Page 1 TE7/TE7T/TE7S/TE7 Pro/TE7 Super/TE5/TE5T/TE5S/TE5 Pro/TE5 Super Diagnostic Ultrasound System Operator’s Manual [Basic Volume]...
Page 3: Table Of Contents
Contents Contents ..........................i Intellectual Property Statement ......................I Responsibility on the Manufacturer Party ..................I Warranty ............................II Exemptions ........................... II Customer Service Department ..................... II Important Information ........................III About This Manual ........................... IV Notation Conventions ........................IV Operator’s Manuals ..........................
Page 4 Image Optimization ....................5-1 Imaging Mode ........................5-1 B Mode Image Optimization ....................5-4 M Mode Image Optimization ....................5-10 Color Mode Image Optimization ..................5-13 Power Mode Image Optimization ..................5-18 PW/CW Doppler Mode ....................... 5-20 Smart B-line ........................5-26 Smart VTI ...........................
Page 5 10.11 V-Access .......................... 10-22 10.12 Q-Path ..........................10-23 11 DICOM/HL7 ......................11-1 11.1 DICOM Preset ........................11-2 11.2 Verify Connectivity ......................11-12 11.3 DICOM Services ....................... 11-14 11.4 DICOM Media Storage ..................... 11-18 11.5 Structured Report ......................11-20 11.6 DICOM Task Management ....................11-20 12 Setup........................
Page 7: Contents
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 8: Warranty
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 9: 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 also be continuously alert to dangers other than those indicated.
Page 10: About This Manual
About This Manual This operator’s manual describes the operating procedures for TE7/TE7T/TE7S/TE7 Pro/TE7 Super/TE5/TE5T/TE5S/TE5 Pro/TE5 Super Diagnostic Ultrasound System and the compatible probes. To ensure safe and correct operation, carefully read and understand the manual before operating the system. Notation Conventions In this operator’s manual, the following words are used besides the safety precautions (see “Safety...
Page 11: Conventions
[Items in menu] -> [Items in submenu]: select a submenu item following the path.  Product Differences Product model Double Dist Depth Parallel line Spline length √ √ √ √ TE7T √ √ × √ TE7S √ × √ √ TE7 Pro ×...
Page 13: Safety Precautions
Safety Precautions Safety Classifications  According to the type of protection against electric shock: Class I equipment + internally powered equipment  According to the degree of protection against electric shock: Type-BF applied part  According to the degree of protection against harmful ingress of water: The main unit is rated IPX0 The probes are rated IPX7 The foot switch (can be applied in the operating room) is rated IPX8.
Page 14: Meanings Of Signal Words
Meanings of Signal Words DANGER WARNING CAUTION In this manual, the signal words , NOTE and Tip are used regarding safety and other important instructions. The signal words and their meanings are defined as follows. Please understand their meanings clearly before reading this manual.
Page 15: Safety Precautions
You must use the power adapter provided with the system; otherwise electric shock may result. You can only use 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 16 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. Do not subject the probes to knocks or drops. Use of a defective probe may cause an electric shock.
Page 17 If the circuit protector is tripped, it indicates that the system or a peripheral device was improperly shut down and that the system is unstable. You cannot repair the system under this circumstance and must call the Mindray Customer Service Department or sales representative. Safety Precautions 1-5...
Page 18 There is no risk of high-temperature burns during normal ultrasound examinations. It is possible for the surface temperature of the probe to exceed the body temperature of a patient due to environmental temperature and exam mode combinations. Apply the probe only for a period of time required for the purpose of diagnosis.
Page 19 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 20 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 Service Department or sales representative.
Page 21: Latex Alert
The probe sheath contains natural rubber that can cause allergic reactions in some individuals. Do not use pre-lubricated condoms as a sheath. Lubricant may not be compatible with the transducer material and damage may result. Transducer damage may be caused by inappropriate gel, detergent or cleanser: Do not soak or saturate transducers with solutions containing alcohol, bleach, ammonium chloride compounds, acetone or...
Page 22 CIVCO Medical Instruments Tel: 1-800-445-6741 www.civco.com Allergic reactions in patients sensitive to latex (natural rubber) may WARNING: range from mild skin reactions (irritation) to fatal anaphylactic shock, and may include difficulty breathing (wheezing), dizziness, shock, swelling of the face, hives, sneezing, or itching of the eyes (FDA Medical Alert on latex products, “Allergic Reactions to Latex- containing Medical Devices”, issued on March 29, 1991).
Page 23: Warning Labels
Warning Labels Warning labels are attached to this system to call your attention to potential hazards. The symbol on warning labels indicates safety precautions. The warning labels use the same signal words as those used in the operator’s manual. Read the operator’s manual carefully before using the system.
Page 25: System Overview
System Overview Intended Use It is intended for use in gynecology, obstetrics, abdomen, intraoperative, pediatric, small parts, cephalic, musculo-skeletal, cardiac, vascular, urology, pediatric hip, nerve, ocular, thoracic/pleural exams. NOTE: The functions described in the operator’s manual may vary depending on the specific system purchased.
Page 26: System Configuration
2.3.3 Environmental Conditions Operating conditions Storage and transportation conditions Ambient temperature 0°C~40° C -20°C~55° C Relative humidity 30%~85% (no condensation) 20%~95% (no condensation) Atmospheric pressure 700hPa~1060hPa 700hPa~1060hPa WARNING: Do not use this system in conditions other than those specified. 2.3.4 Dimensions and Weight Dimensions (including probe holder): 130±10(Depth)x380±10(Width)x380±5(Height)mm Weight (including batteries, three-probe socket configuration and one probe):<8.2Kg.
Page 27 2.4.2 Probes and Needle-guided Brackets Available Probe Probe Type Intended Use Region Applied model Gynecology, Obstetrics, Abdomen, Vascular, C5-2s Convex Body surface Pediatric, Thoracic/Pleural Abdomen, Vascular,Small Parts, Musculo- C11-3s Convex Body surface skeletal, Pediatric, Cardiac, Thoracic/Pleural Small Parts, Vascular, Musculo-skeletal, L12-4s Linear Body surface...
Page 28 Probe Probe Type Intended Use Region Applied model Gynecology, Obstetrics, Vascular, Pediatric, Body surface C5-1s Convex Thoracic/Pleural Obstetrics, Gynecology, Abdomen, Cardiac, Body surface C4-1s Convex Thoracic/Pleural L14- Abdomen, Pediatric, Small Parts, Musculo- Body surface Linear skeletal, Vascular, Nerve, Thoracic/Pleural Small Parts, Vascular, Musculo-skeletal, Body surface L12- Linear...
Page 29 L14-5Ws CIVCO 698-007 CIVCO 698-012 Note: The disposable needle-guided brackets are not configured or sold by Mindray. The user can purchase them based on the specific needs. See CIVCO for the use of each disposable needle- guided bracket. CIVCO Probe Sheath and Brackets...
Page 30 Direct Dial: 319.248.6757 (International) Fax: 319.248.6660 E-mail: order@civco.com Internet: www.civco.com 2.4.3 Options Item Remarks Footswitch Types: 2-pedal/3-pedal Trolley See chapter “Appendix D Trolley and Accessories” for details. Trolley box Wall mount/Table stand After the wall mount/table stand is configured, power adapter and cables should be configured.
Page 31 Item Remarks Nerve Package Emergency & Critical Package DICOM Basic (including verify (SCU and SCP), task management, DICOM Storage, DICOM Print, DICOM Storage Commitment, DICOM Media Storage (including DICOM DIR)) DICOM Worklist DICOM MPPS DICOM DICOM OB/GYN SR DICOM Basic should be DICOM Vascular SR configured.
Page 32 2.4.4 Peripherals Supported Item Model MITSUBISHI P95DW-N Black/white video printer(digital) SONY UP-D898MD Black/white video printer (analog) SONY UP-X898MD Digital color video Printer SONY UP-D25MD LS2208 DS4308 Barcode reader JADAK HS-1M JADAK HS-1R 971-SWNOM (2-pedals) Footswitch 971-SWNOM (3-pedals) External DVD R/W drive SDRW-08D2S-U SAMSONXPD1 Headset iVocal...
Page 33: Introduction Of Each Unit
Introduction of Each Unit System Overview 2-9...
Page 34 Network port Connects to network. NOTE: Mindray recommends using Category 2-certified HDMI output cables (marked as "High Speed”) according to HDMI 1.3 standard for a good output effect. Otherwise, abnormal display effect may result. You can use a HDMI-to-DVI adapter for outputting to a display with DVI input.
Page 35: Symbols
Symbols This system uses the symbols listed in the following table. Their meanings are explained as follows: Symbol Description Caution! Standby Type-BF applied part No user serviceable parts (power adapter) Battery installation position Product serial number Manufacture date Battery status indicator AC (Alternating current) Standby status indicator Probe connector unlocking symbol...
Page 36 Symbol Description This product is provided with a CE marking in accordance with the regulations stated in Council Directive 93 / 42 / EEC concerning Medical Devices. The number adjacent to the CE marking (0123) is the number of the EU-notified body certified for meeting the requirements of the Directive.
Page 37: System Preparation
System Preparation Move/Position the System Read and understand the safety precautions before positioning the system to ensure the safety of both the operator and the devices. 1. Switch off the power, and pull out the power plug. 2. Disconnect all cables from off-board peripheral devices. 3.
Page 38: Power On/Off
CAUTION: immediately stop scanning. If the system continues to function improperly, fully shut down the system and contact the Mindray Customer Service Department or a sales representative. If you use the system in a persistent improperly functioning state, you may harm the patient or damage the equipment.
Page 39 WARNING: If you find anything not functioning properly, this may indicate that the system is defective. In this case, shut down the system immediately contact Mindray Customer Service Department or sales representative. NOTE: When you start the system or switch between transducers, you may hear clicking sounds –...
Page 40 3.2.3 Standby  To enter standby: Select [Setup] -> [System] -> [General] to set the time for screensaver and standby. If the  system is not carrying out an operation, the screensaver appears after the screensaver delay period. If there is still no operation, the system enters standby after the standby delay period.
Page 41: Connecting The Power Cord
Connecting the Power Cord This system can work normally only when it is connected to the external power supply or the battery capacity is sufficient. 3.3.1 Connecting Power 1. Connect the connector of the power adapter to the adapter port in the system. 2.
Page 42: Connecting A Probe
When connecting or disconnecting a probe, place it in the proper position to prevent the probe from falling off or becoming damaged. Only use probes provided by Mindray. Aftermarket probes may result in damage or cause a fire. 3.4.1 Connecting a Probe...
Page 43: Connecting The Footswitch
NOTE: If the USB flash drive cannot be recognized by the system, please try disconnecting and then connecting again several times, or try another USB flash drive. If the problem still exists, please contact Mindray service engineer. System Preparation 3-7...
