Page 1 Z6/Z60T/Z60S/Z60 Pro/DP-60/Z60 Diagnostic Ultrasound System Operator’s Manual [Basic Volume]...
Page 3: Table Of Contents
Contents Intellectual Property Statement ...................... I Responsibility on the Manufacturer Party..................I Warranty ............................II Exemptions ..........................II Customer Service Department ....................II Important Information ........................III About This Manual ........................III Notation Conventions ........................III Operator’s Manuals ........................IV Manuals on Paper ........................
Page 4 Connecting / Disconnecting a Probe ................3-4 3.4.1 Connecting a Probe ....................3-4 3.4.2 Disconnecting a Probe ..................... 3-5 Connecting the Footswitch....................3-5 Connecting/ Removing a USB Storage Device ..............3-5 Graph/Text Printer ......................3-6 3.7.1 Connecting a Local Printer ..................3-6 3.7.2 Add Network Printer ....................
Page 5 PW/CW Doppler Mode ....................5-15 5.8.1 Basic Procedures for PW / CW Mode Exam ............5-15 5.8.2 PW/CW Mode Image Parameters................5-16 5.8.3 PW/CW Mode Image Optimization ................. 5-16 Color M Mode........................ 5-21 5.9.1 Enter Color M Mode ....................5-21 5.9.2 Exit Color M Mode ....................
Page 6 6.4.1 Cine Memory Setting ....................6-6 6.4.2 Cine Memory Clear ....................6-7 Preset ..........................6-7 ECG ..........................7-1 ECG Operation Basic Procedures ................... 7-2 Parameter Description ..................... 7-3 ECG Review........................7-3 Measurement ......................8-1 Basic Operations ......................8-1 General Measurements ....................8-1 8.2.1 2D General Measurements ..................
Page 7 10.7 Access Control ......................10-14 10.7.1 Access Setting ..................... 10-14 10.7.2 Setting Access Control ..................10-14 10.7.3 System Login ....................... 10-14 10.7.4 Adding/ Deleting a User ..................10-15 10.7.5 Modifying Password ..................... 10-17 11 DICOM........................11-1 11.1 DICOM Preset ........................ 11-2 11.1.1 Network Preset .......................
Page 8 13.1.4 Wearing the Transducer Sheath ................13-8 13.1.5 Probe Cleaning, Disinfection and Sterilization ............13-9 13.1.6 Environment......................13-13 13.2 Biopsy Guide ....................... 13-16 13.2.1 Basic Procedures for Biopsy Guiding..............13-19 13.2.2 Needle-guided Brackets ..................13-19 13.2.3 Needle-guided Bracket Inspection and Installation ..........13-27 13.2.4 Biopsy Menu ......................
Page 9 Appendix C Wireless LAN ..................C-1...
Page 11: Intellectual Property Statement
Contents of this manual are subject to change without prior notice. All information contained in this manual is believed to be correct. Mindray shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this manual.
Page 12: Warranty
FITNESS FOR ANY PARTICULAR PURPOSE. Exemptions Mindray's obligation or liability under this warranty does not include any transportation or other charges or liability for direct, indirect or consequential damages or delay resulting from the improper use or application of the product or the use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized personnel.
Page 13: Important Information
7. Important data must be backed up on external memory media. 8. Mindray shall not be liable for loss of data stored in the memory of this system caused by operator error or accidents. 9. This manual contains warnings regarding foreseeable potential dangers, but you shall always be alert to dangers other than those indicated as well.
Page 14: Operator's Manuals
Operator’s Manuals You may receive multi-language manuals in compact disc or paper. Please refer to English manual for latest information and register information. The content of the operator manual, such as screens, menus or descriptions, may be different from what you see in your system. The content varies depending upon the software version, options and configuration of the system.
Page 15: Product Differences
Product Differences B-Profile B-Hist Double Dist Trace Length (Spline) Parallel √ √ √ √ × √ √ √ √ √ Z60T √ √ × √ √ Z60S √ × √ √ √ Z60 Pro × × √ √ √ DP-60 ×...
Page 17: Safety Precautions
Safety Precautions Safety Classification  According to the type of protection against electric shock: CLASS I EQUIPMENT WITH EXTERNAL POWER SUPPLY + CLASS I EQUIPMENT WITH INTERNAL POWER SUPPLY  According to the degree of protection against electric shock: Type-BF applied part ...
Page 18: Meaning Of Safety Symbols
You must use the power adapter provided with the system; otherwise electric shock may result. You can only adopt the power supply method provided by Mindray, other power supply modes (e.g. using a UPS) may result in electric shock. Connect the protective grounding conductor before turning ON the system.
Page 19 I / O ports. Electric shock may occur. Do not use an aftermarket probe other than those specified by Mindray. The probes may damage the system causing a profound failure, e.g. a fire in the worst case.
Page 20 14. Prolonged and repeated use of keyboards may result in hand or arm nerve disorders for some individuals. Observe the local safety or health regulations concerning the use of keyboards. 15. When using intra-cavity transducers, do not activate the transducer outside the patient’s body. Precautions concerning clinical examination techniques: CAUTION: This system must be used only by qualified medical...
Page 21 You cannot repair the system under this circumstance and must call the Mindray Customer Service Department or sales representative. There is no risk of high-temperature burns during normal ultrasound examinations.
Page 22 If the system is used in a small room, the room temperature may rise. Please provide proper ventilation and free air exchange. To dispose of the system or any part, contact Mindray Customer Service Department or sales representative. Mindray is not responsible for any system content or accessories that have been discarded improperly.
Page 23 The system should be powered by battery when the integrality and reliability of the protective grounding of external power supply is indeterminate. The replaceable fuse is inside the chassis. Refer replacing job to Mindray service engineers or engineers authorized by Mindray only.
Page 24 Please use the disinfection or sterilization solution that recommended in this operator’s manual, otherwise Mindray will not be liable for damage caused by other solutions. If you have any questions, please contact Mindray Customer...
Page 25: Latex Alert
Latex Alert When choosing a probe sheath, it is recommended that you directly contact CIVCO for obtaining probe sheath, pricing information, samples and local distribution information. For CIVCO information, please contact the following: CIVCO Medical Instruments Tel: 1-800-445-6741 WWW.civco.com Allergic reactions in latex (natural rubber) sensitive patients may WARNING: range from mild skin reactions (irritation) to fatal anaphylactic shock, and may include difficulty in breathing (wheezing),...
Page 26: Warning Labels
Warning Labels The warning labels are attached to this system in order to call your attention to potential hazards. The warning labels use the same signal words as those used in the operator’s manual. Read operator’s manual carefully before using the system. The name, pattern and meaning of each warning label are described as follows: Warning Labels Meaning...
Page 27: System Overview
System Overview Intended Use The Diagnostic Ultrasound System is applicable for adults, pregnant women, pediatric patients and neonates. It is intended for use in fetal, abdominal, Intra-operative (abdominal, thoracic, and vascular), pediatric, small organ(breast, thyroid, testes), neonatal and adult cephalic, trans-rectal, trans-vaginal, musculo-skeletal(conventional, superficial), adult and pediatric cardiac, peripheral vessel, and urology exam.
Page 28: Power Supply
iScape TDI (Tissue Doppler imaging) Smart 3D Static 3D Contrast Imaging Elastography 2.4.2 Power supply Voltage 100-240V～ Frequency 50/60Hz Input Power 1.5-0.8A Fuse 250V~ T3.15AH 2.4.3 Environmental Conditions Operational Conditions Storage and Transportation Conditions Ambient 0℃～40℃ -20℃～55℃ temperature Relative 30%～85% (no condensation) 30%～95% (no condensation) humidity Atmospheric...
Page 29: Probes Available
2.5.2 Probes Available Region Probe Model Category Intended Use Applied Fetal, Abdominal, Pediatric, Musculo- 3C5P Convex Body surface skeletal Conventional, Peripheral Vessel Abdominal, Pediatric, Neonatal Cephalic, 6C2P Convex Body surface Adult Cephalic Transvaginal 6CV1P Convex Fetal, Trans-rectal, Trans-vaginal, Urology Transrectal CB10-4P Convex Trans-rectal, Urology...
Page 30 Region Probe Model Category Intended Use Applied Abdominal, Pediatric, Small organ (breast, thyroid, testes), Neonatal Cephalic, 7L4BP Linear Body surface Musculo-skeletal (Conventional, Superficial), Peripheral Vessel Note: Some probes may not be available in Canada. For DP-60, it does not have an adult and pediatric cardiac application, and does not support transducers 2P2P, P7-3P and D6-2P.
Page 31: Options
Needle-guided Biopsy Angle/ Probe Model Applicable Biopsy Needle Bracket Model Depth (±1°) NGB-011 11°, 23° 13G, 15G, 16G, 18G, 20G 2P2P Metal/needle un-detachable NGB-016 L14-6P 30°, 40°, 50° 14G, 16G, 18G, 20G, 22G Metal/needle detachable NGB-022 C6-2P 25°, 35°, 45° 14G, 16G, 18G, 20G, 22G Metal/needle detachable...
