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Digital Ultrasonic Diagnostic Imaging System

1. ecce crece ee eee eeee 110 IO L Measurement and alculall l ereco ei page ES 110 10 2 small Pants Repotbosasusotetue tee or dtum tuenda Me eM c eU 111 Oye MONG seats srs OO OT DSTI NT 112 Chapter 11 Urology Measurement and Calculation eee ce eee e eee e ee eere eerte 113 LET NTeasurement and Calculattott uuo ee eat ands as oo aiit a aere etri eia sis 113 WE UTOLO BIC IR CO OR oa dad atq a a ate sonata dama ena tenda Monat en dot Poi eias 114 HERDE i ee EE eR EP ee E a Pee 116 Chapter 12 Orthopedics Measurement amp Calculation eee ecce eee eee ee eene 117 12 1 Measurement and alculatloT uisi Piet ES DRE ubi Is nivis 117 12 2 Orthopedics REPON occu oe e Den eve a AN Munus meus can es 117 12 35 SOUS S eise stebetede tede eese TA case T TA T 118 Chapter 13 Inspection and Maintenance ccccccssssssscccssssssscccccssssssccccscsssscccsscsssssscssssessess 119 I3 Eie Period aena Pu tisse Ds clit deo healed a casita ie E Ue 119 15 2 DE BeCKIeSE oos tud RE Um ia IS eee aoe een eee 119 13 5 C kamne and DiS CCU OM dis cierta Ea Netto reu etu n cine ua Esta eunte CEA EIS dni 119 15 2 HS ystenp Surtaee E3pITI9 escaped EE EEE GEH UR ERE ARE ER lodo TE ea RIA uU eH NIU Redes 120 13 3 2 Probe and Probe Holder Cleaning and Disinfecting ssssss 121 13 3 3 Needle Guide Cleaning and Disinfecting
2. EDAN warrants that EDAN s products meet the labeled specifications of the products and will be free from defects in materials and workmanship that occur within warranty period The warranty period begins on the date the products are shipped to distributors The warranty is void in cases of Damage caused by handling during shipping Subsequent damage caused by improper use or maintenance Damage caused by alteration or repair by anyone not authorized by EDAN Damage caused by accidents Replacement or removal of serial number label and manufacture label If a product covered by this warranty 1s determined to be defective because of defective materials components or workmanship and the warranty claim 1s made within the warranty period EDAN will at its discretion repair or replace the defective part s free of charge EDAN will not provide a substitute product for use when the defective product is being repaired Service Policy All repairs on products must be performed or approved by EDAN Unauthorized repairs will void the warranty In addition whether or not covered under warranty any product repair shall be exclusively be performed by EDAN certified service personnel If the product fails to function properly or 1f you need assistance service or spare parts contact EDAN s service center A representative will assist you in troubleshooting the problem and will make every effort to solve it over the phon
3. 2 Roll the trackball to highlight the file that will be cut and press Set and then press Cut 3 Roll the trackball to select the destination driver and press Set 4 Press Paste To delete a file Roll the trackball to select the driver and the type of file and then press Set 2 Rollthe trackball and then press Set to select the file you want to delete 3 Press Delete a prompt instruction is displayed in the middle of the screen as shown below E3 4 Press Yes to delete the designated file or No to give up the deleting operation To delete all 1 Roll the trackball to select the driver and the type of file and then press Set 2 Press Del All a prompt instruction is displayed in the middle of the screen as shown below Yes NEN 3 Press Yes to delete the all the files or No to give up the deleting operation To rename a file 1 Roll the trackball to select the driver and the type of file and then press Set 2 Roll the trackball and press Set to select the file you want to rename 3 Press Rename to open the dialog box as shown below and enter the new name of the file using the keyboard with a maximum of eight characters IG Cancel 70 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 4 Press OK to rename the designated file or Cancel to give up the renaming operation To import from U disk You can use the Import From U Disk button to import all the files from U disk to
4. Measurement items LVPWd IVSTd and LVIDd The calculation formula LVMW g 1 04 fIVSTd cm LVIDd cm LVPWd cm LVIDd cm 13 6 LVMWI LVMW g BSA m To calculate LYVMW LVMWI 1 In the M cardiac measurement menu roll the trackball to highlight LVMW and press Set 2 Measure LVPWd IVSTd and LVIDd respectively following the prompt instruction 3 After the measurements the result of LVMW is displayed in Measured Results The system displays LVWMI if you have keyed in Height and Weight before the measurement If you measured LV before the system renovates the LV results 8 2 B mode Cardiac Measurement and Calculation Press Exam to select cardiology and press Set In the B mode press Measure the system enables B mode cardiac measurement The B mode cardiac measurement menus are as shown below B CARDIAC MEAS S P Ellipse RY B P Ellipse Lv Bullet Heart Rate LVET PA Mod Simpson Input WorkSheet Others Height amp Weight Figure 8 2 B Mode Cardiac Measurement and Calculation Menu 1 Items of Measurement and Calculation B CARDIAC MEAS RV LV and PA 2 tems of input Heart Rate LVET and Height amp Weight The default measurements are LVLs LVALs LVLd and LVALd measurements with single plane ellipse The formulas of B mode cardiac LV measurement include Single plane ellipse Dual plane ellipse Bullet and Modified Simpson as shown below 1 Single plane ellipse
