Shenzhen Mindray Bio-Medical Electronics DC-80S Operator's Manual
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Shenzhen Mindray Bio-Medical Electronics DC-80S Operator's Manual

Diagnostic ultrasound system
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DC-80/DC-80S/DC-80 PRO/DC-80
EXP/DC-85
Diagnostic Ultrasound System
Operator's Manual
[Basic Volume]

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Summary of Contents for Shenzhen Mindray Bio-Medical Electronics DC-80S

  • Page 1 DC-80/DC-80S/DC-80 PRO/DC-80 EXP/DC-85 Diagnostic Ultrasound System Operator’s Manual [Basic Volume]...

  • Page 3: Table Of Contents

    Contents Contents ..........................i Intellectual Property Statement ...................... I Responsibility on the Manufacturer Party..................I Warranty ............................II Exemptions ..........................II Customer Service Department ....................III Important Information ........................IV About This Manual ........................V Notation Conventions ........................V Operator’s Manuals ........................V Hardcopy Manuals ........................
  • Page 4 Image Optimization ....................5-1 Imaging Mode ......................... 5-1 B Mode Image Optimization .................... 5-4 M Mode Image Optimization ...................5-10 Color Mode Image Optimization ..................5-13 Power Mode Image Optimization ..................5-18 PW/CW Doppler Mode ....................5-20 Color M Mode ........................5-26 Anatomical M Mode ......................5-27 TDI ..........................5-30 5.10 3D/4D ..........................5-34 5.11 iScape View (Real-time Panoramic Imaging) ..............5-75...
  • Page 5 11.1 DICOM Preset ........................ 11-1 11.2 Verify Connectivity ......................11-10 11.3 DICOM Services......................11-10 11.4 DICOM Media Storage ....................11-13 11.5 Structured Report ......................11-14 11.6 DICOM Task Management.................... 11-15 12 Setup........................12-1 12.1 System Preset ....................... 12-1 12.2 ExamMode Preset ......................12-7 12.3 Measure Preset ......................

  • Page 7: Contents

    © 2018 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights Reserved. For this Operator’s Manual, the issue date is 2018-11. Intellectual Property Statement SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray) owns the intellectual property rights to this Mindray product and this manual. This manual may refer to information protected by copyright or patents and does not convey any license under the patent rights or copyright of Mindray, or of others.

  • Page 8: Warranty

    Warranty THIS WARRANTY IS EXCLUSIVE AND IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE. Exemptions Mindray's obligation or liability under this warranty does not include any transportation or other charges or liability for direct, indirect or consequential damages or delay resulting from the improper use or application of the product or the use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized personnel.

  • Page 9: Customer Service Department

    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

    Important Information 1. It is the customer’s responsibility to maintain and manage the system after delivery. 2. The warranty does not cover the following items, even during the warranty period: (1) Damage or loss due to misuse or abuse. (2) Damage or loss caused by Acts of God such as fires, earthquakes, floods, lightning, etc. (3) Damage or loss caused by failure to meet the specified conditions for this system, such as inadequate power supply, improper installation or environmental conditions.

  • Page 11: About This Manual

    About This Manual This operator’s manual describes the operating procedures for this diagnostic ultrasound system and the compatible probes. To ensure safe and correct operations, carefully read and understand the manual before operating the system. Notation Conventions In this operator’s manual, the following words are used besides the safety precautions (refer to “Safety Precautions”).

  • Page 12: Software Interfaces In This Manual

    Software Interfaces in This Manual Depending on the software version, preset settings and optional configuration, the actual interfaces may be different from those in this manual. Conventions In this manual, these conventions are used to describe the buttons on the control panel, the items in menu, buttons in dialog box and some basic operations: ...

  • 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 disinfection and sterilization method(s) recommended by manufacturer: The devices recommended by the manufacturer.

  • 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.

  • Page 15: Safety Precautions

    Safety Precautions Please observe the following precautions to ensure patient and operator’s safety when using this system. Do not operate this system and probes in an atmosphere containing flammable gasses or liquids such as anesthetic gasses, hydrogen, DANGER: and ethanol, because there is danger of explosion. Do connect the power plug of this system to wall receptacles that WARNING: meet the ratings indicated on the rating nameplate.
  • Page 16 10. Do not allow the patient to contact the live parts of the ultrasound system or other devices, e.g. signal I / O ports. Electric shock may occur. 11. Do not use an aftermarket probe other than those specified by Mindray.
  • Page 17 Precautions concerning clinical examination techniques: CAUTION: This system must be used only by qualified medical professionals. This operator’s manual does not describe clinical examination techniques. The clinician should select the proper examination techniques based on specialized training and clinical experience. Malfunctions due to radio wave: If a radio wave emitting device is used in the proximity of this system, it may interfere with operations.
  • Page 18 It is necessary to press <End Exam> to end the current scan that is in progress and clear the current Patient Information field. Otherwise, new patient data may be combined with the previous patient data. Do not connect or disconnect the system’s power cord or its accessories (e.g., a printer or a recorder) without turning OFF the system power first.
  • Page 19 Turn ON the system only after the power has been turned OFF for a while. If the system is turned ON immediately after being turned OFF, the system may not be rebooted properly and could malfunction. Press the <Freeze> key to freeze an image or turn off the power of the system before connecting or disconnecting a probe.
  • Page 20 Do not subject the probe to shock. A defective probe may cause electric shock to the patient. Do not disassemble the probe to avoid the possibility of electric shock. Never immerse the probe connector into liquids such as water or disinfectant because the connector is not waterproof.
  • Page 21 NOTE: Read the following precautions to prevent the probe from malfunction:  Before connecting or disconnecting the probe, freeze or turn off the diagnostic ultrasound system.  Clean and disinfect the probe before and after each examination.  After the examination, wipe off the ultrasound gel thoroughly. Otherwise, the ultrasound gel may solidify and the image quality would be degraded.

  • Page 22: Latex Alert

    Latex Alert When choosing a probe sheath, it is recommended that you directly contact CIVCO for obtaining probe sheath, pricing information, samples and local distribution information. For CIVCO information, please contact the following: CIVCO Medical Instruments Tel: 1-800-445-6741 WWW.civco.com Allergic reactions in latex (natural rubber) sensitive patients may WARNING: range from mild skin reactions (irritation) to fatal anaphylactic shock, and may include difficulty in breathing (wheezing), dizziness, shock,...

  • Page 23: Warning Labels

    Warning Labels The warning labels are attached to this system in order to call your attention to potential hazards. The symbol on the warning labels indicates safety precautions. 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.

  • Page 25: System Overview

    System Overview Intended Use The DC-80/DC-80S/DC-80 PRO/DC-80 EXP/DC-85 Diagnostic Ultrasound System is applicable for adults, pregnant women, pediatric patients and neonates. It is intended for use in fetal, abdominal, intra-operative, pediatric, small organ (breast, thyroid, testes), neonatal cephalic, adult cephalic, trans-rectal, trans-vaginal, musculo-skeletal (conventional, superficial), cardiac adult, cardiac pediatric, peripheral vessel, urology and transesophageal (Cardiac) exams.

  • Page 26: Product Specifications

    Product Specifications NOTE The functions described in the operator’s manual may vary depending upon the specific system you purchased. 2.4.1 Imaging Mode B Mode M Mode Anatomical M: Free Xros M, Free Xros CM C Mode Color Power DirPower D Mode Special imaging Smart 3D Static 3D...

  • Page 27: System Configuration

    2.4.3 Environmental Conditions Operating conditions Storage and transportation conditions Ambient temperature 0℃～40℃ -20℃～55℃ Relative humidity 30%～85% (no condensation) 30%～95% (no condensation) Atmospheric pressure 700hPa～1060hPa 700hPa～1060hPa Do not use this system in the conditions other than those WARNING: specified. 2.4.4 Dimensions and Weight Dimension: 1355~1800mm (H) ×920mm (D) ×580mm (W) Net weight: about 120Kg System Configuration...
  • Page 28 Probe Region Probe Type Intended Use model Applied Abdominal, Pediatric, Small Organ (breast, thyroid, testes), Neonatal Cephalic, Musculo-skeletal L14-6WE Linear Body surface (Conventional), Musculo-skeletal (Superficial), Peripheral vessel Abdominal, Pediatric, Small Organ (breast, thyroid, testes), Neonatal Cephalic, Musculo-skeletal L14-5WE Linear Body surface (Conventional), Musculo-skeletal (Superficial), Peripheral vessel Abdominal, Intra-operative (abdominal, thoracic,...
  • Page 29 Probe Region Probe Type Intended Use model Applied Pediatric, Adult Cephalic, Cardiac Adult, Cardiac CW5s Pencil probe Body surface Pediatric Bi-plane CB10-4E (convex & Trans-rectal, Urology Transrectal convex) 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 Needle-guided Bracket...
  • Page 30 2.5.3 Options Item Remarks Contains ECG, PCG and pencil probe Physiology module socket assembly. DC-IN cable Physiology module should be configured. ECG cable Physiology module should be configured. PCG module Physiology module should be configured. 4D module Consists of 4D board and 4D software kit. CW module Gel Warmer Wireless Adapter (built-in)
  • Page 31 Item Remarks Gynecology Package should be configured iWorks Free Xros M Free Xros CM Tissue Doppler Imaging Cardiology Package should be configured. Tissue Doppler Imaging should be TDI QA configured. Contrast Imaging Contrast Imaging QA Contrast Imaging should be configured. LVO (Left Ventricular Opacification) Cardiology Package should be configured.
  • Page 32 2.5.4 Peripherals Supported Item Model Digital: SONY UP-D898MD, MITSUBISHI P95DW-N Black/white video printer Analog: SONY UP-X898MD Color digital printer SONY UP-D25MD, CANON SELPHY CP800 USB port: FS-81-SP-2 (1-pedal) USB port: 971-SWNOM (2-pedal) Footswitch USB port: 971-SWNOM (3-pedal) Bar code reader SYMBOL LS2208-SR, DS6707 This system complies with IEC60601-1-2:2007, and its RF emission meets the requirements of CISPR11 Class B.

  • Page 33: Introduction Of Each Unit

    Introduction of Each Unit System Overview 2-9...
  • Page 34 Name Function Monitor Displays the images and parameters during scanning. Touch screen panel Operator-system interface or control. Main control panel Operator-system interface or control. Storage compartment Used for placing small objects. Physio panel Used for connecting the ECG leads external ECG device and etc. Probe port Sockets connecting transducers and the main unit.

  • Page 35: I/O Panel

    Name Function Power supply panel Electrical port panel. USB_MIC port USB port and MIC port. Intracavitary probe Used for fixing the intracavitary probe. holder DVD-RW DVD-RW drive. Ultrasound gel holder/ Used for placing the ultrasound gel or installing the gel warmer. gel warmer Pencil probe holder Reserved.

  • Page 36: Power Supply Panel

    Symbol Function <4> Network port. <5> Audio signal input port, left channel. <6> Audio signal input port, right channel. <7> Audio signal output port, left channel. <8> Audio signal output port, right channel. <9> Used for separate video input. <10> Used for separate video output.
  • Page 37 Name Function Used for equipotential connection, that balances the protective <1> Equipotential terminal earth potentials between the system and other electrical equipment. <2> Power outlet Supply power for optional peripheral devices. <3> Circuit breaker Used for switching off/ on the power supply. <4>...

