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About This Manual Statement Manufacturer`s Responsibility

1. 57 5 Acquiring Patient Information eene 58 5 1 1 B pioning a cete T eerte teer trt tees 58 5 1 2 Retrieving Archived Information neret enne 60 5 2 Using DICOM t aiden tur Reg 61 5 3 Pausing Ending an Exam enne ener enne nenne nennen enne 61 5 4 Completing Discontinuing an nennen enne nenne 61 5 4 1 Completing an Exam sessssessesseeeeeeeeeeee nennen enne enne nenne nnns 61 5 42 Discontinuing au EXxatu 62 Chapter 6 Acquiring Images eeeeeee eene eene eene enne en ne tasses sees sense tasses setas essa sena 63 Contents 6 1 Selecting Probe and an Exam HE ete ehe 64 6 2 Acquiring B Mode 66 62 I Bnt nng It tutes ce eite 66 6 2 2 Optimizing B Mode Images iic rtt eei er dore re efie iuvet 67 ADAMS RT 67 AA MC SEE 68 6 2 2 3 Focal Position Number Span 68 6 2 2 4 T A 68 6 2 2 9 Btequedcy 69 62 20 Chroma 69 62 2 7 Compound Imagen eee e eene 69 6 2 2 8 Lane Density 69 62 2 9 Persistence sees cientes E 69 6 2 2 10 Dynamic Ranp
2. General General Display Storage Peripheral Hospital Name NEW SITE Measure Language English DICOM Freeze Response Cine 5 Load Default Trackball Sensitivity 3 v About r Date Time Date Format MM DD YYYY v 05 05 2014 16 00 00 Date Time Setting Report Format PDF v Monitor Type TV NTSC v Exit Caps Lock ON v Clear Annot On Unfreeze ON 5 Apply Figure 4 2 General Settings Menu Item Description Hospital Name Enter the hospital name Choose a system language for the user interface and reboot the Language system to take effect Select the feature to be enabled after you select the Freeze key Freeze Response Choose from Cine Annot Calc Body Mark Arrow or Distance Adjust the sensitivity for the trackball movement A greater value Trackball brings about the higher sensitivity Sensitivity Choose from 1 2 3 4 5 6 Set the date format for the ultrasound system Date Format Choose from MM DD YYYY YYYY MM DD or DD MM YYYY Basic User Manual 37 4 Customizing Your System Item Description Set the system date and time Select this item set the system date and time manually in the pop up text box Date Time Setting NOTE You should set the system date and time for your initial use of the ultrasound system Enable or disab
3. Key Panel Controls Area Figure 2 6 Control Panel B Function Key Name Description Five function keys are located below the selected item on the screen Bi Press it to select the corresponding menu item at the bottom Function Key of the screen Rotate it to make the setting of the selected menu item B Key Panel Name Description Patient Select it to enter the New Patient screen Report Select it to enter the Report screen Select it to display the Patient Exam List screen File Bi Or select it to enter the Review Image screen when creating a new patient exam Pan Select it to enter the real time panoramic imaging mode 18 Basic User Manual 2 System Overview AUDIO Description Select it to increase the volume in the PW mode AUDIO Select it to decrease the volume in the PW mode m Tuning Select it to optimize an image automatically UI Elastic Reserved function keys Invert Select it to enable or disable the flow invert in the Color mode or frequency spectrum invert in the PW CW mode THI Select it to enter the Tissue Harmonic Imaging mode in the real time mode Controls A
4. CURED 146 12 2 6 Cleaning the Biopsy Bracket sss eene 146 12 2 7 Sterilizing the Biopsy Bracket d aecenas e rie 146 12 2 8 SIOTADO 147 Chapter 13 System Maintenance esee eese eee eene ente senta sens eins tn sentis sn 149 13 1 Cl eanmg lt ose eno HO VENE 150 13 2 Maintenance Checks eee eed eH ten 151 13 3 Troubleshooting acsi iret 152 13 4 Equipment Disposal itte tete EIE eei ita eed asset 152 13 5 CUSTOMER SeEVICG 4 eere 153 Appendix A Specifications AASENS 155 Appendix EMC Guidance and Manufacturer s 1 156 Electromagnetic Emissions 156 B 2 Electromagnetic Immunity ento eg o 157 B 3 Recommended Separation Distances between Portable and Mobile and RF Communications Equipment and the Equipment essere 159 Appendix C Acoustic Output Data eese eee enata sun 160 VII This page is intentionally left blank Chapter 1 Safety This chapter describes the important information for operating this ultrasound system To ensure the safety of both operator and patient please read the relevant details in this chapter carefully before using this system You s
5. 3D Image Figure 7 2 3D Imaging Screen In the above figure A view on the top left shows the image on the X axis B view on the top right shows the image on the Y axis C view on the bottom left shows the image on the Z axis The image on the bottom right shows the 3D image Select the Freeze key again to display the 4D imaging B Select Full Disp 2D by pressing the corresponding function key to return to the 3D inactivated mode Select 3D 4D on the control panel to exit the 3D imaging mode and return to a real time B mode Basic User Manual 97 7 Using 3D 7 2 Working with 3D Images You can review optimize or save 3D images 7 2 1 Setting Display Format The 3D imaging area is divided into four parts by default B Select DUAL DISPLAY by pressing the corresponding function key to activate the dual display format B Select FULL DISP 3D by pressing the corresponding function key to activate the 3D full display format Select Quad Display by pressing the corresponding function key to activate the quad display format You can also select 1 2 or 4 key on the control panel to activate Full Disp 3D Dual Display or Quad Display 7 2 2 Reviewing Cine Perform the following steps to review the cine 1 Select the Menu key A menu pops up on the screen 2 Select CINE REVIEW by using f or key 3 Rotate the Menu key or select or gt key again to review the cine NOTE Only volume probes
6. 4 2 Peripheral Device Settings You can set the local network and printer on this menu System Setting General r Local Network Peripheral O DHCP O Static IP Measure IP Address DICOM Netmask Load Default Default Gateway About DICOM AE Title Mac Address Ping IP Address Ping r Printer Printer Driver Default Printer Y Video Invert OFF Ly Default Printer Net Printer Net Printer IP Exit Add Printer Apply Figure 4 5 Peripheral Device Settings Menu B Local Network Item Description Select an IP address mode Address Mode Choose from DHCP dynamic IP or Static IP IP Address Set the IP address of the ultrasound system NetMask Set the netmask address of the ultrasound system Default Gateway Set the gateway address of the ultrasound system DICOM AE sad Set the Application Entity AE title of the ultrasound system itle Mac Address Set the MAC address of the ultrasound system ping iP dde Type an IP address and click Ping to test the connectivity of the system Basic User Manual 41 4 Customizing Your System E Printer Settings Item Printer Driver Description The default option is the printer driver installed at the last time Video Invert Color is inverted when printing the rep
7. Inner Part Perform the steps as follows 1 Ensure there is no damage deformation malfunction loose or missing some parts on the bi opsy bracket before the assembly Wear sterile gloves 3 Assemble the metal top housing and biopsy bracket Slide the inner part into the top housing and push forward until it clicks 4 _ Unfold the probe sheath and apply an appropriate amount of coupling gel to the inside of the sheath Hold the biopsy bracket and unroll the sheath onto it Unfold another probe sheath and apply an appropriate amount of coupling gel to the inside of the sheath and the probe Hold the probe and unroll the sheath onto the probe Basic User Manual 12 Probes Biopsy 8 Pull the probe sheath tightly over the face of the probe to remove wrinkles 9 Align the tip of biopsy bracket with the left and right grooves on the head of probe 10 Hold the tip of bracket and the head of the probe and push the other end of the bracket to wards the probe to attach it on the probe 11 Check the bracket has been attached firmly on the probe If the assembly is loose please reat tach the biopsy bracket 12 2 3 Preparing for a Biopsy You should prepare the following items before performing the biopsy B New straight biopsy needle Sterilized container of sterile and degassed water Probe attached with biopsy needle Activated biopsy guidelines
8. Rechargeable for battery only x p g This symbol indicates that waste electrical and electronic equipment must not be disposed of as unsorted municipal waste and must be collected separately Please contact an authorized representative of the manufacturer for information concerning the decommissioning of your equipment Basic User Manual This page is intentionally left blank Chapter 2 System Overview This ultrasound system adopts the advanced ultrasonic Doppler technologies To ensure the performance and availability of this ultrasound system you should be thoroughly familiar with the operations of system components the control panel the key panel and the basic screen NOTE This manual provides operating instructions for a series product and some options are not available on some models 11 2 System Overview 2 1 System Configuration The ultrasound system consists of the followings parts Main unit Footswitch AC power cable Cable hook Standard accessories package Standard ECG accessories package Basic User Manual Advanced User Manual Optional accessories Battery model transducer extender and remote control 2 2 Physical Specifications B LCD monitor 15 color display System dimension 413mm L x357mm W x391mm D B System weight approx 8 4kg including battery 12 Basic User Manual 2 System Overview 2 3 System Components Figure 2 1 System O
9. 9 5 3 Body Mark Perform the steps as follows 1 Select Body Mark on the control panel in any mode 2 Position the body mark to the desired place by using the trackball and select the Set key to add it on the image If necessary rotate the Angle knob to adjust the angle 3 Select the Set key to confirm 9 5 4 Deleting Annotations and Body Marks To delete annotations If an annotation is being edited you can select Clear or Delete on the control panel to delete it from the screen If an annotation has been edited and the ultrasound system exits the editing status you can firstly select the Annot key move the cursor on the annotation by using the trackball and then select the Set key to select it After the selection select Clear or Delete to delete it from the screen NOTE You can enable the annotation cleared feature For details refer to Section 4 1 1 General Settings To delete arrows Select the Clear key to delete it To delete body marks Select the Clear key to delete it NOTE When annotations and body marks have been edited and the ultrasound system exits the editing status you can select Clear on the control panel to delete all annotations and body marks from the image Perform the deletion with cautions Basic User Manual 117 9 Working with Images 9 6 Using ECG Using an optional ECG module Type BF 3 channel ECG signals are provided in cardiac applications During a cardiac applicat
10. MAP DIRECT D WF B REJECT me DENSITY FREQUENCY POWER SEC WIDTH SEC POS 2D REFRESH Figure 6 5 Color Mode Imaging Screen 3 Adjust Color Flow ROI a Move the trackball to position Color Flow ROI b Select the Set key to adjust the size of Color Flow ROI c Select the Set key to reposition Color Flow ROI 4 Optimize the Color mode image For details refer to Section 6 3 4 Optimizing Color DPI TDI Mode Images 5 Select C on the control panel again to exit the screen 6 3 2 DPI Mode DPI Doppler Power Imaging is a color flow imaging technology which adds the flow signal in the Color mode image DPI uses the number and amplitude of red blood cell going through in the flow to create the color coded imaging The flow with slow velocity and small rate could be displayed in DPI Therefore the flow with a higher sensitivity can be detected without overlaying any flows with high velocity The direction of flow the flow velocity and flow properties cannot be reflected in the DPI Mode image Perform the following steps to acquire DPI mode images 1 Optimize a B mode image 2 Select DPI on the control panel to enter the DPI mode Basic User Manual 73 6 Acquiring Images MI 0 2 TIS 0 7 20121212234565 Patient Mar 23 2012 16 08 16 47 3 1 255 3 30 5 4 70 3 4 8 16 5cm 10 1 0 86 255 1 50 70 2 2 Color Flow 2D Imaging ROI PO
11. or key to increase or decrease the value 6 2 2 13 Sector Position Width Angle Sector width for linear probes or sector angle for curved and phased probes is used to adjust the frame rate You can adjust the sector width or angle to get more information without moving the probe The interest imaging area of the object can be adjusted after you adjust the sector width or sector To adjust the sector position width angle B Select SEC POS by pressing the corresponding function key and rotate it to horizontally move or rotate the interest area B Select SEC WIDTH by pressing the corresponding function key and rotate it to increase or decrease the width or angle of the interest area 6 2 2 14 Power Power is used to select the amount of ultrasound acoustic power produced by the probe in the B mode The adjustment range of the power is 1 100 and 1 can be adjusted each time The real time value of the power is displayed in the imaging information area of the basic screen 70 Basic User Manual 6 Acquiring Images To adjust the power 1 Select the Menu key in the real time scan A menu pops up on the screen 2 Select POWER by using the trackball or f or key 3 Rotate the Menu key or select or gt key to increase or decrease the value NOTE Expose the patient to the lowest practical transmit power level for the shortest possible time to achieve a satisfactory diagnosis 6 2 2 15 Tissue Acoustic Charac
12. Item Description Set the CRL formula CRL Choose from Robinson Hadlock Nelson Jeanty Hansmann Mediscan Tokyo or Osaka Set the AC formula AC Choose from Hadlock Hansmann Tokyo Merz or Campbell Set the TAD formula TAD Choose from Hansmann Set the OFD formula OFD Choose from Hansmann Set the HC formula HC Choose from Hadlock Jeanty Chitty M Chitty D Merz or Campbell Set the GS formula GS Choose from Nyberg Hansmann Hellman Tokyo or China Set the Fibula formula Fibula Choose from Merz Set the Radius formula Radius Choose from Merz or Mediscan Set the Humerus formula Humerus Choose from Jeanty Merz or Osaka Set the Ulna formula Ulna Choose from Jeanty Merz or Mediscan Set the Tibia formula Tibia 46 Choose from Jeanty or Merz Basic User Manual 4 Customizing Your System 4 4 Configuring DICOM 4 4 1 Storage Service Settings You can connect the ultrasound system to the DICOM storage server by setting this menu System Setting General Store C Store Worklist MPPS Print Peripheral E Service List DicomStore v Add Delete Measure m DICOM Image Storage DICOM Load Default Remote HostName DicomStore About IP Address 192 168 254 104 Ping DICOM AE Title AE Echo Port Number 104 Connect Timeout
13. 11 3 DICOM Pri eter Ro e E EHE Re e ERE Rede 128 DICOM UII 129 130 1 Storage Commitment i eroe en t n 131 TSDICONPOUGUS c mscr oi es Eom DIE 132 Chapter 12 Probes and Biopsy esses eene esent nantes tassa ainsus KONNA sens tnos 133 IAM LEE 134 12 11 Available Probes 134 12 1 2 Probe ER t EEUU 135 VI Contents 12 1 3 Cleaning thes Pro De on e n ere se est rented 136 12 1 4 Disinfecting or Sterilizing the Probe 137 TATS Sterilizing the Probe oorr vas sed voce ee e p RR ur Oe 139 12 1 6 Disinfecting and Sterilizing the Probe Cable sse 139 12 1 7 Storage and 8 nennen 140 12 2 BIOPSY iocis RESO 141 12 2 1 Available Biopsy 1 141 12 2 2 Assembling the Biopsy Brackets siseses ea E 143 12 2 Preparing lora BIODSY 145 12 2 4 Verifying the Biopsy nennen emen 145 12 2 5 Performing a BIODSY sere Eee uae
14. 3 6 3 Connecting the Network Printer eene 32 3 6 4 Connecting the USB Printer sessi 33 Chapter 4 Customizing Your System eeeeee eee eee eese seen seen sensns enata 35 4 1 General System SetUmps siete iecit e corp dO T coast pnta ecc ted peser ERU 37 4 1 1 General Seting S 37 21 2 Display SNE o orara a pan DIOS i aaa EANA E a ai 39 41 3 Storage SeN S esee eti ee E EE e Une Have tere esa 40 42 Peripheral Device Settings esi er R E RRR 41 4 3 Meas remieut Selllnps UE a gea 42 4 3 1 General Settings iit en PR NER ER INTER RTI 42 4 3 2 Measurement Menu Settings uei i ERO ER re ERES EXE UE CY eo Feb eio pue ied 44 4 3 3 Calculation Formula enne 45 4 4 Configuring DICOM 47 4 4 1 Storage Service reisin enne nnne nennen inneren 47 4 4 2 Commitment 48 4 4 3 DICOM Worklist enne 49 AAA MPPSSetpS intor ree ar er 5 2 4 5 Brint Seryice Sets Denier e este ce ves SAO X cvs hem 52 4 5 Defining System Defaults nne nnne ens 54 4 6 Viewing System Information 55 Chapter 5 Preparing for an
15. AE title of the DICOM commitment storage server Port Number Set the port number of the DICOM commitment storage server Connect Timeout sec Set the period of network connection timeout Repeat Count Set the repeated times of connecting the DICOM commitment storage server Dimse Timeout sec Set the timeout time of connecting the Dimse protocol Acse Timeout sec Set the timeout time of connecting Acse protocol Synchronously Receive N EVENT REPORT Message Tick this item the system receives the N EVENT REPORT messages synchronously Click Echo to verify the connection between the ultrasound system and the DICOM commitment storage server after you make settings about the Remote HostName IP address DICOM AE Title Port Number A summary displays if the connectivity is verified 4 4 3 DICOM Worklist Settings You can connect the ultrasound system to the DICOM worklist server by setting this menu System Setting General Store C Store Worklist MPPS Print Peripheral Service List Worklist 7 Add Delete Measure DICOM Worklist DICOM Remote HostName Worklist Load Default About IP Address 192 168 254 104 Ping DICOM AE Title AE Echo Port Number 105 Connect Timeout sec 10 Repeat Count 1 Dimse
16. After use disconnect the cable from the mains supply and then disconnect the grounding wire 3 2 2 Using the Battery Ne e Do not disassemble or alter the battery Otherwise there is a danger of explosion e Replace the battery with the same or the equivalent type 26 Basic User Manual 3 Preparing the System Do not short circuit the battery by directly connecting the system with metal objects If the battery emits an odor or heat is deformed or discolored or appears abnormal during use charging or storage remove it and stop using it immediately If you have any questions about the battery please contact the manufacturer Do not use a battery if it leaks If your skin or clothing is stained with the fluid from the battery thoroughly wash the area immediately with clean water If the fluid comes in contact with your eyes immediately flush the eyes with water and seek the oculist for help If the battery is found damaged severely degraded or used for 3 years dispose of it in accordance with the local laws or regulations If the system is connected to the mains supply with the adapter the battery is charged automatically If the adapter is disconnected the system 1 supplied power by the battery A fully charged battery can work continuously for more than 1 hour Specifications of the battery Rated voltage 14 8V Capacity 9 6Ah 142Wh wt e Only use the battery once there is an emergency or no reliable
17. China Zip Code 518051 Tel 86 755 26722890 Fax 86 755 26722850 Website http www sonoscape com E mail service sonoscape net EU Representative SONOMED Address Via Luigino Tandura 74 00128 Rome Italy Tel 39 06 5082160 Fax 39 06 5084752 http www sonomed com Contents Chapter 1 Safety 1 1 1 Intended Use oet eere der eo esie E EIE T IUS 2 1 2 Safety Precautions IE E eire 2 1 2 1 Electrical E geb a yep eerta 2 1 2 2 Mechanical Safety ERU Sr ee 4 1 2 3 Accessories Caring s p eet Uter tree 4 1 2 4 Biohazard Considerations iiie 5 1 3 Acoustic Power Principle eerte b vd e erc Wd p ro ped s 5 1 3 1 Biological Safety eie 5 L3 2 E E bI rar 5 1 3 3 Mechanical and Thermal Indices eene 6 1 3 4 Probe Surface Temperature Limits nennen enn 7 1 3 5 Imaging Functions that Change Acoustic Output esesseseeeeeee 7 1 4 Safety Symbols nn nodi 7 Chapter 2 SySt m Top o Pm 11 Del System Configuration e aiana eA ee ue e Ree ne e fdas es aes ceavaces eue vagos 12 22 Physical SpeciliGatlOns s ceo itor iE EE ERE e rte EET EUN 12 2 3 System Com
18. Date 05 04 2014 05 05 2014 First Name Sex Reset Patient Review Current Exam Exam Type Exam Date Time Description Sonographer Image Size Store State 05 05 2014 16 04 03 40 82M New Patient PPS Screen 5 U i m E E o a Import Screen Export Screen Exit GMAT Suspend Exam New Exam View Exam Delete Exam DICOM Send DICOM Print Figure 5 2 Exam Review Screen Perform the following steps to retrieve information 1 Search for the archived information Enter the search requirements such as Patient ID First Last Name Sex Exam Date Time or Age and then click Search to search the desired one Patient Exam List Patient ID Last Name Age Search Date _ 05 04 2014 To 05 05 2014 First Name Sex w L Reset urrent Exam Patient ID Patient Name Birth Date Sex Exam Date Time Image Size 0 20140505 Unknown 05 05 2014 16 04 03 40 82M New Patient PPS Screen Import Scree Export Screen Exit i d 2 a 5 24761606 View New Exar Delete Patient 60 Basic User Manual 5 Preparing for an Exam 2 Select the desired information Move the cursor on the desired information
19. Freeze Or select it again to restore the real time scan TGC Use these 8 TGC slide pots to adjust the gain value of the specific area on the image Status Indicator Indicator Description dr Indicates the battery discharging status Ea Indicates the battery charging status gt Indicates the connecting status of the adapter Basic User Manual 2 System Overview 2 3 6 Basic Screen Newhosp xx 02 1807 20121212234565 Patient MAP DIRECT B REJECT LINE DENSITY FREQUENCY Mar232012 16 08 16 o 5 10 11 POWER 16 15 14 13 Figure 2 7 Basic Screen 1 Logo 2 Institution Name 3 Patient ID 4 Probe Model 5 Patient Name 6 System Date and Time 7 Mland TIS Indices 8 Application Icon 9 Measurement Result Area 10 Color Map in Color DPI mode Grayscale Map 11 Depth Scale and Focal Position 12 Hint 13 Image Parameters 14 Imagining Area 15 Cine Review Status in frozen mode 16 THI and PW CW Status Identification 17 PW CW Doppler or M Mode 18 Color Mode Imaging Information 19 B Mode Imaging Information Basic User Manual 23 This page is intentionally left blank Chapter3 Preparing the System System preparation is necessarily performed before you using the ultrasound system The preparation includes but not limit to positioning and adjusting the system connecting the probe and the periphe
20. Select the Set key to reposition Color Flow ROI Optimize the TDI mode image For details refer to Section 6 3 4 Optimizing Color DPI TDI Mode Images 5 Select TDI again to exit the screen Basic User Manual 75 6 Acquiring Images 6 3 4 Optimizing Color DPI TDI Mode Images After entering the Color DPI TDI mode the imaging parameters display at the bottom of the LCD monitor as shown in Figure 6 5 you can use them to optimize B mode images You can adjust other parameters and display modes on the pop up menu by selecting the Menu key NOTE All parameters can only be adjusted in real time Color DPI TDI mode but BASELINE MAP and B REJECT can also be adjusted in the frozen mode 6 3 4 1 Gain Color flow gain optimizes the color flow continuous with less noises To adjust the gain B Rotate the C knob clockwise to increase the value B Rotate the C knob anticlockwise to decrease the value 6 3 4 2 Frequency Frequency optimizes the penetrability and the sensitivity of the color flow To adjust the frequency 1 Select FREQUENCY by pressing the corresponding function key 2 Rotate it to adjust the value 6 3 4 3 Wall Filter Wall filter is used to filter the low frequency noise from tissues such as vascular wall To adjust the wall filter 1 Select WF by pressing the corresponding function key 2 Rotate it to adjust the value 6 3 4 4 Pulse Repetition Frequency Pulse repetition frequency is used to adj
