Mindray DC-N3S Operator's Manual
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Mindray DC-N3S Operator's Manual

Mindray DC-N3S Operator's Manual

Diagnostic ultrasound system
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DC-N3S/DC-N3
Diagnostic Ultrasound System
Operator's Manual
[Basic Volume]

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Summary of Contents for Mindray DC-N3S

  • Page 1 DC-N3S/DC-N3 Diagnostic Ultrasound System Operator’s Manual [Basic Volume]...

  • Page 3: Table Of Contents

    Contents Intellectual Property Statement ......................I Responsibility on the Manufacturer Party ..................I Warranty ............................II Exemptions ........................... II Customer Service Department ..................... II Important Information ........................III About This Manual ........................... III Notation Conventions ........................III Operator’s Manuals .......................... IV Manuals on Paper ..........................
  • Page 4 3.3.1 Powering ON the System ..................... 3-3 3.3.2 Powering OFF the System ................... 3-5 3.3.3 Standby ......................... 3-5 Monitor Adjusting ........................3-6 3.4.1 Monitor Position Adjusting .................... 3-6 3.4.2 Adjusting Brightness/Contrast on the Monitor .............. 3-6 Connecting a Probe......................3-7 3.5.1 Connecting a Probe ......................
  • Page 5 5.5.1 Power Mode Image Parameters ................. 5-15 5.5.2 Power Mode Image Optimization ................5-15 PW/CW Doppler Mode Optimization .................. 5-16 5.6.1 PW / CW Mode Exam Protocol .................. 5-16 5.6.2 PW/CW Mode Image Parameters ................5-16 5.6.3 PW/CW Doppler Mode Optimization ................5-17 Anatomical M Mode......................
  • Page 6 ECG Operation Basic Procedures ..................7-2 Parameter Description ......................7-2 ECG Review ......................... 7-3 Measurement ....................... 8-1 Basic Operations ........................8-1 General Measurements ......................8-2 8.2.1 2D General Measurements ..................8-2 8.2.2 M General Measurements .................... 8-2 8.2.3 Doppler General Measurements .................. 8-3 Application Measurement .....................
  • Page 7 10.8.1 Access Setting ......................10-16 10.8.2 Setting Access Control ..................... 10-16 10.8.3 System Login ......................10-16 10.8.4 Add/ Delete a User ....................10-17 10.8.5 Modify Password ...................... 10-18 11 DICOM .........................11-1 11.1 DICOM Preset ........................11-1 11.1.1 Network Preset ......................11-1 11.1.2 DICOM Local Preset ....................
  • Page 8 13.2.1 Basic Procedures for Biopsy Guiding ............... 13-15 13.2.2 Needle-guided Brackets ................... 13-16 13.2.3 Needle-guided Bracket Inspection and Installation ..........13-23 13.2.4 Verifying the Biopsy Guide Line ................13-29 13.2.5 Removing the Needle-guided Bracket ..............13-30 13.2.6 Clean and Sterilize the Needle-guided Bracket ............13-33 13.2.7 Storage and Transportation ..................

  • Page 9: Intellectual Property Statement

    Contents of this manual are subject to change without prior notice. All information contained in this manual is believed to be correct. Mindray shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this manual.

  • Page 10: Warranty

    FITNESS FOR ANY PARTICULAR PURPOSE. Exemptions Mindray's obligation or liability under this warranty does not include any transportation or other charges or liability for direct, indirect or consequential damages or delay resulting from the improper use or application of the product or the use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized personnel.

  • Page 11: Important Information

    7. Important data must be backed up on external memory media. 8. Mindray shall not be liable for loss of data stored in the memory of this system caused by operator error or accidents. 9. This manual contains warnings regarding foreseeable potential dangers, but you shall always be alert to dangers other than those indicated as well.

  • Page 12: Operator's Manuals

    Operator’s Manuals You may receive multi-language manuals in compact disc or paper. Please refer to English manual for latest information and register information. The content of the operator manual, such as screens, menus or descriptions, may be different from what you see in your system. The content varies depending upon the software version, options and configuration of the system.

  • Page 13: Software Interfaces In This Manual

    [Dyn Rng (Value)]: Indicates menu items with parameter, (value) shows the current value of the item. Product Differences Product Model Option DC-N3 DC-N3S B-Hist √ × B-Profile √ √ NOTE: “√” means the option is configured on the product. NOTE: DC-N3S is not available in Canada.

  • Page 15: Safety Precautions

    Safety Precautions Safety Classification According to the type of protection against electric shock: Class I equipment powered by outer power & equipment powered by inner batteries According to the degree of protection against electric shock: Type-BF applied part According to the degree of protection against harmful ingress of water: Main unit: IPX0 Probes: IPX7 Footswitch: 971-SWNOM (2-pedal or 3-pedal) belongs to IP68 and FS-81-SP (1-pedal)

  • Page 16: Meaning Of Signal Words

    Meaning of Signal Words DANGER WARNING CAUTION In this manual, the signal words" ”, “ ”, “ ”, “NOTE” and "Tips" 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 17: Safety Precautions

    When using peripherals not powered by the auxiliary output of the ultrasound system, or using peripherals other than permitted by Mindray, make sure the overall leakage current of peripherals and the ultrasound system meets the requirement of the local medical device electrical regulation...
  • Page 18 Electric shock may occur. 11. 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. 12. Do not subject the probes to knocks or drops. Use of a defective probe may cause an electric shock.
  • Page 19 If the circuit protector is tripped, it indicates that the system or a peripheral device was improperly shut down and the system is unstable. You cannot repair the system under this circumstance and must call the Mindray Customer Service Department or sales representative. There is no risk of high-temperature burns during normal ultrasound examinations.
  • Page 20 The system and its accessories are not disinfected or sterilized prior to delivery. The operator is responsible for the cleaning and disinfection of probes and sterilization of biopsy brackets according to the manuals, prior to the use. All items must be thoroughly processed to completely remove harmful residual chemicals, which will not only be harmful to the human body, but also damage the accessory.
  • Page 21 10. If the system is used in a small room, the room temperature may rise. Please provide proper ventilation and free air exchange. 11. 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 22 Please use the disinfection or sterilization solution 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 23: Latex Alert

    10. The damage of the probe may be caused by the contact of improper gel or cleaner: DO NOT soak or saturate probes in the strong polar solution of ethanol, chloride of lime, ammonium chloride, acetone or formaldehyde. DO NOT contact the probe with solutions or ultrasound gels containing oily medium such as mineral oil or lanoline.

  • Page 24: Warning Labels

    Warning Labels The warning labels are attached to this system in order to call your attention to potential hazards. The warning labels use the same signal words as those used in the operator’s manual. Read operator’s manual carefully before using the system. The name, pattern and meaning of each warning label are described as follows: Warning Labels Meaning...

  • Page 25: System Overview

    System Overview Intended Use The DC-N3,DC-N3S Diagnostic Ultrasound System is applicable for adult, pregnant woman, pediatric patients and neonate. It is intended for use in fetal, abdominal, pediatric, small organ (breast, thyroid, testes), cephalic (neonatal and adult), trans-rectal, trans-vaginal, musculo-skeletal (conventional, superficial), cardiac (adult and pediatric), peripheral vascular and urology exam.

  • Page 26: Power Supply

    2.4.2 Power supply Voltage 100－240V～ Frequency 50/60Hz Power 600VA consumption Fuse 250V~ T10AH 2.4.3 Environmental Conditions Operational Conditions Storage and Transportation Conditions Ambient 0℃～40℃ -20℃～55℃ temperature 10℃～40℃ (for D6-2 and D6-2A) -10℃～60℃ (for D6-2 and D6-2A) Relative 30%～85% (no condensation) 30%～95% (no cage ondensation) humidity 25%～90% (for D6-2 and D6-2A)

  • Page 27: Probes Available

    Multilingual controls overlay 2.5.2 Probes Available Probe Intended Use Model 3C5A Fetal, Abdominal, Pediatric, Musculo-skeletal Conventional, Peripheral Vascular Abdominal, Pediatric, Small organ(breast, thyroid, 7L4A testes), Neonatal Cephalic, Musculo-skeletal Conventional, Musculo-skeletal Superficial, Peripheral Vascular Abdominal, Pediatric, Neonatal Cephalic, adult Cephalic, Cardiac Adult, Cardiac Pediatric, Musculo-skeletal Conventional, Musculo-skeletal Superficial, Peripheral Vascular Abdominal, Pediatric, Small organ(breast, thyroid,...

  • Page 28: Options

    Some of the probes have matched needle-guided brackets for biopsy, the available probes and the corresponding needle-guided brackets are listed as follows: V10-4/ NGB-004 16G, 17G, 18G V104B/6CV1/ Metal/needle un-detachable CB10-4 NGB-005 12.7°, 24.2° 13G, 15G, 16G, 18G, 20G metal/needle un-detachable Plastic/needle detachable: NGB-006 (plastic/needle 13G, 15G, 16G, 18G, 20G;...

  • Page 29: Peripherals Supported

    Item Emergency Medicine Package DICOM Basic (including: task management, DICOM storage, DICOM print, DICOM storage commitment, DICOM media storage (including DICOM DIR) etc.) DICOM Worklist DICOM Basic should DICOM MPPS DICOM configured DICOM Query/Retrieve first DICOM OB/GYN Structured Report DICOM Vascular Structured Report DICOM Cardiac Structured Report Buit-in battery Footswitch: 971- SWNOM (two-pedal or three-pedal)
  • Page 30 Probes. Footswitch. Printers: SONY UP-20, SONY UP-D897, SONY UP-897MD, MITSUBISHI P93W-Z, SONY UP-D898MD, SONY UP-X898MD NOTE: If the ultrasound system can not recognize the SONY UP-X898MD and SONY UP- D898MD printers automatically, you may need to change the settings on the printer: push <PUSH ENTER>...

