Contents Intellectual Property Statement ......................I Responsibility on the Manufacturer Party ..................II Warranty ............................III Exemptions ..........................III Customer Service Department ....................III Important Information ........................IV About This Manual ..........................V Notation Conventions ........................V Operator’s Manuals ........................... V Manuals on Paper ..........................
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2.6.2 Power Supply Panel ..................... 2-8 2.6.3 Control Panel ........................ 2-9 Symbols ..........................2-11 System Preparation ....................3-1 Move/Position 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 .......................
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Switching Between Image Modes ..................5-1 Basic Operations ........................5-1 B Mode ..........................5-2 5.3.1 B Mode Exam Protocol ....................5-2 5.3.2 B Mode Parameters ...................... 5-2 5.3.3 B Mode Image Optimization ..................5-2 M Mode ..........................5-7 5.4.1 M Mode Exam Protocol ....................5-7 5.4.2 M Mode Parameters .....................
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8.1.2 Comment Menu ......................8-1 8.1.3 Adding Comments ......................8-2 8.1.4 Moving Comments ......................8-3 8.1.5 Editing Comments ......................8-3 8.1.6 Deleting Comments ...................... 8-3 Body Mark ..........................8-4 8.2.1 Body Mark Operation Procedures ................8-4 8.2.2 Menu ..........................8-4 8.2.3 Adding Body Marks.......................
Intellectual Property Statement SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray) owns the intellectual property rights to this Mindray product and this manual. This manual may refer to information protected by copyright or patents and does not convey any license under the patent rights or copyright of Mindray, or of others.
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.
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.
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.
About This Manual This operator’s manual describes the operating procedures for this diagnostic ultrasound system DP-20/DP-25 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").
[Items in Menu]→[Items in Submenu]: Selects a submenu item following the path. ⚫ [Dyn Rng (Value)]: Indicates menu items with parameter, (value) shows the current value of the item. Product Differences Product Models Probes DP-20 DP-25 √ √ 35C50EB 65EC10EB 75L38EB ×...
Safety Precautions Safety Classification ◼ According to the type of protection against electric shock: CLASS I 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: 971-SWNOM (2-pedal or 3-pedal) belongs to IP68 and FS-81-SP (1-pedal)
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.
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.
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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.
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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. Safety Precautions 1-5...
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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.
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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.
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Use detachable power supply cord as mains power breaking device. DO NOT set equipment in place where difficult for disconnection of detachable power supply cord! Do not modify this equipment without authorization of the manufacturer. Please read the following precautions carefully to ensure the safety of the patient and the operator when using the probes.
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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.
Latex Alert When choosing a probe sheath, it is recommended that you directly contact CIVCO for obtaining probe sheath, pricing information, samples and local distribution information. For CIVCO information, please contact the following: CIVCO Medical Instruments Tel: 1-800-445-6741 www.civco.com Allergic reactions in latex (natural rubber) sensitive patients may WARNING: range from mild skin reactions (irritation) to fatal anaphylactic shock, and may include difficulty in breathing (wheezing),...
Warning Labels The warning labels are attached to this system in order to call your attention to potential hazards. The symbol on the warning labels indicates safety precautions. 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.
System Overview Indications for Use The Digital Ultrasonic Diagnostic Imaging System is applicable for adults, pregnant women, pediatric patients and neonates. It is intended for use in fetal, abdominal, pediatric, small organ(breast, thyroid, testes), neonatal cephalic, adult cephalic, trans-rectal, trans-vaginal, musculo-skeletal(conventional, superficial), cardiac(adult, pediatric), peripheral vascular and urology exams.
2.4.3 Environmental Conditions Operational Conditions Storage and Transportation Conditions Ambient 0℃~40℃ -20℃~55℃ temperature Relative 30%~85% (no condensation) 30%~95% (no condensation) humidity Atmospheric 700hPa~1060hPa 700hPa~1060hPa pressure Do not use this system in the conditions other than those WARNING: specified. 2.4.4 Size and weights ⚫...
