GYN Measurement Selection
Contents
1. sise OB Apps 8 ii RT 3200 Advantage III Quick Guide 2166104 REVO e EEN LIP Table of Contents cont d GYN Fertility Applications Patient Data Entry EN RE RE OE OE EE ER GYN Fert Apps 2 GYN Summary Report iii GYN Fert Apps 3 Prope Or EG EE EE EE N OE EE N GYN Fert Apps 5 GYN VEE SS ei RE oe RE OR EA EE EN GYN Fert Apps 7 F rtility Summa y si oo EE ER RR ER ER ER M GYN Fert Apps 10 IVF Measurement Selection sesse ke ee ee Re sise GYN Fert Apps 12 Recommended GYN Comments Library sise GYN Fert Apps 15 Urology Applications Patient Data Enty EE Urology Apps 2 Urology Summary Report iii Urology Apps 3 Prob Orientation sc ceceg N N KEN Urology Apps 5 Urology Measurement Selection E Urology Apps 7 Recommended Urology Comments Library ss Urology Apps 10 RT 3200 Advantage II Quick Guide iii 2166104 REVO STITT Table of Contents cont d Accessories Supplies Placing Orders iese ee ke ee Re AR ee Re Re ee ee Disinfection ee Re RA RA ee ee ke ee ee ee Ge AGIA ER EE des ed maine Biopsy Supplies i ee ek ee RR ee ek ee Re Sony Printer Paper EE Accessories 2 ME AE AE HE EE EE EG Accessories 2 RE EE OE Ness Accessories 3 EE Accessories 4 EE EE RE EE ee Accessories 4 EE RE EO EE Accessories 5 ME N OE AE AE cate ce Accessories 8 RT 3200 Advantage III Quick Guide 2166104 REVO Safety Prescription Device Indications for Use Contraindications Serviceable Components2. f Press the MULTI IMAGE RIGHT ARROW key to activate the right image Scan the gt object in the appropriate scan plane Press FREEZE to stop image acquisition of the right image continued Urology Applications 8 RT 3200 Advantage III Quick Guide 2166104 REVO Pe TT e WR II Urology Measurement Selection cont d Press the CALC 1 key to display the Urology calculations menu at the bottom of the display 1 CIRC 2 VOL 3 HR 4 VELO 5 A B A Bx K Use the ARROW keys to select the volume Paar 1 CIRC 2 vou 3 HR 4 VELO 5 A BA BxC Always measure the anatomy length first then width and finally height Failure to perform the three measurements in this order will result in an inaccurate volume calculation If necessary refer to the Measurementskection of this quick guide to perform distance measurements The ENTER key must not be pressed until all desired measurements are performed and displayed on the same screen RT 3200 Advantage III Quick Guide Urology Applications 9 2166104 REVO e EEN LIP Recommended Urology Comments Library The following list is the recommended comments library for the OB exam category A Apex B Base BL Bladder BX Biopsy Site ED Ejaculatory Duct K Kidney L Left LT Left Teste M Mid Gland ML Mid Line P Prostate PB Post Biopsy R Right RT Right Teste S Sagittal SV Seminal Vesicle T Transverse U Urethra
3. Operator Manual Troubleshooting Who to Contact This chapter emphasizes precautions to be aware of when working with the RT 3200 Advantage III Refer to the Preface Safety and Section 10 Appendices in the RT 3200 Advantage III Operator Manual for more thorough explanations RT 3200 Advantage III Quick Guide Safety 1 2166104 REVO e EEN LIP Prescription Device CAUTION United States law restricts this device to sale or use by or on the order of a physician Indications for Use The RT 3200 Advantage III is an ultrasonic diagnostic system equipped for linear convex and micro convex scanning It may be used in many areas such as obstetrics gynecology urology and radiology The optional 7 MHz transrectal probes give the RT 3200 Advantage III urology scanning capabilities The RT 3200 Advantage III produces high quality images employing dynamic focus on transmit and continuous focus on receive It is equipped with functions to enhance the clinical diagnosis such as display mode selections measurements calculations OB GYN IVF and Urology Summary Report Pages Safety 2 RT 3200 Advantage III Quick Guide 2166104 REVO e EEN LIP Contraindications The RT 3200 Advantage III is NOT intended for ophthalmic use or any use causing the acoustic beam to pass through the eye Serviceable Components shock hazard do not remove panels or covers from the console Failure to do so could DANGER The RT 3200 Advantag
4. alphanumeric 40 characters COMMENTS Enter general comments alphanumeric one line of 56 and two lines of 64 characters The Fertility Summary Report consists of volume and mean calculations derived from length width and height measurements taken from selected anatomy To perform the measurements of the anatomy listed below see the VF leasurement Selectionlportion of this section FOLLICLE DIAMETERS Up to six measurements for each ovary can be taken For each follicle the length width and height measurements must be performed MEAN DIAMETERS Up to six calculations for each ovary six follicles for the right ovary and six follicles for the left ovary can be calculated VOLUME Calculated for the six follicles measured for the right ovary and six follicles for the left ovary RT 3200 Advantage II Quick Guide GYN Fertility Applications 1 1 2166104 REVO e EEN LIP IVF Measurement Selection The function keys have been programmed to simplify the steps for taking measurements The factory programmed IVF measurement calculations are in the second menu of the Calc 3 selections Press CALC 3 twice to display the IVF selections The following steps detail the process to select the parameter for calculation using the three diameter method in the split screen mode NOTE Multiple IVF measurements should always be made in order Le 1 L Length 2 x W Width 3 Ka H Height Before pressing ENTER all desired measu
5. V Vas Deferens NOTE There is one comments library for all exam categories The comments library is common to all exams Urology Applications 10 RT 3200 Advantage III Quick Guide 2166104 REVO Placing Orders Disinfection Probe Covers Gel Gel Holders Biopsy Supplies Sony Printer Paper This chapter lists the accessories available for the RT 3200 Advantage III RT 3200 Advantage III Quick Guide 2166104 REVO Accessories Supplies Accessories 1 e EEN LIP Placing Orders To place an order call your local Applications Sales or Service Representative FOR USA GE Access Center at 1 800 472 3666 ONLY Disinfection PART NO DESCRIPTION E8386EE Sterilizing Disinfecting Tray for TV TR Probes 19 L x 6 W x 5 H with perforated inner liner and transparent lid E8386EB CIDEX Activated Dialdehyde Solution 16 1 quart bottles per case E8386EC CIDEX Activated Dialdehyde Solution Four 1 gallon bottles per case Accessories 2 RT 3200 Advantage III Quick Guide 2166104 REVO e Probe Covers PART NO DESCRIPTION E8385CC Sanitary double tumbled dry lubricant latex cover 3 5 cm x 20 cm with 40 elastic bands each Outer Probe Cover for TR TV Probes Box of 20 individually packaged sanitary sets E8385CG Outer Cover Econo Pack Sanitary latex covers for TE TV probes 3 5 cm x 20 cm includes 100 bands not individually wrapped box of 100 E8386CD Sanitary Endocavitary Probe Covers Latex covers fit GE s 7