  • Page 31: Introduction Of Each Unit

    Introduction of Each Unit <1> <9> <10> <2> <11> <3> <12> <4> <13> <5> <6> <14> <7> <15> <8> System Overview 2-7...
  • Page 32 <18> <16> <17> <19> <20> <21> Name Function Displays the images and parameters during scanning. <1> Monitor (Support optional 15-inch or 17-inch monitor) Used for turning on/off the power supply (on the <2> Power button upper left corner of control panel). <3>...
  • Page 33 Name Function Probe and ultrasound Used for temporarily placing probes or ultrasound <10> gel holder gel. <11> Control Panel Operator-system interface or control. <12> Frontal handle Used for pushing and moving the system. Control table adjusting Lift and hold the handle to lift/down the control table, <13>...

  • Page 34: I/O Panel

    I/O Panel Symbol Function <1><2> USB port, used for connecting USB devices. <3> VGA signal output; connects a monitor or projector. <4> Ethernet interface. <5> Separate video input (reserved). <6> Separate video output. <7> DVI signal output. <8><9> Audio signal input port, left channel (reserved). <10><11>...

  • Page 35: Power Supply Panel

    Power Supply Panel <3> <2> <1> Name Function Used for equipotential connection, balancing the <1> protective earth potentials between the system and other Equipotential terminal electrical equipment. <2> AC Input AC power inlet. <3> AC Auxiliary Output Power supply port for peripherals. Physiological-signal Panel <1>...

  • Page 36: Control Panel

    <2> Use for connecting microphone to record vocal Mic In port comments (reserved) <3> Two USB ports Used for connecting USB devices. <4> ECG lead signal input Connects to ECG leads, to directly obtain patient port/external ECG signal input electrocardiosignal/used for connecting the signal port output port of ECG monitor.
  • Page 37 status When the batteries are being charged, the indicator indicator light is on and in orange. When the battery capacity is charged to full capacity, the indicator turns green. When the system is powered by the batteries and the power capacity is more than 20%, the indicator is green.
  • Page 38 <17> Home Set the default position of the comment/return to the default position. <18> Delete Press to delete the word in the reserved order. text <19> Alphanumer Same as those of PC. ic keys <20> Slide bar Move to adjust time gain compensation. <21>...
  • Page 39 <36> Body Body Marks Press to enter or exit the Body Mark status. Mark <37> M(X) Press to enter M mode, and rotate to adjust M gain; Pressable while in 3D/4D mode, rotate the knob to make the 3D knob image to rotate around X axis.

  • Page 40: Symbols

    2.11 Symbols This system uses the symbols listed in the following table, and their meanings are explained as well. Symbol Description Type-BF applied part Caution Dangerous voltage Power button Probe port Network port USB port S-VIDEO signal interface; VIDEO signal interface Battery Status Indicator Pencil probe port (reserved) Audio signal...

  • Page 41: System Preparation

    5. When using peripherals not powered by the auxiliary output of the ultrasound system, or using peripherals other than permitted by Mindray, make sure the overall leakage current of peripherals and the ultrasound system meets the requirement of the local medical...

  • Page 42: Power Supply

    Power Supply This system can work normally only when it is connected to the external power supply or the battery capacity is sufficient. 3.2.1 Connecting AC Power Supply The AC power system of the system must meet the following requirements: Voltage: 100－240V～;...

  • Page 43: Powered By Batteries

    If the system begins to function improperly – immediately stop scanning. If the system continues to function improperly – fully shut down the system and contact Mindray Customer Service Department or sales representative. If you use the system in a persistent improperly functioning state –...
  • Page 44 Checking before Power ON To check the system before the system is turned on: Check Item The temperature, relative humidity and atmospheric pressure shall meet the <1> requirements of operating conditions. See "2.4.3 Environmental Conditions" for details. <2> There shall be no condensation. There shall be no distortion, damage or dirt on the system and peripheral devices.

  • Page 45: Powering Off The System

    Check Item The exam date and time are the same as the system date and time, and are <6> displayed correctly. 3.3.2 Powering OFF the System You need to follow the correct procedures to power off the system. In addition, after you upgrade the software or when the system is down, you need to power off and restart it.

  • Page 46: Monitor Adjusting

    NOTE: 1. Power off the system if you will not use the system for a long period of time (including storage/ transportation conditions), and you should not allow the system in standby status, otherwise the batteries will be out of power and permanently damaged.

  • Page 47: Connecting A Probe

    Hang the probe cable to the hanger located under the control panel to avoid excessively bending and damaging the cable. Only use the probes provided by Mindray. Aftermarket probes may result in damage or cause a fire. NOTE: If a probe port is not used for a long period of time, please use the dustproof cover to protect the probe port from dust;...

  • Page 48: Disconnecting A Probe

    1. Keep the cable end of the probe to the right side of the system, and insert the connector into the port of the system, and then press in fully (Shown as the left figure). 2. Turn the lock handle 90°clockwise to lock it securely (Shown as the right figure). 3.

  • Page 49: Connecting The Usb Devices

    3.6.1 Connecting the USB Devices DO NOT directly remove a USB memory device; WARNING: otherwise, the USB memory device and/or the system may be damaged. Available USB ports on the system: 1. Two USB ports on the physiological-signal panel. 2. Two USB ports on the I/O panel at the back of the system. 3.

  • Page 50: Graph /Text Printer

    3.6.3 Graph /Text printer The network printer, shared priner and iStorage UltraAssit Print are not applied on software version 01.00.00. 3.6.3.1 Connecting a Local Printer As shown in the figure below, a graph / text printer has a power cord and data cable. The power cord shall be directly connected to a wall receptacle as required.
  • Page 51 6. Click [Save] to finish the installation. Tips: Drivers of some popular printers have already been integrated in the system, and will be installed automatically. You need to check the following information to check if the auto-installation fails: Model of the connected printer is not displayed in the “Printer Driver” list; Click “Printer Driver”->[Add Local Printer], the system will prompts you to update the ppd file.
  • Page 52 3.6.3.2 Add Network Printer 1. Make sure the target network printer and the ultrasound system are both connected into the same LAN. 2. Check the IP address of the network printer (for details, please refer to the accompanying documents of the printer). 3.

  • Page 53: Installing Analog Video Printer

    3.6.3.4 iStorage UltraAssist Print The system supports printing by iStorage function. Before using this function, please make sure that the iStorage server has configured a defaulted printer, and the ultrasound system has configured an iStorage server. For details, please refer to “12.5.2 iStorage”. 1.
  • Page 54 1. Printer room window 2. Printer 3. Room cover Color analog video printer: use the I/O panel at the rear side of the machine to connect the printer, as shown in the following figure: 3-14 System Preparation...

  • Page 55: Installing Video Printer

    Connect the remote cable of the printer Connect to S-Video out cable 4. Load a paper roll, and turn on the system and printer. 5. Modify print service: Add a print service: (1) Open the [Setup]→[Print Preset]→[Print Service]. (2) Click [Add Service] to enter the page. (3) Select the service type and enter the service name manually.

  • Page 56: Installing The Barcode Reader

    (4) Click OK to return to the Printer Service page. (5) Set printing properties. (6) Click [OK] to complete the setting. Modify print service: (1) Select an existed printer service in the list. (2) Select the printer model, and then you can set the properties in the Property box. (3) Click [OK] to complete the setting.

  • Page 57: Basic Screen And Operation

    Basic Screen and Operation 3.7.1 Basic Screen The following diagram maps out the different areas in the screen: Patient Hospital name Accession# Freeze icon name Exam Operator DOB/age Gender date&time Probe&acoustic power Menu/exam mode/image parameter Thumbnails Image area ECG trace Image-in- Image image...
  • Page 58 Hospital name Display the hospital name. Hospital name can be set via "[Setup] → [System Preset] → [Region]". Exam time Displays the exam time, including date and time. Exam time format can be set via "[Setup]→[System Preset]→[Region]". Exam time will be frozen with the frozen image.
  • Page 59 Menu title Page-turning button Drop-down list button Items Page-turning button Menu title Displays the menu name. Divide the menu items according to measurement conditions. Page-turning button When there are too many items in a menu, the items will be divided into more than one page.
  • Page 60 For an item with sub-menu: press the knob to extend the sub-menu, and the cursor navigates to the first sub-item. Operate the sub-menu through the multifunctional knob. For tab items in the menu: e.g. the “Right” and “Left” items in the measurement menu.

  • Page 61: Basic Operations Of Screens

    Page-turning: Use the up/down keys in directional soft menu controls to turn pages up or down; you can operate the items only when they are highlighted. Mode switching: Left / right keys in directional soft menu controls are used to switch among the modes.
  • Page 62 Title Content Control button Composition Description The title bar is used to give a description for the content and Title Bar function of the screen. For some screens, contents are distributed across several pages. Page Tab Click the tab by pressing <Set> key to open/close the available pages.

  • Page 63: Exam Preparation

    Exam Preparation Before examining a new patient, press <End Exam> to end CAUTION: the exam of the previous patient, update the patient ID and information, to avoid mixing data of the next new patient. To Start an Exam You can start a patient exam in the following situations: New patient information: enter the patient information, if it is a new patient, refer to "4.2.1 New Patient Information"...
  • Page 64 Place the cursor onto the targeted box. The field box is highlighted and a flashing cursor appears. Information can be entered or selected from the options. You can also change the cursor position by <Tab>, <Enter> or direction keys. Detailed information is described as follows: 1.
  • Page 65 Age: Auto generated age: once the DOB is entered, the system can display an auto-generated age in the field box; the unit can be “Years”, “Months” or “Days”. If the age is less than one year, the system will automatically calculate the age in months or days.
  • Page 66 Exam Type Information Description According to the entered index (can be selected in the drop-down list); including LMP (last menstrual period), date of conception (DOC), IVF (in vitro fertilization), PRV (previous exam date), BBT (basic body temperature)), the system can automatically calculate GA and EDD (estimated delivery date);...

