Page 1 MX7/MX7T/Vaus7/Zeus/ME7/Anesus ME7/Anesus ME7T/MX8/MX8T/Vaus8/ Diagnostic Ultrasound System Operator’s Manual [Basic Volume]...
Page 3: Intellectual Property Statement
Contents of this manual are subject to change without prior notice. All information contained in this manual is believed to be correct. Mindray shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this manual.
Page 4: Warranty
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 5: About This Manual
• Important data must be backed up on external memory media. • Mindray shall not be liable for loss of data stored in the memory of this system caused by operator error or accidents. • This manual contains warnings regarding foreseeable potential dangers, but you shall also be continuously alert to dangers other than those indicated.
Page 6: Hardcopy Manuals
Signal word Meaning Important information that helps you to use the system more effectively. Hardcopy Manuals • Operator’s Manual [Basic Volume] Describes the basic functions and operations of the system, safety precautions, exam modes, imaging modes, preset, maintenance and acoustic output, etc. •...
Page 7: Table Of Contents
Contents Intellectual Property Statement ....................I Responsibility on the Manufacturer Party ................I Warranty ..........................II Exemptions ........................II Customer Service Department ..................II Important Information ......................II About This Manual ........................ III Meaning of Signal Words ....................III Hardcopy Manuals ......................IV Software Interfaces in this Manual .................
Page 8 Contents 2.13.1 Dialog Box ....................... 2 - 18 2.13.2 Touch Screen ....................2 - 18 2.13.3 Voice Recognition ................... 2 - 21 2.14 Warning Labels ......................2 - 22 2.15 Symbols ........................2 - 23 3 System Preparation ..................... 3 - 1 3.1 Move/Position the System ....................
Page 9 Contents 4.5 iWorks Preset ....................... 4 - 24 4.5.1 Protocol Management ..................4 - 24 4.5.2 View Management .................... 4 - 25 4.5.3 Create a New Protocol ..................4 - 25 4.6 Stress Echo Preset ......................4 - 25 4.6.1 Protocol Edit ...................... 4 - 25 4.6.2 Maintenance ......................
Page 10 Contents 6.2.2 Color Mode Image Parameters ................6 - 4 6.3 Power Mode ........................6 - 6 6.3.1 Power Mode Image Scanning ................6 - 6 6.3.2 Power Mode Image Parameters ................6 - 7 6.4 M Mode ......................... 6 - 7 6.4.1 M Mode Image Scanning ..................
Page 11 Contents 7 Smart 3D ......................7 - 1 7.1 Overview ........................7 - 1 7.1.1 Terms ........................7 - 1 7.1.2 ROI and VOI ....................... 7 - 2 7.1.3 Render Mode ....................... 7 - 3 7.1.4 MPR ........................7 - 3 7.1.5 Wire cage ......................
Page 12 Contents 12.3.1 Imaging Mode Switching When Frozen ............12 - 2 12.4 Cine Review ....................... 12 - 2 12.4.1 Entering/Exiting Cine Review ................. 12 - 3 12.4.2 2D Cine Review ....................12 - 3 12.4.3 Cine Review in M/PW/CW/TVD Mode ............12 - 4 12.4.4 Linked Cine Review ..................
Page 13 Contents 14.6 Print ..........................14 - 8 14.6.1 Image Print ...................... 14 - 8 14.6.2 Report Printing ....................14 - 8 14.7 Back up Files using the DVD Drive ................14 - 8 14.8 Patient Task Management ..................14 - 9 14.9 V-Access ........................
Page 14 Contents 16.4 eSpacial Navi ......................16 - 39 16.4.1 Interface ......................16 - 40 16.4.2 Preset ......................16 - 41 16.4.3 Preparation Before Needle Guidance ............16 - 42 16.4.4 Procedure ....................... 16 - 43 16.4.5 Magnetizer Cleaning and Disinfection ............16 - 43 16.4.6 Storage and Transportation ................
Page 15 Contents C.1 Power Cord Plug ......................C - 1 C.1.1 The Power Plug ....................C - 1 C.2 Device Enclosure and Accessories ................C - 2 C.2.1 Visual Inspection ....................C - 2 C.2.2 Contextual Inspection ..................C - 2 C.3 Device Labeling ......................C - 2 C.4 Protective Earth Resistance ...................C - 2 C.5 Earth Leakage Test ......................C - 2 C.6 Enclosure Leakage Test ....................C - 3...
Page 16 Contents H.9 References for Acoustic Power and Safety ..............H - 6 I EMC Guidance and Manufacturer’s Declaration ..........I - 1 Operator’s Manual...
Page 17: Safety Precautions
Safety Precautions Meaning of Safety Symbols Symbol Description Type-BF applied part The ultrasound probes connected to this system are type-BF applied parts. The ECG leads within this system is type-BF applied part. Caution! General warning sign. Patient/user infection due to contaminated equipment. Be careful when performing cleaning, disinfection and sterilization.
Page 18: Safety Precautions
• DO NOT use a probe that has a damaged, scratched surface, or exposed wiring of any kind. Immediately stop using the probe and contact Mindray Customer Service Department or sales representative. There is risk of electric shock if using a damaged or scratched transducer.
Page 19 1 Safety Precautions • Do not subject the transducers to knocks or drops. Use of a defective transducer may cause an electric shock. • Do not open the covers and front panel of the system. Short circuit or electric shock may result when the system hardware is exposed and powered on.
Page 20 If the circuit protector is tripped, it indicates that the system or a peripheral device was improperly shut down and the system is unstable. You cannot repair the system under this circumstance and must call the Mindray Customer Service Department or sales representative.
Page 21 1 Safety Precautions which will not only harmful to the human body, but also damage the accessory. • It is necessary 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.
Page 22 If the system is used in a small room, the room temperature may rise. Please provide proper ventilation and free air exchange. • To dispose of the system or any part, contact Mindray Customer Service Department or sales representative. Mindray is not responsible for any system content or accessories that have been discarded improperly.
Page 23 • Please use the disinfection or sterilization solution recommended in this operator's manual; otherwise Mindray will not be liable for damage caused by other solutions. If you have any questions, please contact Mindray Customer Service Department or sales representative.
Page 24: Latex Alert
1 Safety Precautions • Repeated disinfection will eventually damage the probe, please check the probe performance periodically. Latex Alert When choosing a probe sheath, it is recommended that you directly contact CIVCO for obtaining information regarding probe sheaths, pricing, samples and local distribution. For CIVCO information, please contact the following: CIVCO Medical Instruments Tel: 1-800-445-6741...
Page 25: System Overview
System Overview Intended Use Diagnostic Ultrasound System is applicable for adults, pregnant women, pediatric patients and neonates.It is intended for use in ophthalmic, fetal, abdominal, pediatric, small organ (breast, thyroid, testes), neonatal cephalic, adult cephalic, trans-rectal, trans-vaginal, musculo-skeletal (conventional), musculo-skeletal (superficial), thoracic/pleural, cardiac adult, cardiac pediatric, peripheral vessel and urology exams.
Page 26: Product Specifications
2 System Overview Product Specifications NOTE: The functions described in the operator’s manual may vary depending on the specific system purchased. 2.4.1 Imaging Mode B Mode M Mode C Mode Color Power (DirPower) D Mode PW/CW Special imaging iScape View Free Xros M Free Xros CM Tissue Doppler Imaging...
Page 27: Dimensions And Weight
Spline length - measures the length of a curve on the image. • Parallel line - measures the distance between every two line segments of five parallel line segments, namely, four distances in total. • Only MX7, MX7T, ME7, MX8 and ME8 are available in Canada. Operator’s Manual 2 - 3...
Page 28: System Configuration
2 System Overview System Configuration 2.6.1 Standard Configuration • Main unit • Power adapter • Built-in batteries • System software • Travelling case • Accessories – Operator’s manuals – User-defined label – Cables 2.6.2 Probes and Needle-guided Brackets Available Please see “16 Probes and Biopsy”. 2.6.3 Options Item Remarks...
Page 29 2 System Overview Item Remarks Special imaging iScape View Free Xros M Free Xros CM Tissue Doppler Imaging Cardiology Package should be configured. TDI QA TDI should be configured. Contrast imaging Contrast Imaging QA Contrast Imaging should be configured. Cardiology Package should be configured. Low MI Contrast Cardiology Package should be configured.
Page 30: Peripherals Supported
2 System Overview Item Remarks Application Abdomen/General packages Package Obstetrics Package Smart OB Obstetrics package should be configured. Smart NT Obstetrics package should be configured. Gynecology Package Cardiology Package Small Parts Package Urology Package Vascular Package Pediatrics Package Nerve Package Emergency&Critical Package RIMT...
Page 31: Parts That Can Be Used Within Patient Environment
2 System Overview Item Model External DVD R/W drive DVDRW HP GP60NB60 Barcode reader DS4308 LS2208 JADAK HS-1M JADAK HS-1R Footswitch 971-SWNOM (2-pedals) 971-SWNOM (3-pedals) FS-81-SP-2 (1-pedal) WARNING This system complies with IEC60601-1-2: 2014, and its RF emissions meet the requirements of CISPR11 Class B.
Page 32: Introduction Of Each Unit
2 System Overview Introduction of Each Unit Figure 2-1 Overview Name Description Display Displays the images and parameters during scanning. Touch screen Screen-touching operator-system interface or control. Power button/Power Used for turning on/ off the power. indicator The indicator lights up when the system is powered on. S-Video S-Video signal output.
Page 33: U-Bank Overview
U-Bank Overview WARNING • Only technical professionals from Mindray or engineers authorized by Mindray after training can perform batteries in the U-Bank installation and uninstallation. • If you need to change the batteries in the U-Bank, please contact your sales representative.
Page 34: Parts And Names
2 System Overview 2.8.1 Parts and Names Figure 2-2 U-Bank L1 L2 L3 L4 L5 Name Description Power connector Connects to the power input port of the system. Tabs Used for fixing the U-Bank to the system. Charging input port Connects the power adapter.
Page 35: Installing The U-Bank
5s, and other indicators remain off. It indicates that the U- Bank may have malfunction. Please stop using the U- Bank and contact the Mindray service engineers or your sales representative. Power button Used for checking the U-Bank power status.
Page 36: Ecg Module Overview
2 System Overview Push the system in the arrow direction as shown in the figure above until the system is locked in place. TIP: To remove the U-Bank from the system, press the detach lever of U-Bank and lift up slightly the system by holding the system’s handle.
Page 37: Control Panel
2 System Overview 2.10 Control Panel Figure 2-4 Control panel configured with trackball 2 3 4 8 9 10 11 Figure 2-5 Control panel configured with trackpad 2 3 4 8 9 10 11 Name English Name Description TDI mode button Enters TDI mode.
Page 38 2 System Overview Name English Name Description Update button Switching key: Press to change the currently active window. Start or end capturing the image in iScape/Smart Caliper Caliper button Press to enter/exit general measurement. Color mode button Press to enter Color mode. B mode button Press to enter B mode.
Page 39 2 System Overview Name English Name Description Standby status Standby indicator. indicator Standby: blinking in orange. Other status: light off. Hard disk read Hard disk status indicator. indicator The indicator blinks in green when hard disk is running. The indicator is off on the other status. NOTE: DO NOT move the machine when the indicator blinking in green.
Page 40: Exam Main Menu Screen
2 System Overview 2.11 Exam Main Menu Screen Figure 2-6 Exam Main Menu Icon Name Description >/< Exam Main Menu Tap to enter exam main menu/return to the previous switch bar screen. Patient Information Tap to enter the Patient information screen. button Probe/exam mode Tap to switch probe and exam mode.
