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Philips HD11 XE Getting Started Manual

Ultrasound system.
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H D 1 1 X E U l t r a s o u n d S y s t e m

Getting Started

4535 612 62651 Rev A
September 2006
Copyright © 2006 Koninklijke Philips Electronics N.V. All rights reserved Printed in USA

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Table of Contents

   Summary of Contents for Philips HD11 XE

  • Page 1: Getting Started

    H D 1 1 X E U l t r a s o u n d S y s t e m Getting Started 4535 612 62651 Rev A September 2006 Copyright © 2006 Koninklijke Philips Electronics N.V. All rights reserved Printed in USA...
  • Page 2 Philips Legal Department. This document is intended to be used by customers and is licensed to them as part of their Philips equipment purchase. Use of this document by unauthorized persons is strictly prohibited.
  • Page 3 Philips has taken care to ensure the accuracy of this document. However, Philips assumes no liability for errors or omissions and reserves the right to make changes without further notice to any products herein to improve reliability, function, or design. Philips may make improvements or changes in the products or programs described in this document at any time.
  • Page 4 HD11 XE Getting Started 4535 612 62651...
  • Page 5: Table Of Contents

    Control Effects ........... .36 HD11 XE Getting Started...
  • Page 6 About the HD11 XE Ultrasound System........61...
  • Page 7 Keyboard ............83 HD11 XE Getting Started...
  • Page 8 Using the Wheel Controls ......... .108 HD11 XE Getting Started...
  • Page 9 Regulatory Compliance ..........125 HD11 XE Getting Started...
  • Page 10 Daily and Long-Term Storage ........158 Safety Considerations When Using Disinfectants and Gels ....159 HD11 XE Getting Started 4535 612 62651...
  • Page 11 Endocavity Examination Guidelines ........201 HD11 XE Getting Started...
  • Page 12 Special Considerations for TEE Examinations ......224 HD11 XE Getting Started 4535 612 62651...
  • Page 13 Intended Use............246 HD11 XE Getting Started...
  • Page 14 Leakage Current Testing ......... . .253 Appendix A HD11 XE System Supplies, Peripherals, and Accessories..259 Ordering Parts .
  • Page 15: Read This First

    1 Read This First This section contains important information about the user information for your system and about contacting Philips Ultrasound. Intended Audience Before you use your user information, you need to be familiar with ultrasound techniques. Sonography training and clinical procedures are not included here.
  • Page 16: Warning Symbols

    Help. It includes a glossary containing descriptions of all controls and display elements. • Quick Guide: The Quick Guide is provided with the system and is also included on the CD. It contains procedures, imaging tips, and information on system controls. HD11 XE Getting Started 4535 612 62651...
  • Page 17: About Your Compact Disc

    • Shared Roles for System and Data Security: Contains guidelines to help you understand how the security of your ultrasound system could be compro- mised and information on Philips efforts to help you prevent security breaches. About Your Compact Disc The CD contains all of the user information, except the Operating Notes.
  • Page 18: User Information Conventions

    Select means to move the pointer to an object and press the Select key. • Drag means to place the pointer over an object and then press and hold the Enter key while moving the trackball. Use this method to move an object on the display. HD11 XE Getting Started 4535 612 62651...
  • Page 19: Upgrades And Updates

    For customers outside the USA, call your local customer service representa- tive or contact one of the offices under “Customer Service” on page You can also send e-mail to Philips Ultrasound Technical Communications at the following address: bothell.techpubs@philips.com HD11 XE Getting Started...
  • Page 20: Ordering Supplies And Accessories

    Please contact your local Philips Ultra- sound representative for assistance. You can also contact one of the following offices for referral to a customer service representative, or visit the Philips Ultra- sound Web site: www.medical.philips.com...
  • Page 21 Level 9, Three Pacific Place 1 Queen’s Road East Wanchai Hong Kong +852 2821 5888 European Headquarters (also serves Africa and the Middle East) Philips Medizin Systeme Böblingen GmbH Hewlett-Packard-Str. 2 71034 Böblingen Germany +49 40 5078 4532 Latin American Headquarters...
  • Page 22 Read This First HD11 XE Getting Started 4535 612 62651...
  • Page 23: Safety

    Before you use any transducer for the first time, be sure to read all applicable usage, patient-safety, operator-safety, and electrical-safety guidelines in this man- ual. If you have any comments or questions about safety, contact your Philips repre- sentative. This section includes critical information about the intended uses of the ultra- sound system.
  • Page 24: Explosion Hazard

    RF communications equipment such as cellular phones and pagers, or from the existence of radio, TV, or microwave transmission equipment located nearby. In cases where electromagnetic interference (EMI) is causing dis- turbances, it may be necessary to relocate your system. HD11 XE Getting Started 4535 612 62651...
  • Page 25 • Doppler audio and spectral display • Measurements • Acoustic output • ECG triggering • VCR recording and playback • Printing using the system printers • Patient information • Date/time information HD11 XE Getting Started 4535 612 62651...
  • Page 26: Ecg Signal

    ESD is most prevalent during conditions of low humidity, which can be caused by heating or air-conditioning. During low humidity conditions, electrical charges naturally build up on individuals and objects and can create static discharges. HD11 XE Getting Started 4535 612 62651...
  • Page 27: Biological Safety

    Do not use a system that exhibits erratic or inconsistent image updating. Dis- continuities in the scanning sequence are indicative of a hardware failure that must be corrected before use. • Perform ultrasound procedures prudently. Use the ALARA (as low as reason- ably achievable) principle. HD11 XE Getting Started 4535 612 62651...
  • Page 28: Alara Education Program

    Safety WARNINGS • Use only acoustic standoffs that have been approved by Philips Ultrasound. • Transducer covers may contain natural rubber latex. Those covers may cause allergic reactions in some individuals. Refer to the FDA Medical Alert on Latex Products, dated March 29, 1991.
  • Page 29 Special care must be taken to enter the correct application when conducting an exam, and to remain in that application throughout the course of that examina- tion. In the future, HD11 XE may add some applications, such as ophthalmic appli- HD11 XE Getting Started...
  • Page 30 Power control can be used to increase or decrease the intensity output. The Power control allows you to select intensity levels less than the established maximum. Prudent use dictates that you select the lowest output intensity that is consistent with good image quality. HD11 XE Getting Started 4535 612 62651...
  • Page 31 To scan deeper at the same out- put intensity, a lower transducer frequency is required. Using more gain and out- put beyond a point, without corresponding increases in image quality, can mean that a lower frequency transducer is needed. HD11 XE Getting Started 4535 612 62651...
  • Page 32 Ensure that scanning time is kept to a minimum, and ensure that only medically required scanning is performed. Never compromise quality by rushing through an exam. A poor exam may require a follow-up, which ultimately increases exposure HD11 XE Getting Started 4535 612 62651...
  • Page 33: Output Display

    The mechanical index (MI) is continuously displayed over the range of 0.0 to max- imum output (see the HD11 XE Acoustic Output Tables), in increments of 0.1 for all applications except contrast, where the minimum increment is 0.01.
  • Page 34 ® To display TIS, TIC, or TIB 1. Press Setup. 2. In the System widow, click the System tab. 3. Under Thermal Index, select the appropriate index. 4. Click Close. TIC is displayed when you select a transcranial application. HD11 XE Getting Started 4535 612 62651...
  • Page 35 Mechanical and Thermal Indices Display Precision and Accuracy The MI and TI precision is 0.1 unit on the system. For system MI and TI display accuracy estimates, see the HD11 XE Acoustic Output Tables. These accuracy estimates are based on the variability range of transducers and systems, inherent acoustic output modeling errors and measurement variabil- ity, as discussed below.
  • Page 36: Control Effects

    Doppler), the individual modes each add to the total TI. One mode will be the dominant contributor to this total. The displayed MI will be from the mode with the largest MI value. HD11 XE Getting Started 4535 612 62651...
  • Page 37 The TI will change due to the com- bination of these effects. Generally, the TI will decrease with increased color sec- tor depth. MI will correspond to the peak MI value of the dominant pulse type HD11 XE Getting Started 4535 612 62651...
  • Page 38 MI is the largest of the MI val- ues associated with each mode and focal zone enabled. The system will return to the previously selected state if a mode is turned off and then reselected. HD11 XE Getting Started 4535 612 62651...
  • Page 39: Related Guidance Documents

    5. Second Edition of the AIUM Output Display Standard Brochure, Dated March 10, 1994. (A copy of this document is provided with each system.) 6. Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers. FDA. September 1997. FDA. HD11 XE Getting Started 4535 612 62651...
  • Page 40: Acoustic Output And Measurement

    Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound Equipment” (Revision 1, AIUM, NEMA 1998), and the September, 1997 FDA doc- ument “Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers.” HD11 XE Getting Started 4535 612 62651...
  • Page 41 0.3 is used for general reporting purposes; therefore, the In Situ value which is commonly reported uses the formula: -0.069lf In Situ derated = Water [e Since this value is not the true In Situ intensity, the term “derated” is used. HD11 XE Getting Started 4535 612 62651...
  • Page 42 OB scans), a more accurate value for the derating term is 0.1 dB/cm-MHz. Fixed-path tissue models, in which soft tissue thickness is held constant, some- times are used to estimate In Situ acoustical exposures when the beam path is HD11 XE Getting Started 4535 612 62651...
  • Page 43: Acoustic Output Tables

    4.3.2.1-4.3.2.6 in Bioeffects and Safety of Diagnostic Ultrasound (AIUM, 1993). Acoustic Output Tables Acoustic output tables are in the HD11 XE Acoustic Output Tables manual. Acoustic Measurement Precision and Uncertainty All table entries have been obtained at the same operating conditions that give rise to the maximum index value in the first column of the tables.
  • Page 44 Wo is the ultrasonic power in ± 10% milliWatts. is the center frequency in MHz ± 4.7% (NEMA UD-2 definition). PII.3 is the derated spatial-peak pulse PII.3: +18% to -23% intensity integral in Joules/cm HD11 XE Getting Started 4535 612 62651...
  • Page 45: Symbols Used On The System

