Page 1 DP-60/Z6/ Z6T/ Z6S/ Z6W/ Z6 Pro/ Z6 Expert/ Z8/ Z8S/ Z8 Pro/ Z8 Expert/ Z60/ Z60T/ Z60S/ Z60W/ Z60 Pro/ Z60 Expert/ Z80/ Z80S/ Z80 Pro/ Z80 Expert Diagnostic Ultrasound System Operator’s Manual [Basic Volume]...
Page 3: Table Of Contents
Contents Intellectual Property Statement ...................... I Responsibility on the Manufacturer Party..................I Warranty ............................II Exemptions ..........................II Customer Service Department ....................II Important Information ........................III About This Manual ........................III Notation Conventions ........................III Operator’s Manuals ........................IV Manuals on Paper ........................
Page 4 Connecting / Disconnecting a Probe ................3-4 3.4.1 Connecting a Probe ....................3-4 3.4.2 Disconnecting a Probe ..................... 3-4 Connecting the Footswitch....................3-5 Connecting/ Removing a USB Storage Device ..............3-5 Graph / Text Printer ......................3-5 Digital Video Printer ......................3-9 Analog Video Printer ......................
Page 5 Color M Mode........................ 5-21 5.9.1 Enter Color M Mode ....................5-21 5.9.2 Exit Color M Mode ....................5-22 5.9.3 Color M Mode Image Parameters ................5-22 5.10 Anatomical M Mode (Free Xros M) ................5-22 5.11 TDI ..........................5-24 5.11.1 Basic Procedures for TDI Imaging ................5-24 5.11.2 TDI Image Parameters ...................
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 ....................8-1 8.2.1 2D General Measurements ..................8-1 8.2.2 M General Measurements ..................8-2 8.2.3 Doppler General Measurements ................8-3 Application Measurement ....................
Page 7 10.7.5 Modifying Password ..................... 10-17 11 DICOM........................11-1 11.1 DICOM Preset ........................ 11-1 11.1.1 Network Preset ....................... 11-1 11.1.2 DICOM Preset ......................11-2 11.1.3 DICOM Service ....................... 11-4 11.2 Verify Connectivity ......................11-9 11.3 DICOM Service ......................11-10 11.3.1 DICOM Storage..................... 11-10 11.3.2 DICOM Print ......................
Page 8 13.2.3 Needle-guided Bracket Inspection and Installation ..........13-25 13.2.4 Biopsy Menu ......................13-33 13.2.5 iNeedle (Needle Visualization Enhancement ) ............13-33 13.2.6 Verify Biopsy Guide Line ..................13-34 13.2.7 Removing the Needle-guided Bracket ..............13-35 13.2.8 Clean and Disinfect the Needle-guided Bracket ............ 13-39 13.2.9 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
Software Interfaces in this Manual Depending on the software version, preset settings and optional configuration, the actual interfaces may be different from those in this manual. Conventions In this manual, these conventions are used to describe the buttons on the control panel, the items in menu, buttons in dialog box and some basic operations: ...
Page 14: Product Differences
√ × √ √ × Z60T √ × √ √ √ × Z60S × √ √ √ √ × Z60W × × √ √ √ × Z60 Pro × √ × √ √ × Z60 Expert √ √ √ ×...
Page 15: Safety Precautions
Safety Precautions Safety Classification  According to the type of protection against electric shock: CLASS I EQUIPMENT WITH EXTERNAL POWER SUPPLY + CLASS I EQUIPMENT WITH INTERNAL POWER SUPPLY  According to the degree of protection against electric shock: Type-BF applied part ...
Page 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
You must use the power adapter provided with the system; otherwise electric shock may result. You can only adopt the power supply method provided by Mindray, other power supply modes (e.g. using a UPS) may result in electric shock. Connect the protective grounding conductor before turning ON the system.
Page 18 Do not subject the transducers to knocks or drops. Use of a defective transducer may cause an electric shock. 10. Do not open the covers and front panel of the system. Short circuit or electric shock may result when the system hardware is exposed and powered on.
Page 19 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 DO NOT connect or disconnect the system’s power cord or its accessories (e.g., a printer) without turning OFF the power first. This may damage the system and its accessories or cause electric shock. If the system is powered off improperly during operation, it may result in data damage of the system’s hard disk or system failure.
Page 21 The system should be powered by battery when the integrality and reliability of the protective grounding of external power supply is indeterminate. The replaceable fuse is inside the chassis. Refer replacing job to Mindray service engineers or engineers authorized by Mindray only.
Page 22 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. The probe sheath contains natural rubber that can cause allergic reactions in some individuals.
Page 23: Latex Alert
Transducer damage may be caused by inappropriate gel, detergent or cleanser: Do not soak or saturate transducers with solutions containing alcohol, bleach, ammonium chloride compounds, acetone or formaldehyde. Avoid contact with solutions or coupling gels containing mineral oil or lanolin. NOTE: Read the following precautions to prevent the probe from malfunction: ...
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: No.
Page 25: System Overview
System Overview Intended Use The Diagnostic Ultrasound System is applicable for adults, pregnant women, pediatric patients and neonates. It is intended for use in gynecology, obstetrics, abdominal, pediatric, small organ, cephalic, transcranial, musculo-skeletal, cardiac, vascular, urology, orthopedics, nerve and intraoperative exams. Contraindication This system is not intended for ophthalmic use.
Page 26: Product Specifications
Product Specifications 2.4.1 Imaging Mode B Mode M Mode Anatomical M Color M Mode (CM) C Mode Color Power (Dirpower) D Mode PW Doppler CW Doppler Special iScape imaging TDI (Tissue Doppler imaging) Smart 3D Static 3D Contrast Imaging Elastography 2.4.2 Power supply Voltage...
Page 27: System Configuration
147±5mm×361±5mm×358±5mm (Depth×Width×Height)  Net Weight: 8.2±0.5kg (without battery, two probe ports) System Configuration 2.5.1 Standard Configuration  Main unit  System software  Accessories  Operator’s manual  Power cable  Multilingual control panel overlay  Probe holder  Disk of multi-language operator’s manual 2.5.2 Probes Available Region...
Page 28 Region Probe Model Category Intended Use Applied Pediatric, small organ, musculo-skeletal, Body 75L38P Linear vascular, nerve surface Body D6-2P Convex Gynecology, obstetrics, abdominal surface Gynecology, Obstetrics, Pediatric, Abdominal, Body C6-2P Convex Vascular, Urology surface Pediatric, small organ, musculo-skeletal, Body 7L4BP Linear vascular, nerve surface...
Page 29: Options
Needle-guided Biopsy Angle/ Probe Model Applicable Biopsy Needle Bracket Model Depth (±1°) NGB-010 7LT4P 30°, 40°, 50° 13G, 15G, 16G, 18G, 20G Metal/needle detachable NGB-011 11°, 23° 13G, 15G, 16G, 18G, 20G 2P2P Metal/needle un- detachable NGB-016 L14-6P 30°, 40°, 50° 14G, 16G, 18G, 20G, 22G Metal/needle detachable...
Page 30: Peripherals Supported
Item first DICOM OB/GYN Structured Report DICOM Vascular Structured Report DICOM Cardiac Structured Report Footswitch Battery Pack Mobile trolley (UMT-150 or UMT-160) DVD drive Pack 4D module Network accessory package ECG module ECG lead (ECG module should be configured first) Ultrasound gel 2.5.4 Peripherals Supported...
Page 31: Introduction Of Each Unit
Introduction of Each Unit  Right View  Left View System Overview 2-7...
Page 32  Rear View  Bottom View Name Function Probe holder Used to place the probe Display Displays the image and parameters during scanning Control Panel Refer to the 2.6.3 Control Panel. USB ports Used to connect USB devices Handle Used to carry the machine Interface panel used for inputting and outputting signals, refer I/O Panel to 2.6.1 I/O Panel.
Page 33: I/O Panel
2.6.1 I/O Panel Symbol Function Network port USB ports Separate video output, connecting video printer or LCD Composite video output Remote control port ECG port VGA signal output Power indicator 2.6.2 Power Supply Panel Name Function Power inlet AC power inlet Used for equipotential connection, that balances the Equipotential terminal protective earth potentials between the system and other...
Page 34: Control Panel
2.6.3 Control Panel Name Description Function Off: when system is turned off; Power button Green: when system is turned on by pressing this button. Exit Press to exit the current status to the previous status. Press to display or hide the help information on Help screen.
