Vivid i Reference Notes
Contents
1. 23 May 2011 8 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Vivid q Probe Application Overview page 532 The Vivid q Probe Application Overview table on page 532 has been updated Below is the updated Vivid q overview table Vivid q Probe Application Overview Probe SH SUIN 59 59 59 59 59 51 59 501 59 18 59 16 59 11 Su or SH 9 59 98 59 989 59 19 59 219 59 16 9 59 12 Application 404 Aennoy ag 1e spunos Abdominal Abdominal ped Aorta lliac Breast Cardiac 4 4 Carotid 4 Contrast Abdominal Vascular Coronary Exercise Fetal Heart HFR High Frame Rate Intracardiac LEA 4 LEV e gp LV Contrast LVO Stress Muscle Skeleton Neo Head Nerves Obstetrics Pediatric 4 4 Pelvic Pharm Stress Renal Small parts Small Organs Superficial Transcranial Thyroid UEA UEV Vertebral Note Some of the above applications depend on the availability of certain options 23 May 2011 9 of 48 Direction 54022. 47 Multiple Interfacing option eeeeeeeeeeeeeeeeeeeeeee nennen nennen nennen nnnm nnn nanus nnn 47 Video Splitter 5 2 2 ete dag tae dd dtes He a p de Perdre date Ud ge a eg a 48 i ie 48 Physical damage to the power cable on the Vivid cart 48 23 May 2011 6 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Part 1 New Features and Functions This section discusses new features functions and probes which have been added to the system in this s w release Note This Release Note refers to probes that can be connected to the device Please note that some of these probes options or features are NOT available for sale in all countries New probe 3Sc RS A new probe 3Sc RS has been added for use with the Vivid i system and this addition should be read together with the user manual Phased Array Sector Probes table page 525 The Phased Array Sector probes table on page 525 of the manual has been updated to include the new 3Sc RS probe as follows 3Sc RS 2D mode Cardiology Frequency 1 5 3 6 MHz M Mode Coronary Foot print 18 4 x 23 7 mm Color Flow Transcranial CW Doppler Renal PW Doppler OB Pediatric heart Abdomen Fetal heart Neonatal Head Preset Neonatal head preset has been added to the
3. gs Smith Maria 778934567 291011927 a Hansen James 5443322111111 19 06 1920 Fig 3 5 Internal Ref BT11M3 124893 36 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 The list of devices does not show both lomega hard disk and a memory stick at the same time when doing Save As Description 1 Connect a USB memory stick and an lomega hard disk device to the system 2 Store an image 3 Use the trackball to point at the image and press the Update Menu button in order to save the image 4 Select Save As on the pop up menu 5 The device list will not display both of the devices It will either display the Memory Stick or the iOmega HDD device The first one that was connected will display while the second device to be connected will not display Workaround Remove one of the devices or connect them in proper order so that the first one connected will be recognized Internal Ref BT11M3 134470 DVD is not recognized as it should after exporting to MOD While exporting an exam to an MOD device refrain from disconnecting or re connecting the DVD device Doing so may sometimes lead to a state where the DVD device is inserted but not recognized by the system This may also lead to a state where the DVD is recognized by the system even though physically disconnected Internal Ref BT11M4 139456 EchoPAC PC Images with measurements imported from EchoPAC PC shrink in size No
4. 2 4 button to enter dual mode then freeze 3 Press Caliper and attempt to measure across from one half to the other Issue The caliper is blocked This will also occur with the Ellipse tool Workaround Turn off Virtual Convex to allow measurements across the screen Internal Ref BT10M4 129750 Fetal growth OB graphs Sometimes missing a caliper Description Use the OB measurement application Perform some OB measurements Press Worksheet Press the Graph softkey The Fetal growth graph is displayed 6 Acaliper representing the gestational age of the fetus appears on the graph Issue Sometimes the caliper representing the gestational age calculation is missing from the graph Workaround Use the numerical value representing the gestational age calculation which always appears on besides the graph Que cm Internal Ref BT11M4 141394 129864 AFI amp AutoEF AFI amp AutoEF packages Disabling of Auto EF measurements 23 May 2011 Caution Do not disable any sub measurement of AutoEF or AFI as this will disable the whole set of measurements Internal Ref 109290 31 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 AutoEF package Edge shift button is missing Tip When recalling a loop with trace or when processing the traced endocardial border and later pressing Recalc the Left right Edge shift buttons are missing Workaround To adjust
5. 6S RS probe as shown on Probe Application tables on pages 531 532 23 May 2011 7 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Vivid i Probe Application Overview page 531 The Vivid i Probe Application Overview table on page 531 has been updated to include the 3Sc RS probe Below is the updated Vivid i overview table Vivid i Probe Application Overview Probe SU SE Su oSe SU SS SH S9 SU SZ 59 501 SH 18 SH 16 SH YL SH Or SH 9 SH 98 SH 093 SH L9 SH 219 SH L6 9 SH TZzH 48 Application 404 ag Jejspunos Abdominal Abdominal ped Aorta lliac Breast Cardiac 4 4 4 Carotid 4 el Contrast Abdominal Vascular Coronary 4 4 4 4 Exercise Fetal Heart 4 HFR High Frame f Rate Intracardiac LEA LEV LV Contrast LVO Stress Muscle Skeleton Neo Head Nerves Obstetrics Pediatric 4 Pelvic Pharm Stress Renal Small parts Small Organs Superficial Transcranial Thyroid UEA UEV Vertebral Note Some of the above applications depend on the availability of certain options
6. Alt X to toggle internal amp external monitor settings 23 May 2011 When connecting the Vivid i q system to an external display the image brightness may not be optimal because it is adjusted for the internal LCD display of the Vivid i q system When attempting to optimize the image settings on the external monitor press alt X This will allow you to optimize Contrast Brightness and blue tint to suit the particular external display without losing the prior adjustment for the internal display When optimized for the external display the internal display might not be optimized If you wish to use the internal display press alt X once again to recall the prior settings of the internal display From now on toggling alt X will alternate between the optimal setting for the internal display and the external display 16 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Part 2 User Manual corrections and Errata AC Adapter Label Changed Pages 23 and 55 The AC Adapter label shown on Figure 1 2 page 23 and on Figure 2 1 page 55 has been revised The updated revision is shown below Fig 2 1 AC Adapter Rating Label 23 May 2011 17 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Thermal index display configuration page 26 It is possible to configure the system and each of its presets to display any of the three thermal index categories TIS TIB or TIC Press Confi
7. default report templates are empty after restoring user template from EchoPAC PC 45 lip M 45 DVD device dete ctlon icit emitti sedo d de er uae d dep Lo dude de tdeo dada d e darin 45 Media corruption as result of AC power failure esses 45 Misleading message for corrupted media following power fail sse 45 No message appears if power is interrupted while exporting to a DVD media 46 Peripherals iren nni a eiii E niic Koo OO OEC EO XA EA Fa a dad 46 Printer is not working after temporary AC power 46 Disconnection of 46 Message Media was ejected improperly appear after inserting a USB Flash 46 CartoSound de cu ene ik rr Svo FE TERR na Saanaa 47 Long boot up time while system is used with Carto sssssssssssseseseeeeeenenneen nnn 47 ccn 47 Help screen is not updated after exiting from Screen Saver essere 47 System ds RS aec eni Vine Td aa ee aa aa Aaaa REO FE EUR UA FG PNE CHE 47 Assigning the Flex key to left right steering
8. or flash drive while a self contained DICOM viewer is embedded on the same media Placing the media in any PC will automatically startup the DICOM viewer to allow users to view images and loops contained in the exams available on that media There is no need to perform any installation on the viewing PC station as the DICOM viewer is totally self contained on the inserted media Minimal requirements for the Viewing PC are Windows 2000 or higher Win XP Pro Win Vista or Win 7 32 64 The self contained DICOM viewer is an off the shelf product named EZ DICOM CD Viewer produced by SST Group Inc see www sstgroup inc com The self contained DICOM viewer contains a built in quick help user manual Read this manual to learn more about the different functions of the viewer Translations of the user manual to different languages are available to the user The User Interface may be set to a different language using a special language icon the EZ DICOM CD Viewer Configuring the EZ DICOM CD Viewer 23 May 2011 The user can configure the system to enable or disable the embedding of the DICOM viewer on the media 1 Make sure the DICOM Viewer option is installed 2 Press Config 3 Press Connectivity tab 4 Under the Dataflow tab in the Name combo box field select DICOM CD DVD or DICOM Memstick as shown in Fig 1 1 14 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 CONNECTIVITY D
