Mindray Resona 7 Operator's Manual
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Mindray Resona 7 Operator's Manual

Mindray Resona 7 Operator's Manual

Diagnostic ultrasound system
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Download this manual See also: Service Manual
Resona 7/Resona 7CV/Resona 7EXP/Resona
7S/Resona 7OB
Diagnostic Ultrasound System
Operator's Manual
[Basic Volume]

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Summary of Contents for Mindray Resona 7

  • Page 1 Resona 7/Resona 7CV/Resona 7EXP/Resona 7S/Resona 7OB Diagnostic Ultrasound System Operator’s Manual [Basic Volume]...

  • Page 3: Table Of Contents

    Contents Intellectual Property Statement ...................... I Responsibility on the Manufacturer Party ..................I Warranty ............................II Important Information ........................IV About This Manual ........................IV Notation Conventions ........................IV Operator’s Manuals ........................V Hardcopy Manuals ........................V Software Interfaces in this Manual ....................V Conventions ..........................
  • Page 4 Power Mode Image Optimization ..................5-18 V Flow ..........................5-19 PW/CW Mode Optimization ....................5-28 Color M Mode (CM) ......................5-34 Free Xros M Mode......................5-35 5.10 TDI ..........................5-37 5.11 3D/4D ..........................5-41 5.12 iScape ..........................5-82 5.13 Contrast Imaging ......................5-85 5.14 Elastography ........................5-92 5.15 Stress Echo ........................5-104 5.16 Tissue Tracking Quantitative Analysis ................
  • Page 5 10.10 Q-Path .........................10-25 11 DICOM/HL7 ......................11-1 11.1 DICOM Preset ........................ 11-1 11.2 DICOM Verifying ......................11-14 11.3 DICOM Services ......................11-14 11.4 DICOM Media Storage (DICOMDIR Review) ..............11-19 12 Setup ........................12-1 12.1 System Preset ........................12-2 12.2 Exam Mode Preset .......................12-10 12.3 Measurement Preset ....................
  • Page 6 Appendix D Ultrasound Gel Heater ................. D-1 Appendix E Electrical Safety Inspection ..............E-1 Appendix F List of Vocal Order ................F-1...

  • Page 7: Intellectual Property Statement

    Contents of this manual are subject to change without prior notice. All information contained in this manual is believed to be correct. Mindray shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this manual.

  • Page 8: Warranty

    Mindray or repairs by people other than Mindray authorized personnel.
  • Page 9 Customer Service Department Manufacturer: Shenzhen Mindray Bio-Medical Electronics Co., Ltd. Address: Mindray Building, Keji 12th Road South, High-tech industrial park, Nanshan, Shenzhen 518057,P.R.China Website: www.mindray.com E-mail Address: service@mindray.com Tel: +86 755 81888998 Fax: +86 755 26582680 Manufacturer: Mindray DS USA, Inc.

  • Page 10: Important Information

    7. Important data must be backed up on external memory media. 8. Mindray shall not be liable for loss of data stored in the memory of this system caused by operator error or accidents. 9. This manual contains warnings regarding foreseeable potential dangers, but you shall also be continuously alert to dangers other than those indicated.

  • Page 11: Operator's Manuals

    Operator’s Manuals You may receive multi-language manuals on compact disc or paper. Please refer to the English manual for the latest information and registration information. The content of the operator manual, such as screens, menus or descriptions, may be different from what you see in your system.

  • Page 12: Conventions

    Conventions In this manual, the following conventions are used to describe the buttons on the control panel, items in the menus, buttons in the dialog boxes and some basic operations:  <Buttons>: angular brackets indicate buttons, knobs and other controls on the control panel or on the keyboard.

  • Page 13: Safety Precautions

    Safety Precautions Safety Classification  According to the type of protection against electric shock: CLASS I EQUIPMENT  According to the degree of protection against electric shock: Type-BF applied part  According to the degree of protection against harmful ingress of water: The main unit belongs to IPX0 The probe belongs to IPX7;...

  • Page 14: Meaning Of Signal Words

    Meaning of Signal Words DANGER WARNING CAUTION In this manual, the signal words , NOTE and Tip are used regarding safety and other important instructions. The signal words and their meanings are defined as follows. Please understand their meanings clearly before reading this manual. Signal word Meaning Indicates an imminently hazardous situation that, if not avoided, will result in...

  • Page 15: Safety Precautions

    When using peripherals not powered by the auxiliary output of the ultrasound system, or using peripherals other than permitted by Mindray, make sure the overall leakage current of peripherals and the ultrasound system meets the requirement of the local medical...
  • Page 16 11. Do not use an aftermarket probe other than those specified by Mindray. The probes may damage the system causing a profound failure, e.g. a fire in the worst case. 12. Do not subject the transducers to knocks or drops.Use of a defective transducer may cause an electric shock.
  • Page 17 If the circuit protector is tripped, it indicates that the system or a peripheral device was improperly shut down and the system is unstable. You cannot repair the system under this circumstance and must call the Mindray Customer Service Department or sales representative.
  • Page 18 If the system is powered off improperly during operation, it may result in data damage of the system’s hard disk or system failure. Do not use a USB memory device (e.g., a USB flash drive, removable hard disk) which has unsafe data. Otherwise, system damage may result. It is recommended to only use the video devices specified in this manual.
  • Page 19 To ensure optimal system operations, it is recommended that you maintain the system under a Mindray service agreement. 13. The replaceable fuse is inside the chassis. Refer replacing job to Mindray service engineers or engineers authorized by Mindray only.
  • Page 20 8. Please use the disinfection or sterilization solution recommended in this operator’s manual; otherwise Mindray will not be liable for damage caused by other solutions. If you have any questions, please contact Mindray Customer Service Department or sales representative.
  • Page 21 Ambient conditions: To prevent the probe from being damaged, do not use it where it will be exposed to:  Direct sunlight  Sudden changes in temperature  Dust  Excessive vibration  Heat generators Use the probe C5-1U, L14-6WU, SC5-1U, P7-3U, P7-3Ts, P7-3TU, CW5s, CW2s and SC8-2U under the following conditions.
  • Page 22 Use the probes L16-4HU, L16-4Hs under the following conditions:  Ambient temperature: 10° C ~ 40° C relative humidity: 30% ～ 85% (no condensation)  atmospheric pressure: 700 hPa ～ 1060 hPa  Use the probes DE10-3WU under the following conditions: ...

  • Page 23: Warning Labels

    Warning Labels The warning labels are attached to this system in order to call your attention to potential hazards. The warning labels use the same signal words as those used in the operator’s manual.Read operator’s manual carefully before using the system. The name, pattern and meaning of each warning label are described as follows: Warning Labels Meaning...

  • Page 25: System Overview

    System Overview Intended Use Diagnostic Ultrasound System is applicable for adults, pregnant women, pediatric patients and neonates. It is intended for use in fetal, abdominal, intra-operative (abdominal, thoracic, and vascular), pediatric, small organ(breast, thyroid, testes), neonatal cephalic, adult cephalic, trans-rectal, trans-vaginal, musculo-skeletal(conventional, superficial), cardiac adult, cardiac pediatric, trans-esoph.
  • Page 26 TDI QA Special Ultrasound Fusion Imaging imaging Strain Elastography iPage+ STIC SCV+ Smart Volume Niche iLive V Flow RIMT Fusion RESP Component 2.3.2 Power Supply Voltage 100 V－127 V～ Frequency 50/60 Hz Power 1000 VA consumption 2.3.3 Environmental Conditions Operational Conditions Storage and Transportation Conditions Ambient 0℃-40℃...

  • Page 27: System Configuration

    System Configuration 2.4.1 Standard Configuration  Main unit  System software  Hard disk drive  Solid state disk (SSD)  DVD R/W drive  Accessories  Ultrasound gel  Printer tray  Cable hook  Intracavitary probe holder  Operation Manual ...
  • Page 28 Probe Model Probe Type Intended Use Region Applied L9-3U Linear Fetal, Abdominal, Pediatric, Small organ (breast, Body surface thyroid, testes), Musculo-skeletal (Conventional), Musculo-skeletal (Superficial), Peripheral vessel L14-5WU Linear Abdominal, Pediatric, Small organ (breast, thyroid, testes), Musculo-skeletal (Conventional), Body surface Musculo-skeletal (Superficial), Peripheral vessel P10-4U Phase Abdominal, Adult Cephalic, Cardiac Adult, Cardiac...
  • Page 29 Some of the probes have matched needle-guided brackets for biopsy, the available probes and the corresponding needle-guided brackets are listed as follows: Biopsy angle/depth Needle-guided Probe Model Applicable Biopsy Needle Bracket Model (± 1° ) 40° 、50° 、60° L14-6WU NGB-007 Metal: 14G, 16G, 18G, 20G, 22G plastic/needle Plastic: 13G, 15G, 16G, 18G, 20G...

  • Page 30: Ultrasound Gel Heater

     CIVCO Bracket Probe model Needle-guided Bracket Model CIVCO 610-543 V11-3HU CIVCO 610-1274 NOTE: Mindray does not offer the biopsy needle; please purchase it according to your own needs. 2.4.3 Options Item CW Module (Linear CW function package) Probe extend module PCM-SU01...
  • Page 31 Item DICOM Abdomen Structured Report Smart 3D iPage (configured with 4D) STIC (configured with 4D) Smart Volume (configured with 4D or Smart 3D) (configured with 4D) 3D/4D Color 3D (configured with 4D) Niche (configured with 4D) iLive (configured with 4D or Smart 3D) Smart Planes CNS(configured with 4D and Obstetrics Package) Smart Planes FH(configured with 4D and Obstetrics Package) Smart Face(configured with 4D and Obstetrics Package)
  • Page 32 Item Smart NT Gynecology Package Smart FLC Cardiology Package Small Parts Package Urology Package Vascular Package Pediatrics Package Nerve Package Emergency&Critical Package Pelvic Floor Package (configured with the gynecological application software package) IVF (configured with the gynecological application software package) IMT (configured with the vascular application function) RIMT (configured with the vascular application function) Smart Pelvic (configured with the pelvic floor package)

  • Page 33: Introduction Of Each Unit

    Type Model SONY UP-X898MD Black/white video printer (analog) SONY UP-897MD SONY UP-D25MD Digital color video printer CANON SELPHY CP800 Barcode reader SYMBOL LS2208 (1D), SYMBOL DS4308 (2D) Wired: 971-SWNOM (2-pedal, 3-pedal), FS-81-SP-2 (1-pedal) Footswitch Wireless: 1266262 (2-pedal), 1229155 (3-pedal) NOTE: the disks of the printers listed above are installed in the system. For other types of the printer, the user can install on their own.
  • Page 34 Name Function <1> Monitor Displays the images and parameters during scanning. <2> Touch Screen Screen-touching operator-system interface or control. <3> Speaker Outputs the audio. <4> Power button Used for turning on/ off the power supply. <5> DVD reading and writing. <6>...

  • Page 35: I/O Panel

    Name Function Power supply assembly <20> Provides the power to the system. for the system I/O Panel Symbol Function <1> USB port <2> HDMI High definition multimedia interface. <3> Network port <4> VGA signal output <5> S-Video S-Video signal output <6>...

  • Page 36: Power Supply Panel

    Power Supply Panel Name Function Alternative <1> current auxiliary Supply power for optional peripheral devices. output <2> Circuit breaker Used for switching off/ on the power supply. <3> Power inlet AC power inlet. Equipotential Used for equipotential connection, that balances the protective earth <4>...

  • Page 37: Physio Unit Panel (Ecg)

    Physio Unit Panel (ECG) Symbol Function <1> Connects USB devices. <2> Microphone input. <3> Used for connecting a pencil probe. Connects to ECG leads, to directly obtain the ECG signals of the patient. <4> Connects the signal output port of ECG monitoring device. <5>...

  • Page 38: Control Panel

    Control Panel <1> <4> <2> <3> <14> <13> <11> <12> <5> <6> <7> <10> <8> <9> <19> <18> <20> <21> <17> <22> <23> <25> <24> <26> <16> <30> <31> <32> <15> <33> <27> <29> <28> Name Description Power button. Press the button to turn on the system, the system. Enter the work status and the indicator becomes green.
  • Page 39 Name Description Press to enter PW mode, and rotate to adjust PW (in PW mode) or CW gain (in <11> CW mode); while in 3D/4D mode, rotate the knob to make the 3D image rotate around Y axis. Press to enter Color mode, and rotate to adjust Color (in color mode) or Power <12>...
  • Page 40 Keyboard  Common functional keys Description Confirms the input data; or moves the cursor to the head of next row of the Enter text or the input field. Cancel the operation or exit. Go to the next operable item. Space Insert a space.
  • Page 41 Description Description F11 Biopsy Biopsy Display/hide the guide line. F12 Physio F12 Physio Enter the physio Unit interface. Unit For functions of undefined buttons or keys, refer to Chapter12.1.6 Key Configuration for details about function setting if necessary.  Functions of key combinations The system supports multi-language input using key combinations.

  • Page 42: Symbols

    2.10 Symbols This system uses the symbols listed in the following table, and their meanings are explained as well. Symbol Description Type-BF applied part Caution AC (Alternating current) Functional grounding Pencil probe port Equipotentiality Power button Footswitch Probe socket Network port USB port VGA input S-VIDEO...

  • Page 43: System Preparation

    When using peripherals not powered by the auxiliary output of the ultrasound system, or using peripherals other than permitted by Mindray, make sure the overall leakage current of peripherals and the ultrasound system meets the requirement of the local medical...

  • Page 44: Connecting Power Cord & Protective Grounding

    Connecting Power Cord & Protective Grounding 3.2.1 Connecting Power  The connection method is described as follows: Plug the power cable in the socket of the ultrasound system. Plug the other end power plug into an appropriate outlet.The grounding terminal should be connected with a power grounding cable to ensure that protective grounding works normally.
  • Page 45 – immediately stop scanning. If the system continues to function improperly – fully shut down the system and contact Mindray Customer Service Department or sales representative.If you use the system in a persistent improperly functioning state –...
  • Page 46 WARNING: The system is defective if any malfunctioning happens. In this case, shut down the system immediately and contact Mindray Customer Service Department or sales representative. NOTE: If there is over loading to the system, the breaker will switch into OFF to discontinue the power supply.
  • Page 47  Press the power button to select <Standby>. The system enters standby status.  To exit standby Press the power button.  When the system enters the standby status, if need to power off: Press the power button to exit the powering-off status and then power off the system. NOTE: If you will not use the system for a long period of time, you shall disconnect the power adapter;...

  • Page 48: Monitor Adjustment

    Monitor Adjustment 3.3.1 Monitor Position Adjustment  Height adjustment Move the monitor support arm up or down to adjust the height. NOTE: Take care not to trap your hands when adjusting the monitor up and down.  Rotate the monitor ...
  • Page 49  Tilt the monitor When positioned vertically, the monitor can be tilted 20° backward and can be tilted forward to a horizontal position. When transporting or moving the system, keep the monitor in the horizontal position, as shown below:  Lock the monitor To move the machine a short distance, install the protective foam (provided in the packaging) onto the monitor, adjust the monitor and supporting arm to the middle position, and then lock the locking lever to...

  • Page 50: Control Panel Position Adjustment

    Hang the probe cable to the hanger located under the control panel to avoid excessively bending and damaging the cable. Only use the transducers provided by Mindray. Aftermarket transducers may result in damage or cause a fire. 3.5.1...
  • Page 51 Loose 3.5.3 Probe Adapter Installation NOTE: P7-3Ts and L16-4Hs can be connected to the ultrasound system through probe adaper installation. Firstly, move the probe adapter locking lever to horizontal direction and keep TEE probe locking lever to unlock position. Then, push probe adapter to probe port slowly and carefully while keeping the socket position upward.

  • Page 52: Connecting Peripheral Devices

    TEE probe locking position TEE probe locking lever Connecting Peripheral Devices 3.6.1 Connecting USB Devices DO NOT directly remove a USB memory device; otherwise, the USB WARNING: device and/or the ultrasound system may be damaged.  When connecting a USB memory device to the ultrasound system via a USB port, you can hear a sound if it is connected successfully and the icon will appear in the lower right corner of the screen.
  • Page 53 As shown in the figure below, a graph/text printer has a power cord and data cable. The power cord shall be directly connected to a wall receptacle as required. Power supply cable Data cable USB port Connect the data cable to USB port of the ultrasound device. Power on the system and the printer.
  • Page 54 Click [Have Disk] to find the driver path (the installation type should be WIN64), and then click [Next] to install the driver. Complete the operation according to the tips on the screen. Click [Finish] to end the installation.  Add network printer 1.
  • Page 55 In "[Setup][Print]" screen, select the "Report Print" column in the service list. You can select printer from the driver list next to “Printer” in the lower screen and set the items in the "Property" box. Click [Save] after you have finished setting. Please refer to the accompanying manuals of the printers for more details.
  • Page 56 3.6.6 Rectangle Caps In order to using the defined-function key more conveniently, user can replace the key freely. Note: it is unnecessary to disassemble the control panel to remove the rectangle caps. The ultrasound system is equipped with five rectangle caps (iScape, RIMT, TDI, V Flow, S-Planes) by factory default.

