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iE33
U l t r a s o u n d S y s t e m

User Manual

4535 616 23901 Rev A
April 2012
© 2012 Koninklijke Philips Electronics N.V. All rights reserved. Published in USA.

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Table of Contents

   Also See for Philips iE33

   Summary of Contents for Philips iE33

  • Page 1: User Manual

    U l t r a s o u n d S y s t e m User Manual 4535 616 23901 Rev A April 2012 © 2012 Koninklijke Philips Electronics N.V. All rights reserved. Published 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: Table Of Contents

    Customer Service......................23 Recycling, Reuse, and Disposal..................23 Safety......................27 Basic Safety..........................27 Electrical Safety........................28 Defibrillators.........................31 Fire Safety........................32 Mechanical Safety.......................32 Equipment Protection.......................33 Product Compatibility.......................34 Symbols..........................35 Biological Safety........................44 FDA Medical Alert on Latex..................46 ALARA Education Program..................47 Output Display......................52 Control Effects......................56 iE33 User Manual 4535 616 23901...
  • Page 4 Approved Accessories for Electromagnetic Compliance........73 Electromagnetic Immunity.....................75 Electromagnetic Interference..................78 Recommended Separation Distance................80 Avoiding Electromagnetic Interference...............82 Use Restrictions Due to Interference................83 System Overview..................85 System Capabilities.......................85 Measurements........................85 Transducer Types......................86 Image Acquisition and Review..................86 Patient Data Protection....................86 System Options........................87 Imaging Options.......................87 iE33 User Manual 4535 616 23901...
  • Page 5 Connecting an External Printer.................107 Connecting the Foot Switch..................109 External VCRs........................110 Connecting an External VCR..................111 Configuring Print Functions..................111 Connecting an External Color Monitor..............113 Connecting the System to a Network..............113 Moving the System......................114 Preparing and Moving....................115 iE33 User Manual 4535 616 23901...
  • Page 6 Touch Screen Controls....................140 Touch Screen Knob Displays..................144 Using the Retractable Keyboard................145 Status Icons........................146 Voice Control........................148 Voice Control Icons......................150 Turning Headsets On and Off..................151 Pairing Headsets......................151 Configuring Headsets....................153 Muting the Headset......................154 Enabling Voice Control....................154 Voice Profiles........................154 iE33 User Manual 4535 616 23901...
  • Page 7 Setting the Auto Freeze Function...................169 Transducer Receptacles and Cable Management............169 Connecting Transducers....................170 Selecting a Transducer....................173 ECG Feature........................173 DVD, CD, and USB Devices.....................173 Media Compatibility......................174 DVD Drive........................174 Loading and Ejecting a Disc..................175 Erasing a DVD........................175 USB Devices........................176 iE33 User Manual 4535 616 23901...
  • Page 8 Selecting in the Worklist.....................189 Searching in the Worklist....................190 Selecting a Transducer.......................190 Imaging Modes........................191 Using 2D Mode......................191 Annotation..........................192 Adding Labels Using Annot..................192 Adding Labels Using the Keyboard................193 Adding an Image Title....................194 Displaying Body Markers.....................194 Recording..........................195 iE33 User Manual 4535 616 23901...
  • Page 9 Indications for Use and Supporting Transducers............208 xMatrix Array Transducers....................210 X3-1 Description......................210 X5-1 Description......................211 X7-2 Description......................211 Compact Transducer Adapter..................211 Using the Compact Adapter..................212 Transducer Maintenance....................213 Acoustic Artifacts.......................214 Acoustic Artifacts in 3D Imaging................217 Transducer Covers......................218 Ergonomic Grip........................219 Installing the Ergonomic Grip..................219 iE33 User Manual 4535 616 23901...
  • Page 10 Leakage Current and TEE Transducers..............246 Reducing Risks of Using TEE Transducers...............246 TEE Deflection Control Basics ..................247 Connecting an S7-2omni, S7-3t, S8-3t, or X7-2t Transducer........248 Connecting a T6H or T6207 Transducer ..............249 S7-2omni TEE Transducer Description................250 iE33 User Manual 4535 616 23901...
  • Page 11 Checking the TEE Transducer..................281 TEE Transducer Inspection..................282 TEE Transducer Controls Inspection................282 Special Considerations for TEE Studies.................282 Patient Selection for TEE Transducer Use..............283 Preparing Patients for TEE Studies................284 TEE Study Guidelines....................285 Tip Fold-Over........................286 Recognizing Tip Fold-Over..................286 iE33 User Manual 4535 616 23901...
  • Page 12 Acoustic Coupling Medium....................301 Choosing a Disinfectant.....................301 General Cleaning for All Transducers................302 Cleaning a Transducer....................303 Disinfecting Transducers Using a Wipe or Spray Method ........303 Cleaning and Disinfecting Cables and Connectors.............306 Disinfection of Transducers by Immersion (High-Level Disinfection)....309 iE33 User Manual 4535 616 23901...
  • Page 13 Specifying and Resetting the Air Filter Maintenance Status.........337 Transducer Maintenance....................338 Printer Maintenance......................338 VCR and DVD Recorder Maintenance................339 Troubleshooting........................340 Error Messages........................341 Test Patterns........................342 Transferring the Test Patterns..................342 Using the Test Patterns....................342 Testing the System......................343 For Assistance........................344 13 Specifications.....................345 iE33 User Manual 4535 616 23901...
  • Page 14 Contents Safety and Regulatory Requirements................348 Index......................351 iE33 User Manual 4535 616 23901...
  • Page 15: Read This First

    1 Read This First This manual is intended to assist you with the safe and effective operation of your Philips product. Before attempting to operate the product, read this manual and strictly observe all warnings and cautions. Pay special attention to the information in the "Safety"...
  • Page 16: Warnings

    Read This First Use of the product for purposes other than those intended and expressly stated by Philips, as well as incorrect use or operation, may relieve Philips or its agents from all or some responsibility for resultant noncompliance, damage, or injury.
  • Page 17: Warning Symbols

    • User Manual: Provided with the product and included on the CD. The User Manual introduces you to features and concepts, helps you set up your iE33 User Manual 4535 616 23901...
  • Page 18: Product Conventions

    • Shared Roles for System and Data Security: Included on the CD, it contains guidelines to help you understand how the security of your Philips product could be compromised and information on Philips' efforts to help you prevent security breaches.
  • Page 19 Where only one button in a group can be selected at a time, the selected button is indicated by a gold outline or background. For more information, see "Touch Screen Controls" on page 140. iE33 User Manual 4535 616 23901...
  • Page 20: User Information Conventions

    Highlighting means to mark an image you want to reject during a protocol exam or an image you want to post-process. To highlight an image, click inside the image (but not on the number). iE33 User Manual 4535 616 23901...
  • Page 21: Upgrades And Updates

    Customer Comments If you have questions about the user information, or you discover an error in the user information, in the USA, please call Philips at 800-722-9377; outside the USA, please call your local customer service representative. iE33 User Manual...
  • Page 22: Supplies And Accessories

    Telephone: 800-445-6741 (USA and Canada), +1 319-656-4447 (International) Fax: 877-329-2482 (USA and Canada), +1 319-656-4451 (International) E-mail: info@civco.com Internet: www.civco.com To order the items listed in the following table, see the referenced section and then contact your Philips representative. System Accessories Item Additional Information Cables "Approved Cables for Electromagnetic...
  • Page 23: Customer Service

    Customer Service Customer service representatives are available worldwide to answer questions and to provide maintenance and service. Please contact your local Philips representative for assistance. You can also contact the following office for referral to a customer service representative, or visit the Philips Healthcare "Contact Us"...
  • Page 24 Particularly, ensure that all the product-support documentation, including all instructions for use, are passed on to the new user. Make the new user aware of the support services that Philips Healthcare provides for installing, commissioning, and maintaining the system, and for comprehensive operator training.
  • Page 25 • Recycling of useful materials by competent disposal companies • Safe and effective disposal of equipment For advice and information, contact your Philips service organization, or see the following website: www.philips.com/about/sustainability/recycling/productrecyclingservices/index.page Perchlorate Material In this system, perchlorate material is present in lithium coin cells or batteries.
  • Page 26 Read This First iE33 User Manual 4535 616 23901...
  • Page 27: Safety

    Do not use the system for any application until you are adequately and properly trained on its safe and effective operation. If you are unsure of your ability to operate the system safely and effectively, do not use it. iE33 User Manual 4535 616 23901...
  • Page 28: Electrical Safety

    • Use the system only for its intended purposes. Do not use the system with any product that Philips does not recognize as compatible with the system. Operation of the product for unintended purposes, or with incompatible products, could lead to fatal or other serious injury.
  • Page 29 Do not use nonmedical peripherals, such as report printers, within 1.5 m (5 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 medical safety standards, as defined by standard IEC 60601-1-1.
  • Page 30 • Connection of optional devices not supplied by Philips Ultrasound could result in electrical shock. When such optional devices are connected to your ultrasound system, ensure that the total system earth leakage current does not exceed 500 µA, or in the United States, 300 µA.
  • Page 31: Defibrillators

    Use defibrillators that do not have grounded patient circuits. To determine whether a defibrillator patient circuit is grounded, see the defibrillator service guide, or consult a biomedical engineer. iE33 User Manual 4535 616 23901...
  • Page 32: Fire Safety

    The brakes are intended as a convenience. To increase cart security, use wheel chocks when the system is parked. • If system operation is abnormal after you move or transport the system, contact Philips Ultrasound Customer Service immediately. System iE33 User Manual 4535 616 23901...
  • Page 33: Equipment Protection

    Improper cleaning or sterilization of a patient-applied part may cause permanent damage. For cleaning and disinfection instructions, see the "Transducer Care" section. • Do not submerge the transducer connector in solution. The cables and transducer bodies are liquid-tight, but the connectors are not. iE33 User Manual 4535 616 23901...
  • Page 34: Product Compatibility

    For information about such products and components, contact your Philips representative. Changes and additions to the system should be made only by Philips or by third parties expressly authorized by Philips to do so. Such changes and additions must comply with all applicable laws and regulations that have the force of law within the jurisdictions concerned, and best engineering practices.
  • Page 35: Symbols

    The International Electrotechnical Commission (IEC) has established a set of symbols for medical electronic equipment that classify a connection or warn of potential hazards. Of those symbols, the following may be used on your Philips product and its accessories and packaging.
  • Page 36 Nonionizing electromagnetic radiation. Indicates that interference may occur in the vicinity of equipment marked with this symbol. The radio component contained in this device is compliant to Council Directive 1999/5/EC (Radio Equipment and Telecommunications Terminal Equipment Directive). iE33 User Manual 4535 616 23901...
  • Page 37 This degree of protection can apply to transducers and foot-operated devices. Indicates that the device is protected against the effects of immersion for up to 60 minutes. This degree of protection can apply to foot-operated devices. iE33 User Manual 4535 616 23901...
  • Page 38 If the system is used stacked with or adjacent to other equipment, verify normal operation before use. Indicates the temperature range (noncondensing) for transport and storage. (Does not apply to media.) iE33 User Manual 4535 616 23901...
  • Page 39 Indicates that the device is fragile; handle with care. Do not use if damaged. Warns of system over-balance due to external force. (Do not push on the monitor or the transducer holders to move the system.) iE33 User Manual 4535 616 23901...
  • Page 40 Serial number. Universal part number. The following symbols may also be used on the system and its accessories and packaging: Connection for a pencil probe Connection for a pencil probe Connection for a transducer iE33 User Manual 4535 616 23901...
  • Page 41 CD, or DVD Output port for audio left/right, VHS/S-VHS, video patient monitor, black-and-white printer, or interlaced RGB output port Input port VGA or parallel output port DVI video output receptacle USB input/output port iE33 User Manual 4535 616 23901...
  • Page 42 Isolated auxiliary power provided for connection of Philips-approved remote accessories. Foot switch Indicates the atmospheric pressure range for transport and storage. SVGA connectionTwo video receptacles provide DVI-D digital video for flat-panel monitors. S-Video connection iE33 User Manual 4535 616 23901...
  • Page 43 Identifies the port for the PercuNav field generator. Chinese Environmentally Friendly Use Period symbol. UL (Underwriters Laboratories) classification symbol. CSA (CSA International) classification symbol. Indicates a possible pinch hazard when positioning the monitor. iE33 User Manual 4535 616 23901...
  • Page 44: Biological Safety