Page 44: Installing A Graph/Text Printer
 Connecting a local printer NOTE: Printers listed in "2.4.4 Peripherals Supported” chapter have drivers installed already. If the printer driver is required, please contact Mindray Customer Service Department or sales representative. As shown in the figure below, a graph / text printer has a power cord and data cable. The power cord should be directly plugged into a well-grounded outlet.
Page 45: Installing A Video Printer
Installing a Video Printer The system support video printers, consist of the B/W digital printers and color digital printers. 1. Position the printer in the proper place. 2. Plug the printer power cord into an appropriate outlet. 3. Use a USB cable to connect between the system's USB port and the printer's USB port. 4.
Page 46: Display Position Adjustment
Drag the slider to change the brightness/contrast on the brightness control or contrast control NOTE: Avoid operating in direct sunlight or the touch screen could be obscured. 3.10 Display Position Adjustment Gently hold the bottom edge of the display when adjusting its position. When positioned vertically, the display can be tilted for 50°backward and 20°...
Page 47: Basic Screen & Operation
3.11 Basic Screen & Operation 3.11.1 Screen Display Probe model, acoustic output value and Parameter area MITI index iNeedle iTouch Frequency adjustment TGC control Operating panel Patient Information area System status icon System tool bar Gain control Depth control System Preparation 3-11...
Page 48 3.11.2 Operating panel Operating panel located under the image area; consists of imaging mode buttons, menu area and exam related buttons. 1. Imaging mode area Tap imaging buttons to start imaging. 2. Menu area Imaging parameter menu: swipe the menu downwards/upwards to see parameter controls; ...
Page 49 3.11.3 iVocal Before enabling the iVocal function, ensure that the microphone device and the ultrasound system is properly connected through the USB extension wire. Tips: If the microphone is not to be used for the moment, you can put the microphone into the vacant probe holder temporarily.
Page 50 Currently, only wireless microphone devices can be inserted to the  system for inputting vocal commands. Tap [iVocal] to exit the Audio Control menu.  Setup Tap the icon in the Audio Command menu to check the system recognizable commands and enter the iVocal Setup menu.
Page 51 Test: Tap [Test] and input a vocal command to the microphone device. After the vocal  command is recognized, the Success Rate is displayed in fraction. Tap [Test] again to close the vocal command test. Note: if the vocal command is successfully recognized by the system, both the denominator and numerator of the Success Rate are added by 1 for each time;...
Page 52 Icon Function Delete the vocal command Rename the vocal command Add the failure time by 1 Clear the Success Rate test record of the selected vocal command 3-16 System Preparation...
Page 53: Exam Preparation
Exam Preparation A patient exam can be started under the following situations:  New patient information: to start a new patient exam, patient information must first be entered.  New exam: to start a new exam for patient who is already registered, the recorded information can be obtained through either iStation or Worklist.
Page 54 4.1.1 New Patient Information The Patient Info screen is shown as follows: 4-2 Exam Preparation...
Page 55 Tap to select the desired field. The field box is highlighted and a flashing cursor appears. Information can be entered or selected from the options. Information includes: 1. General information Patient ID  The Patient ID is generated automatically by the system after starting a new patient, and can be modified manually.
Page 56  Exam-specific information: Exam Type Information Description Height General information Weight BSA (body After the height and weight are entered, the system will surface automatically calculate the BSA based on the formula which is (Abdomen) area) set via [Setup] -> [System] -> [General]. Calculate the gestation age (GA) and estimated delivery date (EDD) based on the last menstrual period (LMP), date of conception (DOC), in vitro fertilization (IVF), basic body...
Page 57 Exam Type Information Description BP(R) (blood Input right blood pressure. pressure) Serum PSA PPSA (Urology) coefficient: SMP (Small None Parts) Breast None 3. Functional controls: [iStation]/ [Worklist]: imports patient data from iStation or DICOM Worklist. See chapter  “4.1.2 Retrieve Patient Information” for details. [Done]: saves the patient data entered and exits the screen.
Page 58 4.1.2.2 Retrieve from Worklist Worklist is an option. To use Worklist function, you have to configure DICOM Basic and DICOM Worklist options. When the DICOM basic package is configured and the Worklist server has been set, tap [Worklist] in the Patient Info screen to query or import the patient data. (For details about the Worklist server setting, see chapter“11.1.3.3 DICOM Worklist Preset”...
Page 59 Select HL7 server: Search via patient ID, patient name.  eGateway server: Search via patient ID, patient name, admit date, and so on.  To reset the criteria, tap [Clear]. 4. Tap [Query] to search. 5. Select the desired patient record in the displayed patient list. 6.
Page 60: Select Exam Mode And Probe
Select Exam Mode and Probe If the exam mode is changed during a measurement, all measurement calipers on the image will be cleared. The general measurement data will CAUTION: be lost, but application measurement data will be stored in the reports. ...
Page 61: Select The Imaging Mode
 Tap [Exit] to cancel the selection and exit the screen.  Tap and hold any exam mode until it floats, and then drag to change the exam mode list sequence.  Tap [A-Z Sort] to sort exam modes by alphabetical order for each probe. Select the Imaging Mode Enter the imaging mode by tapping imaging buttons at the right part of the operating panel.
Page 63: Image Optimization
Image Optimization The images displayed in this system are for WARNING: reference only. Mindray is not responsible for the correctness of diagnostic results. Tissue Harmonic Imaging does not use contrast agents. Imaging Mode 5.1.1 Switching Between Imaging Modes On the operating panel, tap imaging mode buttons on the right to switch the mode.
Page 64 See the following imaging chapters for details. 5.1.3 Quickly Saving Image Settings  Create a new exam mode using current image settings (user-defined exam mode): 1. Tap [Quick Save] in the image menu to bring out the Quick Save dialogue box. 2.
Page 65  Check image parameter and change layout: 1. Tap [Edit] to enter the screen for checking the current image menu display for the current exam mode of the particular probe. 2. Tap and hold any parameter until it floats, then you can: Drag upwards/downwards to change its position on the image menu;...
Page 66: B Mode Image Optimization
B Mode Image Optimization B mode is the basic imaging mode that displays real-time images of anatomical tissues and organs. 5.2.1 Basic Procedures for B Mode Imaging 1. Enter the patient information. Select an appropriate probe and exam mode. 2. Tap [B] on the right side of the operating panel to enter B mode. 3.
Page 67 5.2.3 B Mode Image Optimization Frequency (Image Quality) Description To switch between the fundamental frequency and harmonic frequency as well as select the corresponding frequency type. The real-time frequency value is displayed in the image parameter area in the top-left corner of the screen, and if harmonic frequency is used “F H”...
Page 68 Description The system compensates the signals from deeper tissue by segments to optimize the image. in the bottom-left corner of the image area to open the TGC adjusting dialogue box. There are 6-segment TGC sliders corresponding to the areas of the image. Operations To increase the gain compensation in an area of interest, drag the TGC control to the right.
Page 69 You can get a much larger field of view when selecting a larger FOV. The frame rate decreases when using a larger FOV. B Steer Steer the probe by tapping buttons on the bottom of the image area. ExFOV Adjust through [ExFOV] on the menu. Off represents no ExFOV effect. (Extended For linear probes, the ExFOV function displays as trapezoid imaging.
Page 70 Tint Map Description This function provides an imaging process based on color difference rather than gray distinction. Operations Select maps or turn on/off the function by using [Tint Map] control. The system provides 8 different color effect maps. iTouch (Auto Image Optimization) Description To optimize image parameters as per the current tissue characteristics for a better image effect.
Page 71 Operations Adjust through [iClear] on the menu. Tap [-] or [+] to change the level slightly or drag the control directly. “off” represents no iClear effect, and the bigger the value the stronger the effect. Impacts It may cause increased noise. Persistence Description This function is used to superimpose and average adjacent B images, so as to...
Page 72: M Mode Image Optimization
Middle Line Description “Middle Line” helps to locate the focus point of shockwave during the treatment. By watching the treatment procedure in real-time and adjusting the intension and frequency of the shockwave, the harm to the patients can be reduced to the least.
Page 73 5.3.3 M Mode Image Optimization Gain Description To adjust the gain of M mode image. The real-time gain value is displayed in the image parameter area in the top-left corner of the screen. Operations Drag the [Gain] control on the right part of the image area to adjust the gain. Effects Increasing the gain will brighten the image and you will see more received signals.
Page 74 Dynamic Range Description This function is used to adjust the M image resolution to compress or expand the gray display range. The real-time dynamic range value is displayed in the image parameter area in the top-left corner of the screen. Operations Adjust through [Dyn Ra.] on the menu.
Page 75: 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 76 5.4.3 Color Mode Image Optimization Color Gain Description Refers to the overall sensitivity to flow signals. 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 top-left corner of the screen. Operations Drag the [Gain] control on the right part of the image area to adjust the gain.
Page 77 Steer Description The feature is used to adjust the ROI of the color flow of different angles with immobility of the linear probe. Operations Steer the probe by tapping buttons on the bottom of the image area. Effects This function is used to adjust the scan angle of linear probes, so as to change the angle between the transmitting beam and flow direction.
Page 78 Operations Adjust through [Smooth] on the menu. The bigger the value the stronger the effect. Scale Description This function is used to adjust the speed range of the color flow, which is adjusted using the PRF in the system. The real-time PRF value is displayed in the image parameter area in the top-left corner of the screen.
Page 79 WF (Wall Filter) Description It filters out low-velocity signals to provide effective information, and this function is used to adjust the filtered frequency. The real-time value is displayed in the image parameter area in the top-left corner of the screen. Operations Adjust through [WF] on the menu.
Page 80: Power Mode Image Optimization
Power Mode Image Optimization Power mode provides a non-directional display of the blood flow in terms of intensity as opposed to flow velocity. DirPower (Directional Power mode) provides additional information of the flow direction toward or away from the probe. 5.5.1 Basic Procedures for Power Mode Imaging 1.
Page 81 5.5.3 Power Mode Image Optimization Power Gain Description Refers to the overall sensitivity to flow signals. This function is used to adjust the gain in Power mode. The real-time gain value is displayed in the image parameter area in the top-left corner of the screen.
Page 82: Pw/Cw Doppler Mode
PW/CW Doppler Mode PW (Pulsed Wave Doppler) mode or CW (Continuous Wave Doppler) mode is used to provide blood flow velocity and direction utilizing a real-time spectrum display. The horizontal axis represents time, while the vertical axis represents Doppler frequency shift. PW mode provides a function for examining flow at one specific site for its velocity, direction and features.
Page 83 5.6.2 PW/CW Mode Image Parameters In PW/CW mode scanning, the image parameter area in the top-left corner of the screen displays the real-time parameter values as follows: Parameter Angle Meaning Frequency Gain Wall SV Size Angle Filter Position Parameter Angle Meaning Frequency Gain...
