Page 1 DP-50/DP-50T/DP-50 PT/DP- 50Pro/DP-50Expert/DP-50S Digital Ultrasonic Diagnostic Imaging 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 ........................IV Notation Conventions ........................IV Operator’s Manuals ........................IV Manuals on Paper ........................
Page 4 2.6.3 Control Panel ......................2-9 Symbols ......................... 2-11 System Preparation ....................3-1 Moving / Positioning the System ..................3-1 Power Supply ........................3-1 3.2.1 Connecting External Power Supply ................3-1 3.2.2 Powered by Battery ....................3-1 Powering ON/ OFF ......................3-2 3.3.1 Powering ON ......................
Page 5 Image Optimization ....................5-1 Switching Between Image Modes ..................5-1 Basic Operations ......................5-1 Quickly Saving Image Setting (QSave) ................5-2 B Mode ........................... 5-2 5.4.1 B Mode Exam Protocol..................... 5-2 5.4.2 B Mode Parameters ....................5-3 5.4.3 B Mode Image Optimization ..................5-3 M Mode ...........................
Page 6 5.12.5 4D .......................... 5-46 5.12.6 iLive ........................5-47 5.12.7 iPage ........................5-48 5.12.8 Smart Face ......................5-50 Display & Cine Review ..................... 6-1 Image Display ......................... 6-1 6.1.1 Splitting Display......................6-1 6.1.2 Image Magnification ....................6-1 6.1.3 Freeze/ Unfreeze the Image ..................6-2 Cine Review ........................
Page 7 8.2.1 Body Mark Operation Procedures................8-4 8.2.2 Menu ........................8-4 8.2.3 Adding Body Marks ....................8-4 8.2.4 Moving Body Marks....................8-5 8.2.5 Deleting Body Marks ....................8-5 Patient Data Management..................9-1 Patient Information Management ..................9-1 9.1.1 Enter Patient Information ..................9-1 9.1.2 Patient Information Setting ..................
Page 8 10.3.1 DICOM Storage....................10-10 10.3.2 DICOM Print ......................10-12 10.3.3 DICOM Worklist ....................10-13 10.3.4 MPPS ........................10-14 10.3.5 Storage Commitment ................... 10-14 10.3.6 Query/Retrieve ..................... 10-15 10.4 DICOM Media Storage ....................10-16 10.5 Structured Report ......................10-17 10.6 DICOM Task Manager ....................10-18 11 Setup........................
Page 9 12.1.5 Probes Cleaning and Disinfection ................12-9 12.1.6 Storage and Transportation .................. 12-12 12.2 Biopsy Guide ....................... 12-13 12.2.1 Basic Procedures for Biopsy Guiding..............12-15 12.2.2 Needle-guided Brackets ..................12-16 12.2.3 Needle-guided Bracket Inspection and Installation ..........12-22 12.2.4 Biopsy Menu ......................12-29 12.2.5 iNeedle (Needle Visualization Enhancement ) ............
Page 10 16 System Maintenance ....................16-1 16.1 Daily Maintenance ......................16-1 16.1.1 Cleaning the System ....................16-1 16.1.2 Checking Transducer ..................... 16-3 16.1.3 Backup of the System Hard Drive ................16-3 16.2 Maintenance Checks by Service Engineer ..............16-3 16.3 Consumables and Periodic Part Replacement ............... 16-4 16.4 Troubleshooting ......................
Page 11: Intellectual Property Statement
Contents of this manual are subject to change without prior notice. All information contained in this manual is believed to be correct. Mindray shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this manual.
Page 12: Warranty
FITNESS FOR ANY PARTICULAR PURPOSE. Exemptions Mindray's obligation or liability under this warranty does not include any transportation or other charges or liability for direct, indirect or consequential damages or delay resulting from the improper use or application of the product or the use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized personnel.
Page 13: Important Information
7. Important data must be backed up on external memory media. 8. Mindray shall not be liable for loss of data stored in the memory of this system caused by operator error or accidents. 9. This manual contains warnings regarding foreseeable potential dangers, but you shall always be alert to dangers other than those indicated as well.
Page 14: About This Manual
About This Manual This operator’s manual describes the operating procedures for this diagnostic ultrasound system DP-50/DP-50T/DP-50 PT/DP-50Pro/DP-50Expert/DP-50S and the compatible probes. To ensure safe and correct operations, carefully read and understand the manual before operating the system. Notation Conventions In this operator’s manual, the following words are used besides the safety precautions (refer to "Safety Precautions").
Page 15: Software Interfaces In This Manual
Dist Protective Film √ √ √ DP-50 × × √ √ √ DP-50T × × √ √ √ DP-50Pro × × √ √ √ √ DP-50Expert × √ √ DP-50 PT × × × √ √ DP-50S × × ×...
Page 17: Safety Precautions
Safety Precautions Safety Classification  According to the type of protection against electric shock: Externally Powered Class I Equipment + Internally powered equipment  According to the degree of protection against electric shock: Type-BF applied part  According to the degree of protection against harmful ingress of water: Main unit: IPX0 Probes: IPX7 Footswitch: IP68...
Page 18: 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 19: 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 20 DO NOT touch the Signal I/O ports if in contact with the patient; otherwise patient injury may result. Do not use an aftermarket probe other than those specified by Mindray. The probes may damage the system causing a profound failure, e.g. a fire in the worst case.
Page 21 The ultrasound system use a mains plug as isolation means to the mains power supply. Please do not set the ultrasound system in a place difficult to operate the mains plug. Do not modify this equipment without authorization of the manufacture. Safety Precautions 1-5...
Page 22 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. 1-6 Safety Precautions...
Page 23 There is no risk of high-temperature burns during normal ultrasound examinations. It is possible for the surface temperature of the transducer to exceed the body temperature of a patient due to environmental temperature and exam type combinations. Do not apply the transducer to the same region on the patient for a long time.
Page 24 If the system is used in a small room, the room temperature may rise. Please provide proper ventilation and free air exchange. To dispose of the system or any part, contact Mindray Customer Service Department or sales representative. Mindray is not responsible for any system content or accessories that have been discarded improperly.
