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Siui CTS 7700 Digital Ultrasound User Manual

1. LVDS Systolic left ventricular diameter LVPWS Left ventricular posterior wall thickness at end systole IVC Inferior vena cava PA Pulmonic artery RA Right atrium Report Report M B M mode menu LA AO Left atrium Aorta MV Mitral valve TV Tricuspid valve PV Pulmonic valve LV Left ventricle LV FUNC Left Ventricle Function Report Report 8 1 3 8 Orthopaedics Calculation In B and B M mode orthopaedics calculation includes two menu items Hip Angle and Report In M mode there is only Report 8 1 3 9 Report Function Different exam types have different report formats Patient Information in reports cannot be edited except for using Pat Data key Gestation Age and Estimated Date of Delivery are calculated automatically based on the result of LMP and measurement Relevant measurement result will be displayed in the report if the user does certain measurement Placenta Grade in the OB report is selectable by rotating Value knob The items of Shape Echoes and Inner Echoes in the prostate report can be selected by pressing Enter move the cursor over the desired item and press Enter key to have the box in front of the item checked automatically For items inside only one selection can be made for items without multiple selections can be made The operation of annotation in report is the same as that of Text key 8 15 Measurement and Calculation
2. There is a submenu for each system setup menu To enter the corresponding selection or edit screen select the desired item with the trackball or Value knob and press Enter To select or edit use the trackball or Value knob and press Enter To exit press Esc 5 2 2 1 Date and Time Table 5 3 Date and Time Setup Menu Menu Description Date Format To set up date format Date To set up date Time Format To set up time format Time To set up time Main Menu Main menu The system s current date and time are displayed on the first line of the upper right screen 5 2 System Setup a Date Time format and setup 1 Three formats supported by the system for displaying date are available including YYYY MM DD MM DD YYYY and DD MM YYYY Set up Date format Press Enter after selecting Date Format then the Date format can be set by pressing Enter repeatedly to toggle among the three optional formats There are two formats supported by the system for displaying time including 24 hours display format and 12 hours plus AM PM display method To set up time format Press Enter after selecting Time Format then the Time format can be set up by pressing Enter repeatedly to toggle between two optional formats b Date Time Setup 1 Date Setup Press Enter after selecting Date to change the system s current date The cursor will locate at the first date element which may be year or date depending on the
3. Save report Press Save key in Report displaying screen to pop up the file name input box If Patient name has been inputted the default file name is Patient name The user can also input a new file name Press Clear to clear all the characters and press Backspace key to clear the character before the cursor After inputting the file name press Enter key to save the current report in the hard disk as jpg format save directory is E Report Press Disk key to open and display the saved report see Section 9 2 2 for the detailed method to recall images 8 2 Display and Clear of Meas Calc Result 8 2 1 Display Meas Calc Result When an item of measurement amp calculation is selected by the user the current position of the cursor is displayed on the image as for the user to select the measuring initial and end point A necessary sketch map is provided for user reference while measuring amp calculating and measurement amp calculation results are displayed real time according to user operation While calculating or measuring the measured point coordinate should not be beyond the border of the measured image element In 2B mode when there are images with the same depth in both windows then measurement on the two images can be made at the same time i e coordinates of the measured point can be moved freely in the two image areas While conducting distance circumference area or items in Meas measurements p
4. The front panel of the monitor is shown in Fig 3 3 l A N 1 Menu Item Up down Select Key 2 Menu Select Key 3 Screen Fig 3 3 Front Panel of Monitor 3 5 Introduction to Component Parts 3 2 2 2 Display Interface Probe MI Date Week SIUI Hospital Name Depth Frame Time Exam B Gain Freq T Gray Scale PTN Image Area I 1 TGC Curve Coordinate ID Body Mark Name Current Total State 1 pwr per 3smolEdg 4 amp csc 5 oyn 6 Ange 7 Lo Chroma srt Control Parameters Fig 3 4 Sketch Map of Display Interface Some of the curves or marks are automatically displayed while some of them can be displayed only by operation By pressing P key the display positions of the body mark and the measured results can be shifted by pressing H key the display of the exam type can be switched between on and off The control window can be controlled and activated by numeric keys of 1 to 9 and adjusted by using Value key Among which MI gives relevant prompt for the possibility of ultrasound beam mechanical biological effect e g cavitation When using the convex probe R60 MI 1 12 The parameter items in the control window are slightly different due to different display modes and probe models The parameter items shown in the control window of Fig 3 4 are parameters for B mode with convex probe Angle is replaced by Width for linear probe For M mode there a
5. damage to the system due to mains fluctuation 1 4 Safety The system is designed and manufactured in compliance with the international standard IEC 60601 1 2005 To operate it safely and correctly please follow the instructions below a b This system is not explosion proof Do not operate it in a flammable or easy explosive environment e g in the presence of anesthetics oxygen or hydrogen The system is not waterproof Never allow water or other liquid to drip on to the system The system needs a protective grounding device Its power cable should be connected to a grounding socket If the system is powered by a power supply without grounding its equipotential terminal must be connected to the equipotential terminal on another grounded system or an additional grounded device Do not use the system where there is no ground terminal is available Biological safety the same as other diagnostic ultrasound products the material used for this products is proved to be innocuous through a long period trial It will not result in allergy or stimulation to human body and skin Ultrasound safety ALARA As low as reasonably achievable should be observed Patients should always be exposed to the lowest practical transmit power levels for the shortest possible time Freeze the system and keep the probe away from the patient if no scanning is done Do not examine the patient with the probe ona Application Scope Operation Conditions Saf
6. Referring to Section 3 2 3 Operation Panel inspect each knob and key to see whether 4 1 Installation Maintenance and Inspection they are in normal operation 4 2 3 Inspection on Image Quality Referring to Chapter 6 imaging adjust the image adjust keys on keyboard observe the image display to see whether they are in normal operation 4 2 4 Inspection on measurement function Referring to Chapter 8 Measurement and Calculation inspect various measurement amp calculation functions to see whether they are in normal operation 4 2 5 Inspection on Probe and Probe Cable Inspect whether there is any crack on the water immersible probe part or any shedding on the probe connector and probe cable 4 2 6 Inspection on potential equalization conductor and power cable Inspect them to see whether there is any separated sheath or shedding on them check the grounding wire to find whether it is correctly and safely grounded Inspect them carefully to avoid any unexpected danger due to abnormality on these cables Note As the above sections 4 2 5 and 4 2 6 involve safety always do these inspections before operating the system every time Other items may be inspected every half a year 4 2 7 Regular Safety Inspection The following safety inspections should be carried out by an experienced well trained qualified person at least once every 24 months Inspect if the equipment and the accessories are damaged in mechanics and fun
7. cursor with the trackball Press Enter on a desired position The system will mark a point on this position and draw a gray curve based on the point that the user enters in the edit box Press S key on the keyboard to switch different tracks of the curve 5 12 System Setup Delete Move the cursor to any point that the user enters in the edit box Press D key on the keyboard to delete the point UnDo Press UnDo button on the right of the window then Enter to remove operations to the curve in the edit box including undoing delete and input operations a maximum of 256 steps can be undone This function offers convenience for editing user defined curves Reset Press Reset button on the right of the window then Enter to restore the curve to the default straight line Apply After editing the user defined curve press Apply button on the right of the window then Enter to save the user defined curve and apply it to the current image If Apply button is not pressed before shifting to another curve then the modification will not be saved Back Press Back button on the right of the window then Enter or ESC on the keyboard to return to the system menu 5 2 3 5 Auto Save Image Parameter setup There are two functions of auto save image parameter for selection On and Off Select On then when adjusting control parameters the parameters will be saved to the current exam type automatically or select Off to quit without sav
8. number ID and name will be automatically updated 5 2 9 Body Mark Press Menu key and use the trackball to select BodyMark then press Enter A group of schematic diagrams of body marks will be displayed on the screen See Section 7 3 4 To exit BodyMark screen press Esc 5 25 Imaging Chapter 6 Imaging 6 1 Preparation 6 1 1 Tools a Ultrasound Coupling Gel to be applied directly to the patient s body parts to be examined b Tissue Paper to be used to remove ultrasound coupling gel away from the patient skin and the probe after examination c Video Printer or USB Printer to record diagnostic images or files 6 1 2 Operation Procedure a Power On Turn on the main power switch on the power panel Press the main unit power switch button on the operation panel and the system will complete initialization in about 3 minutes Note If the system is in abnormal state and cannot be shut off press the power switch on the operation panel for more than 8 seconds to force the system shut off completely if the system is not in use for a long time toggle the main power switch to OFF position b Gain Control Preset Adjust Gain knob and the slide potentiometers to bring the gain and the TGC time gain compensation to a proper position 6 2 Selecting Probe and Exam Type 6 2 1 Selecting a Connected Probe Different probes apply to different application ranges In unfrozen state press Probe Select key to
9. Aap lem lem Global Maximum Index Value 0 924 0 060 0 202 0 091 Pra MPa 1 687 P mW 6 0 6 0 Min of Pa zs Ita a zs mW Zs cm Associated Zbp cm Acoustic Zb cm 2 90 Parameters zat max lpia cm 2 95 dai cm 0 344 Sawe MHz 3 332 3 332 3 332 3 332 Dimof X cm 1 92 1 92 Aap Y cm 1 12 1 12 ta Cus 0 610 Prr Hz 512 Other P at max Ipi MPa 2 340 Information deq at max lpi cm 0 339 Ioa at max MI Wm 106 38 Control 1 100 100 100 100 Power Gaeta Control 2 p 8 Focal Depth 6 0cm 6 0cm 6 0cm 6 0cm Control Control 3 Conditions M Speed 1 25s 1 25s 1 25s 1 25s Control 4 FisQuency MHz 3 5 3 5 3 5 3 5 3 5 Acoustic Output Parameter Probe C3L60B B mode TIS TIB Non Scan Index Label MI TIC Scan Aap gt Non Scan Aap S lem j lem Global Maximum Index Value 0 845 0 278 0 635 Pa MPa 1 523 P mW 42 42 Min of Pa zs Ita a zs mW Zs cm Associated Zbp cm Acoustic Zb Cem Parameters z at max Ipi a cm 4 05 d cm fowt MHz 3 244 3 244 3 244 Dimof X cm 1 92 Aaprt Y cm 1 12 ta Cus 0 602 Prr Hz 8000 Other pr at max Ipi MPa 2 854 Information deq at max Ipi cm Ipaa atmax MI Wlan 247 76 Control 1 Power 10096 10096 10096 Control 2 Operating 6 0cm 6 0cm 6 0cm Focal Depth Control Control 3 Scan Angle 70 70 70 Conditi
10. in the menu to enter ellipse method area measurement screen A cursor will appear on the screen 1P 0 00cm 1Area 0 00cm 1DL 0 00cm 1DS 0 00cm will be displayed in four lines in measurement result area Move the trackball and press Enter key to fix the start point of the long axis Use the trackball to drag the long axis to the end point of measurement and press Enter key to fix the long axis The length of the long axis is displayed in the result area And then use the trackball to adjust the short axis size to the proper position The values of short axis length and ellipse area change accordingly Press Enter again and the cursor jumps to the first fixed point which is movable to a proper position Press Enter again to fix that point and the cursor jumps to the second fixed point which becomes movable now Press Enter again to fix the long axis The user can use the trackball to adjust the short axis to a proper size The values of short 8 18 Measurement and Calculation axis length and ellipse area change accordingly Press Enter key in combination with moving the trackball repeatedly the two points of the long axis can be shifted and the length of the short axis be adjusted 8 3 3 Volume 8 3 3 1 Ellipse vol In B B B 4B or B M mode press Meas key and a menu will appear Select Ellipse vol to enter ellipse method volume measurement screen A cursor will appear at the center of the image 1Volume 0 00cm 1DL 0
11. oY els CI 3 i le Fig 7 3 Cardiology Body Marks o o Ne gt O Body Marks e 9 Qe og ee XP o Fig 7 4 Gynecology Body Marks CE em B gt 3 EE Mets to s Q r D gt a T SS D _ LL eo g Ae S SS s m D gt St Annotation of Image Information f Urology Body Marks CAO A POOR AU Fig 7 7 Urology Body Marks D g Small Part Body Marks Fig 7 8 Small Part Body Marks 7 4 Adding Arrow In non text mode press A An arrow appears in the center of the image area a Adjust angle The angle of the arrow can be adjusted to 12 directions by rotating Value Every step is 30 from 0 3602 b Move use the trackball to move the arrow c Fix After pressing Freeze the arrow will be in annotation state and automatically be fixed in other conditions the arrow will be fixed only by pressing Enter other wise the arrow will be clear when entering other states d Exit If the user does not want to input an arrow press Esc Or A to exit before fixing the arrow 7 11 Annotation of Image Information e Enter multiple arrows After the first arrow is fixed press Enter again The same operation can input multiple arrows f Delete Press Clear in unfrozen or single frame cine state to clear all the arrows When in arrow annotation state arrows can be deleted one bye one 7 12 Measurement and Calculation Chapter 8 Measurement an
12. 00cm 1DS 0 00cm is displayed in three lines in the result area Measure the long axis DL and the short axis DS on the B mode image as per Ellipse area then Volume is calculated 8 3 3 2 Biplane vol max transversal diameter max longitudinal diameter plane L Plane R Fig 8 1 Biplane Vol Measurement Theory Biplane vol can be acquired in B 2B or 4B mode a In B mode unfrozen state acquire the max longitudinal diameter plane plane R in Fig 8 4 and the max transversal diameter plane plane L in Fig 8 4 of the measured object then freeze the image Use cineloop to find plane R Press Meas and select Biplane vol to enter the measurement screen of biplane 8 19 Measurement and Calculation volume Use the trackball to place the cursor over the long axis start point of the max longitudinal diameter image plane R 1Volume 0 00cm 1D1 0 00cm 1D2 0 00cm 1D3 0 00cm is displayed in the result area in four lines Follow Ellipse area to obtain the values of D1 and D2 namely the longitudinal diameter and the antero posterior diameter of the object Press Esc to exit the measurement menu and enter single frame cineloop Use the trackball to find plane L press Meas and select Biplane vol to enter the measurement screen of biplane volume Turn the Value knob to activate the previously measured results the trackball function is disabled now Press Enter three times and then follow the distance measurement
13. 4 10 10 10 10 Frequency MHz Probe L10L25B Acoustic Output Parameter B mode TIS TIB Non Scan Index Label MI TIC Scan gt Aapt gt Non Scan Aap S lem z lem Global Maximum Index Value 0 693 0 272 0 649 Pra C MPa 2 139 P mW 12 12 Min of Pa zs Ita a zs mW Zs cm Associated E Zbp cm Acoustic Zb Cem Parameters z at max Ip cm 2 65 dai cm Jawi MHz 9 533 9 533 9 533 Dimof X cm 0 56 Aaprt Y cm 0 30 ta Cus 0 246 Prr Hz 7987 Other pr at max Ipi MPa 5 119 Information deq at max Ipi cm Ipaa atmax MI Wien 111 81 Control 1 Power 100 100 100 Control 2 Operating 2 lem 2 1cm 2 cm Focal Depth Control Control 3 Scan Angle 25mm 25mm 25mm Conditions Control 4 10 10 10 Frequency MHz Acoustic Output Parameter Probe USLSOB M mode TIS TIB Non Scan Index Label MI TIC Scan j Aapt gt Non Scan Aap S lem j lem Global Maximum Index Value 0 911 0 097 0 141 0 106 Dra MPa 2 052 P mW 4 0 4 0 4 0 Min of Pa zs Ita a zs mW Zs cm Associated Zbp Cem Acoustic 2b cm 1 0 Parameters zat max Ip cm 2 80 deg Ccm 0 309 Save MHz 5 078 5 078 5 078 5 078 Dimof X cm 1 17 1 17 Aaprt Y cm 0 60 0 60 ta Cus 0 455 Prr Hz 515 O
14. Accuracy of Adjustment Display Parameters Appendix E Range Precision and Accuracy of Adjustment Display Parameters mu me pe p Display Parameter SRT 1 25 2 5 5 0 10 0 7 None Low Medium High 0 100 7
15. B 2B 4B B M and M In unfrozen state the user can press B Mode and M mode keys or turn Disp knob for selection and toggle The default mode is B mode press B Mode to switch to 2B mode The initial image is on the left Use Disp knob to switch the right image to a live one Press B Mode again to switch to 4B mode The initial image is on top left Use Disp knob to switch to the live image And press B Mode for the third time to return to B mode Press M to enter B M mode and press M again to enter M mode a Single Image Window single B single M and B M modes are available e Single B and Single M The ultrasound image display area on the screen displays the B or M image data sent from the front end according to the gray scale B M B M means displaying the B and M images on the screen simultaneously Three display modes are available including upper B lower M left B right M upper 2B lower M which can be selected in the system menu For detailed setup method please refer to Section 5 2 3 1 b Multi image window Multi image window has 2B and 4B display available at present 1 2B 2B means that two B images are displayed left and right one of which is 6 6 4B Imaging live and the other is frozen In 2B mode use Disp knob to toggle the active image The image with the gt mark indicates that it is the current active image Two B modes can have different control parameters a
16. Measurement Menu 5 2 2 13 Annotation Edit The system has predefined one set of annotation phrase for each exam type The user can self defined annotation phrases for each exam less than 15 For the edit screen of annotation shown in Fig 5 6 select Annotation Edit on the system setup submenu and press Enter The cursor is movable among Exam select Initialize 5 9 System Setup Set Cancel and 15 input boxes Move the cursor over Exam Select and press Enter to enter selection screen of exam type shown in Fig 5 2 Having selected the exam type press Enter to enter the screen shown in Fig 5 6 The contents of application type and exam type change with the selection of the user Fig 5 6 Edit Screen of Annotation Press ESC to exit the current setup screen and return to system menu without saving Press Initialize to clear all the user self defined annotation phrases of the current exam type Press Set to confirm the current editing result and return to the ultrasound interface Press Cancel to delete the current editing result and return to the system menu Note In the input box the length of each annotation shall not exceed 15 English characters The added user defined annotations are located before the pre defined annotations 5 2 8 Image setup menu 5 10 System Setup Table 5 4 Image Setup Menu Menu Description B M Format To set up B M mode display Rotation Direction To sele
17. Please adjust the brightness controls and the contrast controls to appropriate positions No ultrasonic image displayed on screen in any scanning mode but the characters and grayscale bar are displayed normally Inspect if the probe is correctly connected to the main unit The printer not working Check if the printer is correctly connected to the main unit and if its power is on If there is no reaction by pressing print key on the keyboard but the print key on the printer responds by pressing then it is possible that the print remote control cable is not well connected Incorrect date display Reset the date referring to Section 5 2 2 1 If any abnormality occurs please immediately turn off the power and inform our nearest representative about the abnormal circumstance as detailed as possible Please contact us for help whenever it is necessary to repair or readjust the equipment We shall not be responsible for any failure caused after other people s repairing or readjusting Note Detailed information on the abnormal condition will be a great help to our service technician to shorten the repairing time greatly for your equipment Statement Circuit schematics and component list may be provided to SIUI Maintenance Troubleshooting Transport and Storage approved qualified service personnel for equipment maintenance WARNING No modification of this equipment is allowed