Page 35 Name Description Function User-defined You can assign a function to the key. Biopsy Press to show or hide the biopsy guide line. Setup Press to open/close the setup menu. Press to delete the comment, etc. Alphanumeric Same as on PC keys Press to enter Dual mode from non-Dual mode;...
Page 36 Name Description Function Caliper Press to enter/ exit General Measurement Rotate: to adjust the gain Gain/ iTouch Press: to enter/ exit iTouch Move to adjust time gain compensation. Focus Press: to switch between Focus and Freq./THI; Freq./THI Rotate: to adjust corresponding parameter Depth Press: to switch between Depth and Zoom;...
Page 37: Symbols
Symbols This system uses the symbols listed in the following table, and their meanings are explained as well. Symbol Description Type-BF applied part Caution Dangerous voltage Equipotentiality Power button Network port USB ports Video output Remote control port VGA signal output AC (Alternating current) Battery Status Indicator Standby indicator...
Page 38 Symbol Description This product is provided with a CE marking in accordance with the regulations stated in Council Directive 93/42/EEC concerning Medical Devices as amended by 2007/47/EC. The number adjacent to the CE marking (0123) is the number of the EU-notified body certified for meeting the requirements of the Directive.
Page 39: System Preparation
System Preparation Moving/Positioning the System Please read and understand the safety precautions before placing the system to ensure safety for both operator and devices. 1. Switch off the power, and pull out the plug. 2. Disconnect the system from all peripherals. 3.
Page 40: Powered By Battery
– immediately stop scanning. If the system continues to function improperly – fully shut down the system and contact Mindray Customer Service Department or sales representative. If you use the system in a persistent improperly functioning state – you may harm the patient or damage the equipment.
Page 41: Powering Off
If you find anything not functioning properly, this may indicate that the system is defective. In this case, shut down the system immediately and contact Mindray Customer Service Department or sales representative. NOTE: When you start the system or switch between probes, you will hear clicking sounds –...
Page 42: Connecting / Disconnecting A Probe
When connecting or disconnecting a probe, place it in a CAUTION: proper position, to prevent the probe from falling off or becoming damaged. Only use the probes provided by Mindray. Aftermarket probes may result in damage or cause a fire. 3.4.1 Connecting a Probe...
Page 43: Connecting The Footswitch
3. Keep the probe in safety and care. Connecting the Footswitch Connect the footswitch to the main unit via a USB port. Set the functions of the footswitch in the [Key Config] page. Refer to "12.1.6 Key Config" for details. Connecting/ Removing a USB Storage Device DO NOT detach an USB storage device directly;...
Page 44 1. Connect the data cable with the USB port on the ultrasound system. 2. Plug the other end power plug into an appropriate outlet. 3. Power on the system and the printer. 4. Check the printer status:  Enter [Setup]-> [Print Preset]->“Printer Driver” page, printers that are installed automatically will be displayed in the list with the “Status”...
Page 45 6. Click [Save] to finish the installation. Tips: Click [Printer Driver]->[Printer Supported] to view the drivers of some popular printers that have already been integrated in the system.These drivers will be installed automatically. You need to check the following information to check if the auto-installation fails: ...
Page 46 4. Click [Verify Net Printer], the IP address, name and port information of the network printer will be displayed under the “Port” box. Change the port to match the verified printer information if necessary. 5. Click [OK] to enter the ppd installing screen: ...
Page 47: Digital Video Printer
 Report print: Click [Print] in the report dialog box to print a report; or, use the user-defined key to print, see "12.1.6 Key Config" for details.Please refer to the accompanying manuals of the printers for more details. Digital Video Printer ...
Page 48: External Dvd
4. Install the printer driver (steps are the same as of graph/text printer, please refer to “3.7 Graph / Text Printer” for details). And you need not install the driver of the printer listed in section “2.5.4 Peripherals Supported”. 5. Add a print service. (1) Open [Setup]->...
Page 49: Basic Screen And Operation
3.11 Basic Screen and Operation 3.11.1 Basic Screen The following diagram maps out the different areas in the screen: Hospital name Accession# Patient Information Freeze Logo Operator Exam time icon Probe Acoustic power, MI/TI Product Mode Exam Mode Image Parameters Menu area Image area Thumbnail...
Page 50  Cine Review area Displays the cine review progress bar to indicate the cine replay progress.  Thumbnail preview & Zoom Window (image-in-image) In the zoom status, this area displays the thumbnail of a complete image, and a rectangular frame is used to highlight the currently magnified area. This feature is called image-in-image.
Page 51: Basic Operations Of Screens
3.11.2 Basic Operations of Screens Title Contents Control button Composition Description The title bar is used to give a description for the content and Title Bar function of the screen. Use the selection pointer and <Set> key to open / close the Page Tab available pages.
Page 53: Exam Preparation
Exam Preparation Before examining a new patient, press <End Exam> to end the CAUTION: exam of the previous patient, update the patient ID and information, to avoid mixing data of the next new patient. Start an Exam You can start a patient exam in the following situations: ...
Page 54 You can also change the cursor position by <Tab>, <Enter> or up/down controls. Information includes: 1. General information  Name Enter patient name through the keyboard. Characters of A through Z and 0 through 9 and “.” are allowed. “\”, “^” and “＝” are not permitted. ...
Page 55  Also, you can manually enter the age. NOTE: When you enter the date manually, please enter it in the format as that of the system. 2. Exam Type  Exam application type You can select among: ABD (Abdomen), OB (Obstetrics), GYN (Gynecology), CARD (Cardiac), VAS (Vascular), URO (Urology), SMP (Small Part), PED (Pediatrics), and BREAST (Breast).
Page 56 Exam Type Information Description Para Times of delivery Abort Times of abortion Last menstrual period Gravida Times of pregnancy. Para Times of delivery (Gynecology) Times of abnormal pregnancy. e.g. extrauterine Ectopic pregnancy Abort Times of abortion Height Weight After the height and weight are inputted, the system BSA (body surface will automatically calculate the BSA based on the CARD...
Page 57: Retrieve Patient Information
 [Cancel Exam]: to cancel the current exam.  [OK]: click to save the patient data entered and exit the screen.  [Cancel]: click to cancel the patient data entered and exit the screen. 4.2.2 Retrieve Patient Information 4.2.2.1 iStation The patient data can be obtained in iStation from the system hardware or USB memory device.
Page 58 Button Function Description Review Click to enter the Review screen. Image Patient Click to enter the Patient Info screen. Info Review Click to enter the Diagnostic Report screen. Report Delete Click to delete the selected record. Exam Backup Click to export the selected patient data to media supported. Exam Restore Click to import the patient data from an external media.
Page 59: Select Exam Mode And Probe
 Or select the keyword type, enter the keywords and then click [Query] to search.  To reset the criteria, click [Clear] button. 3. Select the desired patient from the list.  Click [Start Exam], the patient information is imported into the system and then an exam is started.
Page 60: Selecting Imaging Mode
 To save the image parameters for the current exam mode quickly: Click [QSave] to save the image parameters in the current image mode as presets. A dialogue box pops up to prompt you the operation will cover the current image preset data.
Page 61: End An Exam
1. Saves the exam-related images, reports and measurement data, modifies the status as “Paused”. 2. Save the exam information, including report, imaging mode, exam mode, image parameters, operation mode, imaging / measurement data and so on. 4.6.2 End an Exam Before examining a new patient, press <End Exam>...
Page 63: Image Optimization
Image Optimization The images displayed in this system are only reference for WARNING: diagnosis. Mindray is not responsible for the correctness of diagnostic results. It is the responsibility of the clinician, who performs the exam, to capture the correct diagnostic results.
Page 64: Quickly Saving Image Setting (Qsave)
Requirement Available Operations Adjust [Frequency] Adjust [Scale] To modify flow images effect Adjust [Packet Size] (Resolution and sensitivity) Adjust [Line Density] Adjust [Smooth]  Adjusting through Image Menu: Use the trackball and <Set> or the multifunctional knob to adjust.  Adjusting through control panel: Trackball, control panel key, knob or sliders.
Page 65: B Mode Image Optimization
Parameter Frequency Depth Gain Frame Display when the function is Rate turned on Dynamic Range 5.4.3 B Mode Image Optimization Gain Description To adjust the gain of the whole receiving information in B mode. The real-time gain value is displayed in the image parameter area in the upper left corner of the screen.
