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MediSono P12 User Manual

Digital color doppler ultrasound system
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User Manual
P12
Ultrasound System
Version 1.2

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  • Page 1 User Manual Ultrasound System Version 1.2...
  • Page 2 About This Manual P/N: 4710.01027X01 4710.00450A04 Product Model: P12 Statement The manufacturer owns the intellectual property rights to this manual, and also maintains the contents of this manual as confidential information. This manual is a reference to operation, maintenance or cleaning for the product and does not convey any license under the patent rights of the manufacturer, nor the rights of others.
  • Page 3 Indicates keys and controls located on the control panel, or on-screen Boldface d Word objects such as menu items or keys. Contact Information Manufacturer: MEDISONO Address: 3511 Silverside RD. Wilmington, DE 19810, United States INFO@MEDISONO.COM...

  • Page 4: Table Of Contents

    Digital Color Doppler Ultrasound System Contents Chapter 1 Introduction ..................1 Chapter 2 System Safety and Maintenance ............. 3 Safety Overview ....................3 Description of Symbols and Signal Words Used ............ 4 2.2.1 Symbols ...................... 4 2.2.3 Signal words ................... 6 Messages ......................
  • Page 5 Digital Color Doppler Ultrasound System Patient Information ..................33 4.4.1 Create New Patient ................33 4.4.2 Patient Exam List .................. 43 4.4.3 DICOM Q/R................... 47 4.4.4 DICOM Queue ..................49 4.4.5 PPS Screen ..................50 4.4.6 Patient Exam Import/Export ..............51 Start Ultrasound Diagnosis ................
  • Page 6 Digital Color Doppler Ultrasound System 6.2.9 Grayscale curve ..................84 6.2.10 Persistence ................... 84 μScan Function ..................84 6.2.11 6.2.12 Compound Imaging ..................85 6.2.13 Trapezoidal Imaging ..................85 6.2.14 L-R Reverse..................85 6.2.15 U-D Reverse ..................85 6.2.16 Rotation ....................86 6.2.17 Biopsy ....................
  • Page 7 Digital Color Doppler Ultrasound System 8.2.1 Frequency ................... 105 8.2.2 DPI Power ....................105 8.2.3 Resolution ................... 105 8.2.4 Wall Filter .................... 105 8.2.5 B Reject ....................105 8.2.6 Color Map ....................105 8.2.7 Persistence ..................105 8.2.8 DPI Gain ....................105 Other DPI Mode Operations ................
  • Page 8 Digital Color Doppler Ultrasound System 11.2.5 Wall Filter .................... 119 11.2.6 Chroma ....................119 11.2.7 Display Format ................... 119 11.2.8 Flow Invert ..................119 11.2.9 Video Invert..................120 11.2.10 2D Refresh ..................120 11.2.11 Baseline ....................120 11.3 Other PW Mode Operations ................120 11.3.1 Frozen Mode..................
  • Page 9 Digital Color Doppler Ultrasound System Chapter 16 3D......................141 16.1 Starting 3D ..................... 141 16.2 Parameter Adjustment ................... 143 16.2.1 Display Format..................143 16.2.2 Slice ....................143 16.2.3 ROI...................... 144 16.2.4 Render Mode ..................144 16.2.5 Zoom ....................145 16.2.6 Trace Cut ....................
  • Page 10 Digital Color Doppler Ultrasound System 18.2 Biopsy ......................169 18.2.1 Available Biopsy Brackets ..............169 18.2.2 Assembling the Biopsy Bracket ............170 18.2.3 Preparing for a Biopsy ................ 172 18.2.4 Verifying the Biopsy Bracket ............... 173 18.2.5 Performing a Biopsy ................173 18.2.6 Cleaning the Biopsy Bracket ..............

  • Page 12: Chapter 1Introduction

    Digital Color Doppler Ultrasound System Chapter 1Introduction This equipment is a full digital color Doppler ultrasound system for general application. The high performances of this system using the advanced ultrasound Doppler im aging technologies include full digital beam -former, wide dynamic range, multi-beam processing, etc. The ergonomic user-friendly design enables user to customize the system according to the specific application, and graphic exam icons assure you familiar with the system in few minutes...

  • Page 13: Chapter 2System Safety And Maintenance

    Digital Color Doppler Ultrasound System Chapter 2System Safety and Maintenance 2.1 Safety Overview This section discusses measures to ensure the safety of both the operator and patient. To ensure the safety of both operat or and patient, please read the relevant details in this chapter carefully before operating this system.

  • Page 14: Description Of Symbols And Signal Words Used

    Digital Color Doppler Ultrasound System  Do not use this system in the presence of flamm able substances or an explosion may occur.  Connect the earth conductor only before powering on the system. Dis connect the grounding cable only after powering off the system. Otherwise, there is a danger of electric shock.
  • Page 15 Digital Color Doppler Ultrasound System “ON” / “OFF” (push-push) NOTE: Each position, "ON" or "OFF", is a stable position. Protective earth (ground) Equipotentiality Alternating current Type BF Applied Part Degree of IP protection. Non-ionizing electromagnetic radiation. NOTE: Ultrasound scanner transmits acoustic waves. Manufacturer inform ation (including the name and the address of the manufacturer).

  • Page 16: Signal Words

    Digital Color Doppler Ultrasound System Video Output Fragile. Keep dry. No stacking Maximum stacking limit of packages. Maximum of two layers allowed! Keep this way upward. Serial Number. NOTE: Unique number for the ultrasound system. This symbol indicates that waste electrical and electronic equipment must not be disposed of as unsorted municipal waste and must be collected separately.

  • Page 17: Messages

    Digital Color Doppler Ultrasound System 2.3 Messages All the messages generated by this ultrasound system are self -explanatory. However, you may encounter the following situations. License renewal When the validity of the license is less than 7 days, the message appears on the preparation mode screen.

  • Page 18: Scanning Patients And Education

    Digital Color Doppler Ultrasound System caused by exposures from present diagnostic ultrasound instruments. Although the possibility exists that such biological effects may be identified in the future, current data indicate that the benefits to patients of the prudent use of diagnostic ultrasound outweigh the risk s, if any that may be present.
  • Page 19 Digital Color Doppler Ultrasound System Operators should understand the likely influence of t he m achine controls, the operating mode (e.g. B-mode, color Doppler im aging or spectral Doppler) and probe frequency on thermal and cavitation hazards. Select a low setting for each new patient. Output should only be increased during the examination if penetration is still required to achieve a satisfactory result, and aft er the Gain control has been moved to its maximum value.

  • Page 20: Understanding The Mi/Ti Display

    Digital Color Doppler Ultrasound System 11. Non-diagnostic use of ultrasound equipment is not generally recomm ended. Examples of non-diagnostic uses of ultrasound equipment include repeated scans for operator training, equipment dem onstration using normal s ubjects, and t he production of souvenir pictures or videos of a fetus. For equipm ent of which t he safety indices are displayed over their full range of values, the TI should always be less than 0.
  • Page 21 Digital Color Doppler Ultrasound System temperature will rise 1 degree C. It only means an increased potential for thermal effects can be expected as the TI increases. A high index does not mean that bioeffects are occurring, but only that the potential exists and there is no consideration in the TI for the scan duration, so minimizing the overall scan tim e will reduce the potential for effects.
  • Page 22 Digital Color Doppler Ultrasound System Tissue Model Tissue temperature elevation depends on power, tissue type, beam width, and scanning mode. Six models are developed to mimic possible clinical situations. Thermal Composition Mode Specification Typ. app Models 1TIS Soft tissue Unscanned Large aperture (>1cm²) Liver PW 2TIS...
  • Page 23 Digital Color Doppler Ultrasound System Cavitation is m ore likely to occur at high pressures and low frequencies in pulse ultrasound wave in the tissue, which contains the bubble or air pocket (for instance, the lung, intestine, or scan with gas contrast agents). The threshold under optimum conditions of pulsed ultrasound is predicted by the ratio of the peak pressure to the square root of the frequency.