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Region Probe Model Category Intended Use Applied Transvaginal Fetal, Neonatal Cephalic, Trans-rectal, 65EC10EB Convex Trans-vaginal, Urology Transrectal Abdominal, Pediatric, Small organ (breast, thyroid, testes), Neonatal Body 75L38EB Linear Cephalic, Musculo-skeletal surface (Conventional), Musculo-skeletal (Superficial), Peripheral Vascular Pediatric, Abdominal, Small organ (breast, thyroid, testes), Neonatal Body 75L53EA...
2.5.3 Options Item DICOM basic module (including: task management, DICOM storage, DICOM print, DICOM storage commitment, DICOM media storage (including DICOM DIR) and etc.) DICOM worklist module (only can be applied with the DICOM basic function module configured) DVD R/W Drive Footswitch Dual-probe socket Hard disk (configured in factory)
⚫ Main unit. ⚫ Probes. ⚫ Footswitch. Printers: MITSUBISHI P93W-Z,SONY UP-X898MD,SONY UP-D25MD, ⚫ MITSUBISHI P95DW-N Introduction of Each Unit System Overview 2-5...
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Name Function Battery cover Holds the battery. Probe holder Places probes temporarily. Handle Lifts the machine. 2-6 System Overview...
Name Function LED monitor Displays the image and parameters. Control Panel Refers to 2.6.3 Control Panel. Power Supply Panel Electric interface panel, refers to 2.6.2 Power Supply Panel. Winding rack Winds the power cable. I/O Panel Refers to 2.6.1I/O Panel. Gel holder Places the ultrasound gel temporarily.
2.6.2 Power Supply Panel <1> <2> 100- 240~ 50/60 Hz 1.0-0.5A 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. 2-8 System Overview...
2.6.3 Control Panel Name Description Function Power button Power button Off: System turned off; Press to turn on/off the system Display Status Green: working in normal status; Indicator Orange: no signal. Exit Press to exit the current status to the previous status.
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Name Description Function Press to enter or exit the patient information iStation management system. F1~F4 User-defined key You can assign a function to the key. Biopsy Press to show or hide the biopsy guide line. Setup Setting To open/close the Setup menu. Press to delete the comment, etc.
Name Description Function Press to return to the previous operation or Back delete the previous item. Trackball Roll the trackball to change the cursor position. Used in selection. Rotate: to adjust B or M gain Gain/ iTouch Press: to enter/ exit iTouch Save Press to save, user-defined key Press to print: user-defined key.
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Symbol Description Battery Status Indicator Reserved Hard disk indicator Probe port A Probe port B Product serial number Manufacture date Caution: Federal Law restricts this device to sale by or on the order of a physician. 2-12 System Overview...
System Preparation Move/Position the System Please read and understand the safety precautions before placing the system to ensure safety for both operator and devices. 1. Switch off the power, and pull out the plug. 2. Disconnect the system from all peripherals. 3.
– 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.
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 –...
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...
3.4.2 Disconnecting a Probe Turn the probe lock lever counterclockwise to release the connector. Pull the connector straight out. 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.
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Power cord Data cord USB port 1. Connect the data cable with the USB port on the system. 2. Plug the other end power plug into an appropriate outlet. 3. Power on the system and the printer. 4. Install the printer driver (drivers of printers listed in “2.5.4 Peripherals Supported” have already installed): (1) Enter [Setup]->...
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Drivers of some HP printers have already been integrated in the system, and will be installed automatically. If the auto-installation fails, a warning icon will display on the right lower corner of the screen. You need to install the printer driver manually: a) Download the ppd file from the printer’s official website (contact R&D engineer if necessary), and copy the ppd file to the storage device (USB disk as an example).
◼ Print Service You can use a graph/ text printer to print report or images. ⚫ To set the default report printer and its attribute: In "[Setup]-> [Print Preset]" screen, select the "Print Service", select “Report Print” column in the service list, set the items in the "Property" box. ⚫...