  • Page 38: Physio Panel (Ecg)

    Physio Panel (ECG) Name Function <1> Reserved port Port for reserved function. Connects to ECG leads, to directly obtain the ECG signals of ECG lead signal input the patient. <2> port / external ECG Connects the signal output port of external ECG monitoring signal input port device.

  • Page 39: Operation Panel

    2.10 Operation Panel System Overview 2-15...
  • Page 40 Exam Operation Control Symbol Name Function Type Functional End Exam End the current exam. button Patient Functional Enter/ exit Patient Info screen. Information button Probe/Exam Functional Switch probe and exam mode. switch button Functional Review Enter/ exit the Review screen. button Functional Report...
  • Page 41 Image operations Control Symbol Name Function Type Pressable Press to enter B mode; Rotate to adjust B mode gain. knobs Press to enter M mode, and rotate to adjust M gain; Pressable while in 3D/4D mode, rotate the knob to make the 3D knobs image to rotates around X axis.
  • Page 42 Control Symbol Name Function Type Pressable Press to enter 4D function; rotate to make the 3D knobs image rotation. Control Symbol Name Function Type Undefined Undefined Button, set by the user in preset. Button Undefined Undefined Button, set by the user in preset. Button Functional Enter single window in multiple window mode.
  • Page 43 Parameter Adjustment Control Symbol Name Function Type Slide bar Adjust the depth gain. Deflector Adjust scale parameter. Deflector Adjust baseline parameter. Pressable Rotate to enter the pan zoom mode, and press to enter Zoom knobs the spot zoom mode. Deflector Depth Adjust depth in real-time imaging.
  • Page 44 Measurement, Comment, and Body Mark Operations Control Symbol Name Function Type Functional Caliper Enter or exit the general measurement mode. button Functional Measurement Enter/ exit the application measurement mode. button Functional Comment Enter/ exit the textual comment status. button Functional Arrow Enter/ exit the arrow comment status.
  • Page 45 Keyboard  Common functional keys Function Confirm the input data; or moves the cursor to the head of Enter next row of the text or the input field. Cancel the operation or exit. Jump to the next operable item. Back space Insert a space.
  • Page 46  Functions of key combination The system supports multi-language input; you can use the key combinations. The key combinations include [Shift], [Alt Gr], [Ctrl] and some alphabet keys.  <Shift> key <Shift> + key: input the upper left letter of the key. For the alphabet keys (<A>~<Z>), press <Shift>+key to input the letter of different case with the current state.

  • Page 47: Symbols

    2.11 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 Dangerous voltage AC (Alternating current) Functional grounding Equipotentiality protective earth Circuit breaker ON/OFF Power button Footswitch Transducer sockets Network port...

  • Page 49: System Preparation

    System Preparation 1. Do not connect the three-wire cable of the system with a two- WARNING: wire plug without protective grounding; otherwise, electric shock may result. 2. Do connect the power plug of this system to wall receptacles that meet the ratings indicated on the rating nameplate. If adapters or multifunctional receptacles are used, it may cause the leakage current to exceed the safety requirement.

  • Page 50: Connecting Power Cord & Protective Grounding

    Connecting Power Cord & Protective Grounding 3.2.1 Connecting Power  The power system must meet the following requirements: Voltage:220-240V Power supply frequency: 50/60Hz Power consumption: greater than 800VA  The connection method is described as follows: 1. Push the retaining clamp upward, and insert the power plug into the receptacle, as shown in the figure below.
  • Page 51 3.2.2 Equipotential terminal The symbol represents the equipotential terminal that is used for balancing the protective earth potentials between the system and other electrical equipment. 1. Be sure to connect the equipotential wire before inserting the power plug into the receptacle; be sure to pull out the power WARNING: plug from the receptacle before disconnecting the equipotential wire;...
  • Page 52 Check Item Ensure that all connections are free from damage and remain clear of foreign object blockages. There shall be no obstacles around the system and its air vent. Probe cleaning and disinfection. The overall scanning environment and field must be clean. The locking mechanism of casters can work normally.

  • Page 53: Monitor Adjustment

    3.2.5 Standby When the battery capacity is charged to the full capacity, the standby time of the system is no less than 24 hours. Standby condition: only 5V_STB power are available, and the standby indicator turns orange.  To enter standby: Open [Setup] →[System Preset] →“General”...
  • Page 54  Rotate the monitor The monitor can turn left 90 degrees to the right 150 degrees along with the support arm.  Tilt the monitor When positioned vertically, the monitor can be tilted for 20° backward and to the horizontal position forward.
  • Page 55  Lock the monitor If the ultrasound system is required to be moved within a short distance (for example: move to other department), turn the monitor to the horizontal level, push it to the locking structure, and then the monitor can be locked. For more details, please refer to the operation diagram that is attached to the supporting arm.

  • Page 56: Control Panel Position Adjustment

    Control Panel Position Adjustment Press the control lever at the side of control panel handle to position 2, the control panel can be rotated ± 90° ; press the lever to position 3, the control panel can be move upwards or downwards. 3-8 System Preparation...

  • Page 57: Connecting A Probe

    Connecting a Probe 1. Press <Freeze> to freeze an image or turn off the power of the system CAUTION: before connecting / disconnecting the probe. Otherwise, system or probe failure may occur. 2. When connecting or disconnecting a probe, place it in a proper position, to prevent the probe from falling off or becoming damaged.

  • Page 58: Connecting Peripheral Devices

    Connecting Peripheral Devices 3.6.1 Connecting USB Devices DO NOT directly remove a USB memory device; otherwise, the WARNING: USB device and/or the 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 symbol will appear in the lower right corner of the screen.
  • Page 59 3.6.3 Installing a Graph/Text Printer A graph / text printer is connected to the system via the USB port. 1. Connect the data cable to the USB port on the ultrasound system. 2. Plug the printer power cord to an appropriate outlet. 3.
  • Page 60 3.6.4 Position the Printer As shown in the following figure, you can place the black/white analog video printer in the video printer compartment, and place the color printer on the table at the rear side of the machine. Black/white printer compartment Color printer table...
  • Page 61  Color analog video printer: use the I/O panel at the rear side of the machine to connect the printer, as shown in the following figure: Connect the remote cable of the printer Connect to S-Video out cable 4. Load a paper roll, and turn on the system and printer. 5.
  • Page 62 3.6.6 Installing Digital Video Printer 1. Put the printer in a proper place. 2. Plug the printer power cord to an appropriate outlet. 3. Use a USB cable to connect between the USB port of the system and the USB port of the printer.

  • Page 63: 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 of images saved, help information & cursor icon, soft menu, system status icon and etc.
  • Page 64  Image area The image area displays the ultrasound images, ECG waveforms, probe mark (or activating window mark), time line (in M or PW mode), coordinate axis (including depth, time, velocity/frequency), focal position (located at depth axis in the form of ), besides, the annotation, body mark, measurement calipers, color bar/grayscale bar are also display here.
  • Page 65 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 Tab Contents Controls Composition Description The title bar is used to give a description for the content and function of the Title Bar screen.
  • Page 66 3.7.3 Menu Operation Use the trackball or the multifunctional knob to operate on the menu. Menus of different modes display in real-time at the upper left corner of the screen. Menu title Extend button Menu item Sub menu item For details about menu operation of measurements, please refer to the [Advanced Volume]. Operate the menu by the multifunctional knob.

  • 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, you have to enter the patient information first.  New exam: to start a new exam for an already registered patient; the recorded information can be obtained either through 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: 1.
  • Page 69  Also, you can manually enter the age. NOTE: When you enter the date manually, please enter it in the format as that of the system. Exam Preparation 4-3...
  • Page 70 2. 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 71 Exam Type Information Description Gestations Number of embryos (1, 2, 3, 4) Para Times of delivery. Aborta Times of abortion. Last menstrual period. Gravida Times of pregnancy. Para Times of delivery. (Gynecology) Ectopic Times of abnormal pregnancy. E.g. extrauterine pregnancy. Aborta Times of abortion.
  • Page 72  [Pause Exam]: to pause the current exam due to some special causes or system power off.  [Cancel Exam]: to cancel the current exam. The cancelled exam can’t be restored. NOTE:  [New Patient]: click to clear the current patient information in the patient information screen in order to input new patient information.
  • Page 73 Button Function Description Review an Click to enter the Review screen. Image Patient Click to enter the Patient Info screen. Information Review Click to enter diagnostic report screen. Report Delete Exam Click to delete the selected record. Click to back up the selected patient record to media Backup Exam supported.
  • Page 74 3. Guarantee the data source: after select the service type, select the worklist server from the corresponding server (DICOM and HL7 server). 4. Input the searching condition: Input the searching condition: Select “DICOM server”. You can search via patient ID, accession #, key words, AE title, worklist server or exam date.

  • Page 75: Select Exam Mode And Probe

    Select Exam Mode and Probe If the exam mode is changed during a measurement, all measurement CAUTION: calipers on the image will be cleared. The data of general measurements will be lost, but the data of application measurements will be stored in the reports.

  • Page 76: Select The Imaging Mode

    Select the Imaging Mode For detailed operations in each imaging mode, please refer to “5 Image Optimization” chapter. Activate& Continue an Exam 4.4.1 Activate an Exam In iStation screen, select the exam record finished within 24 hours, and click [Activate Exam] from the menu popped up;...
  • Page 77  Click [New Exam] on the Patient Info screen (or iStation screen, or Review screen) to end the last exam and clear the exam data. Exam Preparation 4-11...

  • Page 79: Image Optimization

    Image Optimization The images displayed in this system are only reference for WARNING: 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 80 2. Other application mode entrance: displays the available application modes related; touch to enter the modes. 3. Parameter adjusting area: displays the parameters in the current imaging mode or function. Parameter magnitude setting: touch ► or ◄ to increase/ decrease the value. ...
  • Page 81  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.  Functional item: touch to go to the corresponding function. ...

  • Page 82: B Mode Image Optimization

    B Mode Image Optimization B mode is the basic imaging mode that displays real-time images of anatomical tissues and organs. 5.2.1 Basic Procedures for B Mode Imaging 1. Enter the patient information; select an appropriate probe and exam mode. 2. Press <B> on the control panel to enter B mode. 3.
  • Page 83 Gain Description To adjust the gain of the whole receiving information in B mode. The real-time gain value is displayed in the image parameter area in the upper right corner of the screen. Operations Rotate the <B> knob clockwise to increase the gain, and anticlockwise to decrease.
  • Page 84 Focus Description Refers to adjustment of focus of the ultrasonic beams, symbols as “ ” of which are displayed on the right of the image. Operations Adjust the focus number through the [Focus Number] item on the touch screen. Use the <Focus> deflector rod on the lower right part of the control panel to adjust the focus position.
  • Page 85 Operations Rotate the knob under the [Dyn Ra.] item on the touch screen to adjust the dynamic range. Rotate the knob clockwise to increase the value; rotate the knob counterclockwise to decrease the value. Impacts The more the dynamic range, the more specific the information, and the lower the contrast with more noise.
  • Page 86 Effects Images can be optimized with less spot noise and higher resolution, so that more details for the structure are revealed. Impacts iBeam is valid for linear and convex probes, and it is not available when ExFOV function is turned on. Image Merge Description In the Dual-split mode, when the images of the two windows have the same probe...
  • Page 87 H Scale Description Display or hide the width scale (horizontal scale). The scale of the horizontal scale is the same as that of vertical scale (depth), they change together in zoom mode, or when the number of the image window changes.