Page 41: Monitor Display
2 System Overview 2.12 Monitor Display Figure 2-7 Monitor Display Item Description System Information Displays the manufacturer’s logo and product model. Area Parameters Area Displays the image parameters for the active window. If there are more than one imaging modes, the parameters are displayed by each mode.
Page 42: Basic Operations
2 System Overview Item Description Patient Information Displays the hospital name, the exam time, patient information, Area the probe model, the exam mode, etc. To preset which kind of patient information is displayed, see “4.1.2 General” 2.13 Basic Operations 2.13.1 Dialog Box Take the patient information screen as an example.
Page 43 2 System Overview Imaging Mode Screen The layout of the touch screen varies with the applications or modes. Flip the touch screen to go to another page. Learn the interface display and operations by referring to related chapters. Item Description Probe and exam Display the current probe and selected exam mode.
Page 44 2 System Overview Item Description Page-turning If there is more than one page of parameters for the current imaging mode, you can slide to view more. Mode displaying Displays the current modes, tap to enter the corresponding mode. area (or main functional tabs) Bodymark and Comments For products equipped with the trackpad, set user-defined keys for comments (text, arrow and trace)
Page 45: Voice Recognition
2 System Overview Item Description Home button Tap to return the cursor to the set home location. Language button / Arrow button Tap to add an arrow comment to the image. Library Tap to pop up and select the library. Controls on the touch screen Tap and hold the screen to enter control editing stage.
Page 46: Warning Labels
2 System Overview Description Click to speak to the microphone (the system recognizes the vocal order). The system conducts the operations after recognizing the voice. Click to stop the voice Recognition. Click to open the help information. 2.14 Warning Labels The warning labels are attached to this system in order to call your attention to potential hazards.
Page 47: Symbols
2 System Overview 2.15 Symbols This system uses the symbols listed in the following table. Their meanings are explained as follows: Symbol Description Type-BF applied part Caution! Standby Transducer sockets Used for s-video output. Network port HDMI port USB port AC (Alternating current) Standby indicator Harddisk indicator...
Page 48 2 System Overview Symbol Description Manufacture date Manufacturer Main unit release button on the trolley Main unit tray release button on the trolley Maximum load for small storage bin on the MT3 trolley Maximum load for big storage bin on the MT3 trolley Maximum load for main unit tray on the MT3 trolley...
Page 49: System Preparation
System Preparation Move/Position the System Read and understand the safety precautions before positioning the system to ensure the safety of both the operator and the devices. Switch off the power, and pull out the power plug. Disconnect all cables from off-board peripheral devices. Place the system in a desired location.
Page 50: Power On/Off
3 System Preparation WARNING • The battery is inside the machine. Only Mindray technical professionals or engineers authorized by Mindray following training can perform battery installation and uninstallation. • If you need to change the battery or buy a new one, contact your sales representative.
Page 51: Power The System On
3 System Preparation • There is no condensation. • There is no distortion, damage or dirt on the system and peripheral devices. If any dirt is found, cleaning shall be performed, see “18 System Maintenance”. • There are no loose screws on the monitor, control panel or the trolley. •...
Page 52: Check The System After It Is Powered On
If you find anything not functioning properly, this may indicate that the system is defective. In this case, shut down the system immediately and contact Mindray Customer Service Department or sales representative. NOTE: When you start the system or switch between transducers, you will hear clicking sounds – this is expected behavior.
Page 53: Standby
3 System Preparation Press the power button to see the option: – Shutdown: to power the system off normally. – Standby: to enter standby status. – Cancel: to cancel the operation. Select [Shutdown] to power the system off. NOTE: • Press and hold the power button for a long time and the system will power off without displaying the “Shutdown Confirm”...
Page 54: Connecting/Disconnecting A Probe
When connecting or disconnecting a probe, place it in the proper position to prevent the probe from falling off or becoming damaged. • Only use probes provided by Mindray. Aftermarket probes may result in damage or cause a fire. 3.5.1 Connecting a Probe...
Page 55: Disconnecting A Probe
If the USB disk cannot be recognized by the system, please try disconnecting and then connecting again several times, or try another USB disk. If the problem still exists, please contact Mindray service engineer. Connecting the Footswitch The system supports USB port-type foot switches.
Page 56: Installing A Printer
TIP: • Printers listed in Section 2.6.4 have drivers installed already. • If the printer driver is required, please contact Mindray Customer Service Department or sales representative. • Please refer to the accompanying manuals of the printers for more details.
Page 57: Connecting A Wireless Printer
3 System Preparation Connect the power cord of the printer to a receptacle. Connect the USB port of the system to the USB port of the printer with USB cable. Load a paper roll and turn on the system and printer. Add a print service: Open [Setup] >...
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Page 59: Setup
CD/DVD or USB memory device. CAUTION When the preset data is changed, be sure to save the preset data according to the methods described in this chapter. Mindray is not responsible for the loss of preset data. •...
Page 60: System Preset
4 Setup System Preset 4.1.1 Region Set the hospital name, language, time zone, time format and system date/time. Item Description Hospital Information To set the hospital-relevant information such as name, address, telephone, and so on. Language To select a language (input) for the system. Load Logo Import image for logo loading.
Page 61 Select the different saver methods to the system. After enabling the screen saver, check “Select Picture- Mindray” to select the image from the system. Or click [Review] to select the image on your own; you can set the interval time for the screen saver slideshow in the drop-down list beside “Interval”.
Page 62: Image Preset
4 Setup 4.1.3 Image Preset Controls are as follows: Type Item Description RESET CONFIG Probe To set the default probe model for the system from the drop-down list. The default parameters are applied to the new probe if checking “Use the default setting when start a new exam.”...
Page 63 4 Setup Measure Ruler Controls are as follows: Item Description Cursor Type Type of cursor displayed on the measurement caliper and results window. Value options: • Number: the cursor always displays as “+” while different measurements are marked with numbers. •...
Page 64 4 Setup ICA/CCA && RAR Set the measurement properties of ICA, CCA, Renal A and Aorta. CARDIAC VALUE RANGE DISPLAY Set whether to display the EMINCA study. 4.1.5 OB Set the relevant information regarding the fetal gestational age, fetal growth formula and fetal weight.
Page 65 4 Setup Row Num Row number (N) of the table Meas Value GA value Minimum value Measurement Maximum value value … … … … … … … … … … … … … NOTE: • Fill in the table according to the actual clinical values, except for those cells with bold text.
Page 66: Key Probe
4 Setup • The third row is empty. • Measurement value, Standard deviation (-), GA value, Standard deviation (+): enter the number of days without the unit. User-defined OB Items NOTE: The calculation results of the user-defined OB formulae are used for reference rather than clinical diagnosis.
Page 67 4 Setup Click to select a function in the Function area. You can see the available functions selected on the right side. Click [OK] to complete the function setting. Footswitch Function Setting You can assign a function to the left/middle/right key of the foot switch. The method is similar to setting key functions.
Page 68: Gesture
4 Setup Click [OK] to confirm. Scan and freeze the image Press the user-defined key, then the system will perform three steps: Save the image to the local hard disk. Send image to DICOM Storage server. Send the image to USB disk. TIP: Repeat step 3 will continue adding auxiliary functions;...
Page 69 4 Setup The operator can only access the function modules with assigned privileges. The operator can only view exam information saved in the system and operated by him or herself, such as patient information, images and reports, etc. Enabling Access Control The system administrator can preset the access controls, that is, whether an operator has the right to access data in the system.
Page 70 4 Setup Configure Password Policy Turn on the access control function and log in to the system as Administrator before you configure the password policy. Click [Password Policy Config]: Item Description Remark Lockout Set the maximum time that a user can input the For example, assume that the Threshold wrong password.
Page 71 4 Setup Item Description Default Domain The default domain is the DC name in the Root DN. For example, if DC=security1, then input "security1" in the field box of the "Default Domain" Days to keep cached Set days to keep the cached passwords in the local system. password Users can log in to the server even without accessing the network within the setting days.
Page 72: Scan Code Preset
4 Setup Scene Preset Management The system can manage preset data under different scene applications. When the feature is turned on, you can use different preset data for print, DICOM, iStorage and eGateway services. To enable the function: Check the checkbox next to “Enable Preset Scence Mangement”. Click [OK] to confirm.
Page 73 4 Setup 1-dimension barcode reader (1D) Item Description Scan Item After scanning 1D bar code, the regular expression is matched in the priority order: “Patient ID > Other ID > First name > Last name > Middle name > Accession# > Operator > Diagnostician”. If the regular expression is matched successfully, the data of 1D bar code will be displayed in this item in Patient page automatically.
Page 74 The matching priority order is 2D item, 1D item, and Default Item, after the 1D/2D and default items are configured. Import/Export Import and export configuration files to preset the barcode. For details, please contact the Mindray service engineer. 2-dimension barcode reader (2D) • General Analysis Mode Select “General”...
Page 75: Exam Mode Preset
4 Setup Exam Mode Preset You can assign available exam modes for probes. Perform the following procedure: To select a probe, move the cursor over the Probe column and select the probe model using the drop-down list. Select/delete exam modes: On the left side, you can view all the available exam modes in the exam library for the probe.
Page 76: General Measurement Preset
4 Setup 4.3.1 General Measurement Preset You can preset the General Measurement packages for 2D (B/Color/Power Mode), M Mode, or Doppler (PW/CW) Mode respectively. Perform the following procedure: Select the [Caliper] on the [Measure] page. Select the [2D], [M] or [Doppler] tab to go to the corresponding preset menu. –...
Page 77: Application Measurement Preset
4 Setup Descriptions of the attributes are shown in the following table: Item Description Item Name & Result Results obtained from D trace are listed. The selected items will be displayed in the results window after measurement. • If PV is selected, other results become deselected (except the temporary result “velocity”).
Page 78 The order in the list is also the item position in the menu. User-defined Measurement/Calculation/Study NOTE: • Please ensure the correctness and validity of the defined formula, otherwise Mindray will not be liable for damage caused by improper definition of the formula. • Trigonometric functions are in degrees, not radians.