Analog Video Printer 1. Connect the printer (VIDEO IN port) and the ultrasound system (S-Video on IO panel) with the signal cable; 2. Connect the Remote cable on printer to the Remote port on the ultrasound system. 3. Connect the power cord to a power supply receptacle that is well grounded. 4.
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◼ Information Area The information area displays manufacturer logo, hospital name, exam date & time, acoustic power & MI/TI, freeze icon, patient information, probe model, current exam mode, and accession #, etc. It can be preset whether to display the operator, patient gender, age, ID, name etc.
c) Move the cursor to the target position, press [Set] again to anchor the result window in the target position. ⚫ Comment area For details, please refer to “8 Comments and Body Marks”. ⚫ Body mark area For details, please refer to “8 Comments and Body Marks”. 3.11.2 Basic Operations of Screens A screen consists of title, page tabs, contents and buttons, as shown in the following figure: Title...
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1. Roll the trackball to move the cursor onto the title bar of the dialogue box. At this time the cursor becomes a ; press the [Set] key. 2. Roll the trackball and reposition the rectangular graphic to the new desired location. 3.
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: ⚫...
◼ 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.
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Or, click to select the date, and click [OK] to confirm. ⚫ Auto generated age: once the DOB is gotten, the system can display an auto- generated age in the field box, the unit can be “Years”, “Months” or “Days”. If the age is less than one year, the system will automatically calculate the age in months or days.
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Exam Type Information Description Gravida Times of pregnancy. Ectopic Times of abnormal pregnancy. e.g. extrauterine pregnancy Gestations Number of embryos (1 is default) Para Times of delivery Aborta Times of abortion Last menstrual period Gravida Times of pregnancy. Para Times of delivery (Gynecology) Ectopic Times of abnormal pregnancy.
⚫ [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.
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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.
⚫ 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. ⚫ To reset the criteria, click [Clear] button. 3. Select the desired patient from the list. ⚫...
◼ 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.
When an exam is paused, the system will: 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>...
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.
B Mode B mode is the basic imaging mode that displays real-time images of anatomical tissues and organs. 5.3.1 B Mode Exam Protocol 1. Enter the patient information, and select the appropriate probe and exam mode. 2. Press <B> on the control panel to enter B mode. 3.
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Description The system compensates the signals from deeper tissue by segments to optimize the image. There are 8-segment TGC sliders on the control panel corresponding to the areas in the image. Operation To increase the gain compensation at an area of interest, move the TGC slider to the right.
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Effects The area that is focused will be of a higher contrast and resolution to provide a much clearer image. Impacts The greater the number of focus, the slower the frame rate to image. Imaging Display Adjustment Description More information can be obtained without moving the probe or changing the sampling position.
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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.
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Tint Map Description Colorize function provides an imaging process based on color difference rather than gray distinction. Operation Select the colorize map through the [Tint Map] item in the menu; The system provides 16 colorize maps to be selected among. Impacts The function is available in real-time imaging, freeze or cine review status.
γ The γ correction is used to correct non-linear distortion of images. Description Click [γ] on the image menu to adjust. Operation The adjusting range is 0-3, increase the value, the image turns dark. Gray Invert Description Reverse the polarity of the image. Operation Click [Gray Invert] to turn on or off the image inversion.
◼ 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.
Operation Select the colorize map through the [Colorize Map] item in the menu; The system provides 16 different maps to be selected among. Impacts 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;...
PW mode provides a function for examining flow at one specific site for its velocity, direction and features. PW imaging is an option. 5.5.1 Basic Procedures for PW Mode Exam 1. Select a high-quality image during B mode scanning, and adjust to position the area of interest in the center of the image.
5.5.2 PW Mode Image Parameters In PW mode scanning, the image parameter area in the top-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 ◼ During PW mode imaging, the image optimizing menus for B mode and PW mode are displayed on the touch screen at the same time.
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Operation Select the frequency value through the [Frequency] item in the image menu. 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.
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T/F Res. Description This function is used to create a balance between time resolution and spatial resolution. Operations Adjust through the [T/F Res] item on the image menu. There are 4 levels of T/F Res. values available. Wall Filter Description It filters out low-velocity signals to provide effective information, and this function is used to adjust the filtered frequency.
