Page 2 GE Medical Systems © GE Medical Systems. All rights reserved. No part of this MANUAL STATUS manual may be reproduced, stored in a retrieval system, or 2378958-100 transmitted, in any form or by any means, electronic, 6/7/2005 mechanical, photocopying, recording, or otherwise, without the prior written permission of GE Medical Systems.
Page 3: Table Of Contents
Connecting and disconnecting probes ....... 38 Starting an examination.............. 42 Creating a new Patient record or starting an examination from an existing patient record............ 42 Selecting a Probe and an Application......... 46 Chapter 2 Basic scanning operations Vivid i User’s Manual 2378958-100 Rev. 02...
Page 4 To edit annotation..............70 To erase annotation ............70 Configuration of the pre-defined annotation list....71 Chapter 3 Scanning Modes Introduction .................. 76 2D-Mode ..................77 2D-Mode overview .............. 77 2D-Mode controls ..............79 Optimizing 2D..............82 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 5 Starting the Assign and Measure modality ....... 111 Entering a study and performing measurements....112 Measure and Assign modality..........114 Starting the Measure and Assign modality ....... 114 Cardiac measurements ............. 117 2D Measurements ............117 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 6 Moving examinations............178 Review images in archive............181 Review the images from a selected examination ....181 Select images from the Image list screen ......182 Connectivity................186 The dataflow concept ............186 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 7 Report templates management ..........258 Configuration of the Template selection menu ....259 Export/Import of Report templates........260 Chapter 10 Probes Probe overview ................264 Supported probes ............. 264 Probe labelling ..............267 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 8 The measurement menu sheet ......... 296 The Advanced sheet ..............302 Parameter configuration: ........... 302 The Modify Calculations sheet ..........303 Parameter configuration: ........... 303 Report..................304 The Comment texts sheet ..........306 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 9 Label Icon Description ............349 Classifications ................352 Acoustic output ................. 353 Definition of the acoustic output parameters ....353 Acoustic output and display on the Vivid i ......353 ALARA ................354 Safety statement............... 355 System controls affecting acoustic output ......355 Patient safety ................
Page 10 Internally connected peripheral devices ......361 Internally connected battery ..........361 External Connection of other peripheral devices....361 Allergic reactions to latex-containing medical devices ..362 Electromagnetic Compatibility (EMC) ........363 Environmental protection............365 System disposal ..............365 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 11: Attention
Doppler, Power Doppler (Angio), M-Mode, Color M-Mode, PW and CW Doppler spectra, Tissue-Doppler imaging (TDI) and LVO Contrast option applications. The fully digital architecture of the Vivid i unit allows optimal usage of all scanning modes and probe types, throughout the full spectrum of operating frequencies.
Page 12: Indications For Use
Transesophageal • Peripheral Vascular • Neonatal • Adult Cephalic Contraindications The Vivid i ultrasound unit is not intended for ophthalmic use or any use causing the acoustic beam to pass through the eye. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 13: Manual Contents
Introduction Manual contents The Vivid i User's Manual is organized to provide the information needed to start scanning immediately. The safety instruction must be reviewed before operation of the unit. CAUTION Finding information Table of Contents, lists the main topics and their location.
Page 14: Conventions Used In This Manual
WARNING • Severe personal injury • Substantial property damage Indicates that a potential hazard may exist that, given inappropriate conditions or actions, can cause: CAUTION • Minor injury • Property damage Vivid i User’s Manual 2378958-100 Rev. 02...
Page 15: Contact Information
Milwaukee, WI 53219 On-line Applications Support Tel: (1) 800-682-5327 or (262) 524-5698 Asia GE Ultrasound Asia Tel: (65) 291-8528 Service Department Ultrasound Fax: (65) 272-3997 298 Tiong Gahru Road # 15-01/06 Central Plaza Singapore 168730 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 16 4855 W. Electric Avenue Milwaukee, WI 53219 On-line Applications Support Tel: (1) 800-682-5327 or (262) 524-5698 Brazil GE Ultrasound Tel: (55.11) 887-8099 Rua Tomas Carvalhal, 711 Fax: (55.11) 887-9948 Paraiso Cep: 04006-002 - São Paulo, SP Vivid i User’s Manual 2378958-100 Rev. 02...
Page 17: Getting Started
• Starting an examination ..............42 • Creating a new Patient record or starting an examination from an existing patient record ..............42 • Selecting a Probe and an Application ........46 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 18: Introduction
Request training, if needed. An authorized GE representative will unpack and install the unit. Do not attempt to install the unit alone. The Vivid i does not contain any operator serviceable internal components. Ensure that authorized personnel do not tamper with the unit.
Page 19: Preparing The Unit For Use
Power requirements The Vivid i ultrasound unit is powered either by its internal battery or by a separate power supply adaptor unit connected to a separate power outlet for any range of 100 – 230 VAC, 50–...
Page 20: Connecting The Unit
A GE-qualified person should perform the initial system propriate environ- ment can cause installation. electronic interfer- Connecting the Vivid i ultrasound unit involves preliminary ence to radios and television sets situ- checks of the power adaptor unit and cord, voltage level and ated near the medi- compliance with electrical safety requirements.
Page 21 Getting started Voltage level check Check the label on the Vivid i’s AC power adaptor (Figure 1-1). Figure 1-1: The rating label Check the voltage range indicated on the label: • 100–240 V, 1.08–0.45 A, 50/60 Hz If the mains supply is not within the specified range, do not connect the unit to the power source.
Page 22 The lithium ion battery provides power when an AC power source is not available. A battery in the battery bay is standard with the Vivid i. You can expect one hour of battery life with a single fully charged battery. Lithium ion batteries last longer than conventional batteries and do not require replacement as often.
Page 23 Do not use a damaged battery. Do not solder a battery. Do not connect the battery to an electrical outlet. If the Vivid i is not being used on a monthly basis, the battery needs to be removed during lengthy non-use period. WARNING...
Page 24 Getting started Using the Vivid i with a Battery The Vivid i can be powered by two different power sources in three different ways: AC power adapter only (without the battery) AC power adapter and a battery (Battery being charged in...
Page 25 Vivid i peripherals and accessories can be properly connected using the rear connector panel. Use only approved peripherals, accessories or probes. DO NOT connect any accessories or probes without approval by GE CAUTION Vivid i User’s Manual 2378958-100 Rev. 02...
Page 26 The connection of equipment or transmission networks other than as specified in these instructions can result in electric shock hazard. Alternate connections will require verification of CAUTION compatibility and conformity to IEC/EN 60601-1-1 by the installer. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 27 Ethernet 10/100 Base-TX Network device Ethernet IEEE 8023 Network device Docking Bay Docking bay Connector connector AC Adapter DC voltage from Input AC adapter unit Table 1-2: Contents of the Rear Panel Vivid i User’s Manual 2378958-100 Rev. 02...
Page 28: Switching On/Off
During the turn-on process the system may require the user to enter a password in order to operate it. Personal IDs and associated passwords can be configured in the Vivid i. See "Presets and System setup" on page 283 for more information.
Page 29 5. Cancel Cancel Log on. Figure 1-4: Operator Login Window Switching off the unit When the Vivid i is switched off, the system performs an automatic shutdown sequence. The unit can be switched off into two states. • Standby mode: most of the system is powered down, but a certain portion of the unit remains energized.
Page 30 Note: When the system is operating, if the power cable is removed from the wall outlet or the Power Adaptor is disconnected from the Vivid i, the system will continue to operate using the internal battery. When battery power is reduced below a certain level the system automatically shuts down into Standby mode.
Page 31 It takes about 2 hours to charge a completely discharged battery. This may gradually change as battery ages with time. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 32: Moving And Transporting The Unit
Ensure that the unit does not strike the walls or door frames. Ensure the pathway is clear. Move the unit slowly and carefully. Avoid ramps that are steeper than 10 degrees. CAUTION Vivid i User’s Manual 2378958-100 Rev. 02...
Page 33: Transporting The Unit
22, follow the procedure described below. Disconnect all probes and secure them in their boxes. Remove the Vivid i system from the Cart and place it in the travel bag supplied by GE, or an equivalent suitable travel bag.
Page 34: System Description
4. On/Off button 13. Functional keyboard 5. Battery 14. Trackball 6. ECG cable connector 15. Speakers 7. Pedoff probe connector 16. Rear panel connectors 8. Probe locking handle 17. Anti-theft cable insertion 9. Probe connector Vivid i User’s Manual 2378958-100 Rev. 02...
Page 35: Control Panel
Getting started Control panel The following pictures illustrate the layout of the Vivid i control panel. The buttons and controls are grouped together for ease of use. A detailed description of the buttons is provided on the following pages. 1. Assignable keys (soft-menu elements;...
Page 36 Displays the Select Probe and Application dialog box that enables the users to select the desired probe and application preset for the current examination. For information about selecting probes, refer to page 46 and page 263. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 37 Refer to page 181 for details on the review of images. Displays the Measurement worksheet where the user may edit or delete measurements, change averaging etc. Refer to page 147 for details on how to operate the worksheet. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 38 Wave Doppler mode. Allows examination of scanning probes. blood flow data all along the Doppler CW cursor. For further information, refer to page 94. Toggles the cursor display on/off in 2D scanning mode. For future use Vivid i User’s Manual 2378958-100 Rev. 02...
Page 39 Controls the displayed depth of tissue scan. Has no effect in replay. Changes the angle of the cursor on linear probes. The steering angles are fixed for each linear probe. This key has no effect with sector imaging probes. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 40 Activates the Measurement & Analysis (M&A) calculation program. This program is context sensitive and will display relevant measurements to the current mode and application. Also activates measurement tools (unassigned measurement). See page 109 for further details on M&A. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 41 Controls the trackball assignments between the mode-specific options. By pressing TRACKBALL the trackball function will cycle through the possible assignments, which are indicated in the lower right corner of the screen (see page 54). Vivid i User’s Manual 2378958-100 Rev. 02...
Page 42 The assigned functions are indicated above the knob on the LCD display. The mode-specific functions for these knobs are described in Chapter 3, "Scanning Modes" on page 75. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 43 Displays the on-line version of the user manual. Config/Diag Displays the configuration dialog box, allowing user configuration of various settings on the scanner. Diagnostics of the system is activated by pressing Shift > CONFIG Vivid i User’s Manual 2378958-100 Rev. 02...
Page 44 Text Enables text annotation to be inserted on the image. The annotations can be typed or selected from a (configurable) menu. Delete Can be used to delete text during text annotation. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 45: The Scanning Screen
13. Clipboard navigator 29. Probe orientation marker 14. Cine progress bar 30. Measurement result table (measurement mode) 15. Current menu name 31. Logo 16. Soft menu control button Figure 1-7: The scanning screen Vivid i User’s Manual 2378958-100 Rev. 02...
