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Non-SonoSite product names may be trademarks or registered trademarks of their respective owners. SonoSite products may be covered by one or more of the following U.S. patents: 4454884, 4462408, 4469106, 4474184, 4475376, 4515017, 4534357, 4542653, 4543960, 4552607, 4561807, 4566035, 4567895, 4581636, 4591355, 4603702, 4607642, 4644795, 4670339,...
Contents Chapter 1: Introduction About the User Guide ................1 Conventions Used in This User Guide ..........2 Symbols and Terms Used in This User Guide ........2 Customer Comments ................2 About the System ..................2 System Battery ...................4 Software Licensing ..................6 Attaching the Handle Pad ...............6 Chapter 2: Getting Started Healthy Scanning Guidelines ..............7 Position the System ................8...
About the User Guide This user guide is a reference for using the iLook system. It is designed for a reader familiar with ultrasound techniques; it does not provide training in sonography or clinical practices. Before using the system, you must have ultrasound training.
Questions and comments are encouraged. SonoSite is interested in your feedback regarding the system and the user guide. Please call SonoSite at 1-888-482-9449. If you are outside the USA, call the nearest SonoSite representative. You can also send electronic mail (e-mail) to SonoSite at the following address: comments@sonosite.com...
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The software that runs the system uses graphic display elements similar to those used in many personal computers. System terms are explained in Chapter 9, “Glossary.” On-screen symbols are explained in “Screen Layout and Icons” on page The following figure illustrates the iLook system. Transducer Handle pad Transducer clip Stylus Battery...
System Battery The iLook ultrasound system comes with two rechargeable lithium ion batteries. Each battery comprises three lithium ion cells plus electronics, a temperature sensor, and the battery contacts. A fully charged battery will last for 20 minutes or more depending on usage. Additionally, the display brightness affects battery life.
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To avoid damaging the system or battery, charge batteries only when the ambient Caution: temperature is between 10° and 40°C (50° and 104°F). Insert the system in the docking station or stand for iLook. See “To charge the system battery:” on page Connect the auxiliary power cable and power supply.
The small handle pad is installed and is suitable for most hand sizes. SonoSite recommends using the large handle pad if your hands are small or using no pad if your hands are large. Select the option that provides the best support and comfort for your hand size.
Chapter 2: Getting Started This chapter contains information on healthy scanning practices, basic operation, and changing system settings. Healthy Scanning Guidelines These guidelines are intended to assist you in the comfortable and effective use of your hand carried ultrasound system. Use of an ultrasound system may be linked to musculoskeletal disorders a,b,c Warning:...
Position the System Under prolonged use, the back of the enclosure can reach temperatures that Warning: exceed EN60601-1 limits for patient contact, therefore, only the operator shall handle the system. This does not include the transducer face. The ultrasound system is labeled: SHORT TERM USE. (Short term use is based on a use model of 4-10 exams per day at 5 minutes per exam.) Power off the system when not in use.
Position Yourself To support your back, consider the following: • Use a chair that has support for your lower back. • Use a chair that adjusts to your work surface height and promotes a natural body posture. • Use a chair that allows for quick height adjustments. •...
To vary your daily activities, consider the following: • Plan your work so there are breaks in between ultrasound exams. • When scanning, use both system input devices, the touch screen and the directional controller. • Work efficiently when performing an ultrasound exam by using the software and hardware features correctly.
Table 1: System Controls (Continued) System Icon Description Control Freeze Press to freeze an image. Measurements can be made on a frozen image. Press freeze again to unfreeze the image. Save Press to save an image to the internal memory. Storage capacity is up to 74 images.
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Table 2: Screen Layout and Icons Screen Area Icon/Information Description Patient Name/ID Displays current patient name and identification. Date Displays date. Measurement Displays measurement in centimeters when image is frozen and calipers are displayed. Caliper A cursor used to measure distance on a frozen image. On-screen menu Context sensitive menu that displays menu options depending on the current mode of the system.
Table 2: Screen Layout and Icons (Continued) Screen Area Icon/Information Description Orientation Indicates image orientation relative to transducer. marker Skin line The location where the transducer is placed. Guideline Indicates center of displayed image. (L25 only) General Operation Directional Controller The directional controller is always active and can be used to select and adjust menu items at any time.