Page 66 Operation Adjust it through [Frequency] on the image menu or rotate the <Focus/Freq./THI> knob on the control panel, wherein “H” means the harmonic frequency. Values of frequency vary depending upon the probe types. Select the frequency according to the detection depth and current tissue characteristics. Effects The higher the frequency the better the near field resolution but the worse the force of penetration.
Page 67 ExFov Click [ExFov] on the image menu to turn on/off the function. For linear probes, the ExFOv function displays as trapezoid imaging. For convex probes, the ExFOv function displays as extending the scanning angle. Impacts You can get a much larger field of view when selecting a larger FOV, but the frame rate will decrease.
Page 68 Invert To invert the image horizontally or vertically. Click [L/R Flip] or [U/D Flip] in the menu to invert the image. Rotation Rotate the image through the [Rotation] item in the menu. Image can be rotated by the manners in angle of 0°, 90°, 180°, 270°. When the image rotates in the angle of 90°...
Page 69: M Mode
Description The TSI function is used to optimize the image by selecting acoustic speed according to tissue characteristics. Operation Select among the TSI modes through the [TSI] item in the menu; The system provided 4 ways of optimization for specific tissues: general, muscle, fluid and fat.
Page 70: M Mode Parameters
3. Press <M> on the control panel again or <Update> to enter M mode, then you can observe the tissue motion along with anatomical images of B mode. 4. During the scanning process, you can also adjust the sampling line accordingly when necessary.
Page 71 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 menu; There are 1-6 levels of scan speed available, the smaller the value the faster the speed.
Page 72 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 menu; The system provides 0-14 levels of M Soften adjustment, the bigger the value the stronger the effect.
Page 73: Color Mode Image Optimization
Color Mode Image Optimization The Color mode is used to detect color flow information, and the color is designed to judge the direction and speed of blood flow. Generally, the color above the color bar indicates the flow towards the probe, while the color below the color bar indicates the flow away from the probe;...
Page 74 Effects 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. Steer Description The feature is used to adjust the ROI of color flow of different angles with immobility of the linear probe.
Page 75 Priority Description This function is used to set levels of the flow display, to display the grayscale signal or color signal. Operations Click the [Priority] item on the image menu to select the value. The adjusting range of the priority is 0-100%. The higher the value, color signals are prior to be displayed;...
Page 76: Power Mode Image Optimization
B/C Align Description To set and constrain the maximum width of the B mode image to that of the Color ROI. Operations Turn on or off the function through the [B/C Align] item on the image menu. Impacts Frame rate increases when the function is turned on. Dual Live Description This function is used to display B image and Color image synchronously.
Page 77: Power Mode Image Parameters
2. Click [Power] on image menu to enter B + Power mode. Roll the trackball to change position of the Region of Interest (ROI) and press the <Set> key to set. Roll the trackball to change the size and position of ROI. 3.
Page 78: Pw/Cw Doppler Mode
Dynamic Range Description This function is to adjust the transformation of echo intensity into color signal. Operations Click the [Dynamic Range] item on the image menu to adjust the dynamic range. The adjusting range is 10-70dB in increments of 5dB. Effects Increasing dynamic range will lead to higher sensitivity to low-power signals, thus enhances the range of signals to display.
Page 79: Pw/Cw Mode Image Parameters
5.8.2 PW/CW Mode Image Parameters In PW/CW mode scanning, the image parameter area in the upper right corner of the screen displays the real-time parameter values as follows: Parameter Angle Meaning Frequency Gain Wall Filter SV Position SV Size Angle ...
Page 80 PW Steer Description This function provides adjustment on angles for sampling line. Operations Adjust through the <Steer> key on control panel or [Steer] item on image menu. Effects This feature is used to steer the direction of the beam so as to change the angle between the beam and flow direction with immobility of the linear probe.
Page 81 Dynamic Range Description The dynamic range conveys the information that being transformed from echo intensity to gray scale. Operations Adjust through the [Dynamic Range] item on the image menu. The adjusting range is 24-72dB in increments of 2dB. Effects The more the dynamic range, the more specific the information, and the lower the contrast with more noise.
Page 82 Operations Click the [Gray Map] item on the image menu. There are 1-25 maps available. Duplex/ Triplex Description This function is used to set if B image (B + Color image) and PW image are displayed synchronously. Operations Click [Duplex/ Triplex] on the image menu to turn on or off the synchronization. Auto Calculation Description This function is used to trace the spectrum and calculate parameters of...
Page 83: Color M Mode
Angle Description This function is used to adjust the angle between Doppler vector and flow to make the velocity more accurate. The real-time adjusting angle value is displayed on the right part of the spectrum map. Operations Click the <Angle> item on the image menu to adjust. The adjustable angle range is -89~89°, in increments of 1°.
Page 84: Exit Color M Mode
5.9.2 Exit Color M Mode  Press <Color> or <M> on the control panel to exit Color M mode.  Or, press <B> on the control panel to return to B mode. 5.9.3 Color M Mode Image Parameters  In Color Flow M mode, parameters that can be adjusted are in accordance with those in B, M and Color modes;...
Page 85 5.10.1.1 Free Xros M Image Parameters  Parameters consistent with those in M mode are not to be introduced, please refer to relevant section of the M mode, while special items of the Free Xros M mode will be introduced in the following. Display/Hide the M-mark Line Description There are 1 M-mark line available.
Page 86: Tdi
5.11 TDI TDI is provided for reference only, not for confirming a diagnosis. CAUTION: TDI (Tissue Doppler imaging) mode is intended to provide information of low-velocity and high-amplitude tissue motion, specifically for cardiac movement. There are 4 types of TDI mode available: ...
Page 87: Tdi Image Optimization
 Image parameters combine the parameters of TVI mode and M mode. 5.11.3 TDI Image Optimization In each TDI mode, parameters that can be adjusted are similar to those in the color flow modes (Color, PW, and Power); please refer to the relevant sections for details. 5.12 iScape The iScape panoramic imaging feature extends your field of view by piecing together multiple B images into a single, extended B image.
Page 88: Image Acquisition
5.12.2 Image Acquisition To create an iScape image, you start with an optimized 2D image. The 2D image serves as the mid-line for the resulting iScape image. 1. Press the <Update> key or click [Start Capture] on the image menu to start the iScape image capture.
Page 89  Image parameters setting, for details, please refer to “5.12.3.1 Image Parameters Adjusting”.  Image zooming, for details, please refer to “5.12.3.2 Image Zooming”.  Image rotation, for details, please refer to “5.12.3.3 Rotating the Image”.  Measurement, comment, and body mark, for details, please refer to “5.12.3.4 Measurement, Comment, and Body Mark”.
Page 90: Cine Review
The following artifacts may produce a sub-optimal image. If the image quality cannot meet the following criteria, you shall delete the image and do image acquisition again.  The image must be continuous (no part of an image moves suddenly or disappears.) ...
Page 91: Note Before Use
5.13 3D/4D 5.13.1 Note before Use 5.13.1.1 Smart 3D Image Quality Conditions NOTE: In accordance with the ALARA (As Low As Reasonably Achievable) principle, please try to shorten the sweeping time after a good 3D imaging is obtained. The quality of images rendered in the Smart 3D mode is closely related to the fetal condition, angle of a B tangent plane and scanning technique.
Page 92: Overview
NOTE: 1. A region with qualified image in B mode may not be optimal for Smart 3D imaging. E.g. adequate AF isolation for one section plane doesn’t mean the whole desired region is isolated by AF. 2. More practices are needed for a high success rate of qualified Smart 3D imaging.
Page 93 image Cut plane  ROI size and position Roll the trackball to change the ROI size and position, press the <Set> key to toggle between setting the size (dotted line) and position (solid line, with a small box at each corner of ROI).
Page 94 View Direction a. Up/Down b. Down/Up c. Left/Right d. Right/Left e. Front/Back f. Back/Front  Wire cage When you view a Smart 3D image on the display monitor, it’s sometimes difficult to recognize the orientation. To help, the system displays a three-dimensional drawing to illustrate the orientation.
Page 95: Static 3D
Wire Cage The ultrasound images are provided for reference only, not for CAUTION: confirming a diagnosis. Please use caution to avoid misdiagnosis. 5.13.3 Static 3D Static 3D provides single frame image acquisition of 3D images. During scanning, the probe performs the scanning automatically. The probe D6-2P supports the static 3D.
