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System FiVe User Manual for Software Version 1.9.x GE Vingmed

1. 202 Color Angio Color Intensity 203 Color M mode 4 xay Pari A ln l r ke hh hn 203 Spectral 203 PW HPRF Doppler a aya lt 203 CW Doppler 4 03 2 0 1 m d eod eoe bs ea 203 Physiological Traces 3y kula lal E eh 203 Analysis Program e 2 o Ca CeO a kiye m U r wak 203 Image Memory gw rm mm mm mm e 204 Intro 10 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound INTRODUCTION Advanced Options a seris eedi rentei enera rn 204 Indications for USC eut poeta Pets d tre br ICD RI A 207 Contraindication aaaeeeaa 207 Probe Application System overview Max Configuration 208 OPHORS St 217 Guidelines for Fetal use sss 218 Physical Dimensions 2 kl kol sd ofa k kk Ae 219 Electrical Specifications 219 REME N ets te asi bad Lei GAN Mh Es OD Na al 219 Radiated audio noise level 219 Environmental conditions 220 Measurement Accuracy 221 General au Ben eared d g
2. 133 e Store measurement number 134 e Repeat a measurement 135 e Store the repeated 136 e Measure 2D Area in duplex 137 Complete and store 2D area measurements 138 e Cardiac M amp A 139 e Mode shifting during amp 140 des MM oe AS Ge ix eon mtu Se done a 141 NCH WON eau me aR hae E 142 e 2D M Mode calibration 146 e Cardiac Acquisition Formulas 153 e Cardiac Acquisition Parameters 157 MALLA S d tet eddies ese EE des 161 e Start Ellipse measuring 161 e Measurements amp Ratios 179 e Cardiovascular Acquisition Formulas 180 Chapter D Using M amp A GE Vingmed Ultrasound M amp A examples M Mode M amp A To halt all scan activi ty press the FULL FREEZE key This ac tivates the 2D FREEZE key simulta neously The 2D FREEZE key can also be used to halt the 2D sector only Using the trackball run through the replay data to find the Area of interest and press the MEAS or CALI PER key On the Measure menu that appears alone M when you select
3. User Manual FA092423 L System FiVe sw 1 9 x Measurement Typ Range Accuracy Comments 2D Distance 1 10cm 7 Typical range 1 to 10 cm gt 10cm 5 Distance Stenosis 20 80 7 14 Area 5 30 cm 10 Area Stenosis 20 80 15 25 M mode Distance 1 10 5 10 Spectrum Alignment error 2096 assumed Calipers Velocity v1 v2 0 2 1 5 m s 6 dt 0 5 1 5s 0 5 10 At low and high sweep rate resp dv 0 1 0 m s 8 5 Accuracy of dv decreases when v1 and v2 approach each other Resistance Index 0 2 0 8 996 S D Vmax Vmin 3 7 996 Automatic Tracing a on a clean strong Doppler sig na Flow 3 5 l min 13 20 Manual Tracing 5 l min 13 20 Pulsatility Index Pl 2 10 10 TAV ratio 2 8 9 Automatic Average Velocity 17 Calc Bandwidth 17 225 Chapter Specifications GE Vingmed Ultrasound 226 User Manual FA092423 L System FiVe sw 1 9 x Symbols This chapter provides you with an overview of the International symbols that are used by GE Vingmed Ultrasound Chapter H shows you V SVSIBITESVITIDOIS gorda atc we meee a ERES 228 e Shipment Symbols 230 Keyboard Symbols 232 Chapter Symbols System Symbols Symbols used by Vingmed Sound are described below together with reference to international publication s GE Vingmed Ultrasound IEC
4. 116 Control Panel VCR controls 116 Chapter C Applications 117 User Defaults storage 118 User Defaults 118 Save and Recall your user default 119 System Five SuperVision 120 Handle EchoPAC on System FiVe 120 Patient ID entry selection 121 Patient ID input ast sa SSeS SSS RSS ass ROC Y RO Be a 122 Special Setup functions 123 Footswitch activity messages 124 Willful System shut Down with integrated Mac 125 Intro 8 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound INTRODUCTION Biopsy Option assessments eR ac e Y a dn 126 lntrOdUCctiOna ese a yak A eae Pay da 126 Bracket and Needle guide mounting 10MHz FLA Feb 99 127 Bracket and Needle Guide mounting 3 5MHz CLA 128 Start the Biopsy 129 Determine Biopsy needle 130 Chapter D Using
5. 200 Standards USO sss Satis sa KULA WA WINA 200 e System 201 e Indications 207 e Probe Application System overview Max Configuration 208 de A 217 e Guidelines for Fetal use 218 Physical 510 5 219 e Electrical 5 5 219 e Radiated audio noise 219 e Environmental 5 220 Chapter Specifications GE Vingmed Ultrasound Regulatory Information The GE Vingmed Ultrasound product families are tested to meet all applicable requirements in relevant EU Di rectives and European International standards See Standards used below Any changes to accessories peripheral units or any other part of the system must be approved by the manufacturer GE Vingmed Ultra sound Ignoring this advice may compromise the regulatory approvals obtained for the product Please consult your local GE Vingmed Ultrasound representative for further details Standards used Our ultrasound scanners are class devices according to Clause 14 of IEC 60601 1 1988 To fulfill the requirements of relevant EC directives and or European Harmonized International standards the following documents sta
6. 22 e Control Panel 24 e Headphone connection and volume adjustment 24 e Lamp 25 e Screen 26 e Start screen 26 e Configure Scanner Screen VCR recording 27 e P 28 e Start System 5 28 e Do EchoPAC Clipboard lt 32 e Configuration and Test kk KK yx xe 34 e Diagnostic Tests Software versions GE Service 35 e Internal Patient 37 e Do Patient information storage 38 e Complete an Exam 40 e Do Ultrasound Image storage 41 e Image 46 e System Quick Reference 47 Chapter A System Preparations GE Vingmed Ultrasound Turn ON the system Connect Power cable and locate Power switches Unwind this cable and connect the plug end to a hospital grade power source with correct Voltage and Power consumption specifications TO SALE By M THE ORDER OF GROUNDING RELIABILITY CAN ONLY BE THE EQUIPMENT 5 ACHIEVED WHEN THE n System FiVe is now in a Stand
7. IMPORTANT Footswitch mapping as described here will always relate to the presently active probe When you save a Footswitch setup it relates to this only Other probes need new setup rounds User Manual FA092423 L System FiVe sw 1 9 x Chapter A System Preparations Footswitch Footswitch Mapping Place the cursor onto Footswitch Mapping and press the Select ar ea To the right of the Setup menu the Foot switch Mapping menu appears li WES IT i ToFULL FREEZE the scan func tion press and release the center foot control Press and release it once more to continue scanning To REC PAUSE tape recording press and release this foot switch Press and release it again to continue tape recording 20 GE Vingmed Ultrasound Using the Trackball place the cur sor within each switch menu and click select your switch setup shown above and described be low Press and release the right hand foot control to IMAGE STORE from the Acquisition to the system Clipboard User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter A System Preparations Wheel locking Lock Unlock scanner wheels In upper position the rear wheels are direction locked but rotate freely At half way down position all wheels turn and rotate freely At the lowest position the system is parked and breaks are active on both rear wheels User Manual FA09242
8. 47 System communication kk kk kK KK KI KK KOK KI KI KOK K KK KK KK KK KK K6 48 Sree IL SS DHHHH PPP 49 Scan mode selection 50 Basic mode adjustments 51 Assigned Keys and RotarieS 52 System screen tools 1 kk kk kK kk KK KK KK KK KK KK KIRI KK KI KI KK KK KK KK 53 Post processing functions ll kk kk kk KK KK KK KK KK KK KK KK KK KK KK KK KK ka 54 Chapter B Scanning sss 55 2D Mod hh ember 56 Start2D scanning y gt yiy sk wed 56 Ultrasound picture Controls lk kk kk kk kk kk KK KK KK KI KK KK KIR KK KI KK KI KK IK 57 Control Panel Re programmable Rotaries amp keys 58 Screen commands Cardiac Live amp Full freeze 59 Screen commands Cardiac live only 60 SOCIO bt ifs hee Aandi neg deer dy Re e EI a 61 Octave Tissue Imagin s 0 0654 a Alle bh bad Asan n din 4 er r 62 How does Octave Imaging improve image quality 63 Depth Control ner Pa Sc E S e ER eae 64 Adjust Region of Interest 64 GAIN BD cra Saka tue deed au tan wi e EU A SUR do d 65 Gain Location REX OA LERRA OE Een EGER RS
9. FF ee Bo ee weer ap cA PNET GM Puma gms Merina c4 mes awar d k q xani swed bm ni ewanan i b rave k lema ma sini Pe mm i sd i mumum ea a ee THOT Ve us a L F Femne cape m n ui m Halim h nasit r r tire l Fall 6219 1 Kal inn el Mi i t D aman m Chapter F Warnings 197 Chapter Warnings GE Vingmed Ultrasound Warnings and Caution labels Video Cassette Recorders Ee iR mains Owner s Record He mob ten rr Vat Amada aa a aa O air EATE a ra a bi MAR ha st TM To prevent fire ar shock do not arpose tho uni 1o rain molgigen Gh vy fm mS so m2 mit on r en Wira veds uk tent 4 19 nud ke TVaUe i fre a y nero 4 LCS EPI Dau WARNING Fue eyatomern In Ihe USA tas ob le ELTE cta Atben tt oat d do vai st 2 09 4H o ss mo te a quar ert ae ime tre n bee ML whe Ame 3 l Al rate kiewe UA AVERTISSEMENT Fin Ellen 8i then LISA HE rai a a TIU s ee ike ei Ud me ZT Fam aen n ji Tn an QET EK oe OFT b ke 08 ke dea
10. INTRODUCTION 2 GE Vingmed Ultrasound Move the color sector within the 2D lt 82 Programmable Keys and Rotaries 83 Color map selection 84 Invert color map niece gl og Pen e DELE bm 85 Region of interest 86 118806 ios se M ee Ae RERO er RN ue aE Ru 87 Baseline isi Sats heehee bP Saa eee ade 88 ue ire tate Ee Wage Ga ee se tra up hei Er neki bew 89 How Color Flow Mapping works 90 Color Map construction llli nn 91 The Spectral 92 Assigning Colors and unwrapping the Color Wheel 93 Disturbed Flow 94 AnglO b E eI 95 Start Anglos che ue ate tdi ere Bobo ees ue Ss 95 Power amplitude Doppler Angio 96 Traditional M Mode 97 Start M Mode duplex view 97 Elements in duplex M Mode 98 Image SEES ETS RNS ad E RASA 99 Anatomic M Mode
11. Switch ON OFF the display of KHz on a Doppler scale Over Under each Hint The Small trace area is default chosen at boot up User Manual FA092423 L System FiVe sw 1 9 x 27 Chapter A System Preparations GE Vingmed Ultrasound Setup Start System Setup To select Setup Con trol press this key once This displays the option fields that are available for Setup Control on this dialog window User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter A System Preparations Setup Get a Setup Menu overview Here you have an overview of the options on setup Menu the Setup menu Change the setup whenever User Interface XAN you change probes or application Triggering Configuration amp Test Annotation VCR Configuration ErhaPACI Clipboand Done exits you from the setup P TI menu Changes are automati Location cally saved on exit by Done Footswitch Mapping Dque Setup Menu Most of these options have their own separate uuum descriptions on the following pages Configuration amp Test n ee ern cerrado EchoPACiGipboard eatin Footswitch Mapping _ User Manual FA092423 L System FiVe sw 1 9 x Chapter A System Preparations GE Vingmed Ultrasound Setup User Interface Do your User Interface setups on this configura tion screen It allows you to configure Freeze and Autofreeze functionality
12. ctvingmed Ultrasound System FiVe User Manual for Software Version 1 9 x GEVU P No FA092423 CAUTION GEVU Revision L Federal law restricts this de vice to sale by or on the or GEMS Cat No H44701VA der of a physician Verify the System Software version as shown on page 35 GE Vingmed Ultrasound Intro 2 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound System FiVe Introduction Caution Product Name labels Colors Op tions Specifications and Configu rations described in this manual may vary in different geographical markets Please contact the local represen tative for more details MANUAL STATUS Copyright 1996 2000 by GE Vingmed Ultrasound AIS Printed in Norway All rights reserved No part of this Manual may be reproduced stored ina eleventh edition retrieval system or transmitted in any form or by any means electronic Sept 2000 mechanical photocopying recording or otherwise without the prior writ ten permission from GE Vingmed Ultrasound AIS COMPANY DATA GE Vingmed Ultrasound A S Telephone 47 3302 1100 P O Box 141 Telefax 47 3302 1350 N 3191 Horten WWW http www geultrasound com Norway User Manual FA092423 L System FiVe sw 1 9 x Intro 3 Introduction GE Vingmed Ultrasound INTRODUCTION GE Vingmed Ultrasound GE Vingmed Ultrasound is ISO 9001 1994 and EN 46001 certified C
13. 31 Do EchoPAC Clipboard 32 VGR Configuration gi lese bue seein tek as Meek daa ees 33 Configuration and Test 34 Diagnostic Tests Software versions GE Service 35 EGG Triggering xi oro enr SERE RD XE UR RR UAR 36 Internal Patient Archive 37 Open the internal Patient 37 Do Patient information storage 38 NeW Exams ona Bh AMM cas Ra reed le DAI let Vote a 39 Find patient exe eae ee mm mn 39 Intro 6 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound INTRODUCTION Complete an Exam entry 40 Do Ultrasound Image storage 41 Cineloop 5 5 42 Add Find Edit Delete 43 Patients list handling liliis 44 Diagnosis entry 3o cx mI RE e eoe ERR X IR ORC RS ee 45 Image Recall eese bi eee ER d e eene 46 Recall the 1 46 System Quick Reference 47 System connections
14. User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter A System Preparations Setup Do Date amp Time and Location setup On the Date and Time Setup dialog set the Date and time of day in a format that is select able on the Location di alog described below o set date make New Date area active erase contents within enter new date in same format as re moved contents and click select Set date to start it at Current Date Tain al an ala mew 1 To set time make New Time area active erase contents within enter new date in same format as re moved contents and click select Set time to start it at Current Time On the Location Setup dialog enter the Hospi tal name Enter the Hospital Department name where the system is to be used Choose the native Language of the country that the hos pital is located in and choose a Date and time To choose a Language format or Date and Time For mat for system display place the cursor within each area and click se lect the correct lan guage and Date and Time format To enter Hospital and Department names make each area active erase any wrong contents type the correct names at each User Manual FA092423 L System FiVe sw 1 9 x 31 Chapter A System Preparations GE Vingmed Ultrasound Setup Do EchoPAC Clipboard setup Click select here to dis play the options for EchoPAC or Clipboard configur
15. GE Vingmed Ultrasound Chapter G Specifications Technical Specifications Probe Application System overview Max Configuration Cont d Name DOP 2MHz Type Doppler probe Part Number TE 100024 System Five Application System Five System FiveUS Note Cardiac y y Not intended for fetal use Name DOP TC 2MHz Type Doppler Transcranial Part Number KE 100001 probe System Five Application yam Ei System FiveUS Note Transcranial y n Not intended for fetal use Name DOP 6MHz Type Doppler probe Part Number TQ 100001 System Five Application System Five System FiveUS Note Carotid y y Not intended for fetal use Name DOP 6MHz Type Doppler probe Part Number TQ 100002 System Five Application System Five System FiveUS Note Carotid y y Not intended for fetal use Name APA 2 5MHz Type Annular Array probe Part Number TG 100102 System Five Application System Five System FiveUS Note Cardiac y y Not intended for fetal use Name APA 3 25MHz Type Annular Array probe Part Number TK 100104 System Five Application System Five System FiveUS Note Cardiac y y Not intended for fetal use User Manual FA092423 L System FiVe sw 1 9 x 215 Chapter G Specifications GE Vingmed Ultrasound Techni
16. In 2D as shown here press Full Freeze and the M MODE key direct ly after to obtain Ana tomic M Mode Scroll through and study data from the Replay Buffer using the trackball User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Anatomic M Mode Maneuvering the cursor line Still in full freeze status press ADD CURSOR MODE once to move activity to the 2D image and thereby access to cursor line maneuver The Instruction Move Cursor is displayed at the left side of the lower edge of the screen User Manual FA092423 L System FiVe sw 1 9 x Chapter B Scanning Using the trackball ma neuver the line cursor and position its sam pling markers on an area of interest When you stop maneu vering these a display update of the M Mode view at the new location of interest occurs Press ADD CURSOR MODE once more to re turn to normal M Mode Replay buffer scrolling 101 Chapter Scanning GE Vingmed Ultrasound Anatomic M Mode Anatomic M Mode viewing After positioning the cur sor and Sampling mark ers press the Select area surrounding the trackball once to toggle from Move Cursor activ ity to Turn AMM Cursor 0 At the new cursor posi tion maneuver the trackball a new cursor the old cursors sam pling marker appears Anatomic M mode can be initiated in both 2D Tissue and 2D Color Flow modes As you move the trackball
17. PRECAUTIONS Disconnect the powor cord signal cables and remove the optional iSound speaker unit if applicable wher moving the monitor Moving the monitor with the cord ateached or liftin ic by the Sound sp unit is dangerous l may Installation ZA WARNING Keep the plastic packing bags away from children danger of sullocation keep the bug away froni babus and children Place the monitor on Strong stable surface unit pl arfa e may in injury or tnmediately and have the checked by a qualified cer betore Using a has been dropped may revult n fire or cloctex shock 194 att s ibama Bu cod ENS mi raxer m d E BIN ier quas ISAL m mami paria arr m mM denm e na dum n rak Peo nour nn n amp EALT ES Bn nal kir mew i Fd BS Boma rome ie tbe La mmm GE Vingmed Ultrasound as lis diia amid aut iim darum mm a bbi an is am User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Warnings and Caution labels Monitors PRECAUTIONS Carrying ihe moniter AX CAJT e acr irit mura os bags cra np ent hse PLE Fw ma araya sis ane Maagi me
18. Two Ratios are calculated from Peak Systolic Velocities and End Diastolic ve locities For the first three ratios the two vessels must be on the same side and labelled Right or Left User Manual FA092423 L System FiVe sw 1 9 x 179 Chapter D Using M amp A GE Vingmed Ultrasound Cardiovascular Acquisition Formulas In addition to the parameters that are directly measured by a user the System FiVe has a number of Formulas which are automatically calculated as soon as all of the parameters in the Formulas have been assigned The labels in the For mulas below are the same as the labels listed in the parameter menus for as signment 2D measurements Body Surface Area Patient Browser Input BSA 0 007184 x Height cm 725 x Weight Kg 9 425 US units are internally converted to metric units and used in the same formula Distance stenosis Stenosis 1000x 1 0 SmallestDis tance LargestDistance mm Area stenosis Stenosis 1000x io d setti LargestArea mm Spectrum measurements VMax VMin Im gt lf Triphasic then Rl 1 VMax 2 S D VMin 180 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter D Using M amp A Cardiovascular Acquisition Formulas Vmax and Vmin is the larger lesser value when we compare absolute values but in the For mulas we use the measurement assigned values i e V1 5 V2 3 where Vmax is assigne
19. Available in 2D Tis sue harmonic imag ing and Color Angio Probe dependent 2 5 MHz FPA 3 5MHz FPA and 5 0 MHz MPTE Left Ventricular Contrast LVC User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Based on 2nd har monic imaging opti mized for LV edge detection and LV thrombus detection Probe dependent 2 5 MHz FPA 3 5 MHz FPA and 5 0 MHz MPTE Digital RF Radio Fre quency output Re search option Features acquisition and export of ultrasound RF data Special EchoPAC mod ule EchoResearch avail able to translate to MATLAB file format al lowing for complex and extensive signal process ing to the imported data Probe dependent Echo densitometry RF Spectroscopy Biopsy Support Biopsy needle probe at tachment for the following transducers 3 5 MHz Convex Ar ray 10 0 MHz Linear Ar ray On screen biopsy guide line display Continuous capture op tion Small rodents option Special applications op tion to optimize perfor mance when scanning small animals For high frequency probes EchoPAC e EchoPAC adds post processing and data ar chiving capabilities to System FiVe It takes special advantage of the easy access to ultra sound raw data provided by the system EchoPAC is available as a fully integrated mod ule into the ultrasound System or as a standal one review station EchoPAC capt
20. cc pags pes adele w bh lee wa ERA 100 Prepare for Anatomic M Mode 100 Maneuvering the cursor line 101 Anatomic M Mode viewing 102 as 103 Color M Mod as de A aire pa ERTau x RR ROLE Res 104 Select Color M Mode lt ca ke wila awk k itabidi ireke ir bh eh 104 Assignables screen functions 105 Assignables screen functions FULL FREEZE 106 Side by side viewing 107 Choose side by side view 107 Doppler e vl eR SSR OE eed Prey e EIS 108 Start PW Doppler Mode 108 Start Duplex CW Doppler 109 Carotid Angle 110 Peak Velocity 111 Sample Volume size change 112 Assignables screen commands live 113 Doppler Control lt 114 Assignables screen commands FULL FREEZE 115 Tape Recording
21. v2 0 5 1 0 m s 696 dt 0 5 1 5s 0 5 10 At low and high sweep rate resp dv 0 1 0 m s 8 5 Accuracy of dv decreases when v1 and v2 approach each other dv dt 0 1 10 m s 8 1496 P pressure gradient 40 200 mmHg 12 20 Simplified Bernoulli equation Envelope Tracing Vmax 0 5 1 0 m s 6 Pmax 0 1 10 m s 12 20 Vmean 0 1 0 m s 6 12 Pmean 60 180 mmHg 12 16 Velocity Time Integral VTI 8 20cm 6 10 Heart Rate 40 200 BPM 0 5 10 Cardiac Output 3 0 6 0 l min 14 25 The accuracy of the manually entered diameter is significant since the value is squared in the equation Pressure Half Time 40 500 ms 6 12 Accuracy increases with the dis PHT tance between the two points Derived Measure ments displayed in Report M mode derived LV Ejection Fraction 0 4 0 7 15 20 Fractional Shortening 25 50 7 10 LA AO Ratio 1 2 1 7 7 1496 Spectrum derived Mitral Valve Area 0 5 5 0 cm 6 1296 Mitral Valve Area by Continuity 0 5 5 0 cm 13 2596 224 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter G Specifications Table 1 Cardiac Measurement Uncertainties Measurement Typ Range Accuracy Comments Aortic Valve Area by Continuity 0 5 5 0 cm 13 2596 Equation Aortic Valve Area from Vmax 0 5 3 0 cm 13 2096 Table 2 Peripheral Vascular Measurement Uncertainties
22. 188 e Statements on the safety of Ultrasound 189 e GE Vingmed Ultrasound Safety statement 189 The GE Vingmed Ultrasound Patent Rights 190 e Warnings and Caution labels 193 e External I O Warning 193 e Mobility 5 193 e Probe 193 ECG Walle gt gt na nA AO KA ORA WAA 193 Printers B W and 197 e Video Cassette 198 Chapter Warnings GE Vingmed Ultrasound System safety Electrical Power Safety System FiVe is factory wired to operate at 115 120 Hospital graded mains circuit or 230 240VAC or as ap propriate for the original destination Verify the correct voltage at your location before mains con nection of the unit All connections must be made with the plug provided with the unit The system grounding point is clearly marked provided at the rear The system must be grounded when the three pronged plug from the System FiVe is plugged into a grounded Hospital graded where ap plicable wall receptacle Electrical Shock Hazards DO NOT try to open any of the System FiVe panels or remove any covers or wires Refer all ser vicing or questions regarding system function to qu
23. 36 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter A System Preparations Internal Patient Archive Open the internal Patient Archive The Internal Patient ar hes chive is only available on Systems without inte grated EchoPAC start the internal pa tient archive for patient ID entries press this key Internally the system is designed to handle maximum 100 patients at a time Within this lim it you can store externally delete and add pa tients as often as you wish Internally Stored Cine loops have typical data sizes ranging from 1MB to 5MB because of probe and application choices for each The patient archive or individ ual patients can be transferred to an externally connected GE Vingmed Ultrasound EchoPAC Stand alone solution along with measure ments cine loops etc EchoPAC converts the incoming System FiVe data to its own format which allows you to use it at a later stage Hint You may scan a patient without entering Pa tient ID To store this however in a retrievable manner you should always do ID entries prior to storage Scanning is described in Chapter B Id entry and storage descriptions continue here User Manual FA092423 L System FiVe sw 1 9 x 37 Chapter A System Preparations Internal Patient Archive GE Vingmed Ultrasound Do Patient information storage The area for Patient ID entries where Minimum accepted input
24. Foe rim FRANSA M Ie arene iid a IC erm sunt the pras dea TIR MA Comi gh vt dety ice Aw zune Ds 195 Chapter Warnings GE Vingmed Ultrasound Warnings and Caution labels Monitors PHECAUf L BAPCFTTANITI 3 rp dy CAUTION Me B n a Biri roe di mcm mi TAN Li ra A emn m al eh i E m A Wes v app alaya prc AF cd ed r orm Tiere Tir uud mnm ee ji orem Rel uy Re tes li e mr f t j di mar pere 331 Lm rtm T na n l za dica xwe mn m es Pe no pem I ame POM Umm LK qaa giam Mham eara romm r am mibi Hon me E Ir TIE RT pm WCET miam Ji ee b i ji B piap Lian r Lge r E FILAN uT Di ae 2 2 TS nr ee app 24 alis E a cawe mo dae mmu s atom Prem Pa n m m tos 1 rd us EI weal ILE Mais Stel n rh senri Pie um smm m T mu mel m e zurem m waa 196 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Warnings and Caution labels Printers B W and Color Owner s Record Fes tees adn dor K de Sas bi
25. Pulmonic Valve Cardiac Output Pulmonic Valve Time To Peak Pulmonic Valve Diameter Description Mode Aortic Valve Peak Velocity Aortic Valve Mean Velocity Aortic Valve Insuff Velocity Aortic Valve Mean Insufficience Velocity Aortic Valve Regurg Pressure Halftime Aortic Valve Flow Acceleration Aortic Valve Peak Pressure Aortic Valve Mean Pressure Aortic Valve Insuff Pressure Aortic Valve Mean Insuff Pressure Aortic Valve Velocity Time Integral Aortic Valve Cardiac Output Aortic Valve Time To Peak Aortic Dimension ed from M mode Aortic Dimension from 2d Aortic Valve Diameter from M mode Aortic Valve Area Aortic Valve Area from VTI Aortic Valve Area from Vmax Description Mode Left Ventricular Outflow Tract Peak Velocity Left Ventricular Outflow Tract Diameter Left Ventricular Outflow Tract Velocity Trace Integral Left Ventricular Outflow Tract Mean Velocity Left Ventricular Outflow Tract Cardiac Output LVOT Peak Pressure LVOT Mean Pressure User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound LVET LVET MLVDED LVDd 2LVDED LVDd LVPWED LVPWd LVAED LVAd LVAEN LVAend LVAEP LVAepi LVVED LVVd MLVDES LVDs 2LVDES LVDs LVVES LVVs LVPWES LVPWs LVAES LVAs LVPW LVPW 2LVEF LVEF MLVEF LVEF LVFS FS LVM LVmass 2LVM LVmass AL LVDEN LVDend Right Ventricular Name Label RVET RVET MRVDED RVDd 2RVDED RVDd RVVED RVVd 2RVDES RVDs MRVDES RVDs RVVES RVVs Left Atrial Name Lab
26. SONOTRON ULTRASOUND SOLUTIONS REGISTRATED TRADE MARK ECHOPAC VALID UNTIL 08 04 2008 192 ECHOPAC ECHOPAC ECHOPAC FRANCE 97 667 911 FRANCE 98 727 129 GERMANY 398 20 510 US 2 281 514 UK obs avventer bevis pr 13 03 00 JAPAN 4365760 ECHOPAC User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter F Warnings Warnings and Caution labels External I O Warning label WARNING NONE OF THE CONNECTORS ARE ISOLATED FROM THE SYSTEM CLINICAL USE OF THIS INSTRUMENT TOGETHER WITH OTHER DEVICES WITHOUT ELECTRICAL ISOLATION IS STRICTLY PROHIBITED THE USER IS RESPONSIBLE FOR ANY PATIENT INJURIES IF THIS RES TRICTION IS VIOLATED VOLTAGES ON THESE CONNECTORS MUST NOT EXCEED 25V ACHTUNG KEINE DER STECKVERBINDUNGEN IST VOM SYSTEM ISOLIERT DIE KLINISCHE BENUTZ UNG DIESES GERATES IN DIREKTER VER BINDUNG MIT ANDEREN ELEKTRISCHEN GERATEN IST OHNE ZUSATZLICHE ELEKTRISCHE ISOLATION STRENG VERBOTEN WERDEN DIESE ANWEISUNGEN MISSACHTET SO HAFTET IM FALLE EINES PATIENT SCHADENS DER BENUTZER DIESES GERATES VOLL SPANNUNG AN DIESEN STECKER D RFEN 25V ODER 60 NICHT UBERSCHREITEN ATTENTION AUCUN CONNECTEUR N EST SOLE DE L APPAREIL TOUTE UTILISATION CLINIQUE DE CE SYSTEME AVEC D AUTRES MODULES SANS ISOLATION ELECTRIQUE EST STRICTEMENT INTERDITE L UTILISATEUR EST RESPONABLE OES PREJUDICES CAUSES AUX PATIENTS SI CET AVERTISSEMENT N EST PAS RESPECTE IL FAUT PAS SURPA