Page 79 4 Setup Enter the Name in the “Measurement Custom Wizard” dialog box, then click [Next]. Set the user-defined attributes in the dialog box. Click [Complete] to finish setting. The user-defined item is listed in the “Selected Items” menu and in the “User-defined” category of “Available Items.” An asterisk appears after the user- defined item for identification.
Page 80: Report Preset
4 Setup 4.3.3 Report Preset NOTE: • Deleting is not supported in IVF, IMT and EM reports. • Watch the layout when setting the patient information layout of the report template. Do not set too many characters in one line; otherwise it may affect the display of the report. Creating Report Templates Perform the following procedure: Select the [Report] on the [Measure] page.
Page 81: Comment Preset
4 Setup Click [Save] to save the setting. Click [Close] to quit the template. Deleting Report Templates Perform the following procedure: Select the [Report] on the [Measure] page. Select the template to be deleted from the list. Click [Delete] > [Yes] to delete the selected template. Click [OK] to confirm the settings.
Page 82: Comment Group Define
4 Setup TIP: You can only delete the user-defined items rather than the items in the system library. After a user- defined item is deleted, it will not be available. Change position of the selected items Select an item on the right side box and click [Up], [Down], [Left] or [Right] button to change the position of the item.
Page 83: View Management
4 Setup • Click [Delete] to delete a user-defined protocol. • Click [Up] or [Down] to move the selected protocol. • Click [Move to Top]/[Move to Bottom] to move the selected protocol to the top or bottom of the list. 4.5.2 View Management •...
Page 84: Maintenance
4 Setup Item Description Delete Protocol Delete the protocol. New stage Create a stage for the current protocol. Creating a Stress Echo Protocol Perform the following procedure: Click the [New Protocol] to the right of the Protocol Editor dialog box. Enter the protocol name in the Protocol Name box at the top.
Page 85: Dicom/Hl7
4 Setup DICOM/HL7 4.7.1 DICOM Local Preset TIP: • AE Title should be the same with the SCU AE Title preset in the server (PACS/RIS/HIS), for example, if the AE Title of the server preset in the storage server is Storage, and the AE Title of the 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.
Page 86: Dicom Service Preset
4 Setup Add a Server Perform the following procedure: Enter the server device name and IP address. Click [Ping] to check the connection. Click [Add] to add the server to the device list, and its name and address are displayed in the list.
Page 87 4 Setup TIP: Not all SCPs can support verification. See the SCP properties to confirm whether the SCP can support this service. If not, the verification will not be successful. Perform the following procedure: Click [Set DICOM Service] on the DICOM/HL7 screen. Select the DICOM service tab to enter the corresponding settings screen.
Page 88 4 Setup Item Description Color Mode Select the color mode. If you choose the mix or the grey, RLE/JPEG is unavailable. The image uses 24 bit when sending the image from the ultrasound device to the server; it depends on the image when choosing the mix. The image use 8 bit if the image is captured in color mode or the image has the tint.
Page 89 4 Setup Print Service Preset DICOM print preset items are described as follows: Item Description Device After you set the server (s) in DICOM Preset screen, the name (s) will appear in the drop-down list, select the name of the print server. Service Name Default is xxx-Print, user-changeable.
Page 90 4 Setup Item Description Strategy Name Set the DICOM strategy. Worklist Setting DICOM service setting for Worklist is described as follows: Item Description Device Name After you set the server (s) in DICOM Server Setting screen, the name (s) will appear in the drop-down list, select the name of the Worklist server.
Page 91 4 Setup TIP: Set the MPPS service as the default when using the MPPS. Storage Commitment Setting DICOM storage commitment setting items are described as follows: Name NOTE Device Name After you set the server (s) in DICOM Server Setting, the name (s) will appear in the drop-down list, select the name of the storage commitment server.
Page 92: Network Preset
4 Setup HL7 service setting for Worklist is described as follows: Item Description Device Name After you set the server (s) in DICOM Server Setting screen, the name (s) will appear in the drop-down list, select the name of the Worklist server.
Page 93: Istorage Preset
4 Setup Item Description Status • No driver: click [SetupDriver] to enter the “TAP-Windows 9.21.2 Setup” interface, and do as instructed. • Ready: the VPN is ready for use. • Advance: VPN Advance Configuration • Connected: VPN is successfully connected. •...
Page 94: Medtouch/Medsight Preset
Perform the following procedure: Select [Remote Maintenance Permission]. Select [Upload logs to remote server] to upload logs to the remote server, Mindray service engineers can acquire and handle those log. Check the process in “Task Management” screen. 4.8.5 Q-Path Preset You can use the ultrasound system to check data on browser directly.
Page 95: Egateway Preset
4 Setup Q-Path Basic Preset Item Description Advanced Sets the sub URLs of “QView full” and “QView lite”. The sub URL is set by default. Users can modify the sub URL and click [Apply] to exit the “QView sub URL setting” window. Enable Direct Report Sets whether to open the Q-Path server through the [Report] key.
Page 96 4 Setup eGateway Query Item Description Service Name The name of the eGateway service. IP Address Input the ADT Source IP address in the eGateway Server configuration interface. Port Input the MAQ Server Port in the eGateway Server configuration interface. Clear Click to cancel the parameter setting.
Page 97: Print Preset
4 Setup Type Item Description Clear Click to cancel the parameter setting. Click to add the Network service to the service list. Update 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.
Page 98: Exporting Setup Data
• Click [Uninstall] to begin uninstalling a previously-installed option. Please contact the Mindray Customer Service Department or a sales representative for details. 4.10.2 Exporting Setup Data This function is used to write all setup data of the system into a disk for backup.
Page 99: Security
Needles List Replace Update the list of needles that support eSpacial Navi function. NOTE: The list of needles must be release version provided by Mindray. Needles List Recover Restore the list of needles that support eSpacial Navi function to the last version.
Page 100: Anti-Virus
4 Setup Click [OK]. Click [Wipe] and operate according to the screen prompts to clear patient data. Select [User Define] again, and click [Confirm]. Input the password and click [Confirm] to finish the password setting. NOTE: • If you want to switch to Factory Default, perform steps above again. The password is the same as that of the User Define.
Page 101: Exam Preparation
Exam Preparation You can start a patient exam in the following situations: • New patient information: to start a new patient exam, patient information must first be entered. • New exam: to start a new exam for patient who is already registered, the recorded information can be obtained through either iStation or Worklist.
Page 102: Retrieve Patient Information
5 Exam Preparation – [New Exam]: click to clear the current exam information in order to create a new exam for the current patient. – [Pause Exam]: to pause the current exam due to some special causes or system power off. –...
Page 103: Activate& Continue An Exam
5 Exam Preparation Patient Infor Click to enter the Patient Info screen. Review Report Enter diagnostic report screen. Delete Exam Delete the selected record. Backup Exam Click to back up the selected patient record to media sup-ported. Restore Exam Click to import the patient data from an external media. Send Exam Click to send the selected patient data to external device, storage server or printer.
Page 104: Pause & End An Exam
5 Exam Preparation Pause & End an Exam 5.3.1 Pause an Exam Sometimes, you have to stop an uncompleted exam due to some special causes.When the exam is paused, the system can begin other exams. Tap [Info] on the touch screen to enter the patient information page. Click [Pause Exam].
Page 105: Image Acquisition
WARNING • The images displayed in this system are only reference for diagnosis. Mindray is not responsible for the correctness of diagnostic results. • In Dual-B imaging mode, the measurement results of the merged image may be inaccurate. Therefore, the results are provided for reference only, not for confirming a diagnosis.
Page 106 6 Image Acquisition Depth increase will cause a decrease in the frame rate. The system compensates the signals from deeper tissue by segments to optimize the image. There are 8-segment TGC sliders corresponding to the areas in the image. Adjust the signal gain for the certain image area to get a balanced image. Acoustic power Refers to the power of ultrasonic wave transmitted by the probe, the real-time value of which is displayed in the upper left corner of the screen.
Page 107 6 Image Acquisition Rotation/Flip This function provides a better observation for image display. The “M” mark indicates the orientation of the image; the M mark is located on the top of the imaging area by default. iBeam This function is used to superimpose and average images of different steer angles to obtain image optimization.
Page 108: Color Mode
6 Image Acquisition Two pages of adjustable parameters are displayed on the touch screen as well; where, shared parameters and left window parameters are displayed in the B (L) page, while right window parameters are displayed in the B(R) page. In the image parameter area, parameters of the both windows are displayed.
Page 109 6 Image Acquisition Image Quality Refers to the transmitting frequency in Doppler mode of the probe, the real-time value of which is displayed in the image parameter area. B/C Align To set and constrain the maximum width of the B mode image to that of the Color ROI. Dual Live This function is used to display B image and Color image synchronously.
Page 110: Power Mode
6 Image Acquisition TIP: It is available only for linear probes. Color Map This function is a combination of several image parameters, which indicates the display effect of color image. WF (Wall Filter) It filters out low-velocity signals to provide effective information, and this function is used to adjust the filtered frequency.
Page 111: Power Mode Image Parameters
6 Image Acquisition Select a premium image during B mode or B+ Color scan, and adjust to place the area of interest in the center of the image. Press <P> to enter B+Power mode. Use the trackball/trackpad and <Set> to change position and size of the Region of Interest (ROI).
Page 112: Color M Mode (Cm)
6 Image Acquisition Display Format To set the display format of B mode image and M mode image. Adjust according to the actual situation and obtain a desired analysis through comparison. Speed This function is used to set the scan speed of M mode imaging, and the real-time speed value is displayed in the image parameter area.
Page 113: Anatomical M Mode
6 Image Acquisition Anatomical M Mode For an image in the traditional M mode, the M-mark line goes along the beams transmitted from the probe. Thus it is difficult to obtain a good plane for difficult-to-image patients who cannot be moved easily.
Page 114: Anatomical M Mode Parameters
6 Image Acquisition CAUTION Curved anatomical M image in the operator’s manual that it is provided for reference, not for confirming a diagnosis. Generally it should be compared with other device or make a diagnosis by non-ultrasonic methods. TIP: Only phased probe supports Free Xros CM. Perform the following procedure: In real-time 2D mode, adjust the probe and image to obtain the desired plane.
Page 115: Pw/Cw Mode Image Scanning
6 Image Acquisition PW mode provides a function to examine flow at one specific site for its velocity, direction and features; while CW mode proves to be much more sensitive to high velocity flow display. Thus, a combination of both modes will contribute to a much more accurate analysis. CW module is optional.
Page 116 6 Image Acquisition Auto Calculation This function is used to trace the spectrum and calculate the PW/CW mode image parameters. The results are displayed in the results window. In real-time scanning, the results displayed are derived from the calculation of the latest cardiac cycle.