6. and calculations must be pressed twice to erase Preset Used to select preset scan parameters for the active probe Ext Video Enables an external video signal i e VCR playback to be processed through the system to the monitor Key Light Turns the soft green backlight to the keyboard on or off Probe Used to select a probe for scanning from the two that may be attached RT 3200 Advantage III Quick Guide Introduction 5 2166104 REVO Pe TT D WR II Alphanumeric Keyboard and Function Keys Alphanumberic Keyboard Used to change scan parameters enter the text or select various function menus Function Keys OB Tbl 1 and OB TbI 2 Used to call up preset program menus to select OB calculation tables Calc 1 Calc 2 and Calc 3 Used to call up preset program menus to select Advanced Calculation packages Map Used to call up preset program menus to select Gray Scale Mapping selections Arrows Allows left right movement for selecting a menu option Introduction 6 RT 3200 Advantage III Quick Guide 2166104 REVO WT Image Adjustment and Annotations Image Direction Rvs Used to reverse the image display left and right Inv Used to invert the image display top bottom TGC Used to adjust the gain at 8 specific depth levels Dynamic Range Used to adjust dynamic range of the image in B and M Modes Gain Used to adjust the receiver gain in B and M Modes Used to step frame by frame through t
7. e Ee ie i Safety Prescription DEVICE ME EE ER EE EE EER AE RE AE Safety 2 Indications for USE 2 RE EE EE EE aoe eieiei iE Safety 2 Contandi ai OS RE EE N OE OE ORE EE ses Safety 3 Serviceable COMPONENUS EE Safety 3 Operator EER EE ER Rd EE N N AR AE EE Safety 3 Troubleshooting Who To Contact iii Safety 4 Introduction Major el Introduction 2 Probe el Introduction 4 OV DONG ET Introduction 5 Image Preparation Keys E Introduction 5 Alphanumeric Keyboard and Function Keys Introduction 6 Image Adjustment and Annotations AA Introduction 7 Trackball and Measurements AA Introduction 8 limage e Introduction 9 RT 3200 Advantage II Quick Guide i 2166104 REVO e EEN LIP Table of Contents cont d Initial Set Up Monitor Contrast Brightness see Initial Set Up 2 gloei ETATS PRE EE ER Initial Set Up 3 Date Format iere N EE N EE ER Initial Set Up 4 LS ook ER AE OR EE RE EE E EE N OE a Initial Set Up 5 Recommended di ER AR N EE RE EE EE ER EG Initial Set Up 6 Measurements Measurement Controls sise Measurements 2 BEE Tale dIE ol AA ER EO EE ER OE N AO N EE Measurements 3 Circumference Measurement E Measurements 4 Area Measurement iii Measurements 5 Ellipse Measurement EO OE EE N ER OE AAA E a r Measurements 6 OB Applications Patient Date ENIN ET OB Apps 2 Gestational OB Summary Report sisi OB Apps 3 OB Measurement Selection AA OB Apps 6 Recommended OB Comments Library
8. 0 Advantage III Refer to Section 1 Introduction Section 2 Front Panel Keyboard and Section 3 Detailed Control Description in the RT 3200 Advantage III Operator Manual for more thorough explanations RT 3200 Advantage III Quick Guide Introduction 1 2166104 REVO e EEN LIP Major Features The following are major features of the RT 3200 Advantage II system console Most features come with the standard configuration while other features are options to the standard console 1 12 inch monochrome monitor It displays the ultrasound image and scan parameter data 2 Probe arm Used to support the probe cable Keeps the cable off the floor 3 Adjustment of monitor height The height of the monitor can be adjusted by pressing and holding this button while raising and lowering the monitor 4 Adjustment of contrast and brightness These controls adjust the contrast and brightness of the display to the operator s preference 5 Power switch Used to turn on off the main AC power to the system 6 Probe connectors KEE Connects up to two probes to the system at one time 7 Front panel Used to connect the system to a camera VCR page printer or external monitor Introduction 2 RT 3200 Advantage III Quick Guide 2166104 REVO EET T COS CE Major Features cont d 1 12 inch monochrome monitor It displays the ultrasound image and scan parameter data 2 Probe arm Used to support the probe cable Keeps
9. 0 MHz probe 2 0 cm x 20 cm Individually wrapped with 4 band each 24 covers per box E8385CH Sheathes Bulk Probe Covers Box of 100 latex covers 5 cm x 20 cm without bands E8385CK Bulk Sanitary 35 Elastic Bands 100 per pack RT 3200 Advantage III Quick Guide 2166104 REVO Accessories 3 e EEN LIP Gel PART NO DESCRIPTION E8365AF Aquasonic 100 Ultrasound Transmission Gel One 5 liter jug E8365BA Aquasonic 100 Ultrasound Transmission Gel Case of twelve 250 ml plastic bottles E8365BJ Sterile Aquasonic 100 Transmission Gel Box of forty eight 20 gram foil pouches E8365BC Scan Ultrasound Gel Case of twelve 8 oz plastic bottles E8365BK Scan Ultrasound Gel Four 1 gallon containers two dispensers and one dispenser pump E8365BD Scan Ultrasound Gel One gallon jug includes one empty dispensing bottle Gel Holders PART NO DESCRIPTION E8365BH Thermasonic Gel Warmer Holds three 8 oz dispenser bottles 110V E8365BL Echowarm Gel Warmer Holds single 12 oz gel dispenser bottle Designed for continuous use Hospital grade plug 110V Accessories 4 RT 3200 Advantage III Quick Guide 2166104 REVO e EEN LIP Biopsy Supplies FOR CA CB PROBES CONVEX PART NO E8385FA E8385LC E8385LF DESCRIPTION Starter Kit for CA CB Convex Probe Includes one reusable bracket and 5 sterile procedure kits Replacement Biopsy Kit Includes 24 Sterile Procedure Kits no bracket Procedure Kit includes 1 N