21. its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment The equipment is suitable for use in all establishments including domestic establishments and those directly connected to the public low voltage power supply network Voltage fluctuations that supplies buildings used for domestic purposes flicker emissions Complies IEC 61000 3 3 156 2 Electromagnetic Immunity The equipment is intended for use in the electromagnetic environment specified below The customer or the user of the equipment should assure that it is used in such an environment 60601 Test Compliance Electromagnetic Environment and Immunity Test Level Level Guidance Electrostatic 6 kV Contact 6 kV Contact Floors should be wood concrete or 48 kV Air tile If oor are covered vun synthetic material the relative humidity should be at least 3096 Electrical fast 2 for power 2 for power Mains power quality should be that transient burst supply lines supply lines or Tupi commercial gt hospital environment 1 kV forinput 1 kV for input output lines output lines 1 kV line to line 1 kV line to line Mains power quality should be that 2 kV line to earth Z2 kV line to earth ora typical pomimercial or ospital environment 5 Ur 5 U Mains power quality should be that 295 dip in UJ 1095 dip in U of a typical commercial or hospital fr
22. key to increase or decrease the value Multiple M lines display after making setting as the following figure shows M Line 5 4 2D Image _ Y axis Depth rrr X axis Time Figure 6 10 Inactivated Anatomical M Mode Imaging Screen 4 Adjust the position and the angle of M mode cursor a Position the desired M line by using the trackball b Select the Set key to select the desired M line 5 Select the Update key to activate the anatomical M mode Basic User Manual 81 6 Acquiring Images NOTE Once the anatomical M mode is activated anatomical M mode imaging will display on the X axis and Y axis 6 Optimize anatomical M mode images For details refer to Section 6 4 3 Optimizing M Mode Images 7 Select M to exit 6 4 3 Optimizing M Mode Images After activating the M trace the imaging parameters display at the bottom of the LCD monitor as shown in Figure 6 9 you can use them to optimize B mode images You can adjust other parameters and display modes on the pop up menu by selecting the Menu key NOTE parameters can only be adjusted in a real time M mode but Chroma and Display Format can also be adjusted in the frozen mode 6 4 3 1 Gain M gain controls the overall brightness of the M trace To adjust the gain B Rotate the B knob clockwise to increase the value B Rotate the B knob anticlockwise to decrease the value 6 4 3 2 M Process M process is use
23. 3 DICOM Print DICOM Print is used to send images to DICOM print server for printing You should properly connect the ultrasound system to the print server and make the relevant settings For details refer to Perform the steps as follows Connect the USB device to the ultrasound system Choose the Patient key gt Patient List gt Patient Review to enter the Patient Review screen Select the desired patient and then click View to enter the Exam Review screen Select the desired exam A U N Click DICOM Print to send the patient information and the relevant images to DICOM print server If you only want to send images select the File key on the control panel to enter the View Image screen select the desired images and then click DICOM Send If you want to check the sending status choose the Patient key gt Patient List gt DICOM Queue 128 Basic User Manual 11 Working with DICOM 1 4 DICOM Worklist DICOM Worklist is used to search the archived patient information set on the DICOM server and copy the patient information to the ultrasound system so that the correct patient can be examined Select the Patient key on the control panel to enter the New Patient screen and then click WorkList to enter the WorkList screen WorkList Patient Name Patient ID Search Accession Requested Procedure ID Reset Date _ 05 04 2014 To 05 05 2014 Only Us Worklist Info
24. Biopsy You should properly assembly and verify the biopsy bracket before performing the biopsy Nee Only use the biopsy bracket in conjunction with the probe provided by the manufacturer Otherwise the ultrasound system and probe may be damaged an accident such as a fire may result in the worst case Only the trained physicians or sonographers under ultrasound guidance can handle the biopsy needle guides During the operation the operator must observe proper needle insertion sequencing with the needle guide in order to avoid undue discomfort and unnecessary risk and injury to the patient You should activate the biopsy guidelines before performing a biopsy The biopsy guidelines that display on the monitor are intended as a reference It is the operator s responsibility to verify correct positioning of the needle during a biopsy Do not freeze an image when performing a biopsy To avoid hurt the patient accidentally the operator should be highly concentrated during a biopsy The biopsy needle is disposable To avoid the infection disinfect the probe and wear it with the probe sheath performing a biopsy To avoid possible personnel injury the operator should perform the biopsy using an appropriate biopsy bracket You should verify the biopsy bracket before performing a biopsy 12 2 1 Available Biopsy Brackets Biopsy Available No Bracket Model Probe Model Available Biopsy Needle Applica
25. E E E 118 9 6 1 Basic Procedures of ECG Operation 118 9 6 2 Optimizing Parameters 119 9 6 3 Reviewing EIE 119 Chapter 10 Managing Images Data 4 eerie e eese eese eene enses etna nennen senses snas 121 10 1 Stormp an cer Ee RE EE HE EE EUER 122 10 1 1 Storing an Image Automatically 122 10 1 2 Storing an Image nenn 122 10 2 Viewing the Image Cine sees ener 123 10 2 1 Viewing Current Im age Cine t pecie 123 10 2 2 Retrieving an iis entier rt ri ERE EHE HERE HRI EXE IEEE EAEE EA 124 10 3 Backing up Data ente desti ee 124 10 3 1 Backing up Data to the USB Device sssssssseeeeeeneneen nennen 124 10 3 2 Backing up Data to DVD essere roten rn ERE RENE RR 124 10 4 Importing Data to the 125 Chapter 11 Working with DICQOM ceres eene eene ennt netus etna tn setas sense tn stus 127 L1 V nitying Comme Cui vi ty ains nero eter eren ere 128 L2 DICOM iani u OU nai rentes 128
26. accessories is approved by Sonoscape e the electrical installation of the relevant room complies with the applicable national and local requirements and e the product is used in accordance with the instructions for use Documentation SonoScape provides the documentation consisted of various manuals e Basic User Manual this manual describes the basic functions and operating procedures of the system e Advanced User Manual provides information about the measurements and calculations available in each mode e Compact Disc CD provides the acoustic output data related to the system Signal words in this manual are defined as follows Please understand their meanings clearly before reading this manual Signal Word Meaning Indicates a potentially hazardous situation which if not avoided could result in death or serious injury Indicates a potentially hazardous situation which if not avoided may result in malfunction or damage of the system Indicates precautions or recommendations that should be used in operating the NOTE system Indicates a potentially biological hazardous situation which if not avoided W may result in disease transmission Boldfaced Indicates keys and controls located on the control panel or on screen objects Word such as menu items or keys Contact Information Manufacturer SonoScape Co Ltd Address Yizhe Building Yuquan Road Nanshan Shenzhen P R
27. and an exam type such as obstetric exam throughout this chapter to enter the B mode Optimize imaging parameters in the B mode Apply adequate gel on the patient Acquire a B mode image of high quality A W N Select 3D 4D on the control panel to enter the inactivated 3D mode NOTE You should select the Freeze key and select 3D to enter the inactivated 3D mode when performing with non volume probes The 2D imaging with ROI and sample line is displayed in the inactivated 3D mode only the data in ROI is acquired for 3D imaging New hosp XXX MI 0 2 TIS 0 7 20121212234565 Patient Mar 23 2012 16 08 16 2D Imaging ROI Anchor Map Quality Sample Line Surface Figure 7 1 Inactivated 3D Imaging Screen 6 Adjust ROI B Move the trackball to position ROI B Select the Set or Update key on the control panel adjust the sample line by positioning the anchor with the trackball B Select the Set or Update key again to adjust ROI 96 Basic User Manual 7 Using 3D Ifnecessary select the Set or Update key to reposition ROI 7 Select 3D set render mode image quality and sweep angle For details refer to Section 7 2 Working with 3D Images 8 Select the Freeze key to display the 3D imaging The imaging area of the screen is divided into 3 reference images and 3D image by default New hosp XXX MI 0 2 TIS 0 7 20121212234565 Patient Mar 23 2012 16 08 16 Map Chroma 4 Quality M Surface
28. and select the Set key on the control panel to select it 3 Exam the desired patient Click New Exam to start an new exam 5 2 Using DICOM Worklist You can acquire the patient information using the DICOM worklist if the ultrasound system is configured with the DICOM module For details refer to Section 11 4 DICOM Worklist 5 3 Pausing Ending an Exam To pause an exam 1 Select the Patient key on the control panel to enter the New Patient screen and then click Patient List gt Exam Review to enter the Exam Review screen 2 Select the current exam and then click on Suspend Exam to pause the exam B To resume an exam 1 Select the Patient key on the control panel to enter the New Patient screen and then click Patient List gt Patient Review to enter the Patient Review screen 2 Select the desired patient information and then click on View to enter the Exam Review screen 3 Select the desired exam and then click on Resume Exam to resume the exam 5 4 Completing Discontinuing an Exam 5 4 1 Completing an Exam 1 Select the End Exam key on the control panel A dialogue box pops up as follows Do you wish to end the current exam OK Cancel 2 Click OK to end the exam Basic User Manual 61 5 Preparing for an Exam 5 4 2 Discontinuing an Exam 1 Select the Patient key on the control panel to enter the New Patient screen enter the current patient information and then c
29. by moving the trackball left or right Select the Set key to confirm 4 Adjust the sample volume gate B Adjust the size of the sample volume gate by using the trackball Rotate the Angle knob to increase or decrease the angle of the flow cursor 5 Select the Update key to activate the PW mode The basic screen displays as below after being activated Basic User Manual 93 6 Acquiring Images 50 cm s Y axis _ frequency 50 X axis time Figure 6 18 B Color DPI TDI PW Mode Imaging Screen Select the AUDIO or AUDIO key to adjust the audio volume 6 Optimize the PW mode image For details refer to Section 6 5 3 Optimizing Spectral Doppler Images 7 Select PW to exit 6 6 3 B Color DPI CW For details refer to Section 6 6 2 B Color DPI TDI PW 94 Basic User Manual Chapter 7 Using 3D 3D imaging allows you to see width height and depth of the anatomical structure 3D imaging can be performed by all probes but the quality of images 15 closely related to 2D imaging 3D imaging mainly applies to obstetric exams and can be used to see the three dimensional volume image of internal organs or fetus 95 7 Using 3D 7 1 Acquiring 3D Images The following description uses 3D imaging performed with the VC6 2 probe as an example Perform the following steps to acquire 3D images 1 Enter the patient information select VC6 2 probe
30. deskjet ppd provided by the manufacturer into the directory of the USB drive Connect the drive to the ultrasound system and then start up the ultrasound system 3 Choose System Settings gt Set Printer gt Insert Driver by using the trackball on the 4 5 ultrasound system Press the Set key on the control panel to complete the installation of the printer drive Reboot the ultrasound system if the installation is completed IP Address Setup l Choose System Settings gt DICOM Settings gt Local gt Static IP by using the trackball on the ultrasound system Set IP Address to 192 168 254 183 set Netmask Gateway Printer IP MACAddr AE Title respectively and then click Save Basic User Manual 3 Preparing the System NOTE IP address and Printer IP should be set in the same network segment 3 Type the IP address of the printer into the textbox beside Ping IP Addr and click Ping to verify that the system and the printer is correctly connected After successful verification you can print the file 3 6 4 Connecting the USB Printer 1 the driver file deskjet ppd provided by the manufacturer into the directory of the USB drive Connect the USB drive to the ultrasound system and then start up the ultrasound system Choose System Settings gt Set Printer gt Insert Driver by using the trackball on the ultrasound system Press the Set key on the control panel to display In
31. eps OR en FER isi ERROR E E ERE BR E Cu ER RE FRE RR 9 6 6 2 BF Color e 93 6 6 3 dm 94 Chapter 7 Using 3D sees eese eese enses ette senses sins 95 T I Acquiring 3D Images sissies ae eaen e HR RH 96 7 2 Working with 3D 98 Setting Display 98 152 2 DG 98 FDS Setung Render MOG eii ee ettet ir eode d tn 98 7 2 4 Cropping Reviews ROLL tnr ere EHE RH HERE reps 99 7 2 5 Cropping Reviews by the Trace iie HAIR Eds Ee EH RT 100 7 2 6 Moving Rotating Magnifying Images eene enn 100 17 2 7 Optimizing 3D 101 7 2 8 Observing Reviews by the Plane 101 7 2 9 Observing Reviews by the nennen 102 7 2 10 Setting the Sweep An lessees ie mot e repe e en ette ies dS 103 7 2 11 Setting the Scan 4 nennen nennen 103 72 12 Adjusting Z Arngle Z Scale rr 103 7 2 13 Restore the UMA Pe ciere ro rt ET ER REPE Ent 103 Chapters 4D R 105 Sl Acquiring 4D IMAGES Rm 106 8 1 1 Enteri
32. for the current patient 2 Select the exam type Exam type Select an exam type for the current patient including Abdomen Obstetrics Gynecology Cardiology Vascular Urology Small Parts Pediatrics Musculoskeletal Neurology Orthopedics and others Description Enter manually the information related to the exam type Primary Indications Enter the related information manually Secondary Indications Enter the related information manually NOTE e You must enter the height and weight for the current patient when you select Cardiology as the exam type BSA will be automatically calculated in accordance with BSA set on the Measure menu You must enter the height and weight for the current patient when you select Obstetrics as the exam type AUA will be automatically calculated Enter the related operating information Refering M D Performing M D Enter manually the name Sonographer Comment Enter manually the notice or necessary information Click OK to save the modifications If the last patient exam is not completed the system will remind you to complete or discontinue the exam For details refer to Section 5 4 2 Discontinuing an Exam Basic User Manual 59 5 Preparing for an Exam 5 1 2 Retrieving Archived Information You can retrieve the archived information by choosing the Patient key gt Patient List Exam Review Patient Exam List Patient ID Last Name Age Search
33. frame The ECG waveform is the reference for time Basic User Manual 119 This page is intentionally left blank Chapter 10 Managing Images Data Images in this ultrasound system include frame images and cine you can save or review them after the acquisition Meanwhile images can be also backed up to the USB device or DVD for future review if it is needed 121 10 Managing Images Data 10 1 Storing an Image NOTE All images are stored to the ultrasound system by default when storing them They can also be backed up to the USB device or DICOM server For details refer to Section 10 3 Backing up Data and Section 11 2 DICOM Storage You can save images in the following two ways 10 1 1 Storing an Image Automatically Except images acquired in the 3D and 4D modes other images or data can be saved by one defined key Perform the following steps to store an image 1 Set One Key Store to ON on the System Setting gt General gt Storage menu 2 Select the Save key on the control panel in the real time or frozen mode for less than 3 seconds and then the current image can be saved Or select the Save key in the frozen mode for more than 3 seconds and then the current cine can be saved The system beeps if the image is saved successfully Meanwhile the corresponding thumbnails for the stored image or cine also appears in the clipboard 10 1 2 Storing an Image Manually images and cine can be saved manually th
34. fresh running water to remove the residual cleaner completely 4 Dry the probe with a lint free soft dry cloth 12 1 4 Disinfecting or Sterilizing the Probe warning 9 Use the liquid disinfectant sterilant that meets the local laws and regulations IN e If you use the recommended disinfectant sterilant ensure its level and the probe soaking period meets the requirements Otherwise the probe could be damaged and your warranty might be void If you have other use or needs ensure the level of the make up disinfectant sterilant and the probe soaking period are suitable for the intended clinical application e Do not use the expired disinfectant sterilant e Store the probe in a sterile environment and mention its expiry date before use e Do not disinfect sterilize the probe through autoclaving or contact with ethylene oxide e Do not use thermal disinfection sterilization Temperatures higher than 66 C 150 F will damage the probe e Not allow any disinfectant sterilant to be air dried on the probe E Disinfection Levels To choose an appropriate disinfectant you first must determine the required level of disinfection based on the probe classification Classification Level of Disinfection Application Device enters otherwise Intraoperative Critical sterile tissue intraoperative Sterilization biopsy use or blood applications contacting probe Device contacts mucous Semi critical membranes intracavity High En
35. function key 2 Rotate it clockwise or anticlockwise to adjust the value 6 2 2 6 Chroma Chroma is used to colorize the gray scale image to enhance the discrimination capability There are 13 colors available To adjust the chroma 1 Select the Menu key in the real time scan menu pops up on the screen 2 Select CHROMA by using the trackball or 7 or key 3 Rotate the Menu key or select or gt key to make the setting 6 2 2 7 Compound Imaging Compound imaging is used to acquire a series of overlapping image frames from substantially differing spatial directions and combining these images to reduce speckle and improve contrast resolution To use compound imaging 1 Select the Menu key in the real time scan menu pops up on the screen 2 Select COMPOUND by using the trackball or T or key 3 Rotate the Menu key or select or gt key to enable or disable the feature 6 2 2 8 Line Density Line density refers to the amount of ultrasound beam that makes up the image Increasing the value of line density improves the resolution and decreases frame rate Therefore you have to balance the frame rate and the image quality when adjusting the line density A higher line density is useful in obtaining very high resolution such as thyroid testicles A lower line density is useful in fetal heart beat adult cardiac applications and in clinical Radiology applications To adjust the line density 1 Select LIN
36. key or select or gt key to enable or disable this feature NOTE You need to set it only when performing the measurement related to the velocity 6 5 3 15 2D Refresh 2D refresh is used to synchronously display two real time scans in the 2D and the PW modes To enable or disable 2D refresh 1 Select 2D REFRESH by pressing the corresponding function key in the inactivated PW mode 2 Rotate it to enable or disable this feature If the feature is enabled select the Update key to activate the PW mode and two real time scans in the 2D and the PW modes are displayed If the feature is disabled a frozen 2D mode image and PW real time scan are displayed NOTE 2D refresh is only available in the PW mode 6 6 Acquiring Triplex Mode Images The triple mode is overlapped by three different imaging modes and can be applied to view the image The triple mode includes B Color TDI M B Color DPI TDI PW and B Color DPI CW 6 6 1 B Color TDI NOTE Only the phased probe is available for B Color TDI M Perform the following steps to acquire the image 1 Optimize a Color TDI mode image 2 Select M on the control panel to enter the inactivated Color M TDI M mode The basic screen is divided into two displays as the following figure shows Basic User Manual 91 6 Acquiring Images Figure 6 15 Inactivated B Color TDI M Mode Imaging Screen Y axis depth in EE oar or ar or or or or d E
37. o X axis time amp M line P 5 4 Color Flow RO 2D Imaging The ROI and M mode cursor is used to position the X axis is the time scale Y axis is the depth scale 3 Adjust the ROI and M mode cursor by using the trackball 4 Select the Update key to activate the Color M TDI M mode The basic screen displays as below after being activated 1mm Y axis depth o L4 do e og purer a X axis time 92 Figure 6 16 B Color TDI M Mode Imaging Screen Basic User Manual 6 Acquiring Images 5 Optimize M mode image For details refer to Section 6 4 3 Optimizing M Mode Images 6 Select M to exit 6 6 2 B Color DPI TDI PW Perform the following steps to acquire the image 1 Optimize a Color DPI TDI mode image 2 Select PW to enter the inactivated Color DPI TDI PW mode The basic screen is divided into two displays as the following figure shows 9 cm s 50 5 Spectral Doppler Line Flow Cursor A Sample Volume Gate 2D Imaging Y axis Color Flow ROI frequnecy 50 X axis time Figure 6 17 Inactivated B Color DPI TDI PW Mode Imaging Screen 3 Adjust the position and angle of the Spectral Doppler line Position the sample volume gate on the Spectral Doppler line by moving the trackball up or down B Adjust the angle of the Spectral Doppler line
38. sec 10 Repeat Count 2 Dimse Timeout sec 10 Acse Timeout sec 30 Exit L Send After Every Image Stored Send At End of Exam Apply Service List Figure 4 9 DICOM Storage Service Menu Description Select the DICOM storage server Click Add to add a new server and click Delete to delete a server Remote HostName Set the name of DICOM storage server Set the IP address of the DICOM storage server IP Address After the setting click Ping to test the connectivity of the system DICOM AE Title Set the Application Entity AE title of the DICOM storage server Port Number Set the port number of the DICOM storage server Connect Timeout sec Set the period of network connection timeout Repeat Count Set the repeated times of connecting the DICOM storage server Dimse Timeout sec Set the timeout time of connecting the Dimse protocol Acse Timeout sec Set the timeout time of connecting Acse protocol Basic User Manual 47 4 Customizing Your System Item Send After Every Image Stored Description Enable this item the system sends image to the DICOM storage server every time the image is saved Send At End of Exam Enable this item the system sends all saved images to DICOM storage server after the exam is complete Click Echo to verify the connection between the ultrasound system and the DICOM storage serv
39. the Set key to display or hide the 44 submenu Basic User Manual 4 Customizing Your System 4 3 3 Calculation Formula Settings System Setting General General Formula Peripheral _ EFW WEUSAB HC AC FL v J Measure BPD Hadlock vix Dicom Mao 9 Load Default CRL Robinson About Hadlock Hansmm V OFD Hansmann HC Hadlock LY GS Nyberg vj Fibula Merz YJ Exit Radius Merz J Humerus Jeanty 14 ULNA Jeanty AE TIBIA Jeanty Apply Figure 4 8 Calculation Formula Settings Menu Click behind each item to edit the item Item Description Set the EWF formula Choose from WEL SAB HC AC FL Shepard AC BPD Handlock 1 AC EWF FL Hansmann AC FL HC Tokyo BPD APTD TTD FL Handlock 2 AC FL Handlock 3 BPD AC FL Handlock 4 HC AC Handlock 5 HC AC FL Shinozuka BPD AC FL Warsof FL AC Campbell AC Mediscan FLAC or Mediscan BPDAC Set the BPD formula BPD Choose from Hadlock Jeanty Crespigney Kurtz Hansmann Sabbagha Campbell Tokyo Merz or Osaka Set the FL formula FL Choose from Hadlock Hohler Jeanty Hansmann Tokyo Merz Chitty Osaka or Campbell Basic User Manual 45 4 Customizing Your System