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Operations In real-time scanning, the results displayed are derived from the calculation of latest cardiac cycle; In the freeze and cine status, the results displayed are calculated from the current selected area. Display Format Description To set the display format of PW mode images with B mode images. Operations Click the [Display format] item on the image menu to adjust.
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Audio Description This function is used to adjust the output audio in the spectrum map. Operations Click the <Audio> item on the image menu to adjust the volume. The adjusting range of the audio is 0-100%. Effects Utilizing the output audio helps to identify the feature and the status of flow. PW Steer Description This function is used to adjust the angles for the sampling line.
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>...
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>. ⚫...
⚫ 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). ⚫...
6.2.1 Entering/ Exiting Cine Review ◼ To enter cine review: Enter "[Setup]-> [System Preset]-> [Image]-> “Freeze Config”, to set "Status after ⚫ Freeze" to be "Cine". Then the system enters the manual cine review status once press <Freeze> to freeze the image. ⚫...
Tips: you can perform cine review on each image window in the dual/ quad splitting mode. 6.2.3 Cine Review in M/PW Mode After entering the cine review of M/PW mode, rolling the trackball will display the cine images 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.
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...
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.
7.2.3 Doppler General Measurements Doppler general measurements are general measurements on PW-mode images. The measurements listed below can be performed: Measurement Function Tools Time Measures 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).
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.
Measurement Accuracy Table 1 Error of 2D Images Parameter Value Range Error Distance Full screen Within ± 4%. Area Full screen Within ± 8%. Circumference Full screen Within ± 20%. Angle Full screen Within ± 3%. Table 2 Volume Measurements Parameter Value Range Error...
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;...
comment adding. When clicking [Home], the cursor will turn to the default setting position. ◼ Change Font Size/Arrow Size ⚫ Click [Font Size] to change the font size of comment: Small, Mid, Big. ⚫ Click [Arrow Size] to change the arrow size of comment: Small, Mid, Big. ◼...
⚫ Click [Arrow Size] on the menu to change the arrow size: Press <Set> or <Enter> to anchor the arrow position, and then the arrow turns yellow. Repeat the above steps to add more arrows. Press <Arrow> key, <ESC> or to exit the arrow comment status. 8.1.4 Moving Comments 1.
NOTE: When no object is selected, pressing the <Clear> key will clear all comments and all measurements calipers. After powering off, the system will clear all comments on the image. Body Mark The Body Mark (Pictogram) feature is used for indicating the exam position of the patient and transducer position and orientation.
8.2.4 Moving Body Marks You can move the body mark graphic to any desired position within the image area. 1. Roll the trackball to move the cursor onto the body mark. The cursor changes into indicating you can move the pictogram to a new position. 2.
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...
◼ System-relevant formats: ⚫ Single-frame image file (FRM) Refers to single-frame static image files not to be compressed; you can perform measurements and comments adding on this type of files. ⚫ Cine file (CIN) System-defined multi-frame file format; you can perform manual or auto cine review, and perform measurements or add comments for the reviewed images.
⚫ When a dialog box is displayed on the current screen, press the user-defined key to save the screen in the BMP format. ◼ To save cineloop image in the system: (1) Enter [Setup]-> [System Preset] -> [Key Config]-> [Output], set a user-defined key for function “Save cine”.
⚫ In the scanning or freeze mode, the thumbnails refer to the images stored in the current exam. ⚫ In the Review screen, the thumbnails refer to the images stored in the same exam. ⚫ In the Review screen, open an image to enter the image analyzing status, all the thumbnails belong to the exam are displayed.
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◼ Basic operations Move the cursor onto an exam item in the Exam History area and press <Set>. The selected item is highlighted. Click [Info] or [Report] to view patient information or report. Double-click a thumbnail to view and analyze an image. The function buttons are described as follows: ⚫...