10. 6 of the RT 3200 Advantage III Operator Manual for complete programming procedures RT 3200 Advantage III Quick Guide OB Applications 7 2166104 REVO Recommended OB Comments Library Eg OB Applications 8 The following list is the recommended comments library for the OB exam category For programming either review the video tape again or refer to the User Programmable Comments Library portion of Section 7 in the Operator manual A Abdomen B Bladder CI Cord Insertion CRL Crown Rump Length D Diaphragm F Face FA Forearm FM Femur 4 Four Chamber Heart GS Gestational Sac HM LL LV SP ST YS Head Humerus Kidneys Lower Leg Lateral Ventricle Placenta Spine Stomach Three Vessel Cord Yolk Sag NOTE There is one comments library for all exam categories The comments library is common to all exams RT 3200 Advantage III Quick Guide 2166104 REVO e EEN LIP GYN Fertility Applications Patient Data Entry GYN Summary Report Probe Orientation GYN Measurement Selection Fertility Summary Report IVF Measurement Selection Recommended GYN Comments Library This chapter highlights how to set up for the GYN Fertility measurements and display of the GYN Fertility Summary Reports with the RT 3200 Advantage Ill Refer to Section 8 GYN Fertility Report Pages in the RT 3200 Advantage Ill Operator Manual for more thorough explanations RT 3200 Ad
11. B RT 3200 Advantage III Quick Guide 2166104 REVO Patient s Left Side C Image Display Screen NOTE The Image Reverse Function is OFF The Image Invert Function is ON Urology Applications 5 e EEN Probe Orientation cont d Sagittal View Anterior Patient s Feet Image Display Screen Patient s Head NOTE The Image Reverse Function is OFF The Image Invert Function is ON C Posterior Urology Applications 6 RT 3200 Advantage III Quick Guide 2166104 REVO e EEN LIP Urology Measurement Selection The function keys have been programmed to simplify the steps for taking measurements The factory programmed Urology measurements calculations for the prostate volume are in Calc 1 The following steps detail the process to select the parameter for calculation using the three diameter method in the split screen mode ee NOTE Multiple Urology measurements should always be made in order 1 L Length 2 x W Width 3 x H Height Before pressing ENTER all desired measurements must be displayed on the same screen to be included in the volume calculation RT 3200 Advantage III Quick Guide Urology Applications 7 2166104 REVO e EEN LIP Urology Measurement Selection cont d _Multi Image Press the MULTI IMAGE LEFT ARROW key Scan the object in either a sagittal or axial scan plane Press FREEZE to stop image acquisition of the left image
12. N HC AC PATIENT AGE Enter age using a FL O BRIEN EFBW Lat HC HADLOCK 1 BPD AC 2 digit number TAD 2 FLAC APD 3 FL AC HC LMP Enter date using AC HADLOCK HEART RATE same format as SS exam date at top of form EDD BY LMP EDD BY EGA EDD BY CGA EGA If LMP date does not apply and the exact age of the fetus is known enter that in REPORTED BY REPORT DATE the EGA area in weeks and days COMMENTS GRAVIDA Enter number of pregnancies of the patient 2 digits PARA Enter number of deliveries of the patient 2 digits RT 3200 Advantage III Quick Guide OB Applications 3 2166104 REVO e EEN LIP Gestational OB Summary Report cont d The Gestational Summary Report consists of the measurements and calculations derived from measurements taken from selected anatomy To perform the measurements listed below see thelOB Measurement Selectionlportion of this section BIPARIETAL DIAMETER BPD Distance or Ellipse OCCIPITAL FRONTAL DIAMETER OFD If 2 Distance is performed for BPD this is the second distance measurement CROWN RUMP LENGTH CRL Distance FEMUR LENGTH FL Distance HEAD CIRCUMFERENCE HC 2 Distance Trace or Ellipse TRANSVERSE ABDOMINAL If a 2 Distance measurement is performed for AC this is the first distance DIAMETER TAD measurement ABDOMINAL ANTERIOR POSTERIOR If a 2 Distance measurement is performed for AC this is the second DIAMETER APD distance
13. Paper for use with UP 870MD UP 850 or UP 811 box of 12 rolls UPP 1105 1 Accessories 8 RT 3200 Advantage III Quick Guide 2166104 REVO
14. Summary Report cont d PPSA On the PPSA line is a non edit field that corresponds to the calculation result The edit field following the words BASED ON VOLUME is a single digit 1 2 or 3 to indicate which volume measurement corresponding to the entire gland is used to calculate the PPSA The volume chosen is multiplied by the value 0 12 or 0 15 used as the threshold level It is based on standard production of PSA per gram of volume of prostatic tissue Eg NOTE 0 12 is the system default To change from 0 12 to 0 15 see Control U P in Section 5 of the RT 3200 Advantage III Operator Manual DRE Digital Rectal Exam results 56 characters XXX Optional User Specific field 4 character name 56 character text LESION SITE User specified comments VOLUME 1 3 Comment line to the right of each measurement can be used to describe the volume measurement 40 characters each BIOPSY Indicated whether the lesion site was biopsied Enter Y for yes and N for no COMMENTS General comments and findings 248 characters in 4 lines The Urology Summary Report consists of volume calculations derived from length width and height measurements of the prostate To perform the measurements see the Urology Measurement Selectionlportion of this section VOLUME 3 Distance Measurements Urology Applications 4 RT 3200 Advantage III Quick Guide 2166104 REVO Probe Orientation Axial View Patient s Right Side
15. Technical Publications Direction 2166104 Revision 0 RT 3200 Advantage III Quick Guide Copyright 1996 by General Electric Company Operating Documentation GE Medical Systems Training in Partnership GE Medical Systems GE Medical Systems Telex 3797371 P O Box 414 Milwaukee Wisconsin 53201 U S A Asia Pacific Latin America North America GE Medical Systems Europe Telex 261794 283 rue de la Mini re BP34 78533 Buc Cedex REV DATE 0 August 9 1996 PAGE REVISION NUMBER NUMBER Revision History REASON FOR CHANGE Initial Release LIST OF EFFECTIVE PAGES PAGE REVISION NUMBER NUMBER PAGE REVISION NUMBER NUMBER Title Page 0 AandB 0 i thru iv 0 Safety 1 thru 4 0 RT 3200 Advantage III Quick Guide 2166104 REVO Introduction 1 thru 10 0 Initial Set Up 1 thru 6 0 Measurements 1 thru 8 0 OB Apps 1 thru 8 0 GYN Fert Apps 1 thru 16 0 Urology Apps 1 thru 10 0 Accessories 1 thru 8 0 e EEN LIP Please verify that you are using the latest revision of this document Information pertaining to this document is maintained on GPC GE Medical Systems Global Product Configuration If you need to know the latest revision contact the GE Ultrasound Clinical Answer Center at 1 800 682 5327 B RT 3200 Advantage III Quick Guide 2166104 REVO e EEN LIP Table of Contents Title Page Revision History SE ER EE OE EE RE N EEN A Table of COMENS ii NS e ee EE ED EE ee
