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Appendix A - Diagnostica

1. 2 steps 100dB 130dB Up down left right Adjustable Adjustable Distance circumference area volume heart rate GA FW EDD Date time name sex age doctor hospital name full screen words edit 40 type 512M gt 80G Adjustable Adjustable Figure script compiles Dump Inquiry Adjustable Chapter Two System Summary 2 3 Range of application Application in abdominal Obstetric Cardiac small parts sonography 2 4 Introduction of Clinical Application Anatomic Site Diagnostic Items Liver guts spleen kidney adenexa uteri Convex array probe Abdominal section etc 3 5M Hz Exam if there is abnormality in the heart Thoracic section Hearts of adults l l structure and function through analyzing Micro probe of 5 0M Hz and pediatrics l the picture of B mode The muscle and skeleton system small l organs as wel as the abdominal Convex Cutaneous section m l l organization and structures including 3 5M Hz GIT kidney and bladder Exam if there is abnormality through rough Linear Cutaneous section small organs estimation over the pictures of breast TS E l Z and didymus etc Exam if there is abnormality in the brain Linear Head section of neonate volume and structure from the picture of PIT Z neonate head Cutaneous section Peripheral Exam if there if angiostegnosis from the Linear vessels picture of peripheral vessels 7 5M Hz 2 5 Per rectum examination pr
2. 4 3 Equipment Reset and Restart Key Switch off Switch on key It is located on the left side of unit body Press it to switch off or switch on the equipment By Backlight switch key Press the Backlight key switch on or switch off the Backlight of the keyboard 4 4 Basic Scanning Control Key M Velocity a Frame correlating factor control M mode velocity control I j Mech scanning angle control z Focus number control VA enee between focuses control xi ENS N Tn 2 J f Le Dynamic range control key Probe frequency shifting key To shift probe type A Freeze D To shift between freeze and real time mode AEN f Spower y vv Acoustic power output control 4 5 Information Annotation Key To clear off the measurement marks and annotation information in the image area EY s Display obtable e OB table To enter into of exit from the CASE administration Annotation Ae j To make an information annotation in any position of image area Repo The same as New Patient key te Body N ME D To display the body posture marks menu 14 Chapter Four Introduction of Operating Keyboard and Trackball Lg EE f Y il Ref To switch the input mode 4 6 Picture Processing Key o l XB To capture the currently displayed pictures H To view the captured pictures amp Y To perf
3. m Keep the repository ventilative Avoid direct sunshine and caustic gas 79 Chapter Ten Malfunction Examination and Troubleshooting Chapter Ten Malfunction Examination and Troubleshooting 10 1 Brief Introduction alf there is any problem with The device please refer to the failure diagnosis table in this chapter mIhe device has been subject to a strict quality inspection thus most of the problems may be cause by a sudden change of the operating environment or unfinished system settings m he symptom reason and solution of various malfunction are listed in the failure diagnosis table in this chapter alf any problem is encountered during the operation please refer to the failure diagnosis table first to see if it is listed in it If it is please do as the advised mean to resolve it while if the reason for the failure is not clear please contact the user service department of Diagnostica 10 2 Troubleshooting mReplacement of fuse Position the driver into the slot on the fuse cap and press it then contra rotate it to loose the cap Take off the fuse tube protective tube and replace it then put back the cap and take the reverse measure to fix the cap and fasten it Fuse specification 95 x20 F2AL250V Troubleshooting see the following diagram No Malfunction phenomena Troubleshooting 1 Examine power supply Open power switch of the device with no 2 Examine supply line and plug signal appeared on the screen and the 3
4. Diagnosis Result Setting Doctor Name Setting tumour cm cm Cindy syst ch cm Renee z Modifs g Delete S Add SysDate Time 2008 4 28 11 13 45 gm DICOM Image destination server for transfer ServerIP fet BD a 4 ServerPort 104 DICOM Image receiving for owner host setting ServerIP 12 oe HW oo ServerPort 104 File D X amp ADATASADICOM Skin x CineFrame 18 CineFile M 19 Chapter Five Basic Scanning 25800 To change the system date and time here DICOM Image destination serwer for transfer ServerIP Se he u 0 gt serserPorr id To setup the IP address and port of destination server which the DICOM pictures will be transmit to DICOM Image receiving for owner host setting ServerIP 12T 30v 3 0 Sl ServerPort 104 File D DATA DICOM To setup this computer as a receiving server of DICOM pictures Skin SHEW To setup the interface of this workstation to be in B W or color mode based on the need for observation or user s personal favor 500 PERE Pelle To setup the maximum of frame number for cine and videos between 1 500 Cine File 1 Automatic creation The backup files of cine loop i e cine001 cine003 seq can be created automatically under the Directory Temp of software installation directory When the number of files is over 3 the old files will be overwritten from cine 001 seq one by one 2 manual customization Setup the access path a
5. VAT WWW C AW AWA 1 f m Clef el a yy Full digital ultrasound diagnostic system T T c 2 el o Ls q e Oo Assembly operations extensions re adjustments modifications or repairs are carried out by personnel authorized by us and the electrical installation of the relevant room complies with Safety standards ONOTED e This device is not intended for home use A WARNINGA e This device is not intended for treatment Label guide NNARNING A WARNING label advises against certain actions or situations that could result in personal injury or death DNOTED A NOTE label advises against certain actions or situations that could damage equipment produce inaccurate data or invalidate a procedure Equipment icon description d Type B device N Note Refer to accompanying documents Turn on general supply Disconnect general supply Q O gt Signal output vy Equipotent IPX7 Watertight proof h Risky voltage USB port RS 232 port T Recycling of the carton Shipping package icon description i ES Protect against heat Common suggestion of the Equipment regulation In operation 1 Heat radiation holes are strictly prohibited to be covered 2 After shutdown do not switch on the device within 2 3 minutes 3 In scanning if any abnormal cases are found stop the scanning immediately and shut down the device 4 Patient is not allowed to tou
6. 2 5MHz 3 5MHz 4 5MHz 6 0M Hz Convex Array Probe of C3 1 60R 3 5M Hz R60B 2 0M Hz 2 5MHz 3 5MHz 4 5MHz 6 0M Hz Convex Array Probe of C5 1 60R 3 5M Hz R20 4 5MHz 5 0MHz 5 5M Hz Convex Array Probe of C1 6 20R 5 0M Hz R13 4 5 MHz 55MHz 6 5MHz 7 5MHz 85 MHz Endocavity Probe of EC1 1 R13 6 5M Hz R10 4 5 MHz 5 5MHz 6 5MHz 7 5MHz 85 MHz Endocavity Probe of EC1 6 R10 6 5M Hz L40 5 5 MHz 6 5MHz 7 5MHz 8 5MHz 12 MHz HF Linear of L3 1 7 5MHz or Rectal of EL3 1 7 5M Hz 22 Note The acoustic power will be regulated automatically when the working frequency is changed 5 8 7 Angle Regulation A An gle w II wre J i H Press L7 then the angle on the top right screen will be brightened turn to be blue Now turn the ram to increase or decrease the scanning angle The scanning angle of 25 Chapter Five Basic Scanning various probes can be set in the following range Endocavity Probe l Convex Array Convex Array M icro Convex l of Endocavity Probe of Probe of Probe of Probe of EC1 6 R10 6 5M H EC1 1 R13 6 5M Hz C3 1 60R 3 5MHz C5 1 60R 3 5M Hz C1 6 20R 5 0M Hz 2 m Note Decrease the scanning angle may allow to raise the image frame frequency and increase the frame number of cine loop 5 8 8 M Speed Frame Correlation Control M Velocity aPress J under the B M or M to control the refresh frequency of B Mode Image on the
7. Acoustic output reporting table B mode Nominal frequency 7 5MHz Transducer Model EL3 1 7 5MHz Index label 0 78 78 Maximum Maximum index value value 084 84 ws pe mW Min of Pa Zs lzotao24 n mW Zs Associate cm N 5 d acoustic cm parameter Z cm S Z at max lpia cm deq Zo cm fawt M Hz X cm Dim of Aaprt cm usec 020 BN Hz 5681 o lt Other informatio Ipaa W cm Operating F PIN control feo e E LL conditions Fousposion 3 3 Notes a This probe is not intended for transcranial or neonatal cephalic use 93 Appendix A Acoustic output reporting table M mode Inc B mode Nominal frequency 7 5MHz Transducer Model EL3 1 7 5M Hz Index label Min of Pa Zs lzpta oZ3 I mW Zs Associate cm N 5 d acoustic cm parameter Z cm S Z at max lpia cm deq Zo cm fawt M Hz X cm Dim of Aaprt cm o lt Other informatio Ipaa W cm F PIN EU operino es S p we 1 p omemws 3151 3 L2l Notes a This probe is not intended for transcranial or neonatal cephalic use 94 Appendix A Version V1 3 6 3 P N No 24030004 95
8. i Measures Il J 1 Press button t Exit S to display the measurement menu then select the wanted item via the cursor to perform the measurement 2 Click the Measurement Mark then click the wanted item via the cursor to perform the measurement ma This device provides two measurement mode in the measurement marks menu UELLE Not to save the measurement result onto the picture in the measurement item of distance and to switch to the free measurement mode in the measurement items of area girth and volume 32 Chapter Six Measurement weber Click it before measurement to save the measurement result onto the picture in the measurement item of distance and to switch to the ellipse measurement mode in the measurement items of area girth and volume min the process of measurement the current measurement item displayed in blue color on the right side of the screen Turn the knob e change the current measurement item m he measurement result will be displayed in the left or right portion of the screen You can press ZEN A N i e h ancel the button in the picture area to cancel the measurement 6 2 Routine Measurement 6 2 1 Measurement of Length Click to choose the starting point and ending point of the length measurement by trackball fF aN ii Confirm The result value of length measurement will be displayed when release the on the ending point Measurement model Measurement
9. refer to following methods or the added and altered data will be lost forever Never forget about this unless you don t want these new data 2 When the disks has been replaced or formatted take following measures to import backup data of patients first recover the system second copy corresponding 4 files Bmp Dicom JPG and Welld mdb in the CD or mobile memory to windows folder DAData to overwrite the original ones third run B ultrasonic software and press button New Patient or select Acquisition Management gt to open medical reports management interface After these steps the software will import old data of the patients automatically and represent them in the list column on the left Now you can alter print the data or do other operations as you will 7 7 Quick check and report printing Press the button Save to collect the image then press the button Report to enter into the interface of casemanage and fill in the patient information exam conclusion now pressthe button Print you can print the report EA Q Note w If the measurement is finished you must press the button New Patient to clean all data then you can start the next inspection m This method will not save the case information 71 Chapter Seven Case Administration T2 Chapter Eight Check and Maintenance Chapter Eight Check and Maintenance 8 1 Check Check the device power cord and probe cable and waterproof cover if
10. 0 meee eer oe renee Pes m o NR 13 42 Character anc ANUmbel KGV sssdees enter di oeste Se tere fei diea ode uei Sacer eee redet fe toot mom deo tiet 13 4 3 Equipment Reset and Restart Key cic cccccccessscccsssscessssccsssceesssecesssecsssssceseseesesseeseeeens 14 44 Basic Scanning CoOrt ll Key o eso t ttt t autant 14 4 5 Information Annotation Key sse ennnenenneennnns ennt eerie erinnern sn 14 4 6 PICEUFe PIrOCOSSITPIGI KO UJ esuscscecs cni denesen cuite atctteiu consc dense E sensu E Ln Les E dented 15 4 7 Measurement Operating Kay uuu cece cccccccecsccessccssssecesssscesssecesssscessssecssssecssssecsessscessscesesseeessseess 15 4 9 Cursor Selecilhd Key uos ts maso E ta bn tas e ab Manes da aset ed 15 49 Image Mode Control KGyzsise se e E Ehe EUR IHRER pee dE ERE RIEN IO EROR A 15 NIU Ano oe H U 15 ZIEL freee ue EUER EU M IMEEM CE 16 Chapter Five Basic Scatinifig iii ecco oca ea oua ac ih ca an au EE uan can auc aaea raka eana Na ER RUN USE Na aeaaea neaka RUNE E RES 17 SNNBIIUS Alziscc o NOTET TT 17 5 2 Device Start and Sh t dOWhi rere et o aer aee sa Ra ec a eS 17 5 3 5eGreenrbISDIay adito ane ster M cete DIM AM MOULE A E E 18 34 PIoberSelecblori s eis e LERNEN NE M cocnsesecsenscs AAN 18 SES abc c ES ea OO OD 19 5 6 Display AGJUSIMENL ec cccccccsssecesssscesssscessescessssscssssscesssscessescesssscessssecesssscssssscesssscessesce