27. m iz n e mm me PIT qnare HE TA Se mF vue RA 8 LL ALL Ji E reip re cue Um cUm Gown m ku mcm e Geomzxmm m Become n4 th TER die Ca miS imam bam ume n mpar ei raum an e ja rema nism Mp pue Gcrm ap SURG Su mak FL ei mindall r arde oa cri agar Fi zi Pati i Per nu ja Von ys raram ok Wie de di ea i Se bu am r r DI Lut aS dmm ruo m A ri am m a rpm ppp a a a n g am ieai has ih om quem HH ium bxa mmie arr m fe Pour iea L FI Namr au Canada aon b aN ICE a ROT ee Rc ee et i amag i Aur bum pee mec cmn Dll ee pum m n ntu eg dilik li 1 87 REEF Tarn Un te tuc ee acm SH cm Tm pama te oe fe hi umma eee ad NOS Rap Pe mom qmm omg Hora Uedicem E gag Pe Pag hid eee Winer ee eo AAi Ra Marks ee HDA a Eu DET Seu a E a E N We Fii m dm es oS med Pee Tu ie og ee ee ee dikar ma sie a pppn ee and ah li FF ee dnd pae rina r imar mei UB sk Sal Sa mr Ser momeur pe S emi er dp ames ueram wn mes ee rne e auem ae m N teen beter ee mon amt geo aum oct n
28. set in ms at this option to define where on the QRS the ECG trigger point is 32 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter A System Preparations Setup VCR Configuration Click select this option and the VCR Configura tion dialog appears Here it is possible to make the Record Pause key blink during recording or during a pause Here you may enter a counter when the tape is inserted into the VCR recorder You can also click se lect this key and set the counter value in this window When completed click OK otherwise click the Cancel function Here you see a list of System FiVe support ed VCRs User Manual FA092423 L System FiVe sw 1 9 x 33 Chapter A System Preparations GE Vingmed Ultrasound Setup Configuration and Test This function gives ac cess to Password input for GE service and Sys tem Options tests and Software and Hardware overviews The System options and password input example is displayed when you select Op tions Yellow text re flects the installed Black text displays the available imr D n 7 I Mis z gt oa cire IT This is the Hardware Module overview Ac tives you module names part numbers and their revisions levels Master Control Document revision Factory Order num ber and production series number i D D Ba SSR SSB KIN Peeing omit mil
29. 2 3 0b k l vx int VE 2 9 05 TUR ree pem sum hep of die au yan rastl CE PRECAUTIONS Eo ee p OL EE o aa Fe amd arte pua m mig um br cam m mm on ei xen aep l Liki derman Us Gea 1 som P eun FHFCAVTIONS Installation A WARNING HEA y cache om ana mot Rep veng A l 9 4 uni den gem a bden arz ats Pace Te une Mons mabi Na ct User Manual FA092423 L System FiVe sw 1 9 x zer de ethuugite ge securde eran 1 PHRCAUTIONS Operation A WARNING wal ar ma d v Dg IA sl wrong an dama Te reden ir ye en ak s E onm v VT dn a mere un ec COPI ACE phat Da AWA nb zt Wax NO IT w ln map her p KOTO is as Set ma Preciosa iem te ma a ami ya rea mina mas mam Tina pe a na d s pure amo fo chu game CIEN os Chapter F Warnings E PRECAUTIONS is devel e sale cr r3 see tye di the eati ty sva elm s cave an Petes sna in a stented pases Sot ave sve u JIH Whee xh k ir J he aer ape oe ryste dz an at PRECAUTIONS sd yp dv pag i mie wed ut Dae The siang t r Mano miris
30. 60601 1 1 must be adhered to EU or use a Hospital grade isolation transformer for all mains power supply USA The following street address should be added to the company data on page 3 Strandprommenaden 45 Subject Recommended Liquid Chemical Germicides To be added to chapter E In order to provide users with options in choosing a germicide for processing their ultrasound transducer between uses GE Medical Systems routinely reviews new medical germicides for compatibility with the materials used in the transducer enclosure cable and lens Al though a necessary step in protecting your patients and employees from disease transmis sion liquid chemical germicides must also be selected to minimize potential damage to the transducer For cleaning and low level disinfection we recommend washing the probe and cable in a warm soap and water solution lt 80 F 27 C removing all visible residue by scrubbing with a soft bristle brush or gauze and using a mild nonabrasive soap Rinse with clean water and wipe dry with a soft towel Check the instructions provided with each probe so as not to exceed the depth to which the probe can be safely immersed in liquid Do not immerse the electrical connector Use additional precautions e g gloves and gown when decontami nating an infected probe Low level disinfection is intended to destroy vegetative bacteria and lipid or medium sized viruses and is somewhat effective on fungi This is usual
31. 65 Adjust Gallis orones Sg ne rU Dd 66 Acquisition mode handling 67 Add imiodes i e ee seg Rus LAS RD RI Rue JE DE na ZDMIJIMM 67 Use the Active Mode key to change Parameters 68 Memory Replay iei ad pe TE di A be Peds 69 Replay memory handling e k xain ya Sees W II 69 Annotations iie veo glen war ote paa ND eel NOUS ead Tee 70 Start Annotation is kun sl aR DE AS e 70 Add a ment ls Re Des Paes kla gk ka hens goatee 71 Enter an menu text 72 Ghandge a text entry kd l n alia Le OS RA oe wha ef PRENDE T 73 Gonfigltation quenter rege Sand alas bet e M quias 74 RIEN 75 Body Marks ur ep ERREUR ERES EAE EE eA 76 Start the Body mark function 76 Select a body 77 Move the Body mark and Probe Indicator 78 Turn or Rotate Probe 1 79 Compound tes tote uere edv saut SASS 80 Start Compound 2 lt y xu dl Sa eR EEG Ga RR RE RUE A ER RR S 80 Color Flow Mapping 81 Start Color Flow in 2D mode 81 User Manual FA092423 L System FiVe sw 1 9 x Intro 7
32. AC 0 040213 AC2 0 0008904 AC Assosiated standard deviation Sd 1 31 0 048 AC AC GA via Merz AC range 5 8 34 6 cm Ga 6 445 0 9519 AC 0 00137 AC2 0 00003561 AC2 0 0000003159 Assosiated standard deviation Sd 1 5 0 02 AC 176 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter D Using M amp A OBGYN M amp A Calculation Formulas Gestational Age weekdays using Humerus Length HL GA via Jeanty HL range 1 0 6 9 cm Ga 9 814957 2 454296 HL 0 315232 HL 0 006896 HL 0 0002902 HL4 Assosiated standard deviation Sd 1 283 0 00983 HL User Manual FA092423 L System FiVe sw 1 9 x 177 Chapter D Using M amp A GE Vingmed Ultrasound OBGYN M amp A Calculation Formulas Gestational Age weekdays using Ulna Length UL GA via Jeanty UL range 1 0 6 4 cm Ga 9 797318 3 253571 UL 0 042887 UL2 0 071384 UL 0 009265 UL 4 0 0004399 UL Assosiated standard deviation Sd 1 52 0 0013 UL 178 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter D Using M amp A PV M amp A Measurements amp Ratios Calculated Ratios ICA CCA Internal Carotid Artery to common Carotid artery Carotid Application CFA EIA Common Femoral Artery to External Line Artery Lower Limbs SFA CFA Superficial Femoral Artery to Common Femoral Artery Lower Limbs Renal Artery Aorta Abdomen and Renal applications
33. CAUTION Phased Probes 4 CAUTION and WARNING labels 193 CFM key 50 Change Split screen view 107 Change APAT probes At Cable end 5 Choose active mode 68 Cineloop 58 CLA 3 5MHz 208 CLA 5 0MHz 208 Cleaning Gel stains 184 Probes 185 The System 184 Cleaning with Water 184 Color Flow Mapping 81 Map construction 91 Map selection 84 Menu 84 240 GE Vingmed Ultrasound Printers 47 Color M Mode 104 105 Assignables 105 FULL FREEZE 106 Screen functions 105 106 Communication 48 COMP IN Connector 23 COMP OUT Connector 23 Complete and store 2D Area measurements 138 Composit Video output 47 Compound 80 Compress 59 Configuration Annotations 74 VCR 33 Configuration amp Test 34 Connect APAT Probes 4 Doppler Probes 4 Headphone 24 Phased Array Probes 4 6 Power cable 2 Probes 6 Connectors Trace sources 16 Contour 60 Contrast option 208 Contrast RF option 211 212 213 Contrast Triggering 36 Control Panel 48 Re programmable Rotaries amp keys 58 Control panel lamp 185 Controls VCR 116 Controls effecting Acoustic Output 221 Coronary 210 211 212 213 214 216 217 CPU RS232 23 Curved Linear Array Endocavity probe 208 Curved Linear Array probe 208 CWI PW key 50 D Date amp Time User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Setup 31 DDP Function 59 Depth 2D sector 51 Control 64 Description Color Flow Mapping 90 Diagnostic Tests 35 Diff ON OFF 60 Dig
34. FA092423 L System FiVe sw 1 9 x Chapter Scanning Tape Recording Control Panel VCR controls Press this key to Record screen activities Press this key to Pause recording screen activities Press this key to Initiate Vid eo Playback A set of VCR functions ap pear at the switches and ro taries GE Vingmed Ultrasound VIDEO PLAY These include Shuttle speed for manual ad justment of video play back speed Stop to halt video playback When stop has been activiated LCD shows Eject Sn FF to move video playback Fast forward Cu Wa N to rewind Cu Wa VCR tape Press this key to play and display on screen the re corded screen activities 116 User Manual FA092423 L System FiVe sw 1 9 x Chapter Applications This section tells you about e User Defaults 118 e System Five 5 120 BIOPSY Options AE E EON yey EEE ERAS 126 Chapter Application GE Vingmed Ultrasound User Defaults storage User Defaults selection This function allows you to save and recall system adjustments and setups to add effectivity to your acquisition routines How to do this follows Select the Probe Scan the patient and adjust the system to optimize the scan N27 pis uim Here you can Save settings under a file name Set as Default for present acquisi t
35. Flat Linear Array probe Part Number KW 100001 System Five Application SEAM NE SEE LE US O Breast Not intended for fetal use Carotid y y Not intended for fetal use Limbs Arterial y y Not intended for fetal use Limbs Veneous y y Not intended for fetal use Long acquisition y y Not intended for fetal use RF Research Option y y Not intended for fetal use Superficial y y Not intended for fetal use User Manual FA092423 L System FiVe sw 1 9 x 209 Chapter Specifications GE Vingmed Ultrasound Technical Specifications Probe Application System overview Max Configuration Cont d Name FPA 2 5MHz Type Flat Phased Array probe Part Number KG 100001 A System Five Application yalan Dive Abdominal y y Not intended for fetal use Cardiac y y Not intended for fetal use MC Contrast y y Not intended for fetal use LV Contrast y y Not intended for fetal use Octave RF Research Option y y Not intended for fetal use Coronary y y Not intended for fetal use HFR y y Not intended for fetal use RF Research Option y y Not intended for fetal use Digital Stress y y Not intended for fetal use Transcranial y y Not intended for fetal use TVI y y Not intended for fetal use Stress y y Not intended for fetal use 210 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter G Specifications Technical Specificati
36. I O 22 FDA s Prescription Device Label 193 Frequency adjustment 83 105 113 Qualified temperatures 220 Sterile cover 128 Sterile cover 127 Sterile parts 128 WARNINGS 49 187 Guidelines for Fetal use 187 Monitors 194 Printers B W and Color 197 Safety of Ultrasound 187 System Five 187 System safety 187 The SYSTEM FIVE Patent Rights 187 Video Cassette Recorders 198 WARNINGS AND CAUTION LABELS 193 Monitors 194 Weekly system maintenance 184 X X Ray picture Signal input 23 246 GE Vingmed Ultrasound Z ZOOM 51 Continuously variable 51 Step variable 51 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter X Addendum ADDENDUM The following warning on the cover page should be modified from Caution Federal law restricts this device to sale by or on the order of a physician to Pages 193 to198 should be removed because they are nearly unreadable Caution for USA only US Federal law restricts this device to sale by or on the order of a physician References to ALARA text As Low As Reasonably Achieveable in this manual should be removed The following sentence is to be added on page 217 All probes sold with System FiVe Vivid FiVe are type CF except PAMPTE Adult which is type BF The following sentence is to be added on page 200 The system meets Class A EMC requirements Electromagnetic interference between the equipment and other devices may occur The follow
37. M amp A 131 M amp A 132 M Mode M amp A 132 Draw the first distance 133 Store measurement number one 134 Repeat a measurement 135 Store the repeated measurement 136 Measure 2D Area in duplex M Mode 137 Complete and store 2D area measurements 138 Cardiac M amp A Configuration 139 Mode shifting during M amp A 140 ni EE x Ex E 141 VCR M amp A 25e RIMIS peu h a a dk a 142 About VOR M amp A ka ok anal an na ta1 esr 142 2D VCR Calibrate 222 dde 2 2 kx A ere ere Dank enun 143 Enter the 2D calibration data 144 Ready for 2D M amp A a a kak ki 2 lara kl al W 145 2D M Mode calibration 146 Calibrate the 2D area 147 Mark the M Mode 148 Calibrate the M Mode area Time scale 149 Ca
38. MODE CURSOR French CURSOR FUGEN SIE MODE CURSOR HINZU German AGGIUNGERE MODE CURSOR Italien ADICIONE MODE CURSOR Portuguese AGREGUE MODE CURSOR Spanish PW PULSED WAVE English PULSEE VAGUE French PULSIERTE WELLE German PULSATA ONDA Italien PULSADA ONDA Portuguese PULSADA ONDA Spanish M MODE M MODE English M MODE French M MODE German M MODE Italien M MODE Portuguese M MODE Spanish 2D 2 DIMENSIONAL English 2 DIMENSIONNEL French 2 DIMENSIONAL German 2 DIMENSIONALE Italien 2 DIMENSIONAL Portuguese 2 DIMENSIONAL Spanish ACTIVE ACTIVE MODE English MODE ACTIF MODE French AKTIVER MODUS German ATTIVO MODO Italien ATIVA MODALIDADE Portuguese ACTIVO MODO Spanish CW CONTINUOUS WAVE English CONTINUE VAGUE French UNUNTERBROCHENE WELLE German CONTINUA ONDA Italien CONTINUA ONDA Portuguese CONTINUA ONDA Spanish CFM COLOR FLOW MODE English MODE D CEcoulement DE COULEUR French FARBE FLUSS Modus German MODO DI FLUSSO DI COLORE Italien MODALIDADE DO FLUXO DA COR Portuguese MODO DEL FLUJO DEL COLOR Spanish User Manual FA092423 L System FiVe sw 1 9 x 235 Chapter Symbols GE Vingmed Ultrasound Symbol Meaning Language GAIN GAIN English GAIN French GEWINN German GUADAGNO Italien GANHO Portuguese AUMENTO Spanish DEPTH DEPTH English PROFONDEUR French TIEFE German PROFONDIT Italien PROFUNDIDADE Portuguese PROFUNDIDAD Spanish ZOOM ZOOM English ZOOM French ZOOM German ZOOM Italien ZOOM Por
39. Notice the color bar To the left we adjust Baseline towards maximum to look at positive velocities Notice also the color bar change and vari ance is present in both User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning Color Flow Mapping Variance At a minimum setting or when switched off at the re programma bles the Variance func tion is not present on the color bar or in the displayed flow of the right hand view Whereas when you paddle onto or switch On Variance it is present on the image and in the color bar User Manual FA092423 L System FiVe sw 1 9 x Chapter Scanning GE Vingmed Ultrasound Color Flow Mapping How Color Flow Mapping works Understanding the basic processes for Color Flow images is how to get the best color flow images possible from striking the optimal balance between frame rate mapping angle quality packet size and Low Velocity Reject This section will establish a basic understanding of what color flow mapping is and briefly describe the complex series of events that must happen to build a color flow map in real time In Doppler Spectrum Analysis pulsed a large mathematically transformed data set from a given sample volume is to yield the spectrum of velocities present in that sample volume over the time Because the interrogation of one specific sample volume at a time is typical there is a continuous stream of d
40. Patient I O amp traces setup ECG trace control To access the Physio logical trace controls including ECG press this key t the re program mables on the con trol panel these functions appear The screen is redrawn andsome Trace controls are available on the Pad dle controlled menu User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter A System Preparations Patient I O amp traces setup ECG GAIN Adjustment When the ECG trace ap pears on the screen it has a setting of maxi mum gain and the wave form height looks similar to this To reduce the waveform height turn this rotary counterclockwise Reducing ECG GAIN also reduces the wave form height shown User Manual FA092423 L System FiVe sw 1 9 x Chapter A System Preparations GE Vingmed Ultrasound Patient I O amp traces setup Set ECG trigger one In ECG Triggered acqui sition live scan data is synchronized with the heart cycle trace from the continually oncom ing ECG data from the patient The systems dual ECG triggers allow you to pin point events for Specific image display each time you reach the pin pointed section of the loop Through this you can relate seen heart abnor mality occurrences to positions in time along the heart cycle Press the ECG trigging key once and Turn ECGTrig1slightly clockwise See the change at position ECG trig1 on the Trig ging menu S
41. To recall Clipboard stored images press this key You are then asked to click select one of the icons on the clipboard area Click select it GE Vingmed Ultrasound Ur ANT vy t p 1 SDT Your selected image recall is then dis played as shown here User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter A System Preparations System Quick Reference System connections Even though they may look and feel alright afterwards never continue using any Vingmed Probes that been dropped onto or bashed against hard surfac es Such probes must be disconnected and tested by qualified personnel 1 Headphone Headphone connector with vol ume control 2 Illum One lamp connector with Intensity adjustment 3 External I O panel Left side rear Two RS232 interface sockets See warning text on pageF 193 One ECG TRIG socket One Ethernet interface socket One SVHS OUT socket One SVHS IN socket One Composite Video output socket One Composite video input socket One B W Video output socket Four Analog input sockets Output sockets for color printers Patient I O panel One pressure sockets option One Respiration socket option One Phono socket option One ECG socket Rear wall One mains cable One Power ON OFF switch Protective earth Upper Front End panel Two Annular Phased Array probe sockets One Doppler probe sock
42. Vingmed Ultrasound Chapter A System Preparations System Quick Reference Basic mode adjustments 1 TGC slides Adjust the amount of echo brightness at specific depths in the 2D sector p GAIN 2D Adjusts the overall amount of echo bright ness within the 2D sector 3 GAIN ACTIVE MODE Increases or decreases echo brightness within the active mode window ZOOM Step variable Enables step variable zoom ky Continuously variable ZOOM Enables continuously variable zoom Depth 2D sector In 2D 2D color M Mode and Color M Mode it adjusts the depth of the data sam pling area which is displayed In PW Doppler it adjusts the depth of the measuring point User Manual FA092423 L System FiVe sw 1 9 x 51 Chapter A System Preparations System Quick Reference GE Vingmed Ultrasound Assigned Keys and Rotaries 9292585289 CO Upper assign panel A continually mode updated rotary func tion label window A row of mode assigned rotaries Lower assign panel A continually mode updated key function label window Mode assigned keys 52 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter A System Preparations System Quick Reference System screen tools SPLIT SCREEN Divides the acquisition area into two halves horizontally or vertically Trackball steers the Pointing device Vertical paddl
43. When the cursor is displayed tilt adjust ment is disabled The Yellow marker thatis visible at the top of the sector marks the probe diode light s position On this System a less than 90 sector is tiltable in any direction left and right within the probes 90 scan range by merely stepping the paddle User Manual FA092423 L System FiVe sw 1 9 x Chapter Scanning GE Vingmed Ultrasound 2D Mode Octave Tissue Imaging Standard B mode 2D imaging transmits and receives ultrasound at roughly the same fre quency At higher power levels return echoes from tissue are generated not only at the original frequency but also at twice the frequency transmitted This frequency known as the second harmonic is one octave higher than the original frequency These echoes are mixed with normal echoes when they return to the transducere but are much weaker With in the System Five the second harmonic from the received spectrum is separated am plified and processed for display To start Octave Tissue Imaging that is avail able with 2 5 and 3 5MHz FPA 3 25MHZ Apa and 3 5MHz CLA probes adjust the Freq rotary to the active probe s two lowest fre quency levels A Text confirming that you are in Octave ap pears in this information window when it is active Shortly after the dis played image from Oc tave Tissue Imaging appears Notice the displayed frequency reading 62 User Manual FA09242
44. based allowing to change gain baseline color maps sweepspeeds etc for re called images and loops Advanced Op tions Compound Imaging Real time Compound Im aging mode with linear ar rays for improved delineation of curved structures and speckle reduction without loss of any image resolution Anatomical M mode M mode generated from the cursor independent from the axial plane can be activated from Digital Replay or image clip board recall e amp A Capability 2 GE Vingmed Ultrasound Tissue Velocity Imag ing Myocardial Doppler Im aging with color overlay on tissue image Digital Velocity profile analysis allowing velocity and time quantification at any point and at any time during the heart cycle from Digital Replay or image clipboard recall Quantitative Segmental wall motion analysis can be obtained with use of Anatomical M mode from Digital Replay or image clipboard recall The velocity of all myocar dial segments after entire heart cycle can be dis played in one single im age Tissue color overlay can be removed to show just the 2D image still retain ing the tissue velocity in formation Tissue Tracking real time integrated TVI display Contrast Option Myocardial Contrast MC Application Based on 2 nd har monic Imaging op timized for detection of con trast specific sig nals within the myocardium in ECG triggered mode
45. by situation The internal VCR is ON To start System FiVe press this Stand by ON key once 2 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter A System Preparations Turn On the system The Power Up process The actions on the previ s 7 ous page start the pow W er up process including YSTE F IVE PPS self tests During this the B SX MEN start screen picture ap pears on the monitor Pipe Link EchoProcessing When done the screen picture changes the default probe if con nected calibrates and the ma chine opens in the 2D scan mode For scanning information go to Chapter B ID etc go to Chapter B fee Tochange settings enter The ultrasound area has a depth scale a 2D sec tor a tilt indicator a grey scale bar a time motion line with 1second apart markers At the top left hand side of the screen the Location name is found and be low it the Patient ID window Find the Clipboard area for image captures to the right of patient I O input Down the left edge you see scan parameters Down the right edge we have the scanner info window and the paddle menu controls User Manual FA092423 L System FiVe sw 1 9 x 3 Chapter A System Preparations GE Vingmed Ultrasound System Probes Probe connections Before the scanner can be used it is necessary to mount the Probes that are to be used Let connect ed but unused Probes rest in th
46. estimate rays can be drawn on the wheel shown here On this wheel one ray is drawn although for the spectral estimate there will be at least three Application de pendent generated in the Color Flow Mode One thing to notice is that for any given ray there is no way to deduce whether the velocity detected is flowing to or from the trans ducer Inference from observed hemodynamics determine the flow direction in clinical situations Increasing red velocities Zero velocity Increasing blue velocities 92 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning Color Flow Mapping Assigning Colors and unwrapping the Color Wheel Locations on the wheel shown on the previous page have assigned colors in red blue flow maps This type of color assignment is the core of most manufacturer s red blue maps In the Vingmed map intensity is an additional factor This will appear on the color wheel as concentric rings growing brighter as the diameter grows Adding intensity to the color assignments helps to give the mapped velocities a more flow like appearance Although the flow wheel represents a continuous process in color flow mapping systems the wheel is always cut at some point to be unwrapped and displayed on the monitor The exact cut location on the wheel is arbitrary The cut location is similar to the position of the baseline in a Doppler spectrum display User Manual FA092423 L Sy
47. exams e Invasive scanning involving contact with re circulating blood surgical probes is considered critical and requires sterile technique using a cleaned and sterilized probe or a probe having been High Level Disinfected with a fully enclosing sterile sheath Sterile technique and sterile sheath are indicated with any probe involving biopsy procedures After each patient investigation Note Disinfection of Invasive probes Transesophageal or Tranvaginal is described in the specific probe manuals The description below is for non invasive probes only Probes and their cables should be cleaned using a soft cloth dampened with a mild deter gent We recommend that this be done in accordance with site rules and regulations DO NOT AUTOCLAVE ANY PROBES OR ATTEMPT TO STERILIZE THE PROBES USING ETO GAS OR AGGRESIVE FLUIDS Do NOT submerge any system probes or connectors in cleaning disinfection fluids Use caution when cleaning probes and avoid spilling liquids into connector recep tacles If probes are to be used in potential contamination situations cover the probe WITH A STER ILE SHEATH Visual Inspection amp Maintenance e Prior to all system maintenance tasks disconnect the mains cable Monthly e The user is advised to inspect all external cables and connectors for signs of wear If cables or connectors appear to be damaged contact your ser vice representative for repair or replacement Two Air filters are situated un
48. i User Manual FA092423 L System FiVe sw 1 9 x Chapter Scanning GE Vingmed Ultrasound Body Marks Start the Body mark function To add BODY MARKS to your displayed ultra sound picture press this key on the control panel Page Erase removes all Body marks and Anno tation inputs Line Erase takes the click se lected ones only Annotation Body marks appear on the Annotations menu 76 The body mark selection that appears is applica tion dependent These are the Carotid applica tion ones See Body marks for other application below They function as described here Pelvic and Gyn Ainhatition Abdo PedAbdo and Renal amp rmiatation Small Parts ETE User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning Body Mark Select a body mark Whenever you need to add a body mark during ultra sound scanning start the body marking function de cide which mark view suits your needs and click select it shown below By default setup the selected Body mark pops onto your ultrasound situation shown here The Probe Indicator is active and locked to all Trackball movement ready to be moved around the Body mark User Manual FA092423 L System FiVe sw 1 9 x Chapter Scanning GE Vingmed Ultrasound Body Mark Move the Body mark and Probe Indicator To move the Body mark around your ultrasound situation press the Del ke
