Chison SonoEye P6 User Manual

Chison SonoEye P6 User Manual

Digital color doppler palm ultrasound system
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Digital Color Doppler Palm Ultrasound System
Digital Color Doppler Palm Ultrasound System
Model
SonoEye P6
USER MANUAL
Direction: CHUM SonoEye-P6-001a
th
June.5
,2020
Rev. 1.01
CHISON Medical Technologies Co., Ltd.
We reserve the right to make changes to this manual without prior notice.

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  • Page 1 Digital Color Doppler Palm Ultrasound System Digital Color Doppler Palm Ultrasound System Model SonoEye P6 USER MANUAL Direction: CHUM SonoEye-P6-001a June.5 ,2020 Rev. 1.01 CHISON Medical Technologies Co., Ltd. We reserve the right to make changes to this manual without prior notice.
  • Page 2 Essential Requirements of the Medical Device Directive. This manual is a reference for the SonoEye P6. Please verify that you are using the latest revision of this document. If you need to know the latest revision, contact your distributor.
  • Page 3: Table Of Contents

    Digital Color Doppler Palm Ultrasound System TABLE OF CONTENTS TABLE OF CONTENTS ..............................1 Chapter 1 Introduction ..............................1 System Overview ............................... 1 Contact Information ............................1 Chapter 2 System Safety .............................. 3 Safety Overview ..............................3 Electrical Safety ..............................4 Labels ..................................
  • Page 4 Digital Color Doppler Palm Ultrasound System 5.1.4 FHI ................................31 5.1.5 B/M Mode ..............................31 5.1.6 CFM Mode .............................. 31 5.1.7 PW mode ..............................32 5.1.8 B-Lines ..............................33 5.1.9 Biopsy Guide ............................33 5.1.10 SonoNeedle ............................33 5.1.11 SuperNeedle............................34 5.1.12 SonoRemote............................
  • Page 5 Digital Color Doppler Palm Ultrasound System Troubleshooting ............................... 51 Service Responsibility ............................. 52 Chapter 10 System ..............................53 10.1 General Description............................53 10.2 Care and Maintenance ............................ 53 10.2.1 Inspecting Systems ..........................53 10.2.2 Cleaning and Disinfecting ........................54 10.3 System Operation Instructions ........................
  • Page 6: Table Of Contents

    1.1 System Overview Indications for Use SonoEye P6 Digital Color Doppler Palm Ultrasound System is intended for diagnostic ultrasound imaging in B (2D), B/M, CFM, Combined(B+CFM), Pulsed Wave and Fusion Harmonic Imaging modes. It is indicated for Cardiac, Abdomen, Lung.
  • Page 7 Digital Color Doppler Palm Ultrasound System CAUTION Federal law restricts the device to sale by or on the order of a licensed practitioner or therapist.
  • Page 8: Chapter 2 System Safety

    Digital Color Doppler Palm Ultrasound System Chapter 2 System Safety 2.1 Safety Overview This section discusses measures to ensure the safety of both the operator and patient. To ensure the safety of both operator and patient, please read the relevant details in this chapter carefully before operating this system.
  • Page 9: Electrical Safety

    Digital Color Doppler Palm Ultrasound System  To prevent from arm or neck injury, the operator should not stay at the same position for too long during patient scanning without taking break.  Do not put the system near the liquid. NOTE *To dispose of this product properly, please call your local service department.
  • Page 10 Locate the equipment as far away as possible from other electronic equipment.  Be sure to use only the cables provided by or designated by CHISON. Connect these cables following the installation procedures (e.g. wire power cables separately from signal cables).
  • Page 11 Digital Color Doppler Palm Ultrasound System Notice against User Modification The user should never modify this product. User modifications may cause degradation in Electrical Safety. Modification of the product includes changes in:  Cables (length, material, wiring, etc.)  System configuration/components User modifications may cause degradation in EMC performance.
  • Page 12: Labels

    Digital Color Doppler Palm Ultrasound System 2.3 Labels Fig. 2-1: SonoEye P6 Label 2.3.1 Warning Symbols Icon Meaning Refer to instruction manual/booklet. Caution, consult accompanying documents. This symbol advises the reader to consult the accompanying documents for important safety related information such as warnings and pre-cautions that cannot be presented on the device itself.
  • Page 13 Digital Color Doppler Palm Ultrasound System This symbol advises the reader to consult the accompanying documents for important safety related information such as warnings and pre-cautions that cannot be presented on the device itself. The CE mark of Conformity indicates this equipment conforms to the Council Directive 93/42/EEC.
  • Page 14: Other Device Labels