⚫ Press <Review> to exit from the image analysis to the Review status. In image analysis status, the selected image is open on the screen, and the thumbnails of the same exam are displayed on the Thumbnail area, you can turn the pages, delete or send a selected image.
◼ Demonstration item There are two kinds of catalogs: Demo Catalog and Customize Catalog. ⚫ Demo Catalog: demo catalog is the folder in hard disk (E disc), where the factory DEMO is stored. The system plays the images in this folder when performs demonstration.
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◼ 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 the Send To arrow; or, in Review screen, click [Send To] to send patient data to an external memory device, you can choose if reports are exported with images.
◼ Printing report Use a connected graph/text printer to print a report. Please refer to “11.4 Print Preset” for details about default report printer setting. For details on report relevant operations, please refer to [Advanced Volume]. Patient Data Management (iStation) The patient data include basic patient information, exam information, image files and reports.
◼ Select All Exams/ Deselect All Exams Click [Select All Exams] to select all patient data listed. Then the button changes into [Deselect All Exams], you can cancel all the selections by clicking [Deselect All]. 9.4.1 Searching a Patient (1) Select the data source. (2) Set search conditions of Name, ID, DOB, Exam Date in the "Item"...
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◼ Backup/ Restore You can back up the selected patient data to the system-supported media in order to view it on PC, or restore the patient data to the system from an external media. : Click to export the selected patient data to the system-supported media. : Click to import the patient data from an external media.
⚫ Click [Restore All Items] to restore all the items back to iStation; ⚫ Click [Empty Recycle Bin] to empty the recycle bin and all items can never be restored again. Click [Exit] to exit Recycle Bin screen and return to iStation. 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...
Patient Task Manager Click at the lower right corner of the screen to pop up the following dialogue box: Including: ◼ Storage Task: displays the DICOM storage task. ◼ DICOM Print Task: displays the DICOM print task. ◼ Media Storage Task: ⚫...
◼ Delete Click [Cancel] to cancel the selected task. ◼ Retry Click [Retry] to retry the failed task. When the printer ran out of ink or paper, tasks in print list will be paused. Click [Retry] to continue the paused print task. ◼...
2. If [Enable User Account Control] is selected, you need to login before accessing system data. If unselected, you can access all the data without the authority. 9.7.3 System Login If [Enable User Account Control] is selected, you can access the data in the system only after you login the system.
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. 1. Open the “Admin” page through the path: [Setup]→[System Preset]→[Admin]. See the figure below.
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.
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.
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. IP Address IP address of the system.
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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.
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Name Description 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. [Add] Click to add servers to the device list. Click to enter DICOM service preset, see “10.1.3 DICOM Service”.
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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.
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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”...
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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.
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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.
DICOM Worklist service parameters are similar to those described in DICOM Storage Preset, please refer to “10.1.3.1 Storage” for details. 10.1.3.4 Storage Commitment 1. On DICOM Service screen, click [Storage Commitment] page tab to enter the Storage Commitment page. 2. Select device, enter the right AE Title, port, etc. 3.
10.3.1 DICOM Storage DICOM Storage is used to send image(s) to DICOM storage server f or storage. ◼ Send image in iStation/Review/main screens (1) Select image(s) ⚫ Press <iStation> to enter the iStation screen, click to select an exam record in the list, where thumbnails are displayed in the thumbnail area in the lower part of the screen, and then click to select a thumbnail or several thumbnails.
(2) Set a default storage server: a) Enter “[Setup] → [DICOM Preset] → [Set DICOM Service]”. b) Select a storage server in the Service List and click [Default]; you can see “Y” is marked in the Default column. c) Click [Exit] to exit the page and return to Setup menu, then click [Save] on the Setup menu to make the preset to take effect.
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(3) Retrieve Patient Information a) Set query criteria among Patient ID, Patient Name, Accession #, Search Key, Worklist Server or Exam Date. The default exam date is the current date. b) Click [Query]. c) The scheduled patients, which meet the criteria, are displayed in the lower part of the screen.