16. ain Enter ID Name Type in the patient name 8 characters 3 lines Press the ID Name key a third time fo Once the ID number and name have been entered the personal fields of the Urology Control O Report Pages can be input Press CONTROL and the letter U to activate the Urology x d Report Pages The patient ID and name are already entered on the report page Urology Applications 2 RT 3200 Advantage III Quick Guide 2166104 REVO e Urology Summary Report Data needs to be entered into the personal fields PATIENT DATA REFERRAL Enter name of NAME referring physician P 16 characters REFERRAL REFERRED FOR REFERRED FOR Enter reason for EXAM DATE 04 15 91 AP XXXXXXXXXXXX GE MEDICAL SYSTEMS referral PSA XXXXXXXXXXXX PPSA BASED ON VOLUME 1 z DRE XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX PATIENT AGE Enter age using a XXX JOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO 2 digit number VOLUME 1 Tun cm SEE EE j VOLUME 2 HHH CMS EEEk RIRE AP Alkaline VOLUME 3 HHHH CM kit IE Phosphatase BIOPSY h LESION SITE XXXXXXXXXXXXXXXXXXXX YES NO concentration 12 XXXXXXXXXXXXXXXXXXXX YES NO characters XXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXX PSA Prostatic Specific COMMENTS Antigen concentration 12 s 7 REPORTED BY REPORT DATE characters RT 3200 Advantage III Quick Guide 2166104 REVO Urology Applications 3 e EEN LIP Urology
17. an image display Scroll Used to scroll an image Record Used to trigger a camera page printer or DMC Data Transfer Multi Image Used to display and move between multiple image displays Freeze Used to freeze an image Stops the acquisition of Ultrasound data RT 3200 Advantage III Quick Guide 2166104 REVO Introduction 9 This page left intentionally blank Introduction 10 RT 3200 Advantage III Quick Guide 2166104 REVO e EEN LIP Initial Set Up Monitor Contrast Brightness Hospital Name Date Format Time Format Recommended Presets This chapter outlines the initial adjustment of the monitor and set up of display parameters of the RT 3200 Advantage Ill Refer to Section 1 Introduction and Section 5 Control Key Functions in the RT 3200 Advantage III Operator Manual for more thorough explanations RT 3200 Advantage III Quick Guide Initial Set Up 1 2166104 REVO Monitor Contrast Brightness Adjust the brightness and contrast of the display to the room lighting by using the controls under the left front corner of the monitor 1 This control adjusts the brightness The brightness will increase as the control is turned counterclockwise 2 This control adjusts contrast The picture will become lighter as the control is turned counterclockwise RT 3200 Advantage III Quick Guide 2166104 REVO Initial Set Up 2 e EEN LIP Hospital Name Use the Control functi
18. area is measured by a graphical method The measured value is displayed in square cm DE Press OFF to erase all the display of the cursor trace and measured data Off f RT 3200 Advantage III Quick Guide Measurements 5 2166104 REVO e EEN LIP Ellipse Measurement An ellipse measurement function has been provided in order to improve the measurement of head and abdominal circumferences and areas The ellipse function supersedes any prior measurements on the screen Entering the ellipse mode clears all measurements calipers and traces like when the OFF key is pressed fo Press the DIST key then press the TRACE AREA key Both the DIST and TRACE Dist Jace AREA LEDs will light and the highlighted EH cursor appears on the screen NOTE Pressing DIST or TRACE AREA keys at any time before the completion of this sequence will exit the ellipse mode and remove any ellipse graphics from the display Use the TRACKBALL to position the EH cursor at one end of the transverse axis of the Set ellipse i e BPD for HC or TAD for AC Press SET A second EH cursor will appear Use the TRACKBALL to position the highlighted cursor to the opposite end of the Set transverse axis Press SET The ellipse graphic will appear with a 1 1 Aspect Ratio a circle NOTE The transverse diameter is between the two cursors The sagittal diameter is between the two x cursors The highlighted
19. d displayed on the same screen GYN Fertility Applications 14 RT 3200 Advantage III Quick Guide 2166104 REVO e EEN LIP Recommended GYN Comments Library The following list is the recommended comments library for the GYN exam category B Bladder C Cyst CX Cervix CS Culde Sac E Endometrium F Fundus FB Fibroid FL Follicle L Left LO Left Ovary M Midline R Right RO Right Ovary S Sagittal T Transverse NOTE There is one comments library for all exam categories The comments library is Eg common to all exams RT 3200 Advantage III Quick Guide GYN Fertility Applications 15 2166104 REVO This page intentionally left blank GYN Fertility Applications 16 RT 3200 Advantage III Quick Guide 2166104 REVO e EEN LIP Urology Applications Patient Data Entry Urology Summary Report Probe Orientation Urology Measurement Selection Recommended Urology Comments Library This chapter highlights how to set up for the basic Urology measurements and display of the Urology Summary Report with the RT 3200 Advantage III Refer to Section 9 Urology in the RT 3200 Advantage II Operator Manual for more thorough explanations RT 3200 Advantage III Quick Guide Urology Applications 1 2166104 REVO e EEN LIP Patient Data Entry fo Press the ID Name key Name Es Enter ID Number Type in the patient s ID number 8 characters 2 lines Press the ID Name key ag