  • Page 24: Environmental Requirements

    Digital Color Doppler Ultrasound System 2.7 Environmental Requirements The environmental requirements for using the ultrasound system are listed below. Operation Temperature: 10°C~40°C Relative Humidity: 30%~75%, no condensation Atmospheric Pressure: 700hPa ~1060hPa Transportation and Storage Temperature: -20°C~55°C Relative Humidity: 20%~90%, no condensation Atmospheric Pressure: 700hPa ~1060hPa Strong radiation sources or powerful electromagnetic waves (e.g.

  • Page 25: Electrical Safety

    Digital Color Doppler Ultrasound System 2.9 Electrical Safety Only trained health-care professionals should operate this system. This equipment complies with the following standards:  The equipment conforms with the following regulations for electrical safety, EN 60601-1 (IE C 60601-1), Medical electrical equipm ent Part 1: General requirements for basic safety and essential perform ance, Class I, BF, continuous operation EN 60601-2-37:2008 (IEC 60601-2-37:2007), M edical Electrical Equipment Part...

  • Page 26: Cautions For Using Accessories

    Digital Color Doppler Ultrasound System 2.10 Cautions for Using Accessories  Any accessories connected either electrically or mechanically to this ultrasound system must comply with the specified IE C standards (IEC 60950 Inform ation Technology Equipm ent - Safety and IE C 60601-1 Medic al electrical equipment Part 1: General requirements for basic safety and essential performance.) ...

  • Page 27: System Transportation

    Digital Color Doppler Ultrasound System medical tissue wipes and disposed as general medical waste. 2.12 System Transportation 2.12.1 Moving the System When moving or transporting the system, take the PRECAUTIONS listed below. Before moving the system: Completely power off the system. Unplug the power cable.

  • Page 28: Chapter 3System Specifications

    Digital Color Doppler Ultrasound System Chapter 3System Specifications 3.1 Intended Use The device is a general -purpose ult rasonic im aging instrument intended for use by a qualified physician for evaluation of Fetal, Abdominal, Pediatric, Small Organ (breast, testes, thyroid), Cephalic (neonatal and adult), Trans-rectal, Trans-vaginal, Peripheral Vascular, Musculo- skeletal (Conventional and Superficial), Cardiac (neonatal and adult), OB/Gyn and Urology.

  • Page 29: System Overview

    Digital Color Doppler Ultrasound System 3.4 System Overview 3.4.1 Right View Figure 3-1 Right View 1. Monitor 2. Control panel 3. Coupling gel holder 4. Handle 5. Probe cable hanger 6. Probe port 7. Caster 8. Foot switch port 9. Probe holder 10.

  • Page 30: Left View

    Digital Color Doppler Ultrasound System 3.4.2 Left View Figure 3-2 Left View 11. Speaker 12. Fan 13. Cable hanger 14. Dust filter 15. Peripheral device panel 16. DVD drive 17. USB port 18. On/Standby button Basic User Manual...

  • Page 31: Peripheral Device Panel

    Digital Color Doppler Ultrasound System 3.4.3 Peripheral Device Panel Figure 3-3 Peripheral Device Panel Name Description Printer control port Used for connecting the video printer. Used for connecting a video device to acquire VGA VGA Video Output signals, such as monitor or projector. Used for connecting the DICOM server or the Network Port network.

  • Page 32: Keyboard

    Digital Color Doppler Ultrasound System 3.4.4 Keyboard The keyboard layout is shown in Figure 3-4. It consists of hard keys, knobs, a trackball, flip switches and TGC slider controls. Figure 3-4 Keyboard Description Exam key Press it to select the probe and exam type in the application mode screen.
  • Page 33 Digital Color Doppler Ultrasound System Annotation key Press it to annotate an image with typed words. Arrow key Press it to add arrow on the ultrasound image. Bodymark key Press it to add the body mark on the ultrasound image. 3D &...
  • Page 34 Digital Color Doppler Ultrasound System MENU key Press it to display the menu. D GAIN knob Rotate it to adjust the gain value in the color/ TDI/DP I mode. GAIN knob Rotate it to adjust the gain value in the B/M mode. ANGLE knob Rotate it to adjust the angle.
  • Page 35 Digital Color Doppler Ultrasound System M key Press it and then press the Update key to activate the M mode. Quad key Press it to activate the quad display format. Freeze key Press it to freeze an image in the real time scan. Press it again to restore to the real time scan.
  • Page 36 Digital Color Doppler Ultrasound System Set key Press it to confirm the current operation. Zoom key Press it to zoom in or out the image.. Distance key Press it to activate the distance measurement. Trace key Press it to activate the trace measurement. Ellipse key Press it to activate the ellipse measurement..
  • Page 37 Digital Color Doppler Ultrasound System Basic User Manual...

  • Page 38: Chapter 4Starting The System

    Digital Color Doppler Ultrasound System Chapter 4Starting the System 4.1 Probe Connection Caution  Use the probe manufactured by the manufacturer only. Otherwise, the diagnosis cannot be performed.  Do not disconnect the probe in the real time scan. Otherwis e, the system may be damaged.

  • Page 39: Power On

    Digital Color Doppler Ultrasound System Connect the ultrasound system to an electrical outlet/receptacle with the power cable supplied with the ultrasound system. 4.2.1 Power On Warning ➢ Please confirm the follow items before powering on the system. ➢ Ensure that the grounding terminal at the rear panel of system is connected to the protective ground properly.

  • Page 40: Peripheral Device

    Digital Color Doppler Ultrasound System 4.3 Peripheral Device 4.3.1 Footswitch Connection Warning  To avoid falling or dam age of the footswitch, do not place the footswitch on the ultrasound system.  Do not use the footswitch other than those provided by the m anufacturer. Otherwise, the ultrasound system or the footswitch malfunctions could result.

  • Page 41: Network Printer Connection

    Digital Color Doppler Ultrasound System Rem ote Cont rol cable provided by the manufacturer. You can refer the installation method as the above figure shown. The video printer is ready to work immediately without any configurations after a successful connection. 4.3.3 Network Printer Connection Connect the printer to the ultrasound system.

  • Page 42: Usb Printer Connection

    Digital Color Doppler Ultrasound System 14. Click Next Step to add the desired printer. 15. Click Exit by using the trackball. 4.3.4 USB Printer Connection Copy the driver file deskjet.ppd provided by the manufacturer into the directory of the USB drive. Connect the drive to the ultrasound system, and then start up the ultrasound system.
  • Page 43 Digital Color Doppler Ultrasound System Enter relevant patient information 64 characters at most can be input. This entry is required and can Patient ID be generated automatically. Last Name 20 characters at most can be input. First Name 20 characters at most can be input. Enter the date of birth of the patient.
  • Page 44 Digital Color Doppler Ultrasound System Acquire Patient Information from Worklist Click the Worklist button to display the Worklist screen. Figure 4-3 Worklist Screen 1) Search for the archived information Enter the search requirem ents, such as Patient ID, First/Last Name, Sex, Exam Date/Time or Age, and then click Search to search the desired one.
  • Page 45 Digital Color Doppler Ultrasound System Select Exam Type Refer to Section 4.3.1.1. Abdominal (ABD) Obstetrical (OB) Refer to Section 4.3.1.2. Gynecology (GYN) Refer to Section 4.3.1.3. Refer to Section 4.3.1.4. Cardiac Refer to Section 4.3.1.5. Vascular Urology Refer to Section 4.3.1.6. Small Parts (SMP) Refer to Section 4.3.1.7.
  • Page 46 Digital Color Doppler Ultrasound System discontinuing from the corresponding drop-down list. 4.3.1.1 Exam Type -Abdominal No information specific to abdominal exam is required. 4.3.1.2 Exam Type - Obstetrical (OB) Obstetrical Exam Information: Date Select LMP or IVF and enter the corresponding date. Click to select the estimated date of confinement.
  • Page 47 Digital Color Doppler Ultrasound System Date of LMP/IVF, EDD and gestational age are correlated. Enter one of them and the other two would be calculated automatically. When LMP is selected, • EDD = LMP + 280 days • Age =Current date−LMP + 14 days •...
  • Page 48 Digital Color Doppler Ultrasound System 4.3.1.3 Exam Type -Gynecology Gynecology Exam Information: Date Select LMP or IVF and enter the corresponding date. Gravida Two characters at most can be input. Para Num ber of deliveries. Two characters at most can be input.
  • Page 49 Digital Color Doppler Ultrasound System 4.3.1.4 Exam Type - Cardiac Cardiac Exam Information: Heart Rate (bpm) Heart rate in beats per minut e. Four characters at most can be input. Right atrium pressure in mm Hg or kPa. Only digit is allowed.
  • Page 50 Digital Color Doppler Ultrasound System 4.3.1.5 Exam Type - Vascular Vascular Exam Information: Left BP Blood pressure in . Only digit is allowed. mmHg Right BP Blood pressure in . Only digit is allowed. mmHg Left Upper Limb BP Blood pressure in .
  • Page 51 Digital Color Doppler Ultrasound System 4.3.1.6 Exam Type - Urology Urology Exam Information: Prostate-specific antigen. Four characters at most can be input. PPSA Coefficient Four characters at most can be input. Prostate-specific antigen. Four characters at most can be input. PPSA coefficient in ng/ml ,is used for estimating the PSA level for a prostate with a specified volume.