    • Perform ultrasound procedures prudently. Use the ALARA (as low as reasonably achievable) principle. • Use only acoustic standoffs that have been approved by Philips Ultrasound. For information on ordering approved accessories, see "Supplies and Accessories" on page •...
  • Page 45 • If the system becomes contaminated internally with bodily fluids carrying pathogens, you must immediately notify your Philips service representative. Components inside the system cannot be disinfected. In that case, the system must be disposed of as biohazardous material in accordance with local or federal laws.
  • Page 46: Fda Medical Alert On Latex

    Patients with positive histories should have their charts flagged. • If latex sensitivity is suspected, consider using devices made with alternative materials, such as plastic. For example, a health professional could wear a iE33 User Manual 4535 616 23901...
  • Page 47: Alara Education Program

    The ultrasound system and transducers described in this document do not contain natural rubber latex that contacts humans. Natural rubber latex is not used on any Philips ultrasound transducer. It also is not used on Philips ECG cables for the products described in this document.
  • Page 48 The decision as to the amount of acoustic output is, in the final analysis, up to the system operator. This decision must be based on the following factors: type of patient, type of exam, patient history, ease or difficulty of obtaining iE33 User Manual 4535 616 23901...
  • Page 49 Direct Controls Application selection and the output-power control directly affect acoustic intensity. There are different ranges of allowable intensity or output based on your selection. Selecting the correct range of acoustic intensity for the application iE33 User Manual 4535 616 23901...
  • Page 50 Pulse length is the time during which the ultrasonic burst is turned on. The longer the pulse, the greater the time-average intensity value. The greater the iE33 User Manual 4535 616 23901...
  • Page 51 Having acquired the 2D display of the liver, Color can be used to localize blood flow. As with the 2D image display, gain and image processing controls must be optimized before increasing output. iE33 User Manual 4535 616 23901...
  • Page 52: Output Display

    The TIB, TIS, or TIC is continuously displayed over the range of 0.0 to maximum output, based on the transducer and application, in increments of 0.1. For the location of the output display, see "Imaging Display" on page 166. iE33 User Manual 4535 616 23901...
  • Page 53 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. iE33 User Manual 4535 616 23901...
  • Page 54 The values should not be interpreted as actual physical values in interrogated tissue or organs. The initial data that is used to support the output display is derived from laboratory measurements based on the American Institute of iE33 User Manual 4535 616 23901...
  • Page 55 0.3 dB/cm-MHz rate, occur in water tank measurements or in most tissue paths in the body. In the body, different tissues and organs have dissimilar attenuation characteristics. In water, there is almost iE33 User Manual 4535 616 23901...
  • Page 56: Control Effects

    TI below the system maximums. A decrease in pulser voltage will decrease MI. • Zoom: Increasing the zoom magnification by pressing Zoom may increase frame rate. This action will increase the TI. The number of focal zones may iE33 User Manual 4535 616 23901...
  • Page 57 The TI will increase. MI will change little, if at all. If PW Doppler is also enabled, then PW Doppler will remain the dominant mode and the TI change will be small. iE33 User Manual 4535 616 23901...
  • Page 58 MI. The MI displayed is that of the zone with the largest MI value. • Application: Acoustic output defaults are set when you select an application. Factory defaults vary with transducer, application, and mode. Defaults have been chosen below the FDA limits for intended use. iE33 User Manual 4535 616 23901...
  • Page 59: Related Guidance Documents

    Another report, “Bioeffects and Safety of Diagnostic Ultrasound,” dated January 28, 1993, provides more-current information. The acoustic output for this system has been measured and calculated in accordance with the “Acoustic Output Measurement Standard for Diagnostic iE33 User Manual 4535 616 23901...
  • Page 60 In Situ In Situ intensity value Water Water value intensity 2.7183 Attenuation factor Tissue a(dB/cm-MHz) Amniotic 0.006 Fluid Brain 0.53 Heart 0.66 Kidney 0.79 Liver 0.43 Muscle 0.55 Skin line to measurement depth (cm) iE33 User Manual 4535 616 23901...
  • Page 61 No single tissue model is adequate for predicting exposures in all situations from measurements made in water, and continued improvement and verification of these models is necessary for making exposure assessments for specific applications. iE33 User Manual 4535 616 23901...
  • Page 62 “fixed-path” tissue model and are for devices having Ispta (derated) values greater than 500 mW/cm . The temperature elevations for fetal bone and tissue were computed based on calculation procedures iE33 User Manual 4535 616 23901...
  • Page 63: Acoustic Output Tables

    Wo is the ultrasonic power in milliwatts 6.2% (mW). is the center frequency in megahertz <1% (MHz) (NEMA UD-2 definition). PII.3 is the derated spatial-peak pulse P11.3: 3.2% intensity integral in joules per square centimeter (J/cm iE33 User Manual 4535 616 23901...
  • Page 64: Operator Safety

    Maintain your joints in optimum positions with a balanced posture while scanning. • Allow frequent breaks to give soft tissue a chance to recuperate from awkward positions and repetitive movement. • Avoid gripping the transducer with excessive force. iE33 User Manual 4535 616 23901...
  • Page 65: Foot Switch Warning

    The foot switch is not intended for use in wet locations, such as emergency rooms and operating theaters. Philips Transducers Use only transducers that are approved by Philips for use with your Philips ultrasound system. See "Clinical Options and Transducers" on page 206 for a list of the transducers that are compatible with your ultrasound system.
  • Page 66: Infection Control

    Safety The most-current information about disinfection products and Philips transducers can be found on the Philips Transducer Care website: www.healthcare.philips.com/us/products/ultrasound/transducers/transducer_care/ Infection Control Issues related to infection control affect the operator and the patient. Follow the infection-control procedures established in your facility for the protection of both the staff and the patient.
  • Page 67: Electromagnetic Compatibility

    ECG Equipment" on page 331. Disposable Drape If you believe contamination of the system might occur during an exam, Philips recommends that you take universal precautions and cover the system with a disposable drape. Consult your facility's rules regarding equipment use in the presence of infectious disease.
  • Page 68 If the system is operated within the electromagnetic environment described in "Electromagnetic Immunity" on page 75, the system will remain safe and will provide the following essential performance: • Imaging • Doppler audio and spectral display • Measurements iE33 User Manual 4535 616 23901...
  • Page 69: 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. The following cautions can help to reduce ESD effect: iE33 User Manual 4535 616 23901...
  • Page 70: Electromagnetic Emissions

    Electromagnetic Emissions The system is intended for use in the electromagnetic environment specified in the table. The customer or the user of the system should ensure that it is used in such an environment. iE33 User Manual 4535 616 23901...
  • Page 71: Approved Cables For Electromagnetic Compliance

    Cables connected to the system may affect its emissions. Use only the cable types and lengths listed here. WARNING Using cables, transducers, and accessories other than those specified for use with the system may result in increased emissions from, or decreased immunity of, the system. iE33 User Manual 4535 616 23901...
  • Page 72 Safety iE33 Approved Cables Philips Part Cable Type Length Number Adult and pediatric ECG – 2.7 m (9 ft) 453561227251 three-lead patient trunk cable with leadset (for AAMI and IEC leadsets) Adult ECG leadset, – – 453561233291 nondisposable (AAMI) Adult ECG leadset, –...
  • Page 73: Approved Transducers For Electromagnetic Compliance

    CAUTION Use only Class-B USB storage devices with the system. Some plastic-cased unshielded USB devices may cause RF emissions that exceed Class-B limits. See the device’s documentation to determine whether it is Class-B compliant. iE33 User Manual 4535 616 23901...
  • Page 74 Black and white printers Sony UP-D895MD UP-D897MD Color printers Sony UP-D21MD UP-D23MD Mitsubishi CP-30DW Large-format multi-image Sony UP-D55MD color printer Black and white LaserJet Hewlett-Packard P2015 report printers 1300 1320 Color LaserJet printers Hewlett-Packard 2550L 3600 2605 iE33 User Manual 4535 616 23901...
  • Page 75: Electromagnetic Immunity

    • is the AC power voltage before application of the test level. • At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. iE33 User Manual 4535 616 23901...
  • Page 76 Surge, Same as Mains power quality should be ± 1 kV IEC 61000-4-5 IEC 60601 test that of a typical commercial or differential level hospital environment. mode, ±2 kV common mode iE33 User Manual 4535 616 23901...
  • Page 77 Use only approved accessories, cables, and transducers to minimize the chance of performance degradation of the system due to those types of electromagnetic phenomena. iE33 User Manual 4535 616 23901...
  • Page 78: Electromagnetic Interference

    Safety CAUTION If the system is connected to other customer-supplied equipment, such as a local area network (LAN) or a remote printer, Philips cannot guarantee that the remote equipment will work correctly in the presence of electromagnetic phenomena. Although most remote devices comply with their applicable standards for immunity, those device requirements may not be as stringent as those required for medical equipment.
  • Page 79 "popping" noise in system reset. Brief noise in the audio, the audio, or both. flashes in the or both. displayed or recorded image. iE33 User Manual 4535 616 23901...
  • Page 80: Recommended Separation Distance

    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 iE33 User Manual 4535 616 23901...
  • Page 81 1.2 m (3.9 ft) 1.2 m (3.9 ft) 2.4 m (7.9 ft) 3.8 m (12.5 ft) 3.8 m (12.5 ft) 7.6 m (25 ft) 12 m (39.4 ft) 12 m (39.4 ft) 24 m (78.7 ft) iE33 User Manual 4535 616 23901...
  • Page 82: 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 83: Use Restrictions Due To Interference

    The answers to these questions will help determine if the problem resides with the system or the scanning environment. After you answer the questions, contact your Philips service representative. Use Restrictions Due to Interference The physician needs to determine if an artifact caused by radiated interference will have a negative impact on image quality and the subsequent diagnosis.
  • Page 84 Safety iE33 User Manual 4535 616 23901...
  • Page 85: System Overview

    Use this section to acquaint yourself with the ultrasound system and its components. System Capabilities The iE33 Ultrasound System is a high-resolution system intended for cardiac imaging and analysis. The cart is ergonomically designed to be both highly mobile and adjustable for a range of users and operating conditions. You can use it for 2D, Live 3D Echo, M-mode, Doppler, and Color imaging.
  • Page 86: Transducer Types

    206. Image Acquisition and Review You can acquire and review single images and Philips Cineloop sequences. Images and Cineloop sequences can be stored on digital versatile discs (DVD RW) or sent over a network to an archive server or a printer.
  • Page 87: System Options

    Doppler iSCAN Intelligent Optimization • Live 3D and xPlane (xMATRIX transducers) • Live 3D Echo • Panoramic Imaging • Physio • SonoCT Real-time Compound Imaging • Tissue Doppler Imaging (TDI) • Voice Control • XRES Image Processing iE33 User Manual 4535 616 23901...
  • Page 88: Voice Control Option

    • Digital Navigation Link (DNL) Clinical/Analysis Options Clinical options are available on the system as separate purchasable options. Clinical options include corresponding analysis packages. The following clinical options and their corresponding applications are available: iE33 User Manual 4535 616 23901...
  • Page 89: Qlab Advanced Quantification Software Options

    A data security feature is available to help maintain the confidentiality of archived patient files. With this option, access to patient exam files is restricted to authorized personnel through user ID and password protection. For more information, see "Patient Data Protection" on page iE33 User Manual 4535 616 23901...
  • Page 90: Technical Administration Option

