Mindray MX7 Operator's Manual
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Mindray MX7 Operator's Manual

Diagnostic ultrasound system
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MX7/MX7 Exp/MX7T/MX7S/MX7 Pro/
Vaus7/Zeus7/Zeus/ME7/ME7 Exp/Anesus
ME7/Anesus ME7 Pro/Anesus ME7S/
Anesus ME7T/Ana/Anesus Vaus/Anesus
Zeus/Crius ME7P/Crius ME7W/Anesus
ME7P/Anesus ME7W/Emerus ME7P/
Emerus ME7W/MX7P/MX7W
Diagnostic Ultrasound System
Operator's Manual
[Basic Volume]

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Summary of Contents for Mindray MX7

  • Page 1 MX7/MX7 Exp/MX7T/MX7S/MX7 Pro/ Vaus7/Zeus7/Zeus/ME7/ME7 Exp/Anesus ME7/Anesus ME7 Pro/Anesus ME7S/ Anesus ME7T/Ana/Anesus Vaus/Anesus Zeus/Crius ME7P/Crius ME7W/Anesus ME7P/Anesus ME7W/Emerus ME7P/ Emerus ME7W/MX7P/MX7W Diagnostic Ultrasound System Operator’s Manual [Basic Volume]...

  • Page 3: Responsibility On The Manufacturer Party

    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

    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. • Operator’s Manual [Advanced Volume] • Operator’s Manual [Acoustic Power Data and Surface Temperature Data] Contains data tables of acoustic output for transducers.

  • 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 2.12 Exam Main Menu Screen ................... 2 - 17 2.13 Monitor Display ......................2 - 18 2.14 Basic Operations ......................2 - 19 2.14.1 Dialog Box ....................... 2 - 19 2.14.2 Touch Screen ....................2 - 19 2.14.3 Voice Recognition ................... 2 - 22 2.15 Warning Labels ......................
  • Page 9 Contents 4.4 Comment Preset ......................4 - 26 4.4.1 Comment Configure ..................4 - 26 4.4.2 Comment Group Define ..................4 - 26 4.5 iWorks Preset ....................... 4 - 27 4.5.1 Protocol Management ..................4 - 27 4.5.2 View Management .................... 4 - 28 4.5.3 Create a New Protocol ..................
  • Page 10 Contents 6.2 Color Mode ........................6 - 4 6.2.1 Color Mode Image Scanning ................6 - 4 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 ................
  • Page 11 Contents 6.16.4 Insert ........................ 6 - 35 6.17 Quickly Saving Image Settings .................. 6 - 35 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 .......................
  • Page 12 Contents 12.2.2 Pan Zoom ......................12 - 1 12.2.3 iZoom (Full-screen Zooming) ................. 12 - 2 12.3 Freeze/Unfreeze the Image..................12 - 2 12.3.1 Imaging Mode Switching When Frozen ............12 - 2 12.4 Cine Review ....................... 12 - 2 12.4.1 Entering/Exiting Cine Review .................
  • Page 13 Contents 14.3.2 Patient Data View & Management ..............14 - 7 14.4 Recycle bin ......................... 14 - 8 14.5 iStorage ........................14 - 9 14.6 Print ..........................14 - 9 14.6.1 Image Print ...................... 14 - 9 14.6.2 Report Printing ....................14 - 10 14.7 Back up Files using the DVD Drive ................
  • Page 14 Contents 16.2.6 Storage and Transportation ................16 - 51 16.2.7 Disposal ......................16 - 51 16.3 Middle Line ......................16 - 52 16.4 eSpacial Navi ......................16 - 52 16.4.1 Interface ......................16 - 53 16.4.2 Preset ......................16 - 54 16.4.3 Preparation Before Needle Guidance ............
  • Page 15 Contents B.1 Option Accessories ......................B - 1 B.2 Introduction of Each Unit ....................B - 2 C Electrical Safety Inspection ................C - 1 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...
  • Page 16 Contents H.7.1 Derated Ultrasonic Output Parameters .............. H - 4 H.7.2 Limits of Acoustic Output ................. H - 5 H.7.3 Differences between Actual and Displayed MI and TI ........H - 5 H.8 Measurement Uncertainty .................... H - 6 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 use this system when any digital device such as a high-frequency electrotome, high-frequency therapeutic device or defibrillator is applied already. Otherwise, there is a risk of electric shock to the patient. • Only use the ECG leads provided with the physiology module; otherwise, electric shock may be resulted.
  • 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 • 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. Mindray is not responsible for any system content or accessories that have been discarded improperly.
  • Page 22 To ensure optimal system operations, it is recommended that you maintain the system under a Mindray service agreement. • Refer replacing job to Mindray service engineers or engineers authorized by Mindray only. • Do not turn OFF the power supply of the system during printing, file storage or invoking other system operations.

  • Page 23: Latex Alert

    • 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 1 Safety Precautions difficulty breathing (wheezing), dizziness, shock, swelling of the face, hives, sneezing, or itching of the eyes (FDA Medical Alert on latex products, “Allergic Reactions to Latex-containing Medical Devices”, issued on March 29, 1991). NOTE: • The following definition of the WEEE label applies to EU member states only: The use of this symbol indicates that this system should not be treated as household waste.

  • Page 25: System Overview

    System Overview Intended Use It is intended for use in Abdomen, Gynecology, Obstetrics, Pediatric, Cardiac, Small Parts, Musculo-skeletal, Vascular, Nerve, Urology, Intra-operative, Cephalic, Ophthalmic, Thoracic/ Pleural exams. Contraindication None. Safety Classifications • According to the type of protection against electric shock: Class I equipment + internally powered equipment •...

  • 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

    Weight (including batteries): <4.0 kg Product Differences Model Histogram Profile Color Double- Spline Parallel line Dist length √ √ √ √ √ √ MX7 Exp × √ √ √ √ √ MX7T √ × √ √ √ √ MX7S √ √...

  • Page 28: System Configuration

    2 System Overview Model Histogram Profile Color Double- Spline Parallel line Dist length MX7W √ √ × × × √ System Configuration 2.6.1 Standard Configuration • Main unit • Power adapter • Built-in batteries • System software • Travelling case •...
  • 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: Dual-Probe Extend Module Overview

    2 System Overview Name Description Handle Used for carrying the system. Control Panel Operator-system interface or control. NOTE: The buttons and knobs on the control panel may be different for different product models. Please refer to the control panel of the product for the actual buttons and knobs.