Page 96 Draw a circle here ROI cover this area Cross cursor on the VOI curve For setting the ROI, be sure to:  Set the ROI on the 2D image with the largest section area of the fetal face.  Set the ROI a little larger than the fetal head. NOTE: When defining a ROI, try to eliminate useless data so as to reduce the volume data and shorten the time for image storing, processing and rendering.
Page 97 5.13.3.2 Static 3D Acquisition Preparation Description of parameters: Type Parameter Description Function: to set the range for imaging. Angle Range: 10-70°. Parameter Function: to adjust the image quality by changing the line adjusting density. Image quality can affect the imaging speed: the Quality better the image quality, the longer the time.
Page 98  Window A is blue, and the lines (representing MPR A) displayed in the other two windows are also blue.  Window B is yellow, and the lines (representing MPR B) displayed in the other two windows are also yellow. ...
Page 99 View Direction a. Up/Down b. Down/Up c. Left/Right d. Right/Left e. Front/Back f. Back/Front Adjust VOI  VOI On The VR image displays VOI information. 1. In image viewing status, click [VOI] to turn it to “On.” 2. Roll the trackball to adjust the VOI position, size and curved VOI, and press <Set> to switch between the adjusting status.Or use [Slice] item to adjust the relative position of MPRs so as to slice through the VR.
Page 100 Image Rendering Parameters In image viewing status, render the image by adjusting the relevant parameters. Render setting parameters description: Click [VR/MPR] on the screen to select VR or MPR parameter adjustments.  When [VR] is highlighted in green, parameter adjustment is performed on the VR image.
Page 101  Reset Curve Parameter Description Reset Ori To reset the volume rotation, shifting and zooming to its original status. Reset Curve To reset the curve to its original status. Reset All To reset the volume to its original orientation and original parameters. ...
Page 102 Rotate an Image The system supports the following rotation modes:  Axial rotation  Auto rotation  Axial rotation Axial rotation rotates 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: ...
Page 103 Image Editing  Function Image editing is a more elaborate function than VOI adjusting for optimizing the 3D image by clipping (removing) the obscured part of the region of interest. Tip:  In image editing status, no image parameters can be changed. A cutting cursor is displayed , and the system enters “Accept VOI”...
Page 104: Smart 3D
 Save clip: in 3D viewing mode, press the user-defined Save key (Save Clip (Retrospective) to hard drive) to save a CIN-format clip to the hard drive.  Image review Open an image file to enter the image review mode. In this mode, you can perform the same operations as in VR viewing mode.
Page 105  Rocked scanning Rotate the probe once from the left to the right side (or from the right to the left) to include the entire desired region. See the figure.  Description of parameters: Parameter Description Function: select the image acquisition method. Selection: Rocked, Linear.
Page 106 5.13.4.3 Smart 3D Image Viewing In VR viewing, the system supports the following functions:  Render setting.  B-mode parameter adjustment.  Setting the display format.  Viewing MPR.  Image zooming.  Rotation.  Image editing.  VR parameter adjustment. ...
Page 107: Ilive
6. Press <Freeze> on the control panel to freeze the image. Perform image cutting, rotation, annotation and image saving if necessary. For detailed operations, see “5.13.3.3 Static 3D Image Viewing.” 7. Exit 4D. Press <Update> to return to 4D image acquisition preparation, or, press <B>...
Page 108: Ipage
5.13.7 iPage iPage is a new “Visualization” mode for displaying sectional images. The data is presented as slices through the data set, which are parallel to each other. iPage is an option and is not available for Smart 3D images. 5.13.7.1 Basic Procedures for iPage 1.
Page 109 5.13.7.2 iPage Basic Functions and Operations <1> A plane <2> B plane (the current <3> C plane reference image) <4> Y-axis <5> X-axis <6> Central section line (Current active section line) <7> Section line <8> Space between two <9> Image parameter planes <10>...
Page 110: Smart Face
 Slice position (to the central slice): displayed in the top-left corner of each image, indicating the position of each image (such as -7 mm, -3 mm, 3 mm, 8 mm).  Coordinate axis: indicated on the three A, B, C reference images. Correspond to the central slice line, and will move accordingly with the central slice line.
Page 111 2. Click [SmartFace] to enter the function and the system adjust fetal face angle (fetal head facing up and face is at the front with [Direct] to be up/down) automatically and remove the shading obstacle data. Parameter adjusting Parameters under Smart Face are similar to those under Static 3D mode. ...
Page 112: Elastography
5.14 Elastography Elastography images are provided for reference only, not CAUTION: for confirming diagnoses. Elastography imaging is an option. Probes 75L38P, 7L4P and 7L4BP support the elastography mode. 5.14.1 Basic Procedure for Elastography 1. Select the probe according to the experience and actual situation. 2.
Page 113: Measurement
Operation To adjust the image smoothness. Adjust using the [Smooth] item on the screen. The system provides 0-5 levels of smooth function: the bigger the value the stronger the effect. Opacity Description To adjust the opacity feature of the Elasto image. Operation Rotate the knob under the [Opacity] item on the screen.
Page 114: Contrast Imaging
5.15 Contrast Imaging The contrast imaging is used in conjunction with ultrasound contrast agents to enhance imaging of blood flow and microcirculation. Injected contrast agents re-emit incident acoustic energy at a harmonic frequency much more efficient than the surrounding tissue. Blood containing the contrast agent stands out brightly against a dark background of normal tissue.
Page 115 5.15.1.1 Parameter Area Display When entering contrast imaging mode, the screen displays the contrast image, and if [Dual Live] item on the screen is “ON”, both the contrast image (marked with “ ”) and tissue image (marked with “ ”) are displayed (the two window position can be changed). Parameter area displays as follows: Type Parameter...
Page 116: Measurement, Comment And Body Mark
 The time begins at 0.  In live mode, there displays the elapsed time. For example, , it means the elapsed time is 8s.  Freeze the image during the timing, the timer stops working, and there displays the elapsed time.
Page 117: Display & Cine Review
Display & Cine Review Image Display 6.1.1 Splitting Display The system supports dual-split and quad-split display format. However, only one window is active.  Dual-split: press <Dual> key on the control panel to enter the dual-split mode, and using <Dual> key to switch between the two images; press <B> on the control panel to exit.
Page 118: Freeze/ Unfreeze The Image
 Press <Depth/Zoom>.  Unfreeze the image, the system exit pan zooming status automatically. 6.1.2.3 iZoom (Full-screen Zooming) Function: to magnify the image in full screen. According to the region to be zoomed, the system supports two types of full-screen zooming: ...
Page 119: Cine Review
 Dual/quad splitting display mode (Press <Freeze> key in dual/quad splitting display mode)  When enters freeze mode, the default activated window is the real-time window before frozen. Other image windows display the corresponding cine memories, if a certain cine memory is empty, then no image is displayed. ...
Page 120 If you roll the trackball to the left, the review sequence is reversed to the image-storing sequence, thus the images are displayed in descending order. Whereas, if you roll the trackball to the right, the review sequence is the same as the image-storing sequence, thus the images are displayed in ascending order.
Page 121: Cine Review In M/ Pw/ Cw/ Tvd Mode
6.2.3 Cine Review in M/ PW/ CW/ TVD Mode Enter cine review in M/ PW/ CW/ TVD mode, and roll the trackball, the cine images are displayed on the screen one by one. Roll the trackball to the left, the review progress slider moves to the left, the images moves to the right, and the earlier stored images are invoked.
Page 122: Image Compare
Image Compare 6.3.1 Image Compare in Review Mode 1. Press <Review> to enter Review screen, press <Ctrl>+<Set> to select files to be compared. 2. Tip: for B/ B+Color/ B+TVI/ B+Power/ B+TEI mode image, you can select at most 4 images; for PW/M/CW/TVD mode image, you can select at most 2 images.
Page 123: Cine Memory Clear
switch and display the images in either memory, so you can compare images in Split mode. The memory capacity is evenly distributed as per splitting number, as shown in the following table (Taking B images in low density as an example, the capacity of B cine memory is N frames): Imaging Mode...
Page 125: Ecg
The system can be configured with the optional physio module. In that case, the ECG signal is displayed on the image, and can be reviewed simultaneously with the image.  When the system is connected with the ECG module:  The Physio menu is available.