  • Page 57: Basic Screen & Operation

    Basic Screen & Operation 3.7.1 Monitor Display The system monitor displays ultrasound images, parameters, menus and measurement results window. The following diagram maps out the different areas, such as patient information, image parameter & menu, image area, thumbnail, help information, soft menu, and system status. Patient Exam Probe...
  • Page 58 Displays the acoustic power.Including the acoustic power, MI (Mechanical Index) and TI ( Thermal Index ), for the setting, please refer to Chapter 15.4.2 MI/TI Display.  Exam Time Displays the exam time, including date and timeExam time can be set via "[Setup][Region]". Exam time will be frozen with the frozen image.
  • Page 59 For details, please refer to Chapter 9 Comments and Body Mark. 3.7.2 Basic Operations of Dialogue Box A dialogue box screen consists of title, page tabs, contents and buttons, as shown in the following figure: Title Bar Contents Page Contents Controls Component Description Title Bar...
  • Page 60 3.7.3 Menu Operation Use the cursor to operate on the menu. Menus of different modes display in real-time at the upper left corner of the screen. Menu title Menu item Operate the menu by the trackball and left/right <Set> key. Press <Cursor>...
  • Page 61 Operation Operations area Flick the edge downwards to enter the mapping mode. Sweep to right to open the menus under the mapping mode. The mapping menu, soft menu and toolbar are displayed. It is available to perform the image adjustment, measures, image review, etc.
  • Page 62  Soft menu operations Rotate the knob below the touch screen under the mapping mode. The soft menu is displayed. Rotate the knob below the soft menu to adjust the parameters.  Two-finger gesture Two-finger gesture can be configured with varied functions. See Chapter 12.1.6 Key Configuration for details.
  • Page 63 Icon Description Enters the review page. See Chapter 10.2.10.1 To review imagesfor details. Review the previous image. Send the image. See Chapter 10.2.12 Sending Image File for details. Review the next image. Delete the current image. Method 2: Tap the real-time image on the touch screen (area 3) under mapping mode. The tool bar is displayed in real-time.
  • Page 64 to enter the preview mode. Swipe right or left to view the image. If tapping one image, the only selected one image appears on the touch screen; tap the image again, the touch screen enters four images display mode on each page. Check the box on the top right of the image or click [Select All] to send or delete the image.
  • Page 65 Function Operations Adding a control to select a button to add and tap [Confirm]. Add a In comment and body mark editing status, tap and then tap [Custom] to user-defined bring out the dialogue box for adding user-defined controls. Enter the control control name and tap [Confirm].
  • Page 66 The ultrasound system can recognize a certain amount of vocal orders by factory. Speak to the microphone to input the vocal orders. The system conducts the operations after recognizing the voice.  Vocal orders defined by the user The vocal orders can be defined by the user. See Chapter 12.1.8 Audio Control for details. NOTE: the system gives the priority to the “vocal orders defined by the user”.For example: if the vocal order to “save the single-frame image”...

  • Page 67: Exam Preparation

    Exam Preparation You can start a patient exam in the following situations:  New patient information: to start a new patient exam, patient information must first be entered.  New exam: to start a new exam for patient who is already registered, the recorded information can be obtained through either iStation or Worklist.
  • Page 68 4.1.1 New Patient Information The Patient Info screen is shown as follows: Place the cursor onto the targeted box. The field box is highlighted and a flashing cursor appears. Information can be entered or selected from the options. You can also change the cursor position by [Tab], [Enter] or up/down controls. Information includes: General information ...
  • Page 69 NOTE: When you enter the date manually, please enter it in the format as that of the system. Exam Type  Exam Application Type You can select among: ABD (Abdomen), OB (Obstetrics), GYN (Gynecology), CARD (Cardiac), VAS (Vascular), URO (Urology), SMP (Small Part), PED (Pediatrics) and BREAST (Breast). Select the exam type tab to enter the exam-specific information.
  • Page 70 Exam Type Information Description Gravida: times of Times of abnormal pregnancy. e.g. extrauterine pregnancy abnormal pregnancy. Gestations Number of embryos (1, 2, 3, 4) Para: times of delivery Aborta: times of abortion Ectopic Height Weight LMP (last menstrual period) Gravida: times of pregnancy.
  • Page 71 Exam Type Information Description BP(R) (blood Input right blood pressure. pressure) Height Weight Serum PSA (Urology) PPSA coefficient Height Small Parts Weight Height Weight (Pediatrics) Height Breast Weight Operating Information  Accession #: refers to exam number used in DICOM. ...
  • Page 72 Select the data source Select the data source in the drop-down list of "Data Source". Input the searching condition:  Item: including Name, ID, DOB, Exam Date, Exam Type, Study Description, Gender, Operator and Diagnosis (comments in the report), the default one is name; then enter a keyword or select the period in accordance with the Item selected.
  • Page 73 Button Description Description Click to back up the selected patient record to media Backup Exam supported. Restore Click to import the patient data from an external media. Exam Click to send the selected patient data to external device, Send Exam MedTouch/MedSight, DICOM storage server or printer.

  • Page 74: Select Exam Mode And Probe

    Select “DICOM server”. You can search via patient ID, accession #, key words, AE title, worklist server or exam date. Select HL7 server. Search via patient ID, patient name. Click [Query].The scheduled patients, which meet the criteria, are displayed in the lower part of the screen.

  • Page 75: Selecting Imaging Mode

    Click to select the probe type and exam mode, and the system exits the dialogue box to enter the selected exam mode and probe.  Click [Exit] to cancel the selection and exit the screen. 4.2.1 Dual-probe Switch A user-defined key for dual-probe switch can be defined in preset, by which you can fast switch the probe under B/Color/Power mode.

  • Page 76: Pause & Continue An Exam

    Pause & Continue an Exam 4.5.1 Pause an Exam  Sometimes, you have to stop an uncompleted exam due to some special causes.When the exam is paused, the system can begin other exams. Tap [Information] on the touch screen to enter the patient information page. Click [Pause Exam].

  • Page 77: Image Optimization

    Image Optimization The images displayed in this system are only WARNING: reference for diagnosis. Mindray is not responsible for the correctness of diagnostic results. In Dual-B imaging mode, the measurement results of the merged image may be inaccurate. Therefore, the results are provided for reference only, not for confirming a diagnosis.
  • Page 78  Parameter magnitude setting: Click to increase/ decrease the value.  ON/OFF setting: some of the parameters only can be set at ON or OFF, ON is to activate the function, and when the function is activated, the key is highlighted in green. ...

  • Page 79: B-Mode Image Optimizing

    5.1.3 Quickly Saving Image Settings Press <F7> or the user-defined key to QSave (see Chapter 12.1.6 Key Configuration for details) to enter the page.  To save image parameters: Click [Save] to save the current image values for the current exam mode of the certain probe. ...
  • Page 80 5.2.2 B Mode Parameters In B Mode scan, the image parameter area on the right part of the screen will display the real-time parameters: Items Remark Frequency Depth Gain Frame Rate B Dynamic Tissue Range characteristics Items iClear iBeam iTouch Zoom Echo Boost Remark...
  • Page 81 Operation Use the [Depth] deflector rod on the control panel to adjust. The adjustable depth values vary depending upon the probe types. Impacts Increase the depth to see tissue in deeper locations, while decrease the depth to see tissue in shallower locations. Impacts Depth increase will cause a decrease in the frame rate.
  • Page 82 ExFov Tap [ExFov] on the touch screen to turn on/off the function. For linear probes, the ExFOV function displays as trapezoid imaging. For convex and phase probes, the ExFOV function displays as extending the scan angle. Impacts The FOV position/range is available only for the convex and phased probes. Steer is available only for linear probes.
  • Page 83 Operation Rotate the knob under the [Persistence] item on the touch screen to adjust the value. The system provides 7 level of persistence. The bigger the value is the stronger the effect becomes. Impacts Persistence can remove image noise to make image clearer. Persistence increase may lead to signal missing.
  • Page 84 Tint Map Description This function provides an imaging process based on color difference rather than gray distinction. Operations Rotate the knob under the [Tint Map] item on the touch screen to select the map. The system provides 8 different color effect maps. Description The TSI function is used to optimize the image by selecting acoustic speed according to tissue characteristics.
  • Page 85 iTouch Description To optimize image parameters as per the current tissue characteristics for a better image effect. It is available for all real-time imaging in B mode. Operation Press <iTouch> on the control panel to enter the iTouch status, the symbol of which will be displayed in the image parameter area of the screen.

  • Page 86: M Mode Image Optimization

    Impacts Use phased probe to activate the function in cardiac mode. Ref. Line Description A reference line and a help line meeting the probe icon side 45° display on the 2D image under GYN and Pelvic Floor exam mode. This helps to locate midsagittal plane of pelvic floor precisely and define the reference line for measurement.
  • Page 87 Operation Rotate <M> knob clockwise to increase the gain, and anticlockwise to decrease. The adjusting range is 0-100dB in increments of 1 dB. Gray Map Increasing the gain will brighten the image and you can see more received signals. However, noise may also be increased. Display Format Description To set the display format of B mode image and M mode image.

  • Page 88: Color Mode Image Optimization

    Dynamic Range Description Adjusts contrast resolution of an image, compresses or expands gray display range.The real-time dynamic range value will be displayed on the image parameter area on the top of the screen. Operation Turn the knob under [Dynamic Range] on the touch screen to complete the adjustment. The adjusting range is 30-180 in increments of 5.
  • Page 89  During color mode imaging, menus of image optimizing for B-Mode and M-Mode are displayed on the touch screen at the same time. You can switch between the 2 modes by clicking the mode tabs.  In Color Mode, acoustic power is synchronous with that of B Mode. Adjustment of the depth or zoom to the B Mode image will lead to corresponding changes in Color Mode image.
  • Page 90 Steer Description The feature is used to adjust the ROI of color flow with different angles with immobility of the probe. Operation Rotate the knob under the <Steer> on the control panel to adjust the steer angle or toggle <Steer> to adjust the value. Gray Map This function is used to adjust the scan angle of the probes, so as to change the angle between the transmitting beam and flow direction.
  • Page 91 Operation Tap [Smooth] on the touch screen to adjust the parameters. The system provides 6 levels of smooth function. The bigger the value is, the higher the smooth becomes. Scale Description This function is used to adjust the speed range of color flow, which is adjusted through PRF in the system.The real-time PRF value is displayed in the image parameter area in the right corner of the screen.
  • Page 92 Operation Tap [WF] on the touch screen to adjust the parameters. There are 8 levels of wall filter function, and adjust according to the actual situation and the transducer. Impacts Flow signals may be missing. Smart Track Description To optimize image parameters as per the current tissue characteristics for a better image effect.The angle and the position of the ROI are adjusted after the function is enabled.
  • Page 93 Operation Tap [HR Flow] on the touch screen or press the user-defined key to complete the adjustment ([HR Flow] is highlighted after it being enabled). ART Flow Description Enhance the blood sensitivity and penetrability in time period. Operation Tap [ART Flow] on the touch screen (the soft key is highlighted when the function is enabled).

  • Page 94: Power Mode Image Optimization

    Power Mode Image Optimization Power mode provides a non-directionally display of blood flow in the form of intensity as opposed to flow velocity. DirPower (Directional Power Mode) provides the additional information of flow direction towards or away from the probe. 5.5.1 Power Mode Protocol Select a premium image during B mode or B+ Color scan, and adjust to place the area of interest in...

  • Page 95: Flow

    Operation Tap [Tint Map] on the touch screen to complete the adjustment. There are 8 kinds of maps provided: P0-3 belongs to Power Mode maps, while dP0-3 belongs to Directional Power Mode maps. The Power maps provide information of blood flow, which are highly sensitive to the low-velocity flows.
  • Page 96 To optimize the image, adjust the parameters during the image scan. See Chapter 5.12.3 Cine Review for details. Tap [Start Capture] or press <Update>, and keep the probe still. The image shows the change of the blood flow over a period of time. The image is frozen after completing the capture.
  • Page 97 5.6.2 V Flow Mode Image Parameter  The parameters on B mode and Color mode are same with these on V Flow mode during V Flow scan.  During V Flow scan, menus of image optimizing for B mode, Color mode and V Flow are displayed on the touch screen at the same time.
  • Page 98 Persistence Description Used for adjusting the temporal smooth to optimize the image. Operation Rotate the knob under [Persistence] on the touch screen. The system provides 6 levels of persistence adjustment; 0 represents no persistence. The bigger the value is, the stronger the effect becomes. WF (Wall Filter) Description It filters out flow noise.
  • Page 99 Operation Tap [Arrow Lifetime] to adjust the parameter. The adjusting range is 10-50 in increments of 1. Impacts The arrow appears longer with the value becoming larger. The arrow appears shorter with the value becoming smaller. Arrow Size Description Used for adjusting the arrow size. Operation Tap [Arrow Size] to adjust the parameter.
  • Page 100 Vector graphics Press <Cursor>. The trackball indication changes to cine-play indication . Move the trackball to replay the V Flow cine. The speed and the direction of the vector graphics changes with the time. ROI speed-time curve After the V Flow capturing is completed, a smaller ROI appears inside the original ROI to calculate the arrangement of spatial speed and the maximum speed-time curve.
  • Page 101 Press <Cursor>. The trackball indication changes to cine-play indication . Move the trackball to replay the V Flow cine. Velocity Ratio Capture image as described in step 1- 5 in chapter “5.6.1 V Flow Basic Operations”. Tap [Velocity Ratio] on the touch screen to see number 1 and a cross. Roll the trackball to replay the cine and select a target frame.
  • Page 102 Tap [Velocity Ratio] again and repeat step 4 to measure the 2nd and 3rd velocity ratio measurement. Press <Update> to switch the velocity ratios. Press <Save> to save the cine file.  Delete velocity ratio After 3 results are acquired, you can delete the result by pressing <Update> to activate it and press <Clear>.
  • Page 103 Tap [Volume Flow] again and repeat step 4 to measure the 2nd and 3rd volume flow measurement. Press <Update> to switch the volume flow results. Set the range for VF and VF’ measurement. Press <Cursor> to see the indication area switch to status.

  • Page 104: Pw/Cw Mode Optimization

    Tap [WSS] again and repeat step 4 to add more stress points. Press <Update> to switch the stress points. Press <Set> to select WSS points, then move the track ball to adjust the position and direction of WSS point. Press <Save> to save the cine file. ...
  • Page 105 5.7.1 PW / CW Mode Exam Operation Select a premium image during B mode or B+ Color (Power) scan, and adjust to place the area of interest in the center of the image. Press <PW>/<CW> to set the position of the sample line by moving the trackball left and right. Set the SVD by moving the trackball up and down, and adjust the angle and SV size according to the actual situation.
  • Page 106 5.7.3 PW/CW Mode Image Optimization Gain Description This function is intended to adjust the gain of spectrum map. The real-time gain value is displayed in the image parameter area in the right corner of the screen. Operation Rotate the <PW> knob clockwise to increase the gain, and anticlockwise to decrease. The adjusting range is 0-100 dB in increments of 2 dB.
  • Page 107 Gray Map To provide a much clearer color flow image. Use low PRF to observe low-velocity flows, and use high PRF to observe high-velocity flows. Impacts Aliasing may occur if low velocity scale is used and high velocities are encountered. Low velocities may not be identified when a high velocity scale is used.
  • Page 108 Invert Description This function is used to set the display manner of spectrum. Operation Tap [Invert] on the touch screen to complete the adjustment. Then the color bar can automatically invert when the color flow is steered to a certain angle to accommodate operators’...
  • Page 109 Operation Turn the knob under [Gray Map] on the touch screen to complete the adjustment. There are 10 different gray maps available. Display Format Description To set the display proportion of PW mode image and B mode image. Operation Touch the different display format ratio buttons on the touch screen to adjust. There are 5 formats to display the images: H2:3, V2:3, V3:2, V3:1, Full.

  • Page 110: Color M Mode (Cm)

    Impacts The function is available in real-time imaging, freeze or cine review status. Dynamic Range Description The dynamic range conveys the information that being transformed from echo intensity to gray scale. Operation Turn the knob under [Dynamic Range] on the touch screen or on the touchpad to complete the adjustment.