20. e III contains no user serviceable components To avoid electrical cause serious injury Servicing must be performed by qualified service personnel only Operator Manual Read and understand the RT 3200 Advantage III Operator Manual 2158323 prior to operating the system Keep the User Manual with the system for quick and easy reference RT 3200 Advantage III Quick Guide Safety 3 2166104 REVO e EEN LIP Troubleshooting Who To Contact If additional information or assistance is needed please contact your local distributor or the appropriate support resource listed below USA GE Medical Systems Ultrasound Service Engineering 4855 W Electric Avenue Milwaukee WI 53219 Customer Answer Center CANADA GE Medical Systems Ultrasound Service Engineering 4855 W Electric Avenue Milwaukee WI 53219 Customer Answer Center LATIN AND SOUTH AMERICA GE Medical Systems Ultrasound Service Engineering 4855 W Electric Avenue Milwaukee WI 53219 Customer Answer Center Safety 4 TEL 1 800 437 1171 FAX 1 414 647 4090 TEL 1 800 682 5327 or 1 414 524 5255 TEL 1 800 664 0732 TEL 1 800 682 5327 or 1 414 524 5255 TEL 1 305 735 2304 TEL 1 800 682 5327 or 1 414 524 5255 RT 3200 Advantage III Quick Guide 2166104 REVO e EEN LIP Introduction Major Features Probe Ports Keyboard This chapter is an introduction to the basic features of the system console of the RT 320
21. eedle Guide usable with 14 16 18 20 22 or 25 gauge needles 1 Non latex Probe Cover 20 ml Packet of Sterile Ultrasound Gel 2 Rubber Bands Sterile Probe Cover Kit Includes 24 Sterile 5 5 x 24 Non Latex Probe Covers 24 Sterile Gel Packs and 48 Elastic Bands No Bracket or Needle Guides FOR LP PROBES LINEAR E8385LB Starter Kit for LP 7 5 Probe Includes one reusable bracket and 24 sterile procedure kits Procedure Kit includes 1 Needle Guide usable with 14 16 18 20 22 or 25 gauge needles 1 Non latex Probe Cover 20 ml Packet of Sterile Ultrasound Gel 2 Rubber Bands E8385LF Sterile Probe Cover Kit Includes 24 Sterile 5 5 x 24 Non Latex Probe Covers 24 Sterile Gel Packs and 48 Elastic Bands No Bracket or Needle Guides RT 3200 Advantage III Quick Guide Accessories 5 2166104 REVO e EEN LIP Biopsy Supplies cont d FOR 6 5 MHz MZ PROBE PART NO E8323GE E8386AE E8386AJ DESCRIPTION Stainless Steel Non disposable straight for 25 cm Needle Cleaning Brushes for use with the non disposable Biopsy Guide for 6 5 MHz Endo Probe Single use only 5 brushes per package Biopty Biopsy System Standard reusable instrument with 23mm penetration depth for use with our endocavitary probes Packaged individually non sterile Biopty Cut Needles for the Biopty System 18g x 25cm length Packaged individually sterile Box of 10 For use with non disposable stainless steel straight guide Con
22. ements are performed and displayed on the same screen RT 3200 Advantage III Quick Guide GYN Fertility Applications 9 2166104 REVO Fertility Summary Report Data needs to be entered into the personal fields NAME REFERRAL Enter name of RE referring physician REFERRED FOR 16 characters REFERRED FOR Enter reason for referral PATIENT AGE Enter age using a 2 digit number LMP Enter date using same format as exam data at top of form GRAVIDA Enter number of CO pregnancies of the patient 2 digits RIGHT OVARY FOLLICLES DIAMETERS mm X X MEAN EXAM DATE 08 15 92 GE MEDICAL SYSTEMS AGE LMP GRAVIDA PARA FERTILITY REPORT LEFT OVARY FOLLICLES VOL DIAMETERS mm VOL cm3 X X MEAN cm3 FOLLICULAR OBSERVATIONS VOLUME CHANGES BORDER APPEARANCE CONTENTS OTHER MMENTS REPORTED BY PARA Enter number of deliveries of the patient 2 digits GYN Fertility Applications 10 REPORT DATE RT 3200 Advantage III Quick Guide 2166104 REVO Pe TT e WR II Fertility Summary Report cont d The Fertility Report Page has five other fields that can be edited directly by the user They are VOLUME CHANGES Enter follicular observations alphanumeric 40 characters BORDER APPEARANCE Enter follicular observations alphanumeric 40 characters CONTENTS Enter follicular observations alphanumeric 40 characters OTHER Enter follicular observations
23. he optional 32 frame Cine memory in Freeze Mode Body Pattern L R Center Enables a group of body and Sel patterns for display Rotation Used to rotate transducer position on body pattern RT 3200 Advantage III Quick Guide 2166104 REVO GD KS SR Introduction 7 e Trackball and Measurements Trackball Measurements Dist Trace Area Off Set Meas Used to move a cursor while making comments to select tables or functions within the reports and to make measurements Used to enable the cursors to make generic linear distance measurements Used in conjunction with the Trackball Set and measure functions Used to enable the trace function Used to trace an object to determine circumference and or area of the object Used in conjunction with the Trackball Set and measure functions Used to erase the measurement cursors trace and measured or calculated data Used to fix a measurement cursor and enable the second of the pair Used to complete a measurement seguence and display the results Introduction 8 RT 3200 Advantage III Quick Guide 2166104 REVO MET e Image Setup Keys Mode B B M and M Used to select a display mode format Sweep Speed Used to change the display speed in M Mode Focus 1 2 3 4 and Comb Used to assign the optimum transmit focal zone Scale Depth These keys are used to change x0 7 x1 0 x1 5 and x2 0 the depth magnification of
24. inute Input 4 digits A To set the clock TIME Press the CONTROL key Press the letter C followed by the letter T Press ENTER to set the clock time 24 hour run Use the numeric keys to input the current time to readjust the time on the system The time needs to be input in the appropriate format i e HM 1422 Time data is set when the ENTER key is pressed the second time Enter NOTE Multiple functions are available through the Control key operation See Section 5 of the RT 3200 Advantage II Operator Manual for a complete list and applications RT 3200 Advantage III Quick Guide Initial Set Up 5 2166104 REVO e Recommended Presets Initial Set Up 6 The following are recommended preset settings for specific probes used in OB GYN and Urology exam categories OBSTETRICS GYNECOLOGY CA 5 0 MHz Probe Gain 40 Dynamic Range 60 Focus 3 Depth x1 0 CB 3 5 MHz and CK CF 3 5 MHz Probe Gain 36 Dynamic Range 60 Focus 3 Depth x1 0 R 7 0 MHz TransVaginal Probe Gain 30 Dynamic Range 56 or 60 Focus 3 Depth x1 5 UROLOGY CA 5 0 MHz Probe Gain 44 Dynamic Range 60 Focus 3 Depth x1 0 CB 3 5 MHz and CK CF 3 5 MHz Probe Gain 40 Dynamic Range 60 Focus 3 Depth x1 0 R 7 0 MHz TransRectal Probe Gain 30 Dynamic Range 48 Focus 3 Depth x2 0 RT 3200 Advantage III Quick Guide 2166104 REVO e EEN LIP Measurements Measurement Controls Distance Measurement Circumference Meas
