patient records examinations on page 209 Export from LocalArchive Int HD to RemoteArch RemoteHD Make sure that the option Copy images is checked The examination done offline can now be reviewed on the workstation Vivid i User s Manual 2378958 100 Rev 02 195 Archiving A scanner and EchoPAC PC ina network environment In this scenario the Vivid 7 is configured to work with an ImageVault 3 or an EchoServer 7 patient demographics and image server in a network environment Images are first saved on the local image buffer on the scanner and transferred to the server when saving the examination The acquisition can be done online or offline Both situations are described below Network environme
284. ts associated to the user groups are with a Dongle Right Definition Create and delete e Create update and delete a patient record e Create update and delete an examination e Create update and delete an user or a referring member Import Export patient records examinations e Move examinations Creating a user or a referring member 1 Press New 2 Enter the user s information 332 Vivid i User s Manual 2378958 100 Rev 02 Presets and System setup A 3 Select the type of user referring member in Member of Group s To be able to login on the system the group Operator MUST be selected CAUTION Editing an user configuration 1 Select the actual user in the User list 2 Make the desired changes 3 Press CONFIG or any active scanning key to exit the Configuration management package Deleting a user 1 Select the actual user in the User list 2 Press Delete The user is removed from the User list Auto logon and auto logoff Auto logon 1 Select the desired logon setup from the pull down menu Disabled no default user is selected when logging on Last user the last user is selected automatically when logging on e A specific user select one of the users to be the default user when logging on Auto logoff 1 Setthe time span from 10 min for the system to automatically log off when not in use Vivid User s Manual 333 2378958 100 Rev 02 Presets and System se
285. tup Unlock Patient If for any reason an examination is not properly finished the patient record is locked and cannot be opened again unless it is unlocked ADIN UnlockPat Last Nome Patient ID Unlock First Nome Birthdate ddim yyy Exam after dd immiamay Uniock all Locked patient list Last Name First Name Patient ID Birthdate Last Exam SOMA diyi 03 05 2004 MPTest test2 2206 2004 Stress test Stress 2806 2004 imaging Neas Tent Report Connectivity System About Service Figure 12 22 The Unlock Patient sheet To unlock patient records 1 Press CONFIG 2 Select the category Admin 3 Inthe Admin category select the sheet Unlock patient 4 In the Unlock patient sheet select the patient records to unlock You can search for a specific patient record or a group of patient record using the searching filters 5 Select Unlock to unlock the selected patient record s or select Unlock All to unlock all patient records A Confirmation window is displayed 6 Select OK 334 Vivid i User s Manual 2378958 100 Rev 02 User maintenance Chapter 13 User maintenance e System Care and Maintenance occccccccnonccnccncnncnnnnananencnnnnnnanenenenen oe 336 e Inspecting the system sarna dato 336 e Cleaning the unit eee eek al saa A ets aN ee edt eae 337 e Prevention of static electricity interference ceeeeeeee 339 System self test unica 341 e System malfunction ooooooccccncnn
286. ughly clean probes and reusable accessories after each patient examination and disinfect or sterilize as needed Refer to Chapter 10 Probes on page 263 for probe use and care instructions e Follow all in house infection control policies as they apply to personnel and equipment Pacemaker hazard The possibility of the system interfering with pacemakers is minimal However as this system generates high frequency electrical signals the operator should be aware of the potential hazard this could cause 360 Vivid i User s Manual 2378958 100 Rev 02 Safety Electrical safety A CAUTION Device classifications The Vivid i ultrasound unit is a Class device type BF according to Sub clause 14 of IEC 60601 1 1988 Internally connected peripheral devices The system together with peripheral devices such as video tape recorders and printers meets UL2601 1 and IEC 60601 1 1988 standards for electrical isolation and safety These standards are applicable only when the specified peripheral devices are plugged into the AC outlets provided in the unit Internally connected battery Remove the primary battery if the internal battery in not likely to be used for some time External Connection of other peripheral devices External devices can be used only if CE marked and in compliance with related standards EN 60601 1 or EN 60950 Conformance to EN 60601 1 1 2000 must be verified External devices meet