Page 46 Mechanical Index (MI), for the current active image • Thermal Index (TI), for the current active image • probe temperature (for TE probe) • Heart rate (HR) Archive Information Displays the currently selected patient and image archives. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 47 The status bar Consists of four information fields as follows: Service iLinq button (wrench icon) Enable access to the GE Medical Systems on-line service center. Connectivity status icon Displays the network status: Connected or disconnected. Power & Battery status Displays the power status.
Page 48: Connecting And Disconnecting Probes
Press the probe connector locking lever (refer to Figure 1-9) downwards. Align the connector with the probe port and carefully push into place, as shown in Figure 1-8. Figure 1-8: Probe Connection to the Vivid i Vivid i User’s Manual 2378958-100 Rev. 02...
Page 49 Standby mode. Disconnecting the Probe Probes can be disconnected at any time. It is recommended that the probe should not be active when being disconnected. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 50 First place the probe connector into the carrying case • Carefully wind the cable into the carrying case. • Carefully place the probe head into the carrying case. DO NOT use excessive force or impact the probe face. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 51: Adjusting The Display Monitor
Figure 1-11. The default setting of the screen is recommended to be at maximal contrast setting, as shown in Figure 1-11. Figure 1-11: Contrast Control Vivid i User’s Manual 2378958-100 Rev. 02...
Page 52: Starting An Examination
CREATE NEW PATIENT To create an opera- If the unit is password protected a Log In window will tor ID, see appear asking for operator ID and password (as explained page 331. in Figure 1-13). Vivid i User’s Manual 2378958-100 Rev. 02...
Page 53 The unit is ready for scanning or the Patient information ing matching pa- window is displayed (Figure 1-15) depending on system tient information in configuration (see page 321). the Patient list can be turned off (see page 321). Vivid i User’s Manual 2378958-100 Rev. 02...
Page 54 2. Select the column heading border and drag to Advanced search tool as default (see adjust column width. page 321). 3. Select new archive and other pre-defined 6. Expended Patient record displaying belonging services. examinations Figure 1-14: The Search/Create Patient window Vivid i User’s Manual 2378958-100 Rev. 02...
Page 55 4. Select patient information category. Figure 1-15: The Patient Information window 1. The patient information on the scanning screen is configurable (see page 289). Figure 1-16: The Patient information on the scanning screen Vivid i User’s Manual 2378958-100 Rev. 02...
Page 56: Selecting A Probe And An Application
Getting started Connectivity on the Vivid i ultrasound unit Refer to page 186 The connectivity on the Vivid i Ultrasound unit is based on the for further informa- Dataflow concept. A Dataflow is a set of pre-configured tion on connectivity services (e.g.
Page 57 • To Magnify an image ..............63 • Performing measurements .............. 63 • Physiological ECG trace ..............64 • Connecting the ECG ..............64 • Physio controls ................65 • Displaying the ECG trace ............66 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 58 • Annotations ..................67 • To insert an annotation ...............67 • To edit annotation ............... 70 • To erase annotation ..............70 • Configuration of the pre-defined annotation list ......71 • Bodymarks .................. 73 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 59: Assignable Keys And Soft Menu Rocker
PW Doppler), one mode is active (live) while the other is frozen. In this case, the assignable keys and Gain rotary knob controls parameters associated with the active mode. Switching the active mode will change the key and Gain rotary knob assignments accordingly. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 60: Using The Assignable Keys Soft Menu
The same parameter can be decreased by pressing on the lower or left-hand area of the same button. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 61 An alternative method for modifying one of the parameters associated with this button is to click with the mouse pointer on the relevant area of the assignable button graphic. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 62 The circular button on the bottom-right area of the screen acts as a soft-menu rocker button. It has access to a different type of soft-menu which pops up on the right portion of the screen. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 63: Using The Soft Menu Rocker
Press any part of the 4-way rocker to display the soft menu. Press the vertical arrows on the 4-way Rocker to navigate up or down through the menu. The frame of the selected row is highlighted. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 64: Trackball Operation
The trackball has a multi-mode function. The functions available from the trackball are mode dependent. The available trackball functions for the active mode are displayed on the right side of the Status line (Figure 2-3). Vivid i User’s Manual 2378958-100 Rev. 02...
Page 65: The System Menu
3. Set key: perform the selected control or highlighted menu item 4. Update Menu key: select the operation to perform from the pop-up System menu. 5. Store key: store information displayed in the currently-active image window Figure 2-3: The Trackball area Vivid i User’s Manual 2378958-100 Rev. 02...
Page 66: Cineloop Operation
Cineloop overview 1. ECG 4. Right marker 2. Left marker 5. Heart rate or Cine speed (in replay) 3. Current frame 6. Cine frame number values Figure 2-4: The cineloop controls display Vivid i User’s Manual 2378958-100 Rev. 02...
Page 67 • Scroll (in freeze) • Number of cycles • Cine speed (in replay) • First Cycle • Last Cycle • Sync • Cineloop • Select all Figure 2-5: The cineloop controls on the front panel Vivid i User’s Manual 2378958-100 Rev. 02...
Page 68: Cineloop Controls
When the scan mode is frozen, trackball to move the current marker and review the images Cine speed In cine replay mode, move the trackball left or right to adjust the speed of the cineloop playback. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 69: Using Cineloop
To view a cineloop frame by frame If not in freeze mode, press the button to freeze 2D FREEZE the cineloop. Use the Trackball to scroll through the cineloop frame by frame. Use the Speed/Frame softkey button. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 70: Storing Images And Cineloops
The amount of data stored in images from 2D replay is determined by the defined cineloop. Images can be stored in either DICOM and GE Raw Data formats or DICOM format only, depending in the dataflow configuration (refer to page 310 for further information).
Page 71: Using Removable Media
Smart and Friendly "CD Speed Marker" Formatting removable media MOD, CD-R and DVD-R media must be formatted before use, as described in below. The formatting process will erase any data present on the disk. CAUTION Vivid i User’s Manual 2378958-100 Rev. 02...
Page 72 Select Format. A confirmation window is displayed. Select OK to continue. Wait for the display of the Information window indicating that the formatting process is completed. 10. Select OK to continue. 11. Eject the media as described below. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 73: Ejecting Removable Media
Select the relevant media. The selected media is ejected. Zoom The Vivid i supports Variable display zoom. The Display zoom magnifies the image display in both frozen and live 2D, M-Mode and combined modes with Doppler. To Magnify an image...
Page 74: Physiological Ecg Trace
The color-coding of the electrodes follows one of two standards that are common in different parts of the world. Refer to the following table: AHA (USA) IEC (Europe, Asia) RA: White L: Yellow LA: Black R: Red RL: Green N: Black Vivid i User’s Manual 2378958-100 Rev. 02...
Page 75: Physio Controls
Enables the user to change the amplitude of the physiological trace displayed on the screen. Position Enables the user to move the physiological trace on the screen. Turns the ECG trace on and off. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 76: Displaying The Ecg Trace
Adjusting the ECG trace position physiological pa- rameters. Press on the control panel. PHYSIO Adjust the assignable button to move the trace POSITION vertically. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 77: Annotations
Press the alphanumeric key TEXT A list of application specific pre-defined texts is displayed (see Figure 2-10). To display a list from another application, select the heading and choose another application. Trackball to the required abbreviation. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 78 Up or Down buttons to move the word accordingly. To exchange sections order, enter the sections to swap next to Swap columns button and press Swap columns. 10. Press Save to store the library. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 79 ARROW DOWN To change section, Press until the desired LEFT ARROW section is displayed in the Status bar. To insert the selected pre-defined text, press RIGHT ARROW Vivid i User’s Manual 2378958-100 Rev. 02...
Page 80: To Edit Annotation
The user can erase all annotations on the screen in one operation or erase annotations one by one. To erase all annotations Press the alphanumeric key PAGE ERASE If using text overlays, page erase applies only to the displayed layer(s). Vivid i User’s Manual 2378958-100 Rev. 02...
Page 81: Configuration Of The Pre-Defined Annotation List
Press to activate the text cursor. Type the new annotation text. Press add. The new annotation text is added at the end of the list. Press save to store the new annotation list. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 82 Basic scanning operations 1. Rearrange list 2. Delete selected text 3. Reset to factory default 4. Add new text to the list 5. Enter new text Figure 2-11: The Annotation Menu Configuration Dialog Box Vivid i User’s Manual 2378958-100 Rev. 02...
Page 83: Bodymarks
The bodymark with a probe marker is displayed on the scanning screen. 1. Probe marker Figure 2-13: The bodymark with probe marker Using the trackball, adjust the position of the probe marker and press Vivid i User’s Manual 2378958-100 Rev. 02...
Page 84 Using the trackball, adjust the position of the probe marker and press Using the trackball, adjust the probe marker orientation and press Deleting a bodymark Press the alphanumeric key BODYMARK The Bodymark menu is displayed Press Delete. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 85: Scanning Modes
• PW and CW Doppler ................. 94 • PW and CW Doppler overview ........... 94 • PW and CW Doppler controls ............ 95 • Using PW/CW Doppler modes ........... 98 • Optimizing PW/CW Doppler modes ........... 98 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 86: Introduction
Scanning Modes Introduction The Vivid i ultrasound scanner provides several basic scanning modes and several options for combining the use of these modes. The following scanning modes are described in this chapter: • 2D Mode Imaging • M-Mode Imaging •...
Page 87: 2D-Mode
2D-Mode overview 1. Focus marker 2. Probe orientation marker 3. Status window 4. Soft menu Controls marked with R are also available in freeze and cine replay Figure 3-1: The 2D screen (cardiac) Vivid i User’s Manual 2378958-100 Rev. 02...
Page 88 • Dual focus • Diff On/Off • B color maps • Power • Select all 5. Freeze 2. Zoom 6. 2D 3. Depth 7. Gain Figure 3-2: The 2D controls on the front panel Vivid i User’s Manual 2378958-100 Rev. 02...
Page 89: 2D-Mode Controls
• Up/Down Invert: enables the 2D image to be flipped 180 degrees. Dual focus Activates Dual focus mode. To adjust the location of the Dual focus, activate the assignable. FOCUS Vivid i User’s Manual 2378958-100 Rev. 02...
Page 90 Adjust reject level. When this control is increased, low-level echoes are rejected and appear darker in the 2D image. An index number is displayed in the status window to indicate the relative level of rejection. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 91 When power is set to maximum, it is equal to or less than the the signal-to-noise maximum acoustic power permitted by the FDA. The Thermal ratio, so that the im- Index (TI) and the Mechanical Index (MI) are displayed on the age may become screen. noisier. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 92: Optimizing 2D
Use the DDP control to optimize imaging in the blood flow regions and make a cleaner, less noisy image. Always use the minimum power required to obtain acceptable images in accordance with applicable guidelines and policies. WARNING Vivid i User’s Manual 2378958-100 Rev. 02...
Page 93: M-Mode
AMM is available in greyscale or in color modes. M-Mode and 2D Mode display areas can be side by side or top/bottom. Conventional M-Mode can be combined with Color (see "Color M-Mode overview" on page 89). Vivid i User’s Manual 2378958-100 Rev. 02...