    Unapproved Devices CAUTION:  DO NOT use unapproved devices.  If devices are connected without the approval of CHISON, the warranty will be INVALID.  The system can’t be used with HF surgical equipment, otherwise the burns to patient may occur.
  • Page 15: Biological Safety

    The system has been verified for overall safety, compatibility and compliance with the printer which is Mopria certified. CAUTION Printing quality may vary depending on the printer. If there is any quality problem, Chison will not be responsible. The system may also be used safely while connected to devices other than those recommended above if the devices and their specifications, installation, and interconnection with the system conform to the requirements of IEC/EN 60601-1-1.
  • Page 16: Scanning Patients And Education

    Digital Color Doppler Palm Ultrasound System Clinical Safety Quoted from AIUM Approved March 26, 1997 Diagnostic ultrasound has been in use since the late 1950s. Given its known benefits and recognized efficacy for medical diagnosis, including use during human pregnancy, the American Institute of Ultrasound in Medicine herein addresses the clinical safety of such use: There are no confirmed biological effects on patients or instrument operators caused by...
  • Page 17: Safe Scanning Guidelines

    Digital Color Doppler Palm Ultrasound System  Always use a disinfected sheath on all EV/ER systems during every exam.  Continuously move the system, rather than staying in a single spot, to avoid elevated temperatures in one part of the patient’s body. ...
  • Page 18: Understanding The Mi/Ti Display

    Digital Color Doppler Palm Ultrasound System MI>0.3 There is a possibility of minor damage to neonatal lung or intestine. If such exposure is necessary, reduce the exposure time as much as possible. MI>0.7 There is a risk of cavitation if an ultrasound contrast agent containing gas micro-spheres is being used.
  • Page 19 Digital Color Doppler Palm Ultrasound System diagnostic ultrasound systems and its operator’s manual contain the information regarding an ALARA (As Low As Reasonably Achievable) education program for the clinical end-user and the acoustic output indices, MI and TI. The MI describes the likelihood of cavitation, and the TI offers the predicted maximum temperature rise in tissue as a result of the diagnostic examination.
  • Page 20 Digital Color Doppler Palm Ultrasound System Tissue Model: Tissue temperature elevation depends on power, tissue type, beam width, and scanning mode. Six models Tissue temperature elevation depends on power, tissue type, beam width, and scanning mode. Six models are developed to mimic possible clinical situations. Thermal Models Composition Mode Specification...
  • Page 21 Digital Color Doppler Palm Ultrasound System Display Guideline: For different operation modes, different indices must be displayed. However, only one index needs to be shown at a time. Display is not required if maximum MI is less than 1.0 for any setting of the operating mode, or if maximum TI is less than 1.0 for any setting of the operating mode.
  • Page 22 Digital Color Doppler Palm Ultrasound System Acoustic Output Default Levels In order to assure that an exam does not start at a high output level, the system initiates scanning at a reduced default output level. This reduced level is preset programmable and depends upon the exam icon and system selected.
  • Page 23: Chapter 3 Preparing The System For Use

    3.2 Downloading and Installing the App Downloading the App Use a computer to obtain the.apk installation package from Chison and move it to a mobile device Installing the App Select the file which ended by .apk to install APP.
  • Page 24 Allow. If you touch Deny, you cannot use App until you give access to shared device storage in the Android App Permissions settings. Updating the App Use a computer to obtain the.apk update package from Chison and move it to the mobile device. Select the update package to install APP. Turning the System On and Off 1.
  • Page 25: System Specifications

    Depth+, Depth- and Save Image ) 3.3.2 Physical Specifications Dimensions of main unit (approx.): 64mm(Width)*172mm(Height)*24mm(Depth) 3.3.3 Image Modes B mode  B/M mode  Color Flow Map mode  PulsedWave Doppler mode  3.3.4 Type SonoEye P6 4.0MHz-8.0MHz/6.0MHz-10.0MHz Micro-convex Array ...
  • Page 26: System Configuration