25. ld always be made in order 1 L Length 2 x W Width 3 x H Height Before pressing ENTER all desired measurements must be displayed on the same screen to be included in the volume calculation RT 3200 Advantage III Quick Guide GYN Fertility Applications 7 2166104 REVO e EEN LIP GYN Measurement Selection cont d _Multi Image Press the MULTI IMAGE LEFT ARROW key Scan the object in either a sagittal or axial scan plane Press FREEZE to stop image acquisition of the left image Press the MULTI IMAGE RIGHT ARROW key to activate the right image Scan the ain object in the appropriate scan plane Press FREEZE to stop image acquisition of the right image continued GYN Fertility Applications 8 RT 3200 Advantage III Quick Guide 2166104 REVO Pe TT e WR II GYN Measurement Selection cont d fe Press the CALC 3 key once to display the GYN calculations menu at the bottom of the Calc 3 display ER 1 CERVIX 2 ENDO 3 UTERUS 4 RT OV 5 LT OV ee K Use the ARROW keys to select the organ being measured D bg 1 CERVIX 2 ENDO UTERUS 4 RT OV 5 LT OV Always measure the anatomy length first then width and finally height Failure to perform the three measurements in this order will result in an inaccurate volume calculation If necessary refer to the Measurementskection of this quick guide to perform distance measurements The ENTER key must not be pressed until all desired measur
26. lity Applications 3 e EEN LIP GYN Summary Report cont d The GYN Summary Report consists of volume calculations derived from length width and height measurements taken from selected anatomy To perform the measurements of the anatomy listed below see the GYN easurement Selectionlportion of this section CERVIX 3 Distance Measurements ENDOMETRIUM 3 Distance Measurements UTERUS 3 Distance Measurements RIGHT OVARY 3 Distance Measurements LEFT OVARY 3 Distance Measurements GYN Fertility Applications 4 RT 3200 Advantage III Quick Guide 2166104 REVO Probe Orientation Coronal View Patient s Right Side S RT 3200 Advantage III Quick Guide 2166104 REVO Patient s Left Side Image Display Screen NOTE The Image Reverse Function is ON GYN Fertility Applications 5 Probe Orientation cont d Sagittal View Patient s Head GYN Fertility Applications 6 Patient s Feet Image Display Screen NOTE The Image Reverse Function is ON RT 3200 Advantage III Quick Guide 2166104 REVO e EEN LIP GYN Measurement Selection The function keys have been programmed to simplify the steps for taking measurements The factory programmed GYN measurements calculations are in Calc 3 The following steps detail the process to select the parameter for calculation using the three diameter method in the split screen mode NOTE Multiple GYN measurements shou
27. measurement ABDOMINAL CIRCUMFERENCE AC 2 Distance Trace or Ellipse HEART RATE HR Distance in M Mode AMNIOTIC FLUID INDEX AFI AFI needs to be selected first in the Calc2 menu function before any measurements are taken Then four separate distance measurements need to be performed one in each quadrant of the uterus Do NOT press the ENTER key until all four measurements have been made OB Applications 4 RT 3200 Advantage III Quick Guide 2166104 REVO S e EEN LIP Gestational OB Summary Report cont d This report consist of the following calculations The calculations will appear after the appropriate measurements have been performed that make up that calculation CEPHALIC INDEX Ratio of the two diameters used in the measurement of the head circumference FL BPD Ratio of the femur length to biparietal diameter in percent FL AC Ratio of femur length to abdominal circumference in percent HC AC Ratio of head circumference to abdominal circumference in percent ESTIMATED FETAL BODY WEIGHT Estimated Fetal Body Weight is computed three different ways using three models 1 BPD AC Computed using a Shephard Richards Berkowitz model 2 FL AC Computed using the Hadlock model 3 FL AC HC Computed using a Hadlock Harris Sharman Deter and Park model RT 3200 Advantage III Quick Guide OB Applications 5 2166104 REVO Pe TT D WR II OB Measurement Selection The function keys have been prog
28. mmary Report OB Measurement Selection Recommended OB Comments Library This chapter highlights how to set up for OB measurements and display of the Gestational OB Summary Report with the RT 3200 Advantage Ill Refer to Section 7 Gestational Summary Report in the RT 3200 Advantage III Operator Manual for more thorough explanations RT 3200 Advantage III Quick Guide OB Applications 1 2166104 REVO Patient Data Entry e Name Es Enter ID Number 8 characters 2 lines Enter ID Name 8 characters 3 lines D Name Control O OB Applications 2 Press the ID Name key Type in the patient s ID number Press the ID Name key again Type in the patient name Press the ID Name key a third time Once the ID number and name have been entered the personal fields of the OB Report Page can be input Press CONTROL and the letter O to activate the Gestational OB Report Page The patient ID and name are already entered on the report page RT 3200 Advantage III Quick Guide 2166104 REVO e EEN LIP Gestational OB Summary Report Data needs to be entered into the personal fields EXAM DATE 08 15 92 NAME GE MEDICAL SYSTEMS ID AGE REFERRAL Enter name of REFERRAL LMP EGA GRAVIDA referring physician REFERRED FOR PARA 16 characters GESTATIONAL AGE CALCULATIONS REFERRED FOR Enter reason for GA BY LMP CEPHALIC INDEX BPD HADLOCK FL BPD referral OFD FL AC f CRL ROBINSO
29. on the left side of the screen When the tracing is complete press the MEAS key The cursor is locked and measured values are fixed Press the OFF key to erase the cursor trace and the measured values NOTE If the TRACE AREA key is pressed in the middle of the measurement the cursor and measured values will be cleared LED will go out To complete a measurement repeat the preceding procedure By repeating the preceding procedure up to four measurements for circumference and area are possible on the same screen Measurements 4 RT 3200 Advantage III Quick Guide 2166104 REVO e EEN LIP Area Measurement By using the four different cursor patterns four area measurements can be made on one display Press the TRACE AREA key The LED is lit and the cursor appear is displayed Trace L Area Use the TRACKBALL to move the cursor to the measurement starting point Press Set the SET key The starting point cursor is locked and the cursor changes to a dot cursor Use the TRACKBALL to move the dot cursor tracing the object to be measured The Set trace is displayed as a continuous curve and the measured value in mm is displayed on the left side of the screen When the tracing is complete press SET The circumference measurement is locked The cursor appears again Use the TRACKBALL to move the cursor inside the traced area Press MEAS The Meas cursor is locked and