  • Page 34: Installing The Dual-Probe Extend Module

    2 System Overview Name Description Handle screws (×3) To fix the module to the main unit. Flat head screws with cross To fix the module to the main unit. recess (×3) NOTE: If you want to use U-Bank and Dual-Probe extend module at the same time, please use theses screws to fix the module.

  • Page 35: 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 36 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 37: Installing The U-Bank

    2 System Overview 2.9.2 Installing the U-Bank Place U-Bank to a flat and solid platform. Align the grooves of the system with the tabs of U-Bank. Push the system in the arrow direction as shown in the figure above until the system is locked in place.

  • Page 38: Control Panel

    2 System Overview Name Description ECG lead port Used for ECG signal input. 2.11 Control Panel Figure 2-5 Control panel configured with trackball 2 3 4 8 9 10 11 Figure 2-6 Control panel configured with trackpad 2 3 4 8 9 10 11 Name English Name...
  • Page 39 2 System Overview Name English Name Description CW mode button Enters CW mode. iTouch iTouch button • Press to enter iTouch mode. • Long press to exit iTouch mode. M mode button Press to enter M mode. PW mode button Press to enter PW mode.
  • Page 40 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 41: Exam Main Menu Screen

    2 System Overview 2.12 Exam Main Menu Screen Figure 2-7 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 42: Monitor Display

    2 System Overview 2.13 Monitor Display Figure 2-8 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 43: 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” 2.14 Basic Operations 2.14.1 Dialog Box Take the patient information screen as an example.
  • Page 44 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 45 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 Press...

  • Page 46: Voice Recognition

    2 System Overview Item Description 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. You can not enter the stage from cine review mode or when there is a dialog box on the screen.

  • Page 47: 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. 2.15 Warning Labels The warning labels are attached to this system in order to call your attention to potential hazards.
  • Page 48 2 System Overview Symbol Description Caution! Standby Transducer sockets Used for s-video output. Network port HDMI port USB port AC (Alternating current) Standby indicator Harddisk indicator Battery indicator When the lever located at the bottom of the monitor support arm points to , you can move the monitor to the right and left.
  • Page 49 2 System Overview Symbol Description Main unit release button on the trolley Main unit tray release button on the trolley Maximum load for small storage bin on the trolley Maximum load for big storage bin on the trolley Maximum load for main unit tray on the trolley Trolley AC output Trolley DC output Trolley input...
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  • Page 51: 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 52: 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 53: 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 54: 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 55: Standby

    3 System Preparation To power the system off Perform the following procedure: 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.

  • Page 56: 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 57: 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. Operator’s Manual 3 - 7...

  • Page 58: Connecting The Footswitch

    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 59: Connecting A Wireless Printer

    3 System Preparation Place the printer appropriately. 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 61: 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 62 4 Setup 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. NOTE: For a better display effect, please try to use an BMP image with 400*400 pixels and 8/24/32 bitdepth.

  • Page 63: General

    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. To set the waiting time before the system enters dormancy status in the drop-down list beside “Wait”.

  • Page 64: Image Preset

    4 Setup Type Item Description DISPLAY Brightness auto To set the brightness/contrast of the main screen and the adjustment touch screen according to the conditions. To set the brightness and the contrast of the main screen, or restore to the default. TouchPanel After selection, the system restores the touch screen settings back to factory.

  • Page 65: Application

    4 Setup Type Item Description PARAMETER Steer To set the steer mode in B + Color + PW/CW imaging mode. • C&(PW/CW): select to adjust the sample volume in color mode and sample line in PW or CW mode together. •...
  • Page 66 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 67 4 Setup ICA/CCA && RAR Set the measurement properties of ICA, CCA, Renal A and Aorta. EMINCA Study 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 68 4 Setup Perform the following procedure: Select [Import] or [Export] on the Fetal Gestational Age or Fetal Growth page. Select the drive and file path where the data is located. Select the data file to load or export, click [OK] to confirm. The imported user-defined table for FG and GA must be a *.csv file.
  • Page 69 4 Setup Measurement Standard GA value Standard deviation value deviation (-) … … … … … … … … … … … … … NOTE: • Fill in the table according to the actual clinical values, except for those cells with bold text.

  • Page 70: Poc Probe

    4 Setup 4.1.6 POC Probe Assign functions to the POC probe buttons. Item Description To set the function of K1 button. To set the function of K2 button. To set the function of K3 button. Enable POC Probe Key After it is ticked, the key function of POC probe is enabled. Function 4.1.7 Key Configuration Assign functions to the foot switch and user-defined keys.

  • Page 71: Gesture

    4 Setup – Send image to USB disk – Send image to iStorage – Send image to local printer • Retrospective/prospective saving cine: – Send cine to DICOM storage – Send cine to USB disk – Send cine to iStorage Setting method (taking “Save Image”...

  • Page 72: Output

    4 Setup 4.1.9 Output Set the output format, the range and the resolution for the image. Type Item Description AVI ENCODE Encode Quality To set the image quality of unloaded AVI. The system unloads according to the settings. The higher the image quality is, the clearer the unloaded image is.
  • Page 73 4 Setup Adding a User/Assigning privilege Turn on the access control function and log in to the system as Administrator before you add the user. Click [Add] to bring up the dialog box. Enter the user name and password, confirm password. Select or deselect the check box from the privilege list.
  • Page 74 4 Setup 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. If you exceed the maximum “Lockout Threshold” is set times, your account will be locked. to 5, the “Reset Account Lockout Threshold after”...
  • Page 75 4 Setup Item Description 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. • Empty: the passwords are kept in the local system permanently. •...

  • Page 76: Scan Code Preset

    4 Setup Check the checkbox next to “Enable Preset Scence Mangement”. Click [OK] to confirm. Switch different scenarios: In non-preset screen, press <Cursor> to show the cursor and move the cursor to the bottom-right corner of the screen. Click icon to see the scene management list. Position the cursor on the target scene and press <Set>...
  • Page 77 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 78 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 79: 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 80: General Measurement Preset

    4 Setup Calculation Results of calculations are automatically derived by the system using other measured or calculated values as parameters, they are indicated by “ ” in the preset screen. For example, EFW (Estimated Fetal Weight) in the OB measurement. If all measurements related to a calculation tool are completed, the system will automatically calculate the result.
  • Page 81 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 82: Application Measurement Preset

    4 Setup 4.3.2 Application Measurement Preset Measurement Package Preset During measurement, the preset package displays on the touch screen. Items in the package can be preset and may belong to different application regions. You may configure more than one measurement package for current exam mode. Under actual measurement status, switch the measurement library if necessary.
  • Page 83 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 84: Report Preset

    4 Setup In the meantime, the user-defined item will be added automatically to the “Selected Items” in the Report template. If the item is completed in an exam, the results will be displayed in the report. Add a Study You can add or remove user-defined study items in the [Selected Items] column. Perform the following procedure: Select the [Measure] tab page.
  • Page 85 4 Setup Only tools which appear in the right column and are completed in the ultrasound exam can be displayed in the report. In cardiac mode, if result items of only one formula are selected, only results of that one formula will be displayed after measurement.

