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1 System Safety and Maintenance

1. New Site C344 SonoScape Jul 23 2008 16 08 16 FPS 47 D G 3 1 GN 12 8 Se UP 3 30 d Fee GE 5 0 PWR 70 d k FRQ 3 4 8 D 16 5cm s 4 5 s WEEP SPEED POWER 70 CHROMA 1 FREQUENCY 10 VIDEO INVERT OFF M PROCESS Peak ECG DISPLAY FORMAT H1 2 10 10 457 15 Figure 4 4 2d h1 2 Display Format New Site C344 SonoScape Jul 23 2008 16 08 16 FPS 47 D G 3 1 GN 12 ae Up 3 30 IT 07 D PWR 70 J FRQ 3 4 8 D 16 5cm 5 D SWEEP SPEED 4 POWER 70 CHROMA 1 FREQUENCY 10 VIDEO INVERT OFF M PROCESS Peak CG 107 7 DISPLAY FORMAT H1 4 G i K BC 15 Figure 4 4 2e h1 4 Display Format PIN 4701 0063 01A BASIC Operator s Manual 4 6 SonoScape SS 5000 Diagnostic Ultrasound System 4 4 3 VIDEO INVERT M active also in Freeze state Reverse video black and white on the M display VIDEO INVERT AN 4 4 4 M PROCESS M active AQ PG Switch Average or Peak detection pro cessing for MPROCESS the M vector display N 4 5 CDI M mode Menu Press the lt lt M gt gt key and lt lt CDI gt gt key to activate the CDI M mode Press the lt lt MENU gt gt key to pop up the CDI M menu PERSIST C MAP POWER BASELINE SEC WIDTH SEC POS By B REJECT pe FREQUENCY pee LT ORT FLOW INVERT OFF LINE DECSITY High Figure 4 5a CDI M menu P N 4701 0063 01A BASIC Operator s Manual 4 7
2. PIN 4701 0063 01A BASIC Operator s Manual 2 34 SS 5000 Diagnostic Ultrasound System 2 7 15 ANNOT Key Press the lt lt ANNOT gt gt key to bring up the beam cursor on the screen Entered alphanumeric text will appear at the cursor Use the lt lt Trackball gt gt to relocate the beam cursor and enter alphanumeric text or annotations After finishing the annotation entry press the lt lt SET gt gt key to anchor it and return to Cine mode Repeat the procedure to enter additional annotations The system supports a maximum of 20 annotations and 32 characters each on the screen To abort an annotation entry press the lt lt ANNOT gt gt key prior to pressing the lt lt SET gt gt key New Site C344 SonoScape Jul 23 2008 16 08 16 Ctrl GAIN D GAIN P 1 32 7 P 1 ABDOMINAL CIRCUMFERENCE a l 0 2 AC 3 ACA 4 ADNEXA 5 ADRENAL GLAND 6 AMNIOTIC FLUID 5 7 AMNIOTIC FLUID 8 ANGLE REGION 9 ANT COMMUNICATION BR MS ore gt Press the lt lt ANNOT gt gt key in freeze or real time to activate the annotations gt Turn the lt lt Gain gt gt knob to choose the glossary turn the lt lt D Gain gt gt knob can go to the next page P N 4701 0063 01A BASIC Operator s Manual 2 35 SonoScape SS 5000 Diagnostic Ultrasound System 2 7 16 ZOOM key This key expands Zoom ROI ZROI over the entire ZOO
3. Copy selected file P e Paste copied file in the current location Delete selected file A dialog box will be popped up to confirm the deletion before the action is completed Convert to PC Format V Ke Display Report Files Only Display only reports in the current directory Display Image Files Only Display only images in the current directory Export DCM to Remote SCU Load unload USB devices Deletes whole patient folder Multiple Selections Select multiple files in current directory Search This function used to search a patient by inputting ether name or patient ID Read in CD Rom P N 4701 0063 01A BASIC Operator s Manual 2 14 SonoScape SS 5000 Diagnostic Ultrasound System gt Convert to PC Format By default the system saves ppm and op format This format supports post saving 2D measurement and can only be read by the system To convert cine clip cin to PC format wmv MediaPlayer format open patient folder and select a clip file with cin format and click Convert PC format This will convert system clip format CIN into PC format WMV The selected clip will have both CIN and WMV formats available When converting to the PC format only one one clip can be converted at a time If multiple clips are selected only the first clip file is converted The conversion takes longer time for clip than for the still image The user can plug USB drive load it and copy the conv
4. Diagnostic Ultrasound System 2 0 3 ESAMhey 2 24 2 7 4 Mode Select Key M B THI CDI DPI PW CW 2 24 2 1 9 PATIENT Key Patient Data Entry window ornmnre 2 2 210 EE 2 30 Zeb PATER E 2 31 2 8 M TUNING Key cccccceccceeeseeeeeeeeeeeeeeseeeseeeeeeseeeseeeaeees 2 32 GC ADRO re ee nee ees 2 32 2 7 10 B M C D Gamknob 2 32 Se ch UR 2 33 21012 DELER 2 33 TD ARROW Rene 2 33 2 1 14 BDMK Key Body Marker key 2 34 21 19 NOT stereos cacti serene ee 2 35 24 16 ZOE 4 Nr 2 36 ZANT e ei dE E 2 36 10 OU E EE 2 37 ES NEO GE EEE 2 38 2120 ELLIPSE Kl Len A 2 38 2T21 TRACE Key eenn Ze BEE 2 38 Functional Manipulation Control 2 39 2 8 1 TEN 2 39 202 SUK ss Sedin 2 40 20 FREEZE KoV cect Ne 2 40 294 UPDATE Key aerer eege n een 2 41 2 8 5 AUDIO Volume knob 2 41 2 8 6 Time Gain Compensation TGC slider 0008 2 41 201 CU Ne de 2 42 2 8 8 QUAD RISPLAY EE 2 42 AEE AI OY EEE 2 43 26100 E CN 2 45 2 8 11 VI DOWN KE ascinedannndentonsedsbosaenseedeoteendonstex 2 45 20124 PRE Paddle cc sesasacaciaxnananssavcanstcenctadsnssetdntebavnasdeskeanseeteane 2 45 2 8 13 BASELINE PDaddle cc cccccceccseeeceeeeeeeeseeeseeeeaes 2 45 e elek FOCUS P dde Luse 2 46 26 15 Depth Paddle nonnene juv asbinikedhnentee 2 46 Cine Playback Mode 2 47 Soft Menu Controls Introduction rrrorrrnnrernrrrnrrnrannvanennn 2 48 2 10 1 Trapezoid mode 2 48 2 10 2 Display TOPMAl sniscicescesscccnncrdsasnteisuae
5. System Format Load Default Date Format mm dd yyyy Figure 2 7 2 5a System Setting Window 2 2 5 1 General Setting Language Right now supports English and Simplified Chinese Screen Saver Turn screen saver on off will be triggered on after idle for 5 minutes Trackball Sensitive Sensitivity of the trackball movement e Clip Format When saving a cine clip user can either choose to save in PC format or System Format P N 4701 0063 01A BASIC Operator s Manual 2 19 SonoScape SS 5000 Diagnostic Ultrasound System MS yore Do not select PC clip format here it will slow down the system Instead use system format and convert it to PC format in the File Manager Refer to File Manager section for detail Date Format Format for the date to be entered Three types of date format are supported right now mm dd yyyy yyyy mm dd dd mm yyyy 2 2 5 2 Set Printer Printer Driver Supports HP printer driver Video Invert To save printer ink turn this option on It will convert black background to white and white data image to black Insert Driver To insert new printer driver use this option SonoScape Ne Site Genral Setting Printer Driver Default HP Deskjet Set Printer l Vidco invert OFF Set Calculation Menu Insert Driver Click Set Measurement Method Load Default Exit Figure 2 7 2 5 2a Set Pri
6. echo signal for the display image FREQUENCY 3 2 15 LT lt RT also in Freeze state Select the orientation of theimage Refer to LT RT thesection for L R hard key for more detail 3 2 16 IMAGE PROCESSING Choose different image processing such as image smoothing edge enhancement etc depending upon the image quality presentation IMAGE PROCESS 3 2 17 uScan Optional Choose different uScan value such as 2 3 7 11 etc depending upon the different probe 3 2 18 POWER Press left right arrow key to Increase or decrease the acoustic output power in each mode POWER Changes are made in 10 percent increments and are displayed as a percentage of full power Always refer to the MI and TIS when changing the acoustic power output P N 4701 0063 01A BASIC Operator s Manual 3 13 SonoScape SS 5000 Diagnostic Ultrasound System 3 2 19 TRAPEZOID only for linear array probe The Trapezoid mode is only available with linear probes Press left right arrow key to turn on off trapezoid feature Advantage of the Trapezoid mode The scan area is increased in relation to the linear display by steering the ultrasound lines in the border of the probe 3 3 THI Mode Tissue Harmonic Imaging is a 2D Mode in which the transducer receives at twice the transmit frequency Tissue Harmonic Imaging clears clutter from the image and can be helpful when imaging areas that are filled with fluid such as the g
7. 2 6 Physical Specifications Weight approximately 93 kg Dimensions Height 1475mm Width 540mm Depth 840mm 2 User Interface Function Keys Description MAOMGOTMMOMMOMC E MBAMHMMMNEN MEBIEBMCMMMMER SEE J M ONONE r DD G 3 C Figure 2 7a Key Board 2 7 1 System power up amp Press system power key momentarily to turn on the system power Press the same key momentary will turn off the system if it is on Press this key longer than 4 seconds to force the system to shut down in case it locks up P N 4701 0063 01A BASIC Operator s Manual 2 11 SonoScape SS 5000 Diagnostic Ultrasound System 2 2 System Set Up 1 Press the lt lt MENU gt gt key on the EXAM screen to pop up the SYSTEM CONFIGURATION window 2 Use the lt lt Up Down ARROW gt gt keys or lt lt Trackball gt gt to move the cursor to the desired field 3 Press the lt lt SET gt gt key to modify the data in the field SonoScape New Site File Manger Facility Name Set Time Date System Information System Setting DICOM Exit Figure 2 7 2a System Configuration Window 2 2 1 File Manager Use this function to browse delete convert and copy image files stored on the storage media Consult the File Management section of this manual for further detail P N 4701 0063 01A BASIC Operator s Manual 2 12 SonoScape SS 500
8. Diagnostic Ultrasound System 2 8 14 FOCUS Paddle L FOCUS Use these keys to move the transmitted focal position up or down in any mode while B is active The small red triangle at the right of the screen next to the depth scale indicates the current focal position The transmitted focal position remains at the center of the range gate in spectral Doppler mode and at the center of the CROI in color mode The lt lt FOCUS gt gt keys do not affect receive focal position since it uses the progressive dynamic receive focusing at all times 2 8 15 Depth Paddle Press these keys down to increase the image depth of view and up to decrease the image depth of view i DEPTH P N 4701 0063 01A BASIC Operator s Manual 2 46 SonoScape SS 5000 Diagnostic Ultrasound System 2 9 Cine Playback Mode The system does not need or have a key to activate the Cine mode It enters the Cine mode automatically when in Freeze mode and displays the Cine bar in the lower corner of the screen Move the lt lt Trackball gt gt left or right to review Cine frame by frame Move the lt lt Trackball gt gt quickly and constantly in one direction right only to enter a continuous loop playback mode in the Cine review Touch the lt lt Trackball gt gt to exit the continuous playback mode All measurements are available on the Cine still image Refer to the graphic box in the right side of the screen for measuremen
9. Other available rendering modes are a MaxIP Selecting this mode will render the volume using Maximum Intensity Projection which displays only the samples with the highest density along the ray path P N 4701 0063 01A BASIC Operator s Manual 10 8 SonoScape SS 5000 Diagnostic Ultrasound System b X ray Selecting this mode will render the volume using a technique which displays the average of values along the ray path Jul 23 2000 16 45 30 MA Figure 10 2 6a Vol Mode Jul 23 2000 16 46 35 MA CLEAR ROI RESTORE BO ie dal MODE Cd HIDE ROI II RENDER MODE max ir AUTO ROTATE irr TRACE CUT II LADO EUT CLIP PLANE II OPACITY OFFERET 1 OPACITY LOPE H CINE REVIEW II SWEEP ANGLE m DESCAN II Figure 10 2 6b MaxIP Mode PIN 4701 0063 01A BASIC Operator s Manual 10 9 SS 5000 Diagnostic Ultrasound System Jul 23 2000 16 46 44 CLEAR ROI RESTORE RO CROP ROI MODE HIDE ROI ori RENDER MODE X ray AUTO ROTATE TRACE CUT Oe UNI LIT CLIP PLANE one OPACITY OFFSET 3 OPACITY SLOPE 3 CINE REVIEW SWEEP ANGLE RESCAN Figure 10 2 6c X ray Mode 10 2 7 AUTO ROTATE AUTO ROTATE is useful for demonstration AUTO ROTATE purposes e When AUTO ROTATE is on the volume rendering will be constantly rotated along anvarbitrary X y axis This axis can be changed by the user by manually doing a Volume Rotation The auto rotate will simple continue rotating in the d
10. Press Y to send a screen shoot to the attached printer or press N to cancel PIN 4701 0063 01A BASIC Operator s Manual 10 23 SonoScape SS 5000 Diagnostic Ultrasound System 11 The Probe Transducer 11 1 General Description and Specifications Cable z 8 Tv L741 H H 0344 f _ Stress Relief Handle AN I Binding Line N Binding Line Ech Scanhead E Lens Transducer Figure 11 1a The probe Transducer of SSI 5000 system The Linear Array Ultrasound Transducers provide high spatial and contrast ultrasound imaging of frequencies from 2 0 MHz to 13 0 MHz These transducers operate by pulsing sound waves into the body and listeningito the returning echoes to produce high resolution brightness mode and a real time display The field of view and active elements for the transducers are 11 2 Operating Instructions for the Probes 11 2 1 Inspection Before using the transducer carefully examine the transducer housing array module cable and connector for damage If damage is suspected contact your authorized Service Representative P N 4701 0063 01A BASIC Operator s Manual 11 1 SonoScape SS 5000 Diagnostic Ultrasound System 11 2 2 WARNING This transducer is designed to be used only with the ultrasound systems designed Use of this transducer on any other system or a non qualified probe may cause electrical shock or otherwise damage on t
11. SonoScape SS 5000 Diagnostic Ultrasound System The following shows the submenu in CDI M mode M active when press the lt lt UPDATE gt gt key p SWEEP SPEED GC POWER AN CHROMA av FREQUENCY 2 6 VIDEO INVERT OFF og M PROCESS Peak ri ECG gt DISPLAY FORMAT v1 2 CG Figure 4 5b CDI M menu in Update state NY The following shows the submenu in CDI M mode M activ hen press the lt lt FREEZE gt gt key N SWEEP SPEED CHROMA IDEO INVERT DISPLAY FORMAT START END FRAME BY FRAME Figure 4 5c COMM menu in Freeze state 4 5 1 BASELINE CH Select different Baseline settings of the CDI color map by using the lt lt L R gt gt key SO Control Baseline shifting and replicate that functionality of the BASELINE hot key paddle P N 4701 0063 01A BASIC Operator s Manual 4 8 SonoScape SS 5000 Diagnostic Ultrasound System 4 5 2 FLOW INVERT also in Freeze state FLOWINVERT Allow the user to invert the flow direction red FLOW INVERT become blue of the CDI color map The color map changes accordingly The introduction of other function menus please refer to Section 3 2 B mode Menu P N 4701 0063 01A BASIC Operator s Manual 4 9 SonoScape SS 5000 Diagnostic Ultrasound System 5 PW and CW Mode Press the lt lt PW CW gt gt key to activate the PW mode in the preparation mode First only the PW sample line appears on the active B image 5 1 PW Samp
12. directional Power Doppler Power Doppler Pulse wave Doppler CW Advanced color and Doppler Algorithm to improve flow Sensitivity PIN 4701 0063 01A BASIC Operator s Manual 2 5 SonoScape Vv Vv Y VY V Y Yy Vv v V v Y Y v v Y SSI 5000 Diagnostic Ultrasound System Flexible hardware and firmware reconfiguration and software upgrading Reliable Linux operation system Support Multi language Native resolution scan converter for 1024x768 high resolution LCD display Cine memory up to 1000 frames depending on the mode and sector size Up to 10X smart Zoom Multi Port active Probe Connection Support Linear Curve linear Phase array TEE Bi plane 4D motor probe Support up to 256 element probe Support temperature display and control for trans vaginal and trans rectum probe Cardiac Ob Gyn Vascular measurement package LAN connectivity for PC base review station Digital Clips saved in system and PC format Support post measurement and processing for archive images Build in 3 lead ECG with image acquisition trigger delay Control Support Foot switch for print and freeze control Biopsy guide display DICOM 3 0 interface with Worklist and Media Saving Freehand or real time 3D 4D imaging Real time surface and volume rendering 4D imaging SVGA S video and LAN port output for external image display and peripherals P N 4701 0063 01A BASIC Operator s Manual 2 6 SonoScape v Vv V WV SS 5000 Diagnos
13. press the lt lt Dual gt gt key to display a frozen B mode image at 50 percent of the original size at the left side of the screen and active B mode image at the right side of the screen Use the lt lt L R gt gt key to switch between frozen active mode between the left and right images Use the Soft Menu lt lt L R gt gt button to flip the left right orientation of the active image and create an extended viewing image for the flat probe Use the lt lt UP DOWN gt gt key to flip the up down orientation of both active image Press the lt lt Dual gt gt key again to return to B mode In summary lt lt L R gt gt hard key controls the active image and the L R soft button sets the orientation In active color mode Dual Real time B color press the lt lt Dual gt gt key to display a frozen Color mode image at 50 percent of the original size atthe left side of the screen and active Color mode image at the right side of the screen Use the lt lt L R gt gt key to switch between frozen active mode between the left and right images Use the Soft Menu lt lt L R gt gt button to flip the left right orientation of the active image and create an extended viewing image for the flat probe Pressithe lt lt Dual gt gt key again enter the color split mode to display an active color flow or color power image at the left side of the screen and active B mode image at the right side of screen in order to view better B image un
14. B GAIN In CDI PW mode please refer to section 3 1 1 B GAIN 9 3 2 BASELINE The PW spectrum baseline shift enlarges the velocity range in one direction The displayed velocities or frequencieson the upper and lower edge of the screen scale white borderline mark the maximum velocity maximum measuring range Shift the BASELINE paddle up or down to change the position of the BASELINE ED P Ee mi Se mm NOTE Adjusting the baseline is possible in real time and freeze mode PIN 4701 0063 01A BASIC Operator s Manual 5 3 SonoScape SS 5000 Diagnostic Ultrasound System 5 3 3 FILTER Use the lt lt FILTER gt gt flip switch to select the filter desired Switch up to increase switch down to decrease the filter The velocity range on display is governed by the pulse repetition frequency PRF The PRF rang is 1 0KHZ 24 0KHZ According to different probes and diagnostic mode the rang is different Switch up for increasing the PRF Switch down to decrease the PRF When exceeding this maximum by further increasing the PRF the HPRF mode is switched on d NOTE According to different velocity to adjust the PRF range desired 5 3 5 HPRF Press the lt lt PRF gt gt key when the maximum is exceeded the HPRF mode is automatically switched on Virtual gates are being displayed and the lt lt HPRF gt gt appears on the monitor MS yore The HPRF mode is impossible with linear
15. BASIC Operator s Manual 1 8 SonoScape SS 5000 Diagnostic Ultrasound System The MI describes the likelihood of cavitation and the TI offers the predicted maximum temperature rise in tissue as a result of the diagnostic examination In general a temperature increase of 2 50C must be present consistently at one spot for 2 hours to cause fetal abnormalities Avoiding a local temperature rise above 10C should ensure that no thermally induced biologic effect occurs When referring to the TI for potential thermal effect a Tl equal to 1 does not mean the temperature will rise 1 degree C It only means an increased potential for thermal effects can be expected as the TI increases A high index does not mean that bioeffects are occurring but only that the potential exists and there is no consideration in the TI for the scan duration so minimizing the overall scan time will reduce the potential for effects These operator control and display features shift the safety responsibility from the manufacturer to the user So it is very important to have the Ultrasound systems display the acoustic output indices correctly and the education of the user to interpret the value appropriately Rr De rating factor In Situ intensity and pressure cannot currently be measured Therefore the acoustic power measurement is normally done in the water tank and when soft tissue replaces water along the ultrasound path a decrease in intensity is expected