11. Acoustic output reporting table M mode Inc B mode Nominal frequency 3 5MHz Transducer Model C3 1 60R 3 5MHz Index label EE x cow e o Min of Pa Zs lzptaoz P d s mW Zs Associate cm N 5 cm d acoustic parameter Z cm S Z at max lpia cm 5 30 deg Zp cm fawt M Hz cm Dim of Aaprt cm ane Other informatio lara W cm F PIN EDETEN ome wwe 0 20 Notes a This probe is not intended for transcranial or neonatal cephalic use 84 Appendix A Acoustic output reporting table B mode Nominal frequency 5 0M Hz Transducer Model C1 6 20R 5 0M Hz Index label 019 19 Maximum Maximum index value value 064 64 we C o mW Min of Pa Zs lzotao24 n mW Zs Associate cm N 5 d acoustic cm parameter Z cm S Z at max lpia cm deq Zo cm fawt M Hz td CO NI X cm Dim of Aaprt cm ied 043 B Hz 4784 o lt Other informatio Ipaa W cm F PIN juge e ps 9 EL control i Angle ojoj condim mee 6 e l L Notes a This probe is not intended for transcranial or neonatal cephalic use 85 Appendix A Acoustic output reporting table M mode Inc B mode Nominal frequency 5 0M Hz Transducer Model C1 6 20R 5 0M Hz Index label TIC Maximum Maximum index value value 022 0 025 005 oo mm
12. Basic Scanning 5 1 Device Preparation mCheck the following items before using the device elf the power supply is proper a c 100V 240V 50HZ 1H2 60HZ 1Hz elf all the cable has been connected correctly and firmly elf the equipment has been grounded correctly and reliably in case the image be subject to interference 5 2 Device Start and Shut down 1 The power indicator light on the operating panel will be orange after switching on the device from the left side of the unit body Now the device is under the stand by state 2 The power indicator light will turn to be green after pressing the start shut down uo and the device will begin to self check 3 After self checking the device will starts successfully and go into B mode real time scanning Note If the screen prompts the error information Please power off the device immediately and contact the post sale service department of Diagnostica 4 Press the uo QU to shut down the equipment and the device will go into stand by state while power indicator light will turn to be orange Then switch off the device from the left side of the unit body to shut down the entire system 5 When the equipment goes into Death state caused by maloperation unable to start the device by pressing any key press the NO to shut down the device _ Note It will take about 30 seconds to start the device 17 Chapter Five Basic Scanning Note It i
13. BedlD Sectlon Prostate Vol Bladdervot SPSA UrinevVol PSADens R Renvol TZonevol L Renvot Conclusion Doctor Date Hospltal amp ddr nanshan shenzhen chalna Tel 0755 12345678 62 Chapter Seven Case Administration Cardiac PrintPrevier SHENZHENG CITY HOSPITAL B UltraSound Inspection Report Name Sex Age Bedibd F Thyroldvolume L ThyroldVolume Thytoldvok Thyroeld isthmus Conclusion Doctor Date Hospltal amp ddr nanshan shenzhen chalna Tel O755 12345678 M iniOrgan PrintPrevier SHENZHENG CITY HOSPITAL B UltraSound Inspection Report Name BedlD Conclusion Doctor Date HospttatAddr nanshan shenzhen chalna Tel 0755 12345678 Abdomen Urinary PrintPreview SHENZHENG CITY HOSPITAL B UltraSound Inspection Report Name Sex Age ID BedlD Sectlon Right Hip Joint R Bony root a R Cartllaginous roof exe Left Hip Joint L Bony root a L Cartllaginous roof exe Conclusion Doctor Date HospttatAddr nanshan shenzhen chalna Tel 0755 12345678 Orthopedics 63 Chapter Seven Case Administration 3 mu pe m es Click it after choosing the query mode in 7 Xu d Honec Rer to query the data and display it in the case list OE Click it to modify the current case Q Click it to delete the selected case d Typical a specific item of the typical case and the diagnosis result will be displayed in the dialog
14. EC1 1 13R 6 5M Hz while the optional configuration are micro probe of C1 6 20R 5 0M Hz rectal probe of EL3 1 7 5M Hz HF linear array probe of L3 1 7 5M Hz Convex array probe of C5 1 60R 3 5M Hz Endocavity probe of EC1 6 10R 6 5M Hz 2 2 Technical specification EL3 1 7 5MHz EC1 1 13R 6 5M Hz C3 1 60R 3 5M Hz endo rectal C1 6 20R 5 0M Hz EC1 6 10R 6 5M Hz C5 1 60R 3 5MHz probe micro convex endo vaginal convex array probe L3 1 7 5MHz probe probe HF linear probe Display depth mm M aximal detect depth mm Lateral Resolution mm Axial Blind zone mm Geometric Horizontal position Vertical precision LCD size Display mode Image gray scale Cine loop Image storage Scan angle Scan depth Acoustic power Dynamic range Image flip Focus position Focal space M easurement Notation posture mark CPU Memory HD DVD Compiler DICOM UA m pP e Chapter Two System Summary 240 max 16 levels adjustable lt 3 lt 28 IV Im o O m depth x80 depth x60 1 Md 80 lt depthx130 2 depth x80 1 lt 3 depth lt 80 depth lt 40 80 lt depth lt 130 0 lt lt gt a 05 sf s 12 1 inch I I depth x60 lA Ul lA UJ 80 lt 3 lt 3 lt 5 lt 5 lt lt lt lA Ul B B B B M M 4B 256 level 2500 frame 21000 frames Adjustable 40mm 240mm
15. Optional pieces 9 9 99 9 C1 6 20R 5 0M Hz micro convex probe EL3 1 7 5M Hz endo rectal probe L3 1 7 5MHz HFlinear probe C5 1 60R 3 5M Hz convex array probe EC1 6 10R 6 5M Hz endo vaginal probe printer HP1020 HP1160 Chapter Three Installation Chapter Three Installation 3 1 Operating environmental requirements a Environment temperature range 5 C 40 C b Relative humidity range lt 80 C Atmosphere pressure range 70kPa 106kPa d Power supply a c 100V 240V 50Hz x1Hz 60Hzx1Hz When using avoid strenuous vibration keep it away from devices with high field intense magnetic field or high voltage avoid strong sunlight blazing down on the display keep the device well ventilated moisture proof and dustproof 3 2 Unpacking inspection After unpacking check the device according to Packing List and install it according to requirements and methods described in Installation after affirm that there is no shipping damage 3 3 Installation 1 Check the power supply too see if it is in the expected range then connect the equipment and the power socket with the cable 2 A 96 core connector is used for electronic convex array probe see figure 3 Connection of 96 coreconnector First switch the locker on the probe connector to OPEN position the connector localization pin with the hole on the socket then plug in the connector and switch the locker to LOCK When the locker is moved t
16. The Case Administration scsi ce Ada et tette eut tele atin Mentre Ra th RA iC alate 61 7 21ntroducHon TOF SMOTECUL BUT ONS tota eed e i aon E 61 7 3 Calculauon Old ucumecgdume snm MEME MIN ME 65 7 4 Obstetric Tables and GA Tables Viewing see nennen 66 7 5 backup Patientin OMAH dssdo catu petet E nei utres b ctn bea eel PE 68 7 5 1 Send the data to mobile memory essen enne 68 75 2 Eie TIS Cl abel Into DS a nl a a a QUEM ME EM E E C RUE 69 ZLolmportDatlets AI deran uenia tend ADI AE LL ac E LLL p dL M IUE 70 7T Quick check and report DH ntihig ue e rete el bee eet bu ertet eta Ce ete er eee bae vet ee edet 71 Chapter Eight Check and Maintenance 1 11er ee iiee er ieee enean enn aa unn a aua u a uana uaa aun u aaa R nua aHH 73 MEG JC scat 73 os ATE SAI e MP E 73 9 2 Mamnmunit mantenant E op aote dieses eee austen ee ais et iere 73 94 Probe Iaeinteraliee cui o REIP PEDE GANE MEUM eee PM MEME UE M DL 74 of cic IRR O ere EEN nee ie tent Re nT re nT to erie DO DE 76 o oConect usage OL DIOD6 EO Sas Se moe tsi ead 76 9 7 Inskrurent test and callDEFatlOTI s doe oo Reed o on A m tasas 77 Chapter Nine Transportation and StOraGe csssscsssscssssnssscnsssensseensseensssensssensssensssensssensssenssencsseensssnnaes 79 9 1 Environmental Requirements for Transportation and Storage eee 79 O
17. choose MAsSeesWhiIo JERE se Ener 1 Select the cross section and longitudinal section pictures and freeze them respectively 2 Measure the area of the cross section with the area girth measurement mode 3 Measure the length of the longitudinal section with the distance measurement mode 4 The measurement is finished and the measurement result is displayed on the right side of the screen automatically or 926 GiT gt gt Volume Measurement Sketch 6 2 5 Measurement of Length Ratio After measurement of 2 groups of length the length ratio and length stenosis ratio will be calculated by this system automatically and will be displayed on the top left corner of the screen 35 Chapter Six Measurement A B 96 5 1 A B 3 5 Schematic Diagram for Measurement of ditm Length Ratio 6 2 6 Measurement of Area Perimeter Ratio After measurement of 2 groups of area perimeter data the area perimeter ratio and area perimeter stenosis ratio will be calculated by this system automatically and the result will be displayed on the top left corner of the screen Al A2 10 5 Al A2 10 5 61 62 35 0 61 62 35 0 1 Al A2 3 5 1 Al A2 3 5 1 G1 62 65 0 1 G1 62 65 0 4h 512 AK 91 12 512 AK 91 3 sS ete r z f dn18 410 fS 7 A p 18 410 FAK 77 m aos Schematic Diagram for Measurement of Area Perimeter Ratio 6 3 Obstetric Measurement The gestational weeks can be calculated by this s
18. end of diastolic phase mL RHWD Thickness of right ventricular wall in the diastolic phase mm LVESV Left ventricular volume at the end of systolic phase mL RHWS Thickness of right ventricular wall in the systolic phase mm SV Stroke volume mL RVD Diameter of right ventricle in the diastolic phase mm SI Stroke index mL mz2 RVS Diameter of right ventricle in the systolic phase mm CO Electrocardio output L M IVDD Diameter of left ventricle in the systolic phase mm CI Electrocardio index L M mz2 LVDS Diameter of left ventricle in the systolic phase mm 43 Chapter Six Measurement SF Systolic fraction 96 PLVWD Thickness of posterior left ventricular wall in the diastolic phase mm EF Ejection fraction PLVWS Thickness o posterior left ventricular wall in the systolic phase mm IVC Left ventricular perimeter mm S IVSD Thickness of ventricular septum in the diastolic phase mm IVSS Thickness of ventricular septum in the systolic phase mm 6 4 4 Bicuspid Measurement mUsers can estimate the D E excurion D E and E F slope rate based on the D wave E wave and F wave under the M mode and the BM mode for bicuspid measurement mOperating Procedures l Enter into the B M mode and adjust the position of the sampling line by moving the ENS l F an D trackball Press the button when the pro
19. etre ee ee a te et Ra Mc P 6 2 4 Introduction of Clinical Application ssseennn nennen 6 25 Pertectum iexamiriaion pDIOCGdEG xs cens ceci e Hee t botes ee eter pieta eden tutes e E tette tees 6 2 6 Vaginam examination procedure sese eene eene n eren nennen eres e nennen nnns 6 2 7 AE OVNI ANNU GEV ON A see et casi a ba amt cde Des MEL UE 7 2 0 Component S DIMENSIONS x icio REEL o EE ase ERES ES Ro IDEE EIS DEP EUM eta DEP pee LE ADU 8 ZO d ADDS GIO uti Rees reer ren etre Pe Ree et Teer mde oar tu ee eR ESTEE tee deum dee aude ose Dat UE 8 ro ae Pee eC Ren ide Ii Le HU EE Ci 8 20 3 9tdladaracoriguratdon ipieces eem mat om ee eee ah mies 8 FE O14 6 nce ecc IT rr 9 Chapter Three InsptallatiOl aseo n d aO EO IM XLI MIN TEC KIM CIR TIE EQUUM VIRI aapa NNR IC RANAR RAAR 10 3 1 Operating environmental reQuIreEMeNtS cece cceecccessscesssscesssecesssscesssscesssscesssssesssseeeees 10 32 Unpackibd IDspecblODissstesatthndes tetti ts eeeseete OA EE es te becas 10 Content CAC A lgisise O a Ree nee Mee Mee e MEE eT ee MOSER MTE Te At eae Re ane eee nme ee eed ae ese 10 3 4 Edguipotential COMMECEON asino aeter tede ee eminet Meteor eterne ete besides 11 bas No SECM OC ON p T ERE 12 3054 nstal tpe poH E s tux UL UD ERN ELA IE AINE LEN LEO E 12 Chapter Four Introduction of Operating Keyboard and Trackball 13 Aid Miqiugorels i
20. find any damage or breakage must not use the device and replace the broken immediately 8 2 Service life Bases on the manufacturer s design production related files this model s use life is six years The Product s material will gradually aging if the product continually use over the designed use life it may bring the problem of the performance reduced and fault rate raise Note The Discard the device according to local law Do not discard it mixing with other household garbage 8 3 Main unit maintenance m instrumentation environment should accord with 3 1 operation environmental requirement m If device enclosure needs cleaning shutdown the device first and then wipe with alcohol sponges Device should not turn on and off frequently aWhen the device does not work for a long time pack the device according to the instructions on the packing Store it properly in the warehouse The storage environment should accord with 9 1 Transportation and storage environmental requirements 73 Chapter Eight Check and Maintenance 8 4 Probe maintenance m Probe is an expensive part and frangible Never hit it or drop it on floor When not working place the probe in the box and set the probe at freeze state m Please use medical ultrasound coupling gel during diagnoses The water prevention level is IPX7 so do not let water exceed the acoustic window see figure 8 1 8 2 8 3 8 4 8 5 Do daily inspection o