5. eesssssssseeeeere 124 1334 Trackball C Ie Qntllg aea ui estet ette baies Gets bed cence 124 19 5 57 IDDISIECCETDES eiecit aee eset et uec a esce e iesus euros in utu 124 NS Ais SIT EC ABICO eterne Renee n opea a ete eset un edades 125 Chapter T4 Troubles OO ne ooi Hee e iere iae eoo Edo Duro bee vedo erecs 126 M ME LET 126 H2 LroublesBoOLtio cu iruimeeet e ERR a Pte dU dat uut a ven dud pe 126 Chapter 15 Warranty and Service Policy ecce eee eere eee eene eee eee eee eese eese e ssoaus 127 Appendix A Ultrasound Intensity and Safety eee eee Lecce eee eee eere ee eene eene nun 129 AL UTerasoUnc qoo WIC CIC IIG oaoesteoesme roba S ta Aedes waus netten ma a ieee E ues 129 A2 Ultrasound Safety and the ALARA Principle esses 129 A3 Probe Acoustic Output Parameters Last nnne 131 XT Zest OL Prope 90 le I iot HERE REP IRR EEREA ED NEMUS 131 A32 leStr Probe GIAI Ps TA eee E te n Ho E atenta DN n tutta nM Uu 132 DOO CGE Ole MOU GW ot Te cetecessetustul e T A a eee ium ete UE Unc done 133 A 4 3 Testop Probe C 32 EST aactor ores E tete ae zu en E Ies ERE tis 134 A3 5 Test of Probe E611 1 6 0MHz under B MODE seen 135 Ad Iausdueer POWER Values oeaan a a n tauutult Enn 136 Appendix B Obstetrical References un ieic susce eee ae ecu cc equa ebur e ae vea esque rp vegeta ce e ade esu eE sees oe sd coco ee 140 Appendix C Measurement
6. 4 DEV cm s DCT s 88 2 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 8 1 1 LV The B M mode and M mode measurements of LV are based on ESV and EDV which are calculated by LVIDs and LVIDd measurements respectively After measuring LVIDs and LVIDd and entering Heart Rate LVET and Height amp Weight the system can calculate some physiological parameters such as ESV EDV SV EF FS CO MVCF SI and CI There are two calculation formulas for heart antrum volume in the B M mode and the M mode as shown below Table 8 5 TEICHHOLZ and CUBE Formula D NN mL 7 x e Se cm 2 4 LVIDd cm TEICHHOLZ ESV mL 7 x LVIDs ius 2 4 LVIDs cm EDV mL ae mm 1000 CUBE ESV mL LVIDs mm 1000 NOTE Ensure that the value of LVIDd is bigger than that of LVIDs or the system can not display the calculation items SV and EF calculation is as below Measurement items LVIDs and LVIDd To measure LV 1 In the M cardiac measurement menu roll the trackball to highlight LV and the secondary menu is displayed Select TEICHHOLZ or CUBE and press Set Then move the cursor to the image area and a 1s displayed 2 Move the cursor to the end systolic of left ventricle and measure LVIDs The method is similar to generic M mode distance measurement LVIDs and ESV are displayed in Measured Results 3 Move the cursor to the end diastolic of the left ventricle and meas
7. 5 Equipotential earth terminal 6 VGA output port Remote port 8 X Video output port A CAUTION To have good aeration performance and being able to operate normally please don t cover or plug the air fan or heat dissipation orifice partly or wholly by any object 10 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 2 1 3 Right View Dual Probe Sockets Probe Holder o ui Transducer Ports Figure 2 3 Right View Schematic Diagram Peripheral port 2 transducer ports dual sockets 2 USB ports 1 probe holder for two probes sii DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 2 2 Technical Specifications 2 2 1 Power Supply Power supply a c 100 240V 50Hz 60Hz 110VA 2 2 2 Machine Specifications Main unit dimensions 353 mm W x 315 mm L x 253 mm H Packaging dimensions 500 mm W x 460 mm L x 465 mm H Net weight 11 5 Kg 2 2 3 General Technical Specifications Table2 1 General Technical Specifications Image Magnification x1 0 x1 2 x1 4 x1 6 x2 0 x2 4 x3 0 x4 0 in distance real time Storage JPEG 1000 frames or BMP 128 frames or CIN 128 frames Depth Shift B B B 4B B M M modes in real time in increments of 10 mm Frame Correlation 8 levels to adjust O 7 B B B 4B B M modes ineffective when Coefficient freezing
8. Up Down fip Lef Righ fip Chinese English French Spanish etc The language options varies with language software installed Abdomen obstetric small parts gynecology orthopedics cardiology and Language Conversion Software packages urology EE lee DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual B mode Measurement Distance circumference area volume ratio 9o stenosis and angle M mode Measurement Distance time slope heart rate 2 cycles l Patient name age sex time date hospital name doctor name comment Annotations n full screen character editing Body Mark gt 80 types USB port USB 1 1 2 2 4 Probe Specifications Supported probe type convex linear micro convex endocavity transvaginal endorectal This device can detect the probe automatically The applications of the probes C361 1 Abdomen Gynecology Fetal Obstetrics and Pediatrics C341 Abdomen Gynecology Fetal Obstetrics and Pediatrics C321 1 Abdomen Gynecology Fetal Obstetrics Pediatrics and Cardiology E61 1 1 Transvaginal Transrectal Gynecology Fetal Obstetrics and Urology E741 Transrectal Rectum and the surrounding viscera uterus ovary and prostate L741 Small parts galactophore thyroid gland prostate Neonatal Cephalic Peripheral Vascular Musculo skeletal both Conventional and Superficial The probe specifications are as follows Table2 2 Probe Specification