  • Page 88: M Mode Image Optimization

    M Mode Image Optimization 5.3.1 Basic Procedures for M Mode Imaging 1. Select a high-quality image during B mode scanning, and adjust to place the area of interest in the center of the B mode image. 2. Press <M> on the control panel, and roll the trackball to adjust the sampling line. 3.
  • Page 89 5.3.3 M Mode Image Optimization Gain Description To adjust the gain of M mode image. The real-time gain value is displayed in the image parameter area in the upper right corner of the screen. Operations Rotate the <M> knob clockwise to increase the gain, and anticlockwise to decrease.
  • Page 90 Edge Enhance Description This function is used to enhance image profile so as to distinguish image boundary for optimization. Operations Adjust through the [Edge Enhance] item on the touch screen. There are 3 levels of edge enhance adjustment available, the bigger the value the stronger the effect.

  • Page 91: Color Mode Image Optimization

    Color Mode Image Optimization The Color mode is used to detect color flow information, and the color is designed to judge the direction and speed of blood flow. Generally, the color above the color bar indicates the flow towards the probe, while the color below the color bar indicates the flow away from the probe;...
  • Page 92 ROI Adjustment Description This function is to adjust the width and position of ROI in Color mode. Operations When the ROI box is dotted line, roll the trackball to change the size. When the ROI box is solid line, roll the trackball to change the position. Press <Set>...
  • Page 93 Line Density Description Line density determines the quality and information of the image. Operations Adjust through the [Line Density] item on the touch screen. There are 4 levels of line density provided: H, L, UH, M. Effects The higher the line density, the higher the resolution. Impacts The higher the line density, the lower the frame rate.
  • Page 94 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 upper right corner of the screen. Operations Use the <Scale>...
  • Page 95 Operations Select through the [WF] item on the touch screen. There are 8 levels of wall filter function available. Select the value according to the actual situation. Impacts Flow signals may be missing. Smart Track Description To optimize image parameters as per the current tissue characteristics for a better image effect.

  • Page 96: Power Mode Image Optimization

    Power Mode Image Optimization Power mode provides a non-directional display of blood flow in the form of intensity as opposed to flow velocity. DirPower (Directional Power mode) provides additional information of flow direction towards or away from the probe. 5.5.1 Basic Procedures for Power Mode Imaging 1.
  • Page 97 Color Map Description This feature indicates the display effect of Power image. The maps in the Power mode image are grouped into two categories: Power maps and Directional Power maps. Operations To select among the maps, turn the knob under [Color Map] on the touch screen. There are 8 kinds of maps provided: P0-3 belong to Power mode maps, while Dp0-3 belong to Directional Power mode maps.

  • Page 98: Pw/Cw Doppler Mode

    PW/CW Doppler Mode PW (Pulsed Wave Doppler) mode or CW (Continuous Wave Doppler) mode is used to provide blood flow velocity and direction utilizing a real-time spectral display. The horizontal axis represents time, while the vertical axis represents Doppler frequency shift. PW mode provides a function to examine flow at one specific site for its velocity, direction and features;...
  • Page 99 Parameter Angle Meaning Frequency Gain Wall Filter SV Position Angle  During PW/CW mode imaging, menus of image optimizing for B mode and PW/CW mode are displayed on the touch screen at the same time; if there is also Color mode (Power mode) working, menus of certain modes will also be displayed on the touch screen synchronously, and you can switch by clicking the mode tabs.
  • Page 100 Operation Rotate the knob under the [Image Quality] on the touch screen to select the different frequency values. The adjusting range of frequency values can be divided into 3 levels, penetration preferred, (Pen), general mode (Gen), resolution preferred (Res). Please select the frequency according to the detection depth and current tissue features.
  • Page 101 Invert Description This function is used to set the display manner of spectrum. Operations Turn on or off the function through the [Invert] item on the touch screen. Select “Auto Invert” in the “[Setup] (F10) → [System] → [Image]”, thus the spectrum can automatically invert when the color flow is steered to a certain angle to accommodate operator’s habit of distinguishing flow direction.
  • Page 102 Sensitivity The smooth sensitivity can be adjusted through the [Trace Sensitivity] item on the soft menu. The system provides 5 levels of trace sensitivity adjustment. The bigger the value is, the higher the smooth sensitivity becomes. Trace Area To set the trace area of the Doppler wave in the spectrum map, applicable for auto calculation.
  • Page 103 Angle Description This function is used to adjust the angle between Doppler vector and flow to make the velocity more accurate. The real-time adjusting angle value is displayed on the right part of the spectrum map. Operations Rotate the <Angle> knob on the control panel to adjust. The adjustable angle range is -89~89°...

  • Page 104: Color M Mode

    Color M Mode Color M mode provides information of color flow or tissue on the M mode images to indicate cardiac motion state. It is highly sensitive to the flow or tissue movement. The Color M mode includes Color Flow M mode and Color Tissue M mode. 5.7.1 Enter Color M Mode ...

  • Page 105: Anatomical M Mode

    Anatomical M Mode Anatomical M Mode and Color Anatomical M mode images are CAUTION: provided for reference only, not for confirming a diagnosis. Please compare the image with that of other machines, or make diagnosis using none-ultrasound methods. For an image in the traditional M mode, the M-mark line goes along the beams transmitted from the probe.
  • Page 106 Display/ Hide the M-mark Line There are 3 M-mark lines available, each with a symbol of “A”, “B” or “C” at the one Description end as identification and an arrow at the other end as a mark for direction. M-mark Line Perform the selection through the [Show A], [Show B] or the [Show C] item on the Selection touch screen, and the corresponding image will be displayed on the screen once...
  • Page 107 5.8.2 Free Xros CM (Curved Anatomical M-Mode) Free Xros CM images are provided for reference only, not for CAUTION: confirming a diagnosis. Please compare the image with that of other machines, or make diagnosis using none-ultrasound methods. In Free Xros CM mode, distance/time curve is generated from the sample line manually depicted at anywhere on the image.

  • Page 108: Tdi

    TDI mode is intended to provide information of low-velocity and high-amplitude tissue motion, specifically for cardiac movement. There are 4 types of TDI mode available:  Tissue Velocity Imaging (TVI): This imaging mode is used to detect tissue movement with direction and speed information.
  • Page 109 5.9.3 TDI Image Optimization In each TDI mode, parameters that can be adjusted are similar to those in the color flow modes (Color, PW, and Power); please refer to the relevant sections for details. The following is to introduce the specific items in TDI mode. Tissue State Description This function is used for fast image optimization.
  • Page 110 5.9.4.1 TDI QA Screen Description TDI QA Screen (take Speed – Time curve as an example) 1---TVI Cineloop window Sample area: indicates sampling position of the analysis curve. The sample area is color-coded, 8 (maximum) sample areas can be indicated. 2---B Cineloop window Tips: ...
  • Page 111  Standard ROI 1. Tap [Standard ROI]. The standard ROI is displayed when the cursor moves into the review area (TDI review window or 2D grey review window). 2. Review to the desired frame. Roll the trackball to one cine review window. 3.