40. the name of the DICOM print server Set the IP address of the DICOM print server IP Address After the setting click Ping to test the connectivity of the system DICOM AE Title Set the Application Entity AE title of the DICOM print server Port Number Set the port number of the DICOM print server 52 Basic User Manual 4 Customizing Your System Item Description Set the print format Format Choose from 1x1 1x2 2x1 2x2 2x3 2x4 3x3 3x4 3x5 4x4 4x5 4x6 or 5x6 Trim Set to print or not print a crop box around each image m Set the print job priority Priority Choose from LOW MED or HIGH Set the color of the border to fill the gap between the images Border Choose from BLACK or WHITE Select the print medium Medium Choose from BLUE FILM CLEAR FILM or PAPER Set the color of the empty images Empty Image Choose from BLACK or WHITE Set the print orientation Orientation Choose from PORTPAIT or LANDSCAPE Set the color of the image Color Choose from Color or Gray Set the film size Film Size Choose from 8INx10IN 8 5INx11IN 10INx12IN 10INx14IN 110 141 11INx17IN 14INx14IN 14INx17IN 24CMx24CM 24CMx30CM A4 or A3 Min Density Set the minimum density level of the film Film Destination Set the film destination Choose from MAGAZINE or PROCESSOR B Setitto MAGAZINE image will be stored in a film magazine B Set it to PROCESSOR image wil
41. the time scale Y axis is the depth scale 3 Adjust the M mode cursor by using the trackball 4 Select the Update key to activate the M mode The basic screen displays as below after being activated Y axis Frequency X axis Time Imaging SWEEP SPEED CHROMA M PROCESS VIDEO INVERT parameters Figure 6 9 M Mode Imaging Screen 80 Basic User Manual 6 Acquiring Images NOTE Once the M mode is activated you can move the trackball to stop the M trace and adjust the M mode cursor You can also continue tracing without moving the trackball more than 0 5 second 5 Optimize M mode image For details refer to Section 6 4 3 Optimizing M Mode Images 6 Select M to exit 6 4 2 Anatomical M Mode Anatomical M mode is used for fetal cardiac applications Anatomical M mode can be used with phases array probes when performing cardiac exams or convex probes when performing abdomen exams In the anatomical M mode the M mode cursor can be positioned perpendicular to the anatomical structure and be adjusted 360 even when viewing motion patterns for irregular objects It is used to study the ventricular function of the heart Perform the following steps to acquire anatomical M mode images 1 Enter the inactivated B M mode and select the Menu key A menu pops up on the screen 2 Select STEER M by using the trackball or 7 or key 3 Rotate the Menu key or select or gt
42. to check the sending state of DICOM storage DICOM print MPPS Choose the Patient key gt Patient List gt DICOM Queue to enter the DICOM Queue screen DICOM Queue Patient Name Date 05 04 2014 To _ 05 05 2014 v DICOM Queue Information Type Patient ID Patient Name Server Start Time Size Run State Status Details 5 20140505 05 05 2014 16 04 03 OM Finish Fail Association Request Failed Refresh All Select Rescan Fail Rescan Delete Exit Figure 11 3 DICOM Queue Screen Perform the steps as follows 1 Search for the patient information Enter the search requirements such as Patient Name Patient ID Type or Exam Date Time and then click Search to search the desired one 2 Check the sending status You can check the sending status by viewing Run State Status or Details 3 Deal with the failure sending information e Select the desired patient information click Refresh to refresh the patient information If it does not work you can click Resend to resend the information e Click All Select gt Resend Fail to resend the information e Select the desired patient information click Delete to delete the information 132 Basic User Manual Chapter 12 Probes and Biopsy You should be thoroughly familiar with the operations of the probe and the biopsy bracket before us
43. to the probe with the adhesive tapes or elastic bands provided 0 Remove the sheath from the probe and dispose of the sheath in accordance with the local laws and regulations Basic User Manual 135 12 Probes and Biopsy 3 Orient the probe Check the probe orientation mark before the scan The image acquired from the mark side of the probe is displayed on the monitor 4 Perform a scan 12 1 3 Cleaning the Probe y e To avoid probe damages do not bump the probe on hard surfaces during the cleaning e To avoid the electric shock disconnect the probe from the ultrasound system before the cleaning e To avoid the potential disease transmission you should wear medical sterile gloves and protective goggle during the cleaning You should clean the probe after each use Perform the following steps to clean the probe 1 Disconnect the probe from the ultrasound system and remove the probe sheath and the biopsy bracket from the probe 2 Usea lint free soft cloth dampened with mild soapy water to wipe the probe W If the probe carries blood body fluid or dried stains you should wipe it with enzymatic clearer NOTE Follow the manufacturer s instructions to make up the enzymatic cleaner If there are stains on surface or grooves of the probe you should use a brush dampened with portable water to remove them 136 Basic User Manual 12 Probes Biopsy 3 Rinse the surfaces of the probe with the
44. worktist Cancel Figure 5 1 Patient Information Screen NOTE You can move the cursor by using the trackball and then select the Set key on the control panel to select the desired item Perform the following steps to begin a new patient 1 Enter relevant patient information Patient ID Enter manually the patient ID special characters are prohibited to be entered Patient ID will be automatically generated without any inputs according to the current system time NOTE Patient ID is an important identification once it is saved you cannot modify it 58 Basic User Manual 5 Preparing for an Exam Name Enter manually first name middle name or last name of the patient DOB Enter manually the date of birth for the current patient You can set Date Format on the General menu Age The patient s age will be automatically calculated if you enter the information in the DOB textbox Sex Enter manually the gender for the current patient Accession Enter manually the exam ID for the current patient special characters are prohibited to be entered Weight and Height Enter manually the weight and height for the current patient BSA The system will automatically calculate the body surface area after you entering the weight and height You can select the calculation formula from using the corresponding drop down list BP Enter manually the blood pressure for the current patient Comments Make comments
45. 2PI 2 1 14G 16G 18G 20G 22G Body surface NGB2P2 2P2 14G 16G 18G 20G 22G Body surface NGB3P1 3P1 14G 16G 18G 20G 22G Body surface 5 1 5 1 14G 16G 18G 20G 22G Body surface 5 1 5 1 14G 16G 18G 20G 22G Body surface 142 Basic User Manual 12 Probes and Biopsy 12 2 2 Assembling the Biopsy Bracket Bi To assemble the surface biopsy bracket Tube Holder Biopsy Guide Tube Fixing Bracket Handle Locking Screw Perform the steps as follows l Ensure there is no damage deformation malfunction loose or missing some parts on the biopsy bracket before the assembly Wear sterile gloves Unfold the probe sheath and apply an appropriate amount of coupling gel to the inside of the sheath and onto the face of the probe Hold the probe and unroll the sheath onto the probe Pull the probe sheath tightly over the face of the probe to remove wrinkles Align the biopsy bracket with the orientation marker of probe 6 Attach the biopsy bracket to the probe and fasten the biopsy bracket with the locking screw 7 Press the tube clamp and insert the biopsy bracket tube into the biopsy bracket Orientiation Marking 8 Insert the biopsy needle into the tube Basic User Manual 143 12 Probes and Biopsy 9 Make sure that the biopsy bracket is attached to the probe firmly To assemble the endocavitary biopsy bracket 144 Top Hosing
46. 3D or 4D mode Or select it to perform the semi auto trace measurement in the PW CW mode Update B Select it to enter the M mode in inactivated M mode B Select it to enter the PW CW mode in the inactivated PW CW mode Select it to switch between measurement markers when performing the distance or ellipse measurement B Select it to undo the trace in the manual trace measurement Area e Press it to perform the trace measurement in the 2D B Color DPI TDI M 3D or 4D mode Press it twice to perform the ellipse measurement in the 2D B Color DPI TDI M 3D or 4D mode e Press it to perform the slope measurement in the M mode Press it twice to perform the time measurement in the M mode e Press it to perform the manual trace measurement in the PW CW mode Press it twice to perform the auto semi auto trace measurement in the PW CW mode T ball e Select it to activate the clipboard in the 2D B Color DPI TDI or M mode e Select it to activate the trackball cursor in the 30 40 mode Assign Reserved function key Calc Select it to activate the specified calculation menu which varies with the imaging mode Set Select it to confirm the current operation Basic User Manual 21 2 System Overview 22 Name Description Save Select it to save the image or cine in the frozen mode Trackball Use it to move the cursor Select it to freeze the image in the real time mode
47. 4 Customizing Your System Item Measure Font Size Measure Line Size Description Set the font size of the measurement results Choose from Small Medium or Large Set the thickness of the measurement line Choose from Small Medium or Large Shortcut Key Settings Select OB Cardiac or GYN tab and then select an measurement item from the drop down box beside Num 1 to Num 9 After making this settings you can perform the Obstetrics Cardiology or Gynecology measurement by using the defined shortcut key in the frozen mode 4 3 2 Measurement Menu Settings You can configure the measurement settings to display the measurement items during 2D PW or M mode measurement System Setting General Peripheral Measure Load Default About DICOM Exit General Menu Formula 2D Pw M e o oe e oe eo o REPORT ANGLE VOLUME VOLUME LxWxH DOPPLER AREA VASCULAR gt SMALL PART gt ORTHOPAEDIC gt OB GYN gt CARDIAC gt UROLOGIC gt CLICK UPDATE ON OFF CLICK SET WHEN CURSOR ON OPEN SUBMENU Apply Figure 4 7 Calculation Settings Menu Select an item select the Update key on the control panel to display this item Or select the Update key again to hide this item appears before an item if this item contains submenu Select
48. 71 6 Acquiring Images 6 2 2 18 Trapezoidal Imaging Trapezoidal imaging is used to enlarge the imaging area when performing a real time scan by using the linear probes To use trapezoidal imaging 1 Select the Menu key in the real time scan A menu pops up on the screen 2 Select TRAPEZOID by using the trackball or f or key 3 Rotate the Menu key or select or gt key to enable or disable the feature 6 2 2 19 Steer Steer can be adjusted to change the direction of the acoustic beam when performing a real time scan by using the linear probes To adjust the steer Flip the STEER switch to change the direction of the acoustic beam NOTE Only the linear probes are available when adjusting the steer 6 3 Acquiring Color Flow Images Color Flow imaging adds the color coded qualitative information in the B Mode image Color Flow imaging is helpful to see the flow the relevant qualitative information and the flow velocity 6 3 1 Color Mode Color is a color flow imaging technology which adds the color coded qualitative information concerning the relative velocity and direction of fluid motion in the B Mode image Perform the following steps to acquire Color mode images 1 Optimize a B mode image 2 Select C on the control panel to enter the Color mode 72 Basic User Manual 6 Acquiring Images New hosp XXX MI 0 2 TIS 0 7 20121212234565 Patient Mar 23 2012 16 08 16 Color Flow 2D Imaging ROI
49. AC power supply It is recommended to use the AC supply instead of the battery If the battery has not been used for 3 months it is recommended to store the battery in the temperature range from 20 C to 45 C with fully charged If the battery has not been used for more than 3 months it is recommended to charge the battery once at least every 3 months to avoid of liquid leakage Charge the battery in the temperature range from 0 C to 45 C and discharge it in a temperature range from 0 C to 60 C to maintain the lifespan of the battery Always charge the battery fully to maintain the lifespan of the battery It is highly recommended to perform one full discharge charge cycle before first time usage A full discharge charge cycle means the system is turned on using battery power until the battery loses its charge completely and the system shuts down Thereafter fully charge the battery until the charging indicator illuminates in green When the battery capacity is low and the battery cannot be charged in time you need to save all unsaved data before the system automatically shuts down Otherwise you may lose useful information Basic User Manual 27 3 Preparing the System e To avoid the battery damage causing the system damage observe the following precautions Do not immerse the battery in water or allow it to get wet Do not discard the battery in a fire Do not expose the battery under the sunlight or leave it in the e
50. About This Manual P N 4710 00341A04 Copyright O 2013 2015 SonoScape Co Ltd All rights Reserved Statement SonoScape Co Ltd hereinafter called SonoScape owns the intellectual property rights to this manual and also maintains the contents of this manual as confidential information This manual is a reference to operation maintenance or cleaning for the product and does not convey any license under the patent rights of SonoScape nor the rights of others This manual contains the information protected by copyrights or patents Reproduction amendment or translation of this manual in any manner whatsoever without the written permission of SonoScape is strictly forbidden All information contained in this manual is believed to be correct SonoScape shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing performance or use of this manual SonoScape does not assume any liability arising out of any infringements of patents or other rights of third parties This manual is subject to change without prior notice and legal obligation Manufacturer s Responsibility SonoScape is responsible for the effects on safety reliability and performance of this product only if e all installation operations expansions changes modifications and repairs of this product are conducted by SonoScape authorized personnel e the use or application of the product or the use of parts or
51. B Print images on a DICOM printer DICOM service of the ultrasound system consists of DICOM storage storage committee DICOM worklist MPPS and DICOM print 127 11 Working with DICOM 11 1 Verifying Connectivity 1 Access the ultrasound system to the local network of DICOM server by using an Ethernet cable 2 Make the relative settings about the local network and DICOM server For details refer to Section 4 4 Configuring DICOM 3 If the verification succeeds you can apply the DICOM services NOTE Ensure the ultrasound system is connected to the server before using the DICOM service Otherwise the service cannot be used 11 2 DICOM Storage DICOM Storage is used to send patient information and the relevant images to DICOM storage server for storage Perform the steps as follows Connect the USB device to the ultrasound system Choose the Patient key gt Patient List gt Patient Review to enter the Patient Review screen Select the desired patient and then click View to enter the Exam Review screen Select the desired exam A W N Click DICOM Send to send the patient information and the relevant images to DICOM storage server If you only want to send images select the File key on the control panel to enter the View Image screen select the desired images and then click DICOM Send If you want to check the sending status choose the Patient key gt Patient List gt DICOM Queue 11
52. D image by default New hosp XXX MI 0 2 TIS 0 7 20121212234565 Patient Mar 23 2012 16 08 16 FRQ Map Chroma 4 Quality Surface Figure 8 2 4D Imaging Screen In the above figure A view on the top left shows the image on the X axis B view on the top right shows the image on the Y axis C view on the bottom left shows the image on the Z axis The image on the bottom right shows the dynamic 3D image Select Full Disp 2D by pressing the corresponding function key to return to the 4D inactivated mode Select 30 40 on the control panel to exit the 4D imaging mode and return to a real time B mode Basic User Manual 107 8 Using 4D 8 1 2 Acquiring Dynamic 3D Image You can acquire the dynamic 3D image of high quality by applying the features described in Section 7 2 Optimizing 3D Image Select the Freeze key on the control panel to enter the cine review mode after acquiring the image 8 2 Working with 4D Images You can review optimize or save 4D images in the frozen mode For details refer to Section 7 2 Optimizing 3D Image 108 Basic User Manual Chapter 9 Working with Images You can work with the acquired images by using the features provided by the ultrasound system such as the splitting display panoramic display and annotations 109 9 Working with Images 9 1 Imaging Features 9 1 1 Imaging Reverse To reverse left or right Select L R on the control panel to reverse the real time s
53. E DENSITY by pressing the corresponding function key 2 Rotate it to make the setting 6 2 2 0 Persistence Persistence is used to average consecutive frames to provide a smoother appearance with less noise Use lower persistence values for fast moving organs or tissues and higher persistence values for smoother appearance Basic User Manual 69 6 Acquiring Images To adjust the persistence 1 Select PERSIST by pressing the corresponding function key 2 Rotate it to adjust the value 6 2 2 10 Dynamic Range Dynamic Range increases the adjustable range of contrast by enhancing the intensities of parts of the grayscale It optimizes the ultrasound image texture To adjust the dynamic range 1 Select DYN by pressing the corresponding function key 2 Rotate it to adjust the value 6 2 2 11 Grayscale Curve Grayscale curve optimizes the brightness of each pixel in accordance with the corresponding echo To adjust the grayscale curve 1 Select GSC by pressing the corresponding function key 2 Rotate it to adjust the value 6 2 2 12 Adaptive Image Fusion Adaptive image fusion provides choices of optimization methods for improving image quality through boundary enhancement image smoothing and system optimization To adjust the adaptive image fusion 1 Select the Menu key in the real time scan A menu pops up on the screen 2 Select ADAPT IM FUSION by using the trackball or f or key 3 Rotate the Menu key or select
54. Eastern the following formula is adopted BSA WT0 425 x 725 x 0 007358 B Set it to Western the following formula is adopted BSA WT0 425 x 725 0 007184 WT stands for weight unit kg HT stands for height unit cm Measure Method Set the measurement method for percentages of stenosis diameter or area reduction in the B mode Choose from Trace or Ellipse Package All available items are displayed on the calculation menu in any application mode Continue DIST Enable or disable the feature of the continuous distance measurement B Set it to On multiple distance measurements can be performed by selecting the Distance key on the control panel for one time Set it to Off only one distance measurement can be performed by selecting the Distance key on the control panel Focal Auto Enable or disable the auto focus feature Set it to On the focal depth varies with the depth in the B mode And the focal depth varies with ROI position in the Color DPI TDI mode Set it to Off the system never adjusts the focal depth AUA Result by Unit Set the AUA formula Set it to Average the system calculates the AUA according to the average value of all measurement items B Set it to Last the system calculates the AUA according to the last measurement items Set the EFW unit for the obstetrics calculation Choose from Ib oz or kg g Basic User Manual 43
55. Equipment Part 2 37 Particular Requirements for the Basic Safety and Essential Performance of Ultrasonic Medical Diagnostic and Monitoring Equipment EN 60601 1 2 2007 IEC 60601 1 2 2007 Class A Type of protection against Class I electric shock Degree of protection Type BF applied part against electric shock ype oppose pa Installation Type Mobile equipment System is IPXO Degrees of protection Probe from the acoustic window to the junction line against harmful liquid is IPX7 Footswitch is IPX2 The equipment is not suitable for use in the presence According to the degree A TED 726 of flammable anesthetic mixture with air oxygen or of safety of application nitrous oxide Operations Storage and Transportation 0 Q0 Ambient Temperature 3076 8576 20 90 no condensation no condensation Relative Humidity 10 C 40 C 20 C 55 C Atmospheric Pressure 700hPa 1060hPa 700hPa 1060hPa Voltage 110 240V Frequency 50 60Hz Power consumption 110 240V 2 7 1 2A 155 Appendix EMC Guidance and Manufacturer s Declaration B 1 Electromagnetic Emissions The equipment is intended for use in the electromagnetic environment specified below The customer or the user of the EQUIPMENT should assure that it is used in such an environment Emissions Test Compliance Electromagnetic Environment and Guidance The equipment uses RF energy only for its internal function Therefore
56. MPPS server by setting this menu System Setting General Store C Store Worklist MPPS Print Peripheral Service List MPPS v Add Delete Measure L DICOM MPPS DICOM Load Default Remote HostName MPPS About IP Address 192 168 254 104 DICOM AE Title Echo Port Number 109 Connect Timeout sec 10 Repeat Count 2 Dimse Timeout sec 10 Acse Timeout sec 30 Apply Figure 4 12 MPPS Settings Menu Item Description Select the MPPS server Service List Click Add to add a new server and click Delete to delete a server Remote HostName Set the name of the MPPS server Set the IP address of the MPPS server IP Address After the setting click Ping to test the connectivity of the system DICOM AE Title Set the Application Entity AE title of the MPPS server Port Number Set the port number of the MPPS server Connect Timeout sec Set the period of network connection timeout Repeat Count Set the repeated times of connecting the MPPS server Dimse Timeout sec Set the timeout time of connecting the Dimse protocol Acse Timeout sec Set the timeout time of connecting Acse protocol Click Echo to verify the connection between the ultrasound system and the MPPS server after you make settings about the Remote H
57. Manual 4 Customizing Your System Click New enter a setting name in the text box The created setting name will be listed on the Loading Defaults Menu To export or import system defaults Click Export import to enter the following menu System Setting General Peripheral Load New Export Import Measure DU pem Make sure USB drive in the USB slot About Copy user setting to USB Copy user preset to USB Load USB user setting to system Load USB user preset to system Exit Caution Copy USB to hard drive will replace all user setting In the sytem including patient database Please use it wisely Figure 4 15 Exporting or Importing Defaults Menu Ensure the USB device is connected to the ultrasound system before export or import the system defaults Click Copy user setting to USB to back up the system defaults to the USB device Click Copy user preset to USB to back up the customized system defaults to the USB device Click Load USB user setting to system to copy the system settings to the ultrasound system Click Load USB user preset to system to copy the customized system to the ultrasound system 4 6 Viewing System Information Select the Menu key on the control panel and select About on the pop up menu You can view the current hardware version the software version and the control number The Contr