Page 25 Please read the following precautions carefully to ensure the safety of the patient and the operator when using the probes. The ultrasonic probe is only for use with the specified ultrasonic diagnostic system. Please refer to the “2.5.2 WARNING: Probes Available” to select the proper probe. The ultrasonic probe must be used only by qualified professionals.
Page 26 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 27: Latex Alert
NOTE: 1. The following definition of the WEEE label applies to EU member states only: The use of this symbol indicates that this system should not be treated as household waste. By ensuring that this system is disposed of correctly, you will help prevent bringing potential negative consequences to the environment and human health.
Page 28: 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 29: System Overview
System Overview Intended Use The Digital Ultrasonic Diagnostic Imaging 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 30: Power Supply
2.4.2 Power supply Voltage 100-240V～ Frequency 50/60Hz Input Power 1.5-0.8A 2.4.3 Environmental Conditions Operational Conditions Storage and Transportation Conditions Ambient 0° C-40° C -20° C-55° C temperature Relative 30%-85% (no condensation) 30%-95% (no condensation) humidity Atmospheric 700hPa-1060hPa 700hPa-1060hPa pressure Do not use this system in the conditions other than those WARNING: specified.
Page 31 Region Probe Model Category Intended Use Applied Abdominal, Pediatric, Cephalic, 65C15EA Convex Body surface Transcranial, Cardiac Convex Gynecology, Obstetrics, Pediatric, Urology, Transvaginal 65EC10EA Cephalic Transrectal 65EB10EA Convex Urology Transrectal Linear Pediatric, Small organ, Musculo-skeletal, 75L38EA Body surface Vascular, Orthopedics, Nerve Linear Pediatric, Small organ, Musculo-skeletal, 75L53EA...
Page 32: Options
Needle-guided Biopsy Angle/ Needle Applicable Biopsy Probe Model Bracket Model Depth (± 1° ) Detachablity Needle Plastic/needle 13G, 15G, 16G, 18G, detachable 75L53EA NGB-007 40° , 50° , 60° Metal/needle 14G, 16G, 18G, 20G, detachable Metal/needle 13G, 15G, 16G, 18G, 65EL60EA NGB-009 0º...
Page 33: Peripherals Supported
Item Smart 3D iLive (The 4D module or smart 3D should be configured first) Tissue Doppler Imaging iWorks Smart Face Smart OB Smart Bladder iNeedle 2.5.4 Peripherals Supported Item Model Graph / text printer HP OFFICEJET PRO 8100 Digital Color Video SONY UP-D25MD Printer MITSUBISHI P93W-Z...
Page 34  Left View  Rear View 2-6 System Overview...
Page 35: I/O Panel
 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 36: Power Supply Panel
Symbol Function Network port USB ports Separate video output, connecting video printer or LCD Remote control port VGA signal output Composite video 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 electrical equipment.
Page 37: 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 38 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 39: Symbols
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 40 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 Hard disk indicator Probe port A Probe port B Product serial number Manufacture date Authorized representative in the European Community.
Page 41: 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 42: Powering On/ Off
– 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 persistently improper functioning state – you may harm the patient or damage the equipment.
Page 43: Powering Off
If you find anything not functioning properly, this may indicate that the system is defective. In this case, shut down the system immediately and contact Mindray Customer Service Department or sales representative. NOTE: When you start the system or switch between probes, you will hear clicking sounds –...
Page 44: Connecting / Disconnecting A Probe
When connecting or disconnecting a probe, place it in a CAUTION: proper position, to prevent the probe from falling off or becoming damaged. Only use the probes provided by Mindray. Aftermarket probes may result in damage or cause a fire. 3.4.1 Connecting a Probe...
Page 45: Connecting The Footswitch
2. Pull the connector straight out. 3. Keep the probe in safety and care. Connecting the Footswitch Connect the footswitch to the main unit via a USB port. Set the functions of the footswitch in the [Key Config] page. Refer to "11.1.6 Key Config" for details.
Page 46 Power cord Data cord USB port 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]->...
Page 47 6. Click [Save] to finish the installation. Tips: Click [Printer Driver]->[Printer Supported] to view the drivers of some popular printers that have already been integrated in the system. These drivers will be installed automatically. You need to check the following information to check if the auto-installation fails: Model of the connected printer is not displayed in the “Printer Driver”...
Page 48: Digital Video Printer
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 49: Analog Video Printer
(3) Select the service type as "Digital Image Print" and enter the service name manually. (4) Click OK to return to the Printer Service page. (5) Set the items in the Property box and click [Save] to save the settings. ...
Page 50: Basic Screen And Operation
3.11 Basic Screen and Operation 3.11.1 Basic Screen The following diagram maps out the different areas in the screen: Hospital name Accession# Patient Information Freeze Logo Operator Exam time icon Probe Acoustic power, MI/TI Product Mode Exam Mode Menu area Image area Image Parameters Thumbnail...
Page 51 Displays the acoustic power. Including the acoustic power, MI (Mechanical Index) and TI (Thermal Index).  Freeze icon The freeze icon means the image is frozen.  Patient Information Displays patient name, ID, gender and age etc. Enter the patient information through the "Patient Info"...
Page 52 Refers to the items on a menu. For item that is applicable for more than one mode, the item appears as universal item in the certain mode. Items of image modes and measurement can be preset (refer to "11 Setup" for details). ...
Page 53: Basic Operations Of Screens
 System status icon This area displays the relevant system icons, such as USB memory device, printer, network, Chinese / English entry, and current system time, etc.  None-fixing Area Position of areas illustrated here are not fixed, you can move them by the trackball within a certain area on the display.
Page 54 Composition Description For some screens, contents are distributed across several pages. Use the selection pointer and <Set> key to Page Tab open/close the available pages. Use the selection pointer and [Set] key to open / close the available pages.  Radio button: click to select the item. ...
Page 55: 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 56: New Patient Information
 Click [Quick Register] on the screen to save the patient information quickly and return to the main screen. 4.2.1 New Patient Information The Patient Info page is shown as below: Place the cursor onto the targeted box. The field box is highlighted and a flashing cursor appears.
Page 57  Or, click to select the date, and click [Save] to confirm.   Auto generated age: once the DOB is gotten, the system can display an auto- generated age in the field box, the unit can be “Years”, “Months” or “Days”. If the age is less than one year, the system will automatically calculate the age in months or days.