9. bdominal Figure 5 5 TGC Curve 5 4 6 Imaging Functions B mode Imaging Control Press this key to enter the B mode The system displays a single real time B mode image B indicates brightness or two dimensional 2D gray scale imaging To access B mode from another imaging mode Press the B control and the system displays a single real time B mode image NOTE To return to a real time B mode image from any imaging mode press the B control This also deletes all measurements calculations comments and body marks that are displayed on the screen 2537 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual To exit B mode press any other mode control This key has two functions 2B mode Imaging Control Press this key to enter the 2B mode Press this key to active one of the dual images The probe direction of the activated image is brighter than that of the frozen image BB EM 4B mode Imaging Control Press this key to enter the 4B mode The system divides the image area into four quadrants the first quadrant 1s on the top left the second on the top right the third on the bottom left and the fourth on the bottom right Press it repeatedly to active one of the four images The probe direction of the activated image 1s brighter than the direction of the frozen images The four images are obtained respectively and only one image at a time 1s displayed in real time B M mode and M mode Di
10. box 1s displayed as shown below Comment Preset Abd1 Abd2 OB Cardiac Sml Lesion1 Lesion2 Figure 5 21 Comment Library Presetting To create text for text list take Generic for instance 1 Press Generic to open the generic comment library 2 Roll the trackball to highlight one of the custom comments and press Set 3 Roll the trackball to highlight the left side frame of User defined and press Set Then the cursor turns to as shown below You can enter comment with the keyboard Figure 5 22 User defined Comment Library 4 Roll the trackball to highlight the right side frame of User defined and press Set Then the SW DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 66 99 cursor turns to as shown below You can enter some detailed and help information about the new created comment with the keyboard Figure 5 23 User defined Detailed Information of Comment Library 5 Roll the trackball to highlight Add to add the new created comment to Generic 6 Press OK to save the modification or Cancel to give up and close the dialog box To delete text from text list 1 Press Generic to open the Generic 2 Roll the trackball to highlight the created comment and press Set 3 Press Del to delete the created comment 4 Press OK to save the modification or Cancel to give up and close the dialog box 5 7 8 Presetting Data The secondary menu of preset data is as shown below
11. of the third axis Three axis method can be used to perform volume measurement by calculating 2 sets of measured data EA and the length of the third axis To complete volume measurement first measure EA by ellipse method and then measure the length of the third axis with the distance measurement method and the value of volume is displayed automatically To measure volume In the B mode 1 Obtain a cross section image and freeze the system 2 Measure the lengths of the major axis and the minor axis of the cross section with the ellipse method 3 Unfreeze the system to acquire a new image vertical section image and then freeze it 56 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 4 Measure the length of the third axis in the vertical section image with the distance measurement method You can measure a maximum of one group of data The outcome is displayed in Measured Results In the 2B mode or 4B mode To measure volume 1 Obtain the cross section image and the vertical section image 2 Measure the lengths of the major axis and the minor axis of the cross section with the ellipse method 3 Roll the trackball to the next image vertical section 1mage measure the length of the third axis with the distance measurement method The outcome is displayed in Measured Results as shown below 4 Press Measure to finish and exit LAxis SAxis 3rdAxis Volume Figure 6 7 3 Axis Volume Method a
12. A3 3 Test of Probe C341 Transducer Type C341 Test Item B 3 5 MHz B 2 5MHz B 5 0 MHz System Single Focus 40mm Depth 40mm settings AP 15 Scan Angle 30 ee beam Dimensions estan 46 24 47 07 65 power mW Lo mW em Lo mW em 24 08 24 52 12 32 Power up B mode B mode B mode mode Initialization B mode B mode B mode br o il ka lal Acoustic amame 7 o Z x mm Em L Z ts Zig mm contact Inclusive B MEN Note APF Acoustic power up fraction AIF Acoustic initialization fraction 133 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual A3 4 Test of Probe C321 1 Transducer Type C321 1 Test Item B 3 5 MHz B 2 5MHz B 5 0 MHz 22 43 17 58 13 53 System Single Single Focus 40mm settings Focus 30mm Depth 40mm AP 15 Scan Depth 30mm Angle 45 AP 15 Scan Angle 45 Maximum 22 13 18 79 13 46 power mW 23 05 19 57 14 02 Power up B mode B mode B mode mode Initialization B mode B mode B mode mie RN RN Bree Acoustic omame zum Z ts mm contact Zs mm conadt Inclusive BE Note APF Acoustic power up fraction AIF Acoustic initialization fraction 21342 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual A3 5 Test of Probe E611 1 6 0MHz under B MODE Transducer Type E611 1 Test Mode B mode Working Frequency 6 0MHz System settings Single Focus 20mm Depth 40mm AP 15 Sca