16. Cardiac and General Calculation packages Please refer to the Measurement section for further detail 2 20 ELLIPSE Key The lt lt ELLIPSE gt gt key measures an ellipse area in B mode Press the lt lt ELLIPSE gt gt key again to abort the ellipse area measurement and return to Cine mode Please refer to the 2 D Measurement section for a detailed description This key can also be used to calculate Pl and RI automatically in Doppler mode Please refer to the Doppler Measurement section for detail 2 7 21 TRACE Key This key measures the Area Perimeter by tracing in B mode Please refer to the 2 D Measurement section for a detailed description In Doppler mode pressing lt lt TRACE gt gt key allows the user to trace spectra Doppler manually and pressing lt lt SET gt gt key initializes the PI and RI calculation Please refer to the Doppler Measurement section for detail P N 4701 0063 01A BASIC Operator s Manual 2 38 SonoScape SS 5000 Diagnostic Ultrasound System 2 8 Functional Manipulation Control The keyboard is designed to ergonomically arrange the Primary User Controls Controls include 2 8 1 Trackball ral se ii vs Positions calipers in measurement Positions arrow cursor for icon selection Positions _ beam when in TEXT Positions the M Mode cursor Selects entry in soft menu Selects the EXAM icon Positions the PW CW Doppler cursor and range gate Posi
17. Click Cancel to abort the current entry Any images or clips saved from now on will be in the folder under the entered patient name gt WARNING In order to ensure that the default setting of scan parameter is used the system will exit into the exam menu when a new patient ID is entered This prevents the unknown patient images or data from the previous scan to be saved into the new patient record It is up to the user to overwrite this protection P N 4701 0063 01A BASIC Operator s Manual 2 28 SonoScape SS 5000 Diagnostic Ultrasound System gt SELECT PATIENT INFORMATION FROM THE DATABASE Enter alphanumeric characters of a patients name a small dialog will display any matching names in the system s patient database Use the lt lt Up Down ARROW gt gt keys to select a patient name and then press the lt lt Set gt gt key to access that patient record except LMP Edit the patient data and then move the cursor to thesOK button and press the lt lt Set gt gt key to finish gt EDIT CURRENT PATIENT Use this method Io change or edit existing patient information in the database Press the lt lt PATIENT gt gt key to display and modify the current patient data in each field of the patient data window Input a name that is different from the current name to create a new patient record Change data within any field to replace the content in the patient record in the database When fini
18. K beam shape factor is 1 0 D is the aperture diameter in cm at the depth of interest Cavitation is more likely to occur at high pressures and low frequencies in pulse ultrasound wave in the tissue which contains the bubble or air pocket for instance the lung intestine or scan with gas contrast agents The threshold under optimum conditions of pulsed ultrasound is predicted by the ratio of the peak pressure to the square root of the frequency P N 4701 0063 01A BASIC Operator s Manual 1 11 SonoScape SS 5000 Diagnostic Ultrasound System MI Pr sqrt fc Pr is the de rated 0 3 peak rare fractional pressure in Mpa at the point where PII is the maximum and fc is the center frequency in MHz PII is the Pulse Intensity Integral that the total energy per unit area carried by the wave during the time duration of the pulse The peak rare fractional pressure is measured in hydrophone maximum negative voltage normalized by the hydrophone calibration parameter Display Guideline For different operation modes different indices must be displayed However only one index needs to be shown ata time Display is not required if maximum MI is less than 1 0 for any setting of the operating mode or if maximum TI is less than 1 0 for any setting of the operating mode For TI if the TIS and TIC are both greater than 1 0 the scanners need not be capable of displaying both indices simultaneously If the index falls below
19. MS nore Turning off TRACE CUT willdeave cut mode and restore the rendered volume All changes made in cut mode will be lost MS nore The cut made will only record up to a maximum number of vertices Once this maximum in reached the trace will be automatically closed and erased P N 4701 0063 01A BASIC Operator s Manual 10 12 SonoScape SS 5000 Diagnostic Ultrasound System 10 2 9 UNDO CUT UNDOCUT UNDO CUT is enabled when TRACE CUT is UNDO CUT on Selecting UNDO CUT will restore the image prior to the last cut made There is currently one level of undo available 10 2 10 CLIP PLANE CLIPPLANE CLIP PLANE enables an arbitrary clipping CLIP PLANE plane which will allow the userto slice the volume at an angle Everything in front of the clipping plane will not be shown amp To rotate the clipping plane click on the volume using the lt lt UPDATE gt gt key and move the lt lt Trackball gt gt amp Click on the volume again using the lt lt UPDATE gt gt key to return to normal cursor movement To move the clipping plane forwards or backwards click on the volume using the lt lt ZQOM gt gt key to return to normal cursor movement Pressing the lt lt SPACE gt gt key will toggle the appropriate keys between controlling the clipping plane and the volume render 10 2 11 OPAGITY OFFSET OPACITY OFFSET Changing this value will modify the value in the volume render
20. Press the lt lt MENU gt gt key to activate the Soft Menu control at any time in case of not finding the control key on the keyboard for the active mode 2 8 8 QUAD DISPLAY Inactive B mode pressthe lt lt 4 gt gt key on the alphanumeric keyboard to display a frozen B mode image at 25 percent of the original size at the right side of the screen Use the lt lt L R gt gt key three times to pop up the quad display Press the lt lt 4 gt gt key again to return the previous mode P N 4701 0063 01A BASIC Operator s Manual 2 42 SonoScape SS 5000 Diagnostic Ultrasound System 2 8 9 DUAL Key This key splits the imaging screen for a side by side image comparison It may also be used to combine both an active and a frozen image in order to form an extended image field for viewing with a flat probe This key also allows one image running in B mode and the other in color in real time New Site C344 SonoScape Jul 23 2008 16 08 16 FPS 20 8 T SS S DIG Au T o d ee D GN 9 p UP 3 30 PWR 70 FRQ 3 4 8 D 16 5cm 5 e 10 10 AS 15 Figure 2 8 9a Dual display New Site C344 SonoScape Jul 23 2008 16 08 16 FPS 20 DIG an ee i A GN 9 15 I P 3 30 PWR 70 FRQ 3 4 8 D 16 5cm i 10 GA 107 5 1 i Figure 2 8 9b Dual display P N 4701 0063 01A BASIC Operator s Manual 2 43 SonoScape SS 5000 Diagnostic Ultrasound System In active B mode Dual B
21. QUAD display L R Persistence PRF HPRF Wall filter select Steering Doppler Angle correction Baseline movement Time base scrolling speed Annotation Patient data mput Color ROI panning Image sector width and position control Calculation and measurement package File management and image archiving Clip image saving and conversion DICOM setting Vv Vv Ww N WV Y VW Y Y Y Y Y Y Y Y Y Y VY V V WV User defined Default Icon setting 2 5 Probes and Accessories Transducers e 2P1 Phase Array e 5P1 Phase Array e 6V1 Micro Curved Array P N 4701 0063 01A BASIC Operator s Manual 2 9 SonoScape SS 5000 Diagnostic Ultrasound System e 6V3 Micro Curved Array e C611 Micro Curved Array e C344 Curved Array e C542 Curved Array e C362 Curved Array e VC6 2 Curved Array e LAP C9 5 Curved Array e L541 Linear Array e L741 Linear Array e L742 Linear Array e L743 Linear Array e L752 Linear Array e 10L1 Linear Array e 10 2 Linear Array e BCL10 5 Bi plane Curved and Linear Array e 7U2 Linear Array e EC9 5 Micro Curved Array e MPTEE Multi Plane TEE phase array e MPTEE mini Multi Plane TEE phase array Peripherals gt SVGA SVIDEO output gt LAN port output for color Image and report printer gt LAN for DICOM and image review station gt USB 2 0 for flash mobile drive gt Foot switch P N 4701 0063 01A BASIC Operator s Manual 2 10 SonoScape SS 5000 Diagnostic Ultrasound System
22. SpecificatiOnS en x varnnnnnnunnnnnnnnnnnnnnnnnnnnnnennnnnnnr 2 1 2 1 Base System up TE 2 1 2 2 Application and Contraindication arrrarrnnrrnrerarerarnrnnnnnnner 2 7 2 3 Image Modes S E 2 7 2 4 User Interface Control 2 8 2 5 Probes and Acc ssories rarrnarrnrrvnnrnnnrnnnnnnrnnnnnanennnnnnnnnnen 2 9 2 6 Physical Specifications rrrnrrrorernrrrrarerarernnrrranrnanennnennnnen 2 11 2 1 User Interface Function Keys Description arrrnnrrrnnernnrr 2 11 2 1 1 System power Up ssssssseresersersrerrsnererunrurenrnnennrrnrenennenes 2 11 2 12 _Bystem Getllp NEE 2 12 29 2 1 File Manager 2 12 2 2 1 1 File manager operation rrrnrrnnrnnnrnnnr 2 13 2 2 1 2 Functions of the File manager 2 14 2 1 2 2 Facility Name and or Department Display 2 16 2123 Set Date Time arrranrnnnrnnanonanennnrnnnnrnanennnnnnn 2 17 2 1 2 4 System Information rrorrrrerrrnrrrnernrannvanennn 2 18 2 1 2 5 System Setting rranrnnnnrrnnnnnnnnnnnnvnnnvnnnennn 2 19 2 1 2 5 1 General Setting 00nn0nnannnannannennennnnenni 2 19 2 1 2 5 2 Set nterne 2 20 2 1 2 5 3 Set Calculation Menu 2 21 2 1 2 5 4 Set Measurement Method 2 22 2 1 2 5 5 Load DEN aeccrcerenscieteacnacenasabasaeaceen eee 2 23 2 1 2 5 6 Fl E A 2 23 2 1 2 6 DICOM ee 2 23 2 1 2 1 PU 2 23 PIN 4701 0063 01A BASIC Operator s Manual SonoScape 2 8 2 9 2 10 2 11 SS 5000
23. and off the lt lt Biopsy gt gt guide for abdominal and Endo cavity probes This function has no action when biopsy is not supported The soft menu has settings to calibrate the offset and angle of the biopsy guide The user needs to follow the procedures described in each probe specification for calibration alignment each time the biopsy bracket is installed when turning on the lt lt Biopsy gt gt guide the submenu and the two Biopsy parallel will display on the screen automatically BIOPSY OFFSET 12 2 Be sto ANGLE 42 New Site C344 EE Ju 23 2008 16 08 16 FPS 46 DIG an d s 7 lt Ges GN 255 I P 3 30 d PWR 70 GN FRQ 3 4 8 e D 17 0cm d i i 3 E FOCALNUMBER 4 V i FOCAL SPAN 7 l ECG gt cco J GSC l 10 k PERSIT SEC WIDTH gt BIOPSY gt S BLOPSYLFFSET High E BLOPSY ANGLE OFF oy pr COMPOUND ON SE 15 FREQUENCY 2 1 _ LT gt RT OFF IMAGE PROCESS 2 Bean POWER sine Adjust the BIOPSY OFFSET and BIOPSY ANGLE according to the actual situation P N 4701 0063 01A BASIC Operator s Manual 3 12 SonoScape SS 5000 Diagnostic Ultrasound System 3 2 13 COMPOUND COMPOUND Press left right arrow key to turn compound image on or off for display 3 2 14 FREQUENCY Select a center frequency and bandwidth of the
24. array probes P N 4701 0063 01A BASIC Operator s Manual 5 4 SonoScape SS 5000 Diagnostic Ultrasound System 5 4 PW CW Mode Menu Press the lt lt Menu gt gt key following submenu will be displayed on the left side of the screen Doppler not active Ae FOCAL NUMBER FOCAL SPAN ECG TC INDEX DYN GSC PERSIST CHROMA SEC WIDTH SEC POS LINE DENSITY FREQUENCY UP t I DOWN LT RT POWER 2D REFRESH DISPLAY FORMAT Figure 5 4a PW CW Mode Menu P N 4701 0063 01A BASIC Operator s Manual 5 5 SonoScape SS 5000 Diagnostic Ultrasound System While in PW mode pressing the lt lt Update gt gt key will activate Doppler and following submenu will be displayed at the left side of the screen Doppler active O STEER ANGLE is with linear array STEER ANGLE D robe only ECG gt FREQUENCY 2 6 Q SWEEP SPEED 2 BASELINE 4 POWER 70 ANGLE CORRECT ON AQ DYN oe CHROMA 1 i ew is with VIDEO INVERT ON Ane probes only DISPLAY FORMAT vi1 2 WF 450 PW lt CW ma Figure 5 4b PW meet in Update state The following shows the sumeru in CW mode when press the lt lt UPDATE gt gt key XO SWEEP SPEED BASELIN POWER DYN CHROMA VIDEO INVERT PES A FORMAT vu WE 400 K cw LC Figure 5 4c CW Mode Menu in Update state S SN P N 4701 0063 01A BASIC Operator s Manual 5 6 SonoScape SS
25. display by entering the current Time and Date on the text line New Sit SonoScape ew Site Set Time Date 09 28 08 11 11 36 mm dd yy hh mm ss Help change time date by typing alphanumeric keys CANCEL e OK Figure 2 7 2 3a Set Date Time Window PIN 4701 0063 01A BASIC Operator s Manual 2 17 SS 5000 Diagnostic Ultrasound System 2 7 2 4 System Information Displays system number hardware software version and Diagnostic entry New Sit SonoScape NS system Information Control Number 200044 Software Version 1 2 0 0 15 SEQ Rev 1 0 TFC Rev 1 0 DFC Rev 0 1 SMR Rev 0 1 FIFO Rev 2 1 MXR Rev 0 0 DET Rev 0 0 DLY Rev 0 0 CANCEL EC Rev 21 e EXIT ECG De N A Figure 2 7 2 4a System Information Window System Information DIAGNO Display system configuration and runs in system diagnostic program This function is only available to service personnel P N 4701 0063 01A BASIC Operator s Manual 2 18 SonoScape SS 5000 Diagnostic Ultrasound System 2 2 5 System Setting Pre sets current language calculation method trackball sensitivity clip saving format screen saver on off and body surface Area BSA setting New Sit SonoScape lt gt Genral Setting Language Trackball Sensitive 4 Set Prin ter Set Calculation Menu et Measurement Method e Clip Format
26. on the frame line 9 2 SWEEP SPEED Doppler active SWEEP SPEED Set the seeping speed for the PW CW Dopplertime motion The system offers a choice of a 2 4 6 or 8 second sweeping rate over the screen The time mark will be displayed at the bottom of the Doppler spectrum 9 3 LOOP SPEED Doppler in active yy All th to change the speed for playing the LOOP SPEED a g SCH image frames There are 4 values ranging from 1 to 4 1 as the fastest and 4 been the slowest P N 4701 0063 01A BASIC Operator s Manual 9 1 SonoScape SS 5000 Diagnostic Ultrasound System 9 4 VIDEO INVERT Doppler active Reverse the video display on the Spectral Doppler VIDEO INVERT 9 5 PLAY STOP Doppler in active PLAYISTOP Allow the user to play through all the image frames that have already been scanned so far 9 6 START START Allows the user to move the frame mark to the beginning of the image frame line 9 7 END Allow user move the frame mark to the end of the image frame line P N 4701 0063 01A BASIC Operator s Manual 9 2 SonoScape SS 5000 Diagnostic Ultrasound System 10 3D 4D Mode 10 1 Introduction The Volume Visualization or 3D mode allows for the scanning a volume by hand and the subsequent display of the volume as a three dimensional object In Real Time or 4D mode a motor driven probe is used to acquire the volume data and the volume display is updated every few
27. paper size For any thermal printer connected to the composite or S Video output the user can press the print key on the thermal printer at any time to print the screen For different print size or mode please refer to the operator s manual comes with the thermal printer MS vore The lt lt Save gt gt and lt lt Print gt gt keys are only in Cine mode after the made Is frozen PIN 4701 0063 01A BASIC Operator s Manual 2 31 SonoScape SS 5000 Diagnostic Ultrasound System 2 7 8 M Tuning Key During image scanning pressing this key will optimize the image for a better quality in resolution A The Volume Visualization or 3D mode allows for the scanning a volume by hand with a regular 2D probe and the subsequent display of the volume as a three dimensional object In Real Time or 4D mode a motor driven probe is used to acquire the volume data and the volume display is updated every fractional seconds Both modes are accessible by pressing the 4D key while in B mode or Freeze mode The user may return to B mode or Freeze mode at any time by pressing the 4D key again J See the section on 3D 4D f r more details NOTE Most of the menu items in 3D and 4D are the same and provide the same functionality The menu items which are only available in 3D or only in 4D will be stated as such in their description 2 7 10 B M C D Gain Knob Turn the knob to change the overall B gain Lem througho
28. seconds Both modes are accessible by pressing the lt lt 4D gt gt key while in B mode or Freeze mode The user may return to B mode or Freeze mode at any time by pressing the lt lt 4D gt gt key again Alternatively the user may return to the Exam mode by pressing the lt lt EXAM gt gt key 3D Mode To access 3D mode the user must be in Freeze mode and have selected the cine data to be processed 1 To accomplish this press the lt lt FREEZE gt gt key while in B mode to enter the Freeze mode A slide bar will appear on the screen which represents the cine data Move the lt lt Trackball gt gt left and right to cycle through and display each frame of the cine data Now the user must select the portion of the cine to be used for the volume This can be done by moving the lt lt Trackball gt gt to display the desired starting frame Press the lt lt SET gt gt key to set a start marker Then move the lt lt Trackball gt gt to display the desired ending frame and press lt lt SET gt gt again to set an end marker The cine data between the two markers will be used in computing the volume data P N 4701 0063 01A BASIC Operator s Manual 10 1 SonoScape SS 5000 Diagnostic Ultrasound System 9 Once the starting and ending markers have been set press the lt lt 4D gt gt key to enter 3D mode 10 This will display the cine data as a rendered volume and views of the volum
29. specified time delay after the R peak FRAME COUNT Number of images to be captured after the R peak FRAME INTERVAL Sets the interval for each frame DELAY R wave to 2D update delay for Echo stress or Cardiac 3D option e INTERVAL 2D update interval for Echo stress or Cardiac 3D option gt NOTE Only the phase array probes support the R TRIGGLE 3 2 4 TISSUE CHARACTERISTICS TC INDEX TC INDEX Adjustithe Tissue Characteristics Index to achieve the appropriate beam focus and measurement calculation This function may be used to create a reference related to the tissue i e liver hardness As tissue hardness increases So does acoustic impedance and in turn sound velocity Increased sound velocity changes the speed that the sound moves through the tissue which is used in the beam forming calculation gt Default 0 corresponds to a sound speed of 1540 m s gt The 10 setting represents 1540 10 1550m s and 10 setting represents 1540 10 1530 m s The new sound speed will also affect the distance measurement MO nore Verify your TC index setting in order to ensure accurate measurement The following table is for reference only P N 4701 0063 01A BASIC Operator s Manual 3 9 SonoScape SS 5000 Diagnostic Ultrasound System Tissue Type Phase Velocity m s ar f Breast in vivo 1510 5 Fat fresh 3 2 5 DYNAMIC RANGE DYN Press lt lt left right arrow gt gt key