Touch Screen The touch screen is not active during live imaging. It can be used to select and adjust menu items on frozen images, in Patient Information, in Image Review, and in System Set-up. Tap the display gently with the stylus or a finger to select or adjust menu items. When performing a measurement, it is recommended that the stylus be used rather than a finger for easier caliper placement.
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Table 3: On-screen Keyboard (Continued) Icon Description Cap Lock Select or tap the cap lock key to change the keyboard to upper case. Select or tap the cap lock key again to return the keyboard back to lower case. Backspace Select or tap the backspace key to delete text or a space to the left of the cursor.
System Set-up To adjust system settings (first page): Press the Patient key. Select or tap System Set-up... from the on-screen menu. Press the Patient key at any time to exit System Set-up and return to live imaging. Figure 5 System Settings (First Page) Brightness Highlight or tap Brightness from the menu to adjust the display brightness.
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Done Select or tap Done from the menu to exit System Set-up or press the Patient key to return to imaging. To adjust system settings (second page): Press the Patient key. Select or tap System Set-up... from the on-screen menu. Select or tap Next Page.
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Date/Time Select or tap Date/Time from the menu. See “On-Screen Keyboard” on page Enter the current date (yyyy/mm/dd) and time using the on-screen keyboard. Note: If you make a mistake, use the arrow and backspace keys. Select or tap Cancel to ignore the changes and return to the previous menu. Select or tap Done to accept the changes and return to the previous menu.
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To display the system information: Press the Patient key. Select or tap System Set-up... from the on-screen menu. Select or tap Next Page from the on-screen menu. Select or tap System Info... from the on-screen menu. The system information screen displays the following information: the Boot Ver (version), the ARM Ver, the PCBA Serial No (number), the Product Name, FPGA/CPLD1 Vers, SHDB Ver, and the Hw/Sh ID.
SonoSite recommends you clean transducers after each use. See “Cleaning and Caution: Disinfecting Transducers” on page Note: SonoSite recommends the use of market-cleared, transducer sheaths for clinical applications of an invasive nature. Place gel inside the sheath. Insert the transducer into the sheath.
Note: To lessen the risk of contamination, install the sheath only when you are ready to perform the procedure. Pull the sheath over the transducer and cable until the sheath is fully extended. Secure the sheath using the bands supplied with the sheath. Check for and eliminate bubbles between the footprint of the transducer and the sheath.
To select exam type: Press the Patient key. Highlight or tap Exam Type from the on-screen menu. Use the right or left arrows or tap the touch screen to choose Abd or Card for C15 or Supr or Vasc for L25 from the on-screen menu. The exam type is displayed in the status bar on the bottom of the screen.
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Left/Right Flip Highlight L/R from the on-screen menu. (L/R) Arrow right or left to flip image orientation. Harmonics (H) Select H from the on-screen menu to turn on Tissue Harmonic Imaging. (C15 only) Select H again to turn off. Note: An H appears in system status bar to indicate Harmonics is on. CPD/DCPD Select CPD or DCPD from the on-screen menu to turn on Color Power Doppler or Directional Color Power Doppler.
Note: DCPD is only available for Cardiac (Card) exam type on a C15 transducer. Note: When imaging with the iLook L25 using CPD at depths of 2.2, 2.5, and 2.8 cm, the color fill-in around the first one (1) cm may be inversely affected by increasing the CPD gain at high gain settings. If the vessel fails to fill with color after continually increasing the CPD gain, try slowly decreasing the gain.
Frozen Image To freeze the image: Press the Freeze key. Note: A freeze icon is displayed in the status bar on the bottom of the screen. Both the directional controller and the touch screen are active on a frozen image. To manipulate a frozen image: Forward/ Use the right and left arrows or tap Fwd and Back from the on-screen menu...
Distance Measurement A single linear distance measurement can be made on a frozen image. The measurement can be performed using the touch screen, the directional control, or a combination of both. To perform a measurement using the touch screen: Note: Place calipers by tapping the desired location.You cannot drag the caliper to a location. On a frozen image, tap Meas from the on-screen menu.