  • Page 67: Retrieve Patient Information

    Exam Type Information Description BP(L) Input left blood pressure. BP(R) Input right blood pressure. Serum PSA PPSA (Urology) coefficient SMP (Small None Parts) None (Pediatrics) Breast Height Weight 3. Operating Information Accession #: exam number used in DICOM. It should be entered within 16 letters or characters;...
  • Page 68 2. Select the data source: Select the data source in the drop-down list of "Data Source". The occupying space percentage of the selected data source will be displayed. 3. Set the searching condition Define the searching item: Name, ID, BOD or Exam Date; and then enter the related keyword.
  • Page 69 Button Function Description Review Click to enter diagnostic report screen. Report Delete Exam Click to delete the selected record. Click to back up the selected patient record to media Backup Exam supported. Restore Click to import the patient data from an external media. Exam Click to send the selected patient data to external device, Send Exam...

  • Page 70: Select An Exam Mode And Probe

    Select an Exam Mode and Probe. If the exam mode is changed during a measurement, all CAUTION: measurement calipers on the image will be cleared. The data of general measurements will be lost, but the data of application measurements will be stored in the reports. Select the exam mode: (1) Press <Probe>...

  • Page 71: Pause & End An Exam

    Pause & End an Exam 4.6.1 Pause Exam Sometimes, you have to stop an uncompleted exam due to some special reasons. When the exam is paused, the system can begin other exams. (1) Press <Patient> to enter Patient Info screen. (2) Click [Pause Exam].

  • Page 73: Image Optimization

    Image Optimization 1. The images displayed in this system are only reference WARNING: for diagnosis. Mindray is not responsible for the correctness of diagnostic results. It is the responsibility of the clinician, who performs the exam, to capture the correct diagnostic results.

  • Page 74: Quickly Saving Image Setting

    (1) Move the cursor to the item on the parameter area, and a frame will be around the certain item, as (2) Press <Set> to adjust, and rotate the multifunctional knob to select the values. Adjustment through control panel Trackball, control panel key, knob or sliders. 5.1.3 Quickly Saving Image Setting Press <F7>...
  • Page 75 Operation Rotate the <B> knob clockwise to increase the gain, and anticlockwise to decrease. Or adjust it in the image parameter area. The adjusting range is 0-100. Effects Increasing the gain will brighten the image and you can see more received signals.
  • Page 76 Acoustic Power Description Refers to the power of ultrasonic wave transmitted by the probe, the real- time value of which is displayed in the image parameter area in the upper left corner of the screen. Operation Adjust through the [A. power] item in the soft menu. The adjusting range is 7%-100%, in increments of 3%.
  • Page 77 Operation Adjust through the [Line Density] item in the soft menu. There are three levels of line density available: M, H, L, UH. Effects The higher the line density, the higher the resolution, and the lower the frame rate. Dynamic Range Description This function is used to adjust the B image resolution to compress or expand the gray display range.
  • Page 78 Impacts The function is available in real-time imaging, freeze or cine review status. iBeam Description This function is used to superimpose and average images of different steer angles to obtain image optimization. Operation Adjust through the [iBeam] item in the soft menu. Effects Images after iBeam processing can be optimized with less spot noise and higher resolution, so that more details for the structure are revealed.

  • Page 79: M Mode Image Optimization

    Operation Press <iTouch> on the control panel to turn on the function, the symbol of which will be displayed in the image parameter area of the screen. Click [iTouch] on the menu to adjust the gain in iTouch, with the adjusting range of -12-12dB.

  • Page 80: M Mode Image Parameters

    5.3.2 M Mode Image Parameters In M mode scanning, the image parameter area in the upper left corner of the screen displays the real-time parameter values as follows: Parameter Meaning Frequency Depth M Gain M velocity M Dynamic Range During M mode imaging, menus for B mode and M mode are displayed at the same time.
  • Page 81 Speed Description This function is used to set the scanning speed of M mode imaging, and the real-time speed value is displayed in the image parameter area in the upper left corner of the screen. Operation Change the speed through the [Speed] item in the soft menu. Or adjust it in the image parameter area.

  • Page 82: Color Mode Image Optimization

    Effects The more the dynamic range, the more specific the information, and the lower the contrast with more noise. M Soften Description This feature is used to process the scan lines of M images to reject noise, making the image details to be clearer. Operation Adjust through the [M Soften] item in the soft menu.
  • Page 83 Operation Rotate the <Color> knob clockwise to increase the gain, and anticlockwise to decrease. Or adjust it in the image parameter area. The adjusting range is 0-100. Impacts Increasing the gain will increase the flow signal presented as well as noise, while the signals may be missing when the gain is adjusted too low.
  • Page 84 Operation Adjust through the [Steer] item in the soft menu, or rotate the multifunctional knob to adjust. Values of steering angles vary by probes. 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 85 Operation Adjust the speed range through the [Scale] item in the menu or the soft menu. The adjusting range varies by frequency, probe and depth; adjust according to the actual situation. Effects To provide a much clearer color flow image. Use low PRF to observe low-velocity flows, and high PRF to observe high- velocity flows.

  • Page 86: Power Mode Image Optimization

    Operation Select through the [WF] item in the soft menu. Or adjust it in the image parameter area. There are 8 levels of wall filter function, adjust according to the actual situation and the probe. Impacts Flow signals may be missing. Priority Description This function is used to set levels of the flow display, to display the grayscale signal or color signal.

  • Page 87: Power Mode Image Parameters

    5.5.1 Power Mode Image Parameters In Power mode scanning, the image parameter area in the upper left corner of the screen displays the real-time parameter values as follows: Parameter Meaning Frequency Power Gain Pulse Repetition Power Wall Filter Frequency (PRF) During Power mode imaging, menus of image optimizing for B mode and Power mode are displayed on the soft menu at the same time.

  • Page 88: Pw/Cw Doppler Mode Optimization

    Operation Adjust through the [Dyn Ra.] item in the soft menu. Effects Increasing dynamic range will lead to higher sensitivity to low-power signals, thus enhances the range of signals to display. PW/CW Doppler Mode Optimization PW (Pulsed Wave Doppler) mode or CW (Continuous Wave Doppler) mode is used to provide blood flow velocity and direction utilizing a real-time spectral display.
  • Page 89 Meaning Frequency Gain Wall Filter SV Position Angle During PW/CW mode imaging, menus of image optimizing for B mode and PW/CW mode are displayed on the soft menu at the same time; if there is also Color mode (Power mode) working, menus of certain modes will also be displayed synchronously, and you can switch by clicking the left/right arrow.
  • Page 90 Effects To provide a much clearer color flow image. Use low PRF to observe low-velocity flows, and use high PRF to observe high-velocity flows. Impacts Aliasing may occur if low velocity scale is used and high velocities are encountered. Low velocities may not be identified when a high velocity scale is used. iTouch Description To optimize image parameters as per the current tissue characteristics for a better image effect.
  • Page 91 Speed Description This function is used to set the scanning speed of PW mode imaging. Operation Adjust the speed through the [Speed] item in the soft menu. There are 6 levels of scan speed available, the smaller the value the faster the speed.
  • Page 92 Operation Select among the maps through the [Gray Map] item in the soft menu. There are 8 different gray maps available. Impacts The function is available in real-time imaging, freeze or cine review status. Display Format Description To set the display format of PW mode image with B mode image. Operation Adjust through the [Display Format] item in the soft menu.
  • Page 93 Quick Angle Description To adjust the angle faster in increments of 60°, and the real-time value of which is displayed on the right part of the spectrum map. Operation Adjust through the [Quick Angle] item in the soft menu. There are 3 angles for quickly adjustment: -60°, 0°, and 60°. Impacts The function is available in real-time imaging, freeze or cine review status.

  • Page 94: Anatomical M Mode

    Anatomical M Mode Anatomical M images and Color Anatomical M images are CAUTION: provided for reference only, not for confirming a diagnosis. Please compare the image with that of other machines, or make diagnosis using none-ultrasound methods. 5.7.1 Free Xros M Imaging For an image in the traditional M mode, the M-mark line goes along the beams transmitted from the probe.

  • Page 95: Free Xros Cm (Curved Anatomical M Mode)

    Operation Click [Show A], [Show B], [Show C] in the soft menu to display or hide the sampling line, and the corresponding image will be displayed on the screen once the related item is selected. Impacts When there is only one M-mark line on the screen, you cannot hide it. Switching between the M-mark Lines Description To switch between the M-mark lines in Free Xros M mode.

  • Page 96: Tdi

    5. Press <Set> key to fix the start point, and the digital number “1” is marked beside the point. 6. Define the next point using the trackball and <Set> key (press <Back> key to exit the operation; or, click [Undo] to cancel the current point and activate the preview point), the system updates the time-motion curve in real time.

  • Page 97: Tdi Exam Protocol

    Only phased probe is valid for TDI function. 5.8.1 TDI Exam Protocol Enter TDI User-defined shortcut key a) Assign a user-defined shortcut key for TDI: the setting path is "[Setup] → [System Preset] → [Key Config]". Please refer to "12.1.6 Key Configuration” for details.

  • Page 98: Tdi Quantitative Analysis (Qa)

    5.8.4 TDI Quantitative Analysis (QA) TDI Quantitative Analysis results are provided for reference CAUTION: only, not for confirming a diagnosis. Please compare the results with that of other machines, or make diagnosis using none- ultrasound methods. TDI QA is applied for TVI original data analysis, for evaluating the velocity change of the same cardiac muscle with cardiac cycles.
  • Page 99 5.8.4.1 TDI QA Screen Description 1---TVI 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 Tips: Images in the TVI cineloop window and B cineloop window are the frozen image of the same moment;...
  • Page 100 5.8.4.2 Basic Operations of TDI QA Selecting TIC Analysis Image Range A range of frames is selected for the TDI quantitative analysis in Cine mode (before accessing TDI QA). Only the frames in this range are used for the TDI quantitative analysis.