30. the lt lt UPDATE gt gt key and move the trackball lt lt Left Right arrow gt gt to adjust M sample line Press the lt lt Left Right arrow gt gt key to rotate t the M sample line 4 4 2 DISPLAY FORMAT also in Freeze state DISPLAYFORMAT Allow the user to configure the screen for DISPLAY FORMAT different display format i 44 Jul 23 2008 16 08 16 FPS 47 ooo D G 3 1 GN 12 I P 3 30 PWR 70 FRQ 3 4 8 D 16 5cm SWEEP SPEED 4 CHROMA 1 Herl FREQUENCY 10 VIDEO INVERT OFF M PROCESS EC LDISPLAY FORMAT V1 2 Figure 4 4 2a v1 2 Display Format PIN 4701 0063 01A BASIC Operator s Manual 4 4 SonoScape SonoScape New Site SS 5000 Diagnostic Ultrasound System C344 Jul 23 2008 16 08 16 FPS D G GN UP PWR FRQ D 47 3 1 12 3 30 70 3 4 8 16 5cm SWEEP SPEED 4 POWER CHROMA FREQUENCY VIDEO INVERT OFF M PROCESS ECG LDISPLAY FORMAT V2 3 A 0 New Site SonoScape FPS 47 D G 3 1 GN 12 IP 3 30 PWR 70 FRQ 3 4 8 D 16 5cm SWEEP SPEED A POWER 70 CHROMA 1 FREQUENCY 10 VIDEO INVERT OFF M PROCESS Peak ECG e DISPLAY FORMAT v1 3 Figure 4 4 2b v2 3 Display Format C344 Jul 23 2008 16 08 16 Figure 4 4 2c v1 3 Display Format P N 4701 0063 01A BASIC Operator s Manual 4 5 SonoScape SS 5000 Diagnostic Ultrasound System
31. the transducer from the system 3 Follow the disinfectant manufacturer s instructions for disinfecting the transducer P N 4701 0063 01A BASIC Operator s Manual 11 3 SonoScape SS 5000 Diagnostic Ultrasound System 11 2 5 Scanning the Patient Acoustic coupling must be established between the transducer and the patient This is accomplished by using an approved ultrasonic coupling gel The gel may be applied either to the physical area of the patient being scanned and or the transducer face After the examination is complete follow the cleaning disinfecting or sterilizing procedures as appropriate 11 3 Operation introduction for 6V1 6V3 Like MPTEE probe the transvaginal probe 6V1 6V3 is also an endo cavity probe for the operation safety please refer to Probe operation safety section for cleaning and disinfection 6V1 6V3 operation mode B M THI PW CFM B CFM THI B mode 11 3 1 Cleaning and Disinfecting 6V1 6V3 Probe Every time before and after each exam please clean the probe handle and disinfect the 6V1 6V3 probe using liquid chemical germicides Cleaning gt You can clean the 6V1 6V3 Probe to remove all coupling gel by wiping witha soft cloth and rinsing with flowing water gt Then wash the probe with mild soap in lukewarm water gt Scrubithe probe as needed and use a soft cloth to remove all visible residues from the 6V1 6V3 probe surface gt Rinse the probe with enough clean potable wa
32. 0 Diagnostic Ultrasound System Mo Dvice mo mnt mo 0 CD DVD Muliti Device CD DVD Rom mnt cdrom 0 USB Derice usb mnt removable 0 General Directory general general 211M Figure 2 7 2 1a File Manager Window 2 2 1 1 File manager operation To access the file manager press the lt lt MENU gt gt key on the EXAM screen and select the file manager item If a patient ID has been entered and the folder under that patient ID has files already saved the images in the folder may be displayed on the screen If apatient ID is not entered then the saved files will go under General Folder Loading USB drive requires user to click load unload USB icon or USB device directly USB device can only be accessed after USB drive is loaded Click load unload USB icon to unload USB drive when finishing USB device operation or simply exiting USB device directory USB drive can only be unplugged after it is unloaded MS wore Due to the speed limitations of the USB flash drive the LOAD UNLOAD operation involving the USB device may decrease system speed P N 4701 0063 01A BASIC Operator s Manual 2 13 SonoScape SS 5000 Diagnostic Ultrasound System 2 7 2 1 2 Functions of the File manager When entering the File manager interface there are multiple functional icons on the top of the screen Functions within a specific patient directory Go back to patient folder
33. 0 Diagnostic Ultrasound System Sterilization is the complete elimination of all forms or microbial life including spores and viruses Disinfection the selective removal of microbial life is divided into three classes e High Level Disinfection Destruction removal of all microorganisms except bacterial spores e Mid Level Disinfection Inactivation of Mycobacterium Tuberculosis bacteria most viruses fungi and some bacterial spores Low Level Disinfection Destruction of most bacteria some viruses and some fungi Low level disinfection will not necessarily inactivate Mycobacterium Tuberculosis or bacterial spores The following specific recommendations are made for the use of Endocavitary ultrasound transducers Users should also review the Centers for Disease Control and Prevention document on sterilization and disinfection of medical devices to be certain that their procedures conform to the CDC principles for disinfection of patient care equipment 1 CLEANING 1 After removal of the probe cover use running water to remove any residual gel or debris from the probe 2 Use a damp gauze pad or other soft cloth and a small amount of mild non abrasive liquid soap household dishwashing liquid is ideal to thoroughly cleanse the transducer Consider the use of a small brush especially for crevices and areas of angulation depending on the design of your particular transducer Rinse the transducer thoroughly with ru
34. 0 4 no display is needed The display increments are no greater than 0 2 for index value less than one and no greater than 1 0 for index values greater than one e g 0 4 0 6 0 8 1 2 3 Display and Report in Different Mode For B Scan Mode Only display and report MI and start from 0 4 if maximum MI gt 1 0 For Color Mode Only display and report TIS or TIB and start from 0 4 if maximum TI gt 1 0 For Doppler Mode Only display and report TIS or TIB and start from 0 4 if maximum TI gt 1 0 P N 4701 0063 01A BASIC Operator s Manual 1 12 SonoScape SS 5000 Diagnostic Ultrasound System Below is a simple guideline for the user when TI exceeds one limit exposure time to 4 6 Tl minutes based on the National Council on Radiation Protection Exposure Criteria for Medical Diagnostic Ultrasound Criteria Based on Thermal Mechanisms Report No 113 1992 Operator Control Features The user should be aware that certain operator controls may affect the acoustic output It is recommended to use the default or lowest output power setting and compensate using Gain control to acquire an image Other than the output power setting in the soft menu which has the most direct impact on the power the PRF image sector size frame rate depth and focal position also slightly affect the output power The default setting is normally around 70 of the allowable power depending on the exam icon 1 5 Environmental Requirem
35. 12 3 4 Figure2 1d Monitor Control Panel F Locating on the bottom of the display the monitor adjustment buttons are described as following 1 LCD Light Press the monitor power supply to turn on off the LCD Light 2 ENTER Press the ENTER key to enter the monitor adjustment at the same time save all of adjusting value 3 4 Minus Key Plus Key Minus Key and Plus Key are used to control the brightness and contrast as well as adjusting an item value in display menu PIN 4701 0063 01A BASIC Operator s Manual 2 4 SonoScape SS 5000 Diagnostic Ultrasound System Key System Features Vv Vv Y VW Y Y V V YV v v Y v v v v v v VW V V WV Full digital transmit and receive beam former Full digital demodulation and detection Wideband pulser receiver Super low noise TGC with high resolution ADC 12bits Progressive dynamic receive focusing Progressive dynamic aperture opening Progressive dynamic apodization Tissue sound velocity compensation Broadband full digital complex demodulation for tissue and Flow Digital match filter for color Doppler processing Minimum 80GB hard drive for in system image storage Compound imaging Tissue Harmonicimaging Trapezoidalimaging Real time triplex imaging Steer CW Doppler in phase array Steer M mode Extended view imaging High PRF for PW Doppler Up to 250 fps in 2D imaging Support dual and quad display format Color Doppler color M TDI color TDI Doppler
36. 23 SonoScape SS 5000 Diagnostic Ultrasound System 2 System Specifications 2 1 Base System Figure 2 1a SSI 5000 System Overview P N 4701 0063 01A BASIC Operator s Manual 2 1 SS 5000 Diagnostic Ultrasound System Figure 2 1b SSI 5000 System in different views 1 Monitor Exhaust Air Port Inhaust Air Port Rear Panel 2 3 4 5 Power Cable Hook 6 Castor Wheel 7 Probe Gable Hook 8 Probe Socket 9 Speaker 10 Foot Switch Port P N 4701 0063 01A BASIC Operator s Manual 2 2 SS 5000 Diagnostic Ultrasound System POWER LINE INPUT Ze eege mi 12 301 3 15AL 2500 12 47 Figure2 1c SSI 5000 Rear Panel Grounding Pole Power Switch Line Input With Fuse Box VGA Out Port VIDEO OUT S Video S Video II ECG Port Optional Printer Port Audio Out USB Port two LAN Port DICOM O o m o AS SS wh md N gt 09 P N 4701 0063 01A BASIC Operator s Manual 2 3 SonoScape SS 5000 Diagnostic Ultrasound System Display Monitor Controls Adjusting the monitor s contrast and brightness is one of the most important factors for proper image quality The figure2 1d is the system monitor control panel Contrast and brightness controls for the LCD monitor are located at the front the monitor housing Adjust the displayed image on the monitor using the brightness and contrast controls Se e ENTER SSES
37. 3 3 Ne Me 3 14 A MNOO eege 4 1 4 1 M Sample line Hostton 4 1 4 2 Activation of Mmode 4 1 4 3 M mode Operation 4 2 4 3 1 PN 4 2 12 KC 4 2 4 4 B M mode VICI WE 4 3 4 4 1 STEER M ODUOMA E 4 4 4 4 2 DISPLAY FORMAT olsomkreezestaiel 4 4 4 4 3 VIDEO INVERT M active also in Freeze state 4 7 4 44 MPROCESS M achvei 4 7 4 5 CDI M mode Menu 4 7 4 5 1 STEE 4 8 4 5 2 FLOW INVERT also in Freeze estate 4 9 P N 4701 0063 01A BASIC Operator s Manual III SonoScape SS 5000 Diagnostic Ultrasound System 5 PW and CW Mode side sicsccceccceccexedecccccctexcnsseterenstctatenstesstenseeie 5 1 5 1 PW Sample Volume Adjustment rrrrnnrrnnornnrrranernrnrannnnnennn 5 1 5 2 Activation of PW CW Mode r rrnnnnnnnonnnrnrannranennnennnnnrnnnnnnennn 5 2 5 3 PW CW Mode Operation rrrnnnnnnrnnnnnranennnennnrnrnnnvnnrnnnnennnnnnn 5 3 5 3 1 PIV CAIN E 5 3 502 E BI 5 3 SPEER ene A ee ene eee te 5 4 IA PRE re 5 4 55 PR ee ee ee ee ee eee 5 4 5 4 PW CW Mode Menu 5 5 5 4 1 PEN Ge 5 7 542 UP DOWN E Gene 5 7 543 DREFRE EE Cee 5 7 5 4 4 DISPLAY FORMAT also in Freeze stater 5 7 545 STEER LE E e E 5 8 5 4 6 SWEEP SPEED also in Freeze state i rrrrrrrrrrnnrennn 5 8 547 E BI WE 5 8 5 4 8 ANGLE CORRECT Ta e 5 9 5 4 9 WALL FILTER WE KR 5 9 5110 Pe CW E 5 9 5 5 PW B Color Information Triplex Mode 5 10 6 EINEN 6 1 6 1 CDI Sample Box Adiusiment 6 1 6 2 CDI Mode Cpoeraton X o n nennnann
38. 4 6 or 8 second sweeping rate over the screen The time mark will be displayed at the bottom of the Doppler spectrum 5 4 7 BASELINE Allow the user to move the baseline up or BASELINE down for spectral Doppler Function replicable by the BASELINE hot key paddle P N 4701 0063 01A BASIC Operator s Manual 5 8 SS 5000 Diagnostic Ultrasound System 9 4 8 ANGLE CORRECT Turn on or off the angle correction cursor on ANGLE CORRECT the display 5 4 9 WALL FILTER WF We Press the left right arrow key to select different wall filter It is used to eliminate Doppler noise that is caused by vessel wall or cardiac wall motion and that is low in frequency but high in intensity Use a wall filter that is high enough to remove the audible thumping of the cardiac walls 5 4 10 PW lt CW Press lt lt Menu gt gt the key and use the lt lt L R gt gt PVW CWwW arrow key to convert between PW and CW PIN 4701 0063 01A BASIC Operator s Manual 5 9 SonoScape SS 5000 Diagnostic Ultrasound System 5 5 PW B Color Information Triplex Mode Triplex mode is the simultaneous real time display of B mode Spectral Doppler and Color Doppler There are two possibilities to combine Pulsed Continuous Wave Doppler PW CW with Color Information 1 PW B mode Color Doppler mode CFM If setting the 2D REFRESH item as ON in real time CFM mode then you can enter the PW B CFM t
39. 5000 Diagnostic Ultrasound System MS nore Switch between B and M modes in the real time mode by pressing the lt lt UPDATE gt gt key 4 3 M mode Operation 4 3 1 GAIN In B M mode please refer to section 3 1 1 B GAIN In CDI M mode please refer to section 3 1 1 B GAIN TGC setting review section 3 1 4 TGC any PIN 4701 0063 01A BASIC Operator s Manual 4 2 The following shows the menu for the M mode B active SonoScape SS 5000 Diagnostic Ultrasound System 4 4 B M mode Menu FOCAL NUMBER FOCAL SPAN ECG DYN GSC PERSIST CHROMA SEC WIDTH SEC POS LINE DENSITY FREQUENCY UP tf I DOWN LT lt RT POWER STEER M DISPLAY FORMAT Figure Ia M Mode B active Menu The following shows the Soft key assignment for the display in tive when pressed lt lt Update gt gt key Z Q SWEEP SPEED POWER CHORMA FREQUENCY 10 VIDEO INVERT OFF M PROCESS Peak ECG Te DISPLAY FORMAT v1 2 Figure 4 4b M Mode Menu in Update state P N 4701 0063 01A BASIC Operator s Manual 4 3 SonoScape SS 5000 Diagnostic Ultrasound System The following shows the Soft key assignment for the display in M mode M active when pressed lt lt FREEZE gt gt key SWEEP SPEED CHROMA VIDEO INVERT DISPLAY FORMAT START END FRAME BY FRAME Figure 4 4c M Mode Menu in Freeze state 4 4 1 STEER M Optional Turn on or off the STEER M on the display STEER M S Press
40. 5000 Diagnostic Ultrasound System The following shows the Soft key assignment for the display in PW mode Doppler active when pressed lt lt FREEZE gt gt key SWEEP SPEED CHROMA VIDEO INVERT DISPLAY FORMAT START END FRAME BY FRAME Figure 5 4d PW CW Mode Menu in Freeze state 9 4 1 DYN 9 4 2 UP DOWN Change the Dynamic_Range of the Spectral Doppler output display Select the orientation of the image Refer to the section for Up Down hard key for more details 9 4 3 2D REFRESH 2D REFRESH 5 4 4 DISPLAY FORMAT also in Freeze state The 2D soft menu controls the 2D refresh on off Turn simultaneous triplex mode either on or off in Spectral Doppler mode Allow the user to configure the screen for DISPLAY FORMAT different display format P N 4701 0063 01A BASIC Operator s Manual 5 7 SonoScape SS 5000 Diagnostic Ultrasound System 5 4 5 STEER ANGLE STEERANGLE Change PW cursor steering directions in the STEER ANGLE flat probe using the left and right and center selection The steering angle is probe dependent and the default is 16 degrees For linear array probe the function can be directly fulfilled by pressing lt lt UP DOWN gt gt arrow key in active current mode MS nore The sector probe does not have a steering angle 5 4 6 SWEEP SPEED also in Freeze state Set the sweeping speed for the PW CW Doppler time motion The system offers a choice of a 2
41. AN This function uses the ROI to erase unwanted artifacts fro the dataset by deleting all volume data enclosed by the ROI e Be sure to leave CROP mode before selecting CLEAR ROI otherwise a blank volume view will be displayed The Clear ROI can be undone by selecting RESTORE ROI which will restore the last set of data deleted by a CLEAR ROI There is only one level of restore in the case of multiple clears only the most recently deleted data can be restored P N 4701 0063 01A BASIC Operator s Manual 10 7 SonoScape SS 5000 Diagnostic Ultrasound System 10 2 3 CROP em oo If CROP mode is turned on only the volume data inside the ROI is displayed The ROI can still be dynamically resized and moved while in this mode with the volume rendering reflecting the changes 10 2 4 ROI MODE ROIMODE e If ROI MODE is on the ROI can be ROI MODE manipulated as described in the section ROI Manipulation e If ROI MODE is off pressing the lt lt SET gt gt key and moving the trackball in a sectional view will traverse through the view as described in the section Sectional View Traversal 10 2 5 HIDE ROI HDERO e If HIDE ROI is on the RO box will not be HIDE ROI displayed e Turning this on will automatically set ROI MODE to off 10 2 6 RENDER MODE RENDER MODE This will set the render method for the volume view By default the rendering mode is Volume rendering Vol
42. EE 10 8 1026 RENDER Oe RE 10 8 1027 PO ares nn E EE 10 10 1928 TRACE CUT EE 10 11 1029 UNDOCUU ee Eege ra 10 13 10 2 10 EBL ged cee ee eee ee oe ee eee 10 13 10 2 11 OPACITY OFF E 10 13 10 2 12 OPACITY SLOPE aren nem omen reer es 10 14 10 2 13 SCAN METHOD only in ADi ee eeeeee ees 10 14 10 214 Z SCALE only in 3D rerorernnrrnnrerarrrnnrrranevnnnnnn 10 15 10 2 15 Z ANGLE only in 3D pe 10 15 10 2 16 SWEEP ANGLE only in 4D rerorereronrorarernnrnnnre 10 16 10 2 17 CINE REVIEW only in AID 10 16 10 2 18 RESCAN only in 4D rrrorrrrnnrrrnrrnrarnvarennnennnnennn 10 17 10 2 19 DUAL DISPLAY EE 10 18 10 2 20 DP PAN 10 19 10 2 21 FULE DISPLAY Lunner 10 20 10 3 ROI Manipulation cccccccceccceeeceeeeeeeeeeeeeeeeaeeeseeesaues 10 21 10 4 Sectional View Traversal rrranrannnrnnnnnranennnennnrnnnnernnennnnn 10 21 10 5 SEG 610 E 10 22 10 6 Saving A screenshot 10 23 10 7 Pinus 10 23 The Probe Transducer scsscccevecsdcesiesercasteasdesvdesscessceeieteiencts 11 1 11 1 General Description and Specifications cccccceeeeeeee 11 1 11 2 Operating Instructions for the Probes aannannannannnnanennnn 11 1 P N 4701 0063 01A BASIC Operator s Manual V SonoScape SS 5000 Diagnostic Ultrasound System NNN WT Ce ere In BEE 11 1 1122 WARNING E 11 2 11 2 3 Connecting and Disconnecting a Transducer 11 2 11 2 4 Cleaning and Dsmmtechnmg 11 3 11 2 5 Scanning
43. M image The ZOOM function can be applied in the B Color GA CPA and M modes Press the lt lt ZOOM gt gt key to access the ZROI e Use the lt lt Trackball gt gt to pan the ZROI on the 1x image or press the lt lt SET gt gt key to toggle the Trackball function between the ZROI positioning to the ZROI size adjustment Magnification of the original image is limited to 2cm while maximum zoom ratio is limited to half of the original image depth The system provides up to a 10x zoom factor with a 20 cm depth on the original image and a 2cm ZROI size amp After panning the ZROI on the desired spot press the lt lt ZOOM gt gt key again to magnify full screen ZROI based upon the new center of ZROI Press the lt lt ZOOM gt gt key again to return to the 1x image and exit ZOOM mode In the ZOOM mode the Trackball provides real time image panning The system will momentarily switch back to the originaNmage size to show the relative position of the ZROIbox for easy panning The system can pan only within the boarder of the original image ZOOM mode is only available in Color and B modes including B only B under M and Doppler mode 2 7 17 Report key During any exam in freeze mode after the measurement calculations have been done Pressing lt lt Report gt gt key a report with the measurements will be automatically generated for you Refer to REPORT section for more detail P N 4701 0063 01A BASIC Operator
44. O FOCAL SPAN ECG N TC INDEX DYN GSC PERSIST CHROMA SEC WIDTH SEC POS LINE DENSITY BIOSY COMPOUND FREQUENCY Q LT lt RT IC IMAGE PROCESS C gt T Scan The Trapezoid mode is only y POWER available with TRAPEZOID linear probes Figure 3 2a B Mode Menu in real time state P N 4701 0063 01A BASIC Operator s Manual 3 6 SonoScape SSI 5000 Diagnostic Ultrasound System The following shows the Soft key Control menu for the display in B mode when press the lt lt FREEZE gt gt key CHROMA LT RT PLAY STOP LOOP SPEED START END FRAME BY FRAME v1 2 Figure 3 2b B Mode Menu in Freeze state 3 2 1 FOCAL NUMBER Press lt lt left right ARROW gt gt key to increase or FOCAL NUMBER decrease the number of the transmitted focal zone over the depth A red small triangle on the depth scale at each focal zone indicates the area of transmit that has been 3 2 2 FOCAL SPAN FOCAL SPAN Press lt lt left right ARROW gt gt key to set the focal span over the number of currently defined focal zones 3 2 3 ECG Optional Available only when the ECG module is installed Allow the user to set up ECG trace gain position trigger delay and inversion Refer ECG Control for more detail The ECG module is an optional device which provides the 3 lead ECG signal acquisition for cardiac application P N 4701 0063 01A BASIC Operator s Manual 3 7 SonoScap