Page 32: Peripherals Supported
Item DICOM Cardiac Structured Report Footswitch Battery Pack Mobile trolley (UMT-150, UMT-160 or UMT-170) DVD drive Pack 4D module Wireless adapter ECG module ECG lead (ECG module should be configured first) Ultrasound gel 2.5.4 Peripherals Supported Item Model Graph/ text HP Officejet Pro 8100 printer Black and...
Page 33: Introduction Of Each Unit
Introduction of Each Unit Right View  Left View  System Overview 2-7...
Page 34 Rear View  Bottom View  Name Function Probe holder Used to place the probe Display Displays the image and parameters during scanning Control Panel Refer to the 2.6.3 Control Panel. USB ports Used to connect USB devices Handle Used to carry the machine Interface panel used for inputting and outputting signals, refer I/O Panel to 2.6.1 I/O Panel.
Page 35: I/O Panel
2.6.1 I/O Panel Symbol Function Network port USB ports Separate video output, connecting video printer or LCD Composite video output Remote control port ECG port VGA signal output Power indicator 2.6.2 Power Supply Panel Name Function Power inlet AC power inlet Used for equipotential connection, that balances the Equipotential terminal protective earth potentials between the system and other...
Page 36: Control Panel
2.6.3 Control Panel Name Description Function Off: when system is turned off; Power button Green: when system is turned on by pressing this button. Exit Press to exit the current status to the previous status. Press to display or hide the help information on Help screen.
Page 37 Name Description Function User-defined You can assign a function to the key. Biopsy Press to show or hide the biopsy guide line. Setup Press to open/close the setup menu. Press to delete the comment, etc. Alphanumeric Same as on PC keys Press to enter Dual mode from non-Dual mode;...
Page 38 Name Description Function Caliper Press to enter/ exit General Measurement Rotate: to adjust the gain Gain/ iTouch Press: to enter/ exit iTouch Move to adjust time gain compensation. Focus Press: to switch between Focus and Freq./THI; Freq./THI Rotate: to adjust corresponding parameter Depth Press: to switch between Depth and Zoom;...
Page 39: Symbols
Symbols This system uses the symbols listed in the following table, and their meanings are explained as well. Symbol Description Type-BF applied part Caution Dangerous voltage Equipotentiality Power button Network port USB ports Video output Remote control port VGA signal output AC (Alternating current) Battery Status Indicator Standby indicator...
Page 41: System Preparation
System Preparation Move/Position the System Please read and understand the safety precautions before placing the system to ensure safety for both operator and devices. 1. Switch off the power, and pull out the plug. 2. Disconnect the system from all peripherals. 3.
Page 42: Powered By Battery
– immediately stop scanning. If the system continues to function improperly – fully shut down the system and contact Mindray Customer Service Department or sales representative. If you use the system in a persistent improperly functioning state – you may harm the patient or damage the equipment.
Page 43: Powering Off
If you find anything not functioning properly, this may indicate that the system is defective. In this case, shut down the system immediately and contact Mindray Customer Service Department or sales representative. NOTE: When you start the system or switch between probes, you will hear clicking sounds –...
Page 44: Connecting / Disconnecting A Probe
When connecting or disconnecting a probe, place it in a CAUTION: proper position, to prevent the probe from falling off or becoming damaged. Only use the probes provided by Mindray. Aftermarket probes may result in damage or cause a fire. 3.4.1 Connecting a Probe...
Page 45: Disconnecting A Probe
3.4.2 Disconnecting a Probe 1. Turn the probe lock lever counterclockwise to release the connector. 2. Pull the connector straight out. 3. Keep the probe in safety and care. Connecting the Footswitch Connect the footswitch to the main unit via a USB port. Set the functions of the footswitch in the [Key Config] page.
Page 46: Graph/Text Printer
Graph/Text Printer 3.7.1 Connecting a Local Printer As shown in the figure below, a graph / text printer has a power cord and data cable. The power cord shall be directly connected to a wall receptacle as required. Power cord Data cord USB port 1.
Page 47: Add Network Printer
6. Click [Save] to finish the installation. Tips: Click [Printer Driver]->[Printer Supported] to view the drivers of some popular printers that have already been integrated in the system.These drivers will be installed automatically. You need to check the following information to check if the auto-installation fails: Model of the connected printer is not displayed in the “Printer Driver”...
Page 48: Istorage Ultraassist Print
Select PPD file from media: select the path from the external media and install.  Select PPD file from database: select the ppd. file integrated in the ultrasound system.  6. After the ppd. file is installed completely, enter the printer name to finish the installation. 7.
Page 49: Analog Video Printer
 Image print For DICOM image printing, refer to “11 DICOM”. Modify print service:  a) Select an existed printer service in the list. b) Select the printer type in the Property box. c) Set the attribute: paper size, orientation, etc. d) Click [OK] to confirm.
Page 50: Basic Screen And Operation
3.11 Basic Screen and Operation 3.11.1 Basic Screen The following diagram maps out the different areas in the screen: Hospital name Accession# Patient Information Freeze Logo Operator Exam time icon Probe Acoustic power, MI/TI Product Mode Exam Mode Menu area Image area Image Parameters Thumbnail...
Page 51  Cine Review area Displays the cine review progress bar to indicate the cine replay progress.  Thumbnail preview & Zoom Window (image-in-image) In the zoom status, this area displays the thumbnail of a complete image, and a rectangular frame is used to highlight the currently magnified area. This feature is called image-in-image.
Page 52: Basic Operations Of Screens
3.11.2 Basic Operations of Screens Title Contents Control button Composition Description The title bar is used to give a description for the content and Title Bar function of the screen. Use the selection pointer and <Set> key to open / close the Page Tab available pages.
Page 53: Exam Preparation
Exam Preparation Before examining a new patient, press <End Exam> to end the CAUTION: exam of the previous patient, update the patient ID and information, to avoid mixing data of the next new patient. Start an Exam You can start a patient exam in the following situations: New patient information: to start a new patient exam, enter the patient information ...
Page 54: New Patient Information
4.2.1 New Patient Information The Patient Info page is shown as below: Place the cursor onto the targeted box. The field box is highlighted and a flashing cursor appears. Information can be entered or selected from the options. You can also change the cursor position by <Tab>, <Enter> or up/down controls. Information includes: 1.
Page 55 Or, click to select the date, and click [OK] to confirm.   Auto generated age: once the DOB is gotten, the system can display an auto-  generated age in the field box, the unit can be “Years”, “Months” or “Days”. If the age is less than one year, the system will automatically calculate the age in months or days.
Page 56 Exam Type Information Description Gravida Times of pregnancy. Ectopic Times of abnormal pregnancy. e.g. extrauterine pregnancy Gestations Number of embryos (default value is 1) Para Times of delivery Abort Times of abortion Last menstrual period Gravida Times of pregnancy. Para Times of delivery (Gynecology) Ectopic...
Page 57: Retrieve Patient Information
[New Exam]: click to clear the current exam information in order to create a new  exam for the current patient. [Pause Exam]: to pause the current exam.  [Cancel Exam]: to cancel the current exam.  [OK]: click to save the patient data entered and exit the screen. ...
Page 58 Button Function Description Review Click to enter the Review screen. Image Patient Click to enter the Patient Info screen. Info Review Click to enter the Diagnostic Report screen. Report Delete Click to delete the selected record. Exam Backup Click to export the selected patient data to media supported. Exam Restore Click to import the patient data from an external media.
Page 59: Select Exam Mode And Probe
Or select the keyword type, enter the keywords and then click [Query] to search.  To reset the criteria, click [Clear] button.  3. Select the desired patient from the list. Click [Start Exam], the patient information is imported into the system and then an ...
Page 60: Selecting Imaging Mode
 To save the image parameters for the current exam mode quickly: Click [QSave] to save the image parameters in the current image mode as presets. A dialogue box pops up to prompt you the operation will cover the current image preset data. ...
Page 61: Pause & End An Exam
Pause & End an Exam 4.6.1 Pause and Exam  Sometimes, you have to stop an uncompleted exam due to some special causes. When the exam is paused, the system can begin other exams. 1. Press <Patient> to enter "Patient Info" screen. 2.
Page 63: Image Optimization
Image Optimization The images displayed in this system are only reference for WARNING: diagnosis. Mindray is not responsible for the correctness of diagnostic results. It is the responsibility of the clinician, who performs the exam, to capture the correct diagnostic results.
Page 64: Quickly Saving Image Setting (Qsave)
Requirement Available Operations Adjust [Frequency] Adjust [Scale] To modify flow images effect Adjust [Packet Size] (Resolution and sensitivity) Adjust [Line Density] Adjust [Smooth]  Adjusting through Image Menu: Use the trackball and <Set> or the multifunctional knob to adjust.  Adjusting through control panel: Trackball, control panel key, knob or sliders.
Page 65: B Mode Image Optimization
Display iClear iBeam iTouch Zoom Parameter Frequency Depth Gain Frame Display when the function is Rate Dynamic turned on Range 5.4.3 B Mode Image Optimization Gain Description To adjust the gain of the whole receiving information in B mode. The real-time gain value is displayed in the image parameter area in the upper left corner of the screen.
Page 66 Effects The higher the frequency the better the near field resolution but the worse the force of penetration. Harmonic imaging enhances near field resolution and reduces low-frequency and large amplitude noise, so as to improve small parts imaging. A. power Description Refers to the power of ultrasonic wave transmitted by the probe, the real-time value of which is displayed in the image parameter area in the upper left corner of the screen.