18. This Operation Manual may be slightly different from that of your equipment due to system software version as well as configuration of options and accessories The IH Preface actual system that you purchase shall prevail j The company shall be responsible for accuracy and integrity of this Operation Manual k The company reserves the final right to interpret this Operation Manual IV Application Scope Operation Conditions Safety and Cautions Chapter 1 Application Scope Operation Conditions Safety and Cautions 1 1 Application Scope The system is a general purpose diagnostic ultrasound imaging system designed exclusively for use in a wide variety of extracorporeal body imaging procedures A general purpose system supports various transducers and related application software packages allowing for the collection display and analysis of ultrasound information Usages include e g general purpose imaging cardiac OB GYN breast prostate vascular intra surgical depending on the operating system specific software packages and compatible ultrasound transducers this product does not support intra surgical and endocavity transducers 1 2 Operation Conditions a The system should be operated under the following ambient conditions for the safe and correct operation Ambient Temperature 0 C 40 C Relative Humidity 30 To 8596 Atmospheric Pressure 700hpa To 1060hpa Note If the o
19. an MV test mode figure A cursor appears at the screen center Move the cursor with the trackball to the corresponding point A Press Enter key to input point A and the cursor is fixed Points B and C will be shown Rotate the trackball to move the cursor to points C D E F Gand E in M mode figure in the same way The MV Meas Calc result will be displayed in the measurement result area Fig 8 5 Initial Final and Result Pages of MV measurement 8 3 10 3 TV measurement TV is tricuspid valve measurement in frozen state in M or B M mode Enter TV 8 27 Measurement and Calculation measurement On the left of the image there is a TV test mode figure A cursor appears at the screen center Move the cursor with the trackball to the corresponding point D Press Enter key to input point D and the cursor is fixed Point E will be shown Rotate the trackball to move the cursor to point F in M mode figure in the same way The TV Meas Calc result will be displayed in the measurement result area Fig 8 6 Initial Final and Result Pages of TV measurement 8 3 10 4 PV measurement PV is pulmonic valve measurement in frozen state in M or B M mode Enter PV measurement On the left of the image there is a PV test mode figure A cursor appears at the screen center Move the cursor with the trackball to the corresponding point A Press Enter key to input point A and the cursor is fixed Points B C D and F will be shown Rotat
20. cursor will appear in the center of the image D1 0 00cm it might be D2 or D3 subject to the current measurement time shows in the measurement result area at the same time Move the trackball to the measured start point and press Enter to fix the first cursor The second cursor shows on the same point Use the trackball to move the second cursor Whether the two cursors are connected with a dotted line can be set up in the Calc menu The displayed distance value in the measurement result area changes as the cursor moves Move the second cursor over the second point to be measured and press Enter to fix it The first cursor is movable now Each press of Enter key will toggle the movable and fixed states between the two cursors If the user press Calc key and select distance measurement only options such as Long Spleen A P R Lobe or Trans L Kidney the calculation process is basically the same as that of the distance measurement The only difference is D1 displayed in the measurement result area is replaced by Dist In M or B M mode multi distance can be measured by pressing Meas key and multiple measurement results can be obtained at one time 8 3 2 Area Circumference 8 3 2 1 Trace method In B B B 4B or B M mode freeze the image and press Area key to measure the area 8 17 Measurement and Calculation and the circumference of the selected part on the tomographic image in unfrozen state
21. cycle select one of the probes connected to the probe connector as the 6 1 Imaging current working probe 6 2 2 Selecting Probe Frequency The scanning frequency of each probe is changeable and can be toggled according to the diagnostic requirements In unfrozen state press Freq key to change the frequency of the current probe There are several frequencies available for selection 6 2 3 Selecting Exam Type 6 2 3 1 Function Description For each kind of probe on different exam type including application range and diagnostic position the system will conduct different initial settings based on its diverse characteristics so that the system can be in the best situation for a corresponding exam type These exam types provided by the system can be selected by the user and shown on the bottom left of the screen The available exam types are shown in Table 6 1 Table 6 1 Exam Types Application Type Exam Types Cardiology Cardiology A Cardiology AD Pediatric Peripheral arteries Carotid Peripheral arteries Peripheral vein Obstetrics 1 trimester Basic OB Complete OB Fetal Echo Mult Gest Abdomen Liver Gallbladder Pancreas Gynecology Uterus Ovary Small Part Thyroid Breast Eyeball Testes Neonate Urology Kidney Prostate Orthopedics Orthopedics Podiatry Podiatry The system allows the user defining exam types by themselves for each application type the total amount of the exam ty
22. date format and the cursor can be toggled among three date elements by using Enter The user can input the current system date into these elements The system date will be setup automatically after completing the last element Time Setup The system current time can be changed by pressing Enter after selecting Time the cursor will rest on the first element e g hour of time and it can be toggled among the three elements of time by pressing Enter The user can enter the current system time into these elements 5 2 2 2 Facility hospital Name Facility hospital name is displayed on the first line on the left of the screen Up to 24 English characters i e 12 Chinese characters can be inputted Press Enter after selecting Facility name then the facility name input box is popped up The user can input the characters directly The cursor display position can be adjusted by moving the trackball in the input box Press Enter to save the characters and return to system setup menu then press Setup to save the facility hospital name and return to ultrasound system or press ESC to return to system setup menu without saving 5 2 2 3 AC Power Unit There are 2 units dB and available for selection To enter selection menu select AC 5 3 System Setup Power Unit on the system setup menu and press Enter To select the desired unit use the trackball and press Enter To exit press Esc 5 2 2 4 Permanent TGC Graph setup Three modes
23. defined Table 3 Hadlock Equation Hadlock Table AC CAbdominal circumference Hansmann Table Osaka Table Tokyo Table Chitty Table Self defined Table 1 Self defined Table 2 Self defined Table 3 Hadlock Equation Hadlock Table BPD Biparietal diameter Hansmann Table Osaka Table Tokyo Table Chitty Table Self defined Table 1 Self defined Table 2 Self defined Table 3 FL Femur length 5 2 5 13 Fetal Age Estimating Edit Select Fetal Age Estimating Edit on the calculation setup submenu and press Enter There are Table and Equation for selection If Table is selected a figure similar to Fig 5 8 will show up And the operation process is the same The user can modify the data If the calculation is calculated based on table look up then the calculation result changes accordingly If Equation is selected the figure as shown in Fig 5 9 will show up 5 17 System Setup Initialize Fig 5 9 Edit Screen of BPD Fetal Age Estimating Edit The default equation displayed is BPD Fetal Age Equation Other fetal age equations can be selected by rotating Value knob The value of a e and Coff is changeable and the equations in Fig 5 9 will be changed accordingly Select Save and the result of calculation will be changed if the calculation is made with equation Select Initialize and press Enter key to restore the system to its default parameter value Select Cancel to restore the d
24. prostate Project Into Bladder Project into bladder SimpsonResidualUrine Simpson residual urine A P IG Antero posterior diameter of internal gland Trans IG Transversal diameter of internal gland LL Semi Vesi Long diameter of left seminal vesicle A P L Semi Vesi Antero posterior diameter of left seminal vesicle T L Semi Vesi Transversal diameter of left seminal vesicle L R Semi Vesi Long diameter of right seminal vesicle A P R Semi Vesi Antero posterior diameter of right seminal vesicle T R Semi Vesi Transversal diameter of right seminal vesicle PSAD Prostate specific antigen density Bladder Volume Bladder Volume 8 5 Measurement and Calculation Report Report 8 1 3 3 Gynecology Calculation Gynecology application includes two exam types uterus and ovary They have the same calc menus Table 8 7 shows the calc menu in B or B M mode there is only Report in M mode Table 8 7 Gynecology Calc Menu Menu Description Long Uterus Long diameter of uterus A P Uterus Antero posterior diameter of uterus Trans Uterus Transversal diameter of uterus Endometrium Endometrium Long Cervix Long diameter of cervix A P Cervix Antero posterior diameter of cervix Long L Ovary Long diameter of left ovary A P L Ovary Antero posterior diameter of left ovary T L Ovary Transversal diameter of left ovary Long R O
25. should be aware of latex sensitivity issues and have available nonlatex containing covers The transducer assembly specific to endo cavity use shall be not excited when it is out of the patient s body Otherwise such excitation does not comply with 1 4 Application Scope Operation Conditions Safety and Cautions EMC requirements which might result in harmful interference to other device s in the environment For instructions on probe disinfection and protection follow the description in 4 2 9 It is prohibited to scan eyes with the probe Keep the acoustic power as low as reasonably achievable ALARA Scan the body only in a period required for making the diagnosis rather than scan the body for a long time An extended scan might result in harm to personal health Provided that clinical indications are required the system operator shall be fully acquainted with acoustic output or be accessible to relevant thermal index The probe when exposed in the air and noticeable heat from the probe itself should not be applied to trans vaginal exam Pay special attention to minimize exposed acoustic power and exposure period when used on an embryo or a fetus To ensure safety only qualified ultrasound coupling gel compliant to relevant standards shall be applied During examination in case images are interfered by an AC noise hum hum due to the patient put a shield sheet between the body and the bed as shown in Fig 1 1 an
26. 0 308 0 764 Pra MPa 2 201 P mW 20 20 Min of Pa zs Ita a zs mW Zs Ccm Associated E Zbp cm Acoustic Zb Cem Parameters z at max Ipi a cm 2 32 deq cm Saws MHz 648 6 48 6 48 Dim of X cm 0 84 Aaprt Y cm 0 40 ta Cus 0 354 Prr Hz 8000 Other pr at max Ipi MPa 3 821 Information deq at max Ipi cm Ipaa atmax MI Wien 169 16 Control 1 Power 100 100 100 Control 2 Operating 2 lem 2 1cm 2 cm Focal Depth Control Control 3 Scan Angle 38mm 38mm 38mm Conditions Control 4 7 5 7 5 7 5 Frequency MHz Acoustic Output Parameter Probe L10L25B M mode TIS TIB Non Scan Index Label MI TIC Scan j Aapt gt Non Scan Aap S lem j lem Global Maximum Index Value 0 901 0 175 0 213 0 216 Pra MPa 2 733 P mW 4 0 4 0 4 0 Min of Pa zs Ita a zs mW Zs Cem Associated n Zbp Cem Acoustic 2b em 0 50 Parameters zat max Ipi o cm 0 90 deg Ccm 0 309 Sawt MHz 9 196 9 196 9 196 9 196 Dim of X cm 0 56 0 56 Aaprt Y cm 0 30 0 30 ta Cus 0 241 Prr Hz 513 Other prat max Ipi MPa 5 05 Information deq at max Ipi cm 0 264 Ipaa atma MI Win 242 88 Control 1 Power 10096 100 100 100 Control 2 Operating 2 1cm 2 1cm 2 lcm 2 1cm Focal Depth Control Control 2 M Speed 1 25s 1 25s 1 25s 1 25s Conditions Control
27. 0 4 0 4 0 Min of Pa zs Ita a zs mW Zs Cem Associated n Zbp Cem Acoustic 2b em 0 50 Parameters zat max Ipi o cm 0 95 deg Ccm 0 462 Sawt MHz 6 541 6 541 6 541 6 541 Dimof X cm 0 66 0 66 Aaprt Y cm 0 60 0 60 ta Cus 0 251 Prr Hz 512 Other pr at max Ipi MPa 2 750 Information deq at max Ipi cm 0 382 Ipaa atma MI Wien 242 88 Control 1 Power 10096 100 100 100 Control 2 Operating 2 1cm 2 1cm 2 lcm 2 1cm Focal Depth Control Control 3 M Speed 1 25s 1 25s 1 25s 1 25s Conditions Control 4 6 5 6 5 6 5 6 5 Frequency MHz Probe V6L11B Acoustic Output Parameter B mode TIS TIB Non Scan Index Label MI TIC Scan Aap gt Non Scan Aap lem j lem Global Maximum Index Value 0 744 0 295 0 422 Pra MPa 1 851 P mW 12 12 Min of Pa zs Ita a zs mW Zs Ccm Associated Zbp Cem Acoustic Zb Cem Parameters z at max Ipi a cm 1 85 deq cm Saws MHz 6 193 6 193 6 193 Dim of X cm 0 66 Aaprt Y cm 0 60 ta Cus 0 309 Prr Hz 8000 Other pr at max Ipi MPa 2 750 Information deq at max Ipi cm Ipaa atmax MI Wim 93 350 Control 1 Power 100 100 100 Control 2 Operating 2 lcm 2 1em 2 cm Focal Depth Control Control 3 Scan Angle 155 155 155 Conditions Control 4 6 5 6 5 6 5 Frequency MHz Range Precision and
28. 10 3 Contact Information SIUI Service Link Mailing Shantou Institute of Ultrasonic Instruments Co Ltd SIUI 77 Jinsha Road Shantou Guangdong 515041 China Tel 86 754 88250150 Fax 86 754 88251499 E mail siui siui com or service siui com 10 4 Transport and storage condition a Ambient temperature range 20 C 60 C b Relative humidity range 1526 9396 C Air pressure range 500hPa 1060hPa Avoid drench by rain or snow and mechanical collision during transportation 10 5 Disposal The system as well as its accessories and waste shall be disposed of or recycled properly at the end of their useful life in accordance with relevant national safety and environmental standards amp regulations so as to reduce the risks arising to the lowest level Abbreviation Appendix A Abbreviation 3 The third cerebral ventricle A Redu Area reduce percentage D Redu Diameter reduce percentage AC Abdominal circumference AC Anterior chamber A C The time from A point to C point AOD Aortic diameter AFI Amniotic fluid index AO Aorta AOAMP Aortic posterior wall amplitude A P Anterior posterior A PAU Antero posterior diameter after urination APD Antero posterior abdominal diameter Area E Measure the area with ellipse method Area T Measure the area with trace method AVAO CUSP Aortic valve aortic cusp separation BIF Bifurcation Blad Bladder BPD Biparietal diameter BSA Body surface area CBD Comm
29. 2 Operation methods After images are frozen B mode images can be played back in single frames Moving the trackball left or right or rotating B Gain knob allows the user to view a certain number of previously saved images in the memeory before they are frozen Press Cine key to start playing back B mode images continuously Press Cine key again to exit cine and enter single frame cine state During cine state rotate Value knob to adjust cine speed In single frame cine state the continuous cine range can be set up Press D key and use the trackball to roll the long vertical line in the cine state indicator Press Enter to confirm the cine start point then shift the long vertical line and press Enter again to confirm the cine end point Press D then Cine to achieve continuous cine between the cine start point and the cine end point Repeat the above steps to reset the range 9 2 File Storage 9 1 Cineloop Image Storage and Print Press Disk key and the following window will be shown Write Image Quickly 4 AC a CK y 1 Fig 9 1 Disk Management window 9 2 1 Write Image Quickly If Write Image Quickly is selected the file will be saved in a corresponding position as per the preset directory and the preset file type in Disk Setup the file will be named as Patient ID Time and the Disk Management window is exited 9 2 2 Read Image Quickly If Read Image Quickly is selected the following window will be shown r
30. DCY2 782 7700SS V5 0 B E CTS 7700 Digital Ultrasound Imaging System OPERATION MANUAL SIUI Shantou Institute of Ultrasonic Instruments Co Ltd Contents PreTaCO rez esc LEE III 1 Application Scope Operation Condition Safety and Caution 1 1 1 1 Application Scope e hoo em ea E o e ders 1 1 1 2 Operation Condition 5 rir a e et re pug tar ei aa E Eie edid 1 1 1 3 Power Requiremient oie ee cen ae i ee oves lieu Nevers tech 1 2 14r cSatety MET 1 3 Ea E E a MC 1 4 1 6 Classification eoo err AE EA n AEAEE Ra agp ni peni NO 1 6 2 Composition Principle and Specifications eene 2 1 2 1 Composition and Operation Principle 2 1 2 2 Technical Specifications sui niter re e e ad rr dE 2 2 3 Introduction to Components Parts eese enne 3 1 3 1 System Configuratie seia a a i n AR e aR eE aAa 3 1 3 2 Introduction to Component Parts sssssssssssssseeeeee eene 3 4 4 Installation Maintenance and Inspection eeeceeeeeeeeeese 4 1 4 System Installation icc tied eee d e rea dd d qucd 4 1 4 2 Maintenance and Inspection 4 1 4 3 Relocation of System ssssssssssss sss eene eee enne 4 4 5 System Setup csecccessceeccesseeeceesseneceenseneceensneecensenesneesensseeeeesseneeeenseneeeensseneneeses 5 1 5 1 Operation Method for System Setup Menu sse 5 1 5 2 Setu
31. Digital Processing Board The Digital Processing Board on one hand transmits digital image signals to the control platform on the other hand receives control information from the control platform and generates corresponding control data to achieve control of the front end The control platform is the managerial center of the whole system which receives operation command from the operation panel and control the whole system based on the current state of the system The other functions that the control platform fulfills also include measurement and calculation interface display and video processing management of patient data and image as well as control of storage printing and communication 2 2 Technical Specifications 2 2 4 Scanning Mode Convex and linear array scanning 2 2 2 Display Mode B 2B 4B M B M ZOOM B 2 2 8 Probe Basic Configuration Composition Principle and Specification Super broadband high density multi frequency convex probe 2 2 4 Focusing Method a Transmitting focusing method 1 4 transmitting focus es for selection transmitting focus es for selection 16 focusing positions for selection b Receiving focusing method continuous dynamic focusing 2 2 5 Gray Scale 256 2 2 6 Beam Forming Method Digital beam forming continuous dynamic focusing dynamic aperture dynamic apodization 2 2 7 Display depth Max 25 2cm 2 2 8 Probe technology a Broadband probe a Frequency range 2 5MHz 9 0MHz whi
32. EFW Campbell Wilken Weight g GA xxWxxD EDD Y M D is displayed in three lines in the measurement result area 8 24 Measurement and Calculation g Hansmann method Hansmann method estimates fetal weight by the measured BPD and TAD Enter EFW Hansmann Weight g GA xxWxxD EDD Y M D is displayed in three lines in the measurement result area Note When doing OB calculation calculation result such as BPD FL AC can be displayed on the screen at the same time Up to 9 lines of result can be displayed Select by rotating Value knob 8 3 9 4 Growth chart The screen of growth chart is shown in full screen as in Fig 8 3 The growth chart is drawn according to statistic data and the position of the measuring result is marked on the growth chart There are eight curves for selection such as BPD Hadlock HC Hansmann AC Hadlock and AC Hansmann Measurement should be made before the growth chart is displayed The actual measurement result is marked with in the growth chart Press ESC to exit a Input LMP in patient information box Save and exit the cursor can be toggled between the input boxes of year month and date of LMP by pressing Enter during the input process b In Basic OB Complete OB and Mult Gest exam types in obstetrics application press Calc key to select BPD HC AC FL and EFW for measurement c After completing measurement select Growth Chart and press Enter The growth c
33. ENT THROAT TAIL CYST LT LOBE AXILLA CAVUM PARA LI CHOROID CCA INFERIOR THALAMUS CORNEA LO RIGHT LEFT ANT HAMBER TRANS MID CEREBELLUM RETINA PL PAROTID HEMORRHAGE GLAND SUBJAW GLAND OPTIC NERVE 7 7 Annotation of Image Information Table 7 7 Predefined Annotations for Carotid and Peripheral Vessels Carotid Peripheral Vessels BULB RIGHT CFV DISTAL PERONEAL A P GSV MID ILIAC M SFV PROX CFA POP LEFT EXT IL P PTV SUBCLAVIAN POST TIBIALA M PTV ECA P PTA D PTV CCA ATA ATV RIGHT INT IL GASTRO VERTEBRAL ANT TIBIALA DFV ICA PERON LSV BIF POP D GSV JUGULAR LT CIR M GSV IA BRACHIAL A P SFV SCA ARTERY D SFV IJV MID D PTA EJV PROFUN DR PED PROXIMAL ARTERY M SFA DISTAL D SFA VEIN P SFA LEFT RADIUS A ULNAR A M PTA 7 3 Body Mark Body marks are a group of pictorial diagrams of human organs They are used to indicate the current exam parts One movable and rotatable arrow is used to indicate position and direction of the probe 7 3 1 Function Press BDYMK key to display body marks After BDYMK key is pressed all the default body marks of the current exam type will be displayed Move the cursor to select and press Enter the selected body mark will be displayed at the bottom right of the image When a body mark is displayed in the image an arrow probe mark will be shown in the body mark display range When
