第四章 操作流程 - Ecografe
Contents
1. Operating au Notes a This probe is not intended for transcranial or neonatal cephalic use 61 Manufacturer Information Name Shenzhen Well D Medical Electronics Co Ltd Add 13 F New Energy Bldg Nanhai Ave Nanshan District shenzhen 518054 China Well d Park Qinglan 3 Rd National Biopharmaceutical Industrial Base Pingshan New Area Shenzhen 518118 China Tel 0086 755 36900018 36900019 36900020 Fax 0086 755 36900018 Http www welld com cn www welld net Email export welld com cn Authorized representative in EU Name Wellkang Ltd Add Suite B 29 Harley Street LONDON WIG 9QR England United Kingdom Tel 44 20 88168300 88168309 79934346 79276844 Fax 44 20 76811874 Web www CE marking com www CE marking org www CEmarking org E mail AuthRep CEmarking org CE mark CE osos2. 2 0MHz 2 5MHz 3 5MHz 4 5MHz 6 0MHz C1 6 Slightly Convex probe 4 5MHz 5 0MHz 5 5MHz EC1 1 Intracavity probe 4 5 MHz 5 5MHz 6 5MHz 7 5MHz 8 5 MHz L3 1 High Frequency Linear Array probe 5 5 MHz 6 5MHz 7 5MHz 8 5MHz 12 MHz 5 9 Switch the Probe When the device is connected with 2 probes the automatically identified plug port A is default working probe after start and the probe type is displayed on upper right corner of screen such as Probe R504 Press key PROBE S and switch to plug B and then probe on plug B starts to NS work Notice Two probes can not work together Stop the device before plugging in out the probes and restart after probes are properly connected 5 10 Frame Relative Adjustment Under mode B BB and 4B dial M Velocity Frame Correlation and down to change frame size which will be displayed on upper right side of screen in real time such as Frame Relative 0 55 with adjustable scope as 0 20 to 0 95 5 11 M Speed Adjustment Under real time B M B M M and M mode dial M Velocity Frame Correlation up and down to adjust the brush speed of type M images on screen The current scanning speed will be displayed on left side of screen such as M speed 6ms There are four optional gears for the device 6mS 8mS 10mS and 12mS 5 12 Sound Power Adjust sPower Under real time scanning mode continuously click to adjust the current scanning sound output power Notice Ultrason
3. 4 2 Hospital Information Hospital Info lt Typical Case lt Obstetrical Algorithm Dicom Setting lt Save Setting lt Other Setting X Hospital Name Doctor List Add Delete ExamResult Delete Address Cancel Hospital Name Telephone and Address refer to the information of examining hospital wherein the hospital name and telephone number will be included in the reporting page automatically The diagnosis doctor and examine doctor in examine file can be added or deleted via Doctor List here and the examine result can be added or deleted via the Examine Result here 4 3 Typical Case Hospital Info Typical Case lt Obstetrical Algorithm Dicom Settin q lt Save Setting lt Other Setting Result Description Image It refers to the typical cases in the original systematic examine files which can also be manually added Common cases encountered during examine can be added via the Typical Case here if the case is not included originally in the system 15 Besides the categories originally included in the system such as the obstetrics and gynecology reporting form liver gall pancreas and spleen lists etc Case Category pull down list also includes a Customer Typical Case option Choose Add New Typical Case via this pull down list to add new case under specific case category 4 4 Obstetrical Algorithm Option Hospital Info i Obstetrical Algorithm
4. Dicom Setting BPD 4QrCR FL HC AC O Tokyo Korean Hansmann Merz 9 Hadlock O User FW O Merz 9 Sheparh O Hadlockl Korean Hansmann Robinson O User HL O Hansmann O Jeanty 9 Tokyo 9 Korean O Hansmann O Hellman Y User AD OQ Hansmann e User 9 Tokyo 9 Korean o Merz e Hadlock User OFD O Hansmann O User 9 Herz Korean 9 Hansmann 9 Hadlock User O Merz 9 Korean 9 Hadlock O User O Hadlock2 9 Hadlock3 9 Hadlock4 O Osaka User gt estational Age Table etus Physiology Score Preset the algorithm before obstetrical measurement in this window Beside of modifying obstetrical algorithm presets there are three more blocks respectively Gestational Age Table Fetus Growth Curve and Fetus Physiology Score Gestational Age Table Gestational Age Table Click to enter there are mainly two parts preset obstetrical list and user edit mode respectively as shown in the figure below ObsTable ObsTable _ AFitmm wEEKSwd SDidays gt Preset Obstetrical List User Edit Mode Move the cursor to corresponding obstetrical list and click there are 31 sheets of obstetrical list wherein User refers to user edit mode shown as follow AC Hadlock Method HL Hansmann Method AC Korean Method HL Jeanty Method AC Merz Method HL Osaka Method
5. m WED 160 Full Digital Ultrasonic Diagnostic System Version V1 4 Operation Technical Manual SHENZHEN WELL D MEDICAL ELECTRONICS CO LTD A A E E PO RAE E I AME E I A AA AN A 1 ESANS DI EEE A A E dd NE a Rd er AE l Manutac tutes AAA DAET ENERE ENEE l IIA LCT SCS O 0 RD RIDE RS ori beau bud uri btea bun v nM Ced EIEE 2 A uci Du a uL EDD E ee ua 2 Salen classic idas 3 General ps or equipmient Ope aL ON idad desde ssa ras ada ias 3 Generals ate MISSA DO constent udine ae o iE DUE 4 eroi dit e UNO dE tC a dd 5 SUA ss SS aa 7 KIBA MAGhOU UCI OM nate EE EEE EEE EE E EEE EE ue ERE 7 AN AAA O a a A mia iogecesieneedece 7 APPO MANCO A rio 8 1 4 Technical ipecrHedUlO E a 9 1 5 Electric principle block diagtratn uiie eode oannes aon eroe Rota eh eerta ideada 10 LO SPAN Abe OMT OUT ALI OTIS RC 10 Med QUO M DICERE A RE A 10 2 AS CANAL Nai 11 2 1 Operation environmental TE quif 6metnts scan A A xx QU Co ha Te Ree LED Peu eS eU DO Re dts 11 22 Connecting probe and Man A DOE IDO LS LoS 11 2 5 gutpgotential COI a EE M IM 12 3 Operating Procedure ae sintas de re to te Din ea Etat ode read is 13 32 I Tntroduction Ol KEY Doar dalt 13 SAND PI RARE RETE EE EES ET ENE 13 3 Operation PtOCEQUEGSS seat cael coe e tal Pa es dal fto scat ifie calcd 13 O cc a a pi E DC DR a Sad ate t 15 RE A EE E E E E E E E E E na komen komen eonet 15 A 2 ANOS LAM ML OUI Oie RS CS RE CR tp cei UE LAE 15 E E OT I A E Epp SR EE TE A AE RR 15 AA
6. Caution Stands for neglect of it will cause slight personal injury or property damage Note to remind user of installation operation or maintenance information These information is very significant but with no risk Any warning against dangers shall not be contained in NOTE Safety labels Equipment labels explanation I Type B equipment Note Refer to accompanying ZN documents Turn on general supply O Disconnect general supply 29 VIDEO Y Equipotential IPX7 Protection against dripping water oA USB Cc XGA Packing and transportation labels explanation A Handle carefully Temperature limit E Piling layer limit Safety classification According to the degree of safety of application in the presence of a flammable anaesthetic mixture with air or with oxygen or nitrous oxide WED 160 not suitable for use in the presence of a flammable anaesthetic mixture with air or with oxygen or nitrous oxide According to the mode of operation Continuous operation According to the degree of protection against harmful ingress of water as detailed in the current edition of IEC 529 Main unit is general equipment the probe is enclosed equipment protected against the effects of immersion IPX7 According to the type of protection against electric shock Class equipment energized from an external electrical power source equipment According to the degree of protection against electric shock
7. Nominal frequency 5 0MHz Transducer Model C1 6 20R 5 0MHz Manufactured By SHENZHEN WELL D MEDICAL ELECTRONIC CO LTD ns Index label Fm stem anton Maximum index value 066 0 22 0025 005 a Associated 00 deq Zo cm oo BEES om ome Dim of Aaprt v 65 BE os om T 7 m prr Hz 4807 Other p at max ly MPa information deq at max loi cm 30 Ipa o at max MI W cm apa A C uses puepue 3m im 1 mm Notes a This probe is not intended for transcranial or neonatal cephalic use 57 Acoustic output reporting table B mode Nominal frequency 7 5MHz Transducer Model L3 1 7 5MHz Manufactured By SHENZHEN WELL D MEDICAL ELECTRONIC CO LTD ns Index label Fm stem anton Maximum index value 054 064 fw Associated parameters 7 at max Ipio cm 4 9 deq Zb cm fawi MHz 5 70 i i use prr Hz 5649 Other p at max Ip MPa information deq at max lp cm lpa a at max MI W cm 109 6 Notes a This probe is not intended for transcranial or neonatal cephalic use o e E Dim Of Aaprt EI EN SR Acoustic output reporting table M mode Inc B mode Nominal frequency 7 5MHz Transducer Model L3 1 7 5MHz Manufactured By SHENZHEN WELL D MEDICAL ELECTRONIC CO LTD ns Index label ae Renton Aen ton Maximum index value 056 060 oo9 0 045 a 2 wa