    Digital Color Doppler Palm Ultrasound System 3.3.5 System Configuration Function SonoEye P6 √ B mode B/M mode Option PW mode Option CFM mode Option Option √ Type-C cable √ Identify probe √ Switch exam mode √ Gain √ Depth √...
  • Page 27: System Positioning & Transporting

    Digital Color Doppler Palm Ultrasound System Vessel report Option Abdomen report Option Cardiac report Option Lung report Option √ English Interface Multi-language Interface Option Auto vascular tracking Option √ Instant AIO Biopsy Guide Option SonoNeedle Option SuperNeedle Option SonoRemote Option √...
  • Page 28: Powering The System

    Digital Color Doppler Palm Ultrasound System Completely switch off the system. NOTE To prevent damage to the cable, DO NOT pull excessively on the cable or sharply bend the cable while wrapping it.  Store all systems in their original cases or wrap them in soft cloth or foam to prevent damage. ...
  • Page 29 Digital Color Doppler Palm Ultrasound System  Connect the connector from the SonoEyeP6 system to displayer. Caution  The system can only be disconnected with displayer while the power supply is off to prevent damage to the system.  If system is not correctly or completely connected with displayer, this may cause mis-operation, e.g. the system cannot be recognized, mis-recognized, or the system may drop off from the main unit and be damaged.
  • Page 30: Chapter 4 Control Panel

    Digital Color Doppler Palm Ultrasound System Chapter 4 Control Panel 4.1 Overview of Display Area Fig 4.1a Display Interface 1. Side Menu 2. Application 3. Parameters control 4. Center Line 5. Full Screen 6. B/M mode 7. PW mode 8. CFM mode 9.
  • Page 31: Start A New Exam

    Digital Color Doppler Palm Ultrasound System 4.2 Start a New Exam Press to end the current exam, and start a new patient. To add patient information: 1. On the imaging display, touch the ID number. 2. On the patient Info display, type the patient information. 3.
  • Page 32: Probe

    Digital Color Doppler Palm Ultrasound System 4.3 Probe Press to display current probe preset. Choose the desired preset to start an exam.
  • Page 33: Switching Function

    Digital Color Doppler Palm Ultrasound System 4.4 Switching Function Slide the top left along the buttons to show Freq. 4.5 Switching Mode Available imaging modes are B, CFM, PW, B/M Mode. 4.6 Function Key Introduction Button Name Function Freeze Touch this icon to freeze the current image Preset Press this button to select preset.
  • Page 34 Digital Color Doppler Palm Ultrasound System Image save Press this key to save image Cine save Press this key to save cine B Mode Press this key to enter B mode. B/M Mode Press this key to enter B/M mode. CFM Mode Press C to enter CFM Mode.
  • Page 35: Image Parameter Area

    Digital Color Doppler Palm Ultrasound System Annotation Press this button to add annotation in current exam interface. Arrow Press this button to add arrow in current exam interface. BodyMark Press this button to add body mark in current exam interface. Clear Press this button to clear all the content that user have added in current exam interface.
  • Page 36: Chapter 5 Imaging

    Digital Color Doppler Palm Ultrasound System Chapter 5 Imaging This chapter will introduce image display modes and the operation of image control and adjustment. 5.1 Select Scan Mode 5.1.1 System Identify The App will identify the system automatically while system is connected. 5.1.2 Select Application Click icon, the examination interface will pop-up, according to the type of probe to select corresponding...
  • Page 37: Pw Mode

    Digital Color Doppler Palm Ultrasound System Fig. 5-1CFM Mode 5.1.7 PW mode Intended Use: Doppler is intended to provide measurement data concerning the velocity of moving tissues and fluids. PW Doppler lets you examine blood flow data selectively from a small region called the Sample Volume.
  • Page 38: B-Lines

    Digital Color Doppler Palm Ultrasound System  Press the corresponding button to transfer the exam mode between real time B-mode with Doppler mode (with audio).  Sample along the whole length of the vessel. Ensure that the system is parallel to flow. Listen, then look, when positioning the sample volume cursor.
  • Page 39: Superneedle

    Digital Color Doppler Palm Ultrasound System 5.1.11 SuperNeedle SuperNeedle is to balance the B mode image. Select SuperNeedle, the user can optimize image by adjusting angles. 5.1.12 SonoRemote SonoRemote enables remote real-time ultrasound diagnosis. Install SonoRemote on PC and open it, check the network connection. The SonoRemote will register an account automatically when you first log into it.
  • Page 40: Parameter Adjustment In Pw Mode