21. humidity range lt 80 4 Please use standard power cord as the input line of the network power supply for the adapter to reduce risk 5 The power supply plug is the standard three pins plug its protective grounding pin terminal should be connected with the protective grounding line of the main power mihere is no conclusive evidence to show that using the ultrasound diagnostic device with the correct method is actually harmful to the patients or operators Although the ultrasound may be proved to have a undefined and slight effect on the human body however the numerous advantage of the ultrasound is outweigh the unproved disadvantage much a Theoretically the ultrasound may impose two sort of adverse effect on the human body One is that the ultrasound may produce heat when it passes through the human body while the other is that the ultrasound may produce the air bubble in the human body However there is not any definite evidence for both the two effects mOperations which may effect the ultrasound irradiation range 1 Depth of focusing The pulse frequency will be changed when users change the depth of focusing 2 Probe selection The change of transducer can lead to the change of ultrasound irradiation range Different transducer has the different acoustic characteristic and can emit signals with different acoustic frequency and different acoustic power 3 Freeze Start Stop the ultrasound picture is to start stop the ultrasound
22. inflammation to avoid the cross infection Patient in the following situations are not allowed to be checked with vagina and rectum probes inflammation of the vagina such as trichomonas virginities colpomycosis venereal disease etc The unmarried deformity of vagina menstrual period postmenopausal vagina atrophy person with difficulty carry on the vagina ultrasonic examination colporrhagia placenta previa patient etc The following patient is prohibited to use the puncture High blood pressure coronary heart disease disturbance of blood coagulation and the bleeding tendency patient IV Chapter One Prelate wissivacstacsssccsenccastcudccuiscusnaeduaacsaudenuisansvaciuassecusewasavsausscsuantcsaisesasssunsseusstenaiuensauenansenuieal 1 Be Statene a See mee ee en CDD 1 1 2 Manufacturers waranty o cmq tea a EE EO ERREICHEN aaa ne Eat A NOEL HD EE E 1 b3 Matters need Atento Neree aca cc sch ie ce ea ek se E M Soa gt E eae TREE NP 1 1 5 General LIDS TOP GEVICe O DEL ALON usen e tete rei te di ede tei de ett tee teile tert 2 16 General Safety Message cosciente Mente et M D den iei eA DEAD E 2 Chapter TWo System SUMMA y oia no ai zaRU sa sana Ha ERREUR ERR Uu RR TER RRR S aa aaa aaraa a ara rae IER ap EUR URR IO RURR ER RR ER UR RR REED UD 4 2 lCnaracterisbics alg PEHITEIDIBS os ood coto redeo atem Cete tee toi Em nte oe det etc ru inem tee tee 4 2 2 Technical SOSCITIGATION Me T c 4 2 3 RINGE or dDDIICablObi adi
23. irradiation 4 Scanning Angle This operation can change the scanning width 5 Focusing It can change the position of irradiation focal region 6 Display Mode B M B M It can change the mode of picture Chapter Two System Summary Chapter Two System Summary 2 1 Characteristics and Principles m THE DEVICE is a high resolution convex linear array scanning ultrasound diagnostic system which utilizing the PC control and digital scan converter DSC while adopting multiple technologies such as digital beam forming DBF real time dynamic aperture RDA dynamic receive apodization DRA dynamic receive focusing DRF dynamic frequency scan DFS 8 TGC as well as frame correlation and it can support various linear and convex array probes with a wide range of frequency alt provides five display modes as B B B B M M 4B and gray scale of 256 levels mit provides such functions as real time freeze magnification up and down flip left and right flip eedge enhancement gamma calibration of the picture alt allows the continuous playback and single frame play of 500 frames at most while static pictures of 1000 frames can be stored and recalled at most The patient data can be saved while saving the pictures mit provides multiple level regulation for scanning depth scanning angle dynamic range acoustic output power frame correlation factors focus number distance between focuses focus position mit functions at display of
24. itte t ee e tede 47 6 S WFODGIETE IN ss RR cid M m T E 48 6 54 Prostate VONNE nearne a ee Aurea alee Moe AM apr ME 48 6 5 2 Volume OM TCS ICE ONAL LOINC uocat tod loss eet dua tod Gate ento rei eta bea eee 50 65 3 Bladder Vole srenti decis aen tt Mp tet Hs nane ud tees bianca nt 50 654 Residual Urne Volume omus odo SN OPEM EE Ed I NEM 51 6 5 5 Measurement of Left amp Right Renal Volume eene 51 6 6 GYNECOIO GIS Measulerrielib seen ea teet t teeta idet E debent uta tat al eet lag 51 6 7 Measurementof Organhellae testet he e et etit dee te ceto dr e ce eee e eee 52 6 9 Orthopedic Mieasulel Yell Ege i a A A O 52 6 9 Operating Instruction for Function of Puncture Guide eee 53 6 9 1 Fixation of Puncture Frame and Probe eese senten ener ns 53 6 9 2 Selection of Puncture Needles eese seeseeeeee eee tn nnne then n ines n inns 55 6 9 3 Call out the Puncture Guding Line essen 56 6 9 4 CallDFauori OF PUhCEUFe EIS iiem Eton e Rb fe tO DE 56 6 9 5 Insertion or P net re Nesdle cute eel tob uta eate eee td ttal is 57 OIGAN PUNCU Essensa betta etant ida e t aed ete ida a tme eii ates 58 6 10 Brief Description of Drawer M enu sseee nee emn nnne ennn entrent 59 Chapter Seven Case Administration Lee e rere eere eese rena anna a unu a unu a unu a unma aun u aun u Hau nuaH 61 7 1 Enter
25. mW Min of P Zs lzpta oZs mW Zs cm Associate cm N 5 d acoustic parameter Z cm S Z at max lpia cm ES 00 deg Zp cm fawt M Hz X cm Di m of Aaprt i cm PM Other informatio Ipae W cm F PIN E Operating contr aroe f 0 0 90 conditions Focusposiion 6 6 6 Mspeds i 125 125 Notes a This probe is not intended for transcranial or neonatal cephalic use 86 Appendix A Acoustic output reporting table B mode Nominal frequency 7 5MHz Transducer Model L3 1 7 5MHz Index label weir foes E mW Min of Pa zs lzota oZ mW Zs cm Zbp Associate d acoustic parameter Z S Z at max lpia deg Zp fawt M Hz cm Dim of Aaprt E cm informatio A Im conte Notes a This probe is not intended for transcranial or neonatal cephalic use 87 Appendix A Acoustic output reporting table M mode Inc B mode Nominal frequency 7 5MHz Transducer Model L3 1 7 5MHz Index label Maximum index vave ase oso nos ows Ta mW Min of Pa Zs IzptaaZs P mW Zs Associate cm N 5 d acoustic cm parameter Z cm S Z at max lpia cm deq Zo emm fawf M Hz H J o X cm Dim of Aaprt cm o lt Other informatio Ipaa W cm F PIN o es es ae ton ee omes _Foeu
26. mode2 Length Measurement Sketch 6 2 2 Measurement of Area and Girth A N ii Confirm mM easurement Mode 1 press then move the cursor from the starting point to the if E N ii Confirm ending point of the area for measurement press again to close the curve 33 Chapter Six Measurement automatically The area and girth within the curve will be displayed automatically on the right side of screen mM easurement M ode 2 This mode refers to the ellipse measurement method Operating Procedures Determine the first point by pressing V7 move the trackball and uM i Confirm press again to determine the second point then move the trackball and press again to determine the size of ellipse The measurement result will be displayed in the left portion of the screen 5 947 G 59 5 947 G 59 Measurement mode2 Measurement model Area and Girth Measurement Sketch 6 2 3 Measurement of Angle Click at three points in the picture with the trackball then the angle value shaped from the three points will be displayed on the right side of the screen automatically Angle Measurement Sketch 34 Chapter Six Measurement 6 2 4 Measurement of Volume Volume measurement is to measure the viscera as an ellipsoid or a cylinder then calculate the volume value through the calculation method for the ellipsoid or cylinder Procedures Take the kidney for example First choose the Volume then
27. or body posture marks etc 5 12 Image processing il Image Press 7 key to display the image processing menu GamaAdjust Pre Enhance THI c It provides Gama Adjust Pre Enhance THI and other image processing functions mselect Gama Adjust to lighten up Gama Adj on the up right of the screen There are 4 levels GMO GM 1 GM2 GM3 press e select them circularly mselect Pre Enhance to lighten up the Enhance on the up right screen Then edge enhancement is adjustable There are 9 levels OFF E1 E8 which can be adjusted by pressing mselect THI or MeasureM ark B to lighten up the THI on the up right screen There are 2 levels ON or OFF 30 Chapter Five Basic Scanning 3l Chapter Six Measurement Chapter Six Measurement 6 1 Brief Introduction m THE DEVICE can perform different measurement items in various mode and each item can be measured for many times Four measurement marks are provided by this device as X a The system provides 7 measurement items General Gynaecology bstetricGynecology Cardi ac Urology MiniOrgan Orthopedics mYou can enter into the measurement status via the following 2 methods in this system General Gynaecology ObstetricGynecology Cardiac Urology MiniOrgan v E WV Y y Orthopedics MarkNotes gt ClearScreen ObstetricList FunctionSetting ObstetricCurve MeasureModel MeasureMode2 ImeExchange of fi
28. or breakage is found 8 7 Instrument test and calibration 1 Check the leakage current of the device annually referring to the following data Standard Test Items Requirements Normal 100 Leakage current to Shell Continuous leakage Single Malfunction 500 current under normal temperature uA Normal 100 Leakage current to Patient Single Malfunction 500 4000V 1min Dielectric endurance under normal A a No flashover temperature V No breakdown 2 Test the software of obstetrics area and circumference measurement TI Chapter Eight Check and Maintenance 78 Chapter Nine Transportation and Storage Chapter Nine Transportation and Storage 9 1 Environmental Requirements for Transportation and Storage Environmental temperature 5 C 40 C Relative humidity lt 80 9 2 Transportation All marks printed on the packing box are in accordance with the requirements of GB T191 2008 lt Packing Storage and Transportation Marks gt Simple shockproof installations are made in the packing box which adapt to voyage railway highway and steamship transportation Avoid rain inversion and impact 9 3 Storage m When the device is stored for more than 6 months take out the device from the packing box Electrify the device for 4 hours and then put the device into the packing box according to the instructions sated on the packing box Do not crisscross piling devices or keep the device to floor wall and ceiling
29. reference Click L to exit the diagram M Q7 Note The misoperation illegal shutting down by the users or suffering a sudden impact may lead the malfunction of the system when the device is running Thus the users should backup the important data such as pictures and reports into another storage device such as U disk and CD 7 5 backup Patient information mData of patient in all the medical reports including basic information pictures and diagnosis descriptions is stored in DAData in 3 windows folders separately Bmp folder for Bmp images Dicom folder for Dicom images JPG folder for JPG images and welld mdb files containing patients information The patient information can be backed up by copying the 4 files to other storage devices copy to U disks or write into CDs 7 5 1 Send the data to mobile memory mClose the B ultrasonic software and open windows folder DAData as follows 68 Chapter Seven Case Administration Send the selected files to the mobile memory Open With j we S Add to archive mwe S Add to Data rar fj we S Compress and email S Compress to Data rar and email gt Desktop create shortcut Cut _ Mail Recipient Copy C My Documents Delete Rename Properties 7 5 2 Write the data into CDs Attention Check your CD writer to make sure that it has been connected to the computer And ask your distributor for it if it is not available W Clo
30. screen This device provides 4 types of refresh frequency as 6mS 8mS lOmS 12mS Press it repeatedly to setup the refresh frequency circularly The current refresh frequency is displayed in the M speed on the right screen B Press under the B BB BM M and AB modes then the frame correlation will be brightened an turn to be blue Now turn the knob e change the frame correlation factor This device provides 8 types of frame correlation factor as 0 25 0 35 0 45 0 55 0 65 0 75 0 85 0 95 and the current selected factor is displayed on the right side of screen 2 Note Brighten the frame correlation in the top right comer of screen under B or BB mode before regulating of the frame correlation factor under BM or M mode 5 9 Cine Loop and Picture Capturing 5 9 1 Picture Capturing Picture Capturing ili M mPress under real time or freeze state to capture the current picture into EM S memory and to display in the picture view frame in order 26 Chapter Five Basic Scanning d Ns Ii Confirm B Double click in the picture view frame to delete the corresponding picture Picture View i recall A ih mPress under real time or freeze state to display the picture view frame mPress it again to close the picture view frame 5 9 2 Cine Loop Cine Loop m The device can capture the current pictures into EM S memory after starting the device and entry into th