  • Page 112: 4D

    5.10 3D/4D NOTE: 3D/4D imaging is largely environment-dependent, so the images obtained are provided for reference only, not for confirming a diagnosis. 5.10.1 Overview Ultrasound data based on three-dimensional imaging methods can be used to image any structure where a view can’t be achieved by standard 2D-mode to improve understanding of complex structures.
  • Page 113 image Cut plane  ROI size and position Roll the trackball to change the ROI size and position, press the <Set> key to toggle between setting the size (dotted line) and position (solid line).  Curved VOI adjustment Roll the trackball to change the curved VOI position, press the <Set> key to switch among the state of changing ROI and curved VOI.
  • Page 114 A window B window C window 3D window (VR)  On the touch screen, the current window’s icon is highlighted; as shown in the following, A window is the current activated window. A, B, C sectional images are corresponding to the following sections of 3D image. ...
  • Page 115 orientation mark is orientating the mother’s head, then the fetus posture is head down in the 3D image, you can make the fetus head up by rotating the 3D image by touching [180° ] on the touch screen. The ultrasound images are provided for reference only, not for CAUTION: confirming a diagnosis.
  • Page 116 The region desired is isolated by amniotic fluid adequately. The region to imaging is not covered by limbs or umbilical cord. (4) The fetus keeps still. If there is a fetal movement, you need a rescanning.  Angle of a B tangent plane The optimum tangent plane to the fetal face 3D/4D imaging is the sagittal section of the face.
  • Page 117 Draw a circle on the desired area. Move ROI over the circle to adjust the size and position of ROI. Roll the trackball or press <Set> to adjust ROI. Draw a circle here ROI cover this area Move the cursor over the VOI, and move the cursor to the desired area to adjust the VOI curve.
  • Page 118 5.10.3.2 Static 3D Acquisition Preparation Parameters description: Type Parameter Description Function: to set the range for imaging. Angle Range: 10-80° . Parameter Function: to adjust the image quality by changing the line adjusting density. Image quality can affect the imaging speed that the Quality better the image quality, the longer the time.
  • Page 119 MPR Viewing In actual display, different colors of the window box and the section line are used to identify the MPR A, B and C.  The color of window A is blue, and the color of the lines (representing MPR A) displayed in the other two windows is blue as well.
  • Page 120 a. Up/Down b. Down/Up c. Left/Right d. Right/Left e. Front/Back f. Back/Front View Direction Touch [Up/Down], [Left/Right] or [Front/Back] on the second page of the touch screen to select the direction of the above Figure a, c and e. Touch [Flip] on the touch screen to observe by the converse direction of the current direction, as shown in the Figure b, d and f.
  • Page 121 Touch [VOI] to be “Off”, then the ROI image is displayed on the screen, roll the trackball to observe MPR.  Accept VOI 1. This function is usually used for MPR observation and to determine the relative position of the MPR to the VR.
  • Page 122 Parameter Description Function: to set the contrast of VR. Contrast Range: 0%-100%. Tint Switch on/off tint map, selection: Off, 1-8. To quickly rotate the VR. VR Orientation Selection: 0° , 90° , 180° , 270° . Enhances B mode image profile for better boundary details. iClear Range: Off, 1-7.
  • Page 123 Parameter Description The above five rendering manners can be applied to both gray and inversion modes. Where, inversion is to inverse the grayscale of the 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 124 Inversion  Function: vessel shape is correct with the capture target. The vessel wall is smooth and clear. Move the light  This function is to adjust the position of the light source as VR is considered. The image becomes clearer as keeping closer to the light. ...
  • Page 125 Sync This function is to switch the view direction which is perpendicular to the current active plane, so as to get a better observation of VR. In the following graph, the current active plane is MPR A and after performing Sync on Figure A, you can see a same fetal face profile in VR.
  • Page 126 b) When the start point and the end point coincide, the region is selected or you can press <Set> twice to finish tracing. c) Move the cursor to the region you want to cut and press <Set> again to cut. ...
  • Page 127 5.10.4 4D 4D provides continuous, high volume acquisition of 3D images. During the scanning, the probe performs the scanning automatically. Image acquisition operations of 4D are basically similar with that of Static 3D, the only difference is: in static 3D mode, only a single frame 3D image captured, while in 4D mode, continuous, high volume acquisition of 3D images are provided.
  • Page 128 5.10.4.4 4D Image Saving  In the 4D Review mode, press <Save> (with user-defined saving function) to save the current image to the patient information management system in the set format.  Save cine: in 4D viewing mode, press the user-defined save key to save CIN-format clip to the hard drive.
  • Page 129 5.10.5 Smart 3D The operator manually moves the probe to change its position/angle when performing the scanning. After the scanning, the system carries out image rendering automatically, and then displays a frame of 3D image. Smart 3D is an option. 4D probe does not support Smart 3D.
  • Page 130 5.10.5.2 Smart 3D Acquisition Preparation Press <3D> to enter Smart 3D mode. Parameter NOTE Function: to select the probe moving method. Selection: Fan, Linear. Fan mode: during the sweep, the probe may not be moved parallel, the speed at which you scan should be constant, about 2cm/s. Fan mode: in this mode, the probe must be moved to a position where you Method can clearly see a middle cut of the object you want to scan and render.
  • Page 131 5.10.5.4 Smart 3D Image Viewing In VR viewing, the system supports the following functions:  Render setting.  B-mode parameters adjustment.  Set the display format.  View MPR.  Image zooming.  Rotation.  Image edit.  VR parameters adjustment. ...
  • Page 132 5.10.6 STIC (Spatio-Temporal Image Correlation) STIC function provides sectional images of high spatial resolution as well as good time resolution, which is mainly used in fetal heart observation and cardiac hemodynamic exams. STIC is an option. Only probe D7-2E, D8-2E and D6-2NE support STIC function. Acquired images are post processed to calculate a Volume Cine sequence representing one complete heart cycle.
  • Page 133 5.10.6.1 Basic Procedures for STIC 1. Obtain a feasible 2D image (fetus heart). To observe a small structure, zoom in the interested part (Usually Spot zooming is applied for good image quality). 2. Press to enter 3D/4D acquisition preparation mode. 3.
  • Page 134  Angle The range from acquisition beginning to acquisition end. Range: 10～75° . 5.10.6.3 Color STIC 3D The system also supports color STIC 3D flow image function. For details, please refer to “5.10.10 Color 3D”. 5.10.7 3D Layout The function compiles the 3 MPRs together according to their relative positions, which provides a much clearer interior anatomical structure.
  • Page 135 5.10.8 iPage is iPage + SCV function. iPage (Multi-Slice Imaging) is a “Visualization” mode for displaying iPage sectional images. The data is presented as slices through the data set, which are parallel to each other. When SCV (Slice Contras View) function is turned on, the system expands the parallel section images into a slice region with a specified thickness, and draw this region with 3D rendering effect to enhance the image.
  • Page 136 5.10.8.2 Basic Screen & Operation <9> <10> <7> <8> <13> <11> <12> <4> <1> <5> <6> <2> <3> <14> <1> plane (the current <2> B plane <3> C plane reference image) <4> Central slice line(Current <5> Slice line <6> Space between two slice active slice) lines <7>...
  • Page 137  Touch to place the slice lines vertically, and touch to place the slice lines horizontally.  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 ...
  • Page 138 Before After 5-60 Image Optimization...
  • Page 139  Image rotation Rotate <M>, <PW>, <Color> 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 140 7. Draw on the reference image. You can draw three curves at most and the CMPR imaging for the curve are displayed in the selected [1], [2] or [3] window respectively as shown in figure below. 8. Perform rotation and shifting operation to reference line. 9.
  • Page 141 3. After tracing, press left <Set> key to change tracing outline position. Touch [Reset Curve] to cancel current drawing.  Spline 1. Touch [Spline] on the touch screen. 2. Rotate the trackball to place the cursor and press right <Set> key to fix the starting point, move the cursor along the area of interest and press right <Set>...
  • Page 142 5.10.10 Color 3D Color 3D imaging provides more visualized flow information, especially in heart and kidney application, which helps in observing cardiovascular diseases. Color 3D is an option, which includes color Smart 3D, color STIC and color static 3D flow imaging. Only probe D7-2E, D8-2E, D6-2NE, DE11-3E and DE10-3E support Color 3D (except color STIC) imaging.
  • Page 143 5.10.11 Smart Volume The system provides a fast volume calculation method, using computer technology to define and enclose a boundary of the target within the VOI 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.
  • Page 144 5.10.11.3 Operation Controls Edit ROI (Region of Interest) Adjusting the ROI box size and position is to select the volume data needed for calculation. (1) Touch [Edit ROI] on the touch screen to be on (green highlighted status). (2) Select a desired MPR image by touching [A], [B] or [C]. (3) Roll the trackball to adjust ROI position and size, and press <Set>...
  • Page 145 5.10.12 iLive iLive brings you a better imaging experience by adding light rendering effect to the traditional way. It supports global lighting mode as well as partial scattering mode, allowing human tissue texture to be revealed more clearly. iLive is an option, it is available under Smart 3D, Static 3D and 4D mode. To use iLive function, you also have to firstly configure Smart 3D module or 4D module.
  • Page 146  Light source adjustment This function is to adjust the position of the light source as VR is considered. Select the direction by touching the buttons under “Light Position” box.  At the front In the back On the left On the right On the upper On the lower...
  • Page 147 5.10.13 Smart FLC (Smart Follicles Calculation) CAUTION: Smart FLC result is provided for reference only, not for confirming a diagnosis. Note: Smart FLC is an optional function, and it is not available in Smart 3D mode. The probe D7-2E, D8-2E, D6-2NE, DE11-3E and DE10-3E support the Smart FLC function. 5.10.13.1 Basic Procedures 1.
  • Page 148 Touch [Undo], [Redo] or [Undo All] on touch screen to undo, redo or cancel previous editing. Zoom Same as those in 3D/4D mode. Comments and Body Marks Same as those in other modes. Measurement 2D related measurement can be performed on MPR. For details, please refer to [Advanced Volume].
  • Page 149 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 select a clear sectional image.
  • Page 150 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: off, 1-7 in increment of 1. Impacts The bigger the value of iClear is, the less the noise becomes. Auto Comment The system adds the orientation and the organ comments to the desired area according to the active ultrasound image.
  • Page 151 Reference line rotating Acquire 3D data. Tap [S-Planes CNS] to enter the automatic detection of the mode. Press <Cursor> to show the cursor. Move the cursor over the red line of the MSP plane. Press left <Set> to select the red reference line after the cursor becomes hand-shaped. Then, the red reference line becomes dotted line.
  • Page 152 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> to activate the caliper (becoming green). Move the trackball and press <Update> to modify the length and the position of the caliper.

  • Page 153: Iscape View (Real-Time Panoramic Imaging)

    5.11 iScape View (Real-time Panoramic Imaging) The iScape panoramic imaging feature extends your field of view by piecing together multiple B images into a single, extended B image. Use this feature, for example, to view a complete hand or thyroid. When scanning, you move the probe linearly and acquire a series of B images, the system pieces these images together into single, extended B image in real time.
  • Page 154 To create an iScape image, you start with an optimized 2D (color) image. The 2D image serves as the mid-line for the resulting iScape image. 1. Press the <Update> key or touch [Start Capture] on the touch screen to start the iScape image capture.
  • Page 155  Image size Tap [Actual Size] to display the image in its actual size. Tap [Fit Size] to display the image in an appropriate size according to the current window.  Tint map Press the knob under [Tint Map] to activate the function, and then change the effect by rotating the knob.
  • Page 156  Skin line is continuous.  The images are captured from the same plane.  There is no large black area in the image. 5.11.4 Cine Review Click [Review Cine] on the touch screen in panoramic image viewing status to enter cine reviewing mode.

  • Page 157: Contrast Imaging

    5.12 Contrast Imaging 2D contrast imaging is used in conjunction with ultrasound contrast agents to enhance imaging of blood flow and microcirculation. Injected contrast agents re-emit incident acoustic energy at a harmonic frequency much more efficient than the surrounding tissue. Blood containing the contrast agent stands out brightly against a dark background of normal tissue.
  • Page 158 5.12.2 Left Ventricular Opacification Basic Procedures for LVO: 1. Acquire ECG signal； 2. Press to open Probe/Exam Mode selecting dialogue box; 3. Select P4-2NE or SP5-1E probe and LVO exam mode; 4. Workflow of LVO is similar to abdomen contrast imaging. For details, please refer to “5.12.1 Basic Procedures for Contrast Imaging”.
  • Page 159 Type Parameter Description In real time mode, the time displayed is the elapsed time. Timing (If timer is In freeze mode, the timer stops working, the frozen time is “ON”) displayed. 5.12.3.2 Image Optimization Parameters in Contrast mode are similar to those in B mode; please refer to B chapter for details, special Contrast imaging parameters are introduced in the following.
  • Page 160  In freeze mode, there displays only one cine review progress bar as the contrast image and tissue image are reviewed synchronously. 5.12.3.6 Mix Map This function is to mix the contrast image with the tissue image, so that interested contrast regions can be located.
  • Page 161 5.12.6 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 162  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> at this time, the frame marker will move to the spot. 5.12.6.2 Basic Operations of Contrast QA QA Analysis Image Range The system set the starting time and ending time of the cine to be first frame and last frame of QA...
  • Page 163 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. This function can be used to track detailed tissue information. Export/Save Trace Data 1. Touch [Export] on the touch screen. 2.

  • Page 164: Elastography

    5.13 Elastography CAUTION: It is provided for reference, not for confirming a diagnosis. 5.13.1 Strain Elastography 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 165  Exit Press <B> or <Elasto> on the control panel to exit and enter the mode. 5.13.1.3 Pressure Hint Curve The screen displays the pressure curve in real-time: Where, the X-axis represents time and Y-axis represents pressure. 5.13.1.4 Parameter adjusting ROI Adjustment Description To adjust the width and position of ROI in Elasto imaging.
  • Page 166 5.13.1.5 Mass Measurement Press <Measure> to enter measurement status. You can measure shell thick, strain ratio, strain-hist and etc. For details, please refer to [Advanced Volume]. 5.13.1.6 Cine Review Press <Freeze> or open a cine file of elastography imaging to enter cine review status. 5.13.2 STE Imaging (Sound Touch Elastography) Keep the probe still to produce the elastography image in real-time 2D mode.
  • Page 167 Freeze the image, and replay the image if necessary. Perform the measurement or add comment/body mark to the image if necessary. Save the single-frame and multi-frame image. Acquire high-quality image if necessary (for details, refer to “5.13.2.2 STE Mode Image Optimization”).
  • Page 168 Operation Tap each soft key on the touch screen to complete the adjustment. The system provides 3 types of display format: H 1:1; V 1:1; Full. Impacts More accurate result is obtained based on the actual situation. HQElasto Description Turn on high-quality scanning mode to optimize penetration. Operation Tap [HQElasto] to enable the function and the button will be highlighted.
  • Page 169 Invert Description Invert the map to satisfy the different doctors to define the benign lesion or malignant lesion. Operation Tap [Invert] to enable the function (the soft key is highlighted). iLayering Description To increase the layer display in elasto images. Operation Tap [iLayering] to enable the function.
  • Page 170 Adjust the ROI based on the lesion size and the position, and rotate [Fixed ROI] knob or move the trackball to adjust the ROI size and the position. Press <Update> to generate the acquisition. Place the probe still with stable force (not pressing, sweeping or moving the probe) to acquire the image.
  • Page 171 Elasto Curve and Metric Display the changes of elasto metric’s average value inside the ROI by elasto Description curve. It is convenient to the doctor to choose the stable measurement result. The square height of the elasto curve (Y-axis represents elasto metric; X-axis represents the time) represents the average value of the elasto metric for current frame.
  • Page 172 Filtering Description This feature is used to filter the noise of the elasto image. Operations Rotate the knob under the [Filter] item on the touch screen. The higher the level is, the smaller the noise of the elasto image becomes, and the clearer the edge of the field target appears.