Page 58 Exam Type Information Description Gravida Times of pregnancy. Ectopic Times of abnormal pregnancy. e.g. extrauterine pregnancy Gestations Number of embryos (1, 2, 3; 1 is default) Para Times of delivery Aborta Times of abortion Last menstrual period Gravida Times of pregnancy. Para Times of delivery (Gynecology)
Page 59: Retrieve Patient Information
 [New Exam]: click to clear the current exam information in order to create a new exam for the current patient.  [Pause Exam]: to pause the current exam.  [Cancel Exam]: to cancel the current exam.  [OK]: click to save the patient data entered and exit the screen. ...
Page 60 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 61: Select Exam Mode And Probe
 Select exam date period, click [Query] to search the patient data in the period.  Enter patient ID, patient name, accession #, the system affords the result in real-time.  Or select the keyword type, enter the keywords and then click [Query] to search. ...
Page 62: Dual Probe Switching
(2) Roll the trackball and press <Set> to select the exam mode, and use the direction keys to turn pages of the exam modes.  To save the image parameters for the current exam mode quickly: Click [QSave] in the Probe & Exam page or click the user-defined key for QSave to save the image parameters in the current image mode as presets.
Page 63: Bi-Plane Endocavity Probe (65Eb10Ea)
4.3.4 Bi-plane Endocavity Probe (65EB10EA)  Selecting Exam Mode 1. Connect 65EB10EA to the ultrasound system. 2. Press <Probe> on the control panel to enter the exam mode selecting screen. Roll the trackball and press <Set> to switch the S or T plane of the probe, or select the exam mode of the S/T plane of 65EB10EA probe.
Page 64: Selecting Imaging Mode
Selecting Imaging Mode Use the corresponding key in the control panel to enter the imaging modes. For the detailed operations in each imaging mode, please refer to “5 Image Optimization”. Activate& Continue an Exam 4.5.1 Activate an Exam Select an exam finished within 24 hours, select the exam record, click from the menu popped up;...
Page 65: End An Exam
4.6.2 End an Exam Before examining a new patient, press <End Exam> to end the exam of the previous patient, update the patient ID and information, to avoid mixing data of the next new patient. To end an exam, you can do one of the following: ...
Page 67: 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 68: Quickly Saving Image Setting (Qsave)
Quickly Saving Image Setting (QSave) To enter image parameter saving screen:  Press <Probe> and click [QSave], or;  Press the user-defined key for QSave function (for details about user-defined key setting, please refer to “11.1.6 Key Config” chapter).  Save image parameter adjustment: Click [Save] to save the current image values for the current exam mode of the certain probe.
Page 69: B Mode Parameters
In real-time scanning of all image modes, press <B> on the control panel to return to B mode. 5.4.2 B Mode Parameters In B mode scanning, the image parameter area in the upper left corner of the screen displays the real-time parameter values as follows: Display Parameter Frequency Depth...
Page 70 Operation To increase the gain compensation at an area of interest, move the TGC slider to the right. To decrease the gain compensation at the corresponding area of interest, move the TGC slider to the left. About 1.5s after the adjustment is finished, the TGC curve disappears. Effects Adjust the signal gain for the certain image area to get a balanced image.
Page 71 FOV (Field of 1. To change the scan range, click [FOV] on the image menu to enter the View) FOV range and FOV position adjustment status. 2. Press <Set> to switch between adjusting FOV position and FOV range. 3. Rotate the trackball to adjust FOV position or the FOV range. When the scan range is adjusted to the widest, the FOV position can not be changed.
Page 72 Smooth Description Rejects image noise and makes images smooth. Operation Adjust through the [Smooth] item in the menu; The system provides 4 levels of smooth function, the bigger the value the higher the smooth adjustment. Persistence Description This function is used to superimpose and average adjacent B images, so as to optimize the image and remove noises.
Page 73 Impacts Available only for linear probes. The function is available in real-time imaging, freeze or cine review status. Gray Map Description Adjusting grayscale contras to optimize the image. Operation Select among the maps through the [Gray Map] item in the menu. The adjusting range is 1-25.
Page 74 Gray Rejection Description This function is to reject image signals less than a certain gray scale, then the rejected signal corresponding area turns black. Operation Click [Gray Rejection] in the menu to adjust. The adjusting range is 0-5. Curve Description To manually enhance or restrain the signal in the certain scale.
Page 75: M Mode
Description Adjust the gain of scan lines to increase the image lateral resolution. Operation Click [LGC] to access the adjusting dialog box. The 8 LGC items displayed on the screen indicate the corresponding image areas on the image screen. Click corresponding [LGC1-8] to adjust the gain. The higher the value, the higher the gain.
Page 76: M Mode Image Optimization
 During M mode imaging, you can switch between B and M menu from the menu title.  During M Mode scanning, frequency and acoustic power of the transducer are synchronous with that of B Mode.  Adjustment of the depth or TGC to the B Mode image will lead to corresponding changes in M Mode image.
Page 77 Operation Adjust through the [Acoustic Power] item in the image menu; The adjusting range is 0%-100% and the adjusting level is 32. Effects Generally, increasing the acoustic power will increase the brightness and contrast of the image as well as the force of penetration. Impacts You should perform exams according to actual situation and follow the ALARA Principle.
Page 78 Colorize and Colorize Map Description Colorize function provides an imaging process based on color difference rather than gray distinction. Operation Turn on or off the function through the [Colorize] item in the menu; Select the colorize map through the [Colorize Map] item in the menu; The adjusting range are off, and 1-25.
Page 79 Operation Adjust through the [Edge Enhance] item in the menu; The edge enhance adjustment range is 0-14, the bigger the value the stronger the effect. Impacts Larger edge enhance may lead to noise increasing. Dynamic Range Description Adjusts contrast resolution of an image, compresses or expands gray display range.
Page 80: 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 81 Operations Rotate the <Gain/iTouch> knob clockwise to increase the gain, and anticlockwise to decrease. The adjusting range is 0-100. 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...
Page 82 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 83: 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 84: Basic Procedures For Power Mode Imaging
5.7.1 Basic Procedures for Power Mode Imaging 1. Select a high-quality image during B + Color scanning, and adjust to place the area of interest in the center of the image. 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>...