45. SonoScape 951 5000 Digital Color Doppler Ultrasound System Operation Manual BASIC OPERATOR S MANUAL VOLUME 1 SonoScape Co Ltd CE 0434 SonoScape SS 5000 Diagnostic Ultrasound System Regulatory Requirement This product complies with regulatory requirements of the following European directive 93 42 EEC concerning medical devices CE 0434 P N 4701 0063 01A BASIC Operator s Manual 1 SonoScape SS 5000 Diagnostic Ultrasound System TABLE OF CONTENTS 1 System Safety and Maintenance rnnnnnnnnnnnnnnnnnnnnnnnnnunnnunnn 1 1 1 1 Safety Overview rrrrnnrnarenanrrnnnrnanrnnnrnnnnnnanenanennnsnnanennnennnnn 1 1 1 2 WARNING Symbols ccccccceecceeeeceeeeeeeeceeteeeeseeeseeesaeeeaes 1 3 1 3 Biological Gatetv rsdn 1 4 1 4 Scanning Patients and Educaton Ee 1 5 1 4 1 Safe Scanning Guideline aann0nnanenneen anene Ee ann 1 6 1 4 2 Understanding the MI TI Display rrorrrrnrrrorrrrbarnanennn 1 8 1 5 Environmental Requirements ccccecceeeedeseueeeeseeeeeeees 1 13 1 6 Transport and Storage Environmental Requirements 1 14 1 7 Electrical Heouremente le 1 14 1 8 Electrical Gatetv ube 1 15 1 9 Transducer Maintenance igdeeeeeeeeeeeeaeeeeeeseeeaeees 1 16 1 10 System Positioning Transporting v r rrarrnnnrrranrrnnrnrannranennne 1 22 1 10 1 Moving the Gvasiem 1 22 1 10 2 Transporting the System rrnnrnnnrernrrnnrnranerannnranennne 1 23 2 System
46. The fractional reduction in intensity caused by attenuation is deNOTEd by the de rating factor Re Rp 10 0 1 a f 2 Where a is the attenuation coefficient in dB cm 1 MHz 1 f is the transducer center frequency and z is the distance along the beam axis between the source and the point of interest De rating factor RF for the various distances and frequencies with attenuation coefficient 0 3dB cm 1 MHz 1 in homogeneous soft tissue is listed in the following table An example is if the user uses 7 5MHz frequency the power will be attenuated by 0750 at 5cm or 0 3x7 5x5 11 25dB The De rated Intensity is also referred to as 3 at the end e g Ispta 3 PIN 4701 0063 01A BASIC Operator s Manual 1 9 SonoScape SS 5000 Diagnostic Ultrasound System Distance Frequency MHz cm 1 3 Z 7 5 1 0 9332 0 8128 0 7080 0 5957 2 0 8710 0 6607 0 5012 0 35546 3 0 8126 0 5370 0 3546 0 2113 4 0 7586 0 4365 0 2512 0 1259 i 0 7080 0 3548 0 1778 0 0750 6 0 6607 0 2684 0 1259 0 0447 T 0 6166 0 2344 0 0891 0 0266 G 0 5754 0 1903 0 0631 0 0158 RF Where I is the intensity in soft tissue I 15 the time averaged intensity measured in water Tissue Model Tissue temperature elevation depends on power tissue type beam width and scanning mode Six models are developed to mimic possible clinical situations Thermal Compositione Node Specification Typ appe Models E JE E NEI SO tissues Unscannede Large Liver P
47. a possibility of minor damage to neonatal lung or intestine If such exposure is necessary reduce the exposure time as much as possible MI gt 0 7 There is a risk of cavitation if an ultrasound contrast agent containing gas micro spheres is being used There is a theoretical risk of cavitation without the presence of ultrasound contrast agents The risk increases with MI values above this threshold TI gt 0 7 The overall exposure time of an embryo or fetus should be restricted in accordance with Table 2 4 1 below as a reference Maximum exposure time minutes Table 2 4 1 Maximum recommended exposure times for an embryo or fetus P N 4701 0063 01A BASIC Operator s Manual 1 7 SonoScape 1 4 2 SS 5000 Diagnostic Ultrasound System 11 Non diagnostic use of ultrasound equipment is not generally recommended Examples of non diagnostic uses of ultrasound equipment include repeated scans for operator training equipment demonstration using normal subjects and the production of souvenir pictures or videos of a fetus For equipment of which the safety indices are displayed over their full range of values the TI should always be less than 0 5 and the MI should always be less than 0 3 Avoid frequent repeated exposure of any subject Scans in the first trimester of pregnancy should not be carried out for the sole purpose of producing souvenir videos or photographs nor should their production involve increasing the
48. allbladder or heart chambers In real time B CFM DPI mode Press the lt lt THI gt gt key to enter the THI mode When entering the THI mode the THI icon appears on the lower left corner of the imaging screen gt NOTE Tissue Harmonic Imaging is only available with harmonics capable transducers PIN 4701 0063 01A BASIC Operator s Manual 3 14 SonoScape SS 5000 Diagnostic Ultrasound System 4 M Mode By pressing the lt lt M gt gt key the M mode is switched on in the preparation mode B PW CW mode only the M sample line appears on the active B image 4 1 M Sample line Position When you enter the M mode at the first time the M Sample line is in the default position After pressing the lt lt M gt gt key adjust the M sample line using the trackball in the B single image 4 2 Activation of M mode Press the lt lt UPDATE gt gt key and B mode and M mode trace are active The screen is divided asymmetrically In the image above the B image appears In the image below the M mode trace starts running The lt lt Freeze gt gt key stops the B image and M mode trace press the lt lt Freeze gt gt key again to return to the previous mode New Site C344 SonoScape Jul 23 2008 16 08 16 FPS 47 D G 3 1 GN 12 I P 3 30 PWR 70 FR 3 4 8 D 16 5cm MPR PEK SR 4 GN 7 PWR 70 Figure 4 2a Enter M mode in Update state P N 4701 0063 01A BASIC Operator s Manual 4 1 SonoScape SS
49. aved exams will appear as a new icon on the Exam Menu screen P N 4701 0063 01A BASIC Operator s Manual 2 49 SS 5000 Diagnostic Ultrasound System User Pre Set Menu Create New Exam Delete Exam Exit Figure 2 11 2a Create New Exam Window SonoScape NE Ste User Pre Set Menu Name for the new Exam Click OK after enter the exam name by typing alphanumeric keys Glick CANCEL will do nothing CANCEL OK Figure 2 11 2b Name for the new Exam Window P N 4701 0063 01A BASIC Operator s Manual 2 50 SonoScape SS 5000 Diagnostic Ultrasound System 2 11 3 Delete User Defined Exam Icon Select Delete Exam from the user define exam icon menu screen The system will display the existing user defined exams Select an exam icon using the lt lt Up and Down ARROW gt gt eys and click OK to delete the Exam Click CANCEL to return to the previous menu and abort the action The system will ask for user Confirmation at each deletion User Exam settings are saved in the system and can be activated through the normal Exam selection SonoScape New Steg User Pre Set Menu Delete Exam FOETUS HEART DIFFICULT CANCEL OK Figure 2 11 3a Delete Exam Window PIN 4701 0063 01A BASIC Operator s Manual 2 51 SonoScape SS 5000 Diagnostic Ultrasound System 3 B Mode Press lt lt B gt gt key to change from another mode to B mode d
50. below the line is discarded during rendering Press the lt lt UPDATE gt gt key to control the cutoff line Move the lt lt Trackball gt gt I to change the position of the cutoff line or the position of the control point Pressing the lt lt UPDATE gt gt key will toggle between changing the line position or the control point position 1 2 3 gt NOTE Changes made in this mode willnot take effect until the motor IS restarted 10 1 3 Change the DEPTH In 4D mode the user is allowed to change the depth setting To increase or decrease the depth the user may use the lt lt DEPTH gt gt toggle switch Ol Ifthe motor is not running the new depth will go into effect GEERT after the motor is restarted Ifthe motor is running the new depth will go into effect immediately and will reflect in subsequent volume acquisitions P N 4701 0063 01A BASIC Operator s Manual 10 6 SonoScape 10 2 Menu Options 3D Menu CLEAR RO RESTORE RO CROP ROI MODE HIDE ROI RENDER MODE AUTO ROTATE TRAGE CUT UNDO CUT CLIP PLANE OPACITY OFFSET OPACITY SLOPE SCAN METHOD Z SCALE Z ANGLE 10 2 1 Clear ROI CLEAR ROI 10 2 2 RESTORE ROI BS nore SS 5000 Diagnostic Ultrasound System 4D Menu Optional CLEAR ROI RESTORE ROI CROP ROI MODE HIDE ROI RENDER MODE AUTO ROTATE TRACE GUT UNDO CUT CLIP PLANE OPACITY OFFSET OPACITY SLOPE CINE REVIEW SWEEP ANGLE RESC
51. der the CROI Both images on the screen will be active Use the lt lt L R gt gt key to flip the left right orientation of the images Use the lt lt UP DOWN gt gt key to flip the up down orientation of both active images Press the lt lt Dual gt gt key again to return to the normal color mode PIN 4701 0063 01A BASIC Operator s Manual 2 44 SonoScape SS 5000 Diagnostic Ultrasound System MS ore Only One image is active at a time MS vore When in DUAL mode switch between the B and colormodes by pressing the lt lt B gt gt key or lt lt CDI DPI gt gt keys respectively 2 8 10 LIR Key In single image mode use lt lt L R gt gt key to flip the image between the left and right orientations In dual mode use it to set the active image for the display as described in the lt lt Dual gt gt key description 2 8 11 UP DOWN Key Reverse the 2 D B or color image orientation 180 degrees Cl 2 8 12 PRF Paddle Use these keys to increase UP or decrease DOWN the PRF setting in the color or Spectra Doppler modes IS In CW mode the PRF paddle changes the spectrum scale T T 2 8 13 BASELINE Paddle Use these keys to control the zero velocity Baseline shifting In Color mode the maximum detectable velocity is stretched In Spectra Doppler mode the spectrum is wrapped around ED P SO AA E Fa mM P N 4701 0063 01A BASIC Operator s Manual 2 45 SonoScape SS 5000
52. ds the depth range of the B image is reduced and the display size of the image is magnified d am NOTE The maximum andminimum depth depends on the selected probe The actual depth in cm is displayed in left side of the sceen Freeze mode The displayed B image is positioned again on the monitor without change in the depth range 3 1 3 FOUCS The selected focal zone determines the depth range of optimized sharpness of the ultrasound beam The marker red triangle mark the position of the focal zone s Flip the Depth control downwards or upwards to select the depth position of the actual focus zone The marker red triangle mark the depth position of the focal zone FOCUS P N 4701 0063 01A BASIC Operator s Manual 3 2 SonoScape SS 5000 Diagnostic Ultrasound System 3 1 4 TGC The TGC slider controls vary the gain in certain depths of the 2D image to allow an exact compensation for the attenuation of the echoes over depth x TGC slide controls to selectively adjust the brightness in kg depth Slide a slide control to the left to decrease the gain in the corresponding specific B depth Slide a slide control to the right to increase the gain in the corresponding specific B depth MS ore The standard adjustmentof the sliders is the middle position because of the preset time gain compensation for each scanhead The setting of the sliders is not st
53. ducer may be damaged if the temperature IS above 150 F 66 C Do not immerse completely in liquid If the whole transducer is immersed in the liquid permanent damage may occur Do not immerse past the transducer binding line 12 2 Acoustic Intensity Information Acoustic output See appendix A of ADVANCE OPERATOR S MANUAL for detailed information Explanation of In Situ For any specified spatial peak intensity in water the estimated In Situ spatial peak intensity at the same distance from the transducer can be made from the following equation P N 4701 0063 01A BASIC Operator s Manual 12 2 SonoScape SS 5000 Diagnostic Ultrasound System k ly exp 0 069 fz Where It is the estimated In Situ intensity lw is the measured intensity in water f is the ultrasonic frequency or the center frequency of the pulse in MHz and z is the distance from the face of the transducer assembly to the point of measurement in cm 12 3System Service method When any abnormality occurs shut off the power supply and inform the customer service center A service engineer will be sent to provide service Make detailed NOTEs of any abnormal phenomena to help service personnel and shorten service time If fuse 50T 1T3 15AL 250V fails it can be replaced with the fuse came with this unit Additional fuses can be purchased from the retailers 12 4 Service responsibility The system is a precise electronic system Only an auth
54. e SSI 5000 Diagnostic Ultrasound System In the cardiac application the ECG trace is display on the lower portion of the screen For echo stress or Cardiac 4D the R wave triggering is used to gate or synchronize the image acquisition The user can define time delay after R wave The ECG has three leads LL left leg RED LA left arm BLACK RA right arm WHITE LL is for reference which usually provides a bias voltage from the ECG module and the RA LA are the two signals from the body and going to the differential input of the ECG isolation amplifier gt NOTE The ECG module is only used for the 3 lead ECG signal acquisition and display and can not replace ECG monitor Electrocardiograph The ECG control is in the soft menu available for the cardiac probe it allows the user to set up the following control MAIN MENU FCG FCG GAIN ECG POSITION ECG INVERT R TRIGGER MAIN MENU Return to main submenu ECG ON OFF Turn on off the ECG trace ECG GAIN Increase or decrease the ECG gain ECG POSITION Set the ECG trace position ECG INVERT Invert ECG trace 99 gt R TRIGGER This will turn on the ECG detection for R peak in the PQRST wave R TRIGGER TRIGGER DELAY FRAME COUNT FRAME INTERVAL P N 4701 0063 01A BASIC Operator s Manual 3 8 SS 5000 Diagnostic Ultrasound System TRIGGER DELAY This sets a delay to R Trigger so the image that will be captured is the image after a user
55. e of tissue temperature Three forms of TI are available TIS for soft tissue exposures TIB for instances when bone lies near the beam focus and TIC for the heating of bone situated close to the transducer P N 4701 0063 01A BASIC Operator s Manual 1 4 SonoScape SS 5000 Diagnostic Ultrasound System Cavitation Cavitation may occur when sound passes through an area that contains a cavity such as a gas bubble or air pocket in the lung or intestine for example During the process of cavitation the sound wave may cause the bubble to contract or resonate This oscillation may cause the bubbles to explode and damage the tissue The Mechanical Index MI has been created to help users accurately evaluate the likelinood of cavitation and the related adverse effects 1 4 Scanning Patients and Education The Track 3 or IEC60601 2 37 output display standard allows users to share the responsibility for the safe use of this ultrasound system Follow these usage guidelines for safe operation amp In order to maintain proper cleanliness of the transducers always clean them between patients Always use a new disinfected sheath on all EV ER probes during every exam Continuously move the probe rather than staying in a single spot to avoid elevated temperatures in one part of the patients body Move probe away from the patient when not actively scanning Understand the meaning of the TI TIS TIB TIC and MI o
56. e as slices along the X Y and Z axis CLEAR ROl RESTORE ROI CROP FOI MODE HIDE RO RENDER MODE AUTO ROTATE TRACE CUT UNDO CUT CLIP PLANE OPACITY OFFSET OPACITY SLOPE SCAN METHOD Figure 10 1a Enter 3D Mode in Freeze state 11 To return to Freeze mode press the lt lt 4D gt gt key at any time 4D Mode Optional To access 4D mode press the lt lt 4D gt gt key while in B mode Initially a 2D display will be displayed along with a cutoff box and cutoffline which allows the user to specify the region to be rendered see Cutoff Box Line for more information Once the user has positioned the probe appropriately in 2D the user has two options 1 Press lt lt FREEZE gt gt to do a single high quality scan The motor will automatically be started and stopped in this case 2 Press lt lt DUAL gt gt lt lt QUAD gt gt or lt lt FULL 3D DISP gt gt to continuously run the motor and display the acquired data in real time The motor will not be automatically stopped in this case In either case it is important to keep the probe steady during the data acquisition to prevent the rendered volume from being distorted P N 4701 0063 01A BASIC Operator s Manual 10 2 SonoScape SS 5000 Diagnostic Ultrasound System While the motor is running most of the menu options and volume manipulation functions will be disabled To enable the menu options and volume manipulation functionality press
57. e the probe according to the germicide manufacturer s rinsing instructions Flush all visible germicide residues from the probe and allow to air dry P N 4701 0063 01A BASIC Operator s Manual 11 5 SonoScape SS 5000 Diagnostic Ultrasound System 11 3 2 Operating 6V1 6V3 probe 6V1 6V3 transvaginal probe should be used with FDA approved condom or probe cover Below are the instructions to put the probe into the condom Le CAUTION 1 Some patients may be allergic to natural rubber or medical device with rubber contains FDA suggests that the user to identify these patients and be prepared to treat allergic reactions promptly before scanning Only water solvable solutions or gel can be used Petroleum or mineral oil based materials may harm the cover The following is the 6V1 6V3 operation procedure 1 Put on medical sterile glove Get the condom for the package Unfolded the condom Load some ultrasound gel into condom Take fe condom with one hand and put the probe head into the condom Fasten the condom on the end of the probe handle Confirm the integrity of the condom and repeat the above steps to replace the condom if any damage to the condom is found P N 4701 0063 01A BASIC Operator s Manual 11 6 SonoScape SS 5000 Diagnostic Ultrasound System 12 System Maintenance The system is a precise electrical device To ensure the best performance and operation of the system observe proper
58. een Doppler and 2 D update mode In 3D 4D mode pressing this key will rotate the 3D volume along X and Y axis In 3D 4D mode pressing this key will toggle in between ROI positioning and resizing In 3D 4D mode when Clip Plane is turned on pressing this key will toggle in between regularycursor movement and rotating the clip plane 2 8 5 AUDIO Volume Knob E Dan Du Adjust the audible Doppler audio volume in Doppler mode AUDIO MS nore This knob is used to control the screen brightness in B mode Ss 2 8 6 Time Gain Compensation TGC slider Manipulate the TGC with 8 pairs of sliders Alter any of these sliders to display the TGC graphic on the screen Move the slider bar left or right to decrease or increase B gain for the desired section in the B mode only The TGC graphics will disappear from the screen when the slider has been inactive for two seconds PIN 4701 0063 01A BASIC Operator s Manual 2 41 SonoScape SS 5000 Diagnostic Ultrasound System 2 8 7 MENU Key Pressing the lt lt MENU gt gt key under different Mode activates the corresponding Soft Menu dialog box for that particular mode Use the lt lt Up Down ARROW gt gt keys or lt lt Trackball gt gt to select the menu items in the soft menu Use the lt lt Left Right ARROW gt gt keys to change menu items value Use the lt lt SET gt gt key to confirm the entry MS yore