58. PS can only be added when you perform the scan or other order operations Perform the steps as follows 1 Choose the Patient key gt Patient List gt Patient Review to enter the Patient Review screen 2 Click PPS Screen to enter the PPS screen PPS Screen Information Patient ID Patient Name Birth Date Date Time State 20140505 Mary Unknown IN PROGRESS Scheduled Procedure Step Information Append Exit Figure 11 2 PPS Screen 130 Basic User Manual 11 Working with DICOM The PPS screen displays MPPS information about the current patient If the patient information is acquired from the DICOM WorkList the PPS screen will also display the relevant acquisition protocol 3 Click Append to display the following dialogue box PPS Assisted Acquisition Protocol Setting Reason Doctor cancelled procedure v Completed 4 Click Assisted Acquisition Protocol Setting and then enter the relevant information to code meaning and designator 5 Click Completed to end the order operation Or you can also click Discontinued as you need 11 6 Storage Commitment Storage commitment is used to confirm whether the images or structured reports are successfully stored to the DICOM storage server If you want to check the sending status choose the Patient key gt Patient List gt DICOM Queue Basic User Manual 131 11 Working with DICOM 11 7 DICOM Queue DICOM Log is used
59. Sterile sheath 12 2 4 Verifying the Biopsy Bracket NOTE Ensure the biopsy bracket is properly attached to the compatible probe before the verification Perform the steps as follows Select the Menu key to open the menu and then select BIOPSY in a real time B mode Immerse the probe head into the degassed water Insert the biopsy needle into the maximum depth of the water BW N Verify that the path of the needle displays according to the guidelines shown on the image screen After verification the needle guide is ready for use warning Do not use a needle guide if the path of the needle is not accurately indicated by the on screen guidelines The path of the needle must display within the guidelines Contact the manufacturer or the local distributer 1f the needle path 1 not accurately indicated Basic User Manual 145 12 Probes and Biopsy 12 2 5 Performing a Biopsy NOTE Ensure the biopsy bracket is properly attached to the compatible probe and be verified before you perform a biopsy Perform the steps as follows 1 Select the Menu key and then select BIOPSY on the pop up menu in a real time B mode 2 Perform a scan to locate the target 3 Perform the puncture by sliding the needle through the groove in the guide until the needle as shown on the display intercepts the target You can select the OFFSET or ANGLE on the menu rotate the Menu key or select the lt gt key to adjust the biopsy gu
60. THI is useful in difficult to image patients In real time B Color PW CW mode select THI on the control panel to enable the THI mode and H appears at the lower left corner of the screen Optimize the image just as the way you did in the B mode Select THI again to exit the imaging and H disappears from the screen NOTE e The system automatically optimizes certain parameters B mode gain frequency and acoustic output power upon enabling THI e Compared to the B mode imaging THI improves image resolution but decreases the depth Therefore you should make an optimal balance when choosing an imaging mode e THI is available only performed by the compatible probes 9 1 5 Panoramic Imaging Panoramic imaging broadens the scope of spatial relationships thereby sequentially aligning individual images in their anatomical context Panoramic Imaging has the ability to display an entire abnormality and show its relationship to adjacent structures on a single static image NOTE Panoramic imaging is only available performed by the linear and convex probes Concerns for applying Panoramic imaging e To maintain the good image quality you should set the Compound Imaging feature to Off before performing the panoramic imaging e Apply adequate amount of coupling gel along the intended path of the scan 112 Basic User Manual 9 Working with Images Do not shake rotate or tilt the probe during the scan Ensure the probe remain
61. Timeout sec 10 Acse Timeout sec 30 Exit Max Result 100 Apply Basic User Manual Figure 4 11 Worklist Settings Menu 49 4 Customizing Your System Item Service List Description Select the DICOM worklist server Click Add to add a new server and click Delete to delete a server Remote HostName Set the name of the DICOM worklist server Set the IP address of the DICOM worklist server IP Address After the setting click Ping to test the connectivity of the system DICOM AE Title Set the Application Entity AE title of the DICOM worklist server Port Number Set the port number of the DICOM worklist server Connect Timeout sec Set the period of network connection timeout Repeat Count Set the repeated times of connecting the DICOM worklist server Dimse Timeout sec Set the timeout time of connecting the Dimse protocol Acse Timeout sec Set the timeout time of connecting Acse protocol Max Result Set the maximum number of patient information can be sent to the ultrasound system Click Echo to verify the connection between the ultrasound system and the DICOM worklist after you make settings about the Remote HostName IP address DICOM AE Title Port Number A summary displays if the connectivity is verified 50 Basic User Manual 4 Customizing Your System 4 4 4 MPPS Settings You can connect the ultrasound system to the
62. UDIO key to adjust the audio volume NOTE Once the PW mode is activated you can move the trackball to stop the Doppler trace and adjust the sample volume gate You can also continue tracing without moving the trackball more than 0 5 second 6 Optimize the PW mode image For details refer to Section 6 4 3 Optimizing M Mode Images 7 Select PW to exit 6 5 2 CW Mode Continuous Wave Doppler CW uses continuously transmitted and received ultrasound energy to generate a spectral display CW Doppler is used to measure a high velocity the highest velocity at a specific site but no aliasing is created Perform the following steps to acquire CW mode images 1 Optimize a B mode image 2 Select CW on the control panel to enter the inactivated B CW mode Basic User Manual 85 6 Acquiring Images The basic screen is divided into two displays as the following figure shows Spectral Doppler Line Flow Cursor Sample Volum Gate 2D Imaging Y axis Frequency ES 50 X axis Time Figure 6 13 Inactivated B CW Mode Imaging Screen B The Spectral Doppler line and the sample volume gate are used to locate the qualitative analysis on the image The flow cursor needs to be adjusted parallel to the flow when measuring the velocity B X axis is the time scale Y axis is Doppler frequency scale including a positive and negative indicator 3 Adjust the position and angle of the Spe
63. WER SEC WIDTH SEC POS 2D REFRESH Figure 6 6 DPI Mode Imaging Screen 3 Adjust Color Flow ROI a Move the trackball to position Color Flow ROI b Select the Set key to adjust the size of Color Flow ROI c Select the Set key to reposition Color Flow ROI 4 Optimize the DPI mode image For details refer to Section 6 3 4 Optimizing Color DPI TDI Mode Images 5 Select DPI again to exit the screen 6 3 3 TDI Mode NOTE TDI imaging is only applied to cardiac applications by using the phased probes TDI Tissue Doppler Imaging is a color flow imaging technique which detects the low frequency signal reflected from cardiac muscle TDI provides the flow information of velocity and direction for cardiac movement TDI uses the low velocity and the high amplitude adjusted from the wall filter to create a color coded tissue imaging Perform the following steps to acquire TDI mode images 1 Optimize a B mode image 2 Select TDI on the control panel to enter the TDI mode 74 Basic User Manual 6 Acquiring Images New hosp XXX MI 0 2 TIS 0 7 20121212234565 Patient Mar 23 2012 16 08 16 Color Flow 2D Imaging ROI MAP DIRECT D WF B REJECT m DENSITY FREQUENCY POWER SEC WIDTH SEC POS bp REFRESH Figure 6 7 TDI Mode Imaging Screen 3 Adjust Color Flow ROI a Move the trackball to position Color Flow ROI b Select the Set key to adjust the size of Color Flow ROI c
64. a HE E RI HEP 81 6 4 3 Optimizing M Mode Images ener nennen nennen nnns 82 82 01 3 2 GSS NER 82 0 4 3 3 SWEEP 82 6 2 3 4 Chroma uio REUNIR ERI IEEE GU MIRI GUI ERES 83 0 2 3 5 Display Format ue EHE REPE ORE 83 0 4 3 0 PONT 3o 1e ies t n ta a n s e E Cui EC RR OO OY CR aE 83 83 6 5 Acquiring Spectral Doppler Images nennen enne 83 6 5 PW MOS 84 5652 LEM 85 6 5 3 Optimizing Spectral Doppler Images 4 87 88 6 5 3 2 Pulse Repetition Frequency 88 6 5 3 3 High Pulse Repetition Frequency 88 65 23 47 Baseline eicere ofi Ue nO e e Ue 88 ORDEN 89 E i e y 89 0 5 3 7 OWEEP 89 6 5 3 8 POWER REIR IR 89 oo oi HUS 90 6 5 3 T0 Dynamic Range i sea d eret 90 6 5 3411 Display 5 t ee te ete mec tee te Ra hae a 90 MANY CU 90 6 5 3 escaso xcu OX OT ro Eee REESE 90 6 5 3 14 Angle Correction 9 Contents OSAS 2D 91 6 6 Acquiring Triplex Mode Images nene nenne enne neret 91 6 6 1 Br Colot IED eM cocci cedes en eR
65. and ball careful not to drop the ball from the control panel Usea lint free soft cloth dampened with 7596 ethyl alcohol to clean the trackball Usea cotton swab dampened with 7596 ethyl alcohol to remove stains from the ring Place the trackball and the ring back to the control panel press the bulges in the ring by both hands and turn the ring clockwise to install the trackball Basic User Manual 13 System Maintenance B To clean the dust filter The dust filter must be clean at least every 3 months for ventilation Power off and unplug the ultrasound system from the AC power outlet 1 Pinch the dust filter with fingers as the figure shown above 2 Rinse the taken out sponge with refresh running water and use a brush to rinse the dust filter with refresh running water 3 Place the sponge and dust filter back to the ultrasound system after a thorough airing 13 2 Maintenance Checks To maintain the safety and functionality of the ultrasound system the following maintenance checks must be performed by the service personnel at least every 6 months 1 Electric Safety Integrity of power cable Protective conductor resistance B Ground line leakage current Patient leakage current Patient auxiliary leakage current 2 Battery Safety Check the intactness and performance of the battery if the battery is frequently used or not used for 6 months Battery Appearance No bulging cracks damage leakage or c
66. are available for this feature 7 2 3 Setting Render Mode Vol MaxIP and X ray can be set Vol is used to display the contour of fetus B MaxIP is used to display the spinal column and skeleton of the fetus X ray is used to display the tissues of different structure and tumor tissues Perform the following steps to set the render mode 1 Select the Menu key and a menu pops up on the screen 2 Select RENDER MODE by using 1 or key 3 Rotate the Menu key or select lt or gt key to make the setting NOTE The imaging render mode can be also set in the inactivated 3D mode 98 Basic User Manual 7 Using 3D 7 2 4 Cropping Reviews by ROI You can crop 3D image by adjusting ROI on reference images to remove areas outside from interest area This feature is suitable for cropping regular reviews Perform the following steps to crop a review 1 Select the T ball key to activate the cursor 2 Move the cursor on the image of A View B View or C View by using the trackball and select the Set key or Update key to choose the desired reference image 3 Crop the image of A View B View or C View as shown in Figure 7 3 Anchor ROI View C 3D Image Figure 7 3 Cropping Review Screen Ifthe anchor is activated you can crop images inside ROI by performing the following steps e Select the Set key to activate ROI adjust the size of ROI by using the trackball and then select the Set or Update key to co
67. by pressing the corresponding function key 2 Rotate it to adjust the value NOTE Expose the patient to the lowest practical transmit power level for the shortest possible time to achieve a satisfactory diagnosis 6 4 3 7 Video Invert Video invert is used to invert the M trace display related to brightness To enable or disable the video invert 1 Select VIDEO INVERT by pressing the corresponding function key 2 Rotate it to enable or disable the feature 6 5 Acquiring Spectral Doppler Images Spectral Doppler imaging 15 intended to provide measurement data concerning the velocity the direction the category of the arterial or vein flows It contributes a more accurate qualitative analysis than the color flow imaging Spectral Doppler includes Pulsed Wave Doppler PW mode and Continuous Wave Doppler CW mode Basic User Manual 83 6 Acquiring Images 6 5 1 PW Mode Pulsed Wave Doppler PW is a Doppler mode that measures velocity in a PW sample volume and displays that information in a spectral trace with audio output PW includes conventional PW and High Pulse Repetition Frequency HPRF PW Doppler can be combined with the B mode for rapidly selecting the anatomical site for PW Doppler examination The site where PW Doppler data Is derived appears graphically on the B Mode image Perform the following steps to acquire PW mode images 1 Optimize a B mode image 2 Select PW on the control panel to enter the inacti
68. by pressing the corresponding function key 2 Rotate it to adjust the value 6 5 3 11 Display Format Display format is used to view the image better Six display formats are available including V1 2 V1 3 V2 3 H1 2 H1 4 and O1 4 To set the display format 1 Select the Menu key in the real time PW CW mode A menu pops up on the screen 2 Select DISPLAY FORMAT by using the trackball or 7 or key 3 Rotate the Menu key or select lt or gt key to make the setting 6 5 3 12 Flow Invert Flow invert is used to view the flow velocity from a different perspective To enable or disable the flow invert Select the Invert key to enable the feature and Invert appears on the top right corner of the image B Select the Invert key to disable the feature and Invert disappears on the top right corner of the image 6 5 3 13 Video Invert Video invert is used to view the background of the spectral display from a different perspective To enable or disable the flow invert 1 Select VIDEO INVERT by pressing the corresponding function key 2 Rotate it to enable or disable this feature 90 Basic User Manual 6 Acquiring Images 6 5 3 14 Angle Correction Angle correction is used to adjust the angle of the flow cursor in the PW mode To set the angle correction 1 Select the Menu key in the real time PW mode A menu pops up on the screen 2 Select ANGLE CORRECT by using the trackball or f or key 3 Rotate the Menu
69. can left or right Or select the Menu key and select LT RT on the pop up menu Rotate the Menu key or select lt or gt key to reverse the real time scan left or right To reverse up or down Select Up Down on the control panel to reverse the real time scan up or down 9 1 2 Splitting Display You can position two or four images side by side on the screen to compare the images by using the splitting display B Dual splitting Display 1 Select B Color DPI or TDI on the control panel to enter the real time scan 2 Select the Dual key on the control panel to enter the dual splitting display The image is spitted by two parts with a frozen image on the left and a real time scan on the right The real time B mode is taken as an example in the following figure New hosp XXX MI 0 2 TIS 0 7 20121212234565 Patient Mar 23 2012 16 08 16 Figure 9 1 Real Time Frozen B e Select the C DPI PW M or THI key on the control panel to enter the corresponding mode for the real time scan e Select Dual to freeze the real time scan and unfreeze the other image e Select the B key to exit the dual display 110 Basic User Manual 9 Working with Images e Select the Menu key and then select Dual B to display two real time scans if one of the two images is a color mode Color DPI or TDI image Two real time scans in different imaging mode display on the screen as shown in Figure 9 2 New hosp TIS 0 7 20121212234565 Patie
70. cine frame by frame by using the trackball e Or select the Menu key and select FRAME BY FRAME on the pop up menu Rotate the Menu key or select lt or gt key to review the cine frame by frame Each image is identified by the number which indicates its position of the cine NOTE e You can adjust CHROMA and GSC parameters when reviewing cine Basic User Manual 115 9 Working with Images e You can select START or END on the pop up menu rotate the Menu key or select or gt key to review the first or last frame To review the cine automatically Rotate the function key corresponding to PLAY STOP in the frozen B mode to play or stop the cine review automatically Or rotate the function key corresponding to LOOP SPEED to adjust the review speed during the cine review 9 4 2 Cutting Cine To cut a cine 1 Use the trackball to select the starting frame of cine in the frozen mode and select the Update key 2 Use the trackball again to select the ending frame and select the Update key 3 Select Save on the control panel to save the cut cine 9 5 Annotations and Body Marks The annotation feature provides you to type or add an annotation from the predefined annotation library Arrows and body marks are also provided to annotate the image You can make annotations or arrows on the image in the frozen or real time scan 9 5 1 Annotating an Image with Typed Words Perform the steps as follows 1 Select the Annot
71. cting the Menu key NOTE All parameters can be adjusted in a real time PW CW mode but Chroma Video Invert and Display Format can also be adjusted in the frozen mode Basic User Manual 87 6 Acquiring Images 6 5 3 1 Gain PW CW gain is used to adjust the gain of spectrum map Increasing the gain will brighten the image and you can see more received signals with less noise To adjust the gain Rotate the C knob clockwise to increase the value B Rotate the C knob anticlockwise to decrease the value 6 5 3 2 Pulse Repetition Frequency Pulse repetition frequency is used to adjust the velocity scale filter the unnecessary low frequency signal or the disturbance made by non flow movements such as breath heart beat or sweeps of the probe The range of PRF value varies with the probe model and the exam type To adjust the pulse repetition frequency B Flip the PRF switch upwards to increase the value B Flip the PRF switch downwards to decrease the value NOTE The value of wall filter is also changed when adjusting PRF 6 5 3 3 High Pulse Repetition Frequency Once HPRF is enabled besides the original sample volume gate one or more sample volume gates appear at shallower positions on the 2D image Once HPRF is enabled the unnecessary low frequency signal or the disturbance made by non flow movements such as breath heart beat or sweeps of the probe will be filtered To enable the High Pulse Repetition Fr
72. ctral Doppler line Position the sample volume gate on the Spectral Doppler line by moving the trackball up or down B Adjust the angle of the Spectral Doppler line by moving the trackball left or right Select the Set key to confirm 4 Adjust the sample volume gate B Adjust the size of the sample volume gate by moving the trackball Rotate the Angle knob to increase or decrease the angle of the flow cursor 5 Select the Update key to activate the CW mode 86 Basic User Manual 6 Acquiring Images The basic screen displays as below after being activated A 50 cm s Y axis Frequency 50 X axis Time Figure 6 14 CW Mode Imaging Screen Select the AUDIO or AUDIO key to adjust the audio volume NOTE Once the PW mode is activated you can move the trackball to stop the Doppler trace and adjust the sample volume gate You can also continue tracing without moving the trackball more than 0 5 second 6 Optimize the CW mode image For details refer to Section 6 5 3 Optimizing Spectral Doppler Images 7 Select CW again to exit 6 5 3 Optimizing Spectral Doppler Images After activating the PW CW mode the imaging parameters display at the bottom of the LCD monitor as shown in Figure 6 12 and Figure 6 14 you can use them to optimize B mode images You can adjust the Display Format Baseline and Angle Correct on the pop up menu by sele
73. d image Body Mark Select it to add the body mark on the ultrasound image Select it to add arrow on the ultrasound image Menu Select it to enter the System Setting screen e Select it to activate the B mode e Rotate it to adjust the gain value in the B mode B e Select it to activate the Color mode e Rotate it to adjust the gain value in the Color mode e Useitto adjust the magnification if the zoom feature is activated e Rotate it to adjust the flow direction in the PW CW mode e Rotate it to adjust the arrow direction if the arrow annotation feature is activated Angle e Rotate it to adjust the bodymark direction if the bodymark annotation feature is activated e Rotate it to adjust the measurement angle of the hip joint when performing the orthopedic measurements P Reserved function key 20 Basic User Manual 2 System Overview Name Print Description Select it to print the current screenshot if the video printer is successfully connected Delete e Select it to delete the current annotation and body mark when annotating an image e Select it to delete the selected measurement marker or result when performing the manual trace measurement Clear Select it to remove all measurement results annotations and body mark symbols from the display Annot Select it to annotate an image with typed words Distance Select it to perform a distance measurement in the 2D B Color DPI TDI M
74. d to set the processing method for the M trace display To set M process 1 Select M PROCESS by pressing the corresponding function key 2 Rotate it to make the setting 6 4 3 3 Sweep Speed Sweep speed is used to set the sweep speed of the M trace Faster speed is suitable to view the motion To adjust the sweep speed 1 Select SWEEP SPEED by pressing the corresponding function key 2 Rotate it to adjust the value 82 Basic User Manual 6 Acquiring Images 6 4 3 4 Chroma Chroma is used to colorize the gray scale image to enhance the discrimination capability There are 5 colors available To adjust the chroma 1 Select CHROMA by pressing the corresponding function key 2 Rotate it to make the setting 6 4 3 5 Display Format Display format is used to view the image better Six display formats are available including V 1 2 V1 3 V2 3 H1 2 H1 4 and O1 4 To set the display format 1 Select the Menu key in the real time scan menu pops up on the screen 2 Select DISPLAY FORMAT by using the trackball or 7 or key 3 Rotate the Menu key or select or gt key to make the setting 6 4 3 6 Power Power is used to select the amount of ultrasound acoustic power produced by the probe The adjustment range of the power is 1 100956 and 1 can be adjusted each time The real time value of the power is displayed in the imaging information area of the basic screen To adjust the power 1 Select POWER
75. display for possible effects There are three categories of system controls relative to output They are controls that have direct effect on the output controls that indirectly control output and controls that are receiver controls 1 4 Safety Symbols The following table is provided for your identification of important symbols located in labels on the ultrasound system Symbol Meaning General warning sign Dangerous voltage Risk of explosion if used in the presence of flammable anesthetics C This product is provided with a CE marking in accordance with 0434 the regulations stated in Council Directive 93 42 EEC Basic User Manual 7 1 Safety Meaning Authorized representative in the European community Type BF Applied Part Main switch OFF Main switch ON Power On Off button Protective earth ground Equipotentiality Alternating current Direct current Degree of IP protection Non ionizing electromagnetic radiation Manufacturer Date of manufacture Consult operating instructions Network Port USB Port Basic User Manual 1 Safety Symbol Meaning Fragile 339 AUDIO output Keep dry Maximum stacking limit of packages Maximum of two layers allowed for the system Keep this way upward Serial Number Use it in ventilated and dry indoor environment for power supply adapter only
76. docavitary probe applications m Medium or Noncritical Device contacts intact skin Body surface probe low Soaking Requirements Do not immerse the probe beyond its junction line NOTE Disinfectants listed in this manual are recommended because of their chemical compatibility with product materials not their biological effectiveness For the biological effectiveness of a disinfectant refer to the guidelines and recommendations of the disinfectant manufacturer Association for Practitioners in Infection Control U S Food and Drug Administration and U S Centers for Disease Control Basic User Manual 137 12 Probes and Biopsy To disinfect the body surface probe You should disinfect the surface probe after each use Perform the steps as follows 1 Clean the probe For details refer to Section Cleaning the Probe 2 Perform the medium level disinfection to the surface probe as shown in Table 12 1 until the recommended disinfection period expires NOTE If you do not use the recommended disinfectant make up it as the manufacturer s instructions 3 Rinse the probe with the fresh running water to remove the residual disinfectant completely 4 Dry the with a lint free soft dry cloth Table 12 1 Recommended Method for Medium level Disinfection Active Level for Active Contact Contact Disinfectant Manufacturer Ingredient Ingredient Type Period 0 0 70 Isopropyl 70 Isopropyl alcohol a