    The connector near either of these symbols receives an incoming signal. Output The connector near this symbol sends an outgoing signal. Alternating The connector near this symbol receives alternating current voltages. Ground Protective earth ground. HD11 XE Getting Started 4535 612 62651...
  • Page 46 Press this pedal to record the display image. pedal Print pedal Press this pedal to print the display image. Freeze pedal Press this pedal to freeze the display image. size ˜ x ˜ HD11 XE Getting Started 4535 612 62651...
  • Page 47: Patient Safety

    Ultrasound Exposure Although no harmful effects have been demonstrated for the ultrasound frequen- cies, intensities, and exposure times used in examinations with Philips ultrasound systems, Philips recommends that you select the lowest ultrasound exposure that produces diagnostically acceptable information.
  • Page 48: Thermal Exposure

    Your system automatically turns off the transmit power if the device malfunctions. If this occurs, turn off the system, remove any transducer from the patient, and contact your Philips service representative. Electrical Warnings Follow these warnings to ensure patient and operator safety. Failure to follow these warnings can affect both patient and operator safety.
  • Page 49: Installation Requirements

    Installation Requirements The system is designed to be installed by qualified service personnel. Installation of the system by a Philips service representative is included in the purchase price of all new systems purchased from Philips. HD11 XE Getting Started...
  • Page 50: Ac Power Requirements

    AC drops down to 40% of nominal voltages for up to 5 AC cycles. • Complete AC dropout for one complete AC cycle. If your AC power does not meet these requirements, you should use a power line conditioner, or an uninterruptible power supply (UPS). HD11 XE Getting Started 4535 612 62651...
  • Page 51: Defibrillators

    Pacemakers Philips ultrasound equipment in normal operation, as with other medical elec- tronic diagnostic equipment, uses high-frequency electrical signals that can inter- fere with pacemaker operation. Though the possibility of interference is slight, be alert to this potential hazard and stop system operation immediately if you note interference with a pacemaker.
  • Page 52: Explosive Hazards

    The ultrasound system and transducers do not contain natural rubber latex that contacts humans. Natural rubber latex is not used on any ultrasound transducer, including transthoracic, intraoperative, and transesophageal echocardiography (TEE) transducers. It also is not used on Philips ECG cables for the products in this manual. WARNING...
  • Page 53 If both the health professional and the patient are sensitive, a latex middle glove could be used. (Latex gloves labeled “Hypoallergenic” may not always prevent adverse reactions.) HD11 XE Getting Started 4535 612 62651...
  • Page 54: Transmissible Spongiform Encephalopathy

    Control and Prevention (CDC) and the World Heath Organization (WHO). The WHO provides infection control guidelines for transmissible spongiform enceph- alopathies. The transducers for your system cannot be decontaminated using a heat process. HD11 XE Getting Started 4535 612 62651...
  • Page 55: Peripherals Connections

    Do not connect AC power cords for peripherals to the AC power outlets on the system unless the peripherals are specified by Philips as part of the system. The risks associated with connecting such equipment to the outlets provided include •...
  • Page 56: Operator Safety

    Safety WARNING The use of cables, transducers, or accessories not supplied with the HD11 XE system can result in increased electromagnetic emissions or decreased electro- magnetic immunity of the system. For more information on electromagnetic immunity, see “Electromagnetic Immunity” on page 131.
  • Page 57: Foot Switch Warning

    The foot switch supplied with the ultrasound system meets only IPX1 drip-proof construction requirements. Philips Transducers Use only transducers that are approved by Philips for use with your Philips ultra- sound system. The transducers that are compatible with the system are listed in “Supported Transducers” on page 145.
  • Page 58: Infection Control

    Also, do not use isopropyl alcohol on TEE transducers (except for their handles). ECG Cables and Lead Sets For cleaning and disinfection information for ECG cables and lead sets, see the instructions provided with the ECG cables and lead sets. HD11 XE Getting Started 4535 612 62651...
  • Page 59 Disposable Drape If you believe contamination of the imaging system might occur during an exam, Philips recommends that you take universal precautions and cover the ultrasound system with a disposable drape. Consult your hospital’s rules regarding equipment use in the presence of infectious disease.
  • Page 60 Safety HD11 XE Getting Started 4535 612 62651...
  • Page 61: System Overview

    3 System Overview This section provides information to help you get started using the Ultrasound System. About the HD11 XE Ultrasound System The system is a powerful ultrasound imaging and image review tool. Use the sys- tem to perform the following tasks: •...
  • Page 62: Intended Uses

    Table 3-1. The patient population includes adults, pregnant females, children and adolescents, and neonates. Table 3-1 Intended Uses Imaging Application Abdominal Cardiac Gynecological Intraoperative Musculoskeletal Neonatal Head Obstetrical Pediatric Small Parts HD11 XE Getting Started 4535 612 62651...
  • Page 63: Studies

    Determining blood flow patterns and velocities • Guiding a biopsy needle Table 3-2 lists important information about abdominal studies. Table 3-2 Abdominal Studies Target Approach Patients Abdominal organs, arteries, Transabdominal Adult, pediatric, and neonatal and veins HD11 XE Getting Started 4535 612 62651...
  • Page 64: Cardiac Studies

    Imaging to obtain images that can be used for • Visualizing female reproductive organs • Determining blood flow patterns and velocities • Guiding a biopsy needle • Detecting structural abnormalities Table 3-4 lists important information about gynecological studies. HD11 XE Getting Started 4535 612 62651...
  • Page 65: Intraoperative Studies

    Musculoskeletal studies are performed to obtain images that can be used for • Evaluating tendon, ligament, and muscle size and contour • Detecting pathology and other abnormalities • Evaluating integrity of tendons and ligaments Table 3-6 lists important information about musculoskeletal studies. HD11 XE Getting Started 4535 612 62651...
  • Page 66: Neonatal Head Studies

    Imaging to obtain images of the fetus that can be used for • Detecting maternal or fetal structural abnormalities • Imaging and measuring anatomic parameters of the fetus • Determining blood flow patterns and velocities Table 3-8 lists important information about obstetrical studies. HD11 XE Getting Started 4535 612 62651...
  • Page 67: Pediatric Studies

    “Neonatal Head Studies” on page 66 Small Parts Studies Small parts studies are performed to obtain images that can be used for • Detecting structural abnormalities • Determining blood flow patterns and velocities • Guiding a biopsy needle HD11 XE Getting Started 4535 612 62651...
  • Page 68: Transcranial Studies

    Detecting vessel size, contour, and patency • Characterizing obstructions and abnormalities • Determining blood flow patterns and velocities • Imaging and measuring anatomic parameters of vessels • Detecting structural irregularities Table 3-10 lists important information about vascular studies. HD11 XE Getting Started 4535 612 62651...
  • Page 69: Ultrasound System Components

    Abdominal Adult and pediatric Superficial Vessels Intraoperative and Adult and pediatric surface Ultrasound System Components The system consists of a monitor, a system control panel, and a cart, as shown in Figure 3-1. HD11 XE Getting Started 4535 612 62651...
  • Page 70 System Overview Figure 3-1 HD11 XE System Microphone Monitor Transducer and Soft key panel gel holders Control panel Handle Transducer Printer connector panel CD-RW drive Physio panel MOD drive Storage bin Wheels NOTE The headphone jack on the CD drive is not active on this system.
  • Page 71: System Control Panel Components

    The Help describes all of the controls on the system control panel. Figure 3-2 System Control Panel Soft key On/Off panel Keyboard Help Option keys Slide controls Control panel keys Record keys Trackball Knobs HD11 XE Getting Started 4535 612 62651...
  • Page 72: Display

    Figure 3-3. Figure 3-3 Display Patient and study data area Image data area Thumbnail area Icon area Soft key Select menu labels and prompts HD11 XE Getting Started 4535 612 62651...
  • Page 73: About Standard Features, Clinical Options, And Purchasable Options

    Optionally, you can purchase the Shared Service Clinical package which combines all of the applications and presets listed in Table 3-11 and includes physio (ECG), exam-specific calculations and analysis, configurable reporting, and biopsy capabil- ities. HD11 XE Getting Started 4535 612 62651...
  • Page 74 Provides cardiac-catheterization (Cath) lab and electrophysiology (EP) lab presets for intracardiac echo (ICE) imaging. The ICE Imaging option allows use of the EPMedSystems FlexMate ICE catheter transducer. This option uses the cardiac/adult calculations and analysis package. HD11 XE Getting Started 4535 612 62651...
  • Page 75: Purchasable Options

    For more information, see “Installing, Removing, and Disabling Options” on page For information on purchasing options, contact your Philips representative. Table 3-12 lists and describes the performance and image management options. Table 3-12 Performance and Image Management Options...
  • Page 76 The Fetal STIC option will only function if you have installed the 4D Imaging option. HD11 XE Getting Started 4535 612 62651...
  • Page 77 4D Complete Includes the 4D Imaging option, the 3D9-3v You must Package transducer for endovaginal applications, and two purchase the curved array 3D volume transducers (3D6-2 and Fetal STIC 3D8-4). option separately. HD11 XE Getting Started 4535 612 62651...
  • Page 78 4D Imaging 3D Fetal Echo STIC Fetal STIC Contrast Contrast Package Vascular Vascular Clinical Application Package OB/GYN OB/GYN Clinical Application Package General Imaging General Imaging Clinical Application Package Cardiac Cardiac Clinical Application Package HD11 XE Getting Started 4535 612 62651...
  • Page 79: Using The System

    On/Off for longer than 3 seconds, you will have to wait longer than usual to use your system the next time you turn it on. You may also corrupt files and lose patient data. HD11 XE Getting Started 4535 612 62651...
  • Page 80: Positioning The Control Panel And Monitor

    You can adjust the position of the monitor to suit different operating positions and operator heights. When it is released from its locked transport position, the monitor can be tilted up and down, swiveled right and left, and moved from side to side. HD11 XE Getting Started 4535 612 62651...
  • Page 81: Locking And Unlocking The Monitor Arm