Page 84 5.6.3 PW/CW Mode Image Optimization Gain Description This function is intended to adjust the gain of the spectrum map. The real-time gain value is displayed in the image parameter area in the top-left corner of the screen. Operations Drag the [Gain] control on the right part of the image area to adjust the gain. Effects Increasing the gain will brighten the image and you will see more received signals.
Page 85 Scale Description This function is used to adjust the speed range of the flow, which is adjusted using the PRF in the system. The real-time PRF value is displayed in the image parameter area in the top-left corner of the screen. Operations Use buttons on the right part of the image area to adjust PRF values.
Page 86 Smooth Adjust through [Trace Smooth] on the menu. There are 4 levels of smooth effect provided, the bigger the value, the higher the smooth processing. Trace This function is used to set the sensitivity of tracing in the spectrum. Sensitivity Adjust through [Trace Sensitivity] on the menu.
Page 87 Gray Map Description This function applies the gray correction to obtain optimum images. Operations Select maps by using [Gray Map] control. Display Format Description To set the display format of PW mode images with B mode images. Operations Select different layout through [Display Format]. Duplex/Triplex Description This function is used to set whether a B image (B + Color image) and PW image...
Page 88: Smart B-Line
Angle Description This function is used to adjust the angle between Doppler vector and flow to make the velocity more accurate. The real-time adjusting angle value is displayed on the left part of the spectrum map. Operations Adjust through [Angle] on the menu. Tap [-] or [+] to change the value slightly or drag the control directly.
Page 89 the comet tail sign moves along with the lung and extends to the far field. The reverberation line perpendicular to the pleura plane is called Smart B-line. Smart B-line is used to detect the B line of the lung in B mode. It supports B-line detecting in both real-time and freeze modes.
Page 90: Smart Vti
Score: the score is among 0 to 3.  Normal: when there are a lung sliding sign and A line, or isolated B lines (<3), it is marked as N in the brackets and the score is 0. Moderate: when there are multiple clearly-distributed B lines, it is marked as B1 in the brackets and the score is 1.
Page 91: Smart Ivc
1. Select a phased probe and “Adult Cardiac” exam mode. 2. Move the probe to capture an appropriate image of the long axis view of the left ventricular near the sternum. 3. Tap [Measure] to enter the application measurement. Select [Advanced] -> [LVOT Diam] item and the measurement cursor is displayed on the screen.
Page 92 Smart IVC supports calculation in both real time and freeze modes. Enable Smart IVC in real time. The calculation starts from the current frame and  ends after the image is frozen. Enable Smart IVC in freeze mode or from the cine file. The calculation starts ...
Page 93 IVC CI Corresponds to the selected breath type: (Compressibility Index), Spontaneous Breath: displays the CI curve.  DI (Dilation Index), Resv Mechanical Ventilation displays the DI and IVCV.  trend curve IVC Sampling Line IVC Trending Line The horizontal axis represents the time, which is displayed in the below Free Xros M image, and is traced along the IVC vessel wall.
Page 94: Contrast Imaging
5.10 Contrast Imaging The contrast imaging is used in conjunction with ultrasound contrast agents to enhance the imaging of blood flow and microcirculation. Injected contrast agents re-emit incident acoustic energy at a harmonic frequency which is much more efficient than the surrounding tissue. Blood containing the contrast agent stands out brightly against a dark background of normal tissue.
Page 95 5.10.2 Parameters Parameter Area Display When entering the imaging mode, the screen displays the contrast image. If the [Dual Live] is “ON”, both the contrast image (marked with “ ”) and tissue image (marked with “ ”) are displayed (the two window positions can be changed). Parameter area displays as follows: Type Parameter Meaning...
Page 96 Dual Live In live mode or freeze mode, tap [Dual Live] to enable the dual live function. Both the contrast image (marked with “ ”) and the tissue image (marked with “ ”) are displayed (the position can be changed). Tips: In dual live mode, the screen displays the contrast image and tissue image ...
Page 97 5.10.3 Left Ventricular Opacification(LVO) Basic Procedures for LVO: 1. Acquire ECG signal； 2. Tap [Probe] on the touch screen to open Probe/Exam Mode selecting dialogue box; 3. Select the probe and LVO exam mode; Workflow of LVO is similar to abdomen contrast imaging.
Page 98 5.10.5.1 Contrast QA Screen (For reference only) 1---Contrast cineloop window Sample area: indicates sampling position of the analysis curve. The sample area is color- coded, 8 (maximum) sample areas can be indicated. 2---B Cineloop window Sample areas are linked in the contrast cineloop window and B cineloop window. ...
Page 99  Trace ROI 1. Tap [Trace ROI]. 2. Review the image to a desired frame. 3. Tap and hold the hand icon to move the green cursor over the reference image(s) to the desired position. Tap the arrows around the hand icon to fine-tune the cursor position if needed. 4.
Page 100 This function provides a motion compensated ROI as precise time-intensity information can be acquired using active tracking. It can enhance the calculation accuracy as reducing the impact of probe or patient respiratory movement. Tips: Elliptical ROIs can be positioned in any manner that keeps their center within the image boundaries.
Page 101: Anatomical M Mode
5.11 Anatomical M Mode Anatomical M images are provided for reference only, not for CAUTION: confirming a diagnosis. Please compare the image with that of other machines, or make diagnosis using none-ultrasound methods. 5.11.1 Free Xros M Mode For an image in the traditional M mode, the M-mark line goes along the beams transmitted from the probe.
Page 102: Iscape View (Real-Time Panoramic Imaging)
Operation Adjust through the [Display Format] item in the menu. 5.11.1.3 Exit  In Free Xros M mode, tap [Free Xros M] or [B] to exit. 5.12 iScape View (Real-time Panoramic Imaging) The iScape panoramic imaging feature extends your field of view by piecing together multiple B images into a single, extended B image.
Page 103 5.12.2 Image Acquisition To create an iScape image, start with an optimized 2D (color) image. The 2D image serves as the mid-line for the resulting iScape image. 1. Tap [Start Capture] or [Update] to start the iScape image capture. 2. Scan slowly to obtain a single extended field of view image. You can also erase and retrace if the image is not satisfactory.
Page 104 5.12.3 iScape Viewing After completing image acquisition, the system performs image splicing and then enters the iScape viewing mode. In iScape viewing mode, you can perform image parameters setting, zooming, rotation and adding measurements, comments and body marks. Adjusting Image Parameters In image viewing mode, you can adjust the following parameters: ...
Page 105 5.12.4 Cine Review Tap [Review Cine] on the soft menu in panoramic image viewing status to enter cine reviewing mode. In cine reviewing mode, a green frame marker indicates the sequence of the currently reviewed images in the panoramic image on the left-hand side of screen. In cine review status: Drag the playback mark to the left to display the earlier stored images;...
Page 106: Tdi
5.13 TDI TDI mode is intended to provide information of low-velocity tissue motion, specifically for cardiac movement. There are 4 types of TDI mode: Tissue Velocity Imaging (TVI): This imaging mode is used to detect tissue movement with  direction and speed information. Tissue Energy Imaging (TEI): This imaging mode reflects the status of cardiac movement ...
Page 107 5.13.2 TDI Image Parameters  In TDI mode scanning, the image parameter area in the top-left corner of the screen will display the real-time parameter values as follows: TVI/ TEI  Display Parameter Frequency Gain WF (Wall Filter)  Display Parameter Frequency Gain...
Page 108: Color M Mode
5.14 Color M Mode Color M mode provides information of color flow or tissue movement 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 (also known as TVM). 5.14.1 Enter Color M Mode ...
Page 109: Imaging
5.15 3D Imaging NOTE: 3D imaging is largely environment-dependent, so the images obtained are provided for reference only, not for confirming diagnoses. 5.15.1 Overview Ultrasound data based on three-dimensional imaging methods can be used to image any structure where a view cannot be achieved with the standard 2D-mode and to improve the understanding of complex structures.
Page 110 ROI size adjustment ROI position adjustment Cut plane ROI size and position  Tap the corner (green dot) of the ROI and drag to change the size. Tap inside the ROI box and drag to change the position. Curved VOI adjustment ...
Page 111 A, B and C sectional images correspond to the following sections of the 3D image. Section A: corresponds to the 2D image in B mode. Section A is the sagittal section, as  shown in Figure A above. Section B: is the horizontal section, as shown in Figure B above. ...
Page 112 ROI size adjustment ROI position adjustment Cut plane Tap the corner (green dot) of the ROI and drag to change the size. Tap inside the ROI box and drag to change the position. Tap the cut plane and drag to change the curved VOI position. For setting the ROI, be sure to: Set the ROI on the 2D image with the largest section area of the target area.
Page 113 5.15.2.2 Smart 3D Acquisition Preparation  Method Capture images using Linear scan or Rocked scan. Linear scanning  Move the probe across the surface. See the following figure. Rocked scanning  Rotate the probe once from the left to the right side (or from the right to the left) to include the entire desired region.
Page 114  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 Method where you can clearly see a middle cut of the object you want to scan and render.
Page 115 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 116 View Direction The Region of Interest (ROI), also referred to as the Render Box in rendering, contains the section of the volume you want to render. Therefore, objects that are not inside the box are not included in the render process and are cut out (this is important in surface mode to allow a free line of sight). This may or may not be the entire VOI.
Page 117 Adjust VOI  VOI On The VR image displays VOI information. 1. In image viewing status, select [VOI] to turn it to “On.” 2. Select the desired window by tapping [A], [B] or [C] or [VR]. 3. Change the VOI position, size and curved VOI if necessary. ...
Page 118 Parameter Description VR Orientation To quickly rotate the VR. iClear Enhances the B mode image profile for better boundary details.  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.
Page 119 Using axial rotation function, you can rotate the currently activated image around the X-, Y- or Z- axis.  Be sure to rotate the image by tapping the image window and move slowly.  Swipe along the X/Y/Z-axis to rotate the image against the X/Y/Z-axis. Take rotation on window A for example: To rotate along the X-axis: swipe from top to bottom and the image rotates right along the ...
Page 121: Display & Cine Review
Display & Cine Review Splitting Display The system supports dual-split display format. However, only one window is active. Dual split: 1. Select [Dual] to be “on” from B image menu to enter dual-split mode. 2. Tap each window to switch the active window (marked with “m” icon.) 3.
Page 122: Freeze/Unfreeze The Image
Freeze/Unfreeze the Image. Tap [Freeze] in the bottom-right corner of the operating panel to freeze a scanning image. In freeze mode, the probe stops transmitting acoustic power, and all images and parameters are frozen. Tip: After freezing an image, the system may enter cine review, measure, comment adding, body mark mode or current mode, depending on what has been preset.