Page 117: Tdi
6 Image Acquisition Angle 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 in the image parameter area. Quick Angle Adjusts the angle faster in increments of 60°, and the real-time value of which is displayed in the image parameter area.
Page 118: Tdi Mode Image Parameters
6 Image Acquisition – In B or B+Color mode: to enter TVI Mode, parameters of TVI mode will be displayed on the touch screen. – In Power mode: to enter TEI Mode, parameters of TEI mode will be displayed on the touch screen.
Page 119 6 Image Acquisition Figure 6-1 Quantitative analysis display (taking velocity-time curve as the example) TDI review Sampling area: indicates the sampling position of the curve. The sampling lines are marked with color numbers. It can mark 8 ROIs at most. 2D grey image review •...
Page 120 6 Image Acquisition NOTE: • The current image (in frozen state) and the saved image can be used in the quantitative analysis. • Only after the user chooses the image review, the quantitative analysis is available. If the user chooses the static image (only one frame), the quantitative analysis is not available.
Page 121: Iscape
6 Image Acquisition The exported data include: – Current image; – Analysis curve data; – Analysis parameter. Tap [Exit] to exit the quantitative analysis. iScape The iScape panoramic imaging feature extends your field of view by piecing together multiple B images into a single, extended B image.
Page 122: Basic Procedures For Iscape Imaging
6 Image Acquisition 6.9.1 Basic Procedures for iScape Imaging Perform the following procedure: Connect an appropriate iScape compatible probe. Make sure there is enough coupling gel along the scan path. Press the user-defined key for “iScape View” or tap [iScape View] on the touch screen (it is available after enter Power/Color mode).
Page 123: Cine Review
6 Image Acquisition NOTE: • iScape panoramic imaging is intended for use by well-trained ultrasound operators or physicians. The operator must recognize image items that will produce a sub-optimal or unreliable image. • If the image quality cannot satisfy the following criteria, you shall remove the image and capture it again.
Page 124 6 Image Acquisition Select a probe and carotid exam mode. Perform B real-time imaging and search for carotid vessel. Try to place the vessel on the image horizontally. Tap [R-VQS] and use the trackball/trackpad to locate the ROI box on the target area. Dotted line of the ROI lies in the middle of the vessel and divides the vessel upper wall and lower wall.
Page 125: Smart B-Line
6 Image Acquisition If pressure is entered in the patient information page or the report page, Hardness coefficient and PWV result will be displayed on the report. For details about report operation, refer to Advanced Volume. 6.11 Smart B-line The lung acoustic impedance difference increases with the increase of lung liquids. The ultrasound waves produce strong reverberations in the lung at different depth.
Page 126 6 Image Acquisition – B Lines: indicates the number of B lines of the current frame. The number can be 1, 2, 3, 4, or ≥5. When the number is equal to or greater than 5, the system does not display a specific number.
Page 127: Overview
6 Image Acquisition Press the <Save> key to save the single-frame image and B line calculation results. If necessary, press the <Freeze> key again to unfreeze the image. Repeat steps 4-6 to finish calculating other points. Tap [Report], and select “Fluid Management” from the drop list box of [Report Type] to check report.
Page 128 6 Image Acquisition Move the probe to capture an appropriate image of the long axis view of the left ventricular near the sternum. Press the <Measure> key to enter the application measurement. Select the “LVOT Diam” item and the measurement cursor is displayed on the main screen. Move the cursor to the starting point and press <Set>...
Page 129: Smart Ivc
6 Image Acquisition 10. Tap [Report], and select “Fluid Management” from the drop list box of [Report Type] to check report. For details about report operation, refer to Advanced Volume. 6.13 Smart IVC Smart IVC is used to automatically measure the IVC inner diameter and calculate the change rate in the B mode image.
Page 130 6 Image Acquisition Use [Angle] on the touch screen to adjust the sampling line angle, and use the trackball/ trackpad to adjust the sampling line position. Press the <Update> key to start calculating IVC again. Press the <Freeze> key to freeze the image and finish calculating IVC. The calculation results and quantitative trend curve are displayed on the main screen.
Page 131: Rimt (Real-Time Intima-Media Thickness)
6 Image Acquisition 6.14 RIMT (Real-time Intima-Media Thickness) RIMT early detects and prevents coronary heart disease, artery vessel from being pathological, and estimates the therapeutic effects. RIMT detects the changes of the vascular intima in real time, and monitors and calculates the thickness of the carotid intima automatically. TIP: •...
Page 132: Tissue Tracking Quantitative Analysis
6 Image Acquisition 6.15 Tissue Tracking Quantitative Analysis CAUTION Tissue Tracking Quantitative Analysis images are provided for reference only, not for confirming diagnoses. 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...
Page 133: Screen Display Of Tissue Tracking Qa
6 Image Acquisition Tap [Data Export] to export analyzed data. Tap [Exit] to exit. 6.15.2 Screen Display of Tissue Tracking QA Displays image used to generate trace curve Displays corresponding time of AVO (aortic valve open)/AVC (aortic valve close)/MVO (mitral valve open)/ MVC (mitral valve close).
Page 134: Select Image And Cardiac Cycle
6 Image Acquisition Displays measurement and • EDV: Maximum value of the end diastolic volume during the calculation results 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 135: Basic Operations Of Ttqa
6 Image Acquisition • Manual trace method Press <Set> and move the cursor by using the trackball/trackpad along the boundary to add the trace points gradually, after trace is finished, press <Set> twice to finish tracing. NOTE: At least 6 points should be determined by you before the system generates automated trace. Press <Set>...
Page 136 6 Image Acquisition • [A2C]: apical two chamber. • [ALAX]: apical long-axis view, also called 3-chamber view. • [PSAX B]: short axis view of base section, short axis view of mitral valve. • [PSAX M]: short axis view of base section, short axis view of papillary muscle. •...
Page 137: Bulleye
6 Image Acquisition – Circumferential Rotation Rate curve: The X-axis represents time (s); the Y-axis represents rotation by time (Deg/s). Torsion & Torsion Rate Curve The system provides left ventricular torsion data based on short axis sections of PSAX AP and PSAX B.
Page 138: Screen Display
6 Image Acquisition Tap [iWorks] on the touch screen or press the user-defined key for “iWorks” to enter the protocol selection screen, and tap the corresponding protocol button to enter the status. After the system enters the iWorks screen, the available protocol is displayed on the right of the screen.
Page 139: View Operation
6 Image Acquisition Displays the view steps in the protocol. The current active view with a solid frame around the image. Touchscreen Display The touchscreen displays the following screen: 6.16.2 View Operation In iWorks status, you can perform view selection, repeat, replacement and delete operations using the touch screen.
Page 140: Insert
6 Image Acquisition • Return to iWorks: tap [Resume iWorks] to return to automated status. You can continue the previous iWorks scan. 6.16.4 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.
Page 141: Smart 3D
Smart 3D The operator moves the probe to change its position/angle when performing the scanning. After the scanning, the system carries out image reconstruction, and then displays a single frame of 3D image. NOTE: Smart 3D imaging is largely environment-dependent, so the images obtained are provided for reference only, not for confirming a diagnosis.
Page 142: Roi And Voi
7 Smart 3D • VOI (Volume of Interest): a volume box used to display 3D image (VR) by adjusting interesting region in MPR. 7.1.2 ROI and VOI After the system enters 3D imaging, a B image with ROI displays on the screen. A line (shown in the following figure) that shows the upper edge position of VOI is inside ROI.
Page 143: Render Mode
7 Smart 3D 7.1.3 Render Mode Surface Set 3D image rendering mode as Surface. This is helpful for surface imaging, such as fetus face/hand or foot. TIP: You may have to adjust the threshold to obtain a clear body boundary. Set Max as 3D image rendering mode, displays the maximum echo intensity in the observation direction.
Page 144: Wire Cage
7 Smart 3D • Section A: corresponds to the 2D image in B mode.Section A is the sagittal section in fetal face up posture, as shown in the figure A above. • Section B: it is the horizontal section in fetal face up posture, as shown in the figure B above. •...
Page 145 7 Smart 3D • A region with qualified image in B mode may not be optimal for 3D imaging. E.g. adequate AF isolation for one section plane of 2D image doesn’t mean the whole desired region is isolated by AF for 3D imaging. •...
Page 146: Smart 3D Image Acquisition
7 Smart 3D – Linear scanning Move the probe across the surface. See the following figure. – Rocked scanning Rotate the probe once from the left to the right side (or from the right to the left) to include the entire desired region. See the following figure. Scanning plane and probe movement Move the probe across the body surface.
Page 147: Smart 3D Image Viewing
7 Smart 3D Obtain a 2D image, and optimize the image if necessary. Press the user-defined key for “Smart 3D” to enter Smart 3D imaging mode. – Adjust ROI size and position and the position of VOI. – Select the render mode. –...
Page 148 7 Smart 3D MPR Only Select [Display Format] > [MPR Only] on the touch screen to display section images. And the adjustable image parameters are changed into MPR parameters automatically. Only A, B and C section images are displayed, and 3D image is not displayed. Asymmetric Select [Display Format] >...
Page 149 7 Smart 3D Use the trackball/trackpad to adjust VOI position, size and curved VOI, and press <Set> to toggle among the adjusting status. • VOI Off 3D image (VR) image displays ROI information. Tap [VOI] to be Off, then the ROI image is displayed on the screen, use the trackball/trackpad to observe section images.
Page 150 7 Smart 3D Item Description Contrast Set the contrast scale of the image. As long as the contrast becomes larger, the bright spot and dark spot on the image change as well. NOTE: The adjustment is for 3D (VR) and MPR. Tint Enable/disable tint map.
Page 151 7 Smart 3D Rotate the Image NOTE: You can view the back of the VR by rotating it 180°. The back view image may not be as vivid as the front. (Here we call the initial view of the VR the “front”). It is recommended to re-capture rather than rotate the VR if a certain desired region is obscured in the VR.
Page 152 7 Smart 3D Image Editing Image cutting is a more elaborate function than VOI adjusting to optimize the 3D by clipping (removing) the part blocked the region of interests. TIP: • In image cutting status, image parameter can not be edited. There displays a cutting cursor + or an eraser cursor , and the system enters “Accept VOI”...
Page 153 7 Smart 3D Item Description Operation Line Use a multi-point line to trace the Follow the steps below: boundary quickly. 1. Press <Set> to position the start point and the system will display a reference line. 2. Use the trackball/trackpad to set the line orientation and press <Set>...
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Page 155: Strain Elastography
Strain Elastography CAUTION It is provided for reference, not for confirming a diagnosis. TIP: • The strain elastography is an option. • Select an appropriate probe before performing elastography imaging scan, see “16.1 Probes”. 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.
Page 156: Image Parameters
8 Strain Elastography Image Parameters Smooth Adjust the smooth feature of the Elasto image. Opacity Adjust the opacity feature of the Elasto image. Invert Invert the E color bar and therefore invert the colors of benign and malignant tissue. Display Format Adjust the display format of ultrasound image and the Elasto image.