77. e iint t BREA na ae RETE 70 6 2 2 11 Grayscale e bara ua eps 70 6 2 2 12 Adaptive Image Fusion ut eec itti 70 6 2 2 13 Sector 70 70 6 2 2 15 Tissue Acoustic Characteristics 71 6 2 2 16 Image Rotaton 71 CERA E ERAN 71 6 2 2 18 Trapezoidal Imaging 72 MALA AMI EE 72 6 3 Acquiring Color Flow Images o err teet treat ere DE 72 ex melon 72 6 3 2 DPDMOGG cid estes eo ert irae eren UE Qe ERR CR ERR 73 6 3 3 TDI 74 6 3 4 Optimizing Color DPI TDI Mode Images eese 76 MEG E 76 6 35 42 BreqUeD Cy 76 6 34 3 Wall Filter ere 76 6 3 4 4 Pulse Repetition Frequency eese neret 76 6 34 5 Line T 6 3 4 6 en et eR den o ert ien ted dee 77 0 347 SCOOT Map EE 77 Contents 6 3 4 8 PersistetiCe eee o t T 6 3 4 9 Sector Position Width Anple recenter eet 78 OSATO PO WCE is tos cas ress inre cO EEG OIN OT CON TY CIN 78 GIAL CI EE 78 cetero eim S LEN 79 6 324 L3 ElOW Inl V EL oisi ec atn es eh i epe yeu e e Rd cag 79 6 4 Acquiring Images voice ere 79 NER O M M 79 6412 Anatomical i oe ithe G
78. e review the cine and perform the measurement To view the image on the View Image screen 1 Select the File key on the control panel to enter the View Image screen The screen is displayed with images and cine thumbnails View Image Patient ID 345 Patient Name Mary Exam v Files Number 19 3X3 v All Select Delete Review 04292014204714_9 04292014204716 10 04292014205735_11 DICOM Send DICOM Print Report Export v v v Exit If the patient has taken more than one exam you can select the desired exam from the Exam drop down list 2 Move the trackball on the thumbnails and select the Set key to choose one image 3 View the image B Double click Set to view the image You can select the Freeze key at any time to return to the View Image screen Basic User Manual 123 10 Managing Images Data B Click Review to view the image 10 2 2 Retrieving an Image Perform the steps as follows 1 Choose the Patient key gt Patient List gt Patient Review to enter the Patient Review screen 2 Select the desired patient and then click View to enter the Exam Review screen 3 Select the desired exam and click View Image to retrieve the image 10 3 Backing up Data WaRNING 9 avoid data loss due to unexpected system breakdown or software update you are highly recommended to make periodical data backup e Yo
79. e the imaging parameters display at the bottom of the LCD monitor as shown in Figure 6 4 you can use them to optimize B mode images You can adjust other parameters and select display modes on the pop up menu by select the Menu key NOTE All parameters can only be adjusted in a real time B mode but Chroma and GSC can also be adjusted in the frozen mode 6 2 2 1 Gain The B mode gain 2D gain determines the amplifying factors for the received echoes and the brightness of the ultrasound image The echoes are amplified with the same gain value regardless of depth To adjust the gain Rotate the B knob clockwise to increase the value B Rotate the B knob anticlockwise to decrease the value Basic User Manual 67 6 Acquiring Images 6 2 2 2 Time Gain Compensation is used to adjust the gain that allows compensation for attenuation of the echoes over time depth It is adjustable during the real time scan regardless of the imaging mode and display format TGC balances the image so that the density of echoes is the same throughout the image To adjust TGC B Move the TGC slide pot left to decrease the value B Move the TGC slide pot right to increase the value NOTE e Modifications of TGC values cannot be saved if you shift to use another imaging mode e TGC curve displays in the right corner of the imaging area when you adjust TGC values and the curve disappears if TGC values are not adjusted more
80. e Cut 7 2 6 Moving Rotating Magnifying Images To select an image 1 Select the T ball key and a cursor appears the screen 2 Move the cursor on an image and select the Set key or Update key to select the desired reference image B To move images 1 Select MOVE L R or MOVE U D by pressing the corresponding function key 2 Rotate this function key to move the images You can also use 7 lt or gt to move three sectional planes and the image To rotate images Rotate the images in the following four ways e Select ROTATE X ROTATE Y or ROTATE Z by pressing the corresponding function key and turn it to rotate the image along x y or z axis e Move the cursor on one image and select the Set key or Update key and rotate the 3D image by using the trackball e Select the menu item of ORIENTATION and rotate the Menu key or select lt or gt key to rotate the images 90 180 or 270 e Select the menu item of AUTO ROTATE and rotate the Menu key or select lt or gt key to make the setting All images are automatically rotated from the original position to the position of 1 2 preset angle and then rotated in a reversed way in turns 100 Basic User Manual 7 Using 3D To zoom in out all images Magnify the images in the following ways e Select the Zoom key and rotate the Angle key to zoom in or zoom out the images e Select ZOOM by pressing the corresponding function key and rotate it to zoom in or zo
81. ecting the Video Printer S VIDEO S VIDEO INPUT a VIDEO OUT VIDEO INPUT 9 PRINT REMOTE Connect the video printer to the ultrasound system by the S VIDEO cable cable and Remote Control cable provided by the manufacturer You can refer the installation method as the above figure shown The video printer is ready to work immediately without any configurations after a successful connection Basic User Manual 31 3 Preparing the System 3 6 3 Connecting the Network Printer B Printer Setup l Connect the printer to the ultrasound system and turn on the printer The printer settings are displayed as below Press OK on the control panel menu of the printer Press or P to select Network Config and then press OK to confirm Press or select TCP IP Config and then press OK to confirm Press to select Manual and then press OK to confirm An IP address is displayed change it to 192 168 254 183 by pressing or P and then press OK If the IP address is correct use gt to select Yes and then press OK If the IP address is incorrect use lt or gt to select No and then press OK Repeat step 6 to enter a correct address After setting IP address set the subnet mask to 255 255 255 0 and default gateway to 192 168 254 183 in the same way as described above B Ultrasound System Setup 32 IB Copy the driver file
82. equency Flip the PRF switch upwards to increase the value continuously HPRF is automatically enabled when a certain value is reached NOTE The linear probes are not available for HPRF 6 5 3 4 Baseline Baseline represents the position of zero velocity or frequency The velocity range in one direction can be increased or decreased by adjusting the baseline Baseline is used to unwraps the alias during color flow imaging and display higher velocities without reversal of colors 88 Basic User Manual 6 Acquiring Images To adjust the baseline 1 Select the Menu key in the real time PW CW mode A menu pops up on the screen 2 Select BASELINE by using the trackball or f or key 3 Rotate the Menu key or select lt or gt key to move the baseline towards positive or negative direction 4 The speed scale on the y axis at the bottom right of the screen varies with the baseline You can also flip the BASELINE switch to change the position of the baseline 6 5 3 5 Wall Filter Wall filter is used to filter the low frequency noise from tissues such as vascular wall To adjust the wall filter 1 Select WF by pressing the corresponding function key 2 Rotate it to adjust the value 6 5 3 6 Frequency The probe is capable of generating a broadband signal with a certain frequency and bandwidth At deeper position of Doppler imaging the frequency optimizes the edges To adjust the frequency 1 Select FREQUENCY by pr
83. er Set the screen saver time Screen Saver Delay Set the time to activate the screen saver Annot Font Size Basic User Manual Set the font size of the annotations Choose from Large Medium or Small 39 4 Customizing Your System 4 1 3 Storage Settings System Setting General General Display Storage Peripheral Clip Format WMV x Still Format BMP DICOM One Key Store ON 7 Load Default Store Frame Amout 200 About Print amp Store Region Full Screen l Y Exit Apply Figure 4 4 Storage Settings Menu Item Description Set the saving format for cine Clip Format Choose from WMV or AVI Set the saving format for the image Still Format Choose from JPG BMP or TIF Enable or disable the one key save function One Key Store Set it to ON the image or cine is saved automatically by selecting the Save key on the control panel in the frozen mode Set it to OFF you need to manually save the image or cine in the frozen mode Operation refers to 10 1 Storing an Image Set the maximum number of frames for cine Store Frame Amount The range is 100 1000 frames Set the area to be printed out Print amp Store Region Choose from Full Screen Image Area or Image amp Result Area 40 Basic User Manual 4 Customizing Your System
84. er Manual 9 Working with Images 9 2 Magnifying an Image You can magnify an interest region on the imaging area NOTE The image can also be magnified in the frozen mode To magnify an image 1 Select Zoom on the control panel to enable this feature A size multiplier is displayed in the information area of the basic screen a thumbnail is displayed in the lower left corner of the basic screen and the magnified image 1 displayed on the imaging area of the basic screen 2 Position ROI by using the trackball 3 Rotate the Angle knob on the control panel to adjust the magnification 9 3 Freezing an Image Selecting the Freeze key on the control panel to freeze the image the system enters the Cine mode by default Or you can select other display modes after freezing the image on System Settings menu for example annotation measurement menu body mark arrow or distance measurement For details refer to 4 1 1 General Settings You can select any desired image mode magnify the image perform measurement add annotation and body marks adjust imaging parameters in the frozen mode 9 4 Using Cine The cine review is available by selecting the Freeze key in the real time scan and Cine appears on the screen You can review the cine manually or automatically and can also cut the desired cine segments 9 4 1 Reviewing Cine To review the cine manually To review the cine by the following two ways e Youcanreview the
85. er after you make settings about the Remote HostName IP address DICOM AE Title Port Number A summary displays if the connectivity 15 verified 4 4 2 Commitment Settings You can connect the ultrasound system to the DICOM commitment storage server by setting this menu System Setting General Store C Store Worklist MPPS Print Peripheral Service List StoreCommitment 5 Add Delete Measure DICOM Storage Commitment DICOM Load Default Remote HostName StoreCommitment About IP Address 192 168 254 104 Ping DICOM AE Title AE Echo Port Number 105 Connect Timeout sec 10 Repeat Count 1 Dimse Timeout sec 10 Acse Timeout sec 30 xi Synchronously Receive N EVENT REPORT Message Apply Figure 4 10 Storage Commitment Settings Menu Item Description Service List Select the DICOM commitment storage server Click Add to add a new server and click Delete to delete a server Remote HostName Set the name of DICOM commitment storage server IP Address Set the IP address of the DICOM commitment storage server After the setting click Ping to test the connectivity of the system 48 Basic User Manual 4 Customizing Your System Item Description DICOM AE Title Set the Application Entity
86. erent perspective When Flow Invert is set to OFF red pixels represent flow to the probe blue pixels represent flow away from the probe When Flow Invert is set to ON blue pixels represent flow to the probe red pixels represent flow away from the probe To enable or disable the flow invert Select Invert to enable or disable the feature NOTE The color flow and the color map are also inverted when reversing the flow 6 4 Acquiring M Mode Images M mode is generally used with 2D imaging and is helpful for cardiac applications In the M mode you can position the M line in the 2D image on the anatomy of interest and then learn about the tissue motion along that line in an M mode trace In M mode y axis is used to display the position or depth of the tissue and x axis is the time scale 6 4 1 M Mode The M line can be only positioned 90 within the ultrasound beam Therefore the M mode is used to view motion patterns for regular objects Perform the following steps to acquire M mode images 1 Optimize a B mode image 2 Select M on the control panel to enter the inactivated mode The basic screen is divided into two displays as the following figure shows Basic User Manual 79 6 Acquiring Images M Line 5 44 gt Y axis Depth rari a X axis Time Figure 6 8 Inactivated B M Mode Imaging Screen The M mode cursor is used to position the M line B X axis is
87. essing the corresponding function key 2 Rotate it to adjust the value 6 5 3 7 Sweep Speed Sweep speed is used to set the sweep speed of the Doppler trace The refresh speeds of the time scale and the frequency scale vary with the sweep speed To adjust the sweep speed 1 Select SWEEP SPEED by pressing the corresponding function key 2 Rotate it to adjust the value 6 5 3 8 Power Power 15 used to select the amount of ultrasound acoustic power produced by the probe The adjustment range of the power is 1 100 and 10 can be adjusted each time The real time value of the power is displayed in the image parameter area of the basic screen To adjust the power 1 Select POWER pressing the corresponding function key 2 Rotate it to adjust the value NOTE Expose the patient to the lowest practical transmit power level for the shortest possible time to achieve a satisfactory diagnosis Basic User Manual 89 6 Acquiring Images 6 5 3 9 Chroma Chroma is used to colorize the gray scale image to enhance the discrimination capability There are 13 colors available To adjust the chroma 1 Select CHROMA by pressing the corresponding function key 2 Rotate it to make the setting 6 5 3 10 Dynamic Range Dynamic Range increases the adjustable range of contrast by enhancing the intensities of parts of the grayscale It is useful for optimizing the ultrasound image texture To adjust the dynamic range 1 Select DYN
88. ey are named after the saving date and time Perform the following steps to store an image 1 Set One Key Store to ON on the System Setting gt General gt Storage menu 2 Select the Save key in the frozen mode a dialogue box pops up on the screen 3 Select Image in the pop up dialogue box and select Set to save the current image Select Cine in the pop up dialogue box and then select Set to save the current cine Or select Volume in the dialogue box in the 30 4 mode and then select Set to save the volume data The system beeps if the image is saved successfully Meanwhile the corresponding thumbnails for the stored image or cine also appears in the clipboard Selecting the Save key in the real time mode can only save the current image 122 Basic User Manual 10 Managing Images Data 10 2 Viewing the Image Cine You can view an image or a cine for the current or the examined patient by using the clipboard or the REVIEW screen 10 2 1 Viewing the Current Image Cine To view the image cine by using the clipboard 1 Select the T ball key in the real time scan or frozen mode 2 Select an image or a cine in the clipboard at the bottom of the screen by using the trackball and select the Set key to view the image cine e Click amp to select all images cines e Click W or A key to go to the previous or next clipboard page e Click to delete the selected image cine e You can also amplify the imag
89. for 0 5 period environment If the user of the equipment Per requires continued operation during power IEC 61000 4 0 5 period 40 Ur mains interruptions it is recommended 40 U 60 dip in U for the equipment to be powered from an 60 dip in U for uninterrupted power supply for 5 periods 5 periods 70 Uy 70 Ur 30 dip in 30 96 dip in U for 25 periods for 5 U 25 periods 295 dip in 07 5 295 dip U Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment NOTE U is the AC mains voltage prior to application of the test level 157 The equipment is intended for use in the electromagnetic environment specified below The customer or the user of the equipment should assure that it is used in such an environment IEC 60601 Compliance Immunity Test Electromagnetic Environment and Guidance Test Level Level Portable and mobile RF communications equipment should be used no closer to any part of the EQUIPMENT including cables than the recommended separation distance calculated from the equation applicable to the frequency the transmitter Recommended separation distance d 3 5 p 12 800 MHz 472 34 p so MHz 2 5GHz Where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separati
90. g Images A4 The measurement cannot be performed after selecting the Cale key on the control panel Q4 Ensure you pressing the Calc key in the frozen mode If the above problems still exist please contact Customer Service Department of the manufacturer for help 13 4 Equipment Disposal You should dispose of the main unit the probe the biopsy bracket or other accessories in accordance with the local laws or regulations For the detailed disposal information consult the manufacturer or the local distribution The manufacturer is not responsible for any system content or accessories that have been discarded improperly 152 Basic User Manual 13 System Maintenance 13 5 Customer Service Only the service personnel of or authorized by the manufacturer can service the ultrasound system Any feedbacks or inquires concerning our product or service should be directed to the following address Address Yizhe Building Yuquan Road Nanshan Shenzhen P R China Zip Code 518051 Tel 86 755 26722890 Fax 86 755 26722850 E mail service sonoscape net Basic User Manual 153 This page is intentionally left blank Appendix A Specifications Comply with Classifications Environmental Requirement EN 60601 1 IEC 60601 1 Medical electrical equipment Part 1 General requirements for basic safety and essential performance Class I BF continuous operation EN 60601 2 37 2008 IEC 60601 2 37 2007 Medical Electrical
91. ges Create new exam Edit exam Preset exam Factory data reset Cardiology s Difficult s new u Figure 6 3 Preset Display Screen e Select an exam type in the table list click UP or DOWN to arrange the preset on the application mode screen and then click Save to save the modification e Click one desired application preset suffixed with u and click Delete gt YES to delete the application preset Bi To restore defaults Click Factory data reset and click YES in the pop up dialogue box to restore defaults 6 2 Acquiring B Mode Images B mode imaging is intended to provide information of anatomical structure of soft tissue 6 2 1 Entering B Mode The system enters B mode by default after you select a probe model and an exam type You can select B on the control panel to enter B mode from other imaging modes The basic screen in the B mode displays as follows 66 Basic User Manual 6 Acquiring Images New hosp XXX MI 0 2 TIS 0 7 20121212234565 Patient Mar 23 2012 16 08 16 FPS 47 D G 3 1 0 GN 255 amp 3 30 PWR 70 FRQ 3 48 5 D 16 5cm o a FOCAL NUMBER FOCAL SPAN DYN GSC PERSIST Line DENSITY FREQUENCY SEC WIDTH SEC POS b REFRESH Figure 6 4 B Mode Imaging Screen For details on operating the basic screen refer to Section 2 3 6 Basic Screen 6 2 2 Optimizing B Mode Images After entering the B mod
92. gnetic environment in which radiated RF disturbances are controlled The customer or the user of the equipment can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the equipment as recommended below according to the maximum output power of the communications equipment Separation distance according to frequency of transmitter Rated Maximum Output Power of 150 kHz to 80 MHZ to 800 MHz 800 MHz to 2 5 GHz d 1 2 p For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 159 Appendix C Acoustic Output Data Please consult the accompanying CD 160
93. he function key corresponding to QUIT to exit Panoramic Imaging Basic User Manual 113 9 Working with Images NOTE During measurement select Clear to remove the current measurements before exiting the mode Perform the following steps to apply the frozen Panoramic imaging 1 Optimize the B mode image and select the Freeze key to freeze the image 2 Rotate the function key corresponding to PANORAMIC and the initialization message appears on the screen New hosp XXX MI 0 2 TIS 0 7 20121212234565 Patient Mar 23 2012 16 08 16 FPS 47 D G 3 1 GN 255 3 30 CLR Cancel PWR 70 FRQ 3 48 o a D 16 5cm a Figure 9 5 Panoramic Imaging Screen Selecting the Clear key on the control panel can abort the initialization 3 Review the image e Magnify the image a Rotate the function key corresponding to TOGGLE PIP to enable the Picture In Picture feature A thumbnail is displayed at the bottom left of the screen b Rotate the function key corresponding to ZOOM and the ROI is displayed on the thumb nail c Select the desired area by using the trackball and rotate the function key corresponding to ZOOM to magnify this area e Perform measurement or add the body mark or annotation on the image 4 Rotate the function key corresponding to QUIT to exit Panoramic Imaging NOTE During measurement select Clear to remove the current measurements before exiting the mode 114 Basic Us
94. he main unit of this system e Do not operate this system in an atmosphere containing flammable gases or liquids such as anesthetic gases hydrogen and ethanol because there is danger of explosion e Do not use this system around the strong electric field the strong electromagnetic field and the devices which generate radio waves such as the radio cellular telephones transceivers Using the system in the improper environment may result in malfunction or damage e Do not use this system at the same time with other equipment such as electric knife high frequency therapy equipment and defibrillator Otherwise there is a danger of electric shock e Connect the earth conductor only before powering on the system Disconnect the grounding cable only after powering off the system Otherwise there is a danger of electric shock e Ensure the potential equalization lead wire is connected before inserting the equipment power plug 2 Basic User Manual 1 Safety e The AC power connector plug for the ultrasound system is a three prong grounded plug and should never be adapted to any two prong outlet or by using an adapter The AC power connector plug should be plugged into a hospital grade power outlet e Select the qualified multi socket outlet with protective grounding and ensure its maximum output power does not exceed the required one of this system e The multi socket outlet can only be used to provide power to the recommended periphe
95. hould be thoroughly familiar with the precautions provided in this manual Otherwise the manufacturer is not responsible for the effects on safety reliability and performance of the ultrasound system 1 Safety 1 1 Intended Use The ultrasound system is intended for the following applications Fetal Abdominal Pediatric Small Parts breast testes thyroid Cephalic neonatal and adult Trans rectal Trans vaginal Peripheral Vascular Musculo skeletal Conventional and Superficial Cardiac neonatal and adult OB GYN and Urology applications The ultrasound system also provides the measurement and calculation packages used for clinical diagnosis purposes For details please refer to Advanced User Manual Contraindication The ultrasound system is not intended for ophthalmic use or any use causing the acoustic beam to pass through the eye warning Precautions must be considered in the use of any application Otherwise it may result in system damage or serious injury 1 2 Safety Precautions Read and understand all precautions in this manual before attempting to use the ultrasound system Keep this manual with the ultrasound system at all times Periodically review the procedures for operation and safety precautions 1 2 1 Electrical Safety warnine 9 Only qualified physicians or sonographers can perform ultrasound scanning on human subjects for medical diagnostic reasons e Any unauthorized personnel should not tamper with t