13. ACCUEICY ois ey da Dee o nieto r Ive Le eroe Dee eR EE ceto e Ive eee P E oete od 143 Appendix D EMC Information Guidance and Manufacture s Declaration 144 Appendix E Order bre D 148 VI DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 1 Introduction 1 1 Intended Use The DUS 3 Digital Ultrasonic Diagnostic Imaging System is intended for diagnostic ultrasound imaging analysis in gynecology rooms obstetrics rooms examination rooms intensive care units and emergency rooms The DUS 3 is intended for use by or on the order of a physician or similarly qualified health care professional for ultrasound evaluation of Fetus Abdomen Pediatrics Small Organ Neonatal Cephalic Cardiology Peripheral Vessel Musculo skeleton both Conventional and Superficial Urology including prostate Transrecta and Transvagina 1 2 Features This portable device Digital Ultrasonic Diagnostic Imaging System DUS 3 1s a high resolution linear convex scanning diagnostic apparatus Applied technologies Tissue Specific Imaging TSI Tissue Harmonic Imaging THI Digital Beam Forming DBF Dynamic Receiving Focusing DRF Real time Dynamic Aperture RDA Dynamic Frequency scanning DFS and Dynamic Apodization Display modes B B B 4B B M and M Measurement and calculation functions B mode generic measurement and calculation Distance circumference area vo
14. AOD No unit LAD mm AOD mm PEE ERE AVSV mL MAVO1 cm MAVO2 cm AVSV Aortic Valve Stoma Valve flow ET s 50 AA cm Mitral Valve Flow QMV mL 4 DEV cm s DCT s ss DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 3 Calculation items Table 8 4 Calculation Items Label Description meod EDV mL LVIDd mm 1000 End Diastolic Volume CUBE formula ESV mL LVIDs mm 1000 End Systolic Volume CUBE formula otroke volume SV mL EDV mL ESV mL Cardiac Output CO L min SV mL x HR bpm 1000 Ejection fraction M mode EF No unit SV mL EDV mL x 100 FS No unit LVIDd mm LVIDs mm V LVIDd mm x 10096 Stroke Index SI No unit SV mL BSA m Cardiac Index Cl No unit CO L min BSA m Mean Velocity Circumferential MVCF No unit LVIDd mm LVIDs mm V LVIDd Fiber Shortening mm x ET ms 1000 Body Surface Area m Calculate by to the selected formula LVMW g 1 04 IVSTDd cm LVIDd cm LVPWd cm F LVIDd cm 13 6 Left Ventricular Muscle Weight LVMWI pda LVMWI No unit SZLVMW BSA X The ratio of CA to CE A E No unit CA mm CE mm Left Atrium Diameter Aortic LAD AOD l LAD AOD No unit LAD mm AOD mm root Diameter Fractional Shortening Left Ventricular Muscle Weight AV SV mL MAVO1 cm MAVO2 cm AVSV Aortic Valve Stoma Valve flow ET s 50 AA cm E Mitral Valve Flow QMV mL
15. Factory Default _ You can use this option to return to the factory default data 5 7 9 Presetting DICOM If you have installed the DICOM software do the DICOM presetting as shown below DICOM 2 i 192 168 1132 104 16384 L erity i 4 Server Figure 5 24 DICOM Presetting _ Ag DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Table 5 8 DICOM Presetting Information em Bespion oystem AE Title The same as the title set in the AE Title of Local Institution Name Set the name of the institution AE Title Set the local AE title IP Address Set the local IP address oize default value is 16K Server 1 2 Package Set the PDU receiving package size from 4K to 64K and the Size default value is 16K Verify After presetting the server information press Verify to verify the server s connection To choose the current server Press OK to save the presetting and exit or Cancel to exit without saving the presetting NOTE Do not set a same IP Address for the local system and the server Ensure that you have turned on the server before verifying it 5 7 10 Maintenance The maintenance can be only done by EDAN authorized personnel 5 8 Printing Video printer printing l Connect the VIDEO IN video input of the video printer to the VIDEO OUT video output of the main unit 2 Connectthe REMOTE of the video printer to the REMOTE of the m
16. L FO 1 In the gynecology menu roll the trackball to highlight FO and then highlight the secondary menu L FO press Set 2 Measure the two data L FO L and L FO W in the method of distance measurement 3 After the two data are measured the result of L FO is displayed in Measured Results To measure R FO The method is similar to the L FO measurement method 9 1 5 CX L To measure CX L 1 In the gynecology menu roll the trackball to CX L and press Set 2 Measure CX L with distance method 3 The result is displayed in Measured Results if you have already measured UT L the UT L CX L 1s displayed 9 1 6 UT L CX L To measure UT L CX L 1 In the gynecology menu roll the trackball to highlight UT L CX L and press Set 2 UT L CX L measurement includes two data UT L and CX L in the method of distance measurement 3 The result is displayed in Measured Results NOTE During measurement if you have already measured any one of the items UT L or CX L when you finished the other one the UT L CX L is displayed automatically 9 2 Gynecologic Report After the gynecologic examination the system generates a gynecologic worksheet Roll the trackball to highlight Worksheet and press Set to display Gynecologic Worksheet dialog box Gynecologic worksheet has three tabs uterus ovary and follicle as shown below 106 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Gynecologic worksh