287. up Chapter 12 Presets and System setup MUO CUIOND cri aa wa 284 e Starting the Configuration package cccssssseeeeteeeeeeeeeeeee e 287 e To open the Configuration package ccccococccccccccononanacccccnnnnannnons 287 EOI ANE A E A E 288 IMAGINO ansia 289 e The Global Setup Sheet ooooonnnccccccccccccnnncccccnnnnnnnnnnnncncnnnnnnancnnns 289 Application coinn a A E 291 e Application Menu atrio do 294 MGASUPC Tenia ds bc ae 296 e Configuration of the Measurement menu coccccccccncccccccccnnnnnnnnnoss 300 BFE 0 0 y INPP PPP OO TA 304 e The diagnostic codes sheet cooooccccccccccccccccccccncncnnnannnncnnnnnnnnnnnnns 305 e The Comment texts Sheet oooooooonocccccnnniconccccnccccnnonancncncnnnnnnancnnns 306 lt Connectivity aria Se 309 Dal a dia 310 Additional OUTPUTS stan 318 A O Taa E diu 321 TORTA IS E N tained 326 SYSIOM E E E a EAT 327 e The system settings tisdale beds 327 A NO 329 s Administrati M isc anar 330 T T E E E E AR 331 Unlock Patent eneee didas 334 Vivid i User s Manual 283 2378958 100 Rev 02 Presets and System setup Introduction This chapter describes the configuration management package of the Vivid i ultrasound unit The Vivid i configuration package enables users to customize the global configuration for the unit and the application specific settings In addition users with administration rights have access to the local archive backup function local archive restore fu
288. urement menu and the creation of user defined Measurements 296 Vivid i User s Manual 2378958 100 Rev 02 Presets and System setup ll ISS i 1 Configuration window see next pages for 2 The measurement menu displays updated details configuration Figure 12 6 The Measurement menu setup sheet Parameter Description Add measurement AU DIMES SUREMENT Create or select from the pop up list a OK measurement to be added to a folder see page 135 Cancel 0 Blank Use copy of Vivid i User s Manual 297 2378958 100 Rev 02 Presets and System setup Parameter Description Add folder Enables the user to create its own folder with the desired measurements The folder is displayed the Measurement menu M amp A Categories M amp A CATEGORIES Enables selection of the measurement rer categories to display in the Measurement Y Cardiac menu Only checked items will be v Vascular v Pediatrics Create copy displayed Si ial Apps pained f e Create Copy Enables copy of a Obstetrica a selected measurement category logy ct v Omecdoa selection is done by selecting the v Urology Pediatrics category name e Delete enables deletion of user defined measurement categories e Factory Default restores factory display 2D MM and Dop radio buttons Enables the display of mode related Measurement menu in the configuration window Configuration tools
289. utton the bottom label Low vel Reject in this example will be highlighted In this case from now on pressing the right or left area of the circular assignable button will either increase or decrease respectively the value of the lower highlighted parameter Pressing at this pont on the upper part of the circular button will again associate the button with the upper labeled parameter An alternative method for modifying one of the parameters associated with this button is to click with the mouse pointer on the relevant area of the assignable button graphic Vivid i User s Manual 51 2378958 100 Rev 02 Basic scanning operations On Off Toggle button Variance Simultan O Y In this example the active green indicator indicates that the Variance setting is set ON The Simultaneous function is toggled OFF there is no green indicator The user can press the matching upper button to toggle the Variance function ON or OFF User can press the matching lower button to toggle the Simultan function ON or OFF Alternatively the user can click with the mouse pointer on the relevant button graphic to set the function ON or OFF Soft Menu rocker button The circular button on the bottom right area of the screen acts as a soft menu rocker button It has access to a different type of soft menu which pops up on the right portion of the screen 52 Vivid i User s Manual 2378958 100 Rev
290. ving and editing archived information ccceee 168 Locating a patient reCOrd ceceeeeeeeeeeeeeeeeeeeeeeeeeeeeneeeees 168 Selecting a patient record and editing data in the archive 172 Moving EXaMinatiONS cooooccccccnccnonocccccnnnnnnanncnncnnnnnnanncnnnnn 178 Review images in arChiVe oooonocccccnnnnncccccnnnnnnnnanancrnnnnnnnnnanerrnnnnnns 181 Review the images from a selected examination 181 Select images from the Image list Screen cceeee 182 GONG CUIVINY air 186 The dataflow CONCEP lve cci sveveedscdevevcne spans bieneveneieeiabenee 186 6 Vivid i User s Manual 2378958 100 Rev 02 Export Import patient records examinations 00 209 Exporting patient records examinations ccceceee 209 Disk Management cnccicici niinacasicrica nnna 220 Configuring the Disk management function 065 221 Running the Disk management function eeeeee 223 Data Backup and Restore oooccccconocccccccccnnonoccccnnnnnnannnnnos 226 DIG OM SPOOIGD ici a dao 232 Starting the DICOM Spoolet cccccccesteeeeeeeeeeeeeeeeeees 232 Chapter 9 Report IntrodU CON icoiconinicaciina iii 236 Creating a repo larisa 237 Working with the report function ooooocccccnnccccccnnnnnccccccnnnnn 237 TO PME A TOP uisoiriin acia dnde 240 To store a report atole deca al Sieben 240 Retrieving an archived fepOld occccnocccccnccccnnncnccccncnnnnannnons 24