    3. Select the appropriate Monitor brightness setting. Use the lowest setting (1) for very dark rooms and the highest setting (5) for bright conditions, such as operating rooms. Philips recommends setting 3 for normal scan room light- ing conditions. 4. Click Apply.
  • Page 82: Raising, Lowering, And Swiveling The System Control Panel

    Using the System ® To adjust the display tint 1. Press Setup. 2. Click the System tab. 3. Select the appropriate Monitor tint setting. Philips recommends the sRGB setting for routine use. 4. Click Apply. 5. Click Close. NOTE To cycle through the brightness settings, press Ctrl+T repeatedly.
  • Page 83: Keyboard

    Select menu above the soft key labels. The active trackball func- tion is highlighted, and its associated screen elements appear in blue. ® To change the active trackball function Press Select. HD11 XE Getting Started 4535 612 62651...
  • Page 84: Changing The Current Input Language

    You can choose from several default presets. You cannot delete these default pre- sets. However, they provide a starting point from which you can create your own presets. You can create up to 20 presets for each of the 9 exam types. If you need HD11 XE Getting Started 4535 612 62651...
  • Page 85: Changing And Saving System Settings

    When you receive your system, the options you purchased are installed and enabled. At some point, however, you may need to install a new option, to remove an option, or to disable an option. HD11 XE Getting Started 4535 612 62651...
  • Page 86: Assigning Option Keys

    If you need to create more presets than you can store on your system, you can save the presets to a CD and restore them when you need to use them. For more information and detailed instructions on backing up presets, see the Help. HD11 XE Getting Started 4535 612 62651...
  • Page 87: Backing Up System Settings

    NOTE The MOD drive and network capabilities are components of DICOM options. For more information and detailed instructions on backing up patient folders, see the Help. HD11 XE Getting Started 4535 612 62651...
  • Page 88: Managing Patient Data

    CD-Rs. CD-Rs cannot be erased, but are more likely to be compatible with your personal computer. The MOD drive is optional on the system. MODs can be erased and reused numerous times, but they are more expensive than CD-Rs and CD-RWs. HD11 XE Getting Started 4535 612 62651...
  • Page 89: Managing Data Security

    You can configure a variety of security settings on the system to protect patient information from unauthorized access. For more information about security set- tings, see the Help. HD11 XE Getting Started 4535 612 62651...
  • Page 90: Configuring Network Settings

    6. In the This System tab, type the AE title that the network administrator assigned to this system. 7. Set the Port number to the number assigned to the system by the network administrator. 8. Click Network settings. HD11 XE Getting Started 4535 612 62651...
  • Page 91: Adding A Dicom Server

    The default port number, 104, is assigned to ultrasound systems at most institu- tions. After you enter the server information, the rest of the fields in the Server section of the DICOM Setup window are automatically filled in with default values. HD11 XE Getting Started 4535 612 62651...
  • Page 92: Associating Dicom Servers With Roles

    • Color Printer SCP—The server assigned to this role is a color printer. MWL SCP—(Modality Worklist) The server assigned to this role provides • information about scheduled patients to the system. HD11 XE Getting Started 4535 612 62651...
  • Page 93: Checking The Dicom Job Manager

    Press the Ctrl key and the J key (Ctrl+J) at the same time to open the Job Man- ager window. If there are jobs left in the queue, you can resend them to the network. For more information, see the Help. HD11 XE Getting Started 4535 612 62651...
  • Page 94: Connecting Peripherals

    WARNINGS • Using accessories, transducers, peripherals, or cables not supplied with the ultrasound system or not recommended by Philips can result in increased emissions or decreased immunity of the ultrasound system. • If you use additional peripheral equipment powered from an electrical source other than the ultrasound system, the combination of the peripheral equip- ment and the ultrasound system is considered to be a medical system.
  • Page 95 Figure 4-2 Input/Output Connections Foot switch connector Serial interface connector S-Video output connector B&W composite Network video output connector connector Color composite USB connector video output connector Print trigger output connector Analog telephone line input connector HD11 XE Getting Started 4535 612 62651...
  • Page 96 Each system comes standard with: • Two power cords • Two Universal Serial Bus (USB) cables • VCR cables (two audio, two video, and one RS-232) HD11 XE Getting Started 4535 612 62651...
  • Page 97: Connecting A Printer

    The color printer is mounted on the rear shelf of the system. If you purchased a plain-paper printer, see “Connecting a Plain-Paper USB Printer” on page 100 for information and instructions on how to connect that type of printer. HD11 XE Getting Started 4535 612 62651...
  • Page 98 Do not use nonmedical peripherals within 1.5 m (6 ft) of a patient, unless the nonmedical peripherals receive power from an isolated power outlet on the Philips ultrasound system, or from an isolation transformer that meets medi- cal safety standards, as defined by standard IEC 60601-1-1.
  • Page 99 Do not use nonmedical peripherals within 1.5 m (6 ft) of a patient, unless the nonmedical peripherals receive power from an isolated power outlet on the Philips ultrasound system, or from an isolation transformer that meets medi- cal safety standards, as defined by standard IEC 60601-1-1.
  • Page 100 NOTES • Check with your Philips-qualified service representative before purchasing or connecting a plain-paper USB printer to make sure it is compatible with the ultrasound system and to obtain a Commercial Off-the-Shelf Software (COTS) CD-ROM. The COTS CD-ROM includes the printer driver informa- tion necessary for your printer to communicate with the system.
  • Page 101 Using the System ® To connect a plain-paper printer 1. Make sure that the printer is authorized by Philips and that you have obtained a COTS CD-ROM from your Philips-qualified service representative. NOTE You will only need the COTS CD-ROM if your system does not already support the printer you purchased.
  • Page 102: Connecting A Vcr

    6. Align the peripheral housing garage with the four pins on the cart and push the garage into place on the back of the cart. 7. Reconnect the system’s power cord to the power source. 8. Turn the VCR on, and then turn on the system. HD11 XE Getting Started 4535 612 62651...
  • Page 103: Assigning Keys To Peripherals

    7. Click Apply or Save, and then click Close. NOTE Your Philips representative types a value for the Tape Time setting when install- ing peripherals. This setting determines the time displayed on the display when a videotape is inserted into the VCR. You can change this setting when you assign a Record key to a peripheral.
  • Page 104 Table 4-3 Foot Switch Functions Mode Left Pedal Middle Pedal Right Pedal Rec 1 Freeze Rec 2 Stress None Enter Acquire NOTE You can only configure the 2D foot switch functions. HD11 XE Getting Started 4535 612 62651...
  • Page 105: Configuring And Using The Data Transfer Feature

    The Data Transfer feature allows patient report data to be sent through the sys- tem’s RS-232 port to an offline printer, computer, or workstation. For more information on the data transfer formats, contact your Philips represen- tative. Assigning a Record Key Before you can use the Data Transfer feature to transfer study data, you must configure the system by assigning Serial Output to one of the record keys.
  • Page 106: Transferring Data

    151.1 cm to 174 cm (59.5 in to 68.5 in) Width 55.88 cm (22 in) Depth 111.76 cm (44 in) from front of keyboard to rear of base Weight < 100 kg (220 lb) without peripherals HD11 XE Getting Started 4535 612 62651...
  • Page 107: Taking Precautions When Moving The System

    Use extreme care when moving the system. Avoid ramps that are steeper than 5 degrees to eliminate the potential danger of the system tipping over. HD11 XE Getting Started 4535 612 62651...
  • Page 108: Using The Wheel Controls

    Press down on the green lever on each front wheel. ® To apply the brakes to each wheel Press the red levers down. ® To release the wheel locks or the steering locks Press the gray levers down. HD11 XE Getting Started 4535 612 62651...
  • Page 109: Moving The System

    • Be sure the load capacity of the loading lift can accommodate the weight of the ultrasound system. Philips recommends a minimum capacity of 227 kg (500 lb). HD11 XE Getting Started 4535 612 62651...
  • Page 110 Be sure the ultrasound system is firmly secured while it is inside the trans- porting vehicle. Make sure the brakes are applied to both wheels during trans- port. Any movement, coupled with the weight of the system, could cause it to break loose. HD11 XE Getting Started 4535 612 62651...
  • Page 111: Getting Help And Troubleshooting Your System

    If you are having trouble finding the information you need, use the Index or the Search tabs to search for topics by keywords. • Review “Transducers” on page 145 for questions related to using specific transducers with the system. HD11 XE Getting Started 4535 612 62651...
  • Page 112 If you experience a problem using the system, press Ctrl+u to insert a • marker in the system’s event log. Your Philips representative may need to review the event log file to help troubleshoot your system. The marker helps to identify the events surrounding the problem.
  • Page 113: Troubleshooting

    Press the On/Off button to restart the system. It may take several min- utes for the system to restart. 4. If the system still does not start, contact your Philips representative. HD11 XE Getting Started 4535 612 62651...
  • Page 114 Fan Turns on Periodically When the System Is Off If the system is turned off, but is still plugged into the wall outlet, the fan comes on periodically to regulate the temperature within the system. This is normal. HD11 XE Getting Started 4535 612 62651...
  • Page 115: Cleaning And Maintaining The System

    Other products that are based on quaternary ammonium compounds (QUAT) or QUAT/isopropyl can also be used in disinfecting system surfaces. Use the following procedure to disinfect system surfaces. WARNING Always use protective eyewear and gloves when cleaning and disinfecting any equipment. HD11 XE Getting Started 4535 612 62651...
  • Page 116 Ensure the solution strength and duration of contact are appropriate for the intended clinical application. 5. Air dry or towel dry with a sterile cloth according to the instructions on the disinfectant label. HD11 XE Getting Started 4535 612 62651...
  • Page 117: Cleaning The Cables And The Connectors

    Additional cleaning agents are also available for transducers. 5. Remove any residue with a cloth moistened with sterile water. 6. Be sure to dry the equipment to prevent potential corrosion. HD11 XE Getting Started 4535 612 62651...
  • Page 118: Preventive Maintenance