Page 123 6.5.2 Cine Review Under cine review status, cine review control bar will be displayed on the cine menu. Auto Review Region Start mark Playback mark End mark For B/B+Color/B+Power mode, bottom-left corner will indicate current frame and total frames. For B/B+M/B+PW/B+CW mode, bottom-left corner will indicate time played and total time. ...
Page 124: Image Compare
 Auto Review Reviewing all  a) In manual cine review status, tap to activate auto cine review. b) Review speed: in auto cine review status, tap to select different speeds: 1/10x,1/5x,1/4x,1/2x,1x. c) In auto play status, tap to stop auto play. Setting the Auto Review Region ...
Page 125: Cine Saving
Cine Saving  Live capture Live capture refers to saving the images or cines in image scanning status. After storing, the system continues with image scanning. Live capture can be divided into two types: retrospective and prospective. Retrospective saving saves specified images which were captured before the current ...
Page 127: Measurement
Measurement You can perform measurements on zoomed images, cine reviewing images, real-time images or frozen images. For measurement details, see the [Advanced Volume]. Be sure to measure areas of interest from the most optimal image plane to avoid misdiagnosis arising WARNING: from inaccurate measurement values.
Page 128: General Measurements
General Measurements There are measurements for B/B + Color/B + Power mode, M mode and Doppler (PW/CW) mode. Measurement Function Tools Distance Measures the distance between two points of interest. Measures the distance between the probe surface and the probing point Depth along the ultrasound beam.
Page 129: Advanced Measurements
Advanced Measurements The categories of the advanced measurements are as follows:  Abdomen measurements - used for measuring abdominal organs (liver, gall bladder and kidney, etc.) and large abdominal vessels.  OB measurements - used for measuring fetal growth indices (including EFW) as well as GA and EDD calculations.
Page 130: Measurement Accuracy
Measurement Accuracy Table 1 Basic Dimension Measurements Parameter Range Error Distance Full Screen Within ±4% Area (ellipse, circle) Full Screen Within ±7% Trace Area Full Screen Within ±7% Circ Full Screen Within ±10% Angle Full Screen Within ±3% Volume Full Screen Within ±12 % Table 2 Basic Time Motion Measurements Parameter...
Page 131: Physiological Signal
Physiological Signal ECG function in the ultrasonic exam (mainly in cardiac exams) is used to display the physiological signal waves for observing the ultrasonic image synchronously and to locate the ultrasonic image by time according to the time phase signal provided by this function. The ECG function is an option.
Page 132: Ecg
8.1.1 ECG Operation Basic Procedures 1. Connect the ECG module to the serial port on the rear cover of the main unit. Place the ECG electrodes on the patient’s body. Right Right Left Left Black White Yellow Black Green Green IEC standard AHA standard 2.
Page 133: Parameters Description
If the delay time is longer than a heart cycle, then the heart cycle between the delay time  is omitted, that is to say no trigger is occurred when R waveform is detected in the duration. 8.1.2.2 Triggering Mode This system supports single trigger.
Page 135: Annotations And Body Marks
Annotations and Body Marks Annotations Annotations can be added to an ultrasound image to bring attention, notate or communicate information observed during the examination. You can add annotations to: zoomed images, cine review images, real-time images, frozen images. You can type annotations as characters, insert pre-defined annotations from the annotations library or insert arrow markers.
Page 136 9.1.3 Adding Annotations  Typing annotation characters 1. To set the annotation location: Tap to position the cursor on the desired location within the image area. 2. Tap to open the soft keyboard: Type alphanumeric characters using the soft keyboard (characters are uppercase by ...
Page 137: Voice Comments
9.1.5 Modifying (Editing) Annotations  Modifying (Editing) characters 1. In annotation status, tap to select the annotations to be modified. Tap to select the added annotation, the annotation turns into green in editing status. 2. Tap to show the soft keyboard and use the direction keys to move the cursor to the desired location to insert/delete characters.
Page 138 Time Start Recording Stop Recording Play voice comment 9.2.2 Adding Voice Comments To perform voice comments adding, the function should be enabled through the path: [Setup][System][General].Check “Voice Comment Enabled”. Tap [Save] to exit. Connect the microphone to the mic port of the physic unit panel. Acquire the necessary images and tap [Freeze] to freeze the image.
Page 139: Body Mark
Body Mark The Body Mark (Pictogram) feature is used to indicate the patient's position during the exam as well as the transducer position and orientation. 9.3.1 Adding Body Marks 1. Select [Annotate] -> [Body Markers] on the operating panel to enter Body Mark status as well as open the body marker menu.
Page 141: Patient Data Management
External storage media is recommended for archiving images. 2. The system's patient database space is limited. Back up or clear patient data regularly. 3. Mindray is not responsible for lost data if you DO NOT follow the recommended backup procedures. 10.1 Patient Information Management General patient information and exam information are entered using the Patient Info screen.
Page 142 You can tap [Save Clip] at the bottom of the operating panel to save a multi-frame image file. The system can save FRM files as BMP, JPG, TIFF or DCM files, or save CIN files as AVI or DCM files by Send To function in iStation/Review screen. For details, please refer to “10.2.7 Sending Image Files”...
Page 143 10.2.5 Image Review and Analysis You can review and analyze stored images (only refer to images stored in the system default path). 10.2.5.1 Review an Image You can review all images stored in an exam, and send, delete or analyze the stored images. Tap [Review]on the left side of the operating panel to enter Review screen or double-click the exam in iStation screen.
Page 144 Select [Report] tab to review or edit the currently-selected patient's report. Patient  Select [Patient] tab to review or edit the currently-selected patient information. Image operations  [Select All]: tap to select all images in the thumbnail window. [Deselect All]: after selecting [Select All], the button changes to [Deselect All]. Cancel all selections by selecting [Deselect All].
Page 145  Demonstration item Demonstration items are image files in formats supported by the system. You can add exam data from the patient database or system-supported image files and folders to the demonstration list. For files and folders in the demonstration list, the images in the directory and subdirectory are played one by one, and the system will automatically skip files that cannot be opened.
Page 146 10.2.7 Sending Image Files NOTE: Data saved this way can only be reviewed on the PC and cannot be restored to the ultrasound system. See chapter “10.4.2 Patient Data View & Management” for details about data backup.  In the iStation screen, select an exam and then tap [Send To], or, in the Review screen, tap [Send To] to send patient images to an external memory device, DICOM Storage server, DICOM Print server or local connected printer.
Page 147: Report Management
10.3 Report Management  Report storage: Exam reports are stored under the patient exam directory.  Importing, exporting and sending reports Export/import reports via Backup (in ultrasound system format)  In the iStation screen, select patient data, then select [Options] -> [Back Up]/ [Restore] to import patient information, images and reports to or from an external memory device.
Page 148 Export reports in Report screen  a) Tap [Report] on the left side of the operating panel. b) Select [Preview] to enter report preview screen. c) Tap [Export] to open the exporting dialogue box and select the path to export. ...
Page 149: Istation - Patient Data Management
10.4 iStation - Patient Data Management Patient data includes basic patient information, exam information, image files and reports. You can search, view, backup, send, restore or delete patient data in iStation.  Tap [iStation] on the left side of the operating panel to Enter iStation. The iStation screen is shown as follows: Patient Data Management 10-9...
Page 150 10.4.1 Searching a Patient 1. Select the data source: Select the data source from the “Data Source” drop-down list in the top-right corner of the screen. 2. Enter the search condition: Filter: including Name, ID, DOB, Operator and Exam Date. Then enter a keyword in ...
Page 151  Send Exam The system supports sending data to external memory devices, print or iStorage. You can use this function to export the exam data to external devices (in PC data or DICOMDIR data format) and then import to PC or restore to the ultrasound system to review the data (DICOMDIR). 1.
Page 152: Recycle Bin
10.5 Recycle bin The recycle bin is used to store deleted patient data, exam data and images. in the top-right corner of the screen and select to enter the Patient Recycle Bin screen. To recover deleted patient data  NOTE: if the capacity of the recycle bin exceeds 200. The system reminds the user to clean. Follow the procedures to clean the recycle bin.
Page 153: Back Up Files Using The Dvd Drive
 Modify a print service: 1. Select [Setup] ->[System] ->[Peripheral Preset] and select an existing printer service from the list on the upper part of the screen. 2. Select the printer model, then set the properties in the Property box. 3.
Page 154: Patient Task Management
10.9 Patient Task Management in the top-right part of the screen to bring up the following dialog box: In the Task Management dialog box, the patient name, destination, progress, type and task created time are displayed. You can perform the following operations: Tap [Delete] to delete the task.
Page 155: Administration
 DICOM print task: displays DICOM print tasks.  Task Status When there are tasks underway, the task management icon displays as When tasks have failed, the task management icon displays as . Tap the icon to check the reason for the failure. When the task management icon displays as , it means no task is underway.
Page 156  To change users: 1. Tap in the top-right corner of the screen and select to bring up the following dialog box: 2. Tap [Change User] to bring up the Login dialog box. 3. Select the login type, and user name from the drop-down list. 4.
Page 157 4. Tap [OK] to confirm the settings and exit the dialog box. The new user and the privilege will appear in the User List.  Deleting a User Turn on the access control function and log in to the system as Administrator before you delete the user.
Page 158 Parameter Description Remark Set the maximum time that a user can input the wrong For example, assume Lockout password. If you exceed the maximum times, your account that the "Lockout Threshold will be locked. Threshold" is set to 5, the "Reset Account Reset Lockout Threshold Account...
Page 159 Parameter Description Remark Enable strong password to improve security. If the strong password is enabled and you log in to the  system with the account that is added before the strong password is enabled, the system prompts a warning message to inform you whether your password conforms to the password policy.
Page 160 Enter the server address in the field box after accessing the network. Tap [Test LDAP server] to test whether the LDAP server is accessible. If the LDAP is accessible, the system prompts the following message "Server test succeeded." Item Description It is automatically displayed after the Root DN server is successfully tested.
Page 161 Item Description Set days to keep the cached passwords in the local system Users can log in to the server even without accessing the network within the setting days. Days to keep cached Empty: the passwords are kept in the ...
Page 162: V-Access
User field name 1. Enter [Setup]  [System]  [Access Control] [LDAP Config]. 2. Select [Use user field name] to customize the user field name. After that, the members and privileges cannot be edited. 3. Enter the user field name in the field box of the "User field name" (the user field names are configured in the LDAP server.
Page 163: Q-Path
3. Enter the IP address and tap [OK]. 4. Log on with the server account and password. 5. Check the data transferred and carry out operations as necessary. 10.12 Q-Path NOTE: When logging on the Q-path service, the ultrasound system is connected to the external network and it may be infected by virus.
Page 164 10.12.2 Q-Path Basic Procedure 1. Set related setting in the path: [Setup] ->[Network] -> [Q-Path]. a) Select "Enable Q-Path" in the path; b) Enter the website, account and password of the target service. 2. Select user type: Personal User or Default User. Personal User: the personal user needs to enter the user name and password in every- ...