Page 94: M-Mode Controls
The menu enables an option from a list of non-linear gray-curves or different colorized curves to be selected. Use the trackball to point to a color map and press to activate the desired map. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 95: Using M-Mode
Gain, Frequency, Focus, Dynamic M-mode sweep will start to sweep. Range and Com- Use the trackball to position the cursor over the required pression affect also area of the image. the 2D image. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 96 Rotate the solid cursor line to the desired direction. Press twice and reposition the intersection The Trackball as- TRACKBALL signable Pos is acti- point to the desired position along the cursor line. vated. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 97: Optimizing M-Mode
Adjust Dynamic range to optimize the useful range of incoming echoes to the available greyscale. • Adjust Compress and Contour to further optimize the display. • Adjust Reject to reduce noise while taking care not to eliminate significant low-level diagnostic information. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 98: Color Mode
Scanning Modes Color Mode Color Mode overview 1. Probe orientation marker 2. Color bar 3. Color sector marker 4. Status window 5. Soft menu Figure 3-4: The Color Mode screen Vivid i User’s Manual 2378958-100 Rev. 02...
Page 99: Color M-Mode Overview
Color M-Mode overview 1. Time motion cursors 2. Color bar 3. Focus marker 4. Flow sector marker 5. Time scale 6. Status window 7. Soft menu Figure 3-5: The Color M-Mode screen (top/bottom display) Vivid i User’s Manual 2378958-100 Rev. 02...
Page 100: Color Mode Controls
Each color map is assigning different color hues to different velocities. Cineloop (in Freeze, Color 2D mode only) Allocates different cineloop control functions to the assignable soft keys. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 101 ROI (Region Of Interest) size When the trackball command Size is selected (see also "Trackball operation" on page 54), the height and width of the color area (or ROI) is adjusted from the trackball. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 102: Using Color Mode
Use the trackball to adjust the dimension of the color area. To enlarge the color area, move the trackball up To narrow the color area, move the trackball down. Press when the desired size is obtained. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 103: Optimizing Color Mode
An increase of the lateral averaging will reduce noise, but this will also reduce the lateral resolution. Use all noise reduction controls with care. Excessive application may obscure low level diagnostic information. CAUTION Vivid i User’s Manual 2378958-100 Rev. 02...
Page 104: Pw And Cw Doppler
3. Velocity scale 4. Low velocity reject 5. Nyquist velocity 6. Doppler baseline 7. Frequency scale (optional, see page 288) 8. Status window 9. Soft menu Figure 3-6: The PW/CW Doppler Mode screen Vivid i User’s Manual 2378958-100 Rev. 02...
Page 105: Pw And Cw Doppler Controls
Enables toggling between high and low Pulse Repetition Frequency (PRF). When the Doppler PRF is raised beyond a certain limit, more than one Doppler gate is displayed on the screen. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 106 Compress is available in both Live and Freeze. Reject Enables undesirable background noise to be removed from the Doppler spectrum resulting in a darker background. Reject is available in both Live and Freeze. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 107 When power is set to maximum, it is equal to or less than the the signal-to-noise maximum acoustic power permitted by the FDA. The Thermal ratio, so that the im- Index (TI) and the Mechanical Index (MI) are displayed on the age may become screen. noisier. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 108: Optimizing Pw/Cw Doppler Modes
Low the depth penetration. Velocity Reject. • Adjust Frame rate to a higher setting to improve motion detection, or to a lower setting to improve resolution. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 109 Use Invert to reverse the vertical component of the spectral Doppler area of the display. • Use Angle correction to steer the ultrasound beam to the blood flow to be measured (Not typically required during cardiac studies). Vivid i User’s Manual 2378958-100 Rev. 02...
Page 110 Scanning Modes Vivid i User’s Manual 2378958-100 Rev. 02...
Page 111: Purposely Left Empty
Purposely left empty Chapter 4 Purposely left empty For Future purposes Vivid i User’s Manual 2378958-100 Rev. 02...
Page 112 Purposely left empty Vivid i User’s Manual 2378958-100 Rev. 02...
Page 113: Contrast Imaging
• Introduction ..................104 • Left Ventricular Contrast Imaging ..........104 • LV Contrast overview ............... 105 • LV Contrast controls ..............105 • Running LV Contrast ..............108 • Optimizing LV Contrast ............108 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 114: Introduction
Contrast Imaging Introduction Vivid i supports Left Ventricular Contrast imaging: Optimized for endocardial border detection and assessment of wall motion and wall thickening. Left Ventricular Contrast Imaging The Left Ventricular (LV) Contrast application has an optimized system preset for optimal resolution of endocardial borders and for optimal assessment of wall motion and wall thickening.
Page 115: Lv Contrast Overview
Enables the adjustment of the probe's operating frequency. A higher frequency gives better resolution. Focus Changes the location of the focal point. A triangular marker on the depth scale along the image sector indicates the position of the focal point. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 116 Enables the axis of the 2D image to be tilted to the left or to the right. By default the axis of the 2D image is vertical. Contour Controls the image processing related to the extent of edge enhancement applied. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 117 Diff control is of focal zones when turned on. turned on. DDP (Data Dependant Processing) Performs temporal processing, which reduces random noise without affecting the motion of significant tissue structures. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 118: Optimizing Lv Contrast
LV cavity has been filled with contrast, the power should be reduced until homogenous opacification is obtained. Too high Power setting will destroy the contrast agent in the LV cavity. CAUTION Vivid i User’s Manual 2378958-100 Rev. 02...
Page 119: Measurement And Analysis
• Minimizing the Measurement result table ......... 145 • Moving the Measurement result table ........145 • Deleting measurements ............146 • Worksheet ..................147 • Overview .................. 147 • Using Worksheet ..............148 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 120: Introduction
Measurement and Analysis Introduction The Vivid i Ultrasound unit provides functionality for two measurement conventions: A study is a set of • Assign and Measure (Measure Protocols): the user related measure- selects a study consisting in a set of pre-labeled...
Page 121: The Assign And Measure Modality
The trackball cursor is in the scanning window, ready for starting measurement. 1. Active application 2. Study 3. Selected study 4. Opened study 5. Measurements related to the area study for the cardiac application Figure 6-1: Example of a measurement study Vivid i User’s Manual 2378958-100 Rev. 02...
Page 122: Entering A Study And Performing Measurements
When the measurement operation is completed the next measurement on the list is automatically selected. To skip a measurement in a study Trackball to the desired measurement Press to activate the measurement tool. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 123 Measurement and Analysis 1. Performed measurement 2. Next measurement is automatically selected Figure 6-2: Display of a performed measurement (example) Vivid i User’s Manual 2378958-100 Rev. 02...
Page 124: Measure And Assign Modality
Press on the trackball area to activate the measurement tool. The cursor is moved back to the scanning window, ready for measurement. Measurement tools Figure 6-3: The 2D Mode Measurement tools (Cardiac application) Vivid i User’s Manual 2378958-100 Rev. 02...
Page 125: Post-Measurement Assignment Labels
Worksheet (see page 147). Up to five assigned measurements with the same label can be stored in the patient archive. Only assigned measurements will be saved. Measurements without assignment will be lost when scanning is resumed. CAUTION Vivid i User’s Manual 2378958-100 Rev. 02...
Page 126 To assign a user-defined parameter label Trackball to the actual measurement in the Measurement result table (see Figure 6-4). Press A Parameter label menu is displayed. Trackball to User and press The Enter new parameter window is displayed. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 127: Cardiac Measurements
To assign a label to the measurement, see page 115. ter completion of the measurement. 10. Repeat steps 5 through 8 to make additional length measurements. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 128 Press to complete the measurement. ter completion of the measurement. The measurement result is displayed in the Measurement result table. To assign a label to the measurement, see page 115. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 129 FREEZE Press on the Control Panel. MEASURE Select Volume in the Measurement Menu (see Figure 6-1). Trackball the cursor to the start point where a volume is to be measured. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 130 The measurements Press to anchor the point. displayed on the 2D The depth value (cm) is displayed in the Measurement image and the cor- result table. responding results are numbered. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 131: M-Mode Measurements
The selected marker turns green and is unanchored. With the Trackball, reposition the marker to a new position. Press Ao/LA study Generate the M-Mode image. Press to stop the cineloop. FREEZE Press on the Control Panel. MEASURE Vivid i User’s Manual 2378958-100 Rev. 02...
Page 132 Trackball the cursor along the time axis to the required point to start measurement of IVSd. Press . The starting point for the measurement is anchored. Trackball to the end point of the measurement. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 133 Measurement result table. A new free-moving cursor is displayed on the image, ready for the next measurement. Repeat steps 5, through 8 to measure RVIDs. The RVIDs value is displayed in the Measurement result table. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 134: Doppler Measurements
The following measurement results are displayed in the spectrum changes Measurement result table: from green to red af- • Velocity and pressure at anchor point positions ter completion of the measurement. • Velocity (V3) and pressure (p3) differences between Vivid i User’s Manual 2378958-100 Rev. 02...
Page 135 Press on the Control Panel. Doppler signal. MEASURE Select Auto Trace in the Measurement Menu. A vertical green cursor is displayed on the spectrum. Trackball the cursor to the starting point. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 136 Trackball the cursor to the peak of A wave. 10. Press to anchor the point. the velocity at peak for E and A waves and the calculated E/A ratio are displayed in the Measurement result table. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 137: Vascular Measurements
(i.e. biplane volume), the measurements should be done in dual mode displaying a sagittal and an axial view. One measurement is usually made in the sagittal plane and two measurements in the axial plane. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 138: M-Mode Measurements
Measurement result table. A/B Ratio In M-Mode, A/B Ratio can be measured by diameter, time or velocity. Press on the control panel. MEASURE Open A/B Ratio in the Measurement menu. Select between: Vivid i User’s Manual 2378958-100 Rev. 02...
Page 139: Doppler Measurements
• Live: calculation displayed on the real-time image. • Freeze: calculation displayed on the frozen image. • Off: auto vascular calculation is turned off. Press Modify Calcs. The Modify Calcs menu is displayed (Figure 6-6). Select: Vivid i User’s Manual 2378958-100 Rev. 02...
Page 140 2. Vessel location parameters 6. Selected measurements and calculation to appear in the Measurement result table. 3. Manual/auto calculation controls 7. Assign measurement and calculation 4. Other vessels Figure 6-6: Vascular measurement menu (example) Vivid i User’s Manual 2378958-100 Rev. 02...
Page 141 Adjust the vessel location parameters in the Vascular measurement menu (Figure 6-6). Select the measurement to be performed from the Measurement menu or from the Show All menu for additional measurements. Perform the measurement as described below. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 142 ED, TAMAX and PI are displayed in the Measurement result table. With Manual trace on Select PI. Position the caliper at the beginning of the wave form and press to anchor the caliper. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 143 With Manual trace on Select TAMAX, TAMEAN or Volume Flow. Position the caliper at the start point and press anchor the caliper. Using the trackball, draw the trace to the end point and press Vivid i User’s Manual 2378958-100 Rev. 02...