31. the overall gain Turn it clockwise to increase the overall gain while turn it anticlockwise to decrease the overall gain B The overall gain range is O 127dB 8 TGC Control The 8 TGC regulator is on the right keyboard and it can control the near field midfield and far field gain in combination with the overall gain potentiometer Users should regulate the 8 TGC gradually At the same time a TGC compensating line will appear on the right screen to display the gain value in each region with direct viewing to facilitate the diagnosis 5 8 2 Depth Magnification Ratio Control Regulate the 8 under B mode to change the display depth of current scanning Turn it clockwise to decrease the currently displayed depth while turn it anticlockwise to 23 Chapter Five Basic Scanning increase the currently displayed depth and the current depth is displayed on the bottom right screen Depth of 70 Depth of 100 Depth of 240 The range of various probes is given as follows Rectal Probe of Convex Array EL3 1 7 5 MHz M icro Convex Probe of HF Linear Array Probe of C3 1 60R 3 5M Hz Probe of C1 6 20R 5 0M Hz Endocavity Probe of EC1 1 13R 6 5M Hz L3 1 7 5MHz 5 8 3 Focus Control Focus Position Regulation Regulate the knob 9 the non 4B mode to move the focus position up and down Focus Number Choose f pln Press to change the focus number The focus number can be setup to be 4 at most Press it repeatedly to set
32. 5 11 E CLOSE ds M ove the cursor to the top arrow Move the cursor to the previous arrow M ove the cursor to the next arrow iis M ove the cursor to the bottom arrow Add a new record Delete the selected record M Save the edition X Cancel the edition Select L to exit the GA tables 66 Chapter Seven Case Administration Move the cursor to the appropriate obstetric tables and click it 31 obstetric tables are provided by this instrument BPD Tokyo M ethod BPD Hadlock M ethod BPD Korean M ethod BPD Hansmann M ethod BPD M erz Method FL Tokyo M ethod FL Hadlock M ethod FL Korean M ethod FL M erz M ethod HC Hadlock M ethod HC Korean M ethod HC Hansmann M ethod HC M erz Method T dli NN Measure n AC Hadlock M ethod AC Korean M ethod AC M erz Method AD Hansmann M ethod CRL Tokyo M ethod CRL Korean M ethod CRL Hansmann M ethod CRL Robinson Method GS Tokyo Method GS Korean M ethod GS Hansmann M ethod GS Hellman M ethod AFl Korean Method HL Hansmann M ethod HL J eanty M ethod HL Osaka M ethod OFD Hansmann M ethod FTA Osaka M ethod mpress Choose ObstetricCurve then the following picture will be displayed 67 Chapter Seven Case Administration FETUS GROWTH CURVE BPD FL HC AC AD CRL GS AFI HL OFD FTA GA W D 16 20 24 28 32 36 40 44 48 52 56 60 64 68 72 76 80 84 88 92 BPD mm
33. A LE Length Length of bladder Length Height Width Width of bladder mEquation for calculation Volume Volume of bladder Volume Length xWidth xHeightx0 00052 aMethod for measurement Measure the length height and width of transitional zone at the appropriate measurement sites then the system will calculate the bladder volume Volume automatically 6 5 4 Residual Urine Volume mM easurement site The residual urine volume area in the bladder mIhe result and equation for measurement are similar to the bladder measurement mM easurement M ethod M easure the length height and width of the residual urine volume area on a bladder picture then the system will calculate the residual urine volume Volume automatically 6 5 5 Measurement of Left amp Right Renal Volume Please refer to the measurement of bladder for the detailed measurement method 6 6 Gynecologic Measurement UterusVolume CervixVolume Ri ghtOvariumV olume Left variumVolume Endometr RiFollicleVolume RZFollicleVolume R3FollicleVolume RAFollicleVolume LIFollicleYolume LZFollicleVolume L3FollicleVolume LAFollicleVolume There are 13 measurement items in the gynecologic measurement Among 51 Chapter Six Measurement these you can refer to the distance measurement for the measurement method of endometrium thickness while refer to the 6 5 1 Prostate Volume for the measurement method of the other items The measurement result will be displayed in the left po
34. Dates Mise Burn Action v Write the CD Click this button to start burning Write methad Disc at once Humber of copies 1 use multiple recorders De a virus check before burning B The CD must not be ejected before the burning is finished It will be ejected automatically after you click button in the right bottom of the window when the process is over Attention Make sure that patients data has been backed up before you replace disks or update recover the system to avoid losing it 7 6 Import patients data Attention M ake sure that you have already backed up patients data according to methods in 8 5 1 or 8 5 2 before importing the data Since Welld mdb files contain all the text information of patients they will get updated each time when a new record of patients is added or an alternation is made to medical reports So that there are different demands in different situations for 70 Chapter Seven Case Administration importing as follows 1 When the disks are not replaced all data in disk D will not change after you update recover your system and you can continue to use the data in disk D old data of the patients It s unnecessary for you to import or recover them in this case If it is necessary to do so make sure that no new records have been added and no alternation have been made to the medical reports before your importing the data
35. Estimated prostate specific antigen based on prostate volume ng PSA Dens Density of prostate specific antigen mEquation for calculation Volume Length xWidth xHeightx0 000523 PSA Dens PSA V aMeasurement method Choose Prostate Volume then PSA value will be required to be inputted Click confirm after inputting Measure the length width and height of the prostate at the appropriate measurement sites then the system will calculate the prostate volume Volume automatically estimated prostate specific antigen based on the prostate volume Pred PSA and the prostate specific antigen density PSA Dens 49 Chapter Six Measurement 6 5 2 Volume of Transitional Zone M easurement Site gt M easurement Result Height Height of transitional Zone Length Length of transitional zone Width Width of transitional Zone mm Volume Volume of transitional Zone cm3 TZPSA Prostate specific antigen of transitional zone ng mEquation for calculation Volume Length xWidth xHeightx0 000523 TZPSA Length xWidth xHeightx0 000084 m Method for Measurement Measure the length width and height of the transitional zone at the appropriate measurement sites then the system will calculate the volume of transitional zone Volume and the prostate specific antigen of the transitional zone TZPSA 6 5 3 Bladder Volume M easurement Site M easurement Result 50 Chapter Six Measurement NE
36. Examine whether the fuse is burned out indicator light is not on 4 Examine the lightness adjusting knob of the monitor 1 Examine power supply strike fire interfere of the other devices Discontinuous striae and snow appear on 2 Environmental examination Electric and magnetic the screen field interfere 3 Examine power and probe plugs whether they are well connected 80 Chapter Ten Malfunction Examination and Troubleshooting 1 Adjust STC General gain near field and far field gain 3 Image unclear 2 Adjust lightness and contrast potentiometer 3 Clean light filter PEE Adjust general gain and near field potentiometer on Near field image unclear the front panel T Adjust general gain and far field potentiometer on 5 Far field image unclear the front panel 81 Appendix A Appendix A Acoustic output reporting table B mode Nominal frequency 3 5M Hz Trans ducer Model C3 1 60R 3 5M Hz Index label Maximumindexvalue Maximumindexvalue value 085 85 O o a a mW 115 2 Min of Po Zs lzpta oZ3 I mW Zs Associate cm d acoustic cm parameter Z cm Z at max lpia cm deg Zp cm fawt M Hz Di m of Aaprt usec informatio F PIN Operating Power control Angle conditions 30 Focus position Notes 82 Appendix A a This probe ts not intended for transcranial or neonatal cephalic use 83 Appendix A
37. ICOM server port and IP address Date jJ RsN Recall the history case pictures As the following picture BSIEITIEZEESTE when choosing a history case the picture of the history case will be loaded to display in the picture view frame Close the dialogue box of case administration and set the picture in a freeze state then the small pictures of the history case in the view frame can be dragged into the big picture display area for observation with the mouse 7 3 Calculation of EDC The calculation requires the date of first day in the previous menstrual period provided by the patients and the system defaults 40 weeks as the normal gestational period Click W button to select the time of previous menses then the system will calculate the EDC automatically and display it after EDC 65 Chapter Seven Case Administration 7 4 Obstetric Tables and GA Tables Viewing Choose ObstetricList then the following picture will be displayed GA TABLES OBSTETRIG TABLES SELECT TABLE BPD Tokyo University Method SELECT TABLE FL User Method BPDimm WEEKS wd SDC dw9 Fhmm MEEKS d 5 day n 16 11 3 7 n i 18 11 6 7 i 20 12 0 7 fil 22 12 4 T W 24 13 0 7 26 13 6 T W 28 14 2 7 iil 30 14 6 al i 32 15 2 T iii 34 16 0 8 ii 36 16 3 8 38 17 0 8 il 40 17 5 8 i 42 18 2 9 l 44 19 0 9 fi 46 19 5 10 M 48 20 2 10 i 50 21 0 10 T 52 21 4 10 il 54 22 2 10 fil 56 23 0 11 fil 58 23
38. OUNE VE CASS VC il oaa E E E A EET EE AOE AO 33 6 2 1 Measurement of Length senem Ean AERE Eo Sa e e Siaa Saan aien 33 6 2 2 Measurement of Area and Girth essen nennen emen nennen nnns 33 6 2 3 Measurement of Angle scscescscecscnsnesessnesssscscssncueceusueueusueuensuesesenesscscecuenuenenenens 34 6 24 M easuremenb or VOITUTTIQssucscocc io Mecese ene ste tutt oso teer et deepest stature trot RIS etta eee estate rote 35 6 2 5 Measurement of Length Ratio ssssssseeseeeneeen eene nnne nennen nennen nnne nnns 35 6 2 6 Measurement of Area Perimeter Ratio ssssssseeeeee eene 36 6 3 OP stee MeasuremmeblE uM ERE ELUREScH os ee EI 36 6 4 Fleart Ce SUTIN GIN in detti Geddet eti o be oid eode aset het etu eni den fe inet ia ca Gode cus dean Oddo ome ec Su Eme 39 6 4 1 Basic M CASULEMEANK eee cece cecssscessssccesssccsessscsessecesssscecssscesssccssssecsessscessssseessscesuseeeesees 39 Heart Measurement Sketch state etes Een edu tan tae celtics alee tai 30 6 4 2 Aortic Valve M easurement eese eese ee neret nn nene te setas tns etate sane so tasas 40 64 5 Left Ventricie Measurement suse me va de Odd mde d dd UM Nd 4 6 44 BICUSDIC MeasuFelmellt caua bito oet oto edet ee eethecto un eL eet Eo SEE 44 6 4 5 Pulmonary Valve M easurement senem enne enne n 45 6 46 Iricuspig MedgsutermmellE 2 2 c toes eeto de br ae datei e e te
39. Press amp Jjto display the annotation dialogue box in the bottom tight corner of I Confirm picture After type the annotation information into the box press in the picture display area to finish annotation Ref 3 l l mPress to switch input mode while making annotation 5 11 2 Body Posture Mark Input Ei Cm N aPress under B B B 4B M and B M modes to display the body posture mark menu The system provides 40 body posture marks such as head heart obstetric abdomen and so on M ove the cursor onto a body posture mark and click it to display the corresponding mark in the bottom right corner of picture area 1 Abdomen EN we x i Y Body front M Body front F Body back k x f Body left side 4 Body right side 2 Obstetric A BORG ICO ser Mother F Fetus MC Go Q 4 amp Q P C O 29 Chapter Five Basic Scanning GBSSOVRIA K HBA A 5 11 3 Indicator Input ii Confirm Choose Messurellark MAS and press 4 in the picture area to fix the starting point ii Confirm of the arrow mark Move the trackball the control the arrow length then press 4 again to finish the arrow input You can also continue input by repeating the above procedures or ii Cancel press to exit the indicator input 5 11 4 Screen Clear fc lear Press 7 to clear off the information in picture area such aS measurement marks annotation
40. Z TEaDSDOLEdLIOTI od aod Dota td tette ad utate toe es ae ned aa CE LA bec Rae acd 79 S3 GE eea EID ENTE CIO a ET OP ORT Ce RIC EI DC ere 79 Chapter Ten Malfunction Examination and Troubleshooting 1 ereeeene 80 ioni MGCP GCE OND e PI 80 10 2 TOUDISSHOO ENG eddie itia ott Heo tenete eem oett eb eed oce et ee eoe tete sees eren ated sechs 80 Appendix A VI Chapter One Preface Chapter One Preface 1 1 Statement alnformation in this document are not annotated to change The manufacture shall not state nor observe any warranty basing on this point and definitely give up any implied warranty basing on any special purpose of selling or making benefit aWithout previous written permission from the producer this document must not be photocopied reproduced or translated into other languages a We preserve the right of revision on this document without still further notice mSome pictures in this manual which are schematic diagrams for indication only may disaccord with the real object and then the real object should be regarded as the final 1 2 Manufacturer s warranty a This guarantee is only available for failures occurred when the device is operated in compliance with the operation manual And the guaranteed device can only be used in the prescribed range given in manual mIhis guarantee excludes losses or damages caused by external reasons such as thunder struck earthquake theft unsuita