Page 165 Parameter description Sets the sub URLs of "QView full" and "QView lite". The sub URL is set by default. Users can modify the Advanced sub URL and tap [Apply] to exit the "QView sub URL setting" window. Sets whether to directly enter the Worksheet interface Worksheet Only after opening the Q-Path server.
Page 167: Dicom/Hl7
DICOM/HL7 NOTE: Before using DICOM, read the DICOM CONFORMANCE STATEMENT electronic file provided with the device. The chapter is restricted to the preset, connection verification and DICOM services of the DICOM- configured ultrasound machine, and does not include SCP configurations such as PACS/RIS/HIS. The DICOM package is optional.
Page 168: Dicom Preset
11.1 DICOM Preset 11.1.1 IP Preset If wireless network connection is used, see chapter “Appendix A Wireless LAN” for details. If wired network connection is used, please follow the steps below to do the configuration. 1. Tap in the top-right part of the screen to open the local connection dialogue box. 2.
Page 169 11.1.2 DICOM Local Preset 1. Enter the DICOM local preset screen using the path: [Setup] -> [Network]. 2. Enter AE Title, Port and PDU according to the actual situation, then tap [Save] to exit the screen. Setting items are introduced in the following. DICOM/HL7 11-3...
Page 170 Name Description AE Title Application Entity title. Port DICOM communication port. Maximum PDU data package size, ranging from 16384 to 65536. If the value is less than 16384 or greater than 65536, the system automatically sets it to the value 32768. TLS/SSL Select an appropriate TLS/SSL version.
Page 171  Update: Select a strategy from the Strategy List, re-enter strategy name or description, and tap [Update]. 3. Configure the item: Select a strategy name from the Strategy List, and assign strategy items to the selected strategy.  Add: Set the function from the drop-list box, enter the parameter 1 and parameter 2, and tap [Add].
Page 172 11.1.3 Service Preset The DICOM Service screen is used to set Storage, Print, Worklist, MPPS, Storage Commitment and Query/Retrieve attributes. When the system is configured with the DICOM basic function module, and installed with DICOM Worklist, MPPS, DICOM structured reports and DICOM query/retrieve modules, the corresponding preset can be found in the DICOM Service screen.
Page 173 DICOM storage preset items are described as follows: Name Description After setting the servers in the DICOM local screen, the Device names will appear in the drop-down list. Select the name of the storage server. Service Name The default is xxx-Storage, user-changeable. Application Entity title.
Page 174 Name Description Select to verify that the two DICOM application entities are Verify properly connected. Tip: RLE, JPEG and JPEG2000 are not supported by all SCPs. Refer to the SCP's DICOM CONFORMANCE STATEMENT electronic file to check whether SCP supports it or not. Do not select these Compression modes if the storage server does not support them.
Page 175 DICOM/HL7 11-9...
Page 176 DICOM print preset items are described as follows: Name Description After setting the servers in the DICOM local screen, the Device names will appear in the drop-down list. Select the name of the print server. Service Name The default is xxx-Print, user-changeable. Application Entity title.
Page 177 Name Description Select how the printer magnifies an image to fit the film. Replicate: interpolated pixels belong to duplicates of adjacent pixels) Magnification Bilinear: interpolated pixels are generated from bilinear Type interpolations between adjacent pixels Cubic: interpolated pixels are generated from cubic interpolations between adjacent pixels None: without interpolation.
Page 178: Verify Connectivity
Name Description The associated storage server should be preset before storage Associated Storage commitment. Storage commitment can only be created after the Service exam is sent out. 11.1.3.6 Query/Retrieve Preset 1. On the DICOM/HL7 screen, select the [Query/Retrieve] page tab to enter the Query/Retrieve page.
Page 179 Check that the IP of the server is configured in the same segment as that of the ultrasound machine, or, Check that the network adapter, router, exchanger and HUB are working normally. The server does not support the verification. If the connection is normal, it can be ...
Page 180: Dicom Services
11.3 DICOM Services If all the DICOM presets on the DICOM Service Preset screen are completed, you are ready for the Storage, Print, Worklist, MPPS, Storage Commitment and Query/Retrieve applications. 11.3.1 DICOM Storage DICOM Storage is used to send images to the DICOM storage server for storage. ...
Page 181 b) Select a storage server in the Service List and tap [Default]. You will see “Y” in the Default column. c) Tap [Exit] to exit the page and return to the Setup menu, then tap [Save] on the Setup menu to make the preset take effect. 3.
Page 182  To print images after saving image 1. Select [Setup] ->[System]-> [General] and then check “While Storing Image to Hard Disk, Send to DICOM Printer. 2. Set a default print server. a) Enter the DICOM Service Preset screen via [Setup] -> [Network] -> [DICOM/HL7]. b) Set default DICOM printer.
Page 183 3. After finishing the presets, perform image scanning. Each time [End] is tapped, the system will send the image to the default DICOM storage server for storage and send storage commitment to the storage commitment server. If images are successfully sent to the storage server, in the iStation screen, "PACS received， OK"...
Page 184: Dicom Media Storage
3. Select the server (both the source and the destination). 4. Enter the query information, such as Patient ID, Patient Name, Accession #, Exam Date or keywords. Tap [Clear] to empty the entered query information. 5. Tap [Query]. The system performs the query and lists the results in the patient (source) list. You can perform further queries based on the results by entering new query information.
Page 185 1. Select patient records in the iStation screen. 2. Tap [Send To] to open the following dialogue box. 3. Select the destination to “DICOMDIR” and DICOM Format as well as Compression mode. 4. Set whether to remove the patient data from the local hard disk after backup (remove exams or just remove the images).
Page 186: Structured Report
11.5 Structured Report DICOM OB/GYN Structured reports, Cardiac Structured reports, Vascular Structured reports and Breast Structured reports are supported by this system.  Send images and structured reports for storage in the iStation screen 1. Select “Attach SR When Storing Images” or “Only Store SR” on the DICOM Storage preset page.
Page 187: Setup
CD/DVD or USB memory device. When the preset data is changed, be sure to save the preset data CAUTION: according to the methods described in this chapter. Mindray is not responsible for the loss of preset data.  To enter Setup: Tap...
Page 188: System Preset
12.1 System Preset The system automatically enters the [System] screen after you enter Setup. The following gives a brief introduction of each page, see the following chapters for details. 12-2 Setup...
Page 189 Page Description To set the hospital name, language, time zone, time format and system Region date/time. To set patient information, exam, patient management, storage related General parameters, system dormancy, annotation and body mark and so on. Image To set general parameters in imaging modes. To set the measurement ruler, measurement setting, follicle method and so Measure To set the relevant information regarding the fetal gestational age and fetal...
Page 190 12.1.1 Region Controls are as follows: Item Description To set the hospital-relevant information such as name, Hospital Information address, telephone, and so on. Language To select a language display for the system. Import image for logo loading. NOTE: For a better display effect, please try to use an Load Logo image with 400*400 pixels.
Page 191 12.1.2 General Controls are as follows: (swipe downwards to check all settings) Type Item Description Info displays in an To select whether to display the available patient image banner information items on the top of the screen. H&W Unit To set the unit for calculating patient height and weight. Patient Info Surface Formula To set the surface formula.
Page 192 Type Item Description Patient Sending/printing after Select whether to automatically archive the exam data to Management End Exam the DICOM server for storage/print. Prospective Cine To set the cine length for prospective live capture. Length Retrospective Cine To set the cine length for retrospective live capture. Length Live Capture Clip Length...
Page 193 12.1.3 Image Preset Setup 12-7...
Page 194 Controls are as follows: Type Item Description To set the default probe model for the system. Probe Use the default Reset Config. After it is ticked, when the exam of a new patient is setting when start a started, image parameters will be preset parameters. new exam To set MI TI indexes displayed for current probe/exam Probe/Exam...
Page 195 12.1.7 Probe Controls are as follows: Type Item Description To select the probe model to be set. Probe To set the function of K1 button. Probe Key To set the function of K2 button. Function To set the function of K3 button. Enable Probe Key After it is ticked, the key function of probe is enabled.
Page 196 12.1.10 Peripheral Preset This screen is used to set up the printer and image printing.  Printer setting The printer settings include print service and printer driver. Print Service Setting  Add Service: tap to begin adding print services.  Remove Service: tap to delete the selected print service.
Page 197 The [Maintenance] function is designed for you to import or export user data, restore factory setting and export log. You may also execute self-test and option installation/trial through the maintenance menu. If you require other maintenance functions, please contact Mindray Customer Service Department or sales representative.
Page 198 Update the list of needles that support eSpacial Navi function. Needles List Replace NOTE: The list of needles must be release version provided by Mindray. Restore the list of needles that support eSpacial Navi Needles List Recover function to the last version.
Page 199 If the McAfee software is installed, the system displays “McAfee is installed”; if not, the system displays “McAfee is not installed”. The McAfee software is an option. If you want to buy McAfee, contact Mindray service engineers. Notes: McAfee cannot be uninstalled after successful installation.
Page 200 If McAfee is improperly installed due to power-off, shut-down, closing of cmd.exe, or any other abnormal operation during the installation, please contact the Mindray service engineers. Transmission Encryption After accessing the network, tap [VPN Config] to enter the "VPN Config" interface.
Page 201: Exam Related Preset
Close the "VPN Config" interface. Note: if the system is installed with McAfee, software like VPN that is provided by the third party will be blocked. If users want to use VPN, please contact the Mindray service engineer. 12.1.14 System Information This screen displays the system software version, versions of other devices and serial numbers of probes.
Page 202 12.2.1 Exam Mode Preset Available System modes library You can assign available exam modes for probes. 1. Select the probe model in the drop-down list beside Probe column. 2. Check current configured exam modes: On the left side, you can view all the available exam modes in the exam library for the probe. On the right side, you can view the current exam modes assigned to the probe.(Tapping [Probe] on the left side of the operating panel to see the list.) 3.
Page 203 12.2.2 Measurement Preset See the Operator’s Manual [Advanced Volume] for details. 12.2.3 Comment Preset You can change the annotation menu for current exam mode. The comments in the library are provided by the system or are user-defined ones. In Body Mark preset page, you can change the body mark menu for current exam mode. Body Mark preset is similar to Comment preset, here Comment preset is introduced as an example.
Page 204: Network Related Preset
Tap an item on the right side box to make it highlighted in blue, and tap the desired  position to move the item to the position; Or you can use directional buttons below to make the change.  4. Withdraw a comment or delete a user-defined comment: Withdraw an item in the annotation menu: ...
Page 205 12.3.2.1 eGateway Query Preset  The preset screen is as follows: Name Description Service Name The name of the eGateway service. IP Address IP address of the eGateway service. Port Port for transmitting. Connect Tap to verify connection. Clear Clear the information that is being typed in. (service not added yet) Tap to add the Network service to the service list.