9. 0 20 Curved Array probe page 528 den e ele nu c a bei eo Rn dba 21 AutoEF Measurements page 296 creian enre a a 22 Printing a report with the Ink saving feature page 484 ne 22 AC DG Boxcwarm ine sa 23 User defined measurements Add measurement window is missing see User manual page 348 puni p M in MAN D uM NEM Li UE Un LM eL I 23 Part 3 Important Information tips and workaround ees 24 TUFNING System Onis Off n 24 Removing USB devices while in standby mode sse 24 Boot up and turn off may sometimes take longer than expected 24 The logon screen pops up before the application screen 24 23 May 2011 3 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 llc 24 EGGitrace on x Al a eli a ad 24 Imaging ETTITA TTET TTIE 24 2D Imaging 255 e Ire IU IL deducts EI M Bue Iri ceseadecsestuckes 24 Clear vessel CLR icon is often active when probe is held in 24 Lower focus markers disappears when lowere
10. 00 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Patient search in Archive can not be made by age It is not possible to search for patients via the Age field as this field is inactive Workaround Perform patient search by Date of Birth field instead of searching via the Age field For further explanation read the User manual in the Archiving chapter under the Advanced Search section Internal Ref 110877 Images generated with the 9L RS probe are cropped in Review screen Use the 9L RS linear probe with virtual convex turned on Store some images and activate the Review screen The images on display are cropped to the point where the scale bar is not visible Note This only happens when virtual convex is turned on Workaround Turn off the Virtual convex function before storing images for review Internal Ref BT10M4 128920 When Exporting to Excel Patient s age is rounded up When the patient s next birthday is less than 182 days away the patient s reported age is rounded up For example patient is 12 years and 7 months old the system will indicate an age of 12 years but the exported Excel file will display an age of 13 Internal Ref BT10M4 122659 Cannot assign a printer to Print patients soft button Description 1 Use the Config Tab to configure the printer to be a different one from the factory default printer 2 Press Patients and go to Patient Li
11. 226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Maximum probe temperature page 534 The Maximum probe temperature table on page 534 has been updated to include 3Sc RS probe Probe Max Temp 3S RS 38 2 3Sc RS 41 3 M4S RS 40 6 5S RS 34 9 6S RS 38 9 7S RS 35 4 10S RS 40 9 8L RS 40 8 9L RS 40 4 12L RS 37 5 4C RS 40 3 3C RS 39 2 8C RS 38 6 E8C RS 40 7 6T RS 41 8 6Tc RS 42 7 9T RS 39 8 P2D RS 34 1 P6D RS 33 3 i12L RS 40 4 AcuNav 10F 41 8 AcuNav 8F 41 5 SoundStar 3D 41 8 23 May 2011 10 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Probe immersion levels page 551 The Probe immersion levels in Figure 11 5 on page 551 have been updated as follows 3ScRS 3S RS M4S RS 8L RS L 3949 3C RS 12L RS 63 85 JN 7S RS 108 Rs i12L RS 1 Fluid level 2 Contact face with patient environment Figure 11 5 Probe immersion levels 23 May 2011 11 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 CTO and ATO operation updates General Modification to CTO This release adds the possibility of activating the existing CTO Continuous Tissue Optimization and existing ATO Automatic Tissue Optimization simultaneously in 2D live mode Gain rotary description page 75 Controls Description Gain Rotary Rotational control of the total gai
12. 24798 Transfer to a DICOM Server may become very slow while system is scanning 23 May 2011 Note When the system is configured to Direct Store to a DICOM Server the data transfer rate may become very slow and images are held up in the spooler for a long time This happens only when the system is configured to include the DICOM header and while system is in scanning mode 40 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Workaround There are two options to increase transfer rate 1 Reconfigure system to exclude sending the DICOM header 2 Freeze the scanning for a while As a result the data transfer rate will increase to a high speed allowing the release of data accumulated in the spooler Internal Ref BT10M4 129973 DICOM server configuration only one IP address can be stored Description Go to Config Connectivity tab and select the Dataflow tab Select DICOM Storage and press on Properties Click the IP Address drop down box Click on Modify Insert several different servers with different IP s Open the IP address drop down box in the DICOM properties screen Only one of the servers inserted is saved all other servers are deleted Internal Ref BT11M4 141145 m No free space message appears after DICOM export MPEGVue Description After exporting a large number of images to a DICOM server the system may display an error
13. Edge shift re calculates AutoEF from the beginning Internal Ref 112475 118928 Auto EF measurements on EchoPAC PC worksheet Note On EchoPAC PC version 7 0 0 or prior all Auto EF measurements displayed on EPPC s worksheet are under Generic worksheet Internal Ref 112706 AutoEF processed image seems slow Note The AutoEF processed image runs slower than the original speed of the heart rate In order to see the loop in correct playback speed exit AutoEF Internal Ref 113390 AutoEF and AFI in stress exam Caution Avoid using the AutoEF or AFI measurements from within the Protocol study Internal Ref 114779 Edge detection on inverted images Caution If the image is L R inverted rotate the image back to a standard non inverted view before adjusting the edge detection control otherwise the trace may be inaccurate Internal Ref 113447 AutoEF ToolTip User language needs to be configured twice Description Configure the User language as follows 1 Open System Settings Soft Menu 2 Change Language for the first time 3 Re boot the system 4 Check the Language Issue The previous language appears instead of the newly selected language Workaround Repeat steps 1 4 above a second time and restart the system This time the new language will appear Internal Ref BT10 124639 AFI package Deleting measurements from worksheet Caution Do not delete individual AutoEF measuremen
14. Issue The measurements will disappear and will not re appear when setting the Frame soft key control to its original position Workaround Retrieve the same image from clipboard to view the original measurements Internal Ref BT10M4 124516 Russian characters are not supported on the Image Vault 5 0 server Description 1 Configure your system to use Russian language 2 Create a new patient and export the exam to the Image Vault DICOM server 3 View the patient in the Image Vault server Issue The Last field appears correct in Russian but Patient ID and First Workaround Use Latin characters in this situation Internal Ref BT10M4 129735 On the Patient List the last Name text may mix with the First Name to become partially unreadable 23 May 2011 Description On the Patient List screen if the Last Name column is too narrow or the last name is too long the text may over write and mix with the text of the first name to become unreadable See item 1 in Fig 3 5 Workaround Widen the Last Name column as follows 1 Place trackball pointer over border item 2 Fig 3 5 and widen the column 2 Re select the Patient List to clarify the text IMPORT PATIENT CD DVD Archive Last Name Patient ID First Name Birthdate Sex fernale Patient List Last Name Fii st Name Patient ID Birthdate Exa g Smith Chestertield 1234567 16 07 1938 Doe Jane 33445566 12074936
15. Message Media was ejected improperly appear after inserting a USB Flash card 23 May 2011 Description Connect a USB flash card memory stick to the system The following message appears Media was ejected improperly This message is wrong because media was inserted rather than ejected Workaround Disregard this message Internal Ref BT10M4 130145 46 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 CartoSound operation Clarification The CartoSound is an imaging module which is a sub system of the Carto XP system and the Carto 3 system The Vivid i q system can currently interface to both Carto XP Carto 3 systems Long boot up time while system is used with Carto General Description 1 Set Carto Interface to be the default dataflow 2 Turn the Vivid i q system to full shutdown and turn it on again 3 The boot up time is long about 3 minutes and there is no progress message Internal Ref BT10M4 129632 Help screen is not updated after exiting from Screen Saver Description 1 Activate Help 2 Leave the system for more than 15 minutes The Screen Saver will activate 3 Move the trackball to cancel Screen Saver Issue The Help window is displayed partly empty Workaround Move the trackball to refresh the Help screen so it appears correctly Internal Ref BT11M4 139280 System Configuration Assigning the Flex key to lef