34. P and Port are initialized to factory setup If IP or Port is not modified press ESC to return to Fig 5 10 window 5 2 8 DICOM setup and transfer Option Press Menu Move the trackball to select DICOM Press Enter and the menu for DICOM options will appear There are three options Local NetWork and NetSetup See Fig 5 13 5 2 8 1 Local Local is for saving images to or opening image files on the local system Select Local and press Enter The submenu of Local will appear including Save Image Open Files and Delete Files See Fig 5 13 5 22 System Setup Fig 5 13 Local a Save Image Select Save Image and press Enter A dialog box for saving will appear under the menu Press Enter again and the image is saved b Open Files Select Open Files and press Enter A file lis box will appear Select one file and press Enter again to open the image stored on the local system c Delete Files If want to delete files in batch select Delete File and press Enter key A dialog box will be displayed as shown in Fig 5 14 Input start date and end date and click OK The system will delete all DICOM files during the period If want to delete a designated DICOM file select Open Files and then select the file in the pop out DICOM local file list box and press Clear Text to delete it Fig 5 14 Delete Files 5 2 8 2 NetWork NetWork is for sharing information between the local system and a remote system Fo
35. RUS STOMACH STOMACH HEART KIDNEY KIDNEY CORD BODY BODY GS PLACENTA PLACENTA ADNEXA CERV OS CERV OS YS FUNDUS FUNDUS EMBRYO HEAD HEAD DECIDUA AM FM AM C CRL VILLUS CHORION FETUS FETAL HEART FM FH F SP F THX FL HL UC HC AC BPD THC OFD EYE OD TTD FW UA UV PL 7 4 Table 7 3 Predefined Annotations for GYN GYN UTERUS CERVIX RIGHT OVARY R OV LONG ENDOME EXT IL ADNEXA INT IL ILIAC FOL 1 L OV FOL 2 TRANS FOL 3 BLADDER FOL 4 LEFT FOL 5 UTERA FOL 6 OVAR A FOL 7 FOLLICLE FOL 8 CONC FOL 9 UTO FOL 10 UTERUS LEFT UTO CANAL EN RIGHT UTO VAGINA ROV ADNEXA LOV IUD ROV A UTERUS LOV A ARTERY POLYP CY STONE OA TUMOR 7 5 Annotation of Image Information Table 7 4 Predefined Annotations for Urology Urology RIGHT LOWER O RRA PELVIS P RRA MID M RRA DRRA INLOB DLRA SEG TRANSPLANT ARCU PROST L KID TZ LEFT EJAC O LRA DUCT PLRA CZ MLRA SEM VESICLE LONG BLADDER TRANS PZ CYST CORONAL ARTERY URETHRA UPPER RRP URETHRA RRC POLYP PY STONE RCO CY AG TURMOR LEFT URETERS RA RIGHT URETERS PSTA BLADDER Annotation of Image Informat
36. able Cable sleeve Cable sleeve Control section Control section Probe head Probe head Acoustic lens Acoustic lens Convex Probe Linear Probe Fig 3 2 Probe Structure Probe Applications The probe may be damaged even by a slight impact Use it carefully to avoid shocking or striking against any hard object When disassembling the probe ensure that the main unit is in frozen state it would be better to turn off the power of the main unit Be very careful not to scratch the probe head surface acoustic lens while operating the system Use a sponge or soft cloth with water to clean probe after examination DO NOT use alcohol or cloth containing alcohol or organic solvent like diluent to do the cleaning For detailed information about the cleaning and sterilization of the probe please refer to Section 4 2 9 The probe can not be immersed into water over the immersion boundary as shown in Fig 3 2 The waterproof type of the probe is IPX7 If the probe is immersed in water carelessly it may cause failure or potential problem in this case please contact our service personnel immediately The waterproof type of the probe cable is IPX4 protected against splashing water If the probe cable is exposed due to scratch or crack of the coating 3 4 Introduction to Component Parts please contact our service personnel immediately and avoid electric shock 3 2 2 Monitor and display interface 3 2 2 1 Front Panel of the Monitor
37. am types liver gall bladder and pancreas The contents of their calc menu items are the same Table 8 4 is the abdomen calc menu for B or B M mode there is only Report in M mode Table 8 4 Abdomen Calc Menu Menu Description Long L Lobe Long diameter of left lobe A P L Lobe Antero posterior diameter of left lobe Angle L Lobe Angle of left lobe Obli R Lobe Oblique of right lobe A P R Lobe Antero posterior diameter of right lobe Angle R Lobe Angle of right lobe Portal Vein Portal vein IVC Inferior vena cava 8 3 Measurement and Calculation SMA Superior mesentery artery CELIA Celiac artery AO Aorta Long Spleen Long diameter of spleen A P Spleen Antero posterior diameter of spleen Splenic A Splenic artery Splenic V Splenic vein Long GB Long diameter of gallbladder A P GB Antero posterior diameter of gallbladder Trans GB Transversal diameter of gallbladder Wall GB Thickness of the wall of gallbladder CBD Common bile duct LHD Left hepatic duct RHD Right hepatic duct Head Head Body Body Tail Tail MPD Main pancreatic duct D Redu AO Diameter reduce of aorta A Redu AO Area reduce of aorta Report Report 8 1 3 2 Urology Calculation Urology application includes two exam types kidney and prostate Their menu items are listed in Table 8 5 and 8 6 Table 8 5 and 8 6 show urology calc menus in B or B M mo
38. are available including Off 10min 20min and 30min they represent separately that images are never auto frozen or images are auto frozen after having no operation on the system for 10 minutes 20 minutes or 30 minutes 5 4 System Setup To enter the selection menu select Auto Freeze on system setup menu and then press Enter Its operation processes is the same as setup of Permanent TGC Graph 5 2 2 9 Screen Saver Four functions of screen saver are available including Off 10min 20min and 30min they represent that the screen saver never appears or appears on the screen after no operation on the system for 10 minutes 20 minutes or 30 minutes respectively To enter the selection menu select Screen Saver on system setup menu and then press Enter Its operation processes is the same as setup of Permanent TGC Graph 5 2 2 10 Language Selection Two languages for displaying on the screen are available including English and Chinese To enter the selection menu select Language Selection on system setup menu and then press Enter Its operation processes is the same as setup of Permanent TGC Graph Note If the operation system is an English version there is no Chinese option for selection 5 2 2 11 Patient Information There are 2 selections On and Off available for the setup of patient information Select On to display a patient s name and ID under exam type on the screen select Off not to display patient inform
39. are seven empirical equations for measuring obstetrics fetal weight When the exam type is Basic OB Complete OB or Mult Gest in B B B 4B or B M mode press Calc key to enter calculation menu Select EFW Shepard EFW Hadlock1 EFW Hadlock2 EFW Hadlock3 EFW Hadlock4 EFW Campbell or EFW Hansmann and its corresponding screen will appear a Shepard method Shepard method estimates fetal weight by the measured AC and BPD Enter EFW Shepard Weight g GA xxWxxD EDD Y M D is displayed in three lines in the measurement result area b Hadlockimethod Hadlock1 method estimates fetal weight by the measured AC and FL Enter EFW Hadlock1 Weight g GA xxWxxD EDD Y M D is displayed in three lines in the measurement result area c Hadlock2 method Hadlock2 method estimates fetal weight by the measured AC FL and HC Enter EFW Hadlock2 Weight g GA xxWxxD EDD Y M D is displayed in three lines in the measurement result area d Hadlock3 method Hadlock3 method estimates fetal weight by the measured AC FL HC and BPD Enter EFW Hadlock3 Weight g GA xxWxxD EDD Y M is displayed in three lines in the measurement result area e Hadlock4 method Hadlock4 method estimates fetal weight by the measured AC FL and BPD Enter EFW Hadlock4 Weight g GA xxWxxD EDD Y M D is displayed in three lines in the measurement result area f Campbell method Campbell method estimates fetal weight by the measured AC Enter
40. ata before modification If Save is pressed before then Cancel is invalid Press ESC to return to calculation setup submenu 5 2 5 14 Size of Measure Cross Cursor There are three options available for selection including S small M medium and L large 5 2 6 System activation submenu Table 5 8 System Activation Submenu Menu Description Export Activation File Export local activation file Import LicenseKey File Import LicenseKey file Main Menu Main Menu a A function expiry period is included in the software for user trial of certain functions At the initial operation of every unit system basic functions and basic report function are 5 18 System Setup available for a long term use b To activate a certain function including basic system functions press Menu and then select Activate System Press Enter to enter system activation submenu as shown in Table 5 8 1 Select Export Activation File and press Enter It pops up a storage device select box Select Hard disk or USB disk and press Enter to go to the directory select box press T Ball to return to storage device select box Then press Enter and the system creates an SN txt file under the root directory of the selected storage device The user can select other directory When the cursor is in a folder and press Space to enter the folder move the cursor to _ and press Space to return to the previous directory then press Enter t
41. ation To enter the selection menu select Patient Information on system setup menu and press Enter Its operation processes is the same as setup of Permanent TGC Graph 5 2 2 12 Function Key Edit Six user defined keys are available To enter the screen of function key edit as shown in Fig 5 1 select Function Key Edit on system setup menu and then press Enter 5 5 System Setup Fig 5 1 Screen of Function Key Edit On the screen of function key edit use Value knob or press any user defined key from F1 to F6 on the operation panel to select a function key name The function of the selected key is displayed on the edit screen If that key is not assigned it will display NONE The cursor is movable among each option Set and Cancel keys After selecting a user defined key function to confirm the current setting select Set and press Enter If no such operation is carried out but switch to other user defined key setup or exit the edit screen the previous selection setup is not saved To cancel the setup of that key select Cancel and press Enter and the current function is NONE Press Esc to exit the current setup screen and return to system menu a To define the current key as a histogram hotkey move the cursor over Histogram and press Enter Then select Set Press Enter again to finish setup To enter exam type shown in Fig 5 2 move the cursor over Exam type and press Enter The user can
42. be frozen simultaneously 6 3 3 Moving M Mode Image Sampling Line In unfrozen state you can press M to enter B M mode The M mode image sampling line will be displayed automatically on the B mode image and it can be moved left or right by turning the trackball towards left or right M LINE will be displayed on the bottom right of the screen After the trackball operating object is shifted to the control window by pressing T Ball operating the trackball will not act on the sampling line Press T Ball again and the trackball control object is shifted back to the sampling line 6 3 4 Freezing and Unfreezing Image To freeze the real time image press Freeze In addition if the system s auto freeze time is preset at a certain time see Section 5 2 2 8 and the user has not operated the system during the set time the system will enter the auto freeze state and the image will be frozen To release the frozen state press Freeze again 6 4 Adjusting Image 6 8 Imaging 6 4 1 Adjusting Gain and TGC Time Gain Control To adjust B Gain and M Gain rotate B Gain knob and M Gain knob rotate the knob counter clockwise to decrease the overall Gain rotate the knob clockwise to increase the Total Gain and the increment is 1dB Slide eight TGC Time Gain Control also called STC slide potentiometers slide control on the control panel to change separately the amount of TGC applied to the specified area in the image that co
43. c shock The system belongs to general equipment Class Type BF applied parts b Protection against ingress of water The system belongs to Class IPXO and the probe head belongs to Class IPX7 Composition Principle and Specification Chapter 2 Composition Principle and Specification 2 1 Composition and Operation Principle 2 1 1 System Composition The system consists of a main unit probes and peripheral devices The main unit includes Probe Connector Board Order and Amplification Board Digital Processing Board Control Platform Operation Panel Monitor and Power Supply See Fig 2 1 NN CON ee RU NETE E Se a a ro snc HESS i Main Unit Receive Trans Order Probe and Probe1 mit Front end USB Port Image Data Con Amplifi Control 1 l l l 1 1 1 1 i l l Digital Platform 1 i l l l i 1 1 1 l l l l 1 nector cation Control Probe2 Processing Board Board Board rw ES Operation ee P ane Fig 2 1 System Composition Block Diagram 2 1 2 Operation Principle The fundamental operation principle of the main unit The probe connector board receives transmit excitation signals from the Digital Processing Board and generates transmit high voltage pulse through high voltage drive circuit The high voltage pulse then is transmitted to the working elements of the probe to generate ultrasound The echo of the ult
44. ch can be extended to 2 0MHz 12MHz 2 2 9 Imaging Parameter Adjustment B gain M gain 8 step TGC Time Gain Compensation also called STC acoustic power focal point number dynamic range Smo Edg image persistence frame correlation line density and SRT Speckle Reduction Technology 2 2 10 Live Zoom 4 magnifications with the max of x4 0 position selectable 2 2 11 Display Parameter Adjustment Display depth display angle for convex probes display width for linear probes image orientation left right reverse and 90 rotation image polarity positive negative mage grayscale curve 2 2 12 Full Screen Sweep Speed In M Mode s f 1 25 2 5 5 0 and 10 0 for selection 2 2 13 Cineloop Current stored image cineloop and hard disk cineloop 512 frames and the replay speed is selectable 2 2 14 Image Storage Hard disk USB Temporal image storage and recall 32 frames 2 2 15 Body Mark 90 types for selection with probe marks 2 2 16 Annotation not less than 300 system predefined annotations 2 3 Composition Principle and Specification 2 2 17 System preset 2 2 18 Image Screen Display a Display all parameters related with diagnosis system model hospital name patient name patient ID date time and week probe model exam type and probe orientation b Display all the parameters related to imaging acoustic output power or dB depth frame rate imaging angle width focus mark and range g
45. ct B mode image rotation direction 2B Format To set up 2B mode display User Defined Gray_Curve Edit To edit user defined gray curve Auto Save Image Parameter To save image parameter setup automatically Main Menu Main Menu Note Selection and setup of B M Format B mode Rotation Direction and 2B Format are available only in unfrozen state 5 2 3 1 B M Format There are three display formats available for selection Horizontal Vertical and 2B M In unfrozen state press Menu key and select image setup then press Enter to go to image setup menu Select B M Format and press Enter to go to the selectable menu Move the cursor over one option and press Enter to confirm B M mode display format 5 2 3 2 Rotation Direction There are two directions available for selection Left and Right Its setup is the same as that of B M Format 5 2 3 3 2B Format setup There are two 2B formats for selection Normal and Full Screen Its setup is the same as that of B M Format Normal The 2B image window is displayed on the right of the screen the content of the control window is displayed on the left Full Screen The 2B image window covers the whole screen No control window is displayed on the screen only when the trackball control focus is switched to the control window will the content of the control window be displayed 5 2 3 4 User Defined Gray Curve Edit a Open user defined gray curve edit window 5 11 System Set
46. ct Heart Rate to enter heart rate measurement screen 1Beat number x 1HR 0 00bpm is displayed in the result area Other operation is the same as Time measurement 8 22 Measurement and Calculation 8 3 7 Slope In M or B M mode slope velocity of any two points on the image can be measured after freezing Press Meas and select Slope to enter slope measurement screen A vertical calipers with a cursor will appear on the image 1High 0 00mm 1Slope cm s High is the depth difference between two points will be displayed in the result area Move the trackball to place the cursor of the first vertical calipers over the first point to be measured and press Enter to fix the first vertical calipers and its cursor Move the trackball the second vertical calipers with a cursor will appear High and Slope velocity in the result area change with the moving of the cursor Move the cursor of the second vertical calipers over the second point to be measured and press Enter to fix the second vertical calipers and its cursor now the first vertical calipers and its cursor are movable Every press of Enter key will toggle the two vertical calipers and their cursors between the states of being fixed or movable 8 3 8 Angle Angle can be measured in B B B 4B or B M mode 9 angles can be measured in the same screen for example 71 72and Z3 Press Meas and select Angle to enter angle measurement screen A cursor will appear on th
47. ct and image type can be set Destination Setup Hard disk Image Type Setup bmp Save Recall Mode Hard disk Folder Format Date Fig 9 3 Disk Setup Select Destination Setup and press Enter The destination list will appear There are Hard disk USB disk and CD drive for selection Move the trackball to select and press Enter to confirm If the setup needs no change press ESC to return Select Image Type Setup and press Enter The image type list will appear There are Bmp Jpg Cin and Avi for selection The operation is the same with that of Destination Setup Select Save Recall Mode and press Enter There are Hard Disk and Memory for selection Select Folder Format and press Enter There are four options for selection Date Patient ID Date Patient Name Date and Patient ID Name Date 9 3 Temporary Image Store and Recall 9 3 1 Write Image Quickly In B 2B 4B B M or M mode if Hard Disk is selected for Save Recall Mode in disk 9 3 Cineloop Image Storage and Print manager window press Save key to store the frozen images in the directory set in the disk manager if it is in unfrozen state the images will be frozen and then saved If Memory is selected for Save Recall Mode in disk manager window press Save key to temporarily store the frozen images in the memory If it is in unfrozen state the images will be frozen and then saved Before storing enter the single frame cine state first and then
48. ction of net cable Select Update System Online again If it still prompts Network Error it may be due to the server failure for file download Please contact SIUI 2 If network connection is successful the following message will be displayed on the screen Network connect successfully Please press Enter to copy file or press ESC to return menu Cancel system update Press ESC to return to Fig 5 10 window Copy file Press Enter The window below will appear and it starts copying update files During copying only ESC key is valid Copying files 9 NH Press ESC to cancel Fig 5 11 Copy file window Cancel copy Press Esc to cancel copy The following message will be displayed on the screen Please press Enter to cancel copy or press ESC to return Press ESC key to continue copy or press Enter to cancel copy and the 5 20 b C System Setup following message pops up Copy Blackout Please press ESC to return menu Copy completes the following message pops up when copy completes The files download successfully Please press Enter to update system or press ESC to return menu If the user does not want to update the system press ESC to return to the window in Fig 5 10 If the user wants to update the system press Enter and the system will automatically install the new software and be rebooted to achieve update Update System From USB disk Select Update Sys
49. ctions Inspect if the relevant safety labels are clear for identification Inspect the fuses to ensure they meet requirements of the rated current and break limit Ensure that all functions of the unit meet their operation instructions Inspect if the grounding resistance equal or is less than 0 10 Inspect the earth leakage current according to the requirement of IEC 60601 Inspect the patient leakage current according to the requirement of IEC 60601 The leakage current shall not exceed the maximal limit All data shall be recorded in the system log If the system does not work properly or pass any of the above tests the system shall be repaired 4 2 8 Inspection on Consumables The items below are consumable Please inspect them regularly to replenish or replace 4 2 Installation Maintenance and Inspection them in time Table 4 1 List of consumables and tips for replenish replacement Item When to replenish replace Electrical Cable and Abnormality in Appearance Connection Cable Switch amp Control Key Wobbled or Swayed Dust Cover Worn or Torn Probe Abnormal Appearance of Connector or Cable Fuse When Running out of spare fuse use the fuse with specification below Type Glass Enclosed Fuse time lag low breaking Size 5mm X 20 mm Rating T4AL250V Note No coupling gel is supplied with the system when it is delivered from the factory The user shall purchase