59. efore moving the system 1 2 Completely power down the system Unplug the power cord if the system is plugged in Disconnect all cables from off board peripheral devices external printer etc from the console To prevent damage to the power cord DO NOT pulls excessively on the cord or sharply bends the cord while wrapping it Store all probes in their original cases or wrap them in soft cloth or foam to prevent damage Store gel and other essential accessories in the appropriate storage case P N 4701 0063 01A BASIC Operator s Manual 1 22 SonoScape SS 5000 Diagnostic Ultrasound System CAUTION Always use the handle to move the system The system weighs around 93 kg In order to avoid physical harm or equipment damage gt Do not let the system strike walls or doorframe gt Lift and walk slowly and carefully when moving the system 1 10 2 Transporting the System Use extra care when transporting the system in a vehicle After preparing the system as described above take the following additional preCAUTIONSs gt Before transporting place the system in its specialized storage case gt Secure the systemfirmly with straps or as directed otherwise within the vehicle to prevent movement during transport gt Drive carefully to prevent damage from vibration Avoid unpaved roads excessive speeds and erratic stops or starts P N 4701 0063 01A BASIC Operator s Manual 1
60. ents The following environmental conditions are within system tolerances for operation Relative Humidity 30 75 non condensing Temperature 10 C 40 C Atmosphere Pressure 700 1060hPa Strong radiation sources or powerful electromagnetic waves e g electromagnetic waves from radio broadcasting may result in image ghosting or noise The system should be isolated from such radiation sources or electromagnetic waves P N 4701 0063 01A BASIC Operator s Manual 1 13 SonoScape SS 5000 Diagnostic Ultrasound System 1 6 Transport and Storage Environmental Requirements The following environmental transport and storage conditions are within system tolerances Temperature 5C 40 C Relative Humidity lt 80 non condensing Pressure 700 1060hPa 1 7 Electrical Requirements Power Requirements 100 Volts AG 3 3 Amps 120 Volts AG 2 7 Amps 230 Volts AG 1 4 Amps 250 Volts AG 1 3 Amps Power Consumption 330 watts max Main unit voltage Maintain a fluctuation range of less than 10 or the system may be damaged Grounding Before connecting the power cable connect the attached ground protection cable to a specialized grounding device P N 4701 0063 01A BASIC Operator s Manual 1 14 SonoScape SS 5000 Diagnostic Ultrasound System MS vore 1 Please adhere to the outlined power requirements Only use power lines that meet the system guidelines failure to follow these procedures may re
61. erted wmv clip or jpg image over and unload USB and take it to PC with MediaPlayer for review gt WARNINGS DO NOT convert cine clips taken from other system with system software earlier than version 2 0 0 1 Unexpected result may happen gt Export DCM to Remote SCU Open patient folder and select image with system format PPM Click ExportDICOM icon at the top of the screen The selected image will either be exported to the remote station or to the media storage depending on the configuration set under the system menu Please see DICOM configuration for detail settings Pressing this key will take you back to File Management vore This option does not work with General Directory PIN 4701 0063 01A BASIC Operator s Manual 2 15 SonoScape SS 5000 Diagnostic Ultrasound System 2 2 2 Facility Name and or Department Display To enter a facility Name simply type the new facility name in text box and press the ENTER or SET key to save the changes The screen will be updated after exiting SYSTEM CONFIGURATION New Sit SonoScape New Site Facility Name New site Help change facility name by typing alphanumeric keys e OK Figure 2 7 2 2a File Name Window PIN 4701 0063 01A BASIC Operator s Manual 2 16 SonoScape SS 5000 Diagnostic Ultrasound System 2 7 2 3 Set Date Time Adjusts current Time and Date
62. esents a statistical reduction in the number of microbes present on a surface Meticulous cleaning of the instrument is the essential key to an initial reduction of the microbial organic load by at least 99 This cleaning is followed by a disinfecting procedure to ensure a high degree of protection from infectious disease transmission even if a disposable barrier covers the instrument during use Medical instruments fall into different categories with respect to potential for infection transmission The most critical level of instruments are those that are intended to penetrate skin or mucous membranes These require sterilization Less critical instruments often called semi critical instruments that simply come into contact with mucous membranes such as fiber optic endoscopes require high level disinfection rather than sterilization Although endocavitary ultrasound probes might be considered even less critical instruments because they are routinely protected by single use disposable probe covers leakage rates of 0 9 2 for condoms and 8 81 for commercial probe covers have been observed in recent studies For maximum safety one should therefore perform high level disinfection of the probe between each use and use a probe cover or condom as an aid in keeping the probe clean There are four generally recognized categories of disinfection and Sterilization P N 4701 0063 01A BASIC Operator s Manual 1 17 SonoScape SS 500
63. exposure levels or extending the scan times beyond those needed_for clinical purposes 12 Diagnostic ultrasound has the potential for both false positive and false negative results Misdiagnosis is far more dangerous than any effect that might result from the ultrasound exposure Therefore diagnostic ultrasound should be performed only by those with sufficient training and education Understanding the MI TI Display Track 3 follows the Output Display Standard for systems which include fetal Doppler applications The acoustic output will not be evaluated on an application specific basis but the global maximum de rated Ispta must be lt 720 mW cm and either the global maximum MI must be lt 1 9 or the global maximum de rated Isppa must be lt 190 W cm An exception is for ophthalmic use in which case the M max TIS_as TIC is not to exceed 1 0 Ispta 3 lt 50mW cm and MI lt 0 23 Track 3 gives the user the freedom to increase the output acoustic power for a specific exam and still limit output acoustic power within the global maximum de rated Ispta lt 720 mW cm under an Output Display Standard For any diagnostic ultrasonic systems Track 3 provides an Output Indices Display Standard The diagnostic ultrasound systems and its operator s manual contain the information regarding an ALARA As Low As Reasonably Achievable education program for the clinical end user and the acoustic output indices MI and TI PIN 4701 0063 01A
64. eze mode press the lt lt CDI gt gt key to toggle the system onto or off of the color region of interest and view the frozen B only image This function also applies to cine play back mode Press the lt lt FREEZE gt gt key in freeze mode and return to CDI active mode regardless of the toggle state P N 4701 0063 01A BASIC Operator s Manual 2 25 SonoScape SS 5000 Diagnostic Ultrasound System Press the lt lt DPI gt gt key to turn on the Doppler Power Imaging also called Color Power Angio CPA mode if the system is in B mode and DPI Triplex if the system is in Duplex Doppler Move the lt lt Trackball gt gt to change the CROI position Press the lt lt SET gt gt key to toggle the lt lt Trackball gt gt for CROI re sizing Press the lt lt SET gt gt key a second time to toggle the lt lt Trackball gt gt function back to the CROI position Press the lt lt DPI gt gt key a second time to turn off DPI and return to the previous mode either B mode or Duplex Doppler PW CW key Press the lt lt PW CW gt gt key to turn on the Doppler duplex mode if the current state is B and triplex if the current state is CDI or DPI Press lt lt PW CW gt gt key a second time to turn the Spectral Doppler off and return to the previous mode When entering the Duplex or Triplex Doppler mode for the first time the Spectral Doppler is not active but the Doppler Range Gate appears at the defa
65. ff the application will simply display the most recently acquired data If RESCAN is on the application will reconfigure the motor and attempt to rescan the volume at a higher resolution before displaying the data If RESCAN is on the probe should be held steady until the rescan is complete This option canbe used to allow fast scanning at a lower resolution in order to surveysa location of interest Once this location is found the higher resolution volume can then be used for diagnostic purposes P N 4701 0063 01A BASIC Operator s Manual 10 17 SonoScape SS 5000 Diagnostic Ultrasound System 10 2 19 DUAL DISPLAY St Press the lt lt 2 gt gt key on he alphanumeric 2 keyboard then this will display view A and the volume view CLEAR ROI RESTORE Rol GROP ROL MODE HIDE FOI RENDER MODE AUTO ROTATE TRACE GUT UNDO EUT CLIP PLANE OPACITY OFFSET OPACITY SLOPE SCAN METHOD Se Z SCALE zZ ANGLE Figure 10 2 19a DUAL DISPLAY PIN 4701 0063 01A BASIC Operator s Manual 10 18 SonoScape SS 5000 Diagnostic Ultrasound System 10 2 20 QUAD DISPLAY k Press the lt lt 4 gt gt key on he alphanumeric 4 keyboard then this will display views A B C and the volume view a E Figure 10 2 20a QUAD DISPLAY View A red displays the longitudinal plane View B green display the transverse plane View C blue display the horizontal plane View Volume display
66. ging this value will modify the volume scan conversion calculations based on the new angle P N 4701 0063 01A BASIC Operator s Manual 10 15 SonoScape SS 5000 Diagnostic Ultrasound System 10 2 16 SWEEP ANGLE only in 4D SWEEP ANGLE The SWEEP Angle allows the user to specify SWEEP ANGLE the sweep angle for the motor Any changes will take effect the next time the motor is started 10 2 17 CINE REVIEW only in 4D The CINE REVIEW option allows the user to CINE REVIEW review the previous 127 volume renderings A scale and preview bar will be shown on the bottom of the screen to indicate the rendering being displayed The lt lt LEFT RIGHT gt gt arrow keys may be used to traverse the renderings as well as moving the trackball left and right Figure 10 2 17a CINE REVIEW P N 4701 0063 01A BASIC Operator s Manual 10 16 SonoScape SS 5000 Diagnostic Ultrasound System To automatically play back traverse the renderings move the lt lt Trackball gt gt left or right in a large quick motion The renderings will be displayed at the same rate they were originally acquired The MAIN MENU is disabled while in CINE REVIEW mode To leave CINE REVIEW mode press the lt lt FREEZE gt gt key 10 2 18 RESCAN only in 4D The RESCAN option affects the next step after lt lt gt gt RESCAN the user presses the lt lt FREEZE gt gt key to stop the motor If RESCAN is o
67. grade that are connected to the system must be powered through the electrical outlet through an optional isolation transformer 1 9 Transducer Maintenance The transducers that come with the system are designed to be durable and dependable These precision instruments should be inspected daily and handled with care Please observe the following preCAUTIONs Do not drop the transducer on hard surface This can damage the transducer elements and compromise the electrical safety of the transducer Avoid kinking or pinching the transducer cable Use only approved ultrasonic coupling gels Follow the instructions for cleaning and disinfecting that come with each probe Disinfecting Extracorporeal Transducers Disconnect the transducer from the system Wipe down all surfaces with isopropyl alcohol and air dry Clean all surfaces of the probe and cable with certified wipes Allow the transducer to air dry prior to additional handling or scanning P N 4701 0063 01A BASIC Operator s Manual 1 16 SonoScape SS 5000 Diagnostic Ultrasound System The following statement from AIUM outlines cleaning the endocavity transducer Guidelines for Cleaning and Preparing Endocavitary Ultrasound Transducers between Patients from AIUM Approved June 4 2003 The purpose of this document is to provide guidance regarding the cleaning and disinfection of transvaginal and transrectal ultrasound probes All sterilization disinfection repr
68. gt gt key to start a new patient record edit a current patient s data or select a previous patient s exam data amp Press the lt lt PATIENT gt gt key to activate the Patient Data window gt NEW PATIENT Use this option to enter new patient information 1 Click the RESET button in the patient Data Entry window to clear all entries 2 Use lt lt ENTER gt gt key or lt lt Trackball gt gt to move through all the files LD max of 15 alphanumeric characters DOB Name any text up to 31 characters ex LMP Age Weight Height BSA EDD GA Acc maximum of 6 digits number P N 4701 0063 01A BASIC Operator s Manual 2 27 SonoScape SS 5000 Diagnostic Ultrasound System SonoScape Ne Site PATIENT INFORNIATION Name ID DOB mmddyy Weight Height LMP mmddyy Age BSA Unit kg cm EDD Sex Acc GA Search History Name ID lt Acc Name ID DOB Sex Worklist CANCEL RESET SAVE Figure 2 7 5a Patient Data Entrywindow 3 Fill in the appropriate fields click on SAVE button with lt lt SET gt gt key to save information into database Patient information will be saved in the system and scanning can be continued fromthe imaging screen 4
69. he system The use of market cleared probe sheaths are recommended for clinical applications Reference FDA March 29 1991 Medical Alert on Latex Products 11 2 3 Connecting and Disconnecting a Transducer One centrally located transducer ports provide easy access for changing transducers Figure 11 2 3a connecting and disconnecting probe Transducer P N 4701 0063 01A BASIC Operator s Manual 11 2 SonoScape SS 5000 Diagnostic Ultrasound System 11 2 4 Cleaning and Disinfecting The Linear Array transducers are provided in non sterile condition but can be disinfected between each use gt WARNING To avoid electrical shock always turn off the system and disconnect the transducer before cleaning the transducer d CAUTION 7 Under no circumstances should thetransducer be subjected to heat sterilization methods Exposure to temperatures of 66 C 150 F will cause permanent damage to the transducer 2 The transducer is not designed to be totally submerged in fluid Permanent damage will result if the entire transducer is submerged The immersed part shall not exceed the transducer binding line CAUTION Gloves should be worn during the following procedure Usevonly market cleared disinfectants Cidex 7 or Metricide 28 solutions have been tested for compatibility with the transducers Please read the agent manufacturer s instructions for disinfecting 1 Turn off the system 2 Disconnect
70. iia ja 2T15 SO tissues Unstannede Small Pencil All SO tissues Scanned Eyaluated at Breast era d BD SOM tissue and scannede ooft tissue at Muscle ee Ze TT Ven lace A A ah A SST opft tissue and Unscannede Bone at focuse Fetus hones head A PE TIL Soft tissue and Unscannede Bone at surfaces Trans bone Scanned Craniale Soft tissue Describes low fat content tissue that does not contain calcifications or large gas filled spaces P N 4701 0063 01A BASIC Operator s Manual 1 10 SonoScape SS 5000 Diagnostic Ultrasound System Scanned auto scan Refers to the steering of successive burst through the field of view e g B and color mode UnScanned Emission of ultrasonic pulses occurs along a single line of sight andis unchanged until the transducer is moved to a new position For instance the PW CW and M mode TI Tl is defined as the ratio of the In Situ acoustic power W 3 to the acoustic power required to raise tissue temperature by 10C Wdeg TI W 3 Wdeg Three Tis corresponding to soft tissue TIS for abdominal bone TIB for fetal and neonatal cephalic and cranial bone TIC for pediatric and adult cephalic have been developed for applications in different exams An estimate of the acoustic power in milli watts necessary to produce a 10C temperature elevation in soft tissue is for modell to 4 where fc is the center frequency in MHz Jor model 5 and 6 where
71. ing calculations P N 4701 0063 01A BASIC Operator s Manual 10 13 SonoScape SS 5000 Diagnostic Ultrasound System 10 2 12 OPACITY SLOPE OPACITY SLOPE Changing this varug will Ch the value in the volume rendering calculations 10 2 13 SCAN METHOD only in 3D SCAN METHOD Select the method used to acquire the volume data either through linear Lin or tilting Sec motion Jul 23 2000 16 27 42 Ki CLEAR RO ALETORE ROI CAOP Dt ROI MODE Ha HIDE RO dl RENDER MODE Un AUTO ROTATE DI TRACE GUT ri Mi GLIP PLANE iri OPACITY OFFSET OPACITY PL OPE E SCAM METHOD Lin Z BEALE 1 E AMOLI wl Figure 10 2 13a Line Method P N 4701 0063 01A BASIC Operator s Manual 10 14 CLEAR ROI RESTORE Ier ROIL MODE HIDE FOI SS 5000 Diagnostic Ultrasound System Jul 23 2008 16 34 39 GI REMDER MODE Wi AUTO ROTATE TRACE CUT UNDO GUT CLIP PLANE OPACITY OF FRET OPACITY SLOPE SCAM METHOD 5m L GGALE Z ANGLE Figure 10 2 13b Sector Method 10 2 14Z SCALE only in 3D zscae The Z Scale value is only available for scans Z SCALE acquired through linear motion SCAN METHOD is set to Lin This value will increase stretch or decrease compress the frames in the scan direction 10 2 15Z ANGLE only in 3D The Z Angle value is only available for scans Z ANGLE acquired through a tilting motion SCAN METHOD is set to Sec Chan
72. irection last specified by the user e The initial default setting will rotate around the Y axis P N 4701 0063 01A BASIC Operator s Manual 10 10 SonoScape SS 5000 Diagnostic Ultrasound System 10 2 8 TRACE CUT TRACECUT TRACE CUT can be useful in removing areas TRACE CUT which may be obstructing interesting parts of the volume 1 Turning on TRACE CUT will enter cut mode and allow the user to erase parts of the rendered volume 2 In this mode select a start point in the volume view by positioning the cursor and pressing the lt lt SET gt gt key 3 Move the lt lt Trackball gt gt to draw an outline of the section to be erased 4 Pressing the lt lt SET gt gt key again will automatically close off the outline and erase ev rything contained inside CLEAR FOI RESTORE ROI CROP ROI MODE HIDE del RENDER MODE AUTO ROTATE TRACE CUT UNDO CUT GLIF PLANE OPACITY OFFSET A8 OPACITY SLOPE SCAN METHOD Z SCALE Z ANGLE Figure 10 2 8a Trace cut P N 4701 0063 01A BASIC Operator s Manual 10 11 SS 5000 Diagnostic Ultrasound System CLEAR ROI RESTORE ROI RENDER MODE AUTO ROTATE TRACE CUT UNDO CUT CLIP PLANE OPACITY OFFSET OPACITY SLOPE SCAN METHOD Z SCALE Z ANGLE Figure 10 2 8b Trace cut While in cut mode all other menu options are disabled except for UNDO CUT Any changes made in cut mode will not be reflected in the sectional slice views
73. isplay New Site C344 SonoScape Jul 23 2008 16 08 16 FPS 20 ma D G 3 1 KC Gm a 0 GN 9 ee g Up 3 30 PWR 70 FRQ 3 4 8 D 16 5cm Figure 3a Enter B Mode 3 1 B mode Operation 3 1 1 B GAIN With the Gain control the overall brightness of the B image is adjusted The adjustment of the gain control determines the amount of amplification applied to the received echoes All incoming echoes are amplified with the same gain value regardless of depth TE Rotate it to adjust the brightness of the entire image EON SC E When the GAIN control is turned clockwise the entire image Zeen becomes brighter When the GAIN control is turned counterclockwise the entire image becomes less bright P N 4701 0063 01A BASIC Operator s Manual 3 1 SonoScape SS 5000 Diagnostic Ultrasound System MS yore gt The actual gain value is displayed on the screen gt Tochange the B Gain is only possible with B mode on and real time mode active 3 1 2 DEPTH With this function the depth range of the ultrasound image for the region of interest is adjusted The number of image lines and the frame rate are automatically optimized Changing of the depth is only possible in real time the B image is enhanced and the display size of the image is When the Depth control is flipped downwards the depth range of reduced to view the entire depth range i DEPTH When the Depth control is flipped upwar