41. age will be displayed in the right portion of the screen automatically 38 Chapter Six Measurement after measurement 6 4 Heart Measurement 6 4 1 Basic Measurement mDistance Click it to take the measurement of heart parameter under the BM M mode press ii Confirm to choose the starting point and ending point for measurement on the picture with the trackball The measured result for distance value will be displayed on the screen when Confirm releasing the 4 i Confirm mlime press to choose two wave crest points of the cardiac cycle on the picture with the trackball The measured result for time will be displayed on the screen when releasing FEO N i Confirm P the bw al i Confi rm mSlop press to choose the starting point and ending point for measurement on the picture with the trackball The measured result for slope will be displayed on the screen fF ii Confirm when releasing the ii Confirm mHeartRate press to choose two wave crest points of the cardiac circle on the picture with the trackball To enhance the precision of measurement the device is preset to take the measurement for two cardiac circle The measured result for heart rate will be displayed one ii Confirm the screen when releasing the HeartRate Heart Measurement Sketch 39 Chapter Six Measurement 6 4 2 Aortic Valve Measurement In the image of B Mode the diameter of
42. aortic valve the size of aortic orifice the ratio between aorta and left atrium are calculated for aortic valve measurement The detailed operations are as follows 1 Enter into the B M Mode then adjust the position of the sampling line through moving the f N W Freeze trackball Press the C tien button when the proper M Mode image appears Confirm 2 Choose Aortic Valve and move the cursor to the image area to press LA then a vertical time line will be displayed in the M Mode image 3 Move the time line to the diastolic phase by the trackball and mark the anterior aortic wall AAW and the posterior aortic wall PAWD through pressing The AO value will be displayed in the information bar after marking 4 Movethe time line to the opening point of the aortic valve by the trackball and mark the anterior aortic lobule AAL and the posterior aortic lobule PAL with the above mentioned method The AVO value will be displayed in the information bar after marking 5 Move the time line to the shutting point of the aortic valve by the trackball and mark the posterior aortic wall PAW and the posterior lobular arterial wall PLA with the above mentioned method The LA value will be displayed in the information bar after marking 6 After all the measurement are performed the calculated result for aortic valve will be will be displayed at the top left corner of the screen 40 Chapter Six Measurement Di
43. astolic Phase Aortic Valve Opening Aortic Valve Shutting Measurement for Aortic Valve AO Diameter of aortic root at the end of diastolic phase mm LA Diameter of left atrium at the end of diastolic phase mm AVO The distance between the anterior aortic lobule and the posterior lobule at the opening point of the aortic valve mm LAR The ratio of left atrium aorta LVET Left ventricular ejection time ms 6 4 3 Left Ventricle Measurement mM easure the following parameters in the diastolic and systolic phase Diameter of left and right ventricle Thickness of right ventricular wall left ventricular posterior wall and left ventricular septum To calculate respectively Stroke volume stroke index electrocardio output electrocardio index systolic fraction ejection fraction left ventricular perimeter mOperating Procedures 41 Chapter Six Measurement 1 Enter into the B M Mode then adjust the position of the sampling line through moving the E TE W Freeze trackball Press button when the proper M Mode image appears 2 Measure the heart rate The heart rate must be measured prior to the measurement of this item i Confirm 3 Choose Left Ventricle and move the cursor to the image area to press then a vertical time line will be displayed on the M Mode image 4 Movethe time line to the ending of the diastole phase by the trackball a
44. atically after entry into the work condition of scanning eWhen both tow ports are occupied by probes the device will select the Probe A as the currently active probe automatically after starting the device ePlease shut down the device before change probes or ports connection The changed probes can not be identified unless restarting the device 5 7 3 Display Mode The device provides five display modes as B BB BM M 4B ppr 8 mE mPress x under the real time state to enter the single B mode the default mode is single B mode after starting the device pp mPress Z under the real time state to enter the double B mode There will be two B pictures displayed on the screen of which one isa frozen picture and another isa real time picture Press repeatedly to switch both two pictures between frozen and real time f m N Freeze state Press _ to freeze both two pictures SM fer mPress under the real time state to enter into BM mode Both the Band M mode BM or B M for short picture will be displayed on the screen The B mode real time picture 21 Chapter Five Basic Scanning will be displayed on the left side of screen while the M mode real time picture on the right side Press it again to enter the M display mode and aM mode picture will be displayed on the screen Press it repeatedly to switch between the BM and M mode Press s Zi to d
45. ation In operation Heat radiation holes are strictly prohibited to be covered After closedown do not switch on the device within 2 3 minutes On scanning if any abnormal case is found stop scanning immediately and shut down the device Patient is not allowed to touch any non application parts Do not press the keyboard too much in case the equipment be damaged After operation Power off the device Pull out the plug from power supply socket instead of pulling the cable Clean off the coupling gel on the probe with soft medical sterilized tampon put the probe into its box 1 6 General Safety Message aSafety of the operator and patients and reliability of the device are taken into consideration during d 2 3 designing and producing the following safety precaution must be implemented The device shall be operated by qualified operating staff or under their instructions The device has already been regulated into its optimal performance Do not adjust any preset control or switch unless operate as per instructions in the manual Device operation storage and transportation environment Environmental requirements on normal operation Environment temperature range 5 C 40 C Relative humidity range lt 80 Atmosphere pressure range 70kPa 106kPa Chapter One Preface e Environment requirements on device storage and transportation Environment temperature range 5 C 40 C Relative
46. ble use or abuse and refitting the device 1 3 Matters need Attention mlO ensure operational safety and long term stable equipment performance please read this operation manual closely and understand the device functions operation and maintenance at all points before operating the device especially contents of Warning Caution and Note mM isoperation or inobservance of the instructions given by manufacturer or its agents may result in device damage or personal injury a The following convention works through this manual to lay special emphasis on some information Warning Standsfor neglect of it will cause severe personal injury death or realized property loss Caution Stands for neglect of it will cause slight personal injury or property damage Note to remind user of installation operation or maintenance information These information is very significant but with no risk Any warning against dangers shall not be contained in NOTE 1 4 Safety labels mDevice labels explanation L Type B device Note Refer to accompanying documents Turn on general supply Disconnect general supply ON RESTART Equipotential WU N eE U A Un F B N Chapter One Preface IPX7 Watertight proof Risky voltage USB port G gt XGA out mPacking and transportation labels explanation ww Handle carefully Temperature limit Piling limit Keep dry Protect against heat 1 5 General tips for device oper
47. ch any non application parts II 5 Do not press the keyboard overexertion otherwise the equipment will be damaged After operation 1 Switch off the device 2 Pull out the plug from the power supply socket instead of pulling the cable 3 Cleaning the coupling gel on the probe with soft medical sterilized tampon 4 Put the probe into its box 5 Operation storage and transportation environment of the device Environmental requirements under the normal operation 1 Environment temperature range 5 C 40 C 2 Relative humidity range lt 80 3 Atmosphere pressure range 86KPa 106KPa Environment requirements of the storage and transportation 1 Environment temperature range 40 C 55 C 2 Relative humidity range 10 100 3 Atmosphere pressure range 50KPa 106KPa 6 Ultrasound might cause harm on human body please avoid the long time radiation Appendix B for information of sound output parameters 7 Please use standard power cable as the input line of the network power supply for the adapter to reduce risk 8 The power supply plug is the standard three pins plug its protective grounding pin terminal should be connected with the protective grounding line from the main Ill gt power Contraindication of the usage The equipment is not suitable for inspection on organs containing with gas such as lung etc It is recommended not to check the parts with wounded or acute
48. date and time annotation of name sex age of patients doctor and hospital s name full screen annotation It allows to switch in the Chinese and English operating interface to input in Chinese or English input mode and to choose the arrow mark as well as 40 body posture marks mit possesses abundant software such as routine measurement including distance area and girth angle and volume heart measurement including distance time slope heart rate and obstetric measurement to estimate the gestational weeks expected date of confinement and fetus weight by BPD CRL GS FL HC AC mIhis device has the DICOM 3 0 port thus can transmit the picture in the DICOM format It also provides the color video output thus it can be connected with the external display with the big screen In addition the device has the high speed USB2 0 port thus the picture can be saved into the portable storage device and it can be connected with an external video printer There is a built in memory with high capacity which can save a large mount of pictures m Ihe device has a injection moulding envelop and the usage of non industrial frequency transformer switching power supply programmable parts and surface mounting technology SM T make the whole unit highly compact small in volume and light in weight m HE DEVICEconsists three major parts main unit probe and display The standard configuration are convex array probe of C3 1 60R 3 5M Hz vaginal probe of
49. e Choose FENMode to printout a large picture together with the text report while choose ROE B to printout 2small pictures together with the text report and choose FENMode to printout 4 small pictures together 61 Chapter Seven Case Administration with the text report PrintPrevier SHENZHENG CITY HOSPITAL B UltraSound Inspection Report PrintPreview SHENZHENG CITY HOSPITAL B UltraSound Inspection Report Name Sex Age ID Name Sex Age BedlD Sectlon BedlD Uterus volume CenmkVolume Endometr FiFollicleVot RZF ollicie FF olllc H R4F ollicile Vor P Ovarlumvol L Ovarlumvol LiF ollicleVol L2Follle UM L3F olliclevol L4F olllcle ol M Valuecmm WeekDayiwky ExpectcbDate Functlon Merz Mer Mer Conclusion Doctor Date Hospttal amp ddr nanshan shenzhen chalna Tel O755 12345675 Gynaecology PrintPrevier SHENZHENG CITY HOSPITAL B UltraSound Inspection Report Name Sex Age ID BedlD Sectlon lt M 2DEex 2DEsL 2EFsE TV SDEex 3EFsi Conclusion Doctor Date Hospltal amp ddr nanshan shenzhen chalna Tel O755 12345678 FTAvcm2 M Valuecmm WeekDayiwks ExpectcbDate Functlon Hansmann Hansmann Osaka Osaka Function Mer Lastc atamenla ExpectChildbirth Conclusion Doctor Date HospttalAddr nanshan shenzhen chalna Tel 0755 12345678 Obstetrics PrintPrevier SHENZHENG CITY HOSPITAL B UltraSound Inspection Report Name E E ID