50. ctor right into the probe socket of the main unit pay attention to the connector assembly orientation rotate the handle 90 clockwise to fasten it and counterclockwise to unplug it b To connect video printer connect VIDEO IN port to VIDEO OUT port via BNC cable and connects its REMOTE port with PRINTER REMOTE port on the main unit via a print control cable c If a USB printer shall be connected connect its USB port with the USB port of the main unit d If images shall be transferred via a DICOM 3 0 port connect a network cable to the network port RJ 45 on the main unit 4 1 2 Electrical Cable and Wire Connection a Ifthe power supply is not from a grounded three jack socket to ensure a reliable grounding for the main unit connect one end of the additional potential equalization conductor to the equipotential terminal on the rear panel of the main unit and the other end to the equipotential terminal on another grounded system or an additional grounded device meeting the requirement b Always turn off the system before connecting the power cord 4 2 Maintenance And Inspection Please follow the methods below to inspect the system If there were any abnormality please contact us for help We would provide detailed consulting service and take measures to fix the existing problems 4 2 1 Inspection when the power is on Make sure that the fan on the rear panel is in normal operation 4 2 2 Inspection on Knobs amp Keys
51. d Calculation The user can do measurement on ultrasound images and obtain various results based on different calculation methods these results will be automatically and simultaneously entered into reports for the user to generate diagnostic reports 8 1 Key and Menu for Measurement amp Calculation 8 1 1 Keys and Knobs for Meas Calc The keys and knobs applied in measurement amp calculation Meas Calc and their functions are listed in Table 8 1 Table 8 1 Operating Keys and Knobs for Measurement amp Calculation and Their Functions Key knob Function Description To select menu items in Meas Calc menu Trackball To move the cursor to the measured position while calculating and measuring To roll the displayed items up or down while the lines of Meas Calc menu or the contents in measurement result area exceed the limited lines Value knob To select inputting placenta grade in OB report To select Prostate Echo in Prostate report Dis key To measure distance In frozen B and B M modes Area key To measure circumference and area in frozen B and B M modes The first press in frozen state brings up the general measurement menu Meas key the second press exits the measurement menu The first press in frozen state brings up the special calculation menu the Calc key second press exits the calculation menu To confirm the Meas Calc item while measuring amp calculating Enter key To switch and confirm LMP i
52. d connect the sheet to the equipotential terminal of the main unit The hum hum interference noise can be eliminated The system operator should not touch any tangible metal parts of any electronic device in the patient environment and the patient at the same time The system does not provide special protection functions or measures for use with high frequency surgery equipment The user should be cautious of such application Shut down the system in correct procedures otherwise it might result in system data loss or system failure Except for the USB port do not disconnect the system or any other peripheral Application Scope Operation Conditions Safety and Cautions device e g a printer from any plug before the system is turned off otherwise it may result in system damage or electric shock q The system is not intended for use with a defibrillator r The system shall not be applied to cardiology directly s Multiple devices when interconnected might result in accumulative leakage current and dangers t Make sure to use the special components provided by SIUI for system component repair or replacement patient shield sheet bed ri Lum ie as 7 ut a J O N To the equipoten L tial terminal of main unit f Fig 1 1 Lay a shield sheet to eliminate the hum AC noise interference 1 6 Classification a Protection against electri
53. de there is only Report in M mode Table 8 5 Kidney Calc Menu Menu Description L L Kidney Long diameter of left kidney A P L Kidney Antero posterior diameter of left kidney Trans L Kidney Transversal diameter of left kidney L Ureter Left ureter LRA Left renal artery L R Kidney Long diameter of right kidney A P R Kidney Antero posterior diameter of right kidney 8 4 Measurement and Calculation T R Kidney Transversal diameter of right kidney R Ureter Right ureter RRA Right renal artery Long Blad Long diameter of bladder A P Blad Antero posterior diameter of bladder Trans Blad Transversal diameter of bladder LAU Blad Long diameter of bladder after urination A PAU Blad Antero posterior diameter of bladder after urination TAU Blad Transversal diameter of bladder after urination Bladder Volume Bladder Volume Report Report Table 8 6 Prostate Calc Menu Menu Description Long Blad Long diameter of bladder A P Blad Antero posterior diameter of bladder Trans Blad Transversal diameter of bladder LAU Blad Long diameter of bladder after urination A PAU Blad Antero posterior diameter of bladder after urination TAU Blad Transversal diameter of bladder after urination Prost Volume Prost Volume S I Prost Superior inferior diameter of prostate A P Prost Antero posterior diameter of prostate Trans Prost Transversal diameter of
54. de Image 90 Rotation In frozen unfrozen or scroll cineloop state the real rime B mode image can be rotated 90 against the image center by pressing Rotation key Select to rotate the image clockwise or counterclockwise See Section 5 2 3 2 for the detailed setup While rotating the orientation mark the focal point mark the M line in B M or M mode attached to the image is rotated along with the image simultaneously but the body mark the coordinates and the image activity mark are not rotated along with the image 6 6 4 B Mode Image Positive Negative Reverse In frozen unfrozen or scroll cineloop state you can press N to reverse the image positive negative The power on setup is positive black background and white characters 6 14 Annotation of Image Information Chapter 7 Annotation of Image Information 7 1 Inputting Patient Information 7 1 1 Description of Functions The information such as patient s NAME ID AGE SEX HEIGHT WEIGHT LMP and PSA can be inputted into the system and saved in the database ID is a must 7 1 2 Operation Method a New Press Pat Data key to pop up the Patient Information screen Fig 7 1 Move the cursor over New and press Enter All the information in the input boxes will be cleared and the cursor goes to ID input filed for user manual input Patient Information Delete Import New HEIGHT WEIGHT LMP j PSA L Jng Set Fig 7 1 Edit Interface of Patien
55. ding The hotkey S can be used to set the current exam type as the current applied default exam type Press this key after selecting an exam type to be set as the default exam type and will appear in front of that exam type Each application type can only have one default exam type The hotkey U can be used to save the current image control parameter to the selected exam type settings The system will prompt whether to change the exam type parameters Select OK then press Enter to confirm saving or select Cancel then press Enter to quit saving The hotkey V can be used to view the image control parameter setting of a selected exam type When adding a new exam type or changing an exam type name if the inputted name already exists the system will prompt whether to overwrite the existing exam type Select OK then press Enter to answer yes or select Cancel then press Enter to quit changing the exam type name 6 5 Imaging 6 3 Preliminary Imaging 6 3 1 Usage of Probe and Ultrasound Coupling Gel a Apply adequate amount of ultrasound coupling gel to the surface of a patient s part to be examined and the probe Note If there is air entering between the patient body and the probe black dots will appear on the image In this case apply the coupling gel once more b While a probe is placed on an exam area an image will appear on the monitor 6 3 2 Selection of Display Mode The system has display modes including
56. e desired annotation highlighted display and press Enter Then the selected annotation will be shifted with the cursor Move the cursor to the desired annotation position and press Enter The annotation is displayed on the position where the cursor locates 7 2 3 System Predefined Annotations The system predefined annotations are shown in Table 7 1 Table 7 7 The user can also add up to 15 annotations to every exam type for more details on how to add annotations see Section 5 2 2 12 in the list of annotations the system predefined annotations and the user defined annotations are separated by one line Table 7 1 Predefined Annotations for Abdomen Abdomen LIVER LONG HEAD C HEPA TRANS NECK SPLEEN LT KIDNEY BODY SPLENIC A GB PANCREAS PORTAL DUCT CYST CELIAC IVC STOMACH HEP V PANCREAS HEP V MASS PANCREAS AORTA AORTA TAIL SPLENIC RT KIDNEY CBD HEPA LEFT PV SMA CD AO HD CBD CAUDATE LOBE EHBD LTH QUADRATE LOBE 7 3 Annotation of Image Information LFH CHD BD PD HEPATIC DUCT VL WD POLYP CHA IMA GBF SD STONE CY ROUND LIGMENT TUMOR GDA Table 7 2 Predefined Annotations for OB 1 Trimester 2 3T Fetal echo BABY 1 RIGHT RIGHT RIGHT LEFT LEFT LEFT TRANS TRANS BLADDER UMB CORD UMB CORD TRANS HEART HEART OVARY LONG LONG LONG BLADDER BLADDER UTE
57. e guidance of a qualified person This system belongs to Type BF Class according to IEC 60601 1 2005 Please operate this system by following the safety requirements described in Chapter 1 Do not try to remodel the system If necessary contact our agent or us for help The system has been completely adjusted and fixed before delivery Do not try to readjust any adjustable parts that have been well fixed If any abnormality occurs during operation turn off the power supply immediately and contact our agent or us for help Connect the power cable of the unit to a grounded power socket at ground impedance of 0 10 or less Accessory equipment connected to the analog and digital interfaces must be certified according to the respective IEC standards e g IEC 60950 for data processing equipment and IEC 60601 1 for medical equipment Furthermore all configurations shall comply with the valid version of the system standard IEC 60601 1 1 Everybody who connects additional equipment to the signal input part or signal output part configures a medical system and is therefore responsible that the system complies with the requirements of the valid version of the system standard IEC 60601 1 1 If in doubt consult the technical service department or your local representative The system does not provide special protection functions or measures for use with high frequency operation equipment The users should be cautious for such application
58. e screen Move the cursor over the start point of the first line and press Enter The is fixed and a second movable appears Move the second cursor to the intersecting point of the two lines and press Enter The second is fixed and letter a or b c is displayed Move the cursor to the end point of the other line and press Enter A third is fixed Value of the angle is displayed in the format of at xxx or Zb2 Zc3 etc in the result area The first cursor is movable Every press of Enter key will toggle the first and the third cursors between the states of being fixed or movable 8 3 9 Obstetrics Calculation 8 3 9 1 Obstetrics Distance Set the exam type as Obstetrics the same for the following Obstetrics calculation sections In B B B 4B or B M mode press Calc to enter fetal growth and EDD measurement Its measuring process is the same as that of distance measurement The measuring result is displayed as the measurement item plus Dist xxx xx mm For measurement item with EDD empirical equation the result will also include GA 8 23 Measurement and Calculation XXWxxD and EDD Y M D 8 3 9 2 Obstetrics Circumference In B B B 4B or B M mode press Calc to enter fetal growth and EDD measurement Its measuring process is the same as that of Ellipse circumference area The measuring result is displayed in three lines as C xxx xx mm GA xxWxxD EDD Y M D 8 3 9 3 Obstetrics Fetal Weight There
59. e the trackball to move the cursor to point B and E in M mode in the same way The PV Meas Calc result will be displayed in the measurement result area Fig 8 7 Initial Final and Result Pages of PV measurement 8 3 10 5 LV measurement LV is Left Ventricle measurement in frozen state in M or B M mode Enter LV measurement and an LV test mode figure appears on the left of the image A vertical dot line and a cursor are displayed in the screen center Move the cursor with the trackball to the position corresponding to point C Press Enter key to input point C and point D will be displayed Rotate the trackball to move the cursor to the point on M mode figure corresponding to point D in the same way as that for point C Enter other points in order 8 28 Measurement and Calculation When the cursor is placed on the corresponding point L the LV Meas Calc result will be displayed in the measurement result area As points C F and G d lie on the vertical dot lines A and B respectively the cursor can be moved up or down rather than left or right along the positions of points C and G when fixing points D F and points H J The Meas Calc result is displayed in seven lines in the measuring result page Fig 8 8 Initial Final and Result Page of LV measurement 8 3 10 6 LV function reserved function for future use Press Calc and select LV FUNC LV function can be calculated based on LV measurement result and BSA calculat
60. een Select or set up the value of a specified option according to the operation steps of system menu then press Enter to return to the screen of function key edit shown in Fig 5 1 Current Function on the screen is selected menu item or selected menu item z selected value Then select Set Press Enter again to finish setup To enter control window item screen shown in Fig 5 3 move the cursor over Control window item and press Enter All item options or single item option can be set as one function key All the values displayed on the edit screen of control window are the current state values if there is no current state value all the values are in default The cursor is movable among all parameter items and Set all item Set one item and Cancel 1 Setall item Move the cursor over Set all item and press Enter to return to the screen of function key edit shown in Fig 5 1 Current Function now is Control window Then select Set Press Enter again to set all the items on the screen as one function key 2 Setone item select one item to be set and press Enter then the cursor will go to set one item automatically press Enter to return to the screen of function 5 7 System Setup key edit in Fig 5 1 Current Function now is Control item selected itemzcurrent value Then select Set Press Enter to set one item on the screen as one function key Fig 5 3 Edit Screen of Control Window 3 Cancel Move the cursor over Cance
61. eft radial artery Right RADA Right radial artery Left ULNA Left ulnar artery Right ULNA Right ulnar artery Left FEMA Left femoral artery Right FEMA Right femoral artery 8 13 Measurement and Calculation Left POPA Left popliteal artery Right POPA Right popliteal artery Left DORA Left dorsal artery Right DORA Right dorsal artery Report Report Peripheral artery submenu Diameter Diameter Intima Intima Intima media Intima media D Reduce Diameter reduce A Reduce Area reduce Peripheral vein menu Distance Distance Area T Area in trace method Area E Area in ellipse method D Redu Distance reduce A Redu Area reduce in trace method 8 1 3 7 Cardiology Calculation Cardiology application includes three exam types adult cardiology adult difficult cardiology and pediatric cardiology They have the same measurement menu Menu items change accordingly with modes See Table 8 11 Table 8 11 Cardiology Menu Menu Description B mode menu RVAW Right ventricular anterior wall RV Right ventricle RVOT Right ventricular outflow tract AO Aorta LA Left atrium IVSD Inter ventricular septum in diastolic period LVDD Diastolic left ventricular diameter LVPWD Left ventricular posterior wall thickness at end diastole IVSS Inter ventricular septum in systolic period 8 14 Measurement and Calculation
62. eft ureter LV Left ventricle LV Lateral ventricle LVDD Diastolic left ventricular diameter LV Func Left ventricle functions LVOT Left ventricular outflow tract LVPWD Left ventricular posterior wall thickness at end diastole LVPWS Left ventricular posterior wall thickness at end systole LVDS Systolic left ventricular diameter Meas avera Measurement averaging MPD Main pancreatic duct Mult Dist Measurement of multiple distances MV Mitral valve MVCF Mean velocity of circumferential shortening OA Ocular axis OB Obstetrics OFD Occipito Frontal diameter OOD Outer orbital diameter ON Optic nerve PA Pulmonary artery A 3 Abbreviation P Grade Placenta grade Prost Prostate PV Portal vein PV Pulmonic valve PV A The depth of A peak RA Right atrium R AXIA Right axillary artery R BRAA Right brachial artery R Breast Right breast RCCA Right common carotid artery R DORA Right dorsal artery R ECA Right external carotid artery R Eye Right eyeball R FEMA Right femoral artery RHD Right hepatic duct R ICA Right Internal carotid artery R Kidney Right kidney RL Radial length R Lobe Right lobe R LV Right lateral ventricle R Ovary Right ovary R POPA Right popliteal artery RRA Right renal artery R RADA Right radial artery R Testis Right Testis R ULNA Right ulnar artery R Ureter Right Ureter RV Right ventricle RVAW Right ventricular anterior wall RVET Right ventr
63. ent supplied as a part of the system is intended to be supplied via a multiple portable socket outlet with a separating transformer the direct connection of the non medical electrical equipment to the wall outlet may result in risks Do not try to deviate any additional multi jack socket or wire from the removable multi jack socket of system devices or from the system devices Any accessories or equipment which are not listed in this manual should not be connected to this system otherwise it may result in danger When the system configured as per this manual is in use all power supply plugs of the devices shall be connected to the same special removable multi jack socket if the removable multi jack socket is powered by a special power supply device this power supply device shall be in compliance with requirements of EC60601 1 and Application Scope Operation Conditions Safety and Cautions IEC60601 1 1 the removable multi jack socket for the system shall comply with requirements of IEC60601 1 1 Appendix EEE h Do not place the removable multi jack socket on the ground otherwise it may result in danger i The maximum load capacity of the removable multi jack socket shall not be less than the total load of all the devices consisting of the system or it may result in danger Tip In regions where mains supply is not stable it is recommended to use power supply from a stabilizer with output power of 250VA so as to avoid
64. enter the exam type menu pressing Exam in the exam type menu can exit this menu pressing Esc or other key that change the state can also exit this menu Use the trackball to shift the cursor between the application type and the exam type While the cursor locates on an application type the user can use the Value knob to change the application type While the cursor rests on an exam type pressing Enter can confirm the exam type and exit the exam type menu While the cursor rests on the position of adding 6 4 Imaging new exam type pressing Enter and a box for user entering a new exam type will appear Press Enter to finish the loading and save The hotkey D can be used to delete a user defined exam type Press this key after selecting an exam type to be deleted The system will prompt whether to delete that exam type or not Select OK then press Enter to answer yes or select Cancel then press Enter to cancel deletion The hotkey N is used to modify a user defined exam type Press this key after selecting an exam type to be modified An input box will appear for entering a new exam type Press Enter to finish entering The hotkey R can be used to load the current exam type system defined parameters Press this key after selecting an exam type to be reloaded with parameters The system will prompt whether to reload that exam type parameter Select OK then press Enter to answer yes or select Cancel then press Enter to cancel loa
65. enu 5 2 5 1 Line Type There are three options of Solid solid line Dot dot line and Non without line 5 2 5 2 Distance Unit 5 14 System Setup There are 4 units cm centimeter mm millimeter ft foot and in inch for selection 5 2 5 3 Volume Unit There are 5 units cm cubic centimeter ff cubic foot in cubic inch mm cubic millimeter and ml millimeter for selection 5 2 5 4 Time Unit There are 2 units ms millisecond and s second for selection 5 2 5 5 Height Unit There are 2 units cm centimeter and ft foot for selection 5 2 5 6 Weight Unit There are 2 units kg kilogram and b pound for selection 5 2 5 7 Age Unit There are 3 units Yrs years Mns months and Wks weeks for selection 5 2 5 8 Beat Cycle The beat cycles between 2 measurement control points can be set from 1 to 9 5 2 5 9 BSA Body Surface Area equation There are two calculation equations Stevenson and Grossman for selection 5 2 5 10 PSAD Coefficient For prostate specific antigen density setup the default is 1 0 Select PSAD Coefficient and press Enter to pop up an input box Press Enter after inputting 5 2 5 11 Fetal Growth Curves Edit Select Fetal Growth Curves Edit on the calculation setup submenu and press Enter to enter the edit screen of BPD_Hadlock shown in Fig 5 8 5 15 System Setup Fig 5 8 Edit Screen of BPD Growth Curve Table a To select other types of growth curve tab