Page 85: Pw Doppler Mode
Operations To select among the maps, turn the knob under [Map] on the image menu. There are 8 kinds of maps provided: P0-P3 belong to Power mode maps, while dP0-dP3 belong to Directional Power mode maps. The Power maps provide information of blood flow, which are highly sensitive to the low-velocity flows.
Page 86: Pw Mode Image Parameters
4. Press the user-defined key for the PW mode or <Update> to enter PW mode again and perform the examination. You can also adjust the SV size, angle and depth in real-time scanning. 5. Adjust the image parameters during PW mode scanning to obtain optimized image. 6.
Page 87 Effects Generally, increasing the acoustic power will increase the brightness and contrast of the image as well as the force of penetration. Impacts You should perform exams according to actual situation and follow the ALARA Principle. Baseline Description Refers to the area where the velocity is zero in the spectrum. Operations Press the <Baseline>...
Page 88 T/F Res Description This function is used to adjust for a balance between time resolution and spatial resolution. Operations Adjust through the [T/F Res] item on the image menu. There are 0-4 levels of T/F Res values available. Dynamic Range Description The dynamic range conveys the information that being transformed from echo intensity to gray scale.
Page 89 Operations Click the [Gray Map] item on the image menu. There are 1-25 maps available. Colorize and Colorize Map Description Colorize function provides an imaging process based on color difference rather than gray distinction. Operation Turn on or off the function through the [Colorize] item in the menu; Select the colorize map through the [Colorize Map] item in the menu;...
Page 90: Anatomical M Mode (Free Xros M)
Roll the trackball to select the SV depth. Effects The smaller the SV size, the more accurate the result; and more details are obtained when selected large SV size. iTouch Description To optimize image parameters as per the current tissue characteristics for a better image effect.
Page 91: Free Xros M Image Parameters
 In Dual-split or Quad-split mode, it is the current activated window that enters the Free Xros M mode. Free Xros M imaging is supported on frozen B image, B+M image and B+Power/Color image. 5.9.1.1 Free Xros M Image Parameters ...
Page 92: Tdi
5.10 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 3 types of TDI mode available: ...
Page 93: Tdi Image Optimization
5.10.3 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. 5.11 iScape The iScape panoramic imaging feature extends your field of view by piecing together multiple B images into a single, extended B image.
Page 94: Image Acquisition
 Press <Freeze> or <Update> to return to capturing status. Image Acquisition  Press <B> button to return to B mode. 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.
Page 95  Image parameters setting, for details, please refer to “5.11.3.1 Image Parameters ”. Image zooming, for details, please refer to “5.11.3.2 Image Zooming”.   Image rotation, for details, please refer to “5.11.3.3 Rotating the Image”.  Measurement, comment, and body mark, for details, please refer to “5.11.3.4 Measurement, Comment, and Body Mark”.
Page 96: Cine Review
 The image must be continuous (no part of an image moves suddenly or disappears.)  No shadow or absent signal along the scan plane.  Clear profile of anatomy through the entire scan plane without distortion.  Skin line is continuous. ...
Page 97: Note Before Use
5.12 3D/4D 5.12.1 Note before Use 5.12.1.1 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 98: 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 99 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 100 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 101: Static 3D
Wire Cage The ultrasound images are provided for reference only, not for CAUTION: confirming a diagnosis. Please use caution to avoid misdiagnosis. 5.12.3 Static 3D Static 3D provides single frame image acquisition of 3D images. During scanning, the probe performs the scanning automatically. The probe D6-2EA supports the static 3D.
Page 102 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 103 5.12.3.2 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 104  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 105 View Direction a. Up/Down b. Down/Up c. Left/Right d. Right/Left e. Front/Back f. Back/Front Adjust VOI  VOI On The VR image displays VOI information. 1. In image viewing status, click [VOI] to turn it to “On.” 2. Roll the trackball to adjust the VOI position, size and curved VOI, and press <Set> to switch between the adjusting status.
Page 106 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 107  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 108  To rotate along the Z-axis: rotate the <PW> button on the control panel clockwise and the image rotates right along the Z-axis. Rotate the button counter-clockwise and the image rotates to the left.  Auto rotation (1) In 3D viewing mode, click the [Auto Rot.] tab on the screen. The system enters the auto rotation preparation state.
Page 109: Smart 3D
 Rectangle a) Press <Set> to fix the rectangle's position, roll the trackball to change the size, and press <Set> again to finish drawing the rectangle. b) Move the cursor to the region you want to cut and press <Set> again to cut. ...
Page 110: Basic Procedures For Smart 3D Imaging
5.12.4.1 Basic Procedures for Smart 3D Imaging NOTE: In Smart 3D image scanning, if the probe orientation mark is oriented to the operator’s finger, perform the scan from right to left in linear scan, or rotate the probe from left to right in rocked scanning. Otherwise, the VR direction will be wrong.
Page 111: Smart 3D Image Viewing
 Description of parameters: Parameter Description Function: select the image acquisition method. Selection: Rocked, Linear. Linear mode: during the sweep, the probe must be kept parallel. The scanning speed should be constant. Rocked mode: in this mode, the probe must be moved to a position where you Method can clearly see a middle cut of the object you want to scan and render.
Page 112 5.12.4.4 Image Saving and Reviewing in Smart 3D It is similar to the saving and reviewing in3D Static mode. 5.12.5 4D 4D provides continuous, high-volume acquisition of 3D images. During scanning, the probe performs the scanning automatically. 4D image acquisition operations are similar to those of Static 3D. The only difference is that in static 3D mode, only a single frame 3D image is captured, while in 4D mode, continuous, high-volume acquisition of 3D images is provided.
Page 113: Ilive
5.12.6 iLive iLive brings you a better imaging experience by adding a light rendering effect to the traditional method. It supports the global lighting mode as well as the partial scattering mode, allowing human tissue texture to be revealed more clearly. iLive is an option, and is available under Smart 3D, Static 3D and 4D modes.
Page 114: Ipage
5.12.7 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. 5.12.7.1 Basic Procedures for iPage 1.