Page 206 2. Modify the parameters in the upper part of the screen and tap [Update] to update the setting. 12.3.2.2 eGateway Store Preset  The preset screen is as follows: Name Description Service Name The name of the eGateway service. IP Address IP address of the eGateway service.
Page 207  Modify a network service 1. Select the service to be updated in the service list. 2. Modify the parameters in the upper part of the screen and tap [Update] to update the setting. 12.3.3 Network Preset 12.3.3.1 iStorage Preset ...
Page 208 Name Description Delete Tap to delete the selected service from the service list. Default To set the server as the default one.  Add an iStorage service 1. Set the iStorage server properties as described above. 2. Tap [Add] to add the service to the service list. ...
Page 209: Probes And Biopsy
Probes and Biopsy 13.1 Probes NOTE: For details of storage times and conditions for disinfected probes and brackets, refer to the Technical standard for Disinfection of Medical and Health Structures. The system supports the following probes: C5-2s L12-4s L7-3s P4-2s L14-6s C11-3s L14-6Ns...
Page 210 6CV1s SP5-1s L9-3s L11-3VNs L12-3RCs C5-1s C4-1s L14-5Ws L12-3VNs LAP13-4Cs C9-3Ts For details about probe P7-3Ts, see P7-3Ts Ultrasonic Transducer Operator’s Manual. 13.1.1 Probe Functions by Part (except Laparoscopic probe) The basic structures and corresponding functions of probes are basically the same. 13-2 Probes and Biopsy...
Page 211 Name Function Probe head Converts the electrical signal to an ultrasonic signal, focusing the sound beams in a given direction while it receives the reflected ultrasonic signal and converts it to an electrical signal for transmission over the cable. The lens on the surface is the acoustic lens.
Page 212 13.1.2 Laparoscopic Probe Overview Name Function Handle Operates on the probe deflection. Up/Down deflection lever Controls up/down deflection of the distal tip. Left/Right deflection lever Controls left/right deflection of the distal tip. Hard shaft Flexible shaft Used to control the deflection of distal tip. Distal tip with transducer Converts the electrical signal to an ultrasonic signal, focusing the sound beams in a given direction while it...
Page 213 Left Zero position Right Right Left Zero position Down Down When the two deflection levers are in a vertical position with the handle, the distal tip will return to the zero position. Probes and Biopsy 13-5...
Page 214 13.1.3 Orientation of the Ultrasound Image and the Probe Head The orientation of the ultrasound image and the probe are shown below. The “Mark” side of the ultrasound image on the display corresponds to the mark side of the probe; for the laparoscopic probe, the probe orientation starting side is located on the end of the distal tip away from the handle.
Page 215 Probes and Biopsy 13-7...
Page 216 Operating procedures (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 217 13.1.5 Wearing the Probe Sheath A legally-marketed probe sheath must be installed over the probe before performing intra-cavitary and intra-operative examinations. Protective barriers may be required to minimize disease transmission. Probe sheaths are available for use in all clinical situations where infection is a concern.
Page 218 13.1.6 Probe Cleaning, Disinfection and Sterilization Before and after completing each examination, clean and disinfect (or sterilize) the probes as required. When biopsy procedures have been performed, be sure to sterilize the needle-guided bracket. Failure to do so may result in the probe and the needle-guided bracket becoming sources of infection.
Page 219 High-Level Disinfection (HLD)—Destruction/removal of all microorganisms except – bacterial spores. Sterilization describes a process that destroys or eliminates all forms of microbial life and is • carried out in healthcare facilities by physical or chemical methods. Selecting a Microbicidal Method Probes can be divided into three categories based on their intended use.
Page 220 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 221 In this case, stop using it and contact the Mindray service department. Store the probe in a cool, clean and dry environment. And repeat the cleaning and disinfection process before the next use.
Page 222 Mindray service department. Store the probe in a cool, clean and dry environment. And repeat the cleaning and disinfection process before the next use. Compatible Disinfectants For the disinfectants information, see Mindray Transducer Disinfectant Recommendation. 13-14 Probes and Biopsy...
Page 223 13.1.7 Probe Environmental Conditions Probe Operating conditions Storage and transportation conditions Model Ambient Relative Atmospheric Ambient Relative Atmospheric temperature humidity pressure temperature humidity pressure C5-2s 30%~85% 700hPa ~ 30%~95% 700 hPa ~ 0℃~40℃ -20℃~55℃ 1060hPa RH (no 1060 hPa condensati C11-3s 30%~85% 700hPa ~...
Page 224 Probe Operating conditions Storage and transportation conditions Model Ambient Relative Atmospheric Ambient Relative Atmospheric temperature humidity pressure temperature humidity pressure P10-4s 30%~85% 700hPa ~ 30%~95% 700 hPa ~ 0℃~40℃ -20℃~55℃ RH (no 1060hPa RH (no 1060 hPa condensati condensati L20-5s 15%~80% 700 hPa ~ 15%~90%...
Page 225  Heat generators  2. When the probe is sent to the MINDRAY Customer Service Department or a sales representative for repair, be sure to disinfect it and keep it in the carrying case to prevent infection. 3. Sterilize the carrying case as necessary.
Page 226: Biopsy Guide
If an abnormality is found on the needle-guided bracket, immediately stop using it and contact the MINDRAY Customer Service Department or a sales representative. DO NOT use a needle-guided bracket while scanning is performed.
Page 227 When performing biopsy procedures, only use sterile ultrasound gel that is certified as safe and manage the ultrasound gel properly to ensure that it does not become a source of infection. When performing an operation involving biopsy, wear sterile gloves. Image of the biopsy target and the actual position of the biopsy needle: Diagnostic...
Page 228 Dispersion of the ultrasound beam Probe Needle Target Ultrasound beam The biopsy needle may not have actually entered the target object even though it appears to have done so in the image. To avoid this, note the points below: Do not rely only on the needle tip in the image. Pay careful ...
Page 229 Needle-guided brackets are available for purchase as optional accessories and are used in combination with the probe. Some probes have corresponding needle-guided brackets and needles. To order needle-guided brackets, contact the MINDRAY Customer Service Department or a sales representative. For biopsy or treatment, ultrasound-guided biopsy procedures can be performed using the probe together with a needle-guided bracket (optional accessory) and a biopsy needle (provided by the user).
Page 230  NGB-007 Metal/needle detachable needle-guided bracket: Name Description Support for needle- <1> Used for installing the needle-guided bracket on the probe. guided bracket Tab and groove for <2> the needle-guided Corresponding to the tab and groove of the probe. bracket <3>...
Page 231 Plastic/needle detachable needle-guided bracket: Name Description Support for needle- <1> Used for installing the needle-guided bracket on the probe. guided bracket Used for determining the angle of the biopsy. There are three <2> Angle block angle block specifications. Used for installing biopsy needles. There are five guiding <3>...
Page 232  NGB-010 Name Description Used for installing biopsy needle; there are five specifications <1> Guiding block of guiding blocks for different biopsy needles. Guiding hole of the <2> Used for installing the biopsy needle. biopsy needle Support of needle- <3> Used for installing the needle-guided bracket on the probe.
Page 233  NGB-011 Needle guide Needle guide clamping knob Locating Clamp Needle guide hole Locating groove Grip knob Needle guide rack Needle-guided bracket Probe Probes and Biopsy 13-25...
Page 234  NGB-015 Guiding hole V-shaped guiding block Groove Lock pin Needle type Needle fixing nut adjusting Needle type dial scale V-shaped cover Clamp Angle block Angle adjusting base Pinch nut Angle pinch nut Angle shift sign 13-26 Probes and Biopsy...
Page 235  NGB-016 9 > < 7 > < 6 > < 8 > < 2 > < < 4 > 10 > < 5 > 1 > < < < 3 > Name Description Clamp of needle-guided Used for installing the needle-guided bracket on the <1>...
Page 236  NGB-018 Needle guide hole Guiding block Guiding block specification Pinch nut of bracket Angle shift sign Angle pinch nut Angle-adjusting base Angle block Groove Clamp  NGB-022 Needle fixing nut Groove Lock pin Clamp Needle type dial scale Clamp Angle adjusting base Angle fixing nut Needle guide hole...
Page 237  NGB-034  NGB-035 Probes and Biopsy 13-29...
Page 238  NGB-036  NGB-043 13-30 Probes and Biopsy...
Page 239  NGB-044 Guiding block fixing frame Right clamp Groove Locking nut of left and right clamps Left clamp Guiding blocks Depth shift sign Depth pinch nut Probes and Biopsy 13-31...
Page 240 13.2.2 Basic Procedures for Biopsy Guiding 1. Select the correct needle-guided bracket and needle and install them properly. For details, see “13.2.3 Needle-Guided Bracket Inspection and Installation.” 2. Verify the biopsy guide line. See chapter “13.2.6 Verifying the Biopsy Guide Line” for details. 3.
Page 241 13.2.3.1 Inspection of the Needle-Guided Bracket Be sure to perform inspections before and after using the needle-guided bracket. If an abnormality is found on the needle-guided bracket, immediately stop using it and contact the MINDRAY Customer Service Department or a sales representative.
Page 242  NGB-007 Metal/needle detachable needle-guided bracket: 1. Put the sterile probe sheath on. 2. Hold the probe in one hand, select the correct needle-guided bracket and hold it with the other hand. Match the groove and tab with the tab and groove of the probe respectively. Mount the bracket onto the probe.
Page 243  NGB-010 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 244 2. Select a proper needle-guided bracket, and match the groove with the tab of the transducer. Mount the bracket onto the transducer. 3. Screw the pinch nut of the needle-guided bracket to confirm that the needle-guided bracket is properly installed on the transducer. 4.
Page 245 Select a proper needle-guided bracket, and match the locating groove with the tab of the transducer. Mount the bracket onto the transducer. Tighten the pinch nut of the needle-guided bracket to confirm that the needle-guided bracket is properly installed on the transducer. Adjust the dial scale to the required needle type shift.
Page 246 3. Tighten the pinch nut of the needle-guided bracket to confirm that the needle-guided bracket is properly installed on the probe. Loosen the angle adjusting nut. 4. Hold the probe and press the pressing block to separate V-shaped guiding block from the pressing block.
Page 247 6. Release the pressing block, adjust the angle adjusting nut to confirm that the needle can freely slide in a vertical direction.  NGB-036 Put on the sterile probe sheath. Select a proper needle-guided bracket, and match the tab with the groove of the transducer. Mount the bracket onto the transducer.
Page 248 Hold the transducer. Press the biopsy needle pressure position to separate it from needle guided V-shaped block. Put the needle into the needle guided-bracket, and the needle leans to V-shaped block. Hold the transducer, and release the pressure position of the needle. Adjust the needle-type adjusting nut manually (following the direction of the arrow).