17. LV measurement include TEICHHOLZ and CUBE as shown below and the default formula is TEICHHOLZ 84 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 1 CUBE formula Table 8 1 Measurement and Calculation Items with CUBE formula NOTE d end diastolic s end systolic Label Description Method LVIDd Left Ventricle Internal Diameter Distance mm EDV mL LVIDd mm 1000 ESV mL LVIDs mm 1000 Stroke volume SV mL EDV mL ESV mL 2 Cardiac Output CO L min SV mL x HR bpm 1000 Ejection fraction M mode EF No unit SV mL EDV mL x 100 FS No unit LVIDd mm LVIDs mm V LVIDd mm x 10096 Stroke Index SI No unit SV mL BSA m Cl Cardiac Index Cl No unit CO L min BSA m Fractional Shortening MVCF Mean Velocity Circumferential MVCF No unit LVIDd mm LVIDs mm V Fiber Shortening LVIDd mm x ET ms 1000 The formulas of BSA calculation Oriental BSA Weight Height 73 58 10000 Occidental BSA Weight Height 71 84 10000 Height height cm Weight weight kg BSA body surface area m m s DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 1l TEICHHOLZ formula Table 8 2 Measurement and Calculation Items with TEICHHOLZ formula NOTE d end diastolic s end systolic Label Description Method 00 LVIDd Left Ventricle Internal Diameter Distance mm Left Ventricle Internal Diameter EDV
18. MEAS B CARDIAC MEAS gt gt 9 M CARDIAC MEAS gt gt DEES 103 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 9 Gynecology Measurement and Calculation 9 1 Measurement and Calculation The gynecology examination is usually in the B mode 1 Press Exam and select Gynecology and then press Set 2 Press to enter the B mode 3 Press Measure to activate the measurement function The measurement menu is displayed B GYN MEAS Distance UT Endo L 0 Yol Ov Vnol R OV Vol gt FO D GA L UT L CX L Gyn WorkSheet Others p Figure 9 1 Gynecology Measurement and Calculation Menu To determine the volume of right ovary or left ovary take three measurements length width and height The system calculates the volume The gynecology measurement items of B mode are as follows Table 9 1 Gynecology Measurement and Calculation Items e in UT L Uterus Length UT W Uterus width Distance mm UT H Uterus Height Uterus Endo membrane Endo l Distance mm Thickness Lodve ieron oine L OV V mL 0 523 x L OV L mm x L OV W mm x V u d L OV H mm 1000 Left Ovary Length Left Ovary Width Distance mm Left Ovary Height R OV V mL 0 523 x R OV L mm x R OV W mm x R OV Vol Right Ovary Volume R OV H mm 1000 Right Ovary Length Right Ovary Width Distance mm Right Ovary Height 104 DUS 3 Digital Ultrasonic Diagnostic Imaging System User
19. Measurement or input items Input or measurement HR LVET and patient s Height amp Weight Measurement LVIDs and LVIDd To calculate all the LV parameters 1 Input or measure HR LVET and Height amp Weight 2 Measure LVIDs and LVIDd following the prompt instruction 3 All the LV parameters ESV EDV SV FS EF CO MVCF SI and CI are displayed in Measured Results 8 1 2 Mitral Valve Mitral Valve calculation 1s as below Measurement items EF slope ACV A E DEV and DCT Mitral Valve measurement In the M cardiac measurement menu roll the trackball to highlight Mitral to display the secondary menu lt To measure EF slope ACV and A E 1 Roll the trackball to highlight EF Slope ACV or A E and press Set 2 The method of measuring EF Slope and ACV is similar to the generic M mode slope measurement method 3 To measure A E measure the breadth from apex A to point C and the breadth from apex E to point C respectively The method is similar to the generic M mode distance measurement method 4 After the measurement the result of EF SLP ACV and A E are displayed in Measured Results respectively lt To measure Valve Volume QMV Calculation formula OMV mL 4 DEV cm s DCT s Measurement operation procedure 1 Roll the trackball to highlight Valve Volume and press Set 91 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 2 Measure DEV The method is similar to t
20. OB MEAS B OB MEAS 2 B SML MEAS B GYM MEAS B ORTHO MEAS B CARDIAG MEAS 116 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 12 Orthopedics Measurement amp Calculation The orthopedics measurement includes distance and HIP Figure 12 1 Orthopedics Measurement and Calculation Menu 12 1 Measurement and Calculation The abbreviations used in this manual are as shown below Table 12 1 Orthopedics Measurement and Calculation Items Label Description memod a TheAngleof BL and ARL B TheAngeofBLandiL 12 2 Orthopedics Report After the orthopedics examination the system generates a HIP worksheet Roll the trackball to highlight HIP Worksheet and press Set to display HIP Worksheet dialog box as shown below HIP worksheet Figure 12 2 HIP Worksheet 117 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual The diagnosis editing column displays the cursor T and you can enter diagnosis information Print the report BA Printing reference Chapter 5 8 Printing HIP ultrasound report HIP Ultrasound Report Hospital Name Age SN 1 Ultrasonic 1mage Diagnosis signature Seal Date 12 3 Others If you want to begin other measurements you can switch through the menu by pressing Others B MEAS B OB MEAS B OB MEAS 2 B SML MEAS B GYN MEAS B CARDIAC MEAS B UROL MEAS 118 DUS 3 Digital Ultrasonic Diagnosti