    Cleaning and Maintaining the System Preventive Maintenance Philips recommends basic preventive maintenance that is intended to minimize the possibility of unexpected failure. Most recommendations rely on thorough cleaning. Preventive maintenance of the system consists primarily of periodically and con- sistently cleaning the air filter and maintaining the cart.
  • Page 119: Service Documentation

    Service manuals are not shipped with each system. However, you can purchase a service manual from your Philips representative. It contains parts lists, a brief the- ory of operation, error codes, and preventive maintenance and safety testing instructions.
  • Page 120: Electrostatic Discharge Guidelines

    CAUTION If you use a vacuum cleaner to clean the interior of the system or any ESD-sensi- tive part of the system, take the necessary static discharge precautions to avoid damaging the electronics. HD11 XE Getting Started 4535 612 62651...
  • Page 121: Maintaining The System Control Panel

    The air filter is located on the bottom of the system between two channels, as shown in Figure 5-1. Figure 5-1 Location of Air Filter HD11 XE Getting Started 4535 612 62651...
  • Page 122: Cleaning The Trackball

    3. Clean the trackball and the mounting area with a lint-free cloth or a small brush. 4. Place the ball back on the mounting area. 5. With your fingers, screw the ring back on. HD11 XE Getting Started 4535 612 62651...
  • Page 123: Cleaning And Maintaining Peripherals

    Cleaning and Maintaining Peripherals For information about cleaning the system peripherals, see the manufacturer’s manual that accompanied the peripheral, or contact your local Philips representa- tive. The procedures generally require the removal of the unit from the cart and therefore should be performed by appropriate service personnel.
  • Page 124: Replacing The System Battery

    However, there are no patient safety concerns. To replace the battery, con- tact your Philips service representative. WARNING There is a danger of explosion if the battery is replaced incorrectly. The battery should be replaced only with the same or equivalent type recommended by the equipment manufacturer.
  • Page 125: Device Standards

    –20C° to 60°C (–4°F to 140°F) (excluding media) Relative Humidity 20% to 90%, noncondensing Atmospheric Pressure 572 to 1,013 hPa Regulatory Compliance Agency Clearances FDA and JTA Product Marks CE (MDD), GOST, ICES-001 HD11 XE Getting Started 4535 612 62651...
  • Page 126: Standards And Directives

    1998, AM-1:1991, AM-2:1995 IEC 60601-1-1 2000 IEC 60601-1-2 2001 IEC 60601-2-37 2001 IEC 61157 1992 Japan JIS T 0601-1 1999 JIS T 0601-1-1 1999 JIS T 1501 1984 United States UL 2601-1 1997 HD11 XE Getting Started 4535 612 62651...
  • Page 127: Audible Acoustic Output

    The testing for electromagnetic compatibility (EMC) of this system has been per- formed according to the international standard for EMC with medical devices (IEC 60601-1-2). This IEC standard was adopted in Europe as the European norm (EN 60601-1-2). HD11 XE Getting Started 4535 612 62651...
  • Page 128: Electromagnetic Emissions

    Emissions Test Compliance Guidance RF emissions CISPR 11 Group 1 The HD11 XE ultrasound system uses RF energy only for its internal function. Therefore, its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.
  • Page 129 Twisted Pair Trigger Shielded < 3 m (< 9.8 ft) Foot switch Shielded 1.5 m (4.9 ft) Included with foot switch assembly RS-232 interface Shielded 2 m (6.5 ft) Shielded <3 m (10 ft) HD11 XE Getting Started 4535 612 62651...
  • Page 130 Sony UP-D895MD Color Printer Sony UP-D23MD Color Laser Jet Printer Hewlett-Packard Make sure that the printer is authorized by Philips and Black-and-White Laser Jet Hewlett-Packard that you have obtained a Printer COTS CD-ROM from your Ink Jet Printer Hewlett-Packard Philips-qualified service representative.
  • Page 131: Electromagnetic Immunity

    ± 1 kV differential Surge Same as Mains power quality should IEC 610004-5 mode IEC 60601 test be that of a typical level commercial or hospital ± 2 kV common environment. mode HD11 XE Getting Started 4535 612 62651...
  • Page 132 “Approved Cables, Transducers, and Acces- sories for EMC” on page 128 to minimize the change of performance degradation of the ultrasound system due to these types of electromagnetic phenomena. HD11 XE Getting Started 4535 612 62651...
  • Page 133 For this reason, Philips does not provide a list of compatible accessories. Philips suggests that the installer or user of such a system consult with experts in the field of electromag- netic compatibility and safety for guidance to ensure the safe and effective use of the created system.
  • Page 134 TV stations, and so on. c. Conducted interference on power lines or connected cables caused by other equipment such as switching power supplies, electrical controls, and natural phenomena such as lightning. HD11 XE Getting Started 4535 612 62651...
  • Page 135: Recommended Separation Distance

    RF compli- ance level in Table 6-6, the system should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relo- cating the system. HD11 XE Getting Started 4535 612 62651...
  • Page 136 Doppler or PW Doppler operating modes but the probability of interference is lower than 2D mode or Color mode because the susceptible frequency range is less. Therefore, you are more likely to see interference in 2D or Color modes. HD11 XE Getting Started 4535 612 62651...
  • Page 137: Avoiding Electromagnetic Interference

    A medical device can either generate or receive electromagnetic interference. The EMC standards describe tests for both emitted and received interference. Emission tests deal with interference generated by the device being tested. Philips ultrasound systems do not generate interference based on the tests described in the referenced standards.
  • Page 138: Restrictions For Use

    Be cautious when comparing immunity levels of different ultrasound systems. The criteria used for degradation is not specified by the standard and may vary with the manufacturer. Testing has been performed on each class of Philips transducer for every operat- ing mode over a wide range of frequencies. Table 6-9 lists the results of immunity testing.
  • Page 139: Electrosurgical Units

    System Input/Output Connections Figure 4-2 page 95 shows the input and output connections on the system’s two I/O panels. The I/O panels are located on the back of the system. HD11 XE Getting Started 4535 612 62651...
  • Page 140 I/O panel. Table 6-10 I/O Panel Pinouts Maximum Input/ Output Signal Output Voltage RS-232 Serial Data Export ±12 V ±12 V Ground ±12 V Foot Switch Input Right Middle Left HD11 XE Getting Started 4535 612 62651...
  • Page 141 Output Voltage Ground S-Video Output Ground Luma Chroma Ground Color Composite Video Output Ground Composite video B & W Composite Video Output Ground Composite video Print Trigger Output Ground Trigger Network Connection TX– HD11 XE Getting Started 4535 612 62651...
  • Page 142: Ecg/physio Input Connections

    ECG/physio input connections. The physio panel is located on the front of the system, below the CD-ROM drive. For a description of each symbol on the physio panel, see “Symbols Used on the System” on page HD11 XE Getting Started 4535 612 62651...
  • Page 143 There is danger of electrocution if these pins are plugged into AC power. • Do not apply voltages of more than ±15 V with respect to ground to external panel connectors. Table 6-11 lists and describes the ECG and physio input parameters and values. HD11 XE Getting Started 4535 612 62651...
  • Page 144 ± 4 V ≤ 3.0 V P-P Aux physio Input for full scale at 100% input gain setting in Dual MMode 3-dB bandwidth DC to 100 Hz min ≥ 4 V P-P Maximum input signal HD11 XE Getting Started 4535 612 62651...
  • Page 145: Transducers

    • “Biopsy-Capable Transducers” on page 241 • “Intraoperative Transducers” on page 245 Supported Transducers Table 7-1 lists and describes the transducers that are supported by the system. The transducers are grouped by type. HD11 XE Getting Started 4535 612 62651...
  • Page 146 Transducers Table 7-1 HD11 XE System Transducers by Type Biopsy Connector Name Model Applications Capable Style Curved Array Transducers C5-2 21426A Abdominal, OB/GYN Cartridge C6-3 989605359591 Abdominal, OB/GYN Explora C8-4v 21437A Endovaginal, OB/GYN Cartridge C8-5 8500-1664-01 Neonatal head, Explora abdominal, OB/GYN,...
  • Page 147 Transducers Table 7-1 HD11 XE System Transducers by Type (Continued) Biopsy Connector Name Model Applications Capable Style S12-4 21780A Pediatric cardiac, Explora pediatric abdominal, intraoperative, neonatal head TEE Transducers S7-2omni 21778A Transesophageal Explora (adult and pediatric cardiac) Transesophageal Standard a, b...
  • Page 148 Transducers Table 7-1 HD11 XE System Transducers by Type (Continued) Biopsy Connector Name Model Applications Capable Style Linear Array Transducers L8-4 8500-1659-01 Vascular, small parts, Explora abdominal, pediatric hips, musculoskeletal L9-3 989605353301 Vascular, small parts, Explora abdominal, pediatric hips, musculoskeletal...
  • Page 149: Specialty Transducers

    Transducers Table 7-1 HD11 XE System Transducers by Type (Continued) Biopsy Connector Name Model Applications Capable Style 3D/4D Transducers 3D6-2 8500-2032-01 Abdominal, OB/GYN, Explora pediatric 3D8-4 989605345331 Abdominal, OB/GYN, Explora pediatric 3D9-3v 8500-1715-01 Endovaginal, OB/GYN Explora V6-2 989605357561 Abdominal, OB/GYN,...
  • Page 150: Connecting Transducers