Page 67 Operation Adjust through the [Line Density] item in the menu; Levels: UH/ H/ M/ L. Effects The higher the line density, the higher the resolution, and the lower the frame rate. Dynamic Range Description This function is used to adjust the B image resolution to compress or expand the gray display range.
Page 68 iBeam Description This function is used to superimpose and average images of different steer angles to obtain image optimization. Operation Adjust through the [iBeam] item in the menu; Off: no iBeam On: maximum iBeam optimization Effects Images after iBeam processing can be optimized with less spot noise and higher resolution, so that more details for the structure are revealed.
Page 69: M Mode
Gray Invert Description Reverse the polarity of the image. Operation Click [Gray Invert] to turn on or off the image inversion. Impacts The gray invert functions is available in real-time imaging, freeze or cine review status. Its post process adjustments will not influence the cine review. HScale Description Display or hide the width scale (horizontal scale).
Page 70: M Mode Image Optimization
 During M mode imaging, you can switch between B and M menu from the menu title.  During M Mode scanning, frequency and acoustic power of the transducer are synchronous with that of B Mode.  Adjustment of the depth or TGC to the B Mode image will lead to corresponding changes in M Mode image.
Page 71 Operation Select among the maps through the [Gray Map] item in the menu. Impacts The function is available in real-time imaging, freeze or cine review status. Edge Enhance Description This function is used to increase image profile, so as to distinguish the image boundary.
Page 72: Color Mode Image Optimization
Color Mode Image Optimization The Color mode is used to detect color flow information, and the color is designed to judge the direction and speed of blood flow. Generally, the color above the color bar indicates the flow towards the probe, while the color below the color bar indicates the flow away from the probe;...
Page 73 Color Gain Description Refers to the overall sensitivity to flow signals, and this function is used to adjust the gain in Color mode. The real-time gain value is displayed in the image parameter area in the upper right corner of the screen. Operations Rotate the <Gain/iTouch>...
Page 74 Invert Description To set the display mode of color flow and the color scale will be inverted when the function is turned on. Operations Turn on or off the function through the [Invert] item on the image menu. Select “Auto Invert” in the “[Setup] → [System Preset] → [Image]”, then the color bar can automatically invert when the color flow is steered to a certain angle to accommodate operator’s habit of distinguishing flow direction.
Page 75 Description This function is a combination of several image parameters, which indicates the display effect of color image. Operations Click the [ Map] item on the image menu to select among the maps. The system provides 21 different maps to be selected among, where the V group provides 11 ordinary maps and the VV group provides 10 2-D maps.
Page 76: Power Mode Image Optimization
Power Mode Image Optimization Power mode provides a non-directional display of blood flow in the form of intensity as opposed to flow velocity. DirPower (Directional Power mode) provides additional information of flow direction towards or away from the probe. 5.7.1 Basic Procedures for Power Mode Imaging 1.
Page 77: Pw/Cw Doppler Mode
Power Map Description This feature indicates the display effect of Power image. The maps in the Power mode image are grouped into two categories: Power maps and Directional Power maps. Operations To select among the maps, turn the knob under [Map] on the image menu. There are 8 kinds of maps provided: P0-P3 belong to Power mode maps, while dP0-dP3 belong to Directional Power mode maps.
Page 78: Pw/Cw Mode Image Parameters
CW Sampling Line Angle Adjustment CW Focus Depth 3. Set the position of the sample line by moving the trackball left and right, and set the SVD by moving the trackball up and down, adjust the angle and SV size according to the actual situation.
Page 79 Baseline Description Refers to the area where the velocity is zero in the spectrum. Operations Press the <Baseline> key on the control panel and rotate the Multifunctional Knob on the left to adjust. Effects To change the range of flow velocity to optimize the image. PW Steer Description This function provides adjustment on angles for sampling line.
Page 80 T/F Res Description This function is used to adjust for a balance between time resolution and spatial resolution. Operations Adjust through the [T/F Res] item on the image menu. Dynamic Range Description The dynamic range conveys the information that being transformed from echo intensity to gray scale.
Page 81 Gray Map Description This function applies the gray correction to obtain the optimum images. Operations Click the [Gray Map] item on the image menu. Duplex/ Triplex Description This function is used to set if B image (B + Color image) and PW image are displayed synchronously.
Page 82 Description To adjust the SV position and size of sampling in PW mode, the real-time value of SV and SVD are displayed in the image parameter area in the upper right corner of the screen. SV size Click the [SV] on the image menu to adjust the SV size. Roll the trackball to select the SV depth.
Page 83: Color M Mode
Color M Mode Color M mode provides information of color flow or tissue on the M mode images to indicate cardiac motion state. It is highly sensitive to the flow or tissue movement. The Color M mode includes Color Flow M mode and Color Tissue M mode. The linear probe does not support the Color M mode.
Page 84: Anatomical M Mode (Free Xros M)
5.10 Anatomical M Mode (Free Xros M) Anatomical M Mode and Color Anatomical M mode images are CAUTION: provided for reference only, not for confirming a diagnosis. Please compare the image with that of other machines, or make diagnosis using none-ultrasound methods. For an image in the traditional M mode, the M-mark line goes along the beams transmitted from the probe.
Page 85: Exit Free Xros M
Adjustment of the M-mark Line Description To adjust the position and angle of the M-mark line. Operations Position Adjustment  When the M-mark line is activated, move the trackball left and right to adjust the position. The direction is recognized by the arrow at the end of the line. Angle Adjustment ...
Page 86: Tdi Image Parameters
Or, press <B> on the control panel to return to B mode.  5.11.2 TDI Image Parameters  In TDI mode scanning, the image parameter area in the upper right corner of the screen displays the real-time parameter values as follows: TVI/TEI ...
Page 87: Basic Procedures For Iscape Imaging
5.12.1 Basic Procedures for iScape Imaging To perform iScape imaging: 1. Connect an appropriate iScape-compatible probe. Make sure that there is enough coupling gel along the scan path. 2. Enter iScape: Click the [iScape] item on the image menu or press the user-defined key of iScape on the control panel.
Page 88: Iscape Viewing
Guidance and precautions for uniform motion: Make sure that there is enough coupling gel along the scan path.  Always move the probe slowly and steadily. Best results are achieved by moving the  probe with 1cm/s - 3cm/s). Continuous contact is required throughout the length of the extended image. Don’t lift ...
Page 89: Cine Review
5.12.3.4 Measurement, Comment, and Body Mark In iScape image viewing status, you can perform measurement, comment, and body mark. The operations are the same as that of B mode. NOTE: 1. The measurement accuracy for the spliced image may be degraded, exercise caution when measurements are performed on an iScape image.
Page 90: Note Before Use
5.13 3D/4D 5.13.1 Note before Use 5.13.1.1 Smart 3D Image Quality Conditions NOTE: In accordance with the ALARA (As Low As Reasonably Achievable) principle, please try to shorten the sweeping time after a good 3D imaging is obtained. The quality of images rendered in the Smart 3D mode is closely related to the fetal condition, angle of a B tangent plane and scanning technique.
Page 91: Overview
NOTE: 1. A region with qualified image in B mode may not be optimal for Smart 3D imaging. E.g. adequate AF isolation for one section plane doesn’t mean the whole desired region is isolated by AF. 2. More practices are needed for a high success rate of qualified Smart 3D imaging.
Page 92 image Cut plane ROI size and position  Roll the trackball to change the ROI size and position, press the <Set> key to toggle between setting the size (dotted line) and position (solid line, with a small box at each corner of ROI).
Page 93 View Direction a. Up/Down b. Down/Up c. Left/Right d. Right/Left e. Front/Back f. Back/Front  Wire cage When you view a Smart 3D image on the display monitor, it’s sometimes difficult to recognize the orientation. To help, the system displays a three-dimensional drawing to illustrate the orientation.
Page 94: Static 3D
Wire Cage The ultrasound images are provided for reference only, not for CAUTION: confirming a diagnosis. Please use caution to avoid misdiagnosis. 5.13.3 Static 3D Static 3D provides single frame image acquisition of 3D images. During scanning, the probe performs the scanning automatically. The probe D6-2P supports the static 3D.
Page 95 Draw a circle here ROI cover this area Cross cursor on the VOI curve For setting the ROI, be sure to: Set the ROI on the 2D image with the largest section area of the fetal face.  Set the ROI a little larger than the fetal head. ...
Page 96 5.13.3.2 Static 3D Acquisition Preparation Description of parameters: Type Parameter Description Function: to set the range for imaging. Angle Range: 10-70°. Parameter Function: to adjust the image quality by changing the line adjusting density. Image quality can affect the imaging speed: the Quality better the image quality, the longer the time.
Page 97 Window A is blue, and the lines (representing MPR A) displayed in the other two  windows are also blue. Window B is yellow, and the lines (representing MPR B) displayed in the other two  windows are also yellow. Window C is orange, and the lines (representing MPR C) displayed in the other two ...