  • Page 101: Color M Mode

    Delete ROI Press <Clear> key to clear out the last ROI; click [Delete All] on the soft menu to clear out all ROIs. The corresponding traces for the deleted ROIs are erased from the plot. Deleting an ROI causes the ROIs to be deleted from all frames in the analysis loop. Standard Height/Standard Width/Standard Angle Click [Std.

  • Page 102: Enter Color M Mode

    The Color M mode includes Color Flow M mode and Color Tissue M mode (also known as TVM). 5.9.1 Enter Color M Mode Color Flow M mode In B+M Mode, press <Color>. In B+Color, B+ Color+ Pw or B+ Color+ CW mode, press <M> twice or press <M>...

  • Page 103: Note Before Use

    5.10.1 Note before Use 5.10.1.1 3D/4D Image Quality Conditions NOTE: In accordance with the ALARA (As Low As Reasonably Achievable) principle, please try to shorten the sweeping time after a good 3D imaging is obtained. The quality of images rendered in the 3D/4D imaging is closely related to the fetal condition, angle of a B tangent plane and scanning technique (Smart3D).

  • Page 104: Overview

    NOTE: 1. A region with qualified image in B mode may not be optimal for 3D/4D imaging. E.g. adequate AF isolation for one sectional plane doesn’t mean the whole desired region is isolated by AF. 2. More practices are needed for a high success rate of qualified 3D/4D imaging.
  • Page 105 View point ROI and VOI Before image acquisition after the system enters 3D/4D imaging, a B image with ROI displays on the screen. A line (shown in the following figure) that shows the cut plane position of VOI is inside ROI. B image Cut plane ROI size and position...
  • Page 106 View Curved VOI At the left part of curved VOI At the right part of curved VOI Displays as a dot Displays as a dot NOTE: To define a ROI, please try to cut the useless data as to reduce the volume data, shortening the time for image storing, processing and rendering.
  • Page 107 Probe A 2D imaging probe can be applied for Smart 3D imaging, however, to realize static 3D imaging or 4D imaging, a volume probe should be selected. Sectional plane The principle of 3D imaging is to render a 3D image from multiple 2D image information.
  • Page 108 Section C: it is the coronal section in fetal face up posture, as shown in the figure C above. Tips: the upper part of the 3D image in the D window is corresponding to the orientation mark on the probe, if the fetal posture is head down (orientating the mother’s feet), and the orientation mark is orientating the mother’s head, then the fetus posture is head down in the 3D image, you can make the fetus head up by rotating the 3D image by clicking [Quick Rot.] to be “180°”...

  • Page 109: Static 3D

    5.10.3 Static 3D Static 3D provides single frame image acquisition of 3D images. Make sure to perform Static 3D imaging with an appropriate Static 3D-compatible probe—volume probe. Only if the current probe is an effective one, can the system enters Static 3D imaging mode. During the scanning, the probe performs the scanning automatically.
  • Page 110 5.10.3.2 Static 3D Acquisition Preparation Parameters description: Type Parameter Description Function: to set the range for imaging. Angle Range: 10-70°, in increments of 5°. Parameter Function: to adjust the image quality by changing the adjusting line density. Image quality can affect the imaging speed Quality that the better the image quality, the longer the time.
  • Page 111 5.10.3.3 Static 3D Image Viewing Entering/Exiting Image Viewing To enter image viewing: The system enters image viewing when image acquisition is finished. You can complete the acquisition by: Wait until the 3D acquisition automatically completed. Exit To return to 3D/4D image acquisition preparation status, you can, Press <Update>...
  • Page 112 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 of 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).
  • Page 113 Adjust VOI VOI On VR image displays VOI information. (1) In image viewing status, click [VOI] as “On”. (2) Select a desired section plane by clicking [Cur. Win]. (3) Roll the trackball to adjust VOI position, size and curved VOI, and press <Set> to switch among the adjusting status.
  • Page 114 Image Rendering Parameters In image viewing status, you can render the image by adjusting the relevant parameters. Render setting parameters description: Click [VR/MPR] on the menu to select parameter adjustments of VR or MPR. When VR is selected, parameter adjustment is performed on VR image. When [MPR is selected, parameter adjustment is performed on MPR image.
  • Page 115 Render Mode Parameter Description Function: set Surface as 3D image rendering mode. This is helpful for surface imaging, such as fetus Surface face/hand or foot. Tips: you may have to adjust the threshold to obtain a clear body boundary. Function: set Max as 3D image rendering mode, displays the maximum echo intensity in the observation direction.
  • Page 116 Rotating the Image The system supports the following rotation modes: Axial rotation Auto rotation Axial rotation Axial rotation is to rotate the currently activated image around the X, Y or Z axis. Procedures a) Select the current image. b) Rotate the corresponding knobs to make the image rotate, here, To rotate along X-axis: rotate <M>...
  • Page 117 Sync This function is to switch the direction of 3D image to the direction that is perpendicular to the current active plane, so as to get a better observation. As shown in the following, after performs Sync on Figure A, you can see the 3D image and section A from the same direction in Figure B.
  • Page 118 Image Edit Function Image editing is a more elaborate function than VOI adjusting to optimize the 3D by clipping (removing) the part blocked the region of interests. Tips: In image edit status, no image parameter can be changed. There displays a cutting cursor , and the system enters “Accept VOI”...
  • Page 119 5.10.3.4 Image Saving and Reviewing in Static 3D Image saving In the 3D viewing mode, press the single image Save key (Save Image to hard drive) to save the current image to the patient information management system in the set format and image size. Save clip: in 3D viewing mode, press the user-defined Save key (Save Clip (Retrospective) to hard drive) to save CIN-format clip to the hard drive.

  • Page 120: Smart 3D

    Set 3D image view direction. Select sectional image to define the VOI. Set the brightness, contrast and tint map for 3D image. View sectional plane and 3D image. Image rendering setting. Save image. Other general operations like zooming, comment and body mark. 5.10.4.4 4D Image Saving In the 3D viewing mode, press the single image Save key (Save Image to hard drive) to save the current image to the patient information management system in the set...
  • Page 121 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 involve the whole region desired. See the figure. Parameters description: Parameter Description...

  • Page 122: Ipage

    Arrow in the figure below indicates the movement of the probe (you can move the probe in the contrary direction of the arrow). 5.10.5.4 Image Saving and Reviewing in Smart 3D Image saving In the 3D viewing mode, press the single image Save key (Save Image to hard drive) to save the current image to the patient information management system in the set format and image size.
  • Page 123 4. Select the reference image. 5. Confirm if the section planes displayed are the target planes, if not, re-select the reference image again. 6. Observe the interested structure through multiple slices. Select the proper image layout and space according to the size of the target structure. 7.
  • Page 124 <1> A plane <2> B plane (the current <3> C plane reference image) <4> Y-axis <5> X-axis <6> Central section line (Current active section line) <7> Section line <8> Space between two <9> Image parameter planes <10> Wire cage <11> Section plane order <12>...

  • Page 125: Iscape

    Image zooming Same as 3D/4D image zooming. Hide/show reference image The system displays 3 standard sectional images (A plane, B plane, C plane) in the left side by default to indicate the position of the section lines; you can set [Ref. Img] as “Off”...

  • Page 126: Image Acquisition

    3. Optimize the B/Power mode image: In the acquisition preparation status, click [B] (or [Power]) page tab to go for the B (color) mode image optimization. Tips: in iScape mode, [FOV] is limited to “Off”. 4. Image acquisition: Click [iScape] page tab to enter the iScape acquisition preparation status. Click [Start Capture] or press <Update>...

  • Page 127: Iscape Viewing

    Make sure that there is enough coupling gel along the scan path. Always move the probe slowly and steadily. Continuous contact is required throughout the length of the extended image. Don’t lift the probe from the skin surface. Always keep the probe perpendicular to the skin surface. Don’t rock, rotate or tilt the probe during the scan.

  • Page 128: Cine Review

    5.11.3.4 Measurement, Comment, and Body Mark In iScape image viewing status, you can perform measurement, comment, and body mark. The operations are the same as that of B mode. NOTE: 1. The measurement accuracy for the spliced image may be degraded, exercise caution when measurements are performed on an iScape image.

  • Page 129: Display & Cine Review

    Display & Cine Review Image Display 6.1.1 Splitting Display The system supports dual-split and quad-split display format. However, only one window is active at one time. Dual-split: press <Dual> key on the control panel to enter the dual-split mode, and using <Dual> key to switch between the two images; press <B> on the control panel to exit.

  • Page 130: Pan

    6.1.4 Procedures: 1. Rotate <Zoom> knob to directly enter the pan zooming status. Image-in-image is displayed. 2. Rotate the <Zoom> knob to change the magnification factor. The system provides a zoom range of 0.8-10. 3. Exit pan zooming: press <Zoom> knob. 6.1.5 iZoom (Full-screen Zooming) Function: to magnify the image in full screen.

  • Page 131: Cine Review

    2D＋M/PW (Press <Freeze> in 2D＋M/PW scanning mode) If the imaging mode before frozen is 2D (frozen) +M/PW (real time) or 2D (real time) +M/PW (frozen), then in freeze mode, you can switch between 2D (frozen) +PW (activated) or 2D (activated) +PW (frozen) by pressing <Update> key on the control panel.

  • Page 132: Cine Review In 2D Mode

    To exit cine review: Press <Freeze> key again, the system will return to image scanning and exit cine review. 6.2.2 Cine Review in 2D Mode Manual cine review After entering the cine review of 2D mode, rolling the trackball or rotating the multifunctional knob will display the cine images on the screen one by one.

  • Page 133: Cine Review In M Or D Mode

    d) Click [Skip to First]/ [Skip to Last] to review the first or last image. e) Click [Save Cine] in the soft menu to save the cine images of the set region. Tips: you can perform cine review on each image window in the dual/ quad splitting mode.