  • Page 52: Patient Exam List

    Digital Color Doppler Ultrasound System 4.3.1.8 Exam Type – Pediatrics (PED) No information specific to pediatrics exam is required. 4.3.1.9 Exam Type –M usculoskeletal (MSK) No information specific to musculoskeletal exam is required. 4.3.1.10 Exam Type –Nerve No information specific to nerve exam is required. 4.3.1.11 Exam Type –Orthopedic (Ortho) No information specific to orthopedic exam is required.
  • Page 53 Digital Color Doppler Ultrasound System Worklist button to select a patient from a worklist. For details, refer to the section of Acquire Patient Information from Worklist.  Functions of Worklist, MPPS and DICOM can only be used after DICOM is set. For details, refer to 5.7 DICOM.
  • Page 54 Digital Color Doppler Ultrasound System View View all exams performed for the selected patient. New Exam Start a new exam for the selected patient. Delete Patient Delete the selected patient information. Figure 4-5 Exam Review Screen Suspend Exam Suspend the currently active exam. New Exam Create a new exam for the current patient.
  • Page 55 Digital Color Doppler Ultrasound System View Image In the Figure 4-6, press the Set key to select an image. The selected images will be highlighted with a yellow frame. Buttons at the left side will become active and user operations are allowed.

  • Page 56: Dicom Q/R

    Digital Color Doppler Ultrasound System Print Print the selected images Export Export to a connected USB device. If more than one USB drives is connected, select the desired one from the drop- down box. The form at of exported report can be chosen from HTML or PDF.
  • Page 57 Digital Color Doppler Ultrasound System Enter the query criteria, and click Query to search the desired patient information. Select the desired patient, and click Query.  If t he desired patient is successfully searched, it will be marked by OK in the Service Status column.

  • Page 58: Dicom Queue

    Digital Color Doppler Ultrasound System 4.4.4 DICOM Queue The DICOM Queue records all detailed logs for the DICOM services in following four categories: image storage, committed storage, MPPS and DICOM print. The log includes initiation time, image size, result, service status and the returned messages for each service request.

  • Page 59: Pps Screen

    Digital Color Doppler Ultrasound System 4.4.5 PPS Screen PPS Screen can be opened only when the current exam is active and highlighted. The PPS Screen includes detailed examination inform ation and scheduled operation procedure information. Figure 4-9 PPS Queue Click Append to add MPPS status for the current exam. MPPS records the procedures of examinations.

  • Page 60: Patient Exam Import/Export

    Digital Color Doppler Ultrasound System 4.4.6 Patient Exam Import/Export The system is set in default that those images will be added into the patient exams database when exam is active. You can export the patient information to the USB drive or CD/ DVD drive or import it to the system.
  • Page 61 Digital Color Doppler Ultrasound System Figure 4-11 Import Screen Select patient information to be exported, multiple patients can be selected. Select a storage device in the Export drop-down box,. Select the export format from SYSTEM, PC or DICOMDIR. If PC format is selected, you may further select image format (JPEG, BMP, TIFF) and cine format (AVI, WMV).

  • Page 62: Start Ultrasound Diagnosis

    Digital Color Doppler Ultrasound System Patient Information Import NOTE: Only patient inform ation file with SYSTEM format can be imported into the system. Connect the USB drive or DVD drive to the system. Connect the USB drive or DVD drive to the system. Press the Patient key on the control panel to display New Patient screen.

  • Page 63: Main Screen

    Digital Color Doppler Ultrasound System 4.6 Main Screen 2012/02/20 14:39:12 HealthCare 20120220_144215 MI/TI 0.6/0.3 C344/Liver 72dB/13 4.0MHz 20.3cm The main screen contains the following eight function zones: System information: includes manufacturer logo, hospital name, system time, patient information, application mode and etc. Image param eters: includes current imaging mode, fram e rate, acoustic power, scan depth and etc.

  • Page 64: Chapter 5System Setup

    Digital Color Doppler Ultrasound System Chapter 5System Setup Press the Exam key on the Exam screen to enter the System Setting screen. The general setting and configurations for peripherals, comments , bodymark, measurem ents, report, DICOM and remote service can be set on the System Setting screen. System information can also be found here.
  • Page 65 Digital Color Doppler Ultrasound System is pressed in a real time scan. Cine, Measurement, Bodymark, Comment or Arrow can be selected. Trackball Sensitivity Adjust the trackball sensitivity. Five levels are available, and the larger the number the higher the sensitivity. Date Format Adjust the date format.

  • Page 66: Display

    Digital Color Doppler Ultrasound System 5.1.2 Display TGC Curve Display Set the display method of TGC curve. You can choose from Always Display, Timeout Hide or Hide. Patient Name Tick it to display the patient name on the Exam screen. Patient DOB Tick it to display the date of birth of the patient on the Exam Screen.

  • Page 67: Menu

    Digital Color Doppler Ultrasound System 5.1.3 Menu Add selected item(s) from Available list to Selected list. Rem ove selected item (s) from Selected list to Available list. Move the item upward in the Selected list. Move the item downward in the Selected list. Add selected item(s) from Available list to Selected list.

  • Page 68: Storage

    Digital Color Doppler Ultrasound System 5.1.4 Storage Store Region Use the drop-down box to select the region of the screen to be stored: Full Screen, Ultra sound Image, or Top Right of Screen. Store Frame Set the maximum number of frame for cine. Store to USB Disk Tick it, after you connect the USB drive to the system, the saved images/cines are synchronously stored to the...

  • Page 69: Peripheral

    Digital Color Doppler Ultrasound System 5.2 Peripheral Video Mode Select output video mode: VGA or TV. The TV mode contains: NTSC or PAL. IP Address Only numerical values from 0-255 are allowed. Netmask Only numerical values from 0-255 are allowed. Default Gateway Only numerical values from 0-255 are allowed.

  • Page 70: Comment

    Digital Color Doppler Ultrasound System 5.3 Comment Add selected item(s) from Available list to Selected list. Add all items from Available list to Selected list. Rem ove selected item (s) from Selected list to Available list. Remove all items from Selected list to Available list. Move the selected item to the top of the list.

  • Page 71: Bodymark

    Digital Color Doppler Ultrasound System Edit Comment Item Enter comments in the Edit Comment Item textbox, and click Add to Lib to add the comment. Or, click Delete to delete the comment from the Available list. Display Language Click the drop-down list to select the current system language.
  • Page 72 Digital Color Doppler Ultrasound System Move the selected item to the top of the list. Move the selected item upward in the Selected list. Move the selected item downward in the Selected list. Move the selected item to the bottom of the list. Default Display Position Select the default location for bodymark.