Page 126: Ecg Operation Basic Procedures
ECG Operation Basic Procedures 1. Connect the ECG device.  Turn off the power supply of the system, and connect the ECG cable to the port in the system.  Turn on the power supply of the system  Place the ECG electrodes on the patient’s body (as shown in the following figure) Right Right Left...
Page 127: Ecg Review
Parameter Description 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 129: Measurement
Measurement There are general measurement and application measurement. You can perform measurements on a zoomed image, cine reviewing image, real-time image, or a frozen image. For measurements details, please refer to the [Advanced Volume]. Be sure to measure areas of interest from the most optimal WARNING: image plane to avoid misdiagnosis from inaccurate measurement values.
Page 130: M General Measurements
Measurement Tools Function Volume The volume of a target. The length of two line segments, which are perpendicular to each Cross Line other. Parallel Line The distance between each pair of parallel lines in a sequence. Trace Length (Trace) Measures the length of a curve on the image. Trace Len (Spline) Measures the length of a curve on the image.
Page 131: Doppler General Measurements
8.2.3 Doppler General Measurements Doppler general measurements refer to general measurements on PW/CW-mode images. The measurements listed below can be performed: Measurement Function Tools Time The time interval between any two points. N intervals (n≤8) are measured to calculate a PW mode derived HR value in Beats Per Minute (BPM).
Page 132: Application Measurement
Application Measurement The system support following measurement types:  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 indexed (including EFW) as well as GA and EDD calculations.
Page 133 Table 3 Time/Motion Measurements Parameter Value Range Error Within ±3 %; or when the measured value is less Distance Full screen than 40mm, the error is less than 1.5mm. Time Timeline Display Within ±2%. Heart rate Timeline Display Within ±4%. Min ≤10cm/s;...
Page 135: Comments And Body Marks
Comments and Body Marks Comments Comments can be added to an ultrasound image to bring attention, notate or communicate information observed during the examination. You can add comments to: zoomed image, cine review image, real-time image, frozen image. You can type the character as comments; insert the pre-defined comments from the comment library;...
Page 136: Adding Comments
 ABC Display Click [ABC Display] to display or hide the added comments. Assign the user-defined key for the function in “[Setup]-> [System Preset]->“Key Config” ”.  Set comment language Click [English] to turn on or off the English comments. If “English” is turned on, the comments will display in English;...
Page 137: Moving Comments
3. Press <Set> or <Enter> to anchor the arrow position, and then the arrow turns yellow. 4. Repeat the above steps to add more arrows. 5. Press <Arrow> key, <ESC> or to exit the arrow comment status. 9.1.4 Moving Comments 1.
Page 138: Body Mark
Body Mark The Body Mark (Pictogram) feature is used for indicating the exam position of the patient and transducer position and orientation. The system supports body marks for Abdomen, Cardiology, GYN, OB, Urology, Small Part and Vascular applications. In addition, the system supports user-defined body marks, and body marks can be imported.
Page 139: Deleting Body Marks
2. Press <Set> key to select the body mark, and a frame will appear around the graphics. 3. Roll the trackball to move the Body Mark graphic to the desired position. 4. Press <Set> to anchor and confirm the new graphics position. NOTE: In Dual B Mode, a body mark cannot be moved between the separated image windows.
Page 141: Patient Data Management
The system patient database space is limited, please back up or clear patient data in time. Mindray is not responsible for lost data if you DO NOT follow suggested backup procedures. 10.1 Patient Information Management 10.1.1 Enter Patient Information The general patient information and exam information are entered through the Patient Info screen, for details, please refer to “4.2 Patient Information”.
Page 142: Image Storage Preset
System-defined multi-frame file format; you can perform manual or auto cine review, and perform measurements or add comments for the reviewed images. After you open a stored CIN file, the system automatically enters cine review status. The system can save FRM files as BMP, JPG, TIFF or DCM files, or save CIN files as AVI, DCM files.
Page 143: Quickly Saving Images To Usb Flash Drive
 To save cineloop image in the system: (1) Enter [Setup]-> [System Preset] -> [Key Config]-> [Output], set a user-defined key for function “Save cine”. (2) Freeze an image. Click the user-defined key to save the current image file in the default file directory in the dynamic image format .CIN.
Page 144: Image Review And Analysis
10.2.8 Image Review and Analysis You can review and analyze the stored images (only refer to the images stored in the system default path). 10.2.8.1 To review images You can review all images stored in an exam, and send, delete or analyze the stored images. ...
Page 145  If entered from iStation, the screen displays the record(s) selected in the iStation. If no patient is selected when it was in iStation, then all the patients in the system database will be displayed, and the current patient exam is listed. ...
Page 146: Ivision
10.2.9 iVision iVision function is used for demonstration of the images stored. Image files are played according to file names one by one (including the image of system-relevant and PC- compatible format). To perform image demonstration: 1. Enter iVision screen: Press the user-defined key for iVision on the control panel (setting path: [Setup]→...
Page 147: Sending Image File
[<]: to delete the selected data. [<<]: to delete all data.  Customize Catalog: what saved here is the catalog of the displayed image. The system plays the images in the catalog when performs demonstration. Operate the catalog by the buttons on the right: [Add File]: to add files to the file list.
Page 148 In the iStation screen, click [Send Exam]; or, in Review screen, click [Send To] to send patient data to an external memory device, you can choose if reports are exported with images. See the figure below. To export the report: (1) Check “Export Report”...
Page 149: Patient Data Management (Istation)
10.4 Patient Data Management (iStation) The patient data include basic patient information, exam information, image files and reports. You can search, view, backup, send, restore or delete patient data in iStation.  To Enter iStation  Press <iStation> key on the control panel; or ...
Page 150: Searching A Patient
10.4.1 Searching a Patient (1) Select the data source. (2) Set search conditions of Name, ID, DOB, Exam Date in the "Item" drop-down list. (3) Enter the keyword in accordance with the “Item” selected, and the system searches and displays the results in the patient list. (4) When you select a patient in the patient list, the images of this patient will be displayed at the bottom of the screen.
Page 151  Send To The system supports to send data to external memory devices or print.  Select the patient record, click in the menu to send exam data or images of the selected record.  Select the image, click the Send To Arrow to send the selected image. ...
Page 152: Backing Up And Erasing Files Through Dvd Drive
10.5 Backing Up and Erasing Files through DVD Drive The system supports DVD-RW to write data in CD/DVD and to read data from CD/DVD in PC. Support media: DVD±RW, DVD±R, CD-RW, CD-R.  To write data to a CD/DVD: (1) Put a CD/DVD in the tray. (2) Select the data to be backed up, click in the screen (in iStation or Review).
Page 153 Including:  Storage Task: displays the DICOM storage task.  DICOM Print Task: displays the DICOM print task.  Media Storage Task:  DICOM media storage task(including disc and USB devices)  Backup task (system-relevant format): select the exam to be backed up in iStation and click ...
Page 154: Access Control
 Task Status Select the undergoing task, the system will display its detailed status information or error information. When there is/are task(s) undergoing, the task management icon displays as , you can click the icon to check the process. When there is/are task(s) failed, the task management icon displays as , you can click the icon to check the failure reason.
Page 155: Adding/ Deleting A User
 Login the system: (1) If the system requires you to log on the system before you access the data, you can see the following dialogue box. (2) Select the user name in the drop-down list of User Name. (3) Enter password and click [Login]. For emergency users, click [Emergency] directly to log on.
Page 156 2. Click [Add] to enter the following page. 3. Enter the user name(you are not allowed to enter the same name or modify the name already exist). 4. Enter user name and the password. 5. Set the user role in the drop-down list: administrator or operator. 6.
Page 157: Modifying Password
10.7.5 Modifying Password The system administrator can modify password of all users. The administrator password by factory is empty, you can set the password for it. The operator can only modify his/her own password. To modify the password, the user has to login the system first. There are two ways to modify password: modify it on “Admin”...
Page 159: 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 160: Dicom Preset
1. Press <Setup> to enter the [Setup] menu. 2. Select [Network Preset]. 3. Local TCP/ IP preset items are described as follows: Name Description Current Net Adapter To select network connection mode. DHCP DHCP: IP address will be automatically obtained from DNS server; / Static Static: you need to enter the IP address.