66. er as possible provided that a clear image is obtained 6 4 10 Line Density In unfrozen state press T Ball key and use the trackball to select LD in the control window or press the number key as prompt in the control window to activate the item Turn Value knob and there are normal and high available for selection 6 4 11 Chroma In unfrozen state press T Ball Then use the trackball to select Chroma in the control window or press the number key as prompt in the control window to activate the item Turn Value knob to change chroma There are 7 choroma colors for selection 0 for black and white turn the value knob clockwise to change from 0 to 7 or counterclockwise to change from 7 to O In frozen state press C key to toggle between different chroma colors 6 4 12 SRT Speckle Reduction Technology In unfrozen state press T Ball and use the trackball to select SRT in the control window or press the number as prompt in the control window to activate the item Rotate Value Cut knob to adjust SRT value There are three steps available for selection high low and non 6 4 13 Tissue Harmonic Imaging Option 6 11 Imaging In unfrozen state press T key to activate two types of tissue harmonic imaging Harmonic is displayed on the upper left screen a Press T key once to activate one type of tissue harmonic imaging Press T key again to exit tissue harmonic imaging There is tissue harmonic for the lowest frequency
67. etrics for measuring ovarian follicle volume in B B B 4B or B M mode Its measuring process is similar to that of Ellipse area but the length of long axis DL and short axis DS must be the same 1Volume 0 00 cm 1D 0 00 cm will be displayed in two lines in the result area 8 3 3 4 Simpson vol In Simpson vol the enclosed area acquired by Trace method is divided into several equal parts 5 pixels apart here along the long axis Each part is regarded approximately as a cylinder for calculating the volume The accumulated cylinder volume of all parts is an approximate volume of the whole area Simpson vol can be used in B B B 4B or B M mode Follow the steps of Trace area to acquire an enclosed area Press Enter to confirm and display a dotted line as a long axis between the two points with the longest distance in the area The user can adjust the position of the long axis In the adjust process the two ends of the dotted line are kept on the border of the area 1Volume 0 00 cm is displayed in the result area The measuring result changes with the adjustment of the long axis position 8 3 4 Histogram Based on experiment statistics the probability distribution density graph comes from statistics is called a histogram In ultrasound medical imaging probability distribution refers to grayscale probability distribution In B mode histogram of a desired area can be acquired by calculation Press Meas key to enter measure
68. ety and Cautions fixed position of the body for a long time please check the display of acoustic output and MI when powering on the system input new patient ID or shift from non fetal to fetal application 1 5Cautions While operating the system please follow the methods and procedures described in this manual Always turn off the system and protect it with a dust proof cover whenever the system is not in use The system should be operated in a clean environment Avoid operating it in a place with direct sunshine impetuous temperature change full of dust close to heat source or high humidity do not put anything on top of the main unit Avoid severe vibration otherwise the components in the system might be damaged Before connecting or disconnecting probe s firstly ensure that the main unit is set in frozen state It would be better to turn off the main unit power supply Freeze the image whenever no exam is performed All endocavity probes when in use should be covered with probe cover compliant to 1S04074 2002 Biological warning for probe cover If the covers used for endocavity probes are condoms they should be nonlubricant and nonmedicated Practitioners should be aware that condoms have been shown to be less prone to leakage than commercial probe covers have a six fold enhanced AQL acceptable quality level when compared with standard examination gloves Their AQL equals to that of surgical gloves Users
69. fication key Zoom to turn on the 42 Key image amplification state and adjust the zoom rate 43 Key Print key Print for image print when a printer is connected can be set as other functions 44 Key Image Left Right reverse key L R Image rotation key Rotation used to rotate the 45 C Key j i image clockwise or counterclockwise Ae Freeze key Freeze to freeze and unfreeze the 46 r4 Key image 3 11 Introduction to Component Parts To select a certain item in the menu or control window to change the focal length and focus position to move the image of the zoom box to move the cursor when in annotation state to 47 Trackball select an image of certain frame when in cineloop to move the measurement point when measuring Its function in the current state is shown at the bottom right of the screen please refer to Appendix B for specific functions and instructions 3 2 4 Rear Panel of Power Supply Fig 3 6 LINE INPUT 1 Fuse Holders 2 pcs 4 Power Input Socket 7 Main Power Switch ior system power on off control 2 Printer Remote Port 5 Equipotential Terminal 8 Network Port 3 USB Port 2pcs 6 Video Out Port 9 VGA Port Fig 3 6 Rear Panel of Power Supply 3 12 Installation Maintenance and Inspection Chapter 4 Installation Maintenance and Inspection 4 1 System Installation 4 1 1 Components Connection a Plug the probe conne
70. for displaying TGC graph are available including Always on always display 3 sec display for 3 seconds when TGC is adjusted and Off no display Select Permanent TGC graph on the system setup menu and then press Enter to enter the selection menu Move the cursor over desired display mode and press Enter to determine the display method of TGC graph and return to system setup menu 5 2 2 5 Key Lamp Two functions of On and Off for keyboard backlight are available To enter selection menu you can select Key Lamp on system setup menu and then press Enter Its operation processes is the same as setup of Permanent TGC Graph 5 2 2 6 Key Lamp Bright Move the cursor over Key Lamp Bright and then press Enter Turn the Value Cut knob to change key lamp brightness The adjust range is O 100 5 2 2 7 Printer Setting There are three selections Vd Printer and Pc Printer and Save to Udisk available The control target of Print key depends on the different selection item If Save to Udisk is selected press Print key and the current screen will be saved to the USB disk in bmp format To enter selection menu select Printer Setting on system setup menu and press Enter Its operation processes is the same as setup of Permanent TGC Graph Note If the user purchases a printer from other supplier a driver program for the printer shall be installed Please contact us for any assistance 5 2 2 8 Auto Freeze Four auto freeze functions
71. fy if the potential balance lead is safely and correctly grounded As these involve safety special attention should be paid to these daily inspections so as to avoid any unexpected danger due to abnormality on them Every time when turning the system on the user should inspect if the power pilot lamp and the fan in the main unit are in good operation The keys and knobs might be inspected thoroughly every half a year For detailed information please refer to Section 4 2 Maintenance and Inspection 10 2 Troubleshooting The following table lists some failures and a number of possible causes see Table 10 1 the user may refer to the provided solutions for troubleshooting If the failure cause cannot be identified or the troubles cannot be solved after trying the methods below please contact us for help In order to avoid damaging the system due to incorrect operation it is not recommended that the user dismantle and repair the system before getting our instructions Maintenance Troubleshooting Transport and Storage Table 10 1 Troubleshooting List Failures Causes and Solutions No power supply Inspect if the power cord at the rear of the system is well plugged in then check if the fuse is broken If it is broken replace it with a new fuse in the same specifications With power supply but no image on the monitor The monitor brightness and contrast are adjusted too low so the images cannot be seen
72. gle Angle measurement Area ratio t Area ratio in trace method Area ratio e Area ratio in ellipse method area redu t Area reduction percentage in trace method area redu e Area reduction percentage in ellipse method diam Reduce Diameter reduction percentage Histogram Histogram After entering Histogram calculation screen a transparent rectangular box 80X80 pixels which can be moved within the image range by using the trackball appears in the image 8 2 Measurement and Calculation central position The box is resizable by using the Value knob see Section 8 3 4 for detailed description on Histogram b Measurement menu in M mode Table 8 3 M mode Measurement Menu Menu item Definition Mult Distance Multi distance length measurement Time Time measurement Heart rate Heart rate Slope Slope velocity measurement c Measurement menu in B M mode combining the measurement menus in B mode and M mode 8 1 3 Special Calculation The special Calc menu brought up by pressing Calc key varies with different exam types The following are Calc menu for various exam types in B or B M mode if not specified Note Some of the special calc menus below may not be available on your system due to certain suitable probe or software package being not configured 8 1 3 1 Abdomen Calculation Abdomen application includes three system pre defined ex
73. hart menu will appear at the screen center See Table 8 12 Table 8 12 Growth Chart Menu Menu Description BPD Hadlock Biparietal diameter growth curve Hadlock HC Hadlock Head circumference growth curve Hadlock AC Hadlock Abdominal circumference growth curve Hadlock FL Hadlock Femur length growth curve Hadlock EFW Hansmann Fetal weight growth curve Hansmann BPD Hansmann Biparietal diameter growth curve Hansmann AC Hansmann Abdominal circumference growth curve Hansmann FL Hansmann Femur length growth curve Hansmann 8 25 Measurement and Calculation d Select any menu item e g BPD growth curve and press Enter to enter growth chart screen Two gestational ages and estimated dates of delivery are displayed for user reference and comparison one is calculated from LMP the other from BPD In the growth chart there are three curves the middle one is fetal age curve the other two curves are fetal age errors The actual BPD measurement result is marked with in the growth chart If the is within the range of the curves the fetal is normal if the is above the curve the fetus is larger than normal if the is below the curve the fetus is smaller than normal Fig 8 3 Page of Growth Chart 8 3 9 5 Biophy Profile When the exam type is Basic OB Complete OB Fetal Echo or Mult Gest press Calc and select Biophy Profile Press Enter to enter biophy profile
74. ht Hadlock s method 4 EFW Campbell Estimated fetal weight Campbell s method EFW Hansmann Estimated fetal weight Hansmann s method Report Report Growth Charts Fetal growth charts Biophy Profile Biophy profile Heart Rate Fetal heart rate 8 8 Measurement and Calculation Fetal echo menu AO Aorta LVOT Left ventricular outflow tract Pulmonary Artery Pulmonary artery RVOT Right ventricular outflow tract LA Left atrium RA Right atrium LV Left ventricle RV Right ventricle IVS Inter ventricular septum ARCH Aortic arch SVC Superior vena cava IVC Inferior vena cava LV AREA Left ventricle area RV AREA Right ventricle area CD Cardiac diameter TD Thoracic diameter Report Report Biophy Profile Biophy profile Heart Rate Heart rate Multi gestations menu Fetus1 BPD Biparietal diameter Fetus1 HC Head circumference Fetus1 AC Abdominal circumference Fetus1 FL Femur length Fetus GS Gestational sac Fetus1 CRL Crown rump length Fetus OFD Occipito frontal diameter Fetus1 LV Lateral ventricle Fetus1 HW Hemisphere width EFW1 Shepard Estimated fetal weight Shepard s method EFW1 Hadlock1 Estimated fetal weight Hadlock s method 1 EFW1 Hadlock2 Estimated fetal weight Hadlock s method 2 EFW1 Hadlock3 Estimated fetal weight Hadlock s meth
75. icular ejection time RVOT Right ventricular outflow tract RVOTD Right ventricular outflow tract diameter A 4 Abbreviation Abbreviation S I Superior inferior diameter SMA Superior mesentery artery Splenic A Splenic artery Splenic V Splenic vein SUPA Superior artery SV Stroke volume TAD Trans Abdominal diameter TAU Transversal diameter after urination TD Thoracic diameter TL Tibial length Trans Transversal diameter TV Tricuspid valve UI Upper internal UL Upper lateral UL Ulnar length Vol Volume Volume A Measure the volume with Area length method Volume B Measure the volume with Bi plane method Volume E Measure the volume with Ellipse method Volume S Measure the volume with Simpson method A 5 Trackball Function Indication Appendix B Trackball Function Indication Current mode Trackball control object Indication Focus depth Focus B mode unfrozen Control window display item WCont Scroll display from frame to frame Scroll B mode frozen Continuous set start and end points of cine Cine B M mode M line position M Line unfrozen Control window display item WCont B M mode frozen Scroll display from frame to frame Scroll M mode unfrozen Control window display item WCont M mode frozen Scroll display from frame to frame Scroll ZOOM frame position ZOOM mode ZOOM Pan All menus Select menu item Menu Text input Text curs
76. ing 5 2 4 Peripheral Setup Menu Table 5 5 Peripheral Setup Menu Menu Description Serial Port Setup To set up serial port Beep To set up buzzer action Main Menu Main Menu 5 2 4 1 Serial Port Setup Port Serial port number Baud Baud rate are available for selection Note Serial port function is a reserved for future use 5 13 System Setup 5 2 4 2 Beep Setup There are 3 choices Off turn off the buzzer Message beep when system error happens On beep when system error happens system alarms or pressing keys Note Beep function is a reserved for future use 5 2 5 Calc Setup Menu Table 5 6 Calc Setup Menu Menu Description Line Type To set up Meas Calc connecting line type Distance Unit To set up distance unit Volume Unit To set up volume unit Time Unit To set up time unit Height Unit To set up height unit Weight Unit To set up weight unit Age Unit To set up age unit To set up beat cycle number for heart rate Beat Cycle measurement To select BSA Body Surface Area calculation BSA Function equation PSAD Coefficient To set up Prostate Specific Antigen Density coefficient Fetal Growth Curves Edit To edit fetal growth curves Fetal Age Estimating Fetal age table equation selection Fetal Age Estimating Edit To edit fetal age table equation Size of Measure Cross Size of measure cross cursor Cursor Main Menu Main M
77. ion Table 7 5 Predefined Annotations for Cardiology Adult cardiology Adult diff cardiology Pediatric cardiology AORTIC AORTIC AORTIC LV LV LV TCHZ TCHZ TCHZ AO ROOT AO ROOT AO ROOT MITRAL MITRAL MITRAL MV MV MV PEAK PEAK PEAK R ATRIUM R ATRIUM R ATRIUM ASC AO ASC AO ASC AO AO AO AO LVOT LVOT LVOT LATRIUM LATRIUM LATRIUM REGURG REGURG REGURG AV AV AV RVAW RVAW RVAW PULMONIC PULMONIC PULMONIC OUTFLW OUTFLW OUTFLW LA LA LA DIAS DIAS DIAS TRICUSPID TRICUSPID TRICUSPID INFLOW INFLOW INFLOW PV PV PV SYST SYST SYST ATRIAL SEP ATRIAL SEP ATRIAL SEP SEPTUM SEPTUM SEPTUM RV RV RV 4 CH 4 CH 4 CH LEFT VENT LEFT VENT LEFT VENT AO ARCH AO ARCH AO ARCH TV TV TV VSD VSD VSD RIGHT VENT RIGHT VENT RIGHT VENT DESC AO DESC AO DESC AO TVI TVI TVI ASD ASD ASD 7 6 Annotation of Image Information Table 7 6 Predefined Annotations for Small Parts Thyroid Galactophore Testis Eyeballs Neonate RIGHT MAMMILLA LEFT EYEBALL LIVER LEFT CA VARICOCELE CORNEA SAGITTAL OCULUS ADENOMA EPIDIDYMIS IRLS 3RD VENT SUPERIOR LEFT LONG SCLERA LKID TRANS FIBROMA RIGHT ANTER CH RIGHT LONG Ul TESTICLE VITREOUS CORONAL BODY THYROID MEDIAL HYDROCELE LENS 4TH VENT ISTHMUS CYST TRANS RETINA R KID RT LOBE LATERAL OPTIC DISK LONG LENS UO OPTIC NERVE SPLEEN INFERIOR SUPERIOR MASS LAT V
78. ion result The calculation result is displayed in ten lines in result screen See Fig 8 9 Fig 8 16 LV Function Display 8 3 11 Hip Angle measurement When the system is configured with a high frequency linear array probe press Calc key and the calculation menu Hip Angle Report is displayed Select Hip Angle and a cursor shows up Press Enter key to fix point A Then use the trackball and press Enter to fix point B The first line AB baseline is displayed Fix the lines CD limbus acetabuli line and EF slope line likewise Having drawn three lines press Enter key and you can toggle between each end point of the three lines to modify the lines 8 29 Measurement and Calculation The display result is Angle a The inclination between line AB and line CD Angle B The inclination between line AB and line EF 8 30 Cineloop Image Storage and Print Chapter 9 Cineloop Image Storage and Print 9 1 Cineloop 9 1 1 Function description In unfrozen state images are stored continuously into the memory when the memory is full new images will replace previous images continuously After freezing the image the images stored in the memory before the image is frozen can be played back Note 1 The number of cine frames depends on the mode Note 2 When the mode is changed all the temporarily stored cine images are deleted when the system is unfrozen or is turned off all the stored images are erased 9 1
79. l press Enter or press Esc directly to return to the screen of Function Key Edit Fig 5 1 Calc menu item can be set as a function key For the calc menu item screen Fig 5 4 move the cursor over Calc Item and press Enter Move the cursor over Exam Select and press Enter to enter exam type selection screen Fig 5 2 Having selected the exam type press Enter key to return to the screen of Fig 5 4 Then application type exam type and content of the related calculation item change according to the user selection Move the cursor over one calculation item and press Enter to confirm that calculation menu item and return to the screen of function key edit Fig 5 1 Current Function now is Calc zcurrent selected Calc menu item Then select Set Press Enter again to set the selected Calc menu item on the screen as a function key System Setup Fig 5 4 Function Key Edit Screen of Calculation Item f Measurement menu item can be set as a function key Move the cursor over Meas Menu item and press Enter key to enter measurement menu screen as shown in Fig 5 5 Move the cursor over one measurement item and press Enter key to confirm that measurement menu item and return to the screen of function key edit Fig 5 1 Current Function now is Meas current selected Meas menu item Then select Set Press Enter again to set the selected measurement item on the screen as a function key Biplan Ellipse vol Fig 5 5 Edit Screen of
80. les rotate Value knob b To modify data use the trackball to move the cursor over the desired number and use the number keys to replace the original data You can press Clear key to delete data C To save data after modification move the cursor to Save and press Enter to save the modified data d To cancel select Cancel to restore the data before modification If Save is pressed before then Cancel is invalid e To initialize select Initialize and press Enter f To exit press Esc 5 2 5 12 Fetal Age Estimating Select Fetal Age Estimating on the calculation setup submenu and press Enter to pop up the menu in the first column of Table 5 7 Select a certain menu item and press Enter and the submenu of that menu item will be popped up for user selection See the second column of Table 5 7 Select Table to calculate based on data in fetal age table select Equation to calculate with an equation 5 16 System Setup Table 5 7 Fetal Age Estimating Menu Menu Submenu Hadlock Equation Hadlock Table GS Gestational sac Hansmann Table Tokyo Table Hadlock Equation Hadlock Table CRL Crown rump length Hansmann Table Osaka Table Tokyo Table Chitty Table Hadlock Equation Hadlock Table Chitty HC Head circumference Table Self defined Table 1 Self defined Table 2 Self defined Table 3 Hadlock Equation Hadlock Table Hansmann Table Chitty Table Self defined Table 1 Self defined Table 2 Self
81. ment menu Select Histogram and enter histogram calculation screen A transparent rectangular frame will appear at the center of the image There is a result box of histogram at the bottom right of the image Move the rectangular frame with the trackball within the image area Change the size of the frame by rotating Value knob 8 21 Measurement and Calculation Fig 8 5 Histogram Display 8 3 5 Time In M or B M mode time between any two points on the image in M mode can be measured after freezing Press Meas key and select Time to enter time measurement screen A vertical calipers with a cursor will appear at the image center 1Time 0 00s is displayed in the measurement result area Move the trackball to place the cursor of the vertical calipers over the first point to be measured Press Enter and the first vertical calipers and its cursor will be fixed Move the trackball and the second vertical calipers with a cursor will appear The measured time is displayed in the measurement result area and changes with the cursor moves Place the cursor of the second vertical calipers over the second desired point to be measured and press Enter Now the second vertical calipers and its cursor are fixed and the first vertical calipers and its cursor are movable Every press of Enter key will toggle the two vertical calipers and their cursors between the states of being fixed or movable 8 3 6 Heart Rate Press Meas and sele