  • Page 173: Stress Echo

    5.14 Stress Echo Stress echo data are provided for reference only, not for confirming a CAUTION: diagnosis. Stress Echo is an option, only the phased probes support stress echo function under the cardiac mode. 5.14.1 Overview The Stress Echo feature allows you to capture and review cardiac loops for multiple-phase (multiple-stage) Stress Echo protocols.
  • Page 174  Non-continuous stages:  To save acquired images for the selected view, touch [Save Clip] on the touch screen or press <Save1> (<Save2>) key on the control panel, and the system goes to the next view for acquisition by default, saved views are marked by green “√”. ...
  • Page 175 5.14.3 Selecting Preferred Stress Echo Loops (Select Mode) The selected clips are used for analysis in the review mode and wall motion scoring mode. Select Mode is used for the selection of the best loops of the examination. When acquisition is ended, select mode is enabled automatically. In Select Mode, you can select the representative loop (“preferred”...
  • Page 176 Selection Description For continuous acquisition, when bookmark is set “On”, only the Bookmark selected loops for the current view can be displayed. Delete Unselected Delete clips that are not selected. If selected, the system will delete all clips that are not selected after the exam is ended. Suspend Pause the stress echo exam but not end the stress echo exam.
  • Page 177  To display all phases for a specific view: Select the view label (for example, Long Axis). The system displays all phases for the selected view.  To display a loop in full-screen format: 1. Double-click the loop to display in full-screen format. 2.
  • Page 178 5.14.5 Maintenance and Protocol 5.14.5.1 Maintenance Select “<F10 Setup>  [Stress Echo]  [Maintenance]” to enter the screen. 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.
  • Page 179 Access the Protocol Editor dialog box by clicking [Protocol] in [Setup]  [Stress Echo]  [Protocol], or clicking [Edit] on the Select Protocol screen as shown in the figure below: Item Function Description Protocol name Enter the protocol name. Trigger Set the trigger type.
  • Page 180 Select the number of loops to acquire (per view in the selected phase) in the Loops list (for non-continuous stages). Select the type: exercise or drug. 4. For each view (all views display for each phase): Select “new view” in the View list. Select a standard view from the Standard View list.

  • Page 181: Tissue Tracking Quantitative Analysis (Qa)

    5.15 Tissue Tracking Quantitative Analysis (QA) Apart from TDI imaging function, the system also provides tissue tracking QA function for myocardial movement evaluation. By tissue tracking QA function, the ultrasound system will scan each pixel position by frame within the cardiac cycle, and then use region matching method and auto-correlation searching method to trace each spot and calculate the movement, so as to determine myocardial motion in a more quantitative way.
  • Page 182 5.15.2 Tissue Tracking QA Screen Description 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. ESV: Maximum value of the end systolic volume (Left Ventricular) during the trace.
  • Page 183 Also on Bull’s Eye graph, the system displays TPSD value: Time to Peak Standard Deviation (TPSD):      TPSD     |  Where, standardized value of time to peak data: . (N is the number of time to peak data)Average value of standardized value of time to peak data: 4---Display curve: Velocity/ Displacement/ Strain/ Strain Rate.
  • Page 184 5.15.4 Myocardial Boundary Tracing  The system provides 2 kinds of tracing method for 2 kind of sections:  Long axis section (A4C, A2C, ALAX): 3-point method and manual tracing method are both available.  3-point method As shown in the following figure, after operation by pressing <Set> to place 3 points clockwise on the image, the system generates the trace automatically.
  • Page 185 5.15.5 Operation Controls Switch the operation controls  [Start Tracking]: touch to start tracking.  [Accept & Compute]: touch to start calculation and display the curve.  [Exit]: touch to exit tissue tracking.  [Parameter]: rotate to select the curve type. ...
  • Page 186 5.15.6 Bull’s Eye Display After tracking, the system can display Bull’s Eye graph, for judging the reverse movement or scope of myocardium. 1. Touch [Bull’s Eye] on the touch screen to turn on the function: You can acquire:  Time to peak value and peak value of the 17 segments; ...

  • Page 187: Display & Cine Review

    Display & Cine Review Splitting Display The system supports dual-split and quad-split display format. However, only one window is active.  Dual-split: press key on the control panel to enter the dual-split mode, and using the key to switch between the two images; press <B> on the control panel to exit. ...

  • Page 188: Freeze / Unfreeze The Image

    6.2.3 iZoom (Full Screen View) Function: to magnify the image in full screen. Procedures: 1. Press F8 (iZoom) to zoom in the image; the zooming area includes image area, parameter area, image banner, thumbnail area and so on. 2. Press F8 (iZoom) again to zoom in the image area only. 3.

  • Page 189: Cine Review

    Cine Review After you press the <Freeze> key, 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 after the <Freeze> key is pressed, and the operating method is the same. You can perform zoom, measurements, add comments and body marks on the images being reviewed.
  • Page 190  Auto Review  Reviewing all a) In the manual cine review status, press the knob under the [Auto Play] in the touch screen to activate auto cine review. b) Reviewing speed: In the auto cine review status, rotate the knob under the [Auto Play] in the touch screen to adjust the review speed.
  • Page 191 6.4.3 Cine Review in M/ PW/ CW/ TVD Mode Enter cine review in M/ PW/ CW/ TVD mode, and roll the trackball, the cine images are displayed on the screen one by one. Roll the trackball left or slide the screen left, the review progress slider moves to the left, the images moves to the right, and the earlier stored images are invoked.

  • Page 192: Image Compare

    Image Compare 6.5.1 Image Compare in Review Mode 1. Tap [Image Compare] on iStation screen (press <F2 iStation>) or Review screen (tap [Review]). 2. Select the images for comparison. Click to select the image, and the icon appears on the left side of the image, which indicates the image is to be compared.

  • Page 193: Cine Saving

    Cine Saving  Live capture Live capture refers to saving the images or cines in image scanning status; after the storage, the system continues image scanning. Live capture can be divided into 2 kinds: retrospective and prospective.  Retrospective saving is to save the specified images before the current moment; to save the images stored in the cine memory to the system hard disk.

  • Page 194: Setting Cine Length

    Setting Cine Length  Live capture:  Prospective Cine Length Prospective cine duration: set the time that the user tapping [Prospective] as the start time. The system proceeds saving the cine. Procedures: With the ECG disabled: tap [Cine] tab, and rotate [Time (Post)] knob to adjust it. With the ECG enabled: tap [Cine] tab.

  • Page 195: Physiological Signal

    Physiological 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 2.9 Physio Panel (ECG). ...

  • Page 196: Ecg

    9. Display effect of respiratory curve depends on the patient breathing status. While a very slow or smooth breathing may lead to an unapparent respiratory curve, breathing in a large amplitude may cause an incomplete display of the respiratory curve. 10.
  • Page 197 7.1.2 ECG Triggering 7.1.2.1 Overview ECG triggering means that image scanning is activated at some time points of ECG signals, thus obtaining B images at these time points. In most cases, the triggered images are 2D-mode images. For single/dual trigger, when ECG triggering occurs, a mark appears on the ECG waveform, indicating the time points when the B images are captured (corresponding to the delay time from R curve started).

  • Page 198: Pcg

    7.1.3 Parameter Description Parameter Description ECG Source Select ECG source. Function: to set the amplitude of ECG trace. ECG Gain Value: 0-30, in increments of 1. Function: to set the vertical position of the both traces on the image display. Position Value: 0%-100%, in increments of 5%.
  • Page 199 Auscultation area of pulmonary valve: the second intercostal space of the left sternum; Aortic valve auscultation area Pulmonary valve auscultation area Tricuspid valve auscultation area Mitral auscultation area Press <Physio> on the control panel. Tap [PCG] on. The PCG wave appears as the backlight becomes green.

  • Page 200: Respiratory Wave

    Respiratory Wave 7.3.1 Respiratory Wave Operation Basic Procedures 1. Connect the ECG lead and position the ECG electrodes. For details of ECG lead connection, see “7.1.1 ECG Operation Basic Procedures”. 2. Press <Physio> to enter Physio screen. 3. Switch the imaging modes and display formats, adjusting the parameters to get an optimized image.

  • Page 201: 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 measurements details, please refer to the [Advanced Volume]. 1. Be sure to measure areas of interest from the most optimal image WARNING: plane to avoid misdiagnosis from inaccurate measurement values.

  • Page 202: General Measurements

    General Measurements 8.2.1 2D General Measurements 2D general measurements refer to general measurements on images of B, Color, Power, or iScape imaging modes. The measurements listed below can be performed: Measurement Description Tools Distance(mm) Measures the distance between two points on the image. The distance between transducer surface and the probing point along Depth ultrasound beam.
  • Page 203 8.2.2 M General Measurements M general measurements refer to general measurements on M-mode, CM-mode, AM-mode images. The measurements listed below can be performed: Measurement Function Tools Distance The vertical distance between two points. Time The time interval between any two points. Measures the distance and time between two points and calculates the Slope slope.

  • Page 204: Application Measurement

    Application Measurement  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 fetal growth indexes (including EFW) as well as GA and EDD calculations. The fetus can be evaluated through growth graph analysis and fetal biophysical profile.

  • Page 205: Measurement Accuracy

    Measurement Accuracy Table 1 Error of 2D Images Parameter Value Range Error Distance Full screen Within ± 3%. Area Full screen Within ± 7%. Circ Full screen Within ± 10% Angle Full screen Within ± 3%. Volume Full screen Within ± 10 %. Full screen Within ±...
  • Page 206 Table 3 Contrast Performance Probe Max. Depth ≥4 V11-3HE ≥7 C7-3E ≥7 SC5-1E ≥4 L12-3E ≥10 C6-2GE ≥12 P4-2NE ≥4 V11-3E ≥4 V11-3BE ≥12 SP5-1E ≥8.5 C5-1E ≥4 L9-3E Table 4 Elastography Performance Accuracy of Probe Max. Spatial Strain Deviation of Repetition rate Geometric for the Type...