74. ists it will be overwritten gt SAVE IMAGE A screenshot will be saved as portable pixmap file PPM and a ppm extension will be appended to the file name SAVE VOLUME This will save the current volume data as a FLT file and a flt extension will be appended to the file name Saving a volume will also remove the data that can be restored by RESTORE ROI MO jore If CROP MODE is on saving the volume will only save the data in the ROI P N 4701 0063 01A BASIC Operator s Manual 10 22 SonoScape SS 5000 Diagnostic Ultrasound System 10 6 Saving a screenshot 1 To save a screenshot of the current display press the lt lt SAVE gt gt key 2 Press 1 to select Save Image and enter a file name a default file name will already be shown 3 Press lt lt ENTER gt gt to complete the save procedure Tips The algorithm is sensitive to large shifts in data Itis important to ensure a successive frame has at least 50 overlapping data with the previous frame by scanning at a low or moderate speed The algorithm tries to get a better match by thresholding or throwing out low level data during the matching process although the data is kept in the final image If the brightness is too low there may not be enough data after thresholding to perform a match If this is the case try increasing the gain of the B mode image 10 7 Print Pressing the lt lt PRINT gt gt key will bring up a print menu
75. itary examinations should be performed with the operator properly gloved throughout the procedure Gloves should be used to remove the condom or other barrier from the transducer and to wash the transducer as outlined above As the barrier condom is removed care should be taken not to contaminate the probe with secretions from the patient At the completion of the procedure hands should be thoroughly washed with soap and water PIN 4701 0063 01A BASIC Operator s Manual 1 20 SonoScape gt SS 5000 Diagnostic Ultrasound System MO ore Obvious disruption in condom integrity does NOT require modification of this protocol These guidelines take into account possible probe contamination due to a disruption in the barrier sheath In summary routine high level disinfection of the endocavitary probe between patients plus the use of a probe cover or condom during each examination is required to properly protect patients from infection during endocavitary examinations For all chemical disinfectants preCAUTIONs must be taken to protect workers and patients from the toxicity of the disinfectant Reference Amis S Ruddy M Kibbler CC Economides DL MacLean AB Assessment of condoms as probe covers for transvaginal sonography J Clin Ultrasound 2000 28 295 8 Rooks VJ Yancey MK Elg SA Brueske L Comparison of probe sheaths for endovaginal sonography Obstet Gynecol 1996 87 27 9 MilkiAA Fisch JD Vaginal u
76. le Volume Adjustment Position 1 The location of the PW Sample Volume can be changed with the trackball 2 Press the lt lt SET gt gt key to locate the PW Sample Volume and use the trackball to change from position of the PW Sample Volume to size of the PW Sample Volume 1 In the Update state press the lt lt MENU gt gt key to pop up the menu set the ANGLE CORRECT item as ONT 2 Use the lt lt Left Right gt gt key to change the angle of the PW sample line P N 4701 0063 01A BASIC Operator s Manual 5 1 SonoScape SS 5000 Diagnostic Ultrasound System 5 2 Activation of PW CW Mode Press the lt lt UPDATE gt gt key to activate the Spectral Doppler The screen is divided asymmetrically The B image appears above The PW CW spectrum appears below Press the lt lt FREEZE gt gt key to stop the PW CW Doppler New Site C344 SonoScape Jul 23 2008 16 08 16 Se ch D G 3 8 GN 15 Up 3 0 PWR 80 FRQ 4 5 D 16 5cm PRF 6 0 WE 450 GN 53 FRQ 22 a PWR 70 DYN 3 Figure 5 2a Enter PW Mode in Update state P N 4701 0063 01A BASIC Operator s Manual 5 2 SS 5000 Diagnostic Ultrasound System 5 3 PW CW Mode Operation 5 3 1 PW GAIN PW Gain controls the amplification of the incoming Doppler signals The Doppler gain should be adjusted to a level that fills in the grayscale of the spectral analysis waveform without creating a noise In B PW mode please refer to section 3 1 1
77. logical Safety This product as with all diagnostic ultrasound equipment should be used only for valid reasons and should be used both for the shortest period of time and at the lowest power settings necessary ALARA As Low As Reasonably Achievable to produce diagnostically acceptable images The AIUM offers the following guidelines Clinical Safety Quoted from AIUM Approved March 26 1997 Diagnostic ultrasound has been in use since the late 1950s Given its known benefits and recognized efficacy for medical diagnosis including use during human pregnancy the American Institute of Ultrasound in Medicine herein addresses the clinical safety of such use There are no contirmed biological effects on patients or instrument operators caused by exposures from present diagnostic ultrasound instruments Although the possibility exists that such biological effects may be identified in the future current data indicate that the benefits to patients of the prudent use of diagnostic ultrasound outweigh the risks ifany that may beypresent Heating Elevating tissuetemperature during obstetrical examinations creates medical concerns At the embryo development stage the rise in temperature and the length of time exposed to heat combine to determine potential detrimental effects Exercise CAUTION particularly during Doppler Color exams The Thermal Index TI provides a statistical estimate of the potential temperature elevation in centigrad
78. ltrasound probe cover leakage implications for patient care Fertil Steril 1998 69 409 11 Hignett M Claman P High rates of perforation are found in endovaginal ultrasound probe covers before and after oocyte retrieval for in vitro fertilization embryo transfer J Assist Reprod Genet 1995 12 606 9 Sterilization and Disinfection of Medical Devices General Principles Centers for Disease Control Division of Healthcare Quality Promotion http www cdc gov ncidod hip sterile sterilgp htm 5 2003 ODE Device Evaluation Information FDA Cleared Sterilants and High Level Disinfectants with General Claims for Processing Reusable Medical and Dental Devices March 2003 http www fda gov cdrh ode germlab html 5 2003 PIN 4701 0063 01A BASIC Operator s Manual 1 21 SonoScape SS 5000 Diagnostic Ultrasound System Le CAUTION gt These transducers are not designed to withstand heat sterilization methods Exposure to temperatures in excess of 65 C 150 F will cause permanent damage The transducers are not designed to be totally submerged in fluid as permanent damage will result if the entire transducer is submerged To clean the transducer refer to the appropriate transducer operator manual 1 10 System Positioning Transporting 1 10 1 Moving the System When moving or transporting the system take the preCAUTIONs outlined below to ensure maximum safety for personnel the system and other equipment B
79. maintenance procedures gt The system may be cleaned with a damp cloth soaked in mild soapy water gt Avoid dripping any liquid into the system MO nore Do not use acetone alcohol or abrasives on painted or plastic surfaces 12 1 General probe cleaning and disinfecting gt WARNING To avoid electrical shock always turn off the system and disconnect the transducer before cleaning and disinfecting E When cleaning and disinfecting do not immerse the whole transducer in liquid Immerse the probe only to the transducer binding line 12 1 1 Cleaning gt Wipe down all surfaces with Isopropyl Alcohol and air dry gt Clean all surfaces of the probe and cable P N 4701 0063 01A BASIC Operator s Manual 12 1 SonoScape SS 5000 Diagnostic Ultrasound System 12 1 2 Disinfecting 3 The transducer shall be disinfected with chemical liquid disinfector approved by FDA e g CIDEX Such solutions shall be mixed stored and used following product instructions from the manufacturers Immerse the transducer head in the disinfector for more than 20 minutes but not less than 1 hour Do not immerse the transducer head past the transducer binding line After disinfecting remove the transducer rinse thoroughly with clean water and then dry with a clean dry cloth CAUTION 1 Do not expose the transducer to high pressure steam or ethane oxide Never disinfect with a heating method The trans
80. n the key pad with the lt lt ARROW gt gt key which is for pointing in a display Text and arrows are constrained to the Annotation Area within the Image Area A maximum 20 arrows can be created on a screen PIN 4701 0063 01A BASIC Operator s Manual 2 33 SonoScape SS 5000 Diagnostic Ultrasound System 2 7 14 BDMK Key Body Marker Key Press the lt lt BDMK gt gt key in Cine mode to bring up the entire sets of available Body Marker Icons associated with the current EXAM The probe bar will be highlighted and will appear in the body marker area Move the lt lt Trackball gt gt to change the position and use lt lt LEFT RIGHT gt gt key to change orientation of the Probe bar on a specific BDMK graphic and press the lt lt SET gt gt key to anchor the probe bar The BDMK graphic and the probe bar will be moved to the lower left corner of the screen The system returns to Cine mode after the body marker is anchored Press the lt lt BDMK gt gt key again prior to anchoring the probe bar to abort the Body Marker entry and return to the Cine mode To change body mark or theprobe bar orientation press the BDMK key and follow the process for entering body marks New Site C344 SonoScap S Jul 23 2008 16 08 16 D G 3 1 Py oA NG FEN U GN 9 7 Er Li Ce n NN I P 3 30 PWR 70 FRQ 3 4 8 D 16 5cm 5 PRF 1 0 WF 75 8 GN 20 C P 2 50 PWR 70 FRQ 2 4 10 15 0 38 100 ay Ney NY
81. nd off the real time triplex mode For further details review section 5 5 PW B Color Information Triplex Mode P N 4701 0063 01A BASIC Operator s Manual 2 48 SS 5000 Diagnostic Ultrasound System 2 11 User Define Exam Setting Allow the user to add a customized User lt lt Exam gt gt lIcon to the EXAM screen in order to save system settings for the next usage gt WARNING User defined Exam Settings may be deleted automatically during a system software upgrade 2 11 1 Activating the Command Before activating the User Setting Command scan the image under a normal Exam Icon selection optimize the image by adjusting the settings and press the lt lt SAVE gt gt key in real time mode and select going to Pre set user menu When the User Defined Exam Setting Menu appears enter the desired name for the new user Exam Icon This menu is only available in real time mode and only when the probe and exam type have been defined The system allows up to 12 Exam Icons including the existing system exam to be saved When the maximum 12 has been reached one icon must be deleted before another Exam can be saved 2 11 2 Naming the User Exam Icon Select Create New Exam from the User define exam icon menu screen Enter the name of the desired Exam maximum 13 characters and then click OK to create the new Exam e Click CANCEL to return to the previous menu and abort the action S
82. nning water and then dry the transducer with a soft cloth or paper towel P N 4701 0063 01A BASIC Operator s Manual 1 18 SonoScape SS 5000 Diagnostic Ultrasound System 2 DISINFECTION 1 Cleaning with a detergent water solution as described above is important as the first step in proper disinfection since chemical disinfectants act more rapidly on clean surfaces However the additional use of a high level liquid disinfectant will ensure further statistical reduction in microbial load Because of the potential disruption of the barrier sheath additional high level disinfection with chemical agents is necessary Examples of such high level disinfectants include but are not limited to 2 4 3 2 glutaraldehyde products a variety of available proprietary products including Cidex Metricide or Procide Non glutaraldehyde agents including Cidex OPA o phthalaldehyde Cidex PA hydrogen peroxide amp peroxyacetic acid 7 5 Hydrogen Peroxide solution Common household bleach 5 25 sodium hypochlorite diluted to yield 500 parts per million chlorine 10 cc in one liter of tap water This agent is effective but generally not recommended by probe manufacturers because it can damage metal and plastic parts Other agents such as quaternary ammonium compounds are not considered high level disinfectants and should not be used Isopropanol is not a high level disinfectant when used as a wipe and probe manufact
83. nnnnennnnnnennnnnnnrnnrenrrrrrenrenenne 6 2 6 2 1 Ce 6 2 0r BA ELINE NN 6 2 p FOU SN 6 2 024 PRE Ne er 6 2 023 DERI ME 6 2 AEE WE 6 3 6 3 CDIM de MEN 6 3 6 3 1 PER EE 6 4 6 3 2 CMAbialseomkreezestatel 6 4 6 3 3 B REJECT alsomtreezestatel ees 6 4 6 3 4 FLOW INVERT also in Freeze estate 6 4 635 LINE DENSITY vwrssccsveicicvcsncnacevewersaceeontsbonnesiteevasidencsencieacs 6 4 Le VRI e LCE 7 1 7 1 Bled KO 0112 1110 EE 7 1 7 2 BIR UE 7 1 8 TDIMOdGE OPNHON N Larsen 8 1 8 1 TDI Sample Box Adiustment 8 2 8 2 TDW Ge AUN E 8 2 8 3 TN 8 2 PIN 4701 0063 01A BASIC Operator s Manual IV SonoScape 9 10 11 SS 5000 Diagnostic Ultrasound System Freeze Mode Menu Options cccceeceseeeeeeeeeeneeneeeeeeees 9 1 9 1 FRAME BY FRE hhv 9 1 9 2 SWEEP SPEED Doppler active 9 1 9 3 LOOP SPEED Doppler m achvel 9 1 9 4 VIDEO INVERT Doppler active 9 2 9 5 PLAY STOP Doppler m achvel de 9 2 9 6 TR ey eee eee eee Oe 2 9 2 9 7 END ee en eee ee ee eee N ae me 9 2 SCH Le En WEE 10 1 10 1 ae 0 Geo oenen E EE O a 10 1 10 1 1 3D Sample Box Adjustment rrrrrrrranoprrernnterarennnnnnnre 10 4 10 1 2 4D Cutoff Box Line rrrrrrrrnrernrrnpprn tarrrrkrranenanennnnnnnne 10 4 10 1 3 Change the DEPTH rrranrrarrrnrr Gye Wecececseeseeeeeseesaaes 10 6 10 2 Men OPONS e E d dE 10 7 VIT GARN 44 A 10 7 11022 RESTORE TE S 10 7 1029 GROR ae Ne 10 8 124 ROMME hv Np 10 8 1025 HIDE RO Laub oe
84. nseadsienveeseteoccetshacschues 2 48 2 10 3 Real time Implex ccc cccceccseeceeeseeeeeeeeeeseeeeaeeeeeseeees 2 48 User Define Exam Setting cccccccccccceeceeeeeseeeeeeeseeesaees 2 49 2 11 1 Activating the Commande 2 49 2 11 2 Naming the User Exam lcon 2 49 P N 4701 0063 01A BASIC Operator s Manual SonoScape SS 5000 Diagnostic Ultrasound System 2 11 3 Delete User Defined Exam Jcon sees ees 2 51 3 BNR 3 1 3 1 B mode Operation 3 1 3 1 1 B CAIN eee e E 3 1 3 1 2 BIS Ve e E 3 2 21S FOUR EE 3 2 T 3 3 3 1 5 PANORAMIC Key in B mode only Optional 0 3 4 3 2 B mode Men 3 6 3 2 1 FOCAL NUMBER dee 3 7 3 2 2 FOCAL SPAN gt RE 3 7 323 EOG 60109 La E EE 3 7 3 24 TISSUE CHARACTERISTICS TCJANDEX 0 0 3 9 3 2 5 DYNAMIC RANGE DN 3 10 3 2 6 GSC also in Freeze state cceeeeeseeeeeeeeeeeeens 3 11 AT PERS EE E 3 11 3 2 8 CHROMA alsomtreezestatel 3 11 329 SEL WIDTH rarene N 3 11 232 10 GEC POS onak N E 3 11 3211 LINE DENSITY sccicecsiccecnosscceunsitsvecesssbtbaneigacettesdsonesseaies 3 11 3 2 12 BIOPSY GUIDE only for certain probes 3 12 3213 COMPOUND MW seors aripa RANE E ETONE EERE 3 13 3214 PREEN E 3 13 3 2 15 LT lt gt RT also in Freeze state rrrrrrrnrrrnrrnrarnranernn 3 13 3 2 16 IMAGE PROCESSING rrrerurrrrrrarovarennnrrnarevnrrnrrnvanennn 3 13 SE bat ie Te NNN 3 13 NONNER E 3 13 3 249 TRAPEZOID only for linear array Drobel 3 14
85. nter Window P N 4701 0063 01A BASIC Operator s Manual 2 20 SonoScape SS 5000 Diagnostic Ultrasound System 2 7 2 5 3 Set Calculation Menu This option lets you set calculation menu for 2D PW or M mode Select the type of calculation to be used in an exam User can select and de select a particular method by clicking on the box next to the name of the method When there is a check in the box next to a certain method name then this method will be included in the exam calculation Where the box next to the method name is empty then this method will not be included in the exam calculation New Sit SonoScape PW Genral Setting N U PW M Set Printer REPORT ANGLE VOLUME VOLUME LXWXH DOPPLER AREA COLOR FLOW VASCULAR gt OB GYN gt LEFT VENTRIC gt UROLOGIC gt Mitral valve Diam LV utflow Diam PUL valve Diam Set Calculation Menu Set Measurement Method Load Default Exit Nr UPDATE ON OFF MENU 0PEN SUBMENU Figure 2 7 2 5 3a Set Calculation Men Window P N 4701 0063 01A BASIC Operator s Manual 2 21 SonoScape SS 5000 Diagnostic Ultrasound System 2 7 2 5 4 Set Measurement Method This option lets you set calculation method for each of the following measurement BPD Method Hadlock Jeanty e FL Method Hadlock Hohler Jeanty e CRL Method Robins
86. o change the M cursor position Press the lt lt UPDATE gt gt key to activate a simultaneous M mode image display Press the lt lt UPDATE gt gt key a second time to toggle the display back to duplex M or Color M mode P N 4701 0063 01A BASIC Operator s Manual 2 24 SonoScape SS 5000 Diagnostic Ultrasound System Press the lt lt B gt gt key to activate B mode imaging The system will stay in B mode if the current state is B or return to B mode if the current state is other than B for example M color duplex Doppler Triplex color 4 Press the lt lt THI gt gt key to toggle the on off for the it Tissue Harmonic Image mode if the icon supports it This function can be activated in any 2 D image mode including color and Doppler Press the lt lt CDI gt gt key to turn on the Color Doppler Imaging CDI mode if the system s current state is B and Color Triplex if the system s current state is Duplex Doppler and color M if the current state is M Moving the lt lt Trackball gt gt will change the CROI Color Region of Interest position e Press the lt lt SET gt gt key to toggle the Trackball function for CROI re sizing amp Press the lt lt SET gt gt key a second time to toggle the Trackball function back to CROI position Press the lt lt CDI gt gt key a second time to turn off color and return to the previous mode either B mode or Duplex Doppler In CDI Fre
87. on Hadlock Nelson EFW Method WEI SAB HC AC FL Shepard AC BPD Hadlock1 AC FL Hansmann AC FL HC Tokyo BPD APTD TTD FL Hadlock2 HC AC FL Hadlock3 BPD AC FL Hadlock4 HC AC Hadlockd BPD HC AC FL Shinozuka BPD AC FL Warsof FL AC Cambell AC BSA Setting Western Eastern e Measure Method Trace Ellipse Package For each exam this option lets the user to choose whether to be able to take all measurements or just measurements depends on the particular test the user is in Icon Driven the calculation menu for e ch exam will list measurements only apply to that certain test All Package the calculation menu for each exam will list all measurements for all tests Genral Setting BPD Method Set Pringer FL Method Set Calculation M et Calculation Menu CRL Method Robinson Load Default WEI SAB HC AC F BSA Setting Measure Method Trace Package Icon Driven Figure 2 7 2 5 4a Set Measurement Method Window P N 4701 0063 01A BASIC Operator s Manual 2 22 SS 5000 Diagnostic Ultrasound System 2 7 2 5 5 Load Default Loads all settings back to factory default 2 2 5 6 Exit Exiting the System Setting Take user back to the Main Menu 2 7 2 6 DICOM Pre sets local network SCU s title IP address and port number Consult the section on DICOM interface for detailed information New Site SonoScape DICOM INTERFACE ezNet