82. move the cursor to a probe model or an applied type by the trackball then select a probe model supported by the system and select the application type corresponding to the selected probe by using the Value knob The application type name changes to reflect a change in the probe model and the exam type name changes to reflect a change in the application name After selecting an application type use the trackball to move the cursor to a certain exam type press Enter to confirm this exam type and exit the screen of function key edit Fig 5 1 Current Function on the screen is Exam Type selected exam type Then select Set Press Enter again to finish setup Note This key function is not available when the user defined probe model is different from the current probe model 5 6 C System Setup Fig 5 2 Selection Screen of Exam Type User defined keys can also be set up as specific options of system menu The system menu setup can be divided into two types the first type is to perform settings on certain screens such as hospital name input date and time settings etc the other type has a group of values for user selection e g auto freeze setting The option item name of the first type is treated as the function key e g Facility Name Date Time etc the option item and its value of another type are treated as the function key e g Auto Freeze Off Move the cursor over system menu and press Enter to enter system menu scr
83. n and angle are subject to different probes The start position can be adjusted by Q and W the angle by E and R 15 Key Body Mark Key BDYMK to turn on off body marks 16 Knob B gain Knob B Gain to adjust B gain 17 Knob M Gain Knob M Gain to adjust M gain 18 Knob Depth Knob to adjust display depth within possible range The change of frame rate is subject to the display depth the deeper the depth the lower the frame rate or the shallower the depth the higher the frame rate 19 Knob Value Knob to change the highlighted parameters or item value and state of different menus and control windows Besides when the body mark is displayed the konb can be used to rotate the probe mark 3 9 Introduction to Component Parts Disp Knob under multi image display mode it is 20 Knob E used to switch to the live image Display 160 2008 8 Gain TGC Slide Potentiometer TGC on the top 21 n Slider right of control panel used to adjust the depth gain of images 22 Key M Mode Sweep Speed Key M Speed 23 Key B M M Modes Switch Key M 24 Key B 2B 4B Modes Select Key B Mode System Setup Key Menu to enter or exit system 25 Key setup menu 26 E Key Storage Key Disk Probe Select Key Probe to switch or select the 27 Wo Key probe connected to the probe connector Exam Type Select Key Exam to
84. nd exam types the control parameters shown in the control box are the parameters of the current real time image if both B are frozen the shown parameters are control parameters of the last frozen B image All the keyboard operations can only be conducted on the active image If a frozen B image is released this image will adopt the control parameters in the current control box and the other B image wil be frozen simultaneously Left B is Active Right B is Active Fig 6 2 Sketch Map for Indicating the Current Active Image 4B means that four B images are displayed on top left top right bottom left and bottom right of the screen Only one of these four images is active while the others are frozen In 4B mode use Disp knob to toggle the active image The image with the mark indicates that it is the current active image The toggling order among the four images is shown in Fig 6 3 by rotating Disp knob 6 7 Imaging Fig 6 3 4B Image Arrangement Four B modes can have different control parameters and exam types the control parameters shown in the control box are the parameters of the current unfrozen image if all B are frozen the shown parameters are control parameters of the last frozen B image All the keyboard operations can only be conducted on the active image If a frozen B image is released this image will adopt the control parameters in the current control box and another B image will
85. nput in growth charts To select options in Prostate Report 8 1 Measurement and Calculation To exit the current Meas Calc and return to the previous menu or exit Esc key directly The direct measurement keys Dis and Area can be used to measure distance and area circumference trace method in B and B M modes Meas and Calc keys can be used to bring up the Meas Calc functional menu To adapt to the width limit the menu items with many letters are abbreviated See Appendix A for meanings of abbreviations Use to trackball to select a Meas Calc item and then press Enter key to start measurement amp calculation pressing Esc key will exit the current Meas Calc menu On menu select screen or during the measuring amp calculating process pressing other functional key will exit the current Meas Calc operation and enter other functional operation 8 1 2 General measurement The general measurement menus brought up by pressing Meas key are diverse under different modes which are listed as follows a Measurement menu in B mode including 2B and 4B Table 8 2 B mode including 2B and 4B Measurement Menu Menu Description Ellipse area Area and circumference measurement in Ellipse method Biplane vol Volume measurement in biplane method Ellipse vol Volume measurement in ellipsoid method Simpson vol Volume measurement in Simpson method Sphere vol Volume measurement in sphere method An
86. o create an SN txt file in the folder and exit the menu 2 Send the system generated SN txt file to SIUI and a license key License txt will be created and sent to the user 3 Select Import LicenseKey File Follow the operation in step 1 and find License txt Highlight it with the cursor and press Enter e If the file is correct press Enter to exit the system menu then import the LicenseKey file thus a certain function will be activated e If the file is incorrect the interface of the directory selection box remains when pressing Enter and the file cannot be imported 5 2 7 System Update 5 2 7 1 Preparation for update files Copy the required exe file for system upgrade to the root directory under USB disk Insert a USB disk Select Update System from USB disk from the system menu 5 2 7 2 Update operation Press Menu Select Update System and press Enter The window below will appear Fig 5 10 Update System Menu a Update system online Select Update System Online and press Enter The 5 19 System Setup following message will be displayed on the screen Connecting please wait 1 If network connection fails the following message will be displayed on the screen Network Error Please press ESC to return menu Press ESC to return to Fig 5 10 window and enter Network Setup to check whether the setting of IP and Port is correct Then make sure the system is well connected to the network e g check the conne
87. ock s method 1 EFW Hadlock2 Estimated fetal weight Hadlock s method 2 EFW Hadlock3 Estimated fetal weight Hadlock s method 3 EFW Hadlock4 Estimated fetal weight Hadlock s method 4 EFW Campbell Estimated fetal weight Campbell s method EFW Hansmann Estimated fetal weight Hansmann s method Report Report Growth Charts Fetal growth charts Biophy Profile Biophy profile Heart Rate Fetal heart rate 8 7 Measurement and Calculation NT Nuchal Translucency lhickness CER Cerebellum diameter FTA Fetal Trunk Area Complete OB menu BPD Biparietal diameter HC Head circumference AC Abdominal circumference FL Femur length OFD Occipito frontal diameter TAD Trans abdominal diameter APD Antero posterior abdominal diameter HL Humeral length TL Tibial length UL Ulnar length RL Radial length FIBL Fibular length OOD Outer orbital diameter LV Lateral ventricle HW Hemisphere width Q1 Amniotic fluid index Q2 Amniotic fluid index Q3 Amniotic fluid index Q4 Amniotic fluid index Placenta Placenta thickness EFW Shepard Estimated fetal weight Shepard s method EFW Hadlock1 Estimated fetal weight Hadlock s method 1 EFW Hadlock2 Estimated fetal weight Hadlock s method 2 EFW Hadlock3 Estimated fetal weight Hadlock s method 3 EFW Hadlock4 Estimated fetal weig
88. od 3 EFW1 Hadlock4 Estimated fetal weight Hadlock s method 4 8 9 Measurement and Calculation EFW1 Campbell Estimated fetal weight Campbell s method EFW1 Hansmann Estimated fetal weight Hansmann s method Fetus2 BPD Biparietal diameter Fetus2 HC Head circumference Fetus2 AC Abdominal circumference Fetus2 FL Femur length Fetus2 GS Gestational sac Fetus2 CRL Crown rump length Fetus2 OFD Occipito frontal diameter Fetus2 LV Lateral ventricle Fetus2 HW Hemisphere width EFW2 Shepard Estimated fetal weight Shepard s method EFW2 Hadlock1 Estimated fetal weight Hadlock s method 1 EFW2 Hadlock2 Estimated fetal weight Hadlock s method 2 EFW2 Hadlock3 Estimated fetal weight Hadlock s method 3 EFW2 Hadlock4 Estimated fetal weight Hadlock s method 4 EFW2 Campbell Estimated fetal weight Campbell s method EFW2 Hansmann Estimated fetal weight Hansmann s method Fetus3 BPD Biparietal diameter Fetus3 HC Head circumference Fetus3 AC Abdominal circumference Fetus3 FL Femur length Fetus3 GS Gestational sac Fetus3 CRL Crown rump length Fetus3 OFD Occipito frontal diameter Fetus3 LV Lateral ventricle Fetus3 HW Hemisphere width EFW3 Shepard Estimated fetal weight Shepard s method EFW3 Hadlock1 Estimated fetal weight Hadlock s method 1 EFWS Hadlock2 Estimated fetal weigh
89. of each probe b If the convex probe center frequency is 2 5MHz or 3 5MHz press T key for the first time to activate one type of tissue harmonic imaging and press T key again to active two types of tissue harmonic imaging Press T key for the third time to exit tissue harmonic imaging 6 5 Changing Image Display Range 6 5 1 Adjusting Display Depth In unfrozen state to adjust the image display depth rotate Depth knob The Display depth will be increased while rotating Depth knob clockwise and decreased while rotating Depth knob counterclockwise the adjustable range is from 1 6 cm to 24 4cm The frame rate changes as the display depth changes the deeper the display depth the lower the frame rate Contrarily the frame rate is higher Note 1 The actual range of the display depth depends on probe type Note 2 While zooming in the display depth cannot be adjusted even by turning the Depth knob 6 5 2 Changing Sweeping Range Display Angle Width To increase or decrease the sweeping range display angle for convex probes width for linear probes press T Ball select Angle Width item in the control window by operating the trackball to enter display angle width setup Turn Value knob to change the display angle width while turning Value knob clockwise the angle width will be increased at increment of 595mm up to the maximum display angle width while turning Value knob counterclockwise the display angle width will be dec
90. of the predefined phrases depends on the current exam type 7 2 2 Operation Method Relative keys or trackball knobs to the text function include Text To enter or exit text mode ANNOT To enter or exit annotation menu of the current exam type Enter 2 enter To change to new line in text state to attach selected phrases to the cursor or to the image in annotation menu Enter C The same function as enter Shift To input other characters assigned to the same key in combination with a letter key or a number key Clear To delete annotations on the screen in different annotation states Backspace To delete one character or annotation arrow before the cursor Freeze Once releasing the freeze state all the annotations on the screen will be 7 2 Annotation of Image Information removed A To add annotation arrows Trackball To move the cursor Value knob To select the annotation phases H In non text mode to hide all annotations on the screen In order to add text annotation in frozen state press Text key to show up the cursor on the annotation area and the system will enter the annotation state Then move the cursor to the position to be annotated by moving the trackball and input letters there In order to add an annotation press ANNOT key to enter annotation state then the preset annotation phrases for the diagnostic part will be displayed in the list Move the trackball to select th
91. on bile duct CD Cardiac diameter CELIA Celiac artery Cl Cardiac index CO Cardiac output CRL Crown rump length D E Height from D point to E point Diam Diameter EDD Estimated date of delivery EDV End diastolic volume E E Height from E point to E point EF Ejection fraction EFW Estimated fetal weight EPSS E peak separation to septum ESV End systolic volume FIBL Fibular length FL Femur length Grow Chart Growth Chart GS Gestational sac HC Head circumference HL Humeral length HR Heart rate HW Hemisphere width IG Internal gland INFA Inferior artery IVC Inferior vena cava IVS Inter ventricular septum IVSD Inter ventricular septum in diastolic period IVSS Inter ventricular septum in systolic period LA Left atrium LAD Left atrial diameter LAU Long diameter after urination L AXIA Left axillary artery L BRAA Left brachial artery L Breast Left breast LCCA Left common carotid artery L DORA Left dorsal artery L ECA Left external carotid artery L Eye Left eyeball L FEMA Left femoral artery LHD Left hepatic duct LI Lower internal A 2 Abbreviation L ICA Left Internal carotid artery L Kidney Left Kidney LL Lower lateral L Lobe Left Lobe L LV Left lateral ventricle Long Long Diameter L Ovary Left Ovary L POPA Left popliteal artery LRA Left renal artery L RADA Left radial artery L Testis Left Testis L ULNA Left ulnar artery L Ureter L
92. ons Control 4 3 5 3 5 3 5 Frequency MHz Acoustic Output Parameter Probe C5L20B M mode TIS TIB Non Scan Index Label MI TIC Scan 5 Aap gt Non Scan Aap lem A lcm Global Maximum Index Value 0 682 0 065 0 128 0 078 Pra MPa 1 489 P mW 4 0 4 0 Min of Pa zs Ita a zs mW Zs cm Associated Zbp cm Acoustic 2b cm 150 Parameters zat max Ipi a cm 1 65 deq cm 0 433 Saws MHz 4 712 4 712 4442 4 712 Dim of X cm 1 20 1 20 Aaprt Y cm 1 07 1 07 ta Cus 0 404 Prr Hz 512 Other pr at max Ipi MPa 1 90 Information deq at max Ipi cm 0 408 Ipaa atmax MI Wien 82 83 Control 1 Power 10096 100 100 100 Control 2 Operating 4 0cm 4 0cm 4 0cm 4 0cm Focal Depth Control Control 3 M Speed 1 25s 1 25s 1 25s 1 25s Conditions Control 4 5 0 5 0 5 0 5 0 Frequency MHz D 3 Probe C5L20B Acoustic Output Parameter B mode TIS TIB Non Scan Index Label MI TIC Scan j Aapn gt Non Scan Aap lcm j lem Global Maximum Index Value 0 700 0 177 0 743 Pra MPa 1 507 P mW 38 38 Min of Pa zs Ita a zs mW Zs cm Associated Zbp Cem Acoustic Zb Cem Parameters zat max Ipa cm 2 65 deq cm Saws MHz 4 635 4 635 4 635 Dim of X cm 1 20 Aaprt Y cm 1 07 ta C
93. or position Text Annotation Annotation position Annot Patient information Cursor position of input window items PAT Data input Exam type setup Cursor position of setup window items Exam Body mark Arrow position of body mark BDYMK Calculation Start and end points of calculation cursor Calc Measurement Start and end points of measurement cursor Meas Distance Start and end points of distance measurement Dis measurement cursor Area Start and end points of area measurement cursor Area measurement Description of Symbol Appendix C Description of Symbol Number Symbol IEC publication Implication 1 878 02 03 Type BF Applied Part 2 7 878 03 01 Caution risk of electric shock 3 QD 417 5019 Protective conductor terminal 4 L 417 5017 Earth ground terminal 5 417 5021 Equipotentiality 6 o 417 5032 Alternating current 7 O 417 5008 Off supply 8 417 5007 On supply Caution consult accompanyin 9 ISO 7010 M002 LLL documents 10 A ISO 7010 W001 General warning sign Protected against 11 IPX1 529 i g falling water 12 IPX4 529 Protected against splashing water Protected against 13 IPX7 529 DA water immersion C 1 Acoustic Output Parameter Appendix D Acoustic Output Parameter Probe C3L60B M mode TIS TIB Non scan Index Label MI TIC Scan j Aapt 7 Non scan
94. p Menu and Methods sss nnne nnns nnne nnns 5 1 XE NECI wevvvevsccscsccccsavecetvediaveeeeeedessscncdsevesnecdsueucanecaeecvectavdcdaeauedshaasseradantenseteasduneesene 6 1 641 Pr p aratioriza i cote E RR n i a ted 6 1 6 2 Selecting Probe and Exam Type sse nnns 6 1 6 3 Preliminary Imaging sree i kenarina a E EEA EEE AAE AERAR enn nenne 6 6 6 4 Adjusting Image diee aaia edie radin raaa Aa Nia cm lade ea 6 9 6 5 Changing Image Display Range cccccccseeeeseceeeeeseeeeeaaeseeeeeseeeesaeeneneeees 6 12 6 6 IMAGE processing ssessssessseeenenennene nennen nennen nennen nnne nnne 6 13 7 Annotation of Image Information eeeeeeeeeeeeeeeeeeeeeee nennen nnn 7 1 7 1 Inputting Patient Information nee 7 1 7 2 Adding Annotation on Image ssssssssssssssssseseseeeenen nennen enne 7 2 1 3 JBody Mark ii d imde dies 7 8 TA AGONI eo E 7 11 8 Measurement and Calculation eeeeeeeeeeeeee nennen nnn 8 1 8 1 Key and Menu for Measurement amp Calculation 8 1 8 2 Display and Clear of Meas Calc Result eee 8 16 8 3 Operation of Meas Calc sss eene entente nens 8 17 9 Cineloop Image Storage and Print eee 9 1 mae HE 9 1 9 2 BIS SIOLrage d rct etes hose M Lot etos M TITRE ctu 9 2 9 3 Temporary Image Sto
95. parameters will be saved to the first group of optimal parameters press U again to save the current system parameters to the next group of optimal parameters Up to 8 groups of optimal parameters are available for update To save the current system parameters to a desired group of optimal parameters press I key first to select and load to the desired group of optimal parameters and press U to save The optimal parameters can be restored to default values by pressing Y key Press Y key to restore the group of optimal parameters previously loaded by pressing key which is prompted over the imagine area If no key was pressed previously it will default the first group of predefined optimal parameters press Y again to default the next group of 6 10 Imaging predefined optimal parameters Up to 8 groups of optimal parameters are available for restore To restore a desired group of optimal parameters to default values press I key to select and load the desired group of optimal parameters and press Y key to restore default values 6 4 9 Adjusting Power In unfrozen state press T Ball key and use the trackball to select PWR in the control window or press the number key as prompt in the control window to activate the item Turn Value knob to change acoustic power The acoustic output parameter change will affect system parameter of acoustic output Warning To avoid harm to the patient it is recommended to use as low acoustic pow
96. peration is beyond the ranges above no normal ultrasound images are ensured If the system is stored for a long time the ventilation of the stored place shall be considered b Strong sources of radiated emissions or electromagnetic waves from broadcast amp TV station for instance may cause the system to display with noise Keep this system Application Scope Operation Conditions Safety and Cautions away from these kind of radiated emissions or electromagnetic waves Do not operate this system while other devices are operating with motor or silex switch in the same power phase otherwise noise will disturb your system through the power cable 1 3 Power Requirements Never use this system when the power supply does not meet the following requirements otherwise the system may possibly be damaged a Power Voltage Single phase 100 240V tolerancet10 50Hz 60Hz 1Hz 230V 23V for EU countries 50Hz 1Hz Connection of grounded device use a grounded socket Before connecting to the power supply connect the additional potential equalization conductor to the equipotential terminal on another grounded system or an external grounded device The removable multi jack socket provided together with the system can only be used to supply power for the system equipment The connection of electric devices that are not part of the system and the removable multi jack socket may result in danger If the non medical electrical equipm
97. pes defined by system and the exam types defined by the user can not exceed 10 While defining a new exam type the system will automatically store the current image control parameters to that exam type Each exam type has a maximum length of 12 characters On the exam type management interface the character U is attached on the exam type defined by the user 6 2 Imaging On the exam type management interface operations listed in Table 6 2 are defined for user selection Table 6 2 Hotkeys for Exam Type Menu Operation Hotkey Function Delete To delete a user defined exam type New Name To modify the exam type name To reset the system s predefined image control ii parameters of the selected exam type To set the current selected exam type as the current Set Default applied default exam type or set the current selected application as default application type To save the current image control parameters information Update to the selected exam type PER To view the image control parameters of the current selected exam type 6 2 3 2 Display of Exam Type The exam type name is displayed on the bottom left of the screen In front of the default exam type the modified exam type and the user defined exam type and U are marked respectively The special function key H is used to toggle between on and off of the exam type 6 2 3 3 Information of Exam Type a Default Exam Type Each p