21. Only one menu can be activated at a time The types are as shown below System status menu In B mode or B M mode the system status menu provides information about the current imaging mode In 2B and 4B mode it indicates the status and parameters of the active image In M mode it indicates the status and parameters of M sweep The following are the system status menus of B mode B M mode and M mode respectively 36 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual E Fi Th amp ELLEN IL r i M EU E P m En ance Figure 5 6 System Status Menu Measurement and calculation menu Executes an operation For instance begin a distance measurement and then the corresponding measurement cursor is displayed The following is the B mode generic measurement and calculation menu After entering B mode press Measure to display the menu below Figure 5 7 B Mode Generic Measurement and Calculation Menu Secondary menu The symbol indicates that there is a secondary menu associated with the menu option Roll the trackball to highlight the menu option with Pb the system displays a secondary menu for the selected option NUES DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Example The secondary menu of Cir Area contains Ellipse and Trace as shown below After entering B mode press Measure to display the menu below and highlight the option Cir Area the system di
22. To measure PV The method is similar to the RUV measurement method To measure PSAD Measure PV and input SPSA The SPSA input dialog box is as shown below Input the SPSA with the keyboard SPSA input ng 11 2 Urologic Report After the urologic examination the system generates a urologic worksheet Roll the trackball to highlight Urol Worksheet and press Set to display Urologic Worksheet dialog box as shown below Urologic worksheet Figure 11 2 Urology Worksheet 14s DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual The diagnosis editing column displays the cursor T and you can enter diagnosis information Print the report Lii Printing reference Chapter 5 8 Printing Urology ultrasound report Urology Ultrasound Report Hospital Name ID Age Sex SN H SN 2 Ref MD Rectal digital examination Boundary infiltration Clinical stage Route Tae Tpe Tre Prostate symmetry Symmetry Asymmetry Boundary capsule Clearness Blur Inner echo homogeneity heterogeneity Stage I IL III IV Bladder RUV L mm RUV W mm RUV H mm RUV mm Prostate PV L mm PV W mm PV H mm PV mm PPSA ng ml SPSA ng PSAD ng ml Ultrasonic image Diagnosis Signature Seal Date 115 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 11 3 Others If you want to begin other measurements you can switch through the menu by pressing Others B MEAS B
23. data AF1 AF2 AF3 formula and AF4 According to the selected formula Estimated Fetal Weight sumated reta VWelg described as follows g or Kg B OB MEAS 2 the default measurement is TAD measurement Table 7 2 Obstetric Measurement 2 ae Pe Results display Transverse Abdominal Diameter APAD Antero Posterior Diameter Distance mm of the Abdomen WI De GISp e only when CER Cerebellum Diameter a measured parameter Fetus Trunk cross section Ellipse or Trace Area TM FTA 1 2 2 value is in the valid Area mm or dm range of the preset Humerus Length formula Distance mm Occipital Frontal Diameter um Thorax Diameter 76 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual The system calculates MA automatically after measuring each parameter Activate the obstetric measurement function take GS measurement for instance To measure GS use the Maximum diameter method 1 Press Measure to activate obstetric measurement 2 In the obstetric menu roll the trackball to highlight the menu GS press Set and move the cursor to image and display 3 Measure GS in the method of distance measurement BE Reference Chapter 6 6 2 B mode Generic Measurements 4 The result is displayed in Measured Results 5 To begin a new GS measurement repeat steps 1 through 3 You can measure a maximum of one group of data The measurements of other parameters are similar t
24. disinfection techniques at all times to perform a biopsy Always follow these basic precautions NWARNING 1 2 Disinfect the needle guide before the first use and after each subsequent use Always handle transducers and needle guide adaptors with care Do not use a transducer or an adaptor if it has been dropped or struck against a hard surface until it is inspected by an EDAN customer engineer The displayed needle guide pathway on the EDAN video monitor is intended for reference during biopsy procedures A variety of factors outside EDAN s control such as changing tissue density bending of the needle off axis pressure by the person holding the transducer may cause deflection of a needle outside of the displayed video pathway even when the transducer needle guide and the system software are all performing as intended and within manufacturing specification The specialist performing a biopsy procedure must be aware of potential external factors when executing an invasive procedure The caliper must be placed along the needle path If not the displayed measurements may be incorrect EDAN needle guides are designed and manufactured to attach firmly to designated transducers and should not require excessive force to assemble or disassemble If it appears that excessive force or manipulation is required to assemble or disassemble needle guide components please contact your EDAN customer engineer before using it To enable the punct