88. or Flow or Color Power including Directional Doppler Power Imaging DDPI There s indicator on the left side of the image if Directional DPI is selected in DPI mode 6 3 3 B REJEGT also in Freeze state Set the Gray Scale display priority between Color B REJECT and B A higher B priority will reject more Color against B on the screen 6 3 4 FLOW INVERT alsoinFreeze state 6 3 5 LINE DENSITY Allow the user to invert the flow direction red FLOW INVERT becomes blue of the CFM color map The color map changes accordingly Change line density for B image in color mode to LINE DENSITY optimize for frame rate versus B image quality NOTE The introduction of other function menus please refer to Section 3 2 B mode Menu P N 4701 0063 01A BASIC Operator s Manual 6 4 SonoScape SS 5000 Diagnostic Ultrasound System 7 DPI Mode Pressing the lt lt DPI gt gt key to activates the DPI mode Adjust color mapping DIRECT D to enter Directional Doppler Power Imaging DDPI mode 7 1 DPI Operation Please refer to section 6 2 CDI Operation 7 2 DPI Menu Please refer to section 6 3 CDI Menu P N 4701 0063 01A BASIC Operator s Manual 7 1 SonoScape SS 5000 Diagnostic Ultrasound System 8 TDI Mode Optional The TDI Tissue Doppler Imaging mode is with phase array probes only Tissue Doppler imaging generates a Color image by using the Doppler principle This Color image is
89. or real time imaging or spectral Doppler acquisition The freeze frame and Cine loop capabilities allow images to be reviewed and discussed without exposing the patient to continuous scanning 7 Do not use endo cavity probes if there is noticeable self heating of the probe when operating in the air Although applicable to any probe take particular care during trans vaginal exams during the first eight weeks of gestation 8 Take particular care to reduce output and minimize exposure time of an embryo or fetus when the temperature of the mother is already elevated 9 Take particular care to reduce the risk of thermal hazard during diagnostic ultrasound when exposing an embryo less than eight weeks after gestation or the head brain or spine of any fetus or neonate P N 4701 0063 01A BASIC Operator s Manual 1 6 SonoScape SS 5000 Diagnostic Ultrasound System 10 Operators should continually monitor the on screen thermal index Tl and mechanical index MI values and use control settings that keep these settings as low as possible while still achieving diagnostically useful results In obstetric examinations TIS soft tissue thermal index should be monitored during scans carried out in the first eight weeks after gestation and TIB bone thermal index thereafter In applications where the probe is very close to bone e g trans cranial applications TIC cranial thermal index should be monitored MI gt 0 3 There is
90. ored in an user program because of the absolute position of the sliders When slide the TGC slide controls the TGC curve will appear on the right side of the image The TGC curve will disappear automatically If you do not slid the TGC slide controls for 1 3 seconds P N 4701 0063 01A BASIC Operator s Manual 3 3 SonoScape SS 5000 Diagnostic Ultrasound System 3 1 5 PANORAMIC Key in B mode only Optional e d a The Panoramic mode allows the operator to view a series of B mode frames combined together to display the entire dataset as a comprehensive single image This is accomplished by taking each successive frame and determining its relative position to the previous frame by evaluating the overlapping data Any new data is combined or stitched together with the previous data forming a new image The final panoramic image is displayed on the screen Since the stitching of multiple frames may result in a panoramic image larger than the screen a Picture In Picture PIP window is used to display a reduced version of the image Inside the PIP window will be a Region of Interest ROI window which represents the portion of the full panoramic image currently displayed on the screen If theentire panoramic image can fit in the screen the ROI will not be displayed The operator should now select the portion of the cine date to be used for Panoramic mode This can be done by moving the trackball to displa
91. orized service contractor should replace defective parts Failures caused by unauthorized service are not the responsibility of the manufacturer 12 5Contact information of the Service Department 9 F Yizhe Building Yuquan Road Nanshan District Shenzhen City Guangdong Province China Post Code 518051 Tel 400 678 8019 Fax 86 755 26722850 Email service sonoscape net P N 4701 0063 01A BASIC Operator s Manual 12 3 SonoScape SS 5000 Diagnostic Ultrasound System Appendix Descriptions of the WARNING signs Signs TITLE DESCRIPTION To ensure safety please refer to the AN Attention attached user s manual when this symbol appears To eliminate potential problems connect the port with the housing Equi potentiality which should be connected with the corresponding ports of linked equipment Shelter Auxiliary protective ground CF Isolation fram ground max Patient Type CF leakage current normal situation lt 10yA with one defect lt 50 uA BF Isolation from ground max Patient Type BF leakage current normal situation lt 100 UA with one defect lt 500 uA Type BF BF Tremble free protection B Max Patient leakage current normal situation lt 100 yA with one R ee defect lt 500 uA To protect against dust and immersion Enclosed as per requirements in IEC529 On Off Switch of the primary power supply Non ionization Ultrasound scanner transmits acoustic radiation waves S
92. overlaid onto the 2D image The Tissue image provides information about tissue motion direction and velocity The Tissue Doppler captures low flow but high amplitude signals associated with wall motion and create a color coded tissue image alphanumeric keyboard to activate TDI mode See the In real time B mode press the lt lt T gt gt key on the following picture sonoscape clinic 2P1 MI 0 4 TI50 6 SonoScape Peet 343008 15 47 36 M W 21 DIG 3 8 Hit 202 IP 1 0 INF gt HE Figure 8 Enter TDI Mode in Freeze state P N 4701 0063 01A BASIC Operator s Manual 8 1 SonoScape SS 5000 Diagnostic Ultrasound System MO ore The TDI Tissue Doppler Imaging mode is with phase array probes only 8 1 TDI Sample Box Adjustment Please refer to section 6 1 CFM Sample Box Adjustment 8 2 TDI Operation Please refer to section 6 2 CFM Operation 8 3 TDI Menu Please refer to section 6 3 CFM Menu PIN 4701 0063 01A BASIC Operator s Manual 8 2 SonoScape SS 5000 Diagnostic Ultrasound System 9 Freeze Mode Menu Options gt During any examination pressing lt lt FREEZE gt gt button will freeze the current image on the screen it will also stop scanning in real time gt Then you can use the lt lt Trackball gt gt to access previous image frames that you have scanned already 9 1 FRAME BY FRAME FRAME BYFRAME Allow user move through the image frames FRAME BY FRAME one by one
93. riplex mode simultaneous mode by pressing the lt lt PW CW gt gt key and the lt lt UPDATE gt gt key in turn 2 PW B mode DPI If setting the 2D REFRESH item as ON in realtime DPI mode then you can enter the PW B DPI triplex mode simultaneous mode by pressing the lt lt PW CW gt gt key and the lt lt UPDATE gt gt key in turn gt NOTE The introduction of other function menus please refer to Section 3 2B mode Menu PIN 4701 0063 01A BASIC Operator s Manual 5 10 SonoScape SS 5000 Diagnostic Ultrasound System 6 CDI Mode e Pressing the lt lt CDI gt gt key to activates the CDI mode the CDI sample box appears in the active B image New Site C344 SonoScape Jul 23 2008 16 08 16 FPS 20 D G 2 1 CR GN 9 I P 3 30 PWR 80 FRQ 4 3 D 15 4cm 5 PRF 1 0 WF 85 GN 22 C P 1 50 PWR 70 W FRQ 2 2 SC Figure 6a Enter CDI Mode 6 1 CDI Sampie Box Adjustment 1 The location of the CDI sample box can be changed with the trackball The box is adjustable within the entire B image area 2 Press the lt lt SET gt gt key to change from postion of the CDI sample box to size of the CDI sample box 3 Press the lt lt SET gt gt key once more and it returns to the position change MS nore Using lt lt UP DOWN gt gt key to change the angle of the CDI sample box when with the line array probe P N 4701 0063 01A BASIC Operator s Manual 6 1 SonoScape SS 5000 Diagnostic Ultrasound Sy
94. s Manual 2 36 SonoScape 2 7 18 DIST Key all MS vore SSI 5000 Diagnostic Ultrasound System In B Cine mode press the lt lt DIST gt gt key to bring up the yellow plus sign cursor Use the lt lt Trackball gt gt and the lt lt SET gt gt key to select and lock the starting point of the desired distance to be measured A second yellow plus sign cursor will automatically appear he system will update the measurement distance in real time in the box on the right side of the screen Press the lt lt SET gt gt key again to lockthe end point of the measurement When two points have been defined a green plus sign cursor will pop up Repeat the same steps to create other distance pairs The first pair can be modified when the maximum number of pairs is reached Press the lt lt DIST gt gt key again to abort the distance function andsreturn to Cine mode In Doppler and M mode the DIST key provides additional functionality Please refer to Doppler and M measurement seciion for further detail jore Before setting the end point of the measurement user can still go back to change the start point by pressing lt lt UPDATE gt gt key PIN 4701 0063 01A BASIC Operator s Manual 2 37 SonoScape SS 5000 Diagnostic Ultrasound System 2 7 19 CALC Key Use this key to activate calculation packages under a different EXAM This feature supports the optional OB GYN Vascular Urology
95. s which may be displayed in the ultrasound system or PC The saved images can be transferred to a USB mobile drive for off line viewing on a PC or to be converted into DICOM format and transferred to SCU or Media storage If a patient ID is not specified the system will save image to the General Folder Save Clips mm Be To save a clip to the system press the lt lt SAVE gt gt key and select option Save Clips on the menu The save name for clip can be changed by the user It will save into patient folder in order to be review by File Manager If a patient ID is not specified the system will save the clip to the General Folder Clips may be copied into an external USB mobile drive or deleted using the File Manager menu The File Management Control allows clips to be converted and transferred to a USB 2 0 mobile drive for off line viewing on PC with Microsoft Media Player PIN 4701 0063 01A BASIC Operator s Manual 2 30 SonoScape SS 5000 Diagnostic Ultrasound System 2 7 7 PRINT Key The lt lt PRINT gt gt key sends on screen images to a picture quality color printer attached to the system LAN port or through a hub The Print command is valid in Freeze or File Manager modes In freeze mode press the lt lt PRINT gt gt key to print the full screen image In File Manager mode only full screen images not slide size can be printed Refer to the Operator Manual of the printer to select the correct
96. sence of flammable substances or an explosion may occur Do not continuously scan the same part ofa patient or expose the patient to prolonged scanning Doing so may harm the patient When using the system for ultrasound testing use only qualified ultrasound gel that complies with system standards Do not use the switch at the back of the unit for normal shut down Always use the power on button in the keyboard area Do not unplug probe when the system is in active operation Doing so may damage the probe Always go to EXAM screen when need to remove the probe To preventfrom arm or neck injury the operator should not stay at thessame position for too long during patient scanning without taking break Do not put liquid on top of the main unit gt The unit has build in screen saver to avoid the tic mark on the display It is not recommended to constantly turning on and off the unit gt To dispose of this product properly please call your local service department PIN 4701 0063 01A BASIC Operator s Manual 1 2 SonoScape SS 5000 Diagnostic Ultrasound System 1 2 WARNING Symbols 1 Type BF Equipment 2 Dangerous voltage A 3 Attention O 4 Off power disconnection from the main power 5 On power connection to the main power 6 Equi potentiality en 7 Alternating current PIN 4701 0063 01A BASIC Operator s Manual 1 3 SonoScape SS 5000 Diagnostic Ultrasound System 1 3 Bio
97. shing with modifications move the cursor over the lt lt SAVE gt gt button and press the lt lt SET gt gt key to confirm the change or click the Cancel button to abort it gt SAVE Returns the user to the Exam menu screen and stores the patient data into the system database gt CANCEL Discards any changes made by the user and restores previous settings gt CAUTION Verify patient data for accuracy prior to saving measurements or images to create a diagnostic record in the system Failure to do so may cause data or images to be saved to the wrong patient record P N 4701 0063 01A BASIC Operator s Manual 2 29 SonoScape SS 5000 Diagnostic Ultrasound System 2 7 6 Save Key In freeze mode the system can save a image or a clip to the system hard drive The following dialoge will display on the screen when press the lt lt SAVE gt gt key 1 Save IMAGE 2 Save CLIP 1 Save IMAGE 1 Save IMAGE 2 Save Clip 3 Save Volume 3 Save Volume 0 Quit eet 0 Quit In 2D Doppler mode In 3D mode In 4D mode Save Images amp Save a frozen image to the system hard drive for later review by pressing lt lt SAVE gt gt key The Save function names the image file with the current date time and patient ID and saves ito the patient folder User can change the file name before press lt lt SET gt gt or lt lt ENTER gt gt key Files are saved in the JPEG format for still image
98. stem 6 2 CDI Mode Operation 6 2 1 GAIN Please refer to section 3 1 1 B GAIN 6 2 2 BASELINE E Please refer to section 5 3 2 BASELINE BASELINE 6 2 3 FOCUS Please refer to section 3 1 3 FOCUS C Please refer to section 3 1 3 FOCUS Please refer to section 3 1 2 DEPTH P N 4701 0063 01A BASIC Operator s Manual 6 2 SS 5000 Diagnostic Ultrasound System 6 2 6 FILTER Please refer to section 5 3 3 FILTER FILTER Og 6 3 CDI Mode Menu vi m wA The following Soft Menu control assignments aroi Syed in Color Flow or Color Doppler CDI Modes ND ECG PERSIST C MAP POWER BASELINE SEC WIDTH SEC POS B REJECT FREQUENCY LT lt gt RT FLOW INVERT LINE DENSITY V e besi 6 3a CDI Menu in real time state e when press the lt lt FREEZE gt gt key r tonn shows the Soft key Control menu for the display in CDI C MAP B REJECT Q FLOW INVERT DN LOOP SPEED w START C gt END FRAME BY FRAME ft Figure 6 3b CDI Menu in Freeze state P N 4701 0063 01A BASIC Operator s Manual 6 3 SS 5000 Diagnostic Ultrasound System 6 3 1 PERSIST Select different Persistence settings of color and PERSIST Color Doppler presentation Decrease the persistence to improve the color temporal resolution and increase to improve visibility 6 3 2 C MAP also in Freeze state Use the trackball to select different color mapping DIRECT D on the screen for Col
99. sult in system damage 2 Line power may vary in different geographic locations Heter to the detailed ratings on the rear panel of the system for detailed information 3 Use only the power button in the keyboard area to turn on or off the unit Leave the power switch at the back of the unit on all the time unless unplug the wall outlet of the unit is needed 1 8 Electrical Safety Only trained health professionals may operate this system This equipment meets the following standards Electrical EN Standard 60601 1 Class Ila Type BF continuous operation EMC EMI EN60601 1 2 Class A CE Harmful liquid protection IPX0 classification For maximum safety adhere to these guidelines Proper grounding of the system is critical to avoid electrical shock For rotection ground the chassis with a three wire cable and plug and plug the system into a hospital grade three hole outlet Do not remove or circumvent the grounding wire P N 4701 0063 01A BASIC Operator s Manual 1 15 SonoScape SS 5000 Diagnostic Ultrasound System Do not remove the protective covers on the system These covers protect users from hazardous voltages Cabinet panels must remain in place while the system is in use A qualified electronic technician must make all internal replacements CAUTION needs to be taken when operate this system in the presence of flammable gases or anesthetics All peripheral devices unless certified as medical
100. t status In color cine play back pressingi the Color key can remove the color off the B image and pressing itong more time to turns it back on Many of the measurement and calculation functions are supported in the cine mode More Please refer to PLAY STOP LOOP SPEED functionalities in the CINERREVIEW Special Function Key sections for more information P N 4701 0063 01A BASIC Operator s Manual 2 47 SonoScape SS 5000 Diagnostic Ultrasound System 2 10 Soft Menu Controls Introduction The Soft Menu is activated depending on the current active mode The Soft Menu will provide a second level control to set the parameters in the system The default setting is EXAM dependent Soft Menu provides the user with an easy and flexible approach to accessing additional system controls The system will display the appropriate menus for the selected Mode and functions All Soft Keys are manipulated by the 4 Arrow keys around the lt lt MENU gt gt key or the lt lt Trackball gt gt Use the lt lt Trackball gt gt or lt lt Up Down ARROW gt gt keys to select the appropriate parameter and the left right ARROW keys to change the value of the parameter 2 10 1 Trapezoid mode Use Soft Menu to turn on the Trapezoid display mode for the Linear Array probe 2 10 2 Display format Use Soft menu to configure different screen aspect ratio and display format 2 10 3 Real time triplex Use Soft Menu to turn on a
101. tem Safety in the user s manual to use this system properly Do not modify this system in any way Necessary modifications must be made only by the manufacturer or its designated agents This system has been fully adjusted at the factory Do not adjust any fixed adjustable parts In the event of a malfunction turn off the system immediately and inform the manufacturer or its designated agents The power cable of the system should only be connected to a grounded power socket Do not remove the ground cable for any reason Only connect this system either electronically or mechanically with devices that comply with the EN60601 1 standard Recheck the leakage current and other safety performance indices of the entire system to avoid potential system damage caused by leakage from a current superposition P N 4701 0063 01A BASIC Operator s Manual 1 1 SonoScape SS 5000 Diagnostic Ultrasound System The system does not incorporate any specialized protective measures in the event it is configured with high frequency operation devices The operator should use CAUTION in these types of applications The system should be installed only by personnel authorized by the manufacturer Do not attempt to install the system yourself Only an authorized service engineer may perform maintenance Only a qualified operator or someone under qualified supervision should use the system Do not use this system in the pre