To perform a measurement using the directional controller: On a frozen image, select Meas from the on-screen menu. Two measurement calipers are displayed on the screen. Cal 1 is the active caliper and is highlighted green. Position the first caliper using the right, left, up, or down arrows. The measurement is displayed in the upper left section of the screen and is updated as the caliper moves.
Press the Freeze key to return to live imaging. Image Storage The iLook ultrasound system is equipped with internal memory that allows for up to 74 images to be saved. After an image has been saved, it can be reviewed on the system. When no longer needed, images can be deleted individually or all at once.
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To review or delete individual images: Press the Patient key. Select or tap Image Review... from the on-screen menu The last saved image appears, and the status bar at the bottom of the screen identifies the total number of images saved in the system memory. Note: The Image Review menu is active only when there are saved images.
Select or tap Exit from the on-screen menu or press the Patient key to return to live imaging. After the Exam Check the battery after each use to ensure adequate charge is available for the next exam. SonoSite recommends that you clean transducers after each use. Continual, Caution: long-term exposure to gel can damage transducers. Refer to Chapter 6, “Troubleshooting and Maintenance”...
Docking Station The docking station stores the iLook ultrasound system when it is not in use. The docking station charges the battery in the system and an extra battery. The docking station provides connections for the power supply, an RS-232 cable for downloading images to a personal computer (PC), and a video cable for connecting a printer.
Stand The stand for iLook holds the iLook system when it is in use and stores the system when it is not in use. The stand provides a storage area for the transducer. The stand charges the battery in the system.
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To insert the system into the stand: Insert the system into the stand sleeve, sliding the system brace over the black guide. See Figure Pull the locking lever forward to secure. Insert the transducer into the transducer holder. To remove the system from the stand: Release the locking lever.
To set up the docking station or stand: Insert the DC input connector from the power supply to the docking station or stand. Connect the AC power cord to the iLook power supply and connect the power cord to a hospital grade outlet.
Battery To charge the system battery: Insert the battery into the battery compartment of the system. See “To install the battery:” on page Insert the system into the docking station or stand, connecting the I/O connector on the bottom of the system to the I/O connector on the docking station or stand. The system beeps when connected properly.
Lay the system on a flat surface with the display side up. Insert the cable (screws facing up) into the connector on the bottom on the system. Permanent damage to the iLook system, power supply, or auxiliary power cable Caution: could result if the connector is inserted incorrectly.
To prevent unauthorized removal of the ultrasound system, you may use a Kensington security cable (optional) to attach the system to an immovable object. The iLook system has a Kensington Security Slot located on the back of the system.
SiteLink Image Manager (SiteLink) software is available for use with the system. SiteLink allows you to transfer images from the iLook system to a host PC. The transfer is made by inserting the system into the docking station or stand and connecting the null modem serial cable from the RS-232 connector on the docking station or stand to the RS-232 on the host personal computer (PC).
Chapter 5: Safety Read this information before using the iLook personal imaging tool. The information in this guide ® applies to the ultrasound system, transducer, accessories, and peripherals. This chapter contains information required by various regulatory agencies, including information about ALARA (as low as reasonably achievable), the output display standard, acoustic power and intensity tables, and other safety information.
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“Accessories” on page To avoid the risk of electrical shock, use commercial grade peripherals recommended by SonoSite on battery power only. Do not connect these products to AC power when using the system to scan or diagnose a patient/subject. Contact SonoSite or your local representative for a list of the commercial grade peripherals available from or recommended by SonoSite.
Equipment Protection To protect your ultrasound system, transducer, and accessories, follow these precautions. Excessive bending or twisting of cables can cause a failure or intermittent Caution: operation. To avoid damaging the power supply, verify the power supply input is within the correct voltage range.
If the battery emits an odor or heat, is deformed or discolored, or in any way appears abnormal during use, recharging or storage, immediately remove it and stop using it. If you have any questions about the battery, consult SonoSite or your local representative.
The ALARA Principle ALARA is the guiding principle for the use of diagnostic ultrasound. Sonographers and other qualified ultrasound users, using good judgment and insight, determine the exposure that is “as low as reasonably achievable.” There are no set rules to determine the correct exposure for every situation.