  • Page 207: Comments And Body Marks

    Comments and Body Marks 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 208 9.1.2 Touch Screen Display in Comment The system can be configured with comment text libraries including Abdomen, Cardiology, GYN (Gynecology), 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 209 9.1.3 Adding Comments  Typing comment characters 1. To set the comment location: Roll the trackball or press direction-control keys on the keyboard to move the cursor to the desired location for comments. 2. To type the alphanumeric characters: You can enter the characters through the keyboard or the soft keyboard on the touchpad. ...
  • Page 210 (2) Control Panel operation: a) Roll the trackball to a desired position, and press <Set> to confirm the start point. b) Roll the trackball to move the cursor along the edge of the desired region and trace the outline of the region. ...
  • Page 211 9.1.6 Deleting Comments  Deleting Comment Characters, Texts or Arrows 1. Move the cursor to the comment to be deleted. 2. Press the <Set> key to select the comment. 3. Press the <Back>, <Del.>, <Delete Text> or <Clear> key to delete the comment. ...

  • Page 212: Voice Comment

    Voice Comment The system supports adding voice comment to the frozen images. 9.2.1 Voice Comment Panel After the system enters the voice comment status, the voice comment panel will be displayed on the lower left corner of the screen. Duration Start/Stop Recording Recording...

  • Page 213: Body Mark

    Body Mark NOTE: After powering off, the system will clear all comments on the image. The Body Mark (Pictogram) feature is used for indicating the exam position of the patient and transducer position and orientation. The system supports body marks for Abdomen, Cardiology, GYN, OB, Urology, Small Part and Vascular applications.
  • Page 214 9.3.3 Moving Body Mark You can move the body mark graphics to any desired position within the image area. 1. Press <Cursor> and roll the trackball to move the cursor onto the body mark. The cursor then changes into , indicating you can move the pictogram to a new position. 2.

  • Page 215: Patient Data Management

    Patient Data Management An exam record consists of all information and data of one exam. An exam record consists of the following information:  Patient basic information and exam data  Image files  Report NOTE: DO NOT use the internal hard drive for long-term image storage. Daily backup is recommended.
  • Page 216 The system can save FRM files as BMP, JPG, TIFF or DCM files, or save CIN files as AVI, DCM files.  PC-compatible formats:  Screen file (BMP) Single-frame file format, used to save the current screen, non-compressed format;  JPG: Single frame export format.
  • Page 217 10.2.5 Quickly Saving Full Screen Image to the System Set user-defined key: select one key from [Preset]  [System]  [Key Config] page. Select “Full Screen” from “Output” column. Press the user-defined key to save the image. The format of the image is PNG. The full screen image is saved to the default path with the default name.
  • Page 218  To exit Review:  Click [Exit] on the Review screen  Press <ESC>.  Basic operations Select an exam from the “Exam History” drop-down list. Double-click a thumbnail to view and analyze an image. The function buttons are described as follows: ...
  • Page 219  [New Exam]: click to create a new exam for the selected patient and open the Patient Info screen.  [Activate Exam]: activate the currently selected exam (ended already) and enter the image scanning screen.  [iStation]: click to enter the iStation screen. ...
  • Page 220 10.2.9 iVision iVision function is used for demonstration of the images stored. Image files are played according to file names one by one (including the image of system-relevant and PC-compatible format). To perform image demonstration: 1. Enter iVision screen: Press the user-defined key for iVision (setting path: [Setup] → [System] → [Key Config]) 2.

  • Page 221: Report Management

    Operate the catalog or the files by the buttons on the right: [Add File]: to add files to the file list. [Add Catalog]: to add catalog of the files to the list. [Delete]: to delete the selected file or catalog in the file list. [Clear]: to clear all the files or catalogs in the file list.
  • Page 222 You can select the destination and select whether to remove local data.  Export report via Send To In iStation or Review screen, click [Send Exam] in the popped up menu to send patient data to an external memory device or iStorage, you can choose if reports are exported with images. See the figure below.

  • Page 223: Istation - Patient Data Management

    10.4 iStation - Patient Data Management The patient data include basic patient information, exam information, image files and reports. You can search, view, backup, send, restore or delete patient data in iStation.  To Enter iStation  Press <F2 iStation> key on the control panel; or ...
  • Page 224  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 225: Istorage

    To recover the deleted patient data, click at the lower right corner of the screen (when the button is gray, the operation is unavailable) to enter the Patient Recycle Bin screen. a) Select items to be recovered in the list. b) Select operations: ...

  • Page 226: Backup Files Through Dvd Drive

    10.6.2 Image Print Image printing is mainly achieved by video printer, and for DICOM image printing, refer to DICOM chapter. 1. Select the desired image in iStation or Review screen. 2. Click icon on the upper right side of the image, and select the printer in the popped up dialogue box.

  • Page 227: Patient Task Management

    10.8 Patient Task Management Click at the lower right corner of the screen to pop up the following dialogue box: The system supports four types of task management:  Storage Task: displays the DICOM storage task.  DICOM Print Task: displays the DICOM print task. ...

  • Page 228: Administration

    When the task management icon displays as , it means no task is undergoing or failure.  DICOM Service Setting In the Storage Task and DICOM Print Task page, click [Service Setting] to enter the DICOM service setting screen. For details, please refer to DICOM chapter. ...
  • Page 229 2. Select the user name in the drop-down list of User Name. 3. Enter password and click [Login].  To change user: 1. To log out the current user and change to another user, click at the lower right corner of the screen to pop up the dialogue box: 2.
  • Page 230 Delete a User Premise: you must log on the system as the system administrator. If not, you will be required to enter administrator name and password before the setting. 1. Open the “Admin” page through the path: [Setup] → [System] → [Admin]. 2.

  • Page 231: 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.
  • Page 232 11.1.2 DICOM Local Preset 1. Enter the DICOM local preset screen through the path: [Setup]->[DICOM/HL7]. 2. Enter AE Title, Port, and PDU according to the actual situation, and then click [Save] to exit the screen, setting items are introduced in the following. Name Description AE Title...
  • Page 233 accepted SCU is preset as Machine, then in the figure above, the AE Title of Local should be Machine, and the AE Title of storage server should be Storage. 11.1.3 Service Preset The DICOM Service screen is used to set attributes of Storage, Print, Worklist, MPPS, Storage Commitment, and Query/Retrieve.
  • Page 234 Name Description Refers to the amount of time after which the system will stop Timeout trying to establish a connection to the service. Cine Zoom Mode Select the cine zoom mode during image file storage. Select the compression mode: uncompressed, RLE, JPEG, Compression Mode and JPEG2000.
  • Page 235 11.1.3.2 Print Service Preset 1. On DICOM Service screen, click [Print] page tab to enter the Print page. 2. Select device, enter the right AE Title, port, etc. 3. Click [Add] to add the service to the Service List. DICOM print preset items are described as follows: Name Description After you set the server (s) in DICOM Preset screen, the name...
  • Page 236 Name Description Select film size among the selections listed in the drop-down Film Size list. Specify quantity of printed files, e.g. STANDARD\2, 3 indicates Display Format 6 images are printed for each page. Specify print medium: Paper, Clear Film, Blue Film; select Blue Medium Type Film or Clear Film for black and white printing;...
  • Page 237 11.1.3.3 DICOM Worklist Preset 1. On DICOM Service screen, click [Worklist] page tab to enter the Worklist page. 2. Select device, enter the right AE Title, port, etc. 3. Click [Add] to add the service to the Service List. DICOM Worklist service parameters are similar to those described in DICOM Storage Preset, please refer to “11.1.3.1 Storage Service Preset”...
  • Page 238  Select an item in the service list, change the parameters in the above area, and click [Update] to update the item in the service list; click [Cancel] to cancel changing.  Select an item in the service list, and click [Delete] to delete the service. ...
  • Page 239 Name NOTE The ultrasound device starts using the monitoring port to receive the date after the monitoring mode is enabled. In monitoring mode, the ultrasound system sends the information as the user end; it monitors the result via Monitoring mode the port as the service end.

  • Page 240: Verify Connectivity

    11.2 Verify Connectivity If you want to verify connectivity (it is not a must), you can click [Verify] button on Storage, Print, Worklist, MPPS, Storage Commitment, and Query/Retrieve pages respectively. If the verification succeeded, the system prompts “xxx Verify Succeed”. Otherwise, it prompts “xxx Verify Failed”.
  • Page 241 (3) Click to select “DICOM” in the Target box on the left side, and then select the DICOM storage server in the Storage Server box on the right side. (4) Click [OK] to start the sending.  To send images by shortcut key You can save single frame image or multi-frame images to DICOM server while saving to hard drive by shortcut key.
  • Page 242  To print image for storage after an exam ends (1) Open “[Setup] → [System] → [General]”, and then check in the Patient Info area. (2) Set a default print server. For details, see Chapter 11.1.3.2 Print Service Preset. (3) After finishing presets, you can perform image scanning, each time you press <End Exam>...

  • Page 243: Dicom Media Storage

    Multi-frame storage is not allowed if “Allow Multiframe” is not selected ([Setup] → NOTE: [DICOM/HL7] → [Set DICOM Service] → “Storage”). Even if there is multi-frame file in the exam to be sent, only single-frame image storage will be performed, and after the storage is completed, there is no “√”...

  • Page 244: Structured Report

    Media Storage 1. Select patient record (s) in the iStation screen. 2. Click [Send Exam] in the popped up menu to open the dialogue box. 3. Select DICOMDIR from the [Target] volume. Select destination, DICOM Format as well as compression mode in DICOMDIR. 4.

  • Page 245: Dicom Task Management

     Send image and structured report for storage in iStation screen (1) Select “Attach SR When Store Images” in the DICOM Storage preset page, for details; please refer to “11.1.3.1 Storage Service Preset”. (2) Create new patient information or load scheduled the patient information. (3) Perform measurements.

  • Page 247: Setup

    Setup The Setup function is designed to set the configuration parameters of operating the system and maintaining user workflow setup data. The setup data of the user and system are stored to the hard drive, and should be backed up to CD/DVD or USB memory devices. When the preset data is changed, be sure to save the preset data CAUTION: according to the methods described in this chapter.
  • Page 248 Page Description To set the measure ruler, measure setting, follicle method, comment setting Application and so on. To set the relevant information about fetal gestational age, fetal growth formula and fetal weight. Key Config To assign functions to footswitch and the user-defined keys. Gesture Preset the gesture on the touch screen.
  • Page 249 12.1.2 General Open the page via [Setup] -> [System] -> [General]. Type Item Description Info displays in image To select if to display the available patient information 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 250 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. To set the waiting time before the system enters dormancy status in the drop-down list beside “Wait”.
  • Page 251 Type Item Description To set the steer mode in B+ Color +PW imaging mode. C&PW: select to adjust the sample volume in color Steer mode and sample line in PW mode together. C/PW: select to adjust the sample volume in color mode and sample line in PW mode individually.
  • Page 252  Key function setting You can set the functions for <Print>, <Save1>, <Save2>, F3-F6, F12, P1 and P2. To assign a function to a key: a) Click to select the desired key in the Key Function column at the left side of the page. b) Click to select a function in Function area.

  • Page 253: Exammode Preset

    12.1.9 Admin For details of access control, please refer to 10.9 Administration. 12.1.10 Scan Code For details of scan code preset, please refer to 17.2Appendix E Barcode Reader 12.2 ExamMode Preset Open “[Setup] → [ExamMode]” to enter the screen. You can assign available exam modes for probes. 1.

  • Page 254: Comment Preset

    12.4 Comment Preset You can preset the custom comments library for current exam mode. The comments in the library are provided by the system or user-defined ones. 1. Add comments: directly enter user-defined comment texts, or select comment texts for the comment library.