Page 98 View Direction a. Up/Down b. Down/Up c. Left/Right d. Right/Left e. Front/Back f. Back/Front Adjust VOI  VOI On The VR image displays VOI information. 1. In image viewing status, click [VOI] to turn it to “On.” 2. Roll the trackball to adjust the VOI position, size and curved VOI, and press <Set> to switch between the adjusting status.
Page 99 Image Rendering Parameters In image viewing status, render the image by adjusting the relevant parameters. Render setting parameters description: Click [VR/MPR] on the screen to select VR or MPR parameter adjustments. When [VR] is highlighted in green, parameter adjustment is performed on the VR ...
Page 100  Reset Curve Parameter Description Reset Ori. To reset the volume rotation, shifting and zooming to its original status. Reset Curve To reset the curve to its original status. Reset All To reset the volume to its original orientation and original parameters. ...
Page 101 To rotate along the Z-axis: rotate the <PW> button on the control panel clockwise  and the image rotates right along the Z-axis. Rotate the button counter-clockwise and the image rotates to the left.  Auto rotation (1) In 3D viewing mode, Click the [Auto Rot.] tab on the screen. The system enters the auto rotation preparation state.
Page 102: Smart 3D
a) Press <Set> to fix the rectangle's position, roll the trackball to change the size, and press <Set> again to finish drawing the rectangle. b) Move the cursor to the region you want to cut and press <Set> again to cut. To undo the last cutting, Click [Undo] on the screen.
Page 103 1. Select the appropriate probe (non-4D probe) and exam mode. Make sure there is sufficient gel on the probe for scanning. 2. Obtain a 2D image. Optimize the image as described in the Static imaging procedure. 3. Press <3D/4D> to enter the Smart 3D imaging preparation status, and define the ROI as well as the curved VOI.
Page 104  Description of parameters: Parameter Description Function: select the image acquisition method. Selection: Rocked, Linear. Linear mode: during the sweep, the probe must be kept parallel. The scanning speed should be constant. Rocked mode: in this mode, the probe must be moved to a position where you Method can clearly see a middle cut of the object you want to scan and render.
Page 105: Ilive
5.13.4.4 Image Saving and Reviewing in Smart 3D It is similar to the saving and reviewing in 3D Static mode. 5.13.5 4D 4D provides continuous, high-volume acquisition of 3D images. During scanning, the probe performs the scanning automatically. 4D image acquisition operations are similar to those of Static 3D. The only difference is that in static 3D mode, only a single frame 3D image is captured, while in 4D mode, continuous, high-volume acquisition of 3D images is provided.
Page 106: Ipage
iLive is an option, and is available under Smart 3D, Static 3D and 4D modes. To use the iLive function, you must configure the Smart 3D module or the 4D module. To Activate iLive  1. Enter 3D/4D image viewing status, or double-click the saved 3D/4D cine file in the iStation or Review screen.
Page 107 5.13.7.2 iPage Basic Functions and Operations <1> A plane <2> B plane (the current <3> C plane reference image) <4> Y-axis <5> X-axis <6> Central section line (Current active section line) <7> Section line <8> <9> Image parameter Space between two planes <10>...
Page 108: Smart Face
Slice position (to the central slice): displayed in the top-left corner of each image,  indicating the position of each image (such as -7 mm, -3 mm, 3 mm, 8 mm). Coordinate axis: indicated on the three A, B, C reference images. Correspond to the ...
Page 109: Elastography
2. Click [SmartFace] to enter the function and the system adjust fetal face angle (fetal head facing up and face is at the front with [Direct] to be up/down) automatically and remove the shading obstacle data. Parameter adjusting Parameters under Smart Face are similar to those under Static 3D mode. FaceContact ...
Page 110: Pressure Hint Curve
5.14.3 Pressure Hint Curve The screen displays the pressure curve in real time: The X-axis represents time and the Y-axis represents pressure. ROI Adjustment Description To adjust the width and position of the ROI in Elasto imaging. Operation When the ROI box is solid line, roll the trackball to change its position. When the ROI box is a dotted line, roll the trackball to change the size.
Page 111: Cine Review
5.14.4 Cine Review Press <Freeze> or open a elastography imaging cine file to enter cine review status. 5.15 Contrast Imaging Contrast imaging is an option. The probes 35C50P, 3C5P and C6-2P supports the contrast imaging mode. Set MI index by instructions in the contrast agent accompanied Caution: manual.
Page 112 5.15.1.1 Parameter Area Display When entering contrast imaging mode, the screen displays the contrast image, and if [Dual Live] item on the screen is “ON”, both the contrast image (marked with “ ”) and tissue image (marked with “ ”) are displayed (the two window position can be changed). Parameter area displays as follows: Type Parameter...
Page 113: Measurement, Comment And Body Mark
 The time begins at 0.  In live mode, there displays the elapsed time. For example, , it means the elapsed time is 8s.  Freeze the image during the timing, the timer stops working, and there displays the elapsed time.
Page 115: Display & Cine Review
Display & Cine Review Image Display 6.1.1 Splitting Display The system supports dual-split and quad-split display format. However, only one window is active. Dual-split: press <Dual> key on the control panel to enter the dual-split mode, and  using <Dual> key to switch between the two images; press <B> on the control panel to exit.
Page 116: Freeze/ Unfreeze The Image
3. Exit: Press <Depth/Zoom>.  Unfreeze the image, the system exit pan zooming status automatically.  6.1.2.3 iZoom (Full-screen Zooming) Function: to magnify the image in full screen. According to the region to be zoomed, the system supports two types of full-screen zooming: Zoom in the standard area to full-screen, including image area, parameter area, ...
Page 117: Cine Review
6.1.3.2 Imaging Display Format Switching When Frozen Image display format switching in freezing mode follows the following principles:  Dual/quad splitting display mode (Press <Freeze> key in dual/quad splitting display mode) When enters freeze mode, the default activated window is the real-time window ...
Page 118: Cine Review In 2D Mode
6.2.2 Cine Review in 2D Mode 2D mode includes B, B+Color, B+Power, B+TVI and B+TEI.  Manual Cine Review: After entering the cine review of 2D mode, roll the trackball to review the cine images on the screen one by one. If you roll the trackball to the left, the review sequence is reversed to the image-storing sequence, thus the images are displayed in descending order.
Page 119: Cine Review In M/ Pw/ Cw/ Tvd Mode
Tips: you can perform cine review on each image window in the dual/ quad splitting mode, and set auto review region for each window. 6.2.3 Cine Review in M/ PW/ CW/ TVD Mode Enter cine review in M/ PW/ CW/ TVD mode, and roll the trackball, the cine images are displayed on the screen one by one.
Page 120: Image Compare
Image Compare 6.3.1 Image Compare in Review Mode 1. Press <Review> to enter Review screen, press <Ctrl>+<Set> to select files to be compared. 2. Tip: for B/ B+Color/ B+TVI/ B+Power/ B+TEI mode image, you can select at most 4 images; for PW/M/CW/TVD mode image, you can select at most 2 images.
Page 121: Cine Memory Clear
to switch and display the images in either memory, so you can compare images in Split mode. The memory capacity is evenly distributed as per splitting number, as shown in the following table (Taking B images in low density as an example, the capacity of B cine memory is N frames): Imaging Mode...
Page 123: Ecg
The system can be configured with the optional physio module. In that case, the ECG signal is displayed on the image, and can be reviewed simultaneously with the image.  When the system is connected with the ECG module: The Physio menu is available. ...
Page 124: Ecg Operation Basic Procedures
ECG Operation Basic Procedures 1. Connect the ECG device. Turn off the power supply of the system, and connect the ECG cable to the port in the  system. Turn on the power supply of the system  Place the ECG electrodes on the patient’s body (as shown in the following figure) ...
Page 125: Parameter Description
Parameter Description Parameter Description Function: to control the display of ECG trace in live status. Value: On/Off, On is to display the trace, while Off is to hide the trace. In scanning mode, turn off ECG display will stop ECG signal acquisition. In freeze mode, this is used to show or hide the ECG trace.
Page 127: Measurement
Measurement There are general measurement and application measurement. You can perform measurements on a zoomed image, cine reviewing image, real-time image, or a frozen image. For measurements details, please refer to the [Advanced Volume]. Be sure to measure areas of interest from the most optimal WARNING: image plane...
Page 128: M General Measurements
Measurement Tools Function Volume The volume of a target. The length of two line segments, which are perpendicular to each Cross Line other. Parallel Line The distance between each pair of parallel lines in a sequence. Trace Length (Trace) Measures the length of a curve on the image. Trace Len (Spline) Measures the length of a curve on the image.
Page 129: Doppler General Measurements
8.2.3 Doppler General Measurements Doppler general measurements refer to general measurements on PW/CW-mode images. The measurements listed below can be performed: Measurement Function Tools Time The time interval between any two points. N intervals (n≤8) are measured to calculate a PW mode derived HR value in Beats Per Minute (BPM).
Page 130: Measurement Accuracy
Measurement Accuracy Table 1 Error of 2D Images Parameter Value Range Error Within ±3%; or when the measured value is less Distance Full screen than 40 mm, the error is less than 1.5 mm. Within ±7%; or when the measured value is less Area (Trace) Full screen than 16 cm...