  • Page 111: Free Xros M Mode

     In B+TVI/TVD, or B+TVI+TVD mode, press <M>. NOTE: only phase probe supports color tissue M mode. 5.8.2 Exit Color M Mode  Press <C> or <M> on the control panel to exit Color M mode.  Or, press <B> on the control panel to return to B mode. 5.8.3 Image Parameters ...
  • Page 112 Display or Hide the M-mark Line Description There are 3 M-mark lines available, each with a symbol of "A", "B" or "C" at one end as identification. Sampling line Tap [Show A], [Show B] or [Show C] on the touch screen to adjust the sampling line. selection The corresponding sampling line and the Free Xros M image appear on the screen.

  • Page 113: Tdi

    The cursor displays as , and can be moved within the 2D image only. Press <Set> to fix the start point, and the digital number “1” is marked beside the point. Define the next point using the trackball and <Set> (tap [Undo] on the touch screen to cancel the current point and activate the preview point).The system updates the time-motion curve in real time.
  • Page 114  PW mode: Press user-defined <TDI> key, and then press <PW> or <Update> to enter TVD. The parameters of TCD are displayed on the touch screen.  M mode: Press user-defined <TDI> key, and then press <M> or <Update> to enter TVM. The parameters of TVM are displayed on the touch screen.
  • Page 115  Velocity-time curve;  Strain-time curve;  Strain rate-time curve.  Strain: Deformation and displacement of the tissue within the specified time.  Strain rate: speed of the deformation, as myocardial variability will result in velocity gradient, strain rate is used commonly to evaluate how fast the tissue is deforming. Procedures: Scan the image with the moves of myocardium on, freeze the image and select the scan scope, or open the iamge which includes the myocardium moves already.
  • Page 116  Move the trackball; the images in TDI review window and 2D review window are reviewed synchronously, since the two images are frozen at the same time.  ROI movement is linked between the TDI (Tissue Doppler Imaging) review window and the 2D imaging reviewing window.

  • Page 117: D/4D

    ROI Tracking Tap [ROI Tracking] to be On to start tracking. This function provides a motion-compensated ROI as precise time-intensity information can be acquired using active tracking. Tip:  Elliptical ROIs can be positioned in any way that keeps their center within the image boundaries. If part of the ROI is outside the image boundary, only data from within the image boundary is used for calculating the mean intensity value.
  • Page 118  MultiPlaner Rendering (MPR): a tangent plane of the 3D image that obtained by algorithm.Of which, XY-paralleled plane is C-plane, XZ-paralleled plane is B-plane, and YZ-paralleled plane is A-plane.YZ-paralleled plane is B-section. The probe is moved along the X-axis.  ROI (Region of Interest): a volume box used to determine the height and width of scanning volume.
  • Page 119 View Curved VOI At the upper part of curved VOI At the lower part of curved VOI At the left part of curved VOI At the right part of curved VOI Displays as a dot Displays as a dot NOTE: To define a ROI, please remove the useless data as to reduce the volume data and shorten the time for image storing, processing and reconstruction.
  • Page 120 Section A: corresponds to the 2D image in B mode.Section A is the sagittal section in fetal face up posture, as shown in the figure A above. Section B: it is the horizontal section in fetal face up posture, as shown in the figure B above. Section C: it is the coronal section in fetal face up posture, as shown in the figure C above.
  • Page 121 5.11.2 Note before Use NOTE: In accordance with the ALARA (As Low As Reasonably Achievable) principle, please try to short the sweeping time after a good 3D imaging is obtained. The quality of images reconstructed in the freehand 3D mode is closely related to the fetal condition, angle of a B tangent plane and scanning technique.The following Smart 3D description uses the fetal face imaging as an example, the other parts imaging are same as 3D/4D imaging.
  • Page 122 5.11.3 Static 3D Static 3D provides single frame image acquisition of 3D images.During the scanning; the probe performs the scanning automatically. 5.11.3.1 Basic Procedures for Static 3D Imaging To perform static 3D imaging: Select the proper probe and exam mode; make sure there is sufficient gel on the probe for scanning.
  • Page 123 Cross cursor on the VOI curve To setting the ROI, make sure:  Set ROI on the 2D image with the largest section area of the fetal face.  Set ROI a little larger than the fetal head. To define a ROI, please try to cut the useless data as to reduce the time for image storing, processing and reconstruction.
  • Page 124 Type Parameter Description Function: set Max as 3D image rendering mode, displays the maximum echo intensity in the observation direction. This is helpful for viewing bony structures. Function: set Min as 3D image rendering mode, displays the minimum echo intensity in the observation direction. This is helpful for viewing vessels and hollow structures.
  • Page 125 Sectional C Sectional A Sectional B MPR Only Touch on the touch screen to display section images.And the adjustable image parameters are changed into MPR parameters automatically. Only A, B and C section images are displayed, and 3D image is not displayed. Asymmetric Touch on the touch screen to display section images along with 3D image.
  • Page 126 View Direction a. Up/Down b. Down/Up c. Left/Right d. Right/Left e. Front/Back f. Back/Front Tap [Up/Down], [Left/Right] or [Front/Back] on the second page to select the direction of the figure a, c and e. Tap [Flip] on the first page to observe by the converse direction of the current direction, which is equivalent of the 180°...
  • Page 127  When [MPR] button is highlighted in green, adjust parameters of sectional image. You can adjust: Parameter Description Function: to set the threshold for 3D image rendering.3D image is rendered on the signal above thresholds by eliminating noise via the Threshold parameter.Lower threshold can eliminate lower range noises and echo, which will contribute to a clearer and smoother Threshold image.
  • Page 128 Parameter Description Function: Reduce the noise and keep the boundary of the image more clearly.. MagiClean Selection: Off, Low, Mid, High and Max. Available only in Surface rendering mode. Function: Superimpose the tint map basic on the VR image to improve the stereoscopic sensation and the contrast of the image..
  • Page 129 Parameter Description The above five rendering manners can be applied to both gray and inversion modes. Function: to inverse the echo of the 3D image, so as to enhance observation for low-echo region, applicable for vessel, cyst and etc. When the function is turned on, the rendering mode parameters change into the corresponding inverse parameters.
  • Page 130 Surface Enhancement Description: This function is to make the edge structure of the image and surface details clearer, so as to  enhance the overall contrast.  Operation: Touch [Surf. ENH] to adjust the enhancement level.  Effect: The higher the level is, the clearer the edge structure of the image is. When the level is higher than 0 and [Move Light] is highlighted, image close to the light source is clearer, and image away from the light source is darker.
  • Page 131 Comments and Comments  Function: Add comments and commentss on MPR and 3D image.  Specific operation: The operations are the same with these in B mode. Image Editing  Function: Image cutting is a more elaborate function than VOI adjusting to optimize the 3D by clipping (removing) the part blocked the region of interests.
  • Page 132 necessary; press <Set> twice to finish drawing. Move the cursor to the region you want to edit and press <Set> again to edit.  Soft/ hard eraser Press <Set> to position the start point and roll the trackball to select the region. Press <Set> when ends are required.
  • Page 133 5.11.4 Color 3D Color 3D imaging provides more visualized flow information, especially in heart and kidney application, which helps in observing cardiovascular diseases. NOTE: Color 3D is an option, which includes color Smart 3D, color STIC and static 3D flow imaging. 5.11.4.1 Basic Procedures for Color 3D 1.
  • Page 134 5.11.5 iLive iLive brings you a better imaging experience by adding a light rendering effect to the traditional method. It supports the global lighting mode as well as the partial scattering mode, allowing human tissue texture to be revealed more clearly. iLive is an option, and is available under Smart 3D, Static 3D and 4D modes.
  • Page 135 5.11.5.1 Operation Controls Adjustable parameters for iLive are on the second page of the touch screen.  Shading Adjusts the effect of shadowing and scattering. When the selected level is 0, the rendered image will be bright and sharp, and the shadow border will be clear while the area of the shadow will be relatively small. As the level increases, the rendered image will become warmer but the details remain the same.
  • Page 136 The user must be sure that there is minimal movement of the participating persons (e.g., mother and fetus), and that the probe is held absolutely still throughout the acquisition period. Movement will cause a failure of the acquisition. If the user (trained operator) clearly recognizes a disturbance during the acquisition period, the acquisition has to be cancelled.
  • Page 137 For gestation age of more than 20-30 weeks, the acquisition time should be about 15s, and the angle should be about 30° .  Adjust the size and position of the sample box to contain the interested region within the sample box.
  • Page 138 Select the proper probe and exam mode; make sure there is sufficient gel on the probe for scanning. Obtain a 2D image, and optimize the image if necessary. Toggle knob right to enter 4D imaging mode. Adjust ROI size and position and the VOI. The operations are same with these in static 3D mode. To define a ROI, please try to cut the useless data as to reduce the time for image storing, processing and reconstruction.
  • Page 139 5.11.8 Smart 3D The operator moves the probe to change its position/angle when performing the scanning.After the scanning, the system carries out image reconstructure, and then displays a single frame of 3D image. If the system is only set up with Smart 3D module, press <3D> to enter Smart 3D imaging mode. If the ultrasound system is equipped with Smart 3D module, press <3D>...
  • Page 140 Parameter Note Function: to set the distance the probe covered from one end to the other end during the linear sweep. Distance Range: 10~200 mm, in increments of 10mm. Function: to set the motion angle the probe covered during a fan sweep. Angle Range: 10~80°...
  • Page 141 5.11.8.5 Image Saving and Reviewing in Smart 3D  Image saving  In 3D viewing mode, press the single image Save key (Save Image to hard drive) to save the current image to the patient information management system in the set format and image size. ...
  • Page 142 5.11.10 Smart Volume The system provides a fast volume calculation method, using computer technology to define and enclose a boundary of the target within the ROI area (the computer technology allows the ultrasound system to fit an ellipsoid that can be most approximate to the target) and then calculating this volume. It can be used to measure the volume of mass, gestational sac, bladder or gall bladder.
  • Page 143 Calculation After tapping [Calc] to be on, the system starts calculation. Reset Curve Parameter Description Reset Ori To reset the volume rotation, shifting and zooming to original status. Reset Curve Reset All Zoom Same as 3D/4D image zooming. Comments and Body Marks Operations are the same as those in the other modes.
  • Page 144  iPage+SCV operation Adjust the parameter [Thickness] in iPage screen when SCV imaging is needed. 5.11.11.2 Basic Screen & Operation <10> <9> <8> <13> <7> <11> <12> <4> <1> <5> <6> <2> <3> <1> A plane (the current <2> B plane <3>...
  • Page 145  Active slice: the green slice line corresponding plane is the active slice, which is marked with a green box. The default active slice is the central slice.  Slice order number: indicating the order of the slices, the order of central slice is “0”, the slices before the central slice are marked with negative integral numbers, and the slices after the central slice are marked with positive integral numbers.
  • Page 146 After  Image rotation Rotate <M>, <PW>, <C> to perform axial rotation or rotate <4D> knob to adjust the nearest VOI section (cut plane) position. For details, refer to descriptions in Static 3D.  Image zooming Same as Static 3D image zooming. ...
  • Page 147 The curved MPR function allows straightening of a curved surface/anatomy. In clinical application, this is usually used for imaging fetal spine, as illustrated below. NOTE: SCV imaging is an option, and it is not available in Smart 3D mode. 5.11.12.1 Basic Procedures ...
  • Page 148 CMPR  Trace Options  Line 1. Tap [Line] on the touch screen. 2. Rotate the trackball to place the cursor and press right <Set> key to fix the starting point, rotate the trackball to extend the line and press right <Set> key again to finish drawing; or you can press left <Set>...
  • Page 149 5.11.13 Smart FLC (Smart Follicles Calculation) Smart FLC result is provided for reference only, not for confirming a diagnosis. CAUTION: NOTE: Smart FLC is an optional function, and it is not available in Smart 3D mode. 5.11.13.1 Basic Procedures for Smart FLC 1.
  • Page 150 Tap [Undo], [Redo] or [Undo All] on touch screen to undo, redo or cancel previous editing. Zoom Same as those in 3D/4D mode. Annotation and Body Mark Same as those in other modes. Measurement 2D related measurement can be performed on MPR. For details, please refer to [Advanced Volume]. Save the image The Smart FLC supports saving single-frame image only, does not support saving multi-frame cine file.
  • Page 151 3. Adjust the brightness, 3D iClear and the thickness to obtain the image. 4. Tap [MSP]. There are A/B/C images appearing on the screen. The sagittal plane of the fetus appears on window C. Rotate A, B or C plane respectively, or rotate <4D> to adjust each plane. NOTE: To ensure the correctness of the result, please make sure the cerebral midline on the anatomical plane is displayed clearly and ROI enclose the whole cranial region..
  • Page 152 Operation Rotate [Thickness] to adjust the parameter. The adjusting range is: 0-30 in increment of 1. Impacts The bigger the value is, the more the thickness information appears.  3D iClear Operation Tap [3D iClear] to adjust the parameter. The adjusting range is: 1-7 in increment of 1. Impacts The bigger the value of iClear is, the less the noise becomes.
  • Page 153 Axis Rotation Acquire 3D data. Tap [S-Planes CNS] to enter the automatic detection of the mode. Tap [TCP]/[TTP]/[TVP] to select the plane, and rotate <M>, <PW> or <C> knob to rotate the image plane along with X/Y/Z axis. The angle value appears on the right of the image. NOTE: it supports the rotation to the saved image.
  • Page 154 NOTE The automatic measurement results appear only for these having the same characteristics on the planes. Tap [Edit] to edit the measurements. The measurements on the right of the screen update in real time. Tap [Edit] to modify the measurements. The caliper becomes green. Or, press <Set>...
  • Page 155 Other related Operations  Zooming/panning adjustment Same as these in 3D/4D mode.  Measurement, comments, and body mark Same as these in other modes.  Hiding the reference Tap to hide or show the reference line.  Hiding the measurement Tap to hide or show the measurement.
  • Page 156 If current view is LAV-DA view or right ventricular outflow tract view (RVOT), tap [Quick Adjust] to move the view along X-axis. Reset [Reset All]: tap to undo all operations on A/B/C plane and go back to status in step 4. [Reset Ori]: tap to undo all orientation adjustments on A/B/C plane and go back to status in step 4.
  • Page 157 Operation in the button to enter Setup screen, tap [EraseSize] to select the size: Small, Middle, Large. Select different clearing manner: [For Rubber] / [Re-Rubber]. Tap [Undo] to undo the operation in sequence and tap [Undo All] to undo all erase effects.

  • Page 158: Iscape

    3. Press to enter the acquisition preparation of the volume CEUS. Set the ROI position/size and VOI. Select the rendering mode. Set the scan angle/quality, etc. See 5.11.3 Static 3D for details. Inject the contrast agent in step 2 or step 3. Turn the timer on. Obverse the contrast image. 4.
  • Page 159 The system enters into image review status when the acquisition is completed.ou can perform operations such as parameter adjusting.  Exit iScape Press <Freeze> or <Update>, or tap [Recapture] to return to the capturing state. Or, press <B> on the control panel to exit. 5.12.2 Capture Images To create an iScape image, start with an optimized 2D (color) image.
  • Page 160  Tint and Tint map Press the knob under [Tint Map] to activate the function, and then change the effect by rotating the knob.  Ruler Tap [Ruler] on the touch screen to hide or show the ruler around the image. ...

  • Page 161: Contrast Imaging

    5.12.3 Cine Review Click [Review Cine] on the touch screen in panoramic image viewing status to enter cine reviewing mode. In cine reviewing mode, a green frame marker indicates the sequence of the currently reviewed images in the panoramic image on the left-hand side of screen. In cine review status: ...
  • Page 162 4. Inject the contrast agent, and set [Timer 1] at “ON” to start the contrast timing. When the timer begins to work, the time will be displayed on the screen. 5. Observe the image, use the touch screen button of [Pro Capture] and [Retro Capture] or the user-defined key (usually “Save1”...
  • Page 163 After the image is frozen, Timer 1 is still timing, and after unfreezing the image, the corresponding time can be seen. Timer 2 stops timing when one contrast exam is frozen, and after unfreezing the image, the Timer 2 is off.
  • Page 164 5.13.1.7 iTouch On contrast status, you can also get a better image effect by using iTouch function.  Press <iTouch> on the control panel to turn on the function. The symbol of iTouch will be displayed in the image parameter area in the upper right corner of the screen once press <iTouch>.
  • Page 165 5.13.5 Contrast Imaging QA Contrast Imaging QA images are provided for reference only, not for CAUTION: confirming a diagnosis. Contrast Imaging QA adopts time-intensity analysis to obtain perfusion quantification information of velocity flow. This is usually performed on both suspected tissue and normal tissue to get specific information of the suspected tissue.
  • Page 166  Click the check box beside the ROI to set if to hide or to display the QA curve.  You can get the current X/Y axis value by moving the cursor onto one point on the curve; and if you press <Set>...
  • Page 167 Tips: Elliptical ROIs can be positioned in any manner that keeps their center within the image boundaries. In the case that part of the ROI is outside the image boundary, only data from within the image boundary is used for calculating the mean intensity value. X Scale Rotate the knob under [X Scale] on the touch screen to choose different value, so that the X scale display manner will be changed.