Page 157: Contrast Imaging
Contrast Imaging The 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: Left Ventricular Opacification
9 Contrast Imaging For every single contrast imaging procedure, use [Timer 2] for timing. If necessary, activate destruction function by tapping [Destruct] at “ON” to destruct the micro- bubbles left by the last contrast imaging; or to observe the reinfusion effect in a continuous agent injecting process.
Page 159 9 Contrast Imaging The two timers are used to record total time of contrast imaging and single time of one contrast exam. After the image is frozen, Timer 1 is still timing, and after unfreezing the image, the corresponding time can be seen. Timer 2 stops timing when one contrast exam is frozen, and after unfreezing the image, the Timer 2 is off.
Page 160: Image Saving
9 Contrast Imaging Image Saving • Live capture In live mode, you can save the interested images by tapping [Pro Capture] and [Retro Capture]. • Cine saving In live mode, press <Freeze> on the control panel to enter cine review status. Micro Flow Enhancement MFE superimposes and processes multiple frames of contrast image during the cycle;...
Page 161 9 Contrast Imaging Figure 9-1 Contrast QA Screen Contrast cineloop Sample area: indicates sampling position of the analysis curve. The window sample area is color-coded, 8 (maximum) sample areas can be indicated. B cineloop window Sample areas are linked in the contrast cineloop window and B cineloop window.
Page 162 9 Contrast Imaging Use [ROI Type] to select the method for determining the shapes of the sample area: Trace ROI and Ellipse ROI. The cursor is evolved in the image review area. Use the trackball/trackpad to position the caliper on the reference image at the start point. Press <Set>...
Page 163 9 Contrast Imaging Item Description PI (Peak Intensity) Contrast peak intensity. AS (Ascending Slope) Ascending slope of contrast, the slope between the start point of lesion perfusion to the peak. DT/2 Time when the intensity is half the value of the peak intensity. DS (Descending Slope) Descending slope of the curve.
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Page 165: Physiological Unit Signal
Physiological Unit Signal The physiological unit signal waveform is used for checking ultrasound image in ultrasound exam (cardiac exam mainly). WARNING • Do not use the physiological traces for diagnosis and monitoring. • To avoid electric shock, the following checks shall be performed prior to an operation: –...
Page 166 10 Physiological Unit Signal Connect the ECG cable to the ECG module. Turn on the power supply of the system. Place the ECG electrodes on the patient’s body (as shown in the following figure). Tap [Physio] or press the user-defined key for “Physio” to enter physio operation interface. Switch the imaging modes and display formats, adjusting the parameters to get an optimized image.
Page 167: Respiratory Wave
10 Physiological Unit Signal Triggering Mode There are three triggering modes available: Single, Dual, and Timer. • Single Trigger: When an R waveform is detected, an image will be triggered after delay time T1. The time of T1 can be edited in single mode. •...
Page 168: Parameter Description
10 Physiological Unit Signal 10.4 Parameter Description The physio parameters are described as follows: Parameter Description ECG Source Select ECG source. Gain Set the amplitude of the trace. Position Set the vertical position of the both traces on the image display. Speed Change the speed of the physio trace.
Page 169: Stress Echo
Stress Echo Stress Echo is an option, only the phased probes support stress echo function under the cardiac mode. CAUTION Stress echo data are provided for reference only, not for confirming diagnoses. The Stress Echo feature allows you to capture and review cardiac loops for multiple-phase (multiple-stage) Stress Echo protocols.
Page 170: Selecting Preferred Stress Echo Loops (Select Mode)
11 Stress Echo When you confirm the ROI size by pressing <Update>, you cannot adjust the ROI size during acquisition. You can only adjust the ROI position using the trackball/trackpad. Press <Save> on the control panel to start acquisition. The system displays the Protocol window on the screen, listing the phases for the selected protocol along with the first phase views (phases are stages).
Page 171 11 Stress Echo When the acquisition is ended, select mode is enabled automatically. In Select Mode, you can select the representative loop (“preferred” loop) for each view. To select “preferred” loops: Use the <Update> key according to tips in the trackball/trackpad hint area or select [Select] to enter the Select Mode, or the system enters the Select Mode directly after the acquisition is finished.
Page 172: Review/Wms Mode
11 Stress Echo Selection Description Bookmark For continuous acquisition, when the bookmark is set to “On”, only the 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.
Page 173: Wall Motion Scoring
11 Stress Echo Description of review/WMS mode keys (keys with the same function as in select mode are not described below): Item Description Review/WMS Perform side-by-side comparison of the same views at different stages (PLAX, PSAX, A4C, A2C at “Rest” compared to PLAX, PSAX, A4C, A2C “Post-Exercise”).
Page 174: Saving Stress Echo Data
11 Stress Echo Repeat step 2 to perform value assign for all segments. – To assign a normal wall motion score (WMS) to all currently displayed views: Select [Set All Normal] on the touch screen. – To assign a normal wall motion score (WMS) to the currently selected view: Select [Set Current Normal] on the touch screen.
Page 175: Display & Cine Review
Display & Cine Review 12.1 Splitting Display The system supports dual-split and quad-split display format. However, only one window is active. The multi-window display can complete the image and mult-frame image comparison. Dual-split Press <Dual> on the control panel to enter the dual-split mode, and use <Dual> / <Update> key to switch between the two images;...
Page 176: Izoom (Full-Screen Zooming)
12 Display & Cine Review Use the trackball/trackpad to shifting the image. Adjust the magnification factor to 1.00 to exit pan zoom. 12.2.3 iZoom (Full-screen Zooming) Perform the following procedure: Press the user-defined key for “iZoom” to zoom in the image. The zooming area includes image area, parameter area, image banner, and so on.
Page 177: Entering/Exiting Cine Review
12 Display & Cine Review • Cine files stored in the system’s hard drive shall contain patient information, to avoid the selection of an incorrect image file and potential misdiagnosis. 12.4.1 Entering/Exiting Cine Review To Enter Cine Review • The system enters the manual cine review status once press <Freeze> to freeze the image. •...
Page 178: Cine Review In M/Pw/Cw/Tvd Mode
12 Display & Cine Review Setting scope of Auto Review You can set a segment of cine loop which can be reviewed automatically.After the auto review scope is set, the auto cine review can only be performed within this scope; but the manual cine review can be performed beyond this scope.
Page 179: Linked Cine Review
12 Display & Cine Review TIP: There is no audio when the spectrum is reviewed in manual status but audio synchronization can be realized in auto review status with speed of ×1. 12.4.4 Linked Cine Review The linked cine review refers to review of the images captured at the same moment. •...
Page 180: Frame Compare
12 Display & Cine Review There is “Display” column you can filter the images by selecting “All Items”, “Selected”, “Unselected”. Click [Clear Selected] to clear all selected images. Click [OK] to enter image comparison. Switch the multi-frame cine among the windows to review (single-frame image cannot be reviewed).
Page 181: Frozen Image Storage
12 Display & Cine Review TIP: • Press the save key again or <Freeze> to stop saving. • When a saving is completed, a thumbnail is showed in the Thumbnail area. 12.6.2 Frozen image storage In frozen mode, tap [Pro Capture] / [Retro Capture] on the touch screen or press the user-defined key (The key has already been assigned the function as “Save Clip retrospective or prospective”).
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Page 183: Measurement, Comments And Body Mark
Measurement, Comments and Body Mark 13.1 Measurement There are general measurements and application measurement. You can perform measurements on a zoomed image, cine reviewing image, real-time image, or frozen image. For measurement details, please refer to the Advanced Volume. WARNING •...
Page 184 13 Measurement, Comments and Body Mark Table 13-1 Error of 2D Images Parameter Value Range Error Distance (iScape) Full screen Within ±5% (for linear, wide- convex, and phased probes) Full screen Within ±10% (for micro- convex probes) Table 13-2 Time/Motion Measurements Parameter Value Range Error...
Page 185: Comments
13 Measurement, Comments and Body Mark NOTE: Within the selected field range, the measurement accuracy is ensured within the range mentioned above. The accuracy specifications are performance in the worst conditions, or based on the real test for the system, regardless of acoustic speed error. 13.2 Comments Comments can be added to an ultrasound image to bring attention, notate or communicate information observed during the examination.
Page 186: Moving Comments
13 Measurement, Comments and Body Mark If needed, tap [Advanced Settings] to enter comment property screen to set the arrow style/ size. Press <Set> to anchor the arrow position. Repeat steps above to add more arrows if necessary. Press <ABC> or the user-defined key for “Arrow” to exit the arrow comment status. Trace In comment status, tap [Advanced Settings] >...
Page 187: Deleting Comments
13 Measurement, Comments and Body Mark Or, double press <Set> to enter comment editing status, and use the direction-control keys to move the cursor to the desired location to insert/delete characters; you can either type characters by pressing the corresponding keys or select the new comment text from the menu. Press <Del>...
Page 188: Body Mark
13 Measurement, Comments and Body Mark Select <ABC> > [Comments] or press the user-defined key for “Annotation” to enter the comment status. Move the cursor to the target position, then press <Set Home> to set the start position of the comment.
Page 189: Deleting Body Marks
13 Measurement, Comments and Body Mark 13.3.3 Deleting Body Marks TIP: • Preset returning, switching the exam mode/patient/probe will clear the body marks. • Set if body mark is erased when the image is unfrozen, see “4.1.4 Application”. Perform the following procedure: Press <Cursor>...
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Page 191: Patient Data Management
The system patient database space is limited, please back up or clear patient data in time. • Mindray is not responsible for lost data if you DO NOT follow suggested backup procedures. 14.1 Image File Management You can store the image files either in the patient database in the system, or to external memory devices.For a save image, you can perform operations like image reviewing, analyzing and...
Page 192: Image Storage Setting
14 Patient Data Management Single-frame file format, used to save the current screen, non-compressed format; • JPG: Single frame export format. • TIFF: Single frame export format • Multi-medium files Multi-frame export format. • DICOM files DICOM standard files format, single-frame or multi-frame format, used to record patient information and images;...
Page 193: Auxiliary Output Function
14 Patient Data Management 14.1.7 Auxiliary Output Function For the following three functions, the system provides auxiliary output function setting: “Save Image”, “Save Cine (Retrospective)” and “Save Cine (Prospective)”. When the corresponding user- defined key is pressed, the ultrasound system can perform multiple operations one by one as per the preset.
Page 194: Sending Image File
14 Patient Data Management To exit the image analysis: – Press <Freeze> to exit and enter the real-time scan status. – Press [Return] to exit from the image analysis to the Review status.In image analysis status, the selected image is displayed on the screen, and the thumbnails of the same exam are displayed on the thumbnail area, you can turn pages using the buttons on the right side of the thumbnail.
Page 195: Importing, Exporting And Sending A Report