8. finally release left key and press right key to finish the measurement 4 Repeatstep 1 to 3 to continuously measure multiple groups of area values Ellipse Method l Select examine type as abdomen and press key MEASURE Sequentially select GENERIC gt CIRCUMFERENCE E on right side of screen 2 Move cross icon F to start point by track ball and click left Move cross icon F until ellipse trace appears drive to proper position and click left to confirm the other point At this time the cursor is still cross icon and drive the icon to alter the size of ellipse and finally press left to end the measurement Measured value is indicated on lower left corner 4 Click the nodes or arc of ellipse with cursor move trackball and press left key to change the size of ellipse 5 f it needs to continuously measure multiple groups of area values move the cursor to start point and click left to confirm the cursor becomes cross icon and repeat step 3 and 4 10 2 4 Angle Measurement Select examine type as abdomen and press key MEASURE Sequentially select GENERIC gt Angle Click at three points in the picture with the trackball then the angle value shaped from the three points will be displayed on the left side of the screen automatically 10 2 5 Volume Measurement The volume is measured in three axis method Continuously measure three groups of distance values according to distance measuring method above and the system automatical
9. newly built patient information and newly built diagnosis report The patient information must be established before diagnosis report See the details as follow 1 Build new patient information method 1 1 Clic and serial number is automatically added 2 Inputother relative information in patient information part 2 094 3 ClickEES to confirm if the newly built patient information needs to be saved clickiEzuisz3lito cancel the new patient information 2 Build new patient information method 2 1 Under this method it needs to provide a port to another PC and then the patient registered on the other PC will be indicated in working list 2 Clic o open working list window shown as follow Fork List E Histo Address ste AoD iDcsd_ Name 3 It is mainly composed of two parts Working List and Current Examines the Current Examine will sequentially indicate the waiting patients in Working List 4 Click int and add the basic information of patient currently examined into Patient Information 3 Build new examine file the following procedures are executed on the premise that the newly built patient information is confirmed to be saved otherwise they are not to be executed 1 Fill relative information of examine file 2 NI confirm and save Notice e Tyoical Case If the examine result is included in the typical cases then open the double click existed description and
10. APV is 2 0cm 1 point max radial line of AFV is 20 to 3 0 cm 2 points max radial line of AFv is 3 0 cm Total Points 0 Choose corresponding scores in the fetal breath movement fetal movement fetal tone and amniotic fluid index options according to physical development conditions of fetus and siTe press The final Fetus Physiology Score appears in reporting pages 4 5 Dicom Setting Option Hospital Info lt Typical Case Obstetrical Algorithm Dicom Setting Receive Server E DICOM Overlay Infc AD D DeteiDicom Browse Tite WinCente i 176 Recevie Port WinWidth ER 255 AE Title d gg Send Server Remote IP 192 168 10 178 Remote Port Sender AE Title sf W Auto Send Reciever AE Title W Auto Named DICOM Send DICOM Overlay Information is used to set whether characters information will be loaded or not during saving DICOM images B Window Center and Window Width is used to set up the contrast and brightness during saving DICOM images is checked on the film files will be DICOM transmitted when they are being saved B The Dicom Transmitting function is added for pictures in the form of dcm can be adjusted with its gray scale which is helpful to doctor diagnosis B Dicom transmission refers to transmission of pictures in dem forms between two machines installed with Dicom protocol and the specific settings are included in the Dicom Setting heare Dicom settings are required both for trans
11. choose the proper puncture needle and needle guard based on the practical need Please ensure that the specification number of selected puncture needle should be consistent with the selected needle guard 0 Puncture needle Puncture needle guard 11 3 Call out the Puncture Guding Line NeedleGuide Under mode B real time scanning status click on right side of screen to call out needle guide line Continuously left click to adjust the angle 25 40 55 and 70 of needle guide line until exit 45 Angle Puncture guiding line 44 4 ATL 48 PA 020 Fix the selected puncture needle on the angle regulator unit then turn the puncture needle Turn for 180 degree guard in ward for 180 degree Thus the puncture Needle guard angle can be adjusted by the angle regulator unit on the puncture frame Detent Angle regulator unit Please ensure that each type of angle should be identical with the detent Detent Angle 25 40 55 70 The puncture needle angle should also Detent i angle be identical with the angle of puncture guiding Screw nut for angle fixation line QUAM 2 dal 8 OS Screw nut for Q puncture needle guard fixation Screw nut for tightness control of angle regulator unit Ub Puncture needle Guiding line 11 5 Insertion of Puncture Needle Please ensure that the tissue for puncture is on the puncture guiding line first Then adjust
12. directly import current examine file sr dl import current examine file into Typical Case Select one item in typical cases list and right click choose DELETE to remove it The typical cases originally existed in the system can not be removed The report date is current date which can be modified by clicking down arrow B Multiple examine files i e diagnosis report can be added to the same Patent Information 9 4 Modify Files B Ifa file is included in data base which needs to be modified with some content then choose Modify File B There are mainly two parts needed for modifying a file modifying patient information and 2 02 modifying diagnosis report See the details as follow 1 Modify Patient Information 1 Recall the file needs to be modified by Inquiry File 2 3 Modify relative content in patient information 4 ClickEEXiito confirm if the modified content needs to be saved and click to cancel the modification 2 Modify Examine File 1 Recall the file needs to be modified via Inquiry File 2 Modify the relative content in the file 3 Click4lzz44 there is a dialogue frame Modify Current Diagnosis Report or Not click YES to confirm the modification and Successfully Modified window pops up 9 5 Delete File B Some files in the data base that are not needed any more such files can be deleted B There are two conditions in deleting files deleting Patient Information and deleting Diagnosis Repor
13. displayed here with two images at max Measuring value record composed of measuring parameter and measuring value Clinical content including clinical symptoms and clinical diagnosis conclusion DER a d Basic information of examine unit including examine doctor report doctor examine date Tel and examine unit stamp B See the following report forms on following pictures for detail 9 8 Print Report B Selected the corresponding check the file before printing then click Print button to print B If you created a report Press the Print to print the report a es B UltraSound Inspection Report Name gender Male age Roomld Bedld 2011 5 6 2012 2 5 LastCatamenia ChildBirth FBM 0 FM 0 JZL 0 4 0 AFIGrade Clinical ExamResult Clinician ReportDoctor ExamDate 2011 5 6 TEL Department Stamp as a reference not as proof 247 10 Measurement 10 1 General The device can give multiple measurements to multiple items with six measuring marks X A O O and O The device provide more than 10 measuring items including Heart Gynecology Obstetrics Vessel Hip Urological Abdomen Fetus Heart Prostate Gland Kidney Neck Artery Thyroid Gland and Vein Adjust knob EXAM to select corresponding examine type and press key MEASURE to enter Press key MEASURE system automatically enter into measurement status under current examine type and displaying mode it also
14. displays measuring menu 10 2 Routine Measurement 10 2 1 Distance Measurement IP Choose examine type as abdomen and press key MEASURE to sequentially select GENERIC gt DISTANCE on right side of screen Move icon F to start point by trackball and left click to confirm Move icon by trackball and click left to confirm at this time the cursor changes to single arrow and the measuring value is automatically displayed on lower left corner Adjust measurement move the cursor via trackball near to start end point press mouse left when the icon becomes hand form and move trackball to adjust Press left key to confirm after adjustment If it needs to continuously measure multiple groups of distance values move the cursor to start point by trackball and left click to confirm At the same time cursor changes into cross icon F and then repeat step 3 Distance Measurement Diagram 10 2 2 Area Measurement Trace Method l 2 2 Select examine type as abdomen and press key MEASURE Sequentially select GENERIC gt AREA M on right side of screen Move cross icon F to start point by track ball and click left 1 Drive icon F to another point and click left to confirm repeat the operation and click 208 right finally to end measurement the measured value will be displayed on lower left corner 2 Press left key and directly drive the cursor finally release left key and press right key to finish the measur