  • Page 168: Elastography

    5.14 Elastography 5.14.1 Strain Elastography CAUTION: It is provided for reference, not for confirming a diagnosis. It is produced based on the slight manual-pressure or human respiration in 2D real-time mode. The tissue hardness of the mass can be determined by the image color and brightness. Besides, the relative tissue hardness is displayed in quantitative manners.
  • Page 169 Where, the X-axis represents time and Y-axis represents pressure. 5.14.1.4 Parameter adjusting ROI Adjustment Description To adjust the width and position of ROI in Elasto imaging. Operation When the ROI box is solid line, roll the trackball to change its position. When the ROI box is dotted line, roll the trackball to change the size.
  • Page 170 Operation Rotate the knob under the [Map] item on the touch screen or adjust through the mapping-menu item to select the map. The system provides 6 maps, including 1 grayscale map and 5 color maps. Strain mode Description Affect the display effect of adjusting dynamic range. Operation Tap [Strain mode] on the touch screen to adjust the parameters.
  • Page 171 5.14.1.6 Cine Review Press <Freeze> or open an elastography imaging cine file to enter cine review status. 5.14.2 STE Imaging (Sound Touch Elastography) Keep the probe still to produce the elastography image in real-time STE mode. The tissue hardness of the mass can be determined by the image color and brightness.
  • Page 172 The adjusting range of basic frequency values can be divided into penetration preferred (Pen), general mode (Gen), resolution preferred (Res).Please select the frequency according to the detection depth and current tissue features. Impacts Used to optimize the resolution and the penetrability of the image. Elas Metric Description Used to adjust the elastography metric.
  • Page 173 Operation Rotate the knob under the [Fixed ROI] item on the touch screen to adjust the fixed size of the ROI, or press the <Set> key and roll the trackball to adjust the ROI position and scale. The ROI includes lesions and surrounding normal tissues. The “+”...
  • Page 174 Operation Tap [RLB View] on the touch screen to enable the function and the button will be highlighted. After the RLB View function is enabled, the less qualified region is displayed in hollow. The hollow region can be seen in B images. The hollow region corresponds to the purple region in the reliability image.
  • Page 175 Operations Tap [Persistence] on the touch screen to adjust the parameter. The bigger the value is, the higher the frame optimization effect achieves. Effects The persistence function can remove image noise and optimize image effect to gain a more detailed image. High FR Description This feature is used to improve the frame rate (FR).
  • Page 176 Or, click the cine to enter the cine review state. 5.14.3 STQ Imaging (Sound Touch Quantification) The STQ imaging is an option. Probes support this function: L11-3U, L14-6WU, L14-5WU, L9-3U, SC5-1U, C5-1U, SC6-1U probes support the STE imaging. 5.14.3.1 Basic Procedures for the STQ Imaging Select a proper probe.
  • Page 177 Freeze the image, and replay the image if necessary. Save the single-frame and multi-frame image. Reacquire the image if necessary. Press <B> on the control panel or tap [STQ] on the touch screen to exit the elastography imaging mode, and return to B mode. 5.14.3.2 STQ Mode Image Optimization ROI Adjustment Description...
  • Page 178 E Avg Description Used to optimize the measurement result via equalizing the elasto metric of the current frames and the previous frames. Operation Rotate [E Avg] knob to adjust the value. The adjusting range is: 1-7 in increment of 1. Off represents the E Avg is disabled.
  • Page 179 HQElasto Description Enable the high-quality scan mode and optimize the penetrability. Operation Tap [HQElasto] to enable the function. The soft key becomes highlighted. Press <Update> to acquire the high-quality image. It produces single-frame B image and ROI elasto metric data. Impacts The measurement, comment and body mark is not available in HQElasto status.

  • Page 180: Stress Echo

    Lesion Description It is used to distinguish elastography data of the different lesion region. Operations Tap [Lesion] on the touch screen to adjust. 5.15 Stress Echo Stress Echo is an option, only the probes support stress echo function under the cardiac mode. Stress echo data are provided for reference only, not for confirming CAUTION: diagnoses.
  • Page 181 Tip: When you confirm the ROI size by pressing <Update>, you cannot adjust the ROI size during acquisition. You can only adjust the ROI position using the trackball. 4. Press <Save> on the control panel to start acquisition. The system displays the Protocol window on the left of the screen, listing the phases for the selected protocol along with the first phase views (phases are stages).
  • Page 182  Use [Stage: XX] or [View: XX] on the soft menu to select the target stage/view.  Single-click a clip to select the clip for current stage/view and zoom in the clip to the full-screen.  Double-click a clip. The clip will be magnified. ...
  • Page 183 Selection Description Go to “last” Clips. Last Play Click to play/stop cine play. See previous frame of the cine file. Prev frame See next frame of the cine file. Next frame See first frame of the cine file. First frame See last frame of the cine file.
  • Page 184 The system displays all loops that represent the selected phase or view.  To display phases for the selected view (s) 1. To include a phase or view for display, select the leftmost, gray box to the left of each required phase and/or view.
  • Page 185 Description Display Selected Displays loops of all the stages and views selected. 5.15.4.2 Wall Motion Scoring The WMS-Report lists user-assigned wall motion scores and associated data. The Wall Motion Score (WMS) measurement is an application prepared for assisting in stress echo semi-quantitative evaluations of abnormalities with left ventricular wall motion or changes in wall thickness.
  • Page 186 Item Function Description Acquire mode Set the type of ROI: manual ROI or full-screen. Overlay Select the items to be labeled on each loop. WMS score type Set the chamber segment division method. To customize the length of systolic duration acquired for a specific heart rate， QT-Time table it will store the clip duration.
  • Page 187 Item Function Description Protocol name Enter the protocol name. Trigger Set the trigger type. WMS model Set the chamber segment division method. Loop usage Displays the acquired loop number as well as the total usable loop number. View Set the views for each stage. Standard view Set the standard view.

  • Page 188: Tissue Tracking Quantitative Analysis

    (b) Enter a phase name. (c) Select “Auto Select”, the system jumps to Select Mode after retrospective acquisition. (d) Select the required option from the Clip Capture drop-down list. (e) Select the number of loops to acquire (per view in the selected phase) in the Loops list (for non-continuous stages).
  • Page 189 each spot and calculate the movement, so as to determine myocardial motion in a more quantitative way. Tissue tracking quantitative analysis is an option. NOTE: Only use the following probes matched with corresponding exam modes to start Tissue Tracking QA function. Only the probes support stress echo function under the cardiac mode. 5.16.1 Basic Procedures for Tissue Tracking QA 1.
  • Page 190 5.16.2 Screen Display of Tissue Tracking QA 1—Displays image used to generate trace curve 2—Displays ECG trace 3—Displays measurement and calculation results:  EDV：Maximum value of the end diastolic volume during the trace.  EDA：Maximum value of the end diastolic area (Left Ventricular) during the trace. ...
  • Page 191 Displacement curve X-axis represents time (s); Y-axis represents displacement (mm). Strain curve X-axis represents time (s); Y-axis represents deformation of the tissue (%). Strain-rate curve X-axis represents time (s); Y-axis represents strain by time (s 5—Displays corresponding time of AVO (aortic valve open)/AVC (aortic valve close)/MVO (mitral valve open)/MVC (mitral valve close).
  • Page 192 Press <Set> and roll the trackball along the boundary to add the trace points gradually, after trace is finished, press <Set> twice to finish tracing. NOTE: at least 6 points should be determined by you before the system generates automated trace. Press <Set> to make the traces on the image clockwise or anticlockwise. ...
  • Page 193  【A4C】: apical four chamber.  [A2C]: apical two chambers.  [ALAX]: apical long-axis view, also called 3-chamber view.  [PSAX B]: short axis view of base section, short axis view of mitral valve.  [PSAX M]: short axis view of base section, short axis view of papillary muscle. ...
  • Page 194 Curve Display Select [Parameter] on the soft menu, the system provides different curves of different segments for observation. General The X-axis represents time (s); Speed curve The Y-axis represents velocity (cm/s). The X-axis represents time (s); Displacement curve The Y-axis represents displacement (cm). Long The X-axis represents time(s);...

  • Page 195: Fusion Imaging

    "-" will display in the table to indicate those segments that are not well tracked. 5.16.7 Measurement/Comment Under tissue tracking QA mode, only Time measurement is available. For details, please refer to Operator’s Manual [Advanced Volume]. Comments and Body Mark operations are the same as in other modes. 5.16.8 Data Export The system provides data exporting function, so that you can export calculation result for analysis (for instance, SPSS analysis).
  • Page 196 with a certain plane of CT/MR image, the Ultrasound System receives the probe position information from “positioning (probe) sensor”. The Ultrasound System shows the CT/MR image aligned with the ultrasound image in account of the magnetic spatial navigation function. Lesion Viewing and Marking: to show the lesions marked on the ultrasonic planes, the ultrasound image and CT/MR image are displayed simultaneously via the spatial positioning device based on the old lesion marks on CT/MR image.
  • Page 197 <1>Auxiliary <2>USB Data cable output power supply cable <9>Magnetic navigator (rear) <9>Magnetic navigator (front) <5>Motion (abdomen) <4>Positioning (probe) sensor port sensor port <3>Magnetic generator <7>Positioning (probe) <8>Motion (abdomen) navigation support sensor support <6>Sensor (2) The description of the magnetic navigator is given in details. See the table below. Device Name Port Description...
  • Page 198 <3> Magnetic Transmitter Plug the magnetic generator to the Transmitter port. Place generator port it around the patient’s shoulder or two sides of the patient’s abdomen. The magnetic generator should be frontal-faced with the lesion. The frontal face of the magnetic generator keeps 15-60 cm from the target within the scope 30 cm up/down.
  • Page 199 Fastened here Positioning (probe) sensor: fix the positioning (probe) sensor which is already plugged in positioning (probe) sensor port to the cavity of the positioning (probe) navigation support following guide. Positioning (probe) navigation support Face downward Positioning (probe) sensor Note: if failed to plug the positioning (probe) sensor following guide, it may lead to non-correlation of spatial positioning.
  • Page 200 <9> Magnetic Place the magnetic navigator behind the Ultrasound navigator System. Power on the navigator to enable the positioning function. Magnetic devices positioning: Magnetic navigator Sensor Magnetic generator The navigator support equipped with the probe shows below: Probe Type Navigator Support C5-1U/SC6-1U NB-022 SC8-2U...
  • Page 201 5.17.3 Screen Description You should connect the magnetic devices, and then enter Fusion Imaging. The Fusion Imaging screen appears. See Chapter 5.17.2 Magnetic Navigator for details. 3, 4 and 5 windows show the three anatomical planes of CT/MR 3-dimensional image (there are transverse plane, coronal plane and sagittal plane respectively).
  • Page 202 Coronal plane Sagittal plane Transverse plane Five windows descriptions are given below: Image Description When Fusion Ratio is among -1 to 0, the Ultrasound System registers CT/MR Ultrasound image to ultrasound image. The fusion display appears then. See also Chapter Display 5.17.9 Parameter Setting for fusion parameter adjustment.
  • Page 203 5.17.4 Basic Procedures Select a proper probe and correct exam. Enter real-time B/Color/Power/Contrast mode (non-cardiac Contrast Imaging mode). Get magnetic devices prepared. Connect the magnetic devices (see also Chapter 5.17.2 Magnetic Navigator). Power on the magnetic navigator. Activating the magnetic positioning: Press <Fusion>...
  • Page 204 Icon Operation Move the trackball to pan CT/MR image. Move the trackball to scroll CT/MR image. See also Chapter 5.17.10 Scroll Rotating/Scrolling CT/MR Image for scrolling operations. Move the trackball to view the Cine ultrasound cine.  Toggle <Steer> left to change the active plane of CT/MR image (sagittal plane, transverse plane, coronal plane).
  • Page 205 Tap [Fine Tuning] on the touch screen. Press <Freeze> to freeze the image.  Unfreeze the ultrasound image (tapping [Freeze US] to dim the soft key); For CT/MR image is frozen, whereas the ultrasound image is not, take CT/MR image as the comparison reference (keeping CT/MR image still);...
  • Page 206 5.17.5 Acquiring/Importing CT/MR Volume Data  Note Only support DICOM CT/MR volume data.  The following CT/MR volume data not accepted: Slices less than 4; Discontinuous or corrupted data; Slice space not equal or larger than 5 mm; Data from varied alignment (tissue, plane); ...
  • Page 207 Select the CT/MR volume data disk from the drive drop-list (or portable hard disk, optical disk). Click [OK].The icon appears after the CT/MR volume data is acquired successfully. Note: The icon at the right lower corner of the screen shows the progress of the task. Click the icon to see the progress.
  • Page 208 Check “US-Patient Information” and “CT/MR Patient Information”. The information should be from same one patient (the name, the gender and DOB also should be from same one patient). Click [Accept] to load CT/MR volume data. CT/MR volume data is loaded to Fusion Imaging exam. The page is given below: 5-132 Image Optimization...
  • Page 209 5.17.6 Marks Mark tumor position, lesion position on CT/MR image. Be sure of the lesion appearing on US and CT/MR image at the same time after the registration is completed. Note: Mark the tumor or lesion on CT/MR image after CT/MR data is imported. Generally, it is available to mark the tumor or lesion before/during/after the registration.
  • Page 210  Mark the tumor (a maximum of 20 tumors can be marked). The color of the mark can be green, blue, or red in turn. These colors appear in circle.. The sphere diameter and ablative margin appear in the result pane. Click [Esc] to exit.
  • Page 211 1. Saving the mark. Enter tumor mark page. Mark varied tumors on CT/MR image. Tap [Save Mark] to type the mark name. Click [OK]. Save the tumor mark of the patient. It is convenient to load the tumor mark when conducting the tumor ablation for the patient.
  • Page 212 Select one tumor mark from the result pane (the cross appearing in the circle). Move the cursor inside the circle. The cursor becomes arrow-shaped. Press <Set> to select the mark. Move the mark to the desired position. Press <Set> to relocate the mark. ...
  • Page 213 Respiration Curve Description: Curve Description Respiration Curve Scale Set Modeling End Set Modeling start The respiration depth in real-time respiration Respiration Curve Scale (respiration depth). Set Modeling start (start point of motion modeling of the respiration curve). Set Modeling End (end point of motion modeling of the respiration curve).
  • Page 214 Tap [Set Modeling ROI] to highlight it (it is activated by default). Move the trackball to set ROI position and size. Set ROI position and size. Envelope the liver with the ROI. Press <Set> again to adjust ROI position and size, and to set the start frame and end frame of the motion modeling.
  • Page 215 Respiration Range Description The aspiration curve appears due to the active respiration depth. The respiration curve beyond the scale becomes the straight line. Operation Rotate the knob beneath [Resp Range]. Respiration curve scale and the unit appear on the right-axis. 5.17.8 Contrast Fusion Imaging Contrast Fusion Imaging increases the possibility of diagnosing the difficult lesions in the pre-operation;...
  • Page 216 Inject the contrast agent. Enable the timer, and save the dynamic image. 5.17.9 Parameter Setting The parameters of the Fusion Imaging are described below: Nav System Operation Tap [Tracking System] to enable or disable the function. CT/MR image and the ultrasound image build up the coordinate relation. The sensor indicator becomes green (navigation signal state indicator).
  • Page 217 Image Magnification Description The lesion or tumor ultrasound and CT/MR image becomes clearer and easier to register via <Zoom> key. Operation Rotate <Zoom> to zoom in or zoom out the image. The parameter “Z” on the right side of the image refers to the magnification value. The adjusting scale is: 0.8-2.0.
  • Page 218 Window Rotate [Window L] to set the value in increment of 1. Level Effect The darker image on CT/MR image may be missed if the window level becomes larger. The image with brighter grey scale may appear then. The darker scale on CT/MR image may appear on the screen if the window level becomes smaller.
  • Page 219 Rotate the knob <M> clockwise to cycle CT/MR image clockwise through X-axis; Rotate the knob <PW> clockwise to cycle CT/MR image clockwise through Y-axis; Rotate the knob <C> clockwise to cycle CT/MR image clockwise through Z-axis; Scrolling CT/MR Image The description of “scrolling the transverse plane” is given below: Rotate the multi-functional knob clockwise.