(6) The system queries intraday patients via Worklist server automatically and the patient records will appear in the list. In the off-line status, you can: ◼ Perform a second query; or, ◼ Click [Show Detail] to view the patient information in details: 10.3.4 Storage Commitment Storage commitment is used to make sure the images are successfully stored in the DICOM server.
10.4 DICOM Media Storage The system supports to save patient data to the external media in DCM format. Meanwhile, in the system, you can view the saved DCM files from external media ◼ Media storage: 1. Select patient record(s) in the iStation screen. 2.
10.5 DICOM Task Manager DICOM Task Management is used to view task progress or manage tasks after sending images for storage, print, or media storage. For details on tast manager, see 9.6 Patient Task Manager. DICOM 10-15...
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. ◼...
Item Description To set the hospital relevant information like name, address, telephone Hospital Information and so on. To select a language. Language The system will restart automatically after you change the language and return from the Setup menu. Time Zone To select the time zone.
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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.
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.
Type Item Description Select among the IP IP is a combination of groups through the [IP] several image processing item in the image menu parameters, which is under B mode frequency. used for a fast image Dynamic Range, optimization. Smooth, Select among the IP Persistence The IP combination...
◼ Key function setting You can set the functions for <Print>, <Save>, F-key (F1-F4), <P> and footswitch. To assign a function to a key: (1) Click to select the desired key in the Key Function column at the left side of the page.
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.
11.4 Print Preset The settings of a printer include print service and print driver. ⚫ 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. ...
11.5 Network Preset ◼ For local TCP/IP preset and DICOM preset, please refer to “10.1 DICOM Preset”. ◼ The IStorage screen is as follows: Name Description Service Name Name of the device, cannot be empty Port Port of the device, be same with the PC, cannot be empty. IP address of the PC installed with iStorage software, cannot be IP Address empty...
11.6 Maintenance The [Maintenance] function is designed for you to update the system software or other special functions. If you require these functions, please contact Mindray Customer Service Department or sales representative. You can install options, preset measurement, bodymark, comment and export and upload operation logs here.
Probes and Biopsy 12.1 Probe The system supports the following probes: Probe Model Probe Type Illustration 35C50EB Convex 65C15EA Convex 65EC10EB Intra-cavity 75L38EB Linear array Probes and Biopsy 12-1...
Probe Model Probe Type Illustration 75L53EA Linear array 35C20EA Convex 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.
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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.
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).
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◼ Procedures for operating (with biopsy function) Probes and Biopsy 12-5...
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◼ Procedures for operating (with no biopsy function) Inspection before examination Connection to the ultrasonic diagnostic system Examinations Disconnection to the ultrasonic diagnostic system Wiping off the ultrasound gel Thoroughly cleaning the transducer Drying the transducer Disinfecting the transducer Rinsing the transducer Drying the transducer Inspection after use Storage...
Thoroughly clean the probe and needle-guided bracket, then disinfect the probe and sterilize the needle-guided bracket before and after an ultrasound-guided biopsy procedure is WARNING: performed. Failure to do so may cause the probe and the needle-guided bracket to become sources of infection. 12.1.4 Utilizing the Transducer Sheath A transducer sheath must be installed over the transducer before performing examination.
3. Secure the sheath with enclosed elastic 4. Inspect the sheath to ensure there are no bands. holes or tears. ◼ Probe sizes 65EC10EB: (L) 173.06 mm, (D) 32.64 mm The above is a dimension illustration of the intra-cavity probe. Customers can purchase appropriate sterile sheaths according to the provided probe sizes.
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NOTE: 1. After the examination, wipe off the ultrasound gel thoroughly. Otherwise, the ultrasound gel may solidify and degrade the image quality of the transducer. 2. DO NOT make the probe to become overheated (more than 55° C) during cleaning and disinfections. High temperature may cause the probe to become deformed or damaged.
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10. Check whether the probe has defects such as peeling, rifts, bumps, cracks, or liquid spill. If such defects exist, the probe has reached the end of its service life. In this case, stop using it and contact the Mindray service department. Low-level disinfection of a non-critical probe Use protective eyewear when disinfecting using sprays.