Page 144: Measurement Package Configuration
If the AV diameter measurement is not present in the folder Dimension in the Measurement menu, follow the following procedure: Press and select the category Measure. CONFIG The Measurement menu sheet is displayed (see Figure 6-7). Vivid i User’s Manual 2378958-100 Rev. 02...
Page 145 1. Select the scanning mode for the measurement to add to the Measurement menu. 2. Select the folder for the measurement to add. 3. Select the measurement to add. Figure 6-7: Configuration of the Measurement menu Vivid i User’s Manual 2378958-100 Rev. 02...
Page 146 A list of all available calculations for the selected measurement is displayed in the Measurement menu sheet. Check the box in front of AV CO. The AV CO calculation will be displayed in the Measurement result table. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 147: User-Defined Formulas
User-defined formulas can be created using existing measurements or by defining new measurements. The following example describes the creation of a formula based on existing measurements. GE Ultrasound does not take any responsibility for the correctness of the user-defined functions. CAUTION User-defined formula - example The workflow for user-defined formula is: •...
Page 148 Give the folder a name (e.g. “My Folder”). Adding measurements 1. Select the user-defined folder. 2. Press Add measurement. Figure 6-9: The Measurement menu sheet Select the user-defined folder (e.g. “My Folder”) in the Vivid i User’s Manual 2378958-100 Rev. 02...
Page 149 Repeat steps 2 to 4 to add the AV ET measurement. Creation of the formula 1. Select the last measurement. 2. Double click and enter the formula name. 3. Select “=” to create the formula. Figure 6-11: The Measurement menu sheet Vivid i User’s Manual 2378958-100 Rev. 02...
Page 150 Select “)“ from the Operators drop-down menu. 10. Select “/“ from the Operators drop-down menu. 11. In the Doppler drop-down list, select AV ET [My Folder, AVET]. The Formula line should display: ({MCO}-{AVET})/{AVET}. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 151 (e.g. 2D). Select the appropriate folder in the Measurement menu (e.g. Dimension). Press Add Measurement in the Measurement menu sheet. The Add measure window is displayed. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 152 Distance) and enter a name for the parameter (e.g. My Length). If desired change the unit and the number of decimals for the measurement by double clicking the values under Unit and Precision (see also "About units" on page 143). Vivid i User’s Manual 2378958-100 Rev. 02...
Page 153: About Units
X from meter (default SI unit) to cm by dividing the parameter by 100. The formula with a result in cm should be defined as follow: Y=a*X/100. Calculation Alternative unit Time Ratio Frequency Angle Distance Velocity Acceleration Area Volume Vivid i User’s Manual 2378958-100 Rev. 02...
Page 154 Measurement and Analysis Calculation Alternative unit Volume flow Pressure mmHg Pressure/time mmHg/s Mass Other Vivid i User’s Manual 2378958-100 Rev. 02...
Page 155: Measurement Result Table
Trackball the Measurement result table to a new position. from corner to cor- Press to anchor the table. ner on the Acquisi- tion window. 1. Minimize/maximize table 2. Move table Figure 6-16: Measurement result table display tools Vivid i User’s Manual 2378958-100 Rev. 02...
Page 156: Deleting Measurements
Measurement and Analysis Deleting measurements Trackball to the measurement to delete in the Measurement result table and press A menu is displayed. Select Delete Measurement. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 157: Worksheet
Overview 1. Measurement type 4. Measured / calculated values 2. Measurement parameter 5. Value type 3. Value: Averaging, Max, Min or Last 6. Measurement type selection Figure 6-17: The Worksheet screen (Cardiac) Vivid i User’s Manual 2378958-100 Rev. 02...
Page 158: Using Worksheet
To exclude a measurement Trackball to the measurement value to exclude. Press UPDATE MENU The Worksheet menu is displayed. When excluded the Trackball to Exclude Value. measurement dis- Press play turns grey. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 159 (Figure 6-18). Press The value is re-calculated according the method selected. Deleting measurement parameter Trackball to the measurement parameter to delete. Press UPDATE MENU The Worksheet menu is displayed. Trackball to Delete Value. Press Vivid i User’s Manual 2378958-100 Rev. 02...
Page 160 Measurement and Analysis Vivid i User’s Manual 2378958-100 Rev. 02...
Page 161: Purposely Left Empty
Purposely Left Empty Chapter 7 Purposely Left Empty For Future purposes Vivid i User’s Manual 2378958-100 Rev. 02...
Page 162 Purposely Left Empty Vivid i User’s Manual 2378958-100 Rev. 02...
Page 163: Archiving
• Export/Import patient records/examinations ....... 209 • Exporting patient records/examinations ........209 • Importing patient records/examinations ........216 • Disk Management ................220 • Configuring the Disk management function ......221 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 164 Archiving • Running the Disk management function ........223 • Data Backup and Restore ............226 • DICOM spooler ................. 232 • Starting the DICOM spooler ............232 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 165: Introduction
Do not use the internal harddrive for long-term image storage. CAUTION The Vivid i ultrasound unit enables also storing of data and images to external databases (EchoServer, Magneto Optical (MO) disk, CD-R or DVD-R). The patient and image archives are set by the selected dataflow (see page 310 about available dataflows and default dataflow selection).
Page 166: Storing Images And Cineloops
Resend all jobs that are failed or on hold (See page 232 for more information on DICOM spooler.). In addition, stored images and cineloops can be saved to a removable media in the standard formats JPEG, AVI (cineloop), MPEG and DICOM (see page 158). Vivid i User’s Manual 2378958-100 Rev. 02...
Page 167: Storing A Cineloop
Direct storage of a cineloop Depending on whether the system has been configured to enable or disable the Preview Loop before store function (see page 289), the following procedures enable the cineloop to be stored directly. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 168: Saving Stored Images And Cineloops To A Standard Format158
Export function as described on page 160. Procedure: Trackball to the required image or loop icon on the clipboard. Press The selected image is displayed. Press on the control panel. UPDATE/MENU The System menu is displayed. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 169 DICOM standard. Select between: • Store image only: saves the image or cineloop only. • Store secondary capture: creates a still image of the Vivid i User’s Manual 2378958-100 Rev. 02...
Page 170: Mpegvue/Evue
A high quality setting will give a lower compression. 11. In the Save as type field select one of the following formats: • RawDICOM: saves the still image or cineloop in both GE raw format and DICOM format. • DICOM: saves the still image or cineloop in pure DICOM format.
Page 171 Select the dataflow Local Archive - Int. HD/eVue in the Name pull-down menu. Figure 8-3: The Dataflow Sheet Select the eVue device in the Selected devices pane and press Properties. The eVue properties window is displayed. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 172 CPU speed: 700 MHz or faster • RAM memory: 128 MB or more • Screen resolution: 1024 x 768 pixels (recommended) • Colors: 24 bit or higher • The PC should be configured for Auto-play Vivid i User’s Manual 2378958-100 Rev. 02...
Page 173 The Patient List is displayed (Figure 8-5). 1. Select the examination date. Figure 8-5: The MPEGVue Patient List Select the desired examination date to display the belonging images. The MPEGVue screen is displayed (Figure 8-6). Vivid i User’s Manual 2378958-100 Rev. 02...
Page 174 Performing measurements on MPEGVue images The following measurements can be performed on MPEGVue images: • Distance and area in 2D images • Height, time and slope in M-mode images • Velocity and time in Doppler modes Vivid i User’s Manual 2378958-100 Rev. 02...
Page 175 Select the image to send on the clipboard and press the E-mail button (see Figure 8-6). The E-Mail dialog window is displayed (Figure 8-7). Figure 8-7: The E-mail dialog window Select Send Current Image. The E-mail address window is displayed (Figure 8-8). Vivid i User’s Manual 2378958-100 Rev. 02...
Page 176 If the recipient has never installed the MPEGVue viewer on his PC before, you would need to check the flag "Send software..." Select an existing address or enter a new one. Select Send. The Password window is displayed (Figure 8-9). Vivid i User’s Manual 2378958-100 Rev. 02...
Page 177 The Password dialog window is displayed (see Figure 8-9, page 167). Enter the password and click OK. The exam is decompressed and opened in the viewer. Then the E-mail(s) containing the MPEG examination is deleted. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 178: Retrieving And Editing Archived Information
ID (see page 321) Figure 8-11: Archive entry screen Click the Create New Patient button. The Search/Create patient window is displayed (Figure 8-12). Type the patient Last Name, and/or ID. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 179 2. Select new archive and other pre-defined 5. Expended Patient record displaying belonging services examinations 3. Extended menu The Search/Create patient window may be slightly different depending on the Dataflow selected Figure 8-12: The Search/Create Patient window Vivid i User’s Manual 2378958-100 Rev. 02...
Page 180 In the Patient list field, Trackball to the field header by which the sort is to be performed (Figure 8-13, page 171). Press on the control panel. The patient list is sorted in ascending order according to the field selected. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 181 The Search/Create patient window may be slightly different depending on the Dataflow selected. Figure 8-13: The extended Search/Create Patient window Printing the patient list In the Search/Create patient window, select More to display the additional menu. Select Print Patients. The displayed patient list is printed. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 182: Selecting A Patient Record And Editing Data In The Archive
3. Insert pre-defined text in the Comment field configurable (see page 321). 4. Select the column heading border and drag to 2. Go to Search/Create Patient window (see adjust column width page 169) Figure 8-14: The Examination list window Vivid i User’s Manual 2378958-100 Rev. 02...
Page 183 If an entry in the third column is inserted, the selected text in the second column is also inserted. Press More>> to display the full text for the selected entry. Figure 8-15: The Insert text window Vivid i User’s Manual 2378958-100 Rev. 02...
Page 184 In the Entered Code window, select the code to delete and press Delete. Creating a Diagnosis code In the Examination list window, select Code (see Figure 8-14) The Entered Code window is displayed. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 185 DICOM devices. CAUTION Alternative: Press Press the assignable to go back to the EXAM LIST any active scanning Examination list window. OR mode key. Press on the control panel to quit the archive. PATIENT Vivid i User’s Manual 2378958-100 Rev. 02...
Page 186: Deleting Archived Information
Trackball to the actual patient record and double-click the Trackball key (or press once and SELECT PATIENT to select the patient. The Examination list window is displayed. Trackball to the examination to delete. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 187 The images for the selected examination are displayed on the Review screen (Figure 8-21, page 182). Repeat steps 9 and Trackball to the image to delete. 10 to delete several 10. Press on the control panel. images. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 188: Moving Examinations
(see Figure 8-12, page 169). Select the examination to move. Press More in the lower, right-hand corner of the Search/Create Patient window. Press Move Exam. The Move exam window is displayed. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 189 Search and select the target patient record. Press Move Exam. A warning message is displayed asking the user to confirm the action to perform (see Figure 8-20). Make sure that the patient record selected is correct. CAUTION Vivid i User’s Manual 2378958-100 Rev. 02...