98. pressing this key will freeze the image automatically Entering area measurement screen a cursor will appear in the center of the image 1P 0 00cm 1Area 0 00 cm is displayed in the measurement result area in two lines Use the trackball to move the cursor over the desired position to be measured Press Enter key to fix the start point of measurement Move the cursor to draw out a trace along the desired measuring path The length of the trace is the circumference and the circumference value in the measurement display area will change as the cursor moves Press Enter key to display an enclosed area If the start point does not coincide with the end point the distance between the start point and the end point will be linked by a straight line and the area value will be displayed in the result area The user can also use the Backspace key to remove the dotted line along the drawn trace dot by dot If Meas is pressed and Area ratio t is selected 1Ratio 0 00 1Area1 0 00cm 1Area2 0 00cm is displayed in the measurement result area in three lines If area redu t is selected 1Reduce 0 00 1Area1 0 00cm 1Area2 0 00cm is displayed in the measurement result area in three lines 1Areat and 1Area2 correspond to the two areas drawn by the user on the screen For other operation please refer to the above steps 8 3 2 2 Ellipse method In B B B 4B or B M mode press Meas key and a menu will appear Select Ellipse area
99. r example save images to a remote system search and read image files from the remote system Select NetWork Press Enter and the submenu of NetWork will appear including five options StoreSCP StoreSCU QuerySCU PrintSCU and Send Quickly See Fig 5 15 StoreSCP Fig 5 15 NetWork 5 23 a System Setup StoreSCP Select StoreSCP and press Enter The system opens the port and begins listening files transferred to the local system The remote system can store images to the local system only when this option is turned on StoreSCU Select StoreSCU and press Enter A dialog box for saving will appear Press Enter again and the image is stored to the remote system On how to set up the remote system to connect the local system please refer to the next section QuerySCU Select QuerySCU and press Enter An input box for query condition will appear Input the query condition and press Enter All results that comply with the condition are queried from the remote system and displayed in the file dialog box below If no query condition is inputted and Enter is pressed the system will list all image files on the remote system in the file dialog box Send Quickly Select Query SCU and press Enter then the current image will be saved to the remote system 5 2 8 3 NetSetup NetSetup is for setting connection parameters between the local system and the remote system The network operation in Section 5 2 8 2 and informa
100. rasound from human body is received by the same working elements and converted into feeble echo electrical signals which will be transmitted to the Order and Amplification Board through front end amplification There are two probe connectors available on the Probe Connector Board to which two probes 2 1 Composition Principle and Specification can be connected at the same time The Data Processing Board generates transmit excitation signals of the current transmission to the Probe Connector Board after a series of processing including beam forming aperture control dynamic apodization dynamic filter dynamic range conversion demodulation frame correlation processing and scan conversion and transmitted to the ultrasound control platform through the Digital Processing Board The echo signals are firstly converted to digital signals after a series of processing including beam forming aperture control dynamic apodization dynamic filter dynamic range conversion demodulation frame correlation processing echo signals are first converted into digital signals The Digital Processing Board firstly converts echo signals to digital signals via ADC and further into digital image signals after a series of processing including beam forming aperture control dynamic apodization dynamic filter dynamic range conversion demodulation frame correlation processing and scan conversion and transmitted to the ultrasound control platform through the
101. ration Pressing other valid mode keys or non mode keys can also exit the menu and enter the corresponding operation The system menu setups remain available after rebooting the system 5 2 Setup Menu and Methods 5 2 1 Main Menu Table 5 1 Main Menu Menu Description System Setup To set up the system Image Setup To set up images Peripheral Setup To set up peripheral devices Calc Setup To set up calculations Activate System To activate the system Update System To update the system DICOM DICOM Body Mark Body Mark Quit To quit setup menu Note The item with is an optional function 5 1 System Setup 5 2 2 System Setup submenu Table 5 2 System Setup Menu Menu Description Date Time To set up date and time Facility Name To set up facility hospital name AC Power Unit To switch the acoustic power display unit Permanent TGC graph To set up TGC graph display modes Key Lamp To set up key lamp of the keyboard Key Lamp Bright To set up key lamp brightness Printer Setting To set up the printer Auto Freeze To set up auto freeze Screen Saver Language Selection To set up screen saver To select language display on the screen Patient Information Function Key Edit To set up patient information To define function key edit Annotation Edit To edit annotation phrases Main Menu Main Menu
102. ray scale probe operating frequency TGC curve depth scale gain Smo Edg frame correlation grayscale curve dynamic range zoom rate line density and SRT 2 2 19 Storage and Record a Hard drive in which images can be stored in the formats of Jpg Bmp or DICOM file and cineloop files in the format of Cine or Avi b USB connection devices Option C transmit and receive images and patient data through DICOMS3 0 function Option d Printer Option 2 2 20 Measurement and Calculation a General measurement B mode Distance area circumference volume angle histogram M mode Distance time heart rate and slope b Special measurement and calculation for abdomen cardiology OB GYN urology small parts peripheral vascular and orthopedics 2 2 21 Video Port composite video out PAL NTSC format for selection 2 2 22 Monitor High resolution and non interlaced monitor 2 2 23 Probe Sockets 2 pcs 2 2 24 Power Supply a Power voltage 100V 240V tolerance 3 1095 or 230 23V for EU countries b Power frequency 50Hz 1Hz or 6OHz 1Hz c Power input 250 VA 2 4 Composition Principle and Specification 2 2 25 Physical Dimension and Weight a Physical dimension LxWxH 415mmx320mmx310mm b Weight approx 12kg 2 2 26 Operation continuous operation 2 5 Introduction to Component Parts Chapter 3 Introduction to Component Parts 3 1 System Configuration 3 1 1 Basic Configuration a Main unit Monitor incl
103. re Depth M_Gain PWR acoustic power Freq probe frequency PER persistence Smo Edg smooth edge enhancement M_GSC M grayscale curve DYN dynamic range MSP M sweep speed Chroma and SRT For B M mode there are Depth B_Gain M_Gain PWR acoustic power Freq probe frequency PER persistence Smo Edg smooth edge enhancement M_GSC M grayscale curve DYN dynamic range Angle which is replaced by Width for linear probe LD line density MSP M sweep speed Chroma and SRT 3 6 Introduction to Component Parts 3 2 3 Operation Panel 3 2 3 1 Features of Operation Panel The system adopts backlit keyboard The backlight can be turned on off through the system menu The structure of the operation panel is shown in Fig 3 5 and the functions of each key are described in Table 3 1 fa gooppopppoomooc i SHAHH AHOA AHO I Hem e a E 7 UU O0 OU OU OU J a 63 If y M Jy Y Displey Select Cs DO 6 DO 6B M Gain B Gain Value Probe tE 9g OOO D e Fig 3 5 3 2 3 2 Brief Introduction of Keys 3 7 Introduction to Component Parts Table 3 1 Key Function No Key Type Function fi Main unit power switch on the top left of the e Lol y operation panel to turn on off the system User defined key F1 F6 can be assigned as 2 Ft re Key ho
104. re and Recall sssssssseeeeeens 9 3 9 4 Image Printaz d RR em RE ads 9 4 10 Maintenance Troubleshooting Transport and Storage 10 1 10 1 System Maintenance n iiri ee tote a raa c ec ek eder ia anaga 10 1 10 2 Troubleshooting veain neea iiit eiea EAEE Ee AEA Ea AAE S 10 1 10 3 Contact Informatio Nsitini oa entren nne nnne nennen 10 3 10 4 Transport and Storage Condition 10 3 10 5 Disposal unite ome tI Re detiene Sete hee 10 3 Appendix A Abbreviation esee nnn nnn trien tns nn nnn nnns A 1 Appendix B Trackball Function Indication eeeeeeeeeeeeeeeeeeeneeenes B 1 Appendix C Discription of Symbol eese nnn nnn C 1 Appendix D Acoustic Output Parameter eeeeeeeeerenenn nnm D 1 Appendix E Range Precision and Accuracy of Ajustment Display Parameter E 1 DCY2 782 7700SS V5 0 B E Preface Preface To use this system correctly and safely and to ensure a long life the user should thoroughly understand the functions operations instructions as well as its maintenance Please read the information in this manual carefully before using the system This system has been designed and manufactured safely for the operators and patients However for ensuring safety and reliability please pay attention to the following instructions a This system should be operated only by or under th
105. reased at increment of 5 5mm down to 20 720mm 6 12 Imaging 6 6 Image Processing 6 6 1 Zooming in and Moving B Mode Image a In unfrozen or frozen state press Zoom to enter the zoom state and a zoom in area select box will be displayed at the bottom left of the screen See Fig 6 4 b Move the zoom in area select box within the original image to select the ROI and the zoom in image will be displayed in the image area c In the zoom in state press Zoom again to change the zoom rate There are four zoom rates for selection Press Esc to exit the zoom in state Probe MI Date Week SIUI Hospital Name Depth Frame Time Exam B Gain Freq PTN T Gray Scale Zoom in Image Image Area TGC Curve Zoom in Area Select Box M Coordinate Original Image Body Mark ID Current Total State Name pwr per 3smolEdg 4 amp sc 5 poyn 6 Ange Lo 8 Chroma srt Control Parameters Fig 6 4 Zoom State Diagram 6 6 2 B Mode Image Left Right Reverse In frozen unfrozen or scroll cineloop state the live B mode image can be reversed between left and right against the image center by pressing L R key While the image is reversed the orientation mark attached to the image is reversed with the image but the body mark the coordinates the focal point mark and the image activity Imaging mark are not reversed 6 6 3 B Mo
106. ressing Dis Area or Meas key will enter a new measurement as above in this case the current measurement results will be reserved on the screen Up to 9 measuring results can be reserved for each kind of measurement such as distance area circumference volume and time etc the initial points for one kind of measurement are shown on the screen as a b c and so on and measured items of measuring results are marked with a b c and so on for identification Change display position of Meas Calc result In state of Calc Meas press P key to shift the display position To revise the results of measurement rotate Value knob in state of Meas or single frame and move the cursor over a certain measurement result to start a new measurement 8 2 2 Clear Meas Calc Result 8 16 Measurement and Calculation To clear Meas Calc result press Clear Text key in Meas Calc state or single frame state 8 3 Operation of Meas Calc The units referred to in this section such as the units of distance volume time height and weight as well as the units displayed in the figures are selectable which can be set up in Calc setup menu For detailed setup method please refer to Section 5 2 5 8 3 1 Distance In B B B 4B or B M mode freeze the image and press Dis key to measure the distance between any two points on the image in unfrozen state pressing this key will freeze the image automatically Enter the distance measurement screen a
107. rior artery of right lobe Isthmus Isthmus LCCA Left common carotid artery RCCA Right common carotid artery Report Report Galactophore UI L Breast Upper internal of left breast LI L Breast Lower internal of left breast 8 11 Measurement and Calculation UE L Breast Upper external of left breast LE L Breast Lower external of left breast UI R Breast Upper internal of right breast LI R Breast Lower internal of right breast UE R Breast Upper external of right breast LE R Breast Lower external of right breast Report Report Eyeballs L Eye OA Ocular axis of left eyeball L Eye Lens Lens of left eyeball L Eye AC Anterior chamber of left eyeball L Eye ON Optic nerve of left eyeball R Eye OA Ocular axis of right eyeball R Eye Lens Lens of right eyeball R Eye AC Anterior chamber of right eyeball R Eye ON Optic nerve of right eyeball Report Report Testis Long L Testis Long diameter of left testis A P L Testis Antero posterior diameter of left testis Trans L Testis Transversal diameter of left testis Long L Epidi Long diameter of left epididymis A P L Epidi Antero posterior diameter of left epididymis Long R Testis Long diameter of right testis A P R Testis Antero posterior diameter of right testis Trans R Testis Transversal diameter of right testis Long R Epidi Long diameter of right epididymis A P R Epidi Antero poste
108. rior diameter of right epididymis Report Report Neonate LLV Left lateral ventricle RLV Right lateral ventricle 3rd Third cerebral ventricle HW Hemisphere width Report Report 8 12 Measurement and Calculation 8 1 3 6 Peripheral vessels Calculation Peripheral vessels application includes three exam types carotid artery peripheral artery and peripheral vein They have different calc menus Table 8 10 shows menus in B and B M mode in M mode there is only Report Press Calc to go to the first level menu In the first level menu move the cursor to select an item and press Enter to go the submenu In the submenu press Esc to return to the first level menu Table 8 10 Peripheral vessels calc menu Menu Description Carotid artery first level menu Left CCA Left common carotid artery Left BIF Left common carotid artery bifurcation Left ICA Left Internal carotid artery Left ECA Left external carotid artery Right CCA Right common carotid artery Right BIF Right common carotid artery bifurcation Right ICA Right Internal carotid artery Right ECA Right external carotid artery Report Report Carotid artery submenu Diameter Diameter Intima Intima D Reduce Diameter reduce A Reduce Area reduce Peripheral artery menu Left AXIA Left axillary artery Right AXIA Right axillary artery Left BRAA Left brachial artery Right BRAA Right brachial artery Left RADA L
109. robe supported by the system has a default application Each application has a default exam type The user can change the default exam type on the exam type menu The system uses a default exam type while turning on the power switching probe or changing application type b Current Exam Type The current exam type is displayed as a selected mode in the exam type menu The current exam type includes a probe name application name and exam type information 6 3 Imaging 6 2 3 4 Exam Type Menu 6 2 3 4 1 Composition of Exam Type Menu Fig 6 1 a Probe model Probe model is displayed on the first line of the exam type menu The operator cannot change probe in this menu the probe model can only be changed only by pressing Probe Select in Focus state b Application type The current application name is displayed under the probe model the cursor will rest on the application type after entering the exam type menu c Exam type All exam types corresponding with the application type are shown in this menu d Help area This menu hotkeys and their corresponding operations are listed in the Help area See Fig 6 1 ame t Default te USER DEFINED FRO Fig 6 1 Interface of Exam Type Menu e Adding new exam type User defined exam type is displayed on the last line at the bottom of the exam type menu It is used for the user defining new exam types 6 2 3 4 2 Use of Exam Type Menu Press Exam to
110. robe thoroughly with sterile water and then wipe the probe with soft dry cloth 4 3 Relocation of System Please abide by the following items to move the system safely 4 3 1 Relocation of system with trolley a Do not tilt the equipment more than 10 degrees b If the step is higher than 2cm in order to go across it place something under the casters c When moving the system fix the power cable the potential equalization conductor and the probe cable tightly so as not to be caught by the cart casters d Make sure to fix the main unit tightly on the trolley e Unlock the caster stoppers before moving the cart 4 3 2 Transportation of the main unit a First disconnect the cables at the rear panel of the main unit except the power cord the potential equalization conductor and the probe cable b Put the probe tightly into the probe holder c Disassemble the main unit from the trolley and transport it with the power cable the potential equalization conductor and the probe cable held together 4 4 System Setup Chapter 5 System Setup 5 1 Operation Method for System Setup Menu Press Menu to display the main menu on the screen Use the trackball or rotate Value knob to select desired menu item press Enter to enter the submenu Press ESC to exit the current menu and return to the previous menu or to exit the main menu if it is in the main menu page Press Menu at any menu to save changes and exit the main menu ope
111. rresponds to that TGC slide potentiometer the gain increases while sliding to the right and decreases while sliding to the left 6 4 2 Setting Focal Point Number and Position In unfrozen state press Focus repeatedly to change focal point number 1 4 for selection If the trackball is moved up or down at this moment all the focuses will be shifted up or down Tip Pressing the console F key may change the focal span 6 4 3 Setting Persistence In unfrozen state press T Ball use the trackball to select PER on control window or press the number key as prompt in the control window to activate the item Then the persistence value can be changed by rotating the Value knob the value will be changed from 0 to 7 while turning clockwise or from 7 to 0 while turning counterclockwise 6 4 4 Setting Smooth Edge Enhancement In unfrozen state you can press T Ball to change the Smo Edg value or press the number key as prompt in the control window to activate the item Then rotate Value knob to change the Smo Edg value The value will be changed from 3 to 3 while turning clockwise or from 3 to 3 while turning counterclockwise Note Positive values are for Smooth while negative values are for Edge Enhancement 6 4 5 Selecting Grayscale In B mode unfrozen state press T Ball and operate the trackball to select B GSC in the control window M GSC in M mode and B M mode which can be operated respectively 6 9 Imaging or pre
112. screen a Move cursor rotate Value to shift the cursor among input boxes b Data edit when the cursor is in the input box press numeric keys to input data Press Clear or Backspace key to delete data The profile is acquired by Mannig method from results such as FBM c Exit Biophy Profile press Esc key d The Biophy Profile result is saved till the system is shut down or new patient information is inputted 8 3 10 Cardiology Calculation 8 3 10 1 AO Measurement 8 26 Measurement and Calculation Press Calc and select to enter AO measurement On the left of the image there is an AO test mode figure A vertical dot line and a cursor are displayed at the screen center Move the cursor with the trackball to the corresponding point A Press Enter key to input point A and the cursor is fixed Point B will be shown Rotate the trackball to move the cursor to the position corresponding to point B Input points B to in order The Meas calc value of AO measurement will be displayed in the measurement result area As Points A l are displayed in pairs on their vertical dot lines the cursor can only be moved up or down rather than left or right along the positions of points A C E and H when fixing points B D F Gand I Fig 8 4 Initial Final and Result Pages of AO Measurement 8 3 10 2 MV measurement MV is mitral valve measurement in frozen state in M or B M mode Enter MV measurement On the left of the image there is
113. select the 28 Key application type and exam type supported by the probe in use Patient Data Management Key Pat Data to turn 29 Key deed on off the patient data management function Exit Key Esc to exit from a state when in measurement amp calculation state press ESC to 30 5 Key exit the measurement amp calculation state and clear the measurement amp calculation result at the same time Distance Measurement Key Dis to measure 31 Key distance A Area measurement key Area for area 32 Key measurement Measurement key Meas to recall the 33 Key measurement menu 3 10 Introduction to Component Parts Calculation key Calc to recall the special 34 Key calculation software package The package type is subject to probes and exam types Trackball control target switch key T Ball to release trackball cursor to switch between different control targets of which name is as Key displayed on the bottom right of the screen The function of this key is similar to that of the left mouse button Image Save Key Save to store data includin 36 Key i images 37 Key Image recall key Recall to read image data Confirmation key Enter to confirm the selected 38 Key state 39 Key Probe frequency switch key Freq e k C y Focus select hotkey Focus Cineloop key Cine to switch between continuous 41 em Key cineloop and cineloop frame by frame Image ampli