  • Page 86: Comment Preset

    4 Setup Select the [Report] on the [Measure] page. Select a report template from the list. Click [Default]. Click [OK] to confirm. Comment Preset You can preset the custom comments library for current exam mode. The comments in the library are provided by the system or user-defined ones.

  • Page 87: Iworks Preset

    4 Setup – Add user-defined comment item: Enter user-defined comment in the name text box above [Add Comment] through the soft keyboard, click [Add Comment]. The entered comment item will be added to the Selected Items. Change position of the selected items Select an item and click [Up], [Down] button to change the position of the item.

  • Page 88: View Management

    4 Setup 4.5.2 View Management • Click to select the views in the list. The image, annotation, body mark and measurement settings can be checked on the right. • Click to select a user-defined protocol in the list. Click [Add View] to add a view template to the protocol.
  • Page 89 4 Setup Item Description Protocol Name Enter the protocol name. Trigger Set the trigger type. WMS model Set the chamber segment division method. Loop usage Displays the acquired loop number as well as the total usable loop number. View Set the views for each stage. Standard Views Set the standard view.

  • Page 90: Maintenance

    4 Setup – Select the required option from the Clip Capture drop-down list. – Select the number of loops to acquire (per view in the selected phase) in the Loops list (for non-continuous stages). – Select the type: exercise or drug. Click [OK] to save changes and quit.

  • Page 91: 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 92: 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 93 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 94 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 95 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 96 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 97 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 98: 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 99 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 100: Istorage Preset

    4 Setup 4.8.2 iStorage Preset You can send exam data or images to the iStorage server and perform analysis using UltraAssist. For details about this feature, see the UltraAssist manual. Item Description Service Name The name of the iStorage service. IP Address IP address of the iStorage service device.

  • Page 101: Remote Maintenance

    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 102 4 Setup Q-Path Basic Procedure 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 103: Egateway Preset

    4 Setup – Personal User: the personal user needs to enter the user name and password in every-time login. – Default User: after the default user enters the user name and password in the field box of the “User Name” and “Password”, and click [OK], no login is required to access the Q- Path server later.

  • Page 104: Print Preset

    4 Setup Type Item Description MultiBackend IP Address IP address of the eGateway service. Port Port for transmitting. DocServer IP Address IP address of the eGateway service. Port Port for transmitting. Image/Cine/PDF Set the shared document content. Report Clear Click to cancel the parameter setting. Click to add the Network service to the service list.

  • Page 105: Print Setting

    To install and uninstall: • Click [Install] to begin installing a disabled option. • Click [Uninstall] to begin uninstalling a previously-installed option. Please contact the Mindray Customer Service Department or a sales representative for details. Operator’s Manual 4 - 45...

  • Page 106: Exporting Setup Data

    4 Setup 4.10.2 Exporting Setup Data This function is used to write all setup data of the system into a disk for backup. The format of the data file is .PDP. You can select the following types of preset data to export from the system: •...
  • Page 107 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 108: Security

    If the McAfee software is installed, the system displays “McAfee is installed”; if not, the system displays “McAfee is not installed”. The McAfee software is an option. If you want to buy McAfee, contact Mindray service engineers. 4 - 48...

  • Page 109: System Information

    • If McAfee is improperly installed due to power-off, shut-down, closing of cmd.exe, or any other abnormal operation during the installation, please contact the Mindray service engineers. Transmission Encryption After accessing the network, click [VPN Config] to enter the “VPN Config” interface, see “4.8.1 Network Settings”.
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  • Page 111: 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 112: Retrieve Patient Information

    5 Exam Preparation Primary indications To enter the primary indications (reason for performing the exam.) Secondary indications To enter the secondary indications. CPT4 code To enter the CPT4 code. CPT4 description To enter the CPT4 description. Remarks Exam-specific explanation or remarks. Operating Information –...
  • Page 113 5 Exam Preparation Select the data source. Select the data source in the drop-down list of “Data Source”. Input the searching condition. The default condition is name. Select a searching condition from the drop-down list, enter a keyword or select the period in accordance with the condition selected. Select “Find in results”, the system will search the keyword based on the existed searched results.

  • Page 114: Activate& Continue An Exam

    5 Exam Preparation WorkList/HL7 Enquiry TIP: Worklist is an optional function. Configure DICOM Basic and DICOM WorkList first. When the DICOM basic package is configured and the Worklist server has been set, click [Worklist] in the “Patient Info” screen to query or import the patient data. For details, see “15.3 Worklist”.

  • Page 115: End An Exam

    5 Exam Preparation 5.3.2 End an Exam Before examining a new patient, tap [End] to end the exam of the previous patient, update the patient ID and information, to avoid mixing data of the next new patient. To end an exam, do one of the following: •...
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  • Page 117: 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 118 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 119 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 120: 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 121 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 122: 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 123: 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 124: Tdi Mode Image Parameters

    6 Image Acquisition Press <TDI> to enter the TDI mode. – 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 125 6 Image Acquisition – Strain rate: speed of the deformation, as myocardial variability will result in velocity gradient, strain rate is used commonly to evaluate how fast the tissue is deforming. Figure 6-1 Quantitative analysis display (taking velocity-time curve as the example) TDI review Sampling area: indicates the sampling position of the curve.
  • Page 126 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 127: M Mode

    6 Image Acquisition – Current image; – Analysis curve data; – Analysis parameter. Press the user-defined key for “TDI QA” to exit the quantitative analysis. M Mode 6.5.1 M Mode Image Scanning Perform the following procedure: 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.

  • Page 128: Color M Mode (Cm)

    6 Image Acquisition M Soften This feature is used to process the scan lines of M images to reject noise, making the image details to be clearer. Color M Mode (CM) To know the cardiac motion state, CM is overlaid with flow based on M mode, which is more sensitive to the instantaneous signal changes.