Page 190 Archiving Figure 8-20: Moving examination prompt Trackball to OK and press An information window is displayed to confirm the operation. Press OK. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 191: Review Images In Archive
Press on the control panel. REVIEW The stored images for the selected examination are displayed in the Review screen (see Figure 8-21). To analyze images: Press on the images to analyze. Press ANALYZE Vivid i User’s Manual 2378958-100 Rev. 02...
Page 192: Select Images From The Image List Screen
If images are stored on multiple removable media, they have to be restored to the local hard drive prior to review as described below. In the Examination list window (see Figure 8-14, page 172), Vivid i User’s Manual 2378958-100 Rev. 02...
Page 193 • Restore all images of the selected exam: all images that are not available locally in the exams where an image was selected are restored. • Restore current patient: restores all images in all examinations. Press OK. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 194 • Cancel: no images are restored. The selected images are displayed for review. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 195 Archiving 1. Examination 2. Examination date and archive location 3. Selected image 4. Preview of selected image 5. Missing images Figure 8-24: The Image list screen Vivid i User’s Manual 2378958-100 Rev. 02...
Page 196: Connectivity
A Vivid i and a DICOM server in a network (page 198). • • A Vivid i and one or more PC stations in MPEGvue or eVue environment. The dataflow concept Communication between the Vivid i ultrasound unit and other information providers on the network takes the form of dataflows.
Page 197 Search in the DICOM Modality Worklist, the patient found is copied into the local database. Images are stored to a DICOM server and to the internal hard drive. Figure 8-26: Scanner in a network dataflows (example) Vivid i User’s Manual 2378958-100 Rev. 02...
Page 198 Default. Press to exit the Configuration management CONFIG package. 1. Select Connectivity category 2. Select Dataflow subgroup 3. Select a dataflow 4. Default option for the selected dataflow Figure 8-27: Default dataflow setting Vivid i User’s Manual 2378958-100 Rev. 02...
Page 199: Stand-Alone Scanner Scenario
Select the LocalArchive-Int.HD dataflow as default dataflow. In this configuration the local database is used for patient archiving. Images are stored to internal harddrive. Image review The same dataflow is used for review on the system. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 200: A Stand-Alone Scanner And A Stand-Alone Echopac Pc Environment
EchoPAC PC environment In this scenario the EchoPAC PC (one or several) is used for review of studies acquired on one or more Vivid i without being connected via a private or a local area network. Images can be stored on the scanner’s internal harddrive (recommended) or on a dedicated MOD.
Page 201 Import from Removable MOD Archive to LocalArchive-Int.HD Make sure that the option Copy images is checked. Press Archive and select the patient to be reviewed. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 202: Vivid I User's Manual
A scanner and EchoPAC PC in a direct connect environment In this scenario the data is transferred from the Vivid i to a dedicated EchoPAC PC workstation over the Ethernet (either in a peer-to-peer connection with a crossover cable, or in a network).
Page 203 Figure 8-31: TCP/IP setting In the IP settings area enter: • The IP address for the scanner • The subnet mask for the scanner • The IP address for the Default Gateway Vivid i User’s Manual 2378958-100 Rev. 02...
Page 204 EchoPAC PC. Patient demographics, measurements and reports are transferred on the fly when entering the information on the Vivid i. Review on the EchoPAC PC workstation Select the LocalArchive-Int.HD dataflow on the EchoPAC PC (can be configured as default dataflow).
Page 205 Press Today to dis- Export from LocalArchive-Int.HD to play today’s exams RemoteArch-RemoteHD. to ease the search. Make sure that the option Copy images is checked. The examination done offline can now be reviewed on the workstation. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 206: A Scanner And Echopac Pc In A Network Environment
A scanner and EchoPAC PC in a network environment In this scenario the Vivid i is configured to work with an ImageVault 3 or an EchoServer 7 patient demographics and image server in a network environment. Images are first saved on the local image buffer on the scanner and transferred to the server when saving the examination.
Page 207 To free space in the internal harddrive on the scanner, check the command Delete selected patient(s) after copy in the Export patient window (see Figure 8-41, page 211). The examination done offline can now be reviewed on the workstation. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 208: A Scanner And A Dicom Server In A Network
A scanner and a DICOM server in a network In this scenario the Vivid i is configured to work with a DICOM server in a network environment. Images are first saved on the local image buffer on the scanner. At the end of the examination the images are sent to the DICOM server via a DICOM spooler.
Page 209 Figure 8-32: The Dataflow sheet DICOM devices configuration Depending on the DICOM dataflow selected, one or several DICOM devices may have to be configured. Select a DICOM device in the Selected devices pane and Vivid i User’s Manual 2378958-100 Rev. 02...
Page 210 Properties (see Figure 8-33). 1. Select the DICOM device. 2. Press Properties. Figure 8-33: Display of the DICOM device Properties window The Properties window for the selected DICOM device is displayed (Figure 8-34). Vivid i User’s Manual 2378958-100 Rev. 02...
Page 211 (or press Add if creating a new IP address). The Enter name and IP window is displayed. • Enter the name and/or IP address of the server and press OK to return to the Properties window. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 212 • Check Allow multiframe. DICOM SR DICOM Structured Reporting (SR) is a standardized format for medical results. Vivid i and EchoPAC PC support the specialized form for Adult Echo Ultrasound ("Supplement 72") for M&A results. With the DICOM SR support, M&A for an exam can be sent at the end of the exam or when exported from local archive.
Page 213 Basic modes: 2D, M-mode, Color Flow, PW and CW Doppler. • Publicly coded methods, not Modified Simpson or Bullet. Refer to the Vivid i Reference manual for a complete list of supported methods. • Basic derivations (Average, Last), no references between the derived measurements and the ones they were made from.
Page 214 To end an exam and store the measurements as DICOM SR: Press and select End Exam. PATIENT The DICOM SR Information window is displayed informing the user that not all measurements may be sent as DICOM Figure 8-37: The DICOM SR information window Vivid i User’s Manual 2378958-100 Rev. 02...
Page 215 Enter a value if required or leave blank if not to be used. This entry is case sensitive and must match exactly. Press Add to list. Press OK to close the Search criteria window. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 216 Figure 8-38: Adjusting the Search criteria Checking the connection to the DICOM server In the Dataflow sheet, select the DICOM device to verify the connection to. Press Check. The verification process may takes several seconds. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 217 At the end of the study press on the Control END EXAM panel. The save images dialogue window is displayed. Figure 8-39: The Save images dialogue window Vivid i User’s Manual 2378958-100 Rev. 02...
Page 218 With the scanner connected, press to display the DICOM spooler. Select one or several studies in the DICOM spooler window. Press Resend. The images of the selected studies are transferred to the DICOM server. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 219: Export/Import Patient Records/Examinations
Export/Import patient records/examinations Patient records/examinations from the local archive on one system (Vivid i or EchoPAC PC) can be exported to the local archive on another system via a removable media. Patient records/examinations from the local archive can also be exported directly to a remote archive (Echo server, DICOM server or EchoPAC PC depending on the environment).
Page 220 Gateway” must be pre-configured in the Sublevel Tools in the Configuration package (see page 215). • DICOM Print: prints images to a DICOM printer via DICOM spooler. • MPEGvue: exports examinations to MPEGVue format Vivid i User’s Manual 2378958-100 Rev. 02...
Page 221 Export patient • Fill in the Exam between field to display the patient window if neces- records done during a specific time period and select the sary. actual records. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 222 Figure 8-42: The Export/Import conflict window Press OK to resume export. A progress indicator is displayed. When done a status window is displayed showing the number of patient records that have been successfully exported. 10. Press OK. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 223 Dataflow sheet: Press and log on as administrator. CONFIG Select Connectivity category and Dataflow subgroup. The Dataflow sheet is displayed (Figure 8-3, page 161). Select the dataflow Misc Export in the Name pull-down menu. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 224 Figure 8-44: The Dataflow Sheet Configuring an Excel Export Select the Excel storage device in the Selected devices pane and press Properties. The Excel properties window is displayed. Figure 8-45: The Excel properties window Vivid i User’s Manual 2378958-100 Rev. 02...
Page 225 Destination pull-down menu. must be entered Check the options as required. once in the Remote Path field before Select OK and press CONFIG they can be selected from the Destina- tion pull-down menu. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 226: Importing Patient Records/Examinations
• Remote Import/Export Archive: imports raw and DICOM (if present) data from an Echo server (network) or EchoPAC PC (direct connect or network). • Query Retrieve: imports data from a DICOM server. Press OK. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 227 • Fill out the Born between field to display the patient records of patients born during a specific time period and select the actual records. Adjust the following settings as desired: Vivid i User’s Manual 2378958-100 Rev. 02...
Page 228 Figure 8-49: The Export/Import conflict window Press OK to resume import. A progress indicator is displayed. When done a status window is displayed showing the number of patient records that have been successfully imported. 10. Press OK. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 229 A status message is displayed for each item imported. Make sure that the operation was successful for each item imported. 11. Press Done in the Import patient window to complete the process. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 230: Disk Management
A person should be in charge of performing the process. The the auto-purge Disk management system can be set up so that a reminder is function, the copied displayed at a regular time span. images are re- trieved. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 231: Configuring The Disk Management Function
Next to Reminder interval, specify the number of days/weeks you want the system to prompt you to perform disk management. This setting should be set based on the activity of your office/institution. If None is selected, no reminder is displayed. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 232 If using removable media, it is recommended to use dedicated media to the Disk management process. Removable media used for data backup must not be used when performing Disk CAUTION management. Do not use the same removable media on several systems. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 233: Running The Disk Management Function
The Storage size information window is displayed (Figure 8-52). Verify the information displayed. If using removable media, the operation may require several media as specified on the screen. Make sure to gather the necessary number of disks. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 234 Warning window is displayed. Select one of the following options: • Cancel: the Disk management process is stopped. • Eject: the media is ejected, a new media must be Vivid i User’s Manual 2378958-100 Rev. 02...
Page 235 • Select Detailed summary to display the list of the patient records copied. Make sure that all media are physically labeled according to the list displayed in the Summary window. The media Vivid i User’s Manual 2378958-100 Rev. 02...
Page 236: Data Backup And Restore
To minimize accidental loss of data, perform backup of the patient archive stored on the local hard drive at least once a week. GE Medical Systems is not responsible for lost data if the suggested backup procedures are not followed and will not aid DANGER in the recovery of lost data.
Page 237 Figure 8-56: The Backup sheet In the Backup sheet, select one of the following options: • Patient archive: to backup the patient records. • System configuration: to copy system settings and user presets. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 238 • The system is checking if there is already a backup copy on the media. If yes, a dialogue window is displayed (Figure 8-59) asking the user if the backup should be replaced. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 239 Figure 8-60: Backup progress windows 12. At the end of the process, the media is ejected and the Backup completed window (Figure 8-61) is displayed. Figure 8-61: Backup completed window Select OK. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 240 Select the Restore sheet (Figure 8-63). Figure 8-63: The Restore sheet In the Restore sheet, select one of the following options: • Patient archive: to restore the patient records. • System configuration: to restore all system settings Vivid i User’s Manual 2378958-100 Rev. 02...