Page 161 3. Preset local DICOM properties and DICOM server.  Localhost DICOM Service Property Name Description Application entity title of the ultrasound system. AE Title The AE title here should be the same with the one of the acceptable SCU set in the server. DICOM communication port, which should be the same with the one Port in the server.
Page 162 Name Description [Add] Click to add servers to the device list. [Set DICOM Service] Click to enter DICOM service preset, see “11.1.3 DICOM Service”. [Delete] Click to delete the selected server(s) in the device list. Note:  If the currently entered name has already existed, the system will pop up: “The server name exists!”...
Page 163 DICOM storage setting items are described as follows: Name Description After you set the server (s) in DICOM Server Setting, the name Device (s) will appear in the drop-down list, select the name of the storage server. Service Name Default is xxx-Storage, and it can be modified. Application Entity title, Here, it should be consistent with that of AE Title the storage server.
Page 164 Name Description Select an item in the service list, change the parameters in the [Update] above area, and click [Update] to update the item in the service list. [Delete] Click to delete the selected service in the service list Select an item in the service list, click [Default] and you can see [Default] “Y”...
Page 165 DICOM print setting items are described as follows: Name Description After you set the server (s) in DICOM Server Setting, the Device name (s) will appear in the drop-down list, select the name of the print server. Service Name Default is xxx-Print, and it can be modified. Application Entity title.
Page 166 Name Description Specify quantity of printed files,e.g. STANDARD\2, 3 Display Format indicates 6 images are printed for each page. Medium Type Specify print medium: Paper, Clear Film, Blue Film. Specify whether you want a trim box to be printed around Trim each image on the film: Yes or No.
Page 167 DICOM Worklist service parameters are similar to those described in DICOM Storage Preset, please refer to “11.1.3.1 Storage” for details. 11.1.3.4 MPPS Preset 1. On DICOM Service screen, click [MPPS] page tab to enter the MPPS page: 2. Select device, enter the right AE Title, port, etc. 3.
Page 168: Dicom Service
 The server supports the verification, but this function is not activated. Please check if the verification function is activated. Note: Not all the SCPs can support verification; please consult SCP belongings to confirm whether SCP can support this service. If not, the verification won’t pass. 11.3 DICOM Service If the system is configured with DICOM modules, and connected to the relevant DICOM servers, after verifying connection, you can perform storage, print, Worklist, storage...
Page 169 (3) Select DICOM in the “Target” list, select a server in the “Storage Server” list. (4) Click [OK] to start the sending.  To send images by shortcut key You can save single frame image or multi-frame images to DICOM server while saving to hard drive by shortcut key.
Page 170: Dicom Print
 To send image for storage after an exam ends (1) Open “[Setup] → [System Preset] → [General]”, and then check (2) Set a default storage server. a) Enter the DICOM Service Preset screen via “[Setup] → [DICOM Preset] → [Set DICOM Service]”.
Page 171: Dicom Worklist
 To print image for storage after an exam ends (1) Open “[Setup] → [System Preset] → [General]”, and then check (2) Set a default print server. a) Enter the DICOM Service Preset screen via “[Setup]→ [DICOM Preset] → [DICOM Service]”. b) Click [Print] to open the Print page.
Page 172: Mpps
b) Click [Query]. c) The scheduled patients, which meet the criteria, are displayed in the lower part of the screen. d) After the first query, you can perform the second query based on the preview results. The scheduled patients in the list will update in real time. (4) Select the desired patient record in the displayed patient list, and Select the desired patient and click [Start Exam], the patient information is imported into the system and then an exam is started.
Page 173: Query/Retrieve
(2) Select an exam record (image (s) is/are stored in the exam record), click open the Send To dialogue box. (3) Click to select “DICOM” in the “Target” box on the left side, then select the DICOM storage server in the “Storage Server” box on the right side. (4) Click [OK] to start sending.
Page 174: 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 175: Structured Report
3. Select the destination, and select DICOM format. 4. Set whether to remove patient exam data or only images from the local hard disk. 5. Click [Backup] to begin storage. If the backup succeeded, there will be a tick marked in the Backup list in iStation screen; otherwise, no tick is marked.
Page 176: Dicom Task Manager
(2) Create new patient information or load scheduled the patient information. (3) Perform measurements. (4) Save the image (s). (5) End the exam. (6) Open the iStation screen, select the patient exam, and click the corresponding [Send Exam] button in the popped up menu to open the Send To dialogue box. (7) Click to select “DICOM”...
Page 177: Setup
CD/DVD or USB memory devices. When the setup data is changed, be sure to save the preferences CAUTION: according to the methods described in this chapter. Mindray is not responsible for the loss of the setup data. ...
Page 178: General
Item Description To set the hospital relevant information like name, address, telephone Hospital Information and so on. To select a language for the system, the available languages are Chinese, English, French, German, Italian, Portuguese, Russian, Spanish, Polish, Czech, Turkish, Finnish, Danish, Icelandic, Language Norwegian, and Swedish.
Page 179 Type Item Description To select if to display the following patient information Info displays in on the image banner: Gender, Age, Operator, ID, image banner Name, Hospital Patient Info H&W Unit To set the unit for patient height and weight. Surface Formula To set the surface formula.
Page 180 Type Item Description Status after exam Select to enter the imaging scanning, patient info or the Exam Setup ends Worklist after ending an exam. Color temperature Cold/ Warm Display Brightness/Contrast Load the factory data of the display brightness and Load Factory contrast.
Page 181: Image Preset
12.1.3 Image Preset Open the Image Preset page via [Setup]-> [System Preset]-> [Image], as shown in the figure below. Type Item Description Reset Config Probe To set the default probe model for the system. To set MI TI indexes displayed for current probe/exam MITI mode.
Page 182: Application
12.1.4 Application Open the Meas page via [Setup]-> [System Preset]-> [Application]. Through the page, you can set the measure ruler, follicle and relevant information. For details, please refer to the Operator’s Manual [Advanced Volume] 12.1.5 OB Open the OB page via [Setup]-> [System Preset]-> [OB]. Through the page, you can set the gestational age formula, fetal growth formula, fetal weight formula and the relevant information.
Page 183: Biopsy
(2) Select “Send Cine to USB disk” in “Function” at the right side of the page. (3) Click [Save] to complete the setting.  Other Settings Item Description Key Brightness To set the brightness for the keys. Key Volume To set the key volume. Zero means no sound. Trackball Speed To set the trackball speed when moving the trackball.
Page 184: Measure Preset
Procedures: 1. To select a probe: Move the cursor to [Probe], and select a probe from the drop-down list. 2. Selecting/delete exam modes On the right side of the screen, you can view the exam types supported by the current probe.
Page 185: Bodymark Preset
3. Select an available item. 4. Add user-defined comments: directly enter comment texts, or select comment texts for the comment library.  Directly enter comment texts: position the cursor in the field box above [Add Comment], enter the text comment through the keyboard, and then click [Add Comment].
Page 186: Print Preset
To preset body mark for exam mode: 1. Select an exam mode in the drop-down list, the current exam mode is set by default. 2. Enter the library name of custom body marks. 3. Select a package from the drop-down list besides Available Item. 4.
Page 187: Network Preset
 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 188 Name Description Service Name Name of the device, cannot be empty Port Port for transmitting. IP address of the PC installed with iStorage software, cannot be IP Address empty 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.
Page 189: Medsight Preset
Click to select the function(s) and click [Trial]. Tips: Every trial option can be used only once. Please refer to the dependence relationship between options in chapter “2.5.3 Options”. Please contact Mindray Customer Service Department or sales representative for details. Setup 12-13...
Page 190: Other Settings
12.8.2 Other Settings Type Item Description Export Log Export the operation log. Upload Log Upload the operation log. Load Factory Local factory default settings. Preset Manager Export Export preset data to disk. Import Import the preset data into the system. 12.9 System Information Click [About] in the Setup menu to enter the system information screen.
Page 191: Probes And Biopsy
Probes and Biopsy 13.1 Probe The system supports the following probes: Probe model Illustration 3C5P 6C2P 6CV1P CB10-4P Probes and Biopsy 13-1...
Page 192 Probe model Illustration 7L4P 7L5P L14-6P 2P2P 7LT4P 13-2 Probes and Biopsy...
Page 193 Probe model Illustration V10-4BP 6LE7P 35C50P 75L38P D6-2P Probes and Biopsy 13-3...