Page 249 Insert a biopsy needle with the same specification as that of the guiding block into the guiding block hole. Adjust the biopsy angle of the needle, and ensure that the needle can be adjusted continuously within the range of 30º-85º. ...
Page 250 Ensure that all guide parts are properly fixed prior to performing a CAUTION: biopsy. 13-42 Probes and Biopsy...
Page 251 13.2.4 Biopsy Menu Tap [Biopsy]from the right side of the operating panel (you may need to swipe downwards to see the button) to enter Biopsy and tap [Image] to open the biopsy menu.  Select the biopsy bracket angle/guide line If the needle-guided bracket supports more than one biopsy angle, select the angle/guideline by tapping the drop-down list [NGB-XXX-XX] (last two letters are angle or the guide line).
Page 252 13.2.5 iNeedle (Needle Visualization Enhancement) During a biopsy, the metal needle attached to the probe pierces the tissue at a certain angle. Due to the needle's acoustic impedance, the ultrasonic beam cannot penetrate the metal needle and a reflecting boundary is formed. As in Figure 1, if the deflection angle is very large, the needle display is not clear.
Page 253 Operation Tap [Image] to open the menu and use [B/iNeedle] control to turn on/off the function. 13.2.6 Verifying the Biopsy Guide Line Prior to each biopsy procedure, be sure to verify the guide line. WARNING: If the needle is not consistent with the guide line, DO NOT perform the biopsy procedure.
Page 254 Tap [Exit] and the system exits the guide line verification status. 13.2.7 Removing the Needle-Guided Bracket  NGB-004 Hold the probe in your left hand. Unscrew the locking nut with your right hand to open the retaining clamp, then raise the needle-guided bracket to separate the locating bulge from the locating grooves.
Page 255 4. Separate the transducer and the needle-guided bracket.  NGB-018 1. Loosen the guiding block's nut and slightly move the guiding block in the direction of the needle’s tail. 2. Separate the residual part of the needle-guide bracket and the transducer from the needle. 3.
Page 256  NGB-035 1. Hold the probe and press the pressing block to separate V-shaped guiding block from the pressing block. 2. Remove the needle. 3. Rotate the clamping nut to separate the bracket from the probe.  NGB-036 6. Hold the transducer. Press the biopsy needle to separate the needle from pressure position of the needle.
Page 257  NGB-043 1. Hold the probe, and remove the biopsy needle form the guiding hole of the guiding block. 2. Rotate the locking nut in the direction of the arrow shown on the figure to separate the bracket from the probe. ...
Page 258 If such defects exist, the bracket has reached the end of its service life. In this case, stop using it and contact the Mindray service department. After disinfection, rinse the probe thoroughly with sterile water to remove all chemical residues.
Page 259 2. Between examinations, keep the needle-guided bracket in a sterile environment. 3. If the needle-guided bracket is sent to your MINDRAY representative for repair, be sure to disinfect or sterilize it and keep it in the carrying case to prevent infection.
Page 260: Middle Line
13.2.10 Disposal Be sure to sterilize the needle-guided bracket before disposing of it. Contact your MINDRAY representative when disposing of this device. 13.3 Middle Line Middle Line helps to locate and observe the focus point of lithotripsy wave during lithotripsy treatment.
Page 261 Keep the magnetizer away from any device that is sensitive to CAUTION: magnetic fields. Never place or hold the magnetizer within 1 m of the probe. The eSpacial Navi system supports only the needle types listed on the needle list. For details, refer to “13.4.2 Interface”. Keep the L11-3VNs and L12-3VNs away from the source of disturbance, such as metal objects and magnetized objects.
Page 262 Maximum depth at which the needle can be detected  Out of Plane Needle Guidance GUI: Needle projection position Projection position needle ultrasound plane guidance trajectory in the ultrasound plane Position at which the needle cross the Scale of guideline (5mm/scale) ultrasound plane 13.4.3 Preset ...
Page 263 Controls are as follows: Item Description Select the desired needle from the drop-down list. You can set the most frequently used needle to a Needles favorite one. For example, after selecting a needle, turns into , which indicates that the selected needle becomes a favorite one.
Page 264 3. Magnetize a needle cap. a. Place an appropriate sterile needle cap (length: 3.5cm to 4.5cm, diameter <7mm, with bottom closed) into the magnetizer. b. Introduce a needle into the cap, and ensure that the needle tip contacts the bottom of the needle cap.
Page 265 13.4.6 Magnetizer Cleaning and Disinfection After use, clean and disinfect the magnetizer as required. Failure to do so may result in the magnetizer becoming sources of infection. When performing cleaning and disinfection of the magnetizer to prevent infection, wear CAUTION: sterile gloves.
Page 266 4. Wipe off water on the magnetizer using sterile cloth or gauze after washing. Disinfecting by Immersion 1. Wear sterile gloves to prevent infection. 2. Clean the magnetizer before disinfecting it. MINDRAY recommends the compatible solutions to disinfect the magnetizer. Refer to the instructions provided by the chemical manufacturer concerning concentration ...
Page 267: Dvr Recording
DVR Recording NOTE: Strictly observe the procedures described here to perform the recording and replaying operations; otherwise it may result in data loss or system malfunction. The system provides built-in DVR recording function. You can use the DVR to record and replay videos and audios that can be stored in DVD disc or hard disc.
Page 268  Replay on the ultrasound system 1. Tap to open the dialogue box and select desired playing type: Local/USB/CDROM. 2. Tap[Play] to open the dialogue box. 3. Select the path and name for the file and then tap [OK] to replay the file, or double-click the file name directly.
Page 269: 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 device operators pertaining to acoustic output and how to control patient exposure through use of the ALARA (as low as reasonably achievable) principle.
Page 270: Mi/Ti Explanation
15.4 MI/TI Explanation 15.4.1 Basic Knowledge of MI and TI Mechanical Bioeffect and Thermal Bioeffect The relationship of various ultrasound output parameters (frequency, acoustic pressure and intensity, etc.) to bioeffects is not fully understood at present. It is recognized that two fundamental mechanisms may induce bioeffects.
Page 271: Acoustic Power Setting
15.4.2 MI/TI Display TI and MI values are displayed in the top part of the screen in real time by preset (see chapter “12.1 System Preset” for details.) The operator should monitor these index values during examinations and ensure that exposure time and output values are maintained at the minimum amounts required for effective diagnosis.
Page 272: Acoustic Power Control
15.6 Acoustic Power Control A 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 relating to output. They are: Controls that have direct effect on the output ...
Page 273: Measurement Uncertainty
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 probe 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 274: References For Acoustic Power And Safety
15.9 References for Acoustic Power and Safety 1. “Bioeffects and Safety of Diagnostic Ultrasound” issued by AIUM in 1993 2. “Medical Ultrasound Safety” issued by AIUM in 1994 3. Marketing Clearance of Diagnostic Ultrasound Systems and Transducers, June 27, 2019. Center for Devices and Radiological Health.
Page 275: 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 276 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 277 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 278 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 279 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 281: System Maintenance
The responsibility for maintenance and management of the product after delivery resides with the customer who has purchased the product. If you have any questions, please contact the Mindray Customer Service Department or a sales representative. Only an authorized Mindray service engineer can perform WARNING: maintenance which is not specified in this operator’s...
Page 282 3. Remaining stains or dust attached to the surface of the cable or connector should be wiped away using a cloth with a little soapy water and then air dried. NOTE: Do not use a wet cloth to clean the probe connector. ...
Page 283  Dust-proof cover cleaning 1. Press the clip of the dust-proof cover and unfold it outwards (shown in the figure below). Clip 2. To remove the fixing frame of the dust-proof cover and the cover itself, press two clips on the fixing frame of the dust-proof cover towards arrow’s direction (shown in the figure below).
Page 284 Disinfecting the main unit while the power is “On” may result in electric shock. Use only Mindray approved disinfectants and methods listed in this section to disinfect the main unit. Warranty does not cover damage caused by unapproved substances or methods.
Page 285  Compatible Disinfectants The following table lists compatible disinfectants. Manufacturer Product Name Type Advanced Ultrasound Solutions Inc. SONO ULTRASOUND WIPES Wipe Parker laboratories Inc Protex Disinfectant Spray Spray Sani-Cloth ® Plus germicidal PDI Inc. Wipe disposable cloth Bode Chemie Gmbh Mikrobac Tissues Wipe GAMA Healthcare Ltd.
Page 286 Ventilation Handle, holes probe power supply sockets and panel cannot panel cannot disinfected disinfected Dust-proof and loudspeaker cannot be disinfected 3. Remove any residue with a water-moistened soft cloth on the main unit. 4. Wipe off water on the main unit using sterile cloth or gauze. Do not dry the main unit by heating.
Page 287: Troubleshooting
If any persistent system malfunction is experienced, e.g., an onscreen error message, blank imaging screen, absent menus, see the table below. If the failure cannot be resolved, contact the Mindray Customer Service Department or a sales representative. Troubleshooting Table Failure...
Page 289: Appendix A Wireless Lan
Appendix A Wireless LAN The system provides wireless net adapter configuration, so as to assist information query and unlimited network service. It is prohibited to use the wireless LAN function in an airplane, as this may violate the relevant provisions in WARNING: the aviation regulations.
Page 290 Wi-Fi function is not affected when the system is imposed with radiation interference complied with IEC60601-1-2:2014 standard. Use the Wireless feature 1. Tap in the top-right part of the screen to open the wireless network manager. 2. Tap to select the target network, tap [Connect] to connect to the network. When connecting an encrypted network, enter the password in the box first.
Page 291 If the IP address displays as 0.0.0.0, this means that the network is abnormal. The reason for the failure may be disconnection or the system cannot obtain the IP address.  EAP Network For setting EAP network, contact Mindray Customer Service Department or the sales representatives. Wireless LAN A-3...
Page 292 Unable to connect the 3. Check for IP address conflict. If yes, set the IP address correctly. network. 4. Check if Mindray recommended wireless AP is used. If not, verify the AP effective transmission rate meets the throughput requirements of the connected devices.
Page 293: Appendix B Battery
The battery is inside the machine; only technical WARNING: professionals from Mindray or engineers authorized by Mindray after training can perform battery installation and uninstallation. If you need to change the battery or buy a new one, please contact your sales representative.
Page 295: Appendix C Barcode Reader
Appendix C Barcode Reader The product supports two kinds of readers for logging data as patient ID: 1-D barcode reader (SYMBOL LS2208) and 2-D barcode reader (SYMBOL DS4308). The laser transmitted by SYMBOL LS2208 is Class 2 laser. SYMBOL DS4308 is c lassified as “EXEMPT RISK GROUP”...