Direct Controls The selection of exam type limits acoustic output through default. The acoustic output parameters that are set at default levels based on exam type are the mechanical index (MI), thermal index (TI), and the spatial peak temporal average intensity (ISPTA). The system does not exceed an MI and TI of 1.0 for all exam types.
Acoustic Output Measurement Since the initial use of diagnostic ultrasound, the possible human biological effects (bioeffects) from ultrasound exposure have been studied by various scientific and medical institutions. In October 1987, the American Institute of Ultrasound in Medicine (AIUM) ratified a report prepared by its Bioeffects Committee (Bioeffects Considerations for the Safety of Diagnostic Ultrasound, J Ultrasound Med., Sept.
Tissue Models and Equipment Survey Tissue models are necessary to estimate attenuation and acoustic exposure levels In Situ from measurements of acoustic output made in water. Currently, available models may be limited in their accuracy because of varying tissue paths during diagnostic ultrasound exposures and uncertainties in the acoustic properties of soft tissues.
Intended Uses This product is a small, hand-carried, ultrasound machine used to obtain a “quick look” for physicians at the point of care. The simplified user interface is designed for quick scans without difficulty. The intended uses for each exam type are contained here. See the intended transducer for exam type in Table 1, “Exam Types and Imaging Modes”...
About the Acoustic Output Table The terms used in the acoustic output tables follow: Transducer Model is the SonoSite transducer model. Table 1: Acoustic Output Terms and Definitions Term Definition...
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Table 1: Acoustic Output Terms and Definitions (Continued) Term Definition Area of the active aperture measured in cm aprt Derated peak rarefactional pressure associated with the transmit pattern giving rise to the value reported under MI (Megapascals). Ultrasonic power, except for TIS , in which case it is the ultrasonic power scan passing through a one centimeter window in milliwatts.
Acoustic Output Tables Table 2 indicates the acoustic output for the system and the C15 and L25 transducers. Table 2: Acoustic Output pa.3 Transducer Model TI Type TI Value SPTA.3 C15/4-2 MHz 25.73 L25/10-5 MHz 41.51 Global Maximum Derated I and MI Values SPTA The following values represent worst-case values of the I...
Acoustic Measurement Precision and Uncertainty All table entries have been obtained at the same operating conditions that give rise to the maximum index value in the first column of the table. Measurement precision and uncertainty for power, pressure, intensity, and other quantities that are used to derive the values in the acoustic output table are shown in the table below.
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Symbol Definition Alternating Current (AC) CE marking indicating Manufacturers declaration of compliance with appropriate EU product directives CE marking indicating compliance with the EU Medical Device Directive (93/42/EEC) and certified by the British Standards Institution Underwriter’s Laboratories labeling Canadian Standards Agency Catalog number H marking indicating compliance with Annex II of EuM Decree 47/1999 (X.6.) by H EÜ01...
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Symbol Definition Do not stack over 5 high Do not stack over 10 high Paper Recycle Submersible. Protected against the effects of temporary immersion IPX7 Electrostatic sensitive devices Chapter 5: Safety...
Troubleshooting If you encounter difficulty with the system, use the information in this chapter to help correct the problem. If the problem is not covered here, contact SonoSite technical support at the following numbers or addresses: Technical support...
There are no internal adjustments or alignments that require periodic testing or calibration. All maintenance requirements are described in the iLook User Guide and Service Manual. Performing maintenance activities not described in the iLook User Guide or Service Manual may void the product warranty.
Recommended Disinfectant See the Table 2, “Disinfectant Compatibility with iLook System and Transducer” on page Safety Please observe the following warnings and cautions when using cleaners, disinfectants, and gels. More specific warnings and cautions are included in the product literature and in the procedures later in this chapter.
Cleaning and Disinfecting the Ultrasound System The exterior surface of the ultrasound system and the accessories can be cleaned and disinfected using a recommended cleaner or disinfectant. To avoid electrical shock, before cleaning, disconnect the system from the power Warning: supply or remove from the docking station or stand.
To clean and disinfect the system surfaces: Turn off the system. Disconnect the system and the power supply or remove from the docking station or stand. Clean the exterior surfaces using a soft cloth lightly dampened in a mild soap or detergent cleaning solution to remove any particulate matter or body fluids.