96. hreshold phenomena that occur when a certain level of output is exceeded The threshold level varies however with the type of tissue The potential mechanical bioeffects varies with peak pressure and ultrasound frequency The MI accounts for these two factors The higher the MI value the greater the likelihood of mechanical bioeffects occurring There is no specific MI value that means that a mechanical effect is actually occurring The MI should be used as a guide for implementing the ALARA principle Thermal Index TT The TI value informs the operator about the conditions that might lead to an increase in temperature at the surface of the body within the body tissue or at the point of focus of the ultrasound beam on bone That is the TI value informs the operator about the potential temperature rise in body tissue It is an estimate of temperature increase in body tissue with specific properties The actual amount of any temperature rise is influenced by factors such as tissue type vascularity mode of operation and others The TI value should be used as a guide for implementing the ALARA principle Depending on the examination and type of tissue involved TI could be one of three types e Soft Tissue Thermal Index TIS is used when imaging soft tissue only it provides an estimate of potential temperature rise in soft tissue e Bone Thermal Index TIB is used when bone is near the focus of the image as in the third cropester OB examination i
97. ideline 4 Gently remove the probe from the patient after completing the biopsy 12 2 6 Cleaning the Biopsy Bracket 9 Clean the biopsy bracket after each use N e Wear medical sterile gloves and protective goggle during the cleaning Perform the steps as follows 1 Disconnect the probe from the ultrasound system and remove the biopsy bracket and biopsy guide tube from the probe 2 Brush and rinse the bracket with enzymatic cleaner to remove the residue NOTE Make up the enzymatic cleaner as the manufacturer s instructions 3 Dry the bracket with a lint free soft dry cloth 12 2 7 Sterilizing the Biopsy Bracket warnine 9 Disinfect the biopsy bracket after each use e Usethe liquid sterilant that meets the local laws and regulations e Ifyou use the recommended sterilant ensure its level and the probe soaking period meets the requirements Otherwise the biopsy bracket could be damaged and your warranty might be void If you have other use or needs ensure the level of the make up sterilant and the biopsy bracket soaking period are suitable for the intended clinical application e Do not use the expired sterilant e Ifyou use other contact type to sterilize the biopsy bracket ensure it is guaranteed by the manufacturer or the local distributer e Do not sterilize the plastic biopsy bracket through autoclaving Avoid biopsy brackets of any kinds contacting with ethylene oxide 146 Basic User Manual 12 Pr
98. ied and factory defaults can be restored To customize a preset 1 Select the desired probe and exam type 2 Select an imaging mode and optimize the image NOTE The parameter optimizing is only available for the current imaging mode 3 Select the S key on the key panel to display the following dialogue box Going to User Pre Set Menu Are you sure Y N 4 Select the Y key to enter the User preset screen as shown in Figure 6 2 64 Basic User Manual 6 Acquiring Images Create new exam Edit Sam Input new exam name Foctory data reset Exit ExamType lt Vascular gt Examlcon lt C Vascular gt Create exam Cancel Figure 6 2 User Preset Menu 5 Enter the name of the application preset in the textbox under the Input new exam name textbox e Click or beside ExamType to select the template for the application preset e Click or beside Examlcon to select the icon for the application preset 6 Click Create Exam to create the application preset Click Exit and the application preset you customized displays on the LCD monitor To arrange presets display Click Edit exam to arrange presets display The customized application presets not the system application presets can be also deleted NOTE An exam type suffixed with s is a system application preset suffixed with u is a customized application preset Basic User Manual 65 6 Acquiring Ima
99. ing them To ensure the performance and availability of the probe and the biopsy bracket you should also periodically check clean disinfect or maintain them 133 12 Probes and Biopsy NOTE A general instruction for the probe is provided in this manual For details refer to the relevant manuals 12 1 Probe This ultrasound system supports a wide range of probes which make the system remarkably versatile Transducer Junction line Orientation Marking Handle Body surface probe Endocavitary probe Intraoperative probe 12 1 1 Available Probes The available probes are listed as follows Probe Model Application C322 C344 C345 C353 C354 C362 C542 C544 C5 1 VC6 2 VC8 3 C611 C613 L541 L741 L742 L743 L744 L752 1011 VLI2 5 2P1 2P2 5 2 8 1 3P1 5 1 P5 1 CWD2 0 CWDs o Body surface CWDS 0 PWD2 0 6V3 6V1 6V1A EC9 5 BCL10 5 BCC9 5 VE9 5 MPTEE mini Intracavitary MPTEE 6CT4 1012 1013 LAP7 714 Intraoperative 134 Basic User Manual 12 Probes Biopsy 12 1 2 Probe Usage warninc 9 Do not use the probes other than those provided by the manufacturer Otherwise the ultrasound system cannot be performed and an accident such as a fire may result in the worst case e Use the probe carefully If any part of the probe surface 1 scratched immediately stop using the probe Otherwise there is a danger of electric shock e Use of legally marketed
100. ion you can configure the ECG control so that the ECG trace is displayed at the bottom of the screen The ECG module provided by this ultrasound system is for collecting and displaying 3 lead ECG trace The ECG cable includes three color coded ECG electrode connectors i e LL left leg red LA left arm black and RA right arm white Among them is the reference cable receiving the signal from the ECG module and providing the bias voltage LL and RA receive signals from the patient body and connect to the different output terminals of ECG isolation amplifier Ne e This ECG module is not suitable for intracardiac use or direct cardiac contact e This ECG module provides 3 channel ECG signals and cannot be used for diagnosis and monitoring e To avoid electric shock ensure the ECG cable is intact and be correctly connected e Conductive parts of electrodes and connectors for ECG should not contact other conductive parts including earth grounding e Power off the ultrasound system if the patient is found to use the pacemaker or implantable cardioverter defibrillators because the ultrasound system may interfere with these devices 9 6 1 Basic Procedures of ECG Operation Perform the steps as follows 1 Power off the ultrasound system and connect the ECG cable to the specific port of the ultrasound system 2 Power on the ultrasound system and attach the ECG electrodes on the patient s body as shown in the following figu
101. key on the control panel in any mode A yellow vertical mark appears on the screen And the predefined annotations appears at the top left of the screen 2 Move the mark to the desired place by using the trackball 3 Select the T ball key and use the trackball to select the added annotation Then select the Set key to add the annotation on the image 4 Select the T ball key again to confirm 5 Repeat the above steps to add more annotations if necessary 6 Select Annot again to exit You can also perform the following operations when adding annotation To input the annotation manually Input the desired annotation by using the keyboard After finishing select the Set key to add the annotation on the image B To move the annotation Move the cursor on one annotation Select the Set key to activate this annotation and move it to the desired place by using the trackball Then select the Set key to confirm To revise the annotation Move the cursor on one annotation and revise it by using the keyboard 116 Basic User Manual 9 Working with Images 9 5 2 Annotating an Image with Arrows Perform the steps as follows 1 Select 4 on the control panel in any mode 2 Position the arrow to the desired place by using the trackball and select the Set key to add it on the image If necessary rotate the Angle knob to adjust the arrow angle and select Set to confirm 3 Repeat the above steps to add more arrows if they are needed
102. l be processed in a film processor Max Density Set the maximum density level of the film Set the method used for magnifying images during the print Magnification Choose from PEPLICATE BILINEAR CUBIC or NONE Configure Make special image quality settings Basic User Manual 53 4 Customizing Your System Item Description Copies Set the number of copies to print Film Session Label Enter a name to be applied on a group of the film labels Smoothing Type Set the value of magnification interpolation for the printer Click Echo to verify the connection between the ultrasound system and the DICOM print server after you make settings about the Remote HostName IP address DICOM AE Title Port Number A summary displays if the connectivity is verified 4 5 Defining System Defaults You can define your system defaults by configuring this menu System Setting General Peripheral Load New Export Import Measure DICOM default Load Default About Exit Apply Figure 4 14 Loading Defaults Menu To load system defaults 1 Click Load select a setting name and then the following dialogue box appears 2 Type Y on the control panel to confirm the loading Type N to cancel the loading Select Delete on the control panel to delete the system defaults 3 Select OK to confirm it Bi To create system defaults 54 Basic User
103. lcohol T spray II Quat Ammonia lt 10 minutes T spra Quat Ammonia lt 10 minutes pray To disinfect the endocavitary probe You should disinfect the endocavitary probe before and after each use Perform the steps as follows 1 Clean the probe For details refer to Section Cleaning the Probe 2 Perform the high level disinfection to the surface probe as shown in Table 12 2 until the rec ommended soak period expires NOTE If you do not use the recommended disinfectant make up it as the manufacturer s instructions 3 Rinse the probe with the running sterile water to remove the residual disinfectant completely 4 Dry the probe with a lint free soft dry cloth 138 Basic User Manual 12 Probes Biopsy Table 12 2 Recommended Method for High level Disinfection Active Level for Active Contact Contact Disinfectant Manufacturer Ingredient Ingredient Type Period Cidex Activat ed 45 50 Glutaraldehyd Dialdehyde MR E minutes Solution 8 min Resert XLHLD STERIS 2 0 H202 7 12 1 5 Sterilizing the Probe You should sterilize the Intraoperative biopsy use or blood contacting probe after each use Perform the steps as follows 1 Clean the probe For details refer to Section 12 1 3 Cleaning the Probe 2 Sterilize the intraoperative probe as shown in Table 12 3 until recommended soak period expires NOTE If you do not use the recommended sterilant follow the manufacture
104. ld be damaged B To connect the probe to the system 1 Switch the probe lock above the probe port to E position and then insert the probe connector into the probe port firmly 2 Switch the probe lock to lock it securely If the probe cable is too long hang it on the transducer cable hanger To connect the probe to the transducer extender 1 Switch the probe lock above the probe port on the system to rf position and then insert the probe connector of the transducer extender into the probe port firmly 2 Switch the probe lock to lock the extender securely 3 Switch the probe lock above the probe port on the transducer extender to position and then insert the probe connector of into the probe port of the extender firmly 4 Switch the probe lock to lock the probe securely To disconnect the probe Switch the probe lock above the probe port on the system or the probe port on the transducer extender to rf position and then pull the probe connector out directly 30 Basic User Manual 3 Preparing the System 3 6 Connecting the Peripheral Device 3 6 1 Connecting the Footswitch caution Do not use the footswitch other than those provided by the manufacturer Otherwise the ultrasound system or the footswitch malfunctions could result Connect the footswitch to the footswitch port of the ultrasound system as the figure shown below Ultrasound system Used for printing Used for freezing image 3 6 2 Conn
105. le the letter capital feature Set it to On all the typed letters are capital Pressing Shift X Caps Lock can enter a lower case letter Set it to Off all the typed letters are lowercase Pressing Shift X can enter a capital letter Set the format for the report output Report Format Choose from PDF or TEXT Set the format for the video Monitor type Choose from TV NTSC TV PAL or VGA Enable or disable the annotation cleared feature after you unfreeze the image in the annotation editing mode Clear Annot On Set it to ON all annotations are cleared after you press the Unfreeze Freeze key in the annotation editing mode B Set it to OFF all annotations are not cleared 38 Basic User Manual 4 Customizing Your System 4 1 2 Display Settings System Setting General General Display Storage Peripheral Color of ROI Cyan v Measure Display Format 1 2 5 DICOM Screen Saver OFF Y Load Default Screen Saver Delay min 30 About Annot Font Size Medium v Exit Apply Figure 4 3 Display Settings Menu Item Description Set the color for the interest region box Color of ROI Choose from Green Yellow Orange or Cyan Set the default display format for the M and PW CW modes Display Format Choose from V1 3 V1 2 V2 3 H1 2 H1 4 O1 4 Screen Sav
106. lick OK A dialogue box pops up as follows PPS 9 Assisted Acquisition Protocol Setting temen poea 0 Completed If you tick Assisted Acquisition Protocol Setting you can send the last patient information to MPPS after entering the relevant information to code meaning and designator 2 Select the reason from the corresponding drop down list and then click on Discontinued 62 Basic User Manual Chapter 6 Acquiring Images You can acquire images by optimizing the relevant parameters for clinical diagnosis 63 6 Acquiring Images 6 1 Selecting a Probe and an Exam Type Once the ultrasound system is started up the LCD monitor displays the available probes and the exam types as shown in Figure 6 1 You can select the desired probe by using the trackball You can also select the Exam key to enter the application mode screen from other screens NOTE Ensure probe types displayed on the LCD monitor are consistent with the actual probes If there are incorrect or no probe types displayed insert the probe connector into the probe port firmly If problem still exists please stop using the ultrasound system immediately and contact the manufacturer L741 s ba Figure 6 1 Application Mode Screen You can also make modifications in an exam type and save them as an application preset for future use Moreover the layout of the application mode screen can be modif
107. n the real time scan NOTE Stability and Image Quality can also be set without delay in the inactivated 3D mode 7 2 8 Observing Reviews by the Plane You can observe reviews by using the plane Perform the following steps to observe a review Select the menu item of CLIP PLANE to enable this feature Select the T Ball key on the control panel to activate the cursor Move the cursor on the image by using the trackball select the Update key to select this image Observe the review by using the trackball Basic User Manual 101 7 Using 3D 7 2 9 Observing Reviews by the Slice You can observe reviews by using two or more slices For example each layer of an irregular tumor can be observed by applying this feature Perform the following steps to observe a review 1 Select the menu item of MULTI SLICE and rotate the Menu key or select lt gt key to chose one slice After selection the slice on the corresponding axis is displayed on the screen 2 Select the menu item of SLICE NUMBER and rotate the Menu key or select lt or gt key to set the slice number to 9 16 or 25 In the following figure the slice on X axis Ref A number 9 is taken as an example Slice Slice Area Central Slice 3 Figure 7 4 Multi Slice Imaging Screen Eight slice lines and the corresponding number are displayed on the main slice imaging Except the main slice the other eight slices a
108. nfirm e Select the Update key to activate the anchor position the anchor by using the trackball and then select the Set or Update key to confirm Ifthe anchor is not activated you can crop images inside ROI by using the trackball Only images inside ROI are generated to a 3D image and the real time 3D image is also displayed when cropping reviews If necessary repeat the Step 1 3 above to crop the image again NOTE Selecting Hide ROI can disable the ROI Basic User Manual 99 7 Using 3D 7 2 5 Cropping Reviews by the Trace You can crop the image by tracing its border to remove areas outside from interest area This feature is suitable for cropping irregular reviews Perform the following steps to crop a review 1 Select the Menu key and a menu pops up on the screen 2 Select Trace Cut by using 7 or key 3 Rotate the Menu key or select or gt key to make the setting Set it to Off to disable the feature B Set it to In to enable the feature and remove all data outside from the image B Set it to Out to enable the feature and remove all data inside from the image 4 Select the T ball key and a cursor appears on the screen 5 Move the cursor on the image by using the trackball select the Set key and then trace the border of the object 6 Select the Set key to acquire the desired image In the following figure Trace cut is set to In NOTE Selecting UNDO CUT can restore the cutting by using Trac
109. ng the Real Time 4D Imaging sse eme 106 8 1 2 Acquiring Dynamic 3D Image tede REPE 108 8 2 Working with 4D Images 108 Chapter 9 Working with Images eere eese n etae tns stas 109 9 T marine 110 9 1 1 Imaging cer NO DECR ERO e iy Ced rbi e SS sea 110 mo i SEM RO 110 ERI I Em 112 9 1 4 Tissue Harmonic Imaging 112 9 1 5 Panoramic Imagllg circ e ER REDE CU E Ee 112 9 2 Magnifying an Image ie t ERI MR A els 115 9 3 Freezing Image aeos niente REED OE Ee ti PIRE HORE REPRE ER 115 Contents E MBA I 115 9 5 T Reviewing e Fer E CERE 115 9212 Cutting Ine esee RE EA 116 9 5 Annotations and Body eene entere 116 9 5 1 Annotating an Image with Typed 5 116 9 5 2 Annotating an Image with eene 117 9 5 3 Body eiiim Er oe cen 117 9 5 4 Deleting Annotations and Body 117 ARE T
110. nt Click Patient Export to back up all data relevant to the patient DVD ejects after a successful prompt is displayed Take out DVD from the DVD drive and close the tray 10 4 Importing Data to the System NOTE e Only data generated by this system can be imported e Ensure the current exam is completed before you import data Otherwise you may have a failure data import Perform the steps as follows l De bs m to Connect the USB device to the ultrasound system Or place an empty DVD on the DVD drive Choose the Patient key gt Patient List gt Patient Review to enter the Patient Review screen Select the imported device from the Import Export drop down list Click Export Screen and then select the imported patient information Click Patient Import to import the desired data Basic User Manual 125 This page is intentionally left blank Chapter 11 Working with DICOM DICOM Digital Imaging and Communications in Medicine is a standard created by National Electrical Manufacturers Association ACR NEMA to regulate the distribution and viewing of medical images such as ultrasound images and cine If the ultrasound system is configured the DICOM module you can Search the archived patient information set on the DICOM server and copy the patient information to the ultrasound system so that the correct patient can be examined Send stored images or data on the ultrasound system to the DICOM server
111. nt Mar 23 2012 16 08 16 Figure 9 2 Real Time Color Real Time B B Quad splitting Display 1 Select B Color DPI or TDI on the control panel to enter the real time scan 2 Select on the control panel to enter the quad splitting display The image is spitted by four parts with a frozen image on the top left and three real time scans on the other parts New hosp XXX MI 0 2 TIS 0 7 20121212234565 Mar 23 2012 16 08 16 Figure 9 3 Quad splitting Display Basic User Manual 111 9 Working with Images W Select on the control panel to freeze the real time scan and unfreeze the other images W Select the B C or DPI key on the control panel to enter the corresponding mode for the real time scan 3 Select the B key to exit the quad splitting display 9 1 3 M Tuning M Tuning optimizes the image quality To enable or disable M Tuning Select m Tuning to enable or disable this feature 9 1 4 Tissue Harmonic Imaging Tissue Harmonic Imaging THI uses the harmonic frequencies generated by tissue The fundamental transmit frequency results in a harmonic frequency echo The harmonic frequency received from the tissue is a multiple of the fundamental transmit frequency The fundamental and any accompanying artifacts are missing from the harmonic frequency that the system receives The artifact reduction and the concomitant reduction in haze and clutter increases contrast resolution and improves border delineation
112. nvironment over 60 Keep the battery away from fire and other heat sources during its usage and charge Do not pierce the battery with a sharp object hit or step on it Do not place the battery into the microwave oven or other pressure vessels 3 2 3 Assembling Disassembling the Battery To assemble the battery Switch the battery lock on the bottom to ct position and install the battery on the system as shown in Figure 3 1 Figure 3 1 Battery Assembly To disassemble the battery Switch the battery lock on the bottom to En position and take out the battery as shown in Figure 3 2 Figure 3 2 Battery Disassembly 28 Basic User Manual 3 Preparing the System 3 2 4 Status Indicator When the system is connected to the mains supply using the adapter the battery discharging indicator rjr is always off The status of other indicators is shown in Table 3 1 Table 3 1 Status Indicator Indicator Fully Charged Charging se Green Yellow When the adapter is disconnected the battery charging indicator 797 and the adapter status indicator is always off The status of the battery discharging indicator qe _ is shown in Table 3 2 Table 3 2 Battery Status Discharging Indicator Note Green Full N Yellow Low T The battery is ext lyl d th t Blinking yellow T qe PPS Buzzer alarms 18 going to power off 3 3 Powering On Off the System
113. obes Biopsy e Notallow any sterilant to be air dried on the biopsy bracket e Some sterilants are acid or alkaline the operator should take cautions in preventing W hands or clothing from being directly contact with them Wash hands or eyes immediately if they are contaminated by the disinfectants e Dispose of the cleaners sterilants or discard solutions in accordance with the local standards or regulations Perform the steps as follows 1 Clean the biopsy bracket For details refer to Section 12 2 6 Cleaning the Biopsy Bracket 2 Sterilize the biopsy bracket as shown in Table 12 5 NOTE If you do not use the recommended sterilant make up it as the manufacturer s instructions 3 Take out the bracket from the sterilant when the recommended soak period expires 4 Rinse the bracket with running sterile water and then dry it with a lint free soft dry cloth Table 12 5 Recommended Method for Sterilization Level for Active Contact Contact Sterilant Manufacturer Active Ingredient Ingredient Type Period Cidex Activated J amp J lutaraldeh 2 4 Soak 10h 12 2 8 Storage The biopsy bracket should be stored in a sterile environment The following items should be also concerned during the storage e Do not expose it in direct sunlight e Do not locate it in environmental temperature of sudden changes e It has been thoroughly cleaned disinfected and air dried Basic User Manual 147 This page i