Page 131: Comments And Body Marks
Comments and Body Marks Comments Comments can be added to an ultrasound image to bring attention, notate or communicate information observed during the examination. You can add comments to: zoomed image, cine review image, real-time image, frozen image. You can type the character as comments; insert the pre-defined comments from the comment library;...
Page 132: Adding Comments
 ABC Display Click [ABC Display] to display or hide the added comments. Assign the user-defined key for the function in “[Setup]-> [System Preset]->“Key Config” ”.  Set comment language Click [English] to turn on or off the English comments. If “English” is turned on, the comments will display in English;...
Page 133: Moving Comments
5. Press <Arrow> key, <ESC> or to exit the arrow comment status. 9.1.4 Moving Comments 1. Move the cursor onto the comment that needs to be moved. Press <Set> to select it, where a highlighted box appears around the comment. 2.
Page 134: Body Mark
Body Mark The Body Mark (Pictogram) feature is used for indicating the exam position of the patient and transducer position and orientation. The system supports body marks for Abdomen, Cardiology, GYN, OB, Urology, Small Part and Vascular applications. In addition, the system supports user-defined body marks, and body marks can be imported.
Page 135: Moving Body Marks
9.2.4 Moving Body Marks You can move the body mark graphic to any desired position within the image area. 1. Roll the trackball to move the cursor onto the body mark. The cursor changes into indicating you can move the pictogram to a new position. 2.
Page 137: Patient Data Management
The system patient database space is limited, please back up or clear patient data in time. Mindray is not responsible for lost data if you DO NOT follow suggested backup procedures. 10.1 Patient Information Management 10.1.1 Enter Patient Information The general patient information and exam information are entered through the Patient Info screen, for details, please refer to “4.2 Patient Information”.
Page 138: Image Storage Preset
System-defined multi-frame file format; you can perform manual or auto cine review, and perform measurements or add comments for the reviewed images. After you open a stored CIN file, the system automatically enters cine review status. The system can save FRM files as BMP, JPG, TIFF or DCM files, or save CIN files as AVI, DCM files.
Page 139: Quickly Saving Images To Usb Flash Drive
 To save cineloop image in the system: (1) Enter [Setup]-> [System Preset] -> [Key Config]-> [Output], set a user-defined key for function “Save cine”. (2) Freeze an image. Click the user-defined key to save the current image file in the default file directory in the dynamic image format .CIN.
Page 140: Image Review And Analysis
10.2.8 Image Review and Analysis You can review and analyze the stored images (only refer to the images stored in the system default path). 10.2.8.1 To review images You can review all images stored in an exam, and send, delete or analyze the stored images. ...
Page 141 You can select one certain exam from the exam directory to review the images. If entered from iStation, the screen displays the record(s) selected in the iStation.  If no patient is selected when it was in iStation, then all the patients in the system database will be displayed, and the current patient exam is listed.
Page 142: Ivision
10.2.9 iVision iVision function is used for demonstration of the images stored. Image files are played according to file names one by one (including the image of system-relevant and PC- compatible format). To perform image demonstration: 1. Enter iVision screen: Press the user-defined key for iVision on the control panel (setting path: [Setup]→...
Page 143: Sending Image File
[<]: to delete the selected data. [<<]: to delete all data. Customize Catalog: what saved here is the catalog of the displayed image. The  system plays the images in the catalog when performs demonstration. Operate the catalog by the buttons on the right: [Add File]: to add files to the file list.
Page 144 In the iStation screen, click the Send To Arrow; or, in Review screen, click [Send To] to send patient data to an external memory device, you can choose if reports are exported with images. See the figure below. To export the report: (1) Check “Export Report”...
Page 145: Patient Data Management (Istation)
10.4 Patient Data Management (iStation) The patient data include basic patient information, exam information, image files and reports. You can search, view, backup, send, restore or delete patient data in iStation.  To Enter iStation Press <iStation> key on the control panel; or ...
Page 146: Searching A Patient
10.4.1 Searching a Patient (1) Select the data source. (2) Set search conditions of Name, ID, DOB, Exam Date in the "Item" drop-down list. (3) Enter the keyword in accordance with the “Item” selected, and the system searches and displays the results in the patient list. (4) When you select a patient in the patient list, the images of this patient will be displayed at the bottom of the screen.
Page 147 : Restore. Click to import the patient data from an external media. If no external data source is connected, then the button is unavailable.  Send To The system supports to send data to external memory devices or print. Select the patient record, click in the menu to send exam data or images of the ...
Page 148: Backing Up And Erasing Files Through Dvd Drive
10.5 Backing Up and Erasing Files through DVD Drive The system supports DVD-RW to write data in CD/DVD and to read data from CD/DVD in PC. Support media: DVD±RW, DVD±R, CD-RW, CD-R.  To write data to a CD/DVD: (1) Put a CD/DVD in the tray. (2) Select the data to be backed up, click in the screen (in iStation or Review).
Page 149: Patient Task Manager
10.6 Patient Task Manager Click at the lower right corner of the screen to pop up the following dialogue box: Including:  Storage Task: displays the DICOM storage task.  DICOM Print Task: displays the DICOM print task.  Media Storage Task: DICOM media storage task(including disc and USB devices) ...
Page 150: Access Control
 Select All Click [Select All] to select all the tasks.  Task Status Select the undergoing task, the system will display its detailed status information or error information. When there is/are task(s) undergoing, the task management icon displays as , you can click the icon to check the process.
Page 151: Adding/ Deleting A User
As long as the system is in working status, you can enter the above screens without inputting user name and password repeatedly. You need to login again after system restart or dormancy.  Login the system: (1) If the system requires you to log on the system before you access the data, you can see the following dialogue box.
Page 152 2. Click [Add] to enter the following page. 3. Enter the user name(you are not allowed to enter the same name or modify the name already exist). 4. Enter user name and the password. 5. Set the user role in the drop-down list: administrator or operator. 6.
Page 153: Modifying Password
10.7.5 Modifying Password The system administrator can modify password of all users. The administrator password by factory is empty, you can set the password for it. The operator can only modify his/her own password. To modify the password, the user has to login the system first. There are two ways to modify password: modify it on “Admin”...
Page 155: Dicom
DICOM NOTE: Before using DICOM, please read the electronic file DICOM CONFORMANCE STATEMENT along with the device. This chapter is confined to the preset, connection verification and DICOM services of the DICOM-configured ultrasound machine, not including SCP configurations like PACS/ RIS/ HIS. The DICOM package is optional, so the description here is only applicable for the system configured with the DICOM package.
Page 156: Dicom Preset
11.1 DICOM Preset 11.1.1 Network Preset NOTE DO Not edit IP address in Network Preset page as the network task is executed, otherwise it fails. View if there is any undergoing task in task manager of the system. Preset local TCP/IP settings. 1.
Page 157: Dicom Preset
11.1.2 DICOM Preset To set the DICOM service and server properties. 1. Press <Setup> to enter the [Setup] menu. 2. Select [DICOM Preset]. 3. Preset local DICOM properties and DICOM server.  Localhost DICOM Service Property Name Description Application entity title of the ultrasound system. AE Title The AE title here should be the same with the one of the acceptable SCU set in the server.
Page 158 the AE Title of the accepted SCU is preset as MMM, then in the figure above, the AE Title of Local should be MMM, and the AE Title of print server should be AAA. DICOM Server Setting  Name Description Device Name of the device supporting DICOM services.
Page 159 DICOM storage setting items are described as follows: Name Description After you set the server (s) in DICOM Server Setting, the name Device (s) will appear in the drop-down list, select the name of the storage server. Service Name Default is xxx-Storage, and it can be modified. Application Entity title, Here, it should be consistent with that of AE Title the storage server.
Page 160 Name Description [Cancel] Click to cancel the parameter setting. Select an item in the service list, change the parameters in the [Update] above area, and click [Update] to update the item in the service list. [Delete] Click to delete the selected service in the service list Select an item in the service list, click [Default] and you can see [Default] “Y”...
Page 161 DICOM print setting items are described as follows: Name Description After you set the server (s) in DICOM Server Setting, the Device name (s) will appear in the drop-down list, select the name of the print server. Service Name Default is xxx-Print, and it can be modified. Application Entity title.
Page 162 Name Description Specify quantity of printed files,e.g. STANDARD\2, 3 Display Format indicates 6 images are printed for each page. Medium Type Specify print medium: Paper, Clear Film, Blue Film. Specify whether you want a trim box to be printed around Trim each image on the film: Yes or No.
Page 163: Verify Connectivity
DICOM Worklist service parameters are similar to those described in DICOM Storage Preset, please refer to “11.1.3.1 Storage” for details. 11.1.3.4 MPPS Preset 1. On DICOM Service screen, click [MPPS] page tab to enter the MPPS page: 2. Select device, enter the right AE Title, port, etc. 3.
Page 164: Dicom Service
The server supports the verification, but this function is not activated. Please check if  the verification function is activated. Note: Not all the SCPs can support verification; please consult SCP belongings to confirm whether SCP can support this service. If not, the verification won’t pass. 11.3 DICOM Service If the system is configured with DICOM modules, and connected to the relevant DICOM servers, after verifying connection, you can perform storage, print, Worklist, storage...
Page 165 (3) Select DICOM in the “Target” list, select a server in the “Storage Server” list. (4) Click [OK] to start the sending.  To send images by shortcut key You can save single frame image or multi-frame images to DICOM server while saving to hard drive by shortcut key.