49. interest handling Adjust ROI Span shown above to achieve situations to the right and adjust ROI Width shown below to the Right to achieve situations shown direct below Trackball ad justs the angle of ROI User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning Color Flow Mapping Tissue priority While you are scanning or in FULL FREEZE Move onto Tissue Prior ity on the paddle menu and pace it at a mini mum value with the right left paddle The color on your image has now the priority shown to the right You may here have tissue detail that is not visible be cause of flow Continue with the investigation shown below Hint The paddles govern the right hand menu as described earlier Using the same paddle and in live or frozen sta tus and adjust Tissue priority to the approxi mately same level shown to the left Color is hardly visible and tis sue has the priority It is now possible to view structures that were not visible when color had the priority User Manual FA092423 L System FiVe sw 1 9 x 87 Chapter Scanning GE Vingmed Ultrasound Color Flow Mapping Baseline In color flow find Base line on the re program mable rotaries shown below and on the pad dle menu It allows you to view suspecting flow velocities shown in ex amples to the right and below Above we adjust Baseline to a mini mum to study the negative velocities
50. is necessary to make additional measurements start a new exam for that patient Addition to chapter A System FiVe Phono Heart Microphone Instructions for use 1 Plug transducer into connector in front of system marked Phono 2 Select the button on the keyboard marked Phys Trace 3 Use the up down toggle switch on the keyboard to select Phono off on This selection is located on the lower part of the menu to the right of the ultrasound image The Phono off on selection is not visible until the down pointing arrow on the menu is activated Click to the right to turn the trace on 4 The trace will be displayed on top of the ECG trace on the System FiVe monitor 5 To adjust the position of the trace on the screen select Phono Offset on the menu using the up down toggle The trace is moved upwards and downwards using the left right toggle CAUTION Agjusting the trace baseline too far from the ECG can cause the trace to be a flat line 6 The size of the trace window is adjustable The default size is small The window size can be changed by pressing the Screen Config button The options are small medium large and full 7 To adjust the gain of the trace use the up down toggle switch and select Phono Gain The gain is increased by clicking the left right toggle to the right and decreased clicking the left right toggle to the left CAUTION The gain should be adjusted in very small increments 8 The heart microphone is placed on t
51. it rotates freely in the direc tion of the move ment When you stop an M Mode redo at the new lo cation occurs At this stage do a sur vey of the area in Anatomic M Mode 102 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning Anatomic M Mode About Anatomical M Mode is a most useful tool for the validation and quantification of tissue movement and thickening It is for instance possible to measure wall thickening in lo cations where the wall boundary is parallel with the acoustic beams The anatomical M Mode applied to tissue velocity data provides the tool that resolves the complex motion characteristics of myocardial wall movement The Anatomical M Mode lines are sampled with the same temporal and spatial resolution as done with the 2D tis sue or 2D color flow images making it possible to produce high quality M Mode im ages from high framerate 2D acquisitions User Manual FA092423 L System FiVe sw 1 9 x Chapter Scanning GE Vingmed Ultrasound Color M Mode Select Color M Mode In 2D M Mode press this key to select Color M Mode and below shown color informa tion representing speed movement ap pears enca ee iau e iru D DAVA unu a ar nd MR a User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning Color M Mode Assignables screen f
52. or flow appear within this sector You may need to adjust the Ac tive Mode gain rotary E 17 i Note that the term Color Flow is a generic term which includes the three Color Flow modes that are available in the system Conventional Color Flow Mapping Power Amplitude Doppler Ref page 96 Tissue Velocity Imaging optional See separate Manual Conventional Color Flow Mapping provides information bandwidth and direction about the velocity bandwidth and direction of blood flowing in the Region of Interest box Blood flowing towards the transducer is mapped in red while blood flowing away from the transducer is mapped in blue Blood flow that contains a variety of velocities which often appear where there is turbulence or a jet mapped in green Tissue Velocity Imaging maps velocities from tissue motion to colors in accordance with a color map User Manual FA092423 L System FiVe sw 1 9 x 81 Chapter Scanning GE Vingmed Ultrasound Color Flow Mapping Move the color sector within the 2D sector In live scanning right and left Trackball move ment moves the color sector simultaneously You may also want to change color maps and this is done at the as signable keys on the control panel User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning Color Flow Mapping Programmable Keys and Rotaries Here are the re pro grammable keys and Rotaries in li
53. pler shown below The 2D situation with continually adjust able TM cursor and a Depth scale in mm depth scale A velocity scale in m s meters per sec ond ni A time scale in sec A Doppler center onds Baseline The ECG trace re scaled to fit the Dop pler window User Manual FA092423 L System FiVe sw 1 9 x Chapter Scanning GE Vingmed Ultrasound Doppler Carotid Angle Correction Obtain a good image and engage the Cursor with the Add Mode Cursor key Move the Cursor with the Trackball and place the Angle Correction marker on the cursor sample volume in the center of vessel Press the Select key once adjust the angle until the yellow line is parallel with the vessel wall or the assumed di rection of flow Press one of the Doppler W To move the cursor to an Mode keys and continue other position press the the investigation Select key once more User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning Doppler Peak Velocity Correction Peak velocity Correction is used for finding a more correct maxi mum velocity reading as a func tion of Tilt Angle Correction sample Volume and Depth Doppler PW With the above situation the ECT Automatic Peak Velocity Cor rection is switched ON OFF Reject here JAPVC off on When switched ON the Veloci ty is corrected and the Doppler scale is Green User Manual FA
54. pub n No Symbol ra Description lication 1 disi 417 5032 Alternating current 2 QD 417 5019 Protective earth ground 3 L 417 5017 Earth ground 4 417 5021 Equipotentiality a Attention consult ACCOMPANYING DOCU MENTS 6 417 5008 Off power disconnection from the mains 417 5007 On power connection to the mains 228 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter H Symbols IE SP No Symbol pun Description lication e 8 Q 417 5065 Off only for a part of EQUIPMENT 9 417 5064 On only for a part of EQUIPMENT 10 FR 878 02 02 EQUIPMENT e 11 K 878 02 03 TYPE BF EQUIPMENT 12 D TYPE CF EQUIPMENT 13 7 878 03 01 Dangerous voltage 14 n Freeze 15 N Screen Cursor User Manual FA092423 L System FiVe sw 1 9 x 229 Chapter Symbols Shipment Symbols GE Vingmed Ultrasound N e 2 Symbol Ref Description 1 Extract of Symbols from Q a VINGMED shipment nc 7 m tO GF Vingmed 1 Zawa A kd 2 Transport Placeing DEDEN instructions THIS SIDE t1 i 3 Fragile handle with utmost care symbol 4 Avoid all wetness sym Ms bol 5 TILT N TIP or TILT WATCH and SHOCK DO NOT DROP i we de NO i WATCH positionining mM AERIS viae dy tontin i n ME area Tilt n tip is not NN ee D a used so often as Tilt EDO watch See also 7 and Uwe
55. re corded data when there is a change of velocities in the Spectrum data The velocity scale calibration is valid for measurements in the marked area This is true as long as the Replay marker is positioned in the same area VL Replay marker User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter D Using M amp A Cardiac Acquisition Formulas In addition to the parameters that are directly measured by a user the System FiVe has a number of Formulas which are automatically calculated as soon as all of the parameters in the Formulas have been assigned The labels in the for mulas below are the same as the labels listed in the parameter menus for as signment Body Surface Area 0425 BSA 2 000784x Height cm 72 x Weight kg Patient Browser Entry BSA Basedonweight 3 Weight kel 0 1 Patient Browser Entry 2D measurements Volume 8x 3 Volume by length area cm 3 xII x Dist cm 20 Volume by Simpson cm Y 1 II x h cm x Dem 4 When calculating volume by Simpson the Volume is sliced up in 20 slices perpen dicular to the long axis The h in the formula is the thickness of the slice and D is the diameter Left Ventricular study 2D Left Ventricular Ejection Fraction LeftVentricularVolumeEndDiastole cm LeftVentricularVolumeEndSystole cm LeftVentricularVolumeEndDiastole cm3 Us
56. retro spective review of Color M mode data allowing for adjustment of parame ters such as encoding principle Color Priority and Color Gain even on frozen data Mosaic and variance maps to delineate dis turbed flow and high ve locity jets user selectable in Digital Replay M and image clipboard recall PRF settings user select able Advanced Regression Wall Filter gives efficient suppression of wall clut ter For each encoding princi ple multiple color maps can be selected in live and Digital Replay More than 65 000 simul taneous colors pro cessed providing a smooth display two di mensional color maps containing a multitude of color hues Color Invert user select able in Live and Digital Replay Variable color baseline user selectable in Live amp Digital Replay Multivariate Color Priority function gives reliable de lineation of disturbed flows even across bright areas of the 2D mode im age Selection of color maps Color Doppler freq can be changed indepen dently from 2D for optimal flow GE Vingmed Ultrasound Color Doppler Imaging Frame Rate in excess of 100 fps depending on transducer and settings Variable ROI size in width and depth Very high digital signal processing power main taining high frame rates with large ROIs even for very low settings Advanced Regression Wall Filter User selectable Radial and Lateral Averaging for reduction of statistical
57. step is to cal ibrate the M Mode time lapse To do this place the cursor onto 0 secs and press select Move the cursor onto 4 secs mark and press select again A white line is now drawn along the time scale The seconds entry dialog appears for you to enter the specific number User Manual FA092423 L System FiVe sw 1 9 x Chapter D Using M amp A GE Vingmed Ultrasound VCR M amp A Calibrate the M Mode area depth scale Once more you are asked to measure depth but this time it concerns the M Mode view So place the cursor on marker and press se lect Repeat this at the 15cm marker On the entry dialog enter 15 and select Ok to do M amp A or Cancel to exit The M amp A options for in this case 2D M Mode are displayed and you can continue User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter D Using M amp A VCR M amp A M amp A Package for application change To change application in VCR M amp A click select M amp A Package on the VCR Calibrate menu On this input the system presents a set of applications Highlight and select one that suits your displayed VCR recorded data ideis Patient ER MMR ore Package BEZ TIN E orto Iliac User Manual FA092423 L System FiVe sw 1 9 x Chapter D Using M amp A GE Vingmed Ultrasound VCR M amp A The Calibration Marker he Calibration Marker is automati cally generated in
58. the Area trace is auto matically completed Repeat if necessary and store as described previously ACC completed exit from measuring M Cal User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter D Using M amp A M amp A examples Cardiac M amp A Configuration Select CONFIG The Cardiac configu ration menu appears with three configura tions options Select Sp Calipers On the dialog that ap pears configure Sp Cal ipers and exit by saving or cancelling cardiaeSeectrun D eenisPoint _ save User Manual FA092423 L System FiVe sw 1 9 x 139 Chapter D Using M amp A GE Vingmed Ultrasound M amp A examples Mode shifting during M amp A Mode Shifting during an M amp A session is very easy and correct measurement types are always present for the active mode M amp A is also available in other ap plications and related measure ment types are also presented User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter D Using M amp A M amp A examples Report To obtain a Measure ment Report on this system press this key on the control panel The Report generator presents its Opening screen In our examples we did M Mode measure ments Tosee these select M Mode and they are presented as show here If this Patient file is moved to an external storage these mea surements will follow providin
59. un certainty in the color ve locity and variance estimates Data Dependent Pro cessing DDP per forms temporal processing and display smoothing with reduced possibility for loss of tran sient events of hemody namic significance Digital Replay for retro spective review or auto matic looping of color images allowing for ad justment of parameters such as DDP encoding principle baseline shift color maps color priority and color gain even on frozen recalled data Application dependent Multivariate Motion Dis criminator reduces flash artifacts Same controls and func tions available as in stan dard 2D color Doppler Dedicated coronary flow application User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Color Angio Color Intensity Imaging Angle independent mode for visualization of small vessels with increased sensitivity compared to standard color flow Color M mode Variable ROI size user selectable User selectable Radial Averaging for reduction of statistical uncertainty in the color velocity and variance estimates Selectable horizontal scroll speed 1 2 4 8 16 seconds across display Can be adjusted during Live Digital Replay or image clipboard recall e Real time 2D image while in color M mode Same controls and func tions available as in stan dard 2D color Doppler Spectral Dop pler General Operates in PW HPRF and CW mode
60. understanding the color bar This is a pictorial trans lation table that will allow you to associate a color on the flow map with a particular flow state To understand what the color bar represents one must first under stand what information is available from the color flow mapping process User Manual FA092423 L System FiVe sw 1 9 x 91 Chapter Scanning GE Vingmed Ultrasound Color Flow Mapping The Spectral Estimate Spectral estimation is the process in which the CFM extracts velocity information from the returning Doppler shifted ultrasound data Thethree parameters mean velocity sig nal intensity and the variance of velocity determines each pixel on the flow map i e each range gate along each flow vector The mean velocity is the statistically deter mined average velocity Variance is a measure of the bandwidth of the velocity spec trum It tells how much the velocity typically deviates from the average velocity The intensity is a measure of the returning signal strength Spectral estimation depends on a mathematical process called auto correlation to con vert the Doppler shifted echoes into velocity information The raw outputs of the auto correlation process are a set of rays each having an angle and a length The angle of the ray corresponds to the velocity and can range from O to 1 Nyquist Velocity covering the span of to 180 The length of the ray is proportional to the signal intensity Spectral
61. 07 NORWAY 1997 1277510 ITALY 1998 95 101 30 FRANCE 1997 689724 SWITZERLAND 1999 M MODE A METHOD FOR GENERATING ANATOMICAL M MODE DISPLAYS 5 515 856 US 1996 1277511 ITALY 1998 2 723 835 FRANCE 1998 TISSUE ANALYSIS A METHOD FOR REAL TIME ANALYSIS 5 467 096 US 1996 1277512 ITALY 1998 2 724 245 FRANCE 1998 TISSUE VELOCITY A METHOD FOR ANALYSIS AND MEASUREMENT OF TEM PORAL TISSUE VELOCITY INFORMATION 5 820 561 US 1998 1293746 ITALY 1999 METHOD OF ULTRASONICALLY MEASURING BLOOD FLOW VELOCITY 4 559 952 US 1985 2 112 937 UK 1982 PV 8218993 FRANCE 1988 1 210 951 ITALY 1990 1 595 636 JAPAN 1991 32 41 670 GERMANY 1995 METHOD AND APPARATUS FOR GENERATING A MULTIDIMENSIONALMAP OF BLOOD VELOCITIES USING BACKSCATTERED ULTRASOUND AND THE DOP PLER EFFECT 4 848 354 US 1989 2 142 142 UK 1989 2545715 FRANCE 1992 1 174 091 ITALY 1988 1887967 JAPAN 1995 4317660 80 GERMANY 1995 METHOD AND APPARATUS FOR SYNTHESIZING A CONTINUOUS ESTIMATE SIGNAL FROM SEGMENTS OF A GAUSSIAN SIGNAL PROVIDED BY ULTRA SONIC DOPPLER MEASUREMENT ON A FLUID FLOW 4 934 373 US 1990 191 Chapter F Warnings PATENT NO PATENT NO PATENT NO PATENT NO PATENT NO CASE NO x PATENT NO 2 142 753 3 417 568 2 549 957 1 173 985 1887966 UK GERMANY FRANCE ITALY JAPAN GE Vingmed Ultrasound METHOD AND APPARATUS FOR ULTRASOUND IMAGING 5 465 723 US 1998 REGISTRATED TRADE MARK
62. 092423 L System FiVe sw 1 9 x Chapter Scanning Doppler Sample Volume size change Sample Volume Con trols size of the doppler Sample Volume Gate The horizontal paddle adjusts the Sample Vol ume The vertical pad dle finds the Sample Volume Increasing the sam ple volume size im proves sensitivity but reduces spatial resolution GE Vingmed Ultrasound This also reduces the achievable maximum velocity range User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning Doppler Assignables screen commands live Baseline Controls position of the zero velocity baseline of the spectral display To be used to help avoid aliasing of the doppler display WARNING Frequency adjustment In Doppler or Color Flow modes affect the maximum size of the available velocity range Frequency increase lowers the maximum User Manual FA092423 L System FiVe sw 1 9 x Chapter Scanning GE Vingmed Ultrasound Doppler Doppler Control descriptions Velocity Range Control the velocity range of the spectrum display The requested velocity range will not necessarily be achievable The available range depends on parameters like frequency sample volume position and sample volume size If the required range is not achievable reducing the sample volume size might help When measuring high velocities one might get unlikely sample volumes To get rid of these use e
63. 1 9 x Chapter A System Preparations Internal Patient Archive Cineloop Analysis To do Cineloop analysis on Patient archive stored images Click select the image and this Analyze key GE Vingmed Ultrasound Your one second cineloop appears here See also the red and green cineloop end marks along the lower edge of the Ultrasound area Set up a cineloop or run through it with the trackball Press the Pat ID key to return to the Patient archive User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter A System Preparations Internal Patient Archive Add Find Edit Delete Personnel To do this select the Personnel key at this location The Personnel func tion dialog window ap pears On it you can Find personnel Delete personnel Clear per sonnel input from the personnel window Can cel personnel activity or just exit with Done User Manual FA092423 L System FiVe sw 1 9 x Chapter A System Preparations GE Vingmed Ultrasound Internal Patient Archive Patients list handling To display the Archive Patients list click Se lect this key Use this function to handle patient file storage limits within the system Thir ty Patients With it you can select the current any individual or all files transfer the current file any file or all files to EchoPAC After the transfer to EchoPAC you can Delete current any
64. 3 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning 2D Mode How does Octave Imaging improve image quality When Octave Imaging is active the transmitted frequency is lowered fully utilizing the high bandwidth of the transducer At lower frequency the ultrasound beam becomes less sensi tive to the non linear characteristics of tissue it also penetrates further into the tissue before losing signal strength Thus with lower transmit frequency more signal energy reaches the region of interest The harmonic ultrasound signal is then reflected from the organ and back to the transducer just like the original fundamental frequency ultrasound signal Very little harmonic signal is generated from noise echoes often seen in the blood pools and as general noise therefore the returned signal provides better contrast separation betweentissue and blood pools Since the frequency is doubled Octave Tissue Imaging also provides twice the lateral reso lution due to the increased effective aperture User Manual FA092423 L System FiVe sw 1 9 x 63 Chapter Scanning GE Vingmed Ultrasound Depth Control Adjust Region of Interest DEPTH 2D Depth moves your scanned Region of In terest up or down with in the viewed sector It also redraws and reduces Depth reading here An example of depth movement could look like this The Region is now at a lower position on the screen User Manual FA092423 L S
65. 3 L System FiVe sw 1 9 x 21 Chapter A System Preparations External I O Panel System I O panel location The External I O connector panel is located here on the system The panel sockets are identified on the next page GE Vingmed Ultrasound User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter A System Preparations External I O Panel Socket identifications GR aphic RS232 and CPU RS232 sockets ETHERNET socket Used for communication with EchoPAC stand alone SVHS OUT and SVHS IN sockets for Super VHS VCR connection COMP OUT and COMP IN connectors COMP OUT is used by EchoPAC COMP IN can be used by a great variety of sources such as display of an X Ray picture etc Four Analog input sockets Can be used for auxiliary traces ECG TRIG OUT socket Output sockets for color printers a User Manual FA092423 L System FiVe sw 1 9 x A 23 Chapter A System Preparations GE Vingmed Ultrasound Control Panel Equipment Headphone connection and volume adjustment 24 Connect the Headphone jack to this system socket and ad just the sound level with the volume control above it The above volume control also regu lates the sound level from the loud speakers i i i i esatto IRE HE E 1 d i H User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter A System Preparations Co
66. 4055 BPD 0 0406 BPD 0 001596 ppp Assosiated standard deviation Sd 0 643 0 253 BPD BPD GA via Merz BPD range 2 0 9 9 cm Ga 7 739 1 683 BPD 0 306 BPD2 0 04438 ppp 0 002958 ppp Assosiated standard deviation Sd 1 3 0 117 BPD 172 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter D Using M amp A OBGYN M amp A Calculation Formulas Gestational Age weekdays using Crown Rump Length CRL GA via Hansman CRL range 0 6 15 0 cm Ga 4 555 2 822 CRL 0 3868 CRL2 0 02904 CRI 0 0007966 CRL 4 0 000005078 CRL Assosiated standard deviation Sd 0 81 0 098 CRL CRL GA via Robinson CRL range 0 6 7 8 cm Ga 4 933912 2 8007 CRL 0 6356975 CRL2 4 0 117067 CRL 0 011622 CRL4 0 0004623 CRL Assosiated standard deviation Sd 0 814 0 0908 CRL User Manual FA092423 L System FiVe sw 1 9 x 173 Chapter D Using M amp A GE Vingmed Ultrasound OBGYN M amp A Calculation Formulas Gestational Age week days using Head Circumference HC GA via Campbell HC range 11 0 34 8 cm Ga 11 83 0 8894 HC 0 1546 HC2 0 005916 HC 0 00008253 HC4 Assosiated standard deviation Sd 1 2 0 4 HC HC GA via Hadlock HC range 6 7 35 0 cm Ga 8 96 0 54 HC 0 0003 HC2 Assosiated standard deviation Sd 3 10 0 008 HC HC GA via Hansman HC range 14 0 35 0 cm Assosiated standard deviatio
67. 6 Find patient 39 FLA 5 0MHz 209 FLA 7 5MHz 209 FLA10MHz 209 Flat Linear Array probe 209 Flat Phased Array probe 210 211 212 241 Chapter L Index 213 214 Flow Indicator Disturbed Flow Indicator 94 Focus 58 Footswitch 48 Activity messages 124 Formulae Cardiac M amp A 153 Cardiovascular M amp A 180 OBGYN Calculation Formulas 169 FPA 10MHz Ped 214 FPA 2 5MHz 210 211 FPA 3 5MHz 212 213 FPA 5MHz 213 FPA 5MHz Ped 214 Framerate 58 Frequency 58 FULL FREEZE 132 G GAIN 65 2D 51 ACTIVE MODE 51 GAIN 2D 51 GAIN ACTIVE MODE 51 GE Service 35 GE VINGMED ULTRASOUND Safety statement 189 Gel stains Cleaning 184 GR aphic RS232 23 Guidelines Fetal use 218 Guidelines for Fetal use 218 H Halt 2D mode 50 Handle EchoPAC on System Five 120 Hazards 188 Headphone 47 Headphone connector 47 Volume control 47 Headphone connector 47 HFR 210 211 212 213 214 216 217 HINT Active Probe choice 6 242 GE Vingmed Ultrasound Available Probes 4 Changing APAT Probe types 6 Lamp function 25 Hip Angle M amp A 165 HOSPITAL GRADE power source 184 Hospital Name Entry 31 I O 47 IEC 601 1 1990 Clause 14 200 Illum 47 Lamp connector 47 Variator 47 Image Recall 46 Storage 41 IMPORTANT POWER control setting 118 Improve image quality Octave imaging 63 Installation 183 Installation amp Maintenance 183 Instructions for Use Chapter A 1 46 Chapter B 55 116 Chapter C 117
68. 8 e e ki 230 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Symbol Ref Chapter H Symbols Description HANDLE WITH CARZ FRAGILE WEDICM ELECTRONIC EQUIPMENT HANDLE WITH CARE and FRAGILE MEDI CAL ELECTRONIC EQUIPTMENT warnings text in english A IT i Tear MM TILTWATCH Detects and reports system fatal shipment tilting that may happen during transport Color dye is visible in the round hole in the middle of the arrow when this occurs SHOCKWATCH Detects and reports system fatal shipment shock movements that may happen during transport Color dye is visible in the tube side view between two arrows when this occurs User Manual FA092423 L System FiVe sw 1 9 x 231 Chapter Symbols Keyboard Symbols 232 GE Vingmed Ultrasound Symbol Meaning Language AUDIO AUDIO English ACOUSTIQUE French AUDIO German AUDIO Italien UDIO Portuguese AUDIO Spanish HEAD HEADPHONE English PHONE COUTEUR French KOPFHORER German CUFFIA Italien HEADPHONE Portuguese AURICULAR Spanish ILLUM ILLUMINATION English ILLUMINATION French ABLICHTUNG German ILLUMINAZIONE Italien ILUMINACAO Portuguese ILUMINACION Spanish INFO INFORMATION English L cInformation French INFORMATIONEN German Le INFORMAZIONI Italien INFORMACAO Portuguese INFORMACION Spanish Annotation English Annotatio
69. A Setup Do the Measurement Do Biparietal Diameter measurements as de cided previously and repeat if necessary This gives automatic calculation of Gesta tional Age GA and Esti mated Date of Delivery EDD This is included on the OBGYN report Page where you can see that our two measure ments have been av eraged to give safer age and closer date of delivery User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter D Using M amp A OBGYN M amp A Calculation Formulas Gestational Age week days using Femur Length FL GA via ASUM FL range 1 0 7 9 cm Ga 10 38 2 262 FL 00 1912 RL24 0 0008605 3 0 00009128 EL24 0 000003583 p Assosiated standard deviation Sd 0 19 0 42 FL FL GA via Hadlock FL range 0 7 8 2 cm Ga 10 35 2 46 FL 0 17 FL2 Assosiated standard deviation Sd 1 0 0 26 FL FL GA via Hansman FL range 2 0 7 5 cm Ga 10 79 3 728 FL 0 6631 pp 2 0 2492 pp 3 0 3495 FL 0 001861 FL Assosiated standard deviation Sd 0 19 0 412 FL FL GA via Hohler FL range 0 1 8 7 cm Ga 9 174068 2 670895 FL 0 159947 p 2 Assosiated standard deviation Sd 0 19 0 42 FL FL GA via Jeanty FL range 1 0 8 0 cm Ga 9 421153 3 05168 EL 0 0890988 FL 2 0 0009513 FL3 User Manual FA092423 L System FiVe sw 1 9 x 169 Chapter D Using M amp A GE Vingmed Ultrasound OBGYN M amp A Calculatio