    Adjustable components can be locked in place so the cart can be safely moved. The major components include the monitor, control module, On/Off switch, DVD RW drive, peripheral bay, transducer receptacles, ECG/physio receptacles, foot pedals, foot switch receptacle, and rear-panel power switch and audio/video receptacles. iE33 User Manual 4535 616 23901...
  • Page 91 System Overview System Components Monitor On/Off switch Transducer receptacles iE33 User Manual 4535 616 23901...
  • Page 92: Video Monitor

    The touch screens, located above the control panel, display controls used to select applications and imaging modes, as well as controls that are specific to the current operating mode. Touch screen controls include buttons and knob displays. iE33 User Manual 4535 616 23901...
  • Page 93 Beneath the control panel is a retractable keyboard. The keyboard is used to enter patient data, comments, and text annotation on images. A light above the keyboard is switched on when the keyboard is pulled out. iE33 User Manual 4535 616 23901...
  • Page 94: Voice Control Headset

    The On/Off switch is to the left of the DVD RW drive on the front of the system, above the control module. When the system is off, pushing this control brings the system into a fully operational state. Pushing this control again turns off the system. iE33 User Manual 4535 616 23901...
  • Page 95: Data Storage

    You can store exam data and images onto removable media. Removable media includes USB storage devices and the DVD RW drive, which is located above the control panel. The system hard drive is located inside the system. iE33 User Manual 4535 616 23901...
  • Page 96 System Overview DVD RW Drive iE33 User Manual 4535 616 23901...
  • Page 97: Peripherals

    USB Port Location USB ports Network connection Peripherals The peripheral bays at the back of the system provide space for up to three peripheral devices. Those devices can be any combination of the following devices: iE33 User Manual 4535 616 23901...
  • Page 98 TEE transducer tray, but not both. The devices can be installed in the peripheral bay for access from either the right or left side of the system. Peripheral Bays Third peripheral tray Printer DVR or VCR iE33 User Manual 4535 616 23901...
  • Page 99: Transducer Receptacles And Cable Management

    When a transducer is not in use, store it in one of the transducer holders on the control module. Always use the cable management system to prevent cables from being stepped on or run over by the cart wheels. iE33 User Manual 4535 616 23901...
  • Page 100: Physio (ecg) Receptacles

    Transducer holders Array-transducer and pencil-probe receptacles Cable hangers Physio (ECG) Receptacles For physio support, your system includes input receptacles for both high-level and low-level ECG, pulse, phono, and auxiliary signals. Also, there is an analog iE33 User Manual 4535 616 23901...
  • Page 101 ECG/TTL-compatible trigger output signals. The ECG receptacles are on the front panel of the system below the control module. ECG and Physio Receptacles Analog output Pulse/Aux 1 input Phono/Aux 2 input High-level ECG input Low-level ECG input iE33 User Manual 4535 616 23901...
  • Page 102: Rear Panel And Power Switch

    The rear panel of the system contains the receptacles for the peripheral devices, network devices, and power cords. Also located on the rear panel is the power switch. Rear Panel Audio, video, and network receptacles Pull door to open Power switch iE33 User Manual 4535 616 23901...
  • Page 103: Wheel Brakes And Steering Locks

    The brakes and steering locks are operated using one or two foot pedals at the lower front of the cart. For more information, see "Using the Brakes and Steering Locks" on page 128. Two-Pedal System iE33 User Manual 4535 616 23901...
  • Page 104 System Overview One-Pedal System iE33 User Manual 4535 616 23901...
  • Page 105: Preparing The System

    IEC 60601-1-1. • Philips ultrasound systems are tested to the requirements of IEC 60601-1, with on-cart peripherals that are powered by the built-in isolation transformer. The system peripherals meet general electrical safety usage requirements, but not necessarily medical device standards.
  • Page 106: External Printers

    (50°F), then the time required for the device to return to room temperature could be significantly less than 24 hours. NOTE Any device that is not purchased from Philips or a Philips-authorized agent is not covered under a Philips service agreement or warranty. External Printers You can connect different external printers to your system.
  • Page 107: Connecting An External Printer

    It is your responsibility to comply with IEC 60601-1-1 and test the system to those requirements. If you have questions, contact your Philips representative. • Do not use nonmedical peripherals, such as report printers, within 1.5 m...
  • Page 108 4. Plug the system's power cord into an appropriate power source. 5. Turn on the printer, and then turn on the system. The system installs the printer drivers automatically. 6. After the system installs the new printer drivers, restart the system. iE33 User Manual 4535 616 23901...
  • Page 109: Connecting The Foot Switch

    USB Port Location On systems with a USB hub, connect a printer only to a USB port on the hub. USB ports Connecting the Foot Switch The foot switch is available as an option. iE33 User Manual 4535 616 23901...
  • Page 110: External Vcrs

    The system supports VCR control through the system control module only if this VCR is installed on the system using the Philips installation kit for that model. (For availability of this kit, contact your Philips representative.) If you connect this VCR without the installation kit or connect any other VCR, you must control it from the front panel controls on the VCR.
  • Page 111: Connecting An External Vcr

    Alt Print can print only to local printers; and Report can print only to the local report printer. You can also change other printing parameters. NOTE During a study, Print/Network setups cannot be changed after you acquire an image. 1. Press the Setup key. iE33 User Manual 4535 616 23901...
  • Page 112 Frozen and Control Panel Print Key for Print Format. • To send report data to a computer or workstation, select To Report Server for Send Report. Otherwise, select To Report Printer. 8. To exit the setups, click Done. iE33 User Manual 4535 616 23901...
  • Page 113: Connecting An External Color Monitor

    To use connectivity features, the system must be connected to a network. The network receptacle on the system supports (10/100/1000 Mb/s) Ethernet LAN. The system is configured for network connectivity by a Philips field service engineer or your network administrator.
  • Page 114: Moving The System

    When extended, the keyboard might be damaged if it hits another object, and the video monitor could swing out during transport, causing injury or equipment damage. • To avoid injury, Philips recommends against lifting the system cart. iE33 User Manual 4535 616 23901...
  • Page 115: Preparing And Moving

    Secure all cables, transducers, and accessories so that they do not interfere with the wheels. 4. Retract the keyboard. 5. Squeeze the release lever on the front handle and use the handles to move the control module to its lowest position. iE33 User Manual 4535 616 23901...
  • Page 116 Control Module Locks Unlocked position Locked position Release lever 6. Turn the locking lever beneath the control module to the right. 7. Grip the module by the sides, and center the module so that it latches. iE33 User Manual 4535 616 23901...
  • Page 117 This means that when you push the system by using the front handles, the wheels are locked under the system, not protruding out from under the back of the system. 10. Move the cart using the front handles. iE33 User Manual 4535 616 23901...
  • Page 118: Positioning The System In Confined Spaces

    3. When the system is in position, set the wheel brakes by using the appropriate step: • On a one-pedal system, press the foot pedal down fully. • On a two-pedal system, press the left foot pedal down fully. One-Pedal System iE33 User Manual 4535 616 23901...
  • Page 119: Setting Up After Moving

    Two-Pedal System Setting Up After Moving CAUTION If the system behaves abnormally after moving, contact your Philips representative immediately. The components are installed securely and can withstand considerable shock; however, excessive shock can cause a system failure. 1. With the system in position and the brakes set, connect the power, network, modem and other cables from the system to the appropriate wall receptacles.
  • Page 120 Preparing the System Unlocking the Monitor 3. Unlock the control module by turning the locking lever below the module to the left. iE33 User Manual 4535 616 23901...
  • Page 121 Control Module Locks Locked Unlocked 4. Squeeze the release lever on the front handle and position the control module to the desired position. 5. Set Power to on 6. Press On/Off to turn on the system. iE33 User Manual 4535 616 23901...
  • Page 122: Transporting The System

    Tie points are built into the system for anchoring it during transport in a vehicle. The system can be safely transported in a van if it is properly strapped down using the tie points. 1. Prepare the system as described in "Moving the System" on page 114. iE33 User Manual 4535 616 23901...
  • Page 123 5. Place wheel chocks on the wheels to prevent the system from rolling. 6. Attach tie-down straps to the tie points on the lower rear of the system and to the handles. Secure the straps to anchor points in the vehicle. Tie Points on the System iE33 User Manual 4535 616 23901...
  • Page 124 Preparing the System iE33 User Manual 4535 616 23901...
  • Page 125: Using The System

    Turning off the Power switch on the back of the system or unplugging the system before that shutdown sequence is complete can corrupt the hard drives. To ensure that the system is fully shut down, wait until the iE33 User Manual 4535 616 23901...
  • Page 126 Always end exams before turning off the system. If you turn off the system with an exam open, the exam is paused, not closed. On/Off Power Switches On/Off switch Rear of the system Power switch iE33 User Manual 4535 616 23901...
  • Page 127: Setting The System Time And Date

    3. In Set Date, select a Format, double-click the year, month, or day in the Date box to select it, and then use the number keys to enter the correct setting. Repeat to set the other components of the date. 4. Click Done. iE33 User Manual 4535 616 23901...
  • Page 128: Using The Brakes And Steering Locks

    To engage the steering locks and release the brakes, lift the pedal fully. • To release both the steering locks and the brakes, move the pedal to its middle position. • To engage the brakes and release the steering locks, press the pedal fully. iE33 User Manual 4535 616 23901...
  • Page 129 To engage the brakes and release the steering locks, press the left pedal fully. • To release both the steering locks and the brakes, press the higher pedal halfway down so that both pedals are even. iE33 User Manual 4535 616 23901...
  • Page 130: Monitor Adjustments

    1. Release the monitor from its locked transport position. 2. Grasp the monitor firmly and do one of the following: • Tilt the monitor up and down • Swivel the monitor left and right iE33 User Manual 4535 616 23901...
  • Page 131: Changing The Monitor Tint

    • 2 is balanced toward a brown tint, making the display look more like the display on the 43-cm (17-in) analog monitor of an iU22 or iE33 system. 1. Press the Setup key. 2. With System Settings selected, click the Display tab.
  • Page 132: Adjusting For Ambient Light

    Brightness" on page 131). For maximum dynamic range, set Monitor to 3. To match the look of the system display to earlier iE33 systems with the 43-cm (17-inch) monitor, set Monitor to 2. 1. Touch Image on the left touch screen.
  • Page 133: Control Panel

    The touch screens, located above the control panel, display controls used to select applications and imaging modes, as well as controls that are specific to the current operating mode. The type of controls on the touch screens include buttons and knob displays. Control Panel iE33 User Manual 4535 616 23901...
  • Page 134: Positioning The Control Module

    • Use the handles to swivel the control module. • Grip the sides of the control module to move it side-to-side. 2. Squeeze the release lever on the front handle and use the handles to move the control module up or down. iE33 User Manual 4535 616 23901...
  • Page 135 Using the System Control Module Locks Unlocked position Locked position Release lever iE33 User Manual 4535 616 23901...
  • Page 136: Touch Screen Layout

    Imaging feature knob displays: Use these controls to set imaging functions such as magnification or focus. These controls are in the bottom two rows of the right touch screen. For more information on knob displays, "Touch Screen Knob Displays" on page 144. iE33 User Manual 4535 616 23901...
  • Page 137 • Application selection controls: Use these controls to switch between applications, such as ECG, loop acquisition, and QLAB software. These controls are in the top two rows of the left touch screen. When selected, iE33 User Manual 4535 616 23901...
  • Page 138 Application knob displays: Use these controls to set imaging functions such as loop type or format. These controls are in the bottom row of the left touch screen, when present. For some applications, there are no knob displays. iE33 User Manual 4535 616 23901...
  • Page 139: Touch Screen Brightness Controls