114. ol Number is an unique number for the ultrasound system Basic User Manual 55 This page is intentionally left blank Chapter 5 Preparing for an Exam You can start an exam without entering any patient information However the patient s name and ID is closely related with each patient s image To avoid patient identification errors you should always verify the identification with the patient 57 5 Preparing for an Exam S 1 Acquiring Patient Information You can acquire the patient information in the following ways Create new patient information Retrieve archived patient information Receive patient information using DICOM worklist S 1 1 Beginning a New Patient Select the Patient key on the control panel to display the Patient Information screen in Figure 5 1 New Patient Patient ID Auto Weight Ib Last Name Height in First Name BSA m v MwDD Yvvvv Age v M BP mmHg Sex Unknown 3 Comments Accession Exam Information ABB GYN CardiacVasculajUrology SMP PED MSK Ortho Other Description Chief Compliant Past History Referring M D v Performing M D v Sonographer Comments Patient List
115. om out the images Meanwhile a size multiplier is displayed in the information area of the basic Screen 7 2 7 Optimizing 3D Image To choose the color e Select the menu item of COLOR MAP and rotate the Menu key or select lt or gt key to choose the color of the 3D image e Select the menu item of B CHROMA and rotate the Menu key or select lt or gt key to choose the color of the image on the A B or C View The color map or gray scale on the top right of the imaging area varies with this setting E To set the smoothness and brightness e Select the menu item of SMOOTH and rotate the Menu key or select or gt key to adjust the smooth of the image e Select the menu item of LIGHTNESS and rotate the Menu key or select lt or gt key to adjust the brightness of the image B To set the threshold You can set the threshold to adjust the transparency of the image Select the menu item of THRESHOLD and rotate the Menu key or select lt or gt key to adjust the value To adjust the image stability and quality e Select the menu item of STABILITY and rotate the Menu key or select lt or gt key to enable or disable the feature This setting is only effective in the real time scan e Select the menu item of IMAGE QUALITY and rotate the Menu key or select lt or gt key to make the setting A higher quality image can be obtained by running a motor of the probe at a slower speed This setting is only effective i
116. on distance in meters m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each b E frequency range Interference may occur in the vicinity of equipment marked with the following symbol 9 NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the EQUIPMENT is used exceeds the applicable RF compliance level above the EQUIPMENT should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as re orienting or relocating the EQUIPMENT gt Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m 158 B 3 Recommended Separation Distances between Portable and Mobile and RF Communications Equipment and the Equipment The equipment is intended for use in an electroma
117. ontally move or rotate the interest area B Select SEC WIDTH by pressing the corresponding function key and rotate it to adjust the width or angle of the interest area 6 3 4 10 Power Power 15 used to select the amount of ultrasound acoustic power produced by the probe The adjustment range of the power is 1 100 and 10 can be adjusted each time The real time value of the power is displayed in the imaging information area of the basic screen To adjust the power 1 Select POWER by pressing the corresponding function key 2 Rotate it to adjust the value NOTE Expose the patient to the lowest practical transmit power level for the shortest possible time to achieve a satisfactory diagnosis 6 3 4 11 B Reject B reject is used to set the display priorities of the color and 2D grayscale pixels Larger B Reject value suppresses more grayscale pixels To adjust B reject 1 Select B REJECT by pressing the corresponding function key 2 Rotate it to adjust the value 78 Basic User Manual 6 Acquiring Images 6 3 4 12 Steer Steer is used to adjust the angle of CF ROI when performing a real time scan by using the linear probes To adjust the steer Flip the STEER switch left to rotate the ROI clockwise B Flip the STEER switch right to rotate the ROI anticlockwise NOTE Only the linear probes are available when adjusting the steer 6 3 4 13 Flow Invert Flow invert is used to view blood flow from a diff
118. orrosion Battery Performance a Power on the system by using the AC adapter to fully charge the battery b Disconnect the system from the AC adapter to power on the system by the battery until the system automatically shuts down c The powering time of the battery indicates the battery performance If the powering time of the battery is much shorter than 30 minutes you should replace the battery or contact Service Department of the manufacturer Basic User Manual 151 13 System Maintenance 3 Mechanical Safety Appearance ofthe system enclosure Appearance of the control panel NOTE The surfaces of the control panel may be abrasive because of the split liquid or other cleaning spray Take care to find the potential problem when performing the maintenance checks Connectivity of interfaces 4 Image Recording Images in each mode B mage recording using the standard probe 13 3 Troubleshooting The ultrasound system cannot be started up Q1 Check whether the battery capacity is exhausted the ultrasound system is connected to the mains supply or the main power button 1s pressed down A2 No images are displayed on the LCD monitor Q2 Check whether the power supply cable and video cable are well connected A3 The LCD monitor displays abnormal Q3 Check whether you select an appropriate probe and compatible exam type or optimize imaging parameters correctly For details refer to Chapter 6 Acquirin
119. ort Set the type of the default printer Default Printer Choose from USB Printer or Net Printer Net Printer IP Set an IP address of the network printer Click the button and follow the on screen instructions to install a printer driver Add Printer 4 3 Measurement Settings You can set the general settings measurement menu and calculation formula on this menu 4 3 1 General Settings 42 System Setting General General Menu Formula Peripheral Basic Shortcut Key Measure BSA Eastern Y OB Cardiac DICOM Measure Method Trace Num v Load Default Package icon Dave v Num 2 About Continue DIST On Y Num3 Y Num 4 Focal Auto On v um M j Num 5 v AUA Result b A v esult by verage Por Unit kg g m Num 7 Y Measure Font Size Medium v Num 8 Measure Line Size Medium Y Num 9 Y Num 0 Y Apply Figure 4 6 Measurement Settings Menu Basic User Manual 4 Customizing Your System General Settings Item BSA Description In accordance with the setting of this item the system calculates BSA value automatically after you enter the height and weight of the patient on the Patient Information screen Choose from Western or Eastern B Set it to
120. ostName IP address DICOM AE Title Port Number A summary displays if the connectivity is verified Basic User Manual 51 4 Customizing Your System 4 4 5 Print Service Settings You can connect the ultrasound system to the print service server by setting this menu System Setting General Store C Store Worklist MPPS Print Peripheral Service List DicomPrint x Add Delete Comment m DicomPrint Bodymark Remote HostName DicomPrint Measure DICOM IP Address 192 168 254 104 Ping Load Default DICOM Title AE Echo About Port Number 109 Connect Timeout sec 10 Properties Format 1 1 v Trim v Priority MED Border WHITE Medium PAPER v Empty Image WHITE v Orientation PORTPAIT v Color Gray v Film Size A4 v Min Density 20 Film Destination MAGAZINE v Max Density 320 Magnification v Configure Information Copies 1 Film Session Label Smoothing Type 1 Apply Item Service List Figure 4 13 Print Service Settings Menu Description Select the DICOM print server Click Add to add a new server and click Delete to delete a server Remote HostName Set
121. probe sheath is required for intracavitary operations If lubricant is used it must be water soluble Do not apply coupling gel directly on the patient skin e Use the legally marketed coupling gel in accordance with the relevant local regulations Read and understand all precautions in the relevant manual of the coupling gel before using it Special concerns before probe usage Inspect the probe before each use In case the following damage is found stop using the probe immediately e Cracks on the probe handle user section e Cracks on the transducer surface applied section e Scratches on the transducer surface acoustic window surface e Swell of the acoustic window material e Cracks or wear on the probe cable e Cracks on the probe connector or any other kinds of visible damage e Deformed pins or broken pins exist inside the probe connectors e Damage or deformation on the probe cable Body surface probe usages 1 Wear medical sterile gloves 2 Orient the probe 3 Perform a scan Endocavitary probe usages 1 Wear medical sterile gloves 2 Wear the probe sheaths only for the endocavitary probes a Remove the packaging and unfold the probe sheath b Apply an appropriate amount of coupling gel to the inside of the sheath and onto the face of the probe Hold the probe and unroll the sheath onto the probe Pull the probe sheath tightly over the face ofthe probe to remove wrinkles Secure the sheath
122. r s instructions to make up it 3 Rinse the probe with the running sterile water to remove the residual sterilant completely 4 Dry the probe with a lint free soft dry cloth Table 12 3 Recommended Method for Sterilization 254 Level of Active Contact Contact Disinfectant Manufacturer Active Ingredient Ingredient Type Period Cidex Acti vated 10 lutaraldeh 2 49 Dialdehyde J amp J Glutaraldehyde Soa hours Solution 12 1 6 Disinfecting and Sterilizing the Probe Cable me e Do not immerse the probe connector or handle into disinfectant or sterilant e To avoid potential disease transmission you should wear medical sterile gloves and protective goggle during the disinfection or serialization e Do not immerse the probe cable into alcohol or isopropyl alcohol at any concentration for a long period Avoid any contact with iodine or phenols Basic User Manual 139 12 Probes and Biopsy B Daily Disinfection Perform the following steps to clean the probe cable 1 Use a lint free soft dry cloth dampened with mild soapy water to wipe the probe cable 2 Perform the medium level disinfection to the surface probe as shown in Table 12 4 until the recommended disinfection period expires NOTE If you do not use the recommended disinfectant follow the manufacturer s instructions to make up it 3 Rinse the surfaces of the probe cable with the fresh running water to remove the residual disinfectant completel
123. ral devices 25 3 Preparing the System 3 1 Positioning the System caution Leave at least 20cm at the back and both sides of the ultrasound system for ventilation Otherwise the temperature rise could cause failures Place this system on a level surface You can place the system on the trolley provided by manufacturer sold separately For details on positioning the system please refer to the relevant user manual 3 2 Powering on the System The system can be supplied power by mains supply or built in rechargeable lithium battery When the adapter is connected to the mains supply the battery is charged until full 3 2 1 Using the Mains Supply me e Do not use the adapter other than those provided by the manufacturer e The accompanying AC adapter can only be used for power supply or battery recharging of the system Other usages may damage the adapter or even cause an electric shock e Check that the adapter is not damaged before use If damages exists stop using it immediately and contact the manufacturer or the local distributor e Do not hang the adapter in the air e The adapter should be placed in a well ventilated area during use Do not cover the AC adapter with any other objects B To connect the adapter 1 Connect the protective earth pin at the rear panel to safety ground earth with the grounding wire 2 Connect one end of the adapter to the system and connect the other end to the mains supply firmly
124. ral devices of this system e Do not place the multi socket outlet on the floor e Do not connect other devices to the multi socket outlet otherwise the rated output power may be exceeded and failure may be resulted e The video printer should be connected to the specific interface using the cable provided by the manufacturer Otherwise there is a danger of electric shock e Accessory equipment connected to the analog and digital interfaces must be certified according to the respective EN IEC standards for example EN IEC 60950 for data processing equipment and EN IEC 60601 1 for medical equipment Furthermore all configurations shall comply with the system standards EN IEC 60601 1 1 e In the environment that patient is 1 8 meters 6 feet around connect peripherals to the auxiliary power outlet which is capable of isolation protection or power the peripherals by auxiliary output cable or isolation transformer complied with 60601 1 1 or the power input of the same safety level e Parts of non medical electrical equipment in the patient environment that after removal of covers connectors etc without the use of a tool may be contacted during the routine maintenance calibration etc You should not touch the referred parts and the patient simultaneously e Do not use the probes other than those provided by the manufacturer Otherwise the ultrasound system cannot be performed and an accident such as a fire may result in
125. re Q Green Red Standard AHA Standard 118 Basic User Manual 9 Working with Images 3 Make the relevant settings of the ECG module For details refer to Section 9 6 2 Optimizing Parameters 4 Freeze the images and review them For details refer to Section 9 6 3 Reviewing ECG 5 Exit the ECG mode and remove ECG electrodes from the patient 9 6 2 Optimizing Parameters Select the Menu key and then select ECG on the pop up menu Rotate the Menu key or select or gt key to display the submenu of the ECG module Item Description ECG Enable or disable the ECG function Set the amplitude of the ECG waveform ECG GAIN Choose from 1 2 3 4 5 6 Set the vertical position of the waveform ECG POSITION Choose from 1 2 3 4 5 6 7 8 Enable or disable the waveform inversion function ECG INVERT Choose from On or Off Enable or disable the R trigger function Set it to ON R TRIGGER menu pops up including several items to R TRIGGER be chosen NOTE Only phased probes are available for R trigger function TRIGGER DELAY Delay of trigger after the 2D refresh FRAME COUNT FRAME INTERVAL 9 6 3 Reviewing ECG Set the number of the image transmitted in one second Set the refresh interval of 2D image Select the Freeze key on the control panel to freeze an image and the ECG waveform is frozen at the same time Using the trackball to review the ECG waveform frame by
126. re indicated by the number on top left and are displayed on the screen Move the cursor on the slice by using the trackball select the Set key on the control sectional plane to select it If the slice is selected its corresponding line on the main slice imaging turns to a full line To adjust the slice span Select the menu item of SLICE SPACING and rotate the Menu key or select lt or gt key to adjust the span among the slices The span and content vary with this setting 102 Basic User Manual 7 Using 3D 7 2 10 Setting the Sweep Angle Select the menu item of SWEEP ANGLE and rotate the Menu key or select or gt key to adjust the sweep angle This setting is only effective in the real time scan NOTE This setting can also be set without delay in the inactivated 3D mode 7 2 11 Setting the Scan Method Set Scan Method in accordance with your actual use Select the menu item of SCAN METHOD and rotate the Menu key or select lt or gt key to set the sweep mode to Lin or Sec NOTE This setting is only effective when entering the 3D imaging from a frozen B imaging 7 2 12 Adjusting Z Angle Z Scale The image may be distorted if you perform the scan too quickly by using the probe To acquire vivid image you can adjust the value of Z Angle Z Scale before the scan B If Scan Method is set to Sec you can adjust the sweep angle when performing the scan by the probe Select the menu item of Z ANGLE and rotate
127. rea Name Description Exam Select it to choose a probe and an icon for the corresponding exam type in the real time or frozen mode End Exam Select it to end the exam for the current patient Dual Select it to enable the dual display or to activate another image OO CD Select it to enable the quad display or to activate another image Select it to reverse the image left or right L R Select it to enter the dual or quad display in the dual quad display mode Up Down Select it to reverse the image up or down Use it to adjust the scan depth DEPTH Move it downwards to increase the depth and move it upwards to decrease the depth FOCUS Use it to adjust the position of the focus BASELINE Use it to adjust the position of the baseline Basic User Manual 19 2 System Overview Name Description Use it to adjust the direction of the acoustic beam when performing a real time STEER scan by using the linear probe Or use it to adjust the direction of the spectral Doppler line PRF Use it to adjust the pulse repetition frequency 3D AD Select it to enter or exit the 30 4 imaging mode DPI Select it to enter or exit the DPI mode TDI Select it to enter or exit the TDI mode PW Select it to enter or exit the PW mode CW Select it to enter or exit the CW mode M Select it to enter or exit the M mode Zoom Select it to magnify the interest area of the ultrasoun
128. rmation Patient ID Patient Name Birth Date Sex Description Requested Procedure iD Accession Date Time Group Case Select Cancel Figure 11 1 WorList Screen Perform the steps as follows 1 Search for the patient information Enter the search requirements such as Patient Name Patient ID Accession Exam Date Time or Requested Procedure ID and then click Search to search the desired one Clicking Reset can clear all the search information 2 Start an exam a Select the desired patient b Click Select to start an exam If the desired patient has taken more than one exam click Group Case to start the exam 3 Enter patient information Basic User Manual 129 11 Working with DICOM 11 5 MPPS MPPS 1s used to send exam status information to the MPPS server which facilitates the other systems to obtain the exam progress in time The status information is described as below e When the exam is started the system sends status information In Process to the MPPS server e When the exam is completed by pressing the End Exam key on the control panel the system sends status information Complete or Discontinue to the MPPS server If you want to check the sending status choose the Patient key gt Patient List gt DICOM Queue B Toadd MPPS You can manually add MPPS to check the processing status of the discontinued exam or other order operations NOTE MP
129. rporients 13 2 34 T Bront 14 2 3 2 15 2 3 3 Rear Panel desert Ven Pete PER era ER ER 16 2 9 4 Battery Comparttmenb rabe ed ERE HECHO EE E rep 17 2 3 2 Control Panel ono RERO HERR IE EIER 18 23 0 23 Chapter3 Preparing the Systemssiccsiccsessccssecsssssiscsssssessiscssesassasssscesstossssasssatssssesatssisoasesatessossesaiocss 25 3 1 Positioning the Syste euin 26 3 2 Powering On the System nece ter n ER ee gore eet ERN aa ia 26 3 1 Using the Mains SUpPply aos Ep d ERR ERRARE EE E 26 3 22 sing the Battery ete o oett sere arte ee 26 3 2 3 Assembling Disassembling the Battery essen 28 2 2 4 SUAS rete vit rn rtm raten 29 3 3 Powering On Off the System 29 Contents 3 4 Adjusting the System sec ertet Ru ea ded etu peu Reto tee sas 30 3 3 Connecting the Probe m ERREUR ER ERU ERES 30 3 6 Connecting the Peripheral Device eee terrre p ee COR EUR eO CEPS CER eH TE dessen 31 3 6 Connecting the 31 3 6 2 Connecting the Video eene nennen nennen 31
130. s contact with the patient skin and be perpendicular to the skin surface when scanning Do not change the scan direction or move the probe backward Some variation of the scan speed is allowed but do not change the speed suddenly When the scan depth increases generally it 1 required to decrease the scan speed Perform the following steps to apply the real time Panoramic imaging mode 1 Optimize the B mode image 2 Select Pan on the control panel and optimize the image again Select QUIT by pressing the corresponding function key to exit the real time panoramic imaging mode 3 Perform the scan and the screen displays the aligned individual images 4 Select the Freeze key to freeze the image 5 Review the image e Magnify the image a Rotate the function key corresponding to TOGGLE PIP to enable the Picture In Picture feature A thumbnail 15 displayed at the bottom left of the screen as shown in Figure 9 4 New hosp XXX MI 0 2 TIS 0 7 20121212234565 Patient Mar 23 2012 16 08 16 FPS 47 D G 3 1 o GN 255 UP 3 30 PWR 70 2 FRQ 3 48 nu D 16 5cm 5 ew roses zw Figure 9 4 Real Time Panoramic Imaging b Rotate the function key corresponding to ZOOM and the ROI is displayed on the thumbnail c Select the desired area by using the trackball and rotate the function key corresponding to ZOOM to magnify this area e Perform measurement or add the body mark or annotation on the image 6 Rotate t
131. s intentionally left blank Chapter 13 System Maintenance To maintain the safety and functionality of the ultrasound system you should periodically perform the maintenance for the ultrasound system and accessories 149 13 System Maintenance ARNNG avoid electrical shock and damage to the ultrasound system power off and IN unplug the system from the AC power outlet before cleaning e To maintain the safety and functionality of the ultrasound system maintenance must be performed at least every 6 months Electrical safety tests must also be performed at regular intervals as specified by local safety regulations 13 1 Cleaning the System B clean the system surface l 2 3 Power off and unplug the ultrasound system from the AC power outlet Dampen a lint free soft cloth with 7596 ethyl alcohol Use this lint free soft cloth to clean the surfaces of the monitor screen the touch screen the control panel the keyboard and the main unit Take special care and avoid to scratch the Screens Usea cotton swab to remove solids from between keys and controls 5 In case of blood or any infectious use a lint free soft cloth dampened with 70 isopropyl alcohol B To clean the trackball l 2 ND tA A 150 Power off and unplug the ultrasound system from the AC power outlet Press the bulges in the ring by both hands Turn the ring anticlockwise until the ring lifts Take out the ring
132. sert USB including deskjet ppd and press the Set key again to complete the installation of the printer drive Reboot the ultrasound system if the installation 1 completed Basic User Manual 33 This page is intentionally left blank Chapter 4 Customizing Your System The System Settings menu allows you to specify general system settings printing measurement and calculation settings You can also define the annotation library and shortcut keys All your customized settings can be saved and can function even after you rebooting the system 35 4 Customizing Your System After starting up the ultrasound system the LCD monitor displays the available probe and the application mode screen as shown in Figure 4 1 Figure 4 1 LCD Monitor Select the Menu key on the control panel to enter the System Setting menu To make settings on the System Setting menu Select one tab by using the trackball to enter a setting menu Select a textbox beside one item and then type the setting by using the keyboard Select the drop down box beside one item to make an option for this item Select Apply to save the setting Select Exit to quit the System Setting menu 36 Basic User Manual 4 Customizing Your System 4 1 General System Settings Set the general settings display settings and storage settings on this menu 4 1 1 General Settings System Setting