Page 166: Dicom Print
(2) Set a default storage server. a) Enter the DICOM Service Preset screen via “[Setup] → [DICOM Preset] → [Set DICOM Service]”. b) Select a storage server in the Service List and click [Default]; you can see “Y” in the Default column. c) Click [Exit] to exit the page and return to Setup menu, then click [Save] on the Setup menu to make the preset to take effect.
Page 167: Dicom Worklist
d) Click [Exit] to exit the page and return to Setup menu, then click [Save] on the Setup menu to make the preset to take effect. (3) After finishing presets, you can perform image scanning, each time you press <End Exam>...
Page 168: Mpps
a) Click to select a patient record . b) Click [Show Detail] to view the detailed patient information and properties. Use the automatic query function via Worklist server  (1) Enter DICOM Service Preset screen, and open the Worklist page: [Setup] [DICOM →...
Page 169: Query/Retrieve
a) Enter the DICOM Service Preset screen via “[Setup] -> [DICOM Preset] -> [Set DICOM Service]”. b) Select a server in the Service List of Storage page and Storage Commitment page and click [Default]; you can see “Y” is marked in the Default column. c) Click [Exit] to exit the page and return to Setup menu, then click [Save] on the Setup menu to make the preset to take effect.
Page 170 3. Select the server in “Server and Service” area (both the source and the destination). 4. Enter the query information, such as Patient ID, Patient Name, Accession #, Exam Date, or key words. Click [Clear] to empty the entered query information. 5.
Page 171: Dicom Media Storage
11.4 DICOM Media Storage The system supports to save patient data to the external media in DCM format. Meanwhile, in the system, you can view the saved DCM files from external media Media storage:  1. Select patient record(s) in the iStation screen. 2.
Page 172: Structured Report
11.5 Structured Report DICOM OB/GYN Structured report, Cardiac Structured report and Vascular Structured report are supported by this system, they can be sent together with the exam only.  Send image and structured report for storage in iStation screen (1) Select “Attach SR When Store Images” in the DICOM Storage preset page, for details; please refer to “11.1.3.1 Storage”.
Page 173: Setup
CD/DVD or USB memory devices. When the setup data is changed, be sure to save the preferences CAUTION: according to the methods described in this chapter. Mindray is not responsible for the loss of the setup data.  To enter Setup: Press the <Setup>...
Page 174: Region
12.1.1 Region Open the Region page via [Setup]-> [System Preset]-> [Region]. The items to be set are as follows. Item Description To set the hospital relevant information like name, address, telephone Hospital Information and so on. To select a language for the system, the available languages are Chinese, English, French, German, Italian, Portuguese, Russian, Spanish, Polish, Czech, Turkish, Finnish, Danish, Icelandic, Language...
Page 175: General
12.1.2 General Open the General page via [Setup]-> [System Preset]-> [General], as shown in the figure below. Type Item Description To select if to display the following patient information Info displays in on the image banner: Gender, Age, Operator, ID, image banner Name, Hospital Patient Info...
Page 176: Image Preset
Type Item Description Enable Standby Available after “Enable ScreenSaver” is selected. After screen saver function is enabled, click [Browse] to Select Picture select the figure used for screen saver, and click [Preview] to see the effect. Status after exam Select to enter the imaging scanning, patient info or the Exam Setup ends Worklist after ending an exam.
Page 177: Application
Type Item Description To set the steer mode in B+ Color +PW imaging mode. C&PW: select to adjust the sample volume in color Steer mode and sample line in PW mode together. C/PW: select to adjust the sample volume in color mode and sample line in PW mode individually.
Page 178: Biopsy
 Key function setting You can set the functions for <Print>, <Save>, F1 and footswitch. To assign a function to a key: (1) Click to select the desired key in the Key Function column at the left side of the page. (2) Click to select a function in Function area.
Page 179: Measure Preset
Procedures: 1. To select a probe: Move the cursor to [Probe], and select a probe from the drop-down list. 2. Selecting/delete exam modes On the right side of the screen, you can view the exam types supported by the current probe.
Page 180 Procedures: 1. Select an exam mode. 2. Enter Library Name: you can enter characters for the library name, or accept the default name (the same as that for the exam mode). 3. Select an available item. 4. Add user-defined comments: directly enter comment texts, or select comment texts for the comment library.
Page 181: Bodymark Preset
7. After you customize comments, click [Save] to confirm and exit the [Comment Preset] screen. 12.5 Bodymark Preset In order to accommodate your workflow – numerous preferential settings can be captured in Body Mark Preset. This function is to preset, body marks in each exam type, or user-defined body marks.
Page 182: Print Preset
7. Select the body mark in Selected Items and click [Default], and then the body mark will be marked with a tick ”√”. 8. Click [Save] to complete the setting. 12.6 Print Preset The settings of a printer include print service and print driver. Print Service Setting ...
Page 183: Network Preset
12.7 Network Preset For local TCP/IP Setting and DICOM preset, please refer to “11.1 DICOM Preset”. 12.7.1 iStorage Preset The iStorage screen is as follows: Name Description Service Name Name of the device, cannot be empty IP address of the PC installed with iStorage software, cannot be IP Address empty Port...
Page 184: Medsight Preset
Tips: Every trial option can be used only once. Please refer to the dependence relationship between options in chapter “2.5.3 Options”. Please contact Mindray Customer Service Department or sales representative for details. 12.8.2 Probe Check This function enables users to check if a transducer element is in malfunction, so as to evaluate the transducer performance.
Page 185: Other Settings
NOTE: 1. Probe check is provided for reference only, not for confirming a diagnosis. 2. Each time a transducer is connected to the main system or activated, the users are recommended to implement probe check of transducer performance. 3. Before probe check, make sure the probe is clean and not being used for scan. 4.
Page 187: Probes And Biopsy
Probes and Biopsy 13.1 Probe The system supports the following probes: Probe model Illustration 3C5P 6C2P 6CV1P CB10-4P Probes and Biopsy 13-1...
Page 188 Probe model Illustration 7L4P 7L5P L14-6P 2P2P 7LT4P 13-2 Probes and Biopsy...
Page 189 Probe model Illustration V10-4BP 6LE7P 35C50P 75L38P D6-2P Probes and Biopsy 13-3...
Page 190: Name And Function Of Each Part Of The Transducer
Probe model Illustration P7-3P C6-2P 7L4BP 13.1.1 Name and Function of Each Part of the Transducer Basic structures and functions of all probes listed above are similar, and are described as follows.  Probe 3C5P <1> <2> <3> <4> <5> 13-4 Probes and Biopsy...
Page 191: Orientation Of The Ultrasound Image And The Transducer Head
Name Function It converts the electrical signal into ultrasound signal, making the sound beams focus in the given direction; meanwhile, it will receive the ultrasound signal and then <1> Transducer head convert the received signal into electrical signal. The lens on the surface is the acoustic lens. Apply ultrasound gel on the acoustic lens.
Page 192: Operating Procedures
13.1.3 Operating Procedures This section describes general procedures for operating the transducer. The proper clinical technique to be used for operating the transducer should be selected on the basis of specialized training and clinical experience.  Procedures for operating (with biopsy function) 13-6 Probes and Biopsy...
Page 193  Procedures for operating (with no biopsy function) Inspection before examination Connection to the ultrasonic diagnostic system Examinations Disconnection to the ultrasonic diagnostic system Wiping off the ultrasound gel Thoroughly cleaning the transducer Drying the transducer Disinfecting the transducer Rinsing the transducer Drying the transducer Inspection after use Storage...
Page 194: Wearing The Transducer Sheath
13.1.4 Wearing the Transducer Sheath A transducer sheath must be installed over the transducer before performing examination. Probe sheaths are available for use with all clinical situations where infection is a concern. A probe sheath must be installed over the probe before performing intra-cavity or biopsy examination.
Page 195: Probe Cleaning, Disinfection And Sterilization
13.1.5 Probe Cleaning, Disinfection and Sterilization Before and after each examination, clean and disinfect (or sterilize) the probes as required. When biopsy procedures have been performed, be sure to sterilize the needle-guided bracket. Fail to do so may result in the probe and the needle-guided bracket to becoming sources of infection.
Page 196 10. Check whether the probe has defects such as peeling, rifts, bumps, cracks, or liquid spill. If such defects exist, the probe has reached the end of its service life. In this case, stop using it and contact the Mindray service department. Low-level disinfection of a non-critical probe Use protective eyewear when disinfecting using sprays.
Page 197 If such defects exist, the probe has reached the end of its service life. In this case, stop using it and contact the Mindray service department. 8. Store the probe in a cool, clean and dry environment. And repeat the cleaning and disinfection process before the next use.
Page 198 2. Clean the probe thoroughly in accordance with the cleaning procedure before sterilization. 3. Sterilize the probe by using an appropriate sterilant. MINDRAY recommended the following solution to sterilize the probe. For how to use the sterilant, see the operator's manual provided by the manufacturer.
Page 199: Environment
CAUTION: the transducer, please check the transducer’s performance periodically. Compatible Cleaner, Disinfectants and Sterilants For the cleaner, disinfectants and sterilants information, please refer to Mindray Transducer Disinfectant Recommendation. 13.1.6 Environment Working condition Use the probes in the following ambient conditions:...