Page 241 The selected items are copied to the systems. If items from the system configuration are restored the system needs to be rebooted. The Reboot system window is displayed (Figure 8-65). Figure 8-65: Reboot system prompt 10. Select OK to reboot the system. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 242: Dicom Spooler
On the alphanumeric keyboard, press and hold down the key and press The DICOM spooler window is displayed (see Figure 8-66). The DICOM spooler window is automatically updated every minute. Press Refresh to update the information displayed at any time. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 243 Trackball to Delete. Press Resending a job Only jobs that Trackball to the job to re-send in the DICOM job spooler failed or are in hold window. can be resent. Press Trackball to Resend. Press Vivid i User’s Manual 2378958-100 Rev. 02...
Page 244 Press destination. Trackball to Send to..Press A dialogue window is displayed. Select the new destination from the Destination popup menu. Trackball to Send. Press Vivid i User’s Manual 2378958-100 Rev. 02...
Page 245: Report
• Saving the report template ............257 • To exit the Report designer ............258 • Report templates management ........... .. 258 • Configuration of the Template selection menu ......259 • Export/Import of Report templates ........... 260 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 246: Introduction
Report Introduction The Vivid i system enables the creation of patient and examination reports containing measurements, images and analysis that were made during the examination. The layout of the reports is defined by generic templates delivered with the system. Custom templates can also be made.
Page 247: Creating A Report
Working with the report function Press REPORT The default template for the current examination is displayed (see Figure 9-1). The information entered during the examination in automatically filled out (e.g. demographic, Diagnosis, Comments etc.) Vivid i User’s Manual 2378958-100 Rev. 02...
Page 248 Report 1. Assigned keys • Print • Store • Retrieve • Template • Designer menu MORE • Save as • Delete Figure 9-1: The Report screen and assigned keys Vivid i User’s Manual 2378958-100 Rev. 02...
Page 249 To remove an image from the report, press and hold down key, and using the trackball, drag the selected image back to the clipboard. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 250: To Print A Report
The Report archive folder is selected by default. The default name for the report is of type: <exam DICOM UID> Select PDF or CHM format from the Save as type pull down menu. Press SAVE Vivid i User’s Manual 2378958-100 Rev. 02...
Page 251: Retrieving An Archived Report
DELETE A list of the available reports for the actual examination is displayed. The default name for a report is of type: <template type>_<store date>_<store time> Trackball to the report to delete. Press Vivid i User’s Manual 2378958-100 Rev. 02...
Page 252: Direct Report
Measurement overview field. 1. Open Direct report 2. Select the type of information 3. Create/insert pre-defined text 4. Text field 5. List of measurements completed 6. Exits the Direct report Figure 9-2: The Direct report Vivid i User’s Manual 2378958-100 Rev. 02...
Page 253: Creating Pre-Defined Text Inputs
Press More>> to display the full text for the selected entry. Creating pre-defined text inputs This feature is described in "The Comment texts sheet" on page 306. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 254: Report Designer
The Report designer screen is displayed with the selected template in the Report template design area (see Figure 9-4). Report designer overview 1. Menu bar 2. Report template design area Figure 9-4: The Report designer screen Vivid i User’s Manual 2378958-100 Rev. 02...
Page 255 The user can choose whether to save the updates or restore the original template. The Edit menu Menu Description • Delete: remove the selected object from the report template. • Undo: restore the previous state of the report template. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 256 • Fixed text: insert a container with static text. The text typed during the creation of the container will be displayed in the report. The Preferences menu Menu Description • Page color: sets the default background color for the template page. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 257: Designing A Report Template
Report template design area. Press Insert and select Table. The Container properties window is displayed (see Figure 9-5). Adjust the parameters as desired. Press OK. The table is displayed in the template. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 258 CD or MO disk. Select the location where to insert the logo (a table cell or directly in the report template). Select Insert and Logo. The Logo box is displayed. Figure 9-6: The Logo box Vivid i User’s Manual 2378958-100 Rev. 02...
Page 259 Select the location where to insert the fixed text (a table cell or directly in the report template). Select Insert and Fixed text. The Fixed text box is displayed. Figure 9-7: The Fixed text box Enter the text and specify the appearance. Select OK. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 260 Select the Information parameters to be displayed in the first cell. Select Box properties to change the font, alignment, appearance, etc. Select OK. Select the next table cell and repeat steps 3 to 6 to enter the remaining archive information. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 261 You may display the measurements over several columns using a table container as described below. Insert a table for the measurements to the desired location. Select the first table cell. Select Insert and Measurements. The Measurement box is displayed. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 262 The list of the inserted measurements is displayed in the Selected measurement list on the right side. Press OK. Select the next table cell and repeat steps 3 to 8 to insert several measurements. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 263 • Referral reasons: displays the information entered in the Direct report (see page 242) or in the Examination list window. • Comments: displays the information entered in the Direct report (see page 242) or in the Examination list window. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 264 Cut planes and Bull’s eye. The corresponding Wall motion scoring box is displayed. Figure 9-12: The Wall motion scoring box (Cut planes) Adjust the parameters and select OK. The scoring diagrams are inserted in the report template. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 265 Editing the information container properties Modifying the container’s specific properties Move the Mouse cursor over the border of the container to edit. The mouse cursor is changed to a cross Double-click on the Left mouse button. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 266 The Page setup box is displayed. Figure 9-14: The Page setup box Adjust the printing orientation. Define the header and footer for the printed report, by typing text and entering the required variables listed in the table below. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 267: Saving The Report Template
• Cancel to go back to the Report designer without saving the report template. Save existing template with a new name Press File and select Save as. The Save as template window is displayed. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 268: To Exit The Report Designer
The report templates management is done from the Report templates sheet in the system configuration package. To access to the Report templates sheet: Press and select the Report category. CONFIG The Report category sheet is displayed. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 269: Configuration Of The Template Selection Menu
Press the Right arrow button The selected template is inserted in the Template selection menu. Note: Double-clicking on a template in the Available template field will also insert the template in the Template menu. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 270: Export/Import Of Report Templates
Export/Import of Report templates User-defined report templates can be exported to a removable media and imported from the removable media into another system (Vivid i / EchoPAC PC). Export of Report templates Insert a removable media into the drive. Press and select Report.
Page 271 Insert the removable media with the report template(s) to import. Press and select Report. CONFIG The Report template sheet is displayed (Figure 9-16, page 259). Select Import Templates. The Import template window is displayed. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 272 Figure 9-18: The Import template window Select the source device from the pull-down menu. Press OK. A Confirmation window is displayed. Press OK. The templates are imported into the system. Press and select the media to eject. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 273 • Inspecting the probe ..............272 • Cleaning and disinfecting probes ..........273 • Probe safety ..................276 • Electrical hazards ..............276 • Mechanical hazards ..............276 • Biological hazards ..............277 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 274: Probe Overview
Probes Probe overview The Vivid i ultrasound unit supports four types of probes: • Phased Array Sector • Linear Array • Curved Array (Convex) • Continuous Wave Doppler Supported probes Phased Array Sector probes Probe Mode Intended use Technical data...
Page 275 FOV: 58 degrees CW Doppler Obstetrics PW Doppler Pelvic Renal Doppler probe Probe Mode Intended use Technical data Image CW Doppler Cardiology Frequency: 2.0 MHz (P2D) CW Doppler Vascular Frequency: 6.0 MHz (P6D) Vivid i User’s Manual 2378958-100 Rev. 02...
Page 276 Probes Multiplane Transesophageal Phased Array probe Probe Mode Intended use Technical data Image 6T-RS 2D mode Transesophag Frequency: 2.9– eal Cardiology 6.7 MHz M-Mode Color Flow CW Doppler PW Doppler Vivid i User’s Manual 2378958-100 Rev. 02...
Page 277: Probe Labelling
Figure 10-1: Orientation marking on probe and on screen Probe labelling Each probe is labelled with the following information: • Name of distributor and manufacturer • Operating frequency • Model number • Probe serial number • Year of manufacture Vivid i User’s Manual 2378958-100 Rev. 02...
Page 278 Probes The probe name displayed on the probe housing. 1. CE mark 2. Probe name Figure 10-2: Probe labelling (examples) Vivid i User’s Manual 2378958-100 Rev. 02...
Page 279: Probe Integration
To connect a probe: Hold the probe connector horizontally with the cable pointing towards you. The lever on the Vivid i should be down all the way. Align the connector with the probe port and carefully push into place. Lift the lever on the Vivid i up all the way.
Page 280: Disconnecting The Probe
Index" on page 353). TIB must be displayed when a fetal application is selected. Disconnecting the probe To disconnect probes: Push the locking lever on the Vivid i all the way down. The probes that are Remove the connector from the port. not connected to the...
Page 281: Care And Maintenance
Follow the maintenance schedule below to ensure optimum operation and safety: After each use: • Inspect the probe • Clean the probe • If required disinfect the probe Before each use: • Inspect the probe Vivid i User’s Manual 2378958-100 Rev. 02...
Page 282: Inspecting The Probe
Probes Inspecting the probe If any damage is found, DO NOT use the probe until it has been inspected and released for further use by a GE service representative. CAUTION After each use: Inspect the lens, the probe housing and the cable (Figure 10-3.
Page 283: Cleaning And Disinfecting Probes
Wipe dry with a soft towel. Disinfecting probes In order to provide users with options in choosing a germicide, GE Medical Systems routinely reviews new medical germicides for compatibility with the materials used in the transducer housing, cable and lens. Although a necessary step in...
Page 284 Wipe dry with a soft towel or air dry the probe. CREUTZFELD-JACOB DISEASE Neurological use on patients with this disease must be avoided. WARNING If a probe becomes contaminated, there is no adequate disinfecting means. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 285 Probes 1. Fluid level 2. Contact face with patient environment Figure 10-4: Probe immersion levels Vivid i User’s Manual 2378958-100 Rev. 02...
Page 286: Probe Safety
DO NOT apply excessive force to the probe cable, to prevent insulation failure. Electrical leakage checks should be performed regularly by a GE service representative or qualified hospital personnel, according to the procedures described in EN 60601-1/IEC 60601-1 §19.
Page 287: Biological Hazards
Adequate cleaning and disinfection are essential to prevent disease transmission. It is the responsibility of the user to verify and maintain the effectiveness of the infection control procedures in use. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 288 Probes Vivid i User’s Manual 2378958-100 Rev. 02...
Page 289 Peripherals Chapter 11 Peripherals • Introduction ..................280 • Printing .................... 281 • To print an image ..............281 • Specifications for peripherals ............282 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 290: Introduction
Peripherals Introduction This chapter provides information on peripherals that can operate with the Vivid i ultrasound unit, as follows: • • Color Thermal Video Printer • Black & White Thermal Video Printer Use only GE Medical Systems approved internal equipment when replacing an internal peripheral.