  • Page 134: Image Compare

    Image Compare 6.3.1 Cine Compare 1. Press <Review> to enter Review screen, press <Ctrl>+<Set> to select files to be compared. Tip: for B/B+COLOR/B+TVI/B+POWER/B+TEI mode image, you can select at most 4 images; for PW/M/CW/TVD mode image, you can select at most 2 images. 2.

  • Page 135: Cine Memory

    Prospective saving is to save the specified images later than the current moment; to save the images to both the cine memory and the system hard disk. The live capture time can be set. To perform live capture: In scanning mode, press the <Save> key on the control panel (The key has already been assigned the function as “Save Clip (Prospective) to hard disk”...

  • Page 136: Cine Settings

    Cine Settings You can set the cine length via “[Setup] → [System Preset] → [General]”. The items are shown as follows: Non-live storage (the items are shown as follows) For Time without ECG(s), 1~60s. For Time (with ECG Loop): the unit is Beat, 1~16. Live capture (the setting items are shown as follows) Type: Retrospective, Prospective.

  • Page 137: Ecg

    The system can be configured with the optional physio module. In that case, the ECG signal is displayed on the image, and can be reviewed simultaneously with the image. When the system is connected with the ECG module: The Physio menu is available. The ECG icon including heart-shaped symbol and heart rate symbol are displayed on the screen.

  • Page 138: Ecg Operation Basic Procedures

    ECG Operation Basic Procedures 1. Connect the ECG device. Turn off the power supply of the system, and connect the ECG cable to the port in the system (For connection, please refer to “2.9 Physiological-signal Panel”) Turn on the power supply of the system Place the ECG electrodes on the patient’s body (as shown in the following figure) Right Right...

  • Page 139: Ecg Review

    Parameter Description Select ECG source. Source Function: to set the amplitude of ECG trace. ECG Gain Method: click [Gain] in the soft menu or menu. Value: 0-30, in increments of 1. Function: to set the vertical position of the ECG trace on the image display. Method: click [ECG Pos] in the soft menu or menu.

  • Page 141: Measurement

    Measurement You can perform measurements on a zoomed image, cine reviewing image, real-time image, or frozen image. For measurements details, please refer to the [Advanced Volume]. 1. Be sure to measure areas of interest from the most WARNING: optimal image plane to avoid misdiagnosis from inaccurate measurement values.

  • Page 142: General Measurements

    General Measurements 8.2.1 2D General Measurements 2D general measurements refer to general measurements on images of B, Color, Power or iScape imaging modes. The measurements listed below can be performed: Measurement Function Tools Distance Measures the distance between two points of interest. The distance between probe surface and the probing point along Depth ultrasound beam.

  • Page 143: Doppler General Measurements

    Measurement Function Tools Measures the distance and time between two points and calculates Slope the slope. Measures the time of n (n≤8) cardiac cycles and calculates the heart rate in M mode image. Calculates the average velocity by measuring the distance and time Velocity between two points.

  • Page 144: Measurement Accuracy

    Abdomen measurements - Used for measurements of abdominal organs (liver, gall bladder, pancreas and kidney, etc.) and large abdominal vessels. OB measurements - Used for measurements of fetal growth indexes (including EFW) as well as GA and EDD calculations. The fetus can be evaluated through growth graph analysis and fetal biophysical profile.
  • Page 145 Parameter Value Range Velocity (PW mode) Min.≤2cm/s, Max.≥435cm/s Min.≤2cm/s, Max.≥28m/s Velocity (CW mode) Velocity (Color mode) Min.≤2cm/s, Max..≥200cm/s NOTE: Within the selected field range, the measurement accuracy is ensured within the range mentioned above. The accuracy specifications are performance in the worst conditions, or based on the real test for the system, regardless of acoustic speed error.

  • Page 147: Comments And Body Marks

    Comments and Body Marks Comments (Annotations) Comments can be added to an ultrasound image to bring attention, notate or communicate information observed during the examination. You can add comments to: zoomed image, cine review image, real-time image, frozen image. You can type the character as comments;...

  • Page 148: Adding Comments

    Change Font Size/Arrow Size Click [Font Size] to change the font size of comment: Small, Mid, Big. Click [Arrow Size] to change the arrow size of comment: Small, Mid, Big. Navigating through comment libraries Press <Menu> to show the comment menu, and select the menu title to change the comment library (the available ones are those customized libraries for all the exams assigned to the current probe).

  • Page 149: Moving Comments

    Type the alphanumeric characters through the qwerty (The default characters are uppercase). To type the upper characters, press <Shift> on the control panel and the character key at the same time. (3) Move to a new line: In the edit status (the characters are in green color), press <Enter> to move the cursor to the new line, and the location of the cursor is aligned with that of the first line.

  • Page 150: Modifying (Editing) Comments

    9.1.5 Modifying (Editing) Comments Modifying (Editing) characters (1) In the comment status, move the cursor onto the comment that needs to be modified: Directly enter the character at the position that the cursor stays; or, Double press the <Set> key to enter the edit status, use the to move the cursor to a location where needs to insert characters, and type characters.

  • Page 151: Soft Menu For Body Marks

    libraries including Abdomen, Cardiology, GYN (Gynecology), OB (Obstetrics), Urology, SMP (Small Part), Vascular, EM (Emergency) and Nerve. 9.2.1 Soft Menu for Body Marks The body mark soft menu displays the settings for the current mode: Library Click [Library] to switch the body mark library, the corresponding body marks are shown at the left of image.

  • Page 152: Deleting Body Marks

    9.2.4 Deleting Body Marks To delete a body mark (1) Use the trackball to position the cursor on the body mark graphic and Press <Set> to select. (2) Press <Clear> to delete the selected body mark. NOTE: In the Body Mark mode, if no object is selected, pressing the [Clear] key will clear all comments, body marks and general measurements from the screen.

  • Page 153: Patient Data Management

    2. The system patient database space is limited, please back up or clear patient data in time. 3. Mindray is not responsible for lost data if you DO NOT follow suggested backup procedures. 10.1 Patient Information Management 10.1.1 Enter Patient Information The general patient information and exam information are entered through the Patient Info screen, for details;...

  • Page 154: Image File Management

    10.2 Image File Management You can store the image files either in the patient database in the system, or to external memory devices. For a saved image, you can perform operations like image reviewing, analyzing and demonstration (iVision). 10.2.1 Memory Media System supported memory media including: System hard disk USB memory devices: USB flash drive, removable USB hard disk...

  • Page 155: Image Storage Preset

    Multi-medium files (AVI) Multi-frame file format, general cine file format. DICOM files (DCM) DICOM standard files format, single-frame or multi-frame format, used to record patient information and images. 10.2.3 Image Storage Preset Set image size You can set the image size via “[Setup] →[System Preset]→ [General]”. The items are shown as follows: Set cine saving length For details, please refer to “6.2 Cine Review”.

  • Page 156: Quickly Saving Full Screen Image To The System

    10.2.5 Quickly Saving Full Screen Image to the System 1. Set the user-defined key through the path: [Setup]→ [System Preset]→ [Key Config]. Select a key in the Key Function field on the left side and select “Save Full Screen Image to hard drive” in the Output page of Function field on the right side. 2.
  • Page 157 The Review screen is shown as follows: To exit Review: Click [Exit] on the Review screen Press <Esc> Basic operations Select an exam from the “Exam History” drop-down list. Double-click a thumbnail to view and analyze an image. Rotating the Multifunctional knob <Nav.>...

  • Page 158: Ivision

    [Send To]: click to send the selected image to other location, DICOM server, printer, MedSight and etc. Or, select the image and click the icon on the upper left of the image. [Delete]: click to delete the selected image. Thumbnail Size To change the thumbnail size.
  • Page 159 Demonstration item The demonstration items are the image files in the formats that the system supports. You can add the exam data in patient database (D:\PatientData) or system supported image files and folders to demonstration item list. For files and folders in demonstration list, the images in the directory and subdirectory are played one by one, and the system will automatically jump over the files that can’t be opened.

  • Page 160: Sending Image File

    Demo mode The system automatically plays all the image files in the list one by one. The time intervals between images played can be changed through the drop-down list of “Interval”. Option of Demo You can choose whether to repeat the demonstration or exit after a demonstration is completed.

  • Page 161: Report Management

    For MedSight devices, single-frame image will be saved in PNG format, and multi-frame image will be saved in AVI format. 10.3 Report Management Report storage The exam reports are stored under the directory of the exam of the patient. Importing, exporting and sending a report In the iStation screen, select patient data, click [Restore] or [Backup] to import or export patient information, images and reports from or to an external memory device or network storage server.

  • Page 162: Patient Data Management (Istation)

    To export the report (1) Check “Export Report” on the screen, and select the exported format, RTF or PDF. (2) Click [OK] to confirm. You can select paper size for the report in the path: [Setup] → [Print Preset] → [Print Service].

  • Page 163: Searching A Patient

    Patient list Display patient information, exam mode, number of images and cines, exam state, backed up or not. New Exam After you select a patient data or exam in the iStation screen, click the [New Exam] to enter the Patient Info screen, where you can select the exam mode and click [OK] to begin a new exam.
  • Page 164 To delete an image, select the image first and then click on the upper right side. Backup/ Restore You can back up the selected patient data to the system-supported media in order to view it on PC, or restore the patient data to the system from an external media. [Backup Exam]: click to back up the selected patient data to the system- supported media.

  • Page 165: Print

    To recover the deleted patient data, click at the lower right corner of the screen (when the button is gray, the operation is unavailable) to enter the Patient Recycle Bin screen. (1) Select items to be recovered in the list. Select operations: Click [Restore Items] to restore the item back to iStation.