    Application knob controls Touch Screen Brightness Controls The touch screen brightness control on the top of each touch screen allows you to adjust the touch screen display brightness to compensate for changes in ambient light. iE33 User Manual 4535 616 23901...
  • Page 140: Touch Screen Controls

    The touch screens above the control panel provide controls that change function according to the current mode or function. The touch screens can contain various types of controls, depending on the function the control is to perform. iE33 User Manual 4535 616 23901...
  • Page 141 When the button in this example is active, ECG and other physio controls are displayed. Touch to perform a measurement. For information on controls used only in measurements and analysis, see Analysis Touch Screen Labels. iE33 User Manual 4535 616 23901...
  • Page 142 Doppler scale. Touch to turn a function on or off. The indicator in the upper corner is lit when the function is on. In this example, the control turns XRES imaging on or off. iE33 User Manual 4535 616 23901...
  • Page 143 Repeatedly touching this type of button cycles through the range of available values. Do not confuse these buttons with knob displays, which also display a value but are not intended to function as a button. iE33 User Manual 4535 616 23901...
  • Page 144: Touch Screen Knob Displays

    In a few instances, however, the value appears on the monitor display instead of on the knob display. One example of this is the Baseline knob display. Knob Displays iE33 User Manual 4535 616 23901...
  • Page 145: Using The Retractable Keyboard

    1. Pull out the keyboard. The keyboard illuminates after you pull it out completely. 2. Push the keyboard in completely when you are finished. iE33 User Manual 4535 616 23901...
  • Page 146: Status Icons

    USB drive is empty; the DVD drive is malfunctioning and the USB drive is empty • Red dot: Failed Click the icon to open the Media Status dialog box. You can cancel, pause, or resume any data transfer job listed. iE33 User Manual 4535 616 23901...
  • Page 147 • Yellow dot: System or printer not on the network • Red dot: Failed Click the icon to open the Network Status dialog box. You can cancel, pause, or resume any network job listed. iE33 User Manual 4535 616 23901...
  • Page 148: Voice Control

    You can include a relative control setting, which specifies an increment or multiplier, depending on the command you use it with. For example, "2D gain up 5" corresponds to an increase iE33 User Manual 4535 616 23901...
  • Page 149 An AC adapter is included with your iCOMMAND headset and is intended only for use with the headset charging unit. Please check your local electrical device regulations prior to its use. For permanent use, Philips recommends that you obtain from your local wireless electronics dealer the Jabra FreeSpeak BT250v headset with Bluetooth v1.1 compliant technology that...
  • Page 150: Voice Control Icons

    Voice control is active, and the voice annotation feature is on. Click to deactivate voice control. Headset Status Icon Voice control is not ready; headset is not connected. Voice control is active and listening. Voice control did not recognize a valid command and did nothing. iE33 User Manual 4535 616 23901...
  • Page 151: Turning Headsets On And Off

    Sony Ericsson headsets, the model designation starts with HBH; for Jabra headsets, the model designation starts with the name Jabra. Ignore other nearby Bluetooth devices that may appear in the list on the Headset Config tab. iE33 User Manual 4535 616 23901...
  • Page 152 Click Change Name. b. Type a unique name. c. Click OK. 11. Click Done. 12. Label the headset with the name you assigned to it in step 10. iE33 User Manual 4535 616 23901...
  • Page 153: Configuring Headsets

    OK to confirm the deletion. • To prevent the selected headset from communicating with the system, click Unpair. • To see any changes that are not reflected in the list, click Refresh Current Status. 7. Click Done. iE33 User Manual 4535 616 23901...
  • Page 154: Muting The Headset

    5. When your headset rings, press the Call Handling button to connect to the system. Voice Profiles You can use voice control regardless of whether you have created and trained a voice profile. However, Philips recommends that you create and train a voice iE33 User Manual 4535 616 23901...
  • Page 155: Creating A Voice Profile

    154. You can use voice control regardless of whether you have created and trained a voice profile. However, Philips recommends that you create and train a voice profile before using voice control. Training voice control to recognize your speech significantly improves recognition accuracy. Minimally training a voice profile requires only about 2 minutes.
  • Page 156: Training Voice Profiles

    Training Voice Profiles You can use voice control regardless of whether you have created and trained a voice profile. However, Philips recommends that you create and train a voice profile before using voice control. Training voice control to recognize your speech significantly improves recognition accuracy.
  • Page 157 9. When you are finished reading, click Start Processing to apply the training to your profile. NOTE If Start Processing is not available, first click Microphone. 10. Click Done when the processing is complete. iE33 User Manual 4535 616 23901...
  • Page 158: Deleting Voice Profiles

    If you cannot communicate with your system using the voice control headset, first perform the steps in "Troubleshooting Voice Controls" on page 159. If the iE33 User Manual 4535 616 23901...
  • Page 159: Troubleshooting Voice Controls

    2. Ensure headset is paired to system. 3. Refresh the Active Headsets list and select your headset again. NOTE If the problem persists or is not covered here, contact your Philips Ultrasound customer support representative. Using Voice Commands You can use voice control regardless of whether you have created and trained a voice profile.
  • Page 160: Using The Keyword Feature

    3. To disable voice control, click the voice control icon Using the Keyword Feature When the keyword feature is on, voice control performs only commands that start with the keyword "Vox." Using this feature helps prevent erroneous iE33 User Manual 4535 616 23901...
  • Page 161: Specifying Keyword Default Settings

    "Erase last word" are the only other voice commands available when voice annotation is on. NOTE To simplify the annotation process, the keyword feature is not available when voice annotation is on. iE33 User Manual 4535 616 23901...
  • Page 162: Using Voice Annotation

    To close the Help, press Help again. Logging On to the System When data security is enabled, you must log on to the system before you will be able to view or load patient files. iE33 User Manual 4535 616 23901...
  • Page 163: Logging Off Of The System

    Once the system administrator has given you a password for the system, you can change it as needed. A password must be 6 to 10 characters long and can contain only letters and numbers; punctuation marks and symbols are not allowed. iE33 User Manual 4535 616 23901...
  • Page 164: Emergency Studies

    When you select this feature, the system enters unique, temporary placeholders for the patient's last name and ID. Using the temporary ID feature allows you to perform an exam as you would normally. iE33 User Manual 4535 616 23901...
  • Page 165: Starting Emergency Studies

    Modality Worklist entry from the Worklist tab in the Patient Data form), and then click End Exam. • To end the exam and use the temporary ID, press End Exam and click End Exam in the Temporary Patient Study dialog box. iE33 User Manual 4535 616 23901...
  • Page 166: Imaging Display

    The system does not display patient data in this area until you start an exam. This area also includes the current time and date, the institution name, the selected transducer and clinical option, the thermal index (TI) setting and the TI and MI (mechanical index) values. iE33 User Manual 4535 616 23901...
  • Page 167 Use the Image Info control to turn on or off the display of image information for the active imaging mode. iE33 User Manual 4535 616 23901...
  • Page 168 Using the System Imaging Display 2D image parameters Patient and exam information TI and MI values iE33 User Manual 4535 616 23901...
  • Page 169: Setting The Auto Freeze Function

    When a transducer is not in use, store it in one of the transducer holders on the control module. Always use the cable management system to prevent cables from being stepped on or run over by the cart wheels. iE33 User Manual 4535 616 23901...
  • Page 170: Connecting Transducers

    Transducer Receptacles, Holders, and Cable Management Transducer holders Array-transducer and pencil-probe receptacles Cable hangers Connecting Transducers The system includes three receptacles for array transducers and one receptacle for a pulsed- or continuous-wave Doppler probe. iE33 User Manual 4535 616 23901...
  • Page 171 3. Hang the transducer cable on the cable management bracket below the control module. 4. Insert the transducer connector into one of the three receptacles on the front of the system. 5. Turn the locking lever clockwise. iE33 User Manual 4535 616 23901...
  • Page 172 Using the System Connecting a Transducer iE33 User Manual 4535 616 23901...
  • Page 173: Selecting A Transducer

    Removable media compatible with the system include DVD, CD, and USB storage devices. Use removable media to store and transfer patient files, including full studies, 3D data sets, and reports. Also, you can save, restore, and distribute setups data, including presets. iE33 User Manual 4535 616 23901...
  • Page 174: Media Compatibility

    Multiple studies can be written to a disc, up to the limit of its capacity. This includes moving a single DVD or CD between different iU22 and iE33 ultrasound systems and writing studies from each system to the disc. To record multiple studies to a disc, you must end the exam you just recorded before removing the disc.
  • Page 175: Loading And Ejecting A Disc

    CDs and DVDs in a different format. As a result, CDs and DVDs that were used on an iE33 system with any previous version of system software can be read on your system but cannot be used to store data.
  • Page 176: Usb Devices

    Many portable USB hard drives require additional power and therefore include two USB connectors on the cable. When connecting USB hard drives to the system, Philips recommends that you connect both USB connectors to the USB ports behind the rear panel.
  • Page 177 • Ultrasound systems may become vulnerable to security breaches when they accept removable media. Removable USB storage devices may contain viruses. Philips recommends that you use the system to format USB storage devices before working with them. • Philips does not recommend that you use USB storage devices for long-term storage.
  • Page 178 Do not use USB storage devices that require additional power from an external source. • Some offline viewers may not be able to load or view large images exported from the system to removable media. iE33 User Manual 4535 616 23901...
  • Page 179: Customizing The System

    In addition to the presets provided with the clinical options, the system lets you create and use custom presets. The available presets are determined by the selected transducer. NOTE Presets are available only if you purchased the corresponding application-package option. iE33 User Manual 4535 616 23901...
  • Page 180: Setting The Default Transducer And Preset

    Clinical Options and Tissue Specific Presets Clinical options are broad areas of medical study. Within each clinical option, there are Philips Tissue Specific presets for specific areas of study. For example, within the Adult Cardiology clinical option, the Tissue Specific presets are Adult Echo, Contrast, Contrast Low MI, and Contrast LVO.
  • Page 181: Creating Quick Save Presets

    Quick Save preset, the system automatically invokes the settings in the preset. You can delete existing Quick Save presets, copy them onto a DVD or USB storage device, and load them into another iE33 system. The number of Quick Save presets you can store for a transducer/application combination is limited only by the number of buttons available on the corresponding Preset/Transducer touch screen.
  • Page 182: Copying Quick Save Presets To Removable Media

    You can copy Quick Save presets to a DVD or a USB storage device. This function is useful for archiving presets and for sharing presets among other iE33 systems. When you copy Quick Save presets, all available data is copied.
  • Page 183: Loading Quick Save Presets From Removable Media

    System Settings, Analysis Config (configuration), Annotate, Print/Network, Audio/Video, Protocols, and Service. Additionally, two other categories appear only if the corresponding options are installed on the system. These optional categories are Voice Control iE33 User Manual 4535 616 23901...
  • Page 184: Changing Setups

    NOTE The institution name exported with DICOM data always reflects the name shown in the setups at the time the study ended. Philips recommends restarting the system after changing Institution Name in the setups. Procedures for using setup options and descriptions of settings are included throughout the Help.
  • Page 185: Options

    The system lets you temporarily install up to five licensed options. You can then evaluate these options for a fixed length of time, which is set by Philips. Before you can install temporary options, you must request and receive an activation key for each option you want to install.
  • Page 186: Purchasing Options

    11. In the System Restart dialog box, click OK to restart the system. Purchasing Options To add licensed options to your system, you purchase them from your Philips representative. Once purchased, they are installed in your system by a Philips field service engineer.
  • Page 187: Performing An Exam

    ID number, the second patient file will adopt the date of birth (DOB) from the first patient files. To avoid this duplication, ensure that individual patient files are unique in either patient name or patient ID. iE33 User Manual 4535 616 23901...
  • Page 188: Entering Patient Data