70. ASONICS TRANSDUCER PROBE WITH LINEAR MOTION DRIVE MECHA NISM 4 757 818 US 1988 2 512 461 JAPAN 1996 235 969 FRANCE EURO 1997 235 969 GERMANY EURO 1997 235 969 ITALY EURO 1997 235 969 UK EURO 1998 MINI PROBE A MINIATURIZED MECHANICALLY STEERABLE ULTRASONIC PROBE 4 972 839 US 1990 375 132 EUROPA 1995 375 132 GERMANY EURO 1995 375 132 ITALY EURO 1995 375 132 FRANCE EURO 1995 COLOR CODES A METHOD OF COLOR CODING TWO DIMENSIONAL ULTRA SONIC DOPPLER VELOCITY IMAGES OF BLOOD FLOW ON A DISPLAY 4 932 415 US 1990 ULTRASONIC IMAGING PROBE 5 085 221 US 1992 MULTIGATED DOPPLER METHOD FOR ESTIMATING BLOOD FLOW VELOCITY 5 560 363 US 1996 1277233 ITALY 1998 2 727 851 FRANCE 1998 MATCHED SPECTRUM 5 662 115 US 1997 1 279 010 ITALY 1998 2 720 922 FRANCE 1999 WALL MOVEMENT 5 568 811 US 1996 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound CASE NO 16 PATENT NO PATENT NO PATENT NO PATENT NO PATENT NO CASE NO 17 PATENT NO PATENT NO PATENT NO CASE NO 18 PATENT NO PATENT NO PATENT NO CASE NO 19 PATENT NO PATENT NO CASE NO 114 115 PATENT NO PATENT NO PATENT NO PATENT NO PATENT NO PATENT NO CASE NO 118 PATENT NO PATENT NO PATENT NO PATENT NO PATENT NO PATENT NO CASE NO 121 PATENT NO User Manual FA092423 L System FiVe sw 1 9 x Chapter F Warnings POSITION INDICATION 5 617 858 US 1997 300 4
71. C FPA 2 5 KK 100001 H4830JT X MHz BC FPA 3 5 KK 100005 H4830JW X MHz FPA 5 0 KN 100001 H4830JX X MHz FPA 5 0 KN H4830JY X MHz Ped 100002 B FPA 10 0 KW H4501AE X MHz Ped 100002 Dop 2 0 TE 100024 H4830JE X MHz dop pler Dop TC 2 KE 100001 H4830KP X MHz TC transcranial MPTE KN 100006 H4830KK X 5 0 MHz PAMPTE KN H45001A X 5 0 MHz 100007 B PA MPTE 100010 H45001JJ X Ped To be added under Chapter E Installation amp Maintenance GE Vingmed Ultrasound The user must ensure that safety inspections are performed at least every 12 months ac cording to the requirements of the patient safety standard IEC EN 60601 1 254 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter X Addendum Only trained persons are allowed to perform the safety inspections mentioned above User Manual FA092423 L System FiVe sw 1 9 x 255 Chapter X Addendum GE Vingmed Ultrasound 256 User Manual FA092423 L System FiVe sw 1 9 x
72. Chapter D 131 181 Interface sockets 47 Invert color map 85 K Keyboard Symbols Meanings 232 Keys and Rotaries 52 L Labels Symbols used 228 Lamp connector 47 Left Right 58 Limbs Arterial 209 Limbs Veneous 209 Locate Power switches 2 Location setup 31 Long acquisition 209 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Loudspeakers 48 Low Velocity Reject 83 Lower assign panel 52 Lower Front End panel 47 Probe parking socket 47 Three Phased Array probes 47 LV Contrast 210 211 212 213 216 M amp A 131 Find best region of interest 133 M amp A Configuration Cardiac 139 Magneto Optical Disks To Eject 121 Mains cable 47 Maintenance 183 184 MC Contrast 210 211 212 213 216 Measure 2D Area in duplex M Mode 137 MEASUREMENT Key Start M amp A 132 Measurement Uncertainties 221 Mechanical Safety 188 Memory Replay 69 Message window 49 System messages 49 Warnings 49 M Mode Duplex view 97 M amp A 132 M MODE key 50 Mobility Warnings 193 Mode Adjustments 51 Selection 50 Mode shifting During M amp A 140 Move Color sector 82 MPTE 5MHz 217 MPTE probes 4 N Native Language Choice 31 User Manual FA092423 L System FiVe sw 1 9 x Chapter L Index Neonatal Head 213 214 New Exam 39 O OBGYN M amp A 167 Calculation Formulas 169 Obstetrics 208 213 Octave imaging 62 Octave RF Research Option 210 211 212 213 Options 217 Output s
73. ID input as described in the Echo PAC User Manual After ID entry you exit from it and the Home screen appears on the screen showing your en tered ID Shortly after the Sys tem FiVe scan situa tion appears showing the automatically en tered ID at this loca tion 122 GE Vingmed Ultrasound gt jani 1 7 1 Hirt b nal army ra Tas We an Jan Fhnns TU rater iag amara nr l 8I d 0 1 WantDeat Note Please refer to these A EchoPAC User manual Z Part Numbers 192010 Dfor6 3 x sw ML292397 E for 5 4 x sw ML292223 for 5 4 x sw User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter C Application System Five SuperVision Special Setup functions Switch EchoPAC Video Grabbing ON when you want to do video grab bing from the System Five video signal and aes transfer it to EchoPAC J mg The Transfer in detail is also dependent oth ees warmer ea Tur er setups on this menu Se meine iia n live mode you get a raw data transfer of the scan activity on the screen At full freeze you transfer the amount of rawda ta memorized by the System FiVe or a normal copy of the present screen picture or a high resolution copy of the screen picture Select these to m
74. MEAS Beforehand select M Cal and the measuring menu to gether with the mea suring cross appears on your screen Mea surement instructions appear in this area 132 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter D Using M amp A M amp A examples Draw the first distance measurement Using the Trackball and Select key area sur rounding it place the cross at a start point as prompted by the soft ware and press select to mark it Using the trackball Draw the measuring line as shown and press the Select key when you reach the end point At the assignable you will always find Mode related mea surement types as shown here for M Mode User Manual FA092423 L System FiVe sw 1 9 x Chapter D Using M amp A GE Vingmed Ultrasound M amp A examples Store measurement number one Your first measurement turns red and gets num bered at the top Move onto the Measuring menu and highlight 1 Dist which holds the re sult Press the Select key AStorage menu ap pears beside the measuring menu Using the trackball find a storage loca tion on it and press Select to confirm storage This exits you to the Measuring menu again for selection of new activities User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter D Using M amp A M amp A examples Repeat a measurement To repeat a measure ment select this m
75. Mean Regurg Pressure Tricusp Valve Pressure Halftime Tricuspid Valve Velocity Time Integral Tricuspid Valve Cardiac Output Tricuspid Valve Time To Peak Tricuspid Valve Diameter User Manual FA092423 L System FiVe sw 1 9 x 157 Chapter Using M amp A Pulmonic Valve Name Label PVVMX PV PVVME PVmn PVVI PI PVVMER Plmn PVACF PV PVPMX PV PVPME PVmn PVPI Pip PVPMEI Plomn PVVTI PVvti PVCO PV PVTTP PVtpk PVD PV Aortic Valve Name Label AVVMX AV AVVME AVmn AVVI Al AVVMER AOPHTR ARpht AVACF AV AVPMX AV AVPME AVmn AVPI Alp AVPMEI Alpmn AVVTI AVvti AVCO AV AVTTP AVtpk MAVDED 2AVD Ao MAVD AV AVA AVA AVAVTI AVAvti AVAVMX AVAvmx Left Ventricular Name LVOTVMX LVOTD LVOTVTI LVOTVME LVOTCO LVOTPMX LVOTPME 158 Label LVOT LVOT LVOTvt LVOTmn LVOT LVOT LVOTmn Unit m s m s m s m s m s mmHg mmHg mmHg mmHg cm l min sec cm 2 Unit m s m s m s m s ms m s mmHg mmHg mmHg mmHg cm l min Sec cm cm cm cm cm cm 2 Unit m s cm cm m s l min mmHg mmHg GE Vingmed Ultrasound Description Mode Pulmonic Valve Peak Velocity Pulmonic Valve Mean Velocity Pulmonic Valve Insufficience Velocity Pulmonic Valve Mean Insufficience Velocity Pulmonic Valve Flow Acceleration Pulmonic Valve Peak Pressure Pulmonic Valve Mean Pressure Pulmonic Valve Insufficience Pressure Pulmonic Valve Mean Insuff Pressure Pulmonic Valve Velocity Time Integral
76. O Playback German VIDEO PLAYBACK Italien VIDEO PLAYBACK Portuguese VIDEO APARATO DE LECTURA Spanish User Manual FA092423 L System FiVe sw 1 9 x 233 Chapter Symbols GE Vingmed Ultrasound Symbol Meaning Language ESC ESCAPE English EVASION French ENTWEICHEN German FUGA Italien ESCAPE Portuguese ESCAPE Spanish SPLIT SPLIT SCREEN English SCREEN DIVIS CRAN French AUFGETEILTER BILDSCHIRM German SPACCATO SCHERMO Italien RACHADA TELA Portuguese DIVIDIDA PANTALLA Spanish SELECT SELECT SCREEN English SCREEN CHOISISSEZ L C cran French WAHLEN SIE BILDSCHIRM AUS German SELEZIONARE LO SCHERMO Italien SELECIONE A TELA Portuguese SELECCIONE LA PANTALLA Spanish SETUP SETUP English INSTALLATION French SETUP German MESSA A PUNTO Italien INSTALACAO Portuguese DISPOSICION Spanish PROBE PROBE English SONDE French SONDE German SONDA Italien PONTA DE PROVA Portuguese PUNTA DE PRUEBA Spanish APPLICA APPLICATION English TION APPLICATION French ANWENDUNG German APPLICAZIONE Italien APLICACAO Portuguese APLICACION Spanish PAT ID PATIENT IDENTITY English PATIENTE IDENTITE French GEDULDIGE IDENTITAT German PAZIENTE IDENTITA Italien PACIENTE IDENTIDADE Portuguese PACIENTE IDENTIDAD Spanish User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter H Symbols Symbol Meaning Language ADD ADD MODE CURSOR English MODE AJOUTEZ
77. ONS THE PRODUCT SHOULD BE KEPT IN ROOM TEMPERATURE FOR 10 HOURS BEFORE USE MECHANICAL PROBES MAY BE STORED BETWEEN ZERO AND 50 deg C DUE TO CONTENTS OF LIQUID FACTORY PACKAGING ALLOWS TRANSPORTATION FOR SHORTER PERIODS LESS THAN 6 HOURS AT TEMPEREATURES DOWN TO 20 deg C MECHANICAL PROBES WITH AIR BUBBLES A RESULT OF LOW TEMPERATURE STORAGE TRANSPORTATION SHOULD BE KEPT IN AN UPRIGHT POSITION UNDER TEMPERATURES BETWEEN 20 and 40 deg C UNTIL THE AIR BUBBLES DISSA PEAR Specifications are subject to change without notice 220 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter G Specifications Measurement Accuracy General When using the Measurement and Analysis M amp A package it is important to keep in mind the different aspects that affect the accuracy of the measurements These include acoustical properties patient echogenicity measurement tools and algorithms scanner setup espe cially Field of view or Range settings probe type used and operator inputs Sources of error Image Quality The accuracy of each measurement is highly dependent on image quality Image quality is highly dependent on system design operator variability and patient echogenicity The operator variability and patient echogenicity are independent of the ultrasound system Operator variability One of the largest potential sources of error is operator variability A skilled oper ator can reduc
78. PR MRp MVPMER MRpmn SMVA MVA 2MVA MVA MVAVTI MVAvti MVPHT MVpht MVVTI MVvti MVCO MV MVTTP MVtpk MVDSE EPSS MVE MVEX MVSEF MVe f MVD MV Tricuspid Valve Name TVVMX TVVME TVVR TVVMER TVACF TVPMX TVPME TVPR TVPMER TVPHT TVVTI TVCO TVTTP TVD Label TV TVmn TR TRmn TV TV TV TRp TRpmn TVpht TVvti TV TVtpk TV Unit m s m s m s m s m s2 mmHg mmHg mmHg mmHg cm cm cm ms cm l min Sec cm cm cm s cm Unit m s m s m s m s m s2 mmHg mmHg mmHg mmHg ms cm l min Sec cm Description Mode Mitral Valve Peak Velocity Mitral Valve Mean Velocity Mitral Valve Regurgitant Velocity Mitral Valve Mean Regurg Velocity Mitral Valve Flow Acceleration Mitral Valve Peak Pressure Mitral Valve Mean Pressure Mitral Valve Regurgitant Pressure Mitral Valve Mean Regurg Pressure Mitral Valve Area from Spectrum Mitral Valve Area from 2d Mitral Valve Area from VTI Mitral Valve Pressure Halftime Mitral Valve Velocity Time Integral Mitral Valve Cardiac Output Mitral Valve Time To Peak Mitral Valve S E distance Mitral Valve Excursion Mitral Valve E F Slope Mitral Valve Diameter Description Mode Tricuspid Valve Peak Velocity Tricuspid Valve Mean Velocity Tricuspid Valve Regurgitant Velocity Tricuspid Valve Mean Regurg Velocity Tricuspid Valve Flow Acceleration Tricuspid Valve Peak Pressure Tricuspid Valve Mean Pressure Tricuspid Valve Regurgitant Pressure Tricuspid Valve
79. SSER LES VOLTAGES e LES CONNECTORS LE 25V OU AA Mobility Warnings Never leave a mobile device such as the System FiVe unattended on a slanted surface To lock front wheels press edge marked 1 To unlock front wheels press edge marked 2 Do not carry System FiVe by the front handles 3 or rear bumper 4 These are designed for tilting pushing and guiding the system AA Probe Warning Although they may look and feel OK afterwards never continue using any Vingmed Probe that has been dropped onto or been bashed against hard surfaces Disconnect such probes and get them tested by qualified personnel AA ECG Warning Conductive parts of the electrodes and the ECG cables including the neutral electrode must not come into contact with other conductive parts including ground FDA s Prescription Device Label Federal law restricts this device to sale by or on the order of a physician User Manual FA092423 L System FiVe sw 1 9 x 193 Chapter F Warnings Warnings and Caution labels Monitors Err gulp g rt r Localzacion de 4 ww RUPEE ER ETEB ALAE Qecenaineda regs de vale rmm Ha r a a GE E pues em aza umi ams mal al ER Seo rriei it BER ammi ae P mj kn ee A AZ Gare LL r n n M en aca rien a ampi muc gm ns 1
80. SVHS IN 23 47 OUT 23 47 Switch Active mode 50 Symbols used on labels 228 System Communications 48 Footswitch 18 47 Maintenance After use 184 Weekly 184 Messages 49 Preparations 1 Probes 4 Safety 188 Screen tools 53 User Manual FA092423 L System FiVe sw 1 9 x Chapter L Index System Five Installation 184 Integrated EchoPAC 120 SuperVision 120 System Setup Start 28 51 66 Slides 51 The Calibration Marker 152 The Patent Rights 190 Thyroid Volume M amp A 163 Timer Delay 10 14 Timer Trigging 15 Tissue Imaging Octave 62 Priority 87 Volume M amp A 163 Trace Info menu 12 Sources 16 Traditional M Mode 97 Transcranial 210 211 215 Trig1Key 12 Trig2 Key 13 TVI 210 211 212 213 214 216 217 U Ultrasound Energy Exposure 218 Up Down key 58 Upper assign panel 52 Upper Front End panel 47 APAT probe sockets 47 Doppler probe socket 47 Standby ON switch 47 User Defaults Selection 118 Storage 118 User Interface 30 Using M amp A 131 V Variance 89 Variator 47 VCR 245 Chapter L Index 2D Calibrate 143 2D M amp A 145 2D M Mode calibration 146 Control Panel Controls 116 M amp A 142 M amp A Package Application change 151 Record 116 VCR Configuration 33 VCR Play Key 116 VCR Stop key 116 Velocity Range 114 Video Cassette Recorder 48 Playback 116 Volume control 47 Volume M amp A Bladder 163 Thyroid 163 Tissue 163 W WARNING External
81. ake the Footswitch work in EchoPAC only Thenthe footswitch acts as it does on the EchoPAC stand alone See the EchoPAC User Manual for details User Manual FA092423 L System FiVe sw 1 9 x 123 Chapter Application GE Vingmed Ultrasound System Five SuperVision Footswitch activity messages When doing Continuous capture from System FiVeto EchoPAC display of the footswitch activity Status messages for Grabbing and Pause ap pear at this location User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter C Application System FiVe SuperVision Willful System shut Down with integrated Mac During normal everyday conditions always use following shut down routine Set in standby mode with Standby ON key Allow time for computer to clear up and organize it s data and allow the system to come to rest in Stand by mode After this switch power off with the Power ON OFFswitch at the sys tem rear User Manual FA092423 L System FiVe sw 1 9 x 125 Chapter Application GE Vingmed Ultrasound Biopsy Option Introduction Intended use The biopsy option is intended for use by a duly licensed physician who has received the appropriate training in biopsy techniques as dictated by current relevant practices as well as in proper operation of the System FiVe Ultrasound Scanner This device provides a mechanical means for doing needle instrument guided proce dur
82. al FA092423 L System FiVe sw 1 9 x Chapter Using M amp A VCR M amp A Enter the 2D calibration data As instructed place the cursor onto the dis played depth scale and mark the start point of your Calibration line o Y IU NE NE E MIN j Using the trackball move the cursor to an other position on the depth scale and mark it as an end point with the select area x i F a Enter length af line in cm ERA EET I MIR T iU GE Vingmed Ultrasound cardiac FPA 3 5 MHz d Cardiac Fisa LI 2 a8 On the length input dialog that appears enter a depth In our example this is 15 cm Press Ok to enter input and proceed Press Cancel to exit from calibra tion User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter D Using M amp A VCR M amp A Ready for 2D M amp A The Ok input leads you to proceed with M amp A using the measurement types that are forward ed by the system If the application and dis played measurement types are wrong for the displayed data recall the VCR Calibrate menu select M amp A Package and proceed as described on page D1 151 User Manual FA092423 L System FiVe sw 1 9 x Chapter D Using M amp A GE Vingmed Ultrasound VCR M amp A 2D M Mode calibration In Duplex mode calibra tion which in o
83. alified service personnel The System FiVe external input and output protection cover may be removed by the user using an appropriate screwdriver This gives access to a location for legal connection of accessory de vices All external connectivity at this location must be carried out when the system is switched off The System FiVe external input and output connectors are not electrically isolated from the rest of the circuitry inside System FiVe Any instruments connected to the System FiVe via these in putsor outputs must conform to standard hospital electrical safety and leakage requirements It is the responsibility of the user to ensure that he meets the important safety requirement in all cases When connecting the System FiVe to a non isolated device use a Hospital grade isola tion transformer for all mains power supply Explosion Hazards f System Five use is in the vicinity of flammable anesthetics the risk of explosion exists Mechanical Safety The System FiVe is a compact and mobile system To ensure user and patient safety take the following pre cautions when moving the system Make sure that all loose wires such as transducer cables are out of the way so that they will not snag on wheels doorknobs or other protruding objects Place all loose objects such as bottles of gel ECG leads and cable extra video tapes film or paper in the storage drawer or bins provided Both front wheels have locks Be sur
84. an EB HEFSA a za Qi ee 82 x HE nena Es 34 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter A System Preparations Setup Diagnostic Tests Software versions GE Service Select this key to start up a Diagnostics test The mcmana test proceeds auto matically when you se lect Run test When completed a list of re sults is displayed in the grey area Select SW to display the system sw ver sions This is the password access to the system for GE Service Enter the password to gain access to this set of service functions User Manual FA092423 L System FiVe sw 1 9 x 35 Chapter A System Preparations GE Vingmed Ultrasound Setup ECG Triggering Triggering is a special function for the Con trast Option in ECG triggered acquisition It allows you to set two s Ew inn tn individual ECG trigger Wt a kak etn intervals Configure one of the pedals on the Footswitch to quickly toggle between the in tervals In our example let s enter 3 in the first input box and 5 in the next which means that we want the system to trigger at the third or fifth heartcycle To make the left ped al toggle between the two switch ON the ECG trig Interval SW The left switch pedal will now trigger at the third heart cycle one time you press it and on the fifth the next time in accordance with our example
85. apter G Specifications GE Vingmed Ultrasound Technical Specifications Probe Application System overview Max Configuration Cont d Name FPA 5MHz Ped Type Flat Phased Array probe Part Number KN 100002 A System Five Application Abdominal y n Not intended for fetal use Cardiac y n Not intended for fetal use Coronary y n Not intended for fetal use HFR y n Not intended for fetal use Neonatal Head y n Not intended for fetal use Pediatric heart y n Not intended for fetal use TVI y n Not intended for fetal use Name FPA 5MHz Ped Type Flat Phased Array probe Part Number KN 100002 B System Five Application xen s System Flue Note Abdominal y y Not intended for fetal use Cardiac y y Not intended for fetal use Coronary y y Not intended for fetal use HFR y y Not intended for fetal use Neonatal Head y y Not intended for fetal use Pediatric heart y y Not intended for fetal use TVI y y Not intended for fetal use Name FPA 10MHz Ped Type Flat Phased Array probe Part Number KW 100002 System Five Application System Five Note Cardiac y y Not intended for fetal use TVI y y Not intended for fetal use Pediatric Heart y y Not intended for fetal use Coronary y y Not intended for fetal use Neonatal Head y y Not intended for fetal use 214 User Manual FA092423 L System FiVe sw 1 9 x
86. arations Patient I O amp traces setup Timer Trigging The Timer trigging markers appear as specified in Trace info window shown below Rotate this rotary clock wise to increase delay between image trig gered updates shown here User Manual FA092423 L System FiVe sw 1 9 x Chapter A System Preparations GE Vingmed Ultrasound Patient I O amp traces setup Connect other trace sources Besides the ECG source connect a Heart microphone source a Breath indicator source and one Pressure Pulse device source at the other sockets Heart microphones Breath indicators and Pressure Pulse devices are available options from the manufacturer PULRE Press this key to se lect a trace from a connected source for display on the image ir Sweep Timer Delay Keep Cont Frames A Trace menu appears somewhere on the screen Here it appears in the Paddle see below con trolled area Phono offion IECG Offset Resp offfon Moves select win Switches traces On Off dow Up and Down sets gain levels and po the Menu sitions traces on screen PaE Phono Offsel Pressure offfon IResp Gain Resp EI Pressure Gain Pressure Offset 16 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter A System Preparations Patient I O amp traces setup Trace area size To set or change the Trace area size on the screen click ON OFF Small Mediur La
87. ata available from that location and time or frame rate is not a factor In Color Flow Mapping a limited set of data from a given sample volume is collected over an interval of time which is as short as possible Mathematically manipulated data produce the Color Flow outputs for this sample volume The outputs obtained are an estimate of the mean velocity the intensity or power of the signal and a measure of the statistical variance of the velocities in the sample a hes al L LE UE S 4 ME 90 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning Color Flow Mapping Color Map construction A color flow map construction enhanced from an array of a variable amount of indepen dent color flow lines each of which is taken from a variable amount of independent sam ple volumes obtained as described on the previous page Although all the sample volumes on a given flow line are evaluated and obtained simultaneously each line re quires many ultrasound pulses to make velocity estimates The flow information from the array of lines combined with 2D information collected on an independent 2D scan to yield the whole color flow map At each location in the dis played sector you have either an echo intensity or a mean velocity Constructing a color flow image therefore can take a considerable length of time The key to understanding the velocities being mapped is
88. ation Muni xezay a ___ Mi lli ka w nne hz cer balan Terns a i teal ijas _ irayen tri em p Teo Hurst leki plies SSL 2ER Haas kuran tpi ME O FPES Lia i e en lia br The Image Store World ngo Here keys destination con figuration area where you can set the button to do one of four dif ferent storage meth ods available within this area Here you can TJ define what to 4 store with the Image Store key Traine ta B w iy fe ved uror Set the time re nerd evre T rw eyin hr Dane sparso eW imr ano terval ms be d be W PI up ty rre ECE Mtween 2D frames taste ih heri cle iram tec ji when storing i agn tranaberta srw Doppler spec ij Ciera Tie dn trum or M mode I Delan Inter HR rere z na Kew one m Set Time span ms 1 to transfer store in live 2D mode with out ECG To set the Image format for transfers Set number of to EchoPAC select Preview heartcycles to cineloop before transfer RGB trans transfer store or fer of single frame image area or Select single frame RGB half resolution full screen transfer store Insert the Trig point off
89. bt consult the technical service department or your local representative 252 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound To be added under Chapter G Specifications The following table to be inserted under Chapter A System Probes ACCESSO PART COMMEN TYPE RY NUMBER T CLASS ECG lead 164L0027 AHA cable Type CF wire US ECG patient 164L0025 AHA cable Type CF cable US ECG lead 164L0028 IEC cable Type CF wire EU ECG patient 164L0026 ECG patient Type CF cable cable Foot pedal FB200723 Class IP20 general use Foot pedal FB200734 Class IP68 operating room Chapter X Addendum The probes listed in the table below in bolded letters are tested with Vivid Five The remain ing previously approved System Five probes are supported by Vivid Five GE PROBE SYSTEM VIVID TYPE VINGMED FIVE FIVE P N CLA 3 5 KK 100004 H4830KL X MHz CLA 5 0 KN 100008 H4830KM X MHz ECLA 6 25 KQ 100002 H4830KN X MHz FLA 5 0 KN100003 H4830KJ X MHz User Manual FA092423 L System FiVe sw 1 9 x 253 Chapter X Addendum GE PROBE SYSTEM VIVID TYPE VINGMED CAT NO FIVE FIVE P N FLA 10 0 KW H4830JZ X MHz 100001 I13LV flat KW 100003 H45001KC X linear array I18LV flat 100005 H45001KB X linear array FPA 2 5 KG H4830JS X MHz 100001
90. cal Specifications Probe Application System overview Max Configuration Cont d Name APA 5MHz Type Annular Array probe Part Number TN 100119 System Five Application XEM rive System FiveUS Note Cardiac y y Not intended for fetal use Name APA 7 5MHz Type Annular Array probe Part Number TT 100101 System Five Application System Five US Note Cardiac y y Not intended for fetal use Carotid y y Not intended for fetal use Name APA TE 5MHz Type Annular Array Transe sophageal probe Part Number TN 100047 System Five Application System Five System FiveUS Note Cardiac y n Not intended for fetal use NameAPA MPTE 5MHz Type Annular Array Transe sophageal Multiplane Part Number TN 100053 System Five Application System Five System FiveUS Note Cardiac y y Not intended for fetal use Name APA MPTE Ped Type Annular Array Transe sophageal Multiplane Part Number TN 100065 System Five Application System Five System FiveUS Note Pediatric heart y y Not intended for fetal use Name PA MPTE 5MHz Type Phased Array Transe sophageal Multiplane Part Number KN 100006 System Five Application eyde Fel Note Cardiac y y Not intended for fetal use Coronary y y Not intended for fetal use MC Contrast y y Not intend
91. d the value of 5 and Vmin 3 2923 RI 5 Automatic trace min Flow H Cross Sectional Area x Vavg 2 TimeAverageVelocity x CrossSectionalArea 60 x II x AverageVelocity Systole Velocity EB Diastole Velocity Piz EE I UE AverageVelocity Z User Manual FA092423 L System FiVe sw 1 9 x 181 Chapter D Using M amp A 2 GE Vingmed Ultrasound 182 User Manual FA092423 L System FiVe sw 1 9 x Chapter E Installation amp Maintenance This chapter provides you with maintenance procedures for your system and its probes and contains some advice on installation Chapter E explains how to e System FiVe Installation 184 e Preventive User Maintenance 184 e Cleaning the 184 e Cleaning the Probes 185 e Visual Inspection amp Maintenance 185 Chapter E Installation amp Maintenance GE Vingmed Ultrasound System FiVe Installation N System FiVe Shipments System FiVe should be unpacked installed and cleared for operation by an au thorized service representative Packing Unpacking instructions are found on the outside of the transport package System FiVe must be mains connected to a HOSPITAL GRADE power source DO NOT attempt to assemble the system or connect it to a power source until qualified approval for
92. ded for fetal use Stress y y Not intended for fetal use 212 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter G Specifications Technical Specifications Probe Application System overview Max Configuration Cont d Name FPA 3 5MHz Type Flat Phased Array probe Part Number KK 100005 System Five Application SEULS System FiveUS Note Abdominal y y Not intended for fetal use Cardiac y y Not intended for fetal use MC Contrast y y Not intended for fetal use LV Contrast y y Not intended for fetal use Octave RF Research Option y y Not intended for fetal use Coronary y y Not intended for fetal use HFR y y Not intended for fetal use RF Research Option y y Not intended for fetal use Digital Stress y y Not intended for fetal use TVI y y Not intended for fetal use Stress y y Not intended for fetal use Name FPA 5MHz Type Flat Phased Array probe Part Number KN 100001 System Five Application System NOS Abdominal y y Not intended for fetal use Cardiac y y Not intended for fetal use Coronary y y Not intended for fetal use Fetal Heart y y HFR y y Not intended for fetal use Neonatal Head y y Not intended for fetal use Pediatric heart y y Not intended for fetal use TVI y y Not intended for fetal use Obstetrics y y User Manual FA092423 L System FiVe sw 1 9 x 213 Ch