15. AD Hansmann Method OFD Hansmann Method lO For Mato Soyo Mato AC EEN o Fetus Growth Curve Click E and enter as shown in the figure below FETUS GROWTH CURVE BPD FL HC AC AD CRL GS AFI HL OFD FTA ALGORITHMS Tokyo Hansmann Korean GA W D Hadlock Merz User 16 20 24 28 32 36 40 44 48 52 56 60 64 68 72 76 80 84 88 92 BPD mm CLOSE The system includes totally 31 types of fetus growth curves for users reference which can be exited by pressing See Fetus Physiology Score Fetus Physiology sc Press y Fetal biophysical scoring Fetal biophysical scoring in 10 min Fetal breath movement O 0 points no FEM in 10 min 1 point atleast one FBM lasting for less than 60s in 10 min 2 points atleast one FBM lasting for more than 60s in 10 min Fetal movement 6 0 points no limb activities in 10 min 1 point one ortwo large activities such as human trunk or head movements in 10 min 2 points more than 3 times large activities such as human trunk or head movements in 10 min Fetal tone 0 points no bend and stretch activities of the fetal limb or spine and no response after stimulating 1 point at least one activity of the fetal limb or spine but not return to the original positions 6 2 points atleast one stretch activity of the fetal limb or spine and return to the original positions or fetus stays in a good state Amniotic fluid index 0 points max radial line of
16. C100V 240V 50Hz 60Hz must not switch on the equipment Check if the probe and main unit are connected well or not Check power cable and probe lines regularly and replace the damaged or broken one 1f found 13 2 Simple trouble shooting PS Malfunction phenomena Troubleshooting Open power switch of the device with 1 Examine power supply no signal appeared on the screen and 2 Examine supply line and plug the indicator light 1s not on 3 Examine whether the fuse 1s burned out 4 Examine the lightness adjusting knob of the monitor Discontinuous striae and snow appear 1 Examine power supply strike fire interfere on the screen of the other devices 2 Environmental examination Electric and magnetic field interfere 3 Examine power and probe plugs whether they are well connected Unclear 1mage display 1 Adjust the brightness and contrast knobs on the front panel 2 Adjust the 8 level TGC and the total gain knob on the front panel 3 Clean the screen optical filter Unclear near field 1 Adjust the total gain knob on the front panel and the 8 level TGC 2 Adjust the focus position to the near field Unclear far field 1 Adjust the total gain knob on the front panel and the 8 level TGC 2 Adjust the focus number space and position to set the focus in the far field 25 14 Transportation and Storage 14 1 Environment requirements on transportation and storage Environment temperatu
17. OO A A E a 16 DNS A A A A 18 SA A A a 19 SAA Aan aly sk A A A PANA RR ARNO aie nabs 20 AO AL ALG 5 Y to 20 34Xg just Image ia AA A 21 la A A a aaa RE 21 FA REEL MAD cae eT aa LU T di 22 ES NA US E GA NR Tr 22 SA AdjustDisplaymo Delia oium dise ii bl ri A ad iue ia eds aeons 22 23 3 Adpust Probe sc amis AP e abas dista dali eniti tani DU ia ain A 22 3 0 Adjust Dynamic SCOPe 21d e oie oett caen e ib 23 3 7 POCUS IA USME eanne a is 23 5 0 Probe WOPDKIDIP EECOUSHO V scc tee aoc sero ao 23 EION aE P TOD RO SR RR CR RR ER MD O OR CM E 23 340 Frome Relative Ad USE E A nd es 24 NA Speed A SU laca 24 3 12 Sound PO Wer AU de a o ad ecce 24 6 Image Processing and AdjUStMEDL oooooooononnnccccnnnnnnnnnnnnnnonnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnss 25 ANS Har momo Nane AAA A 25 PS co O A A A 23 6 3 Hnase Enhanced a eee 25 6 4 Fullscreen Displaying la caia 25 6 5 Brightness and Contrast AdjUStMENE oooooooooooooocccnccnnnnnnnnnnnnnnnononnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnss 25 DO AVEC AD Opena e E SA A Rio ceteri mtn e Sea re er 26 SIMA LU EAST AAA A das 26 SA C 26 6 9 Local Amp hii CON A A at 21 FINO rr IC TOTO E Em 28 TANOAN PUSO A E E A 28 7 2 BOSS N di 28 FEM EIQUE SUELOS NITE TERI li e d A ai o 29 JS CIC CL GC Udita A A A e cau e a 29 MATE and O a lt ed ed e uter 30 SS A buat sua SO ous ba a aC Da o osse a 30 5 2 Filii deepldy iss a RR ORNE odi modas munt acce Mode uu ot amus AD D od
18. P mW 22 1 Min of Pa Zs Izpta oZs mW parameters 7 at max Ipio cm deq Zb cm NT Dim Of Aaprt NT use prr Hz 5681 Other p at max In MPa information deq at max lp cm Ipa o at max MI W cm 109 7 Operatin control conditions Notes a This probe is not intended for transcranial or neonatal cephalic use 59 Acoustic output reporting table B mode Nominal frequency 6 5MHz Transducer Model EC1 1 13R 6 5MHz Manufactured By SHENZHEN WELL D MEDICAL ELECTRONIC CO LTD ns Index label m 0 Nemscan om mo Atem nct Pmt T 5 Maximum index value l E mW 100 Min of Pa Zs Izpta oZs mW Associated parameters 7 at max lpia cm deq Zo cm xe Dim of Aaprt NT ES prr Hz 4807 Other pr at max lpi MPa information deg at max lo cm lba a at max MI W cm 120 1 operatng Power control Notes Ca This probe is not intended for transcranial or neonatal cephalic use 60 Acoustic output reporting table M mode Inc B mode Nominal frequency 6 5MHz Transducer Model EC1 1 13R 6 5MHz Manufactured By SHENZHEN WELL D MEDICAL ELECTRONIC CO LTD ns Index label ae Renton Aen ton Maximum index value 065 0 23 oo 4 0 026 a Min of Pa Zs Izpta aZs mW Associated xen Dim of Aaprt Y em use prr Hz 4807 Other pr at max lpi MPa information deq at max lp cm lba a at max MI W cm 124 1
19. R EEE At this time Search Modify Delete and Print ctc operations are available S O 9 Case Management and Report 9 1 Open Close Files Report DA a Pe Os ne AE A E HE o AA io IES E a qo sa AutolD Name eo History ES Sex a Y Female Worklist Weight kg E Checked Patients 0 Save Cancel om New Edit Delete I D card Autold D card Name Gender O Address Height History MM gt ReportDate Diagnostician Bed Delete Export Report Sonographer Result Diagnostician Room Bed AutolD ExamlD ReportDate Description m Click edhon upper right corner of file window to close file window 9 2 Inquire Files B Open file window the inquiry status is systematically defaulted B The system allows inquiry to relative files via numbers names and ID Input inquiry content Patient information in numbers names and ID frames and press the key ENTER on standard PC key board B Beside of inquiring word documentary information when one of the diagnosis reports is clicked the system will also load on the saved images correspondent to the report and the details are shown in the drawer menu Image Preview on right side If the report is printed then the first two images are printed in the order of saving 9 3 Add New File B If the patient s information is not included in data base it needs to be added B Newly built files are mainly composed of two parts
20. Type B General tips for equipment operation 4 Inoperation 1 Heat radiation holes are strictly prohibited to be covered 2 After closedown do not switch on the equipment within 2 3 minutes iie On scanning if any abnormal case is found stop scanning immediately and shut down the equipment The patient is prohibited to touch any non applied part of the equipment When operating do not press the keyboard panel too much otherwise the equipment might be damaged 4 After operation 1 2 3 4 Power off the equipment Pull out the plug from power supply socket instead of pulling the cable Clean off the couplant on the probe with soft medical sterilized cotton ball Put the probe into the special case General Safety Message Safety of the operator and patients and reliability of the equipment are taken into consideration during designing and producing the following safety precaution must be implemented 1 2 The equipment shall be operated by qualified operating staff or under their instructions Do not open the equipment and change the parameters without permission If necessary please turn to for Shenzhen Well D Medical Electronics Co Ltd or its authorized agent for service The equipment has already been regulated into its optimal performance Do not adjust any preset control or switch unless operate as per instructions in the manual If there is equipment failure please shut down the equipment at o