14 Patient Data Management 14.2.2 Importing, exporting and sending a report Import/export report via Backup In iStation screen, select patient data, click [Restore Exam] or [Backup Exam] in the popped up menu to import or export patient information, images and reports from or to an external memory device.
Page 196: Patient Data View & Management
14 Patient Data Management Enter the key word. The matching patient information is displayed in the patient list. When you select a patient in the patient list, the images of this patient will be displayed at the bottom of the screen. 14.3.2 Patient Data View &...
Page 197: Recycle Bin
14 Patient Data Management Item Description Annotation an Select an exam and click [Annotation Exam] to add annotation. exam In the popped-up screen, you can also review the history annotations for the selected exam. 14.4 Recycle bin The recycle bin is used to store deleted patient data, exam data and images. The system supports recovery of these data from the recycle bin.
Page 198: Istorage
TIP: To use iStorage function, you need UltraAssist software in 2.0 version (with V1.0 network protocol); consult Mindray service engineer for details. Network storage is used to save image files and measurement reports to the remote PC server. For network storage setting, see “4.8.2 iStorage Preset”.
Page 199: Patient Task Management
14 Patient Data Management • symbol indicates that the input CD/DVD is damaged or contains data in an incorrect format. The system supports writing data to CD/DVD using the DVD-RW/DVD+RW drive and reading data from CD/DVD on the PC. Perform the following procedure: Put a CD/DVD in the tray.
Page 200: V-Access
14 Patient Data Management Task Status When there are tasks underway, the task management icon displays as . Click the icon to check the process. When tasks have failed, the task management icon displays as . Click the icon to check the reason for the failure.
Page 201: Dicom/Hl7
DICOM/HL7 NOTE: Before using DICOM, please read the electronic file DICOM CONFORMANCE STATEMENT along with the device. TIP: The DICOM package is optional, so the description here is only applicable for the system configured with the DICOM package. This system supports the following DICOM functions: •...
Page 202: To Send Images Using A Shortcut Key
15 DICOM/HL7 Click in the top-right part or [Send To] to bring up the Send To dialog box. Click to select “DICOM” in the Target box on the left side, then select the DICOM storage server in the Storage Server box on the right side, and click [OK]. 15.1.2 To send images using a shortcut key You can save single-frame images or multi-frame images to a DICOM server while saving to hard drive using a shortcut key.
Page 203: To Send Images To Dicom Print After An Exam Ends
15 DICOM/HL7 – Tap [iStation] on the exam main screen to enter the iStation page. Click to select a patient or an exam record in the list. Thumbnails are displayed in the thumbnail area in the lower part of the screen, and then click to select a thumbnail. Or, select an exam or exams from the patient list (there should be images for this exam).
Page 204: Mpps
15 DICOM/HL7 – DICOM server: Search via patient ID, accession #, key words, AE title, worklist server or exam date. – Select HL7 server: Search via patient ID, patient name. – eGateway server: Search via patient ID, patient name, exam date, and so on. Click [Query].
Page 205: Storage Commitment After Sending Images On The Istation Screen
15 DICOM/HL7 15.5.1 Storage commitment after sending images on the iStation screen Select the image, the cine or the data, and send it, see “15.1 DICOM Storage”. The system will send all the images stored in the exam record to the storage server. Meanwhile, it will send storage commitment to the storage commitment server.
Page 206: Media Storage
15 DICOM/HL7 DICOM media storage and DICOMDUR review should meet the following conditions: • There is a DVD disk in the ultrasound device, and it works well. • File system format of CD/ DVD optical file should be ISO9660, and the optical disk should not be damaged.
Page 207: Structured Report
15 DICOM/HL7 15.8 Structured Report The Structured Report (SR) can be sent with meeting the following procedures: • DICOM structured report installed with the corresponding exam mode; • The state of the SR should be “Cancel” or “Stop”. • Set the storage option to “Attach SR When Store Images” or “Only Store SR”, see “4.7.2 DICOM Service Preset”.
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Page 209: Probes And Biopsy
Probes and Biopsy 16.1 Probes Table 16-1 Available probes Probe Model Region Applied Intended Use Imaging Mode Probe Figure C5-1s Body surface Fetal, Abdominal, B, M, PW, Color, Pediatric, Power, Combined Musculo-skeletal modes (B+M, PW+B, (Conventional), Color + B, Power + Thoracic/Pleural, B, PW +Color+ B, Peripheral vessel,...
Page 210 16 Probes and Biopsy Table 16-1 Available probes Probe Model Region Applied Intended Use Imaging Mode Probe Figure V11-3s Intracavitary Fetal, Trans-rectal, B, M, PW, Color, Trans-vaginal, Power, Combined Urology modes (B+M, PW+B, Color + B, Power + B, PW +Color+ B, Power + PW +B), Tissue Harmonic Imaging, iScape,...
Page 211 16 Probes and Biopsy Table 16-1 Available probes Probe Model Region Applied Intended Use Imaging Mode Probe Figure L11-3VNs Body surface Abdominal, B, M, PW, Color, Pediatric, Small Power, Combined Organ (breast, modes (B+M, PW+B, thyroid, testes), Color + B, Power + Musculo-skeletal B, PW +Color+ B, (Conventional,...
Page 212: Probe Functions By Part
16 Probes and Biopsy Table 16-1 Available probes Probe Model Region Applied Intended Use Imaging Mode Probe Figure SP5-1Ns Body surface Abdominal, B, M, PW, CW, Color, Pediatric, Power, Combined Neonatal modes (B+M, PW+B, Cephalic, Adult Color + B, Power + Cephalic, B, PW +Color+ B, Thoracic/Pleural,...
Page 213: Orientation Of The Ultrasound Image And The Probe Head
16 Probes and Biopsy 16.1.2 Orientation of the Ultrasound Image and the Probe Head The orientation of the ultrasound image and the probe are shown as below. The “M” 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 214 16 Probes and Biopsy Procedures for operating (with biopsy function) Inspection before examination Connection to the system Examinations Biopsy procedure Disconnection to the system Thoroughly cleaning the needle- guided bracket Wiping off the ultrasound gel Sterilization of the needleguided bracket Thoroughly cleaning the probe Inspection after use Drying the probe...
Page 215: Wearing The Probe Sheath
16 Probes and Biopsy Procedures for operating (with no biopsy function) Inspection before examination Connection to the system Examinations Disconnection to the system Wiping off the ultrasound gel Thoroughly cleaning the probe Drying the probe Disinfecting the probe Rinsing the probe Drying the probe Inspection after use Storage...
Page 216 16 Probes and Biopsy 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 217: Probes Cleaning And Disinfection
16 Probes and Biopsy Perform the following procedure to install the probe sheath: Place an appropriate amount of gel inside the sheath or on the probe acoustic lens. Poor imaging may result if no gel is used. Insert the probe into the sheath; make sure to use proper sterile technique. Pull cover tightly over probe acoustic lens to remove wrinkles and air bubbles, and taking care to avoid puncturing the sheath.
Page 218 16 Probes and Biopsy CAUTION • No cleaning and disinfecting may result in the probe becoming a source of infection. • Please follow the disinfectant manufacturer’s manual for performing cleaning and disinfection, including preparing sterile water and cleaning and disinfection time. NOTE: •...
Page 219 Check whether the probe has defects such as peeling, rifts, bumps, cracks, or liquid spill. If such defects exist, the probe has reached the end of its service life. In this case, stop using it and contact the Mindray service department. Low-level disinfection of a non-critical probe CAUTION Use protective eyewear when disinfecting using sprays.
Page 220 In this case, stop using it and contact the Mindray service department. Store the probe in a cool, clean and dry environment. And repeat the cleaning and disinfection process before the next use.
Page 221: Cleaning The Probe Cable And Connector
Store the probe in a cool, clean and dry environment. And repeat the cleaning and disinfection process before the next use. Compatible Cleaners and Disinfectants For the detailed information about cleaners and disinfectants, see Mindray Transducer Disinfectant Recommendation. 16.1.6 Cleaning the probe cable and connector NOTE: Do not use cloth with water to clean the probe connector.
Page 222: Storage And Transportation
16 Probes and Biopsy Table 16-2 Probe Environmental Conditions Probe Conditions Ambient Relative humidity Atmospheric Model temperature (no condensation) pressure V11-3Hs Operating 0°C ~ 40°C 20% ~ 85% 700 hPa ~ 1060 hPa Storage and -20°C ~ 55°C 20% ~ 95% 700 hPa ~ 1060 hPa transportation L11-3VNs Operating...
Page 223: Biopsy Guide
16 Probes and Biopsy • When the probe is sent to MINDRAY Customer Service Department or sales representative for repair, be sure to disinfect it and keep it in the carrying case to prevent infection. 16.2 Biopsy Guide WARNING •...
Page 224 16 Probes and Biopsy reference. Always monitor the relative positions of the biopsy needle during the procedures. • Adjust the needle mark before the biopsy procedure is performed. • When performing biopsy procedures, use only sterile ultrasound gel that is certified to be safe.
Page 225: Needle-Guided Brackets Available
16 Probes and Biopsy 16.2.1 Needle-guided Brackets Available Some of the probes have matched needle-guided brackets for biopsy, the available probes and the corresponding needle-guided brackets are listed as follows. Table 16-3 Needle-guided Brackets Available Probe Model Needle-guided Biopsy angle/ Applicable Biopsy Needle Bracket Model depth(±1°)
Page 226: Needle-Guided Bracket Inspection And Installation
(optional accessory) and a biopsy needle (provided by the user). 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 227 16 Probes and Biopsy Open the retaining clamp, align the needle-guided bracket with the probe to align the locating bulge on the needle guide with the locating grooves on the probe, then turn the retaining clamp to align it with the probe. When the retaining clamp is turned to the correct position, the locking nut will lock the retaining clamp and the needle-guided bracket is then mounted in the correct position.
Page 228 16 Probes and Biopsy Tab and groove for the needle-guided bracket Angle-adjusting base Angle shift sign Angle pinch nut Angle block Guiding block Guiding block specification Needle guide hole Needle-guided bracket pinch nut Perform the following procedure: Install the needle-guided bracket: Put on the sterile probe sheath.
Page 229 16 Probes and Biopsy Screw the block's nut to secure the block. Insert a biopsy needle with the same specification as that of the guiding block into the guiding block hole. Release the needle from the bracket: Screw the nut of the guiding block and remove the guiding block slightly along the direction of the needle’s tail.
Page 230 16 Probes and Biopsy NGB-007 Plastic/needle detachable needle-guided bracket Support of needle-guided bracket Angle block Guiding block Groove and tab of the needle-guided bracket Specification of guiding block Guiding hole of the biopsy needle Specification of angle block Perform the following procedure: Install the needle-guided bracket: Put on the sterile probe sheath.
Page 231 16 Probes and Biopsy Insert a biopsy needle with the same specification as that of the guiding block into the hole of the guiding block. Release the needle from the bracket: Remove the guiding block slightly along the direction of the needle’s tail. Separate the residual part of the needle-guide bracket and the probe from the needle.
Page 232 16 Probes and Biopsy NGB-011 Metal-needle undetachable needle-guided bracket Clamp Locating groove Grip knob Needle guide rack Needle guide hole Needle guide clamping knob Needle guide Locating pit Perform the following procedure: Install the needle-guided bracket: Put on the sterile probe sheath. Connect the locating groove on the clamp with the two raised edges on the probe head and align the locating pit of the clamp with the convex point on the probe head.