    Connecting Transducers Your system can be configured so that you can connect up to five transducers to it at one time. For details about configuring your system, see your Philips repre- sentative. Your system may include slots, as shown in...
  • Page 151 Align the connector, and gently plug it in. ® To remove a nonimaging transducer Grasp the transducer and pull it toward you. Do not pull the connector by the cable or the strain relief connector. HD11 XE Getting Started 4535 612 62651...
  • Page 152 2. Turn the latch on the adapter to lock the adapter to the system. 3. Plug the T6H transducer into the adapter. 4. Turn the latch 90 degrees clockwise to lock the transducer into the adapter. HD11 XE Getting Started 4535 612 62651...
  • Page 153 Turn the adapter latch to its unlocked position and pull it toward you. Figure 7-2 OmniPlane Adapter Back of adapter Front of adapter (system connection) (transducer connection) Figure 7-3 shows how each of the transducer connector types connect to the sys- tem. HD11 XE Getting Started 4535 612 62651...
  • Page 154: Activating Transducers

    When you turn on your system, the last transducer you used is active if it is still connected. Otherwise, the transducer in the top connector is active. Transducer Supplies and Accessories To order biopsy kits, transducer covers, supplies, and accessories, see “Trans- ducer Supplies” on page 263. HD11 XE Getting Started 4535 612 62651...
  • Page 155: Transducer Care And Maintenance

    This section contains the latest cleaning and disinfection information for all sup- ported transducers as of the date of this publication. It is important, however, that you periodically check the following Philips Web site for the very latest cleaning disinfection...
  • Page 156: Inspecting Transducers For Damage

    (CTS) and repetitive strain injury. For more information, see “Repetitive Strain Injury” on page Philips offers a slip-on reusable grip to provide alternative grip options for the fol- lowing transducers: S3-1, S4-2, S8-3, and PA4-2. HD11 XE Getting Started 4535 612 62651...
  • Page 157: Storing Transducers

    • Place the transducer in the case carefully to prevent kinking of the cable. • Before closing the lid, make sure no part of the transducer is protruding from the case. HD11 XE Getting Started 4535 612 62651...
  • Page 158: Daily And Long-term Storage

    Before storing transducers, make sure they are thoroughly dry. • For TEE transducers, be sure the distal tip is straight and protected before storing the transducer. • Never store a TEE transducer in the carrying case, except to transport it. HD11 XE Getting Started 4535 612 62651...
  • Page 159: Safety Considerations When Using Disinfectants And Gels

    The use of protective transducer covers and coupling gel is recommended for clinical applications of all intracavity transducers (including transesophageal). Use a sterile protective transducer cover with sterile ultrasound transmission gel during intraoperative and biopsy examinations. HD11 XE Getting Started 4535 612 62651...
  • Page 160: Latex Product Alert

    Natural rubber latex is not used on any ultrasound transducer, including transthoracic, intraoperative, and transesophageal echocar- diography (TEE) transducers. It also is not used on Philips ECG cables for the products in this manual. For information from the FDA regarding allergic reactions to latex-containing medical devices, see “FDA Medical Alert”...
  • Page 161: Acoustic Coupling Medium

    Transducer Care and Maintenance Acoustic Coupling Medium For proper transmission of the acoustic beam, use the ultrasound transmission gel supplied by or recommended by Philips, or another glycol, glycerol, or water-based acoustic coupling medium. CAUTION Do not use mineral oil, oil-based couplants, gels with lotions or emollients of any kind, or other unapproved materials because they might damage the transducer.
  • Page 162: General Cleaning Procedures For All Transducers

    For a list of approved enzymatic cleaners, see Table 8-2. 4. To remove remaining particulate and cleaning residue, rinse thoroughly with water up to the immersion point shown in Figure 8-3. 5. Wipe with a dry cloth. HD11 XE Getting Started 4535 612 62651...
  • Page 163: Disinfecting Transducers With Wipes And Sprays (low To Intermediate-level Disinfection)

    Disinfecting Transducers with Wipes and Sprays (Low to Intermediate-Level Disinfection) To disinfect transducers, you can use either an immersion method or a wipe method with a disinfectant recommended by Philips Ultrasound. Use the method that is biologically appropriate, as described in Table 8-1.
  • Page 164: Cleaning And Disinfecting Cables And Connectors With Wipes And Sprays

    Use the following procedure to disinfect the cables and connectors for all trans- ducers that can be disinfected using a recommended wipe or spray disinfectant. WARNING Always use protective eyewear and gloves when cleaning and disinfecting any equipment. HD11 XE Getting Started 4535 612 62651...
  • Page 165 5. Wipe or spray the cable and connector with the disinfectant, following disin- fectant label instructions for wipe durations, solution strengths, and duration of disinfectant contact with the cable. Ensure that the solution strength and HD11 XE Getting Started 4535 612 62651...
  • Page 166 For cable disinfection, orient the device and the connector facing up (strain reliefs on the bottom) Electrical contacts Connector strain relief Locking lever shaft Strain relief Wipe strain reliefs, cable, and connector with a compatible disinfectant HD11 XE Getting Started 4535 612 62651...
  • Page 167: Disinfecting Transducers By Immersion (high-level Disinfection)

    Table 8-1. Also see the disinfectant label instructions and the recommendations of the Association for Professionals in Infection Con- trol, the U.S. Food and Drug Administration, and the U.S. Centers for Disease Control. HD11 XE Getting Started 4535 612 62651...
  • Page 168 5. Examine the transducer for damage, such as cracks, splitting, fluid leaks, or sharp edges or projections. If damage is evident, discontinue use of the trans- ducer and contact your Philips Ultrasound representative. See the list of FDA-cleared sterilants and high-level disinfectants with general claims for pro- cessing reusable medical and dental devices.
  • Page 169 Disinfecting TEE Transducers by Immersion Disinfection by immersion is the accepted method of infection control for TEE transducers. Philips recommends that a protective transducer cover be used dur- ing examinations. Upon receiving your new transducer, disinfect it before performing the first exam.
  • Page 170 Use an enzymatic cleaner to assist in removing protein residuals. Enzy- matic cleaners should have a pH of 6.0 to 8.0. These cleaners are fur- ther diluted during use. Follow the manufacturer’s instructions for dilution. HD11 XE Getting Started 4535 612 62651...
  • Page 171 7. Dry the distal tip and flexible shaft with a sterile cloth or pad, or allow it to air dry. 8. Lightly wipe the steering mechanism of the handle only, with a pad moistened with rubbing alcohol (70% isopropyl alcohol). HD11 XE Getting Started 4535 612 62651...
  • Page 172 8-3. Follow the instructions on the disinfectant label for the duration of transducer immersion. Do not immerse transducers longer than the minimum time needed for your level of disinfection. For information on the levels of disinfection requirements, see Table 8-1. HD11 XE Getting Started 4535 612 62651...
  • Page 173: Sterilizing Transducers

    • Sterilize transducers by using only liquid solutions. Using autoclave, gas (EtO), or other methods not approved by Philips Ultrasound will damage your trans- ducer and will void your warranty. • Do not allow sharp objects, such as scalpels and cauterizing knives, to touch transducers or cables.
  • Page 174 7. Examine the transducer for damage, such as cracks, splitting, fluid leaks, or sharp edges or projections. If damage is evident, discontinue use of the trans- ducer, and contact your Philips Ultrasound representative. HD11 XE Getting Started 4535 612 62651...
  • Page 175 Transducer Care and Maintenance Figure 8-4 Immersing Sterilizable Transducers Immerse this section only, up to 5.08 cm (2 in) from strain relief on connector. HD11 XE Getting Started 4535 612 62651...
  • Page 176: Disinfectants Compatibility

    Always use protective eyewear and gloves when cleaning and disinfecting any equipment. CAUTION Using a non-recommended disinfection solution, using an incorrect solution strength, or immersing a transducer deeper or longer than recommended can damage the device and will void the warranty. HD11 XE Getting Started 4535 612 62651...
  • Page 177: Disinfectant Types

    • Age of the solution • Concentration and potency of the disinfectant • Quantity and location of the contamination • Resistance of the contaminate • Organic matter on the item to be disinfected HD11 XE Getting Started 4535 612 62651...
  • Page 178: Disinfectants Compatibility Table