    In an emergency, you can use the temporary ID feature to start an exam without first having to enter patient data. You can create a temporary ID when starting a protocol, printing, acquiring an image, or saving a volume. iE33 User Manual 4535 616 23901...
  • Page 189: Selecting In The Worklist

    2. On the Patient Data form, click the Worklist tab. 3. On the worklist, select the exam you want, and click Close. The system loads the patient information, and you are ready to begin an exam for that patient. iE33 User Manual 4535 616 23901...
  • Page 190: Searching In The Worklist

    You can select among the four connected transducers during system operation. 1. Touch Preset/Transducer. 2. On the Preset/Transducer touch screen, touch a transducer button to select a transducer. 3. Touch the clinical option preset you want to use. iE33 User Manual 4535 616 23901...
  • Page 191: Imaging Modes

    Focus and Focus Range. • To optimize the transmit and receive frequencies and penetration and resolution for the image, use 2D Opt. • To compensate for signal attenuation, use the TGC and LGC controls. iE33 User Manual 4535 616 23901...
  • Page 192: Annotation

    2. Use the trackball to position the text cursor on the display, or touch Home to return it to the home location. NOTE You cannot move a label once you have added it to the display. iE33 User Manual 4535 616 23901...
  • Page 193: Adding Labels Using The Keyboard

    5. When finished, press Select or press the Text Cursor key again to remove the text cursor. 6. To remove all text, press the Erase Text key. You can also touch Annot and then touch Erase Last Word or Erase All Text. iE33 User Manual 4535 616 23901...
  • Page 194: Adding An Image Title

    4. Do any of the following: • To move the marker, touch Move Body Mark, position the body marker using the trackball, and touch Move Body Mark again. • To remove a body marker, touch Erase Body Mark. iE33 User Manual 4535 616 23901...
  • Page 195: Recording

    Video touch screen or the VCR: • Play to play back the video at normal speed • Stop to stop the playback • Record to start recording iE33 User Manual 4535 616 23901...
  • Page 196: Using The Dvd Recorder

    • Always format a new disc before using it with the DVD recorder. Also, Philips recommends reformatting a used disc before using it with the DVD recorder. 1. To turn on the DVD recorder, ensure that MAIN POWER (on the rear panel) is set to |, and then press on the front panel.
  • Page 197: Printing

    In addition, you can select whether Print and Acquire print the entire display or just the image area. Print and Acquire can print to local and network printers; Alt iE33 User Manual 4535 616 23901...
  • Page 198: Printing In Live Imaging

    For example, if you have a 2x2 format selected, the printer will not print the page until you have captured four images or, if the number captured is less than four, until the end of the exam. iE33 User Manual 4535 616 23901...
  • Page 199: Review

    3D data set, it opens in 3D review mode. NOTE When reviewing images of an exam loaded from the Patient Directory, thumbnails will not be available in some circumstances. For example, exams copied from iE33 User Manual 4535 616 23901...
  • Page 200: Acquiring Images And Loops

    Use the Freeze control to stop and start system image acquisition and update. Pressing Freeze results in the system entering cineloop pause and assigning the trackball to manual cineloop review (frame-by-frame). Do one of the following: iE33 User Manual 4535 616 23901...
  • Page 201: Measurement And Analysis

    In the setups is an analysis configuration capability that allows you to create your own calc lists including collections, groups, measurements, and calculations. In iE33 User Manual 4535 616 23901...
  • Page 202: Measuring 2d Distance

    Guided or complex tools require specialized procedures, found in the Help. 1. Obtain the image you want to measure and press Freeze. 2. Touch Analysis. 3. Touch a collection label to display group and measurement labels. iE33 User Manual 4535 616 23901...
  • Page 203: Obtaining A Calculation Result

    The measurement result appears below the measurement label. 6. To display the patient report, press Report. To edit the report, click Edit Report, make changes, and click Close Report to save your changes. iE33 User Manual 4535 616 23901...
  • Page 204: Ending An Exam

    When the exam is complete, do one of the following: • Press End Exam. • Click End Exam in the Patient Data display. iE33 User Manual 4535 616 23901...
  • Page 205: Transducers

    You can select among the four connected transducers during system operation. 1. Touch Preset/Transducer. 2. On the Preset/Transducer touch screen, touch a transducer button to select a transducer. 3. Touch the clinical option preset you want to use. iE33 User Manual 4535 616 23901...
  • Page 206: Setting The Default Transducer And Preset

    The clinical options, or applications, for each transducer available for the system are listed here. Use only transducers that are approved by Philips for use with your Philips ultrasound system. In the United States, the FDA 510(k) regulatory clearance for use of the product is applicable only when Philips-manufactured transducers are connected to the system.
  • Page 207 Adult Echo, Pediatric Echo T6207 Adult Echo, Pediatric Echo Adult Echo, Contrast X3-1 Adult Echo, Pediatric Echo, Contrast X5-1 Adult Echo, Contrast, Pediatric Echo X7-2 Adult Echo, Fetal Echo, Pediatric Echo X7-2t Adult Echo D2cwc Adult Echo iE33 User Manual 4535 616 23901...
  • Page 208: Indications For Use And Supporting Transducers

    D2cwc, S5-1, S7-3t, S8-3, S8-3t, S12-4, X3-1, X5-1, X7-2 Cardiac Pediatric D2cwc, S5-1, S7-3t, S8-3, S8-3t, S12-4, X3-1, X5-1, X7-2 Cerebral Vascular C8-5, D2tcd, D5cwc, L8-4, L9-3, L11-3, L15-7io, S5-1 Fetal C5-1, C5-2, C8-5, C9-4, X7-2 iE33 User Manual 4535 616 23901...
  • Page 209 C5-1, C5-2, C8-5, C9-4, L8-4, L9-3, S12-4, X5-1, X7-2 Peripheral Vessel C5-1, C5-2, C8-5, D5cwc, L8-4, L9-3, L11-3, L15-7io, S5-1 Small Organ L8-4, L9-3, L15-7io (Breast, Thyroid, Testicle) Transesophageal T6H, S7-2omni, S7-3t, S8-3t, X7-2t (Cardiac) iE33 User Manual 4535 616 23901...
  • Page 210: Xmatrix Array Transducers

    X3-1 Description Features of the X3-1 transducer include: • Operating range: 1 to 3 MHz • Biopsy capable • 2D xMATRIX phased array with 2,400 elements iE33 User Manual 4535 616 23901...
  • Page 211: X5-1 Description

    3D, XRES image processing, and Tissue Harmonic Imaging Compact Transducer Adapter Use the Compact Adapter to connect compact transducers to the iE33 system. For more information, contact your Philips Ultrasound representative. When using the Compact Adapter, you must first connect the adapter to the system, and then connect the transducer to the Compact Adapter.
  • Page 212: Using The Compact Adapter

    1. To connect the Compact Adapter and transducer to the system: a. Turn the latch on the adapter to the unlocked position (horizontal). b. Plug the Compact Adapter into the left transducer receptacle on the iE33 system, with the latch side facing out. (You can use the other transducer receptacles, but one additional receptacle will be blocked by the adapter if you do.)
  • Page 213: Transducer Maintenance

    Before using a gel or solution on a transducer, see "Transducer Care". You can also call Philips at 800-722-9377 (North America), or call your local Philips Ultrasound representative (outside North America). Information on compatible disinfectants is available on the Philips Ultrasound Transducer Care website: www.healthcare.philips.com/us/products/ultrasound/transducers/transducer_care/...
  • Page 214: Acoustic Artifacts

    Aliasing occurs when the detected Doppler frequency exceeds the Nyquist limit. It is characterized on the spectral display by the Doppler peaks going off the display, top or bottom, and then continuing on the other side of the baseline. iE33 User Manual 4535 616 23901...
  • Page 215 The ultrasound system calculates the distance to a reflector from the echo arrival time assuming that all echoes were generated by the last emitted pulse. The maximum depth iE33 User Manual 4535 616 23901...
  • Page 216 However, broadening can also result from interaction between flow and sample volume size, in which case it is an artifact. iE33 User Manual 4535 616 23901...
  • Page 217: Acoustic Artifacts In 3d Imaging

    3D volumes and may be more difficult to recognize than on standard 2D imaging. Those artifacts may produce apparent defects, such as limb abnormalities or facial clefts, where they iE33 User Manual 4535 616 23901...
  • Page 218: Transducer Covers

    Protective covers are recommended for transrectal, intravaginal, and transesophageal procedures; the protective covers are mandatory in China and Japan. Philips recommends the use of qualified covers. For procedures for using transducer covers, see the instructions provided with the covers.
  • Page 219: Ergonomic Grip

    Ergonomic Grip Repetitive ultrasound scanning has been associated with carpal tunnel syndrome (CTS) and repetitive strain injury. Philips offers a slip-on reusable grip to provide alternative grip options for the S8-3 transducer. Installing the Ergonomic Grip 1.
  • Page 220: Cleaning The Ergonomic Grip

    • To avoid damaging the shaft or steering mechanism of TEE transducers, do not bend or coil the flexible shaft of the transducer in less than a 0.30-m (1-ft) diameter circle. iE33 User Manual 4535 616 23901...
  • Page 221: 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. iE33 User Manual 4535 616 23901...
  • Page 222 Transducers iE33 User Manual 4535 616 23901...
  • Page 223: Intraoperative Transducers

    The system supports the L15-7io transducer for use in intraoperative applications. Operators of Intraoperative Transducers Philips intraoperative transducers are designed to be used under the guidance of physicians who are properly trained in intraoperative ultrasound imaging techniques according to currently approved relevant medical practices. Philips...
  • Page 224: Patient Safety During Intraoperative Studies

    "Preparing Transducers for Intraoperative Use" on page 227. • Operate the transducer properly. • Do not allow water or other liquids to drip onto the transducer connector, the interior of the system, or the keyboard. iE33 User Manual 4535 616 23901...
  • Page 225: Patient-contact Parts

    "FDA Medical Alert on Latex" on page NOTE The ultrasound system and transducers discussed here do not contain natural rubber latex that contacts humans. Natural rubber latex is not used on any Philips ultrasound transducers. Preventing Intraoperative Transducer Problems WARNING If you find any signs of damage to the transducer, patient safety may be compromised.
  • Page 226: L15-7io Description

    • Damage caused by dropping the transducer on a hard surface 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 provided here.
  • Page 227: Preparing Transducers For Intraoperative Use

    4. Use a sterile elastic band or clip to hold the proximal end of the transducer cover in place. 5. Ensure that wrinkles and bubbles over the face of the transducer are minimized. Check the transducer cover for tears or damage before proceeding. iE33 User Manual 4535 616 23901...
  • Page 228: Disposable Drapes

    Disposable Drapes During studies in which you believe contamination of the ultrasound system can occur, Philips recommends that you take universal precautions and cover the system with a disposable drape. Consult your hospital’s rules regarding equipment use in the presence of infectious disease.
  • Page 229: Leakage Current Testing For Intraoperative Transducers

    Intraoperative Transducers Leakage Current Testing for Intraoperative Transducers Philips transducers approved for intraoperative use are labeled on the transducer connector as Type CF in accordance with the IEC 60601-1. Type CF classification indicates that the degree of protection from electrical shock afforded by the transducer is suitable for all patient applications, including direct cardiac and intraoperative applications.
  • Page 230 Intraoperative Transducers Test 1: Leakage Current Test with Mains Voltage Applied (Source) for Intraoperative Transducers iE33 User Manual 4535 616 23901...
  • Page 231 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 Line mains supply Neutral mains supply Earth ground iE33 User Manual 4535 616 23901...
  • Page 232 Intraoperative Transducers Test 2: Leakage Current Test with Mains Voltage Applied (Sink) for Intraoperative Transducers iE33 User Manual 4535 616 23901...
  • Page 233 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 Isolation test button Line mains supply Neutral mains supply Earth ground iE33 User Manual 4535 616 23901...
  • Page 234: Testing Intraoperative Transducer Leakage Current (source)