  • Page 166: Report Print

    10.5.3 Report Print Both report and image can be printed on a graph / text printer. 1. Press <Report> to enter the report dialog box. 2. Select [Print] to print the report. Please refer to the accompanying manuals of the printers for more details. 10.6 Backup and Erase Files through DVD Drive The system supports CD-R/RW, DVD±RW drive to write data in CD/DVD and to read...

  • Page 167: Patient Task Management

    10.7 Patient Task Management Click at the lower right corner of the screen to pop up the following dialogue box: The system supports four types of task management: Storage Task: displays the DICOM storage task. DICOM Print Task: displays the DICOM print task. Media Storage Task: DICOM media storage task(including disc and USB devices) Backup task (system-relevant format): select the exam to be backed up in...

  • Page 168: Administration

    When the task management icon displays as , it means no task is undergoing or failure. DICOM Service Setting In the Storage Task and DICOM Print Task page, click [Service Setting] to enter the DICOM service setting screen. For details, please refer to DICOM chapter. Troubleshooting If any serious error occurred like network disconnection or operation timeout, the system can try to reconnect the network.

  • Page 169: Add/ Delete A User

    (2) Select the user name in the drop-down list of User Name. (3) Enter password and click [Login]. To change user: (1) To log out the current user and change to another user, click at the lower right corner of the screen to pop up the following dialogue box: (2) Click [Change User] to pop up the Login dialogue box.

  • Page 170: Modify Password

    3. Enter user name. 4. Enter the password and the confirmed password. 5. Set the user role in the drop-down list: administrator or operator. 6. Click [OK] to confirm the setting and exit the dialogue box, then the new user will appear on the User List.
  • Page 171 Session Manage page (general operator and administrator can modify the password) When the user has logged on the system, you can see at the lower right corner of the screen. (1) Click at the lower right corner to pop up the Session Manage dialogue box, on which you can see the current user’s information.

  • Page 173: Dicom

    DICOM NOTE: Before using DICOM, please read the electronic file DICOM CONFORMANCE STATEMENT along with the device. This chapter is confined to the preset, connection verification and DICOM services of the DICOM- configured ultrasound machine, not including SCP configurations like PACS/ RIS/ HIS. The DICOM package is optional, so the description here is only applicable for the system configured with the DICOM package.

  • Page 174: Dicom Local Preset

    11.1.2 DICOM Local Preset 1. Enter the DICOM local preset screen through the path: [Setup]→[DICOM Preset]. 2. Enter AE Title, Port, and PDU according to the actual situation, and then click [Save] to exit the screen, setting items are introduced in the following. Name Description AE Title...

  • Page 175: Service Preset

    (2) Click [Add] to add the server to the device list, and its name and address are displayed in the list. Tips: AE Title should be the same with the SCU AE Title preset in the server (PACS/RIS/HIS), for example, if the AE Title of the server preset in the storage server is Storage, and the AE Title of the accepted SCU is preset as Machine, then in the figure above, the AE Title of Local should be Machine, and the AE Title of storage server should be Storage.
  • Page 176 DICOM storage preset items are described as follows: Name Description After you set the server (s) in DICOM Preset screen, the Device name (s) will appear in the drop-down list, select the name of the storage server. Service Name Default is xxx-Storage, user-changeable. Application Entity title, here, it should be consistent with that AE Title of the storage server.
  • Page 177 11.1.3.2 Print Service Preset 1. On DICOM Service screen, click [Print] page tab to enter the Print page. 2. Select device, enter the right AE Title, port, etc. 3. Click [Add] to add the service to the Service List. DICOM print preset items are described as follows: Name Description After you set the server (s) in DICOM Preset screen, the name...
  • Page 178 Name Description Film Orientation Select between LANDSCAPE and PORTRAIT. Priority Specify printing task priority among HIGH, MED and LOW. Select film size among the selections listed in the drop down Film Size list. Specify quantity of printed files, e.g. STANDARD\2, 3 indicates Display Format 6 images are printed for each page.
  • Page 179 11.1.3.3 DICOM Worklist Preset 1. On DICOM Service screen, click [Worklist] page tab to enter the Worklist page. 2. Select device, enter the right AE Title, port, etc. 3. Click [Add] to add the service to the Service List. DICOM Worklist service parameters are similar to those described in DICOM Storage Preset, please refer to “11.1.3.1 Storage Service Preset”...

  • Page 180: Verify Connectivity

    11.2 Verify Connectivity If you want to verify connectivity (it is not a must), you can click [Verify] button on Storage, Print, Worklist, MPPS, Storage Commitment, and Query/Retrieve pages respectively. If the verification succeeded, the system prompts “xxx Verify Succeed”. Otherwise, it prompts “xxx Verify Failed”.
  • Page 181 (3) Click to select “DICOM” in the Target box on the left side, and then select the DICOM storage server in the Storage Server box on the right side. (4) Click [OK] to start the sending. To send images by shortcut key You can save single frame image or multi-frame images to DICOM server while saving to hard drive by shortcut key.

  • Page 182: Dicom Print

    a) Enter the DICOM Service Preset screen via “[Setup] (F10) → [DICOM Preset] → [Set DICOM Service]”. b) Select a storage server in the Service List and click [Default]; you can see “Y” in the Default column. c) Click [Exit] to exit the page and return to Setup menu, then click [Save] on the Setup menu to make the preset to take effect.

  • Page 183: Dicom Worklist

    (3) When finished the presets, you can perform image scanning, each time you press <End Exam> on the control panel, the system will send the image to the default DICOM print server for printing. 11.3.3 DICOM Worklist After successfully connected DICOM Worklist server with ultrasound system, you can query patient records from Worklist server, and then import the desired information to your system.

  • Page 184: Mpps

    a) Click to select a patient record. b) Click [Show Detail] button to view the detailed patient information and properties. To automatically query via Worklist server (1) Enter DICOM Service Preset screen, click [Worklist] page tab to open Worklist page. (2) Select an item in the service list and click [Default] to set it as default.

  • Page 185: Query/Retrieve

    b) Select a server in the Service List of Storage page and Storage Commitment page and click [Default]; you can see “Y” is marked in the Default column. c) Click [Exit] to exit the page and return to Setup menu, then click [Save] on the Setup menu to make the preset to take effect.

  • Page 186: Dicom Media Storage

    3. Select the server in “Server and Service” area (both the source and the destination). 4. Enter the query information, such as Patient ID, Patient Name, Accession #, Exam Date, or key words. Click [Clear] to empty the entered query information. 5.

  • Page 187: Dicom Task Management

    Send image and structured report for storage in iStation screen (1) Select “Attach SR When Store Images” in the DICOM Storage preset page, for details; please refer to “11.1.3.1 Storage Service Preset”. (2) Create new patient information or load scheduled the patient information. (3) Perform measurements.

  • Page 189: Setup

    When the preset data is changed, be sure to save the preset CAUTION: data according to the methods described in this chapter. Mindray is not responsible for the loss of the preset data. To enter Setup: Press the <F10> key on the keyboard to enter setup menu.
  • Page 190 Page Description To set the hospital name, language, time zone, time format and system Region date/time. To set patient information, exam setup, patient management, storage, General system dormancy, display, operation log and so on. Image To set general parameters in imaging modes. To set the measure ruler, measure setting, follicle method, comment Application setting and so on.

  • Page 191: Region

    12.1.1 Region Open the Region page via [Setup]→[System Preset]→[Region]. Item Description Hospital To set the hospital relevant information like name, address, Information telephone and so on. To select a language for the system, the available languages are Chinese, English, French, German, Italian, Portuguese, Russian, Spanish, Polish, Czech, Turkish (can be input only), Finnish (can be Language input only), Danish (can be input only), Icelandic (can be input...

  • Page 192: General

    12.1.2 General Open the page via [Setup] → [System Preset] → [General]. Type Item Description Info displays in To select if to display the available patient image banner information items on the screen. Patient Info H&W Unit To set the unit for patient height and weight. Surface Formula To set the surface formula.

  • Page 193: Image Preset

    Type Item Description To select a system dormancy type. After screen saver function is enabled, click [Browse] to select the figure used for screen saver, Screen Screen Saver and click [Preview] to see the effect. Saver To set the waiting time before the system enters dormancy/standby status in the drop-down list beside “Wait”.

  • Page 194: Application

    Type Item Description Cine Memory To set the cine memory splitting type. To set the default status (Static 3D or 4D ) when 3D/4D entering 3D/4D. To set if to display the iScape ruler on iScape iScape Ruler Display imaging mode. 12.1.4 Application Open the page via [Setup] →...

  • Page 195: Admin

    (2) Click to select a function in Function area. You can see the available functions selected at the right side. (3) Click [Save] to complete function setting. Footswitch function setting You can assign a function to the left/mid/right key of footswitch. Setting method is similar to key function setting, please refer to the above steps for setting.

  • Page 196: Exam Preset

    12.2 Exam Preset Open “[Setup] →[Exam Preset]” to enter the following screen. You can assign available exam modes for probes. 1. To select a probe, move the cursor onto the Probe column, and select the probe model through the drop-down list. 2.
  • Page 197 For details about print service and printer installation, please refer to “3.6.3 Graph /Text printer” chapter. Print Service Setting Add Service: click to begin print service adding. Remove Service: click to delete the selected print service. Rename Service: click to rename the selected print service. Property: to preset the property of print services.

  • Page 198: Network Preset

    12.5 Network Preset 12.5.1 Local TCP/IP NOTE DO Not edit IP address in Network Preset page as the network task is executed, otherwise it fails. View if there is any undergoing task in task manager of the system. This page is used for setting network property of the ultrasound system, which is also applicable for DICOM function.
  • Page 199 Name Description Gateway Used to set the gateway IP. Click to make the settings effective. Apply Note: The IP address of the system should not be occupied by other devices in the LAN, otherwise DICOM function will fail. 12.5.1.1 Wireless LAN It is prohibited to use the wireless LAN function in WARNING airplane, as it may violate the relevant provisions in the...