  • Page 129: Free Xros Cm (Curved Anatomical M-Mode)

    6 Image Acquisition Adjust the probe and image to obtain the desired plane in real-time B mode or M mode. Or select the B mode cine file to be observed. Tap [Free Xros M] on the touch screen to enter Free Xros M mode or press the user-defined key to enter Free Xros M mode.

  • Page 130: Anatomical M Mode Parameters

    6 Image Acquisition Double press <Set> to finish the editing, and the sample line is displayed in white. You can edit the curve if needed: After finishing the sampling line, tap [Edit] on the touch screen. The cursor becomes the icon Move the cursor over the curve, press <Set>...
  • Page 131 6 Image Acquisition PW Sampling Gate Adjusts the SV position and size of sampling in PW mode, the real-time value of SV and SVD are displayed in the image parameter area, in which SV represents the size of the sampling gate, and SVD represents the sampling depth.
  • Page 132 6 Image Acquisition WF (Wall Filter) To display the image accurately, it adjusts the cut-off used in the wall filter, and filters out the flow noise which is produced by vessel wall vibration. The real-time value is displayed in the image parameter area.

  • Page 133: Iscape

    6 Image Acquisition iScape The iScape panoramic imaging feature extends your field of view by piecing together multiple B images into a single, extended B image. Use this feature, for example, to view a complete hand or thyroid. When scanning, move the probe linearly and acquire a series of B images. The system pieces these images together into a single, extended B image in real time.

  • Page 134: Image Review

    6 Image Acquisition In the capture preparation status, tap [B] ([Power]/[Color]) page tab to go for the B mode image optimization. Do measurement or add comment/bodymark to the image if needed. Tap [iScape View] page tab to enter the iScape acquisition preparation status. Tap [Start Capture] or press <Update>...

  • Page 135: Cine Review

    6 Image Acquisition – The images are captured from the same plane. – There are no large black areas in the image. 6.9.4 Cine Review Tap [Review Cine] on the touch screen in panoramic image viewing status to enter cine reviewing mode.

  • Page 136: Smart B-Line

    6 Image Acquisition Where, Dist = [maximum diameter within 1 s] – [minimum diameter within 1 s] Diam: Vessel diameter refers to maximum diameter within 1 s. 6 R-VQS (RF-data based quantification on arterial stiffness) values (6 cardiac cycles are calculated in total), standard deviation SD and ROI length will be displayed in the result window on the left.

  • Page 137: Basic Procedures For Smart B-Line

    6 Image Acquisition Smart B-line is used to detect the B line of the lung in B mode. It supports B-line detecting in both real-time and freeze modes. TIP: • Smart B-line is only available in Single B and Dual B imaging modes. •...

  • Page 138: Overview

    6 Image Acquisition Moderate: when there are multiple clearly-distributed B lines, it is marked as B1 in the brackets and the score is 1. Severe: when there are intensively fused B lines, it is marked as B2 in the brackets and the score is 2.

  • Page 139: Smart Vti

    6 Image Acquisition 6.12 Smart VTI Smart VTI (Velocity-Time Integral) is used to calculate the CO (cardiac output) of the LVOT (left ventricular output tract), so as to quickly evaluate the cardiac function. TIP: • The cardiac package should be configured in advance. •...

  • Page 140: Smart Ivc

    6 Image Acquisition After adjustment, the LVOT spectrum tracing and calculation results display in real time. Press the <Freeze> key to freeze the image, and check the Smart VTI calculation results. If necessary, you can edit the LOVT spectrum manually: Tap [Edit VTI] on the touch screen.
  • Page 141 6 Image Acquisition Tap [Smart IVC] on the touch screen or the user-defined key to enter Smart IVC mode and start calculation. Tap to select a breath type: Spontaneous Breath or Mechanical Ventilation. Select [Change Resp time] > [Resp Time] to set a respiratory time. The system measures the IVC inner diameter of the image in every frame, calculates the maximum and minimum IVC diameters, and draws a quantitative index change curve in real time.

  • Page 142: Rimt (Real-Time Intima-Media Thickness)

    6 Image Acquisition Calculation Results Displays the calculation results within the current calculation range. Window • Dmax: indicates the maximum IVC inner diameter within a respiratory cycle. • Dmin: indicates the minimum IVC inner diameter within a respiratory cycle. • IVC CI = (Dmax-Dmin)/Dmax •...

  • Page 143: Tissue Tracking Quantitative Analysis

    6 Image Acquisition – Deleting data: select RIMT data from the data sheet. Tap [Delete Rows] to remove the RIMT data of the left and the right carotid. – Viewing graphic: tap [IMT Trend] to view the RIMT graphic. The data on the graphic is same with these in data list.

  • Page 144: Screen Display Of Tissue Tracking Qa

    6 Image Acquisition If the cycles are not adequate to provide the information, switch to another cycle to trace. Tap [Start Tracking] on the soft menu to start the tracking function. Adjust the parameters if necessary. Tap [Edit] on the soft menu to display the cursor. Use the trackball/trackpad and press <Set> to re-select the trace reference points (inner dots of the curve).
  • Page 145 6 Image Acquisition Display curve: Velocity/ Each curve on the image is matched with a certain segment in the Displacement/Strain/Strain Rate. cardiac segmentation model (6), identified by different colors. • Velocity curve: X-axis represents time (s); Y-axis represents velocity (cm/s). •...

  • Page 146: Select Image And Cardiac Cycle

    6 Image Acquisition 6.15.3 Select Image and Cardiac Cycle You can select images with a better image quality so as to guarantee the analysis result. Switch the cine file Tap [Review] to enter the review state on touch screen. Double-click the target file. The system closes current displayed file and switch to the newly selected file.

  • Page 147: Basic Operations Of Ttqa

    6 Image Acquisition Use the trackball/trackpad to drag the curve to desired position, press <Set> again to set the point to the new position. Repeat step 2 to finish all points that need adjustment. TIP: Under tracking status, tap [Edit] on the touch screen to enter the status. 6.15.5 Basic Operations of TTQA Switch among the operation controls •...

  • Page 148: Bulleye

    6 Image Acquisition Curve Display Select [Parameter], the system provides different curves of different segments for observation. • General – Speed curve: The X-axis represents time (s); the Y-axis represents velocity (cm/s). – Displacement curve: The X-axis represents time (s); the Y-axis represents displacement (cm).