16. Vivid i q Release Note Ver 11 2 0 b 40 GE Medical Systems Technical Publications Direction 5402226 100 Rev 3 Vivid i Vivid g Release Notes DOC ID DOC0761462 Ver 11 2 0 b 40 Operating Documentation Copyright 2011 By General Electric Co Regulatory Requirement This product complies with regulatory requirements of the following European Directive 93 42 EEC concerning medical devices This manual is a reference for the Vivid i q It applies to version 11 2 0 b 40 software for the Vivid i q ultrasound system 23 May 2011 1 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Revision History Table 1 Reason for Change REV DATE REASON FOR CHANGE 1 21 Oct 2010 First release 2 24 Feb 2011 New Features and Functions section was added to include new probe 3Sc RS 3 23 May 2011 All updates for M4 were added Please verify that you are using the latest revision of this document Information pertaining to this document is maintained on GPC GE Medical Systems Global Product Configuration If you need to know the latest revision contact your distributor local GE Sales Representative or in the USA call the GE Ultrasound Clinical Answer Center at 1 800 682 5327 or 1 262 524 5698 ATTENTION VIVID i q USERS This document contains information concerning the use of your Vivid i q ultrasound system Precautions and instruc
17. ains many large areas with black background When printing to an ink jet printer these black areas utilize a lot of ink and take longer to print The report may be configured to eliminate these large black background areas while printing To configure the Ink saving feature 1 Press CONFIG and select the Report Template tab The tab shown below will appear replace Figure 10 27 in the manual 2 Set the Transparent background checkmark All reports generated from now on will be printed with the Ink saving feature showing images with white background REPORT LOOKUP VALUES Templates Available Templates zi B Predefined templates Cardiac General Imaging Images Small Parts Obstetrics and Gynecology Vascular mport Templates Export Templates v Transparent background Imaging Fig 2 3 22 of 48 Report Template Menu Section Cardiac Adult Complete Adult Medium Adult Valves ation Complet s Bulls Eye Pediatric Complete 4 Images 1p 10 Images 2p mE Service Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 AC DC Box warming A CAUTION When using the Vivid I q with a standalone AC DC adapter please be sure to place the AC DC adapter in an open area to allow ample cooling Any covers might cause over heating and cause the adapter to malfunction Internal Ref BT11 140835 User defined measureme
18. ataflow Additional Outputs Tools Formats Tcpip Dataflow Name DICOM CD DVD Direct search AlI patients Available input ouputs Properties Imaging Meas Text Report Connectivity System About Admin Service Fig 1 1 Select DICOM CD DVD 5 Select DICOM CD DVD output in the Selected devices pane as shown below 6 Click the Properties button The DICOM Media Properties window will appear Place a checkmark besides Dicom media viewer See Fig 1 2 in order to include the DICOM viewer in the output media 23 May 2011 15 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Dicom Media properties IP address Name DICOM CD DVD Location 127 0 0 1 CDRW Type R W Dicom media viewer Image Settings Allow Raw Data v Allow Multiframe Max Framerate 25 Jpeg Quality zz 95 Dicom SR Settings vi Allow SR Allow SR Private Data Signed Doppler Velocities Fig 1 2 DICOM media properties DICOM Structured Reporting SR protocol corrections Description When using the Vivid i q with software release 10 3 0 b 114 upon transferring exams containing DICOM SR results the SR data is not always received at the DICOM server Occasionally when transferring an exam all of the DICOM SR fields at the DICOM server remain empty Solution The current release assures proper transfers of all DICOM SR fields to the DICOM server Internal Ref BT11M4 139161 Using
19. ation or body marks at particular locations on the images 2 Store these images and export them to MPEGVue format Review the MPEGVue images on an external viewer 4 Someofthe text or body mark annotations will not appear at their original locations as stored on the system e Internal Ref BT11M3 135288 Image shifts out of video area when MPEGVue player window is being dragged Description 1 Start the MPEGVue player on a PC 2 Resize the window so it will not occupy a full screen 3 Move the window around the screen Issue The image is sometimes shifted away from the video area and is partly hidden This issue seems to be related to a limitation of the particular PC hardware used In most cases this does not occur Workaround Click the desired image in the image list The image will appear correctly Internal Ref BT11M4 139668 Stress Protocol Using the Smart Stress feature When using the stress protocol in case the selected template has the option Smart Stress turned on it is required to turn off the Smart Depth option in your application preset This requirement is important in order to assure that those scanning parameters defined in the baseline will be correctly duplicated in the corresponding views of the next level Please do the following 1 Prepare your own special preset where the Smart Depth feature is turned OFF 2 Be sure to use this special preset whenever int
20. be with Carotid preset Press Config gt Meas text gt Advanced tab On the upper pane scroll down to locate Start M amp A on Freeze PW and set it ON this step is optional Select Config gt Meas text gt Modify calc tab click on Generic and flag the parameters PS ED and RI Click Save Select Carotid under Generic and flag the parameters PS ED and RI Click Save Exit Config Activate PW mode press Freeze Activate the M amp A menu if it does not appear automatically Select Generic then select Point then click on Auto and on Frozen Tabs Click Modify Calcs button just below it View the checkmarks to see if they appear where needed change if necessary On upper part of window select above and max tabs as required Click Save As default located at the bottom of this window If you need to see the trace repeat step 8 above but select Trace instead of Point On the M amp A menu select Carotid and repeat steps 8 through 12 above 30 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 14 Re boot the system 15 Some settings defined above are lost The system will be set on Manual and OFF and it is required to repeat steps 8 through 13 above to set it to Auto and Frozen again Internal Ref BT10 80485 When using Virtual convex in dual screen mode the calipers do not go across Description 1 Use a linear probe and activate Virtual Convex 2 Press the 1
21. become very narrow Description 1 Activate HiRes Zoom while using any linear probe 2 Store an image 3 Restore the same image from the clipboard 23 May 2011 25 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 4 Press Zoom 5 Use the trackball to move the zoom area towards one of the edges of the image Issue The actual zoom area might sometimes lose proper control and become very narrow Workaround Exit from Zoom Internal Ref BT11M4 140700 Color Mode Color intermittently appears outside ROI borders Description 1 Use a linear probe with Virtual convex setting in color mode 2 Activate Zoom 3 Decrease Zoom ROI size and move it sideways to extreme positions Issue Color may appear outside the color ROI borders and sometimes the scale may appear across the image Workaround 1 Reduce the color ROI size or 2 Increase zoom ROI size to decrease the zoom factor Internal Ref BT11M4 137644 PW CW Imaging Sound in Doppler mode Note On rare occasions the Doppler sound disappears If this occurs move the Doppler gate slightly in any direction to make the sound audible Internal Ref 100670 Thin vertical strips in PW Doppler at shallow depth using the 12L RS probe 23 May 2011 Note When applying the superficial preset to the 12L RS while using it in PW Duplex or triplex modes thin black vertical strips may appear as shown in image below Fig 3 1 This
22. by the Society for Vascular Medicine Copyright 2008 by the American Society of Echocardiography Of special interest is the potential inaccuracy that may occur with over gained images as mentioned in the above article Table 6 page 7 NOTE The user must ensure that the display is correctly adjusted see page 90 of User Manual If the display is set too dark the user might compensate by adding too much 2D gain which might lead to over gained images The effect of an over gained image is that the IMT interfaces are slightly thickened As a result the automatic IMT tracing may under estimate the IMT thickness 19 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Routine Disinfection Procedures add this table to page 640 What When How Materials Who Keyboard and Weekly Switch the system Use a 70 30 Staff Trackball In event of off mixture of users doctors contamination Disinfectant with a ISopropyl clean immediately 70 30 mixture of alcohol and with a 70 30 isopropyl alcohol water mixture of and water isopropyl alcohol Never allow liquid and water to flow into the keyboard Monitor Weekly Clean with dry soft Soft lint free Staff display In event of lint free cloth cloth users doctors surface contamination When Disinfect with a clean immediately contaminated with 70 30 mixture of with a 70 30 blood or other isopropyl mixture of stains secretions alcohol and iso