Page 115 5.12.7.2 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 116: 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 117 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 119: Display & Cine Review
Display & Cine Review Image Display 6.1.1 Splitting Display The system supports dual-split (B/B) and quad-split (4B) 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>...
Page 120: Izoom (Full-Screen Zooming)
6.1.2.2 Pan Zoom Procedures: 1. Enter Zoom: Freeze the image, press <Depth/Zoom> knob on the control panel to light the Zoom indicator. Image-in-image is displayed. 2. Rotate <Depth/Zoom> knob to change the magnification factor among 0.8-10. 3. Exit:  Press <Depth/Zoom>. ...
Page 121: Cine Review
 In splitting display B mode, press <B> to exit splitting display mode and display the image of the currently activated window in full screen.  In freeze mode, the system supports imaging mode switching between the sub- modes (only for the activated window). ...
Page 122: Cine Review In 2D Mode
 Open cine files in thumbnail, iStation or Review, the system enters automatic cine review status.  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 ...
Page 123: Cine Review In M/ Pw /Tvd Mode
Tips: you can perform cine review on each image window in the dual/ quad splitting mode, and set auto review region for each window. 6.2.3 Cine Review in M/ PW /TVD Mode After entering the cine review of M/ PW/ TVD mode, rolling the trackball or rotating the multifunctional knob will display the cine images on the screen one by one.
Page 124: Frame Compare
3. Review the images of different image windows (cine replaying can’t be performed for single-frame image file), press <Dual> or <Quad> key to switch the active image window. The window with the highlighted “M” mark is the current activated window. Press <Cursor>...
Page 125: Cine Memory Clear
Imaging Mode Single-B/Color Dual Quad Split The memory splits The memory splits One memory, with into two, with into four, with Auto capacity N frames. capacity N/2 frames capacity N/4 frames each each The memory splits The memory splits The memory splits into two, with into two, with into four, with...
Page 127: Measurement
Measurement There are general measurement and application measurement. You can perform measurements on a zoomed image, cine reviewing image, real-time image, or a frozen image. For measurements details, please refer to the [Advanced Volume]. Be sure to measure areas of interest from the most optimal WARNING: image plane...
Page 128: General Measurements
General Measurements 7.2.1 2D General Measurements 2D general measurements refer to general measurements on 2D mode: Measurement Tools Function Distance Measures the distance between two points of interest. The distance between probe surface and the probing point along Depth ultrasound beam. Angle The angle between two intersected planes.
Page 129: Doppler General Measurements
Measurement Function Tools Measures the distance and time between two points and calculates the Slope 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 130: 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 131: Measurement Accuracy
Measurement Accuracy Table 1 Error of 2D Images Parameter Value Range Error Within ± 3%; or when the measured value is less Distance Full screen than 40 mm, the error is less than1.5 mm. Within ± 7%; or when the measured value is less Area (Trace) Full screen than 16 cm...
Page 133: 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 134: Adding Comments
 Change Font Size/Arrow Size  Click [Font Size] to change the font size of comment.  Click [Arrow Size] to change the arrow size of comment. The default is the comment text library in the current exam mode. When entered the comment status, the system displays the customized comment text library for the current exam.
Page 135: Moving Comments
second part of the combined comment. Repeat procedures to add other parts of a combined comment. Press <Set> to complete the comment.  Adding an Arrow You can add an arrow to a location where you want to pay attention. 1.
Page 136: Body Mark
2. Press the <Set> key to select the comment. 3. Press the <Del> or <Clear> key to complete the deleting operation.  Deleting a recently-added character, text or arrow After you add several comments and the cursor is in the “|” or “ ”...
Page 137: Moving Body Marks
(2) Select the bodymark library through the menu title. (3) Select the bodymark. Move the cursor onto the desired bodymark to highlight your choice, and press <Set> to add the selected bodymark; or rotate the multifunctional knob to view the bodymarks.
Page 139: Patient Data Management
External storage media is recommended for image archive. 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. Patient Information Management 9.1.1...
Page 140: Image File Management
Image File Management You can store the image files either in the patient database in the system, or to external memory devices. For a save image, you can perform operations like image reviewing, analyzing and demonstration (iVision). 9.2.1 Storage Media System supported memory media including: ...
Page 141: 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. 9.2.3 Image Storage Preset  Set image size You can set the image size via [Setup] →[System Preset]→ [General]. The items are shown as follows: ...
Page 142: Quickly Saving Images To Usb Flash Drive
9.2.5 Quickly Saving Images to USB Flash Drive Use user-defined keys to quickly save the single-frame or cine to USB flash drive. The image file is stored in the directory: U disk\ US Export\ patient folder\ exam folder\ Image ID.bmp, here, ...
Page 143 9.2.8.1 To review images You can review all images stored in an exam, and send, delete or analyze the stored images.  To enter Review:  Press <Review> to enter Review screen. The system display the images stored in this exam of the current patient. ...
Page 144  If entered from the imaging status, the Review screen displays the images of the current exam, and the default selected image is the one displayed on the preview main screen.  Info: Click to enter the Patient Info screen, you can review or edit the currently-selected patient information.
Page 145: Ivision
9.2.9 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: Select [iVision] in the image menu I B mode;...
Page 146: Sending Image File
Click [Demo Manager] to operate: [>]: to import data to demo catalog. [<]: 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 147  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. See the following figure: In the iStation screen, click ;...
Page 148: Patient Data Management (Istation)
(2) Click [OK] to confirm. You can select paper size for the report in the path: [Setup] → [Print Preset]  Printing report Use a connected graph/text printer to print a report. Please refer to “11.6 Print Preset” for details about default report printer setting. For details on report relevant operations, please refer to [Advanced Volume].
Page 149: Searching A Patient
 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 a new exam mode and click [OK] to begin a new exam. ...
Page 150  Report After you select an exam of a patient, click to view the report of this exam for this patient. If no report is generated in the exam, the system prompts that “There is no report belongs to the exam”. ...
Page 151: Backing Up And Erasing Files Through Dvd Drive
 Recycle bin The recycle bin is used to store the deleted patient data, exam data and images (time lasts from deleting to system is powered off). The system supports recovery of those data from the recycle bin. NOTE: The recycle bin will be cleared after the system is powered off.