  • Page 149: Data Export

    6 Image Acquisition 6.15.8 Data Export The system provides data exporting function, so that you can export calculation result for analysis (for instance, SPSS analysis). Tap [Data Export] on the touch screen, to export analyzed data of each segment in .csv format. 6.16 iWorks (Auto Workflow Protocol) The main objective of ultrasound workflow automation (iWorks) is to speed up exam times and reduce the excessive number of user interface manual key strokes that can lead to repetitive strain...

  • Page 150: Screen Display

    6 Image Acquisition 6.16.1 Screen Display Normal iWorks Protocol For automated protocols of vascular, small parts, cardiac, abdomen and gynecology application regions, the monitor displays the following screen: Displays the protocol name, and the number of views contained. Displays the view steps in the protocol. The current active view with green solid frame around the image.

  • Page 151: Manual Examination

    6 Image Acquisition The comment for the current view has been automatically added to the bottom-left corner of the image, ready for you to scan the specified anatomy. View Selection Tap [Prev]/[Next] to select the view to be scanned. The current view is surrounded by a solid green frame.
  • Page 152 6 Image Acquisition Select [Probe] > [QSave] or press the user-defined key for “QSave” to enter the QSave dialog box. Click [Show Parameter] to view the image parameter of the current exam mode and the probe. Click [Advanced] to set the following items if needed: –...

  • Page 153: 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 154: 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 155: 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 156: 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 157 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 158: 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 159: 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 160 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 161 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 162 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 163 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 164 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 165 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 167: 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 168: 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 169: 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 170: 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 171 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 172: 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 173 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 174 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 175 9 Contrast Imaging Item Description TTP (Time To Peak) Time when the contrast intensity reaches peak value. 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.
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  • Page 177: 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 178 10 Physiological Unit Signal Connect the device and place ECG electrodes. Turn off the power supply of the system, and connect the ECG module to the system. 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).

  • Page 179: Respiratory Wave

    10 Physiological Unit Signal • If the delay time is longer than a heart cycle, then the heart cycle in the delay time is omitted, that is to say no trigger is occurred when R waveform is detected in the duration. Triggering Mode There are three triggering modes available: Single, Dual, and Timer.

  • Page 180: Linked Review Of Waveforms, M/D Images And 2D Images

    10 Physiological Unit Signal 10.3.2 Linked Review of Waveforms, M/D Images and 2D Images If the physio unit signal, time curve and 2D image are frozen at the same time, the replay of them is displayed at the same time. 10.4 Parameter Description The physio parameters are described as follows: Parameter...

  • Page 181: 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 182 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 183: Selecting Preferred Stress Echo Loops (Select Mode)

    11 Stress Echo 11.2 Selecting Preferred Stress Echo Loops (Select Mode) The selected clips are used for analysis in the review mode and wall motion scoring mode. Select Mode is used to select the best loops of the examination. When the acquisition is ended, select mode is enabled automatically. In Select Mode, you can select the representative loop (“preferred”...

  • Page 184: Review/Wms Mode

    11 Stress Echo Selection Description Text Function that turns the screen graphic text “On” or “Off”. Information includes: name of level, name of view, heart rate, time stamp acquisition, timers, frame slider, loop ID, clip control. For the cine without distributed view, the name of level and name of view are displayed in “--”.

  • Page 185: Wall Motion Scoring

    11 Stress Echo The system displays all phases for the selected view. To display a loop in full-screen format Double-click the loop to display in full-screen format. Double-click the loop again to display the loop in its initial size, select the loop again. Description of review/WMS mode keys (keys with the same function as in select mode are not described below): Item...

  • Page 186: Saving Stress Echo Data

    11 Stress Echo Score Meaning Color Akinesis Blue Dyskinesis Aneurysm Purple Use the trackball/trackpad to select the value and then click the target segments, then the segment is assigned with a value. Repeat step 2 to perform value assign for all segments. –...

  • Page 187: 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 188: 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 189: 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 190: 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 191: 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 192: Frame Compare

    12 Display & Cine Review On the top-right corner, 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 193: Frozen Image Storage

    12 Display & Cine Review • 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 195: 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 196: Comments

    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 197: Adding Comments

    13 Measurement, Comments and Body Mark 13.2.1 Adding Comments Adding an Comments Text Perform the following procedure: Select <ABC> button > [Comments] tab or press the user-defined key for “Annotation” to enter the comment status. Use the trackball/trackpad or press direction-control keys on the soft keyboard to move the cursor to the desired location for comments.

  • Page 198: Moving Comments

    13 Measurement, Comments and Body Mark Remove your finger to finish the tracing. – [Clear]: tap to delete the trace in reverse order one by one. – [Clear All]: tap to delete all traces. Tap [Exit] to exit the tracing. 13.2.2 Moving Comments TIP: If image size and position changed due to display format switching, then the position of the...

  • Page 199: Setting The Start Position

    13 Measurement, Comments and Body Mark Tap [Delete Word] or press <Clear> to complete the deletion. Deleting a recently-added character, text or arrow In comment status, press <Clear> to delete the latest added/modified comment unit. Enter letters by pressing the alphanumeric key on the keyboard and use blank key to divide the letters.

  • Page 200: Moving Body Marks

    13 Measurement, Comments and Body Mark To adjust the probe position and orientation marker: – Use the trackball/trackpad to place the probe marker at the correct position. – Rotate <Angle> to adjust the mark’s direction. – Tap [Save Probe] to save the current direction and position for the probe mark of the current body mark.

  • Page 201: 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 202: 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 203: 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 204: Sending Image File

    14 Patient Data Management Figure 14-1 Review screen Analysis In the image analysis status, you can view, zoom, perform post processing and measurements, add comments and perform cine review for a stored image (FRM or CIN format). The operation steps are the same as those for real-time scanning;...

  • Page 205: Report Management

    14 Patient Data Management Select from the destination: Item Description USB/iStorage For external memory devices (e.g. USB memory devices, DVD recorder) or network storage server, you can set: • PC format transfer. • DCM format transfer • Cine Zoom Mode. •...

  • Page 206: Patient Data Management (Istation)

    14 Patient Data Management Export report via Send To In the iStation or Review screen, click [Send Exam] or [Send to] to send patient data to an external memory device (USB disk or disc) or network storage, you can choose if reports are exported. Perform the following procedure: Check “Export Report”...