23. d to the far 25 The Wide aperture focus marker changes its shape when image is exported to EchoPAC PC 25 CTO operation in M mode on linear probes ssssssssseseseeeeeneeren nennen nennen 25 Reviewing images with active on EChoPAC ssssssssssssssssseeeeeeennenn nnne enne 25 ATO while in M mode only the 2D display is optimized the MM remains unchanged 25 Vertical scale is missing while in dual screen ccceeeeececeeeee cee eeeaeeeeeeeeceaeeesaaeseeneeseaeeesaeeesaeseenees 25 Zoom area may become very ssssssssssseeeeeeeeene eene ener nnns 25 Color Mode e 26 Color intermittently appears outside ROI 26 PW CW IMAGING nM 26 nnno rena 26 Thin vertical strips in PW Doppler at shallow depth using the 12L RS 26 HI audio volume in CW causes Doppler artifacts ssessssseseeeee enn 27 Changing CW baseline is not reconstructed while scrolling back to review the CW spectrum 27 Abnormal Doppler Trace CW mode ssssssssssss
24. e 32 Edge detection on inverted images sssssssessseeneenenen eene nennen nnne enne 32 AutoEF ToolTip User language needs to be configured twice 32 PARI ie ee o E 32 Deleting measurements from 32 AFI bull s eye with PSI map is stored as PSS map sse 33 23 May 2011 4 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 AFI Worksheet To maintain consistency deleting individual measurements is not recommended 33 P nre M 33 Q Analysis screen becomes black after ejecting a USB device at the end of an export operation 33 Pici Me 34 Annotation and bodymark do not always maintain their original geometrical location 34 Archive amp Connectivity sitios a UE CD DA CRDI MR AUA EE DR DR ERROR E EUR 34 Worklist patient nennen nennen nnns nnns enne inns 34 Spl scree revieW nt oso tuc boe Dea eate Aula tte backed be teen 34 On some menus the Excel Export and Delete soft keys appear but are not operational 34 Patient search in Archive can not be mad
25. e by 35 Images generated with the 9L RS probe are cropped in Review screen 35 When Exporting to Excel Patient s age is rounded 35 Cannot assign a printer to Print patients soft button 35 Wrong message appears if power is interrupted while doing Disk Management 35 Measurements may disappear while viewing a stored 36 Russian characters are not supported on the Image Vault 5 0 36 On the Patient List the last Name text may mix with the First Name to become partially unreadable e EE EU 36 The list of devices does not show both lomega hard disk and a memory stick at the same time when P mE 37 DVD is not recognized as it should after exporting to 37 EGHOPAG lc 37 Images with measurements imported from EchoPAC PC shrink in 2 37 Sending images generated by Virtual Convex or Compound to EchoPAQC 37 Loops of images generated using virtual convex and compound modes under some conditio
26. ed VGA Splitter 5390022 H45031SD Note Installation of Carto 3 and the needed VGA splitter to connect to the Vivid i q shall be performed by the BWI Biosense Webster Inc field engineer according to the BWI manual and instructions Warning To avoid possible electrical shock to user or patient the Vivid i q should be connected to Carto3 only by using Isolated VGA Splitter Details for multiple interfacing are described in the following manuals 1 The CardioLab User s manual Installation Instructions Mac Lab CardioLab Centricity Cardiology INW Installation Vol 2 of 2 Version 6 8 1 or higher 2027332 107 Revision Dx7 or higher 2 The Carto XP version 10 Instructions For Use Manual Instructions for Use for the CARTOGXP System 2010 V10 3 The Carto 3 Instructions For Use Manual Instructions For Use for the CARTO 3 System 2010 P N UG 5400 00 06B 03 February 2010 Physical damage to the power cable on the Vivid cart 23 May 2011 Caution When pushing the cart of Vivid i q and the rear of the cart bumps into the wall excessive force may be applied to the power cable connector This may damage the connector Workaround 1 Avoid pushing the cart into the wall 2 Inspect the strain relief occasionally for any physical damage and call your GE service representative in case of visible damage Internal Ref 118583 48 of 48 Direction 5402226 100 Rev 3
27. ending to perform a stress exam which is using the Smart Stress feature Internal Ref 118289 Smart Stress is not working when Q Stress flag is turned ON 23 May 2011 Description 1 Operate the Vivid i q system in Stress Exercise mode select 2x4 template 2 Go to the template editor amp set the QStress Acq flag ON Issue The smart stress feature does not operate as defined even though the flag remains set On It operates as the regular Stress package Internal Ref BT10M4 130951 42 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 While in stress protocol and zoom is active parameters are missing in the soft menu window Description 1 Enter protocol Use pharmacological 4 4 template 2 Acquire some images and activate zoom 3 Use soft menu rocker switch to open the soft menu on the right 4 The last two items on the bottom of the soft menu window and Diff are hidden by other text on the screen Workaround Exit from Zoom in order to access these hidden controls Internal Ref BT11M3 135422 Physiological Unit Quick disconnect and re connect of the External Respiratory Interface Both respiratory and ECG signals become flat lines Description 1 Use asystem with respiratory option Connect an ECG cable Press Physio Press Int Resp soft key Notice the respiratory and ECG signals are both functioning Connect an External R
28. espiratory Interface unit to USB port of the system The external respiratory signal is displayed and functional Disconnect and quickly re connect the External Respiratory Interface Both respiratory and ECG signals become flat lines In addition cine frame numbers display a wrong value such as 1854 1854 21411805184s Workaround Press Freeze Un freeze or press the 2D button The signals should become functional again NOOO fF W Internal Ref BT11M3 136344 Noisy External ECG when activating Internal Respiratory The following occurs on some systems equipped with the Respiratory option Description Hook up the system to an external ECG monitor using the External ECG cable Verify proper ECG operation Issue Activate the display of the Internal Respiratory trace the ECG signal becomes noisy De activate the display of the Internal Respiratory trace the ECG signal returns to a proper signal Workaround When using External ECG always turn off the display of the internal respiratory signal This does not impose any limitation because there is no way to operate both external ECG and internal ECG based respiratory signal at the same time because they share a common connector 23 May 2011 43 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Reporting Report template in Russian may contain some garbled letters Issue When setting system to use Russian the reports will accept info
29. g then select Imaging tab and then Application tab The Thermal Index display selection is shown in the area marked by the yellow ellipsel This configuration will remain as long as the preset is not changed Press Save to save the required setting to the currently used preset Note Factory presets can not be modified IMAGING AND ANALYSIS Global Application Application Menu Se for Card_V appli Image Sto Settings Templates amp packages Single frame live store Numbe Auto eeze after fitch functionality n press 2D Left No Function Keep cursor n changing mode Middle No Function Stay in cursor when cursor is active Sort application list on exam category Right No Function New Flex Key Functionality plication d Delete efaults Functionality No Function Save image appl settings Save Service Imaging Meas Text Report Connectivity System Admin Fig 2 2 23 May 2011 18 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Tips for IMT measurements Add to User Manual page 309 23 May 2011 NOTE It is recommended to become familiar with the following article by the ASE discussing different aspects of IMT measurements ASE CONSENSUS STATEMENT Use of Carotid Ultrasound to Identify Subclinical Vascular Disease and Evaluate Cardiovascular Disease Risk A Consensus Statement from the American Society of Echocardiography Carotid Intima Media Thickness Task Force Endorsed
30. h Compound and Virtual Convex modes are turned on 3 Do not create a New Patient and store some images 4 When reviewing these images on the EchoPAC PC the images are corrupted and may not be used for diagnostics Workaround Always create a patient before storing any images when working in Remote Remote dataflow Internal Ref BT10 125241 Some configuration settings made on the EchoPAC PC can not be transferred to the Vivid i q system 23 May 2011 Description When performing customized annotation on the EchoPAC PC version BT10 or earlier or when marking anonymous patient on the Global Application tab these settings cannot be transferred to the Vivid i q system Sequence 1 Use the EPPC to create some user defined system configurations Produce some custom annotations and mark anonymous patient flag in Global Application tab 2 Back up system configuration to CD DVD 3 Place the CD DVD into the Vivid i q drive and perform restore from the CD DVD You may find that any user defined annotations and anonymous patient mark have not been restored Internal Ref BT11M3 135261 38 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 DICOM DICOM SR measurements Comprehensive list NOTE For a comprehensive table of DICOM SR measurements please refer to the relevant Conformance Statement document located on the following GE Healthcare WEB site Locate the following files w