Page 152: Patient Task Manager
 symbol indicates that the input CD/DVD is damaged or with data of wrong format. During the backup process, if a CD/DVD is forcibly taken out or CAUTION: you perform other operations, the backup process will fail or the system may malfunction. NOTE: Directly removing a DVD-RW/DVD+RW drive may result in the damage of drive and/or the system, please refer to “3.6 Connecting/ Removing a USB...
Page 153: Access Control
 Print Task List of the current printing task. Displays the file name, status (printing or suspended), printer name, submit time etc. If all print tasks are finished, the print icon will disappear from the screen, if not, please check the manager to see if there is any failure task. In the Task Management dialogue box, patient ID, name, destination, progress, type, status, content and task created time are displayed.
Page 154: Setting Access Control
9.7.2 Setting Access Control The system administrator can preset the access control, that is, if an operator has the right to access to the data in the system. The access control only can be set by the system administrator. Setting access control: 1.
Page 155: Add/ Delete A User
(3) Enter the user name and password in the field box. 9.7.4 Add/ Delete a User The system administrator can add or delete a user, while the operator can’t. 9.7.4.1 Add a User Premise: you must login the system as the system administrator. If not, you will be required to enter administrator name and password before the setting.
Page 156: Delete A User
9.7.4.2 Delete a User Premise: you must login the system as the system administrator. If not, you will be required to enter administrator name and password before the setting. 1. Open the “Admin” page through the path: [Setup]→[System Preset]→[Admin]. 2. Select the user to be deleted in the User List (Emergency user can’t be deleted), click [Delete] to delete the selected user.
Page 157: 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.
Page 158: Dicom Preset
10.1 DICOM Preset 10.1.1 Network Preset NOTE DO Not edit IP address in Network Preset page as the network task is executed, otherwise it fails. View if there is any undergoing task in task manager of the system. Preset local TCP/IP settings. 1.
Page 159: Dicom Preset
10.1.2 DICOM Preset To set the DICOM service and server properties. 1. Press <Setup> to enter the [Setup] menu. 2. Select [DICOM Preset]. 3. Preset local DICOM properties and DICOM server.  Localhost DICOM Service Property Name Description Application entity title of the ultrasound system. AE Title The AE title here should be the same with the one of the acceptable SCU set in the server.
Page 160  DICOM Server Setting Name Description Device Name of the device supporting DICOM services. IP Address IP address of the server. You can ping other machines to verify connection after entering the Ping correct IP address. Also you can check the connection of the already added server in the list.
Page 161 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 162 Name Description Max Framerate 25, 30, 35, Full are available, user-changeable [Add] Add the DICOM service to the service list. [Cancel] Click to cancel the parameter setting. Select an item in the service list, change the parameters in the [Update] above area, and click [Update] to update the item in the service list.
Page 163 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 164 Name Description The system supports RGB (color printing) and Settings MONOCHROME2 (black and white printing). Please select the type the printer supports. 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.
Page 165: Verify Connectivity
 Medium Type: for black and white printing, usually Blue Film or Clear Film is used, and for color printing, Paper is usually used. For details, please refer to printer conformance statement.  Change the setting if necessary. 10.1.3.3 DICOM Worklist 1.
Page 166: Dicom Service
If verification failed, the possible causes may be: The ultrasound machine can’t communicate normally with the server. Please check if  the cable is properly connected; or, Check if the IP of the server is configured in the same segment with that of the ultrasound machine;...
Page 167 (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 168: Dicom Print
(2) Set a default storage server. a) Enter the DICOM Service Preset screen via “[Setup] → [DICOM Preset] → [Set DICOM Service]”. b) Select a storage server in the Service List and click [Default]; you can see “Y” in the Default column. c) Click [Exit] to exit the page and return to Setup menu, then click [Save] on the Setup menu to make the preset to take effect.
Page 169: Dicom Worklist
(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. c) Select a Print server in the Service List and click [Default]; you can see “Y” is marked in the Default column.
Page 170: Mpps
(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. Click [Transfer], the patient information is imported into the Patient Info screen. Edit the patient information in the Patient Info screen, and select [OK] to start a new exam.
Page 171: Query/Retrieve
(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. The system will send all the images stored in the exam record to the storage server, meanwhile, it will send storage commitment to the storage commitment server.
Page 172: 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 173: 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 174: 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 175: Setup
CD/DVD or USB memory devices. When the setup data is changed, be sure to save the preferences CAUTION: according to the methods described in this chapter. Mindray is not responsible for the loss of the setup data.  To enter Setup: ...
Page 176: Region
11.1.1 Region Open the Region page via [Setup]-> [System Preset]-> [Region], as shown in the figure below. Item Description To set the hospital relevant information like name, address, telephone Hospital Information and so on. To select a language for the system, the available languages are Chinese, English, French, German, Italian, Portuguese, Russian, Spanish, Polish, Czech, Turkish, Finnish, Danish, Icelandic, Language...
Page 177: General
11.1.2 General Open the General page via [Setup]-> [System Preset]-> [General], as shown in the figure below. Type Item Description To select if to display the following patient information Patient Banner on the image banner: Gender, Age, Operator, ID, Display Content Name, Hospital Name Patient Info H&W Unit...
Page 178: Image
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 179: Key Config
11.1.5 OB Open the OB page via [Setup]-> [System Preset]-> [OB]. Through the page, you can set the fetal gestational age formula, fetal growth formula, fetal weight formula and the relevant information. For details, please refer to the Operator’s Manual [Advanced Volume]. 11.1.6 Key Config Open the page via [Setup]->...
Page 180: Biopsy
Item Description Key Volume To set the key volume. Trackball Speed To set the trackball speed when move the trackball. Trackball Brightness To set the color for the trackball. 11.1.7 Biopsy Open the Biopsy page via [Setup]-> [System Preset]-> [Biopsy], as shown in the figure below. ...
Page 181: Measure Preset
2. Selecting/deleting exam modes On the right side of the screen, you can view the exam types supported by the current probe. On the left side, you can view all the exam modes supported by the system, i.e., Exam Library. ...
Page 182: Comment Preset
Procedures: 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. Add or delete body mark(s) To add the item selected from the [Available Items] into the [Selected [>] Items].