  • Page 220: Rimt (Real-Time Intima-Media Thickness)

    Coronal plane Transverse plane Sagittal plane 5.17.11 Measuring It is available to conduct the general measurements on the image that the ultrasound image registers with the CT/MR image. See also Chapter 8.2 General Measurements. Note: it is unavailable to conduct the application measurement on Fusion Imaging mode. 5.17.12 Comment and Body Mark It is available to conduct the comment and the body mark on the image that the ultrasound image registers with the CT/MR image.

  • Page 221: R-Vqs

    Roll the trackball to locate ROI over the target area. The dotted line of the ROI is in the middle of the blood vessel. Press <Set> to confirm the position and size of the ROI. Note RIMT inside ROI is highlighted in red, yellow and green. There is no gap between the filling area and the vascular wall.
  • Page 222 trackball to change ROI size and position. Note that ROI should include the upper and lower wall of the vessel. Tap [Compute] to start tracking. Upper wall and lower wall are marked by green line in the ROI box. Motion curve of vessel walls display under the image in real time. 6 cardiac cycles are calculated in total with each results display in the result window on the left synchronously.

  • Page 223: Smart Pelvic Floor

     Position Description Adjust the location of the motion curve upwards and downwards. Operation Adjust through [Position] on the touch screen. The adjusting range is: 0-100% in increment of 5%.  R-VQS Gain Description Adjust amplitude of vessel wall motion curve. Operation Adjust through [R-VQS Gain] on the touch screen.
  • Page 224 Tap [Edit], U and Bottom points are distributed on VR image automatically. Roll the trackball to drag the points or modify measurements. Tap [Edit] again to exit. Tap [Smooth] to smooth the boundary of levator ani muscle. Tap [Rest]/[Valsalva]/[Contraction] to mark current image status. Tap [Hide] to hide measurement results if necessary.

  • Page 225: Display & Cine Review

    Display & Cine Review Splitting Display The system supports dual-split and quad-split display format.However, only one window is active. The multi-window display can complete the image and mult-frame image comparison.  Dual-split: press on the control panel to enter the dual-split mode, and using <Dual> / <Update>...

  • Page 226: Freeze/Unfreeze The Image

    ROI adjustment: press <Set> to switch between size and position status; roll the trackball to change the size/position.You can also change ROI size by rotating <Zoom>. Press <Zoom>/<Update> to enter magnification status and ROI area is displayed in full screen. Image-in-image displays in bottom-right part of the screen.

  • Page 227: Cine Review

    Cine Review The system allows you to review and edit the images prior to the image frozen. This function is called as cine review.The magnified images can also be reviewed, and the operating method is the same.You can perform zoom, measurements, add comments and body marks on the images being reviewed. The system supports manual review as well as automatic review.
  • Page 228  Auto Review  Reviewing all In the manual cine review status, press the knob under the [Auto Play] in the touch screen to activate auto cine review. Reviewing speed: In the auto cine review status, rotate the knob under the [Auto Play] on the touch screen to adjust the review speed.

  • Page 229: Image Compare

    Tips: There is no audio when the spectrum is reviewed in manual status but audio synchronization can be realized in auto review status with speed of ×1. 6.4.4 Linked Cine Review The linked cine review refers to review of the images captured at the same moment. ...

  • Page 230: Cine Saving

    The window with the highlighted “M” mark is the current activated window. You can select the image to be reviewed at synchronous time when the multi-frame image is reviewed.Rotate the knob under [Mode SyncPlay] on the touch screen to display: synchronously, asynchronously.
  • Page 231 Prospective cine duration: set the time that the user taps [Prospective] as the start time. The system proceeds saving the cine. Procedures: With the ECG disabled: tap [Cine] tab, and rotate [Time (Pro)] knob to adjust it. With the ECG enabled: tap [Cine] tab. Tap [Saving type (Post)] to choose the type of the saving time and the cardiac cycles.

  • Page 233: Physiological Unit Signal

    Physiological Unit Signal The physiological unit signal waveform is used for checking ultrasound image in ultrasound exam (cardiac exam mainly). The system provides the physiological unit input panel, on which ECG and other signals can be input. See Chapter 2.8 Physio Unit Panel (ECG) for details. The system is equipped with physiological unit signal module.

  • Page 234: Ecg

    NOTE: When abnormality is detected in physio trace, please check if ECG leads are properly connected with the system. 7.1.1 ECG Operation Basic Procedures Connect the device and place ECG electrodes.  Turn off the power supply of the system, and connect the ECG cable to ECG port on the left side of the main unit.

  • Page 235: Pcg

     If the delay time is longer than a heart cycle, then the heart cycle in the delay time is omitted, that is to say no trigger is occurred when R waveform is detected in the duration. 7.1.2.2 Triggering Mode There are three triggering modes available: Single, Dual, and Timer.
  • Page 236 Power on the system. Place PCG transducer on the patient. The position is shown below: Auscultation area of the mitral valve: the fifth intercostal space on the left, the interior of clavicle’s middle line; Auscultation area of tricuspid valve: the right of the sternum; Auscultation area of aortic valve: the second intercostal space of the right sternum;...

  • Page 237: Ecg/Pcg Review

     The check after the exam of general patient: Wipe the sensor with soft cloth dipping with medicinal alcohol, and then air dry the senor or clean the sensor with dry cloth.  The check after the exam of patient with cutaneous infection: Use the cover for the sensor.

  • Page 238: Parameter Description

    Parameter Description The physio parameters are described as follows: Parameter Description ECG Source Select ECG source. Function: to set the amplitude of the trace. Method: click [Gain] on the soft menu, or press/rotate the corresponding knob. Gain Each adjustment takes you to the next setting. Value: 0-30, in increments of 1.

  • Page 239: Measurement

    Measurement There are general measurements and application measurement.You can perform measurements on a zoomed image, cine reviewing image, real-time image, or frozen image.For measurement details, please refer to the Advanced Volume. Be sure to measure areas of interest from the most optimal image plane to WARNING: avoid misdiagnosis from inaccurate measurement values.

  • Page 240: General Measurements

    General Measurements 8.2.1 2D General Measurements 2D general measurements refer to general measurements on images like B, Color, Power, or iScape. Measurement Description Tools Distance(mm) Measures the distance between two points on the image. The distance between transducer surface and the probing point along ultrasound Depth beam.
  • Page 241 8.2.2 M General Measurements M general measurements refer to general measurements on M mode, Anatomical M mode images.The measurements listed below can be performed: Measurement Description Tools Distance Measures the distance of the sampling line between two random points. Time The time interval between any two points on M mode image.

  • Page 242: Application Measurements

    Application Measurements The application includes the following items:  Abdomen measurements: used for measurements of abdominal organs (liver, gall bladder, pancreas and kidney, etc.) and large abdominal vessels.  OB measurements: used for measurements of GA and EDD, to calculate the growth indices, including the EFW.
  • Page 243 Parameter Value Range Error Distance (M Full screen Within ± 3 %. mdoe) Time (M mdoe) Timeline Display Within ± 2%. Heart rate Timeline Display Within ± 4%. 10-200cm/s (for V11-3HU, L14-6WU, L20-5U) 10-300cm/s (for C5-1U, SC8-2U, D8-4U, Velocity (PW DE10-3U, L11-3U, SP5-1U, SC5-1U, When angle≤60º, ≤5%.
  • Page 244 Function Measurement item Error Elasto Curve deviation Within ± 5 %. Needle Navigation The positioning accuracy Within 5 cm V Flow Volume Flow Within ± 10 %. Pelvic floor Measurement Within ± 3 %. Distance measurement/ellipse OB measure Within ± 3 %. measurement NOTE: Within the selected field range, the measurement accuracy is ensured within the range...

  • Page 245: Comments And Body Mark

    Comments and Body Mark Comments Comments can be added to an ultrasound image to bring attention, notate or communicate information observed during the examination. You can add comments to: zoomed image, cine review image, real-time image, frozen image. You can type the character as comments; insert the pre-defined comments from the comment library;...
  • Page 246 9.1.2 Touchpad Displaying The system can be configured with comment text libraries including Abdomen, Cardiology, GYN (Gynecology), IVF, OB (Obstetrics), Urology, SMP (Small Part), Vascular, PED (Pediatric), Nerve Blocks and emergency medicine.In comment status, you can enter the comment text using the screen menu or touch screen.
  • Page 247 If there is more than one page of comment texts for the current exam mode, you can slide to view more.  User-defined Adjust comments display on touch screen menu, including adding/deleting comments. For details, please refer to Chapter9.1.7 Comments Setting. ...
  • Page 248  To change the orientation of the arrow: rotate the <Angle> knob to change the arrow's orientation (in increments of 15° ).  Adjust the arrow size: rotate the knob under the [Arrow Size] button on the touch screen to change the size.
  • Page 249  Modifying (Editing) Arrows Move the cursor on the arrow that needs to be modified.After the cursor becomes , press <Set>. The color of the current arrow becomes green, and there is green frame around the arrow, indicating the arrow can be edited. Move the cursor to change the arrow position. Rotate the <Angle>knob to modify the arrow's direction.

  • Page 250: Voice Comments

     Besides, you can preset whether to clear the comments when unfreezing the image or change the probe/ exam.  Set if body mark is erased when the image is unfrozen. Voice Comments The system supports adding voice comment to the frozen images. Duration Start/Stop Recording...

  • Page 251: Body Mark

    After the voice recording ends, click he icon to end recording. Press the user-defined key for saving the cine. NOTE: in voice comment recording status, you can perform measurements, comments adding, body marks adding, print tasks and DICOM tasks. If you press <Freeze> during the recording course, the already recorded voice comment cannot be saved.
  • Page 252 Press<Set> to confirm the position and orientation of the probe marker and exit the body mark mode. 9.3.3 Moving Body Marks You can move the body mark graphics to any desired position within the image area. Press <Cursor> and roll the trackball to move the cursor onto the body mark. The cursor then becomes , indicating you can move the pictogram to a new position.

  • Page 253: Patient Data Management

    External storage media is recommended for archiving images. The system patient database space is limited, please back up or clear patient data in time. Mindray is not responsible for lost data if you DO NOT follow suggested backup procedures. 10.1 Enter Patient Information The general patient information and exam information are entered through the Patient Info screen, for details, see Chapter4.1 Patient Information.
  • Page 254  PC-compatible formats:  Screen file (BMP) Single-frame file format, used to save the current screen, non-compressed format;  JPG: Single frame export format.  TIFF: Single frame export format  Multi-medium files (AVI) Multi-frame export format.  DICOM files (DCM) DICOM standard files format, single-frame or multi-frame format, used to record patient information and images;...
  • Page 255 The thumbnail of this image will appear in the thumbnail area on the right side of the screen. When you move the cursor onto the thumbnail, its file name with suffix will be displayed. Set the cine length via [Preset][Systen][Image]. 10.2.5 Quickly Saving Full Screen Image to the System ...
  • Page 256 1. Set the user-defined key through the path: [Setup][System][Key Config]. Select a key in the Key Function field on the left side and select “Save Image” in the Output page of Function field on the right side. 2. Click [New] in the middle part of the screen, then there will be “Function2: NULL” under the key function in the Key Function Field on the left side, and at the same time, “Output”...
  • Page 257  Exit the review: To exit Review:  Click [Exit] on the Review screen; or,  Press <ESC> or tap [Review] to exit.  Basic Operations Select an exam from the “Exam History” drop-down list. Double-click the image thumbnail to analyze an image. The function buttons are described as follows: ...
  • Page 258 [New Exam]: click to create a new exam for the selected patient and open the Patient Info screen. [Activate Exam]: activate the ended exam, and enter the image scan interface. [iStation]: click to enter the iStation screen. [Exit]: click to exit the Review status, and return to the main screen. 10.2.10.2 Analysis In the image analysis status, you can view, zoom, perform post processing and measurements, add comments and perform cine review for a stored image (FRM or CIN format).The operation steps are the...
  • Page 259  Demonstration item The demonstration items are the image files in the formats that the system supports. You can add the exam data in patient database or system supported image files and folders to demonstration list. For files and folders in demonstration list, the images in the directory and subdirectory are played one by one, and the system will automatically jump over the files that can’t be opened.

  • Page 260: Report Management

    Click [Choose Catalog]. Select the path of the source file from the “Drive” and “File Name”, and then click [OK]. Click [OK] again to complete the task.  Demonstration mode The system automatically plays all the image files in the list one by one. The time interval between images played is same and can be changed.
  • Page 261 1) Select the destination, 2) Select whether to remove from local HD after Backup: if "Remove Exams" is selected, the patient information and images are removed; if "Remove Images" is selected, only the patient images are removed. 3) To select to export the report or the report format. 4) Select whether to encrypt backup exams for USB only: input the password and confirm password in the field box, and then click [Backup].

  • Page 262: Patient Data Management (Istation)

    To export the report: Check “Export Report” on the screen. Select report type to be exported. Click [OK] to confirm. The size of the report can be set via [Preset][Print].  Printing report Use a connected graph/text printer to print a report. For details on report relevant operations, please refer to [Advanced Volume].
  • Page 263 10.4.1 Viewing Patient Information  Data Source Select the data source of patient data, the system patient database is default.  Patient list Display patient information, exam mode, number of images and cines, exam state, backed up or not.  New Exam After you select a patient data or exam in the iStation screen, click [New Exam] to enter the Patient Info screen, where you can select the exam mode and click [OK] to begin a new exam.
  • Page 264  Review an Image Select an exam of a patient, click [Review Image] to enter Review screen.  Patient Information Select an exam of a patient, click [Patient Info] to check the patient information of this exam.  Review Report After you select an exam of a patient, click [Review Report] to view the report of this exam for this patient.
  • Page 265  Send Exam The system supports sending data to external memory devices, print or iStorage. You can use this function to export the exam data to external devices (in PC data or DICOMDIR data format) and then import to PC or restore to the ultrasound system to review the data. 1.

  • Page 266: Istorage

    Select PC transfer format and check whether to send report. Click [OK] to start sending. To use iStorage function, you need UltraAssist software in 2.0 version (with V1.0 network protocol); consult Mindray service engineer for details. 10.6 Print 10.6.1 Print Setting For printer connection and driver installation, please refer to Chapter3.6.3 Installing a Graph/Text...

  • Page 267: Back Up Files Using The Dvd Drive

     Set shortcut keys (e.g. print): select [Steup][System][Key Config]. Click [Print] from key list on the left interface. Click [Output] to select the printer service on the right interface. Please refer to the accompanying manuals of the printers for more details. ...

  • Page 268: Patient Task Management

     symbol indicates that the input CD/DVD is damaged or contains data in an incorrect format. You can check the data writing procedure in the patient task manager. For details, see Chapter 10.8 Patient Task Management. During the backup process, if a CD/DVD is forcibly taken out or you perform CAUTION: other operations, the backup process will fail or the system may malfunction.

  • Page 269: Administration

    On review screen, iStation screen, thumbnail area, send the image (s) to MedTouch/MedSight devices.  Print Task: displays image or report printing tasks. In the Task Management dialog box, the patient ID, name, destination, progress, type, contents and task created time are displayed. You can perform the following operations: ...
  • Page 270 3. If “Enable Emergency User” is selected, the administrator can edit privileges for emergency users. If unselected, the administrator cannot edit privileges for emergency users. 10.9.3 System Login If access control has been set by the system administrator, you can access data in the system only after logging onto the system.
  • Page 271 1. Open the “Access Control” page using the path: [Setup]  [System]  [Access Control]. 2. Click [Add] to bring up the dialog box. 3. Enter the user name and password, confirm password, and select or deselect the check box from the privilege list.
  • Page 272 3. Click [OK] to confirm the editing and exit the dialog box. The edited privileges will appear in the User List. Modify Passwords The system administrator can modify all user passwords. The administrator password is empty by factory default. You can set this password. An operator can only modify his/her own password.
  • Page 273 Configure password policy Turn on the access control function and log in to the system as Administrator before you configure the password policy. Open the “Access Control” page using the path: [Setup]  [System]  [Access Control]. Click [Password Policy Config]: Parameter Description Remark...
  • Page 274 Parameter Description Remark "Lockout Duration" is set to 60. That is, a user inputs the wrong password for 5 times within 60 minutes, the account is locked, Lockout and the user can Set the duration after an account is locked. Duration log in to the system only after 60...
  • Page 275 10.9.5 LDAP Privilege Management Turn on the access control function and log in to the system as Administrator before you edit privileges for the LDAP (Lightweight Directory Access Protocol) users. Enter [Setup]  [System]  [Access Control]  [LDAP Config]. Enter the server address in the field box after accessing the network.
  • Page 276 3. Click [Add], and the new members and privileges will appear in the Member of filter list. Deleting a user 1. Enter [Setup]  [System]  [Access Control]  [LDAP Config]. 2. Select a member to be deleted, and click [Delete]. Modifying the member name or privileges 1.