Page 200 Ambient Atmospheric Probe Relative humidity temperature pressure 30%～85%RH 0℃～40℃ 700hPa～1060hPa 2P2P （no condensation） 30%～85%RH V10-4BP 0℃～40℃ 700hPa～1060hPa （no condensation） 25%～90%RH 0℃～40℃ 550hPa～1060hPa 7LT4P （no condensation） 30%～85%RH 0℃～40℃ 700hPa～1060hPa 6LE7P （no condensation） 30%～85%RH P7-3P 10℃～40℃ 700hPa～1060hPa （no condensation） 30%-85%RH（no 0-40℃ 35C50P 700-1060hPa condensation）...
Page 201 Ambient Atmospheric Probe Relative humidity temperature pressure 10%~95%RH（no -20℃～55℃ 6CV1P 500 hPa ~ 1060 hPa condensation） 30%~95%RH（no CB10-4P -20℃～55℃ 700 hPa ~ 1060 hPa condensation） 30%~95%RH（no 7L4P -20℃～55℃ 700 hPa ~ 1060 hPa condensation） 30%~95%RH（no 7L5P -20℃～55℃ 700 hPa ~ 1060 hPa condensation）...
Page 202: Biopsy Guide
2. When the transducer is sent to MINDRAY Customer Service Department or sales representative for repair, be sure to disinfect it and keep it in the carrying case to prevent infection. 3. Disinfect the carrying case as necessary. 13.2 Biopsy Guide...
Page 203 The needle mark displayed on the ultrasound image does not indicate the actual position of the biopsy needle. Therefore, it should only be used as a reference. Always monitor the relative positions of the biopsy needle during the procedures. Adjust the needle mark before the biopsy procedure is performed.
Page 204 Image of the biopsy target and the actual position of the biopsy needle: Diagnostic ultrasound systems produce tomographic plane images with information of a certain thickness in the thickness direction of the transducer. (That is to say, the information shown in the images consist all the information scanned in the thickness direction of the transducer.) So, even though the biopsy needle appears to have penetrated the target object...
Page 205: Basic Procedures For Biopsy Guiding
A needle-guided bracket is available for purchase as an optional accessory; it is used in combination with this transducer. Part of the probes have matched needle-guided bracket and needles. To order needle-guided brackets, contact MINDRAY Customer Service Department or sales representative.
Page 206 Clamping knob of the needle guide Needle guide Needle guide hole Clamp Locating pit Needle guide rack Locating groove Grip knob Needle-guided bracket Transducer  NGB-001 Metal-detachable Guiding hole Groove V-shaped guiding block Lock pin Needle type adjusting base Needle fixing nut Needle type dial scale V-shaped cover...
Page 207  NGB-004 Locking nut Needle guide Retaining clamp Locating bulge Transducer Locating groove NGB-006  Metal/ needle detachable:  Name Description Support of needle- Used for installing the needle-guided bracket on the <1> guided bracket transducer. Groove and tab of Respectively matched with the tab and groove of the <2>...
Page 208 Name Description Used for installing biopsy needle; there are five <7> Guiding block specifications of guiding blocks for different biopsy needles. Specification of <8> Matched with the corresponding biopsy needle (14G) guiding block (14G) Guiding hole of the <9> Used for installing the biopsy needle. biopsy needle Pinch nut of needle- Used for locking the needle-guided bracket and the...
Page 209  NGB-007 Metal:  <8> <7> <6> <10> <9> <3> <4> <1> <5> <2> Name Description Support of needle-guided Used for installing the needle-guided bracket on <1> bracket the transducer Groove and tab of the Respectively matched with the tab and groove of <2>...
Page 210 Plastic  Name Description Support of needle- Used for installing the needle-guided bracket on the <1> guided bracket transducer Used for determining the angle of the biopsy; there are <2> Angle block three specifications of blocks of angle Used for installing biopsy needle; there are five <3>...
Page 211 Name Description Knob fixing needle- Used for fixing the needle-guided bracket on the <2> guided bracket transducer. <3> Groove Match with the tab on the transducer. Hole for installing guiding Used for installing the knob of fixing needle-guided <4> block bracket.
Page 212 Name Description Specification of <5> Matched with the corresponding biopsy needle (13G). guiding block (13G) Knob of fixing the <6> Used for fixing the guiding block. guiding block <7> Needle guide angle The needle guide angle of this needle-guided bracket. Grooves of the <8>...
Page 213: Needle-Guided Bracket Inspection And Installation
Be sure to perform inspections before and after use of the needle-guided bracket. If an abnormality is found on the needle-guided bracket, immediately stop using it and contact MINDRAY Customer Service Department or sales representative. 1. Sterilize the needle-guided bracket before and after use.
Page 214 3. Confirm that the needle-guided bracket is securely mounted in the correct position. Installing the Needle-guided Bracket  NGB-001, NGB-002 and NGB-005 metal/needle un-detachable needle-guided bracket (taking NGB-001 as example) (1) Put on the sterile transducer sheath. (2) Inosculate the locating groove on the clamp with the two raised edges on the transducer head and aligning the locating pit of the clamp to the convex point on the transducer head.
Page 215 3. When the retaining clamp is turned to the right position, the locking nut will lock the retaining clamp and the needle-guided bracket is then mounted to the right position. NGB-006:  Metal/ needle detachable:  (1) Put on the sterile probe sheath. (2) Hold the transducer by one hand, select the proper needle-guided bracket, and hold it with the other hand.
Page 216 (2) Hold the transducer by one hand, select proper needle-guided bracket, and hold it with the other hand, and align the narrow end of tab of the needle-guided bracket with the groove of the transducer, then push the needle-guided bracket forward, making the tabs and the groove of the needle-guided bracket to match with the grooves and tab of the transducer.
Page 217 5) Screw the nut of the block to secure the block. 6) Insert a biopsy needle with the same specification as that of the guiding block into the hole of the guiding block. Plastic  1) Put on the sterile transducer sheath. 2) Hold the transducer by one hand, select proper needle-guided bracket, and hold it with the other hand.
Page 218  NGB-009 metal/needle detachable needle-guided bracket (1) Put on the transducer cover. (2) Cover the support of needle-guided bracket on the transducer, making the groove of the needle-guided bracket to match with the tab of the transducer. Set the needle- guided bracket at the desired position, turn tightly the knob of fixing needle-guided bracket to fix the needle-guided bracket.
Page 219  NGB-010 metal/needle detachable needle-guided bracket (1) Put on the probe cover. (2) Hold the probe by one hand, select proper needle-guided bracket, and hold it with the other hand, and align the grooves of the needle-guided bracket with the tabs of the probe, then push the needle-guided bracket forward, making the grooves of the needle-guided bracket to match with the tabs of the probe.
Page 220 3. Screw the pinch nut of the needle-guided bracket to confirm that the needle-guided bracket is properly installed on the transducer. 4. Select a proper guiding block and push it into the groove above the angle block, and clamp it tightly. 5.
Page 221: Biopsy Menu
13.2.4 Biopsy Menu Press <Biopsy> to show the biopsy menu.  Select biopsy bracket angle If the needle-guided bracket supports more than one biopsy angle, you can select the angle from the drop-down list.  Select Dot size Move the cursor onto [Dot Size], press <Set> to select the dot size among Small, Medium and Big.
Page 222: Ineedle (Needle Visualization Enhancement )
Adjust guide line position  Move the cursor onto [Position], press <Set> key to move it linearly, or press and rotate the multifunctional-knob. This is operative when there is only one guide line displayed. Adjust angle  Move the cursor onto [Angle], press <Set> key to change the guide line angle, or press and rotate the multifunctional-knob.
Page 223: Removing The Needle-Guided Bracket
To enter/exit iNeedle  To enter iNeedle Click [iNeedle] item in B page on the screen. Or, you can assign a user-defined key for entering iNeedle.  Open iNeedle in Biopsy status 1. Perform scanning and locate the target, press <Biopsy> to enter the screen. 2.
Page 224  NGB-004 Hold the transducer in the left hand, unscrew the locking nut with the right hand to open the retaining clamp, and then raise the needle-guided bracket to separate the locating bulge from the locating grooves. NGB-006  Metal/ needle detachable: ...
Page 225 2) Separate the residual part of the needle-guide bracket and the transducer from the needle. 3) Screw the pinch nut of the bracket, and remove the needle-guided bracket from the transducer. Plastic  1) Remove the guiding block slightly along the direction of the needle’s tail. 2) Separate the residual part of the needle-guide bracket and the transducer from the needle.
Page 226: Clean And Sterilize The Needle-Guided Bracket
 NGB-016 1. Screw the nut of the guiding block and remove the guiding block slightly along the direction of the needle’s tail. 2. Separate the residual part of the needle-guide bracket and the transducer from the needle. 3. Screw the pinch nut of the bracket, and remove the needle-guided bracket from the transducer.
Page 227 1. Wear a pair of gloves to prevent infection. 2. Clean thoroughly in accordance with the cleaning procedure before sterilization. 3. Sterilize the needle-guided bracket by using an appropriate sterilant. MINDRAY recommended the following solution to sterilize the needle-guided bracket. For how to use a sterilant, see the operator's manual provided by the manufacturer.