Air dry or towel dry with a clean cloth. Examine the transducer and cable for damage such as cracks, splitting, or fluid leaks. If damage is evident, discontinue use of the transducer, and contact SonoSite or your local representative. To clean and disinfect a transducer using the immersion method: Remove any transducer sheath.
Air dry or towel dry with a clean cloth. Examine the transducer and cable for damage such as cracks, splitting, or fluid leaks. If damage is evident, discontinue use of the transducer, and contact SonoSite or your local representative. Chapter 6: Troubleshooting and Maintenance...
Examine the transducer and cable for damage such as cracks, splitting, or fluid leaks. If damage is evident, discontinue use of the transducer, and contact SonoSite or your local representative. Cleaning and Disinfecting the Docking Station and Stand...
Apply the solution to the cloth rather than the surface. Wipe the surfaces with the disinfection solution. Theracide disinfectant is recommended. Air dry or towel dry with a clean cloth. Table 2: Disinfectant Compatibility with iLook System and Transducer Trans- Trans-...
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Table 2: Disinfectant Compatibility with iLook System and Transducer (Continued) Trans- Trans- Disinfection and Country System Type Active Ingredient ducer ducer Cleaning Solutions of Origin Surfaces Alkazyme France Liquid Quat. Ammonia Ampholysine Basique (3) France Liquid Biguanide/Quat. Ammonia Ampholysine plus...
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Table 2: Disinfectant Compatibility with iLook System and Transducer (Continued) Trans- Trans- Disinfection and Country System Type Active Ingredient ducer ducer Cleaning Solutions of Origin Surfaces Burnishine (4) Liquid Gluteraldehyde Cavicide (4) Liquid Isopropyl T, C T, C Cetavlon France...
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Table 2: Disinfectant Compatibility with iLook System and Transducer (Continued) Trans- Trans- Disinfection and Country System Type Active Ingredient ducer ducer Cleaning Solutions of Origin Surfaces Enzol Cleaner Ethylene Glycol T, C T, C Esculase 388 France Liquid Quat. Ammonia...
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Table 2: Disinfectant Compatibility with iLook System and Transducer (Continued) Trans- Trans- Disinfection and Country System Type Active Ingredient ducer ducer Cleaning Solutions of Origin Surfaces Linget’anios France Towelette Quat. Ammonia LpHse (4) Liquid O-phenylphenol Lysertol V Neu (3) Germany...
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Table 2: Disinfectant Compatibility with iLook System and Transducer (Continued) Trans- Trans- Disinfection and Country System Type Active Ingredient ducer ducer Cleaning Solutions of Origin Surfaces Ovation (4) Liquid O-phenylphenol Peract 20 (1) (2) (3) (5) Liquid Hydrogen Peroxide Phagocide D (3)
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Table 2: Disinfectant Compatibility with iLook System and Transducer (Continued) Trans- Trans- Disinfection and Country System Type Active Ingredient ducer ducer Cleaning Solutions of Origin Surfaces Sagrosept Germany Wipe Proponal Salvanios pH 10 France Liquid Quat. Ammonia Santi-Cloth Plus (4) Wipe Quat.
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Table 2: Disinfectant Compatibility with iLook System and Transducer (Continued) Trans- Trans- Disinfection and Country System Type Active Ingredient ducer ducer Cleaning Solutions of Origin Surfaces Theracide Liquid Quat. Ammonia Theracide Wipe Quat. Ammonia Thericide Plus (4) Liquid Quat. Ammonia...
Chapter 7: Specifications This chapter contains system and accessory specifications and agency approvals. The specifications for recommended peripherals can be found in the manufacturers’ instructions. System Dimensions Length: 6.4 in. (16.26 cm) Width: 10.85 in. (27.56 cm) Depth: 1.5 in. (3.81 cm) Weight: 2.8 lbs.
Measurement Linear distance in centimeters Volume calculation in cm Image Storage Up to 74 images (depending on exam type and imaging mode) Cine review Accessories Hardware, Software, and Documentation AIUM Ultrasound Medical Safety Guidance Document Battery Docking station Handle pads Power supply Printer bracket Quick Reference Guide...