21. ame PID age Sex hospital name doctor 1 5 Electric principle block diagram Digital wave Maus e Correlation M Mode e Processing Address Transmitting Control Video Video Frame y B Mode Regulation synchronizat Synthesizing RAM Address Crystal Diagram and Gray Read and Oscillator Character evels E HE ontrol 1 6 Standard configurations v Mainframe C3 1 60R 3 5MHz convex array PS cable 2 pieces of fuse tube F2AL250V Coupling gel 250ml User Manual Final examination report Se UN O OA SS NS S Packing List 1 7 Optional pieces v C1 6 20R 5 0MHz Micro convex probe v L3 1 7 5Mhz HF linear probe v EC1 1 13R 6 5MHz Endo vaginal probe v Monitor v Video printer Warning Please use the spare parts specified above The manufacturer shall not bear the responsibility of safety problem unexpected EMC performance drop caused by arbitrary adoption of non specified spare parts 10 2 Installation 2 1 Operation environmental requirements e Environment temperature range OC 40 C o Relative humidity range 80 Atmosphere pressure range OkPa 106kPa Power supply a c 100V 240V 50Hz 60Hz Avoid strenuous vibration during operation Keep away from equipments with high electric field high magnetic field and high voltage avoid strong sunlight on the display Keep the equipment well ventilated damp proof and dustproof Note Check according to the packing list after
22. ding to the instructions on the packing Store it properly in the warehouse The storage environment should accord with Transportation and storage environmental requirements Caution Please refer to instructions prescribed by the manufacturer closely when using detergents Be careful with cleaning of the display because it is very easy to scratch and spoil Please wipe it with dry soft cloth Please do not clean the inner base of the device Please do not place the device in liquid Do not leave any detergent on the device surface Though there will be no chemical reaction between the device enclosure and most of those detergents We still suggest no detergent in cleaning lest the device surface is spoiled 49 12 3 Probe maintenance Probe is an expensive and frangible part Never hit it or drop it on floor When diagnoses pauses put the probe in its case and press key to keep it in a state of Frozen See to use medical ultrasound coupling gel during diagnosis Degree of protection against harmful ingress of water 1s IPX7 For the probes water should not immerge over the probe acoustic window refer to figure Regularly check the probe enclosure to ensure it is good incase liquid ingression spoil the inner components C3 1 C5 1 ECI 1 L3 1 C1 6 Probe and host machine once tie be request not to take down at will for fear probe pin and socket s contract badness Note Probe might be damaged due to long time c
23. ds 10 Must not short circuit the output of the adapter a long term short circuit shall result in adapter damage 11 Please use standard power cord as the input line of the network power supply for the adapter to reduce risk 12 Shenzhen Well D Medical Electronics Co Ltd shall not take any responsibility for any risk resulted from unauthorized re fitment by the users 13 To disconnect the equipment from the power supply network by unplug the adapter from the power supply network 14 Refer to appendix A for sound output parameters Contraindication This equipment is not suit for contain gas viscera such as lung examine Suggesting not to examine the wounded or urgent inflammation part it could Cause across infect Below patient forbided to use vagina and recta probe Vagina colpitis such as colpitis and sexual illness discoverture people vagina abnormality menses vagina shrink vagina ultrasound exame difficulty person vagina bleeding placenta front sufferer Below sufferer is forbidden to puncture high blood pressure coronary heart disease cruor obstacle and haemorrhage separative sufferer Warning When WED 160 works in strong electromagnetic environment exceeding its statement its image might be interfered and the diagnoses could be influenced At this time please stop operating until the EMC interference is removed Warning When WED 160 works at the state of overlapping or paralleling wi
24. e dE 30 A LEES 30 ers Loana ELAS tT a E nA 31 SS DIM AC Ui sia saias TT 3l 5 6 Import Patient normat On castidad 3l Case Man cementiana REDON sid Guth sacana sea SAA AS 33 oT Open Close St A uunc en fuoi OSs el cet ef atc 33 2 2 Inquire Files Seo eet o e a Lut E La NE LOL eee 33 OD Ps Mni c PT 33 SS NER cad TIE RE I TORRE A IE RUNI ON RN REN 34 2 5 Delete Pcs RA ESA SD E ee 35 SPADO REPO eihar Et dragao bn cres cir Eee 35 De COON A PETRI NITET RR OI ITI AA ENSURE UPS 36 S ISCDOLE create unte iso MIU ANE a MIC LM MUN OUT 36 DEUM ESSI IIR CITC PR E Tp 38 UN GIOCHI TR T T LAR RR ENS PR APRE E e 38 102 Route WIC ASU Ma A AA e E CRE E da Rattus 38 IO Distan a A a iMd enint Dti du Dee Rau 38 10 27 Area Measuretme ifia aeo qebset i dd iot E 38 10 2 5 C iteumterence Measurement da 39 TO AAT SNC AS OPS MA Moonie sce cots Dedescten tdo 40 102 5 Volume Measurement AA A A A 40 10 2 6 Other Measurements asas A A oo Cat OL Rd 4 10 3 Heart Measurement under Mode B ccccccccnnnccnnnnnnooccnnnnnnnnnnnnnnnnnnnononnnonnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnannnnnnos 4 10 4 Measurement Under Mode Vl eiue ate an META nes eb oit eoo Rasa 42 LEURS PRO ATIS AS q ER ERR NU n RR PD VER DO SAR SR A TE NE 42 10 4 7 Heart Rate Measurement pr Eb tein e EU tpud Neon pb Mee eu I IE Ceu 43 1043 Tine Measurement 43 11 Operating Instruction for Function of Puncture GUIdAe ccccccccccnnnnnnanananananononononococononnnanana
25. e of angle and take the following table for reference on probe angle Probe Type e o o E yp convex array probe Intracavity probe micro convex probe 60 visible and adjustable 120 visible and adjustable 90 visible and adjustable 7m 5 6 Adjust Dynamic Scope Dial DR up and down in real time scanning mode to alter the dynamic scope which is from 0 to 192dB with adjustable range at 64 to 192dB 5 7 Focus Adjustment Focus Number Dial FOCPIN up and down under real time B or BB modes to switch the focus numbers and the screen displays the current focus number such as Focus Number 2 on right side Focus Distance When focus is 2 dial FOCSPAN up and down to select focus combination state and change the size of focus distance by knob PARAMADJU The current focus distance value will be displayed on right side of screen Focus Position Dial FOCPOSI up and down in real time scanning status to move the focus vertically and change 1ts position Notice Images near focus indicator E have better focusing It is possible to change the focus number position and distance to direct the focus to interested area 5 8 Probe Working Frequency Dial FREQUENCY up and down in real time scanning status to switch the frequency of currently working probe and the current working frequency will be displayed on upper right corner of screen such as 7eguency 35M The frequency scopes of probes are shown as follow C3 1 Convex Array probe
26. ement 4 Repeat step 1 to 3 to continuously measure multiple groups of area values Area Measurement Diagram Trace Ellipse Method l Select examine type as abdomen and press key MEASURE Sequentially select GENERIC gt AREA E on right side of screen 2 Move cross icon to start point by track ball and click left Move cross icon F until ellipse trace appears drive to proper position and click left to confirm the other point At this time the cursor 1s still cross icon and drive the icon to alter the size of ellipse and finally press left to end the measurement Measured value is indicated on lower left corner 4 Click the nodes or arc of ellipse with cursor move trackball and press left key to change the size of ellipse 5 f it needs to continuously measure multiple groups of area values move the cursor to start point and click left to confirm the cursor becomes cross icon and repeat step 3 and 4 Area Measurement Diagram Ellipse 10 2 3 Circumference Measurement Trace Method l Select examine type as abdomen and press key MEASURE Sequentially select GENERIC 230 gt CIRCUMFERENCE M on right side of screen 2 Move cross icon F to start point by track ball and click left 1 Drive icon F to another point and click left to confirm repeat the operation and click right finally to end measurement the measured value will be displayed on lower left corner 2 Press left key and directly drive the cursor
27. eplacing hard disk or upgrade resume system 8 6 Import Patient Information Notice Before importing ensure the patients information is backed up according to 8 5 Since Welld mdb files include all the word information of patients these files refresh every za time a patient s file is newly added or existed case is modified So consider twice before importing patients information l Without replacing hard disk all the data in windows disk D will remain unchanged after the system is upgraded or resumed the data in disk D will be recalled after repeated upgrade reset Under such condition the patients information is not required to be imported or resumed If it is needed ensure there is no newly added case or case data is unchanged after backup and then import information with following method Otherwise the modified or newly added data will permanently lost unless you do not need them please do remember this When the hard disk is replaced or formatted backup patients information needs to be imported First resume the system and then copy the corresponding Data files Typical case or Setting saved images and data base patients information in disk or movable memory device to windows disk D and cover original files then enter into B ultrasonic system Press as follow AutolD Age Height em Address Autold 1 D card Name Gender Age Addess Height weight History EE EEE E E ES EEE E