    • 50 µA RMS (single fault condition) Testing Intraoperative Transducer Leakage Current (Sink) WARNING There is considerable hazard in performing this test. Use precautionary measures to avoid accidental contact with line voltage. In addition, any time that the ground iE33 User Manual 4535 616 23901...
  • Page 235 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. iE33 User Manual 4535 616 23901...
  • Page 236 Intraoperative Transducers iE33 User Manual 4535 616 23901...
  • Page 237: 10 Transesophageal Transducers

    X7-2t NOTES • Two Omni TEE transducers can be used with the iE33 Ultrasound System: the S7-2omni transducer and the T6H (Omni III) transducer, which requires a connector adapter to connect to the iE33 system. These transducers are functionally identical except for the connectors.
  • Page 238: Operators Of Tee Transducers

    Operators of TEE Transducers Philips TEE transducers are designed for use under the guidance of physicians who are properly trained in esophagogastroscopic techniques, according to currently approved relevant medical practices. Philips recommends that physicians operating any Philips TEE transducer have the following qualifications: •...
  • Page 239 • To prevent tissue damage, Philips recommends that the tip of the TEE transducer be straightened and both detent brakes released before you reposition the transducer or withdraw the transducer from the patient. In the neutral position, the tip is straight when the indicators on the control wheels are aligned and point toward the center of the array rotation button.
  • Page 240 WARNING If you encounter an irregularity not listed in the following table, do not use the transducer. Potentially serious consequences could result. Contact your Philips representative. iE33 User Manual...
  • Page 241 TEE other abnormalities. Follow Transducers" on procedures for checking page 246 electrical safety. Biting, Tooth damage, Always use a bite guard. "Bite Guards" on scraping esophageal burns page 292 transducer iE33 User Manual 4535 616 23901...
  • Page 242 285 the system when not imaging. Minimize the pressure applied to deflection area and distal tip. Do not let the distal tip displace a tissue area for more than 5 consecutive minutes. iE33 User Manual 4535 616 23901...
  • Page 243: Patient-contact Parts

    Patient-Contact Parts Latex is commonly used in sheaths marketed to help with infection control in transesophageal, endocavity, and intraoperative imaging applications and during biopsies. Examine the packaging to confirm latex content. Studies have shown iE33 User Manual 4535 616 23901...
  • Page 244: Preventing Tee Transducer Problems

    "FDA Medical Alert on Latex" on page NOTE The ultrasound system and transducers discussed here do not contain natural rubber latex that contacts humans. Natural rubber latex is not used on any Philips ultrasound transducers. Preventing TEE Transducer Problems Meticulous inspection and correct and careful operation of the TEE (transesophageal) transducer is imperative to patient safety.
  • Page 245 Care" section liquids the image quality, steam, heat, or ethylene the steering oxide (EtO). Never mechanism, and immerse the steering electrical safety mechanism in any disinfectant or liquid. iE33 User Manual 4535 616 23901...
  • Page 246: Electrical Safety And Tee Transducers

    To reduce the possibility of electrical risks associated with use of TEE transducers, follow these recommendations: • Visually and tactually inspect a TEE transducer for bumps, cracks, and cuts before each TEE exam. A small bump on the shaft surface could indicate iE33 User Manual 4535 616 23901...
  • Page 247: Tee Deflection Control Basics

    The deflection controls on the TEE transducer move the deflection area, located between the distal tip and flexible shaft. The deflection area bends when you operate the controls, permitting anterior, posterior, and lateral positioning. Deflection Control Movement iE33 User Manual 4535 616 23901...
  • Page 248: Connecting An S7-2omni, S7-3t, S8-3t, Or X7-2t Transducer

    Do not allow the TEE transducer to remain at a maximum deflection for long periods of time. • To prevent tissue damage, Philips recommends that the tip of the TEE transducer be straightened and both detent brakes released before you reposition the transducer or withdraw the transducer from the patient. In the neutral position, the tip is straight when the indicators on the control wheels are aligned and point toward the center of the array rotation button.
  • Page 249: Connecting A T6h Or T6207 Transducer

    2. Turn the latch 90 degrees clockwise to lock the transducer to the system. Connecting a T6H or T6207 Transducer You can use a Philips T6H (Omni III TEE) transducer or a Philips T6207 (TEE) transducer with the iE33 system by using the appropriate adapter: •...
  • Page 250: S7-2omni Tee Transducer Description

    Omni III Adapter S7-2omni TEE Transducer Description The S7-2omni TEE transducer is described below. NOTE The features and specifications are identical for the S7-2omni and T6H (Omni III) transducers. iE33 User Manual 4535 616 23901...
  • Page 251 Transesophageal Transducers S7-2omni TEE Transducer NOTE Philips recommends that you use the S7-2omni transducer only on patients weighing at least 25 kg (55 lb), to ensure the esophagus can comfortably accommodate the transducer. iE33 User Manual 4535 616 23901...
  • Page 252: X7-2t Tee Transducer Description

    Tip width: 1.5 cm (0.6 in) • Tip length: 3.5 cm (1.4 in) • Shaft width: 1.0 cm (0.4 in) • Shaft length: 1.0 m (3.3 ft) X7-2t TEE Transducer Description The X7-2t TEE transducer is described below. iE33 User Manual 4535 616 23901...
  • Page 253 Transesophageal Transducers X7-2t TEE Transducer iE33 User Manual 4535 616 23901...
  • Page 254: Using S7-2omni And X7-2t Transducers

    Shaft: 1.0 cm (0.4 in) wide, 1.0 m(3.3 ft) long NOTE Philips recommends that you use the X7-2t transducer only on patients weighing at least 30 kg (66 lb), to ensure that the esophagus can comfortably accommodate the transducer. Using S7-2omni and X7-2t Transducers Philips recommends familiarizing yourself with the controls and parts of the TEE transducer before using it in an exam.
  • Page 255 Transesophageal Transducers TEE Transducer Parts Distal tip Flexible shaft Transducer connector iE33 User Manual 4535 616 23901...
  • Page 256: S7-2omni And X7-2t Deflection Controls

    During insertion, engage medial/lateral detent to limit movement or use freewheeling mode (no deflection and no brake resistance) to prevent patient injury. iE33 User Manual 4535 616 23901...
  • Page 257 Transesophageal Transducers Deflection and Brake Controls Neutral position indicators (no deflection) Medial/lateral control Anterior/posterior control Detent brake actuator Image plane rotation buttons iE33 User Manual 4535 616 23901...
  • Page 258: Manipulating The S7-2omni And The X7-2t Tip

    4. Once the tip is positioned properly, do one of the following: • Turn the detent brake actuator fully clockwise to put both knobs in detent mode. • Center the detent brake actuator to put only the small knob (medial/lateral movement) in the detent mode. iE33 User Manual 4535 616 23901...
  • Page 259 Transesophageal Transducers Deflection and Brake Controls Neutral position indicators (no deflection) Medial/lateral control Anterior/posterior control Detent brake actuator Image plane rotation buttons iE33 User Manual 4535 616 23901...
  • Page 260: Rotating The S7-2omni And The X7-2t Image Plane

    • Turn Seek Angle to set an angle and touch Seek to go directly to the specified angle. 3. To rotate the X7-2t transducer image plane by using system controls, turn Seek Angle to go directly to the specified angle. iE33 User Manual 4535 616 23901...
  • Page 261: Calibrating The Tee Transducer

    0-degree (horizontal plane) position. As with any array movement, the motor makes a humming sound while calibrating. NOTE Do not turn the TEE control knobs while calibration is in progress. iE33 User Manual 4535 616 23901...
  • Page 262: S7-3t Tee Transducer Description

    3. Reseat the connector in the receptacle and turn the locking lever clockwise. 4. Select the transducer and preset. 5. If you still see the calibration-failure message, contact your Philips service representative. S7-3t TEE Transducer Description The S7-3t TEE transducer is described below.
  • Page 263 Transesophageal Transducers S7-3t TEE Transducer iE33 User Manual 4535 616 23901...
  • Page 264: Using The S7-3t Tee Transducer

    Shaft: 7.4 mm diameter, 70 cm long (0.29 in diameter, 27.5 in long) Using the S7-3t TEE Transducer Philips recommends familiarizing yourself with the controls and parts of the TEE transducer before using it in an exam. For more information on transducer controls, see "S7-3t TEE Controls"...
  • Page 265 Transesophageal Transducers S7-3t TEE Transducer Parts Distal tip Flexible shaft Transducer connector Transducer handle Deflection and array controls iE33 User Manual 4535 616 23901...
  • Page 266: Patient Selection For The S7-3t Tee 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 transducer. NOTE Philips recommends that you use the S7-3t transducer only on patients weighing at least 3.5 kg (7.7 lb). WARNINGS •...
  • Page 267 Transesophageal Transducers free play or exceeds the maximal deflection angles, do not use the transducer. Contact Philips to readjust the steering of the transducer. Ensuring proper deflection limits minimizes the risk of the tip folding over in the esophagus. •...
  • Page 268 Transesophageal Transducers S7-3t Controls 90-degree rotation indicator Array control Deflection control Deflection lock Neutral position indicators (no deflection) iE33 User Manual 4535 616 23901...
  • Page 269: Manipulating The S7-3t Tee Tip

    • To set the tip in the neutral position (no deflection), turn the smaller knob so that its white bar is in line with the center of the proximal end of the transducer handle. iE33 User Manual 4535 616 23901...
  • Page 270: S7-3t Tee Array Rotation

    90 degrees (longitudinal plane) to 180 degrees (transversal plane, left/right inverted). Because the transducer allows you to select all planes between 0 degrees and 180 degrees, you can scan a conical imaging volume. iE33 User Manual 4535 616 23901...
  • Page 271: Rotating The S7-3t Tee Array

    Do not use excessive force on the array rotation control wheel at its outer positions because this may damage the endoscope mechanism. 1. To rotate the imaging array, turn the array control (the larger wheel). iE33 User Manual 4535 616 23901...
  • Page 272 Rotating the S7-3t Imaging Array Array control Align settings on the control with the proximal end of the transducer handle (90° setting as shown). iE33 User Manual 4535 616 23901...
  • Page 273: S8-3t Tee Transducer Description

    TEE patients with constricted airways • Smaller adults with weak esophageal tissue NOTE Philips recommends that you use the S8-3t transducer only on patients weighing at least 2.5 kg (5.5 lb). The S8-3t TEE transducer is described below. S8-3t TEE Transducer...
  • Page 274: Using The S8-3t Transducer

    Using the S8-3t Transducer WARNING Do not use the deflection brake on pediatric patients. Philips recommends familiarizing yourself with the controls and parts of the TEE transducer before using it in an exam. For more information on transducer controls, see "S8-3t Controls"...
  • Page 275: Patient Selection For The S8-3t Tee Transducer

    Although the S8-3t TEE transducer can provide clinical data not available from other instruments, you should consider which patients can safely use the transducer. NOTE Philips recommends that you use the S8-3t transducer only on patients weighing at least 2.5 kg (5.5 lb). iE33 User Manual 4535 616 23901...
  • Page 276: Handling The S8-3t Transducer

    The lower wheel on the transducer handle is for controlling the transducer tip deflection. This wheel has a brake-on mode and a brake-off mode that allows it to freewheel. With the brake on, the movement of the deflection wheel is iE33 User Manual 4535 616 23901...
  • Page 277 If the up/down deflection shows an unwanted amount of free play or exceeds the maximal deflection angles, do not use the transducer. Contact Philips to readjust the steering of the transducer. Ensuring proper deflection limits minimizes the risk of the tip folding over in the esophagus.
  • Page 278: Manipulating The S8-3t Tip

    Deflection control Deflection brake Neutral position indicators (no deflection) Manipulating the S8-3t Tip Review the warnings and cautions in the TEE Transducer section of the user manual before using the transducer in an exam. iE33 User Manual 4535 616 23901...
  • Page 279: S8-3t Array Rotation

