GE LOGIQ 200 Quality Assurance Manual page 192

Transducer #1
q General Purpose
Transducer Type:
q Superficial
(check one)
q Intraoperative
q Endorectal
q Endovaginal
q Other __________
q 2-3.5 MHz
Frequency:
q 3-5 MHz
q 5-7.5 MHz
q 7.5 MHz and higher
q Phased Array
Scan Format:
q Linear Array
q Curvillinear Array
q Mechanical
q Other __________
Transducer #1
Performance Variation
1) System Sensitivity and/or penetration capability
q Change q No Change
2) Image Uniformity
q Change q No Change
3) Photography and Other hard copy recording
q Change q No Change
4) Electrical safety, cleanliness
q Change q No Change
5) Low contrast object detectability (optional)
q Change q No Change
Recommendations for Corrective Action:
_______________________________________
_______________________________________
_______________________________________
*The use of a phantom test object is optional at this time, therefore the low contrast detectability portion of
the QC may be omitted.
US Full Application 4/17/98
Reprinted with permission of the American College of Radiology, Reston, Virginia. No other representation of this material is
authorized without express, written permission from the American College of Radiology.
TRANSDUCER
Transducer Type:
(check one)
Frequency:
Scan Format:
ULTRASOUND QC TEST SUMMARY
1) System Sensitivity and/or penetration capability
2) Image Uniformity
3) Photography and Other hard copy recording
4) Electrical safety, cleanliness
5) Low contrast object detectability (optional)*
Recommendations for Corrective Action:
_______________________________________
_______________________________________
_______________________________________
Office Use: UAP Id No. _____________
Transducer #2
q General Purpose
q Superficial
q Intraoperative
q Endorectal
q Endovaginal
q Other __________
q 2-3.5 MHz
q 3-5 MHz
q 5-7.5 MHz
q 7.5 MHz and higher
q Phased Array
q Linear Array
q Curvillinear Array
q Mechanical
q Other __________
Transducer #2
Performance Variation
q Change q No Change
q Change q No Change
q Change q No Change
q Change q No Change
q Change q No Change