28. es on type B image can be moved horizontally by trackball and press key L R to switch the line to be moved Switch to Mode M Under Mode B M press key BM M to switch the current image to Mode M the screen displays a type M image Switch to Mode 4B Under Mode B and BB press key 4B to switch the current image to 4B mode The screen displays four type B images including one real time mode Continue to press key 4B to switch the real time and frozen status of the four images B BB B M Po e C RS DALIA DEERE ood pue mur une epos MS 1 SALA AE ERE IEA B M M M 4B 5 2 Freeze Image Press key FREEZE to switch real time and frozen status 5 3 Adjust Gain The Zortal Gam 32dB on right side of screen is the current gain which is adjusted via button GAIN The close middle remote fields can be adjusted via the 8 sections of TGC on keyboard 5 4 Adjust Displaying Depth Under real time mode non 4B mode dial DEPTH up and down to change the current displaying depth or scale The current depth display is on right side of screen and the adjustment scope changes along with probe type Take the following tale for reference C3 1 L3 1 C1 6 Probe Type Convex Array High Frequency Slight Convex probe Linear array probe probe ECI 1 Intracavity Probe 40 105 GA E gt Depth 90 Depth 180 Depth 240 5 5 Adjust Probe Scanning Angle Dial ANGLE up and down in real time scanning status to adjust the siz
29. etting Save Setting Other Setting Menu Exam Object System Exit Key O Show Human Hide Animal Lanquage Report Icon Exam Type Abdominal Se En i kir Report Option About B Machine Type can be used to set the type of machine B Language bar can be used to set the displaying language of entire software Backup file to Device can be used to periodically backup files etc to prevent data lost 4 8 Exit the System de Enter to Windows Cancel Press to stop the device and put it into standby status L Enter to Windows Press to exit B ultrasound interface and enter into windows operation system 220 2 5 Adjust Image Parameters 5 1 Switch Display Mode Switch to Mode B Press key B the current image is switched to real time single B mode device start default mode Switch to Mode BB Press key BB the current image is switched to double B mode the screen displays both real time and frozen images Press key BB again to switch the real time and frozen status of the two images Switch to B M Mode Press key BM M and the current image is switched to B M mode the screen displays a type B and a type M real time images at same time and the sampling line on type B image can be moved horizontally by trackball Switch to Mode B M M Under BM or M mode press key 4B and switch the current image to B M M mode the screen displays a type B and two type M real time images the two sampling lin
30. five display modes as B B B B M M 4B and gray scale of 256 levels It provides such functions as real time freeze magnification up and down flip left and right flip edge enhancement gamma calibration of the picture It allows the continuous playback and single frame play of 500 frames at most while static pictures of 1000 frames can be stored and recalled at most The patient data can be saved while saving the pictures It provides multiple level regulation for scanning depth scanning angle dynamic range acoustic output power frame correlation factors focus number distance between focuses focus position It functions at display of date and time annotation of name sex age of patients doctor and hospital s name full screen annotation It allows to switch in the Chinese and English operating interface to input in Chinese or English input mode and to choose the arrow mark as well as 40 body posture marks It possesses abundant software such as routine measurement including distance area and girth angle and volume heart measurement including distance time slope heart rate and obstetric measurement to estimate the gestational weeks expected date of confinement and fetus weight by BPD CRL GS FL HC AC This device has the DICOM3 0 port thus can transmit the picture in the DICOM format It also provides the color video output thus it can be connected with the external display with the big screen In addition the dev
31. ges can be saved at max 3 Clicks and sequentially click MEGA gt EEG to build a new personal document Select examine type in examine file column and then a to pop up dialogue frame Save New Record or Not select YES and ico exit case information window After operations above the saving route of saved image is DlDatalParient Image Vear month Year month day Case Number Patient name For example if a patient named Lily was examined in Nov 10 in 2009 with her case number as 1 then the saving route of saved image 1s D DaralParient Imagel2009 1112009 11 1011 Lily Notice Restart the software and save image the images saved last time will be covered Double click in the menu Image Preview on right side of screen to open the image wherein images in dem form can be adjusted with gray scale Press FREEZE and return to current active status Right click in the menu Image Preview on right side of screen to select CLEAR and selected image 1s removed It is also possible to clear all 8 2 Film Replay After startup and entered into real time scanning status the device collects the current images into memory and press FREEZE after about 30S to freeze the image Press knob Play Pause to start film replay the images will be displayed in cycle Current replay status is displayed on lower right corner of image for example Frame 0 XXX XXX respectively represent current frame and total frame number Please pre
32. gt gt 3 i d m zz z FocPin o FocPosi Ar Angle OR Mec di 2 E gt ad e i R a Hu a a E keys Trackball 3 2 Display interface Abdominal 2012 03 02 14 21 01 Param Adjust AutolD Name Sex Age ProbeType RBDA gt Frequency 35M Parameters Images displaying area FocusPin Gain FrameRel LineDensity High DR 128 dB THI OFF MSpeed 12 ms Depth 180 mm s Control Panel Exam Abdomina PseducColor Gray Brightness 3 A AAA Contrast E e ThreShould 96 P ie System setting Ah e e Full Screen NeedleGuide Report Option About Exit Freeze Save Cine Load Cine ImageProc SPower Nero THI Reset 3 3 Operation Procedures l Press button on left side of machine to start the device 2 Select examine type 3 Apply medical ultrasonic coupling agent on the sound window surface of probe press it on ae scanning place and the real time images will be displayed on screen Freeze the image and start measuring operation on it Press REPORT key and input the basic information of patient then save Press Print key or Click REPORT to generate and print reports 4 4 Setting 4 1 General q Click MEM to open SETTING window and click ES on upper right to close Setting consists of six parts Hospital Information Typical Case Obstetrical Algorithm Dicom Setting Save Setting and Other Setting
33. ial purpose of selling or making benefit Without previous written permission from the producer this document must not be photocopied reproduced or translated into other languages We preserve the right of revision on this document without still further notice Some pictures in this manual which are schematic diagrams for indication only may disaccord with the real object and then the real object should be regarded as the final e is trade marks of Shenzhen Well D Medical Electronics Co Ltd Any abuse of these trade marks without permission will be sued to assume legal responsibility according to laws Manufacturer s warranty Shenzhen Well D Medical Electronics Co Ltd assumes the responsibility for equipment security reliability and performance only under the preconditions that the disassembly assembly and maintenance of the equipment are all performed by its assigned professional and the equipment is used strictly in compliance with the operation manual Shenzhen Well D Medical Electronics Co Ltd ensures a guarantee period within a year and a half since the delivery day and promises there is no problem with the new equipment in material and technology Within the guarantee period Shenzhen Well D Medical Electronics Co Ltd will maintain the equipment and replace the parts of non man made damages free of charge But will not repair or replace the equipment surface 1f it is damaged This guarantee is only available for failures