    Table 8-2. If you require more information: • In North America, call Philips Ultrasound Customer Service at 800-722-9377. • Outside North America, contact your local Philips Ultrasound representative. NOTE Disinfectants that are not approved for use on a specific transducer appear in...
  • Page 179 Table 8-2 Disinfectants Compatibility Solution 70% Isopropyl Spray/ Alcohol Alcohol Wipe abcoCIDE Glutaraldehyde T,C T,C Soak abcoCIDE 28 Glutaraldehyde T,C T,C Soak Aidal Glutaraldehyde Soak Aidal Plus Glutaraldehyde T,C T,C Soak Alkaspray Spray/ Alcohol, Wipe Alkylamine C = Approved for use on the cable 1 FDA 510(k) cleared F = France N = Not approved for use...
  • Page 180 Table 8-2 Disinfectants Compatibility (Continued) Solution Ampholysine Spray/ Biguanide/Quat. Basique Wipe Ammonia Banicide Glutaraldehyde T,C T,C Soak Bleach 5.25% Spray/ Sodium T,C T,C Wipe Hypochlorite (10% Solution) Glutaraldehyde T,C T,C CIDEX Soak Glutaraldehyde T,C T,C CIDEX 7 Soak Ortho-phthalald T,C T,C CIDEX OPA Soak ehyde...
  • Page 181 Table 8-2 Disinfectants Compatibility (Continued) Solution Cidex PAE 14J Glutaraldehyde T,C T,C T,CL Soak Glutaraldehyde T,C T,C CIDEX Plus Soak Desconton Gluteraldehyde T,C T,C Soak Extra Dispatch Spray/ Sodium T,C T,C Wipe Hypochlorite Endo FC Glutaraldehyde T,C T,C Soak Endosporine Glutaraldehyde T,C T,C Soak...
  • Page 182 Table 8-2 Disinfectants Compatibility (Continued) Solution Enzol USA Pre-clean Enzymes T,C T,C Epizyme Rapid AUS Pre-clean Enzymes T,C T,C Gigasept FF Succindialde-hyd Soak e dimethoxy tetrahydrofuran Glutacide Plus Gluteraldehyde T,C T,C Soak Incidin Spray/ Alcohol Wipe C = Approved for use on the cable 1 FDA 510(k) cleared F = France N = Not approved for use...
  • Page 183 Table 8-2 Disinfectants Compatibility (Continued) Solution Incidur Spray Spray/ Alcohol Quat. Wipe Aldehyde Instruzyme Pre-clean Enzymes, Quat. Ammonia, Biguanide Klenzyme USA Pre-clean Enzymes T,C T,C Kohrsolin Gluteraldehyde T,C T,C Soak Korsolex PAE Glutaraldehyde T,C T,C Soak C = Approved for use on the cable 1 FDA 510(k) cleared F = France N = Not approved for use...
  • Page 184 Table 8-2 Disinfectants Compatibility (Continued) Solution MaxiCide Plus Glutaraldehyde T,C T,C Soak Glutaraldehyde T,C T,C MetriCide Soak Glutaraldehyde T,C T,C MetriCide 28 Soak Metricide Plus Glutaraldehyde T,C T,C Soak MetriZyme USA Pre-clean Enzymes T,C T,C Mild Soap Pre-clean Surfactants / T,C T,C Solution Soap...
  • Page 185 Table 8-2 Disinfectants Compatibility (Continued) Solution Milton Spray/ Sodium T,C T,C Wipe Hypochlorite Glutaraldehyde T,C T,C Omnicide Soak Omnicide Glutaraldehyde T,C T,C Soak 14NS Omnicide 28 Glutaraldehyde T,C T,C Soak Omnicide Plus Glutaraldehyde T,C T,C Soak C = Approved for use on the cable 1 FDA 510(k) cleared F = France N = Not approved for use...
  • Page 186 Table 8-2 Disinfectants Compatibility (Continued) Solution Perasafe Peracetic acid/ Soak Powder Hydrogen Peroxide Perascope Peracetic acid/ Soak Hydrogen Peroxide Perfektan Endo Spray/ Quat. Ammonia Wipe Phagocide D Glutaraldehyde T,C T,C Soak C = Approved for use on the cable 1 FDA 510(k) cleared F = France N = Not approved for use 2 Soak or per product instructions...
  • Page 187 Table 8-2 Disinfectants Compatibility (Continued) Solution Phagozyme Pre-clean Enzymes, Quaternary Ammonium ProCide Glutaraldehyde T,C T,C Soak ProCide 14NS Glutaraldehyde T,C T,C Soak ProCide 28 Glutaraldehyde T,C T,C Soak ProCide NS Glutaraldehyde T,C T,C Soak ProCide Plus Glutaraldehyde T,C T,C Soak C = Approved for use on the cable 1 FDA 510(k) cleared F = France...
  • Page 188 Table 8-2 Disinfectants Compatibility (Continued) Solution PSS Select 14 Glutaraldehyde T,C T,C Soak PSS Select 28 Glutaraldehyde T,C T,C Soak PSS Select Plus USA Glutaraldehyde T,C T,C Soak Rivascop Spray/ Quat. Ammonia Wipe Salvanios pH Spray/ Quat. Ammonia Wipe C = Approved for use on the cable 1 FDA 510(k) cleared F = France N = Not approved for use...
  • Page 189 Table 8-2 Disinfectants Compatibility (Continued) Solution Sani-Cloth (all) USA Wipe Alcohol, Quat. Ammonia SDS 14 NS Glutaraldehyde T,C T,C Soak SDS 28 Glutaraldehyde T,C T,C Soak Sekucid N Glutaraldehyde T,C T,C Soak Sekusept Aktiv Peracetic acid/ Soak Hydrogen Peroxide Sekusept Plus Glucoprotamin Soak C = Approved for use on the cable...
  • Page 190 Table 8-2 Disinfectants Compatibility (Continued) Solution Steranios 2% Glutaraldehyde T,C T,C Soak Theracide Plus USA Spray/ Alcohol, Quat. Wipe Ammonia T-Spray Spray/ Quat. Ammonia T,C T,C Wipe T-Spray II Spray/ Quat. Ammonia T,C T,C Wipe C = Approved for use on the cable 1 FDA 510(k) cleared F = France N = Not approved for use...
  • Page 191 Table 8-2 Disinfectants Compatibility (Continued) Solution Vaposeptol Spray/ Alcohol, Wipe Biguanide Vespore Glutaraldehyde T,C T,C Soak Glutaraldehyde T,C T,C Wavicide -01 Soak C = Approved for use on the cable 1 FDA 510(k) cleared F = France N = Not approved for use 2 Soak or per product instructions USA = United States of America T = Approved for use on the transducer...
  • Page 192: Gels Statement

    Couplant gels that do not contain mineral oil or lotion are acceptable for use. Some recommended gels include: • Aquasonic 100 • Aquasonic Clear • Carbogel-ULT • ECG Gel (Nicom) • Nemidon Gel • Ultraphonic • Scan HD11 XE Getting Started 4535 612 62651...
  • Page 193: Endocavity Transducers

    Not allowing water or other liquids to drip into the transducer connector, into the interior of the system, or onto the keyboard. Table 9-1 summarizes patient safety problems, describes how to prevent them, and lists the sections in this manual where details are provided. HD11 XE Getting Started 4535 612 62651...
  • Page 194 Natural rubber latex is not used on any ultrasound transducer, including transthoracic, intraoperative, and transe- sophageal transducers. It is also not used on Philips ECG cables. For more infor- mation, see “Latex Materials and Patient Contact” on page 52 “FDA Medical...
  • Page 195: Equipment Operation

    The situations listed in this section affect safe operation as well as the ability to service mechanical problems under the Philips warranty or service contract. Repairs necessitated by misuse are not cov- ered and can be very costly, often requiring complete disassembly and rebuilding of the transducer.
  • Page 196: C8-4v Endocavity Transducer

    Operating range: 4 to 8 MHz Max Sector 133 degrees Image Specifications Length (transducer and cable): approximately 2.1 m (7 ft) Length of handle and tip: 30 cm (12 in) Radius of curvature: 1.0 cm (0.4 in) HD11 XE Getting Started 4535 612 62651...
  • Page 197: 3d9-3v Endocavity Transducer

    Sector Angle 2D image plane: 130 degrees 3D sweep direction: 85 degrees Specifications Length (transducer and cable): approximately 2.38 m (7.8 ft) Length of handle and tip: 30 cm (12 in) Radius of curvature: 11.5 mm (0.45 in) HD11 XE Getting Started 4535 612 62651...
  • Page 198: C9-5ec Endocavity Transducer

    Operating range: 5 to 9 MHz Max Sector 150 degrees Image Specifications Length (transducer and cable): approximately 2.26 m (7.4 ft) Length of handle and tip: 28 cm (11 in) Radius of curvature: 0.8 cm (0.3 in) HD11 XE Getting Started 4535 612 62651...
  • Page 199: The Endocavity Exam

    Methanol • Denatured ethyl alcohol • Mineral oil • Iodine • Any lotions or gels containing perfume If you have any questions regarding the contents of the gel, check with the gel manufacturer. HD11 XE Getting Started 4535 612 62651...
  • Page 200 Use ultrasound transmission gel only inside the transducer cover; do not use ultrasound transmission gel outside of the transducer cover. For proper transmis- sion of the acoustic beam, use the ultrasound transmission gel supplied by Philips, or another glycol, glycerol, or water-based couplant inside the transducer cover.
  • Page 201: Preparing A Patient For An Endocavity Exam

    Minimize the possibility of pressure necrosis (tissue death). Do not let the tip displace any one segment of tissue for more than 5 consecutive minutes. Also make sure the tip is in a position of least potential pressure. HD11 XE Getting Started 4535 612 62651...
  • Page 202: Accessories For Endocavity Transducers

    For information on ordering accessories for endocavity transducers, see “HD11 XE System Supplies, Peripherals, and Accessories” on page 259. NOTE Biopsy needle guides are available for these transducers. See “Biopsy-Capable Transducers” on page 241. HD11 XE Getting Started 4535 612 62651...
  • Page 203: 10 Tee Transducers

    “Transducer Care and Mainte- nance” on page 155 in this manual. It is important, however, that you periodically check the following Philips Web site for the latest updates on cleaning and disin- fecting guidelines for TEE transducers: www.medical.philips.com/transducercare HD11 XE Getting Started...
  • Page 204: Patient Safety

    TEE Transducers Patient Safety Philips transducers are built to be safe, sturdy, and reliable. However, on a few occasions patients have experienced complications due to improper use of a TEE transducer. This section provides information on patient safety when using a TEE transducer.
  • Page 205 WARNING For any other irregularity not listed in Table 10-1, do not use the transducer. Potentially serious consequences could result. Contact your Philips representa- tive. Table 10-1 Preventing Harm to Patients Effect on Problem...
  • Page 206 ESU is isolated. Unplug transducer from the system when you are not imaging. Defibrillation Electrical burns Disconnect the transducer and “Defibrillators” issues remove the transducer connector on page 51 before defibrillation. HD11 XE Getting Started 4535 612 62651...
  • Page 207: Equipment Operation

    Natural rubber latex is not used on any ultrasound transducer, including transthoracic, intraoperative, and transesophagael transducers. It is also not used on Philips ECG cables for the products in this manual. For more information, see “Latex Materials and Patient...
  • Page 208: Electrical Safety

    The ultrasound system and the transducers discussed in this manual comply with common medical device electrical safety standards. This section includes information about TEE transducer leakage current, interac- tion with other devices, accident prevention, and the electrical safety check pro- cedure. HD11 XE Getting Started 4535 612 62651...
  • Page 209: Leakage Current

    Be aware that a disposable transducer cover pro- vides no protective electrical insulation at ESU frequencies. Pacemakers For information on the use of pacemakers and transducers, see “Pacemakers” on page HD11 XE Getting Started 4535 612 62651...
  • Page 210: Defibrillators

    OmniPlane III Transducers This section discusses the basic parts of OmniPlane III TEE transducers and lists important features of the following TEE transducers: • • S7-2omni HD11 XE Getting Started 4535 612 62651...
  • Page 211: Basic Transducer Parts