Page 183: Custom Comments
11.5.1 Custom Comments You can preset the custom comments library for each exam mode to your preference. The comments in the library are provided by the system or user-defined ones. The name of the library, which can be set, will appear on the first page of the library. Open the Comment page via [Setup]->...
Page 184: Print Preset
Select an item in Selected Items list, and click [<] to remove it to the Available Items list. Click [<<] to remove all items in Selected Items.  Delete a user-defined item in the Available Items box. You can only delete the user- defined items rather than the items in the system library.
Page 185: Network Preset
 Check the printer attribute. For details about DICOM print, please refer to “10 DICOM”.  Printer Adapter For details, please refer to the “Appendix D Printer Adapter”. 11.7 Network Preset For Local TCP/IP preset and DICOM preset, please refer to “10.1 DICOM Preset”. 11.7.1 iStorage Preset The iStorage screen is as follows: Name...
Page 186: 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. 11-12 Setup...
Page 187: Other Settings
11.8.2 Other Settings Type Item Description Load Factory Local factory default settings. Preset Manager Export Export preset data to disk. Import Import the preset data into the system. Export Log Export the operation log. Other Prepay Installment Display the prepay installment information. 11.9 System Information Click [About] in the Setup menu to enter the system information screen.
Page 189: Probes And Biopsy
Probes and Biopsy 12.1 Probe The system supports the following probes: Probe Model Illustration 35C50EA 65C15EA 65EC10EA 75L38EA Probes and Biopsy 12-1...
Page 190 Probe Model Illustration 75L53EA 10L24EA 65EB10EA 35C20EA 65EC10ED 75LT38EA 12-2 Probes and Biopsy...
Page 191: Name And Function Of Each Part Of The Transducer
Probe Model Illustration 65EL60EA D6-2EA 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 12.1.1 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 192 Name Function It converts the electrical signal into ultrasound signal, making the sound beams focus in the given direction; meanwhile, it will receive the ultrasound signal and then <1> Transducer head convert the received signal into electrical signal. The lens on the surface is the acoustic lens. Apply ultrasound gel on the acoustic lens.
Page 193: Operating Procedures
12.1.2 Orientation of the Ultrasound Image and the Transducer Head The orientation of the ultrasound image and the transducer are shown below. The “MARK” side of the ultrasound image on the monitor corresponds to the mark side of the transducer. Check the orientation before the examination (take linear probe as an example).
Page 194  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 195  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 196: Utilizing The Transducer Sheath
12.1.4 Utilizing 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 197: Probes Cleaning And Disinfection
12.1.5 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. Fail to do so may result in the probe and the needle-guided bracket to becoming sources of infection.
Page 198 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.
Page 199 For intra-operative probes (75LT38EA), they have to be sterilized after completing each examination. 1. Wear sterile gloves to prevent infection. 2. Clean the probe before sterilizing it. MINDRAY recommends the following solutions to sterilize the probe. Hydrogen Peroxide and Peroxyacetic Acid -based sterilization solution...
Page 200: Storage And Transportation
Relative humidity: 20% to 95% (no condensation)  Atmospheric pressure: 700 hPa ~ 1060 hPa 4. When the transducer is sent to MINDRAY Customer Service Department or sales representative for repair, be sure to disinfect it and keep it in the carrying case to prevent infection.
Page 201: 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 202 Adjust the needle mark before the biopsy procedure is performed. 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.
Page 203: Basic Procedures For Biopsy Guiding
When using the needle-guided bracket wear sterile gloves to CAUTION: prevent infection. During biopsy of the probe 65EB10EA, misoperation may occur when the scan range is not set to “W”, which will affect the blind area of the image and the accuracy of needle displaying. The scan range should be kept to “W”.
Page 204: Needle-Guided Brackets
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 205  NGB-001 Metal-needle detachable Guiding hole Groove V-shaped guiding block Lock pin Needle fixing nut Needle type adjusting base Needle type dial scale V-shaped cover Clamp Angle block Angle adjusting base Angle pinch Angle shift sign Pinch nut  NGB-003 (Metal/needle detachable) Name Description Clamp of needle-...
Page 206 Name Description Used for determining the angle of the biopsy; different <6> Angle block specifications of blocks can be used Used for installing biopsy needle; there are five <7> Guiding block specifications of guiding blocks for different biopsy needles Specification of <8>...
Page 207 <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> needle-guided bracket the transducer There are 3 types of angles available to be <3>...
Page 208 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 209 Name Description Guiding hole of the Used for installing the biopsy needle needle Specification of Matched with the corresponding biopsy needle guiding block Mark of indicating Indicating needle distance scales scales Knob of fixing the Used for fixing the guiding block guiding block ...
Page 210: 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 211 Installing the Needle-guided Bracket  NGB-001, NGB-002, NGB-003 and NGB-005 metal/needle un-detachable needle-guided bracket (taking NGB-001 as example) (1) Put on the sterile transducer sheath. (2) Inosculate the locating groove on the clamp with the two raised edges on the transducer head and aligning the locating pit of the clamp to the convex point on the transducer head.
Page 212 (4) Select a proper guiding block and push it into the groove above the angle block. (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.
Page 213  NGB-007  Metal 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. Match the groove and tab with the tab and groove of the transducer respectively.
Page 214 2) Hold the transducer by one hand, select proper needle-guided bracket, and hold it with the other hand. Align the narrow end tab of the needle-guided bracket with the groove of the transducer, then push the needle-guided bracket forward, making the tabs and the grooves of the needle-guided bracket to match with the grooves and tabs of the transducer.
Page 215 guided bracket at the desired position, turn tightly the knob of fixing needle-guided bracket to fix the needle-guided bracket. (3) Select a proper guiding block and thread the knob of fixing the guiding block through the hole of installing guiding block, move the guiding block to the desired position, then turn tightly the knob of fixing the guiding block to fix the guiding block on the support of needle-guided bracket.
Page 216 (5) Insert a biopsy needle with the same specification as that of the guiding block into the hole of the guiding block.  NGB-016 1. Put on the sterile transducer sheath. 2. Select a proper needle-guided bracket, and match the groove with the tab of the transducer.