Peripherals See the manufacturer’s specifications for the following peripherals. Medical Grade Black-and-white printer Recommended sources for printer paper: Contact Sony at 1-800-686-7669 or www.sony.com/professional to order supplies or to obtain the name and number of the local distributor. Non-Medical Grade Kensington Security Cable Temperature, Pressure, and Humidity Limits Note: The temperature, pressure, and humidity limits apply only to the ultrasound system and transducers.
CISPR11:97, International Electrotechnical Commission, International Special Committee on Radio Interference. Industrial, Scientific, and Medical (ISM) Radio-Frequency Equipment Electromagnetic Disturbance Characteristics-Limits and Methods of Measurement. The Classification for the Sonosite system, SiteStand, accessories, and peripherals when configured together is: Group 1, Class A. Airborne Equipment Standards RTCA/DO160D:1997, Radio Technical Commission for Aeronautics, Environmental Conditions and Test Procedures for Airborne Equipment, Section 21.0 Emission of Radio Frequency Energy,...
Chapter 8: References This section includes information about clinical measurements that can be made with the system, the accuracy of each measurement, and factors affecting measurement accuracy. Display Size The precision with which a caliper can be placed in an image can be improved by making sure the area of interest fills as much of the screen as possible.
An RMI 413a model phantom with 0.7 dB/cm-MHz attenuation was used. Volume Measurement The volume measurement performed by iLook is an ellipsoid approximation of the actual volume of the anatomical feature. That is, the formula used for the volume measurement is ⎛...
This glossary includes an alphanumeric listing of all system symbols and system terms. A “See” reference in the glossary refers you to the accepted SonoSite term. For example: rather than probe or scanhead, transducer is the accepted SonoSite term for this product.
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Back A menu item used to review a series of saved images. brightness A menu item used to adjust the light output of the display. brightness mode See 2D image. (b-mode) cable, video An RCA-to-BNC connector-type cable, used to connect the docking station to the printer.
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Directional controller A system control used to navigate on-screen menus by highlighting and selecting, and used to adjust the caliper position. display The viewable region of the LCD/video monitor on which the ultrasound image and other display elements appear. docking station A device used to hold the system.
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linear array Identified by the letter L (linear) and a number (25). The number transducer (L25/10-5) corresponds to the radius of width of the array expressed in millimeters. The transducer elements are electrically configured to control the characteristics and direction of the acoustic beam. E.g, L25. linear distance A two-dimensional measurement in centimeters.
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shift An on-screen key used to enter capital letters and alternative on-screen keyboard characters. skinline A depth on the image display that corresponds to the tissue/transducer interface. stand A mobile device used to hold the system and transducer. It provides a platform and AC power, video out, serial port connectors, and an optional printer bracket.
Index battery icon description Numerics biological safety 2D image B-mode See 2D image definition brightness depth adjust definition gain guideline harmonics left/right cable near auxiliary power reset gain connect auxiliary power cable connect docking station connect stand definition abdominal imaging, intended uses disconnect auxiliary power cable AC power icon, description security...
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CPD image docking station definition about gain connectivity move definition 17, 18 done select Doppler amplitude mode definition electrical date, description safety date/time definition specifications set-up electromechanical safety standards DCPD image EMC classification standards definition energy mode See CPD image equipment gain protection...
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intensity derated gain in situ adjust water-value definition interventional, intended uses gel, coupling, apply intraoperative, intended uses global maximum values IrfanView software guidance documents, related guideline definition description keyboard See on-screen keyboard on/off keys list gynecology imaging, intended uses labeling symbols handle pad language, select about...
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MI/TI 84, 85 definition safety move battery biological disinfectants DCPD electrical equipment ergonomic save near description adjust images definition scanhead See transducer NTSC screen areas definition AC power icon set-up battery icon caliper date depth obstetrical imaging, intended uses depth markers on-screen keyboard, options exam type on-screen menu, description...
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thermal index (TI) specifications definition stand about description adjust angle time, description adjust height tissue models touch screen connectivity about definition calibrate insert system description remove system standards transducer airborne equipment cables, clean electromechanical clean EMC classification curved array sterilizable transducers definition storage specifications description...
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