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6. Check whether the probe has defects such as peeling, rifts, bumps, cracks, or liquid spill. If such defects exist, the probe has reached the end of its service life. In this case, stop using it and contact the Mindray service department. Connector Strain relief NOTE: Observe the graph here carefully to perform disinfection.
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Observe the graph here carefully to immerse the transducer. Only soak parts of the transducer below the strain relief. Repeated disinfection will eventually damage the probe, please check the probe performance periodically. Compatible Disinfectants For the disinfectant information, please refer to Mindray Transducer Disinfectant Recommendation. 12-12 Probes and Biopsy...
Excessive vibration ⚫ Heat generators 2. When the transducer is sent to MINDRAY Customer Service Department or sales representative for repair, be sure to disinfect it and keep it in the carrying case to prevent infection. 3. Sterilize the carrying case as necessary.
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Sterilize the transducer and the needle-guided bracket before and after each ultrasound-guided biopsy procedure is performed. Fail to do so may cause the transducer and the needle-guided bracket become sources of infection. The needle mark displayed on the ultrasound image does not indicate the actual position of the biopsy needle.
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Image of the biopsy target and the actual position of the biopsy needle: Diagnostic ultrasound systems produce tomographic plane images with information of a certain thickness in the thickness direction of the transducer. (That is to say, the information shown in the images consist all the information scanned in the thickness direction of the transducer.) So, even though the biopsy needle appears to have penetrated the target object...
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.
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◼ NGB-001, NGB-002, NGB-003, and NGB-005 (Metal/needle un-detachable) The structure of plastic needle-guided bracket NGB-001, NGB-002, NGB-003 and NGB- 005 are similar to each other. The following figure shows the structure with NGB-001 as an example. Clamping knob of the needle guide Needle guide Needle guide hole...
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◼ NGB-003 (Metal/needle detachable) Name Description Clamp of needle- Used for installing the needle-guided bracket on the <1> guided bracket transducer Groove of the <2> needle-guided Matches with the tab of the transducer bracket <3> Angle adjusting base There are 3 types of angles available to be adjusted Angle shift sign(11°, <4>...
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◼ 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>...
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.
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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.
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(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. (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.
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◼ 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.
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.
◼ 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.
⚫ Adjust guide line position Move the cursor onto [Position], press <Set> key or <Back> key to move it linearly. This is operative when there is only one guide line displayed. ⚫ Adjust angle Move the cursor onto [Angle], press <Set> key or <Back> key to change the guide line angle.
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◼ NGB-003 Metal/needle detachable needle-guided bracket: (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.
⚫ Plastic 1) Remove the guiding block slightly along the direction of the needle’s tail. 2) Separate the residual part of the needle-guide bracket and the transducer from the needle. 3) Remove the support of needle-guided bracket from the transducer. 12.2.7 Clean and Sterilize the Needle-guided Bracket All the needle-guided brackets can be used repeatedly, and must be cleaned and sterilized thoroughly before and after each use.
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9. Check whether the needle-guided bracket has defects such as deformation and rusting. If such defects exist, the bracket has reached the end of its service life. In this case, stop using it and contact the Mindray service department. Sterilization 1.
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.
Relative humidity: 30% to 95% (no condensation) 12.2.9 Disposal Be sure to dispose the needle-guided bracket only after sterilizing it. Contact your MINDRAY representative when disposing of this device. 12.3 Lithotrity “Lithotrity” 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.
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.
The model of the chargeable lithium-ion battery (hereinafter called battery for short) is LI23I002A. NOTE: Only use the specified batteries. 13.2 Precautions 1. Before using the battery, carefully read the description in the label on the surface of the battery. 2.
Battery cover To remove the battery: 1. Turn off the unit and detach the power cord from the main unit. 2. Open the battery cover. 3. Push the battery to left until it’s released. 4. Take out the battery from the bay. 13.4 Battery Status Indicator The battery status indicator is located in the lower right corner of the screen, indicating the battery capacity.