50. e guiding line 6 9 4 Calibration of Puncture Line 1 Fix the selected puncture needle on the angle regulator unit then turn the puncture needle guard in ward for 180 degree Thus the puncture angle can be adjusted by the angle regulator 56 Chapter Six Measurement unit on the puncture frame Turn for 180 degree Needle guard Detent Angle regulator unit 2 Please ensure that each type of angle should be identical with the detent Detent Angle 25 40 55 70 The puncture needle angle should also be identical with the angle of puncture guiding line Detent Puncture needle Screw nut for angle fixation Guiding line Screw nut for puncture needle guard fixation Screw nut for tightness control of angle regulator unit 6 9 5 Insertion of Puncture Needle 1 Please ensure that the tissue for puncture is on the puncture guiding line first Then adjust the angle and insert the puncture needle slowly in the direction of needle guard 37 Chapter Six Measurement Puncture needle Hepatic cyst Guiding line 2 Please do not move the probe when inserting the puncture needle for ensuring the accuracy of the puncture operation 6 9 6 After Puncture 1 Turn the puncture needle guard outward for 180 degree to make the rabbet of the puncture needle guard outward then remove the probe from it Remove probe in this direction Turn for Amni orn une 2 p
51. e scanning state Press to begin the cine loop and the picture will be displayed circularly alf there is any cine file saved in the harddisk click 2222253 in the capturing administration to play the pictures of cine file circularly The following scroll bar for the cone frame and delay regulation is displayed in the bottom right corner of the screen In the scroll bar is for delay regulation Increase the delay value may allow to slow down the speed of cine loop OF Delay 36 Refer to System Settings for frame number setting of cine loop Freeze i Y 7 twice to exit the cine loop function B Press Cine Save mClick ESEN the capturing administration to save the current cine in the EM S memory as a file in the harddisk Users can customize the saving path for cine file Refer to 5 5 System Settings when choosing 2 Chapter Five Basic Scanning the cine file as customize manually Note Avoid performing any other task when saving the cine file into harddisk 5 10 Picture Flip 5 10 1 Up and Down Flip Q under the real time state to flip the picture left and right Scanning direction mark of probe in the red circle of above pictures is picture left and right flip mark The left picture has displayed the default scanning mode after the starting the device 28 Chapter Five Basic Scanning 5 11 Annotation 5 11 1 Full Screen Annotation Annotation m
52. eaning power off the equipment first and open the enclosure and vacuum it Caution 1 Please refer to instructions prescribed by the manufacturer closely when using detergents 2 Be careful with cleaning of the display because it is very easy to scratch and spoil Please wipe it with dry soft cloth 3 Please do not clean the inner part of the device 4 Please do not place the device in liquid 5 Do not leave any detergent on the device surface 6 Though there will be no chemical reaction between the device enclosure and most of those detergents We still suggest no detergent in cleaning lest the device surface is spoiled 8 6 Correct usage of probe In order to prolong probe s service life and obtain optimum performance follow these 76 Chapter Eight Check and Maintenance instructions 1 Periodic inspection on probe cable socket and acoustic window 2 Shutdown the device first and then connect or disconnect the probe 3 Do not drop probe or flint body and never hit the probe acoustic window otherwise probe should be damaged 4 Put the probe in the probe box when it is not in use 5 Never heat the probe 6 Never bend or pull probe cable otherwise the internal connection should be broken 7 Use coupling gel only on probe header and then clean probe 8 Inspect probe acoustical window enclosure and cable seriously after probe cleaning Never use the probe again if any crack
53. gina gently can check The position of probe in vagina will influence the image definition In general put the probe closely against vagina vault or cervix Sometimes it is depending so move or rotate the probe for a better known of the cavum pelvis For the moment there is no hard and fast rule for image position The near field can be the upper as well as the lower Please identify the image direction As same as per abdomen ultrasonic examination first take vertical section scanning and check the uterine position size outline and each stool section muscle wall and endomembrane echo state as well as cervix vertical section Wiggle the probe right and left to display the two ovaries image Then contra rotate probe 90 to scan the uterine and two appendices cross section Since most of per vaginam ultrasonic examinations are taken on average examining table instead of special gynecologic examining table probe operation might be influenced Some measures can be taken for example for some fatty woman or with anteposition of uterus ask her to hold fists and put it under the hips to raise the rump which is better for probe operation and complete observation Sometimes the target organs are in a higher position press the abdominal wall gently to make them approach the probe Limitation Endo vaginal probe adopts high frequency probe mostly the focal area is within 10cm Cysts out the range of 10cm can not be observed well thus abdomen examinati
54. ic 94 Chapter Six Measurement measurement items A bs if Ns i Confirm ii Confirm mHC press then move the trackball to form a ellipse press again after determining the ellipse size to finish the measurement The HC and gestational weeks will be displayed on the right side of the screen automatically B AC FW Principle Treat the cross section of abdomen as an ellipse and measure the circumference AC with the ellipse measurement method The measurement procedures are the same as HC and the AC gestational weeks and fetus weight will be displayed on the right side of the screen automatically aAFI The AFI is calculated by adding the maximum perpendicular distances of amniotic silent gone which are measured from the four angles of parturient abdomen The normal range of AFI is 8 18cm l Acquire the freeze image of amniotic fluid from the first angle 2 Measure the maximum perpendicular distance of amniotic fluid at the first angle with the distance measurement method 3 Movethe cursor to another angle of amniotic fluid to perform the next measurement according to the step 2 4 Perform the measurement for four values with the above method and the measurement result will be displayed in the obstetric measurement information area in the right portion of the screen Unit mm m Trunk Cross Sectional Area Please refer to the measurement of perimeter area for the measurement method and the trunk area amp gestational
55. ivide the screen into 4 small windows Drag the cursor into an appropriate position and Press it to display 4 picture of the same mode Press it again to back to previous mode Double B Mode BM Mode 4B Mode M mode ZETA d EN ii Confirm Note In the four display modes which are named as B BB BM M When you double click the picture will be displayed on the full screen and printed by vedio printer Then you click the picture will return to original state 5 7 4 Zooming Control P RN f Zoom II aPress S under the real time or freeze state to change the cursor to be Press T to define selected area with the trackball and the selected area will be zoomed in and displayed in the center of the screen Now you can move the picture through moving the trackball mPress 9 7 then you can adjust the to zoom in or zoom out the pictures 22 Chapter Five Basic Scanning ePressiiietescy in the picture processing menu then move the trackball on the picture to display the zoomed in picture of the cursor position on the right side of the screen va n1 ii Confirm Press to change the magnification ratio between 2 6 times Cancel mPressthe to exit the zooming control 5 8 Image Quality Control Note The function of image quality control is available only under the real time scanning mode 5 8 1 Gain Control Overall Gain Control mIurn the knob e control
56. n the probe enclosure to see if it is cracked and avoid liquid leakage to spoil the inner components r 26mm Figure 8 1 convex probe water proof sketch Figure 8 2 Endocavity probe water proof sketch p 14mm Figure 8 3 HF linear probe water proof sketch Figure 8 4 micro convex probe Figure 8 5 rectal probe water proof sketch 74 Chapter Eight Check and Maintenance mProbe is a site which will contact with the patient direct thus it should be sterilized for every time after using to avoid the infection of virus The diluted solution with an effective chloride content of 500mg L and which is made from 596 NaClO solution diluted by the water with a proportion of 1 100 can be used to wipe or spray onto the probe surface as a sterilizer and the sterilizing time is 10 minute m Once the probe is connected to the main unit do not remove it at will to avoid poor contact Note Probe might be damaged due to long time covered coupling gel Note Clean the probe head after every use Do not clean the probe with a surgical brash neither soft brash Only soft cloth can be used to clean it Note Do not press the probe on the patient too long to avoid discomfort 75 Chapter Eight Check and Maintenance 8 5 Cleansing l When the enclosure needs cleaning wipe it with soft dry cloths and then wipe gently with sponge dipped with 75 medical alcohol 2 When the inner part of the equipment needs cl
57. nd mark the right i Confirm ventricular anterior wall of the diastolic phase by pressing Some points to mark in the diastolic phase are listed as follows and please mark them with the above mentioned method PRHWS Posterior right ventricular wall in the diastolic phase AIVSD Anterior ventricular septum wall in the diastolic phase PIVSD Posterior ventricular septum wall in the diastolic phase ENDOD Endocardium of the posterior ventricular wall in the diastolic phase EPID Epicardium in the diastolic phase 5 A second time line will be displayed after EPID marking Move the time line to the ending point of the systolic phase by the trackball and mark the anterior right ventricular wall by AN ii Confirm pressing Some points to mark in the systolic phase are listed as follows and please mark them with the above mentioned method PRHWS Posterior right ventricular wall in the systolic phase AIVSS Anterior ventricular septum wall in the systolic phase PIVSS Posterior ventricular septum wall in the systolic phase ENDOS Endocardium of posterior ventricular wall in the systolic phase 42 Chapter Six Measurement EPIS Epicardium in the systolic phase 6 The measurement result will be displayed automatically at the bottom left corner of the screen Diastolic Phase Systolic Phase Measurement for left ventricle LVEDV Left ventricular volume at the
58. nd name of cine files in the dialogue box 5 6 Display Adjustment Brightness Ea c Contrast i a ames UU PseduCalo j Gray ThreShoul 544 m 5j sa Enhance No rmal il mprocessing menu in the bottom right corner of screen and you can control the brightness contrast pseudo color threshold and enhancement in this menu mPress e the default state brightness in the bottom right corner of screen will be brightened and turn to be blue Regulate the knob e change the brightness of image or Press it again to exit 20 Chapter Five Basic Scanning 5 7 Image Control 5 7 1 Image freeze Freeze b Press to switch between freeze and real time modes 5 7 2 Probe Switch When both two ports are occupied by probes Press 5 7to switch currently active probe The type of currently active probe is displayed in the top right corner of screen The relation between probe type and probe mode is as follows R60A Convex array probe of C3 1 60R 35MHz R60B Convex array probe of C5 1 60R 3 5M Hz R20 Convex array probe of C1 6 20R 5 0M Hz R10 Endocavity probe of EC1 6 10R 6 5M Hz R13 Endocavity probe of EC1 1 13R 6 5M Hz L40 HF linear probe of L3 1 7 5M Hz or rectal probe of EL3 1 7 5MHz M Q Note eThis device has such function as to identify the type of probes automatically so it can identify and display the type of probes autom
59. ndition Do not unplug the U disc during the process of system recovery or else it might cause serious damage to the system 3 6 Install the printer Install the driver from the free CD attached to the printer following the steps shown in the operation instructions of the printer 12 Chapter Four Introduction of Operating Keyboard and Trackball Chapter Four Introduction of Operating Keyboard and Trackball 4 1 Brief Introduction The keyboard is composed of the character and number key equipment reset key basic scanning key information annotation key image processing key measurement operating key image mode control key knob and trackball H 8 TGC reaulator Operating Keyboard sketch 4 2 Character and Number Key Z Letter key Press them under annotation mode or in dialogue box to display corresponding characters after cursor SPACE Space key Press them under annotation mode or in dialog box to input space after cursor Backspace Character Back Space key 1 Press it under annotation mode or in dialogue box to delete the previous characters one by Press them under annotation or in dialog boxto display corresponding number such as time date and age after cursor 13 Chapter Four Introduction of Operating Keyboard and Trackball