34. ic waves may do harm to human body and long time radiation with high power must be avoided Be careful when using the function The probe may heat up when the power of ultrasonic wave is added ia 6 Image Processing and Adjustment 6 1 Tissue Harmonic Image During real time scanning status continuously clic enable disable tissue harmonic image Tissue harmonic weave status will be indicated on right side of screen ZZssue Harmonic ON Able Tissue Harmonic Disable Tissue Harmonic Notice Tissue harmonic is only valid under abdomen probe 6 2 Pseudo color Treatment T Psedulolo Click Win right side of Mesi to alter the current false color value there are totally 10 types of false color settings cura M the lower part is used to set the threshold of false color drive the slide block or click tho adjust 6 3 Image Enhancement Click V in right side of hane ali to select image enhancing function there totally 8 statuses optional 6 4 Full Screen Displaying Image the image is displayed in full screen and press key R to exit 6 5 Brightness and Contrast Adjustment on right side of screen corresponds to brightness and contrast adjustment slide blocks drive the slide block or click to adjust 25 6 6 GAMA Calibration ImageProc Sequentially click gt GamaAdjust to enable the function The screen displays as following frame ASRE AREB Directly drive The slider to adjus
35. ice has the high speed USB2 0 port thus the picture can be saved into the portable storage device and it can be connected with an external video printer There is a built in memory with high capacity which can save a large mount of pictures The device has a injection moulding envelop and the usage of non industrial frequency transformer switching power supply programmable parts and surface mounting technology SMT make the whole unit highly compact small in volume and light in weight 1 2 Range Of Application Application in abdominal Obstetric Cardiac small parts sonography 1 3 Appearance Power switch GND 1 4 Technical Specificatio Prob C3 1 60R 3 5 MHz L3 1 7 5Mhz C1 6 20R 5 0MHz EC1 1 13R 6 5MHz rooe convex array HF linear micro convex endo vaginal Display depth mm 250 max Maximal detect depth mm lt 2 L depth 80 lt 1 lt 1 ds lt 3 depth lt 60 depth lt 40 depth lt 40 80 depth 130 mm Ee 0 5 lt 0 5 lt 0 5 Pus depth lt 80 depth lt 80 depth lt 40 depthzz40 Geometric position a Monitor size 12 1 Inch TFT LCD Display mode B B B B M B M M M 4B Character display Date clock n
36. in To delete a comment content Press right key to choose the comment content Then press Delete 7 2 Body Sign Setting Sequentially press key BODY gt BodyMark and body signs are indicated on right side of screen Click corresponding icons to show body signs on lower right corner or screen Following is brief introduction to partial body signs 1 Abdomen o 36 v Body front side male V Body front side female DX d Body back side f Body left side x 3 2 Obstetrics N 2 Mother body front side DG ON cca C C390 Fens Body right side HARO 059 amp qnee 63950 OQ amp A O OS A Sequentially press BODY gt Remove BodyMark to delete body signs EU 7 3 Input Arrow Sequentially press BODY gt Arrow the cursor changes to Click anywhere in image area and drive the arrow to expected length and lick again to input arrow Repeat to make more arrows 7 4 Clear Screen Press CLEAR to clear the measuring mark notes and body signs etc information in image area O 8 Images and films 8 1 Save Static Images Images can be saved in 2mp jpg dcm and Z forms see details in Save Settings Pictures in dcm form can be adjusted with gray scale which is helpful for doctor diagnosis Operation Procedures Es In real time or frozen status continuously press key GRAB to save the current image in memory Image preview window 1s indicated on right side of screen and 5 current ima
37. l frequency 3 5MHz Transducer Model C3 1 60R 3 5MHz Manufactured By SHENZHEN WELL D MEDICAL ELECTRONIC CO LTD nis Index label MI Nomscan TIC Atem nct Maximum index value 089 049 ooe 01 a MPa p mW 820 Min of Palzs Izota azs mW 3 O 3 O 3 Associated 2 acoustic 5 07 N o o E deq Zp f 0 35 MHz 3 no 3 l9 ers parameters 7 at max lpia 5 30 Dim of Aaprt TIE AE r oa m rr Hz 4166 Other p at max Ip MPa information deg at max lpi cm lpa a at max MI W cm 203 9 contro Ange conditions Focus position jo Na Notes a This probe is not intended for transcranial or neonatal cephalic use z255 Acoustic output reporting table B mode Nominal frequency 5 0MHz Transducer Model C1 6 20R 5 0MHz Manufactured By SHENZHEN WELL D MEDICAL ELECTRONIC CO LTD ns Index label m 0 Nemscan om mo Atem nct wl T Le Maximum index value l Pra MPa ow oof O Min of Pa Zs Izpta oZs mW parameters 7 at max Ipio cm deq Zb cm HAT Dim Of Aaprt Y om t usec prr Hz 4784 Other p at max In MPa information deg at max lpi cm Ipa o at max MI W cm 117 2 F PIN 1 ratin control Angle dna Notes a This probe is not intended for transcranial or neonatal cephalic use 56 Acoustic output reporting table M mode Inc B mode
38. ly calculate the volume and indicate it on lower left corner Shown as follow Volume Measurement Diagram 40 10 2 6 Other Measurements Distance narrow rate measurement continuously measure two groups of distance values and the system automatically calculate distance narrow rate and indicate 1t on lower left of image Area narrow rate measurement continuously measure two groups of area values and the system automatically calculate area narrow rate and indicate it on lower left of image 10 3 Heart Measurement under Mode B Genenc Wentricle Dimensions LY Volume LW Mass WOT CSA LA Yolume Vessels Valves and Atria Shunts Heart measurement under Mode B mainly consists of eight parts and they are respectively nu c ID hod Lila VPwd rr vu Vado rr a Trz Lad MODS pol LVAd 54 Enda Distance em RA Ql ld Area s d Vas MOD Ap20 Wed o an pl Circumference W s HR LvAs S amp XEndo OT diam MOT diam go Root diam Ti diam hv diam AM diam F diam F diam Ao Arch VSD Os diam HA area ASD Gs diam AM area Gen Gs diam Lids MODS pol LA diam YSE Ap diam Lids MOD Ap4C Asc Aorta 450 Ap diam LYOT diam Gen Wp diam The operation method of Volume Circumference and Area in the measurement items above Is Left click and move the trackball to trace out the measuring are click left agam and the measured value 1s automatically indicated on lower left of image Shown a
39. mitting end and receiving end the receiving end number and server end number must be same tips Can only transmit DCM format images or movies B Dicom transmission requires receiving end and transmitting end this machine can be used as both When it 1s used as receiving end the received parameters can be set in receiving end setting and the local receiving function should be started if the local receiving is disabled the transmitting fails If the machine is used as transmitting end specific settings are shown as follow 1 Setthe parameters on transmitting end 18 2 Clic Dicom open the interface shown as follow Selete Dicom File Send Dicom 3 Al and pop up the dialogue frame then select open 4 send dem pictures to receiving end and Successfully Sent dialogue frame pops up 5 4 6 Save Setting Optio ypical Case Obstetrical Algorithm Dicom Setting Save Setting Image Format bro RR lil Defined Save Imagepath Deu pra Default Cine Format EM Cine Frame Count Save Frequency ag After customer saving route is checked the system will remind the users to select route when the images are saved every time It is also possible to modify default saving route and PA E The images can be saved with optional form including bmp jpg dcm and tf forms The film forms include seg DCM DICOM and avi after set 19 4 7 Other Setting Obstetrical Algorithm lt Dicom S
40. nce and contact for Shenzhen Well D Medical Electronics Co Ltd or their authorized agent If it is needed to connect the equipment with other company s electronic or mechanical devices please contact Shenzhen Well D Medical Electronics Co Ltd before connection Equipment operation storage and transportation environment Environmental requirements on normal operation a Environment temperature range 0 C 40 C b Relative humidity range 80 c Atmosphere pressure range 7OKPa 106KPa Environment requirements on equipment storage and transportation d Environment temperature range 20 C 55 C e Relative humidity range 8096 20 C zc 7 Do not hit the fragile TFT LCD display If it cracks deal carefully with it in case the liquid crystal gets into eyes or mouths 8 Must not hit the inner chargeable Li ion battery nor throw it into fire in case it trigger an explosion Do not short circuit the battery output electrodes in case the battery be damaged and please use the original binding charger to charge the battery More over because used battery will cause environment pollution please handle the battery correctly for recovery processing 9 Must not disassemble the power supply adapter If failures happen it should be handled by the professional the charging output can only be used for charging the battery of the equipment any improper use on other battery may cause explosion fire and other unexpected hazar