93. der the system These are easily removed by using a cross point screwdriver These should be vacuume cleand or washed in water to remove dust particals Always e If the bulb in the control panel lamp is defect or used up disconnect the lamp from the front panel remove and replace the bulb and reconnect the lamp on the control panel More extensive maintenance should be performed by trained Service personnel User Manual FA092423 L System FiVe sw 1 9 x 185 Chapter E Installation amp Maintenance GE Vingmed Ultrasound 186 User Manual FA092423 L System FiVe sw 1 9 x Chapter F Warnings A The use of the System FiVe requires a high regard for patient and operator safety The System FiVe was designed to meet or exceed all applicable electri cal and mechanical safety standards However design alone cannot eliminate the possibility of unsafe operation The operator must be aware of the types of procedures or actions that could result in unsafe conditions It is recommended that you carefully review the following information before attempting to operate the unit These Warnings inform you about e System safety 188 e Electrical Power Safety 188 e Electrical Shock Hazards 188 e Explosion 2 5 188 e Mechanical 5
94. e weekdays using Biparietal Diameter 171 Gestational Age week days using Crown Rump Length 173 Gestational Age week days using Head Circumference 174 Gestational Age week days using Abdominal Circumference 175 Gestational Age week days using Humerus Length 177 Gestational Age week days using Ulna Length 178 User Manual FA092423 L System FiVe sw 1 9 x Intro 9 INTRODUCTION GE Vingmed Ultrasound Measurements amp Ratios 179 Cardiovascular Acquisition Formulas 180 Chapter E Installation amp Maintenance 183 System FiVe Installation 184 Preventive User Maintenance 184 Chapter F Warnings 187 Electrical Power 188 Electrical Shock Hazards 188 Explosion Hazards san yk kale brem ERR haa ae RR ar 188 Mechanical Safety rewi 6 Sa Sates ba oe peta e Pada etn nih d 188 AIUM statement on clinical safety 189 AIUM Statement on Mammalian in Vivo Ultrasonic Biological Effects 189 GE Vingmed Ultrasound Sa
95. e Probe holders at each side of the system Organize all probe cabling so that it runs via the hooks under the control panel and avoids getting run over when the System is moved ru Connect either 1 or 2 APAT Probes or 1 or2 MPTE Probes and one Doppler Probe on this connector panel Connect Phased Array Probes maximum 3 on this connector panel An extra Phased array Probe connector may be lodged in the dummy slot 4 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter A System Preparations System Probes Change APAT Probes at Cable end Study the connector section of the Probe and Probe cable and notice how they can fit together To connect an APAT Probe to its ca ble align the connector and recepta cle and connect the cable After connections the system senses the Probe s presence notes its imag ing frequency and calibrates it The activated Probe frequency is on the screen To disconnect the APAT Probe from the cable hold the probe take a grip of the cable release collar and gently free it from the Probe housing User Manual FA092423 L System FiVe sw 1 9 x 5 Chapter A System Preparations GE Vingmed Ultrasound System Probes System Connect Probe cabling A To connect APAT or MPTE Probes align the connector with the socket and insert it To disconnect one of these press this part of the connector gently downwards and extract the connec
96. e Trackball and Hansen Hans 01 11 1914 Select function to Wilson will 24 06 1939 choose the correct patient or cancel to exit A patient file similar to the one shown on the next page regarding your selected patient is displayed Note If you are going to do a new examination find the patient via the New Exam function User Manual FA092423 L System FiVe sw 1 9 x 39 Chapter A System Preparations GE Vingmed Ultrasound Internal Patient Archive Complete an Exam entry A complete ID entry pri or to an exam will re semble this Minimum input is the last name Exit from patient ar oo chive with Done or Cancel If EChoPAC is on line with System FiVe EchoPAC will also auto matically create ahome screen for your patient shown to the left If you shut down Echo PAC and restart it it au tomatically comes up again with the same home screen EIA eS ed Sy pcena 40 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter A System Preparations Internal Patient Archive Do Ultrasound Image storage The current patient file s Ultrasound image area is here Use this key to do Ultrasound data storage in frozen or live modes The stored file is transferred to the system clipboard shown at the top of the il lustration above and in the clipboard area of the illustration to the left User Manual FA092423 L System FiVe sw
97. e switch moves activity between menu fields vertically BEL Horizontal Paddle switch moves activity between menu fields horizon tally User Manual FA092423 L System FiVe sw 1 9 x 53 Chapter A System Preparations GE Vingmed Ultrasound System Quick Reference Post processing functions 54 o o AUDI nad 1 TEXT starts the text annotations function 2 ARROW allows arrow annotation with trackball and select key 3 removes a selected text line 4 starts body marking function 5 erases all annotation arrows on active screen starts the report generator function 7 recalls stored image from clipboard displays video preview before VCR storage remote VCR control 10 prints on alternative printer 11 prints on default printer 13 changes size of displayed image 14 halts active scanning 15 saves single images or cineloops to clipboard 16 starts calipers M amp A User Manual FA092423 L System FiVe sw 1 9 x Scanning This section tells you about e2DMOdE soos evt inc Aet DLE OE eo ETE E erts 56 Depth Control ik ee us tb ML cts 64 GAINS a etu ERE LM DM MM Va ee x 65 e Acquisition mode handling 67 Memory Replay xare ipee TR 69 Ahnotatlonsc out x been et ES C TO EE RS 70 Body MAIKS zaye e DIDN betreten Budd ure dien 76 e Col
98. e this by optimizing the image quality for each type of measure ment Clear identification of structures good probe alignment and correct cursor placement is important Because of pixel resolution the accuracy of a measure ment decreases with decreasing distance on screen Therefore it is important when scaling the object on the screen to avoid measuring objects that are too small See also Optimizing Measurement Accuracy below for recommended techniques Image measurement The accuracy in lateral direction is limited by the beam width and the beam posi tioning especially mechanical positioning for APA probes The radial accuracy is mainly limited by the acoustic pulse length Best accuracy is obtained by measur ing distances along the beam axis Doppler alignment Errors in velocity measurements increase with the cosine of the angle between the measured flow and the ultrasound beam For example an alignment error of 20 degrees will give a 696 under estimation of the velocities while an error of 40 degrees will cause the under estimation to be 24 Optimize transducer position to align the beam with the flow direction If alignment is not possible you may use the ANgle CORRection control to compensate if the flow direction is known User Manual FA092423 L System FiVe sw 1 9 x 221 Chapter Specifications GE Vingmed Ultrasound Measurement Accuracy Screen pixel resolution The display screen is composed of an a
99. e to unlock each wheel before attempting to move the sys tem Once you move the unit to a new location we recommended that the front wheels are locked to prevent it from rolling during use 188 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter F Warnings Statements on the safety of Ultrasound AIUM statement on clinical safety October 1982 Revised March 1983 and October 1983 Diagnostic ultrasound has been in use for over 35 years Given its known benefits and recognized efficacy for medical diagnosis including use during human pregnancy the American Institute of Ultrasound In Medicine herein addresses the clinical safety of such use No confirmed biological effects on patients or instrument operators caused by exposure at intensities typical of present diagnostic ultrasound instruments have ever been reported Although the possibility exists that such biological effects may be identified in the future current data indicate that the benefits to patients of the prudent use of diagnostic ultrasound outweigh the risks if any that may be present AIUM Statement on Mammalian in Vivo Ultrasonic Biolog ical Effects August 1976 Revised October 1978 Reaffirmed October 1982 and Octo ber 1983 In the low megahertz frequency range there have been as of this date no independently confirmed significant biological effects in mammalian tissues exposed to intensities a below 100 mW cm For ultrasound expo
100. e yellow dots 0 5cm from large yellow dots to small yellow dots and 5 0cm between red dots User Manual FA092423 L System FiVe sw 1 9 x 129 Chapter Application Biopsy option GE Vingmed Ultrasound Determine Biopsy needle length To determine the needed needle length scan and find the best possible pas sageway to the area of in terest When you find it press Meas the scanning halts and you can retrieve the situation from the Re play memory a Se a NE 130 On the the displayed ments menu a measurement start point setting appears ata point where upward extended J guide lines cross the leftward ex tended 0 depth line of the scan Se Roll the trackball diag onally downwards to the right and the green cursor appears Maneuver it until it reaches the point of in terest Press Select to f mark the end point of the measurement Two measured distanc es appear here These are Dist which is the distance between the point of interest and the 0 depth mark and Nee dle which is distance between the top of the needle guide and the point of interest User Manual FA092423 L System FiVe sw 1 9 x Chapter D Using M amp A This section tells you how to e M amp A examples 132 M Mode M amp A cx aa optem md hdd Dura 132 e Draw the first distance
101. ed for fetal use LV Contrast y y Not intended for fetal use HFR y y Not intended for fetal use TVI y y Not intended for fetal use 216 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter G Specifications Technical Specifications Probe Application System overview Max Configuration Cont d Name PA MPTE 5MHz Type Phased Array Transe Part Number KN 100007 A sophageal Multip lane System Five Application gaem riya System FiveUS Note Cardiac y n Not intended for fetal use Coronary y n Not intended for fetal use HFR y n Not intended for fetal use TVI y n Not intended for fetal use Name PA MPTE 5MHz Type Phased Array Transe Part Number KN 100007 B sophageal Multiplane System Five Application SEEN E Sysien Five lio NOLO Cardiac y y Not intended for fetal use Coronary y y Not intended for fetal use HFR y y Not intended for fetal use TVI y y Not intended for fetal use Name PA MPTE Ped Type Phased Array Transesoph ageal Multiplane Part Number KN 100010 System Five Application System Five System FiveUS Note Pediatric heart y y Not intended for fetal use Options See page 204 for the options for this product version User Manual FA092423 L System FiVe sw 1 9 x 217 Chapter Specifications GE Vingmed Ultrasound Technical Specifications Guidelines
102. ed in put Use Edit to change a text input or to move it to another location User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning Annotations Change a text entry To Change a text entry choose Edit on the menu place the Cross cursor that appears on the screen onto AO and press Select A short and vertical line cursor replaces the cross and places itself behind the AO text Press the Backspace key once and O disap You can also use the LINE ERASE and the PAGE ERASE keys to erase single entries by one or all en tries in one selection User Manual FA092423 L System FiVe sw 1 9 x Chapter Scanning GE Vingmed Ultrasound Annotations Configuration To do Annotations con figuration click select this position on the An notations menu A con figuration dialog appears Move Up or Move Down highlighted text Delete highlight ed text Add new text en try input from keyboard in this area Cancel all con figuration activi ties Save all changes deletions additions et cet era and even establish a new menu position necessary after changes 74 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning Annotations Setup Todo Annotation settings select the function here m JI Do Annotations setup as clearly explained on this vu HERE
103. ee also the vertical trig marker and note that the shown screen scene will appear each time the screen update line passes the triggers Trigging i ECG i Ebb Timer 12 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter A System Preparations Patient I O amp traces setup Set ECG trigger two To set a second trigger to capture for display another occurrence rotate this rotary clock wise Notice the change in the below menu position ECG Trig2 See also the ECG trig2 marker and the image occurrence it represents kar c Your acquisition is now ECG controlled The first trigger updates your dis played image 13 milliseconds after each R wave The second trigger up dates your image 33 milliseconds after each R wave User Manual FA092423 L System FiVe sw 1 9 x Chapter A System Preparations GE Vingmed Ultrasound Patient I O amp traces setup Timer Delay Use this paddle on the Traces menu to place the selection window onto Timer Delay 1 Timer Delay IB Cont Frames Use this paddle to step the 4 gray area on Timer Delay one step to the right The update will now skip every second R wave Image update as shown here Step the gray area an other step The update passes two R waves be fore image update 24 shown here User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter A System Prep
104. el LAD LAD LADES LADs LAV LAV Right Atrial Name Label RAV R AV E A Name Label MVVE MVe MVVA MVa IVRT IVRT MVTAC sec cm cm cm cm cm cm ml cm cm ml cm cm cm N Unit sec cm cm ml cm cm ml Unit cm cm ml Unit ml Unit m s m s ms ms Chapter D Using M amp A Left Ventricular Ejection Time Left Ventricular Diameter ed from M mode Left Ventricular Diameter ed from 2d Left Ventricular Posterior Wall ed Left Ventricular Area ed Left Ventricular Area endo in LVmass 2d Left Ventricular Area epi in LVmass 2d Left Ventricular Volume ed Left Ventricular Diameter es from M mode Left Ventricular Diameter es from 2d Left Ventricular Volume es Left Ventricular Posterior Wall es Left Ventricular Area es Left Ventricular Posterior Wall Left Ventricle Ejec Frac from 2d Left Ventricle Ejec Frac from M mode Left Ventricle Fractional Shortening Left Ventricle Mass Left Ventricle Mass 2D Area Length Method Left Ventricular Length endo from2D Description Mode Right Ventricular Ejection Time Right Ventricular Dimension ed from M mode Right Ventricular Dimension ed from 2d Right Ventricular Volume ed Right Ventricular Dimension es from 2d Right Ventricular Dimension es from M mode Right Ventricular Volume es Description Mode Left Atrial Dimension Left Atrial Dimension es Left Atrial Volume Descr
105. elocity scale dependent Angle correction with au tomatic adjustment of ve locity scale in Live Digital Replay and im age clipboard recall User Manual FA092423 L System FiVe sw 1 9 x Chapter G Specifications Stereo speakers mount ed in the front panel Display annotations of frequency mode scales Nyquist limit wall filter setting angle correction acoustic power indices PW HPRF Dop pler Automatic HPRF Doppler maintains its sensitivity even for shallow depths and with the highest PRFs Digital Velocity Tracking Doppler employs pro cessing in range and time for high quality spectral displays Frequency Over range control allows analysis and display of narrow band velocities exceed ing the Nyquist limit Adjustable sample vol ume size of 1 20 mm transducer dependent Maximum sample volume depth 30 cm CW Doppler Highly sensitive steerable CW available with all phased array probes Physiological Traces Up to 4 traces display si multaneously ECG trigger High resolution display of the following traces ECG Respiration Pres sure Phono Analysis Pro gram Bodymark icons for loca 203 Chapter G Specifications tion and position of trans ducer Cardiac calculation pack age including extensive measurements and dis play of multiple repeated measurements Vascular measurements package Measurements assign able t
106. ength and width exit from M amp A and continue scanning If you then re enter M amp A and measure the height your volume calculation will be completed P A measuring cursor ap pears on the screen along with a measure ments menu to the left where three are shown vacant and awaiting entries from your mea surements Place the cursor in ac cordance with instruc tions here press i Select to choose a start point and do the Continue in this manner until measurement all are measured User Manual FA092423 L System FiVe sw 1 9 x 163 Chapter D Using M amp A GE Vingmed Ultrasound Volume M amp A Tissue Bladder and Thyroid Save Volume M amp A Results When completed the volume is presented be low the measurements on the measuring menu Save these to the re Il port Volume Formulas These are as shown below Tissue Volume z x length x width x height BladderVolume 0 7 x length x width x height ThyroidVolume 0 479 x length x width x height User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter D Using M amp A Hip Angle M amp A Start Hip Angle M amp A This is Fetal M amp A with ul trasound It allows you to uncover fetal abnormali ties at an early stage Scan your patient with the correct probe obtain and study a good fetal view before selecting to start Measurements The Hip Angle Function is located on this menu To start hip angle M amp A h
107. enu function and a new cross appears at the center of the screen The old mea surement is moved down one position to make place for the next mea surement Place the cross at the start point and press Select User Manual FA092423 L System FiVe sw 1 9 x Chapter Using M amp A M amp A examples Store the repeated measurement As you arrive at the end point of your second measurement press the trackballSelect area 5 57 an 0 04 Dd dt 2 Dist de 6 00 00 GE Vingmed Ultrasound The result is available on the Measuring menu Store it as de scribed previously User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter D Using M amp A M amp A examples Measure 2D Area in duplex M Mode To measure 2D area se lect Area on the Mea surement types menu A position on the mea suring menu is made available and the previ ous measurements are moved one place down wards 6 00 00 A cursor appears on the 2D image Using the trackball move it to an area drawing start position press Select and start tracing the 2D area using track ball movement in the correct direction User Manual FA092423 L System FiVe sw 1 9 x Chapter D Using M amp A GE Vingmed Ultrasound M amp A examples Complete and store 2D area measurements Complete the Area trace and when you reach close to the start point press Select and
108. er Manual FA092423 L System FiVe sw 1 9 x 153 Chapter D Using M amp A GE Vingmed Ultrasound Cardiac Acquisition Formulas LV Mass al LeftVentricleEpcardialArea a2 LeftVentricleEndocardialArea b a2 t E NT T DLVMass 1 05 x ZI LeftVentricalEndocardialLength t a2 x LeftVentricaleEndocardialLength M Mode measurements Left Ventricular study M Mode Left Ventricular Ejection Fraction LeftVentricularDiameterEndDiastole cm LeftVentricularDiameterEndSystole cm LeftVentricularDiameterEndDiastole cm Fractional Shortening 100 x LeftVentricularDiameterEndDiastole cm LeftVentricularDiameterEndSystole cm LeftVentricularDiameterEndDiastole cm LV MASS LVMass 1 04x IVSd LVPWd LVDd 3 LVDd 13 6 Report PNE LeftAtrialDiameterEndSystole cm LA AO ratio AorticDimensionEndDiastole cm Report E A ratio MVe Evelocity m s MVa Avelocity m s 154 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter D Using M amp A Cardiac Acquisition Formulas Teich holz 7 0 3 EDVtz cm 3 44 LVDdiem eLVDd ESVtz cm3 DD 2 4 LVDs cm SVtz cm EDVtz ESVtz ESVtz EDVtz EFtz COtz SVtz HR Doppler Spectrum measurements Calipers The pressure is calculated as follows P mmHg Cardiac Output Pmax mmHg 4x 5 1 TimeOfEnvelope s m _ a Ce m winigan E TimeOfEnvel
109. es with the use of a diagnostic ultrasound probe A reusable bracket is securely po sitioned over the probe body allowing attachment and use of disposable needle guides This device provides a fixed path for the needle or instrument that when coupled by the ultrasound system software corresponds to on screen imaging guidelines for visualizing guided instrument placement procedures Furnish the CIVCO Biopsy Needle Guide in cludes transducer cover which are disposable for single patient procedure use sterile The single use disposable feature helps to prevent transfer of microorganisms body flu ids and particulate material to the patient and health care worker during reuse of the transducer Furnish the reusable Biopsy bracket non sterile and clean it before each use to the user required disinfection level A Biopsy Bracket A Needle Guide with revers ible snap on snap off hole channel piece A Biopsy Needle with pro tection sheath Sterile GEL sachet and Sterile Cover Sterile Kit packaging Rubber Bands 126 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter C Application Biopsy option Bracket and Needle guide mounting 10MHz FLA Feb 99 Mount the Bracket on the probe Slide the fastener in place as shown here Tighten the fastener as shown here Add GEL to the probe scan face Drape the probewith bracket tightly us ing the sterile cover from the Bio
110. et One system Standby ON switch Lower Front End panel Sockets for three Phased Array probes A parking socket for an unused Phased Array probe P S A Phased Array probes must be connected at position 1 before Power Up User Manual FA092423 L System FiVe sw 1 9 x 47 Chapter A System Preparations GE Vingmed Ultrasound System Quick Reference System communication ei 48 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter A System Preparations System Quick Reference Screen areas Clipboard info Contents Information display area Patient ID Clipboard Current clinical application icon Date and Time Operator ID Replay indicator Thermal index VCR Status Active mode Paddle report window System messages Warnings User adjustable parameters Performed measurements Measurements list User Manual FA092423 L System FiVe sw 1 9 x 49 Chapter A System Preparations GE Vingmed Ultrasound System Quick Reference Scan mode selection ADD MODECURSOR Adds a non displayed mode to a Simplex mode or Duplex mode situation in combina tion with the specific mode key Adds a screen cursor to desktop activities and displayed communication windows e EEE 7 ACTIVE MODE Switches active mode in Duplex and Triplex mode situations 50 User Manual FA092423 L System FiVe sw 1 9 x GE
111. exi EE E E eT ed 18 Mount the System Footswitch kk kk kk KK KK KK KK KI KIR RIK KK KI KIR KK 18 Finding the Footswitch Mapping option 19 Footswitch Mapping sessa CSS ea eee 20 Wheel locking yn tin bettie ctu Ceti eer bed pei ely 21 Lock Unlock scanner wheels 21 External I O Panel 22 System I O 22 Socket identifications kk kk kk KK KK KK KK KK KIR KK KI KIR KK KK KK KK 23 Control Panel Equipment 24 Headphone connection and volume adjustment 24 Famp Gonfiectiori ta eite di eed Sa en a su eR REDEEM ES 25 FAINT arches cae ERS Sgen DEAS 25 Screen Configuration 26 Start screen configuration s kk kk kk kk KK KK KK KI KK K KI KIRI K KI KIRI KK KK KK Ke 26 Configure Scanner Screen and VCR recording 27 Setups oS sib eek Ee Sia ade e IER eats eR EN TRES QN 28 Start System Setup 0 2 0 kk kk kK KK KK KK KK KK KK hh 28 Get a Setup Menu overview 29 User Interface s y t a kak dk anak bt a avay hh 30 Do Date amp Time and Location setup
112. f 2D cardiac picture controls The farthest away one is at FULL FREEZE and the nearest in live mode None of these control positions are permanent Tissue 2D Bontour ETR IGompress Reject User Manual FA092423 L System FiVe sw 1 9 x 57 Chapter Scanning GE Vingmed Ultrasound 2D Mode Control Panel Re programmable Rotaries amp keys Angle Focus Controls the scan sector angle Focus positions the transmit focus point s within the transmitted sector depth indicat requency ed by a focal marker on the screen depth Frequency is the transmitted frequency scale Available focal regions overlap and that your acquisition scan has Frequen make it possible to focus on any part of the cy variations depends on probe and ap image MP plication selections If you use ZOOM in live 2D the focal Increase the frequency value to im point s move to within the zoomed part of prove resolution the image If you exit from zooming with Reduce thefrequency value to improve out touching the focal control the focus re penetration turns to the position it had before you There is often a tradeoff situation be activated ZOOM tween the two Frequency adjustment in 2D imaging Framerate changes the display framerate and Framerate controls the resolution in im moves the focal marker to a new posi age movement and detail tion on the screen depth scale Increase the framerate to get frames with less foca
113. fety 5 189 The GE Vingmed Ultrasound Patent Rights 190 List of GE Vingmed Ultrasound s 190 Warnings and Caution labels 193 External I O Warning label 193 Mobility Warnings 193 Probe Warning eS ae Sees ee a eee Saeed E EM 193 ECG Warning x oeste rr ak 193 FDA s Prescription Device Label 193 MONITORS eto dre eee mm eredi eh Praed en 194 Printers B W and Color 197 Video Cassette Recorders 198 Chapter G Specifications 199 Regulatory Information 200 Standards USed STADE 200 EET 200 System FIVE eoo t eds 201 System Architecture 201 Data Acquisition OE RAA Gee 201 Data Processing Sasa Rp ERREUR Gee ee Xu lana 201 Display Replay esis eA EE K E SA 201 Display Annotations 201 Tissus magng soo ERG Gk Ge ite de EN Ies 201 MB PEE 202 Color Doppler Teesside e Dd o de pente BOR a eR ang eine ee 202 Color Doppler Imaging
114. for Fetal use Ultrasound Energy Exposure Ultrasonic energy propagated via mechanical compressions and rarefactions of the media through which it travels These compressions and rarefactions happen at the transducer s natural frequency If the acoustic intensities are great enough i e the compressions and rarefactions are large enough an effect called cavitation or micro cavitation may occur This cavitation can cause physical damage or disruption at the cellular level No reports of bio effects caused by ultrasonic energy in the intensity ranges used on System FiVe are documented to this date This lack of bio effects not with standing IT IS PRUDENT TO KEEP ULTRASOUND EXPO SURE AS LOW AS POSSIBLE within the constraints of getting the data necessary and enough to develop a meaningful and clinical diagnosis Fetal Exposure to Ultrasonic Energy The fetus is particularly sensitive to cavitation because of among other factors its embryological growth and the cell division differentiation that is constantly happening 218 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter G Specifications Technical Specifications Physical Dimensions Size With monitor and without peripherals Height Width Depth 142cm 68 5cm 112cm 55 9 ins 27 0 ins 44 1 ins Weight without Monitor System Five196Kg 432 Ibs Computer 10Kg Electrical Specifications Power requiremen