  • Page 200: Istorage

    Tips: Usualy the DHCP is selected. If you select Static, please refer to 12.5.1 Local TCP/IP to set IP Adres, Subnet Mask and Gateway. 4. Select the desired hotspot from the [Wireless Network Manager]. The data display in the [Network SSID] and [Security] control. If the hotspot wanted is not in the list, you can input the data manually in the controls and click [Connect].

  • Page 201: Medsight Preset

    Name Description Press to verify connection with the PC server. On PC server, if the storage path has not been confirmed, a dialog box will pop up and Connect guide the user to set it. If the storage path on PC has already been set, here it displays connection successful after clicking this button.

  • Page 202: Other Settings

    Please contact Mindray Customer Service Department or sales representative for details. 12.6.2 Other Settings Type Item Description Export Log Export the operation log. Upload Log Upload the operation log. Export Export preset data to disk. Preset Manager Import Import the preset data into the system.

  • Page 203: Probes And Biopsy

    Probes and Biopsy Note: For details of storage time and condition for disinfected probes or sterilized probes and brackets, please refer to Technical standard for Disinfection of Medical and Health Structures. 13.1 Probe The system supports the following probes: Probe Illustration Model 3C5A...
  • Page 204 Probe Illustration Model L12-4 7L4A D6-2 V10-4B V10-4 D6-2A 13-2 Probes and Biopsy...
  • Page 205 Probe Illustration Model CB10-4 P7-3 L7-3 CW5s L14-6N Probes and Biopsy 13-3...

  • Page 206: Name And Function Of Each Part Of The Probe

    13.1.1 Name and Function of Each Part of the Probe The basic structures and corresponding functions of probes are basically the same; the following will take probe 3C5A as an example. <2> <1> <3> <4> <5> Name Function <1> Probe head It converts the electrical signal into ultrasound signal, making the sound beams focus in the given direction;...

  • Page 207: Procedures For Operating

    13.1.2 Orientation of the Ultrasound Image and the Probe Head The orientation of the ultrasound image and the probe are shown as below. The “Mark” side of the ultrasound image on the monitor corresponds to the mark side of the probe. Check the orientation before the examination (Here takes linear probe as an example).
  • Page 208 Procedures for operating (with biopsy function): Inspection before examination Connection to the ultrasonic diagnostic system Examinations Biopsy procedure Disconnection to the ultrasonic diagnostic system Sterilization of the needle- guided bracket Wiping off the ultrasound gel Inspection after use Washing the transducer with water Storage Draining/drying Immersion into disinfectant...
  • Page 209 Procedures for operating (with no biopsy function): Inspection before examination Connection to the ultrasonic diagnostic system Examinations Disconnection to the ultrasonic diagnostic system Wiping off the ultrasound gel Washing the transducer with water Draining/drying Disinfection Immersion into disinfectant Removing the transducer from disinfectant Rinsing the transducer into sterile water Draining/drying...

  • Page 210: Wearing The Probe Sheath

    Disinfect the probe and sterilize the needle-guided bracket WARNING: before and after an ultrasound-guided biopsy procedure is performed. Failure to do so may cause the probe and the needle-guided bracket become source of infection. 13.1.4 Wearing the Probe Sheath A legally marketed probe sheath must be installed over the probe before performing intra-cavitary and intra-operative examination.
  • Page 211 Refer to the following table of all probe dimensions to choose the necessary probe sheath type. Model Length(mm) Width(mm) Height(mm) Cable Length(mm) 3C5A 114.7 75.9 29.8 2260±50mm V10-4 315.84 40.95 31.85 2260±50mm V10-4B 32.25 31.01 2260±50mm 33.5 24.8 2260±50mm 7L4A 101.6 25.7 2260±50mm...

  • Page 212: Probes Cleaning And Disinfection

    The above is a dimension illustration of the 3C5A probe. You can select the probe sheath according to the actual application situation. 13.1.5 Probes Cleaning and Disinfection 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.
  • Page 213 Disinfecting by Immersion 1. Wear sterile gloves to prevent infection. 2. Clean the transducer before disinfecting it. MINDRAY recommends the following solutions to disinfect the transducer. Refer to the instructions provided by the chemical manufacturer concerning...

  • Page 214: Storage And Transportation

    cautions during use.Do not soak the transducer connector or the cable near it into water or any solution. Soak the transducer into the disinfectant solution for the shortest time the manufacturer recommends (for example, the shortest time recommended by the manufacturer for soaking Cidex OPA is 12 minutes).

  • Page 215: Biopsy Guide

    Relative humidity: 30% ～ 90% (no condensation) Atmospheric pressure:700 hPa ～ 1060 hPa 3. When the probe is sent to MINDRAY Customer Service Department or sales representative for repair, be sure to disinfect it and keep it in the carrying case to prevent infection.
  • Page 216 During biopsy procedures, the needle may deviate from the desired course due to the tissue characteristics or the type of needle. In particular, needles of small diameters may deviate to a greater degree. Disinfect the probe and sterilize needle-guided bracket before and after each ultrasound-guided biopsy procedure is performed.

  • Page 217: Basic Procedures For Biopsy Guiding

    Probe Needle Target Ultrasound beam Dispersion of the ultrasound beam The biopsy needle may not have actually entered the target object even though it appears to have done so on the image. To avoid this problem, note points below: Do not rely only on the needle tip on the image. Pay careful attention to that, when the biopsy needle comes into the target object or contacts with it, the object should shift slightly.

  • Page 218: Needle-Guided Brackets

    A needle-guided bracket is available for purchase as an optional accessory; it is used in combination with the probe. Some of the probes have matched needle-guided bracket and needles. To order needle-guided brackets, contact MINDRAY Customer Service Department or sales representative.
  • Page 219 NGB-005 Needle-guided bracket Probe NGB-006 Metal/needle detachable needle-guided bracket: Probes and Biopsy 13-17...
  • Page 220 Name Description <1> Support of needle- Used for installing the needle-guided bracket on the guided bracket probe. <2> Groove and tab of Respectively matched with the tab and groove of the the needle-guided probe. bracket <3> Angle adjusting There are 3 types of angles available to be adjusted. base <4>...
  • Page 221 Plastic/needle detachable needle-guided bracket: Name Description Support of needle- Used for installing the needle-guided bracket on the <1> guided bracket probe. Used for determining the angle of the biopsy; there are <2> Angle block three specifications of blocks of angle. Used for installing biopsy needle;...
  • Page 222 NGB-007 Metal needle-guided bracket: No. Name Description Support of needle-guided Used for installing the needle-guided bracket on the bracket probe. Groove and tab of the Respectively matches with the tab and groove of the needle-guided bracket probe Angle adjusting base There are 3 types of angles available to be adjusted.
  • Page 223 Plastic needle-guided bracket: Name Description Support of needle-guided Used for installing the needle-guided bracket on the <1> bracket probe. Used for determining the angle of the biopsy; there <2> Angle block are three specifications of blocks of angle. Used for installing biopsy needle; there are five <3>...
  • Page 224 NGB-011 Needle guide Clamping knob of the needle guide Locating Clamp Needle guide hole Locating groove Needle guide rack Grip knob Needle-guided bracket Probe NGB-016 Name Description Clamp of needle-guided Used for installing the needle-guided bracket on the <1> bracket probe.
  • Page 225 Be sure to perform inspections before and after use of the needle-guided bracket. If an abnormality is found on the needle-guided bracket, immediately stop using it and contact MINDRAY Customer Service Department or sales representative. 1. Sterilize the needle-guided bracket before and after use.
  • Page 226 (2) Open the retaining clamp, align the needle-guided bracket with the probe to locate the locating bulge on the needle guide to the locating grooves on the probe, and then turn the retaining clamp to match it with the probe (See the figure below).
  • Page 227 (5) Screw the nut on the guiding block to secure the block and the needle-guided bracket. (6) Insert a biopsy needle with the same specification as that of the guiding block into the hole of the guiding block. Plastic needle-guided bracket: (1) Put on the sterile probe sheath.
  • Page 228 NGB-007 Metal needle-guided bracket: (1) Put on the sterile probe sheath. (2) Select a proper needle-guided bracket, and match the groove and tab with the tab and groove of the probe respectively. Mount the bracket onto the probe. (3) Screw the pinch nut of the needle-guided bracket to confirm that the needle- guided bracket is properly installed on the probe.
  • Page 229 (3) Check manually to confirm that the needle-guided bracket is securely installed on the probe. (4) Select a proper guiding block and push it into the groove above the angle block, and clamp it tightly. (5) Insert a biopsy needle with the same specification as that of the guiding block into the hole of the guiding block.
  • Page 230 (3) Screw the pinch nut of the needle-guided bracket to confirm that the needle- guided bracket is properly installed on the probe. (4) Select the appropriate guiding block, and fit it into the groove on the angle block. (5) Screw the nut on the guiding block to secure the guiding block with the needle- guided bracket.

  • Page 231: Verifying The Biopsy Guide Line

    13.2.4 Verifying the Biopsy Guide Line Adjusting the needle mark is necessary before every biopsy procedure. 1. Confirm that the needle-guided bracket has been installed securely in the correct position. 2. Prepare a container filled with sterile water. 3. Place the head of the probe in the sterile water, and get a biopsy needle into the needle guide.

  • Page 232: Removing The Needle-Guided Bracket

    Adjust angle Move the cursor onto [Angle], press <Set> key to change the guide line angle. This is operative when there is only one guide line displayed. Save verified settings After the position and angle of the guide line are adjusted, click [Save], and the system will save the current settings of the guide line.
  • Page 233 (4) Hold the transducer with one hand, and then separate the needle-guided bracket from the transducer. Plastic needle-guided bracket: (1) Remove the guiding block slightly along the direction of the needle’s tail. (2) Separate the residual part of the needle-guide bracket and the probe from the needle.
  • Page 234 NGB-011 Hold the probe and the needle-guided bracket, and then open the grip knob of the needle-guided bracket. NGB-016 (1) Screw out the nut on the guiding block to release the biopsy needle. (2) Remove the guiding block in the direction of the needle tail, and then remove the needle.