  • Page 277: Q-Path

    Privilege User field name Workflow Settings Worklist Access Note: the privilege items can be combined randomly. For example, if user A is assigned with all the above 8 privileges, the user field name for user A is 1+2+4+8+16+32+64+128=255. 10.10 Q-Path 10.10.1 Overview You can use the ultrasound system to check data on browser directly.After you have ordered storage service of a network website service, you can check data using the website, authorized account and...

  • Page 279: Dicom/Hl7

    DICOM/HL7 NOTE: Before using DICOM, please read the electronic file DICOM CONFORMANCE STATEMENT along with the device. The chapter is confined to the preset, connection verification and DICOM services of the DICOM-configured ultrasound machine, not including SCP configurations like PACS/RIS/HIS. The DICOM package is optional, so the description here is only applicable for the system configured with the DICOM package.
  • Page 280 11.1.2 DICOM Local Preset 1. Enter the DICOM local preset screen using the path: [Setup][DICOM/HL7]. 2. Enter AE Title, Port and PDU according to the actual situation, then click [Save] to exit the screen. Setting items are introduced in the following. Name Description AE Title...
  • Page 281 Name Description Set DICOM Provides server settings of DICOM service, for details, please refer to the Service following chapters. Click to add server (s) to the Device List. Delete Click to delete the selected server (s) in the device list. Select the log display level: No Log, Service Result Log, Service Process Log Level Log, All Log.
  • Page 282 DICOM storage preset items are described as follows: Name Description After you set the server (s) in DICOM Preset screen, the name Device (s) will appear in the drop-down list, select the name of the storage server. Service Name Default is xxx-Storage, user-changeable. Application Entity title, here, it should be consistent with that of AE Title the storage server.
  • Page 283 Name Description Doppler audio Set to save the audio of PW mode. Set the storage mode for image and cine file. Parallel file: save the current file, and is ready for the storage of the next file. Storage mode Parallel frame: send the current frame, and is ready for sending the next frame.
  • Page 284 DICOM print preset items are described as follows: Name Description After you set the server (s) in DICOM Preset screen, the name (s) Device will appear in the drop-down list, select the name of the print server. Service Name Default is xxx-Print, user-changeable. Application Entity title, here, it should be consistent with that of the AE Title print server.
  • Page 285 Name Description Specify print medium: Paper, Clear Film, Blue Film; select Blue Film Medium Type or Clear Film for black and white printing; select Paper for color printing. Specify whether you want a trim box to be printed around each Trim image on the film: Yes or No.
  • Page 286 DICOM service setting for Worklist is described as follows: Name Note After you set the server (s) in DICOM Server Setting Device Name screen, the name (s) will appear in the drop-down list, select the name of the Worklist server. Service Name Default is server-Worklist, and it can be modified.
  • Page 287 11.1.3.4 MPPS Preset Select [Setup][DICOM/HL7][DICOM Service Setting][MPPS] to enter the MPPS page. Select the device name, and type the information about the AE title, the port. Click [Add]. The entry will be added in the service list. NOTE: Set the MPPS service as the default when using the MPPS. MPPS setting items are described as follows: Name Note...
  • Page 288 Name Note Click to verify if the two DICOM application entities are normally Verify connected. Exit Click to exit the screen. NOTE: Set the MPPS service as the default when using the MPPS. 11.1.3.5 Storage Commitment Setting Select [Setup][DICOM/HL7][DICOM Service Setting][Storage] to enter the storage page. Select the device name, and type the information about the AE title, the port.
  • Page 289 Name Note The associated storage server is preset before storage Associated commitment, only after the exam is sent out, can storage Storage Service commitment be created. Add the DICOM service to the service list. Cancel Click to cancel the parameter setting. Select an item in the service list, change the parameters in the Update above area, and click [Update] to update the item in the service list.
  • Page 290 DICOM query/retrieve setting items are described as follows: Name Description Device Name Select the name of a device that can be added (including the local). Service Name Default is server-queryRetrieve, and it can be modified. Application Entity title.Here, it should be consistent with that of the AE Title storage commitment server.
  • Page 291 HL7 service setting for Worklist is described as follows: Name Note After you set the server (s) in DICOM Server Setting Device Name screen, the name (s) will appear in the drop-down list, select the name of the Worklist server. DICOM Service Default is server-HL7Query, and it can be modified.

  • Page 292: Dicom Verifying

    Name Note Cancel Click to cancel the parameter setting. Select an item in the service list, change the parameters in Update the above area, and click [Update] to update the item in the service list. Delete Click to delete the selected service in the service list. Service list To set default Select an item in the service list, click [Default] and you...
  • Page 293 (3) Click to select “DICOM” in the Target box on the left side, then select the DICOM storage server in the Storage Server box on the right side, and click [OK].  To send images using a shortcut key You can save single-frame images or multi-frame images to a DICOM server while saving to hard drive using a shortcut key.
  • Page 294  Set the storage option to Atttach SWhen Store Imgaes, or Only Store SR. Send OB/GUN/Cardica/Vessel SR on iStation. Choose the storage option to Atttach SWhen Store Imgaes, or Only Store SR. Create new patient information or load the patient information. Perform obstetric (gynecology, cardiac or vascular) measurements: Save the image or the cine.
  • Page 295 Click [OK] to send DCM format file to the external media. 11.3.2 DICOM Print DICOM Print is used to send images to the DICOM print server for printing. Perform the following proceures after configuring DICOM print.  Print images on iStation/Review/main screens 1.
  • Page 296 11.3.4 MPPS MPPS is used to send exam state information to the configured server. This facilitates the other systems in obtaining the exam progress in time. After you preset the Worklist server and MPPS server, if the system obtains the patient information from Worklist server to begin the exam, it will send exam status information to MPPS server of when the exam is undergoing or ended.

  • Page 297: Dicom Media Storage (Dicomdir Review)

    3. Select the server in the “Server and Service” area (both the source and the destination). and query level. Tips: If the level is set to “STUDY”, all images and cines under this “study” level will be retrieved. If the level is set to “SERIES”, all results under the “series”...
  • Page 298 3. Select the destination to “DICOMDIR” and DICOM Format as well as compression mode. You can select to delete the exam or the image after the backup, and select to hide patient information.. 4. Click [OK]. The image from the current exam is sent to the external storage media in DICOM format. If the backup is successful, a tick will appear in the Backup list in the iStation screen.

  • Page 299: Setup

    CD/DVD or USB memory device. When the preset data is changed, be sure to save the preset data according CAUTION: to the methods described in this chapter. Mindray is not responsible for the loss of preset data.  To enter Setup: Press <F10 Setup>...

  • Page 300: System Preset

    12.1 System Preset The system automatically enters the system screen after you enter Setup. Page Description Region To set the hospital name, language, time zone, time format and system date/time. To set patient information, exam setup, patient management, storage, system General dormancy, display and so on.
  • Page 301 12.1.1 Region Open the Region page via [Setup][System][Region]. Item Description To set the hospital-relevant information such as name, address, Hospital Information telephone, and so on. Language To display the language. Import image for logo loading. Hospital Logo NOTE: For a better display effect, please try to use an image with 400*400 pixels.
  • Page 302 12.1.2 General Open the page via [Setup][System][General]. Type Item Description Info displays in an To select whether to display the available patient information image banner items on the screen. Patient Info H&W Unit To set the unit for patient height and weight. Surface Formula To set the surface formula.
  • Page 303 Type Item Description Select the different saver methods to the system. After enabling the screen saver, check “Mindray” to select the image from the system. Or click [Review] to select the image on your own. Enable Screensaver To set the waiting time before the system enters dormancy status in the drop-down list beside “Wait”.
  • Page 304 Type Item Description Set the maximum interval time. Enter Color mode and enable Max interval time ART Flow; the ART Flow is enabled again until the interval is finished. To set the steer mode in B + Color + PW imaging mode. C&PW: select to adjust the sample volume in color mode and Steer sample line in PW mode together.
  • Page 305  Key function setting You can set the functions for <Save>, <Print>, user-defined keys (including F3, F4, F5, F6, K1 to K8). To assign a function to a key: a) Click to select the desired key in the Key Function column on the left side of the page. b) Click to select a function in the Function area.
  • Page 306 The warning dialog box appears. Press two footswitches. Click [OK]. Select [Key Config][Footswitch] to set for the footswitch. After completing the configuration, each of the footswitch can be used according to its function.  Other Settings Item Description Key Volume To set the key volume at 3 levels, 0 means no sound.
  • Page 307 Click [Add] to input the audio name, and then click [OK] to add the audio order. Select one function from the function area. Plug the microphone. Enable the “Audio recognition”. Speak to the microphone, and record the customized audio order. The system conducts the operations after recognizing the voice. For example: if the customized order is set to iScape imaging, the order input by the user should be Image, and then the system can recognize the order and conduct the function.

  • Page 308: Exam Mode Preset

    Type Item Note Set the image quality of unloaded AVI. The system unloads according to the settings. Image quality The higher the image quality is, the clearer the unloaded image is. The unloading speed becomes slower with the larger space. AVU encode Set the unloading format of the AVI.

  • Page 309: Measurement Preset

    You can assign available exam modes for probes. 1. To select a probe, move the cursor over the Probe column and select the probe model using the drop-down list. 2. Select/delete exam modes: On the left side, you can view all the available exam modes in the exam library for the probe. On the right side of the screen, you can view the current exam modes assigned to the probe.

  • Page 310: Iworks Preset

    2. Add comments: directly enter user-defined comment texts, or select comment texts for the comment library.  Directly enter user-defined comment texts: posit the cursor in the field box above [Add Comment], enter the text comment through the keyboard, and then click [Add Comment]. Then the directly-entered comment will be added to the Available Items and Selected Items.

  • Page 311: Dicom/Hl7 Preset

    12.7 DICOM/HL7 Preset For details, see Chapter 11 DICOM/HL7. 12.8 Print Preset This screen is used to set up the printer and image printing. Click [Print] in the preset menu to enter.  Printer setting The printer settings include print service and print driver. ...

  • Page 312: Network Preset

    12.9 Network Preset Parameters for transferring are set here. For details of local IP setting, see Chapter Appendix C Wireless LAN. 12.9.1 Network Settings  The Network Settings screen is as follows:  Transmission Encryption After accessing the network, click [VPN Config] to enter the "VPN Config" interface. 12-14 Setup...
  • Page 313 Parameter Description No driver: click [SetupDriver] to enter the "TAP-Windows 9.21.2 Setup" interface, and do as instructed. Ready: the VPN is ready for use. Status Advance: VPN Advance Configuration Connected: VPN is successfully connected. Disconnected: VPN is disconnected. Error: error connection. Server IP Group User Name...
  • Page 314 Close the "VPN Config" interface. Note: if the system is installed with McAfee, software like VPN that is provided by the third party will be blocked. If users want to use VPN, please contact Mindray service engineer.  Turn on hosted network function: You can set the system as a hotspot.
  • Page 315  The iStorage screen is as follows: Name Description Service Name The name of the iStorage service. IP Address IP address of the iStorage service device. Port Port for transmitting. Connect Click to verify connection. Click to add the Network service to the service list. Update To save the changed parameters.

  • Page 316: Maintenance

    Once enabled, the remote maintenance permission is enabled by default after restarting the ultrasound equipment. Select [Upload logs to remote server] to upload logs to the remote server, Mindray service engineers can acquire and handle those log. Check the process in “task management” page, please refer to 10.8 Patient Task Management.
  • Page 317 12.10.2 Exporting Setup Data This function is used to write all setup data of the system into a disk for backup. The format of the data file is .PDP. You can select 2 types of preset data to export from the system: General module preset data: including “All Preset”, “Image Preset”, “iWorks Preset”...

  • Page 318: Security

    12.11 Security Click [Security] on the Setup menu to enter the security-setting screen. Drive Encryption/Secure Data Wipe Encrypt the patient data stored in the hard disk. The system provides two encryption methods: Factory Default and User Define.  Factory Default: the system is in factory state by default. ...
  • Page 319 Click [Yes] to wipe the patient data. Select [User Define] and click [Confirm]. Input the password and click [Confirm] to finish the password setting. Notes If you want switch to Factory Default, perform steps 1 to 6 again. The password is the same as that of the User Define. When you set password, multi-language and Chinese characters are not supported.
  • Page 320 Click [I Accept]. Select "I do not want to join the program at this time" and click [Next]. 12-22 Setup...
  • Page 321 Deselect "If no firewall is turned on, turn on Windows Firewall (Recommended)" and "Turn on automatic sample submission." Click [Next] to enter "Preparing to install Microsoft Security Essentials" interface. After preparing to install Security Essentials, the MSE software enters the following interface: Setup 12-23...
  • Page 322 Click [Install] to enter the "Installing Microsoft Security Essentials" interface. After installing Security Essentials, the MSE software enters the following interface: 12-24 Setup...
  • Page 323 Deselect "Scan my computer for potential threats after getting the latest updates." Click [Finish], and the system enters the "Microsoft Security Essentials" setting interface. After the message "PC status: Protected" is displayed, select [Settings] → [Scheduled scan] and do as follows: Select [Advanced] and do as follows: Setup 12-25...
  • Page 324 Select [MAPS] and do as follows: Click [Save Changes] and [Cancel] to exit. Select [Preset] → [Security] to return to the "Security" screen. "Enable Microsoft Security Essentials" is automatically selected, and [Management] and [Virus Library Updates] buttons are highlighted. Item Description Enable Microsoft...

  • Page 325: System Information

    If McAfee is improperly installed due to power-off, shut-down, closing of cmd.exe, or any other abnormal operation during the installtion, please contact the Mindray service engineers. 12.12 System Information Click [About] on the Setup menu to enter the system information screen. The “System Information”...

  • Page 327: Probes And Biopsy

    Probes and Biopsy NOTE: For details of storage times and conditions for disinfected probes and brackets, refer to the Technical standard for Disinfection of Medical and Health Structures. 13.1 Probes C5-1U SC8-2U V11-3HU D8-4U DE10-3U L14-6WU L11-3U SP5-1U L20-5U SC5-1U Probes and Biopsy 13-1...
  • Page 328 L9-3U L14-5WU SC6-1U DE11-3U P10-4U C6-2GU C11-3U P7-3U P7-3TU P7-3Ts DE10-3WU CW5s CW2s D8-2U C4-1U L16-4HU/ L16-4Hs 13-2 Probes and Biopsy...
  • Page 329 13.1.1 Probe Functions by Part The basic structures and corresponding functions of probes are basically the same; take the following probe as an example. <2> <1> <3> <4> <5> Name Function <1> Probe head Converts the electrical signal into an ultrasonic signal, focusing the sound beams in a given direction;...
  • Page 330 13.1.2 Orientation of the Ultrasound Image and the Probe Head The orientation of the ultrasound image and the probe are shown as below. The “Mark” side of the ultrasound image on the monitor corresponds to the mark side of the probe. Check the orientation before the examination (Using a linear probe as an example).
  • Page 331 Inspection before examination Connection to the ultrasonic diagnostic system Examinations Biopsy procedure Disconnection to the ultrasonic diagnostic system Sterilization of the needle- guided bracket Wiping off the ultrasound gel Inspection after use Washing the transducer with water Storage Draining/drying Immersion into disinfectant Removing the transducer from disinfectant Rinsing the transducer in sterile water...
  • Page 332 Procedures for operating (with no biopsy function): Inspection before examination Connection to the ultrasonic diagnostic system Examinations Disconnection to the ultrasonic diagnostic system Wiping off the ultrasound gel Washing the transducer with water Draining/drying Disinfection Immersion into disinfectant Removing the transducer from disinfectant Rinsing the transducer into sterile water Draining/drying...
  • Page 333 13.1.4 Wearing the Probe Sheath A legally marketed probe sheath must be installed over the probe before performing intra-cavitary and intra-operative examination. Protective barriers may be required to minimize disease transmission. Probe sheaths are available for use with all clinical situations where infection is a concern. To order probe sheath, contact: CIVCO Medical Instruments Co.
  • Page 334 Refer to the following dimension table of all probes to choose the necessary probe sheath type. Model Length(mm) Width(mm) Height(mm) Cable Length(mm) C5-1U 1950±50 SC8-2U 140.4 67.5 1950±50 V11-3HU 32.9 38.5 1950±50 D8-4U 77.7 1950±50 DE10-3U 352.3 43.3 52.4 1950±50 L14-6WU 139.4 25.8...
  • Page 335 The above is a dimension illustration of the L11-3U probe. You can select the probe sheath according to the actual application situation. 13.1.5 Probes Cleaning and Disinfection After completing each examination, clean and disinfect (or sterilize) the probes as required. When biopsy procedures have been performed, be sure to sterilize the needle-guided bracket.
  • Page 336 Disinfecting by Immersion 1. Wear sterile gloves to prevent infection. 2. Clean the transducer before disinfecting it. MINDRAY recommends the following solutions to disinfect the transducer.  Refer to the instructions provided by the chemical manufacturer concerning concentration of the disinfectant solution, method of disinfection and dilution and cautions during use.Do not soak...
  • Page 337  Soak the transducer into the disinfectant solution for the shortest time the manufacturer recommends (for example, the shortest time recommended by the manufacturer for soaking Cidex OPA is 12 minutes).  Follow local regulations when selecting and using the disinfectant. 3.
  • Page 338  Atmospheric pressure: 700 hPa ~1060 hPa 13. When the transducer is sent to MINDRAY Customer Service Department or sales representative for repair, be sure to disinfect it and keep it in the carrying case to prevent infection. 14. Sterilize the carrying case as necessary.
  • Page 339 4. Wipe off water on the transducer bracket using sterile cloth or gauze after washing. Disinfecting by Immersion 1. Wear sterile gloves to prevent infection. 2. Clean the transducer bracket (fusion) before disinfecting it. MINDRAY recommends the following solutions to disinfect the transducer bracket. ...
  • Page 340 No cleaning and disinfecting may result in the transducer bracket becoming a source of infection. The efficacy of disinfectants and sterilizing solutions is not guaranteed by MINDRAY. Contact the manufacturers for information on the activity of the products. Cleaning 1. Disconnect the transducer bracket from the system.
  • Page 341 4. Wipe off water on the transducer bracket using sterile cloth or gauze after washing. Disinfecting by Immersion 1. Wear sterile gloves to prevent infection. 2. Clean the transducer bracket before disinfecting it. MINDRAY recommends the following solutions to disinfect the transducer bracket (fusion). ...
  • Page 342 Relative humidity: 20% to 95% (no condensation)  Atmospheric pressure: 700 hPa ~1060 hPa 13.1.10 Disposal of the Transducer Bracket Be sure to dispose of the needle-guided bracket only after sterilizing it. Contact your MINDRAY representative when disposing of this device. 13-16 Probes and Biopsy...