Page 194: Name And Function Of Each Part Of The Transducer
Probe model Illustration P7-3P C6-2P 7L4BP 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 13.1.1 Name and Function of Each Part of the Transducer Basic structures and functions of all probes listed above are similar, and are described as follows.
Page 195: Orientation Of The Ultrasound Image And The Transducer Head
<1> <2> <3> <4> <5> Name Function It converts the electrical signal into ultrasound signal, making the sound beams focus in the given direction; meanwhile, it will receive the ultrasound signal and then <1> Transducer head convert the received signal into electrical signal. The lens on the surface is the acoustic lens.
Page 196: Operating Procedures
Orientation mark Mark 13.1.3 Operating Procedures This section describes general procedures for operating the transducer. The proper clinical technique to be used for operating the transducer should be selected on the basis of specialized training and clinical experience. 13-6 Probes and Biopsy...
Page 197  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 198  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 199: Wearing The Transducer Sheath
13.1.4 Wearing the Transducer Sheath A transducer sheath must be installed over the transducer before performing examination. Probe sheaths are available for use with all clinical situations where infection is a concern. A probe sheath must be installed over the probe before performing intra-cavity or biopsy examination.
Page 200: Probe Cleaning And Disinfection
13.1.5 Probe 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. Fail to do so may result in the probe and the needle-guided bracket to becoming sources of infection.
Page 201 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 concentration of the disinfectant solution, method of disinfection and dilution and cautions during use.Do not soak the transducer connector or the cable near it into...
Page 202: Environment
Repeated disinfection will eventually damage the probe, please check the probe performance periodically. Compatible Disinfectants Please see Mindray Transducer Disinfectant Recommendation for the disinfectant use in details. 13.1.6 Environment Working condition Use the probes in the following ambient conditions:...
Page 203 Ambient Atmospheric Relative humidity Probe temperature pressure 0℃～40℃ 30%～85%RH（no 700hPa～1060hPa V10-4BP condensation） 0℃～40℃ 550hPa～1060hPa 25%～90%RH（no 7LT4P condensation） 0℃～40℃ 700hPa～1060hPa 30%～85%RH（no 6LE7P condensation） 0℃～40℃ 30%～85%RH（no 700hPa～1060hPa 2P2P condensation） 10℃～40℃ 30%～85%RH（no 700hPa～1060hPa P7-3P condensation） 700-1060hPa 0-40℃ 30%-85%RH（no 35C50P condensation） 700 hPa ~ 1060 hPa 0℃-40℃...
Page 204 Excessive vibration  Heat generators 2. When the probe is sent to the MINDRAY Customer Service Department or a sales representative for repair, be sure to disinfect it and keep it in the carrying case to prevent infection. 3. Sterilize the carrying case as necessary.
Page 205: Biopsy Guide
If an abnormality is found on the needle-guided bracket, immediately stop using it and contact MINDRAY Customer Service Department or sales representative. Do not use a needle-guided bracket when scanning is performed.
Page 206 When performing biopsy procedures, use only sterile ultrasound gel that is certified to be safe. And manage the ultrasound gel properly to ensure that it does not become a source of infection. When performing the operation concerning biopsy, wear sterile gloves. Image of the biopsy target and the actual position of the biopsy needle: Diagnostic ultrasound systems produce tomographic...
Page 207: Basic Procedures For Biopsy Guiding
A needle-guided bracket is available for purchase as an optional accessory; it is used in combination with this transducer. Part of the probes have matched needle-guided bracket and needles. To order needle-guided brackets, contact MINDRAY Customer Service Department or sales representative.
Page 208 Name of Parts This section describes the parts and corresponding functions of each needle-guided bracket.  NGB-001, NGB-002, and NGB-005 (Metal/needle un-detachable) The structure of plastic needle-guided bracket NGB-001, NGB-002, and NGB-005 are similar to each other. The following figure shows the structure with NGB-001 as an example.
Page 209  NGB-004 Locking nut Needle guide Retaining clamp Locating bulge Transducer Locating groove  NGB-006  Metal/ needle detachable: Name Description Support of needle- Used for installing the needle-guided bracket on the <1> guided bracket transducer. Groove and tab of Respectively matched with the tab and groove of the <2>...
Page 210 Name Description Used for installing biopsy needle; there are five <7> Guiding block specifications of guiding blocks for different biopsy needles. Specification of <8> Matched with the corresponding biopsy needle (14G) guiding block (14G) Guiding hole of the <9> Used for installing the biopsy needle. biopsy needle Pinch nut of needle- Used for locking the needle-guided bracket and the...
Page 211  NGB-007  Metal: <8> <7> <6> <10> <9> <3> <4> <1> <5> <2> Name Description Support of needle-guided Used for installing the needle-guided bracket on <1> bracket the transducer Groove and tab of the Respectively matched with the tab and groove of <2>...
Page 212 Name Description Support of needle- Used for installing the needle-guided bracket on the <1> guided bracket transducer Used for determining the angle of the biopsy; there are <2> Angle block three specifications of blocks of angle Used for installing biopsy needle; there are five <3>...
Page 213 Name Description Knob fixing needle- Used for fixing the needle-guided bracket on the <2> guided bracket transducer. <3> Groove Match with the tab on the transducer. Hole for installing guiding Used for installing the knob of fixing needle-guided <4> block bracket.
Page 214 Name Description Specification of <5> Matched with the corresponding biopsy needle (13G). guiding block (13G) Knob of fixing the <6> Used for fixing the guiding block. guiding block <7> Needle guide angle The needle guide angle of this needle-guided bracket. Grooves of the <8>...
Page 215: Needle-Guided Bracket Inspection And Installation
Be sure to perform inspections before and after use of the needle-guided bracket. If an abnormality is found on the needle-guided bracket, immediately stop using it and contact MINDRAY Customer Service Department or sales representative. 1. Sterilize the needle-guided bracket before and after use.
Page 216 2. Confirm that the needle-guided bracket is free of damage, deformation, stripping, malfunction, loose or missing parts. 3. Confirm that the needle-guided bracket is securely mounted in the correct position. Installing the Needle-guided Bracket  NGB-001 (1) Put on the sterile transducer sheath. (2) Hold the transducer by one hand, select the proper needle-guided bracket, and hold it with the other hand.
Page 217 3. When the retaining clamp is turned to the right position, the locking nut will lock the retaining clamp and the needle-guided bracket is then mounted to the right position.  NBG-005 1. Put on the sterile transducer sheath. 2. Inosculate the locating groove on the clamp with the two raised edges on the transducer head and aligning the locating pit of the clamp to the convex point on the transducer head.
Page 218 making the tabs and the groove of the needle-guided bracket to match with the grooves and tab of the transducer. (3) Check manually to confirm that the needle-guided bracket is securely installed on the transducer. (4) Select a proper guiding block and push it into the groove above the angle block, and clamp it tightly.
Page 219 5) Screw the nut of the block to secure the block. 6) Insert a biopsy needle with the same specification as that of the guiding block into the hole of the guiding block.  Plastic 1) Put on the sterile transducer sheath. 2) Hold the transducer by one hand, select proper needle-guided bracket, and hold it with the other hand.
Page 220  NGB-009 metal/needle detachable needle-guided bracket (1) Put on the transducer cover. (2) Cover the support of needle-guided bracket on the transducer, making the groove of the needle-guided bracket to match with the tab of the transducer. Set the needle- guided bracket at the desired position, turn tightly the knob of fixing needle-guided bracket to fix the needle-guided bracket.
Page 221 (2) Hold the probe by one hand, select proper needle-guided bracket, and hold it with the other hand, and align the grooves of the needle-guided bracket with the tabs of the probe, then push the needle-guided bracket forward, making the grooves of the needle-guided bracket to match with the tabs of the probe.
Page 222 3. Screw the pinch nut of the needle-guided bracket to confirm that the needle-guided bracket is properly installed on the transducer. 4. Select a proper guiding block and push it into the groove above the angle block, and clamp it tightly. 5.
Page 223: Biopsy Menu
13.2.4 Biopsy Menu Press <Biopsy> to show the biopsy menu.  Select biopsy bracket angle If the needle-guided bracket supports more than one biopsy angle, you can select the angle from the drop-down list.  Select Dot size Move the cursor onto [Dot Size], press <Set> to select the dot size among Small, Medium and Big.