291. w parameters e g biplane volume with EF SV and CO A CAUTION The Vivid i Ultrasound unit provides functionality for two measurement conventions Assign and Measure Measure Protocols the user selects a study consisting in a set of pre labeled measurements related to the active scanning mode and Clinical application The user is prompted through the measurements in the order of the measurement labels A set of tools is implemented to make the measurement process as fast and easy as possible for the user The user is guided through the study an auto sequence functionality automatically selects the next measurement in a study e The selected measurement is highlighted in the Measurement menu The performed measurement is indicated in the Measurement menu The studies and their parameters are user configurable The user can create its own studies containing the relevant measurements only see page 296 Measure and Assign Free style the user performs a measurement and assigns a label Only assigned measurements will be saved Measurements without assignment will be lost when scanning is resumed 110 Vivid i User s Manual 2378958 100 Rev 02 Measurement and Analysis The Assign and Measure modality In this measurement modality the user selects a study consisting in a set of related pre labelled measurements Starting the Assign and Measure modality 1 Press MEASURE on the control panel
292. word Trackball the text entered to the insertion position Press SET to add the annotation Pre defined annotation Word selection from the Annotation menu 1 2 Press the alphanumeric key TEXT A list of application specific pre defined texts is displayed see Figure 2 10 To display a list from another application select the heading and choose another application Trackball to the required abbreviation Vivid i User s Manual 2378958 100 Rev 02 67 Basic scanning operations NON Press SET Trackball to the position at which the annotation is to be inserted Press SET to add the annotation To draw an arrow Press Arrow in the Annotation menu Trackball to the start position of the arrow to draw Press SET to anchor the arrow Trackball to the end position of the arrow to draw Press SET to fix the arrow Word selection from the Library Pre defined text can be organized in a user configurable application dependent library with three different sections The user can easily select a pre defined text from the Library using the ARROW keys o PUJA A Creating a Library Press CONFIG In the Configuration package select Measure In the Measure Category select Customize The Customize sheet is displayed see Figure 2 10 Select a pre defined text in the Application pane Select Add in the desired section Repeat step 4 and 5 to populate the library To remove a pre defined text fr
293. xaminations on page 209 Export from LocalArchive Int HD to RemoteArch RemoteHD Make sure that the option Copy images is checked To free space in the internal harddrive on the scanner check the command Delete selected patient s after copy in the Export patient window see Figure 8 41 page 211 The examination done offline can now be reviewed on the workstation Vivid i User s Manual 2378958 100 Rev 02 197 Archiving A scanner and a DICOM server in a network In this scenario the Vivid i is configured to work with a DICOM server in a network environment Images are first saved on the local image buffer on the scanner At the end of the examination the images are sent to the DICOM server via a DICOM spooler The DICOM server dataflow supported are e Local Archive Int HD DICOM Server the local archive is used for patient archiving Images are stored to the internal harddrive and to a DICOM server Remote Archive Remote HD DICOM Server a remote database is used for patient archiving Images are stored to a network image volume and to a DICOM server Worklist Local Archive DICOM Server Int HD search in a DICOM Modality Worklist the patient found is copied into local database The patient information and the examination results are stored to the local database Images are stored to a DICOM server and to an image volume on the local harddrive Worklist Remote Archive DICOM Server Remote HD searc
294. ze when not in use Templates and Packages Defines the default stress protocol associated to the application Select the default Protocol to be associated to the selected application from the pop up menu Auto invert on steer In Color flow the color bar is inverted when steering the color flow sector angle 292 Vivid i User s Manual 2378958 100 Rev 02 Presets and System setup Parameter Description Create New Application Remove current application back to factory defaults Save image appl settings Create new application Press New to create a new Application A eae dialogue window is displayed where the operator is asked to give a name to the new application Remove current application Press Delete to remove the current application Factory Application settings cannot be deleted Save image appl settings Press Save to store the changes applied to the current setting Not applicable on factory application settings Create a new Application The application created is probe dependant Select the desired probe before configuring a new application 1 2 3 Press APPLICATION on the Control panel Trackball to Preset in the Application pop up menu The Application setup sheet see Figure 12 4 is displayed Adjust the parameters as desired see page 292 Press New A Dialogue window is displayed Enter a name for the new application Press OK To edit

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