Page 233 16 Probes and Biopsy Needle fixing nut V-shaped cover Angle adjusting base Angle shift sign Angle pinch nut Angle block Pinch nut Perform the following procedure: Install the needle-guided bracket: Put on the sterile probe sheath. Hold the probe by one hand, select the proper needle-guided bracket, and hold it with the other hand.
Page 234 16 Probes and Biopsy Pull the lock pin and open up the V-shaped cover to expose the needle. Separate the bracket and the probe from the needle. Remove the needle-guided bracket: Screw the pinch nut to release the needle-guided bracket. Separate the bracket and the probe.
Page 235 16 Probes and Biopsy Open the clamp. Insert the front clamp to the front groove, and align front clamp with front groove. 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) Remove the needle-guided bracket: Hold the prober in the left hand;...
Page 236 16 Probes and Biopsy NGB-043 Metal-needle detachable needle-guided bracket Locking nut of left and right clamps Groove Guide frame Guide block hole Clamps Perform the following procedure: Install the needle-guided bracket: Put on the sterile probe sheath. Hold the probe in one hand, select the correct needle-guided bracket and hold it with the other hand.
Page 237 16 Probes and Biopsy Rotate the locking nut in the direction of the arrow shown on the figure to separate the bracket from the probe. Hold the probe and take out the bracket. NGB-044 Metal-needle detachable needle-guided bracket Right clamp Groove Guiding block fixing frame Locking nut of left and right clamps...
Page 238 16 Probes and Biopsy Put on the sterile probe sheath. Hold the probe in one hand, select the correct needle-guided bracket and hold it with the other hand. Match the grooves of the needle-guided bracket to the tabs of the probe. Mount the bracket onto the probe, and rotate the locking nut to fix the bracket.
Page 239 16 Probes and Biopsy Insert a biopsy needle with the same specification as that of the guiding block into the guiding block hole Remove the needle-guided bracket: Hold the probe and remove the needle. Loosen the guiding block nut, and remove it from the guiding block fixing frame. Rotate the clamping nuts of the needle guided-bracket.
Page 240 16 Probes and Biopsy NGB-045 Metal-needle undetachable needle-guided bracket Needle exit Needle guide Needle entry Retaining clamp Locating bulges Perform the following procedure: Install the needle-guided bracket: Put on the sterile probe sheath. Align the needle-guided bracket with the probe to align the locating bulges on the needle guide with the locating grooves on the probe, then turn the retaining clamp to the correct position.
Page 241 16 Probes and Biopsy Hold the probe, and insert the needle into Needle entry of the needle guide. Remove the needle-guided bracket: Hold the probe and remove the needle. Hold the probe and raise the needle-guided bracket to separate the locating bulge from the locating grooves.
Page 242 16 Probes and Biopsy NGB-053 Metal-needle detachable needle-guided bracket Clamp pinch nut Clamps Angle pinch nut Separation pressure position Needle type adjusting nut Needle guide hole The location position block Perform the following procedure: Install the needle-guided bracket: Put on the sterile probe sheath. Hold the probe in one hand, select the correct needle-guided bracket and hold it with the other hand.
Page 243: Verifying The Biopsy Guide Line
16 Probes and Biopsy Remove the needle-guided bracket: Rotate the pinch nut of the needle guided-bracket. The needle guided-bracket is separate from the probe. Hold the probe and take out the bracket. 16.2.3 Verifying the Biopsy Guide Line WARNING • Prior to each biopsy procedure, be sure to verify the guide line.
Page 244: Starting The Biopsy Procedure
16 Probes and Biopsy 16.2.4 Starting the biopsy procedure DANGER • Ensure that all guide parts are properly fixed prior to performing a biopsy. • If you changed the probe or needle-guided bracket during the biopsy, verify the guide line again. •...
Page 245 If such defects exist, the bracket has reached the end of its service life. In this case, stop using it and contact the Mindray service department. • It is recommended to use immersion sterilization for plastic needle-guided brackets and high-pressure steam sterilization for metal needle-guided brackets.
Page 246: Storage And Transportation
16 Probes and Biopsy Prepare a sterilant by using sterile distilled water when necessary. Table 16-5 Recommended sterilization solution Chemical name Trade name Procedures Glutaraldehyde (2.4%) Cidex Activated Dialdehyde Refer to the instructions Solution provided by the solution manufacturer for details. (applicable for FDA region only) 22% Hydrogen Peroxide...
Page 247: Disposal
16 Probes and Biopsy • If the needle-guided bracket is sent to your MINDRAY representative for repair, be sure to disinfect or sterilize it and keep it in the carrying case to prevent infection. • Sterilize the carrying case as necessary.
Page 248: Interface
16 Probes and Biopsy • The magnetizer should be used with the needle cap. Disinfect the magnetizer after use. • The needle cap is a sterile, single use device. To maintain procedural sterility, it is important that the needle cap is isolated from non-sterile objects.
Page 249: Preset
16 Probes and Biopsy Filed strength Maximum depth at which the needle can be detected Selected needle type Scale of guideline (5 mm/scale) Needle guidance trajectory Needle tip position in the ultrasound plane Needle position in the ultrasound plane Out of Plane Needle Guidance GUI Alignment indicator (plan view) Filed strength Maximum depth at which the needle can be detected...
Page 250: Preparation Before Needle Guidance
16 Probes and Biopsy Controls are as shown in Table 16-6. Table 16-6 eSpacial Navi Needle settings Item Description Needle Select the desired needle from the drop-down list. You can set the most frequently used needle to a favorite one. Display Favourite Only After it is ticked, only the favorite needles are displayed on the needles list.
Page 251: Procedure
16 Probes and Biopsy If the needle cap associated with the needle does not meet the requirements, you are recommended to use BBraunSterican <35 mm needles cap or B&D Microlance <35 mm needles cap. Hold the needle for 1 or 2 seconds and then withdraw it quickly from the magnetizer. 16.4.4 Procedure NOTE: •...
Page 252 16 Probes and Biopsy • No cleaning and disinfecting may result in the magnetizer becoming a source of infection. • Please follow the disinfectant manufacturer's manual for performing cleaning and disinfection, including preparing sterile water and cleaning and disinfection time. NOTE: •...
Page 253: Storage And Transportation
Disinfecting by Immersion Perform the following procedure: Wear sterile gloves to prevent infection. Clean the magnetizer before disinfecting it. MINDRAY recommends the compatible solutions to disinfect the magnetizer. – Refer to the instructions provided by the chemical manufacturer concerning concentration of the disinfectant solution, method of disinfection and dilution and cautions during use.
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Page 255: Dvr Recording
Mindray is not responsible for any data loss. The system provides built-in DVR recording function. You can use the DVR to record and replay videos and audios that can be stored in DVD disc or hard disc.
Page 256: Dvr Video Replay
17 DVR Recording Perform the following procedure: Click to open the dialog box, and click [Local Video Management] to enter the managing dialog box. Click [Rename] to rename the video file. Select the destination and the target file, click [Send] to send the file to the selected path. During sending progress, the icon displays as 17.3 DVR Video Replay You can replay the video and audio record.
Page 257: System Maintenance
The responsibility for maintenance and management of the product after delivery resides with the customer who has purchased the product. If you have any questions, please contact Mindray Customer Service Department or sales representative. WARNING •...
Page 258 18 System Maintenance CAUTION Do not spill water or other liquid into the system while you perform the cleaning. Otherwise it may result in malfunction or electric shock. NOTE: • DO NOT use hydrocarbon glass cleaner or cleaner for OA (Office Automation) equipment to clean the monitor.
Page 259 18 System Maintenance If the control panel is difficult to clean, disassemble the key caps first and then clean it with mild soapy water. Cleaning the trackball Tools: paper, dry cloth, mild soapy water For the stable performance of the system, you should perform periodical cleaning for the trackball. A dumb cursor may be resulted from dirt inside the trackball.
Page 260: Disinfecting The Main Unit
18.1.2 Disinfecting the Main Unit Only the system equipped with trackpad supports disinfection. WARNING • Use only Mindray approved disinfectants and methods listed in this section to disinfect the main unit. Warranty does not cover damage caused by unapproved substances or methods. •...
Page 261 18 System Maintenance • If you spill liquid on the main unit, disconnect the power supply, dry the main unit, and contact your service personnel. • Never use abrasive materials (such as steel wool or silver polish), or erosive cleaners (such as acetone or acetone-based cleaners). •...
Page 262: Cleaning The Peripherals
18 System Maintenance Remove any residue with a water-moistened soft cloth on the main unit. Wipe off water on the main unit using sterile cloth or gauze. Do not dry the main unit by heating. 18.1.3 Cleaning the peripherals Do the cleaning maintenance according to your actual peripheral configuration; items which are not configured can be skipped.
Page 263: Checking The Power Cable And Plug
18.2 Troubleshooting If any persistent system malfunction is experienced, e.g., an onscreen error message, blank imaging screen, absent menus, see the table below. If the failure cannot be resolved, contact the Mindray Customer Service Department or a sales representative. Failure...
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Page 265 Barcode Reader The product supports two kinds of readers for logging data as patient ID: 1-D barcode reader (SYMBOL LS2208) and 2-D barcode reader (SYMBOL DS4308). The laser transmitted by SYMBOL LS2208 is Class 2 laser. SYMBOL DS4308 is classified as “EXEMPT RISK GROUP” according to IEC 62471:2006 and EN 62471:2008.
Page 266: A Barcode Reader
A Barcode Reader • Green: A barcode was successfully decoded. • Red: A data transmission error or reader malfunction occurred. Scan window Scan the barcode. Trigger Press to decode. A.1.1 Setting Up the Reader (Take LS2208 as an example) Cable interface port Interface cable modular connector Perform the following procedure: Plug the interface cable modular connector into the cable interface port on the bottom of the...
Page 267 A Barcode Reader For more details, please contact the SYMBOL reader agents or Mindray Customer Service Department. Volume setting Scan the following barcode to set the volume parameter. • Low Volume: • Medium Volume: • High Volume: Code 93 and codebar scanning •...
Page 268: Scanning In Hand-Held Mode
A Barcode Reader I 2 of 5 symbols setting: Select this option to decode only I 2 of 5 symbols containing a selected length. Select the length using the numeric barcodes below. For example, to decode only I 2 of 5 symbols with 8 characters, scan I 2 of 5 - One Discrete Length, then scan 0 followed by 8.
Page 269: Scanning In Hands-Free Mode
A Barcode Reader Do not hold the reader directly over the barcode. Laser light reflecting directly back into the reader from the barcode is known as specular reflection. This specular reflection can make decoding difficult. You can tilt the reader up to 55° forward or back and achieve a successful decode.
Page 270 A Barcode Reader Flat areas Stand base Wingnut Perform the following procedure: Unscrew the wingnut from the bottom of the one piece scanner “cup”. Fit the bottom of the neck piece into the opening on the top of the stand base. Tighten the wingnut underneath the base to secure the cup and neck piece to the base.
Page 271: Barcode Reader (Take Ds4308 As An Example)
A Barcode Reader 2D Barcode Reader (Take DS4308 as an example) The 2-D barcode reader supports hand-held operation mode. Hand-held mode: press the trigger to decode. A.2.1 Overview • Green: A barcode was successfully decoded. • Red: A data transmission error or reader malfunction occurred. Scan window Scan the barcode.