Page 217: Biopsy Menu
6. Insert a biopsy needle with the same specification as that of the guiding block into the hole of the guiding block. Ensure that all guide parts are seated properly prior to performing CAUTION: a biopsy. 12.2.4 Biopsy Menu Press <Biopsy> to show the biopsy menu. ...
Page 218: Ineedle (Needle Visualization Enhancement )
 In B mode image menu, you can also display, hide or select the needle-guide bracket via [Biopsy Kit] item. 12.2.5 iNeedle (Needle Visualization Enhancement ) In the course of biopsy, the metal needle attached to the probe is punctured into the tissue with a certain angle;...
Page 219: Verify Biopsy Guide Line
Operation To turn on or off the function, click [B/iNeedle] on the screen. Tips: iZoom (full-screen magnification) is available on iNeedle status. 12.2.6 Verify Biopsy Guide Line Prior to each biopsy procedure, be sure to verify the guide WARNING: line. If the needle is not consistent with the guide line, DO NOT perform the biopsy procedure.
Page 220: Removing The Needle-Guided Bracket
12.2.7 Removing the Needle-guided Bracket  NGB-001/ NGB-002/ NGB-003/ NGB-005 metal/needle un-detachable needle-guided bracket: While holding the transducer and the needle-guided bracket, open the Grip knob of the needle-guided bracket.  NGB-001 Metal-needle detachable 1. Pull the lock pin and open up the V-shaped cover to expose the needle. 2.
Page 221 (3) Screw the pinch nut of the bracket, and remove the needle-guided bracket from 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 222 3) Remove the support of needle-guided bracket from the transducer.  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.
Page 223: Clean And Sterilize 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 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 224: 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 225  The depth of the mark is displayed in the image parameter area at the right side of the screen. Probes and Biopsy 12-37...
Page 227: 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 228: Precautions
NOTE: Only use the specified batteries. If there is only one battery in the system, it cannot supply power and cannot be charged. 13.2 Precautions 1. Before using the battery, carefully read the description in the label on the surface of the battery.
Page 229: Battery Status Indicator
13.4 Battery Status Indicator The battery status indicator is located in the lower right corner of the screen, indicating the battery capacity. : indicates the battery capacity is empty. : indicates the battery capacity is full. When the power capacity is not enough, the system will pop up a prompt: Warning! Battery is out of power! Please connect to power supply or system will be shut down in one minute.
Page 231: 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 232: 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 “...
Page 233: Mi/Ti Display
 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. WFUMB (World Federation for Ultrasound in Medicine and Biology) guidelines: state that temperature increase of 4 degree C for 5 min or more should be considered as potentially hazardous to embryonic and fetal tissue.
Page 234: Acoustic Power Control
Display of Thermal and Mechanical Indices on Diagnostic Ultrasound Equipment (AIUM and NEMA UD-3 2004). 14.6 Acoustic Power Control The qualified operator may use the system controls to limit the ultrasound output and to adjust the quality of the images. There are three categories of system controls relative to output.
Page 235: Limits Of Acoustic Output
Although the attenuation coefficient chosen, 0.3 dB/cm/MHz, is significantly lower than any specific solid tissue in the body, this value was chosen to account for fetal examinations. In early trimester ultrasound fetal examinations, there may be a significant fluid path between the transducer and the fetus, and the attenuation of fluid is very small.
Page 236: Measurement Uncertainty
14.8 Measurement Uncertainty I spta 28.5% I sppa 28.5% Center frequency (f c ) Total power (W) 28.5% (5.1% for Scan-mode and Combined-mode) Peak-rarefactional pressure 14.7% 14.9 References for Acoustic Power and Safety “Bioeffects and Safety of Diagnostic Ultrasound” issued by AIUM in 1993 “Medical Ultrasound Safety”...
Page 237: 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 238  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 239 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 240 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 241 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 243: 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 244  Method: 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 245: Checking Transducer
16.2 Maintenance Checks by Service Engineer The following checks must be performed to ensure and maintain system safety and performance. Please contact Mindray Customer Service Department or sales representative to schedule and carry out these checks. Check Category Check Item...
Page 246: Consumables And Periodic Part Replacement
16.3 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. 16.4 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 247: Troubleshooting Table
 Troubleshooting Table Failure Cause Measure After the  Abnormal power system  Verify that the plug has not power supply or incorrect connection become loosened or is turned on, of the power cord. dislodged from the back of the power the system.
Page 249: Appendix A Electrical Safety
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 250: Device Enclosure And Accessories
Device Enclosure and Accessories A.2.1 Visual Inspection Test Item Acceptance Criteria No physical damage to the enclosure and accessories. No physical damage to meters, switches, connectors, etc. The enclosure and accessories No residue of fluid spillage (e.g., water, coffee, chemicals, etc.). No loose or missing parts (e.g., knobs, dials, terminals, etc.).
Page 251: Earth Leakage Test
Earth Leakage Test Run an Earth Leakage test on the device being tested before performing any other leakage tests. The following outlet conditions apply when performing the Earth Leakage test.  normal polarity (Normal Condition);  reverse polarity (Normal Condition); ...
Page 252: Mains On Applied Part Leakage
 LIMITS For BF applied parts, 100μA in Normal Condition.  500μA in Single Fault Condition.  Mains on Applied Part Leakage The Mains on Applied Part test applies a test voltage, which is 110% of the mains voltage, through a limiting resistance, to selected applied part terminals. Current measurements are then taken between the selected applied part and earth.
Page 253: Appendix B Iscanhelper
Appendix B 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 254 You can zoom in a single window in the help information area to see the information. For details, please refer to “B.4.3 Single/quad-window Display”. 4. Save images as necessary. 5. Press the user-defined key again to exit iScanHelper. Basic Screen and Operation Section selecting box Image...
Page 255  Scanning picture Ordinary scanning tips can be observed here, including posture, probe mark, probe swing/sweep techniques.  Scanning tips You can read tissue related anatomical information and adjacent tissue information here. B.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.
Page 257: Appendix C Iworks (Auto Workflow Protocol)
Appendix C 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 workflow in common exam protocols in a logical, “step by step” manner.
Page 258: Screen Display
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 D 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 260 Type Model SONY X898MD D-2 Printer Adapter...
Page 261 P/N: 046-017656-00 (1.0)

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