102. ter to remove all visible soap residues and let the probe air dry P N 4701 0063 01A BASIC Operator s Manual 11 4 SonoScape SS 5000 Diagnostic Ultrasound System CAUTION 1 Please remove the cover if any before cleaning the probe The cover like condom is one time usable When cleaning the 6V1 6V3 probe it is important to be sure that all surfaces are thoroughly cleaned Disinfecting Glutaraldehyde based solutions have been shown to be very effective for this purpose Cidex is the only germicide thathas been evaluated for compatibility with the material used to construct the probes To keep the effectiveness of the disinfection solutions a thoroughly cleaning must be done to the probe before the disinfecting make sure no residues remain on the probe Bellows are the steps to disinfect the probe gt Following all preCAUTIONSs for storage use and disposal prepare the germicide solution according to the manufacturer s instructions Place the cleaned and dried probe to in contact with the germicide being careful not to let the probe drop to the bottom of the container and thus damage the probe After placing immersing rotate and shake the probe while it is below the surface of the germicide to eliminate air pockets Allow the germicide to remain in contact with the fully immersed probe For high level disinfection follow the manufacturer s recommended time After removing from the germicide rins
103. terile SC BS l The system is in sterile state Disinfecting P N 4701 0063 01A BASIC Operator s Manual A 1 SonoScape SS 5000 Diagnostic Ultrasound System Appendix B The information of Representatives SONOMED Via Luigino Tandura 74 00128 Rome Italy Tel 39 06 5082160 Fax 39 06 5084752 Http www sonomed com P N 4701 0063 01A BASIC Operator s Manual B 1 SonoScape Co Ltd Yizhe Building Yuquan Road Shenzhen 518051 China Tel 86 755 26722860 Fax 86 755 26722850 E mail sonoscape sonoscape net http www sonoscape com cn P N 4701 0063 01A
104. the lt lt FREEZE gt gt key to stop the motor and the data acquisition To restart the motor and data acquisition press the lt lt FREEZE gt gt key CLEAR FOI RESTORE RO CROP ROI MODE HIDE ROI RENDER MODE AUTO ROTATE TRACE CUT UNDO CUT CLIP PLANE OPACITY OFFSET OPACITY SLOPE CINE REVIEW SWEEP ANGLE RESCAN Figure 10 1b Enter 4D Mode To return to B mode press the lt lt 4D gt gt key at any time P N 4701 0063 01A BASIC Operator s Manual 10 3 SonoScape SS 5000 Diagnostic Ultrasound System 10 1 1 3D Sample Box Adjustment Please refer to section 6 1 CDI Sample Box Adjustment Figure 10 1 1a gt 3D Mode 10 1 2 4D Cutoff Box Line In 4D mode the usercan enter the FULL DISP 2D screen to specify a cutoff box or cutoff line This box is used to render only the data inside the box during acquisition P N 4701 0063 01A BASIC Operator s Manual 10 4 SonoScape SS 5000 Diagnostic Ultrasound System P N 4701 0063 01A BASIC Operator s Manual 10 5 SonoScape SS 5000 Diagnostic Ultrasound System The cutoff box is displayed in light blue data outside of this box is discarded during rendering 1 Move the lt lt Trackball gt gt to change the size and position of the box 2 Pressing the lt lt SET gt gt key will toggle between changing the size and changing the position The cutoff line is displayed in yellow with a control point displayed in magenta data
105. the Patient rarrranrrnnrrnanernnrrrnnranenanennnnnnnne 11 4 11 3 Operation introduction for GVTIIDN3 11 4 11 3 1 Cleaning and Disinfecting 6V1 6V3 Probe 11 4 11 3 2 Operating 6V1 6V3 probe rrarrrrrnrrrrnrrrarernrrnnrnnrenenenn 11 6 12 System Maintenance annnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnennnnnnnnnnunnn 12 1 12 1 General probe cleaning and demiechng 12 1 IZET e ao ME 12 1 12 1 2 ST ler le EE fe 12 2 12 2 Acoustic Intensity Information EE 12 2 12 3 System Service method 12 3 12 4 Service responsibility EN 12 3 12 5 Contact information of the Service Department 12 3 Appendix Descriptions of the WARNING signs A 1 Appendix B The information of Representatives B 1 P N 4701 0063 01A BASIC Operator s Manual VI SonoScape SS 5000 Diagnostic Ultrasound System 1 System Safety and Maintenance 1 1 Safety Overview This section discusses measure to ensure the safety of both the operator and patient To ensure the safety of both operator and patient please read the relevant details in this chapter carefully before operating this system Disregarding the WARNINGs or violation of relevant rules may result in personal injury or even loss of life for operator or patient Users should observe the following preCAUTIONs This system complies with Type BF general equipment and the EN60601 1 standard Please follow Section 1 Sys
106. the rendered volume data P N 4701 0063 01A BASIC Operator s Manual 10 19 SonoScape SS 5000 Diagnostic Ultrasound System 10 2 21 FULL DISPLAY Press the lt lt 1 gt gt key on he alphanumeric 1 keyboard then this will enlarge the volume view to kb the full screen CLEAR ROI RESTORE RO CROP SCAN METHOD SLALE Z ANGLE Figure 10 2 21a FULL DISPLAY P N 4701 0063 01A BASIC Operator s Manual 10 20 SonoScape SS 5000 Diagnostic Ultrasound System 10 3 ROI Manipulation The Region of Interest or ROI is represented by the yellow box The ROI is intended to be used in conjunction with the following menu buttons Crop Clear ROI Restore ROI ROI Mode and Hide ROL in order to facilitate the viewing of a particular region within the volume The ROI can be moved and or resized by the user To do so lt be sure the ROI Mode button is selected it is selected by default 1 Press the lt lt SET gt gt key on any of the sectional views A B or C to set a view as active 2 Press the lt lt SET gt gt key on the same sectional view will unset its active status 3 Ifa view is active moving the trackball will either move or resize the ROI in the active view 4 Pressing the lt lt UPDATE gt gt key will toggle between moving and resizing The ROI shown in the rendered volume window will automatically update itself to reflect any position or size changes made in the sectional vie
107. tic Ultrasound System USB2 0 flash mobile drive for off line image storage and retrieving Stereo forward reverse Doppler audio separation Built in Easy Network for direct image accessing from PC Full function unit designed for general practice and specialist clinic 2 2 Application and Contraindication Application 1 ER Abdominal Vascular Breast Thyroid Obstetrical Gynecological Musculo skeletal Cardiac Urology gt Contraindication The system is not intended for OPHTHALMIC use or any use that causes the acoustic beam to pass through the eye 2 3 Image Modes 2D 3D 4D Multiple screen format PIN 4701 0063 01A BASIC Operator s Manual 2 7 SonoScape SS 5000 Diagnostic Ultrasound System Color Doppler Imaging Doppler Power Imaging Color Power Angio Directional Power Doppler PW Doppler Steer CW Doppler Steer M mode Color M TDI color TDI Doppler Extended view panoramic imaging Harmonic tissue imaging Zoom Dual B and Real time dual color Real time Duplex Real time Triplex Forward Reverse audio separation 2 4 User Interface Control Vv Vv Y VW Y WV Y WV 2D 3D 4D B gain and Doppler gain TGC Depth control Focal position span Dynamic range select Tissue Harmonic image enable Audio volume control Freeze cine P N 4701 0063 01A BASIC Operator s Manual 2 8 pe SS 5000 Diagnostic Ultrasound System Image save Zoom Dual B and Dual Real time color
108. tions and adjusts the size of the Color Doppler Region of Interest CROI Controls Digital Cine Review frames Positions and adjusts the size of the ZOOM Region of Interest ZROI PIN 4701 0063 01A BASIC Operator s Manual 2 39 SonoScape SS 5000 Diagnostic Ultrasound System 2 8 2 Set Key Located next to the Trackball Confirms the lt lt Trackball gt gt function for the command entry Confirms lt lt EXAM gt gt icon and menu setting Confirms caliper and measurement setting Switches between RESIZING and REPOSITIONING for the CROI ZROI and Doppler Range Gate RG In 3D 4D mode pressing this key will rotate the 3D volume along z axis In 3D 4D mode this key is also used to toggle between the four different view sections e In 3D 4D mode when ROI is oft pressing this key in amp acertain sectional view then moving the trackball will traverse through the view Refer later sections for more detail In 3D 4D mode when Trace Cut is on holding down this key and moving the trackball to draw an outline for the desired section to cut out 2 8 3 FREEZE Key Va FREEZE Located on the lower right corner of the keyboard Ce oe 2 JI Freeze Un Freeze the ultrasound image and enter exit the Cine mode automatically P N 4701 0063 01A BASIC Operator s Manual 2 40 SonoScape SS 5000 Diagnostic Ultrasound System 2 8 4 UPDATE Key Toggle in betw
109. to increase or decrease the system Dynamic Range and contrast resolution PIN 4701 0063 01A BASIC Operator s Manual 3 10 SonoScape SSI 5000 Diagnostic Ultrasound System 3 2 6 GSC also in Freeze state ese t t Change the Gray Scale Curve GSC setting for the current image display Use the Gray Scale distribution to match different display monitors 3 2 7 PERSIST Change the amount of temporal filtering lt or PERSIST persistence Lowering persistence improves the temporal resolution while increasing persistence reduces the temporal noise and smoothes the image 3 2 8 CHROMA also in Freeze state CHROMA Select a color other than Gray Scale for the displayed B mode image 3 2 9 SEC WIDTH Control the B image width of both sector and flat SEC WIDTH oe probes A smaller sector width increases the frame rate 3 2 10 SEC POS SEC POS Set the lateral position of the reduced sector width in B image 3 2 11 LINE DENSITY Select line density half pitch full pitch or double LINE DENSITY pitch for optimal frame rate and image quality Half pitch which provides highest line density lateral resolution and lowest frame rate is defined as acquiring vector per every half pitch space of the transducer element P N 4701 0063 01A BASIC Operator s Manual 3 11 SonoScape SSI 5000 Diagnostic Ultrasound System 3 2 12 BIOPSY GUIDE only for certain probes BIOPSY Turn on
110. ult position and the Bimage or 2 D either B or Color modes are active Moving the lt lt Trackball gt gt will change the Range Gate RG position Press the lt lt SET gt gt key to toggle the lt lt Trackball gt gt function for RG resizing Press the lt lt SET gt gt key a second time to toggle the Trackball function back to the RG positioning Press the lt lt UPDATE gt gt key after the Range Gate is defined to activate the Spectral Doppler mode P N 4701 0063 01A BASIC Operator s Manual 2 26 SonoScape SS 5000 Diagnostic Ultrasound System Press the lt lt UPDATE gt gt key a second time to toggle back to 2 D B or Color update and deactivate the Spectral Doppler When the Range Gate is moved while the Spectral Doppler is active the system automatically activates the 2 D update until the Range Gate remains stationary for approximately 0 5 second After that it automatically returns to Doppler active mode Refer to Section 3 Soft Menu for using the auto 2 D refresh mode which automatically refreshes 2 D images in real time Duplex or real time Triplexymode MS vore 1 The CW mode is with phase array probe only 2 If the probe supports CW press lt lt PW CW gt gt menu starts CW mode The CW control operates in the same manner as the PW and the CW mode indicator is located next to the Scroll Rate display 2 7 5 PATIENT Key Patient Data Entry window Use the lt lt PATIENT
111. urers generally do not recommend soaking probes in the liquid The FDA has published a list of approved sterilants and high level disinfectants for use in processing reusable medical and dental devices That list can be consulted to find agents that may be useful for probe disinfection P N 4701 0063 01A BASIC Operator s Manual 1 19 SonoScape 3 SS 5000 Diagnostic Ultrasound System Practitioners should consult the labels of proprietary products for specific instructions They should also consult instrument manufacturers regarding compatibility of these agents with probes Many of the chemical disinfectants are potentially toxic and many require adequate preCAUTIONSs such as proper ventilation personal protective devices gloves face eye protection etc and thorough rinsing before reuse of the probe PROBE COVERS The transducer should be covered with a barrier If the barriers used are condoms these should be nonlubricated and nonmedicated Practitioners should be aware that condoms have been shown to be less prone to leakage than commercialsprobe covers and have a six fold enhanced AQL acceptable quality level when compared to standard examination gloves They have an AQL equal to that of surgical gloves Users should be aware of latex sensitivity issues and have available nonlatex containing barriers 4 ASEPTIC TECHNIQUE 1 For the protection of the patient and the health care worker all endocav
112. ut the image in B mode or M gain OD when M mode is active or the overall Doppler or Color gain in the activated mode for PW CW or Color DPI modes P N 4701 0063 01A BASIC Operator s Manual 2 32 SonoScape SS 5000 Diagnostic Ultrasound System 2 7 11 CLR Key he Press this key to clear all texts calipers and BODY MARK from the imaging screen in Cine mode If a measurement is active this command will return the system to Cine mode 2 7 12 DEL key This key provides a number of capabilities Delete and edit the most recent annotation and arrow Delete 10 pixels at a time while tracing a drawing measurement in 2 D and Doppler mode Edit point positions for auto points and auto trace measurements in Doppler freeze mode 2 7 13 ARROW Key Press the lt lt ARROW gt gt key to create a new arrow pointer at the center of the image area This command adds a tail to the cursor s arrowhead when the lt lt Trackball gt gt is moved Press the lt lt LEFT gt gt key or lt lt RIGHT gt gt key to change the arrow direction and press lt lt SET gt gt key to anchor the arrow Press lt lt SET gt gt key to return to Cine mode Press the lt lt ARROW gt gt key instead of the lt lt SET gt gt key to abort the previous function Repeat the above procedures to create an additional arrow pointer Do not confuse the up down left and right lt lt ARROW gt gt keys i
113. utput display as well as the relationship between these parameters and the thermal cavitation bioeffect to the tissue Expose the patient to only the very lowest practical transmit powerlevels for the shortest possible time to achieve a satisfactory diagnosis ALARA As Low As Reasonably Achievable P N 4701 0063 01A BASIC Operator s Manual 1 5 SonoScape SS 5000 Diagnostic Ultrasound System 1 4 1 Safe Scanning Guideline 1 Ultrasound should only be used for medical diagnosis and only by trained medical personnel 2 Diagnostic ultrasound procedures should be done only by personnel fully trained in the use of the equipment in the interpretation of the results and images and in the safe use of ultrasound including education as to potential hazards 3 Operators should understand the likely influence of the machine controls the operating mode e g B mode color Doppler imaging or spectral Doppler and probe frequency on thermal and cavitation hazards 4 Select a low setting for each new patient Output should only be increased during the examination if penetration is still required to achieve a satisfactory result and after the Gain control has been moved to its maximum value 5 Maintain the shortest examination time necessary to produce a useful diagnostic result 6 Do not hold the probe in a fixed position for any longer than is necessary It should be removed from the patient whenever there is no need f
114. work Dcfault Exoport USB lt Set DHCP x Export Remote System Set fix IP address Remote IP 1192 168 254 104 Static IP Port No 9000 NetMask AE Title start server Gateway Wk IP 192 168 254 25 Printer IP 192 168 254 183 Wk Port 9000 AE Title Localsite WK Title wb list server Delete Database PING ECHO Save Setting O Exit Figure 2 7 2 6a DICOM Window 2 7 2 7 Exit Returns user to the EXAM screen P N 4701 0063 01A BASIC Operator s Manual 2 23 SonoScape SS 5000 Diagnostic Ultrasound System 2 3 EXAM Key Press this key to display all available probes connected oa in the system Use trackball to move the cursor to the probe highlights the lt lt EXAM gt gt icons supported for that probe Use trackball again to move the cursor to the desired lt lt EXAM gt gt icon and press lt lt SET gt gt key to start the Exam in B mode Each probe can display multiple EXAM icons on the screen simultaneously 2 7 4 Mode Select Key M B THI CDI DPI PW CW M key Press the lt lt M gt gt key to enter duplex M mode if the current mode ISB Press the lt lt M gt gt key again to exit the M mode and return to B mode For phase array probe in cardiac exam user can choose color M if the current mode is Color Doppler Imaging CDI When entering M mode the M mode cursor appears at a default position on the 2D image Move the lt lt Trackball gt gt t
115. ws 10 4SectionalView Traversal The user may traverse through any of the sectional views amp This is accomplished by first turning off ROI MODE in the Main Menu or by turning on HIDE ROI in the Main Menu turning on HIDE ROI will automatically turn off ROI MODE as well Press the lt lt SET gt gt key on any of the sectional views to set it as active and move the lt lt Trackball gt gt up and down to traverse through the view P N 4701 0063 01A BASIC Operator s Manual 10 21 SonoScape SS 5000 Diagnostic Ultrasound System 10 5Save Option When the motor is not running press the lt lt SAVE gt gt key to display the available save options Press a number key to select an option or the 0 key to cancel saving If a save option is selected a default file name will be displayed and may be changed by using the lt lt BACKSPACE gt gt or the lt lt DELET gt gt key to delete characters Characters may be inserted by pressing the A Z keys or 0 9 keys There is a maximum file name length of 15 characters and a minimum of 1 character Press the lt lt ENTER gt gt key to save with the displayed file name An extension will automatically be appended to the file name depending on the file type The default name is based on the current date and time The format is month date year hour minute second e g jul1 7207113320 would mean the file was saved on July AX 2007 at 11 33 20 If the file already ex
116. y the desired starting frame In freeze B mode press the lt lt P gt gt key on the alphanumeric keyboard there displays Please wait on the screen then the dialog Press CLR to Cancel appears on the screen at that time press the lt lt CLR gt gt key can stop the initialization of the PANORAMIC P N 4701 0063 01A BASIC Operator s Manual 3 4 SonoScape SS 5000 Diagnostic Ultrasound System New Site C344 SonoScape Jul 23 2008 16 08 16 FPS 54 i m D G 3 4 Fi Oe a o GN 255 E I P 3 30 PWR 70 FRO 34 8 D 16 5cm Ge press CLR to cancel 107 157 0 38 100 New Site C344 SonoScape Jul 23 2008 16 08 16 Ls 0 5 WE d 10 y l 15 0 38 100 Press FREEZE to cine mode Press the lt lt FREEZE gt gt key again to exit tnhe PANORAMIGC and return to the cine mode PIN 4701 0063 01A BASIC Operator s Manual 3 5 SonoScape SS 5000 Diagnostic Ultrasound System 3 2 B mode Menu Activate and deactivate B mode Soft Key controls by pressing the Q lt lt MENU gt gt key in B mode and using the lt lt Up Down ARROW AN gt gt keys or lt lt Trackball gt gt to choose the Menu items w Use the lt lt left right ARROW gt gt keys to change among the predefined Og values for each option that s selected Li The following shows the menu for the B mode when press the wi lt lt MENU gt gt key Og FOCAL NUMBER AQ S

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