133. t an extremely low level leads to low quality images or insufficient Doppler signals adversely affecting the reliability of the diagnosis However increasing the acoustic power more than necessary does not always contribute to an increase in quality of information required for diagnosis rather increasing the risk of generating bioeffects The operator must take responsibility for the safety of patients and utilize ultrasound deliberately Deliberate use of ultrasound means that output power of ultrasound must be selected based on ALARA Additional information regarding the concept of ALARA and the possible bioeffects of Ultrasound is available in a document from the AIUM American Institute of Ultrasound Medicine title Medical Ultrasound Safety 1 3 3 Mechanical and Thermal Indices The display of the ultrasound system consists of two parts Thermal Index TI and Mechanical Index MI MI TI Explanation In October 1987 the American Institute of Ultrasound in Medicine ratified a report prepared by its Bioeffects Committee Bioeffects Considerations for the Safety of Diagnostic Ultrasound J Ultrasound Med Sept 1988 Vol 7 No 9 Supplement sometimes referred to as the StoweReport which reviewed available data on possible effects of ultrasound exposure Another report Bioeffects and Safety of Diagnostic Ultrasound dated January28 1993 provides more current information Mechanical Index MI Mechanical bioeffects are t
134. t provides an estimate of potential temperature rise in the bone or adjacent soft tissue 6 Basic User Manual 1 Safety e Cranial Bone Thermal Index TIC is used when bone is near the skin surface as in transcranial examination it provides an estimate of potential temperature rise in the bone or adjacent soft tissue MI TI Display TI and MI values are displayed in the real time scan on the screen The operator should observe these index values during examinations and ensure that exposure time and output values are maintained at the minimum amounts needed for effective diagnosis The MI and TI precision is 0 1 1 3 4 Probe Surface Temperature Limits For probes intended for internal applications e g the endocavitary or transesophageal probes the surface temperature of the probe may be changed by adjusting the system parameters The maximum surface temperature of the endocavitary probes is 43 C To protect the patient against the harm of excessive temperature the probe stops working automatically when its temperature reaches the limit The surface temperature of the probe displays on the lower left side of the screen PAT 37 Patient Threshold Temperature lt 28 Transducer Tip Temperature 1 3 5 Imaging Functions that Change Acoustic Output The qualified operator may use the system controls to limit the ultrasound output and to adjust the quality of the images The operator should observe the acoustic output
135. t to prolonged scanning Doing so may harm the patient e Do not expose the fetus to prolonged scanning in the Doppler mode e To prevent from arm or neck injury the operator should not stay at the same position for too long during patient scanning without taking break e Although the output power is automatically controlled for the selected applications high TI values should be kept to a minimum or avoided in obstetric applications e You should be familiar with the performances and operations of the system observe the ultrasound output parameters on the screen all the time 1 3 1 Biological Safety Diagnostic ultrasound is recognized as being safe but the possibility of biological effects exists when using it in high exposure levels and long exposure times Thus ultrasound should be used in a prudent manner to provide medical benefit to the patient 1 3 2 ALARA It is required to practice ALARA when using ultrasound energy Practicing ALARA ensures that the total energy level is controlled below a low enough level at which bioeffects are not generated while diagnostic information is being accumulated The total energy is controlled by output intensity and total radiation time The output intensity necessary for examinations differs depending on the patient and the clinical case Basic User Manual 5 1 Safety Not all examinations can be performed with an extremely low level of acoustic energy Controlling the acoustic level a
136. teristics Tissue acoustic characteristics refer to the speed of ultrasound passing through the tissue Tissue acoustic characteristics optimize the image used for measurements and calculations The greater tissue acoustic characteristics bring about the quicker speed of ultrasound To adjust tissue acoustic characteristics 1 Select the Menu key in the real time scan menu pops up on the screen 2 Select TISSUE ACOUSTIC by using the trackball or 1 or key 3 Rotate the Menu key or select or gt key to increase or decrease the value 6 2 2 16 Image Rotation You can rotate the image to get more information This item is applicable in transvaginal and transrectum scan To rotate the image 1 Select the Menu key in the real time scan A menu pops up on the screen 2 Select IMAGE ROTATE by using the trackball or f or key 3 Rotate the Menu key or select or gt key to increase or decrease the rotation angle NOTE Note that the depth calibration displays at the bottom of the basic screen when the image is rotated 90 or 270 6 2 2 17 wScan uScan is used to improve the image quality To use p Scan 1 Select the Menu key in the real time scan A menu pops up on the screen 2 Select Scan by using the trackball or f or key 3 Rotate the Menu key or select or gt key to increase or decrease the value NOTE Ensure the dongle is inserted before you enable feature Basic User Manual
137. than 3 seconds 6 2 2 3 Focal Position Number Span It is used to adjust the depth range of the ultrasound beam the focus number and the focal span The focus identified by a red triangle displays in the right corner of the image Focus optimizes the image by increasing the resolution for a specific area To adjust focal position number span Flip the FOCUS switch to adjust the depth of focal zone s B Select FOCAL NUMBER by pressing the corresponding function key and rotate it to adjust the value B Select FOCAL SPAN by pressing the corresponding function key and rotate it to adjust the value 6 2 2 4 Depth Depth is used to adjust the distance over which the B Mode image is anatomized To adjust the depth B Flip the DEPTH switch upwards to decrease the depth range of the 2D image and the size of image is magnified B Flip the DEPTH switch downwards to increase the depth range of the 2D image and the ultrasound image is reduced NOTE e The number of frame rate varies with the depth e The range of the scanning depth varies with the probe D depth displays in the 2D Image Info area 68 Basic User Manual 6 Acquiring Images 6 2 2 5 Frequency The probe is capable of generating a broadband signal with a certain start frequency and a certain bandwidth The higher frequency brings about the higher resolution and the lower penetration To adjust the frequency 1 Select FREQUENCY by pressing the corresponding
138. the Menu key or select lt or gt key to adjust the angle B If Scan Method is set to Lin you can adjust the sweep span when performing the scan by the probe Select the menu item of Z SCALE and rotate the Menu key or select lt or gt key to adjust the scale NOTE This setting is only effective when entering the 3D imaging from a frozen B imaging 7 2 13 Restoring the Image Select the menu item of RESET and rotate the Menu key or select lt or gt key to restore the image to the original position Basic User Manual 103 This page is intentionally left blank Chapter 8 Using 4D 4D imaging enables the display of the real time 3D anatomical structure 4D imaging only can be performed by the compatible volume probes 4D imaging adds the dimension of movement to a 3D image by providing continuous real time displays of internal organs or fetus 3D imaging provides single frame images while 4D imaging provides continuous high volume acquisition of 3D images The following description uses the fetal imaging as an example the other parts imaging are as the same 105 8 Using 4D 8 1 Acquiring 4D Images The following description uses 4D imaging performed by the VC6 2 probe as an example 8 1 1 Entering the Real Time 4D Imaging Perform the following steps as follows 1 e U 6 Enter the patient information select VC6 2 probe and an exam type such as obstetric exam throughout this chapter
139. the worst case e Only the peripherals and accessories provided or recommended by the manufacturer can be used Using other devices or accessories may degrade the system performance and even cause an electrical shock e Do not pour any fluid onto the ultrasound system surfaces as fluid seepage into the electrical circuitry may cause excessive leakage current or system failure If carelessly pour any water onto the system immediately stop using the ultrasound system and contact Service Representative immediately e To avoid electrical shock and damage to the ultrasound system power off and unplug the system from the AC power outlet before cleaning e To maintain the safety and functionality of the ultrasound system maintenance must be performed at least every 6 months Electrical safety tests must also be performed at regular intervals as specified by local safety regulations Basic User Manual 3 1 Safety 1 2 2 Mechanical Safety WARNING 9 e Always use the handle to move the ultrasound system Ensure the footswitch and AC adapter are disconnected the system is powered off before moving the ultrasound system Do not let the system strike walls or door frame Limit movement to a slow careful walk Do not place other objects on top of the control panel Do not sit on the control panel or other part of the ultrasound system Do not knock or shake the ultrasound system 1 2 3 Accessories Caring WARNING 9 e Do not
140. tion NGBC322 C322 14G 16G 18G 20G Body surface NGBC344 C344 14G 16G 18G 20G 22G Body surface NGBC345 C345 14G 16G 18G 20G 22G Body surface NGBC3353 C353 14G 16G 18G 20G 22G Body surface NGBC354 C354 14G 16G 18G 20G 22G Body surface NGBC362 C362 14G 16G 18G 20G 22G Body surface NGBC542 C542 14G 16G 18G 20G 22G Body surface NGBC544 C544 14G 16G 18G 20G 22G Body surface NGBC5 1 C5 1 14G 16G 18G 20G 22G Body surface Basic User Manual 141 12 Probes and Biopsy Biopsy Available NGB6CT4 6CT4 14G 16G 18G 20G 22G Intraoperative NGB6VI 6V1 16G 18G 20G 22G Intracavity NGB6V3 6V3 16G 18G 20G 22G Intracavity NGBC611 C611 14G 16G 18G 20G 22G Body surface NGBC613 C613 14G 16G 18G 20G 22G Body surface NGBEC9 5 EC9 5 16G 18G 20G 22G Intracavity NGBBCL10 5 BCL10 5 14G 16G 18G 20G 22G Intracavity NGBBCC9 5 BCC9 5 16G 18G 20G 22G Intracavity NGBVE9 5 VE9 5 14G 16G 18G 20G 22G Intracavity NGBL541 L541 14G 16G 18G 20G 22G Body surface NGBL741 L741 14G 16G 18G 20G 22G Body surface NGBL742 L742 14G 16G 18G 20G 22G Body surface NGBL743 L743 14G 16G 18G 20G 22G Body surface NGBL744 L744 14G 16G 18G 20G 22G Body surface NGBL752 L752 14G 16G 18G 20G 22G Body surface NGBIOLI 10L1 14G 16G 18G 20G 22G Body surface NGBLAP7 LAP7 14G 16G 18G 20G 22G Intraoperative NGBC322 TLI4 14G 16G 18G 20G 22G Intraoperative NGB
141. to enter the B mode Optimize imaging parameters in the B mode Apply adequate gel on the patient Acquire a B mode image of high quality Select 3D 4D on the control panel to enter the inactivated 4D mode The 2D imaging with ROI and sample line is displayed in the inactivated 4D mode only the data in ROI is acquired for 4D imaging New hosp XXX MI 0 2 TIS 0 7 20121212234565 Patient Mar 23 2012 16 08 16 e Imaging ROI Anchor Map Quality Sample Line Surface Figure 8 1 Inactivated 4D Imaging Screen Adjust ROI B Move the trackball to position ROI B Select the Set or Update key on the control panel adjust the sample line by positioning the anchor with the trackball B Select the Set or Update key again to adjust ROI If necessary select the Set or Update key to reposition ROI 106 Basic User Manual 8 Using 4D 7 Setthe stability render mode image quality and sweep angle For details refer to Section 7 2 Working with 3D Images 8 Display the 4D imaging in the following ways B Select DUAL DISPLAY FULL DISP 3D or QUAD DISPLAY by pressing the corresponding function key to activate the corresponding display format B Select 1 2 or 4 on the key panel to display the 4D imaging in a full dual or quad display You can also select the Freeze key in the 3D imaging mode to enter the 4D imaging mode The imaging area of the screen is divided into 3 reference images and a dynamic 3
142. u should complete the current exam before backing up the data You can back up the data to the USB device or DVD 10 3 1 Backing up Data to the USB Device Perform the steps as follows Connect the USB device to the ultrasound system Choose the Patient key gt Patient List gt Patient Review to enter the Patient Review screen Select USB from the Import Export drop down list BW N Click Export Screen and then select the exported image format If you select PC image format you can also select the exported image or cine format Nn Select the desired patient 6 Click Patient Export to back up all data relevant to the patient 10 3 2 Backing up Data to DVD NOTE You should purchase the DVD drive on your own You can use DVD of DVD R RW and DVD R RW media types with the ultrasound system DVD write once 4 7GB capacity manufactured by SONY is recommended Perform the steps as follows 1 Connect the DVD drive to the ultrasound system through the USB cable NOTE Ensure the DVD drive is connected to the ultrasound system 2 Place an empty DVD on the tray NOTE Please make sure the DVD faces upward 124 Basic User Manual 10 Managing Images Data DRE owe dev Choose the Patient key gt Patient List gt Patient Review to enter the Patient Review screen Select DVD from the Import Export drop down list Click Export Screen and then select the exported path Select the desired patie
143. usable medical and dental devices on FDA website That list can be consulted to find agents that may be useful for probe disinfection Please refer to the following URL for FDA Cleared Sterilants and High Level Disinfectants http www fda gov MedicalDevices DeviceRegulationandGuidance ReprocessingofSingle UseDevices ucm133514 htm Basic User Manual 1 Safety 1 2 4 Biohazard Considerations por e To minimize the risk of cross contamination or infectious diseases when performing 4 the biopsy the operator should wear disposable gloves protective clothing or protective goggle if it is needed Follow the working regulations strictly in case the skin contacts the samples e Some disinfectants or sterilant are acid or alkaline the operator should take cautions in preventing hands or clothing from being directly contact with them Wash hands or eyes immediately if they are contaminated by the disinfectants e Dispose of the cleaners disinfectants or discard solutions in accordance with the local standards or regulations 1 3 Acoustic Power Principle warninc Perform ultrasound procedures prudently under the guidance of ALARA as low as reasonably achievable principle Expose the patient to only the lowest practical transmit power levels in the shortest possible period to achieve a satisfactory diagnosis Freeze the image when the system is not used e Do not continuously scan the same part of a patient or expose the patien
144. use the footswitch in the operating room Disconnect the probe from the system after freezing an image or powering off the system Otherwise the system or the probe could be damaged Use the probe carefully If any part of the probe surface is scratched immediately stop using the probe Otherwise there is a danger of electric shock After disinfecting the accessories chemicals must be washed out or gases must be discharged thoroughly from the accessories Remaining residual chemicals or gases could not only result in damage to the accessories but also can be harmful to human bodies Only the trained physicians or sonographers under ultrasound guidance can handle the biopsy needle guides During the operation the operator must observe proper needle insertion sequencing with the needle guide in order to avoid undue discomforts unnecessary risks or injuries to the patient Contact with natural rubber latex may cause a severe anaphylactic reaction in persons sensitive to the natural latex protein The operator and patients must avoid contact with these items Refer to package labeling to determine latex content and FDA s March 29 1991 Medical Alert on latex products Use the legally marketed coupling gel in accordance with the relevant local regulations Read and understand all precautions in the relevant manual of the coupling gel before using it There is a cleared list of sterilants and high level disinfectants for use in processing re
145. ust the velocity scale To adjust the pulse repetition frequency B Flip the PRF switch upwards to increase the value B Flip the PRF switch downwards to decrease the value 76 Basic User Manual 6 Acquiring Images 6 3 4 5 Line Density Line density refers to the amount of ultrasound beam that make up the image Increasing the value of line density improves the resolution and decreases frame rate Therefore you have to balance the frame rate and the image quality when adjusting the line density A lower line density is useful in fetal heart beat adult cardiac applications and in clinical Radiology applications A higher line density is useful in obtaining very high resolution such as thyroid testicles To adjust the line density 1 Select LINE DENSITY by pressing the corresponding function key 2 Rotate it to adjust the value 6 3 4 6 Baseline Baseline represents the position of zero velocity or frequency The velocity range in one direction can be increased or decreased by adjusting the baseline Baseline is used to unwraps the alias in the color flow imaging and display higher velocities without reversal of colors To adjust the baseline 1 Select the Menu key in the real time scan menu pops up on the screen 2 Select BASELINE by using the trackball or or key 3 Rotate the Menu key or select or gt key to move the baseline towards positive or negative direction NOTE This function is not a
146. vailable in the DPI mode 6 3 4 7 Color Map Color map is used to select the method for the color coding of blood flows To change the color map 1 Select C MAP DIRECT D by pressing the corresponding function key 2 Rotate it to adjust the value NOTE When C MAP DIRECT D is set to 4 or above in the DPI mode the system automatically enters the DDPI mode with a Directional DPI icon At this time you can view the flow direction and velocity 6 3 4 8 Persistence Persistence is used to average consecutive frames to provide a smoother appearance with less noise Use lower persistence values for fast moving organs or tissues and higher persistence values for smoother appearance Basic User Manual 77 6 Acquiring Images To adjust the persistence 1 Select the Menu key in the real time scan menu pops up on the screen 2 Select PERSIST by using the trackball or f or key 3 Rotate the Menu key or select or gt key to increase or decrease the value 6 3 4 9 Sector Position Width Angle Sector width for linear probes or sector angle for curved and phased probes is used to adjusted the frame rate You can adjust the sector width or angle to get more information without moving the probe The interest imaging area of the object can be adjusted after you adjust the sector width or sector To adjust the sector position width angle B Select SEC POS by pressing the corresponding function key and rotate it to horiz
147. vated B PW mode The basic screen is divided into two displays as the following figure shows Spectral Doppler Line Flow Cursor Sample Volum Gate 2D Imaging Y axis Frequency m 50 pee ee rag rre X axis Time Figure 6 11 Inactivated B PW Mode Imaging Screen B The Spectral Doppler line and the sample volume gate are used to locate the qualitative analysis on the image The flow cursor needs to be adjusted parallel to the flow when measuring the velocity B X axis is the time scale Y axis is Doppler frequency scale including a positive and negative indicator 3 Adjust the position and angle of the Spectral Doppler line Position the sample volume gate on the Spectral Doppler line by moving the trackball up or down B Adjust the angle of the Spectral Doppler line by moving the trackball left or right B Select the Set key to confirm 84 Basic User Manual 6 Acquiring Images 4 Adjust the sample volume gate B Adjustthe size ofthe sample volume gate by moving the trackball Rotate the Angle knob to increase or decrease the angle of the flow cursor 5 Select the Update key to activate the PW mode The basic screen displays as below after being activated o A 50 cm s Y axis Frequency 7 50 X axis Time Figure 6 12 PW Mode Imaging Screen Select the AUDIO or A
148. verview Basic User Manual 13 2 System Overview 2 3 1 Front Panel 27 4 Figure 2 2 Front View 1 LCD Monitor 2 Probe Cable Hanger 3 Control Panel 4 Release latch 14 Basic User Manual 2 System Overview 2 3 2 Side View Figure 2 3 Side View 1 Audio Output Port 2 S VIDEO Port 3 Network Port DICOM 4 USB Port 5 Video Output Port 6 Power On Off Button Basic User Manual 15 2 System Overview 2 3 3 Rear Panel TT o 0 O J WAND 01000000000000000 2 2 8 3 4 3 e0 7 6 Figure 2 4 Rear Panel Rating Label 2 Video Printer Port 3 USB Port 4 Grounding Terminal 5 Footswitch Port 6 BNC Video Output Port 7 ECG Port 8 AC Adapter Port 9 Probe Port 10 Probe Lock 16 Basic User Manual 2 System Overview 2 3 4 Battery Compartment Figure 2 5 Battery Compartment View DustFilter 2 Battery Lock 3 Battery Basic User Manual 17 2 System Overview 2 3 5 Control Panel Function Key
149. wa e Do not power off the system during system upgrade or data transmission e Extra 30 60 seconds are needed for powering on the system if it is powered off in abnormal way last time e Ifthe system is configured with the uScan feature do not connect the USB device to the system before system startup e Wait approximately 20 seconds before powering on the ultrasound system again Otherwise a failure may result e To maintain the safety and functionality of the ultrasound system regular maintenance must be performed as described in Chapter 13 System Maintenance e Ensure the system works in accordance with requirements in Appendix A Specifications Basic User Manual 29 3 Preparing the System B To power on the system 1 Connect to the adapter to system and the mains supply 2 Press on the left side of the system to power on the system operating indicators illuminate the initial screen and the application mode screen appear after the system completes the initialization B To power off the system Press on the left side of the system to power off the system B System Standby If the ultrasound system is idle for a set period the system enters the standby mode automatically 3 4 Adjusting the System Grip the left and right sides of the screen swivel the screen forwards or backwards 3 5 Connecting the Probe warnine Disconnect the probe from the system after freezing an image Otherwise the probe cou
150. y 4 Dry the probe cable with a lint free soft dry cloth Table 12 4 Recommended Method for Medium level Disinfection Level of Active Contact Contact Disinfectant Manufacturer Active Ingredients Ingredients Type Period T spray II Pharm Inc Quat Ammonia lt 10 minutes T spray Pharm Inc Quat Ammonia lt 10 minutes B Sterilization If the probe cable contacts with any blood or body fluid you should sterilize it For details refer to Section 12 1 5 Sterilizing the Probe 12 1 7 Storage and Transportation You should operate store and transport the probe in accordance with Appendix A Specifications To transport the probe 1 Ensure the probe is cleaned and disinfected before the transportation 2 Place the probe fully into the carrying case and carefully wind the cable 3 Ensure no parts of the probe left outside the carrying case before the package 4 Pack the carrying case with sponge and place it in a carton Bi To store the probe The following items are recommended to be performed for the storage e Always store the probe in the probe holder or the specific package e Ensure the probe holder or the specific package is clean e Do not expose it in direct sunlight or environmental temperature of sudden changes e Store the probe alone to avoid any impact on the probe head e Carefully wind the probe cable e Dry the probe before the storage 140 Basic User Manual 12 Probes Biopsy 12 2

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