    TEE Transducers Basic Transducer Parts This section labels and describes individual parts that are common to TEE trans- ducers. Many of the parts and their operation are similar among Philips TEE trans- ducers. The following differences are not shown in Figure 10-1: •...
  • Page 212: Deflection Control Basics

    Urbanowitz, John H. et al. “Transesophageal Echocardiography and Its Potential for Esoph- ageal Damage.” Anesthesiology, Vol. 72, No. 1, 1990. Radwin, Martin et al. “Transesophageal Echocardiography: Intubation Techniques.” Philips Appli- cation Note 5091-2804E, 1992. HD11 XE Getting Started...
  • Page 213: Temperature Controls

    TEE Transducers WARNING To prevent tissue damage, Philips recommends that the tip of the transducer be straightened and both friction brakes released before you withdraw the trans- ducer from the patient. In the neutral position, the tip is straight when both white circles on the control wheels are aligned and point toward the center of the array rotation button.
  • Page 214: Description And Use: Omniplane Iii Transducer

    Shaft: 1.0 cm (0.4 in) diameter, 0.9 m (2.95 ft) long NOTE Philips recommends that you only use the OmniPlane III transducer on patients weighing at least 25 kg (55 lb), to ensure the esophagus can comfortably accom- modate the transducer.
  • Page 215: Manipulating The Omniplane Iii Tip

    The larger inner knob controls anterior/posterior movement, while the smaller outer knob controls medial/lateral movement. ® To place the tip of the TEE transducer into the neutral position Align the ribs on each knob with the center of the array rotation buttons. HD11 XE Getting Started 4535 612 62651...
  • Page 216: Rotating The Omniplane Array

    360-degree view, as shown in Figure 10-5. Radwin, Martin et al. “Transesophageal Echocardiography: Intubation Techniques.” Philips Appli- cation Note 5091-2804E, 1992. Urbanowitz, John H. et al. “Transesophageal Echocardiography and its Potential for Esoph- ageal Damage.”...
  • Page 217: Calibration

    0-degree (horizontal plane) position. As with any array movement, the motor makes a humming sound while recalibrating. NOTE Do not turn the control knobs while calibration is in progress. HD11 XE Getting Started 4535 612 62651...
  • Page 218: Checking The Tee Transducer

    2. Unlock the transducer connector from the system. 3. Reseat the transducer connector in the system slot. If you still see the message, contact your Philips service representative. Checking the TEE Transducer Before each TEE exam, carefully inspect the transducer and try the controls, as described in the following sections.
  • Page 219: Verifying Operation Of The Controls

    (no deflection and no brake resistance) when repo- sitioning or withdrawing the transducer, as well as whenever you are not imaging. “Manipulating the OmniPlane III Tip” on page 215. S7-3t TEE Transducer Figure 10-6 shows the S7-3t TEE transducer. HD11 XE Getting Started 4535 612 62651...
  • Page 220 “Connecting Transducers” on page 150. Specifications Tip: 10.7 mm x 8.0 mm, 27 mm long (0.42 in x 0.31 in, 1.1 in long) Shaft: 7.4 mm diameter, 70 cm long (0.29 in diameter, 27.5 in long) HD11 XE Getting Started 4535 612 62651...
  • Page 221: Selecting Patients For The S7-3t Transducer

    Although the S7-3t TEE transducer can provide clinical data not available from other instruments, you should consider which patients can safely use the trans- ducer. Philips recommends that you use the S7-3t TEE transducers only on patients weighing at least 3.5 kg (7.7 lb). CAUTION The ability of a patient to swallow or accommodate the transducer should be considered.
  • Page 222: Lock Operation

    90 degrees (longitudinal plane) to 180 degrees (transversal plane, left/ right inverted). Figure 10-8 shows the scan plan rotation control. You can also select all planes in between to scan a conical imaging volume. HD11 XE Getting Started 4535 612 62651...
  • Page 223 Do not use excessive force on the scan plane rotation control wheel at its outer 1, 2 positions because this may damage the endoscope mechanism. Radwin, Martin et al. “Transesophageal Echocardiography: Intubation Techniques.” Philips Appli- cation Note 5091-2804E, 1992. Urbanowitz, John H. et al. “Transesophageal Echocardiography and Its Potential for Esoph- ageal Damage.”...
  • Page 224: Special Considerations For Tee Examinations

    Instead, they reflect basic guidelines resulting from extensive consultation with physicians throughout the design, development, and clinical investigation periods of Philips TEE transducers. • In addition to gathering routine background information such as current med- ication and allergies, investigate any history of chronic obstructive lung dis- ease, esophageal strictures, varices, or bleeding.
  • Page 225: Examination Guidelines

    Solving Clinical Problems.” Journal of the American College of Cardiology, 975-979, 1986. Cucchiara, R. F. et al. “Air Embolism in Upright Neurosurgical Patients: Detection and Local- ization by Two-dimensional Transesophageal Echocardiography.” Anesthesiology, 353-355, 1984. HD11 XE Getting Started 4535 612 62651...
  • Page 226 • Prevent potential esophageal damage. Philips recommends that you stop TEE scanning and unplug the transducer from the system during periods of poor perfusion, circulatory arrest, or the hypothermic phase of open heart surgery. To discontinue scanning, unlock the transducer connector according to the instructions in “Connecting Transduc-...
  • Page 227: Tip Fold-over

    Insertion when a patient is being uncooperative or is having a convulsion or spasm Patient Esophageal Pathology Carefully review a patient’s medical history for obstructing pathologies or ana- tomical irregularities before performing a TEE exam. HD11 XE Getting Started 4535 612 62651...
  • Page 228: Recognizing Tip Fold-over

    Extreme difficulty in obtaining an image Correcting Tip Fold-Over If you suspect the transducer tip is folded over, Philips’s physician consultants rec- ommend that you gently try to manipulate the transducer. If the tip is not locked or jammed in a doubled-over position and you can move it forward, advance the transducer into the stomach.
  • Page 229: Tee Manual Auto-cool Safety Feature

    If the temperature reaches 46.5°C (115.7°F) when using the T6H transducer, or 45°C (113°F) when using the S7-2omni or the S7-3t transducer, the system shuts down. You must turn it off and then on to restart it. HD11 XE Getting Started 4535 612 62651...
  • Page 230: Entering The Patient Temperature

    – You can also use oral temperatures, even though they can be 1° lower than the core temperature. – If you measure an auxiliary temperature, which can be 2° lower than the core temperature, add 1° or 2°. HD11 XE Getting Started 4535 612 62651...
  • Page 231: Monitoring The Distal Tip Temperature

    41°C (105.8°F). By default, the patient temperature and the distal tip temperature are displayed throughout a TEE exam (Figure 10-9). Figure 10-9 TEE Temperature Display PAT T:37.0°C TEE T:37.0°C HD11 XE Getting Started 4535 612 62651...
  • Page 232 If the distal tip temperature reaches 41°C (105.8°F) during imaging, an Auto-Cool imminent message appears, as shown in Figure 10-10. Figure 10-10 TEE Auto-Cool Imminent Display PAT T:37.0°C TEE T:41.0°C TEE auto cool imminent. Reduce Power. Adjust Patient Temp if appropriate. 300 004 HD11 XE Getting Started 4535 612 62651...
  • Page 233: Resuming Imaging After An Auto-cool Interruption

    Resuming Imaging After an Auto-Cool Interruption When the distal tip temperature drops below 42.0°C (107.6°F), the system resumes imaging. If the Auto-Cool message persists longer than 1 minute or an error message is displayed, contact your Philips Ultrasound service representa- tive. WARNING...
  • Page 234: Changing Temperature Display Options

    ® To respond to the “Reconnect the transducer” message 1. Be sure the transducer connector is properly seated. 2. Press the Reset button. If the system does not resume imaging immediately, contact your Philips represen- tative. Changing Temperature Display Options ®...
  • Page 235: Tee Accessories

    Even anesthetized patients require bite guards to prevent damage to their teeth and to the transducer. Philips supplies disposable bite guards that are suit- able for both awake and anesthetized patients.
  • Page 236: Transducer Covers

    TEE Transducers Transducer Covers Philips recommends the use of a market-approved protective transducer cover during every TEE exam. WARNING Transducer covers often contain natural rubber latex, which may cause allergic reactions. For more information, see “Latex Materials and Patient Contact” on page 52 “FDA Medical Alert”...
  • Page 237 Z to the test electrode Line power source, either 110 Vac or 220 Vac Current caused by e and stray capacitance, and optionally Z Open Earth Lift Ground switch Line Polarity switch Microammeter switch HD11 XE Getting Started 4535 612 62651...
  • Page 238: Equipment And Procedure

    • Dempsey 432HD or 232D safety analyzer or equivalent • Philips 21110A Disinfection Basin or equivalent • Saline solution (9 grams (0.3 oz) of salt to 1 liter (1 qt) of tap water) or one of the tested disinfectants listed in this section ®...
  • Page 239 A hole also allows invasion of organic material, making it difficult to completely disinfect all portions of the transducer. For these reasons, the transducer must be repaired before it is used. HD11 XE Getting Started 4535 612 62651...
  • Page 240 TEE Transducers HD11 XE Getting Started 4535 612 62651...
  • Page 241: 11 Biopsy-capable Transducers

    Transducers Supporting Biopsy Table 11-1 lists the transducers that support biopsy procedures. For information on ordering biopsy kits, see “HD11 XE System Supplies, Peripherals, and Acces- sories” on page 259. Table 11-1 Biopsy-Capable Transducers Transducer Type...
  • Page 242: Biopsy Guide Instructions

    CIVCO user’s guide for each needle guide: • Preparation for use • Attaching the bracket • Applying a sterile cover • Attaching a needle guide • Cleaning and sterilization • Using reusable needle guides, if applicable HD11 XE Getting Started 4535 612 62651...
  • Page 243: Using The Biopsy Needle Guide