  • Page 73: Measure

    Digital Color Doppler Ultrasound System 5.5 Measure 5.5.1 General Unit Select the measurement units to be used from Metric or Imperial. Heart Rate Cycle Select from 1-6. GA Calc Select the method for GA calculation. Shortcut Key Ten shortcut keys on the keyboard can be set for OB or Cardiac calculations.
  • Page 74 Digital Color Doppler Ultrasound System cleared in the real time m ode aft er you perform the measurement in the frozen mode. If it is set to Off, all measurement results cannot be cleared in the real time mode after you perform the measurement in the frozen mode.

  • Page 75: Menu

    Digital Color Doppler Ultrasound System 5.5.2 Menu Imaging Mode Click the B, C, M or PW tab to select the imaging mode. Exam Mode Select the measurement package from the drop-down list. Move the selected item upward in the list. Move the selected item downward in the list.

  • Page 76: Formula

    Digital Color Doppler Ultrasound System 5.5.3 Formula Body surface area calculation formula. Abdomen circumference calculation formula. APTD Anterior-Posterior Thigh Diameter calculation formula. Biparietal diameter calculation formula. Cerebellum Diameter calculation formula. Chorion Diameter calculation formula. Cerebellum Diameter calculation formula. Yolk sac calculation formula. Fibula Fibula length calculation formula.

  • Page 77: Report

    Digital Color Doppler Ultrasound System Humerus Humerus length calculation formula. Lateral ventricle calculation formula. Occipito-frontal diameter calculation formula. Outer Ocular Diameter calculation formula. Radius Radius length calculation formula. Trans-Abdominal Diameter calculation formula. Tibia Tibia length calculation formula. Ulna Ulna length calculation formula. 5.6 Report Logo Click <- or ->...

  • Page 78: Dicom

    Digital Color Doppler Ultrasound System Text Color Display Items For Report Tick the desired items, enter the descriptions in the corresponding textboxes, and then the corresponding items will be displayed in the report. PreView Click this button to preview the report format. 5.7 DICOM This device complies with the Digit al Imaging and Comm unications in Medicine (DICOM) standard which is widely accepted as the standard for data storage and communication among...
  • Page 79 Digital Color Doppler Ultrasound System DICOM AE Title 16 characters at most can be input. Port Number Five characters at most can be input. Ping Click this button to test the network connectivity. Echo Click this button to test whet her the remote sever exists.

  • Page 80: Dicom Storage Commitment

    Digital Color Doppler Ultrasound System 5.7.2 DICOM Storage Commitment Service List Select the desired service name from the drop-down list. Remote Host Name 16 characters at most can be input. IP Address Only numerical values from 0-255 are allowed. DICOM AE Title 16 characters at most can be input.

  • Page 81: Dicom Worklist

    Digital Color Doppler Ultrasound System 5.7.3 DICOM Worklist Service List Select the desired service nam e from the drop-down list. Remote Host Name 16 characters at most can be input. IP Address Only numerical values from 0-255 are allowed. DICOM AE Title 16 characters at most can be input.

  • Page 82: Dicom Mpps

    Digital Color Doppler Ultrasound System 5.7.4 DICOM MPPS Service List Select the desired service nam e from the drop -down list. Remote Host Name 16 characters at most can be input. IP Address Only numerical values from 0-255 are allowed. DICOM AE Title 16 characters at most can be input.

  • Page 83: Dicom Print

    Digital Color Doppler Ultrasound System 5.7.5 DICOM Print Service List Select the desired service nam e from the drop -down list. Remote Host Name 16 characters at most can be input. IP Address Only numerical values from 0-255 are allowed. DICOM AE Title 16 characters at most can be input.
  • Page 84 Digital Color Doppler Ultrasound System magazine. Set it to PROCESSOR, image will be processed in a film processor. Magnification Set the method used for magnifying images during the print. Copies Sets the number of copies to print. Smoothing Type Specifies the value of magnification interpolation for the printer.

  • Page 85: Dicom Q/R

    Digital Color Doppler Ultrasound System 5.7.6 DICOM Q/R Service List Select the desired service name from the drop-down list. Rem ote Host Name 16 characters at most can be input. IP Address Only numerical values from 0 to 255 are allowed. NOTE: Click Ping to test the network connectivity.

  • Page 86: Remote Service

    Digital Color Doppler Ultrasound System 5.8 Remote Service Rem ote service helps you to solve the abnormity or malfunction occurred in system upgrade or usage. You can get assistance from after-sales or technical personnel of t he m anufacturer by applying it.

  • Page 87: System Information

    Digital Color Doppler Ultrasound System 5.9 System Information You can view the current hardware version, the soft ware version and the control number on this menu. The Control Number is a unique number for the ultrasound sys tem. Update Click it and select to update the system from net work or USB drive.

  • Page 88: Chapter 6 B Mode

    Digital Color Doppler Ultrasound System Chapter 6 B Mode B mode imaging is intended to provide information of anatomical structure of soft tissues. 6.1 Starting B Mode Select any application part in the Exam screen and press the Set key. The system enters the B mode by default.

  • Page 89: Parameter Adjustment

    Digital Color Doppler Ultrasound System 6.2 Parameter Adjustment The B mode operation for the current ultrasound image is independent of the display format (single, dual or quad). Press in a real time B mode scan to open B mode menu which includes the following items.

  • Page 90: Focal Number

    Digital Color Doppler Ultrasound System Press in real time B mode to freeze the scan. Press to open the menu which shows the following items. Frozen B mode menu Chroma μscan L-R Reverse Left U-D Reverse Instructions:  Use the trackball to select the menu item. ...

  • Page 91: Chroma

    Digital Color Doppler Ultrasound System Rotate to decrease/increase the space between focal zones. 6.2.3 Chroma The echo am plitudes are converted to pixels with different brightness. The chrom a value (color tone and saturation) is mapped to the pixels. There are 13 map combinations available. The chroma value is adjustable in the real time mode as well as the freeze mode.

  • Page 92: Line Density

    Digital Color Doppler Ultrasound System 6.2.6 Line Density Line density refers to the amount of ultrasound beam that makes up the image. Increasing the value of line density improves the resolution and decreases frame rate. Therefore, you have to balance the frame rate and the image quality when adjusting the line density. A higher line density is useful in obtaining very high resolution, such as thyroid, testicles.

  • Page 93: Grayscale Curve

    Digital Color Doppler Ultrasound System 6.2.9 Grayscale curve Due to the difference bet ween the anatomical structures, different organs produc e different grayscale distribution on the ultrasound image. GSC compensates grayscale mapping for some organs and makes better discrimination for these organs. Brightness of each pixel is determined by the amplitude of the corresponding echo.

  • Page 94: Compound Imaging

    Digital Color Doppler Ultrasound System 6.2.12 Compound Imaging Com pound imaging is used to acquire a series of overlapping image fram es from substantially differing spatial directions and com bining these im ages to reduce speckle and improve contrast resolution. Instructions: Open the menu, and use the trackball to select Compound.

  • Page 95: Rotation

    Digital Color Doppler Ultrasound System Rotate to reverse the image. NOTE: Image orientation can be changed in real time mode as well as in frozen mode. 6.2.16 Rotation Rotation function can rotate the image to a certain angle. The options contain 90°, 180°, and 270°.

  • Page 96: B Gain

    Digital Color Doppler Ultrasound System 6.2.18 B Gain The B mode gain (2D gain), determines the am plifying factors for the received echoes. The echoes are amplified with the same gain value regardless of depth. The GAIN knob adjusts the overall brightness of the 2D image. Instructions: ...

  • Page 97: Time Gain Compensation (Tgc)

    Digital Color Doppler Ultrasound System  Flip downward to increase the depth range of the 2D image and the size of image is reduced to display the entire ultrasound image. NOTE:  The range of the scanning depth depends on the probe type. Depth is represented in unit of cm.

  • Page 98: Other B Mode Operations

    Digital Color Doppler Ultrasound System 6.3 Other B Mode Operations 6.3.1 Frozen Mode During a real time B mode scan, press to freeze an image. Press this key again to restore to real time scan. 2012/05/12 08:09:08 MI/TI 0.6/0.5 2P1/Cardio 60/16 4.0MHZ 16.6cm...