  • Page 207: Searching A Patient

    14 Patient Data Management 14.3.1 Searching a Patient Perform the following procedure: Select the data source. Click [Data Source] to select the data source of patient data, the system patient database is default. Set search conditions in the “Item” drop-down list. Enter the key word.

  • Page 208: Recycle Bin

    14 Patient Data Management Item Description Backup Exam You can back up the selected patient data to the system-supported media in order to view it on PC, or restore the patient data to the system from an external media. The exam after being backed up can be restored to the system for another review. Click to back up the selected patient data to the system-supported media.

  • Page 209: 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 210: Report Printing

    14 Patient Data Management Click icon on the upper right side of the image, and select the printer in the popped up dialog box. Click [OK] to start printing. Please refer to the accompanying manuals of the printers for more details. 14.6.2 Report Printing Both reports and images can be printed on a graph/text printer, For detailed information about the report printing, see Advanced Manual.
  • Page 211 14 Patient Data Management Storage Task Displays the DICOM storage task. DICOM Print Task Displays the DICOM print task. Media Storage Task • DICOM media storage task (including disc and USB devices): In iStation screen, select the target exam and click [Send Exam], then click DICOMDIR in the menu which appears. •...

  • Page 212: 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 213: 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 214: To Send Images Using A Shortcut Key

    15 DICOM/HL7 Click in the top-right part or [Send To] to bring up the following 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 215: Unload Dcm File

    15 DICOM/HL7 • If there is an exam result in the report template, this type of exam should be performed. Sending the exam or archiving the exam can send the encapsulated PDF file. 15.1.5 Unload DCM file The image can be unloaded to DCM format and send to the storage media, iStorage. Perform the following procedure: Select the image, and click Select “Target”...

  • Page 216: Mpps

    15 DICOM/HL7 Guarantee the data source: after select the service type, select the worklist server from the corresponding server. Input the searching condition: – DICOM server: Search via patient ID, accession #, key words, AE title, worklist server or exam date. –...

  • Page 217: Storage Commitment

    15 DICOM/HL7 15.5 Storage Commitment Storage commitment is used to confirm whether the images or structured reports are successfully stored on the DICOM storage server. Before using storage commitment, set the associated storage service If images are successfully sent to the storage server, the storage commitment server will return to the information about the successful image storage.

  • Page 218: Dicom Media Storage (Dicomdir Review)

    15 DICOM/HL7 Click [Query]. The system performs the query and lists the results in the patient (source) list. You can perform further queries based on the results by entering new query information. Select one or more patient records according to the actual situation. –...

  • Page 219: Data Restore

    15 DICOM/HL7 If there are several types of data on the media, the system will ask you to select the format. Then, click [DICOMDIR]. 15.7.3 Data Restore NOTE: Only system-accessible media can be selected. After the DICOM format data are saved to external media, restore the data to the ultrasound system. Connect the external media containing DCM files to the system.
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  • Page 221: Probes And Biopsy

    Probes and Biopsy NOTE: For details of storage times and conditions for disinfected probes and brackets, refer to the Technical standard for Disinfection of Medical and Health Structures. 16.1 Probes Table 16-1 Available probes Probe Mode Region Applied Intended Use Remark Probe Figure C4-1s...
  • Page 222 16 Probes and Biopsy Table 16-1 Available probes Probe Mode Region Applied Intended Use Remark Probe Figure C6-2Gs Body surface Abdomen, Gynecology, Obstetrics, Urology C11-3s Body surface Abdomen, Cephalic, Cardiac, Vascular, Pediatric SC5-1Ns Body surface Abdomen, Supports contrast Gynecology, imaging under Obstetrics, Abdomen exam Vascular, Nerve,...
  • Page 223 16 Probes and Biopsy Table 16-1 Available probes Probe Mode Region Applied Intended Use Remark Probe Figure L11-3VNs Body surface Abdomen, • Supports contrast Pediatric, Small imaging under Parts, Musculo- Small Parts exam skeletal, Vascular, mode. Nerve, Thoracic/ • Supports strain Pleural elastography under Small Parts...
  • Page 224 16 Probes and Biopsy Table 16-1 Available probes Probe Mode Region Applied Intended Use Remark Probe Figure L14-6Ns Body surface Abdomen, • Supports contrast Pediatric, Small imaging under Parts, Musculo- Small Parts exam skeletal, Vascular, mode. Nerve, • Supports strain Ophthalmic, elastography Thoracic/Pleural...

  • Page 225: Probe Functions By Part

    16 Probes and Biopsy Table 16-1 Available probes Probe Mode Region Applied Intended Use Remark Probe Figure P4-2s Body surface Abdomen, Supports TDI, Stress Gynecology, Echo, Tissue Obstetrics, Tracking and contrast Cardiac, Pediatric, imaging under Vascular, Cardiac exam mode. Thoracic/Pleural, Cephalic P8-2s Body surface...

  • Page 226: Orientation Of The Ultrasound Image And The Probe Head

    16 Probes and Biopsy Item Description Probe head Converts the electrical signal into an ultrasonic signal, focusing the sound beams in a given direction; meanwhile, it receives the reflected ultrasonic signal and converts it into an electrical signal for transmission over the cable. The lens on the surface is the acoustic lens.

  • Page 227: Procedures For Operating

    16 Probes and Biopsy Orientation mark Mark 16.1.3 Procedures for Operating WARNING Disinfect the probe and sterilize the needle-guided bracket before and after an ultrasound-guided biopsy procedure is performed. Failure to do so may cause the probe and the needle-guided bracket becomes a source of infection. This section describes general procedures for operating the probe.
  • Page 228 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 229: 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 230 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 231: Probes Cleaning And Disinfection/Sterilization

    16 Probes and Biopsy 16.1.5 Probes Cleaning and Disinfection/Sterilization Before and after completing each examination, clean and disinfect (or sterilize) the probes as required. When biopsy procedures have been performed, be sure to sterilize the needle-guided bracket. Fail to do so may result in the probe and the needle-guided bracket to becoming sources of infection.
  • Page 232 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. 16 - 12...
  • Page 233 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 234 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 235: 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 Disinfectants For the disinfectants information, 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 236: Probe Environmental Conditions

    16 Probes and Biopsy 16.1.7 Probe Environmental Conditions Table 16-2 Probe Environmental Conditions Probe Conditions Ambient Relative humidity Atmospheric Model temperature (no condensation) pressure C4-1s Operating 0°C ~ 35°C 15% ~ 90% 700 hPa ~ 1060 hPa Storage and -20°C ~ 60°C 15% ~ 90% 700 hPa ~ 1060 hPa transportation...
  • Page 237 16 Probes and Biopsy Table 16-2 Probe Environmental Conditions Probe Conditions Ambient Relative humidity Atmospheric Model temperature (no condensation) pressure L12-3VNs Operating 0°C ~ 40°C 20% ~ 85% 700 hPa ~ 1060 hPa Storage and -20°C ~ 55°C 20% ~ 95% 700 hPa ~ 1060 hPa transportation L12-3RCs Operating...