    Digital Color Doppler Palm Ultrasound System 6. Sample Gate In the real-time state of CFM mode, press the blood flow sampling gate and move it to adjust the position. In the real-time state of CFM mode, press and hold the lower left corner of the blood flow sampling gate.
  • Page 41: Adding Bodymark

    Digital Color Doppler Palm Ultrasound System the bottom of screen. 3. After the user inputs the annotation, press it with a single finger to move it to target position. 4. To edit existed annotation, press and hold it, the soft icon board appears, the user can re-input annotation. 5.4.2 Adding BodyMark Operation: 1.
  • Page 42: Chapter 6 Measurement And Calculation

    Digital Color Doppler Palm Ultrasound System Chapter 6 Measurement and Calculation 6.1 Measurement Methods The system contains Distance, Ellipse. 1. Distance Measurement steps:  Click the『Distance』icon under the measurement menu to enter into measurement.  Click the B image area; it will display a segment with two “+” icon. One of the “+” is active, you can move it by dragging your finger to fit the one point of the line.
  • Page 43: Abdomen Measurement In B Mode

    Digital Color Doppler Palm Ultrasound System area to finish measurement. The measurement results display on result area. Meas. item mark unit Meas. Method and calc. formula name Refer to Auto IMT in 6.2.1 IMT(Auto) Mean A Out Refer to “Ellipse” measurement in 6.1 A In Refer to “Ellipse”...
  • Page 44: B/M Mode Measurement

    Digital Color Doppler Palm Ultrasound System 100*SV/EDV 100*(LVIDd-LVIDs)/LVIDd SV/BSA CO/BSA EDV(A2C/A4C) ESV(A2C/A4C) EDV-ESV L/min HR*SV/1000 100*SV/EDV SV/BSA CO/BSA Refer to “Distance” measurement in 6.1 IVC Ins IVC Ins Refer to “Distance” measurement in 6.1 IVC Exp IVC Exp Refer to “Distance” measurement in 6.1 LVOT Diam LVOT Diam Refer to “Ellipse”...
  • Page 45 Digital Color Doppler Palm Ultrasound System move it to desired position to start measurement. The result will display on image area and result area. Repeat the above steps to start a new measurement.
  • Page 46: Chapter 7 Cine-Memory

    Digital Color Doppler Palm Ultrasound System Chapter 7 Cine-Memory This chapter introduces the theory of saving images in Cine-Memory and the operation of image playback in Cine-Memory. 7.1 Image Storage Images in B-mode can be stored in Cine-Memory at the unit of frame in time sequence. If the storage is full of images, when storing a latest new frame image, the first saved frame image will be removed out of Cine- Memory.
  • Page 47: Chapter 8 Side Menu

    Digital Color Doppler Palm Ultrasound System Chapter 8 Side Menu The setting function is used to set the system’s startup operating environment, state and configuration parameters of each exam mode. The settings are stored in system's memory and are not lost when the power is turned off.
  • Page 48: Easyview

    Digital Color Doppler Palm Ultrasound System Press on the top right corner of the screen, user can manage archive according to ID, MRN and Name. Select archive:Press archive and hold it, the current archive is selected. : Select all archives. : Press it to delete selected archive.
  • Page 49 Digital Color Doppler Palm Ultrasound System Press on the top right corner of the displayer, the user can set the image preview mode. Press an image and hold it to select the current image, the frame of image will turn to blue.
  • Page 50: Report

    Digital Color Doppler Palm Ultrasound System : Press this button to send selected image to external media device. : Press this button to select all images. : Press this button to delete selected image. 8.3 Report Select the report from side menu, press “<” on the top left corner to return to the exam interference. Press on the top right corner to select the report type, the General, Vessel, Abdomen, Cardiac and Lung can be selected.
  • Page 51: General

    Digital Color Doppler Palm Ultrasound System 8.4.1 General Set STC display and ID display on system. 8.4.2 Language Press language to select the needed language. The system supports English, Chinese and Deutsch.
  • Page 52: Button Configuration