  • Page 99: Image Reverse (Left/Right)

    Digital Color Doppler Ultrasound System 2012/05/12 08:09:08 MI/TI 0.6/0.5 2P1/Cardio 60/16 4.0MHZ 16.6cm Position and adjust ROI.  Position ROI by using the trackball.  Press the Set key on the control panel, and adjust ROI size by using the trackball. ...

  • Page 100: Image Reverse (Up/Down)

    Digital Color Doppler Ultrasound System ® IQ-: l''''l 'o-:: 1111 111 111111 1111111111 1 :! o-:• 6.3.4 Image Reverse (Up/Down) This function reverses the image up or down. It is most useful in intracavitary examinations. The orient ation marker corresponds to the first element of the transducer. See figure below.

  • Page 101: Quad Display Format

    Digital Color Doppler Ultrasound System 2012/05/12 08:09:08 MI/TI 0.6/0.5 2P1/Cardio 60/16 4.0MHZ 16.6cm Press the image on the left is frozen, and the image on the right will be in a real time B mode. Press again, the image on the left will be in a real time B mode, and the image on the right will be frozen.

  • Page 102: Tissue Harmonic Imaging (Thi)

    Digital Color Doppler Ultrasound System 2012/05/12 08:09:08 MI/TI 0.6/0.5 2P1/Cardio 60/16 4.0MHZ 16.6cm Press each time to activat e the images on top -left, top-right, bottom-left and bottom-right in order and freeze the other three images. The active image (real time image) will be marked with a green orientation marker.

  • Page 103: Panoramic Imaging

    Digital Color Doppler Ultrasound System To disable the THI mode, press again. THI disappears from the screen. NOTE:  Com pared to the B-mode imaging, THI improves image resolution but decreas es the depth. Therefore, you should make an optimal balance when choosing an imaging mode. ...

  • Page 104: Chapter 7Cfm Mode

    Digital Color Doppler Ultrasound System Chapter 7CFM Mode Color Flow imaging adds the color-coded qualitative information in the B-Mode image. Color Flow imaging is helpful to see the flow, the relevant qualitative information and the flow velocity. 7.1 Starting CFM Mode Press in the real tim e B mode to activate the CFM mode.

  • Page 105: Parameter Adjustment

    Digital Color Doppler Ultrasound System 7.2 Parameter Adjustment The CFM mode operation for the current ultrasound image is independent of the display format (single, dual or quad). CFM mode param eters and s ettings can be adjusted through the CFM mode menu or directly by using the knobs / flip switches.

  • Page 106: Frequency

    Digital Color Doppler Ultrasound System  If the menu displays items over one page, click PRE or NEXT to turn pages.  Press to open or close the menu. 7.2.1 Frequency Frequency optimizes the penetrability and the sensitivity of the color flow. Higher frequency delivers better display of low flow velocities, but the penet ration depth is reduced.

  • Page 107: Wall Filter

    Digital Color Doppler Ultrasound System 7.2.4 Wall Filter Wall Filter intends to eliminate the low frequency noise generat ed by movem ents of blood vessel walls. Instructions: Open the menu, and use the trackball to select WF. Rotate to decrease/increase the value. NOTE: ...

  • Page 108: Flow Invert

    Digital Color Doppler Ultrasound System Rotate to adjust the color map method. 7.2.8 Flow Invert Flow invert is used to view blood flow from a different perspective. When Flow Invert is set to Off, red pixels represent flow to the probe; blue pixels represent flow away from the probe.

  • Page 109: Steer

    Digital Color Doppler Ultrasound System NOTE:  Different P RF values should be applied according to the flow velocity distribution in different ograns when performing a scan.  A lower PRF causes aliasing where the blood velocity exceeds the maximum measurable velocity, causing the displayed flow within the vessel to portray flow in the wrong direction.

  • Page 110: Image Magnification

    Digital Color Doppler Ultrasound System 2012/05/12 08:09:08 MI/TI 0.6/0.5 2P1/Cardio 60/16 cm/s 4.0MHZ 16.6cm 4000.00 2.5MHZ 7.3.2 Image Magnification See Section 6.3.2. 7.3.3 B+CFM Real Time Dual Format Dual display format facilitates you to compare the two images in the B mode and CFM mode. To activate B+ CFM real tim e dual format mode, press twice in a real time CFM mode.
  • Page 111 Digital Color Doppler Ultrasound System 2012/05/12 08:09:08 MI/TI 0.6/0.5 2P1/Cardio 60/16 cm/s 4.0MHZ 16.6cm 4000.00 2.5MHZ Press to freeze the real tim e scan and unfreeze the ot her images in a clockwise direction. Press again to exit the quad display format. Basic User Manual...

  • Page 112: Chapter 8Dpi Mode (Doppler Power Imaging)

    Digital Color Doppler Ultrasound System Chapter 8DPI Mode (Doppler Power Imaging) DPI (Doppler P ower Imaging) is a color flow imaging technology which adds the flow signal in the Color-mode im age. DP I uses the num ber and am plitude of red blood cell going through in the flow to create the color-coded imaging.

  • Page 113: Parameter Adjustment

    Digital Color Doppler Ultrasound System 8.2 Parameter Adjustment The DP I mode operation for the current ultrasound image is independent of the display format (single, dual or quad). DP I mode param eters and settings can be adjusted through the DP I mode menu or directly using the knobs / flip switches.

  • Page 114: Frequency

    Digital Color Doppler Ultrasound System  Press to open or close the menu. 8.2.1 Frequency See Section 7.2.1. 8.2.2 DPI Power See Section 7.2.2. 8.2.3 Resolution See Section 7.2.3. 8.2.4 Wall Filter See Section 7.2.4. 8.2.5 B Reject See Section 7.2.5. 8.2.6 Color Map See Section 7.2.7.
  • Page 115 Digital Color Doppler Ultrasound System Basic User Manual...

  • Page 116: Chapter 9Tdi Mode

    Digital Color Doppler Ultrasound System Chapter 9TDI Mode NOTE: TDI mode is supported only by phased array transducers working in cardiac applications. Based on Doppler P rinciple, TDI is used to form t he 2D im age by acquiring the low frequency but high amplitude signal.

  • Page 117: Parameter Adjustment

    Digital Color Doppler Ultrasound System 9.2 Parameter Adjustment Press in the real time TDI mode to open TDI m ode m enu which includes the following items. Frequency Power Resolution High-4 B Reject Persist Color Map Press in the real time TDI m ode to freeze the im age. And press again to open the following menu: Color Map...

  • Page 118: Other Tdi Mode Operations

    Digital Color Doppler Ultrasound System 9.3 Other TDI Mode Operations See Section 7.3. Basic User Manual...
  • Page 119 Digital Color Doppler Ultrasound System Basic User Manual...

  • Page 120: Chapter 10 M Mode

    Digital Color Doppler Ultrasound System Chapter 10 M Mode M mode is generally used with 2D im aging, and is helpful for cardiac applications. In the M mode, you can position t he M -line in the 2D image on the anatomy of interest, and then learn about the tissue motion along that line in an M-m ode t race.

  • Page 121: Activated M Mode

    Digital Color Doppler Ultrasound System 10.1.2 Activated M Mode Press in the inactivated M mode to enter the M mode. The M mode trace displays on the lower half of the screen. 10.2 Parameter Adjustment Press in the inactivated M mode to display the following menu. Display Form at V1/1 Sweep Speed...

  • Page 122: Sweep Speed

    Digital Color Doppler Ultrasound System Rotate to change the Display Format. 10.2.2 Sweep Speed Use this function to adjust the speed of sweeping in the M mode. The larger the s weep speed is set, the faster the M trace is updating. Instructions: Sweep Speed.

  • Page 123: Video Invert

    Digital Color Doppler Ultrasound System Smooth. Open the menu, and use the trackball to select Rotate to change the Smooth value. 10.2.6 Video Invert This function inverts the M trac e display in relation to brightness. In the black/white M trace display, black and white will be swapped upon setting it to on.