114. ss the number key as prompt in the control window to activate the item Turn Value knob to select different grayscale curves In frozen state press G key to toggle select different gray scales 6 4 6 Adjusting Dynamic Range In unfrozen state to change dynamic range press T Ball first then operate the trackball to select DYN in the control window or press the number key as prompt in the control window to activate the item Then rotate the Value knob to change the dynamic range The dynamic range will be increased while rotating the trackball clockwise or decreased while rotating the trackball counterclockwise 6 4 7 Setting M mode Sweeping Speed In unfrozen state to set the M image sweeping speed press M Speed repeatedly Four speeds are available including 1 25 2 5 5 0 and 10 0 second frame 6 4 8 IP One touch optimization Function When the current state is Focus or Wcont in unfrozen state press I to load the first group of optimal parameters which is prompted over the imagine area and the image changes accordingly Press I again to load the second group of optimal parameters Up to 8 groups of optimal parameters are available for selection The current system parameters can be saved to optimal parameters by pressing U key Press U key to save the current system parameters to that group of optimal parameters loaded previously by pressing key which is prompted over the imagine area If no key was pressed previously the
115. t Hadlock s method 2 EFW3 Hadlock3 Estimated fetal weight Hadlock s method 3 EFWS Hadlock4 Estimated fetal weight Hadlock s method 4 EFW3 Campbell Estimated fetal weight Campbell s method EFW3 Hansmann Estimated fetal weight Hansmann s method Q1 Amniotic fluid index Q2 Amniotic fluid index 8 10 Measurement and Calculation Q3 Amniotic fluid index Q4 Amniotic fluid index Placenta Placenta thickness Report Report Growth Charts Growth charts Biophy Profile Biophy profile Fetus1 HR Fetus1 heart rate Fetus2 HR Fetus2 heart rate Fetus3 HR Fetus3 heart rate 8 1 3 5 Small parts Calculation Small parts application includes five exam types thyroid galactophore eyeballs testis and neonate They have different calc menus Menus in B and B M mode are listed in Table 8 9 there is only Report in M mode Table 8 9 Small Parts Calc Menu Menu Description Thyroid Long L Lobe Long diameter of left lobe A P L Lobe Antero posterior diameter of left lobe Trans L Lobe Transversal diameter of left lobe SUPA L Lobe Superior artery of left lobe INFA L Lobe Inferior artery of left lobe Long R Lobe Long diameter of right lobe A P R Lobe Antero posterior diameter of right lobe Trans R Lobe Transversal diameter of right lobe SUPA R Lobe Superior artery of right lobe INFA R Lobe Infe
116. t Information b Edit Press Pat Data to open the Patient Information interface Move the cursor with the trackball to each input area and edit the information Finally select Set and press Enter c Import Press Pat Data to open Patient Information interface Select Import and press Enter to open ID Input Input patient ID and press Enter The system will read the patient information that is corresponding to the ID from the database and display it in patient information box 7 1 Annotation of Image Information d Delete Press Pat Data to open Patient Information interface Select Delete and press Enter If there is existing information in the patient information area the system will automatically clear it and delete this patient information record from the database Tip Every time the system is turned on it will back up patient information database file automatically If the backup database is damaged the system will have auto recovery of factory database In case it cannot recover please follow the instruction below to perform manual recovery freeze the system input SIUIR and wait for the prompt box to show up Then press Enter to finish recovery 7 2 Adding Annotation on Image 7 2 1 Function Description The user can add texts and annotations to a frozen image Text function allows the user to input characters and numbers annotation function allows the user to add predefined phrases on the image The content
117. tem From USB disk from the menu and press Enter If a USB disk containing system update files is plugged in the system the following message will be displayed on the screen The Udisk file is ready Please press Enter to update or press ESC to return menu Press Enter and the system will install the new software and be rebooted automatically System update is successful If the user does not want to update the system press ESC to return to Fig 5 10 window If a USB disk is not plugged in the system or there is no update file in the disk the following message will be displayed on the screen The Udisk file is not ready Please press ESC to return menu Press ESC to return to Fig 5 10 window Ensure that a USB disk is plugged in and it contains update file Then continue the update operation Network setup 5 21 5 System Setup This option is for setting server IP and port for downloading update files The system is set up well before delivery Usually the user does not need to change the setup Correct IP 218 16 250 64 Port 1234 If any modification is required select Network Setup and press Enter The window below will appear Fig 5 12 Upgrade server setup window Move the cursor to P or Port Use Backspace to delete the original IP or Port Enter new IP or Port and move the cursor to select OK Press Enter to return to Fig 5 10 window If Initialize is selected and Enter is pressed then I
118. the required coupling gel that complies with regulations of the country where the system is installed It is recommended to use coupling gel conforming to ISO 10993 requirements 4 2 9 Probe cleaning and sterilization The probe shall be cleaned and sterilized every time after it is used Please follow the conditions below when cleaning and sterilizing the probe otherwise the probe may be damaged a The probe should not be cleaned or sterilized with alcohol cleanser containing alcohol or other organic solvent e g thinner b The immersion part of the probe should not exceed the orientation mark at the probe housing side c Do not process probe with steam high pressure or ethane oxide d Do notimmerse the probe for more than one hour 4 2 9 1 Cleaning a Clean the probe surface with soft cloth soaked with water after using the probe b If the probe is dirty use soft cloth soaked with cleanser e g neutral soapsuds to clean it and then use the cloth soaked with water to remove the soapsuds C After cleaning wipe the probe with clean dry cloth 4 3 Installation Maintenance and Inspection 4 2 9 2 Sterilization a The probe should be sterilized with special liquid disinfectant It is recommended to use Glutaral solution or Benzalkonium Bromide solution The disinfectant solution should be formulated and used following their manufacturers product instruction b After sterilization remove the disinfectant solution on the p
119. the trackball control target is on the body mark use the trackball to shift the arrow and rotate Value knob to adjust angle of the arrow Up to 12 7 8 Annotation of Image Information directions can be adjusted for the arrow with a difference of 30 for two adjacent directions The operation of body mark can be implemented in frozen or unfrozen state Press T Ball key to switch the state When it is in Body Mark state press Enter key and all the default body marks of the current exam type will be displayed again Press BDYMK key again to clear the body mark on the screen 7 3 2 Format Only one body mark can be displayed on one image element and on every image element of B B or 4B 7 3 3 Displayed position There are 5 displayed positions for user s reference For B or M mode the displayed position can be bottom left middle bottom bottom right top right and top left corners while for multi image elements such as B M B B 4B it can be bottom left bottom right top right and top left corners While the body mark is being displayed its displayed position can be shifted by pressing P key directly 7 3 4 Application Type of system predefined body mark changes in accordance with different application Specified pictorial diagrams are shown below a Abdomen Body Marks 6 96 9o EC eet eg Y d jA Fig 7 2 Abdomen Body Marks 7 9 Annotation of Image Information b Cardiology Body Marks Wh ay f
120. ther prat max Ipi MPa 3 29 Information deq at max Ipi cm 0 259 Ipaa atma MI Win 242 88 Control 1 Power 100 100 100 100 Control 2 Operating 4 0cm 4 0cm 4 0cm 4 0cm Focal Depth Control Control 3 M Speed 1 25s 1 25s 1 25s 1 25s Conditions Control 4 5 0 5 0 5 0 5 0 Frequency MHz D 9 Acoustic Output Parameter Probe USLSOB B mode TIS TIB Non Scan Index Label MI TIC Scan j Aapn gt Non Scan Aap lcm j lem Global Maximum Index Value 0 641 0 242 0 688 Pra MPa 1 445 P mW 26 26 Min of Pa zs Ita a zs mW Zs cm Associated E Zbp cm Acoustic Zb Cem Parameters zat max Ipa cm 5 0 deq cm Saws MHz 5 087 5 087 5 087 Dimof X cm 1 17 Aaprt Y cm 0 60 ta Cus 0 466 Prr Hz 8000 Other pr at max Ipi MPa 3 479 Information deq at max Ipi cm Ipaa atmax MI Wien 61 670 Control 1 Power 100 100 100 Control 2 Operating 4 0cm 4 0cm 4 0cm Focal Depth Control Control 3 Scan Angle 50mm 50mm 50mm Conditions Control 4 5 0 5 0 5 0 Frequency MHz Probe V6L11B Acoustic Output Parameter M mode TIS TIB Non Scan Index Label MI TIC Scan Aap 7 Non Scan Aap S Lem j icm Global Maximum Index Value 0 875 0 125 0 156 0 141 Dra MPa 2 239 P mW 4
121. tion transfer between the local and the remote systems are enabled only after completing NetSetup Select NetSetup and press Enter The submenu of NetSetup will appear including three options Local Remote and Worklist See Fig 5 16 Local NetWork NetSetup Local Remote Worklist Fig 5 16 NetSetup Local Select Local and press Enter A setup dialog box will appear See Fig 5 16 Input the local IP address in the IP edit box e g 192 168 0 63 Input a name to identify the local system in the AE edit box e g TEST note input capital letters only and a port number e g 104 Press Enter to complete the Local setup Remote Select Remote and press Enter A setup dialog box will appear Input the IP address of the remote system that will be connected to the local system Input 5 24 System Setup an AE name of the remote system note capital letters only that corresponds to the IP address in the AE edit box Finally input the port number of the remote system the IP address the AE name and the port number can be found in Local of the remote system Press Enter to complete Remote setup c Worklist Select Worklist and Ppress Enter In the to pop up the dialog box set up in which IP AE and port of the wWorklist server can be set After setting select Query SCU from NetWork to call out the worklist of the Worklist server Select certain any patient data from item in the query result and the current patient
122. tkeys for certain functions Refer to Section 5 2 2 11 for operation Help info hotkey F7 press this key to prompt hel 3 Key p y p y to prompt help info press it again to exit i Alphanumeric E To input text or define any key as a certain function e Keys y key by system configuration Character delete key Backspace to delete 5 Key characters in front of the cursor in annotation state or delete traces drawn when using the trace method to measure the circumference area To shift between different items and different 6 tab Ke i inputs 7 Key Case Toggle Key Caps Lock 8 Key Annotation newline key Enter 9 Key Upper lower case of alphanumeric shift key Shift 10 Key Annotation Key Text to turn on off the free text annotation state 11 Key Clear key Clear to clear annotations and measurement results Annotation Key ANNOT to enter annotation 12 T Key state and open the common vocabulary menu to use the system preset annotations 3 8 Introduction to Component Parts 13 Space Key Space Key Space 14 B Key Biopsy guideline display key Guide used to toggle between on and off for displaying the biopsy guidelines While displaying a couple of parallel broken line from top to bottom are displayed on the screen as the biopsy guideline The distance between the two parallel lines is 1cm and the needle is located at the center of the two parallel lines The start positio
123. to obtain the value of D3 Now the volume value is displayed in the result area automatically b In 2B mode unfrozen state In 2B mode unfreeze state acquire the max longitudinal diameter plane of the measured object in one of the images plane R in Fig 8 4 Turn Disp knob to activate the other image window then acquire the max transversal diameter plane plane L in Fig 8 4 and then press Freeze key to freeze that image Press Meas key and select Biplane vol to enter the measurement screen of biplane volume A cursor shows up in the image area 1Volume 0 00cm3 1D1 0 00cm 1D2 0 00cm 1D3 0 00cm is displayed in the result area in four lines Use the trackball to place the cursor over the long axis start point of the max longitudinal diameter image plane R Follow Ellipse area to obtain the values of D1 and D2 namely the longitudinal diameter and the antero posterior diameter of the object Press Enter to confirm Ellipse area measurement and activate a new cursor Then follow the distance measurement to obtain the value of D3 on plane L Now the volume value is displayed in the result area automatically c 4B mode the measurement in 4B mode is the same as that in 2B mode Note It is recommended to use Biplane vol in 2B mode instead of B mode because a big error may occur when finding planes R and L from cineloop in B mode 8 20 Measurement and Calculation 8 3 3 3 Sphere vol Sphere vol is used in Obst
124. uded 1 set b Probe super broadband high density multi frequency convex probe 1 pc 3 1 2 Accessories a Power cable b Potential equalization conductor c Dust cover d Fuse Note The specific accessories are subject to the Packing List 3 1 3 Options 3 1 3 1 Probes a Linear probes b Convex probes c Micro convex probes 3 1 3 2 Storage Print and Record Devices a USB connection devices b Printer 3 1 3 3 DICOMS 0 port and software 3 1 3 4 UPS Uninterrupted Power Supply In some areas there may be sudden power cut due to power supply shortage causing system abrupt power off loss of data and thus affect system stability To avoid such situation it is recommended to connect a UPS device with its power consumption at 500 VA or above to the system 3 1 Introduction to Component Parts 3 1 3 5 Special system trolley 3 1 4 Connection to Peripheral Devices a Video printer VCR or large screen monitor can be connected to the main unit via a cable with a high frequency BNC plug b USB printer can be connected to the main unit via a USB port 3 2 Introduction to Component Parts 3 1 5 Outside Drawing of Main Unit Fig 3 1 Fig 3 1 Outside Drawing of Main Unit 3 3 Introduction to Component Parts 3 2 Introduction to Component Parts 3 2 1 Probe 3 2 1 1 The Outside Structure of Convex and Linear Probe The structure of the configurable convex and linear probe is shown in Fig 3 2 Cable C
125. up There are two methods available for opening the User Defined Gray_Curve Edit window shown in Fig 5 7 b Edit User Define B Gr Fig 5 7 Edit Screen of Gray Curve Press Menu to enter the system menu Move the trackball to highlight Image Setup and press Enter to display the submenu Image Setup Move the trackball or use Value knob to select User Defined Gray_Curve Edit Press Enter to pop up two options B Gray and M Gray If B Gray is selected press Enter again to go to Edit User Define B Gray Curve edit window Fig 5 7 then eight B gray curves are available for edit If M Gray is selected press Enter again to go to Edit User Define M Gray Curve edit window a screen similar to Fig 5 7 but the title is changed from Edit User Define B Gray Curve to Edit User Define M Gray Curve then eight M gray curves are available for edit Edit user defined gray curve After entering the edit window the current user defined gray curve will be displayed on top of the window The left of the window is the curve edit window On the right there are 12 buttons for selection including 8 curves User defined 1 User defined 8 and UnDo Reset Apply and Back The coordinates of the cursor in curve edit window are displayed at the bottom X for input and Y for output 1 Draw a curve Select a user defined curve from the right side Its default vale is that X equals to Y i e a straight line whose input equals to output Move
126. us 0 466 Prr Hz 8000 Other pr at max Ipi MPa 2 227 Information deq at max Ipi cm Ipaa atmax MI Wim 72 644 Control 1 Power 10096 10096 100 Control 2 Focal Operating 4 0cm 4 0cm 4 0cm Depth Control Control 3 Scan Angle 110 110 110 Conditions Control 4 5 0 5 0 5 0 Frequency MHz Acoustic Output Parameter Probe L7L38B M mode TIS TIB Non Scan Index Label MI TIC Scan Aap 7 Non Scan Aap S lem j icm Global Maximum Index Value 0 527 0 127 0 186 0 153 Dra MPa 1 363 P mW 4 0 4 0 4 0 Min of Pa zs Ita a zs mW Zs Cem Associated Zbp Cem Acoustic 2b Ccm 1 44 Parameters zat max Ip cm 1 60 deg Cem 0 250 Jawt MHz 6 683 6 683 6 683 6 683 Dim of X cm 0 84 0 84 Aaprt Y cm 0 4 0 4 ta Cus 0 340 Prr Hz 512 Other pr at max Ipi MPa 1 85 Information deq at max Ipi cm 0 408 Ipaa atma MI Wien 242 88 Control 1 Power 10096 100 100 100 Control 2 Operating 2 1cm 2 1cm 2 lcm 2 1cm Focal Depth Control Control 3 M Speed 1 25s 1 25s 1 25s 1 25s Conditions Control 4 7 5 7 5 7 5 7 5 Frequency MHz D 5 Probe L7L38B Acoustic Output Parameter B mode TIS TIB Non Scan Index Label MI TIC Scan j Aapn gt Non Scan Aap lcm j lem Global Maximum Index Value 0 865
127. use the trackball to select and store the desired images 9 3 2 Read Image Quickly In B 2B 4B B M or M mode if Memory is selected for Save Recall Mode in disk manager window freeze the image and press Recall key to open file list window Select the desired file and then press Enter key to read image quickly While recalling images the operation mode cannot be changed In this case measurement amp calculation as well as annotation can be made on the image the same as on a normal displayed image but all the relevant information will be cleared after finishing the recall process Press Esc to exit the recall state if Hard Disk is selected for Save Recall Mode in disk manager window press Recall key to read the latest saved files based on the setup path and file type Set up the default read path and file type in the Disk Manager window Press Recall again to read the previous file while pressing Enter to read the next file 9 4 Image Print Press Print key and the frozen image can be printed out via an external printer 9 4 Maintenance Troubleshooting Transport and Storage Chapter 10 Maintenance Troubleshooting Transport and Storage 10 1 System Maintenance Every time before operating the system the user should inspect the probe cable connector the probe cable the potential balance lead and the power cord carefully to check whether there is any separated sheath shedding or other signs of damage on them veri
128. vary Long diameter of right ovary A P R Ovary Antero posterior diameter of right ovary T R Ovary Transversal diameter of right ovary Vol Follicle1 Volume of Follicle1 Vol Follicle2 Volume of Follicle2 Vol Follicle3 Volume of Follicle3 Report Report 8 1 3 4 Obstetrics Calculation Obstetrics application includes five exam types early pregnancy basic OB complete OB fetal echo and multi gestations They have different calc menus In Table 8 8 items from the first one to Report or Biophy Profile are calc menus in B mode items from Report to Heart Rate are for M mode and the calc menus in B M mode combines all the above items 8 6 Measurement and Calculation Table 8 8 Obstetrics Calc Menu Menu Description 1 Trimester GS Gestational sac CRL Crown rump length Report Report Heart Rate Heart rate NT Nuchal Translucency Thickness BPD Biparietal Diameter HC Head Circumference AC Abdominal Circumference FL Femur Length Basic OB menu BPD Biparietal diameter HC Head circumference AC Abdominal circumference FL Femur length OFD Occipito frontal diameter TAD Trans abdominal diameter APD Antero posterior abdominal diameter Q1 Amniotic fluid index Q2 Amniotic fluid index Q3 Amniotic fluid index Q4 Amniotic fluid index Placenta Placenta thickness EFW Shepard Estimated fetal weight Shepard s method EFW Hadlock1 Estimated fetal weight Hadl
129. y 200703 Create time 01 17 07 11 01 29 Fig 9 2 File List The default file list is the file list preset in the directory of Disk Setup When the is highlighted press Space key to exit the file folder when the folder is highlighted press Space to enter the folder Use the trackball to select the desired files in Bmp Jpg Cin or Avi format Press Enter to open the file 9 2 3 Other Operation Select Other Operation and Disk Management window will be shown Select storage media such as Hard disk USB disk or CD drive Then select Write image Read image Search Copy Rename Create Dir or Delete If Write Image is selected the write type needs to be selected such as Bmp Jpg Cine or Avi Then select the folder 9 2 Cineloop Image Storage and Print press Space key to enter the desired folder and input the file name During the operation press T Ball to return to the previous selection area and select again Press ESC to exit the current operation page and quit the operation When recalling an image press ESC to exit to the frozen state before entering recall state Press Freeze to exit the image display and enter the unfrozen working mode before image recall Search an image by entering a matching file or folder name In the operation of copy a pasted directory cannot be the same as a copied directory 9 2 4 Disk Setup Select Disk Setup and the following window will be shown Operation obje

Siui CTS 7700 Digital Ultrasound User Manual

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