    180 degrees, you can scan a conical imaging volume. An icon shows the current degree of rotation. Depending on image orientation, the icon appears in the upper or lower part of the display. iE33 User Manual 4535 616 23901...
  • Page 280: Rotating The S8-3t Array

    1. To rotate the imaging array, turn the array control (the larger wheel). 2. To rotate the array to 90 degrees, align the white bar on the side of the array control with the center of the proximal end of the transducer handle. iE33 User Manual 4535 616 23901...
  • Page 281: Checking The Tee Transducer

    Align settings on the control with the proximal end of the transducer handle (90° setting as shown). Checking the TEE Transducer Before each TEE exam, carefully inspect the transducer and try the controls, as described in the subordinate topics. iE33 User Manual 4535 616 23901...
  • Page 282: Tee Transducer Inspection

    Also check for excessive flexibility in the tip, particularly in the medial/lateral direction. Do not use the transducer if the tip is extremely flexible. If you have any questions about tip flexibility, contact your Philips service representative. TEE Transducer Controls Inspection...
  • Page 283: Patient Selection For Tee Transducer Use

    You must consider any history of gastroesophageal diseases as well as the possible effects of other therapies that the patient is undergoing. You must also consider all gastroesophageal abnormalities or difficulty swallowing. The following table lists the minimum patient weight recommendations when using TEE transducers. iE33 User Manual 4535 616 23901...
  • Page 284: Preparing Patients For Tee Studies

    Instead, they reflect basic guidelines resulting from extensive consultation with physicians throughout the design, development, and clinical investigation periods of Philips TEE transducers. •...
  • Page 285: Tee Study Guidelines

    • 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.
  • Page 286: Tip Fold-over

    Extreme difficulty in obtaining an image Correcting Tip Fold-Over If you suspect the transducer tip is folded over, Philips' physician consultants recommend that you gently try to manipulate the transducer. If the tip is neither locked nor jammed in a doubled-over position, and you can move it forward, advance the transducer into the stomach.
  • Page 287: Preventing Tip Fold-over

    Transesophageal Transducers If you cannot move the tip in any direction, Philips’s consultants recommend that you x-ray the patient to evaluate the situation. You might also want to involve a gastroenterologist or anesthesiologist. Preventing Tip Fold-Over The following steps can prevent the tip from folding over. This list is not exhaustive;...
  • Page 288: Tee Temperature Sensing

    Manual Auto-Cool Feature Use the TEE Manual Auto-Cool safety feature to enter above-normal patient temperatures. When the temperature display is enabled, you can see both the patient temperature and the distal tip temperature while scanning. iE33 User Manual 4535 616 23901...
  • Page 289: Using The Temperature Display

    (PAT T) assumed by the system, which is either 37°C (98.6°F) or the temperature you entered. You can customize the display of the TEE transducer temperature and the patient temperature from the Preset/Transducer touch screen. iE33 User Manual 4535 616 23901...
  • Page 290: Patient Temperature

    You can also use oral temperatures, even though they can be one degree lower than the core temperature. If you measure an auxiliary temperature, which can be two degrees lower than the core temperature, add one or two degrees. iE33 User Manual 4535 616 23901...
  • Page 291: Entering Patient Temperature

    If the distal tip temperature drops below 42.5°C (108.5°F), the system resumes imaging. If the Auto-Cool message persists longer than 1 minute or an error message appears, contact your Philips service representative. If the distal tip temperature reaches 43.5°C (110.3°F), the system shuts down.
  • Page 292: Patient Care After A Tee Study

    For information on ordering TEE accessories, see "Supplies and Accessories" on page Bite Guards WARNING The M2203A bite guard strap contains natural rubber latex, which may cause allergic reactions. For more information, see "FDA Medical Alert on Latex" on page iE33 User Manual 4535 616 23901...
  • Page 293: Tee Transducer Covers

    Even anesthetized patients require bite guards to prevent damage to their teeth and to the transducer. Philips supplies disposable bite guards that are suitable for both awake and anesthetized patients.
  • Page 294: Tee Leakage Current Test

    TEE transducer. If the two currents are nearly the same, it means there is a hole in the transducer’s outer insulating layer that must be fixed before using the transducer. iE33 User Manual 4535 616 23901...
  • Page 295 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 iE33 User Manual 4535 616 23901...
  • Page 296 • 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 the "Transducer Care"...
  • Page 297: Testing Tee Transducer Leakage Current

    A hole enables a conductive pathway to internal metal parts of the transducer and presents a potentially hazardous condition to a patient undergoing external defibrillation or electrosurgery. A hole also allows invasion of organic material, iE33 User Manual 4535 616 23901...
  • Page 298: Tee Transducer References

    Its Role in Solving Clinical Problems." Journal of the American College of Cardiology, 975-979, 1986. Radwin, Martin, et al. "Transesophageal Echocardiography: Intubation Techniques." Philips Application Note 5091-2804E, 1992. Urbanowitz, John H., et al. "Transesophageal Echocardiography and Its Potential for Esophageal Damage." Anesthesiology, Vol. 72, No. 1, 1990.
  • Page 299: 11 Transducer Care

    Association for Professionals in Infection Control, the U.S. Food and Drug Administration, and the U.S. Centers for Disease Control. • Sterile transducer covers with sterile ultrasound transmission gel are required for intraoperative and biopsy procedures, and protective covers iE33 User Manual 4535 616 23901...
  • Page 300: Latex Product Alert

    Philips ultrasound systems 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 The M2203A bite guard strap contains natural rubber latex, which may cause allergic reactions.
  • Page 301: Acoustic Coupling Medium

    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 302: General Cleaning For All Transducers

    • Before storing transducers, make sure they are thoroughly dry. If it is necessary to dry the transducer's lens after cleaning, use a soft cloth and a blotting motion instead of a wiping motion. iE33 User Manual 4535 616 23901...
  • Page 303: Cleaning A Transducer

    Disinfecting Transducers Using a Wipe or Spray Method 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 "Choosing a Disinfectant" on page 301.
  • Page 304 Do not use peracetic acid-based disinfectants on the S8-3t transducer. NOTE Transducers can be disinfected using the wipe method only if the product labeling of the compatible disinfectant you are using indicates it can be used with a wipe method. iE33 User Manual 4535 616 23901...
  • Page 305 Transducers" on page 302), wipe or spray the transducer and cable with a low-level disinfectant. Allow for the manufacturer’s recommended contact time. For a list of compatible disinfectants, see "Disinfectants Compatibility" on page 320. iE33 User Manual 4535 616 23901...
  • Page 306: Cleaning And Disinfecting Cables And Connectors

    The cables and connectors of all transducers can be disinfected using a recommended wipe or spray disinfectant. To protect the electronics in the connector, Philips advises use of a Philips Connector Seal when you disinfect near the connector. Kits are available from CIVCO Medical Solutions (see "Supplies and Accessories"...
  • Page 307 7. Air dry or towel dry with a sterile cloth according to the instructions on the disinfectant label. 8. Examine the device and cable for damage such as cracks, splitting, sharp edges, or projections. If damage is evident, discontinue use of the device and contact your Philips Ultrasound representative. iE33 User Manual 4535 616 23901...
  • Page 308 For cable disinfection, orient the device and the connector facing up (strain reliefs on the bottom). Wipe the strain reliefs, cable, and connector with a compatible disinfectant. Transducer strain relief Electrical contacts Connector strain relief iE33 User Manual 4535 616 23901...
  • Page 309: Disinfection Of Transducers By Immersion (high-level Disinfection)

    WARNINGS To minimize the effects from residual OPA, or any other disinfectant, Philips recommends the following: • Follow the disinfectant manufacturer’s instructions very carefully. For example, the manufacturer of Cidex OPA recommends soaking transducers three times in fresh water.
  • Page 310: Disinfecting Transducers By Immersion

    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 transducer and contact your Philips Ultrasound representative. iE33 User Manual 4535 616 23901...
  • Page 311: Disinfecting Tee Transducers By Immersion

    Disinfecting TEE Transducers by Immersion Disinfection by immersion is the accepted method of infection control for transesophageal transducers. Philips recommends that a protective transducer cover be used during studies. iE33 User Manual...
  • Page 312: Before Performing This Procedure, Read The Warnings And Cautions In

    Avoidable transducer damage is not covered by the warranty or service contract. 1. Disconnect the transducer from the system. 2. Do either of the following to remove all organic matter and other residue: iE33 User Manual 4535 616 23901...
  • Page 313 8. Lightly wipe only the steering mechanism and handle with a pad moistened with rubbing alcohol (70% isopropyl alcohol), or use approved cleaners as directed on the handle and steering mechanism. 9. Hang the transducer on a wall-mounted rack and let it air dry. iE33 User Manual 4535 616 23901...
  • Page 314 Immerse this section only, up to 5.1 cm (2 in) from the handle’s strain relief. This is the maximum allowable immersion depth; you are not required to immerse to this depth if it is not necessary. iE33 User Manual 4535 616 23901...
  • Page 315: Disinfecting Tee Transducers In An Automated Disinfector

    Do not immerse or rinse the steering mechanism. • Follow the recommendations of the disinfectant manufacturer. • The transducer steering mechanism is not sealed. If disinfectant or other fluid enters the steering mechanism, it will corrode the gears and electrical iE33 User Manual 4535 616 23901...
  • Page 316 7. Lightly wipe only the steering mechanism and handle with a pad moistened with rubbing alcohol (70% isopropyl alcohol), or use approved cleaners as directed on the handle and steering mechanism. 8. Hang the transducer on a wall-mounted rack and let it air dry. iE33 User Manual 4535 616 23901...
  • Page 317 Immerse this section only, up to 5.1 cm (2 in) from the handle’s strain relief. This is the maximum allowable immersion depth; you are not required to immerse to this depth if it is not necessary. iE33 User Manual 4535 616 23901...
  • Page 318: Sterilizing Transducers

    • Use only liquid solutions to sterilize transducers. Using autoclave, gas (EtO), or other methods not approved by Philips Ultrasound will damage your transducer and void your warranty. • Do not allow sharp objects, such as scalpels and cauterizing knives, to touch transducers or cables.
  • Page 319 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 transducer, and contact your Philips Ultrasound representative. Immersing Transducers Immerse this section only, up to 5.1 cm (2 in) from the connector’s strain relief.
  • Page 320: 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 voids the warranty. iE33 User Manual 4535 616 23901...
  • Page 321: Disinfectant Types

    Duration of exposure • Age of the solution • Concentration and potency of the disinfectant • Quantity and location of the contamination • Resistance of the contaminant • Organic matter on the item to be disinfected iE33 User Manual 4535 616 23901...
  • Page 322: Disinfectants And Cleaning Solutions Compatibility Table