    Digital Color Doppler Palm Ultrasound System 8.4.3 Button Configuration Select the button configuration to set the key function. Button Function “+” None/Freeze, Unfreeze/Gain+/ Gain-/Depth+/Depth-/Save Image “-” “P” 8.4.4 Administrator Click the Administrator to manage accounts. 8.4.5 Firmware Update Select firmware update to upgrade system software version.
  • Page 53: Function Management

    Digital Color Doppler Palm Ultrasound System 8.4.6 Function Management Select function management to manage system functions. Tutorials The first time you enter the app, it displays tutorials to familiarize you with the features of the system. You can view the Tutorials at any time. Press and select tutorials to enter it, there is a short video to help you learn the system.
  • Page 54: About

    Digital Color Doppler Palm Ultrasound System Exit Demo: press anywhere on screen, then press “<” on the top left corner to exit demo. About Press About to check the current software version.
  • Page 55: Chapter 9 System Maintenance

    Digital Color Doppler Palm Ultrasound System Chapter 9 System Maintenance 9.1 Cleaning Caution Before cleaning any part of the system, please make sure that the system is turned off and the power cord is disconnected from the power supply socket. Otherwise there will be danger of electricity shock. Cleaning method: Please use a piece of soft and dry cloth to clean the system.
  • Page 56: Safety Check

    Digital Color Doppler Palm Ultrasound System there’s a leakage on the system surface), please stop using the system immediately and contact our authorized agent in your country as soon as possible. If you don’t know the contact number of your authorized agent, please contact us by detail contact information at the end of this chapter.
  • Page 57: Service Responsibility

    9.5 Service Responsibility If users install, use and maintain the system fully according to CHISON’s installation manual, operation manual and service manual, then SonoEyeP6 main unit has a life time of 5 years, The warranty of the system after ex-work is as the time in the warranty card.
  • Page 58: Chapter 10 System

    Digital Color Doppler Palm Ultrasound System Chapter 10 System 10.1 General Description Transducer Scanhead (Lens) Fig.6-1:Convex Probe Overview The system provides high spatial and contrast ultrasound imaging of frequencies from 4.0MHz to 8.0MHz. These systems operate by pulsing sound waves into the body and listening to the returning echoes to produce high-resolution brightness mode, and a real time display.
  • Page 59: Cleaning And Disinfecting

    Digital Color Doppler Palm Ultrasound System NOTE Keep a log of all system maintenance, along with a picture of any system malfunction. WARNING The systems are designed to be used only with this ultrasound system. Use of these systems on any other device or a non-qualified device may cause electrical shock or damage on the system/transducer.
  • Page 60 Digital Color Doppler Palm Ultrasound System Recommended materials for cleaning and disinfecting transducer Qualified Active Ingredients Time Solution Origin Purpose Isopropyl alcohol/Didecyl WIP'ANIOS Wipe Disinfection dimethyl ammonium chlorides Ethanol 80% Ethanol(Using clean Clean or Wipe Disinfection cloth soak the liquid) 70% Isopropyl alcohol Isopropyl alcohol Clean or...
  • Page 61 Digital Color Doppler Palm Ultrasound System connector, each time you clean the system. Electrical leakage checks should be performed on a routine basis by CHISON Service or qualified hospital personnel. Mechanical hazard: A defective system or excess force can cause patient injury or system damage: ...
  • Page 62 Digital Color Doppler Palm Ultrasound System ALWAYS clean and disinfect the system between patients to the level appropriate for the type of examination and use FDA-cleared system sheaths where appropriate. Adequate cleaning and disinfection are necessary to prevent disease transmission. It is the responsibility of the equipment user to verify and maintain the effectiveness of the infection control procedures in use.
  • Page 63 Digital Color Doppler Palm Ultrasound System After each use, please disinfect the systems. Ultrasound systems can be disinfected using liquid chemical germicides. The level of disinfection is directly related to the duration of contact with the germicide. Increased contact time produces a higher level of disinfection. In order for liquid chemical germicides to be effective, all visible residue must be removed during the cleaning process.
  • Page 64: System Operation Instructions

    Digital Color Doppler Palm Ultrasound System DO NOT apply gel to the eyes. If there is gel contact to the eye, flush eye thoroughly with water. Coupling gels should not contain the following ingredients as they are known to cause system damage: ...
  • Page 65: Service Responsibility