115. g the correct name is noted for the investigation User Manual FA092423 L System FiVe sw 1 9 x Chapter D Using M amp A GE Vingmed Ultrasound VCR M amp A About VCR M amp A 142 On System FiVe you can do M amp A on VCR recorded scan data from single or duplex modes You are automatically asked to calibrate VCR scan data from single or duplex modes You can choose to use existing calibrations from single or duplex modes The M amp A Function when used on VCR data is always related to the systems active probe and selected application and not the ones that were used during this particular vcr recording You may however change application and gain access to the measurement types that you intended to use The VCR Calibrate menu the M amp A control panel tools and a dis played VCR situation that is ready for M amp A Ak 1 tape When no tape is in serted this on the sceen at this location will remind you User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter D Using M amp A VCR M amp A 2D VCR Calibrate After initiating a video replay of VCR recorded data press the MEAS or Calipers key on the control panel On the VCR Calibrate menu select the 2D po sition with the Trackball and the Select area sur rounding it The menu is removed a cursor appears on the 2D situation and what to do next is continually updated at this location as you proceed User Manu
116. hapter G Specifications Indications for use System FiVe is intended for the forllowing applications Abdominal Cardiac Small Organ Pediatric Fetal Intra Operative Transe sophageal Transvaginal Transrectal Peripheral Vascular Neonatal and Adult Cephalic Contraindication System FiVe is not intended for ophthalmic use or any use causing the acous tic beam to pass through the eye CAUTION Federal law restricts this device to sale by the order of a physician User Manual FA092423 L System FiVe sw 1 9 x 207 Chapter Specifications Technical Specifications GE Vingmed Ultrasound Probe Application System overview Max Configura tion Name CLA 3 5MHz Type Curved Linear Array probe Part Number KK 100004 System Five Application EME System FiveUS Note Abdominal y y Not intended for fetal use Aorto lliac y y Not intended for fetal use Contrast y y Not intended for fetal use Octave RF Research Option y y Not intended for fetal use Fetal Heart y y Obstetrics y y Pelvic y y Not intended for fetal use Renal y y Not intended for fetal use RF Research Option y y Not intended for fetal use Name CLA 5 0MHz Type Curved Linear Array probe Part Number KN 100008 System Five Application En ae Noe Abdominal y y Not intended for fetal use Aorto lliac y y Not intended for fetal use Fetal Heart y y Ob
117. he chest of the patient The heart microphone is equiv alent to a stethoscope and should be used in the same way 9 The heart sound trace will be displayed on the screen Heart sound filtering 250 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter X Addendum 1 It is possible to process the phono signal by passing it through a filter You can choose between six different filters The filters are accessible by first pressing Phys Trace then the Phono Filter button A menu with the different filters will pop up The default filter is highlight ed 2 The characteristics of each filter are shown in the table below Table 4 Lower Higher Conine frequency frequency BP LOW 50Hz 100Hz Bandpass filter located in a lower frequency range BP MED 65Hz 105Hz Bandpass filter located in a medium frequency range BP HIGH 75Hz 150Hz Bandpass filter located in a high frequency range HP50 50Hz e Highpass filter attenuating fre quency content lower than 50Hz in the signal HP30 30Hz Highpass filter attenuating fre quency content lower than 30Hz in the signal STAN At the moment the same as HP30 DARD Table 1 The characteristics of the different phono filters The different filter characteristics are shown in the figure below User Manual FA092423 L System FiVe sw 1 9 x Pap Be Lr aw genan ba 251 Chapter Addendum GE Vingmed Ul
118. his key on the control panel The light in the key lights up and the Annotations menu appears at this lo cation on the screen User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning Annotations Add a menu Arrow To add a menu arrow select this menu posi tion 1 A quite different arrow pointer key is also available on the control panel When selected its key lights up and the arrow pointer pops onto the screen It is also maneuvered positioned as if fastened to the trackball and select key An arrowhead appears on the screen Using the trackball maneuver it onto the location you want to anchor its shaft at and press the select key Move the trackball again and now the ar row shaft stretches or crimps or the whole ar row and shaft rotate h hor Using this knowledge maneuver the shaft and arrowhead so that it points at its target and press select to anchor it completely User Manual FA092423 L System FiVe sw 1 9 x 71 Chapter Scanning GE Vingmed Ultrasound Annotations Enter an menu text abbreviation Highlight and choose AO with the Select key and your input appears with a text input cursor behind it If necessary you can edit or add text from system keyboard Maneuver the input to its planned position with the trackball To anchor it at this loca tion press the select key Use Line Erase to delete the select
119. ighlight and choose it on the menu using the Trackball and Select key Place the appearing cursor onto the starting point of the first angular measurement as in structed along the lower edge of the screen and press select to mark it With trackball move ment direct the cursor at the instructed angle The reading appears on the left hand measure ment menu User Manual FA092423 L System FiVe sw 1 9 x 165 Chapter D Using M amp A GE Vingmed Ultrasound Hip Angle M amp A Complete Measurements and Save results Place the starting point and do the second an gular measurement as continuously instructed along the lower edge hen this is completed execute the third It is not uncommon to dis cover that all angle are less than 90 degrees When all measure ments are completed an angular calculation is displayed on the Measurement menu Store or assign it User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter D Using M amp A OBGYN M amp A Setup Select the Measurement type With the OB applica tion selected choose CONFIG on the Measure menu Select OB CONFIG URE and the BPD measurement as an example On the Table selection menu select the OBG YN table type of your choice as shown here and select Save Cancel forgets your selection User Manual FA092423 L System FiVe Chapter D Using M amp A GE Vingmed Ultrasound OBGYN M amp
120. individual or all patient files plus their images etc from the internal storage area The thirty patient files are stored here when the scanner is notin any way connected to EchoPAC Hint The system can be con figured so that all patient files established on the system go directly to EchoPAC storage and never land here Press this key to Save the current patient to the in tern Disk Press this key to Delete a selection It deletes your patient selection and its images etc Press this key to Save Y To Transfer all selected or the current patient to iust a selected patient to the on line EchoPAC an on line EChoPAC press Exit from this with solution Images etc this key Images etc are in done are in the transfer the transfer 44 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter A System Preparations Internal Patient Archive Diagnosis entry Diagnosis input is en tered via this function To start the function click select it The Diagnosis dialog appears Ready for your handling This is the diagnosis in put area with its menu pop up key BIET SETS o bi ar n ree T you to the pa tient archive Cancels all diag Screen nosis activity EAS all input in Di Save to Exit agnosis name area User Manual FA092423 L System FiVe sw 1 9 x Chapter A System Preparations Image Recall Recall the clipboard image
121. ing recycling information is to be added after page 193 LABEL for locating DISASSEMBLY PROCEDURE The following small sticker label is found on the system rear plate DISASSEMBL Y PROCEDURE Please find disassembly procedure attached to the inside of lower right side panel To access the procedure remove the panel by unscrewing the 4 screws on the rear side of the panel The following sentence is added on page 200 Circuit diagrams parts lists etc will be provided upon request The following sentence referring to Packing Unpacking instructions which accompanies ev ery system is to be edited into the Warnings Chapter F page 193 To safeguard the system during all external transportation use the systems original deliv ery casing with safeguards etc and follow instructions in the Vivid System Five Packing Unpacking procedure P No FA050431 To be inserted into Warnings Chapter F page 193 The area inside the dotted line shows the patient environment refer to local regulations and EN 60601 1 1 User Manual FA092423 L System FiVe sw 1 9 x 247 Chapter X Addendum GE Vingmed Ultrasound ve ee ee y In Chapter F Warnings the following sentence should be modified When connecting the System FiVe to a non insolated device use a Hospital grade isolation transformer for all mains power supply to When connecting the System FiVe to a non insolated device refer to IEC EN
122. ion Deleted altogether or you can use FACTORY set instead To open the User De faults setup dialog click select User Defaults on the displayed Applica tions Menu IMPORTANT Your POWER control setting is not stored with your saved user default 118 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter C Application User Defaults Storage Save and Recall your user default Type your User Defaults identity as shown here and place the cursor onto Save and click it Your entered setup file name appears on the list below the naming window To recall your default set up which in our example was in Cardiac acquisi tion you can find your saved defaults file on the Settings Menu that ap pears when you highlight Cardiac shown here Oth erwise you must find it via the User Defaults menu To return to the Users Defaults menu and click User Defaults Set as Default which will Default Application make this setting the automatic choice the next time you choose Cardiac on the Applica If you have chosen your own setting its filename V tion Menu appears on the scanner info window under the chosen application User Manual FA092423 L System FiVe sw 1 9 x 119 Chapter Application GE Vingmed Ultrasound System Five SuperVision Handle EchoPAC on System FiVe Some System Fives are shipped with an EchoPAC integration These have added functionality withi
123. ional HL7 Communi cator for export and im port of data going to or coming from HIS Echo Contrast This module lets the user perform analysis and post processing on Con trast Harmonic images 2D and Angio data such as Time Intensity anal ysis densitometry Backscatter analysis Baseline Image Sub straction Arbitrary straight An atomical M Mode Arbitrary curved An atomical M Mode Caliper Area Echo DICOM Enables the user to store DICOM images single and multiframe and veri fy connection to any DI COM device Echo Import Enables EchoPAC to read display and import images and measure ments from MO disks from HP Sonos ultra 205 Chapter G Specifications 206 sound systems PDF Creator enables user to create PDF Portable Document Format reports directly from EchoPAC Peripherals options Integrated VCR controls VCR peripheral option Recommended VCR Sony 9500 Hard copy devices Any Video based device us ing Composite S Video or RGB format PAL video Cart Low rolling resistance casters Brakes on front casters Direction of rear casters can be locked for im proved maneuverability Intelligent Fans revolu tion speed is automatical ly adapted to the system s internal operat ing temperature reduc ing audible fan noise Gs GE Vingmed Ultrasound User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound C
124. iption Mode Right Atrial Volume Description Mode E Velocity in E A A Velocity in E A ISO Volumetric Relaxation Time Mitral Valve Acceleration Time User Manual FA092423 L System FiVe sw 1 9 x 159 Chapter Using M amp A MVTDC DT ms MVEAR E A 2 Name Label Unit TBB Tb b sec HR HR BPM Inter Ventricular Index Name Label IVSDED IVSd cm IVSDES IVSs cm IVSD IVS cm TQAV AVq o sec TQPV PVq o sec LA AO Name Label Unit LAAOR LA AO GE Vingmed Ultrasound Mitral Valve Deceleration Time MVe MVa Dimension Ratio Description Mode Time Between Heartbeats Heart Rate Unit Description Mode Inter Ventricular Septum ed M mode Inter Ventricular Septum es M mode Inter Ventricular Septum 2D Time from Q wave to Aortic Valve opens Time from Q wave to Pulmonic Valve opens Description Mode LA AO Dimension Ratio WEIGHT HEIGHT BSA Pat browser Name Label Unit WEIGHT Weight kg HEIGHT Height cm BSA B S A m 160 Description Mode Patient Weight Patient Height Body Surface Area User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter D Using M amp A PV M amp A Start Ellipse measuring To start Ellipse measur ing in PV M amp A when you have found a scan view of interest press FULL FREEZE then MEAS and the measur ing menu appears for you to select Ellipse The Measurements menu for the Ellipse measurement appears together with a gree
125. iration 47 RF option 208 209 210 211 212 213 Rotaries 52 RS232 47 S Sample Volume 105 Sample Volume size change 112 Scan mode Selection 50 Scanning 55 117 Screen 48 Screen commands Cardiac Live amp Full freeze 59 Live only 60 Screen Configuration 26 Function overview 27 Screen Status Information windows 49 Screen tools 53 Horizontal Paddle switch 53 Select key 53 SELECT SCREEN 53 SPLIT SCREEN 53 Trackball 53 Vertical paddle switch 53 Sector Tilt 61 Select User defaults 118 Setup 28 Control Selection 28 Menu Overview 29 Patient I O amp traces 8 Shipments 184 Shock Hazards 188 Shuttle speed 116 Side by side viewing 107 Simplex mode 50 Software versions 35 Special Setup functions 123 Spectral Estimate 2D Color Flow 92 Spilling liquids 184 Stand by ON User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Switch 47 Standards used 200 Start 2D mode 50 Angio 95 Annotation 70 Biopsy Option 129 Body mark function 76 Color Flow 81 Compound 80 CW and PW Doppler Modes 50 Default Doppler Mode 50 Duplex CW Doppler 109 Hip Angle M amp A 165 M Mode 50 97 PWDoppler Mode 108 The Biopsy Option 129 Statements The safety of Ultrasound 189 Status Information windows 49 Stop Key VCR 116 Store Measurement number one 134 Repeated measurement 136 Stress 210 211 212 213 Super VHS VCR I O sockets 23 Superficial Probe Application 209 SuperVision Option 120
126. is the Last Name Hints Maximum number of char acters in text entries Last name 30 First name 30 Hints Max Characters amp entries 4 Pop up menus 8 user en tries each Operator 16 Birthdate 10 Patient ID 30 Street 20 Phone 20 City 20 Resp Phys 16 Rep Phys 16 Diag codes 16 Echolab 20 Tape 20 State 20 Weight 15 height 15 Zip 20 ExamID 20 Counter 20 This is the Examinations overview area Its displayed contents also dependent on the input from the above areas Area for free text input as Referral reasons Diagnosis and Comments All text input from keyboard Delete text in put with Backspace key La llf Screen function keys described nm kad laai separately on following pages User Manual FA092423 L System FiVe sw 1 9 x 38 GE Vingmed Ultrasound Chapter A System Preparations Internal Patient Archive New Exam To tell the system that you are go e ing to do a New Examination RT HIN ns minam click select this screen function On the New Exam menu that ap pears use the Trackball and the Select function to choose one of the menu alternatives or Cancel Create New Examination the activity Use Undefined Patient Find patient To find a patient name stored on mm MEZ EST SERE your system click select this func Emm eee eee tion On the patient list Last Name First Name Examination Images that appears th
127. issue Imaging General Variable transmit frequen cies for resolution penetra tion optimization Variable Acquisition Zoom concentrates all image ac quisition power into select ed Region of Interest ROI Proprietary Confocal Imag ing Variable Contour filtering for edge enhancement Depth range up to 30 cm transducer specific Selectable grayscale pa rameters Gain Reject User Manual FA092423 L System FiVe sw 1 9 x Chapter G Specifications Compress can be adjusted in Live Digital Replay or image clipboard recall Predefined TGC curves re quire minimal operator in teraction application specific 2D mode Sector tilt capability Frame Rate in excess of 600 fps depending on transducer settings and applications Coded Octave Imaging 2nd generation harmonic tissue imaging providing improved lateral and con trast resolution over con ventional imaging Features reduced noise and improved wall defini tion COI gives improved axial resolution without sacrificing frame rate mak ing it the tissue modality of choice for all patient groups Confocal Imaging allows for multiple focal zones over range of view anda high vector density probes dependent Variable image width a re duction either increases frame rate or increases the number of focal zones while maintaining the frame rate application de pendent L R and Up Down invert in live Digital Replay or i
128. ital Stress 210 211 212 213 Dimensions 219 Disturbed Flow Indicator 2D Color Flow 94 DOP 2MHz 215 DOP 6MHz 215 DOP TC 2MHz 215 DOPPL key 50 Doppler 108 Control descriptions 114 Duplex Display 109 Mode 108 Probe 47 Doppler Assignables amp Screen commands FULL FREEZE 115 Live mode 113 Doppler probe 215 Doppler Transcranial probe 215 Draw First distance measurement 133 Duplex M Mode Elements on display 98 View M Mode 97 Duplex mode 50 Dynamic range 60 E ECG 47 Electrode placement table 8 GAIN Adjustment 11 Harness 8 Set trigger 1 12 Set trigger 2 13 Trace control 10 TRIG Connector 47 TRIG OUT Connector 23 Trig Buffer Flush 10 User Manual FA092423 L System FiVe sw 1 9 x Chapter L Index Trigging Key 12 Warning 193 ECG connection Screen changes 9 ECG Triggering Setup 36 User interface Setup 36 EchoPAC 23 EchoPAC Clipboard Setup 32 ECLA 6 2 5MHz 208 Electrical Power Safety 188 Shock Hazards 188 Specifications 219 Electrical Specifications 219 Environmental Conditions 220 ETHERNET Connector 23 47 Examples M amp A 132 Explosion Hazards 188 Extensive cleaning 184 External I O Analog input 47 Color printers 47 Composit video input 47 Composit Video output 47 ECG TRIG 47 Ethernet 47 RS232 47 Socket identifications 23 External I O panel 47 SVHS IN 47 SVHS OUT 47 External I O Warning label 193 F Fetal Exposure to Ultrasonic Energy 218 Fetal Heart 208 213 FF 11
129. ither the LPRF control this will lower the velocity range or the Overrange control The displayed velocity range depends on the setting of the Angle Correction Tracking Controls the spectral analyzers tracking of blood cells When tracking is off set to mini mum value the analyzer will work in the traditional way Increasing the tracking will make the analyzer to try to track the blood cells This will improve the resolution of the spectral display and it makes it possible to measure velocity above the Nyquist velocity But in creasing the tracking will also reduce the sensitivity of the doppler See also Overrange control Overrange If overrange is on value higher than minimum the spectral analyzer analyzes velocities beyond the Nyquist velocity This will make the measurement of high velocities possible without the drawback of unlikely sample volumes To make it possible to distinguish the signal from blood moving with velocities beyond Nyquist velocities from ghosts from lower velocity signals tracking must be on see Tracking control 114 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning Doppler Assignables screen commands FULL FREEZE Doppler PY Compress Reject Angle Corr Doppler CW Compress T Reject Angle Corr Find information from the Doppler scanning at this location on the screen Doppler AC b LYRE t User Manual
130. l points and made up of wider Cineloop FULL FREEZE only beams which in turn gives images with is a group of functions that you to poor detail resolution but high temporal t resolution create and run a mini movie from A framerate reduction does the exact op the stack of scan data found in the posite systems replay memory The control is not available for APAT annular array probes Up Down Theseflip the ultrasound image upside B Mode maps Live and FREEZE down or downside up This function Displays a menu of alterna tive color maps for displayed tissue se Left Right lectable from the trackball and Select key These flip the ultrasound Image right or dad left The Cineloop Re pro grammables gt 58 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound 2D Mode Chapter B Scanning Screen commands Cardiac Live amp Full freeze DDP Data Dependent Pro cessing In cases where normal scan ad Tit justments are not enough cases DoP where random artifacts appear as bright speckles in your image try O press DDP Increase to remove the speckle without effecting moving structures such as valve flaps etc Compress Compress adjusts the greyscale range of your image No Compress hardens your image giving ita black and white appearance In creased Compress tends to make your image grayish and in turn softer Reject Reject removes low amplitude unwanted noi
131. l use User Manual FA092423 L System FiVe sw 1 9 x 211 Chapter G Specifications GE Vingmed Ultrasound Technical Specifications Probe Application System overview Max Configuration Cont d Name FPA 3 5MHz Type Flat Phased Array probe Part Number KK 100001 A System Five Application XEM r ye Abdominal y y Not intended for fetal use Cardiac y y Not intended for fetal use MC Contrast y y Not intended for fetal use LV Contrast y y Not intended for fetal use Octave RF Research Option y y Not intended for fetal use Coronary y y Not intended for fetal use HFR y y Not intended for fetal use RF Research Option y y Not intended for fetal use Digital Stress y y Not intended for fetal use TVI y y Not intended for fetal use Stress y y Not intended for fetal use Name FPA 3 5MHz Type Flat Phased Array probe Part Number KK 100001 BC System Five Application System Five System Five US Note Abdominal y y Not intended for fetal use Cardiac y y Not intended for fetal use MC Conirast y y Not intended for fetal use LV Contrast y y Not intended for fetal use Octave RF Research Option y y Not intended for fetal use Coronary y y Not intended for fetal use HFR y y Not intended for fetal use RF Research Option y y Not intended for fetal use Digital Stress y y Not intended for fetal use TVI y y Not inten
132. le wor ds oe eos Menos rts WARNING LE r Mee t hed ras su nutus ee tee wo swe Sek tem we PET e S pon for UP Q90C 800MD Symbols on Ihe products 1 a CO PST tes n A clas IA rbg 14 tatequards nioccas i che fade thts n nn Set E detta COON ada on ete Po ipee dera er teke n r ante For the customers la the U S eek ass bunt on cei ween ye ertaro zt san a e ten nena W yan as Any Far the customars in tha Kingdom WLANKG THS APPARATUS Must BE EARTHED IMPORTANT Hek sk aims T Mt del efwa Adan 13a 1 Var s n ws 1 P tia LI Peer gae cow m w l tae ete Mee dee 2o 5 zw n Av AD tk Le TAM wey User Manual FA092423 L System FiVe sw 1 9 x SL PLEMENT Bi ART ee oe kaganai rohmsqsaria rabrem hur nan in thee Fredo nicer dizl xemze apenas ems cl kar z TTS oo AO i DS F e rer aun ln imn nm am a narman opm 4 ooh aeu arp rassa bps TI ds utm i m i nl E a dram me pem pee gee omm ill dn e unir al ROLLIE li
133. librate the M Mode area depth scale 150 M amp A Package for application 151 The Calibration Marker kk kk KK KK KK KOK KK KI e 152 Cardiac Acquisition Formulas 153 Cardiac Acquisition Parameters 157 PVIMSA e be eel Sth athens ahi E 161 Start Ellipse 161 Make the ellipse ceci 162 Volume M amp A Tissue Bladder and Thyroid 163 Start Volume MRA vin eel xa SSA W head ee de RE Ne ES 163 Save Volume M amp A Results 164 Volume Formulas Aaah ae E a rak nn 164 HI Angle M amp A pee ie a Be Kuda pbiesi c heri ebteieeie 165 Start Hip Angle amp 165 Complete Measurements and Save results 166 OBGYN M amp A Setup 167 Select the 11 167 Do the Measurement 168 OBGYN M amp A Calculation lt 169 Gestational Age week days using Femur Length 169 Gestational Ag
134. ly sufficient when scanning on intact surface skin For high level disinfection it is necessary to soak the thoroughly cleaned probe in a suitable liquid chemical germicide for an extended period Check the instructions provided with each probe so as not to exceed the depth to which the probe can be safely immersed in liquid Do 248 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter X Addendum not immerse the electrical connector Use additional precautions e g gloves and gown when decontaminating an infected probe The following germicides have been evaluated as being compatible only with the probe type listed Table 3 Probe P N DISINFECTANT CidexTM Cidex PA Cidex OPATM Sporox FPA 2 5 64 100001 YES YES YES YES FPA 3 5 96 KK100005 YES YES YES YES FPA 5 0 96 KN100002 YES YES YES YES FLA 5 0 192 KN100003 YES YES YES YES FPA 10 0 KW100002 YES YES YES YES FPA 5 0 128 KN100001 YES No YES CLA3 5 192 KK100004 YES No YES No 5 0 192 KK100008 YES No YES No ECLA 6 5 128 KQ100002 YES 10 0 KW100001 YES No No No 2MHz Doppler TE100024 YES No No No 6MHz Doppler TQ100002 YES No No No Transesoph YES YES YES No ageal probes Be sure to follow the germicide manufacturer s instructions for storage handling prepara tion time of exposure and disposal Use only disinfec
135. ly when to substituted mean velocity for the Disturbed Flow green This is what provides the outstanding jet and turbulent flow visualization in the CFM 94 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning Angio Start Angio Get a good tissue view of the object of interest Press this key to start An gio Maneuver the color sector slowly and you can see the low flow of your area of interest See also the change in the Color Bar User Manual FA092423 L System FiVe sw 1 9 x Chapter Scanning GE Vingmed Ultrasound Angio Power amplitude Doppler Angio Note that the term Color Flow is a generic term which includes the three Color Flow modes that are available in the system Conventional Color Flow Mapping Ref page 81 Power Amplitude Doppler Tissue Velocity Imaging optional See separate Manual Power Amplitude Doppler also known as Ultrasound Angio or Doppler Energy uses the same data as acquired using Conventional Color Flow Mapping In Power Ampli tude Doppler it is the of the doppler signal amplitude that represents the intensity which is mapped to a color instead of the velocity bandwidth and direction Undesired signals from slowly moving tissue structures are surpressed by the same type of wall filter Power Amplitude Doppler provides noticeably higher sensitivity because of much lower pulse repetition frequency and extensive temporal
136. m age clipboard recall Digital Replay for retro spective review or auto matic looping of images allowing for adjustment of parameters such as gain color reject Anatomical M Mode optional persis tence and replay speed Data Dependent Process ing performs temporal 201 Chapter G Specifications 202 processing which reduc es random noise but leaves motion of signifi cant tissue structures largely unaffected Can be adjusted even in Digi tal Replay Colorized 2D mode user selectable in real time Digital Replay M mode Trackball Steerable M Mode line available with all imaging transducers max steering angle is transducer dependent Simultaneous Real Time 2D and M mode M mode PRF 1 kHz all image data acquired are combined to give high quality recording regard less of display scroll speed spective review of spec tral data 1 3 2 8 2 3 1 8 1 2 1 2 side by side or top bottom duplex display formats Can be adjusted in Live or Digital Re play Selectable horizontal scroll speed 1 2 4 8 16 seconds across display Can be adjusted in Live or Digital Replay Color Doppler General Steerable Color Doppler available with all imaging transducers max steer ing angle is transducer dependent Trackball controlled ROI Removal of color map Digital Replay for retro from the tissue during Digital Replay Digital Replay for