  • Page 343: Biopsy Guide

    If an abnormality is found on the needle-guided bracket, immediately stop using it and contact MINDRAY Customer Service Department or sales representative. 4. DO NOT use a needle-guided bracket when scanning is performed. The needle may advance in an incorrect direction and possibly injure the patient.
  • Page 344 even though the biopsy needle appears to have penetrated the target object in the image, it may not actually have done so. When the target for biopsy is small, dispersion of the ultrasound beam may lead to image deviate from the actual position. Pay attention to this. If the target object and the biopsy needle appear in the image as shown in the figures below (For reference only): Biopsy...
  • Page 345 A needle-guided bracket is available for purchase as an optional accessory; it is used in combination with the probe. Some of the probes have matched needle-guided bracket and needles. To order needle-guided brackets, contact MINDRAY Customer Service Department or sales representative. For biopsy or treatment, ultrasound-guided biopsy procedures can be performed using the probe in combination with a needle-guided bracket (optional accessory) and a biopsy needle (provided by the user).
  • Page 346 Plastic/needle detachable needle-guided bracket: Name Description Support of <1> Used for installing the needle-guided bracket on the probe. needle-guided bracket Used for determining the angle of the biopsy; there are three <2> Angle block specifications of blocks of angle. Used for installing biopsy needle; there are five specifications of <3>...
  • Page 347  NGB-011 Metal/needle undetachable needle-guided bracket: Needle guide Needle guide clamping knob Locating Clamp Needle guide hole Locating groove Grip knob Needle guide rack Needle-guided bracket Probe  Name of Each Part of NGB-018 Probes and Biopsy 13-21...
  • Page 348  NGB-021 Metal/needle undetachable needle-guided bracket:  NGB-022 Metal/needle undetachable needle-guided bracket Guiding hole V-shaped guiding block Groove Lock pin Needle type Needle fixing nut adjusting Needle type dial scale base V-shaped cover Clamp Angle block Angle adjusting base Pinch nut Angle pinch nut Angle shift sign ...
  • Page 349  NGB-025 Metal/needle undetachable needle-guided bracket: Location Front clamp clamp Upper clamp Front Pinch nut slot Intra-cavity probe Lower Location clamp hole  NGB-026 Metal/needle undetachable needle-guided bracket: Probes and Biopsy 13-23...
  • Page 350  Name of Each Part (NGB-027)  NGB-031 Metal/needle undetachable needle-guided bracket: V-shaped block Block hole Bracket V-shaped cover clamp Lock pin Pinch nut Needle-shaped base Needle-shaped scale Groove Angle pinch nut Angle adjusting block 13-24 Probes and Biopsy...
  • Page 351  NGB-034 Needle guide hole Lock pin V-shaped Clamp V-shape cover guiding block Needle fixing Needle adjusting base Needle type dial scale Guiding groove Angle fixing Angle adjusting base  Name of Each Part (NGB-036) Probes and Biopsy 13-25...
  • Page 352  NGB-040 Metal/needle undetachable needle-guided bracket: Left/right clamp Left/right clamp pinch nut Angle adjusting block Angle adjusting base Angle pinch nut Guiding bulges Angle shift sign Needle clamp cover Needle type adjusting nut Separation pressure position Guiding hole v-shaped guiding hole 13.2.2 Basic Procedures for Biopsy Guiding 1.
  • Page 353 13.2.3.1 Inspection of the Needle-guided Bracket Be sure to perform inspections before and after use of the needle-guided bracket. If an abnormality is found on the needle-guided bracket, immediately stop using it and contact MINDRAY Customer Service Department or sales representative.
  • Page 354 (1) Put on the sterile probe sheath. (2) Hold the probe by one hand, select the proper needle-guided bracket, and hold it with the other hand. Align the narrow end tab of the needle-guided bracket with the groove of the probe, then push the needle-guided bracket forward, making the tabs and the grooves of the needle-guided bracket to match with the grooves and tabs of the probe.
  • Page 355 Screw the pinch nut of the needle-guided bracket to confirm that the needle-guided bracket is properly installed on the transducer. Select a proper guiding block and push it into the groove above the angle block. Screw the nut of the block to secure the block. Insert a biopsy needle with the same specification as that of the guiding block into the hole of the guiding block.
  • Page 356  Needle-guide Bracket Installation (NGB-024) Put on the sterile transducer sheath. Select a proper needle-guided bracket, and match the groove with the tab of the transducer. Mount the bracket onto the transducer. Rotate the clamping nuts of the guided bracket on right and left side to fix the bracket and the transducer.
  • Page 357 Hold the transducer, and release the pressure position of the needle. Adjust the needle-type adjusting nut manually (following the direction of the arrow). The needle moves smoothly at the vertical direction due to its gravity.  NGB-025 Put on the sterile probe sheath. Open the clamp.
  • Page 358 Select a proper needle-guided bracket, and match the locating groove with the tab of the transducer. Mount the bracket onto the transducer. Tighten the pinch nut of the needle-guided bracket to confirm that the needle-guided bracket is properly installed on the transducer. Adjust the dial scale to the required needle type shift.
  • Page 359  NGB-027 Put on the sterile transducer sheath. Open the clamp. Insert the front clamp to the front groove. Push the bispy forward (arrow’s direction) until the locating pole inserting into the location hole. Turn the lower clamp againsy the intra-cavity probe. Tighten the nut to lock the biopsy (arrow’s direction). ...
  • Page 360 Adjust the dial scale to the required needle type shift. Adjust the needle angle to the proper shift as required (loosen the nut first, and then tighten the nut based on the shift you need). Pull the lock pin and close the V-shaped cover to fix the lock pin in the groove of the needle type adjusting base, so as to install the needle into the guiding hole.
  • Page 361 Tighten the pinch nut of the needle-guided bracket to confirm that the needle-guided bracket is properly installed on the transducer. Adjust the dial scale to the required needle type shift. Adjust the needle angle to the proper shift as required (loosen the nut first, and then tighten the nut based on the shift you need).
  • Page 362 Put the needle into the needle guided-bracket, and the needle leans to V-shaped block. Hold the transducer, and release the pressure position of the needle. Adjust the needle-type adjusting nut manually (following the direction of the arrow). The needle moves smoothly at the vertical direction due to its gravity.
  • Page 363 Rotate the clamping nuts of the guided bracket on the right and left side to fix the bracket and the transducer. Rotate the needle-type adjusting nut to the ultimate position as shown in the figure. Hold the transducer. Press the biopsy needle pressure position to separate it from needle guided V-shaped block.
  • Page 364 Ensure that all guide parts are seated properly prior to performing a CAUTION: biopsy. 13.2.4 Biopsy Menu Press <F11 Biopsy> or tap [Biopsy] on the touch screen to enter the function. The menus are displayed on the touch screen;  Select biopsy bracket angle/guide. If the needle-guided bracket supports more than one biopsy angle, you can select the angle from the menu (the last two numbers refer to the angle or guide selected).
  • Page 365 Prior to each biopsy procedure, be sure to verify the guide line. WARNING: If the needle is not consistent with the guide line, DO NOT perform the biopsy procedure. NOTE: You can perform guide line verification on a single live B/C image, and all biopsy-irrelevant operations are forbidden.
  • Page 366 needle, a reflecting boundary is formed. As in Figure 1, if the deflection angle is very large, the needle display is not clear. In the condition of deflected ultrasonic transmission, the beam direction is perpendicular to the needle direction, and the reflection direction will be the same with the needle, as shown in Figure 2, when the needle display in the ultrasound image is very clear.
  • Page 367  Needle Steer Description This function adjusts the biopsy needle angle via changing the steer angle of the scan line.The iNeedle affecting region changes correspondingly. Operation Tap [Needle Steer] to adjust the angel on the touch screen in increment of 10° . ...
  • Page 368  NGB-011 Hold the probe and the needle-guided bracket, and then open the grip knob of the needle-guided bracket.  NGB-018 (1) Loosen the guiding block's nut and slightly move the guiding block in the direction of the needle’s tail. (2) Separate the residual part of the needle-guide bracket and the transducer from the needle.
  • Page 369 Rotate the clamping nuts of the needle guided-bracket on right and left side (following the direction of the arrow). The needle guided-bracket is separate from the transducer. Hold the transducer and take out the bracket.  NGB-025 Hold the prober in the left hand; unscrew the locking nut with the right hand to loose the clamp (arrow’s direction).
  • Page 370 Rotate v-shaped cover until the needle is separate from it. Remove the probe and the bracket.\  Removing the needle-guided bracket Unscrew the pinch nut to separate the needle-guided bracket from the probe. Release the needle-guided bracket from the probe. ...
  • Page 371  NGB-034 Hold the transducer, and press the pressure position of the needle to separate the biopsy needle from the biopsy needle pressure position. Remove the transducer and the needle-guided bracket to separate the biopsy needle. Rotate the clamping nuts of the guided bracket on the right and left side to release the bracket and the transducer.
  • Page 372 2. Clean the needle-guided bracket before sterilizing it. MINDRAY recommends the following solution or sterilizing system to sterilize the needle-guided bracket. 3. Follow local regulations when selecting and using the disinfectant.  Glutaraldehyde-based sterilant: Chemical Trade name Procedures name Please refer to the instructions provided by the Cidex manufacturer of the solution for details.

  • Page 373: Needle Navigation Guiding

    2. Between examinations, keep the needle-guided bracket in a sterile environment. 3. When the needle-guided bracket is sent to your MINDRAY representative for repair, be sure to disinfect or sterilize it and keep it in the carrying case to prevent infection.
  • Page 374 forbidden in the operation. Perform accuracy verification before conducting needle navigation.You can use the needle-guided bracket to anchor the needle before needle navigation for a better result. Needle guidance on the ultrasound image is for reference only and cannot provide as sole guidance for diagnosis basis.
  • Page 375 Dispersion of the ultrasound beam Dispersion of the ultrasound beam To avoid this problem, note points below: Do not rely only on the echo of the needle tip on the  image.Pay careful attention to the target object, which should shift slightly when the biopsy needle comes into contact with it.
  • Page 376 13.3.1 Basic Procedures for Needle Navigation Guiding  Needle navigation guiding biopsy procedure under non-Fusion mode: Connect all accessories of magnetic navigator. Refer to chapter "5.17.2 Magnetic Navigator" and “13.3.2 Installation” for details. Activate needle navigation guiding feature and select needle type and length.Perform accuracy verification.
  • Page 377 13.3.2 Installation Note: Dispose needle, sensor bracket, and sterile cover by requirements of the manufacturer. Keep the bracket sensor. Clean and disinfect the sensor by requirements of the manufacturer and do not bend the sensor. Refer to the manufacturer manual for magnetic navigation installation and other information.
  • Page 378 102 First Street South, Kalona, IA 52247-9589 USA Tel: 1-319-656-4447 E-mail: info@civco.com http://www.civco.com Refer to “5.17.2 Magnetic Navigator” for installation of magnetic controller, auxiliary power line, USB cable, and magnetic generator and probe sensor.Abdomen sensor is necessary under Fusion imaging mode.
  • Page 379 Direction indication Turn on the magnetic navigator power and perform needle navigation guiding operation after the signal is stabilized.  eTRAX eTRAX needle is used to biopsy, melt, drainage, administere, vascular access, local anaesthetic. Specifications: Needle sensor Manufacturer: CIVCO. Product number: 610-1112 Note: Wear sterile sheath for sensor.
  • Page 380 eTRAX neeedle Sterile sheath eTRAX needle sensor NOTE: refer to manufacturer manual for details about installation and disinfection of the magnetic navigator. Contact the magnetic navigator if necessary. To order needle sensor and needle sensor bracket, contact: CIVCO Medical Instruments Co. 102 First Street South, Kalona, IA 52247-9589 USA Tel: 1-319-656-4447 E-mail: info@civco.com...
  • Page 381 Tighten the knob, and make sure not to breake the sterile sheath. Turn on the magnetic navigator power and perform needle navigation guiding operation after the signal is stabilized. Refer to “5.17.2 Screen Description” for details. Perform needle navigation guiding; refer to “13.3.1 Basic Procedures for Needle Navigation Guiding”...
  • Page 382 Measure the distance Note: Use disinfected tool to measure the distance. Precise length data of the needle is important to the space magnetic navigation. Tap [Needle Navigation] on the touch screen to turn on the feature. Select needle type and set needle length.
  • Page 383 Note: Keep the magnetic navigator and patient still after mark is added. Otherwise, space navigation GPS result is affected. Make sure only one mark is left on the ultrasound image during needle navigation guidance procedure. If there are multiple marks on the image, hide the marks. Connect all accessories of magnetic navigator.
  • Page 384 Image Description Orientation of the needle to the surface of the a coustic lens.  Needle color turns green if the needle is inside the real-time Orientation ultrasound image plane. indication  Needle color turns brown if the needle is not inside the real-time ultrasound image plane.

  • Page 385: Middle Line

    Dispose needle, sensor bracket, sterile cover by requirements of the manufacturer. Contact the manufacturer for details. Dispose the bracket after sterilization. Contact Mindray for bracket disposal. 13.4 Middle Line Middle Line helps to locate and observe the focus point of lithotripsy wave during lithotripsy treatment.

  • Page 387: Dvr Recording

    Mindray is not responsible for any data loss. The system provides built-in DVR recording function. You can use the DVR to record and replay videos and audios that can be stored in DVD disc or hard disc.

  • Page 388: Dvr Video Replay

    14.3 DVR Video Replay You can replay the video and audio record.  Replay on PC Connect the USB disk or optical disk with the file to the PC, open the file directly.  Replay on the ultrasound system 1. Click to open the dialogue box and select desired playing type: Local/USB/CDROM;...

  • Page 389: Acoustic Output

    Acoustic Output This section of the operator’s manual applies to the overall system including the main unit, probes, accessories and peripherals. This section contains important safety information for operators of the device, pertaining to acoustic output and how to control patient exposure through use of the ALARA (as low as reasonably achievable) principle.

  • Page 390: Mi/Ti Explanation

    15.4 MI/TI Explanation 15.4.1 Basic Knowledge of MI and TI Mechanical Bioeffect and Thermal Bioeffect The relationship of various ultrasound output parameters (frequency, acoustic pressure and intensity, etc.) to bioeffects is not fully understood presently. It is recognized that two fundamental mechanisms may induce bioeffects.