  • Page 255: Stress Echo

    12.6 Stress Echo For details, please refer to Chapter 5.14 Stress Echo. 12.7 DICOM/HL7 For details, please refer to Chapter 11 DICOM/HL7. 12.8 Print Preset The screen is used to set up for printer and image print.  Printer setting The settings of a printer include print service and print driver.

  • Page 256: Network Preset

    12.9 Network Preset 12.9.1 Wireless Network Connection You can set the ultrasound system as a hotspot. When other devices (with available wireless network function) are connected to the system, DICOM, iStorage and network print function can be implemented this way. Turn on hosted network function: 1.

  • Page 257: Maintenance

     Modify a network service 1. Select the service to be updated in the service list. 2. You can see properties in the Configure Service area. 3. Modify the parameters and click [Update] to update the setting. 12.9.3 MedTouch/MedSight Preset You can set environment for MedTouch/MedSight here and then use the MedTouch/MedSight function by mobile phone or tablet computers.

  • Page 258: System Information

    12.10.4 Other Settings Item Description Export Log Export the log. Self-Test Perform system self-test and restart the machine. Recover the ultrasound system (including Operating System and Recover Doppler). For this function, you need a one-time password, please contact the Setup Enter W indows service engineer or your agent.

  • Page 259: Probes And Biopsy

    Probes and Biopsy 13.1 Probes NOTE: For details of storage time and condition for disinfected probes and brackets, please refer to Technical standard for Disinfection of Medical and Health Structures. The system supports the following probes: C7-3E CB10-4E L12-3E V11-3E L14-6NE SC5-1E L14-6WE...
  • Page 260 P4-2NE P10-4E P7-3E P7-3TE CW2s CW5s SP5-1E L16-4HE D6-2NE DE11-3E 13-2 Probes and Biopsy...
  • Page 261 D7-2E C6-2GE C5-1E V11-3HE L14-5WE L9-3E D8-2E For details of probe P7-3TE, please refer to P7-3TE accompanying manual Probes and Biopsy 13-3...
  • Page 262 13.1.1 Probe Functions by Part The basic structures and corresponding functions of probes are basically the same; the following will take probe L14-6NE 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 263 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 264 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 265 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 266 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.
  • Page 267 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) C5-1E 109.5 76.7 1950±50 C6-2GE 39.4 2730±50 C7-3E 1950±50 C11-3E 1950±50 2200±50 SC5-1E CB10-4E 2260±50 V11-3E 1950±50 V11-3BE 1950±50 V11-3HE 1950±50...
  • Page 268 The above is a dimension illustration of the C7-3E 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 269 DO NOT make the probe to become overheated (more than 55° C) during cleaning and disinfections. High temperature may cause the probe to become deformed or damaged. Cleaning Please refer to the instructions in the manual and follow your hospital policy and procedures for cleaning.
  • Page 270  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 the transducer connector or the cable near it into water or any solution. ...
  • Page 271 Trade Name Manufacturer Number of Test Cycles Protex Disinfectant W ipes/ Parker laboratories Inc 5200 Protex Disinfectant Spray Parker laboratories Inc 5200 TRANSEPTIC Parker Laboratories Inc. 5200 CIDEX OPA 5200 Cidex Activated 1560 Glutaraldehyde Solution Ster-bac Ecolab Inc. 5200 ® Minncare Cold Sterilant Minntech Corporation...
  • Page 272 Compatible Disinfectants For details about compatible disinfectants, please refer to the Cleaning & Disinfection Guide. For details about P7-3TE disinfection, please refer to the P7-3TE accompanying manual. Disinfection Type Probe Low level disinfection L14-5WE, P7-3E, P10-4E, CW2s, CW5s, D6-2NE, D7-2E P7-3TE, V11-3E, V11-3BE, V11-3HE, CB10-4E, DE10-3E, High level disinfection DE11-3E...
  • Page 273 13.1.6 Storage and Transportation When all examinations for the day have been completed, confirm that the probe is in good condition. After disinfecting the probe, confirm that the probe is in good condition and stored in a suitable place. 1. To prevent the probe from being damaged, DO NOT store it in locations where it may be exposed to: ...
  • Page 274  Atmospheric pressure: 700 hPa to 1060 hPa Store and transport the D8-2E probe under the following ambient conditions:  Ambient temperature: -10° C to 50° C  Relative humidity: 10% to 90% (no condensation)  Atmospheric pressure: 700 hPa to 1060 hPa 3.

  • Page 275: Biopsy Guide

    13.2 Biopsy Guide 1. The person performing biopsy procedures must understand WARNING: diagnostic ultrasound thoroughly and have been trained adequately, otherwise, side effects may be caused to the patient. 2. In situations listed below, the biopsy needle may fail to penetrate the target.
  • Page 276 direction of the probe. (That is to say, the information shown in the images consist all the information scanned in the thickness direction of the probe.) So, even though the biopsy needle appears to have penetrated the target object in the image, it may not actually have done so.
  • Page 277 13.2.1 Needle-guided Brackets 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.
  • Page 278  NGB-007/NGB-035 Metal/needle detachable needle-guided bracket: Name Description Support of needle- <1> Used for installing the needle-guided bracket on the probe. guided bracket Groove and tab of the <2> Respectively matched with the tab and groove of the probe. needle-guided bracket <3>...
  • Page 279 Plastic/needle detachable needle-guided bracket: Name Description Support of needle- <1> Used for installing the needle-guided bracket on the probe. 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;...
  • Page 280  NGB-011 Needle guide Clamping knob of the needle guide Locating pit Clamp Needle guide hole Locating groove Grip Needle guide rack knob Needle-guided bracket Probe  NGB-015/NGB-019/NGB-022/NGB-023 Guiding hole V-shaped guiding block Groove Lock pin Needle type Needle fixing nut adjusting base Needle type dial scale V-shaped cover...
  • Page 281  NGB-018 Needle guide hole Guiding block Specification of guiding block Pinch nut of bracket Angle shift sign Angle pinch nut Angle adjusting base Angle block Groove Clamp  NGB-020/NGB-040 Guiding hole Locating groove V-shaped guiding block Lock pin Clamp pinch nut Needle type adjusting base Needle type dial scale...
  • Page 282  NGB-024  NGB-025 Location Front clamp clamp Upper clamp Front Pinch nut slot Intra-cavity probe Upper clamp Lower Location clamp hole 13-24 Probes and Biopsy...
  • Page 283  NGB-027 Position block Upper clamp Front clamp Pinch nut Intra-cavity probe Front slot Lower clamp Positioning block  NGB-031 V-shaped block Block hole Bracket V-shaped clamp cover Lock pin Pinch nut Needle-shaped base Needle-shaped scale Groove Angle pinch nut Angle adjusting block Probes and Biopsy 13-25...
  • Page 284  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 13-26 Probes and Biopsy...
  • Page 285 13.2.2 Basic Procedures for Biopsy Guiding 1. Select the right needle-guided bracket and needle, install them properly. For details, please refer to “13.2.3 Needle-guided Bracket Inspection and Installation”. 2. Verify the biopsy guide line. 3. Press <F11 Biopsy> to enter the biopsy. Before biopsy guiding, you can preset bracket model, biopsy display and guide line dot type.
  • Page 286 13.2.3 Needle-guided Bracket Inspection and Installation 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 287  NGB-007/NGB-035 Metal/needle detachable needle-guided bracket: (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. Match the groove and tab with the tab and groove of the probe respectively. Amount the bracket onto the probe.
  • Page 288 (5) Insert a biopsy needle with the same specification as that of the guiding block into the hole of the guiding block.  NGB-011 (1) Inosculate the locating groove on the clamp with the two raised edges on the probe head and align the locating pit of the clamp to the convex point on the probe head.
  • Page 289  NGB-018 (1) Put on the sterile probe sheath. (2) Select a proper needle-guided bracket, and match the groove with the tab of the transducer respectively. Mount the bracket onto the transducer. The needle-guided brackets may be different from each other, but the methods are the same. (3) Screw the pinch nut of the needle-guided bracket to confirm that the needle-guided bracket is properly installed on the transducer.
  • Page 290  NGB-021 (1) Put on the sterile transducer sheath. (2) Loose the retaining clamp, align the needle-guided bracket with the transducer to locate the locating clamp on the needle guide to the locating grooves on the transducer, and then press the retaining clamp (front) to match the locating clamp and the locating bulge on the front retaining clamp to the corresponding groove.
  • Page 291 (6) 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 (1) Put on the sterile probe sheath. (2) Open the clamp.
  • Page 292  NGB-027 (1) Put on the sterile transducer sheath. (2) Open the clamp. Insert the front clamp to the front groove. (3) Push the biopsy forward (arrow’s direction) until the locating pole inserting into the location hole. Turn the lower clamp against the intra-cavity probe. Tighten the nut to lock the biopsy (arrow’s direction).
  • Page 293 (5) 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). (6) 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 294 (3) Tighten the pinch nut of the needle-guided bracket to confirm that the needle-guided bracket is properly installed on the transducer. (4) Adjust the dial scale to the required needle type shift. (5) 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 295 13.2.4 iNeedle (Needle Visualization Enhancement ) In the course of biopsy, the metal needle attached to the probe is punctured into the tissue with a certain angle; because of the needle acoustic impedance, the ultrasonic beam cannot penetrate the metal needle, a reflecting boundary is formed. As in Figure 1, if the deflection angle is very large, the needle display is not clear.
  • Page 296 13.2.5 Verifying the Biopsy Guide Line Adjusting the needle mark is necessary before every biopsy procedure. 1. Confirm that the needle-guided bracket has been installed securely in the correct position. 2. Prepare a container filled with sterile water. 3. Place the head of the probe in the sterile water, and get a biopsy needle into the needle guide. 4.
  • Page 297 Verification You can also operate on the touch screen. Use menu operation as an example. Click [Verify] in the Biopsy menu to open the Biopsy Verify menu, as shown in the figure below.  Adjust guide line position Move the cursor onto [Position], press the <Set> key to move it linearly. This is operative when there is only one guide line displayed.
  • Page 298 13.2.6 Removing the Needle-guided Bracket  NGB-004 Hold the probe in the left hand, unscrew the locking nut with the right hand to open the retaining clamp, and then raise the needle-guided bracket to separate the locating bulge from the locating grooves. ...
  • Page 299  NGB-020/NGB-040 (1) Pull the lock pin out and open up the V-shaped cover to expose the needle. (2) Separate the bracket and the transducer from the needle. (3) Screw the pinch nut to release the needle-guided bracket. (4) Separate the transducer and the needle-guided bracket. ...
  • Page 300  NGB-025 Hold the prober in the left hand; unscrew the locking nut with the right hand to loose the clamp (arrow’s direction).Lift the biopsy up (towards arrow’s direction). The locating pole, front clamp, the locating hole and the front clamp become loose. ...
  • Page 301  NGB-034  Separation of the needle in the operation Pull the lock pin out until the V-shaped cover can be turned and opened up. Turn over the V-shaped cover to expose the needle. Remove the probe and bracket.  Removing the needle-guided bracket Screw the pinch nut to release the needle-guided bracket.
  • Page 302 13.2.7 Clean and Sterilize the Needle-guided Bracket Cleaning Please follow the instructions in the manual for cleaning. 1. Wear sterile gloves to prevent infection. 2. Wash the needle-guided bracket with water or soap water to remove all the external matters. Or, clean the needle-guided bracket with urethane sponge.
  • Page 303  Refer to the instruction of STERRAD 100S sterilizing system provided by the manufacturer for operation instructions and cautions.  The STERRAD 100S low-temperature hydrogen peroxide gas plasma sterilization system is available for metal needle-guided brackets.  High-pressure steam sterilization (only applicable for metal guided-bracket) Autoclaving (moist heat) 121℃...