41. nono 44 11 1 Fixation of Puncture Frame and Probe cccccooooonccnnnnnnnnonononcconnnnnnnnnnncnnnnnnnnnnnnnoncnnnnnnnnnnncccnnnnnnnnos 44 Li 2 5Selecuomor Puncture Needles ri Ia 45 Pi Call Out the Puticture Gude Li iii 45 Hd Canbration or Puncture Eneas arid RS tsm m Ei E 46 11 5 Insertion or Puncture Nell 47 Aer PUDE U e dd 48 TZ Check ana Mantenan e ou dediti Qoam A O cies EE 49 PAR es TI RAD mre EE Ux 49 12 2 Main unit raatnie Hane e ede ev bet ias 49 12 5 Probesmiattte A eue eU eem ste eta ete mco aeui m tere t Met e td ta spi Need Mg UE 50 IZAC Omec Isa AAA A A a a 51 TS SIMpIe Trouble SNOOUINO sais E E AAA AAA ae 32 AECA A AS 32 13 2 Simple trouble SHOO ie 52 14 Transportation and Storage vivida dia dl Ad a diet 53 14 1 Environment requirements on transportation and StOrage oooooonnnncnccnnnnnnnnnnnononononanannnncnnnnnnnnnnnnos 53 42 Trans pora ON eei Ream dedo tea fessi bete E E co Cte eer wera ree 53 EA at ab quu d me utu sch nba US aqu bod ga 53 Appendix A Acoustic output reporting table essen 54 III Preface Statement This publication including pictures and illustrations is property of Shenzhen Well D Medical Electronics Co Ltd and under protection of international copyright law Information in this document is not annotated to change The manufacture shall not state nor observe any warranty basing on this point and definitely give up any implied warranty basing on any spec
42. occurred when the equipment is operated in compliance with the operation manual And the guaranteed equipment can only be used in the prescribed range given in manual This guarantee excludes losses or damages caused by external reasons such as thunder struck earthquake theft unsuitable use or abuse and refitting the equipment Shenzhen Well D Medical Electronics Co Ltd shall not be responsible for damages caused by other devices or arbitrary connection to other devices _ Shenzhen Well D Medical Electronics Co Ltd shall not be responsible for losses damages or injuries caused by delayed service request When there is problem with the products please contact Shenzhen Well D Medical Electronics Co Ltd and explain the equipment model serial number date of purchase and the problem Matters need Attention To ensure operational safety and long term stable equipment performance please read this operation manual closely and understand the equipment functions operation and maintenance at all points before operating the equipment especially contents of Warning Caution and Note Maloperation or inobservance of the instructions given by manufacturer or its agents may result in equipment damage or personal injury The following convention works through this manual to lay special emphasis on some information 9 Warning Stands for neglect of it will cause severe personal injury death or realized property loss 9
43. overed coupling gel Clean the probe head after every use Do not clean the probe with a surgical brash neither soft brash Only soft cloth can be used to clean it Do not press the probe on the patient too long to avoid discomfort Warning Must not use extender ethylene oxide or any other organic solvent which tend to deface the probe s protective foil Must not place the probe in liquid or detergent Must keep the equipment or probe from any type of liquid s infiltration Must not clean device or probe by airing or heating 50 12 4 Correct usage of probe In order to prolong probe s service life and obtain optimum performance follow these instructions 1 Periodic inspection on probe cable socket and acoustic window 2 Shutdown the device first and then connect or disconnect the probe 3 Do not drop probe or flint body and never hit the probe acoustic window otherwise probe should be damaged Never heat the probe Never bend or pull probe cable otherwise the internal connection should be broken Use couplant only on probe header and then clean probe RE A dem Inspect probe acoustical window enclosure and cable seriously after probe cleaning Never use the probe again if any crack or breakage is found 51 13 Simple Trouble Shooting 13 1 Check Check if the power supply is ok or not main unit power cable is connected well or not When the supply voltage surpasses the equipment specified voltage range A
44. rdiac Cycle under Ao Root Diameter LA Diameter A aorta M type sampling in Aorta Valve R R Interval and Aorta Valve E F AM A A interval AM Cusp MV D E TV D E MY E F slope MV EPSS A eM escursion o Slope in are similar The specific measuring procedure is move the cursor by trackball to start point and click left to confirm drive the trackball until vertical line appears and left click to end measure Notice Move the Start End Point Line if it is needed move cursor to start end point and then the cursor changes to hand form Left click move the start end point to proper position and click again to finish measure Repeat Measurement directly measure if it needs and there is no need to reselect measurement items on right side 10 4 2 Heart Rate Measurement Heart rate is based on two periods of cardiograms and measured in following stpes E Select examine type as Heart acquire satisfactory image and freeze under mode B M or M sequentially press Measure gt Generic gt Heart Rate Move cursor by trackball to start point and left click to confirm until vertical line appears Move trackball until another vertical line appears and left click in proper position to finish measure 10 4 3 Time Measurement l Select examine type as Heart acquire satisfactory image and freeze under mode B M or M sequentially press Measure Generic Time Move cursor by trackball to start point and left click to confirm until ver
45. re range 20 C 55 Relative humidity range 8096 20 C 14 2 Transportation Signs on the packing box conform to Iconograph and sign of packing storage and transportation GB T191 2008 Simple shockproof establishment is fitted within the box which apply to aviation railway highway or steamship transportation Keep dry avoid inversion and collision 14 3 Storage Equipment should be taken out from the packing when storage time exceeds six months power on it for four hours and then pack it correctly and keep it in a warehouse The device must not be piled and do not place it closely against the floor walls or roof Keep it well ventilated do not expose it to strong sunlight or caustic gases Sd e Appendix A Acoustic output reporting table B mode Nominal frequency 3 5MHz Trans ducer Model C3 1 60R 3 5MHz Manufactured By SHENZHEN WELL D MEDICAL ELECTRONIC CO LTD Index label MI Nonscan nC estem Aten NEN ee ee O Pra MPa Min of Pa Zs Izpta aZs mW Zs cm Associated cm acoustic Z cm parameters 7 at max lpia cm 5 30 deq Zo cm fa MHz 2 91 NT Dim Of Aaprt sen rr Hz 3787 Other p at max Ip MPa information deq at max lp cm loa a at max MI W cm 207 9 fats so so control conditions Notes a This probe is not intended for transcranial or neonatal cephalic use 54 Acoustic output reporting table M mode Inc B mode Nomina
46. s follow 41 See routine measurement for the operation methods of other measurement items 10 4 Measurement under Mode M 10 4 1 Overview Generic FastMeasure o L y a Y E Heart measurement totally includes four parts under Mode M and they are respectively AM A A interval AM Cusp E MY D E HE E TV D E Slope Ao hoot Diameter B MV E F slope Time e LA Diameter Mv EPSS Distance 2 Mh A A interval MY excursion The measurement methods of Aorta Root Diameter Left Atrium Diameter do Root Diameter LA Diameter ot A A interval in Aorta Valve Cusp Mitral Valve D E Average Tricuspid Valve D E Peak AM R A interval AV Cusp Hv D E Tv D E MV E F slope Mv EPSS MV excursion Value R R Interval and Mitral Valve Open Diameter in are similar The specific measuring procedure 1s move the cursor by trackball to start point and click left to confirm drive the trackball until vertical dotted line appears and left click to end measure Notice Move the Start End Point if it is needed move cursor to start end point and then the cursor changes to hand form Left click move the start end point to proper position and click again to finish measure Repeat Measurement directly measure if it needs and there is no need to reselect measurement items on right side AD HR Slope Time Distance Measurement methods of Slope Time and Heart Rate in spes Ca
47. ss knob Play Pause to suspend replay and adjust the knob to realize single frame reply Press again and switch back to automatic recycling replay status Press key FREEZE and return to current active status 8 3 Saving Films Film saving forms the films can be saved in seg DICOM and AVZ form See Saving Settings for detail 30 Film saving route Save Cine to pop up saving route selection dialogue frame Notice Please do not try other operations during film saving 8 4 Loading Films Load Cine If there are film files on hard disk choose in right menu and select corresponding file in dialogue frame popped up Click open button to display automatically Note the file type If film files in DICOM form are loaded press left button in image area and move trackball to set image brightness 8 5 Data Backup Start software and plug in movable device for example U disk Click El and Other Settinc X selec MAMAR o enter into following interface Option Obstetrical Algorithm lt Dicom Setting Save Setting Other Setting Menu Exam Object System Exit Key 9 Show O Human Hide Animal Lanquage Backup file to Device l Backup file to Device Select to copy the Typical Case Setting Files Saved Images and Data Base patients information to movable device and backup Notice In order to prevent data lost please ensure to backup patients information before r