  • Page 235: Clean And Sterilize The Needle-Guided Bracket

    Sterilization 1. Wear sterile gloves to prevent infection. 2. Clean the needle-guided bracket before sterilizing it. MINDRAY recommends the following solution or sterilizing system to sterilize the needle-guided bracket. 3. Follow local regulations when selecting and using the disinfectant.

  • Page 236: Storage And Transportation

    Between examinations, keep the needle-guided bracket in a sterile environment. When the needle-guided bracket is sent to your MINDRAY representative for repair, be sure to disinfect or sterilize it and keep it in the carrying case to prevent infection.

  • Page 237: Batteries

    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 238: One Full Discharge /Charge Cycle

    14.3 One Full Discharge /Charge Cycle Upon receipt of the system and before first time usage, it is recommended that you perform one full discharge /charge cycle. If the battery has not been used for over 2 months, you are recommended to perform one full discharge /charge cycle. It is also recommended that the battery is stored in the shady and cool area with FCC (full current capacity).

  • Page 239: Acoustic Output

    Acoustic Output This section of the operator’s manual applies to the overall system including the main unit, probes, accessories and peripherals. This section contains important safety information for operators of the device, pertaining to acoustic output and how to control patient exposure through use of the ALARA (as low as reasonably achievable) principle.

  • Page 240: Mi/Ti Explanation

    Users must take responsibility for the safety of patients and utilize ultrasound deliberately. Deliberate use of ultrasound means that output power of ultrasound must be selected based on ALARA. Additional information regarding the concept of ALARA and the possible bioeffects of Ultrasound is available in a document from the AIUM (American Institute of Ultrasound Medicine) title “Medical Ultrasound Safety”.

  • Page 241: Mi/Ti Display

    TIB: Thermal index for applications, such as fetal (second and third trimester) or neonatal cephalic (through the fontanel), in which the ultrasound beam passes through soft tissue and a focal region is in the immediate vicinity of bone. TIC: Thermal index for applications, such as pediatric and adult cranial applications, in which the ultrasound beam passes through bone near the beam entrance into the body.

  • Page 242: Acoustic Power Control

    NOTE: This system automatically returns to the settings whenever changes are made to the values (when you turn on the power, switch between probes, press <End Exam>, or select Return in the Setup menu).In the factory default settings, the Acoustic Output is limited below 100%. Following the ALARA restriction, you are allowed to increase the acoustic power under FDA 510(k) Guidance-Track3 limits and to set it in the image preset screen.

  • Page 243: Limits Of Acoustic Output

    intensity of ultrasound will be reduced by 0.3 dB/MHz for every centimeter of travel from the transducer. This can be expressed by the following equation: × × × － atten water Where I is the attenuated intensity, I is the intensity measured in a water tank (at atten water distance z), fc is the center frequency of the ultrasound wave (as measured in water),...

  • Page 244: Measurement Uncertainty

    Similarly, the Mechanical Index was derived to indicate the relative possibility of mechanical (cavitation) effects. The MI is based on the derated peak-rarefactional pressure and the center frequency of the ultrasound wave. The actual peak-rarefactional pressure is affected by the actual attenuation caused by tissue in the path between the transducer and the focal point.

  • Page 245: Guidance And Manufacturer's Declaration

    Guidance and Manufacturer’s Declaration The system complies with the EMC standard IEC 60601-1-2: 2007. The use of unapproved accessories may diminish system WARNING: performance. Use of components, accessories, probes, and cables other than those specified may result in increased emission or decreased immunity of system.
  • Page 246 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－ EMISSIONS TEST...
  • Page 247 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 248 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 COMPLIANCE...
  • Page 249 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 251: 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 Mindray Customer Service Department or sales representative. 1. Only an authorized Mindray service engineer can WARNING: perform maintenance not specified in this operator’s...
  • Page 252 Cleaning the probe Tools: mild soapy water , dry soft cloth, soft brush Method: Wipe out the dust attached to surface of probe head, connector and cable with dry soft cloth. Use soft brush to brush the dust inside probe connector gently. Remained stain or dust attached to surface of cable or surface of connector should be washed out by cloth with a little soapy water, and then air-dry.
  • Page 253 NOTE: Be sure to use soft brush to brush the dust attached to all the sockets or interfaces which can be seen (such as probe sockets, sockets or interfaces in IO panel and power supply panel),not the cloth with water. Cleaning the trackball (1) Disassembling the trackball Press the bulges on the clamping ring by both hands and turn the ring about 45°...

  • Page 254: Clean The Peripherals

    Clamping ring click Top cover notch Clean dust-proof covers Tool: Soft brush Method: 1) Disassemble dust-proof cover before cleaning. System dust-proof cover: Grab the lower side of the dust net frame, and then pull out the net. Main unit Dust-proof Probe port dust-proof cover: there is a probe port dust-proof cover at the front of the system, Pull it out.

  • Page 255: Checking The Probe

    Content Description First wipe off dust or stain attached to the cover of printer with soft dry Graph / text cloth, then clean the inside of printer. Be sure to do the cleaning printer maintenance according to the operation manual if is necessary. Use soft dry cloth with a little mild soap water to wipe off the dust or stain Foot switch attached to the pedals or cable of foot switch.

  • Page 256: Troubleshooting

    17.2 Troubleshooting If any persistent system malfunction is experienced, e.g. an onscreen error message, blank imaging screen, absent menus, please refer to the table below. If the failure can’t be eliminated, please contact Mindray Customer Service Department or sales representative. Failure...

  • Page 257: Appendix A Barcode Reader

    Appendix A Barcode Reader The product supports readers for logging data as patient ID: 1-D barcode reader (SYMBOL LS2208) . The laser transmitted by the reader is Class 2 laser. Class 2 laser adopts low power, visible LED. DO NOT stare into WARNING: beam because of unknown hazards of transient radiation provided by class 2 laser.
  • Page 258 Setting 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 259 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 260 A.1.4 Scanning in Hand-Held Mode 1. Ensure all connections are secure. 2. Aim the reader at the barcode. Press the trigger. Tips: Ensure the scan line crosses every bar and space of the symbol, see the figure below. A-4 Barcode Reader...
  • Page 261 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. This specular reflection can make decoding difficult.
  • Page 262 A.1.5 Scanning in Hands-Free Mode 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. 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 263 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. When you remove the reader from the stand it operates in its normal hand-held mode. Parameter Defaults Refer to the following table for parameter defaults of LS2208.
  • Page 264 Parameter Defaults Code 39 Full ASCII Conversion Disable Buffer Code 39 Disable Code 93 Code 93 Enable Set Length(s) for Code 93 4 to 55 Interleaved 2 of 5 (ITF) Interleaved 2 of 5 (ITF) Enable Enable Set Lengths for I 2 of 5 I 2 of 5 Check Digit Verification Disable Transmit I 2 of 5 Check Digit...

  • Page 265: Appendix B Electrical Safety Inspection

    Appendix B 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 266 No residue of fluid spillage (e.g., water, coffee, chemicals, etc.). No loose or missing parts (e.g., knobs, dials, terminals, etc.). B.2.2 Contextual Inspection Test Item Acceptance Criteria No unusual noises (e.g., a rattle inside the case). No unusual smells (e.g., burning or smoky smells, The enclosure and particularly from ventilation holes).
  • Page 267 For IEC60601-1, 500 μA in Normal Condition 1000 μA in Single Fault Condition Enclosure Leakage Test The following outlet conditions apply when performing the Enclosure Leakage test. normal polarity( Normal Condition); reverse polarity( Normal Condition), normal polarity with open neutral(Single Fault Condition); reverse polarity with open neutral(Single Fault Condition).
  • Page 268 Mains on Applied Part Leakage The Mains on Applied Part test applies a test voltage, which is 110% of the mains voltage, through a limiting resistance, to selected applied part terminals. Current measurements are then taken between the selected applied part and earth. Measurements are taken with the test voltage (110% of mains) to applied parts in the normal and reverse polarity conditions The following outlet conditions apply when performing the Mains on Applied Part test.

  • Page 269: Appendix C Loading And Transporting The Dc-N3 Series Unit In A Van

    Appendix C Loading and Transporting the DC-N3 Series Unit in a Van Overview When moving or transporting the unit without original packing materials, follow the instructions and precautions below to ensure maximum safety for personnel, the system and other equipment. Minimum size for the vehicle door: 700mm (W)*550mm (H) Minimum size for the vehicle capacity (inside):700mm(L)*550mm(W)*1150mm(H) Tools necessary: 048-002257-002122 LCD bumper, 1 peace...
  • Page 270 Put a bumper of 30mm in thickness Tighten the front (or use other soft handle with the base material), adjust the using a strap support arm to anchor it on the bumper Tighten the base to the proper position of the vehicle using the strap, making sure the unit can’t be moved in any...
  • Page 271 LCD bumper position (front view and rear view) Figure 6 Details (cont’d) Loading and Transporting the DC-N3 Series Unit in a Van C-3...

  • Page 273: Appendix D Iscanhelper

    Appendix D 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 274 Basic Screen and Operation Section selecting box Image area Help information area D.4.1 View Selecting Area Rotate the trackball to move the cursor onto the target view and press <Set>, related information will be displayed on the help information area. D.4.2 Help Information Area Help information area displays on the lower right corner of the screen, providing ultrasonic...
  • Page 275 D.4.3 Single/quad-window Display You can zoom in the anatomic graphic, ultrasonic image as well as scanning picture to view those information more conveniently. Press <Cursor> to obtain the cursor. Move the cursor on the anatomic graphic, the ultrasonic image or scanning tips. Double-click <Set> to go to the single window of each of them. Double-click single window again to return to quad-window display.
  • Page 277 P/N: 046-003955-02 (V1.0)

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