31. h other and the user may adjust each one separately When an image is in freeze or loop replay mode pressing the 2D rotary knob will activate ATO and not CTO At any time the user may produce a user preset where the Tissue Opt control is positioned on any one of the settings ATO CTO or ATO CTO Some factory settings are defaulted to CTO while others are defaulted to ATO When CTO is initially activated it disregards the current position of the TGC sliders and current setting of 2D Gain Based on its algorithm the CTO function will generate an optimized TGC curve and 2D gain setting While CTO is ON the operator may adjust all controls such as 2D Gain TGC sliders and any other controls for adjusting 2D image quality and get the expected result on the image Any changes of 2D Gain or TGC sliders will be maintained as long as CTO remains ON and preset is not changed For example if the operator prefers a brighter image and decides to raise the 2D Gain control manually of 5 units the CTO will continue to balance the image from that point on with a higher 2D Gain setting offset by 5 units as long as the preset is not reloaded or changed Another example if the operator wishes to improve the uniformity of the image by offsetting TGC slider number 4 this offset will continue to remain in effect for all additional scanning as long as CTO is maintained ON If CTO is turned off and then is re activated previous corrections of TGC sl
32. he following fields are not included in the exported exam e Address e Phone e EchoLab e B P blood pressure e e Counter e Comments field Note These fields remain intact in the system Archiving database and will always export correctly when using the raw data export dataflow Internal Ref 118665 Some images cannot be played as cine loops when exporting to DICOM server The following is a description of the sequence which causes loops that were acquired during stress protocol to appear as still frames on the DICOM viewer Description of issue Enter stress protocol exam and store some loops Pause and exit from the stress protocol by pressing Proto In out soft key button Scan and store some images in CW or PW mode Remain in CW or PW mode Re enter stress protocol by pressing Protocol and Begin Continue soft key button Continue to store the rest of the loops defined by the stress protocol and complete the stress protocol exam Export the stress exam to a PACS or DICOM server 8 Problem All of the loops stored after the re entry step 5 will appear as still frames instead of running loops Workaround After step 4 above press the 2D button in order to scan in 2D mode Now press the Proto In out soft key button to re enter the stress protocol This will assure that the rest of the stored loops will later appear as running loops on the DICOM viewer c mm Internal Ref 115008 1
33. hich are relevant for this software release Vivid i version 11 DOC0821435 Rev 1 Vivid q version 11 DOC0821436 Rev 1 DICOM SR measurements Private tags It is possible to configure the DICOM output to block exporting measurements with SR private tags Fig 3 6 Note When exporting while the marked flag is removed there may be some measurements with SR private tags that are not blocked from being sent out of the system Workaround Configure your DICOM viewer to avoid processing any measurements with SR private tags Dicom Media properties IP address Name DICOM MOD 5 25 Location 127 0 0 14 00525 TU Type R Allow Raw Data v Allow Multiframe um Max Framerate 25 Compression Jpeg Quality 2 59 v Allow SR Allow SR Private Data Signed Doppler Velocities Cancel Fig 3 6 Internal Ref 134616 23 May 2011 39 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Exam data on DICOM transfer Note If two exams are done on the same day and one of the images from first exam is transferred to a DICOM server using Alt Print the image is transferred to the DICOM server with the exam info of the second exam i e accession number study ID etc This happens only if the two exams are done on the same day Internal Ref 13178219 112052 When exams are exported to DICOM CD or DVD some fields are not supported Caution When exporting an exam to a DICOM CD or DVD t
34. ice at the end of an export operation 23 May 2011 Description Retrieve TVI loop Enter QA and place a sample area on 2D area In plot area press update menu Select Export traces from menu Or select Save As Select location as USB Flash Card Fill in file name and press Save Press AIt E to eject the device Wait for the message the media can be safely removed Remove media At this point the Q analysis screen turns black Any added information like sample area regions and resulting traces are lost after export or save as if not stored to clipboard Workaround Retrieve the loop from clipboard back to the Q Analysis screen and redefine the sample area regions o ON Internal Ref BT10M4 121266 33 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Annotation Annotation and bodymark do not always maintain their original geometrical location Description Scenario 1 1 Store some images with different annotation and bodymarks 2 End the exam and export it to any media 3 Import the exam back to your system 4 Retrieve images from the exams Description Scenario 2 1 Use Remote Remote dataflow and store some images with different annotation and bodymarks to an EchoPAC version BT 09 2 Use the EchoPAC to retrieve images from the exams Description Scenario 3 1 Store some images with different annotation and body
35. iders will not be maintained The CTO user interface and algorithm operate in a similar way when used with the different types of probes such as Phased Linear and Curved arrays and when applied to all system presets and diagnostic indications 13 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Note When investigating anatomical structures of very low echogenicity the user may turn off CTO in order to assure the visualization of all reflected echoes even if obscured by surrounding noise Modification to AFI Automated Function Imaging and AutoEF A minor modification has been made to improve ease of using these features and to save user time Previously the user had to drag a point from the center of the screen to the spots they wanted to mark on the image With this modification the point will display near each of the 3 locations and the user will do a final adjustment and approve the positions The intention is to save the user time by not having to drag the point across the screen Self contained DICOM Viewer Implementation of EZ DICOM CD Viewer This addition is a simple viewer that can be burned to a CD along with selected images for reference This viewer is NOT intended to be a diagnostic tool and is meant only to be used for reference Details of EZ DICOM CD Viewer When the Vivid i q system includes the EZ DICOM CD Viewer option it allows users to export exams to media such as CD DVD MOD
36. in their position after export to MPEGvue 42 Image shifts out of video area when MPEGVue player window is being dragged 42 23 May 2011 5 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 SIFESS 1 d Fal T 42 Using the Smart Stress 42 Smart Stress is not working when Q Stress flag is turned ON 42 While in stress protocol and zoom is active parameters are missing in the soft menu window 43 Physiological UNM m 43 Quick disconnect and re connect of the External Respiratory Interface Both respiratory and ECG signals become flat lines icc tede dc tdg e dale ca ded dau da ig ede 43 Noisy External ECG when activating Internal 43 E a a a 44 Report template in Russian may contain some garbled 44 Fetus number is not transferred to report correctly sse nennen 44 Report ink saving background does not function on an image having stored measurements 44 BSA is displayed with question mark in Report after export import to from EchoPAC PC 9 44 All
37. ivity button to improve the tracing In instances where two traces are made on the same spectrum the Sensitivity button will only affect the first trace 23 May 2011 27 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Fig 3 2 Internal Ref BT11M3 132127 23 May 2011 28 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Doppler noise appearing as vertical lines while using Triplex mode with the 9L RS probe Description While using the 9L RS probe in simultaneous triplex mode to image peripheral blood vessels occasional intermittent vertical noisy lines may appear See image below 1 Workaround Moving the Doppler gate or changing its size may eliminate this artifact 2 To eliminate this artifact set the Doppler frequency and Color frequency to the same frequency value SLRS Mi 1 0 ADM LEAHHL Tis 0 8 16 03 11 16 40 33 COTTI 7 HTTITTTLTLLTLLTTELETLTITTTTTIT LETTTLLLTLLLLLLLLLLLLETTTTTTTERRITO THT iil LEE E 3 Fig 3 3 Internal Ref BT11M4 141304 2D amp color imaging noise with AcuNav 10F catheter Note Strong environmental electric noise produced by other nearby equipment may sometimes be picked up by the system when using the AcuNav catheter The environmental noise may cause interferences that may appear in the center area of the sector as sho