  • Page 124: M Line

    Digital Color Doppler Ultrasound System 10.3.2 M Line In the M inactivated or real time mode, the M line displays at the default position of the B mode ultrasound image. You can use the trackball to move the M line. 10.3.3 Dual Display The dual display of ultrasound images facilitate the comparison of ult rasound images performed at the different time.
  • Page 125 Digital Color Doppler Ultrasound System Basic User Manual...

  • Page 126: Chapter 11 Pw Mode

    Digital Color Doppler Ultrasound System Chapter 11 PW Mode Pulsed Wave Doppler (PW) is a Doppler mode that measures velocity in a PW sample volume and displays that information in a spectral trace with audio output. 11.1 Starting PW Mode 11.1.1 Inactivated PW Mode Press in a real time B/CDI/DPI/PW/CW scan to enter the inactivated PW mode,...

  • Page 127: Activated Pw Mode

    Digital Color Doppler Ultrasound System 11.1.2 Activated PW Mode Press to activate the PW trace which will be updated on the lower half of the screen. 2012/05/12 08:09:08 MI/TI 0.6/0.5 2P1/Cardio 60/16 4.0MHZ 16.6cm θ =60° 2.5MHZ 5500.00 cm/s -100 11.2 Parameter Adjustment Press in the inactivated PW mode to display the following menu.

  • Page 128: Frequency

    Digital Color Doppler Ultrasound System Chroma Display Form at V1/1 Spect Invert Video Invert 2D Refresh 11.2.1 Frequency See Section 7.2.1. 11.2.2 PW Power See Section 7.2.2. 11.2.3 Sweep Speed See Section 10.2.2. 11.2.4 Dynamic Range See Section 6.2.8. 11.2.5 Wall Filter See Section 7.2.4.

  • Page 129: Video Invert

    Digital Color Doppler Ultrasound System 11.2.9 Video Invert This function has the effect of changing the background of the spectral display. Instructions: Open the menu, and use the trackball to select Video Invert. Rotate to enable or disable the function. 11.2.10 2D Refresh 2D refresh is used to synchronously display two real time scans in the 2D and the PW modes.

  • Page 130: Spectral Doppler Line

    Digital Color Doppler Ultrasound System SonoScape SonoScape 2012/05/12 08:09:08 MI/TI 0.6/0.5 2P1/Cardio 60/16 4.0MHZ 16.6cm θ =60° 2.5MHZ 5500.00 cm/s -100 11.3.2 Spectral Doppler Line Use the trackball to move the spectral Doppler line in the inactivated or real time PW mode. 11.3.3 Sample Volume Gate Use the trackball to move the spectral Doppler line in the inactivated or real time PW mode.

  • Page 131: Dual Display

    Digital Color Doppler Ultrasound System velocity range in the color map varies with the adjustment. 11.3.6 Dual Display The dual display of ultrasound images facilitate the comparison of ult rasound images performed at the different time. 2012/05/12 08:09:08 MI/TI 0.6/0.5 2P1/Cardio 60/16 4.0MHZ...

  • Page 132: Chapter 12 Cw Mode

    Digital Color Doppler Ultrasound System Chapter 12 CW Mode Continuous Wave Doppler (CW) uses continuously transmitted and received ultrasound energy to generat e a spectral display. CW Doppler is used to measure a high velocity, the highest velocity at a specific site, but no aliasing is created. For details, see Chapter 11.
  • Page 133 Digital Color Doppler Ultrasound System Basic User Manual...

  • Page 134: Chapter 13 Triplex Mode

    Digital Color Doppler Ultrasound System Chapter 13 Triplex Mode The triple mode is overlapped by three different imaging modes, and can be applied to view the image. The triple mode includes B+CFM/TDI+M and B+CFM/DPI/TDI +PW. 13.1 B+CFM/TDI+M NOTE: Only the phased probes including 2P1 and 5P1 are available for B+CFM/TDI +M. Perform the following steps to acquire the image.
  • Page 135 Digital Color Doppler Ultrasound System velocity.  X-axis is the time scale.  Y-axis is Doppler frequency scale, including a positive and negative indicator. Adjust the position and angle of the Spectral Doppler line.  Position the sample volume gate on the Spectral Doppler line by moving the trackball upwards or downwards.

  • Page 136: Chapter 14 Miscellaneous Functions

    Digital Color Doppler Ultrasound System Chapter 14 Miscellaneous Functions 14.1 Annotation The annotation function allows the user to add t extual comm ents or arrows on the ultrasound image. 14.1.1 Textual Annotation Press in any mode to ent er the editing status. You can enter texts directly using the alphanumeric keyboard or select an annotation string from the annotation library.

  • Page 137: Arrow Annotation

    Digital Color Doppler Ultrasound System To clear annotation Press to start the annotation mode, the cursor is changed to |. Press to remove all annotation items added on screen. 14.1.2 Arrow Annotation Press in any mode to enter the editing status. Use the trackball to move the trackball, rotate to rotate the direction of t he arrow....
  • Page 138 Digital Color Doppler Ultrasound System To select body mark Move the cursor to select a symbol, the selected will be highlight ed with a blue fram e. Press to add the selected symbol on the ultrasound image. To move body mark Move the cursor over the symbol and press .

  • Page 139: Save And Review

    Digital Color Doppler Ultrasound System To rotate probe mark Rotate to rotate the direction of the probe mark. To delete probe mark Press to remove the body mark. Press on the dual or quad display to remove the body mark in the real-tim e mode.
  • Page 140 Digital Color Doppler Ultrasound System To save all Frames as cine Press to freeze the image. Hold in the frozen mode to save multi-frame cine. A thumbnail is displayed on the clipboard. To save selected frames as cine Press in the real-time mode to freeze the image. Use the trackball to move the red marker to the start and end positions and press to select the frames.

  • Page 141: Customize Exam Mode

    Digital Color Doppler Ultrasound System Select the desired patient and click View. Click View Image to select the current image or cine. Press the Set key twice to review the image or cine. To retrieve the image or cine Press the Patient key when an exam is not performed. Select the desired patient and click View.

  • Page 142: Edit Exam Mode

    Digital Color Doppler Ultrasound System Enter name for the new exam mode and click Click New to create a new exam mode. 14.4.2 Edit Exam Mode You can adjust the layout of t he application mode screen. M oreover, the customize exam mode (except system exam mode) can also be deleted.

  • Page 143: Import/Export Exam Mode

    Digital Color Doppler Ultrasound System Click Up or Down to move the exam mode up or down. Click Save to complete.  Click Delete to remove the exam mode.  Click Reset to restore the default exam mode.  Click Exit to quit the screen. 14.4.3 Import/Export Exam Mode NOTE: Customize exam mode (except system exam mode) can be exported.

  • Page 144: Ecg Module

    Digital Color Doppler Ultrasound System 14.6 ECG Module Using an optional ECG module (Ty pe BF), 3 -channel E CG signals are provided in cardiac applications. During a cardiac application, you can configure the ECG-control so that the E CG trace is displayed at the bottom of the screen.

  • Page 145: Optimizing Parameters

    Digital Color Doppler Ultrasound System 3. Make the relevant settings of the E CG m odule. For details, refer to Section 14.6.2 Optimizing Parameters. 4. Freeze the images and review them. For details, refer to Section 14.6.3 Reviewing ECG. 5. Exit the ECG mode, and remove ECG electrodes from the patient. 14.6.2 Optimizing Parameters Press the Menu key on the control panel, use the trackball to select ECG, and rotate the Menu knob to display the submenu of the ECG module.

  • Page 146: Chapter 15 Elastography

    Digital Color Doppler Ultrasound System Chapter 15 Elastography Elastography technique can detect the soft tissue stiffness which is unachievable with t he traditional ultrasonic imaging, and it is helpful in differentiating a tum or or a suspicious cancerous growth. Elastography is mainly used for the small organs such as breast, thyroid, prostate, etc.
  • Page 147 Digital Color Doppler Ultrasound System Explanation for the main screen of elastography: Name Description Compared with elastography image on the left. B mode image The sample box on the B mode image only appears in frozen mode. Indicates the pressure and compression frequency and average shift size.