Page 296 The reader has factory settings; please refer to A.4 for details. The reader supports some user-defined functions as introduced below. For more details, please contact the SYMBOL reader agents or Mindray Customer Service Department.  Volume setting: Scan the following barcode to set the volume parameter.
Page 297  code 39 full ASCII scanning: Code 39 Full ASCII is a variant of Code 39 which pairs characters to encode the full ASCII character set. To enable or disable Code 39 Full ASCII, scan the appropriate barcode below.  I 2 of 5 symbols setting: Select this option to decode only I 2 of 5 symbols containing a selected length.
Page 298 NOTE: Ensure the scan line crosses every bar and space of the symbol, see the figure below. 3. Upon successful decode, the reader beeps and the LED turns green. Tips: Do not hold the reader directly over the barcode. Laser light reflecting directly back into the reader from the barcode is known as specular reflection.
Page 299 C.1.5 Scanning in Hands-Free Mode C.1.5.1 Assembling the Intellistand NOTE Before tightening the wingnut under the base, ensure that the flat areas on the flexible neck fit securely in the grooves in the base. C.1.5.2 Mounting the Stand (optional) You can attach the base of the reader’s stand to a flat surface using two screws or double-sided tape (not provided).
Page 300 2. Peel the paper liner off the exposed sides of each piece of tape and press the stand on a flat surface until it is secure. C.1.5.3 Scanning in Hands-Free Mode When the reader is seated in the stand’s “cup”, the reader’s built-in sensor places the reader in hands- free mode.
Page 301 The reader has factory settings; please refer to A.4 for details. The reader supports some user-defined functions as introduced below. For more details, please contact the SYMBOL reader agents or Mindray Customer Service Department.  Volume setting: Scan the following barcode to set the volume parameter.
Page 302  code 93 and codabar setting To enable Code 93, scan the appropriate barcode below. To enable Codabar, scan the appropriate barcode below.  code 39 full ASCII setting Code 39 Full ASCII is a variant of Code 39 which pairs characters to encode the full ASCII character set.
Page 303 C.2.4 Scanning in Hand-Held Mode 1. Ensure all connections are secure (see the appropriate host chapter.) 2. Aim the digital imager reader at the barcode. 3. When the digital imager reader senses movement, in its default Auto Aim trigger mode, it projects a red LED dot which allows positioning the barcode within the field of view.
Page 304 3.9.8 or later versions. If the version is lower than the requirements, please upgrade the operating system. For version upgrading, contact the Mindray service engineers. Select [Setup]→[About]→[About Details]→[Operating System Version] to check the operating system of your device.
Page 305 4. Once the imager has been fully connected, power on the Ultrasound System. C.3.4 HS-1M JDK-2413 Configuration The barcode reader is configured through scanning the barcode. Ensure that the barcode reader is properly connected to the Ultrasound System before scanning. After the barcode is successfully scanned, the barcode reader buzzes, and the green indicator is On.
Page 306 Mindray service engineers. This configuration guide is applicable for the Ultrasound System only. Reset the barcode reader  If the barcode reader is in malfunction, scan the following 1-D barcode to reset to default settings.
Page 307 Setting in Ultrasound System Tap [Setup] to enter the Setup menu and select [Scan Code] to see the following screen. 1-dimension barcode reader (1D):  Parameter Description After scanning 1D bar code, the regular expression is matched in the priority order: “Patient ID ->...
Page 308 1D/2D and default items are configured. Import and export configuration files to preset the barcode. For details, please contact Import/Export the Mindray service engineer. 2-dimension barcode reader (2D):  Select "General" from “Analysis Mode” drop-down list: The scan codes consist of Patient ID, Other ID, Patient Name, Birth, etc.
Page 309 Parameter Description Input a barcode example, barcode example is separated by separators (the Scan Barcode separator is used to set the start and end position of each item), and the barcode Example data is displayed in the following items in turn. Input a barcode example, and you can change the information of Patient ID, Other ...
Page 310 Parameter Description Input the customized gender symbol besides the Male and Female field box, such Male/Female as Male (M) or Female (F). Select DOB Select DOB format: YYYY/MM/DD, MM/DD/YYYY, DD/MM/YYYY. format Select "Advanced" from “Analysis Mode” drop-down list: user enters scan barcode example and regular expression and tap [Match], the system will match scan barcode example with regular expression automatically, and if which is matched successfully, the scan item will display the barcode by separators.
Page 311 Parameter Defaults Refer to the following table for parameter defaults of LS2208 and DS4308. Parameter Defaults 1-D Symbologies UPC/EAN UPC-A Enable UPC-E Enable UPC-E1 Disable EAN-8/JAN 8 Enable EAN-13/JAN 13 Enable Bookland EAN Disable Decode UPC/EAN/JAN Supplementals (2and 5 digits) Ignore UPC/EAN/JAN Supplemental Redundancy Transmit UPC-A Check Digit...
Page 312 Maintenance Cleaning the exit window is the only maintenance required. A dirty window can affect scanning accuracy. Do not allow any abrasive material to touch the window.  Remove any dirt particles with a damp cloth.  Wipe the window using a tissue moistened with ammonia/water. ...
Page 313: Appendix D Trolley And Accessories
Appendix D Trolley and Accessories DO NOT connect the trolley to the outlets with the same circuit breakers and fuses that control the current to WARNING: devices such as life-support systems. If the trolley or the system malfunctions and generates over-current, or when there is an instantaneous current at power ON, the circuit breakers and fuses of the building’s supply circuit may be tripped.
Page 314 D.1.2 Introduction of Each Unit Name Function <1> Main unit of ultrasound system Used for ascending/descending the trolley or moving the <2> Trolley handle trolley. <3> Height lever Press to adjust the height of the stand. <4> Storage bin Used for keeping the cases, towelette, etc. <5>...
Page 315 Name Function <13> Power outlet Supplies the power for peripheral devices. Retractable cable and telescoping mechanism of the trolley are options before factory. For details, please contact Mindray service engineer. Table Stand Name Function <1> Main unit support Used for fixing the ultrasound system.
Page 316 Wall Mount Name Function <1> Guide way of wall mount Used for fixing the wall mount. <2> Support arm of wall mount Used for adjusting the angle of wall mount. <3> Main unit support Used for fixing the ultrasound system. <4>...
Page 317 Install Towelette Container 1. Thread the velcro tape through the holes of the towelette holster. Fasten the tape properly. Towelette container Velcro tape 2. Put the container into the holster, and fasten the velcro tape of the towelette container. Velcro tape Towelette container Trolley and Accessories D-5...
Page 319: Appendix E Electrical Safety Inspection
Appendix E 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 320 Device Enclosure and Accessories E.2.1 Visual Inspection Test Item Acceptance Criteria No physical damage to the enclosure and accessories. No physical damage to meters, switches, connectors, etc. The enclosure and accessories No residue of fluid spillage (e.g., water, coffee, chemicals, etc.). No loose or missing parts (e.g., knobs, dials, terminals, etc.).
Page 321 Earth Leakage Test Run an Earth Leakage test on the device being tested before performing any other leakage tests. The following outlet conditions apply when performing the Earth Leakage test. normal polarity (Normal Condition);  reverse polarity (Normal Condition);  normal polarity with open neutral (Single Fault Condition);...
Page 322  LIMITS For BF applied parts: 100μA in Normal Condition.  500μA in Single Fault Condition.  Mains on Applied Part Leakage The Mains on Applied Part test applies a test voltage, which is 110% of the mains voltage using a limiting resistance, to selected applied part terminals.
Page 323: Appendix F Iscanhelper
Appendix F iScanHelper By providing the referential information, such as, the ultrasonic image, the anatomic graphic, scanning pictures/other scanning tips or diagnosis comments, the system helps the doctors to operate the scanning by iScanHelper. Furthermore, it is a good platform for the self-learning and training of ultrasound scanning technique for doctors.
Page 324 F.3.1 View Selecting Area Swipe the menu to select target view. F.3.2 Help Information Area Ultrasonic image, anatomic graphic, scanning picture and scanning tips are provided in the “Essentials” menu. Scanning Ultrasonic picture image Anatomic Scanning graphic tips Ultrasonic image ...
Page 325 Measurement Measurement is available under iScanHelper status. For details, please refer to [Advanced Volume]. iScanHelper F-3...
Page 327: Appendix G Iworks (Auto Workflow Protocol
Appendix G iWorks (Auto Workflow Protocol) Overview The main objective of ultrasound workflow automation (iWorks) is to speed up exam times and reduce the excessive number of user interface manual key strokes that can lead to repetitive strain injuries over time. It automates a clinical workflow in common exam protocols in a logical “step by step”...
Page 328 Screen Display Name NOTE Displays the protocol name. Already finished view. Current view type, highlighted in blue. Views contained of the current type. View Operation In iWorks status, you can perform view selection, repeat, replacement and delete operations using the touch screen. For some views, the system switches to the relevant imaging modes if necessary.
Page 329 G.4.3 Repeat View If necessary, tap [Repeat] to insert another template of the current view. You can then perform an extra examination. G.4.4 View Replacement The previous image will be deleted and replaced by the new image. G.4.5 Delete View Tap the view name to select the view to be deleted.
Page 330 iWorks Settings Enter the iWorks preset screen using the path: “[Setup]  [Presets]  [iWorks].” Here you can customize the protocols and views: G-4 iWorks (Auto Workflow Protocol)
Page 331 G.7.1 Protocol Management  Tap to select the protocol in the list. The protocol type can be checked on the lower part. Check to select applied exam modes in the “Exam Mode(s) applied to” column.  Tap [Add Protocol] to create a new protocol. It can be customized. ...
Page 332 In the measurement setting, if “Measurement on next section” is selected, the system will save two section images after finishing the section operation. One of the two sections will include the measurement result. 4. Select the checkbox for body mark display settings. 5.
Page 333: Appendix H List Of Vocal Commands
"3.11.3 iVocal". After the input command is recognized, the system automatically performs the corresponding operations. Vocal command Operation Turn On Audio Control Hello Mindray Turn Off Audio Control Turn Off Back to B Mode B Mode...
Page 334 Vocal command Operation Angle Less One Angle Less Left Steer the Color ROI or Linear Image Left Steer Right Steer the Color ROI or Linear Image Right Steer Decrease the Baseline Position BaseLine Down Increase the Baseline Position BaseLine Up Save Image Save Image Save Clip...
Page 335 Vocal command Operation Switch Exam Mode to Neonatal Abdomen Neonatal Abdomen Switch Exam Mode to Gynecology Gynecology Switch Exam Mode to 1st Trimester 1st Trimester Switch Exam Mode to 2nd & 3rd Trimester 2nd & 3rd Trimester Open Patient Info Dialog Open Patient Info Dialog Close Patient Info Dialog Close Patient Info Dialog...
Page 337 P/N: 046-014374-01 (1.0)

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Mindray TE7T Operator's Manual

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