38. kely that the media is corrupted Please repeat the process and export the exams onto a fresh new media Internal Ref BT10M4 129240 No message appears if power is interrupted while exporting to a DVD media Note 1 Use a Vivid i q system with a battery 2 Export some studies to a DVD media 3 In case AC DC power supply to the DVD drive is disconnected by mistake during an export procedure The export process is terminated but no error message will appear Workaround Even though there was no message to warn user about this situation the DVD is likely to be corrupted Simply reconnect power to the DVD device and repeat the export process to a new DVD media Internal Ref BT10M4 126079 Peripherals Printer is not working after temporary AC power down Description 1 Use the Vivid i q system with a printer and with a charged battery 2 Connect printer and system to the same AC source 3 Print a report and turn the AC power off Printing will stop 4 Turn AC power back on 5 The system is on and ready to work Printer is detected 6 Print report Nothing is printed Workaround Restart the system in order to restore printing capability Internal Ref BT11M3 135813 Disconnection of peripheral Tip System does not notify that a USB device has been disconnected If a peripheral is not operating correctly please inspect the connection to verify that it is hooked up properly Internal Ref 114574 120464
39. le in live scanning When CTO is activated an indicator labeled CTO will appear in upper right area of the display 12 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 3 When Tissue Opt paddle switch is set to CTO ATO In this case the CTO is permanently set ON Additionally upon pressing the Active mode button in the 2D Gain rotary will activate or deactivate the ATO function When both CTO and ATO are activated both indicators labeled CTO and ATO will appear in upper right area of the display Note Please disregard the note at the top of page 152 about configuring CTO Applicable probes In this release the CTO function will be supported on all available probes Note By default the Tissue Opt paddle switch is set to CTO on all probes except for AcuNav8 AcuNav10 SoundStar 9T RS 3C RS 8C RS and E8C RS where Tissue Opt paddle switch is set to ATO by default Tips while using CTO Following are some properties of the CTO User interface 23 May 2011 1 2 3 10 11 12 CTO can be activated or deactivated on 2D live images only The operator may de activate CTO at any time resuming non CTO operation An image that was acquired with CTO set ON will maintain its appearance and the CTO label even after being set to Freeze When CTO is turned ON the 2D Gain setting may have a different value from the value set while CTO is turned OFF The two values are independent of eac
40. marks 2 End the exam and export itto MPEGVue CD 3 Open the MPEGVue exam on any PC 4 Retrieve images from the exams Issue In all the above scenarios the annotation and bodymarks may have shifted from their position in the original image Internal Ref BT11M4 106200 109536 140614 140615 Archive amp Connectivity Worklist patient demographics Note While working in work list workflow always bear in mind that following fields Height Weight Description Accession Contrast and Referral Reasons of patient demographics will be updated in all the examinations of the day according to the inputs of the last exam of the same day Internal Ref 107085 Split screen review Tip When reviewing an image that was saved in split screen mode only the right pane is shown Use the Review function to view both halves of the image Internal Ref 106428 On some menus the Excel Export and Delete soft keys appear but are not operational 23 May 2011 Note When selecting an existing patient from the patient list and clicking on Patient Info soft key then clicking More two non operational soft keys appear Excel Export and Delete Workaround When selecting a patient and entering the Examination List screen the Excel Export soft key is operational Use the Delete Exam instead of Delete button to delete the exam Internal Ref 117959 34 of 48 Direction 5402226 1
41. may appear only when Doppler gate is placed at shallow depth at distance within 5 mm of skin line Workaround Adjust your scan so that the Doppler target is located deeper than 5 mm 26 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 B Dei mes to ordain Aga Fig 3 1 Internal Ref 118095 HI audio volume in CW causes Doppler artifacts Note When the audio volume is set very high while in CW mode some tonal noise horizontal line may appear on the CW spectrum Workaround Simply lower the audio volume Internal Ref 116600 Changing CW baseline is not reconstructed while scrolling back to review the CW spectrum 1 2 While scanning modify the location of the base line 3 4 Scroll back through the Doppler image the original baseline level is not Scan in CW mode for a few seconds 10 20 Hit Freeze reconstructed The last setting of the baseline is in effect throughout the spectrum Internal Ref BT10 120378 Abnormal Doppler Trace in CW mode Description 1 Scan in CW mode and press Freeze 2 Press Measure button 3 4 Turn Auto Trace soft key to ON 5 Select Trace from Measure menu Perform Trace measurements Issue Doppler trace measurement below the base line does not trace well and spikes to the bottom of the spectrum Fig 3 2 This does not happen in PW where the trace follows the spectrum as expected Workaround Use the Sensit
42. message no free space This happens more frequently when large numbers of images are exported to DICOM and the system remains on for long periods of time Workaround Perform full shut down and restart of the system This causes the system to delete the extra temporary files and provide some extra space for further normal operation It is recommended to perform full system shut down after prolonged use of exporting to DICOM Internal Ref BT11M4 141504 Using MPEGVue to view a split screen loop the image is frozen When using MPEGVue on an external PC to view a loop that was generated in color mode by a linear probe and originally stored in split screen mode the display contains a static image instead of a running loop Workaround Save loops in full screen to view the running loop Internal Ref BT10 124657 AVI video generated from MPEGvue player is running in slow motion 23 May 2011 Use the MPEGVue player and save a loop in AVI format Save As AVI Run the AVI loop using any type of viewer The loop is playing back in slow motion at about half of the original speed Workaround Save loops in MPEG instead of AVI format Internal Ref BT10 122949 41 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Annotations and bodymarks do not maintain their position after export to MPEGvue Description 1 Use the system to generate some images while adding text annot
43. n of the gray scale images in 2D Mode Pressing this rotary knob allows the activation of CTO ATO or both depending on user s setting See explanation below Continuous Tissue Optimization CTO page 152 CTO is intended to optimize the spatial uniformity TGC and brightness of the tissue and correct it continuously in real time When activated CTO is displayed in the information window Automatic Tissue Optimization ATO ATO provides automatic optimization of the 2D image by adjusting the gray scale curve When activated ATO is displayed on the upper right area of the display Operating CTO and ATO 23 May 2011 There are three different settings of the soft menu paddle switch control that allow the user to activate either CTO or ATO or both according to their preference While in 2D Live mode a soft menu paddle switch named Tissue Opt Appears with 3 possible settings ATO CTO CTO ATO 1 When Tissue Opt paddle switch is set to ATO pressing the Active mode button in the 2D Gain rotary once will activate or deactivate the ATO function ATO activation may be performed either while in live scanning or while in Freeze mode When ATO is activated an indicator labeled ATO will appear on upper right area of the display 2 When Tissue Opt paddle switch is set to CTO pressing the Active mode button in the 2D Gain rotary once will activate or deactivate the CTO function CTO activation can take place whi
44. n pops up too early before the application is fully loaded When this happens the system will not detect any user ADM and USR and the only way to start the application is to log on using the emergency mode Workaround The workaround is to press the Esc key twice or just re boot the system Internal Ref BT11M4 138511 ECG ECG trace on cart Note On rare occasions the ECG signal may disappear in such cases turn the system off complete shutdown and on again Internal Ref 110177 Imaging 2D Imaging Clear vessel CLR icon is often active when probe is held up in air Description 1 Use a 9L RS probe 2 Tum on Virtual Convex and scan with the probe while it is held up in air 3 Turn Clear Vessel on Issue The CLR icon will display active green even though no structure is visible It is expected to be inactive displayed in gray whenever no carotid vessel is visible Workaround Simply disregard while not scanning the carotid Internal Ref BT10M4 121884 23 May 2011 24 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Lower focus markers disappears when lowered to the far field When using probes with a sector image having wide field of view or when using split screen mode the focus marker may not always be visible as it may be positioned outside the frame of the image This is particularly noticeable when the focus marker is lowered to the far field Inter