  • Page 391: Acoustic Power Setting

    In the Resona 7 product, to obtain optimum images for applications under the requirements of safety and ALARA principle, we set acoustic power default values in factory to be maximum 96.6% in all exam modes for a better image quality.

  • Page 392: Acoustic Power Control

    15.6 Acoustic Power Control The qualified operator may use the system controls to limit the ultrasound output and to adjust the quality of the images. There are three categories of system controls relative to output. They are,  Controls that have direct effect on the output ...

  • Page 393: Measurement Uncertainty

    15.7.2 Limits of Acoustic Output In accordance with the FDA Track 3 requirements, the derating (or attenuated) approach was incorporated into the FDA Acoustic Output Limits, as listed below. The maximum acoustic output level from any probe in any operating mode is expected to fall below these limits. FDA Maximum Acoustic Output Limits for Track 3 (Attenuated Values) Application (mW/cm...

  • Page 394: References For Acoustic Power And Safety

    Max acoustic output Limited acoustic power when the acoustic output Probe (mW/cm is less than 10mW/cm C5-2E 38.9 50.1 C7-3E 63.6 39.4 D7-2E 13.9 84.1 15.10 References for Acoustic Power and Safety 1. “Bioeffects and Safety of Diagnostic Ultrasound” issued by AIUM in 1993 2.
  • Page 395 output beam intensity Power-on mode After the power is supplied, if the operation state, including the automatic operation mode and the programmed state, is decided by the user, the power-on mode is “not applicable”. Initialization mode The state when performing a new exam; the operating mode and system settings.

  • Page 397: Emc Guidance And Manufacturer's Declaration

    EMC Guidance and Manufacturer’s Declaration The system complies with the EMC standard IEC 60601-1-2: 2007. The use of unapproved accessories may diminish system WARNING: performance. Use of components, accessories, probes, and cables other than those specified may result in increased emission or decreased immunity of system.
  • Page 398  Date/time information. TABLE 1 GUIDANCE AND MINDRAY DECLARATION—ELECTROMAGNETIC EMISSIONS The system is intended for use in the electromagnetic environment specified below. The customer or the user of system should assure that it is used in such an environment. EMISSIONS TEST COMPLIANCE ELECTROMAGNETIC ENVIROMENT－GUIDANCE...
  • Page 399 TABLE 2 GUIDANCE AND MINDRAY DECLARATION—ELECTROMAGNETIC IMMUNITY The system is intended for use in the electromagnetic environment specified below. The customer or the user of system should assure that it is used in such an environment. IEC 60601 COMPLIANCE ELECTROMAGNETIC...
  • Page 400 TABLE 3 GUIDANCE AND MINDRAY DECLARATION—ELECTROMAGNETIC IMMUNITY The system is intended for use in the electromagnetic environment specified below. The customer or the user of system should assure that it is used in such an environment. IMMUNITY IEC 60601 COMPLIANCE...
  • Page 401 TABLE 4 RECOMMENDED SEPARATION DISTANCES BETWEEN PORTABLE AND MOBILE RF COMMUNICATION DEVICE AND SYSTEM The system is intended for use in an electromagnetic environment in which radiated RF disturbance are controlled. The customer or the user of system can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communication equipment (transmitters) and system as recommended below, according to the maximum output power of the communication equipment.
  • Page 402 Cable sample Name Cable length (m) Shielding or not Remark PCG cable ECG cable Foot-switch control cable Probe cable All probes available Couplant heater cable 0.18 AC inlet cable for the main unit Supplementary power cord for Not for sale with Mag.

  • Page 403: System Maintenance

    The responsibility for maintenance and management of the product after delivery resides with the customer who has purchased the product. If you have any questions, please contact Mindray Customer Service Department or sales representative. Only an authorized Mindray service engineer can perform maintenance WARNING: not specified in this operator’s manual.
  • Page 404 Don’t use cloth with water to clean the probe connector. NOTE:  Cleaning the probe cable a) Use soft dry cloth to wipe off stains from the probe cable. b) If it is difficult to clean the stains thoroughly, use soft cloth dipped with mild detergent, and then let the cable air dry.
  • Page 405  Cleaning the trackball  Tools: Paper, dry cloth or mild soapy water  Method: 1. Disassembling the trackball: Press the bulges on the clamping ring by both hands and turn the ring about 45° anticounterclockwise until it lifts. Take out the ring and the rotary ball. Be careful not to drop the ball. As shown in figure below.
  • Page 406  Method: Use a soft dry cloth to clean the system's cover. If the system is dirty, moisten the soft cloth with mild soapy water, wipe away any stains, then air dry.  Clean dust-proof cover  Tool: Soft brush ...
  • Page 407 Please clean all dust-proof covers of the system periodically (1 time per CAUTION: month); otherwise, system damage may result. Cleaning times can be increased when the system is used in the open air or somewhere dust is more.  Cleaning the peripherals Do the cleaning maintenance according to your actual peripheral configuration;...

  • Page 408: Troubleshooting

    If any persistent system malfunction is experienced, e.g. an onscreen error message, blank imaging screen, absent menus, please refer to the table below. If the failure can’t be eliminated, please contact Mindray Customer Service Department or sales representative. Troubleshooting Table...

  • Page 409: Appendix A Barcode Reader

    Appendix A Barcode Reader The product supports two kinds of readers for logging data as patient ID: 1-D barcode reader (SYMBOL LS2208) and 2-D barcode reader (SYMBOL DS4308). The laser transmitted by SYMBOL LS2208 is Class 2 laser. SYMBOL DS4308 is c lassified as “EXEMPT RISK GROUP” according to IEC 62471:2006 and EN 62471:2008.
  • Page 410 A.1.3 Setting The reader has factory settings; please refer to A.4 for details. The reader supports some user-defined functions as introduced below. For more details, please contact the SYMBOL reader agents or Mindray Customer Service Department.  Volume setting: Scan the following barcode to set the volume parameter.
  • Page 411 To enable Codabar, scan the appropriate barcode below.  code 39 full ASCII scanning: Code 39 Full ASCII is a variant of Code 39 which pairs characters to encode the full ASCII character set. To enable or disable Code 39 Full ASCII, scan the appropriate barcode below.
  • Page 412 A.1.4 Scanning in Hand-Held Mode 1. Ensure all connections are secure. 2. Aim the reader at the barcode. Press the trigger. NOTE: Ensure the scan line crosses every bar and space of the symbol, see the figure below. 3. Upon successful decode, the reader beeps and the LED turns green. Tips: Do not hold the reader directly over the barcode.
  • Page 413 A.1.5 Scanning in Hands-Free Mode A.1.5.1 Assembling the Intellistand NOTE Before tightening the wingnut under the base, ensure that the flat areas on the flexible neck fit securely in the grooves in the base. A.1.5.2 Mounting the Stand (optional) You can attach the base of the reader’s stand to a flat surface using two screws or double-sided tape (not provided).
  • Page 414  Screw Mount 1. Position the assembled base on a flat surface. 2. Screw one #10 wood screw into each screw-mount hole until the base of the stand is secure  Tape Mount 1. Peel the paper liner off one side of each piece of tape and place the sticky surface over each of the three rectangular tape holders.
  • Page 415 A.2.1 Overview 1. LED Green: A barcode was successfully decoded. Red: A data transmission error or reader malfunction occurred. 2. Scan window Scan the barcode. 3. Trigger Press to decode A.2.2 Setting Up the Digital Imager Reader A.2.2.1 Installing the Interface Cable 1.
  • Page 416 A.2.3 Setting The reader has factory settings; please refer to A.4 for details. The reader supports some user-defined functions as introduced below. For more details, please contact the SYMBOL reader agents or Mindray Customer Service Department.  Volume setting: Scan the following barcode to set the volume parameter.
  • Page 417  code 39 full ASCII setting Code 39 Full ASCII is a variant of Code 39 which pairs characters to encode the full ASCII character set. To enable or disable Code 39 Full ASCII, scan the appropriate barcode below.  I 2 of 5 symbols setting Select this option to decode only I 2 of 5 symbols containing a selected length.
  • Page 418 A.2.4 Scanning in Hand-Held Mode 1. Ensure all connections are secure (see the appropriate host chapter.) 2. Aim the digital imager reader at the barcode. 3. When the digital imager reader senses movement, in its default Auto Aim trigger mode, it projects a red LED dot which allows positioning the barcode within the field of view.
  • Page 419 elements (mil size) closer to the digital imager reader, and those with larger bars or elements (mil size) farther from the digital imager reader. The digital imager reader can also read a barcode presented within the aiming dot not centered. The top examples in show acceptable aiming options, while the bottom examples cannot be decoded.
  • Page 420 Item Description After scanning 1D bar code, the regular expression is matched in the priority order: “Patient ID  Other ID  First name  Last name  Middle name  Accession#  Operator  Diagnostician”. If the regular expression is matched successfully, the data of 1D bar code will be filled in this item in Patient page automatically.
  • Page 421 Parameter Description  Input barcode example, you can change the information of Patient ID, Other ID, First Name, Last Name, Middle Name, Birth(Day), Birth(Month), Birth(Year), Age, and Gender in the “content” list.  Set the start and end position of each item via separators. You can select item separators from the drop-down list of the Separator, such as semicolon (;), hyphen (-), or comma (,) etc.
  • Page 422  Import/Export: set the barcode by importing/exporting configure file. You can contact mindray service engineer also. Parameter Defaults Refer to the following table for parameter defaults of LS2208 and DS4308. Parameter...
  • Page 423 Parameter Defaults Code 128 Enable UCC/EAN-128 Enable ISBT 128 Enable Code 39 Code 39 Enable Trioptic Code 39 Disable Convert Code 39 to Code 32 (Italian Pharmacy Code) Disable Code 32 Prefix Disable Set Length(s) for Code 39 2 to 55 Code 39 Check Digit Verification Disable Transmit Code 39 Check Digit...

  • Page 425: Appendix B Iworks (Auto Workflow Protocol

    Appendix B iWorks (Auto Workflow Protocol) Overview The main objective of ultrasound workflow automation (iWorks) is to speed up exam times and reduce the excessive number of user interface manual key strokes that can lead to repetitive strain injuries over time.
  • Page 426 Name Note Displays the protocol name, and the number of views contained; Displays the view steps in the protocol. The current active view, with green solid frame around the image.  OB iWorks protocol B-2 iWorks (Auto Workflow Protocol)
  • Page 427 Name Note Displays the protocol name. Displays the different types of views based on different attributes. Current view type. Views contained of the current type. Already finished view, with a green “√” on the left. The current active view, with green solid frame around the image. View Operation In iWorks status, you can perform view selection, repeat, replacement and delete operations using the touch screen.
  • Page 428 Manual Examination Suspend - Exit the protocol so the user can run the system manually. This is used when an unusual or atypical workflow is required. You can run the system manually if necessary.  Start manual examination: tap [Suspend] to pause the current iWorks protocol. The system enters manual examination status.
  • Page 429 B.9.1 Protocol Management  Click to select the protocol in the list. The protocol type can be checked on the right. Check to select applied exam modes in the “Apply to” column.  Click [Add Protocol] to create a new protocol. It can be customized. ...
  • Page 430 B.9.3 Create New Protocol You can create user-defined protocols and customize the automated procedure. 1. In the iWorks preset screen, click [Add Protocol] to create a new protocol. Enter the protocol name, type and select the application region. Or, select an existing protocol and click [Copy] to customize the protocol based on the previous template.
  • Page 431 3. Add comments, body marks and perform measurement settings, as shown in the following figure: iWorks (Auto Workflow Protocol) B-7...
  • Page 432 In the image setting, if “Measurement on next section” is selected, the system will save two section images after finishing the section operation. One of the two sections will include the measurement result. 4. Select the checkbox for body mark display settings. 5.

  • Page 433: Appendix C Wireless Lan

    Appendix C Wireless LAN The system provides wireless net adapter configuration, so as to assist information query and unlimited network service. It is prohibited to use the wireless LAN function in an airplane, as this WARNING may violate the relevant provisions in the aviation regulations. Use the wireless LAN function prudently in emergency ambulances (or other vehicles) as other devices or communication signals may be interfered with.
  • Page 434 2. Roll the trackball and press <Set> to select the target network, click [Connect] to connect to the network. When connecting an encrypted network, enter the password in the box first.You can select to hide password characters or not. 3. The system tries to connect and the wireless manager icon turns into .
  • Page 435 to DICOM server. Open the file (DCM Editor Tool、eZDicom.exe) to view the service name (iStation Name). 2. Click [Apply] to save current setting. Click [Close] to exit. NOTE: If the IP address displays as 0.0.0.0, this means that the network is abnormal. The reason for the failure may be disconnection or the system cannot obtain the IP address.
  • Page 436 Select “Start this connection automatically” and “Connect even if the network is not broadcasting”.  Select Eap network, then press left <Set> key, and select [Properties] manu. Enter “Security” page, select [Microsoft: Smart Cart or other certificate] from “Choose a ...
  • Page 437 Click [Settings], select trusted root certification from “Trusted Root Certification Authorities”  drop-down list, click [OK]. Wireless LAN C-5...
  • Page 438 Click [Advanced Settings] to set in “Security” page. Select “Specify authentication mode”,  and select “user or computer authentication” from the drop-down list. Then click [OK], close the setting page. Select Eap network in the wireless network manager, click [Connect] to connect to the network. C-6 Wireless LAN...
  • Page 439 Appendix D Ultrasound Gel Heater Ultrasound gel heater is a system option used for heating the ultrasound gel. Overview As shown in the figure above, the heater is installed on the left side of the control panel, where the ultrasound gel is positioned. Structure Name Description...
  • Page 440 The indicator is off when switching off the heater. Set the heater temperature to low; one indicator on the right becomes white. Indicator Set the heater temperature to med; two indicators on the right become white. Set the heater temperature to high; three indicators on the right become white.
  • Page 441 Push the gel heater along control panel towards the arrow’s direction. The gel heater stays below the control panel. Gel heater and left bracket Plug the gel heater into the slot lying beneath the control panel. Put the gel inside the warmer, and press the power button of the gel warmer. Cleaning Unplug the gel warmer and remove it from the gliding track of the probe.

  • Page 443: Electrical Safety Inspection

    Appendix E Electrical Safety Inspection The following electrical safety tests are recommended as part of a comprehensive preventive maintenance program. They are a proven means of detecting abnormalities that, if undetected, could prove dangerous to either the patient or the operator. Additional tests may be required according to local regulations.
  • Page 444 Device Enclosure and Accessories E.2.1 Visual Inspection Test Item Acceptance Criteria No physical damage to the enclosure and accessories. No physical damage to meters, switches, connectors, etc. The enclosure and accessories No residue of fluid spillage (e.g., water, coffee, chemicals, etc.). No loose or missing parts (e.g., knobs, dials, terminals, etc.).
  • Page 445 Earth Leakage Test Run an Earth Leakage test on the device being tested before performing any other leakage tests. The following outlet conditions apply when performing the Earth Leakage test.  normal polarity (Normal Condition);  reverse polarity (Normal Condition); ...
  • Page 446  LIMITS For BF applied parts: 100 μA in Normal Condition.  500 μA in Single Fault Condition.  Mains on Applied Part Leakage The Mains on Applied Part test applies a test voltage, which is 110% of the mains voltage using a limiting resistance, to selected applied part terminals.

  • Page 447: List Of Vocal Order

    Appendix F List of Vocal Order The following orders can be recognized by default. Speak to the microphone to input the vocal orders. The system will conduct the operations then. See Chapter 3.7.5 Voice Recognition for details. Vocal order Vocal operation Freeze Enter the frozen mode Unfreeze...
  • Page 448 Vocal order Vocal operation Cursor Show/hide the cursor Clear Clear iWorks Enter iWorks mode. See Appendix E for details. Adjust the gain of the current mode “Gain increase”: to increase the gain of the image; Gain increase/decrease “Gain decrease”: to decrease the gain of the image; Adjust the gain of B mode.
  • Page 449 Vocal order Vocal operation Pan zoom-in the image. See Chapter 6.2.2 Pan Zoom in Zoom for details. Pan zoom-out the image. See Chapter 6.2.2 Pan Zoom out Zoom for details. Save Save single-frame image Print Conduct the print. Setup Enter the setup interface QSave Enter the QSave.
  • Page 450 Vocal order Vocal operation Enable the comment. See Chapter 9.1 Comments ABC display for details. Q_Path Enter Q-Path interface. Volume adjustment. “Volume increase”: to increase the volume Volume increase/decrease “Volume decrease”: to decrease the volume. Adjust the acoustic power. See Chapter 5 Image Optimization for details.
  • Page 451 P/N: 046-007807-02 (3.0)

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