25. erase a measurement at a time The generic measurement and calculation include four sets of measurement calipers four sets of ellipses four sets of measurement results at most The examinations and results are as shown beolw Table 6 1 Examination Items and the Results Specific measurement labels Obstetric GS CRL BPD HC AC FL AFI TAD Fetus growth analysis curve APAD CER FTA HUM OFD THD and and standard obstetric report Cardiology LV RV Mitral Aorta etc UT Endo OV Vol FO CX L UT L CX L THY report HIP report The system defined examinations are abbreviated as follows Abd Abdominal OB Obstetric SML Small Parts GYN Gynecology ORTHO Orthopedics UROL Urology 6 6 1 B mode Generic Measurements The default measurement of B mode is distance measurement B mode measurement menus are as shown below 253 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Distance Trace Cir Area Volume 2 AXIS Ratio 3 J AXIS LWH WIS 00 Stenosis Angle Print Report Others Distance Area Figure 6 3 B Mode Generic Measurement and Calculation Menu Distance To measure distance 1 Press Measure to activate measurement function 2 Roll the trackball to highlight menu Distance press Set to activate a measurement cursor on the screen 3 Roll the trackball and press Set to anchor the start point 4 Rollthe trackball and press Set to anchor the end
26. found to be damaged or defective 2 DO NOT drop or collide with the probe otherwise you shall give up using it Note there are two standby silica gel pads for the system If necessary stick them on the rear surface of the keyboard to avoid abrasion as shown below 4 3 Connecting Procedure 1 Take the main unit and accessories out of the package 2 Connect the transducers to the main unit correctly 18 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 3 Connect the printer and load the recording paper 4 Connect the power cable 1 Connect the earth wire between the main unit and the common grounding terminal firmly 2 Plug one end of the power cable to the power socket of the main unit the other end to the special power output socket of the hospital 5 Switch on the main unit Press the power switch on the left side of the panel You can operate the main unit after the main interface appears 4 3 1 Connecting or Disconnecting Transducers NOTE Ensure that the system is shut down before connecting and disconnecting transducers Flip images horizontally to change the scan direction or vertically to change the image orientation The scan direction mark located at the side of probe indicates the beginning direction of scanning The scan direction mark is as shown below Scan Direction Mark T iR A bo Figure 4 1 Probe Scan Direction Mark Schematic Diagram There is information abo
27. of the probe Then put on a single use sheath and the instrument is ready for operation Be careful not to generate any air bubble Disinfection should be performed each time after use 1 Remove the sheath gently and discard it 2 Wipe off the residual coupling gel gently 3 Use a medical cotton ball immerged with 75 medical alcohol to wipe the probe gently and thoroughly 4 Wipe the probe with a soft cloth soaked with distilled water Prohibition The use of diluent paint vinyl oxide or other organic solvents is prohibited These solvents will damage the protective film of the probe surface Do not immerse the transducer connector If the cable connector 1s immersed do not plug the connector into the system Rinse the connector under running water and dry it thoroughly If necessary contact EDAN for service Prohibit infiltration of any type of liquid into the device or the probe NWARNING 1 Do not sterilize the transducer using techniques such as autoclave ultraviolet gamma radiation gas steam or heat Otherwise severe damage will result 2 The coupling gel adapted to the probe is a medial ultrasound coupling gel 3 DO NOT immerse the power cord and connector of the probe into solutions Transducers can be submerged to but not including the strain relief of the transducer array Do not immerse or soak any part of a transducer in any cleaning material not listed in the recommended list of disinfectants The
28. setup and then perform all the daily checklist items before using it 3 2 Storage DO NOT place the device near the ground walls or roof Keep good indoor ventilation Avoid strong and direct sunlight and erosive gas 3 3 Transportation To prepare the system for shipment over long distance or rough terrain repack the system in the factory packing and crate To prepare the system for transport over distances load the system into a vehicle using a lift gate To prevent lateral movement of the system secure the system with cargo straps To prevent sudden jarring of the system during transport provide shock cushions beneath the system It 1s suitable for transportation by air railway highway and ship Avoid splashing with rain and Snow inversion and collision ots DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 4 Installation Instructions 4 1 Environmental Requirements Keep the device away from equipment with strong electric field strong magnetic and high voltage field and protect the display screen from direct exposure to strong sunlight Keep good ventilation 4 2 Unpacking Inspection After unpacking the device customers should follow the PACKING LIST to check the product carefully and to make sure that no damage has occurred during transportation Then install the device according to the installation requirement and method NWARNING 1 DO NOT use the device if it is