    Do not use alcohol-based products on transducer cables and strain reliefs. For more information: • Philips Ultrasound Transducer Care Web site (www.healthcare.philips.com/us/products/ultrasound/transducers/transducer_care/) • In North America, call Philips at 800-722-9377. • Outside North America, contact your local Philips Ultrasound representative. iE33 User Manual 4535 616 23901...
  • Page 323 FR = France part number is H =Approved for use on 453561407811 or higher. UK = United Kingdom the handle housing US = United States N = Not approved for use iE33 User Manual 4535 616 23901...
  • Page 324 Disinfectants and Cleaning Solutions Compatibility C5-1 S7-2 C5-2 D2cwc omni S7-3t X3-1 Qualified Active C8-5 D5cwc L8-4 S5-1 S8-3t X5-1 Solution Origin Ingredients C9-4 D2tcd L9-3 L11-3 L15-7io S8-3 S12-4 X7-2t T6207 X7-2 70% Isopropyl Spray/Wipe Alcohol Alcohol Soak 1 AbcoCide Glutaraldehyde Soak 1...
  • Page 325 C5-1 S7-2 C5-2 D2cwc omni S7-3t X3-1 Qualified Active C8-5 D5cwc L8-4 S5-1 S8-3t X5-1 Solution Origin Ingredients C9-4 D2tcd L9-3 L11-3 L15-7io S8-3 S12-4 X7-2t T6207 X7-2 Soak 1 Descoton Extra Glutaraldehyde Dispatch Spray/Wipe Sodium Hypochlorite Soak 1 Endo FC Glutaraldehyde Soak 1 Endosporine...
  • Page 326 C5-1 S7-2 C5-2 D2cwc omni S7-3t X3-1 Qualified Active C8-5 D5cwc L8-4 S5-1 S8-3t X5-1 Solution Origin Ingredients C9-4 D2tcd L9-3 L11-3 L15-7io S8-3 S12-4 X7-2t T6207 X7-2 Soak 1 MetriCide OPA Ortho-phthalaldehyde Plus Soak 1 MetriCide Plus Glutaraldehyde MetriZyme Pre-cleaner Enzymes Mild Soap...
  • Page 327 C5-1 S7-2 C5-2 D2cwc omni S7-3t X3-1 Qualified Active C8-5 D5cwc L8-4 S5-1 S8-3t X5-1 Solution Origin Ingredients C9-4 D2tcd L9-3 L11-3 L15-7io S8-3 S12-4 X7-2t T6207 X7-2 Soak 1 Pro-Cide Plus Glutaraldehyde Prolystica 2X Pre-cleaner Enzymes Protex Spray/Wipe Quat. ammonia Disinfectant Spray Soak 1...
  • Page 328 C5-1 S7-2 C5-2 D2cwc omni S7-3t X3-1 Qualified Active C8-5 D5cwc L8-4 S5-1 S8-3t X5-1 Solution Origin Ingredients C9-4 D2tcd L9-3 L11-3 L15-7io S8-3 S12-4 X7-2t T6207 X7-2 Trophon EPR Trophon Hydrogen Peroxide Reprocessor T-Spray Spray/Wipe Quat. Ammonia T-Spray II Spray/Wipe Quat.
  • Page 329: Gels Compatibility

    Aquasonic 100 • Aquasonic Clear • Carbogel-ULT • ECG Gel (Nicom) • Nemidon Gel • Scan For additional compatibility information, call Philips at 800-722-9377 (North America) or your local Philips Ultrasound representative (outside North America). iE33 User Manual 4535 616 23901...
  • Page 330 Transducer Care iE33 User Manual 4535 616 23901...
  • Page 331: 12 System Maintenance

    Maintenance should be performed regularly and as needed. Because the system is a piece of medical equipment that contains several circuit boards, extensive service diagnostics, and complex operating software, Philips recommends that only trained personnel service the system. Cleaning and Maintaining the System It is important to clean and maintain the ultrasound system and peripherals.
  • Page 332 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. iE33 User Manual 4535 616 23901...
  • Page 333: Disinfectants For System Surfaces

    1. Turn off the system and disconnect the system power cord from the wall outlet. 2. Use a soft cloth lightly dampened in a mild soap or detergent solution to clean exterior surfaces on the system. iE33 User Manual 4535 616 23901...
  • Page 334: System Control Panel Maintenance

    6. Because the system is a piece of medical equipment that contains several circuit boards, extensive service diagnostics, and complex operating software, Philips recommends that only trained personnel service the system. System Control Panel Maintenance The system control panel and other outer surfaces are most likely to be affected by liquid spills and other materials such as excessive amounts of gel.
  • Page 335: Air Filter Cleaning

    Additional air filters can be ordered from Philips Ultrasound Customer Service. You can specify the time period settings to remind you when to clean the air filter.
  • Page 336 1. Remove the air filter cover on the lower left side of the system by pulling the bottom of the cover toward you. Removing the Lower Left Air Filter iE33 User Manual 4535 616 23901...
  • Page 337: Specifying And Resetting The Air Filter Maintenance Status

    Specifying and Resetting the Air Filter Maintenance Status 1. Press the Setup key. 2. Click Service. 3. Click Service Messages. 4. In the Filter Cleaning section, select the number of days from the Set Interval menu and click Done. iE33 User Manual 4535 616 23901...
  • Page 338: Transducer Maintenance

    Before using a gel or solution on a transducer, see "Transducer Care". You can also call Philips at 800-722-9377 (North America), or call your local Philips Ultrasound representative (outside North America). Information on compatible disinfectants is available on the Philips Ultrasound Transducer Care website: www.healthcare.philips.com/us/products/ultrasound/transducers/transducer_care/...
  • Page 339: Vcr And Dvd Recorder Maintenance

    All maintenance should be performed by a Philips Ultrasound field service engineer. • Do not make adjustments to your VCR. Consult a Philips Ultrasound field service engineer for repair or maintenance of your VCR. •...
  • Page 340: Troubleshooting

    If you encounter difficulty in the operation of the system, use the information here to help correct the problem. If the problem is not covered here, contact your Philips Ultrasound customer support representative. The troubleshooting table contains a list of symptoms and the actions to take to correct the problems.
  • Page 341: Error Messages

    The system displays error messages in response to operating or error conditions detected by the system. The error messages must be noted and reported to your Philips Ultrasound customer support representative, who may ask you to run the system test (see "Testing the System"...
  • Page 342: Test Patterns

    4. Click Send to. 5. Select Hard Drive and click OK to transfer the images. NOTE To view transfer progress, click the DVD drive status icon Using the Test Patterns 1. Press Review. iE33 User Manual 4535 616 23901...
  • Page 343: Testing The System

    The test can also be run from the Technical Administration application by qualified users, in which case error codes are displayed if faults are found. If the system test fails, notify your Philips service representative.
  • Page 344: For Assistance

    System Maintenance 7. Click Cancel or Done to exit the setups. For Assistance If you are unable to correct a problem, call your local Philips Ultrasound customer support representative. iE33 User Manual 4535 616 23901...
  • Page 345 13 Speci cations Philips reserves the right to change specifications contained herein or discontinue manufacture at any time without prior notice. Current specifications are supplied with each system purchased or are available from your Philips representative. Dimensions • Width: 55.9 cm (22.5 in) •...
  • Page 346: Specifications

    Physio analog signal Data Connections • Ethernet network (10/100/1000 Mb/s) • USB 2.0 Modality Interface DICOM standard. DICOM conformance statements for Philips products are available at this website: www.healthcare.philips.com/us/about/connectivity/dicom_conformance_main.wpd Physio • Lower Frequency Cut-off: 0.70 Hz ±10% • Upper Frequency Cut-off: 17 Hz ±10% •...
  • Page 347 English control panel and localized keyboard and documentation: • Danish • Norwegian • Swedish/Finnish English control panel and localized documentation: • Chinese, Traditional and Simplified • Czech • Dutch • Estonian • Greek • Hungarian iE33 User Manual 4535 616 23901...
  • Page 348: Safety And Regulatory Requirements

    Electromechanical Safety Standards Met The system complies with the requirements of IEC 60601-1 Medical Electrical Equipment, General Requirements for Safety, including all applicable collateral and particular standards, as well as all applicable national deviations. iE33 User Manual 4535 616 23901...
  • Page 349 Specifications Compliance Philips products comply with relevant international and national standards and laws. Information on compliance will be supplied by your local Philips representative, or the manufacturer, on request. iE33 User Manual 4535 616 23901...
  • Page 350 Specifications iE33 User Manual 4535 616 23901...
  • Page 351: Index

    Bite guards, loops, Body markers Activating keyword feature, displaying, Air filters, cleaning, Brakes ALARA principle S7-2omni transducer, applying, S7-3t transducer, education program, system, example, wheel, 32, related guidance documents, Buttons, control panel, iE33 User Manual 4535 616 23901...
  • Page 352 S7-2omni transducer, trackball, S7-3t transducer, transducers, TEE transducers, 247, 260, 270, Cleaning solutions, 321, Controls affecting MI and TI Clinical options direct controls, analysis, indirect controls, overview, receiver controls, transducers and, iE33 User Manual 4535 616 23901...
  • Page 353 Devices, connecting, receptacles, Dimensions, system, ECG equipment, cleaning, Disinfectants, 299, 301, 320, 321, ECG receptacles, compatibility, ECG signal requirements, factors affecting efficiency, Ejecting a CD, safety, Ejecting a DVD, types, 301, Electrical parameters, Electrical safety, iE33 User Manual 4535 616 23901...
  • Page 354 Glutaraldehyde exposure, starting, 165, Gray shades specification, Equipment protection, Grip, S8-3 transducer, 219, Erase DVD, cleaning, Ergonomic grip, 219, installing, cleaning, installing, Error messages, 44, ESD precautions, Exams Hard drive, ending, entering patient data, iE33 User Manual 4535 616 23901...
  • Page 355 Image title, adding with keyboard, transducer covers, Image updating, inconsistent, Isolation transformers, 29, Images acquiring, 86, troubleshooting the display of, Imaging Keyboard, acoustic artifacts, 214, Keyword feature display, activating, options, default settings, Imaging modes, iE33 User Manual 4535 616 23901...
  • Page 356 Logging off of the system, 162, searching for exams, Logging on to the system, selecting patient, Loops Monitor acquiring, description, Low-level disinfection, external, connecting, precautions when positioning, specifications, troubleshooting, Moving the system Maintenance confined spaces, printer, safety precautions, 32, iE33 User Manual 4535 616 23901...
  • Page 357 Output tables, acoustic, 18, 54, creating, Overview, system, deleting, loading, overview, quick save, setting default, 180, Pacemakers, tissue specific, Passing system to others, Pressure limits, Password protection, Preventricular contractions, Passwords, Print functions, configuring, iE33 User Manual 4535 616 23901...
  • Page 358 Safety, 18, 27, 28, 29, 30, 31, 32, 33, 35, using VCR, 44, 47, 52, 53, 54, 59, 64, 67, 114, 224, Recycling information, WEEE, 238, Regulatory requirements, acoustic output and measurement, Repetitive strain injury, ALARA principle, Report printers, basic, iE33 User Manual 4535 616 23901...
  • Page 359 Storage temperature, logging on, Storage, data, 95, Select controls, Storing transducers, 220, Selecting transducers, 173, 190, daily and long-term, Separation distance, for transport, Service, customer, Supplies, Setups Surfaces, disinfecting system, changing, Symbols overview, definitions, iE33 User Manual 4535 616 23901...
  • Page 360 S7-2omni deflection controls, accessories, S7-2omni description, Auto-Cool, 288, S7-3t, avoiding problems, S7-3t deflection controls, bite guards, S7-3t description, calibration, S7-3t patient selection, connecting S7-2omni, S8-3t, connecting S7-3t, S8-3t deflection controls, connecting S8-3t, S8-3t description, iE33 User Manual 4535 616 23901...
  • Page 361 Thumbnail view, indications for use, TI, 52, inspecting for damage, Time and date, setting, intraoperative, Tip fold-over, isopropyl alcohol, correcting, low-level disinfection, iE33 User Manual 4535 616 23901...
  • Page 362 U.S. Health Insurance Portability and icons, Accountability Act (HIPAA), overview, Ultrasonic bioeffects, related using commands, documentation, voice profiles, Ultrasound transmission gel Voice profiles compatibility, creating, intraoperative studies, deleting, recommendations, new, recommended, training, 154, Upgrades, system, Voltage precautions, iE33 User Manual 4535 616 23901...
  • Page 363 Warning symbols, 17, Warnings X3-1 transducer, described, X5-1 transducer, general, 16, X7-2 transducer, Waste Electrical and Electronic Equipment, X7-2t transducer European Union Directive, deflection controls, Website, Philips, using, WEEE recycling information, xMatrix array transducers, iE33 User Manual 4535 616 23901...
  • Page 364 Index iE33 User Manual 4535 616 23901...

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