If the powering time of the battery is much shorter than that specified in the Specification Manual, you may replace the battery or contact the service personnel. 13.6 Battery Disposal NOTE: You should observe the local regulations when disposing of the battery. 13-4 Battery...
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.
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 “...
Default settings of acoustic power value refer to the best image quality of the probe. The larger the acoustic power value, the better the image quality. In the DP-20/DP-25 products, to obtain optimum images for applications under the requirements of safety and ALARA principle, we set acoustic power default values in...
modes for a better image quality. The user can make adjustments according to the imaging effect in practical use. NOTE: This system automatically returns to the settings whenever changes are made to the values (when you turn on the power, switch between probes, press [End Exam], or select [Save] in the Setup menu).
used, which corresponds to a loss of 0.3 dB/cm/MHz. That is, the intensity of ultrasound will be reduced by 0.3 dB/MHz for every centimeter of travel from the transducer. This can be expressed by the following equation: -...
Similarly, the Mechanical Index was derived to indicate the relative possibility of mechanical (cavitation) effects. The MI is based on the derated peak-rarefactional pressure and the center frequency of the ultrasound wave. The actual peak-rarefactional pressure is affected by the actual attenuation caused by tissue in the path between the transducer and the focal point.
EMC Guidance and Manufacturer's Declaration The system complies with the EMC standard IEC 60601-1-2: 2014+A1:2020. 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.
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⚫ 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-...
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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...
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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. COMPLIANCE ELECTROMAGNETIC IEC 60601 ENVIROMENT –...
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frequency range Interference may occur in the vicinity of equipment marked with the following symbol: Note 1: At 80 MHz and 800 MHz, the higher frequency range applies. Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects and people.
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TABLE 4 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. COMPLIANCE ELECTROMAGNETIC IEC 60601 ENVIROMENT –...
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For transmitters at a maximum output power not listed above, the recommended separation distanced in meters (m) can be determined using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.
The responsibility for maintenance and management of the product after delivery resides with the customer who has purchased the product. If you have any questions, please contact Mindray Customer Service Department or sales representative. Only an authorized Mindray service engineer can perform WARNING: maintenance not specified in this operator’s manual.
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◼ Cleaning the probe cable a) Use soft dry cloth to wipe off stains from the probe cable. b) If it is difficult to clean the stains thoroughly, use soft cloth dipped with mild detergent, and then let the cable air dry. ◼...
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Clamp ring Track ball Rotate clamp ring 35 degrees anticlockwise Remove clamp ring Draw out the ball Cleaning Clean the lens slightly using the tissue until there is no foreign matter. Then clean the other parts and the dust excluder. Make sure to exert force properly when clean the small ball, otherwise, the small ball may drop down.
Content Description First wipe off dust or stain attached to the cover of printer with soft dry cloth, Color and B/W then clean the inside of printer. Be sure to do the cleaning maintenance video printer according to the operation manual if necessary. First wipe off dust or stain attached to the cover of printer with soft dry cloth, Graph / text then clean the inside of printer.
If any persistent system malfunction is experienced, e.g. an onscreen error message, blank imaging screen, absent menus, please refer to the following table below. If the failure cannot be eliminated, please contact Mindray Customer Service Department or sales representative. ◼...
Appendix A 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.
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4. Press the user-defined key for entering iScanHelper again to exit iScanHelper. Basic Screen and Operation Section selecting box Help information area A.4.1 View Selecting Area Rotate the trackball to move the cursor onto the target view and press <Set>, related information will be displayed on the help information area.
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It is used to compare with images scanned by the operator. ⚫ Anatomic graphic Related anatomical tissue information are provided here. ⚫ 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.
Appendix B Electrical Safety Inspection The following electrical safety tests are recommended as part of a comprehensive preventive maintenance program. They are a proven means of detecting abnormalities that, if undetected, could prove dangerous to either the patient or the operator. Additional tests may be required according to local regulations.
Device Enclosure and Accessories B.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.).
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); ⚫...
◼ 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.
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