Page 224: Verify Biopsy Guide Line
Figure 1 Figure 2 To enter/exit iNeedle  To enter iNeedle Click [iNeedle] item in B page on the screen. Or, you can assign a user-defined key for entering iNeedle.  Open iNeedle in Biopsy status 1. Perform scanning and locate the target, press <Biopsy> to enter the screen. 2.
Page 225: Removing The Needle-Guided Bracket
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 transducer in the sterile water, and get a biopsy needle into the needle guide.
Page 226 (4) Separate the bracket and the transducer.  NGB-004 Hold the transducer in the left hand, unscrew the locking nut with the right hand to open the retaining clamp, and then raise the needle-guided bracket to separate the locating bulge from the locating grooves. ...
Page 227 3. Remove the support of needle-guided bracket from the transducer.  NGB-007  Metal 1) Screw the nut of the guiding block and remove the guiding block slightly along the direction of the needle’s tail. 2) Separate the residual part of the needle-guide bracket and the transducer from the needle.
Page 228  NGB-009 (1) Turn on the knob of fixing the needle and separate the needle from the needle- guided bracket. (2) Turn on the knob of fixing guiding block and remove the guiding block from the hole of installing guiding block. (3) Turn on the knob of fixing needle-guided bracket and remove the needle-guided bracket.
Page 229: Clean And Disinfect The Needle-Guided Bracket
Please follow the instructions in the manual for cleaning. Sterilization 1. Wear sterile gloves to prevent infection. 2. Clean the needle-guided bracket before disinfecting it. MINDRAY recommends the following solution or disinfecting system to disinfect the needle-guided bracket. 3. Follow local regulations when selecting and using the disinfectant.
Page 230: 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 231: Disposal
13.2.10 Disposal Be sure to dispose the needle-guided bracket only after sterilizing it. Contact your MINDRAY representative when disposing of this device. 13.3 Middle Line “Middle Line” helps to locate the focus point of lithotrity wave during lithotrity treatment. By watching the procedure of lithotrity in real-time and adjusting the intension and frequency of the lithotrity wave, the harm to the patients can be reduced to the least.
Page 233: Battery
Battery DO NOT install or detach the battery ad arbitrium WARNING: The batteries have protective mechanism and circuit. DO NOT disassemble or alter the battery. DO NOT short-circuit the batteries by directly connecting the negative terminals with metal objects. DO NOT heat the battery or discard it in a fire. Keep the batteries away from fire and other heat sources.
Page 234: Precautions
14.2 Precautions 1. Before using the battery, carefully read the description in the label on the surface of the battery. 2. When you use the battery at the first time and find that it is dirty or emit an odor, do not use it.
Page 235: One Full Discharge / Charge Cycle
Warning! Battery is out of power! Please connect to power supply or system will be shut down in one minute. Connect the power supply to afford normal work. 14.5 One Full Discharge / Charge Cycle If the battery has not been used for over 2 months, you are recommended to perform one full discharge / charge cycle.
Page 237: 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 238: Mi/Ti Explanation
15.4 MI/TI Explanation 15.4.1 Basic Knowledge of MI and TI The relationship of various ultrasound output parameters (frequency, acoustic pressure and intensity, etc) to bioeffects is not fully understood presently. It is recognized that two fundamental mechanisms may induce bioeffects. One is a thermal bioeffect with tissue absorption of ultrasound, and another one is a mechanical bioeffect based on cavitations.
Page 239: Acoustic Power Setting
NOTE: If there is a value of MI or TI exceeds 1.0, you must be careful to practice the ALARA principle. The display precision is 0.1. Display accuracy of MI is ±28.5%, TI is±38.7% 15.5 Acoustic Power Setting  Acoustic power adjustment Click [A.
Page 240: Acoustic Output
 Indirect Controls The controls that indirectly affect output are many imaging parameters. These are operating modes, frequency, focal point positions, image depth and pulse repetition frequency (PRF). The operating mode determines whether the ultrasound beam is scanning or non-scanning. Thermal bioeffect is closely connected to M mode.
Page 241: Differences Between Actual And Displayed Mi And Ti
15.7.3 Differences between Actual and Displayed MI and In operation, the system will display to the operator the Acoustic Output Parameters Thermal Index, TI, or Mechanical Index, MI (or sometimes both parameters simultaneously). These parameters were developed as general indicators of risk from either thermal or mechanical action of the ultrasound wave.
Page 242: References For Acoustic Power And Safety
15.9 References for Acoustic Power and Safety “Bioeffects and Safety of Diagnostic Ultrasound” issued by AIUM in 1993 “Medical Ultrasound Safety” issued by AIUM in 1994 "Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment, Revision 3" issued by AIUM/NEMA in 2004 "Standard for real-time display of thermal and mechanical acoustic output indices on diagnostic ultrasound equipment, Revision 2"...
Page 243: Emc Guidance And Manufacturer's Declaration
EMC Guidance and Manufacturer's Declaration The system complies with the EMC standard IEC 60601-1-2: 2014. Intended Environments: HOME HEALTHCARE ENVIRONMENT(except for near active HF SURGICAL EQUIPMENT and the RF shielded room of an ME SYSTEM for magnetic resonance imaging). The use of unapproved accessories may diminish system WARNING: performance.
Page 244  Date/time information. TABLE 1 GUIDANCE AND MINDRAY DECLARATION—ELECTROMAGNETIC EMISSIONS The system is intended for use in the electromagnetic environment specified below. The customer or the user of system should assure that it is used in such an environment. ELECTROMAGNETIC ENVIROMENT－...
Page 245 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 246 TABLE 3 GUIDANCE AND MINDRAY DECLARATION—ELECTROMAGNETIC IMMUNITY The system is intended for use in the electromagnetic environment specified below. The customer or the user of system should assure that it is used in such an environment. IMMUNITY IEC 60601 TEST...
Page 247 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 249: System Maintenance
Routine system maintenance shall be carried out by the user. Service maintenance will be provided by Mindray service engineers while the system is under warranty. System maintenance after the warranty has expired is the full responsibility of the owner / operator.
Page 250 The trackball on the control panel is used to move the cursor and plays an importance part in man-machine communication. As one of the most frequently used parts on the control panel, it may become ineffective due to dirt that enters into the trackball module. Disassembling the trackball: Rotate the trackball clamp ring 35 degrees anticlockwise.
Page 251: Checking Transducer
17.3 Consumables and Periodic Part Replacement This system contains some consumables and parts requiring periodic replacement. Before replacing them, please contact Mindray Customer Service Department or sales representative for instructions. 17.4 Troubleshooting To ensure proper system operation and function, it is recommended that a maintenance and inspection plan be established to periodically check the safety of the system.
Page 252 Otherwise it may result in malfunction or electric shock. When you want to clean probe connectors and TGC sliders, contact Mindray Customer Service Department or sales representative. Cleaning it yourself may result in malfunction or degradation of the performance.
Page 253: Appendix A Electrical Safety Inspection
Appendix A Electrical Safety Inspection The following electrical safety tests are recommended as part of a comprehensive preventive maintenance program. They are a proven means of detecting abnormalities that, if undetected, could prove dangerous to either the patient or the operator. Additional tests may be required according to local regulations.
Page 254 A.2.2 Contextual Inspection Test Item Acceptance Criteria No unusual noises (e.g., a rattle inside the case). No unusual smells (e.g., burning or smoky smells, The enclosure and particularly from ventilation holes). accessories No taped notes that may suggest device deficiencies or operator concerns.
Page 255 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 256 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 257: Appendix B Iworks (Auto Workflow Protocol
Appendix B iWorks (Auto Workflow Protocol) Overview The major objective of ultrasound workflow automation (iWorks) is to speed up exam time and reduce the excessive number of user interface manual key strokes that can lead to repetitive motion injuries over time. It automates a clinical work flow in common exam protocols in a logical, “step by step” manner.
Page 258 Screen Display  Normal iWorks For automated protocols of vascular, small parts, cardiac, abdomen and gynecology application regions, the monitor displays the following screen: Name Description Displays the protocol name, and the number of views contained; There may be prompt information here to indicate the following operation. The current active view, with green solid frame around the image.
Page 259: Appendix C Printer Adapter
If peripherals other than those permitted by Mindray used within patient environment, user should ensure the overall leakage current of peripherals and the ultrasound system meets the requirement of the local medical device electrical regulations (e.g., the touch leakage current should be no...
Page 261 P/N: 046-017662-01 (1.0)

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