45. nal Ref BT11M3 134038 The Wide aperture focus marker changes its shape when image is exported to EchoPAC PC Description When linear probes are used they sometimes operate in Wide aperture mode which is indicated by focus markers of the following shape When such an image is stored and reviewed on the EchoPAC PC the focus markers will display as gt The different focus graphic indicators do not affect the reviewed image Internal Ref BT11M3 135255 CTO operation in M mode on linear probes When activating CTO while a linear probe is in use with M Mode only the 2D image is optimized Internal Ref BT11M3 136554 Reviewing images with active CTO on EchoPAC When an image has been acquired with CTO and transferred to the EchoPAC the CTO label will not appear on the display of the EchoPAC Internal Ref BT11MS 136783 ATO while in M mode only the 2D display is optimized the MM remains unchanged The current design of the ATO function is confined to optimizing the 2D image It is not intended to optimize the M Mode image Internal Ref BT11M4 134509 Vertical scale is missing while in dual screen Description 1 Use any linear array probe in virtual convex mode 2 Press 1 2 4 button to activate dual screen 3 Notice the vertical depth scale is missing Workaround Deactivate virtual convex mode the vertical depth scale will appear Internal Ref BT11M4 141375 Zoom area may
46. ns are corrupted when viewed on the nennen 38 Some configuration settings made on the EchoPAC PC can not be transferred to the Vivid i q CLIP LT 38 e 39 DICOM SR measurements Comprehensive list esessssesseseeeeeeeeee enne 39 DICOM SR measurements Private tags ssssssssssssssssseseee ener enne 39 Exam data on DICOM transfer sssssssssesssssseee eene enne enne nennen nennen nn nr enne enn 40 When exams are exported to DICOM CD or DVD some fields are not supported 40 Some images cannot be played as cine loops when exporting to DICOM server 40 Transfer to a DICOM Server may become very slow while system is scanning 40 DICOM server configuration only one IP address can be 41 No free space message appears after DICOM export 41 APE GV UG e 9 41 Using MPEGVue to view a split screen loop the image is 41 AVI video generated from MPEGvue player is running in slow motion 41 Annotations and bodymarks do not mainta
47. nts Add measurement window is missing see User manual page 348 23 May 2011 Step 4 on page 348 of the User manual states 4 Press Add Measurement in the Measurement menu sheet The Add measure window is displayed ADD MEASUREMENT _ Cancel Blank Use copy of Fig 2 4 Please note that this window appears for cardiac applications only In other applications this window is skipped bringing you directly to the Measurement menu sheet shown in Figure 7 58 Internal Ref BT11M4 140292 23 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Part 3 Important Information tips and workaround This section identifies notes tips and cautions regarding known issues that may cause some user inconvenience Turning System On Off Removing USB devices while in standby mode Caution Introduce or remove USB devices only while system is in full shut down mode or while system is turned ON Use the proper eject command Alt E otherwise it may cause system failure Internal Ref 111903 120234 Boot up and turn off may sometimes take longer than expected When CD or DVD media is located in the drive while system is being turned On or Off both processes may take longer than expected as function of media contents Internal Ref BT10 121287 The logon screen pops up before the application screen appears Description On rare occasions the system logon scree
48. p Always plug in the power cable first and wait a few seconds before plugging in the DVD device to assure proper detection of the device Internal Ref 110913 Media corruption as result of AC power failure While doing any type of media writing session such as export backup disk management save As etc the system may issue different error messages in case a writing error has been detected In the special case where the AC power is interrupted in the midst of media writing session some error messages may be misleading It is therefore required that whenever the above failure has occurred the user should repeat the whole session onto a new media It is assumed that the previous session has failed Internal Ref 118179 Misleading message for corrupted media following power fail 23 May 2011 In case the system power is disrupted in the midst of exporting exams to CD R media the media is expected to be corrupted If however you do the following you may get some misleading messages 1 Enter Config and select Connectivity tab 2 Select Tools 3 Select Re open media Issue On some particular conditions the message will say Mounted CD R media can not be opened due to lack of free space This message is wrong The correct message should be Mounted CD R media is corrupted 45 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Workaround Following the above it is most li
49. propyl alcohol use a 70 30 mixture water and water of isopropyl alcohol and water Devices Weekly Clean the washable Use a soft non Trained cleaning external In event of outer surfaces with abrasive folded staff surfaces incl contamination a soft non abrasive cloth or sponge monitor clean immediately Cloth including the with a mild housing with a 70 30 wheels Do not use general handle and mixture of abrasive powder or purpose non wheels isopropyl alcohol Strong chemicals abrasive soap and water and water solution 23 May 2011 20 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Curved Array probe page 528 Note The Field of view FOV is 128 degrees 8C RS 2D mode Pediatrics Frequency 4 0 11 0 MHz M Mode Abdomen Foot print 21 x 12 mm 8 Color Flow Neonatal FOV 128 degrees PW Doppler Head Carotid Small parts Cardiac E8C RS 2D mode Endocavity Frequency 4 0 11 0 MHz 1 M Mode Fetal Heart Foot print 23 x 23 mm v Color Flow Obstetrics FOV 128 degrees y PW Doppler Pelvic 23 May 2011 21 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 AutoEF Measurements page 296 Contrary to the statement on page 296 AutoEF is an optional feature on the Vivid i system Printing a report with the Ink saving feature page 484 When a report containing many images is printed it cont
50. rint with white ink saving background Internal Ref BT11M4 137605 137651 BSA is displayed with question mark in Report after export import to from EchoPAC PC 9 23 May 2011 Description 1 Create new patient 2 In Patient Info insert weight and height to get BSA 3 BSA is calculated and displayed in units of m2 meter squared 4 View the Report BSA is displayed in units of m 5 Perform export via CD DVD to EchoPAC PC EPPC ver BT09 6 On the EPPC open the Patient Information screen BSA is displayed in units of m2 7 Go to Report The BSA field displays in units of instead of m 44 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Same happens when importing an exam from EPPC to the Vivid i q system The BSA field in the report is displayed in units of instead of m Internal Ref BT11M4 137691 129912 All default report templates are empty after restoring user template from EchoPAC PC DVD Description 1 Create user report template on EchoPAC BT11 110 3 0 build 271 2 Perform backup to CD 3 Restore custom report template on the system 4 Restore is completed correctly 5 After shutdown go to Report Issue User template appears correctly but all factory default report templates appear as blue empty screens Note This issue does not occur when importing templates from EchoPAC BT08 7 3 0 Internal Ref BT11M4 139318 DVD device detection Ti
51. rmation in Russian characters but the names of the fields will remain in English In case you design a customized Russian template where the names of the field are in Russian these names will appear garbled Workaround When customizing report templates always write the names of the fields in English characters Internal Ref BT10M4 130120 Fetus number is not transferred to report correctly When the fetus number entered via patient s info screen is greater than one the number appearing in the report or in an exported Excel file is wrong The following steps describe the issue Select Patient Go to patient s info Set patient s category to obstetrics Set Fetus number to 2 Save the data and select to view the report The fetus number will display as 3 When exporting to an Excel file the same wrong number will appear Note when fetus number is entered in step 4 as 3 or 4 the displayed fetus numbers will show as 7 or 15 respectively Workaround Disregard the fetus number as shown in the report or in the Excel exported file NOOO WD Internal Ref BT10M4 122661 135804 139965 Report ink saving background does not function on an image having stored measurements When using the ink save option while printing a report with images some images appear with black background The images containing stored measurements are printed with black background while those without measurements p