  • Page 148: Parameter Adjustment

    Digital Color Doppler Ultrasound System 15.2 Parameter Adjustment To acquire the high-quality elastography image, you need to adjust the sample box and then optimize the image. You can adjust the relative parameters to optimize the elastography image if necessary, in both real-time scanning and frozen mode.

  • Page 149: Persistence

    Digital Color Doppler Ultrasound System Rotate the MENU knob to change value. 15.2.5 Persistence Persistence is used to average consecutive fram es to provide a smoother appearance with less noise. Use lower persistence values for fast -m oving organs or tissues and higher persistence values for smoother appearance.

  • Page 150: Chapter 16 3D

    Digital Color Doppler Ultrasound System Chapter 16 3D 3D imaging allows the acquisition of three-dimensional ultrasound images of the anatomical structure. 3D imaging is mainly used for the fetal examination, and you can learn about the fetus growth with the different gestational age in utero by observing the part of 3D image. NOTE: L741, C344 and C354 are available for 3D imaging.
  • Page 151 Digital Color Doppler Ultrasound System NOTE: Only the data within the sample box are applied to generate the 3D image  If you use convex probe, for example C344, 2D image, sample box and cropping line are shown on the display, as illustrated in Figure 16-2. Figure 16-2 3D (convex probe) Adjust sample box or cropping line.

  • Page 152: Parameter Adjustment

    Digital Color Doppler Ultrasound System The imaging area of the screen is divided into 3 sectional planes and a 3 D image by default (see Figure 16-3). The sectional plane on the top left shows the image on the X-axis. The sectional plane on the top right shows the image on the Y-axis.

  • Page 153: Roi

    Digital Color Doppler Ultrasound System select the area. Rotate the MENU knob to adjust the slice position in the selected area. 16.2.3 ROI You can crop the 3D image by adjusting the ROIs of X plane, Y plane, and Z plane. It is suitable for regular images.

  • Page 154: Zoom

    Digital Color Doppler Ultrasound System Press the MENU key on the control panel. Use the trackball to select Render Mode item. Rotate the MENU knob clockwise to set render mode.  Vol is used to observe the fetus face. You can see the ey es, ears, nose and m outh of the fetus clearly in this render mode.

  • Page 155: Color

    Digital Color Doppler Ultrasound System Move the c ursor over the 3D image with the trackball, press the Set key on the cont rol panel, and then trace the border of the target image area. See the following figure: Press the Set key to confirm the trace and get the desired image. For instance, if the Trace cut is set to In, you get the following 3D image.

  • Page 156: Brightness

    Digital Color Doppler Ultrasound System Press the MENU key. Use the trackball to select Opacity Threshold/Opacity Window item. Rotate the MENU key clockwise to increase or decrease the value. 16.2.9 Brightness Press the MENU key. Use the trackball to select Bright item. Rotate the MENU knob clockwise to adjust the value.

  • Page 157: Restore

    Digital Color Doppler Ultrasound System The area with the red fram e is the main slice imaging; the slice indicated by a blue line is displayed in the center of the screen as number 0. Eight slice lines and the corresponding number are displayed on the main slice imaging. Except the main slice, the other eight slices are indicated by the num ber on top left and are displayed on the screen.

  • Page 158: Other 3D Operations

    Digital Color Doppler Ultrasound System 16.3 Other 3D Operations After processing and optimizing the 3D image, you can save, review and retrieve the image. 16.3.1 Save Press the Save key, and saving dialogue box appears; Use the trackball to select Saving Image or Save Volume. Press the Set key to save image or cine.
  • Page 159 Digital Color Doppler Ultrasound System Basic User Manual...

  • Page 160: Chapter 17 4D

    Digital Color Doppler Ultrasound System Chapter 17 4D NOTE: Only volume probes are available for 4D imaging. 17.1 Inactivated 4D You can acquire 4D im age by adjusting ROI in the inactivated 4D mode, or open the m enu to adjust parameters.

  • Page 161: Roi

    Digital Color Doppler Ultrasound System 17.1.2 ROI 2D image, ROI and sample line are displayed in the inactivated 4D m ode. You can adjust ROI and sample line to generate 4D image. To adjust ROI Use the trackball to position ROI. Press the Set key, and use the trackball to adjust the size of ROI.
  • Page 162 Digital Color Doppler Ultrasound System Single Display: Dual Display: Basic User Manual...

  • Page 163: Menu

    Digital Color Doppler Ultrasound System NOTE: The slice in the red frame is X slice. Quad Display: NOTE: The slice in the red frame is X slice, in the green frame is Y slice, and in the blue frame is Z slice.
  • Page 164 Digital Color Doppler Ultrasound System ROI Show Adjust this value to open the ROI on the image and slices. With Crop function together, they can crop images. Use the trackball to move the cursor on a slice of dual or quad display, press to select the slice.
  • Page 165 Digital Color Doppler Ultrasound System Render Mode This function sets the render method of the im age. The default render mode is Vol (Volume rendering). Open the menu, and use the trackball to select Render Mode. Rotate to select the mode. X Rotate/Y Rotate/Z Rotate...

  • Page 166: Rotate Image

    Digital Color Doppler Ultrasound System 100. Open the menu, and use the trackball to select Bright. Rotate to adjust the brightness. Color Map Adjust this item to change the color of the image. 5 colors can be selectable: 0, 1, 2, 3, 4. Open the menu, and use the trackball to select Color Map.

  • Page 167: Frozen 4D Mode

    Digital Color Doppler Ultrasound System  Press to exit the real-time 4D mode and return to the application screen. 17.3 Frozen 4D Mode 4D probe stops working in the frozen 4D mode. You can observe, review, save and calculate images. 17.3.1 Enter Frozen 4D Mode Press in the real-time 4D mode to enter the frozen 4D mode.
  • Page 168 Digital Color Doppler Ultrasound System  Trace Cut function only can be used on condition that the ROI Show is turned off, otherwise the Trace Cut menu item would be gray.  Undo Cut function only can be used on condition that the Trace Cut is turned on, otherwise the Undo Cut menu item would be gray.
  • Page 169 Digital Color Doppler Ultrasound System Sweep Angle Caution The value of the three menu items (Sweep Angle, Image quality and Stability) would affect the scanning method in real-time mode after canceling the frozen mode. If you change the value of Sweep Angle in the frozen 4D mode, aft er ent ering the real- time 4D mode, the value of Sweep Angle would also be changed.

  • Page 170: Chapter 18 Probes And Biopsy

    Digital Color Doppler Ultrasound System Chapter 18 Probes and Biopsy You should be thoroughly familiar with the operations of the probes before using them. To ensure the perform ance and availability of the probes, you should also periodically check, clean, disinfect or maintain them. NOTE: A general instruction for the probes is provided in this manual.

  • Page 171: Probe Usage

    Digital Color Doppler Ultrasound System 18.1.2 Probe Usage Warning  Do not use the probes other than those provided by the manufacturer. Otherwise, the ultrasound system cannot be performed, and an accident such as a fire may result in the worst case. ...
  • Page 172 Digital Color Doppler Ultrasound System Endocavitary probe usages Wear medical sterile gloves. Wear the probe sheaths. Remove the packaging and unfold the probe sheath. Apply an appropriate amount of coupling gel to the inside of the sheath and onto the face of the probe. Hold the probe and unroll the sheath onto the probe.

  • Page 173: Cleaning The Probe

    Digital Color Doppler Ultrasound System 18.1.3 Cleaning the Probe Warning  To avoid probe dam ages, do not bum p the probe on hard surfaces during t he cleaning.  To avoid the electric shock, disconnect the probe from the ultrasound system before the cleaning.
  • Page 174 Digital Color Doppler Ultrasound System will damage the probe.  Not allow any disinfectant/sterilant to be air-dried on the probe. Disinfection Levels To choose an appropriate disinfectant, you first must determ ine the required level of disinfection, based on the probe applications. Level of Classification Definition...
  • Page 175 Digital Color Doppler Ultrasound System Table 18-1 Recommended Method for Medium-level Disinfection Active Level for Active Contact Contact Disinfectant Manufacturer Ingredients Ingredient Type Period Isopropyl Isopropyl alcohol 70% Spray/Wipe <10 minutes alcohol T-spray II Pharm. Inc. Quat.Ammonia Spray/Wipe <10 minutes T-spray Pharm.