137. n Ga 22 37 3 033 HC 0 3522 HC 0 01505 HC 0 0002935 HC4 0 000001944 HC Assosiated standard deviation Sd 3 10 0 008 HC HC GA via Merz HC range 7 6 36 1 cm 7 779 0 4014 0 02711 HC2 0 0009649 HC 0 00001634 HC4 Assosiated standard deviation Sd 0 4 0 3 HC 174 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter D Using M amp A OBGYN M amp A Calculation Formulas Gestational Age week days using Abdominal Circum ference AC GA via ASUM AC range 3 5 37 7 cm Ga 6 958 0 8784 AC 0 0001584 AC 4 0 000009226 A C9 0 0000002614 A C 0 000000002801 A C Assosiated standard deviation Sd 0 6129 40 06155 AC AC GA via Campbell AC range 8 6 36 0 cm Ga 4 490188 1 277832 0 022174 AC 0 0003847 AC Assosiated standard deviation Sd 1 31 0 048 AC AC GA via Hadlock AC range 5 1 40 0cm Ga 8 14 0 753 AC 0 0036 AC Assosiated standard deviation Sd 1 31 0 048 AC AC GA via Hansman AC range 5 3 32 0 cm 7 427 0 9061 AC 0 01746 AC2 0 002514 AC 0 0001004 ACA 0 000001314 AC Assosiated standard deviation Sd 1 31 0 048 AC User Manual FA092423 L System FiVe sw 1 9 x 175 Chapter D Using M amp A GE Vingmed Ultrasound OBGYN M amp A Calculation Formulas AC GA via Jeanty AC range 5 7 31 6 cm Ga 4 467561 1 494606
138. n cursor in the scan area Place the cursor at a position on your area of interest from where you can start drawing an ellipse axis and press Select to mark the start point of it User Manual FA092423 L System FiVe sw 1 9 x Chapter D Using M amp A GE Vingmed Ultrasound PV M amp A Make the ellipse Using the trackball move the cursor to wards the end point of this longitudinal ellipse axis and press select once more when you meet it Using the trackball once more move it as shown here diagonally downwards to the left and your ellipse starts to appear As you proceed with a function your next step is always prompted here by the system Keep moving it until the ellipse covers your measurement area of interest When it is cov ered press Select once more The ellipse turns red and automat ically calculated mea surements from it appear in the measure ments menu 162 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter D Using M amp A Volume M amp A Tissue Bladder and Thyroid Start Volume M amp A The Volume M amp A s are very much alike and sim ilar to use To prepare for any one of them obtain the correct probe scan the patient and press FULL FREEZE and then MEAS keys at a sight of interest Start them from this menu that appears Hint Volume M amp A is independent of continuous measuring You may start mea suring measure l
139. n Formulas Assosiated standard deviation Sd 2 70 FL GA via O Brien FL range 1 0 7 9 cm Ga 5 184726 9 844899 FL 3 99398 pp 2 1 041302 pp 2 0 116949 pp 4 0 004815 5 Assosiated standard deviation Sd 0 19 0 42 FL 170 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter D Using M amp A OBGYN M amp A Calculation Formulas Gestational Age weekdays using Biparietal Diameter BPD GA via ASUM BPD range 2 0 9 8 cm Ga 5 269 17 03 BPD 6 492 gpp2 41 377 BPD 0 1359 4 0 005114 BPD Assosiated standard deviation Sd 0 125 0 331 BPD BPD GA via Campbell BPD range 2 1 9 4 cm Ga 9 363446 2 4510590 BPD 0 9873671 BPD2 0 387842 BPD 0 0522160 BPD 0 002448 Bpp Assosiated standard deviation Sd 0 643 0 253 BPD BPD GA via Eik Nes BPD range 2 5 10 1 cm Ga 2 035 3 522 BPD 0 2468 BPD2 0 0709 ppp 0 004395 BPD4 0 00004305 BPD Assosiated standard deviation Sd 0 125 0 33 BPD BPD GA via Hadlock BPD range 1 5 10 1 cm Ga 6 8954 0 26345 BPD 0 000008771 BPD Assosiated standard deviation Sd 0 643 0 253 BPD User Manual FA092423 L System FiVe sw 1 9 x 171 Chapter D Using M amp A GE Vingmed Ultrasound OBGYN M amp A Calculation Formulas BPD GA via Hansman BPD range 2 0 10 0 cm Ga 3 542 6 972 BPD 1 91 BPD2 0
140. n French Anmerkung German Annotazione Italien Anota o Portuguese Anotaci n Spanish HELP HELP English AIDE French HILFE German AIUTO Italien AJUDA Portuguese AYUDA Spanish BIOPSY BIOPSY English BIOPSIE French BIOPSIE German BIOPSIA Italien BIOPSY Portuguese BIOPSIA Spanish User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter H Symbols Symbol Meaning Language BODY BODY MARK English MARK MARQUE DE CORPS French KORPER Markierung German CONTRASSEGNO DEL CORPO Italien MARCA DO CORPO Portuguese MARCA DEL CUERPO Spanish TEXT TEXT English TEXTE French TEXT German TESTO Italien TEXTO Portuguese TEXTO Spanish LINE LINE ERASE English ERASE LA LIGNE EFFACENT French ZEILE LOSCHEN German LA RIGA CANCELLA Italien A LINHA APAGA Portuguese LA LINEA BORRA Spanish PAGE PAGE ERASE English ERASE LA PAGE EFFACENT French SEITE LOSCHEN German LA PAGINA CANCELLA Italien A PAGINA APAGA Portuguese LA PAGINACION BORRA Spanish SCREEN SCREEN CONFIG English CONFIG CONFIGURATION D C cran French BILDSCHIRM Konfiguration German CONFIGURAZIONE DELLO SCHERMO Italien CONFIGURACAO DA TELA Portuguese CONFIGURACI N DE LA PANTALLA Spanish PHYS PHYSIOLOGICAL TRACE English TRACE PHYSIOLOGIQUE TRACE French PHYSIOLOGISCHE SPUR German FISIOLOGICA TRACCIA Italien PHYSIOLOGICAL TRACO Portuguese FISIOL GICO RASTRO Spanish VIDEO VIDEO PLAYBACK English PLAY VISUEL PLAYBACK French BACK VIDE
141. n and SuperVision added to their product names The following section describes how the integration affects normal System Five use The EchoPAC integration boots at system boot up Whenever you need to switch from System Five scanning and over to the EchoPAC program press this After selection Echo PAC display covers this C kir B The Trackball and Select area function as your stand alone mouse and it s Select key when EchoPAC is active CEE l i MU most of your normal EchoPAC needs but some shortcuts may fail This miniature monitor found just above the key board continuously dis plays the current EchoPAC situation 120 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter C Application System Five SuperVision Patient ID entry selection To do Patient ID entry on System FiVE with EchoPAC active press this key switch to the EchoPAC patient nm handling functions LLLA This executes an automatic j FH MILI i i unir D Crualu i rtm i Tor bp _ Caficel ara aperntiun Here you can choose this function to fulfill your ID entry task Find descriptions of the other functions here in the EchoPAC User Manual User Manual FA092423 L System FiVe sw 1 9 x Chapter Application System Five SuperVision Patient ID input Do patient
142. ndards have been used STANDARD DIRECTIVE SCOPE 93 42 EEC Medical Devices Directive MDD TEC 801 2 4 1991 Electrostatic Discharge 801 3 1984 Radiated Electromagnetic Field 801 4 1988 Electrical Fast Transient Burst IEC 801 5 1 1993 draft Surge EN 55011 11 3 1991 Emitted noise according to Class B requirements Electromagnetic Suscep tibility IEC 60601 1 1988 Medical Electrical Equipment Part 1 General Requirements for Safety EN 60601 1 1990 UL2601 1 8 1994 CLASSIFIED BY UNDERWRITERS LABORATARIES INC WITH RE SPECT TO ELECTRICAL SHOCK FIRE AND MECHANICAL HAZ ARDS ONLY IN ACCORDANCE WITH UL2601 1 AND CAN CSA C22 2 NO 601 1 IEC 1157 EN 61157 1994 Requirements for the declaration of the acoustic output of medical diagnos tic ultrasonic equipment IEC EN 60601 1 2 1993 Medical Electrical Equipment part 2 Collateral standard Electromagnetic compatibility Requirements and tests NOTE 1 Any rest energy within our scanners or their components will be below 60V DC or 2 mJ 200 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound System Five System Architec ture All modality digital Front End for excellent cardio vascular performance with high frame rate and ad vanced research capabili ties Data Acquisition High precision data acqui sition Programmable open end ed system architecture 12 bit A D conve
143. ng the duplex User Manual FA092423 L System FiVe sw 1 9 x Chapter Scanning GE Vingmed Ultrasound Acquisition mode handling Use the Active Mode key to change Parameters To display tissue adjust ment parameters when in 2D Color Flow with Color Flow adjustment parameters present press the Active mode key once the Color flow key starts to blink Be fore it stops blinking press the 2D key once BC E Ce E The parameters appear here The 2D tissue parameters are also available on the pro grammable rotaries as you can see in our example where we have adjusted the Angle Rotary User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning Memory Replay Replay memory handling To do memory replay press FULL FREEZE at a stage of interest in your acquisition and your system memory now filled with prelimi nary stored ultrasound I5canner Info data p 5 MHz i 8 5 the trackball a prompts you to do scroll j 1 12 1999 the Replay buffer with eme MI 1 8 So as the system 9 365 ly peus 29 45 Current frame frame Total number of A N frames Number of seconds from start of memory User Manual FA092423 L System FiVe sw 1 9 x Chapter Scanning GE Vingmed Ultrasound Annotations Start Annotation To start Annotations on a displayed image select t
144. ntrol Panel Equipment Lamp Connection Connect the plug end of the system lamp into this socket and adjust the emit ted light level with the IL LUM Control directly below it aw i I E aaa toi E 3 H i H HINT The lamp is governed by a light sensor on the control panel When it gets darker the lamp is lit If an increase of emitted light from other sources prevail the lamp is switched off User Manual FA092423 L System FiVe sw 1 9 x 25 Chapter A System Preparations GE Vingmed Ultrasound Screen Configuration Start screen configuration oselect screen config uration press this key once This displays the options that are available for screen configuration on this dialog window User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter A System Preparations Screen Configurations Configure Scanner Screen and VCR recording or description of Trace Sizes see page A 17 To switch On Off traces select this Tochoose aSmalltrace area select this one On Select a medium sized area with this one Select a large sized area with this one oreserve the complete ultrasound area for trac es select Full I Over Under Hide or Show scan pa rameters on tape re cordings ide or Show Patient name on tape recordings Displayduplex mode data Side By Side or Change image size here
145. o report generator Doppler auto trace func tion with automatic calcu lations Possibility of performing Measure and Analysis on video playback User assignable parame ters User Interface Easy to learn user inter face with intelligent key board Front Panel with assign able rotaries and push buttons for primary con trols application specific Application specific sec ondary controls available through slidebars operat ed by paddles Slide pot TGC curve with 8 pots Overall gain for 2D mode Depth and Zoom Span on dedicated rotaries Digital harvesting of im ages and loops into Im age Clipboard Patient Browser screen for registration of demo graphic data and quick re view of Image Clipboard contents Fully programmable user presets for probe applica tion default settings Support for international European keyboard character sets ISO 8859 204 Image Memory 2D CFM or TVI data at maximum framerate may be reviewed by scrolling or by running cineloops Image Clipboard for stamp size storage and review of stored images and loops Built in patient archive with images loops pa tient information and measurements Internal archive can be exported to Removable Image Storage through Magneto Optical Disk of EchoPAC Internal hard disk storing Programs Application defaults Ultrasound Im ages and patient archive All ultrasound data stor age is digital RF data
146. ockets 47 Overview Probe Application System 208 P PA MPTE Ped 217 Password Access GE Service 35 Patent Rights 190 Patient I O 47 Connect ECG harness 8 Connect other trace sources 16 ECG 47 Phono 47 Pressure 47 Respiration 47 Patient ID entry Selection 121 Patient ID input 122 Peak Velocity Correction 111 Pediatric Heart 214 Pediatric heart 213 214 216 217 Pelvic 208 Phased Array Transesophageal Multi plane 216 217 Phono 47 Physical Dimensions 219 Physiological trace controls 10 Play Key VCR 116 Post processing functions 54 ARROW 54 BODY MARK 54 CALIPERS 54 FULL FREEZE 54 IMAGE RECALL 54 243 Chapter L Index IMAGE SIZE 54 IMAGE STORE 54 LINE ERASE 54 MEAS 54 PAGE ERASE 54 PRINT 54 PRINT ALT 54 REC PAUSE 54 REPORT 54 TEXT 54 VIDEO PREVIEW 54 Power 60 ON OFF switch 47 Requirements 219 Safety 188 Power Up 2 Process 3 Pressure 47 Printer Location 48 Probe Menu 7 Warning 193 Probe Application System overview 208 Probes 4 6 APAT 4 Connections 4 Programmable Keys and Rotaries 83 Prostate 208 PV M amp A Calculated Ratios 179 Ellipse measuring 161 Measurements amp Ratios 179 R Radial averaging 105 Radiated audio noise level 219 Rear wall 47 Mains cable 47 Power ON OFF 47 Recall Clipboard image 46 User defaults 119 Region Of Interest Handling 86 Reject 59 Renal 208 Repeat a measurement 135 244 GE Vingmed Ultrasound Replay memory Handling 69 Report 141 Resp
147. omm aprum u Hi q war oam god rar rune nl P T IL dl I BO BIJ mm Eyman ar n raz ap j LETE ee ee mr sa a D ter Hem Tamar m ng qm Tha ng a an 70 damar ar nane mm LE ni las ied din d Bed Cee kali meer i aime ae k LL sm BA CH ERAN Aus BE O primm uu PIECE ee TTE cm re grrr arm zm eerie um m DET Pr TESEL T eee 198 serm acia EU Dm RE cus ey mne img eae as a e ad BERS oS Tarip ram Pup aes BU bys peg b azar nir LES IF r ome kar cra Lae FR TA Dd MII Zal Ji LE KII me 77 m Kul 13 W na lige em gara ai k r pnm am ik ari m ar a r p mi arme mn ei om Tr mm i ee ee mia md ner nane an b kan ene aman ok a TEW TE Ii mue m ua Tam i li be ae seep medi mar ee ee LRL LL sisi cma y Fee menan ku Tu 8 en an AA 4 E a w WE um mm be aca mem m ni ume m porem ar ba ETAE GE 802 a User Manual FA092423 L System FiVe sw 1 9 x Chapter G Specifications e Regulatory 1
148. onnect four different patient Input Output sources These appear as traces on the screen Connect the ECG harness here There are two types either Blue or Grey ECG Electrode placement table Physical placement Blue cable Grey cable Right arm RA R Left leg LL L Left arm LA N The left arm ECG pad connection is the reference elec trode Use it as this in order to remove unwanted electri cal noise that is detected in the ECG signal 8 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter A System Preparations Patient I O amp traces setup Screen changes after ECG connection In 2D tissue mode with no ECG trace the screen may look like this WARNING obtain the correct isolation the patient I O only one connection i e ECG Phono Pulse pressure or Respiration must be used on the Scan ner at a time This means that in normal use the Scanner will have three open connectors The System User must ensure that the patient cannot touch the open connectors In Cardiac 2D Acquisi tion when ECG wiring is strapped to a patient and connected to the system a trace from it appears as shown here Hint In Peripheral Vascular ac quisition the display of traces is off but may be re configured to be on User Manual FA092423 L System FiVe sw 1 9 x Chapter A System Preparations GE Vingmed Ultrasound
149. ons Probe Application System overview Max Configuration Cont d Name FPA 2 5MHz Type Flat Phased Array probe Part Number KG 100001 B System Five Application SUUS System FiveUS Note Abdominal y y Not intended for fetal use Cardiac y y Not intended for fetal use MC Contrast y y Not intended for fetal use LV Contrast y y Not intended for fetal use Octave RF Research Option y y Not intended for fetal use Coronary y y Not intended for fetal use HFR y y Not intended for fetal use RF Research Option y y Not intended for fetal use Digital Stress y y Not intended for fetal use Transcranial y y Not intended for fetal use TVI y y Not intended for fetal use Stress y y Not intended for fetal use Name FPA 2 5MHz Type Flat Phased Array probe Part Number KG 100001 C System Five Application Systeme lve System FiveUS Note Abdominal y y Not intended for fetal use Cardiac y y Not intended for fetal use MC Contrast y y Not intended for fetal use LV Contrast y y Not intended for fetal use Octave RF Research Option y y Not intended for fetal use Coronary y y Not intended for fetal use HFR y y Not intended for fetal use RF Research Option y y Not intended for fetal use Digital Stress y y Not intended for fetal use Transcranial y y Not intended for fetal use TVI y y Not intended for fetal use Stress y y Not intended for feta
150. ope s y at 0 1 TimeOfEnvelope s 2 L FENCE e m Pmean mmHg TETAN ji 4x dt 0 Time OfEnvelope s Velocity Trace Integral cm ji v dr 0 Heart Rate BPM 00 TimeBetweenBeats s Cardiac Output 6 x rr Piemererten Ty Vavg where Vavg vti TBB vti i m User Manual FA092423 L System FiVe sw 1 9 x 155 Chapter Using M amp A GE Vingmed Ultrasound Cardiac Acquisition Formulas Shunt Ratio PVvti e n PA 2 ShuntRatio 5 AVvti 40 2 Pressure Half Time Pressure Half Time is calculated automatically PHT s time to reach L____ J2 Vmax 0 22 MitralValvePressureHalfTime s Mitral Valve Area c Mitral Valve Area By Continuity Equation cm Hx E LeftVentOutflowTractVelocityTraceIntegral cm 2 MitralValveVelocityTimeIntegral cm Report Aortic Valve Area By Continuity Equation c TI x EsfventrOutfiew TractDiamlemTy 5 LeftVentrOutflowTractVelocityTraceIntegral cm 2 AorticValveVelocityTimeIntegral cm Report Aortic Valve Area From Vmax cm LeftVentrOutflowTractPeakVelocity TI x didi len 2 pm AorticValvePeakVelocity E Report User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter D Using M amp A Cardiac Acquisition Parameters Mitral Valve Name Label MVVMX MV MVVME MVmn MVVR MR MVVMER MRmn MVACF MV MVPMX MV MVPME MVmn MV
151. operation has been given Preventive User Maintenance Cleaning the System Weekly After use 184 DO NOT pour water on System FiVe or immerse any part of it in any liquid Avoid spilling liquids into ventilation grates The exterior surface of the System FiVe should be cleaned with a dry cloth When more extensive cleaning is required the unit should first be powered down and then wiped with a soft cloth that has been dampened with either water or a very mild detergent NEVER use abrasive cleaners or steel wool Wipe away gel stains from the control panel and keyboard as soon as possible because some ultrasound gels are mildly aggressive towards plastics User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter E Installation amp Maintenance Cleaning the Probes Patient exams and the appropriate level of cleaning or disinfection are categorized by the na ture of patient contact location or type of tissue Scanning on intact surface skin is considered non critical and usually requires a low or intermediate level disinfection Cleaning with soap and water is usually sufficient Invasive scanning involving contact with mucous membranes TR TV or TE probes is considered semi critical and requires a cleaned and High Level Disinfected probe or a probe having been intermediate level disinfected and fitted with a sanitary probe sheath A sanitary sheath is recommended for all TV and TR
152. opie French Druck German Stampa Italien C pia Portuguese Impresi n Spanish MEAS MEASURE English MESURE French MASS German MISURA Italien MEDIDA Portuguese MEDIDA Spanish IMAGE IMAGE SIZE English SIZE TAILLE D CImage French BILD Gr fe German FORMATO DI IMMAGINE Italien TAMANHO DA IMAGEM Portuguese TALLA DE LA IMAGEN Spanish User Manual FA092423 L System FiVe sw 1 9 x 237 Chapter Symbols GE Vingmed Ultrasound Symbol Meaning Language FULL FULL FREEZE English FREEZE PLEIN GEL French VOLLER FREEZE German PIENO FREEZE Italien CHEIO FREEZE Portuguese LLENA HELADA Spanish IMAGE IMAGE STORE English STORE M MOIRE D CImage French BILD Speicher German DEPOSITO DI IMMAGINE Italien LOJA DA IMAGEM Portuguese ALMAC N DE LA IMAGEN Spanish CALIPER CALIPER English TRIER French SCHIEBER German COMPASSO Italien COMPASSO DE CALIBRE Portuguese CALIBRADOR Spanish 238 User Manual FA092423 L System FiVe sw 1 9 x Chapter L Index Numerics 2D Adjust depth 64 Color Flow 81 FREEZE 132 FREEZE key 50 GAIN 51 Key 50 Mode 56 Color Flow 81 Default Start 56 Picture Controls 57 2D Calibration VCR 143 2D Color Flow Disturbed Flow Indicator 94 How Color Flow Mapping Works 90 Spectral Estimate 92 2D Mode 56 A Abdominal 208 210 211 212 213 214 Acquisition Mode handling 67 Acqusition Windows area 49 Active Mode 66 GAIN 51 Active Mode key 50 Change Parameter
153. opies of the certifi cates are available on request System FiVe System FiVe is an Ultrasound Diagnostic System for applications such as Adult Pediatric and Neonatal Cardiac Peripheral Vascular Abdominal and Ob Gyn See Indications for use page 207 Probes The System FiVe allows the use of various probes Refer to a Probe Application overview list on page 208 User Interface The System FiVe has an intuitive yet flexible user interface philosophy All the tools are readi ly available when needed Operating Modes The system controls operate the following modes Color Flow 2 D Image Color M Mode M Mode HPRF Doppler LPRF Doppler and CW Doppler or a combination of these positioned on the operating panel Intro 4 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Introduction System FiVe s User Manual Using this manual The TOC of this manual contains in the or der from front to rear the heading on each page of the manual from Chapter A and backwards The manual has continuous numbering from Chapter A and backwards The manual has an index at the very rear which contains minimum 1 maxi mum 3 entries from each pageof this manual IMPORTANT This manual is periodically revised Changes typographic errors technical racies which may be included will be corrected in future revisions User Manual FA092423 L System FiVe sw 1 9 x In
154. or Flow Mapping ce ea kk kk kk ES ed uad ees 81 e Traditional M Mode 97 e Anatomic 100 e Color 104 e Side by side 107 e DOP lE lt Eas u Pett LL cried A II 108 e Tape 116 Chapter Scanning GE Vingmed Ultrasound 2D Mode Start 2D scanning At every boot up the System Five starts in the previous shut down mode Here It is 2D Mode Place the probe onto the patient start scan ning and image adjust ment In this case the patient is also connected with ECG cabling where trace handling etc is described in chapter A under section for Patient I O amp traces setup User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning 2D Mode Ultrasound picture Controls In 2d cardiac you may have screen controls situated shown on this page Which controls are present and set tings et cetera are de finitively probe and application selection dependable The upper set of key board controls 4 ON OFF switches and 4 Rotaries are here available in live scan ning The Lower set 2 ON OFF switches is available at FULL FREEZE Scanner Info To the left here we have two screen paddle menu sets o
155. processing Tissue Velocity Imaging maps velocities from tissue motion to colors in accordance with a color map 96 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning Traditional M Mode Start M Mode duplex view In 2D mode press the ADD CURSOR MODE key and position the cursor line on a tissue area of interest Press this key to start 2D M Mode User Manual FA092423 L System FiVe Chapter Scanning GE Vingmed Ultrasound Traditional M Mode Elements in duplex M Mode display The cursor line on the 2D image is reposi tioned with the track ball if necessary Time scale DN Horizontal Sweep regulates the update rate of screen dis Moving Erase bar is The Depth scales played M mode present while updating M J aid you in pinpoint Mode in live mode ing occurrences of interest in the pre sented situation The controls available for M Mode perfection are the same as for 2D apart from Horizontal sweep which is de scribed here User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning Traditional M Mode Image size Press this key to tog gle between small or larger 2D image de pending on which size is displayed by default setting as de scribed in Chapter A User Manual FA092423 L System FiVe Chapter Scanning GE Vingmed Ultrasound Anatomic M Mode Prepare for Anatomic M Mode
156. psy kit Gently snap the Needle Guide onto the Biopsy Bracket as shown here Add some sterile Gel from the Biopsy kit to this area of the cover User Manual FA092423 L System FiVe sw 1 9 x 127 Chapter Application GE Vingmed Ultrasound Biopsy option Bracket and Needle Guide mounting 3 5MHz CLA Mount the bracket onto this side of the probe so that the three protru sions on the inner side of the bracket rest in the three square groves on the probes housing It is necessary to loosen the bracket fastener before the mounting and to fastening it again after wards With sterile precautions drape this probe and bracket as described on the previous page EN Gently snap the Nee dle Guide onto the Avoid puncturing the steril id Biopsy Bracket as oo shown here WARNING Avoid compromising sterile parts User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter C Application Biopsy option Start the Biopsy Option To start the Biopsy Option press this key on the Control Panel BIOPSY A Biopsy menu appears on the screen It con sists of click selectable keys for Probe type Nee dle thickness selection Choose a needle with an appropriate gauge 14 16 18 20 or 22 for the job Press the appropriate needle key as input for the system The Biopsy guide lines replace the menu on the screen s ultra sound area 1 0cm between larg
157. rge or Full With Large area chosen the Traces menu has these additional setting op RESO tions the same as the Small Area gt Timer Delay Keep Cont Frames ECG Offset Using paddle controls connect Phone and switch ON Phono and Resp traces Pressure offfon Phono Gain Phono Offset Resp Gain Resp Offset Pressu A Gain Press isel Adjust their settings still using the Paddle controls and the result will resemble the screen situation shown here User Manual FA092423 L System FiVe sw 1 9 x 17 Chapter A System Preparations GE Vingmed Ultrasound Footswitch Mount the System Footswitch The system contains an internally connected Footswitch located in this slot WARNING The standard footswitch is not submersible Do not use the standard foot switch operating rooms or other locations where To prepare it for use fluids might be present on pull it out of this open the floor If you need a ing and place it on the submersible footswitch in floor where you need it your environment con tact your local GEVU dis tributor User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter A System Preparations Footswitch Finding the Footswitch Mapping option To do Footswitch mapping press this key to display the Setup menu Setup Menu User Interface Triggering KET TI
158. rray of square picture elements pixels The smallest resolvable unit is 1pixel This pixel error is only significant when measuring short distances on the screen By observing good scanning practices the settings of the field of view should be such that the measured distance covers a relatively large portion of the screen When such scaling is impossible the pixel error may come into play The pixel error is 0 2 96 or better of the full ultra sound area in the User Screen Algorithms Some formulae used in clinical calculations are based on assumptions or approx imations For example the volume calculations from 2D or M mode assume a cer tain ideal shape of the heart chamber while the actual shape can vary quite much between individuals Also formulae taking several raw measurements as inputs are prone to increased errors depending on the combination of input vari able accuracies For example the Cardiac Output formula from Doppler is sensi tive to errors in the entered Diameter since this will be squared in the formula Speed of Sound in Tissue The average value 1540 meters second is used for all calculations Depending on the tissue structures this generalization may give errors from 2 typical to 596 much fatty tissue layers present Optimizing Measurement Accuracy Probe selection Select a transducer appropriate for the application and optimize the transducer frequencies used Higher imaging freq