30. on to enter the name of the hospital and department They should be entered within 2 lines 8 characters maximum per line fo Press the CONTROL key Control C Press the letter H A Teen Press the ENTER key to set the hospital name information Enter the hospital name A maximum of 16 characters 8 characters per line is available Enter Hospital Name 8 characters 2 lines Press ENTER to display and store the hospital name information The hospital name is shown in the upper left corner of the screen This information is retained even after the power is turned off RT 3200 Advantage III Quick Guide Initial Set Up 3 2166104 REVO e Date Format fo Control 14 Le Le 8 Enter Input 6 digits Month Day Year Enter Eg Initial Set Up 4 To set the DATE Press the CONTROL key Press the letter C followed by the letter D Press the ENTER key to set the internal clock for month day year Use the numeric keys to input the current date to readjust the date on the system The date needs to be input in the appropriate format i e MMDDYY 07 27 91 Data for the date is set when the ENTER key is pressed the second time NOTE Slashes are required in the input string If the date or month is a single digit it must include a zero to fill out the two character field RT 3200 Advantage III Quick Guide 2166104 REVO Time Format Control Hour M
31. rammed to simplify the steps for taking measurements The factory programmed OB measurement calculations are in OB Table 1 Calc 1 and Calc 2 OB Table 2 is for programming the user s most commonly used measurements The following describes how to select a parameter for calculation Press the FREEZE key to stop image acquisition B Freeze Co Press the OB TBL 1 key The five selections available in OB Table 1 are displayed Tbl 1 If necessary use the ARROW keys to select the appropriate selection i e BPD d gt J 1 ern 2 CRL 3 FL 4 AC 5 HC Do the appropriate measurement If necessary refer to the Measurementsksection of this quick guide to perform the measurements Once the measurement is completed press the ENTER key to calculate the gestational age and to transfer the information to the report page OB Applications 6 RT 3200 Advantage III Quick Guide 2166104 REVO e EEN LIP OB Measurement Selection cont d The selections available for Calc 1 Calc 2 and OB Table 2 are as follows CALC 1 1 CIRC 2 VOL HR 4 VELO 5 AB CALC 2 1 EDC 2 EFBW 3 STVOL 4 ari 5 HIP OB TABLE 2 2 3 4 5 The name programmed by the user follows the appropriate number Up to five user programmable tables can be programmed into OB TBL 2 by using the CONTROL G 0 function NOTE Menu levels 1 through 3 are for single distance measurements Menu levels 4 and 5 are for circumference measurements Refer to Section
32. rements must be displayed on the same screen to be included in the volume calculation GYN Fertility Applications 12 RT 3200 Advantage III Quick Guide 2166104 REVO EET T COS CE IVF Measurement Selection cont d Multi Image Press the MULTI IMAGE LEFT ARROW key Scan the object in either a sagittal or axial 8 j scan plane for more information see thelProbe Orientationlportion of this section d ma Press FREEZE to stop image acquisition of the left image Multi Image FR Press the MULTI IMAGE RIGHT ARROW key to activate the right image Scan the gt object in the appropriate scan plane Press FREEZE to stop image acquisition of the right image continued RT 3200 Advantage III Quick Guide GYN Fertility Applications 13 2166104 REVO e EEN LIP IVF Measurement Selection cont d Press the CALC 3 key twice to display the IVF calculations menu at the bottom of the display 1 RTOV 2 LTOV FOLLICLE __ Use the ARROW keys to select the organ being measured d gt o LL RTOV 2LTOV FOLLICLE __ Always measure the anatomy length first then width and finally height Failure to perform the three measurements in this order will result in an inaccurate volume calculation If necessary refer to the Measurementsksection of this quick guide to perform distance measurements The ENTER key must not be pressed until all desired measurements are performed an
33. rsor to the measurement starting point and press the SET key The initial measurement point will be locked set and the measurement end point cursor appears Use the TRACKBALL to move the end point cursor to the opposite end of the measurement A dotted line with 10 mm intervals connects the two points and the measured value will appear on the left side of the CRT in mm Press the MEAS key The second cursor is locked and the measurement values are displayed Press the OFF key to erase the cursor dotted line and measured values NOTE If the DIST key is pressed in the middle of the measurement the cursor and measure values will be cleared LED will go out To complete a measurement repeat the preceding procedure By repeating the preceding procedure up to four measurements are possible on the same image RT 3200 Advantage III Quick Guide Measurements 3 2166104 REVO e EEN LIP Circumference Measurement By using four cursor patterns four circumference measurements can be made on one display Press the TRACE AREA key The LED is lit and the cursor is displayed Use the TRACKBALL to move the cursor to the measurement starting point Press the SET key The starting point cursor is locked and the cursor changes to a dot cursor Use the TRACKBALL to move the dot cursor tracing the object to be measured The trace is displayed as a continuous curve and the measured value in mm is displayed