    • Before performing the biopsy setup for the first time, Philips strongly recom- mends that you familiarize yourself with each possible needle position, proce- dure, transducer, and screen display. For information on the Biopsy Guide feature, see the Help.
  • Page 244 After use, remove the needle guide from the bracket and discard the needle guide. • Most biopsy brackets are not shipped sterile. Follow the manufacturer’s instructions to disinfect the biopsy bracket. For a description of the system controls for biopsy use, see the Help. HD11 XE Getting Started 4535 612 62651...
  • Page 245: 12 Intraoperative Transducers

    This section shows you how to prepare the L15-7io and S12-4 transducers for use in intraoperative applications. Operator Philips intraoperative transducers are designed for use under the guidance of phy- sicians who are properly trained in intraoperative ultrasound imaging techniques, according to currently approved relevant medical practices. Philips recommends that physicians operating any Philips intraoperative transducer are •...
  • Page 246: Intended Use

    • Using mandatory protective equipment, including an approved sterile protec- tive transducer cover during intraoperative exams. For information about ordering transducer covers, see “HD11 XE System Supplies, Peripherals, and Accessories” on page 259. HD11 XE Getting Started 4535 612 62651...
  • Page 247: Patient Contact Parts

    The situations listed in this section affect safe operation as well as the ability to service mechanical problems under the Philips 1-year warranty or service contract. Transducer repairs necessitated by misuse are not covered and can be very costly, often requiring complete disas- sembly and rebuilding of the transducer.
  • Page 248 If you find any signs of damage to the transducer, patient safety may be in ques- tion. Do not use the transducer, and contact your Philips service representative. To minimize the chance of damage, Philips strongly recommends that you clearly post stringent protocols for the care of intraoperative transducers based on the information in this manual.
  • Page 249: Description And Use

    The ergonomic shape provides comfortable manipulation. Connection “Connecting Transducers” on page 150. Specifications Nose Footprint: 1.04 cm x 3.16 cm (0.41 in x 1.2 in) Handle Length: 8.91 cm (3.51 in) Cable Length: 2.4 m (8 ft) HD11 XE Getting Started 4535 612 62651...
  • Page 250: Preparing A Transducer For Intraoperative Imaging

    Handle Length: 6.0 cm (2.4 in) Cable Length: 1.8 m (5.9 ft) Preparing a Transducer for Intraoperative Imaging For procedures on using transducer covers (protective sheaths), see the instruc- tions provided with the covers. HD11 XE Getting Started 4535 612 62651...
  • Page 251 Intraoperative Transducers During exams where you believe contamination of the imaging system can occur, Philips recommends that you take universal precautions and cover the imaging system with a disposable drape. Consult your hospital’s rules regarding equipment use in the presence of infectious disease.
  • Page 252: Disposable Drape

    For information on ordering accessory equipment, see “Supplies” on page 259. Electrical Safety All Philips ultrasound systems and transducers comply with common medical device electrical safety standards. For information on performing leakage current tests on intraoperative transduc- ers, see “Testing Leakage Current on Intraoperative Transducers” on page 253.
  • Page 253: Testing Leakage Current On Intraoperative Transducers

    NOTE A technically qualified person should perform this procedure. Leakage Current Philips transducers approved for intraoperative use are labeled on the transducer connector as type CF in accordance with the IEC 60601-1. Type CF classifica- tion indicates that the degree of protection from electrical shock afforded by the transducer is suitable for all patient applications including direct cardiac and intra- operative applications.
  • Page 254 Lift Ground through Z to the test electrode Line power source, either 110 Vac or 220 Vac Current caused by e and stray capacitance, and optionally Z Open Earth Lift Ground switch Line polarity switch HD11 XE Getting Started 4535 612 62651...
  • Page 255 (Single Fault condition), and note the leakage reading on the output dis- play. 11. Repeat step 9 step 10 with the Polarity switch in the Reverse position. The applicable limits are – 10 µA RMS (normal condition) – 50 µA RMS (Single Fault condition) HD11 XE Getting Started 4535 612 62651...
  • Page 256 Earth Ground through electrode Z and the equipment chassis Line power source, either 110 Vac or 220 Vac Current caused by e and stray capacitance, and optionally Z Open Earth Lift Ground switch Line polarity switch HD11 XE Getting Started 4535 612 62651...
  • Page 257 10. Press and hold the Isolation Test button and take the leakage reading again. 11. Subtract the correction factor found in step 8 to get the accurate leakage measurement. The leakage must be less than 50 µA RMS. HD11 XE Getting Started 4535 612 62651...
  • Page 258 Intraoperative Transducers HD11 XE Getting Started 4535 612 62651...
  • Page 259: Appendix A Hd11 Xe System Supplies, Peripherals, And Accessories

    “Accessories” on page 266. Ordering Parts Unless otherwise specified, address all parts orders or inquiries to your local Philips Sales and Service office. To locate your local sales office, see “Customer Service” on page Supplies This section lists supplies that you can order for your ultrasound system.
  • Page 260 HD11 XE System Supplies, Peripherals, and Accessories Table A-1 Physio Supplies (Continued) Description Product Number Part Number AAMI Lead Sets (for North America and Australia) 3-Lead Set, Grabber M1603A 989803104371 3-Lead Set, Snap M1605A 989803104381 3-Lead Set, Mini Clip 0.45 m...
  • Page 261: Printer Supplies

    For information on ordering USB printers and accessories, see Table A-6 page 265. NOTE Philips recommends the use of high-glossy paper to maximize print image quality. the use of high-density or standard paper will significantly degrade the print qual- ity. Table A-2 Printer Supplies Product...
  • Page 262: Vcr Supplies

    VCR option on the system. For information on ordering VCRs and accessories, Table A-7 page 266. NOTE Using VHS tapes degrades the playback image quality. Philips requires you to use S-VHS videotapes. Table A-3 VCR Supplies Product Description Number...
  • Page 263: Transducer Supplies

    In the United States, contact the Philips Medical Supplies Center 1-800-225-0230 • In Canada, call 1-800-387-3154 • In other countries, contact your local Philips sales representative. For the latest ordering information, go to the following Philips Web site: www.medical.philips.com HD11 XE Getting Started 4535 612 62651...
  • Page 264 HD11 XE System Supplies, Peripherals, and Accessories Ordering Transducer Supplies—CIVCO Medical Instruments ® To order transducer covers, biopsy guides, and other supplies and accessories from CIVCO CIVCO Medical Instruments Co. 102 First Street Kalona, IA 52247-9589 USA E-mail: info@civcomedical.com www.civco.com...
  • Page 265: Peripherals

    You can also connect a color or a black-and-white plain-paper USB printer, such as those that can be purchased at an office supply store. Check with your Philips representative for a list of authorized USB printers before you purchase a printer.
  • Page 266: Vcrs

    HD11 XE System Supplies, Peripherals, and Accessories VCRs You can connect a VCR to your ultrasound system. VCRs that are supported can be controlled using the system control panel. Unsupported VCRs can only be controlled manually. Table A-7 lists the VCRs and accessories.
  • Page 267 HD11 XE System Supplies, Peripherals, and Accessories Table A-8 Cables, Power Cords, and Foot Switch (Continued) Description Part Number 3.0 m (10 ft) USB Cable 453563470881 Internal RS-232 Cable 453563470891 External RS-232 Cable 453563486771 Power Cords United Kingdom 453563468451 Australia...
  • Page 268 HD11 XE System Supplies, Peripherals, and Accessories HD11 XE Getting Started 4535 612 62651...
  • Page 269: Index

    Assigning Calcs analysis, uses of option keys Calibration record keys Cardiac option package Assistance Cardiac studies Audible acoustic output Carpal tunnel syndrome (CTS) Auto-Cool CD, user information Changing system settings Cidex OPA warning HD11 XE Getting Started 4535 612 62651...
  • Page 270 Customizing your system Connecting CW Doppler mode, intended uses of foot switch peripherals plain-paper USB printers Damage transducers from improper handling USB printers from improper cleaning VCRs Data security, managing video printers Data transfer HD11 XE Getting Started 4535 612 62651...
  • Page 271 Distal tip preparing for use changing temperature display ultrasound transmission gel monitoring temperature Enter key, using with trackball EPMedSystems, contact information Equipment disposal Ergonomic grips HD11 XE Getting Started 4535 612 62651...
  • Page 272 General imaging option package Glutaraldehyde patient safety Ground symbols preparing for imaging Gynecological studies transducer covers iSCAN Intelligent Optimization Hazards Help Job Manager, checking High Q Automatic Doppler Analysis HIPAA HD11 XE Getting Started 4535 612 62651...
  • Page 273 Network peripherals configuring settings preventive testing connection recommended frequency of Neurosurgical applications system cart Noncritical device classification transducers Nonimaging transducers of video printers Managing patient data Mechanical index (MI) display precision and accuracy HD11 XE Getting Started 4535 612 62651...
  • Page 274 Power cords cables Power requirements ICE transducer Precision and accuracy, MI and TI power cords Presets supplies and accessories about USB printers and accessories backing up VCRs and accessories effect on MI and TI HD11 XE Getting Started 4535 612 62651...
  • Page 275 Standards and directives, list of Restrictions for use Sterilizing transducers Storage commit SCP Storage environment Safety Storage SCP biological Storing transducers biological, related documents daily and long-term storage dangerous voltages symbol for transport HD11 XE Getting Started 4535 612 62651...
  • Page 276 Tip deflection control Tip fold-over, TEE transducers and Tissue models Tables Trackball acoustic output cleaning disinfectants compatibility using Technical support Transcranial studies TEE exams Transducers checking patients after acoustic coupling medium considerations for activating HD11 XE Getting Started 4535 612 62651...
  • Page 277 Ultrasound exposure and patient safety equipment environment Ultrasound transmission gel explosive hazard biopsy needles and following ESD guidelines critical device applications and foot switch in case of device malfunction endocavity exams and HD11 XE Getting Started 4535 612 62651...
  • Page 278 Wheel controls World Heath Organization Zoom control, effect on MI and TI HD11 XE Getting Started 4535 612 62651...

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