  • Page 176: Disinfecting Or Sterilizing The Probe Cable

    Digital Color Doppler Ultrasound System To sterilize the probe You should sterilize the intraoperative, biopsy use or blood contacting probe after each use. Perform the steps as follows: Clean the probe. For details, refer to Section 18.3 Cleaning the Probe. Sterilize the probe as shown in Table 18-3 until the recomm ended soak period expires.

  • Page 177: Storage And Transportation

    Digital Color Doppler Ultrasound System Rinse the probe cable with the fresh running water to remove the residual disinfectant completely. Dry the probe with a lint-free soft dry cloth. Table 18-4 Recommended Method for Medium-level Disinfection Active Level for Active Contact Contact Disinfectant Manufacturer...

  • Page 178: Biopsy

    Digital Color Doppler Ultrasound System 18.2 Biopsy Warning  Only the trained physicians or sonographers under ultrasound guidance can handle the biopsy needle guides. During the operation, the operator must observe proper needle insertion sequencing with the needle guide in order to avoid undue discomfort and unnecessary risk and injury to the patient.

  • Page 179: Assembling The Biopsy Bracket

    Digital Color Doppler Ultrasound System Biopsy Available Available Biopsy Application Bracket Model Probe Model Needle NGBL742 L742 14G,16G,18G,20G,22G Body surface NGBL743 L743 14G,16G,18G,20G,22G Body surface NGB2P1 14G,16G,18G,20G,22G Body surface NGB6V1 16G,18G,20G,22G Intracavity NGB6V3 16G,18G,20G,22G Intracavity NGBEC9-5 EC9-5 16G,18G,20G,22G Intracavity NGBBCC9-5 BCC9-5 16G,18G,20G,22G Intracavity...
  • Page 180 Digital Color Doppler Ultrasound System screw. Press the tube clamp and insert the biopsy bracket tube into the biopsy bracket. Insert the biopsy needle into the tube. Make sure that the biopsy bracket is attached to the probe firmly. To assemble the endocavitary biopsy bracket Perform the steps as follows: Ensure there is no dam age, deform ation, malfunction, loos e or missing some parts on the biopsy bracket before the assembly.

  • Page 181: Preparing For A Biopsy

    Digital Color Doppler Ultrasound System inside of the sheath. Hold the probe and unroll the sheath onto the probe. Pull the probe sheath tightly over the face of the probe to remove wrinkles. Assemble the metal top housing and biopsy bracket. Slide the inner part into the top housing and push forward until it clicks.

  • Page 182: Verifying The Biopsy Bracket

    Digital Color Doppler Ultrasound System 18.2.4 Verifying the Biopsy Bracket NOTE: Ensure the biopsy bracket is properly attached to the compatible probe before the verification. Perform the steps as follows: Press in a real time B mode scan to open the B-mode menu. Rotate to highlight Biopsy.

  • Page 183: Cleaning The Biopsy Bracket

    Digital Color Doppler Ultrasound System 18.2.6 Cleaning the Biopsy Bracket Warning  Clean the biopsy bracket after each use.  Wear medical sterile gloves and protective goggle during the cleaning. Perform the steps as follows: Disconnect the probe from the ultrasound system, and remove the biopsy bracket and biopsy guide tube from the probe.

  • Page 184: Storage

    Digital Color Doppler Ultrasound System Rinse the bracket with the running sterile water to remove the residual sterilant completely. Dry the bracket with a lint-free soft cloth dry cloth. Table 18-5 Recommended Method for Sterilization Active Level for Active Contact Contact Disinfectant Manufacturer...
  • Page 185 Digital Color Doppler Ultrasound System Basic User Manual...

  • Page 186: Chapter 19 System Maintenance

    Digital Color Doppler Ultrasound System Chapter 19 System Maintenance To maintain the safety and functionality of the ultrasound system, you should periodically perform the maintenance for the ultrasound system and accessories.  To avoid electrical shock and dam age to the ult rasound system, power off and unplug the system from the AC power outlet before cleaning.

  • Page 187: Maintenance Checks

    Digital Color Doppler Ultrasound System The dust filter must be clean at least every 3 months for ventilation. Power off and unplug the ultrasound system from the AC power outlet. Pinch the dust filter with fingers as the figure shown above. Rinse the taken out sponge with refresh running water, and use a brush to rinse t he dust filter with refresh running water.

  • Page 188: Data Backup

    Digital Color Doppler Ultrasound System  Appearance of the control panel and the key panel NOTE: The surfaces of the control panel or the key panel m ay be abrasive because of t he split liquid or ot her cleaning s pray. Take care to find the potential problem when performing t he maintenance checks.

  • Page 189: Replacing The Fuse

    Digital Color Doppler Ultrasound System 19.6 Replacing the Fuse Warning Power off the system and disconnect the power cable from the s ocket before replacing the fuse. The fuse 50CT-T3.15A H is provided by the manufacturer. You can also purchase the fuse with the same specifications for the fuse replacement.

  • Page 190: Appendix Aemc Guidance And Manufacturer's Declaration

    Digital Color Doppler Ultrasound System Appendix A EMC Guidance and Manufacturer's Declaration This product complies with the EMC standard IEC 60601-1-2:2007. Note: ➢ The system should not be used adjacent to or stacked with other equipm ent. If the adjacent or tacked use is nec essary, the system should be observed to verify normal operation in the configuration in which it will be used.
  • Page 191 Digital Color Doppler Ultrasound System Electromagnetic emissions The EQUIPME NT is intended for use in the electromagnetic environm ent specified below. The customer or the user of the EQUIPMENT should assure that it is us ed in such an environment. Emissions test Compliance Electromagnetic environment - guidance...
  • Page 192 Digital Color Doppler Ultrasound System Electromagnetic immunity The EQUIPME NT is intended for use in the electromagnetic environm ent specified below. The customer or the user of the EQUIPMENT should assure that it is used in such an environment. Electromagnetic IEC 60601 test Compliance Immunity test...
  • Page 193 Digital Color Doppler Ultrasound System Electromagnetic immunity The EQUIPME NT is intended for use in the electromagnetic environm ent specified below. The customer or the user of the EQUIPMENT should assure that it is used in such an environment. Electromagnetic IEC 60601 test Compliance Immunity test...
  • Page 194 Digital Color Doppler Ultrasound System NOTE 1: At 80 MHz and 800 MHz, the higher frequency range applies. NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people. a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy.
  • Page 195 Digital Color Doppler Ultrasound System NOTE 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies. NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people Basic User Manual...

  • Page 196: Appendix B In Situ, Derated, And Water Value Intensities

    Digital Color Doppler Ultrasound System Appendix B In Situ, Derated, and Water Value Intensities All intensity parameters are meas ured in water. Since water absorbs very little acoustic energy, these water measurements represent a worst case value. Biological tissue does absorb acoustic energy.
  • Page 197 Digital Color Doppler Ultrasound System Basic User Manual...

  • Page 198: Appendix C Principle For Using Acoustic Power

    Digital Color Doppler Ultrasound System Appendix C Principle for Using Acoustic Power ALARA Please observe ALARA (As Low As Reasonably Achievable) principle when using ultrasound. So far there is no confirmed evidence to prove that ultrasound has obvious harm to humans, but the users shall be cautious when using ultrasound.
  • Page 199 Digital Color Doppler Ultrasound System Basic User Manual...

  • Page 200: Appendix D Acoustic Output Data

    Digital Color Doppler Ultrasound System Appendix D Acoustic Output Data Please consult the accompanying CD.
  • Page 201 Digital Color Doppler Ultrasound System P/N: 4710.01027X01 4710.00450A04 MEDISONO LLC 3511 Silverside RD. Wilmington, DE 19810, USA Email: info@medisono.com (305)406-3931 Fax: (305)406-2144...

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