34. tact your Sales Representative for information regarding this accessory Accessories 6 RT 3200 Advantage III Quick Guide 2166104 REVO e EEN LIP Biopsy Supplies cont d FOR 5 MHz TV STRAIGHT HANDLE PROBE PART NO DESCRIPTION E8323GB Bx Guides Sterile disposable biopsy guide Box of 25 FOR 7MHz TR TV PROBE E8386CB Bx Guides Sterile disposable endocavitary biopsy guide long For GE H4618E probe Individually packaged in Tyvek bag with instruction kit Box of 25 E8323GD Cleaning Brushes for the 7 0 MHz endocavitary probe needle guides 5 brushes per pack E8386AE Biopty Biopsy System Standard reusable instrument with 23mm penetration depth for use with our endocavitary probes Packaged individually non sterile E8386AF Biopty Cut Needles for the Biopty System 18g x 20cm length Packaged individually sterile Box of 10 E8386AG Monopty Biopsy System Disposable instrument needle combination for use with our 7 0 MHz endocavitary probe 18g x 20cm length 22mm needle penetration Packaged individually sterile Box of 10 RT 3200 Advantage III Quick Guide Accessories 7 2166104 REVO Sony Printer Paper PART NO DESCRIPTION E8310KB Superior Dynamic Range Video Printer Paper for use with the UP 890 case of 5 rolls E8310FA High Density Video Printer Paper for use with the UP 870MD or UP 850 210 prints per roll box of 5 rolls UPP 110H Not for use with UP 811 E8310GA Standard Density Video Printer
35. the cable off the floor 3 Upper panel Used to connect a VCR or page printer under top coverplate 4 Alphanumeric Keyboard Used to change scan parameters enter the text or select various function menus 5 Handle Used to aid in the movement of the system and to wrap power cord around when transporting 6 Probe holder gel holder Used to hold scan probes and scan gel 7 Wheel locks Used to lock wheel rotation in order to prevent 71 accidental system movement To lock wheels depress the lever with your foot RT 3200 Advantage III Quick Guide Introduction 3 2166104 REVO e Probe Ports Two transducers can be attached to the system at one time The default outlet is at the top 1 in figure on right To lock the probe to the system connector turn the knob clockwise CAUTION Make sure that the name of the probe is ZEN right side up Introduction 4 RT 3200 Advantage III Quick Guide 2166104 REVO Pe TT e WR II Keyboard Image Preparation Keys New Patient 1 Comment Name o o CE This group of controls are used to let the user get prepared for imaging New Patient Used at the beginning of each study to reset the system ID Name Used during a study to enter change patient data or exam categories Comment Used to enable the placement of comments in the image area Erase Used to erase an image comments measurements
36. urement Area Measurement Ellipse Measurement This chapter shows how to make basic measurements with the RT 3200 Advantage Ill Refer to Section 4 Generic Measurements in the RT 3200 Advantage II Operator Manual for more thorough explanations RT 3200 Advantage III Quick Guide Measurements 1 2166104 REVO e Measurement Controls Measurement controls are located above the Trackball The main keys controls involved are Dist Distance Enables the cursors to make generic linear distance measurements Used in conjunction with the Trackball Set and measure functions Trace Area Enables the trace function Used to trace an object to determine circumference and or area of the object Used in conjunction with the Trackball Set and measure functions Off Used to erase the measurement cursors trace and measured or calculated data Set Used to fix a measurement cursor and enable the second of the pair Meas Measurement Used to complete a measurement sequence and display the results Trackball Used to move a cursor while making comments to select tables or functions within the reports and to make measurements Measurements 2 RT 3200 Advantage III Quick Guide 2166104 REVO Pe TT e WR II Distance Measurement By using four cursor patterns four distance measurements can be made on one display Press the DIST key The LED is lit and the cursor is displayed Use the TRACKBALL to move the cu
37. vantage III Quick Guide GYN Fertility Applications 1 2166104 REVO e Patient Data Entry fo Press the ID Name key Name Es Enter ID Number Type in the patient s ID number 8 characters 2 lines Press the ID Name key again Enter ID Name Type in the patient name 8 characters 3 lines Control GYN Fertility Applications 2 Press the ID Name key a third time Once the ID number and name have been entered the personal fields of the GYN Fertility O Report Pages can be input Press CONTROL and the letter M to activate the GYN Fertility x d Report Pages The patient ID and name are already entered on the report page RT 3200 Advantage III Quick Guide 2166104 REVO GYN Summary Report Data needs to be entered into the personal fields REFERRAL Enter name of referring physician 16 characters REFERRED FOR Enter reason for referral PATIENT AGE Enter age using a 2 digit number LMP Enter date using same format as exam date at top of form GRAVIDA Enter number of pregnancies of the patient PARA Enter number of deliveries of the patient RT 3200 Advantage III Quick Guide 2166104 REVO NAME ID REFERRAL REFERRED FOR GYN REPORT CERVIX ENDOMETRIUM UTERUS RIGHT OVARY LEFT OVARY COMMENTS REPORTED BY EXAM DATE 08 15 92 GE MEDICAL SYSTEMS AGE LMP GRAVIDA PARA H cm VOL cm COMMENTS REPORT DATE GYN Ferti
38. x cursor is now active continued Measurements 6 RT 3200 Advantage III Quick Guide 2166104 REVO e EEN LIP Ellipse Measurement cont d v Set Y F Use the TRACKBALL to position the highlighted x cursor to the upper end of the sagittal axis Press SET The highlighted x cursor is now active Use the TRACKBALL to position the highlighted x cursor to the lower end of the sagittal axis Press SET The original cursor is now active NOTE Each time SET is pressed the cursors become alternately active Adjustments may be made to the ellipse as desired The highlighted cursor is the active cursor When the ellipse cursors are satisfactorily positioned press MEAS to complete the measurement Meas The two diameters circumference and area measurements will be displayed in their respective fields on the left hand side of the display screen 0B or OB This measurement may be used in OB TBL 1 AC and HC It may also be used in user Tbl 1 Tbl2a programmable OB TBL 2 menu levels 4 and 5 For gestational age estimations after d making an ellipse measurement select the function OB TBL 1 or 2 Select the menu level and press ENTER Enter RT 3200 Advantage IlI Quick Guide Measurements 7 2166104 REVO This page left intentionally blank Measurements 8 RT 3200 Advantage III Quick Guide 2166104 REVO e EEN LIP OB Applications Patient Data Entry Gestational OB Su
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