  • Page 304: Middle Line

    13.3 Middle Line Middle Line helps to locate and observe the focus point of lithotripsy wave during lithotripsy treatment. By means of providing information for the lithotripsy machine as well as a tool for watching the procedure of lithotripsy in real-time, you can adjust the intension and frequency of the lithotripsy wave through lithotripsy machine.

  • Page 305: Dvr Recording

    DVR Recording NOTE: Strictly observe the procedures described here to perform the recording and replaying operations; otherwise it may result in data loss or system malfunction. Accidental exposure to strong electromagnetic fields may result in image and data loss, so check if the recording is successful as soon as possible. Mindray is not responsible for any data loss.

  • Page 306: 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 307: 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 308: 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 309: Acoustic Power Setting

    15.4.2 MI/TI Display TI and MI values are displayed in the upper part of the screen in real-time. The operator should monitor these index values during examinations and ensure that exposure time and output values are maintained at the minimum amounts needed for effective diagnosis. NOTE: If there is a value of MI or TI exceeds 1.0, you must be careful to practice the ALARA principle.

  • Page 310: 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 311 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 312: Measurement Uncertainty

    15.8 Measurement Uncertainty The total estimated measurement uncertainty (where the total uncertainty includes the uncertainties in hydrophone response, measurement, calculation, and positioning) are: Ispta 28.5% I sppa 28.5% Center frequency (f c ) Total power (W) 28.5 % (5.1% for Scan-mode and Combined-mode) Rarefactional pressure (pr) 14.7% 15.9 References for Acoustic Power and Safety 1.

  • Page 313: 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 314 If the system is operated within the electromagnetic environment listed in Table 2 and Table 3, the system will remain safe and will provide the following basic performances:  Imaging;  Doppler acoustic spectral displaying;  Taking measurements;  Patient information; ...
  • Page 315 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. ELECTROMAGNETIC ENVIROMENT－ EMISSIONS TEST COMPLIANCE GUIDANCE The system uses RF energy only for its...
  • Page 316 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 IMMUNITY TEST LEVEL ENVIRONMENT-GUIDANCE...
  • Page 317 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 ELECTROMAGNETIC TEST TEST LEVEL...
  • Page 318 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 319: System Maintenance

    System Maintenance Routine system maintenance shall be carried out by the user. System maintenance after the warranty has expired is the full responsibility of the owner/operator. The responsibility for maintenance and management of the product after delivery resides with the customer who has purchased the product.
  • Page 320 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 321  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° counterclockwise until it lifts. Take out the ring and the rotary ball. Be careful not to drop the ball.
  • Page 322  Clean dust-proof cover  Tool: Soft brush  Method: Disassemble dust-proof cover before cleaning. System dust-proof cover: Grab the lower side of the dust net frame, and then pull out the net. Dust-proof Dust-proof clasp cover Probe port dust-proof cover: there are 4 probe ports at the front of the system, on which there is a dust-proof cover.
  • Page 323  Cleaning the peripherals Do the cleaning maintenance according to your actual peripheral configuration; items which are not configured can be skipped. Content Description First wipe off dust or stain attached to the cover of printer with soft dry cloth, Color and B/W then clean the inside of printer.

  • Page 324: Troubleshooting

    17.2 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 Failure Cause...

  • Page 325: Appendix A Wireless Lan

    Appendix A 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 326 Use the Wireless feature 1. Press <Cursor> to show the cursor, click in the bottom bar to open the wireless network manager. 2. Roll the trackball and press <Set> to select the target network, click [Connect] to connect to the network.

  • Page 327: Appendix B Ultrasound Gel Warmer

    Appendix B Ultrasound Gel Warmer Ultrasound gel warmer is an option of the system, used for heating the ultrasound gel. Overview As shown in the figure above, the warmer is installed at left side of the control panel, the position that is used for placing the ultrasound gel.
  • Page 328 Specifications  Power supply Voltage Power consumption  Environmental conditions Operating conditions Storage and transportation conditions Ambient temperature 5℃～40℃ -20℃～55℃ Relative humidity 35%～85% (no condensation) 30%～85% (no condensation) Atmospheric pressure 700hPa～1060hPa 700hPa～1060hPa Function and Requirement  The ultrasound gel warmer can heat the ultrasound gel to about 40 1℃...
  • Page 329 3. Insert the power plug of the warmer into the jack in the back side of the control panel. 4. Put the gel inside the warmer, and press the warming control switch, the gel warmer starts to work. There are three levels of the switch: II: sets the warmer to 40 ℃.
  • Page 330 Mount/Remove Probe Holder To install the gel warmer, you have to remove the probe holder first. B.7.1 Remove the Holder Push towards the arrow direction on the bottom and lift upwards to remove the holder. B.7.2 Mount the Holder Match the tab with the groove inside the control panel, and push the holder downwards to mount the holder.

  • Page 331: Appendix C Battery

    Appendix C Battery The battery is inside the machine; only technical professionals WARNING: from Mindray or engineers authorized by Mindray after training can perform battery installation and uninstallation. If you need to change the battery or buy a new one, please contact your sales representative.

  • Page 333: Appendix D Iworks (Auto Workflow Protocol

    Appendix D iWorks (Auto Workflow Protocol) Overview The major objective of ultrasound workflow automation (iWorks) is to speed up exam time and reduce the excessive number of user interface manual key strokes that can lead to repetitive motion injuries over time. It automates a clinical work flow in common exam protocols in a logical, “step by step” manner.
  • Page 334 Screen Display Name Description 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. D-2 iWorks (Auto Workflow Protocol)
  • Page 335 View Operation In iWorks status, you can perform view selection, repeat, replacement and delete operations by the touch screen. For some views, the system switches to the relevant imaging modes if necessary. The comment for the current view has been automatically added to the lower left corner of the image, ready for you to scan the specified anatomy.
  • Page 336 Insert Insert is a specialized protocol event within iWorks and iWorks OB. It assists with the workflow for documenting and measuring common pathological (disease) states (i.e. Mass, Cyst, Stenosis, Thrombus) that occurs outside a routine, normal examination. 1. Tap [Insert] on the touch screen to enter the status. 2.
  • Page 337 D.8.3 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 you can select an existed protocol and click [Copy] to customize the protocol based on the previous template.
  • Page 338 3. Perform comments, body mark, measurement settings, as shown in the following figure: In the image setting, if “Measurement on next section” is selected, the system will save two section images after finishing the section operation, and one of the two sections will include the measurement result.

  • Page 339: Appendix E Barcode Reader

    Appendix E Barcode Reader The product supports reader for logging data as patient ID: 1-D barcode reader (SYMBOL LS2208). The laser transmitted by the reader is Class 2 laser. Class 2 laser adopts low power, visible LED. DO NOT WARNING: stare into beam because of unknown hazards of transient radiation provided by class 2 laser.
  • Page 340 1. Cable interface port 2. Interface cable modular connector E.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. ...
  • Page 341  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.  I 2 of 5 symbols setting: Select this option to decode only I 2 of 5 symbols containing a selected length.
  • Page 342 E.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 343 E.1.5 Scanning in Hands-Free Mode 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. 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 344 2. Peel the paper liner off the exposed sides of each piece of tape and press the stand on a flat surface until it is secure. Scanning in Hands-Free Mode When the reader is seated in the stand’s “cup”, the reader’s built-in sensor places the reader in hands- free mode.
  • Page 345 E.2.2.2 Removing the Interface Cable 1. Using the tip of a screwdriver or some other tools with a sharp head, depress the cable’s modular connector clip. 2. Carefully slide out the cable. E.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.
  • Page 346  code 93 and codebar setting To enable Code 93, scan the appropriate barcode below. To enable Codebar, scan the appropriate barcode below.  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.
  • Page 347  Carriage Return/Line Feed setting Scan the barcode below to set Carrige Return/Line Feed. E.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 laser aiming pattern which allows positioning the barcode or object within the field of view.
  • Page 348 5. Hold the trigger until the digital imager reader beeps, indicating the barcode is successfully decoded. NOTE: Steps 2 - 4 may be required to repeat on poor quality or difficult barcodes. Tips: Hold the digital imager reader between two and nine inches (depending on symbol density) from the symbol, centering the aiming pattern cross hairs on the symbol.
  • Page 349 Setting in Ultrasound System Open the Scan Code page via [Setup]  [System]  [Scan Code]. Setting items are described as follows: Parameter Description Bar Code Select type: 1D or 2D. Reader Select type: Only Patient ID or Combination Items. Only Patient ID: Only Patient ID is acquired from barcode reader.
  • Page 350 Parameter Description Set the start and end position of each item via separators. Swipe the screen downwards to see all parameter settings.  The following items are displayed on the right side of the screen: Patient ID, Other ID, First Name, Last Name, Middle Name, Birth(Day), Birth(Month), Birth(Year), Age, and Gender.
  • Page 351 Parameter Defaults Refer to the following table for parameter defaults of LS2208. Parameter Defaults 1-D Symbologies UPC/EAN UPC-A Enable UPC-E Enable UPC-E1 Disable EAN-8/JAN 8 Enable EAN-13/JAN 13 Enable Bookland EAN Disable Decode UPC/EAN/JAN Supplementals (2and 5 digits) Ignore UPC/EAN/JAN Supplemental Redundancy Transmit UPC-A Check Digit Enable Transmit UPC-E Check Digit...
  • Page 352 Parameter Defaults Buffer Code 39 Disable Code 93 Code 93 Enable Set Length(s) for Code 93 4 to 55 Interleaved 2 of 5 (ITF) Interleaved 2 of 5 (ITF) Enable Enable Set Lengths for I 2 of 5 I 2 of 5 Check Digit Verification Disable Transmit I 2 of 5 Check Digit Disable...

  • Page 353: Appendix F Electrical Safety Inspection

    Appendix F 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 354 Test Item Acceptance Criteria No loose or missing parts (e.g., knobs, dials, terminals, etc.). F.2.2 Contextual Inspection Test Item Acceptance Criteria No unusual noises (e.g., a rattle inside the case). No unusual smells (e.g., burning or smoky smells, The enclosure and accessories particularly from ventilation holes).
  • Page 355 Enclosure Leakage Test The following outlet conditions apply when performing the Enclosure Leakage test.  normal polarity( Normal Condition);  reverse polarity( Normal Condition);  normal polarity with open neutral(Single Fault Condition);  reverse polarity with open neutral(Single Fault Condition); ...
  • Page 356 Patient Auxiliary Current Patient Auxiliary currents are measured between any selected Applied Part connector and the remaining Applied Part connectors. All measurements may have a true RMS only response. The following outlet conditions apply when performing the Patient Auxiliary Current test. ...
  • Page 357 P/N: 046-011355-00 (3.0)

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