    Digital Color Doppler Palm Ultrasound System applied liberally to the patient where scanning will be performed. After the examination is complete, follow the cleaning and disinfecting procedures as appropriate. 10.4 Service Responsibility The system is a precise electronic system. Only an authorized service contractor should replace defective parts.
  • Page 66 Digital Color Doppler Palm Ultrasound System REFERENCE: 1) AIUM/NEMA: Standard For Real-Time Display of Thermal and Mechanical Acoustic Output Indices On Diagnostic Ultrasound Equipment, Revision 2. NEMA Standards Publication UD 3-2004; American Institute of Ultrasound in Medicine, Laurel MD; National Electrical Manufacturers Association, Rosslyn, VA;...
  • Page 67: Appendix A: The Information Of Ec Representative

    Digital Color Doppler Palm Ultrasound System Appendix A: THE INFORMATION OF EC REPRESENTATIVE Shanghai International Holding Corp. GmbH (Europe) Add: Eiffestrasse 80, 20537 Hamburg,Germany Tel: +49-40-2513175 Fax:+49-40-255726 DimdiNo.:DE/0000040627 E-mail: shholding@hotmail.com...
  • Page 68: Appendix B: Acoustic Output Report Table

    Digital Color Doppler Palm Ultrasound System Appendix B: ACOUSTIC OUTPUT REPORT TABLE Transducer Model: SonoEyeP6 Operation Mode: B Index Label Below Below Surface Surface Surface Surface Maximum Index Value 1.05 0.11 0.11 0.25 Index component Value 0.11 0.11 0.11 0.11 r.α...
  • Page 69 Digital Color Doppler Palm Ultrasound System Transducer Model: SonoEyeP6 Operation Mode: B+M Index Label Below Below Surface Surface Surface Surface Maximum Index Value 1.12 0.26 0.58 0.36 Index component Value 0.26 0.18 0.26 0.58 r.α (MPa) 1.65 (mW) 20.12 20.12 20.12 (mW) 14.58...
  • Page 70 Digital Color Doppler Palm Ultrasound System Transducer Model: SonoEyeP6 Operation Mode:B+CFM Index Label Below Below Surface Surface Surface Surface Maximum Index Value 0.88 0.22 0.22 0.50 Index component Value 0.22 0.22 0.22 0.22 r.α (MPa) 1.39 (mW) 24.21 24.21 28.90 (mW) 18.68 18.68...
  • Page 71 Digital Color Doppler Palm Ultrasound System Transducer Model: SonoEyeP6 Operation Mode:PW Index Label Below Below Surface Surface Surface Surface Maximum Index Value 0.63 0.20 0.74 0.38 Index component Value 0.15 0.20 0.16 0.74 r.α (MPa) 1.00 (mW) 21.79 18.92 22.59 (mW) 12.61 14.60...
  • Page 72: Appendix C: Transducer Maximum Surface Temperature

    Digital Color Doppler Palm Ultrasound System Appendix C: TRANSDUCER MAXIMUM SURFACE TEMPERATURE Maximum surface Maximum surface temperature(℃) Transducer model temperature(℃) Contacting human-tissue mimicking material Suspending in air SonoEyeP6 <37.6 <31.4...
  • Page 73: Appendix D: Measurement Results Summary

    Digital Color Doppler Palm Ultrasound System Appendix D: MEASUREMENT RESULTS SUMMARY Measurement Useful Range Accuracy Distance Image area <±5% Circumference: Image area <±5% trace method, ellipse method Area: Image area <±10% trace method, ellipse method Volume Image area <±5% Angle Image area <±5%...
  • Page 74: Appendix E: Guidance And Manufacturer's Declaration

    Digital Color Doppler Palm Ultrasound System Appendix E: GUIDANCE AND MANUFACTURER’S DECLARATION 1. Guidance and manufacturer’s declaration – electromagnetic emissions SonoEye is intended for use in the electromagnetic environment specified below. The customer or the user of SonoEye Series should assure that it is used in such an environment.
  • Page 75 Digital Color Doppler Palm Ultrasound System 2. Guidance and manufacturer’s declaration – electromagnetic immunity The SonoEye is intended for use in the electromagnetic environment the SonoEye should assure that it is used in such an environment. Immunity test IEC 60601 Compliance level Electromagnetic test level...
  • Page 76 Digital Color Doppler Palm Ultrasound System...

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