159. rters per physical channel Application specific Digital Beam Forming algorithms for each mode Supports Curved Linear Phased Array and Doppler transducers Receive focusing aperture apodization and frequency response are all continu ously variable as a function of depth Data Processing PipeLink technology high speed echo data pro cessing Echo data processing of phase amplitude and fre quency Easily upgraded for future expansions Raw data digital replay for retro and looping Allows for adjustment of all major display parameters and M amp A Display Replay High resolution flicker free SVGA 17 inch computer graphics monitor tilt and swivel Resolution of main display 1024 768 16 7 Million si multaneous colors avail able VCR input is played back through Digital Replay allowing VCR images to be looped during review Scanplane position indica tor and probe temperature are displayed with all multi plane TEE probes Image orientation marker Selectable display configu ration of duplex and triplex modes side by side or top bottom during live Digital Replay and clipboard im age recall Display Annota tions On screen display of Me chanical Index MI On screen display of Ther mal Index TIB TIS TIC Patient name ID Hospital name Time date Trackball driven annotation arrows Scanning parameters Active mode display T
160. s Trackball Steerable Dop pler available with all im aging transducers max steering angle is trans ducer dependent Selectable Doppler fre quency for better optimi zation High Quality Real Time Duplex or Triplex opera tion in all Doppler modes CW and PW and for all velocity settings Frame Rate control for optimized use of acquisi tion power between spectrum 2D and Color Doppler modes in duplex or triplex modes Very fast and flexible spectrum analysis with an equivalent DFT rate of 0 2 ms Dynamic Gain Compen sation for display of flows with varying signal strengths over the cardi ac cycle and improved ease of use Dynamic Reject gives consistent suppression of background user se lectable in real time Dig ital Replay or image clipboard recall Digital Replay for retro spective review of spec tral Doppler data 1 3 2 3 2 3 1 8 1 2 1 2 duplex display formats side by side or top bot tom Can be adjusted in Live or Digital Replay Selectable horizontal scroll speed 1 2 4 8 16 seconds across display Can be adjusted in Live or Digital Replay Adjustable spectral Dop pler display parameters Gain Reject Compress color maps can be ad justed in Live or Digital Replay User adjustable baseline shift in Live Digital Re play and image clip board recall Adjustable velocity scale Wall filters with range 10 2000 Hz v
161. s 68 Active Probe Selection 7 ADD Color Flow 50 CURSOR 50 MODE 50 Modes 67 Non displayed mode 50 Screen cursor 50 ADD CURSOR Key 50 ADD MODE Key 50 Adjust 2D Color sector 82 Depth 64 Echo brightness 51 TGC 65 Adjustments 51 AIUM statement on clinical safety 189 AIUM Statement on Mammalian in Vivo UI trasonic Biological Effects 189 Analog input 47 Angio 95 Angle 58 Annotations 70 Add a menu Arrow 71 Configuration 74 Enter a text abbreviation 72 Erase a text entry 73 Annular Array probe 214 215 216 Annular Array Transesophageal Multi plane 216 217 Annular Array Transesophageal probe 216 Aorto lliac 208 APA 2 5MHz 215 APA 3 25MHz 215 APA 5MHz 216 APA 7 5MHz 216 APA MPTE Ped 216 APA TE 5MHz 216 APAT probe 47 Application menu 7 Assigned Keys 52 Rotaries 52 B W Video output 47 Baseline 88 113 Basic mode adjustments 51 B Color maps 58 Biopsy option 126 Bracket and Needle Guide mounting SMHz CLA 128 Determine needle length 130 Intended for use 126 Chapter L Index Bladder Volume M amp A 163 Body mark Move 78 Rotate probe indicator 79 Select 77 Body Marks 76 Breast 209 C Calibrate 2D VCR 143 Calibration VCR data 143 Calibration Marker 152 CALIPER 132 Cardiac 210 211 212 213 214 215 216 217 Cardiac Acquisition Formulae 153 Parameters 157 Cardiovascular Acquisition Formulae 180 Care Cleaning etc 184 Carotid 209 215 Carotid Angle Correction 110
162. se echoes in your image Increased Reject darkens your image and re moves more and more of the low amplitude echoes Avoid removing relevant low amplitude echoes After Compress amp Reject readjust Gain if necessary User Manual FA092423 L System FiVe sw 1 9 x Tissue 20 IDDP Compress Reject 59 Chapter Scanning GE Vingmed Ultrasound 2D Mode Screen commands Cardiac live only Dynamic range Tissue 2D This function gives shades of gray to the various intensities of the incoming image data It differs from Compress Reject postprocessing or screen adjustment controls because it actu ally preprocesses the grayscale range of the incoming data Dynamic Range is alive mode function which is unavailable in Full Freeze mode Contour Contour adjusts the edges enhancement in an image Adjust ments towards minimum give minimum enhancement Diff OFF ON This affects reverberations in the image If turned on the frame rate or focal zones will decrease while the reverberations at tenuate Power Power adjusts penetration effectiveness It does not increase the background noise that makes unwanted artifacts in doing so Power increase improves penetration 60 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning 2D Mode Sector Tilt Tilt is active whenever there is a 2D image present on the screen without a Time motion cursor
163. stem FiVe sw 1 9 x Chapter Scanning GE Vingmed Ultrasound Color Flow Mapping Disturbed Flow Indicator The Disturbed Flow Indicators purpose is to help in the visualization and delineation of turbulent flows and jets A set of color maps is available for selection on the Color Map menu In cardiac Yellow Cyan is the normally used map Disturbed Flow describes a variety of flow conditions that are not well defined by a flow map that incorporates only the velocity and in tensity parameters into the color assignment pro cess The turbulence causes the presence of a broad Nyquist range of velocities so that the mean velocity statistic is not very significant This is the classic example of Disturbed Flow The variance display allows you to see variation from normal velocities or turbulent flow This type of turbulent flow ids associated with dop pler data with a broad bandwidth such as signals generated by valvular regurgitation valvular stenos is and intercavity shunts With the Disturbed Flow Indicator system when the system determines that the given combination of in tensity mean velocity and variance will not yield meaningful mean velocity data a shade of green substitution not addition forthe mean velocity color These green areas stand out from the other flow ar Variance eas and catch the eye s attention as often brief phe nomena pass by The heart of the Disturbed Flow system is Deciding exact
164. stetrics y y Pelvic y y Not intended for fetal use Renal y y Not intended for fetal use Name ECLA 6 25MHz Type Curved Linear Array En docavity probe Part Number KQ 100002 System Five Application System Five System FiveUS Note Obstetrics y y Pelvic y y Not intended for fetal use Prostate y y Not intended for fetal use 208 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter G Specifications Technical Specifications Probe Application System overview Max Configuration Cont d Name FLA 5 0MHz Type Flat Linear Array probe Part Number KN 100003 System Five Application SEULS System Five Note Carotid y y Not intended for fetal use Limbs Arterial y y Not intended for fetal use Limbs Veneous y y Not intended for fetal use Superficial y y Not intended for fetal use Breast y y Not intended for fetal use Name FLA 7 5MHz Type Flat Linear Array probe Part Number KT 100001 System Five Application Breast y n Not intended for fetal use Carotid y n Not intended for fetal use Limbs Arterial y n Not intended for fetal use Limbs Veneous y n Not intended for fetal use Long acquisition y n Not intended for fetal use RF Research Option y n Not intended for fetal use Superficial y n Not intended for fetal use Name FLA10MHz Type
165. sure times b less than 500 seconds and greater than 1 second such effects have not been demonstrated even at higher intensities when the product of intensity and exposure time b is less than 50 joules cm 1 Spatial peak temporal average as measured in a free field in water 2 Total time this includes off time as well as on time for a repeated pulse regime GE Vingmed Ultrasound Safety statement May 1994 Although no harmful biological effects have been demonstrated for ultrasound frequencies intensities and ex posure times used in examination with the VINGMED System FiVe systems VINGMED SOUND recommends using the lowest acoustic output settings which will produce diagnostically acceptable information User Manual FA092423 L System FiVe sw 1 9 x 189 Chapter F Warnings GE Vingmed Ultrasound The GE Vingmed Ultrasound Patent Rights Below you will find a valid list of approved patents which are fully or partly used in GE Vingmed Ultrasound System FiVe In addition the product comprises pending patents List of GE Vingmed Ultrasound s Patents REVISED 31 03 00 Rba new patent CASE NO 1 PATENT NO PATENT NO PATENT NO PATENT NO PATENT NO PATENT NO CASE NO 5 6 PATENT NO PATENT NO PATENT NO PATENT NO PATENT NO CASE NO 7 PATENT NO CASE NO 8 PATENT NO CASE NO 13 PATENT NO PATENT NO PATENT NO CASE NO 14 PATENT NO PATENT NO PATENT NO CASE NO 15 190 ULTR
166. tants that are approved according to local national regulations High level Disinfection destroys vegetative bacteria lipid amp non lipid viruses fungi and de pending highly on time of contact is effective on bacterial spores This is required for cavity TV TR TE scanning when in contact with mucosal membrane CAUTION Improper handling can lead to early probe failure and electric shock hazards DO NOT disinfect or sterilize probes by autoclaving or ethylene oxide gas process DO NOT soak or wipe the probe face with methanol ethanol isopropanol or any other al cohol based cleaner Doing so could result in irreversible damage to the probe s lens DO follow the specific cleaning disinfection procedures provided with the documentation of your product as well as the germicide manufacturer s instructions User Manual FA092423 L System FiVe sw 1 9 x 249 Chapter X Addendum GE Vingmed Ultrasound Failure to do so will void probe warranty Addition to chapter C Special note regarding vascular or abdominal measurements with integrated EchoPAC If the user makes several vascularor abdominal measurements on the system saves the data to EchoPAC measurements viewable in EchoPAC report and then goes back to the scanner to make additional measurements and saves them these last measurements will delete all of the previous measurements already stored in EchoPAC for the current exami nation Workaround If it
167. tor from the socket HINT1 You may change APAT Probe types at the Probe end of the cable without removing the socket end See previous page To connect a Phased Array Probe align the connector with the socket insert the connector into the socket so that the con nector center pin centers on the socket center To fasten the connector rotate the lock handle 90 clockwise HINT2 After Probe changing at these locations al ways select the new activated Probe on the PROBE MENU See next page 6 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter A System Preparations System Probes Active Probe and Application Selection Press this key to dis play the Probe menu which contains an over view of the connected Probes This Probe menu ap pears on the screen lts setup contents are Probe type depen dent CLA 3 5 MHz With the trackball move activity onto the TTPAZ5 MHz menu and onto the desired Probe Beside the Probe menu an Application menu Cancel appears shortly after Probe Menu Afiication Mem CLA 3 5 MHz FPA 2 5 MHz To select a Probe and Application highlight it and press the Select key Exit from Probe and Application Menus with Cancel User Manual FA092423 L System FiVe sw 1 9 x 7 Chapter A System Preparations GE Vingmed Ultrasound Patient I O amp traces setup Connect ECG harness The Patient I O panel is here You may c
168. trasound Figure 1 Phono filter characteristics Proper filter is chosen based on what heart sound you want to listen to The BP LOW is used for heart sounds with low pitch BP MED is used for heart sounds with medium pitch while the BP HIGH is used for heart sounds with high pitch It is also possible to only have low pass characteristics This might be desirable in cases where you don t want to limit the higher frequency content of the signal The two filters using this characteristics are the HP30 and the HP50 filter The filter characteristics are shown in the figure below Figure 2 Phono filter characteristics Reported Edit misses Page 86 Adjust ROI Span shown above however the picture shows ROI Length It is a undetected menu name change ROI span has become ROI length since last update To be added under Chapter F Warnings Important regulatory information for use in Germany Accessory equipment connected to the analogue and digital interfaces must be certified ac cording to the respective IEC standards e g IEC 950 for data processing equipment and IEC 601 1 for medical equipment Furthermore all configurations shall comply with the sys tem standard EN 60601 1 1 1993 Everybody who connects additional equipment to the sig nal input part or signal output part configures a medical system and is therefore responsible that the system complies with the requirements of the system standard IEC 601 1 1 1993 If in dou
169. tro 5 INTRODUCTION GE Vingmed Ultrasound Table of Contents Chapter A System Preparations 1 Turn ON the system 2 Connect Power cable and locate Power switches 2 The Power Up process 92 45 ku I 3 System Probes KK KI KK KK ke 4 Probeconnections Qi ka AW ek a ark aa 4 Change APAT Probes at Cable end 5 System Connect Probe cabling 6 Active Probe and Application Selection 7 Patient I O amp traces setup 8 Connect ECG harness kk kk kk kk kk kk kk kK kk kK KK kK KK KK KK kK KK KK KK k 8 Screen changes after ECG 9 ECG trace control JE E HH tenet i Us 10 ECG GAIN Adjustment 11 Set EGG trigger one JA s k dak y k r bak S n EM Lud 12 Set EQOG trigger WO sss La d Ge X kn aa eae SR 13 Timer Delay lisi ucc Ie me SOR RR RE mm 14 Timer Trigging SESS SSNS SONS emm n E NDMMMMDMDER E 15 Connect other trace 5 16 Trace area size n 17 FootsWIlCli n kic ee ee
170. ts P N Voltage Tolerances Current Frequency FB000226 230 240V AC 10 8A 50 60 Hz FB000228 100VAC 10 13 5 A 50 60 Hz FB000227 110 120VAC 5 13 2 A 50 60 Hz REM Power requirements P N Voltage Tolerances Current Frequency FB000717 230VAC 10 8A 50 60 Hz FB000715 115VAC 5 13 2 A 50 60 Hz FB000718 230VAC 10 8A 50 60 Hz FB000716 115VAC 5 13 2 A 50 60 Hz EchoPAC WARNING Be absolutely sure that your power source fits the power requirements of your system Radiated audio noise level Less 70dB A according to DIN 45635 19 01 KL2 User Manual FA092423 L System FiVe sw 1 9 x 219 Chapter G Specifications GE Vingmed Ultrasound Technical Specifications Environmental conditions SYSTEMS Operating temperature 10 35 deg C 50 95 deg F 20 50 deg C 4 122 deg F Storage temperature Humidity lt 90 non condensing Heath dissipation 4500 BTU pr hour PROBES Electronic TE MPTE PAMPTE APAT Operation 10 40 15 41 3 15 42 7 10 35 Storage 20 50 0 45 20 50 0 50 all temperatures in deg C conversion to deg F deg C 9 5 32 WARNING SYSTEMS AND ELECTRONIC PROBES ARE DESIGNED FOR STORAGE TEMPERA TURES OF 20 TO 50 deg C WHEN EXPOSED TO LARGE TEMPERATURE VARIA TI
171. tuguese ZOOM Spanish SPLIT SPLIT SCREEN SELECT English SCREEN CRAN DIVIS CHOISI French SELECT AUFGETEILTER BILDSCHIRM AUSERWAHLT German SCHERMO SPACCATO PRESCELTO Italien TELA RACHADA SELETA Portuguese PANTALLA DIVIDIDA SELECTA Spanish 2D 2D FREEZE English FREEZE 2D GEL French 2D FREEZE German 2D FREEZE Italien 2D FREEZE Portuguese 2 0 HELADA Spanish REPORT REPORT English ENREGISTRENT French BERICHTEN German SEGNALANO Italien RELAT RIO Portuguese SENALAN Spanish IMAGE IMAGE RECALL English RECALL RAPPEL D CImage French BILD R ckruf German RICHIAMO DI IMMAGINE Italien RECORDACAO DA IMAGEM Portuguese MEMORIA DE LA IMAGEN Spanish User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter H Symbols Symbol Meaning Language VIDEO VIDEO PREVIEW English PREVIEW VISUELLE PREVISION French VIDEO Vorbetrachtung German VIDEO PREVISIONE Italien VIDEO INSPECCAO PREVIA Portuguese VIDEO INSPECCION PREVIO Spanish EchoPAC EchoPAC English EchoPAC French EchoPAC German EchoPAC Italien EchoPAC Portuguese EchoPAC Spanish REC PAUSE English PAUSE ENREGISTRENT PAUSE French SATZ PAUSE German REGISTRANO PAUSA Italien GRAVAM PAUSA Portuguese REGISTRAN PAUSA Spanish PRINT PRINT Alternative English Alt Copie Alternative French Druck Alternative German Stampa Alternativa Italien C pia Alternativa Portuguese Impresi n Alternativa Spanish PRINT PRINT English C
172. uencies give better resolution but less penetration than lower frequencies Lower Doppler frequencies can measure higher max velocities and at greater depths but with less velocity resolution than higher Doppler frequencies Field of View All display modes should be adjusted so that the area of interest covers as large portion of the display as possible Use DEPTH ANGLE ZOOM HORizontal SWEEP and VELOCITY controls to optimize the different modes Cursor Placement All measurements are dependent on the accuracy of their input data Consisten cy and precision in placing cursors and drawing traces correctly on the images are important Please notice that on curved and linear probes system sensitivity is optimized if cursor placement near the array edges is avoided 222 User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter G Specifications Measurement Accuracy Measurement Uncertainties The accuracy percentages reported below are based on data taken with optimum control setings using calibrated phantoms and test equipment The tables below does not include sources of error other than system uncertainties measured under these conditions The calibration is done for the measurement primitives Distance Time and Velocity All mea surements are based on these and mathematical formulae are used to calculate the expect ed accuracy for derived masurements and calculations Independent sources of
173. uncertainty contribute to a total uncertainty by a RMS Root Mean Square combination of the sources Please refer to the discussions above regarding measurement accuracy and sources of error when reading the tables below Table 1 Cardiac Measurement Uncertainties Measurement Typ Range Accuracy Comments 2D Distance 1 10cm 796 Typical range 1 to 10 cm gt 10 5 1 300 2 10 Typical range 1 to 50 cm gt 300 cm 7 Circumference 6 10cm 10 Typical Range 6 20 cm gt 10cm 7 Volume 20 150 cm 15 3596 Length area method 20 150 cm 12 20 Method of discs M mode Calipers Distance 1 10cm 5 7 dt 0 5 1 5s 0 5 10 At low and high sweep rate resp dD dt 2 14 cm s 5 1596 Left Ventricular study Left Ventricular Ejection Frac 0 4 0 7 15 2096 tion Fractional Shortening 25 5096 7 1096 Right Ventricular study Right Ventricular Dimension 1 10cm 5 7 diastole systole User Manual FA092423 L System FiVe sw 1 9 x 223 Chapter G Specifications GE Vingmed Ultrasound Table 1 Cardiac Measurement Uncertainties Equation Measurement Typ Range Accuracy Comments Left Atrium Aortic open ing study Mitral Valve Excursion 1 10cm 5 7 Mitral Valve EF slope 2 14 cm s 5 1596 Spectrum Calipers Velocity v1
174. unctions live Sample Volume determines ColorMMode the size of the flow data gath ering area REWE Radial averaging is vertical data averaging to get smoother M Mode flow WARNING Information mee li als ae PIeee 30208 Find missing Color M Mode el di commands and adjustment de CLC En Socriptions 20 M Mode and cy increase lowers the maximum Color flow descriptions User Manual FA092423 L System FiVe sw 1 9 x Chapter Scanning GE Vingmed Ultrasound Color M Mode Assignables screen functions FULL FREEZE Tissue Priority Baseline User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning Side by side viewing Choose side by side view The default setting on the screen configura tion menu over under is the automatic choice when selecting duplex modes view shown to the left press the SELECT User Manual FA092423 L System FiVe sw 1 9 x Chapter Scanning GE Vingmed Ultrasound Doppler Start PW Doppler Mode From 2D mode press this key to add Doppler from the region of inter est marked by the TM cursor The 2D picture is rescaled and the Doppler Window ap pears below it User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning Doppler Start Duplex CW Doppler Press this key to start live Duplex CW Dop
175. ur exam ple is 2D M Mode select either 2D M Mode or 2D Doppler on the menu The system cursor ap pears once again on the 2D part of the scene and the system asks you to use it to draw a rectan gle to mark the 2D area User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter D Using M amp A VCR M amp A Calibrate the 2D area To mark the 2D area place the cursor at a start point mark it move the cursor in a di agonal direction to a new position simulta neously pulling out a rectangle and mark the new point of the area As instructed here place the cursor at Ocm position on the depth scale se lect it as a line start point Move the cursor position it at 15cm on the scale and mark it as a line end point A Length input dialog appears Enter the line length as shown here and press Ok to store it and exit to M Mode calibration or Cancel to exit from M amp A User Manual FA092423 L System FiVe sw 1 9 x 147 Chapter Using M amp A VCR M amp A Mark the M Mode area When 2D sector is cali brated you are asked to mark the M Mode area GE Vingmed Ultrasound Do this in the exact same manner as de scribed for marking the 2D area and end up with a rectangle that resembles this User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter D Using M amp A VCR M amp A Calibrate the M Mode area Time scale The next
176. ures scan data from basic ul trasound application such as adult and pediat ric cardiac stress echo echo cardiography transe sophageal and intra op erative imaging The software is available as application related modules Echo Basic Raw data acquisition at original frame rate and resolution from scanner or video grabbing image capture and storage Complete patient and im age archive database Advanced Post process ing analysis Anatomical M Mode Complete M amp A and Re porting capabilities Clinical data PICT or JPEG files from one or several studies can be stored into a common re pository The files may then be loaded into the computer memory for quick recall during pre sentation or peer re views DICOM Media Inter change storage to re movable media and import from removable media of DICOM images single or multiframe Magneto optical disk drive Echo Stress Advanced and flexible stress echo capabilities EchoResearch User Manual FA092423 L System FiVe sw 1 9 x Chapter G Specifications Advanced analysis fea tures such as Quantitative TVI RF analysis 3D casting Echo3D research option Post processing of scan data captured with an at tached position sensing device for 3D scanning Volume visualization and measurements 3D color flow visualiza tion Echo Client Enables System FiVe for communication with a central database Opt
177. ute Mook ie data s s ae both edie a 221 Sources of error A lt 5 eee eens 221 Optimizing Measurement Accuracy 222 Measurement Uncertainties 223 Chapter H Symbols eted estet popups 227 System Symbols 228 Shipment Symbols seis hr es Ge aed eR ES 230 Keyboard Symbols 232 Chapter L aja db ERR RC EC 239 ADDENDUM 247 LABEL for locating DISASSEMBLY PROCEDURE 247 User Manual FA092423 L System FiVe sw 1 9 x Intro 11 INTRODUCTION GE Vingmed Ultrasound Intro 12 User Manual FA092423 L System FiVe sw 1 9 x A Chapter A System Preparations This chapter tells you about and how to e Turn ON the lt 2 e Connect Power cable and locate Power switches 2 The Power Up process 3 e System Probes 4 e Patient I O amp traces 1 8 e Connect ECG 5 8 e Connect other trace 5 16 Wheel ssc ewer ees k ana anak bere See VE 21 External VO
178. ve color flow The same in FULL FREEZE Low Velocity Reject re moves all low velocity signals below certain predefined levels These are normally coming from low veloci ty blood flow and tissue movement noise The rotary has two steps or levels Find the current level at this position on the Tissue Color Flow Mapping settings infor mation window Tissue Freq Depth Comp Pyr Power FPS fon T TE ue V1 T C ue CP PS Tt PRF f 4 nm Lupe 22 6 cms WARNING Frequency adjustment In Doppler or Color Flow modes affects the maximum size of the available velocity range Frequency increase lowers the maximum User Manual FA092423 L System FiVe sw 1 9 x Chapter Scanning GE Vingmed Ultrasound Color Flow Mapping Color map selection To change color maps press the below shown programmable key marked COLOR MAPS Intensity Map 2 Red eiue Spitvar Map Intensity Map Yallow Cyan Low Flow Red Blue Map Cancel On the Color Menu use the trackball and select area key to choose your map selection User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning Color Flow Mapping Invert color map Tolnvert your color map press this key The inverted map ap pears here User Manual FA092423 L System FiVe Chapter Scanning GE Vingmed Ultrasound Color Flow Mapping Region of
179. y and the Body Mark is now locked to all trackball move ment Use the Trackball move the Body Mark to a desired position on the ultrasound sector and press Select to lock it there To move the Probe indicator on the Body mark roll the Trackball in the desired direction When satisfactory press Select to lock it at the position User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning Body Mark Turn or Rotate Probe Indicator Roll the Trackball to the left or right and the Probe Indicator turns or rotates leftward or rightward At the new angle press the Select key once to lock it at this position User Manual FA092423 L System FiVe sw 1 9 x Chapter Scanning GE Vingmed Ultrasound Compound Start Compound Traditional PV scanning will normally give you a screened image situation similar to this When activated Com pound gives you a screen situation that re sembles this You should clearly see that the area within the yel low rectangle is much clearer than in the im age above User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning Color Flow Mapping Start Color Flow in 2D mode To start Color Flow in 2D mode press this key directly or go via the Add Mode Cursor key Two clearly seen lines appear on the 2D sec tor that mark the color limits As you scan in live mode you will see col
180. ystem FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning GAIN Gain Location To adjust the amplifica tion of all received sig nals we have the Gain center on the Control panel From it you may add and reduce the am plification over all in the active mode and at spe cific depths of received scan data to improve the detail visibility on the screen User Manual FA092423 L System FiVe sw 1 9 x Chapter Scanning GE Vingmed Ultrasound Gain Adjust Gains TGC has eight slide potentiome Active Mode Gain ad ters Each of these allow you to justs as it states Gain in separately adjust the amplification the mode that is active In of displayed data at eight specific 2D mode it does the same depths on the displayed 2D sector as the 2D gain rotary In The mid positioning of all shown color flow it adjusts the here should give correct TGC for color flow etc the normal patient 2D Gain adjust the amplifica tion of tissue in tissue in the displayed 2D sector User Manual FA092423 L System FiVe sw 1 9 x GE Vingmed Ultrasound Chapter B Scanning Acquisition mode handling Add modes To add a mode to any other mode simply press the other mode directly You can also press the Add Mode cursor key position the cursor within the sector at a suitable point for proper M Mode and then press the key for the mode to be added the M Mode key in this example thereby ob taini

System FiVe User Manual for Software Version 1.9.x GE Vingmed

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