48. t The entire file is deleted when Patent Information is deleted When Diagnosis Report is deleted only one of the diagnosis reports under the Patient Information is deleted l Delete Patient Information 1 Recall the file needs to be deleted by Inquiry File 2 ma and dialogue frame Confirm to Delete Current Patient Information appears then click YES to confirm deletion 2 Delete Diagnosis Report 1 Recall the file which contains the diagnosis report needs to be deleted 2 Select the diagnosis report needs to be deleted via trackball and light mouse 3 Click and dialogue frame Confirm to Delete Current Diagnosis Report appears Click YES to confirm deletion Notice Keys ADD MODIFY DELETE SAVE and CANCEL are available when they are colored and invalid when they are gray 9 6 About Report Report form will be automatically indicated according to the examine type in Files Examine File Routine measurement will not be included in report page 235 B Report will add pages automatically according to measured items in order to ensure the information on report page 1s fully indicated 9 7 Report Form B There are six parts in report with details as follow 1 Report single title hospital name colorful Doppler ultrasound examination report form 2 Basic information of examined patient including examine type examiner number name gender age room number and bed number Image displaying area saved image will be
49. t GAMA value Notice GAMA calibration may be required to normally display images for externally connected displayer 6 7 Image Turnover Turning Over Up and Down Dial U D up and down to turn over the image up and down Turning Over Lift and Right Under B or BB mode real time scanning status dial L R up and down to turn the image over left and right The don upper left side of screen 1s the image scanning direction indication 6 8 Histogram ImageProc After image is frozen sequentially clic gt Histogram to display histogram De 6 9 Local Amplification Press key ZOOM and move cursor to image area the cursor changes to 1 Press mouse left and select area via trackball then the image of the area is amplified and displayed in the center of screen which can be moved by trackball Press key ZOOM again to exit local amplification Press ZOOM and adjust knob ParamAdju to amplify or shrink the image and the amplified rate is indicated on upper left side of image in real time The range of rate is Zoom in 1 1 Zoom in 5 0 Press ZOOM to exit da 7 Note 7 1 Note in Full Screen Press key TEXT Input note content and then click anywhere in image area to finish noting Press to delete wrongly input words Press Ctrl Shift to shift input method In order to move the note content click it on screen until it becomes green and cursor changes to direction icon and then move the content and click aga
50. th other equipments there might be unexpected EMC problems If it must work close to other equipments please observe carefully and check if some equipment is influenced by unexpected EM coupling Warning Replacement of non standard probe parts may cause unexpected EMC problem NOTE Accessory equipment connected to the analog and digital interfaces must be certified according to the respective IEC standards e g IEC 60950 for data processing equipment and IEC 60601 1 1 for medical equipment Furthermore all configurations shall comply with the valid version of the system standard IEC 60601 1 1 Everybody who connects additional equipment to the signal input or signal output part configures a medical system and is therefore responsible that the system complies with the requirements of the valid version of the system standard IEC60601 1 IF in doubt consult the technical service department or your local representative 1 Summary 1 1 Brief Introduction WED 160 is a high resolution convex linear array scanning ultrasound diagnostic system which utilizing the PC control and digital scan converter DSC while adopting multiple technologies such as digital beam forming DBF real time dynamic aperture RDA dynamic receive apodization DRA dynamic receive focusing DRF dynamic frequency scan DFS 8 TGC as well as frame correlation and it can support various linear and convex array probes with a wide range of frequency It provides
51. the angle and insert the puncture needle slowly in the direction of needle guard Puncture needle Please do not move the probe when Hepatic cyst inserting the puncture needle for Guiding line ensuring the accuracy of the puncture operation ATs 11 6 After Puncture Turn the puncture needle guard outward for 180 degree to make the rabbet of the puncture needle guard outward then remove the probe from it Remove probe in this direction Turn for Press Cancel or Clear key to exit the puncture guiding line 48 12 Check and Maintenance 12 1 Service life Bases on the manufacturer s design production related files this model s use life 1s six years The Product s material will gradually aging if the product continually use over the designed use life it may bring the problem of the performance reduced and fault rate raise Note The Discard the device according to local law Do not discard it mixing with other household garbage Warning The manufacturer shall not assume the responsibility of risks caused by using the device beyond its service life 12 2 Main unit maintenance Instrumentation environment should accord with Operation environmental requirement O If device enclosure needs cleaning shutdown the device first and then wipe with alcohol sponges Device should not turn on and off frequently When the device does not work for a long time pack the device accor
52. tical line appears Move trackball until another vertical line appears and left click in proper position to finish measure Take the process above as reference for measuring other items zd 11 Operating Instruction for Function of Puncture Guide Warning The puncture guiding line must be calibrated before performing a new puncture If the puncture needle is not consistent with the puncture guiding line please do not perform the puncture operation It is with risk when performing the puncture guided under ultrasound thus it should be operated by operators with the proper qualification and capability and the preparative work before operation such as examination of clotting time BPC electrocardiogram blood pressure sterilization of puncture set and puncture probe and signing of operation agreement should be done strictly Fixing screw nut of puncture frame Put the probe aside then loosen the fixing screw nut on the puncture frame Please note the direction mark of the probe Mount the puncture frame on the probe 44 Please ensure fixing slot of puncture frame positioned to projecting portion of the probe Buckle on the puncture frame and turn over the probe then fasten Fixing screw nur of puncture frame the fixing screw nut of the puncture frame 11 2 Selection of Puncture Needles The puncture needles can be divided into 3 specification numbers such as No 7 No 9 and No 12 You can
53. uncasing and make sure that there is no shipping damage and then install the equipment according to requirements and methods described in Installation Warning If there is breakage at unpacking check it is banned to use the device to ensure security The probe should be protected from felling off or crashing and the manufacturer 2 2 Connecting probe and main unit Check the power supply too see if it is in the expected range AC100V 240V 50Hz 60Hz then connect the equipment and the power socket with the cable Connect the probe 2Locking the 2 probe along this direction eT 2 3 Equipotential connection See the figure Equipment back panel Equipotential terminal Equipotential line Equipotential terminal Warning Equipotential When this equipment is used together with other device equipotential should be in consideration When the equipment is in use the doctor and patient are under the risk of uncontrollable compensating current influence which is caused by different electric potential between facilities and tangible current carrying parts The most safe solution is set up a united equipotential network and connect the medical equipments with the equipotential network in the treatment room 3 Operating procedures 3 1 Introduction of keyboard LI e TGC Keyboard nu LER lH alphanumeric 3 keys n x me EE N h encima s E U D UR
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