52. ssessseeenee enne nennen nennen nnne nennen 27 Doppler noise appearing as vertical lines while using Triplex mode with the 9L RS probe 29 2D amp color imaging noise with AcuNav 10F catheter sse 29 PODES prre 30 TEE probe User Manual Update i eee tr te eei Se tei e eap tee inna bees 30 Probe holder does not fit the M4S RS and 6S RS probe 30 When handle is folded the probe holder is free to move 30 MA PACK AGCS Qu ca REX LE FRU 30 Auto M amp A user settings for Doppler in vascular applications are lost after re boot 30 When using Virtual convex in dual screen mode the calipers do not go across 31 Fetal growth OB graphs Sometimes missing a caliper sss 31 AFI amp AutoEF nem E 31 AFI amp AutoEF packages MR 31 Disabling of Auto EF measurements sssssssssssssssseseseeee nennen nnn 31 package m H aieiaa 32 Edge shift button is MISSM asiaani nie cete eet dede dope et dd m i pee de ad dade daa 32 Auto EF measurements on EchoPAC PC worksheet sess eene 32 AutoEF processed image seems slow sssssssesssseeeene nennen nennen ener 32 AutoEF and AFI in stress exam sse een
53. st 3 Press More twice 4 Press Print Patients soft button Issue The configured printer is not printing It seems like the print goes to the default printer Workaround Call your GE service representative who can reconfigure the default printer to be the correct one Internal Ref BT10M4 122685 Wrong message appears if power is interrupted while doing Disk Management 23 May 2011 Description 1 Use a Vivid i q system with a battery 2 Start Disk Management into the DVD media while the Move flag is set ON 3 In case AC DC power supply to the DVD drive is disconnected by mistake the process is terminated but a wrong error message will appear Issue User gets error message Error in media finalize press OK another Warning appears Current media is full Please insert next media This warning is not relevant Workaround Contrary to the above wrong messages following this sequence the media is assumed to be corrupted Simply reconnect power to the DVD device and repeat the disk management process into a new DVD media Internal Ref BT10M4 127748 35 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Measurements may disappear while viewing a stored image Description 1 Perform some measurements on a frozen image and press Store 2 Retrieve the same image from the clipboard the measurements are visible 3 Adjust the Frame soft key control
54. t right steering Description When you wish to configure the Flex key to the Steer function the Flex key menu contains both Steer Left and Steer Right entry You may use either Steer Left or Steer Right entry The function will be similar Pressing the Flex key several times will alternate between 3 positions left steer no steer and right steer Internal Ref BT11M3 136164 Multiple Interfacing option 23 May 2011 It is possible to connect the Vivid i q by multiple interfacing to both of the Carto either Carto XP or Carto 3 and CardioLab or ComboLab systems This will allow the use of both the CardioLab and the Carto during the same patient s procedure A dedicated dataflow named CardioLab CartoSound interface is available under this option and needs to be activated as part of the multiple interface Multiple interfacing will be installed and configured by the GE field engineer as part of the system installation 47 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Video Splitter Hardware A high quality isolated VGA Video Splitter is provided with the multiple interfacing option and is installed by your GE field engineer to allow the parallel connection of the Video signal from the Vivid i q to both Carto XP Carto 3 and CardioLab ComboLab systems Following is the part number of the video splitter Part description P N Hcat No P1007MH Isolat
55. te While reviewing an exam on the EchoPAC when measurements are made on an image stored in the EchoPAC and later exported to the Vivid system the graphics and text on that image shrink in size when viewed on the Vivid system The text annotation and the measurement results will also shrink to a size which is difficult to read on the display of the Vivid system If in Doppler mode the Doppler sweep will shrink in horizontal length Note On the EPPC none of the images undergo any shrinking Workaround Press Measure The image will return to its original size and may be re measured The previous measurements performed on the EPPC will remain unchanged in the Worksheet Internal Ref 119802 Sending images generated by Virtual Convex or Compound to EchoPAC PC When viewing Vivid 1 9 images on the EPPC in some cases they will appear in DICOM preview format rather than in raw data format This will occur on images that were generated in Virtual convex format using any linear probe or with the compound feature on a convex probe Internal Ref BT10 CR 7524 122992 23 May 2011 37 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Loops of images generated using virtual convex and compound modes under some conditions are corrupted when viewed on the EchoPAC PC 1 While connected to EchoPAC PC using Remote Remote workflow end the current exam 2 Use a linear probe in 2D mode while bot
56. tions are included that supplement the main User Manual p n 5400907 Rev 1 and address specific concerns related to software version 11 2 0 b 40 Keep this document with the main User Manual and have all users become familiar with its contents and organization before using your system under this software version 23 May 2011 2 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Table of Contents Part 1 New Features and Functions 7 New probe 3S0 RS deca Ere ees 7 Phased Array Sector Probes table page 525 7 Neonatal Flead Preset 2 7 Vivid i Probe Application Overview page 531 8 Vivid q Probe Application Overview page 532 nennen nen 9 Maximum probe temperature page 534 nennen nnne nnns 10 Probe immersion levels page 551 esses nennen en 11 and ATO operation 12 General Modification to CTO sse 12 Gain rotary description page 75 12 Continuous Tiss
57. ts from the worksheet Always delete a full set Internal Ref 109673 23 May 2011 32 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 AFI bull s eye with PSI map is stored as PSS map Description Activate Config Select Meas Text tab Select Advanced tab Change the AFI PSS PSI Mode to contain PSS amp PSI Using AFI analyze 3 loops APLAX 2CH 4CH In the Review screen press the PSS PSI softkey to change bull s eye to display PSI 7 Press Freeze and choose Yes to save the loop Issue The stored bull s eye in clipboard displays PSS map instead of PSI map Workaround Press the PSS PSI soft key to enable PSI gi tco Internal Ref BT10 124568 AFI Worksheet To maintain consistency deleting individual measurements is not recommended Description When performing AFI measurements a column of strain measurements appear on the worksheet When an AFI measurement is repeated a new column will appear with the new strain measurements and so on The final result is often set to calculate the average of the last 3 columns of measurements Tip For consistency of the averaged results it is not recommended to delete individual measurement cells from the worksheet If some results need to be erased it is recommended to erase the whole column Internal Ref BT11M3 134471 Q Analysis Q Analysis screen becomes black after ejecting a USB dev
58. ue Optimization CTO page 152 sse 12 Automatic Tissue Optimization ATO sess en 12 Operating CTO and ATO siti eti tete aba ER CS Ha Et UR E PELA ERO 12 Applicable probes ot RC RC e eee rr HA Rr ei en aede 13 Tips whileusing GT Oii Fedele eeu a aee de HE e teas 13 Modification to AFI Automated Function Imaging and AutoEF eene 14 Self contained DICOM Viewer 14 Implementation of EZ DICOM CD Viewer nennen nennen nennen nennen trennen 14 Details of EZ DICOM CD Viewer sssssssseseseeeneeenneeneneennnnrnen nennen shine sn netten rennen sins entrent 14 Configuring the EZ DICOM CD 14 DICOM Structured Reporting SR protocol corrections sseeeeeenes 16 Using Alt X to toggle internal amp external monitor settings eene 16 Part 2 User Manual corrections and Errata een 17 AC Adapter Label Changed Pages 23 and 55 sse ennt 17 Thermal index display configuration page 26 18 Tips for IMT measurements Add to User Manual page 309 19 Routine Disinfection Procedures add this table to page 64
59. wn below Fig 3 4 Fig 3 4 Internal Ref 13224337 117407 131055 23 May 2011 29 of 48 Direction 5402226 100 Rev 3 Vivid i q Release Note Ver 11 2 0 b 40 Probes TEE probe User Manual Update The TEE Probe User Manual contains a section named Thermal Safety The temperature cut off value for the 6T RS 6Tc RS probes is different on Vivid i q The description should read as follows The lower probe operation temperature limit is 18 0 C If the probe tip temperature is below this limit the temperature display disappears and scanning will not be possible the system enters Freeze Mode Scanning will resume after the probe tip temperature is above 18 2 C and the user presses the Freeze button Internal Ref BT10 124188 Probe holder does not fit the M4S RS and 6S RS probe The probe holder accessory does not fit the M4S RS and 6S RS probe very well Please refrain from using the probe holder for this probe Internal Ref BT10 113349 When handle is folded the probe holder is free to move When the carrying handle is folded underneath the base of the system the probe holder which mounts to the connector is not supported by the surface beneath it and may be free to move or dismount from the connector M amp A packages Auto M amp A user settings for Doppler in vascular applications are lost after re boot For example 1 2 3 10 11 12 13 23 May 2011 Use a linear pro
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