Page 291: Printing
Peripherals Printing The Vivid i ultrasound unit can support a color and a black & white thermal video printer. The printer devices are controlled from the key on the control panel. PRINT key can also be configured to perform alternative PRINT storage (i.e.
Page 292: Specifications For Peripherals
Peripherals Specifications for peripherals Please refer to the documentation accompanying the peripherals. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 293: Presets And System Setup
• TCP/IP ..................326 • System ................... .. 327 • The system settings ..............327 • About ....................329 • Administration ................. 330 • Users ..................331 • Unlock Patient ................334 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 294: Introduction
Presets and System setup Introduction This chapter describes the configuration management package of the Vivid i ultrasound unit. The Vivid i configuration package enables users to customize the global configuration for the unit and the application-specific settings. In addition, users with administration rights have access to the local archive backup function, local archive restore function and creation of users.
Page 295 Sets the date and time format, Admin language and units. • Test Enables testing of the different Admin parts of the unit. About Displays information about the page 329 software, hardware and probes. Administration page 330 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 296 Admin registration, operator's rights settings. • Unlock patient Unlock patient records that were Admin not properly finished. Service This sheet is for service staff Admin only. Deals with printer definition and keyboard configuration. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 297: Starting The Configuration Package
The Log In window is displayed asking for operator ID and password (see Figure 12-1). Select Log on when completed. The Setup dialogue window is displayed (see Figure 12-2). 1. Select the operator 2. Type password Figure 12-1: The Operator login window Vivid i User’s Manual 2378958-100 Rev. 02...
Page 298: Overview
The functionality of each configuration category and associated sublevels are described on the following pages. 1. Sublevel tabs for the selected Setup category. 2. Setup categories 3. Selected Setup category Figure 12-2: The Setup dialogue window structure Vivid i User’s Manual 2378958-100 Rev. 02...
Page 299: Imaging
Global: enables the user to configure display-related settings. • Application: enables configuration of the probe and application specific settings. • Application menu: enables configuration of the Measurement menu. The Global setup sheet Figure 12-3: The Global setup sheet Vivid i User’s Manual 2378958-100 Rev. 02...
Page 300 • Title bar Line 1 & 2: selects from the pop-up menu the patient information to display on the scanning screen's Title bar (see page 45). • Anonymous patient: when checked, no patient information is displayed on the scanning screen's Title bar. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 301: Application
Application The Application category enables the configuration of probe/application specific settings (presets). The application-specific settings can be stored and used as default presets with this probe. Figure 12-4: The Application setup sheet (example) Vivid i User’s Manual 2378958-100 Rev. 02...
Page 302 Select the default Protocol to be associated to the selected application from the pop-up menu. Auto invert on steer: In Color flow, the color bar is inverted when steering the color flow sector angle. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 303 Trackball to Preset... in the Application pop-up menu. The Application setup sheet (see Figure 12-4) is displayed. Change the parameters as desired (see page 292). Press Save to store the changes. Applicable only on user-defined applications. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 304: Application Menu
The second level called More... displays the less frequently used applications. 1. First menu level 3. Moving tools 2. Second menu level Figure 12-5: The Application menu setup sheet (example) Vivid i User’s Manual 2378958-100 Rev. 02...
Page 305 Press as many times as necessary: • if the application to move is in the More menu • if the application to move is in the Applications menu till the application has moved to the other menu. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 306: Measure Text
303) • Configuration of the Annotation function (see page 71) The measurement menu sheet The Measurement sheet enables the organization of the Factory default Measurement menu and the creation of user-defined Measurements. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 307 2. The measurement menu (displays updated details) configuration) Figure 12-6: The Measurement menu setup sheet Parameter Description Add measurement: Create or select from the pop-up list a measurement to be added to a folder (see page 135). Vivid i User’s Manual 2378958-100 Rev. 02...
Page 308 Measurement menu in the configuration window. Configuration tools: Deletes selected entry (folder or measurement) in the Measurement menu. The factory entries cannot be deleted. Moves selected measurement or folder up or down inside the Measurement menu. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 309 : The item is hidden from the Measurement menu. Only checked parameters will be displayed in the Measurement result window, the worksheet and the report. Auto sequence: Prompts the next measurement in the folder. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 310: Configuration Of The Measurement Menu
Selection of a Measurement category Trackball to the Measurement menu heading. Press The measurement categories are displayed in a sub-menu. Trackball to the measurement category of interest. Press The measurement category is displayed. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 311 Name text field. Adding a measurement to a folder The user can either add a pre-defined measurement or create a new measurement with user-defined parameters to a folder (see page 135 for more information). Vivid i User’s Manual 2378958-100 Rev. 02...
Page 312: The Advanced Sheet
Select the configuration value next to the parameter to parameter an expla- configure. nation label is dis- A pull-down menu is displayed (see Figure 12-7). played. Select a new value from the pull-down menu. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 313: The Modify Calculations Sheet
In the Modify Calculations sheet, select Vascular next to M&A Categories. The Vascular measurement category is displayed. Select Carotid. The available calculations are displayed. Check the desired calculations to be performed. Select Save. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 314: Report
Examination list window (see Figure 8-14, page 172). • Comment texts: enables the creation of pre-defines text inputs to be used in the Comment information field in the Examination list window (see Figure 8-14, page 172). Vivid i User’s Manual 2378958-100 Rev. 02...
Page 315: The Diagnostic Codes Sheet
Select New text to create a new diagnostic code (see Figure 12-9). In the Code field enter a name for the diagnostic code. Trackball to the Text input display area. Press Enter the text. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 316: The Comment Texts Sheet
This sheet enables the creation (and deletion) of text inputs that can be used when entering comments in the Examination list window (see Figure 8-14, page 172). Figure 12-10: The Comment texts sheet Vivid i User’s Manual 2378958-100 Rev. 02...
Page 317 Select the second or third column. Press New. The Enter new text window is displayed (Figure 12-11). Enter a title in the Text field. Enter the pre-defined text in the Full text field. Press OK. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 318 Deleting a pre-defined text input Select the item to delete in one of the columns. Press Delete. A Confirmation window is displayed. Press Yes. The selected text input is deleted including the belonging text inputs. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 319: Connectivity
Additional output: configuration of the keys PRINT on the control panel. • Tools: formatting of removable media • Formats: configuration of the Examination list window and other tools related to patient management. • TCPIP: internet protocol configuration Vivid i User’s Manual 2378958-100 Rev. 02...
Page 320: Dataflow
Presets and System setup Dataflow Communication between the Vivid i ultrasound unit and other information providers on the network takes the form of dataflows. Each dataflow defines the transfer of patient information and images from an input source to the unit, and from the unit to one or several output sources.
Page 321 5. Option for the search function. In the 10. Adjust the settings for the selected assigned Search/Create patient window select between device None, All patients and Today’s patient Figure 12-13: The sublevel Dataflow (example) Vivid i User’s Manual 2378958-100 Rev. 02...
Page 322 The local archive is used for patient HD/DICOM Server archiving. Images are stored to the internal hard drive and to a DICOM server. Some of the measurements are stored if DICOM SR is turned on (see page 202) Vivid i User’s Manual 2378958-100 Rev. 02...
Page 323 Images are stored to a DICOM Server and to an image volume on the local hard drive. Some of the measurements are stored if DICOM SR is turned on (see page 202) Vivid i User’s Manual 2378958-100 Rev. 02...
Page 324 DICOM CD read DICOM CD read Read DICOM Media from the CD-drive. DICOM Server DICOM server Store pure DICOM images to a DICOM device. DICOM Print DICOM Print Send images to a DICOM printer. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 325 However in two cases it is possible to have two input devices, when defining a dataflow with DICOM Worklist or DICOM Query/Retrieve in combination with a database. Adjust the device’s parameters as described below. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 326 Allow Multiframe : allow cineloop storage. Connection settings Definition Retry Set maximum number of connection tentatives, time interval between tentatives and time-out. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 327 Send a request to a PACS, asking it to permanently archive image(s) MPPS Modality Perform Procedure Step: send information (typically to a HIS) that a scheduled exam has been started, performed or interrupted. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 328: Additional Outputs
3. Output devices assigned to the current button. 7. Printer configuration (see page xx) 4. Add or remove selected device to/from the current button. Figure 12-15: The sublevel Additional outputs (example) Vivid i User’s Manual 2378958-100 Rev. 02...
Page 329 Capture Area Select between: • Video Area (1) • Whole Screen (2) To remove a device, select the device in the Selected devices field and press the Left arrow button. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 330: Tools
Figure 12-16: The sublevel Tools Creation of a DICOM directory Insert the media in the drive. Select Repair DICOM DIR. Wait for the display of the Information window indicating that the process is completed. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 331: Formats
Select the action to perform: ing border. • Insert: creates a new column • Delete: removes selected column • select the desired information to be displayed in the selected column. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 332 Presets and System setup 1. Insert new column to the left of the selected column 2. Delete selected column 3. Select column heading Figure 12-18: Configuration of the Examination list window Vivid i User’s Manual 2378958-100 Rev. 02...
Page 333 44, page 169 and page 171), : All the searching filters are displayed as default. : The searching criteria are restricted to a minimum. When unchecked, press More to display all the searching filters. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 334 ID number. : Patient ID is required when entering a new patient in the archive. Request acknowledge of End Exam action: : The user is asked to confirm action when ending an examination. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 335 • Select images to store • Store no images Exam screen/Report headings: Enter user-defined headings for Comments, Diagnosis and Referral reasons fields. DICOM images: : Displays patient information (name, date of birth and ID) on DICOM images. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 336: Tcp/Ip
5. Advanced DICOM log: creates a detailed DICOM related report log. Should be used only if DICOM issues are registred (see page 341 about report log generation). Figure 12-19: The sublevel TCP/IP Vivid i User’s Manual 2378958-100 Rev. 02...
Page 337: System
• Test: enables testing of the different parts of the unit. This sheet is accessible to users with administration rights only. The system settings Figure 12-20: The System settings setup sheet Vivid i User’s Manual 2378958-100 Rev. 02...
Page 338 2000: the number 20 is automatically displayed when entering the year in the patient date of birth (to edit century, press twice). BACKSPACE None: four digits must be typed when entering the patient year of birth. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 339: About
Units Parameter Description Units: Select the desired units (Metric or US) from the pop-up menu. About The About sheet gives informations about the ultrasound unit concerning: • software • hardware • Probes Vivid i User’s Manual 2378958-100 Rev. 02...
Page 340: Administration
(e.g. referral doctors, sonographers...etc.). • System Administration: keeps track of all the options implemented in the unit. • Unlock patient: enables to unlock patient records that were not properly terminated (see page 334). Vivid i User’s Manual 2378958-100 Rev. 02...