  • Page 238: Storage And Transportation

    Excessive vibration – Heat generators • 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 239 16 Probes and Biopsy needle-guided bracket, immediately stop using it and contact MINDRAY Customer Service Department or sales representative. • Disposable brackets are packaged sterile and are single-use only, and the method of sterilization is irradiation. Do not use if the sterile packaging is open or broken, and do not reuse or resterilize the disposable brackets.

  • Page 240: Needle-Guided Brackets Available

    16 Probes and Biopsy The biopsy needle appears to reach the target object Dispersion of the in the image ultrasound beam Probe Biopsy Needle Ultrasound Target beam Target The biopsy needle may not have actually entered the target object even though it appears to have done so in the image.
  • Page 241 16 Probes and Biopsy Table 16-3 Needle-guided Brackets Available Probe Model Needle-guided Biopsy angle/ Applicable Biopsy Needle Bracket Model depth(±1°) SP5-1Ns NGB-011 11°, 23° 13G, 15G, 16G, 18G, 20G P4-2s Metal-needle detachable C5-2s NGB-015 25°, 35°, 45° 14G, 16G, 18G, 20G, 22G Metal-needle detachable C11-3s...

  • Page 242: 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 243 16 Probes and Biopsy Retaining clamp Probe Locating groove Perform the following procedure: Install the needle-guided bracket: Put on the sterile probe sheath. 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.
  • Page 244 16 Probes and Biopsy NGB-007 Metal/needle detachable needle-guided bracket Support for needle-guided bracket 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 245 16 Probes and Biopsy Adjust the needle angle to the proper shift as required: Loosen the angle pinch nut. Adjust the angle block to the desired level. Tighten the angle pinch nut. Install the guiding block Select a suitable guiding block and push it into the groove above the angle block, then clamp it tightly Screw the block's nut to secure the block.
  • Page 246 16 Probes and Biopsy Remove the needle-guided bracket: Unscrew the Needle-guided bracket pinch nut, and remove the needle-guided bracket from the probe. Separate the probe and the needle-guided bracket. 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...
  • Page 247 16 Probes and Biopsy Check manually to confirm that the needle-guided bracket is securely installed on the probe. Install the guiding block: Select a proper guiding block and push it into the groove above the angle block, and clamp it tightly. Insert a biopsy needle with the same specification as that of the guiding block into the hole of the guiding block.
  • Page 248 16 Probes and Biopsy Separate the residual part of the needle-guide bracket and the probe from the needle. Remove the needle-guided bracket: Remove the support of needle-guided bracket from the probe. NGB-010 Metal-needle detachable needle-guided bracket Guiding block Guiding hole of the biopsy needle Support of needle-guided bracket Knob of fixing needle-guided bracket Grooves of the needle-guided bracket...
  • Page 249 16 Probes and Biopsy Hold the probe by one hand, select the proper needle-guided bracket, and hold it with the other hand. Match the groove of the bracket with the tab of the probe. Amount the bracket onto the probe. Hold the probe by one hand, select proper needle-guided bracket, and hold it with the other hand, and align the grooves of the needle-guided bracket with the tabs of the probe, then push the needle-guided bracket forward, making the grooves of the needle-guided...
  • Page 250 16 Probes and Biopsy Remove the guiding block slightly along the direction of the needle’s tail, and separate the residual part of the needle-guide bracket and the probe from the needle. Remove the support of needle-guided bracket from the probe. NGB-011 Metal-needle undetachable needle-guided bracket Clamp Locating groove...
  • Page 251 16 Probes and Biopsy NGB-015/NGB-022 Metal-needle detachable needle-guided bracket 9 10 11 Groove Clamp Needle type adjusting base Needle type dial scale 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.
  • Page 252 16 Probes and Biopsy Adjust the dial scale to the required needle type shift, and then screw the needle fixing nut to lock the dial scale. (To adjust the dial scale you have to loosen the needle fixing nut first.) Pull the lock pin and close the V-shaped cover to fix the lock pin in the groove of the needle type adjusting base, so as to install the needle into the guiding hole.
  • Page 253 16 Probes and Biopsy NGB-018 Metal-needle detachable needle-guided bracket Pinch nut of bracket Angle pinch nut Angle block Clamp Groove Angle-adjusting base Angle shift sign Guiding block specification Guiding block Needle guide hole Perform the following procedure: Install the needle-guided bracket: Put on the sterile probe sheath.
  • Page 254 16 Probes and Biopsy Install the guiding block: Select a suitable guiding block and push it into the groove above the angle block 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.
  • Page 255 16 Probes and Biopsy Angle adjusting block Angle marker Angle adjusting base Groove Slot Right, left retaining nut Right, left clamp Perform the following procedure: Install the needle-guided bracket: Put on the sterile probe sheath. Select the needle-guided bracket, and match the groove with the tab of the probe. Mount the bracket onto the probe.
  • Page 256 16 Probes and Biopsy Put the needle into the needle guided-bracket, and the needle leans to V-shaped block. Hold the probe, and release the pressure position of the needle. Adjust the needle-type adjusting nut manually (following the direction of the arrow). The needle moves smoothly at the vertical direction due to its gravity.
  • Page 257 16 Probes and Biopsy Hold the probe. Press the biopsy needle to separate the needle from pressure position of the needle. Separate the bracket and the probe from the needle. Remove the needle-guided bracket: Rotate the clamping nuts of the needle guided-bracket on right and left side (following the direction of the arrow).
  • Page 258 16 Probes and Biopsy Location hole Front slot Front clamp Location clamp Upper clamp Perform the following procedure: Install the needle-guided bracket: Put on the sterile probe sheath. Open the clamp. Insert the front clamp to the front groove, and align front clamp with front groove.
  • Page 259 16 Probes and Biopsy Lift the biopsy up (towards arrow’s direction). The locating pole, front clamp, the locating hole and the front clamp become loose. NGB-034 Metal-needle detachable needle-guided bracket Needle fixing nut Guiding groove Angle fixing nut Angle adjusting base Needle type dial scale Needle adjusting base V-shape cover...
  • Page 260 16 Probes and Biopsy Select a proper needle-guided bracket, and match the locating groove with the tab of the probe. Mount the bracket onto the probe. Tighten the pinch nut of the needle-guided bracket to confirm that the needle-guided bracket is properly installed on the probe. Adjust the needle angle to the proper shift as required: Loosen the angle pinch nut.
  • Page 261 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 262 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 263 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 264 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 265 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 266 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 267 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 268: 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 269: 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 270 16 Probes and Biopsy 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 271: Storage And Transportation

    Between examinations, keep the needle-guided bracket in a sterile environment. • 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.