60. o OPEN unplug the connector to remove the probe from the main unit 96 core probe connection sketch 10 Chapter Three Installation Note Avoid by all means unplugging or plugging the probe connector at state of log on in case the probe and main unit be damaged Once the probe is connected with the main unit do not unplug nor plug it at discretion in case poor contact happen 3 4 Equipotential Connection min the hospital doctors and patients are under the influence of the risky and uncontrollable compensating current In the treatment room he compensating current will occur when there is difference between the connecting device s potential and the tangible conducting medium s potential Thus the safest solution is to establish a united equipotential network and the medical device can be connected into the equipotential network in the treatment room by a socket with a certain angle mIhe socket of the device power supply should be the standard 3 pin socket The protective rounding pin terminal should be connected with the protective grounding wire of the power supply system mIhe protective grounding should be performed when there is no protective grounding pin in the socket or the pin is not connected with the protective grounding wire of the power supply system Users must connect the grounding column onto the ground wire through a metal wire of which the area of the cross section is not less than 1 0 mm Q g
61. ocedure 1 Empty the rectum before inspection after cleansing enema the patient take left lateral position put some coupling gel around the endo rectal probe tip and put on the rubber sleeve one time use 2 During inspection ask the patient to release the anus or take defecating then breathe deeply to cooperate doctor s inspection The first is anus digital examination to know the position size texture of the lesion and see if it is painful when pressing it and if there is blood on the finger 3 Put the probe into anus about 2 3cm slowly take a close look at the image then go deep into the recta gradually and check each position At the same time press gut gently by putting hand on pubes at lower rump to enhance image definition 2 6 Vaginam examination procedure l Preparation before inspection It is different from ultrasonic examination per abdomen no need to suffuse the bladder But please tell the patient that it is needed to put the probe into her vagina Explain the course and advantages of per vaginam ultrasonic examination and release her tension 6 Chapter Two System Summary 2 Patient posture Take the posture of bladder lithotripsy 3 Scanning method Put some coupling gel into the disposable sterilizing plastic jacket or a condom and then cover it on probe apply some coupling gel on the cover and separate the nymphae with left hand to expose vaginal orifice hold the probe with right hand and put it into the va
62. on is necessary to cover the shortage DN 2 7 Contraindication The equipment is not suitable for inspection on organs containing gas such as lungs etc xIt is recommended not to check the parts with wounds or acute inflammation to avoid cross infection Patient in the following situations are not allowed to be checked with EC1 2 and EL1 3 probes vaginal infection such as trichomonal vaginitis colpomycosis venereal disease etc the unmarried vagina deformity menstrual period postmenopausal vagina atrophy difficulty in per vagina ultrasonic examination colporrhagia Pyrilamine placenta previa etc Puncture is forbidden in the following patients Patients with high blood pressure and coronary heart disease as well as the patients with the difficulty in blood clotting and bleeding propensity Chapter Two System Summary 2 8 Component amp Dimensions 2 8 1 Appearance 7 SS a N i 2 8 2 Panel Back panel sketch 2 8 3 Standard configuration pieces e Mainframe Monitor e C3 1 60R 3 5MHz convex array probe e EC1 1 13R 6 5MHz endo vaginal probe 9 9 99 9 Chapter Two System Summary PS cable 2 pieces of fuse tube F2AL250V Coupling gel 250ml User M anual Final examination report Packing List 2 8 4
63. orm the zooming control ur To perform the left and right flip of pictures F9 f 58 DIST j 4 A C j Me w To enter Distance Circumference and Area measurement 4 8 Cursor Selecting Key I Confirm i Cancel 4 9 Image Mode Control Key ff e loop r EY Cine loop control n To enter the B mode display mode D 3 To enter the double B display mode 9 Toenter the BM M mode display mode 45 5 To enter the 4 B display mode 4 10 The knob o Overall gain control 15 Chapter Four Introduction of Operating Keyboard and Trackball o Depth control Magnification ration change eo Focus position control e amp M ulti function control f M Velocity Correlation SR f Zoom N M Ih wy X C M a X Turn it in combination with 4 X LOY keys for angle dynamic range s Angle zooming and frame related control Press it to control the image brightness under the default condition 4 11 Trackball The trackball can perform the following functions as to eM ove the cursor eSelect objects eMove the measurement marks in measurement eMove the sampling line under the BM mode eMove the puncture guiding line when it is displayed eMove the sampling window under the zooming in mode 2 Note Avoid overexertion when using the trackball Please keep the surface of the trackball clean all along 16 Chapter Five Basic Scanning Chapter Five
64. per M mode image appears 2 Choose Bicuspid then move the cursor to the Q wave position of M mode in the image Confirm area and press to mark D 3 Mark the following bicuspid wave with the above mentioned method E E wave F F wave 4 After marking the measurement result will be displayed automatically at the top right corner of the screen 44 Chapter Six Measurement Measurement for bicuspid DEex Excursion mm DEsl Slope Rate mm S EFsl Slope Rate mm S 6 4 5 Pulmonary Valve Measurement mIhis is a characteristic calculating parameter in the bicuspid measurement Perform the calculation for pulmonary valve based on the following marking points A Maximum downward position of valve in the atrial systolic phase B Starting point of the ventricular systolic phase C Maximum opening point of the lobule El Starting point of ventricular diastolic phase E2 Completely shutting point of valve F Starting point of atrial systolic phase a Mark the above points with the method mentioned previously After marking the measurement result will be displayed automatically at the bottom right corner of the screen 45 Chapter Six Measurement Measurement for pulmonary valve FAF Depth The distance from F to A refers to the distance from the starting point of the atrial systolic phase to the maximum downward position of the pulmonary valve The distance of F
65. pid Measurement m he measurement of tricuspid is similar to the measurement of bicuspid and the following three points will be involved for measurement of tricuspid D Tricuspid opening point the end of right ventricular systolic phase E Maximum opening point of tricuspid F Completely shutting point of tricuspid m Mark the above points with the method mentioned previously After marking the measurement result will be displayed automatically in the top right corner of the screen 47 Chapter Six Measurement Measurement for tricuspid DE Excursion Tricuspid excursion distance the distance from point D right ventricle prior to tricuspid opening to point E Maximum opening point of tricuspid on the Y asis DE Point D on Y axis Point E on Y axis 11 mm EF Slope Rate Slope rate from point E Tricuspid opens completely and the blood begins to flow in to point F Tricuspid closes completely temporarily and the blood inflow ends EF point F on Y axis Point Eon Y axis Point F on X axis Point E on X axis mmY s 6 5 Uropoietic Measurement 6 5 1 Prostate Volume m The measurement function of prostate volume can be used for measuring the volume of prostate and estimating the prostate specific antigen 48 Chapter Six Measurement lt M easurement Site M easurement Result Height Height of prostate mm Length Length of prostate mm Width Width of prostate mm Volume Volume of prostate mm Pred PSA
66. ress continuously to exit the puncture guiding line Tips brief statement about installing the puncture frame on the probe R10 58 Chapter Six Measurement puncture frame i g O2 m HY Y l insert the puncture needle O O 4 VM along this direction O4 2E 5 m mE B OON mae m N 6 10 Brief Description of Drawer Menu mM ove the cursor to the right side of the screen by moving the trackball then click to choose the specific function a The drawer menu includes four parts as ovsLontraol ovzManage ImagzeProcess MeasureMark l m The hidden options in the drawer menu will be displayed when clicking mAll the options can be done by using the drawer menu B The shortcut menu will be displayed when moving the cursor A 22 aN Ii Cancel BI to the left side of the drawer menu and pressing Click it to reset all parameters as the default value Shut down the main unit and make the device turn to be under the stand by state while E the power indicator light will turn to be orange EZEXESIClick it to display or hide the image x nia MainMenu processing dialogue box to regulate the display conditions About Vella SysControl gt A ShowMode gt GT n Measure A Its function is the same as ImageProcess gt InvokeParameter P dis a CaseManage ASA Seis S temS t i E Its function is the
67. rtion of the screen after measurement 6 7 Measurement of Organellae R ThyroidVolume L Thyroi dVolume Thyroid Isthmus The organellae measurement includes 3 measurement items Among them please refer to 6 5 1 Prostate Volume for the measurement method of volume of right lobe of thyroid gland as well as the left lobe while refer to distance measurement for the measurement method of the thickness of isthmus glandulae thyreoideae When the volume measurement of right amp left lobe of thyroid gland is finished the system will calculate the volume of thyroid gland automatically and displayed the result at the top left corner of the screen 6 8 Orthopedic Measurement a The orthopedic measurement includes two items of right amp left hip joint mUnder the B and B B Modes this function is for calculating the hip joint angle and diagnosing the fetal growth and development condition The detailed operation procedure is as follows 1 Fix the reference line 2 Determine the bone top line to calculate the angle value of O 3 Determine the cartilage top line to calculate out the angle value of x 52 Chapter Six Measurement Cartilaginous roof X Bony roof e Referencline Femoral Head M easurement of Hip Joint 6 9 Operating Instruction for Function of Puncture Guide Note The puncture operation should be performed under the real time status 6 9 1 Fixation of Puncture Frame and Probe 1 Put
68. s recommended to pull out the alternating current power plug if the device will be long term unused Do not pull out or insert the power plug when the power switch has not been turned off If device restarting is needed please waiting for 2 3 minutes after shutting down in case the device be damaged 5 3 Screen Display Name of user Scroll drawer SHENZHENG CITY HOSPITAL No 0000000001 Name sfgfg Sex Female Age 22 2008 07 23 11 04 41 Systontrol Scanning 4 ProbeType R60 SysManage Frequency 3 5 MHz direction mark Power 80 ScanAngle 60 Frame S 19FPS FocusSpan 50 mm FocusPin 2 Gain 52 dB FrameRel 0 50 GamaAdj OFF DR 110 dB Enhance OFF THI OFF MSpeed ms Deepth 180 mm Exit M MeasureMark Brightness Dui md ee Contrast IM umi ny 120 PseduColor Gray E cee EE Enhance Normal v Picture display window Picture view frame 5 4 Probe Selection Picture processing menu m THE DEVICEsupport the linear and convex array probe which can be used on various sites a The optimal application sites for various probes are as follows Abdomen Convex array probe of 3 5MHZ Small organs Linear array probe of 7 5 MHZ Heart Convex array probe of 3 5 MHZ Blood vessel Linear array probe of 7 5MHZ Obstetric Convex array probe of 3 5 MHZ Pediatric Convex array probe of 3 5MHZ 18 Chapter Five Basic Scanning mBoth the con
69. same as e D TENOS Cine gt 59 Grab Freez Live Exit Chapter Six Measurement A j TESE Its function is the same asa t A F fre cally 4 DIST I 2254353 Its function is the same as ium Click it to switch the display bar of parameter information to display the B ultrasound control parameters or measurement parameters 60 Chapter Seven Case Administration Chapter Seven Case Administration 7 1 Enter The Case Administration Press the button cor enter into the interface of case administration and the captured pictures are loaded and displayed bellow Now you can create Save print query modify delete and export the case W Case Manager Patient Archives Query f ID Query Name Query Cazell Name SEX Age L Height cm Weight kg PersenID Addr CRs Diagnosis Description L Catamenia 008 6 11 Childbirth Disease Case List Section 3N Date E i Conclusior Fi Typical Doctorl i outport Doctor Img aunt 4 FENMode 2 InageType BMP DICOM Delete 7 2 Introduction for Shortcut Buttons S 7 t Click it to create the new case number in the automatic order Input the name sex and S age then click to create a new case I Save Click it to save the current graphic and text case into the database while it will be added and displayed in the case list f rin A e t Printout the currently selected cas