Page 341: Users
• Referring groups: members of these groups (Diagnosing physician and Referring doctor) are not allowed to login on the system. They are registered as references that can be associated to a patient record. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 342 • Print a report Store report • Store a report Admin • System administration Service • Access to the service platform Creating a user or a referring member Press New Enter the user’s information. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 343 • A specific user: select one of the users to be the default user when logging on. Auto logoff Set the time span (from 10 min) for the system to automatically log off when not in use. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 344: Unlock Patient
You can search for a specific patient record or a group of patient record using the searching filters. Select Unlock to unlock the selected patient record(s), or select Unlock All to unlock all patient records. A Confirmation window is displayed. Select OK. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 345 • System Care and Maintenance ............336 • Inspecting the system .............. 336 • Cleaning the unit ..............337 • Prevention of static electricity interference ....... 339 • System self-test ................341 • System malfunction ..............341 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 346: System Care And Maintenance
Only trained persons are allowed to perform the safety inspections mentioned above. Technical descriptions are available on request. To ensure that the Vivid i unit constantly operates at maximum efficiency we recommend that the following procedures be observed as part of the customer’s internal routine maintenance program.
Page 347: Cleaning The Unit
• Use only cleaning materials and solutions recommended in the procedures described in Table xx on page xx. • Do not use any solutions or products not listed in the Vivid i User Manual. • Do not spray any liquid directly onto the Vivid i covers, LCD Display or keyboard! •...
Page 348 Rinse the cloth/sponge with clean running water and wipe the Control Panel again. Use a dry, soft, lint-free cloth to dry the Control Panel. Wait for the Control Panel surfaces to dry completely. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 349: Prevention Of Static Electricity Interference
• Spray carpets with anti-static spray because constant walking on carpets in or near the scanning room may be a source of static electricity. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 350 User maintenance Vivid i User’s Manual 2378958-100 Rev. 02...
Page 351: System Self-Test
User maintenance System self-test The Vivid i ultrasound unit is designed for reliable operation and consistent, high-quality performance. Automatic self-testing facilities are provided to monitor system operation and to detect malfunction as soon as possible, thereby eliminating unnecessary downtime. The detection of any serious malfunction may result in immediate interruption of scanner operation.
Page 352 Problem description dialogue window again. Select the destination where to export the logfile (MOD or CD-R). Press Export. A Zip file (named “logfile_<date>_<time>.zip”) is copied on to the selected removable media. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 353 • Device labels ................. .. 349 • Acoustic output ................353 • Definition of the acoustic output parameters ......353 • Acoustic output and display on the Vivid i ........ 353 • ALARA ..................354 • Safety statement ..............355 •...
Page 354 Safety • Electromagnetic Compatibility (EMC) ........... 363 • Environmental protection ............... 365 • System disposal ................ 365 • Battery disposal ................ 365 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 355: Introduction
(see also page 350). Other precautions or prudent-use recommendations are indicated in the note sections in the left column. These are: Use of the Vivid i ultrasound unit as a prescription device, • under the order of a physician.
Page 356: Owner Responsibility
The owner of the Vivid i ultrasound unit should ensure that only properly trained, fully qualified personnel are authorized to operate the system. Before authorizing anyone to operate the...
Page 357: Important Safety Considerations
User modification may cause safety hazards and degradation in system performance. All modification must be done by a GE qualified person. The equipment is not suitable for use in the presence of flammable anesthetic mixture with air or with Oxygen or Nitrous Oxide.
Page 358: Regulatory Information
Please consult your local GE Vingmed Ultrasound representative for further details. Standards used The Vivid i ultrasound unit is a Class I device, type BF, according to Sub-clause 14 of IEC 60601-1 (1988). To fulfill the requirements of relevant EC directives and/or European...
Page 359: Device Labels
Provides additional safety precautions such as double insulation or reinforced insulation, because there is no provision for protective earthing or reliance upon installation conditions. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 360 Attention - Consult accompanying Various documents: alerts the user to refer to the user documentation when complete information cannot be provided on the label. CAUTION - Dangerous voltage: used Various to indicate electric shock hazards. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 361 Safety Label Purpose Location Apply a short push on the ON/OFF Keyboard button to shut down the system. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 362: Classifications
TYPE B APPLIED PART providing a specified degree of protection against electric shock, with particular regard to allowable LEAKAGE CURRENT. Table 14-1: Type BF Equipment Normal Mode Single Fault Condition Patient Leakage Less than 100 microA Less than 500 microA Current Vivid i User’s Manual 2378958-100 Rev. 02...
Page 363: Acoustic Output
In the title bar, two fields are allocated for the display of power values as shown in Figure 14-1. 1. Title bar 2. MI 3. TI Figure 14-1: The display of MI and TI on the screen Vivid i User’s Manual 2378958-100 Rev. 02...
Page 364: Alara
It is therefore important that the operator chooses the right application. The Vivid i has an internal limit of 4.0 on TI. IEC87 has suggested some time dependent thresholds that are partly implemented on the Vivid i as color-coding of the thermal index.
Page 365: Safety Statement
Although no harmful biological effects have been demonstrated for ultrasound frequencies, intensities and exposure times used in examination with the GE Vingmed Vivid i system, GE Vingmed Ultrasound recommends using the lowest acoustic output settings which will produce diagnostically acceptable information.
Page 366 The user can override the default settings, but care should be taken to observe the displayed MI and TI values. Power It is possible to change the power in all operating modes so that the operator can use the ALARA principle. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 367: Patient Safety
The user should be aware of the product specifications and of the system accuracy and stability limitations. These limitations must be considered before making any decision based on quantitative values. If in doubt, the nearest GE Ultrasound Service Office should be consulted. Equipment malfunction or incorrect settings can result in measurement errors or failure to detect details in the image.
Page 368: Mechanical Hazards
Inspect probes often for cracks or openings in the housing and holes in and around the acoustic lens, or other damage that could allow moisture to enter. Become familiar with the use and care precautions described in Chapter 10, "Probes" on page 263. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 369: Personnel And Equipment Safety
An electrical hazard may exist if any light, monitor or visual indicator remains on after the unit is turned off. Fuses blown within 36 hours of being replaced may indicate a malfunctioning electrical circuit within the system. In this event, Vivid i User’s Manual 2378958-100 Rev. 02...
Page 370: Biological Hazard
Safety the unit must be checked by GE Ultrasound service personnel. No attempt should be made to replace the fuses with others of a higher rating. Biological hazard For patient and personnel safety, beware of biological hazards while performing transesophageal procedures. To avoid the risk of disease transmission: •...
Page 371: Electrical Safety
Safety Electrical safety Device classifications The Vivid i ultrasound unit is a Class I device, type BF, according to Sub-clause 14 of IEC 60601-1 (1988). Internally connected peripheral devices The system, together with peripheral devices, such as video tape recorders and printers, meets UL2601-1 and IEC 60601-1 (1988) standards for electrical isolation and safety.
Page 372: Allergic Reactions To Latex-Containing Medical Devices
Patient reaction to latex has ranged from contact urticaria, to systemic anaphylaxis. For more details regarding allergic reaction to latex, refer to FDA Medical Alert MDA91-1, March 29. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 373: Electromagnetic Compatibility (Emc)
To comply with the regulations on electromagnetic interference, all interconnecting cables to peripheral devices must be shielded and properly grounded. Use of cables not properly shielded and grounded may result in the equipment causing or Vivid i User’s Manual 2378958-100 Rev. 02...
Page 374 Keep the power to these types of devices turned off when near this equipment. Vivid i User’s Manual 2378958-100 Rev. 02...
Page 375: Environmental Protection
Safety Environmental protection System disposal To be added Battery disposal To be added Vivid i User’s Manual 2378958-100 Rev. 02...
Page 376 Safety Vivid i User’s Manual 2378958-100 Rev. 02...
Page 377 Annotations ............................67–74 Configure ..............................71 Editing ..............................70 Erasing ..............................70 Inserting ..............................67 Application selecting ..............................46 Assignable keys .............................49 .................................158 Baseline Color Mode ............................90 CW Doppler ............................95 Optimizing Color Mode ........................93 PW Doppler ............................95 Bodymark ..............................73 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 378 ..............................85 Optimizing CW Doppler ........................98 Optimizing M-Mode .........................87 Optimizing PW Doppler .........................98 PW Doppler ............................96 Configuration see System setup Connecting peripherals ........................15 Connecting the unit ..........................10 Connectivity Buttons ..............................318 Dataflow ..............................310 Overview .............................309 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 379 DICOM spooler .............................232 DICOM verification ..........................320 Diff On/Off ................................81 Diff on/off LV Contrast ............................107 Direct report ............................242 Disk Backup ............................226 Disk Management ..........................220 configuring ............................221 destination device ..........................222 manual start ............................223 running ..............................223 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 380 ............................105 M-Mode ..............................84 Optimizing 2D .............................82 Optimizing M-Mode .........................87 Formatting Removable media ..........................320 Frame rate ................................79 CW Doppler ............................97 Optimizing CW Doppler ........................98 Optimizing M-Mode .........................87 Optimizing PW Doppler .........................98 PW Doppler ............................97 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 381 ............................95 Images Saving as JPEG ..........................158 Import Patient records ..........................216 Invert ................................79 Color Mode ............................90 CW Doppler ............................95 Optimizing Color Mode ........................93 Optimizing CW Doppler ........................99 Optimizing PW Doppler .........................99 PW Doppler ............................95 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 382 Configuration ............................134 User-defined formulas .........................137 Measurements (Cardiac) .......................109–145 ................................117 Doppler ..............................124 M-Mode ..............................121 Measurements (Vascular) B-Mode ..............................127 Doppler ..............................129 M-Mode ..............................128 M-Mode ..............................83–87 Anatomical M-Mode ........................86 Controls ..............................84 Conventional M-Mode ......................85, 86 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 383 PW Doppler ............................97 Probes Activating ............................269 Care and Maintenance ........................271 Cleaning ..............................273 Connecting ...........................38, 269 Disconnecting ..........................38, 270 Disinfecting ............................274 Labelling ..............................267 Orientation markers ........................267 Safety ..............................276 Selecting ...............................46 Types ..............................264 Pulse Pressure Vivid i User’s Manual 2378958-100 Rev. 02...
Page 384 ..............................241 Direct report ............................242 Export/Import templates ......................260 Print ...............................240 Retrieving ............................241 Save ..............................240 Report designer ...........................244 Designing a template ........................247 Respiration Adjusting trace ...........................66 Connecting ............................64 Controls ..............................65 ROI size Color Mode ............................91 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 385 ..........................309–326 Examination list window ......................321 Examination signoff ........................321 Imaging setup ...........................289 Language ............................327 M&A ...............................296 Patient ID ............................321 Patient information .........................290 Scan information ..........................291 Starting system setup ........................287 Units ..............................327 Unlock Patient ..........................334 Vivid i User’s Manual 2378958-100 Rev. 02...
Page 386 Operation ..............................54 Variance Color Mode ............................90 Optimizing Color Mode ........................93 Velocity range CW Doppler ............................95 Optimizing CW Doppler ........................99 Optimizing PW Doppler .........................99 PW Doppler ............................95 Width ................................79 LV Contrast ............................105 Worksheet ..............................147 Vivid i User’s Manual 2378958-100 Rev. 02...

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