Page 272: Setting Up The Digital Imager Reader
A.2.3 Setting The reader has factory settings, for details see “A.5 Parameter Defaults”. The reader supports some user-defined functions as introduced below. For more details, please contact the SYMBOL reader agents or Mindray Customer Service Department. A - 8 Operator’s Manual...
Page 273 A Barcode Reader Volume setting Scan the following barcode to set the volume parameter. • Low Volume • Medium Volume • High Volume Code 93 and codabar setting • To enable Code 93, scan the appropriate barcode below. • To enable Codabar, 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.
Page 274: Scanning In Hand-Held Mode
A Barcode Reader I 2 of 5 symbols setting Select this option to decode only I 2 of 5 symbols containing a selected length. Select the length using the numeric barcodes below. For example, to decode only I 2 of 5 symbols with 8 characters, scan I 2 of 5 - One Discrete Length, then scan 0 followed by 8.
Page 275 A Barcode Reader When the digital imager reader senses movement, in its default Auto Aim trigger mode, it projects a red LED dot which allows positioning the barcode within the field of view. If necessary, the digital imager reader turns on its red LEDs to illuminate the target barcode. Center the symbol.
Page 276: Jadak Barcode Reader
JDK-2601. TIP: Users can customize the JADAK barcode reader based on specific requirements or contact the Mindray service engineers. This configuration guide is applicable for the Ultrasound System only. A.3.2 Setting Up the JADAK Barcode Reader Perform the following procedure: Turn off the power to the Ultrasound System.
Page 277: Hs-1R Jdk-2601 Configuration
A Barcode Reader Reset the barcode reader Perform the following procedure: If the barcode reader is in malfunction, scan the following 1-D barcode to reset to default settings. Follow the configuration steps above to reconfigure the barcode reader. A.3.4 HS-1R JDK-2601 Configuration The barcode reader is configured through scanning the barcode.
Page 278: Maintenance
A Barcode Reader Scan the following 1-D barcode to configure the barcode reader: Scan the following 1-D barcode to enable the suffix: For scanning Barcode For scanning RFID Scan the following 1-D barcode to disable the prefix: For scanning Barcode For scanning RFID Maintenance Cleaning the exit window is the only maintenance required.
Page 279 A Barcode Reader Parameter Defaults Parameter Defaults EAN-13/JAN 13 Enable Codabar (NW - 7) Bookland EAN Disable Codabar Enable Decode UPC/EAN/JAN Ignore Set Lengths for Codabar 5 to 55 Supplementals (2and 5 digits) UPC/EAN/JAN CLSI Editing Disable Supplemental Redundancy Transmit UPC-A Check Digit Enable NOTIS Editing Disable Transmit UPC-E Check Digit Enable...
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Page 281: B Trolley And Accessories
Trolley and Accessories WARNING • DO NOT connect the trolley to the outlets with the same circuit breakers and fuses that control the current to devices such as life-support systems. If the trolley or the system malfunctions and generates over-current, or when there is an instantaneous current at power ON, the circuit breakers and fuses of the building’s supply circuit may be tripped.
Page 282: Introduction Of Each Unit
B Trolley and Accessories MT2 Trolley • Probe extension module • Printer bracket Introduction of Each Unit MT3 Trolley Figure B-1 Overview of the Trolley Item Description Trolley handle Used for ascending/descending the trolley or moving the trolley. Probe holder Used for placing probes temporarily.
Page 283 B Trolley and Accessories Item Description Equipotential terminal Used for equipotential connection, balancing the protective earth potentials between the system and other electrical equipment. Anti-theft lock Used for releasing the main unit from the trolley. Main unit tray Used for placing and fixing the main unit. You can remove the tray and install the U-Bank (purchased separately) instead.
Page 284 B Trolley and Accessories Item Description Main unit tray Used for placing and fixing the main unit. You can remove the tray and install the U-Bank (purchased separately) instead. NOTE: Keep the main unit tray carefully for future use after it is removed from the trolley.
Page 285: C Electrical Safety Inspection
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 286: Device Enclosure And Accessories
C Electrical Safety Inspection Device Enclosure and Accessories C.2.1 Visual Inspection Test Item Acceptance Criteria The enclosure and No physical damage to the enclosure and accessories. accessories No physical damage to meters, switches, connectors, etc. No residue of fluid spillage (e.g., water, coffee, chemicals, etc.). No loose or missing parts (e.g., knobs, dials, terminals, etc.).
Page 287: Enclosure Leakage Test
C Electrical Safety Inspection • normal polarity with open neutral (Single Fault Condition); • reverse polarity with open neutral (Single Fault Condition). LIMITS • For ES 60601-1: – 300 μA in Normal Condition. – 1000 μA in Single Fault Condition. •...
Page 288: Mains On Applied Part Leakage
C Electrical Safety Inspection Mains on Applied Part Leakage The Mains on Applied Part test applies a test voltage, which is 110% of the mains voltage using a limiting resistance, to selected applied part terminals. Current measurements are then taken between the selected applied part and earth.
Page 289: D Wireless Lan
Wireless LAN The system provides wireless net adapter configuration, so as to assist information query and unlimited network service. WARNING • Use the wireless LAN function prudently in OR/ICU/CCU as it may interfere with other devices. • When the wireless LAN function is turned on, the ultrasound system may suffer interference from other equipment, even if that other equipment complies with CISPR EMISSION requirements.
Page 290: Ip Configure
IP address of the system should be in the same network segment with the server. Click [OK] to save current setting. Click [Cancel] to exit. EAP Network For setting EAP network, contact Mindray Customer Service Department or the sales representatives. D - 2...
Page 291: E Iscanhelper
iScanHelper By providing the referential information, such as, the ultrasonic image, the anatomic graphic, scanning pictures/other scanning tips or diagnosis comments, the system helps the doctors to operate the scanning by iScanHelper. Furthermore, it is a good platform for the self-learning and training of ultrasound scanning technique for doctors.
Page 292: Basic Screen And Operation
E iScanHelper Basic Screen and Operation E.3.1 View Selecting Area Section selecting box Move the cursor onto the target view and press <Set> to select a section. Anatomic graphic Related anatomical tissue information are provided here. Scanning picture Ordinary scanning tips can be observed here, including posture, probe mark, probe swing/sweep techniques.
Page 293: F Ivision
iVision The iVision function is used to demonstrate the stored images. Image files are played one by one according to file names (including system-relevant and PC-compatible format images). Perform the following procedure: Press the user-defined key for “iVision” to enter the iVision screen. Add the contents to be played and select demo mode.
Page 294: Copy The File
F iVision Copy the file Transfer files between the mobile hard disk and the ultrasound system. Perform the following procedure: Plug the USB disk, and click [Copy File]. Select the path of the source file from the “Drive” and “File Name”. Click [Choose Catalog].
Page 295 After the input command is recognized, the system automatically performs the corresponding operations. Vocal command Operation Hello Mindray Turn On Audio Control Turn Off Turn Off Audio Control...
Page 296: G List Of Vocal Commands
G List of Vocal Commands Vocal command Operation Open Smart Track Turn on Smart Track Mode Close Smart Track Turn off Smart Track Mode Sound Volume Up Turn Sound Volume Up Sound Volume Down Turn Sound Volume Down Angle More Angle More One Angle Less Angle Less One...
Page 297 G List of Vocal Commands Vocal command Operation Lower External Artery Switch Exam Mode to Lower Ext Artery Upper External Vein Switch Exam Mode to Upper Ext Vein Lower External Vein Switch Exam Mode to Lower Ext Vein Thyroid Switch Exam Mode to Thyroid Breast Switch Exam Mode to Breast Testicle...
Page 298 G List of Vocal Commands Vocal command Operation Close Report Dialog Close Report Dialog Open Preset Dialog Open Preset Dialog Close Preset Dialog Close Preset Dialog Smart IVC Smart IVC Smart VTI Smart VTI Smart B-lines Smart B-lines G - 4 Operator’s Manual...
Page 299: H 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 300: Mi/Ti Explanation
H Acoustic Output Additional information regarding the concept of ALARA and the possible bioeffects of Ultrasound is “Medical available in a document from the AIUM (American Institute of Ultrasound Medicine) title Ultrasound Safety”. MI/TI Explanation H.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.
Page 301: Mi/Ti Display
H Acoustic Output Although the output power is automatically controlled for the selected applications, high TI values should be kept to a minimum or avoided in obstetric applications. WFUMB (World Federation for Ultrasound in Medicine and Biology) guidelines: state that temperature increase of 4 degree C for 5 min or more should be considered as potentially hazardous to embryonic and fetal tissue.
Page 302: Acoustic Power Control
H Acoustic Output NOTE: This system automatically returns to the settings whenever changes are made to the values (when you turn on the power, switch between probes, end the exam, or select OK or Cancel in the Setup menu). In the factory default settings, the Acoustic Output is limited below 100%. Following the ALARA restriction, you are allowed to increase the acoustic power under FDA 510 (k) Guidance-Track 3 limits and to set it in the image preset screen.
Page 303: Limits Of Acoustic Output
H Acoustic Output  –   10     f c z  atten water Where I is the attenuated intensity, I is the intensity measured in a water tank (at distance atten water z), fc is the center frequency of the ultrasound wave (as measured in water), and z is the distance from the probe.
Page 304: Measurement Uncertainty
H Acoustic Output Measurement Uncertainty The total estimated measurement uncertainty (where the total uncertainty includes the uncertainties in hydrophone response, measurement, calculation, and positioning) are: Acoustic Quantities Total Uncertainties (Standard) Power 26.48% for non-scan modes; 6.03% for scan modes. Frequency 0.22% Pressure 13.01%...
Page 305 EMC Guidance and Manufacturer’s Declaration The system complies with the EMC standard IEC 60601-1-2: 2014. Intended Environments: HOME HEALTHCARE ENVIRONMENT (except for near active HF SURGICAL EQUIPMENT and the RF shielded room of an ME SYSTEM for magnetic resonance imaging). WARNING •...
Page 306 • Date/time information. Table I-1 GUIDANCE AND MINDRAY DECLARATION-ELECTROMAGNETIC EMISSIONS The system is intended for use in the electromagnetic environment specified below. The customer or the user of system should assure that it is used in such an environment. EMISSIONS TEST...
Page 307 I EMC Guidance and Manufacturer’s Declaration Table I-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.
Page 308 I EMC Guidance and Manufacturer’s Declaration Table I-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.
Page 309 I EMC Guidance and Manufacturer’s Declaration Table I-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.
Page 310 I EMC Guidance and Manufacturer’s Declaration Table I-4 RECOMMENDED SEPARATION DISTANCES BETWEEN PORTABLE AND MOBILE RF COMMUNICATION DEVICE AND THE 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 312 P/N: 046-018839-00 (5.0)

This manual is also suitable for:

Mx7t Vaus7 Zeus Me7Anesus me7Anesus me7t ... Show all

Mindray MX7 Operator's Manual

1 Safety Precautions

2 System Overview

3 System Preparation

4 Setup

5 Exam Preparation

6 Image Acquisition

7 Smart 3D

8 Strain Elastography

9 Contrast Imaging

10 Physiological Unit Signal

11 Stress Echo

12 Display & Cine Review

13 Measurement, Comments and Body Mark

14 Patient Data Management

15 Dicom/Hl7

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Summary of Contents for Mindray MX7