70. se the B ultrasonic software and double click icon Ss CD burning software 1 Select a CD type Nero Burning ROM Nero Express Dat a Ld Nero BackItUp Pi Nero Cover Designer gt Nero Wave Editor i Data CD Bootable DYD d Nero SoundTrax Nero ImageDrive Stepl EFI Bootable 2 Select create a data CD Bootable CD gt gt roe o RR www nero com 69 Chapter Seven Case Administration IS01 Hero Burning RON Enterprise Edition File Edit View Recorder Extras 3P h a ee Window Help x G 3 E a Image Recorder hc e Qo Q Database File Browser x Size Type 2 2H Name Size Typ Mod racks xh3 e Ennis om XR 200 0 KB A E CQ elassic eae 200 0 KB j i E Dicom 880 KB MDB se HORE DD Di cons E e E B Data w 2O Bm wE 200 T Q3 classic Temp WEE 200 3C Dicom 880 KB MDB File 200c H Q3 DicosServer S welld Data MDF 1 984 KB MDF File 200 JPG E welld Lo g LDF 1 024 KB LDF File 200 2 Click this button and the burning dialog box Recycled 5 RECYCLER O shenzhen2008 will pop up l Selected files in the c ososo3EDRl G 090420Ep Ril tS vat right should be dragged xam C emere 8 here with your mouse 090513EDRil lt gt lt s I I I I 1 I I I 1 de zd d zd h jd dhi ailh al zd 650MB TOOME TSOMB 800MB 850MB cn EM Info Is Label
71. spostion 3 3 3 L3 L mses ass fast ss ds Notes a This probe is not intended for transcranial or neonatal cephalic use 88 Appendix A 89 Appendix A Acoustic output reporting table B mode Nominal frequency 6 5M Hz Transducer Model EC1 1 13R 6 5MHz Maxmumindevaue 064 023 i L Min of Pa Zs lzptao24 ma mW Associate iu R d acoustic O o MEN parameter NUN MN fawt 4 66 4 66 MHZ my Dim of Aaprt i wee TT ic m prr Other m Jh ak ias informatio ae d rs cm n Ipae at max W cm F PIN operating power _ e Power s 80 80 EXE Condita zoj messe 3l 31 l1 dL dL Notes a This probe is not intended for transcranial or neonatal cephalic use 90 Appendix A Acoustic output reporting table M mode Inc B mode Nominal frequency 6 5M Hz Transducer Model EC1 1 13R 6 5MHz ese p mW 0 62 Min of Pa Zs lzotaoz3 t mW Zs cm Zbp Associate d acoustic parameter Z S Z at max lpia deg Zp fawt M Hz cm Dim of Aaprt i OTS e lt rt 3 D X cm ct usec HZ Other pr M Pa deg at cm informatio Ipae W cm cwm woe oo fio xm ao C mses iss as espe Notes 9 Appendix A a This probe is not intended for transcranial or neonatal cephalic use 92 Appendix A
72. sseseenes 20 ee Me C optem eM an Pe eee ea aera ee 21 Dy sl aee Teo er boh oett dao eese tM RE iia adalah usta edet 21 207 OOS DIV ILC Donc ides iocus ulus ue a cM a Conant nach a nce E E sais 21 Dia Fe US Lay IV OS TRES 21 Sd d Zoom CONG OU eure otim rettet catt tton 22 5 6 Image Qualy CONTO eee reenter aims reece tron M MID MICI MM MIDI ILE LI MIND IDEE 23 mo Pal the E Bre HU TT mm mmm mcm T 23 5 52 D ptho Macnilicauion Rao ONU Ol unde costo iot ie Pee e noto de c ea lend est smaeteassiads A eof oe dear it 23 xS made ed cd UTUNTUR T TT T SEE EWS SNE a ey Re OE 24 Boe oe oe Bid ae 181 em RIEC 0 dire oet E 25 3 0 9 ACOUSLIC Power CONTO Lanetan baa tovt n tated cated ie rst nte ret DA Ee Et UA wa CE A ts 25 3 5 Probe brequency Seu ood ean doe aint bt mE dim Ein nx 25 3 07 mele REUMU O s dead tosese docte sepu oet adse st hat tedesco cadens du pA cadet sudes edic angen st opted ton 25 2 5 5 M Speed Frame Correlatton CORLEOL ior LER ARE cases OUI EN 26 59 Cine Loop and Picture apEUFIDIO usas tob RED eb Era fde n beato ma ened dest cus 26 xS M by 6 101 Roel C IPUN e er 26 DE EPA CMe OOP Rt 27 uM OMP ICTS EN eean Emm 28 S Et Annobtagotisauessonts DUE MCI austere Naas hance x uu optet Uh EE 29 SAZIN GE N O cci T REPE 30 Chapter SIX Measurement wisisccasceasisansadstaasanasceasasananderaancnasteunsabaderaastaaaveiaccanaecaracsusasseuaenavasaerseninasaniacs 32 ei Ba Va 19 9 e STen a EE TT T OP ER AE 32 6 2 R
73. t Equipotential terminal Equipotential line Equipotential Other device 9 NS Note The laying of the grounding wire should be performed under the directions of appropriate standards or electricians with appropriate experience Note 11 Chapter Three Installation Keep the device away from generators X ray device broadcast and transmitting line to avoid the electromagnetic interference Proximity to the above mentioned device will cause the abnormality of the picture thus it is strongly recommended that an independent circuit and a protective grounding socket should be utilized with this device When the same power supply Is shared by the device and other electronic or electric device the best picture quality may be unavailable 3 5 System recover If any malfunction occurs wth this system please recover it with the attached U disc and the detailed operation procedure Is given as follows L 2 3 4 s Cut off the power supply of main unit Insert the U disc into the USB port Turn on the power supply of the main unit Press the Start Reset Button W on the left side of the unit to restart the instrument now the system will begin to be recovered When the progressing bar indicate 100 the system wll shut down the instrument automatically Remove the U disc immediately when the system recovery is finished Restart the system then the instrument will turn back to the normal working co
74. the number of focus between 1 and 4 circularly Distant Between Focuses Regulation When the focus number 22 the distant between the two focuses can be regulated The Span N device provides 5 types of distant as 20mm 30mm 40mm 50mm 60mm Press and turn the knob e the 5 types ML 9 Note When the focus number is set to be 1 the distant between focuses is unable 24 Chapter Five Basic Scanning to be set 5 8 4 Dynamic Range Control pres then the Dynamic Range will be brightened and turn to be blue At this time turn the knob e increase or decrease the dynamic range The dynamic range of this device can be set as 100dB 130dB however the default value is recommended to be used by users 5 8 5 Acoustic Power Control Spower Hi 4 Press amp to regulate the acoustic output power of scanning The device provides two option as a0mW and 100mW s Note To enhance the gain of image you can enhance the system acoustic power to strengthen the echo signal however it will leads to the slightly heating of the probes Thus users can make adjustment based on the practical need The system can adjust the acoustic power under modes of some probes without the settings of users 5 8 6 Probe Frequency Setup i Frequency D v f i M Press 7 continuously to change the working frequency of selected probe The working frequency of various probes can be set as follows R60A 2 0M Hz
75. the probe aside then loosen the fixing screw nut on the puncture frame 39 Chapter Six Measurement Fixing screw nut of puncture frame 2 Mount the puncture frame on the probe Please note the direction mark of the probe 3 Buckle on the puncture frame and turn over the probe then fasten the fixing screw nut of the puncture frame 54 Chapter Six Measurement Please ensure fixing slot of puncture frame positioned to projecting portion of the probe Fixing screw nur of puncture frame 6 9 2 Selection of Puncture Needles The puncture needles can be divided into 3 specification numbers such as No 7 No 9 and No 12 You can choose the proper puncture needle and needle guard based on the practical need Please ensure that the specification number of selected puncture needle should be consistent with the selected needle guard Puncture needle Puncture needle guard 55 Chapter Six Measurement 6 9 3 Call out the Puncture Guding Line I Confirm press MeasureMark iibi to call out the puncture guiding line by the cursor underthe real time status of the single B mode There are 4 types of puncture guiding line angle ii Confirm 25 40 55 70 for adjustment and you can press repeatedly to switch between the different angles or exit the guiding line You can calibrate the puncture line by movng the cursor slightly in the picture area Punctur
76. to A on the Y axis indicates the maximum movement range of the pulmonary valve in the atrial systolic phase FAF AY FY mm AY refers to the point A on the Y axis while FY refers to the point F on the Y axis FEFsI Slope Rate When the blood begins to flow out from the atrium E1 refers to the starting point of the ventricular diastolic phase while F refers to the inflow starting point of atrial systolic phase FEFsI FY E1Y FX E1X mm FY refers to the point F on the Y axis E1Y refers to the point El on the Y axis FX refers to the point F on the X axis and E1X refers to the point El on the X axis FBC Diameter 46 Chapter Six Measurement FBC refers to the opening point of the pulmonary valve in the ventricular systolic phase and the portion on the Y axis indicates the movement distance of the lobule when the opening of pulmonary valve reaches maximum FBC CY BY mm CY refers to the point C on the Y axis while BY refers to the point B on the Y axis FBCsl Slope Rate FBCsl2 CY BY CX BX mm S CY refers to point C on the Y axis BY refers to point B on the Y axis CX refersto point C on the X axis while BX refers to point B on the X axis FRVET Ejection Time of Right Ventricle The ejection time of right ventricle refers to the time from point B to point E2 when the pulmonary valve opens RVET E2 BX S E2 refers to point E2 on the X axis while BX refers to point B on the X axis 6 4 6 Tricus
77. ue box of Click it to display the tree view for typical graphic and text case as follows Choose ii Cancel case diagnosis press and the diagnosis description of the typical case will be imported into the edit box of current case to facilitating the edition of the diagnosis text MB Typical Case lt Click it to save the current graphic and text UserDefined TypicalCase H Normal Uterus Image case as a typical case to accumulate the typical case database DICOM NoSave DI Pull down the option box to choose if to save the DICOM pictures while saving the case In general the cervix echo is slightly high the slices to face A how vagi echo central spirit line of wall case it is recommended to choose not to save DICOM for saving per echo aroma this 1oiters a vagina wally the memory space However if you need to save the DICOM pictures you can choose the save DICOM Click PI to display the DICOM dialogue box to display to transmit the DICOM picture of the current case 64 Chapter Seven Case Administration S Click to display the next picture while click al to display the last picture backward DeliverDICUM Click to transmit the DICOM pictures to the selected server StartupServer ci to set this computer as a receiving server for DICOM picture transmission so it can receive the pictures from the other computers Refer to 5 5 system setting for the settings of D
78. vex and linear array probes of the same frequency are applicable in various application cases mWhen two probes are connected onto the device the user can choose one freely for use Note Do not press the probe too much when the probes come to contact diagnosed site to avoid damaging the probes or causing any discomfort on the patients The proper probe and correct frequency should be used for diagnosed site during diagnosis 5 5 SystemSetting mRight click the trackball at the bottom of the picture window to pop out a menu Enter into Preset Parameter Invocation then you can select from 8 diagnosis preset modes such as Abdomenl Abdomen2 Cavityl Cavity2 Cardiac SmallOrgan Gynaecology Obstetric Press the SaveCurrentParameter the parameters such as current frequency depth focus position focus number focus distance overall gain dynamic range brightness and contrast will be saved to the appropriate modes based on the current probe mode While if the SaveAS Gynaecology or SaveAS Obstetric is selected the current parameters will be saved to the gynaecologic or obstetric diagnosis mode mChoose 5rsManage SAGESSE with the trackball to enter the interface for system setup Click them to preset the diagnosis result doctor name and hospital information etc System Setting Hospital Info Name SHENZHENG CITY HOSPITAL Tel O755 12345678 Addr nanshan shenzhen chaina ay
79. ystem based on 11 parameters such as BPD CRL GS FL HC and AC The fetal weight can be calculated based on the AC The algorithm prior to Mea t i w measurement can be preset by press 7 key Choose Algorithm Presetting to display the following menu 36 Chapter Six Measurement Obstetric lable Obstetric Table Algorithm PreSetting BPD CRL GS FL C Chinese C Chinese Chinese C Chinese Tokyo Tokyo Tokyo Tokyo C Korean Korean C Korean Korean Hansmann Hansmann Hansmann Merz C Merz Robinson Hellman Hadlock Hadlock C User C User C User C User HC AC FW BPD 4AC HL C Merz C Merz C Merz Hansmann C Korean C Korean C Sheparh C Jeanty C Hansmann Hadlock C Osaka Hadlock C User B tia C User G Hadlock C User AD OFD FTA Hansmann Hansmann f Osaka User User C User Users can choose the appropriate algorithm based on the practical needs Click to confirm the presetting The system provides multi functional calculation for gestational weeks and the available parameters for calculation are listed as follows Obstetric M easurement Items f 78 ii Confirm BPD CRL GS FL AD OFD HL Press the corresponding command icon first then press on the picture to choose the stating point and ending point for measurement with the f N li Confirm trackball Release the at the ending point to display the result of above obstetr

Appendix A - Diagnostica

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