  • Page 272: Middle Line

    16 Probes and Biopsy Contact your MINDRAY representative when disposing of this device. 16.3 Middle Line Middle Line helps to locate and observe the focus point of lithotripsy wave during lithotripsy treatment. By means of providing information for the lithotripsy machine as well as a tool for watching the procedure of lithotripsy in real-time, you can adjust the intension and frequency of the lithotripsy wave through lithotripsy machine.

  • Page 273: Interface

    16 Probes and Biopsy • The eSpacial Navi system supports only the needle types listed on the needle list. For details, see “16.4.1 Interface”. • Keep the L11-3VNs and L12-3VNs away from the source of disturbance, such as metal objects and magnetized objects. Do not use or store L11- 3VNs and L12-3VNs in the vicinity of strong electric or magnetic fields.

  • Page 274: Preset

    16 Probes and Biopsy Out of Plane Needle Guidance GUI Alignment indicator (plan view) Filed strength Maximum depth at which the needle can be detected Selected needle type Scale of guideline (5 mm/scale) Projection position of the needle guidance trajectory in the ultrasound plane Position at which the needle cross the ultrasound plane Needle projection position in the ultrasound plane 16.4.2 Preset...

  • Page 275: Preparation Before Needle Guidance

    16 Probes and Biopsy 16.4.3 Preparation Before Needle Guidance NOTE: Before and during calibration, keep the probe away from the magnetic sources, such as metal objects, electrical motors, switching power supplies, nerve stimulators and similar medical devices. Perform the following procedure: Scan the target tissue and adjust the image parameters.

  • Page 276: Procedure

    16 Probes and Biopsy Hold the needle for 1 or 2 seconds and then withdraw it quickly from the magnetizer. 16.4.4 Procedure NOTE: • The Pan Zoom function is not supported on eSpacial Navi mode. • Do not freeze the ultrasound image during the procedure. Otherwise, biopsy guidance information will disappear.
  • Page 277 16 Probes and Biopsy Compatible disinfectants for the magnetizer are shown in Table 16-7. Table 16-7 Compatible disinfectants Trade Name Manufacturer Chemical Name Procedures Surfa’safe Anios Laboratoires didecyldimethylammonium chloride Sprays, fungicidal 1.4mg/g; in 20 min polyhexamethylene biguanide T.B in 15 min hydrochloride 0.96mg/g ®...

  • Page 278: 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.

  • Page 279: 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 280: 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 281: 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 282 18 System Maintenance NOTE: • DO NOT use hydrocarbon glass cleaner or cleaner for OA (Office Automation) equipment to clean the monitor. These substances may cause deterioration of the monitor. • Please clean the control panel periodically, otherwise the button may be blocked by dirt and the system will be buzzing while the button makes no response.
  • Page 283 18 System Maintenance 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. Perform the following procedure: Disassembling: Clamp ring Optical trackball Rotate the trackball clamp ring anticlockwise. When the clamping ring lifts, remove the clamping ring and trackball.

  • Page 284: 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 285 18 System Maintenance • Check the system after disinfection. If there is any sign of damage, remove it from use. • Follow local regulations when selecting and using the disinfectant. • Disinfectants listed in this section are used for disinfecting the housing of the main unit and the monitor only, not for disinfecting the probes or the trolley.

  • Page 286: 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 287: 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 289: A Barcode Reader

    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 290: Setting Up The Reader (Take Ls2208 As An Example)

    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 291 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 292: 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 293: 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 294 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 295: 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 296: 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 297 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 298: 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 299 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 300: 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 301: 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 302: 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 303 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 305: 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 306 B Trolley and Accessories Introduction of Each Unit 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. Storage box Used for placing report or other stuff. Caster Used for securing or moving the system.
  • Page 307 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.
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  • Page 309 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 310 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 311 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 312 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 313 Wireless LAN The system provides wireless net adapter configuration, so as to assist information query and unlimited network service. WARNING • It is prohibited to use the wireless LAN function in an airplane, as this may violate the relevant provisions in the aviation regulations. •...
  • Page 314 D Wireless LAN Use the Wireless feature Perform the following procedure: Press <Cursor> to show the cursor, click in the bottom bar to open the wireless network manager. Use the trackball/trackpad and press <Set> to select the target network, click [Connect] to connect to the network.
  • Page 315 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. Operator’s Manual...
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  • Page 317 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 318 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 319 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. The iVision screen is shown as follows: Add the contents to be played and select demo mode.
  • Page 320 F iVision F.2.1 Demo Catalog The demo catalog is a folder on the hard disk where the factory DEMO is stored. The system plays the images in this folder when performing demonstrations. The system supports importing, deleting or clearing the data in the demo catalog. Click [Demo Manager] to operate: •...
  • Page 321 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 322 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 323 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 324 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 325 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 326 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 327 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 328 H Acoustic Output 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. The acoustic output of the system has been measured and calculated in accordance with IEC60601- 2-37: 2015, FDA 510(K) GUIDANCE, IEC 62359: 2017, Ultrasonics-Field characterization-Test methods for the deter mination of thermal and mechanical indices related to medical diagnostic ultrasonic fields.
  • Page 329 H Acoustic Output 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 330 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 331 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 332 • 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 333 I EMC Guidance and Manufacturer’s Declaration Table I-2 GUIDANCE AND MINDRAY DECLARATION-ELECTROMAGNETIC EMISSIONS The Probe P7-3Ts/P8-3Ts which integrated in 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 334 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 335 I EMC Guidance and Manufacturer’s Declaration Table I-4 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 336 I EMC Guidance and Manufacturer’s Declaration Table I-5 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 338 P/N: 046-018835-00 (2.0)

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