Page 228: Storage And Transportation
 Between examinations, keep the needle-guided bracket in a sterile environment.  When the needle-guided bracket is sent to your MINDRAY representative for repair, be sure to disinfect or sterilize it and keep it in the carrying case to prevent infection.
Page 229: Middle Line
13.3 Middle Line “Middle Line” helps to locate the focus point of lithotrity wave during lithotrity treatment. By watching the procedure of lithotrity in real-time and adjusting the intension and frequency of the lithotrity wave, the harm to the patients can be reduced to the least. ...
Page 231: Battery
Battery DO NOT install or detach the battery ad arbitrium WARNING: The batteries have protective mechanism and circuit. DO NOT disassemble or alter the battery. DO NOT short-circuit the batteries by directly connecting the negative terminals with metal objects. DO NOT heat the battery or discard it in a fire. Keep the batteries away from fire and other heat sources.
Page 232: Precautions
14.2 Precautions 1. Before using the battery, carefully read the description in the label on the surface of the battery. 2. When you use the battery at the first time and find that it is dirty or emit an odor, do not use it.
Page 233: One Full Discharge / Charge Cycle
Warning! Battery is out of power! Please connect to power supply or system will be shut down in one minute. Connect the power supply to afford normal work. 14.5 One Full Discharge / Charge Cycle If the battery has not been used for over 2 months, you are recommended to perform one full discharge / charge cycle.
Page 235: Acoustic Output
Acoustic Output This section of the operator’s manual applies to the overall system including the main unit, probes, accessories and peripherals. This section contains important safety information for operators of the device, pertaining to acoustic output and how to control patient exposure through use of the ALARA (as low as reasonably achievable) principle.
Page 236: Mi/Ti Explanation
15.4 MI/TI Explanation 15.4.1 Basic Knowledge of MI and TI The relationship of various ultrasound output parameters (frequency, acoustic pressure and intensity, etc) to bioeffects is not fully understood presently. It is recognized that two fundamental mechanisms may induce bioeffects. One is a thermal bioeffect with tissue absorption of ultrasound, and another one is a mechanical bioeffect based on cavitations.
Page 237: Mi/Ti Display
Default settings of acoustic power value refer to the best image quality of the probe. The larger the acoustic power value, the better the image quality. In the Z6/Z60T/Z60S/Z60 Pro/DP-60/Z60 products, to obtain optimum images for applications under the requirements of safety and ALARA principle, we set acoustic power default values in factory to be maximum 97% in OB1, OB2/3, Fetal-Cardiac exam modes and other modes for a better image quality.
Page 238: Acoustic Power Control
15.6 Acoustic Power Control The qualified operator may use the system controls to limit the ultrasound output and to adjust the quality of the images. There are three categories of system controls relative to output. They are controls that have direct effect on the output, controls that indirectly control output and controls that are receiver controls.
Page 239: Limits Of Acoustic Output
15.7.2 Limits of Acoustic Output In accordance with the FDA Track 3 requirements, the derating (or attenuated) approach was incorporated into the FDA Acoustic Output Limits, as listed below. The maximum acoustic output level from any transducer in any operating mode is expected to fall below these limits. FDA Maximum Acoustic Output Limits for Track 3 (Attenuated Values) Application (mW/cm...
Page 240: Measurement Uncertainty
15.8 Measurement Uncertainty Acoustic Quantities Total Uncertainties (Standard) Power 26.48% for non-scan modes; 6.03% for scan modes. Frequency 0.22% Pressure 13.01% 26.48% for non-scan modes; 26.95% for scan modes. 26.5% Mechanical Index 13.01% Non-scan Modes Scan-Modes Total Uncertainty for TIS 26.48% 6.03% Total Uncertainty for TIB...
Page 241: Emc Guidance And Manufacturer's Declaration
EMC Guidance and Manufacturer’s Declaration The system complies with the EMC standard IEC 60601-1-2: 2014. Intended Environments: HOME HEALTHCARE ENVIRONMENT(except for near active HF SURGICAL EQUIPMENT and the RF shielded room of an ME SYSTEM for magnetic resonance imaging). WARNING: The use of unapproved accessories may diminish system performance.
Page 242 Date/time information.  TABLE 1 GUIDANCE AND MINDRAY DECLARATION—ELECTROMAGNETIC EMISSIONS The system is intended for use in the electromagnetic environment specified below. The customer or the user of system should assure that it is used in such an environment. ELECTROMAGNETIC ENVIROMENT－...
Page 243 TABLE 2 GUIDANCE AND MINDRAY DECLARATION—ELECTROMAGNETIC IMMUNITY The system is intended for use in the electromagnetic environment specified below. The customer or the user of system should assure that it is used in such an environment. IEC 60601 COMPLIANCE ELECTROMAGNETIC...
Page 244 TABLE 3 GUIDANCE AND MINDRAY DECLARATION—ELECTROMAGNETIC IMMUNITY The system is intended for use in the electromagnetic environment specified below. The customer or the user of system should assure that it is used in such an environment. IMMUNITY IEC 60601 TEST...
Page 245 TABLE 4 RECOMMENDED SEPARATION DISTANCES BETWEEN PORTABLE AND MOBILE RF COMMUNICATION DEVICE AND THE SYSTEM The system is intended for use in an electromagnetic environment in which radiated RF disturbance are controlled. The customer or the user of system can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communication equipment (transmitters) and system as recommended below, according to the maximum output power of the communication equipment.
Page 247: System Maintenance
Routine system maintenance shall be carried out by the user. Service maintenance will be provided by Mindray service engineers while the system is under warranty. System maintenance after the warranty has expired is the full responsibility of the owner / operator.
Page 248 The trackball on the control panel is used to move the cursor and plays an importance part in man-machine communication. As one of the most frequently used parts on the control panel, it may become ineffective due to dirt that enters into the trackball module. Disassembling the trackball: Rotate the trackball clamp ring 35 degrees anticlockwise.
Page 249: Checking Transducer
17.3 Consumables and Periodic Part Replacement This system contains some consumables and parts requiring periodic replacement. Before replacing them, please contact Mindray Customer Service Department or sales representative for instructions. 17.4 Troubleshooting To ensure proper system operation and function, it is recommended that a maintenance and inspection plan be established to periodically check the safety of the system.
Page 250 Otherwise it may result in malfunction or electric shock. When you want to clean probe connectors and TGC sliders, contact Mindray Customer Service Department or sales representative. Cleaning it yourself may result in malfunction or degradation of the performance.
Page 251: Appendix A Electrical Safety Inspection
Appendix A Electrical Safety Inspection The following electrical safety tests are recommended as part of a comprehensive preventive maintenance program. They are a proven means of detecting abnormalities that, if undetected, could prove dangerous to either the patient or the operator. Additional tests may be required according to local regulations.
Page 252 A.2.2 Contextual Inspection Test Item Acceptance Criteria No unusual noises (e.g., a rattle inside the case). No unusual smells (e.g., burning or smoky smells, The enclosure and particularly from ventilation holes). accessories No taped notes that may suggest device deficiencies or operator concerns.
Page 253 Enclosure Leakage Test The following outlet conditions apply when performing the Enclosure Leakage test. normal polarity( Normal Condition);  reverse polarity( Normal Condition),  normal polarity with open neutral(Single Fault Condition);  reverse polarity with open neutral(Single Fault Condition).  normal polarity with open earth(Single Fault Condition);...
Page 254 Mains on Applied Part Leakage The Mains on Applied Part test applies a test voltage, which is 110% of the mains voltage, through a limiting resistance, to selected applied part terminals. Current measurements are then taken between the selected applied part and earth. Measurements are taken with the test voltage (110% of mains) to applied parts in the normal and reverse polarity conditions The following outlet conditions apply when performing the Mains on Applied Part test.
Page 255: Appendix B Iworks (Auto Workflow Protocol
Appendix B iWorks (Auto Workflow Protocol) Overview The major objective of ultrasound workflow automation (iWorks) is to speed up exam time and reduce the excessive number of user interface manual key strokes that can lead to repetitive motion injuries over time. It automates a clinical work flow in common exam protocols in a logical, “step by step” manner.
Page 256 Screen Display  Normal iWorks For automated protocols of vascular, small parts, cardiac, abdomen and gynecology application regions, the monitor displays the following screen: Name Description Displays the protocol name, and the number of views contained; There may be prompt information here to indicate the following operation. The current active view, with green solid frame around the image.
Page 257 Appendix C Wireless LAN It is prohibited to use the wireless LAN function in airplane, WARNING as it may violate the relevant provisions in the aviation regulations. 2． Be prudent to use the wireless LAN function in OR/ ICU/ CCU as it may interfere with other devices. When wireless LAN function is turned on, the ultrasound system may be interfered with by other equipment, even if that other equipment complies with CISPR EMISSION...
Page 258 Name Description If “DHCP” is selected, IP address will be automatically obtained DHCP/ Static from DNS server; if “Static” is selected (using static IP address), you need to enter the IP address. IP Address IP address of the system. Subnet Mask Used to set different network segment.
Page 259 P/N: 046-017716-03 (1.0)

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