29. system analysis Video printer and USB printer are shown below Table2 3 Printers Video printer SONY UP 895MD SONY UP 897MD 14 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual USB printer HP DeskJet D2368 parallel port USB 1 1 HP DeskJet D2468 parallel port USB 1 1 HP DeskJet D2566 parallel port USB 1 1 HP DeskJet D4368 parallel port USB 1 1 HP LaserJet P2015 parallel port USB 1 1 The video printer output 110 x 82 mm The USB printer output A4 paper 210 x 297 mm Puncture Table2 4 Needle Guide Bracket Kit BGK CR60 Needle Guide Bracket Kit For the R60 probe 4 vessels 14G 18G 20G 22G GK CR40 Needle Guide Bracket Kit For the R40 probe 4 vessels 14G 18G 20G 22G GK CR10 Needle Guide Bracket Kit For the R10 probe 4 vessels 14G 18G 20G 22G BGK LA43 Needle Guide Bracket Kit For the L43 probe 4 vessels 14G 18G 20G 22G The puncture frame of BGK CR60 is shown below aere BGK CR20 Needle Guide Bracket Kit For the R20 probe 4 vessels 14G 18G 20G 22G aere Figure 2 4 Puncture Frame of BGK CR60 DICOM 3 0 Footswitch single pedal footswitch MT 802 Mobile trolley 15 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual The mobile trolley has a compact and mobile console with four wheels and four brakes for safe and convenient transport It can be assembled or disassembled easily The external structur
30. system can calculate EFW according to the measured data 7 5 1 Select a Formula in Preset This system provides eleven types of EFW formula as shown below _ 78 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Table 7 3 Obstetric Calculation Formula EFW 1 25674 BPD 3 3 50665 FTA FL 6 3 EFW g FTA cm Others cm HADLOCK1 EFW 10 1 304 0 05281 AC 0 1938 FL 0 004 FL AC EFW 10 1 335 0 0034 AC FL 0 0316 BPD 0 0457 AC HADLOCK2 0 1623 FL D x A 4 i uADLOCKs EFW 10 1 326 0 00326 AC FL 0 0107 HC 0 0438 AC Qu 0 158 FL 10 1 3596 0 00386 AC FL 0 0064 HC 0 00061 BPD AC 0 0424 AC 0 174 FL EFW 10 1 7492 0 166 BPD 0 046 AC 2 646 AC BPD 1000 EFW Kg Others cm EFW 3200 40479 157 07186 AC 15 90391 BPD 2 g Merz2 EFW 0 1 AC 3 Others cm EFW 1 05775 BPD 0 0930707 BPD 2 0 649145 THD Hansmann EFW Kg 0 020562 THD 2 0 515263 Others cm Campbell EFW EXP 4 564 0 282 AC 0 00331 AC 2 HADLOCK4 Shepard 7 5 2 Measurement Items Different measurement items go with different formula So you can select suitable formula according to the measurement item Take Osaka formula for instance to calculate EFW 1 In the obstetric menu roll the trackball to highlight menu EFW and press Set Use the distance measurement method to measure BPD Use the ellipse me
31. the B mode 3 Press Measure to activate the measurement function The measurement menu is displayed in Measured Results The default measurement is distance measurement B SML MEAS Distance THY THY WorkSheet Others Figure 10 1 Small Parts Measurement and Calculation Menu To determine the right thyroid gland volume or left thyroid gland volume take three measurements length width and height The system calculates the volume The measurement items of small parts of B mode are as follows Table 10 1 Small Parts Measurement and Calculation Items abet Description ete 000000000000 L THY V mm 0 497 x L THY L mm x L THY W L THY V Left Thyroid Gland Volume mm x L THY H mm Left Thyroid Gland Length Left Thyroid Gland Width Distance mm Left Thyroid Gland Height R THY V mm 0 497 x R THY L mm x R THY W R THY V Right Thyroid Gland Volume mm x R THY H mm Right Thyroid Gland Length Right Thyroid Gland Width Distance mm Right Thyroid Gland Height The measurements of THY include L THY V and R THY V To measure L THY V l In the small parts menu roll the trackball to highlight THY V and then highlight the 110 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual secondary menu L THY V press Set 2 Measure the threes data L THY L L THY W and L THY H with distance measurement method 3 After the three data are measured the result of L THY V is dis
32. the equipment if Assembly operations extensions re adjustments modifications or repairs are carried out by persons authorized by EDAN and The electrical installation of the relevant room complies with international standards and The equipment is used in accordance with the instructions for use Upon request EDAN may provide with compensation necessary circuit diagrams and other information to help qualified technician to maintain and repair some parts which EDAN may define as user serviceable Using This Guide This guide is designed to give key concepts on safety precautions NWARNING A WARNING label advises against certain actions or situations that could result 1n personal injury or death CAUTION A CAUTION label advises against actions or situations that could damage equipment produce inaccurate data or invalidate a procedure NOTE A NOTE provides useful information regarding a function or a procedure Revision History 2008 10 23 ECO DUS 8001 2008 12 30 ECO DUS 8003 2009 04 24 ECO DUS 9003 Added two obstetrical formulas Revised buttons function Added EMI amp acoustic output affecting factors Revised specifications Added some precautions during puncture function Revised the auto serial number when saving images Revised the labeling symbols Added daily check list Revised Probe Cleaning and Disinfecting Added the Rx only information Revised the intended u
33. the local disk To export to U disk You can use the Export To U Disk button to export all the files from local disk to U disk 6 8 5 Sending Image File If you have installed the DICOM software and the DICOM presetting has been performed correctly you can send images files File Menu Snapshot Save Cine save As Open DCN Image File Manager Send Cine Images DCM File FileType storage Preset Figure 6 25 File Menu with DICOM Function To send DCM Image 1 Highlight the secondary menu DCM Image and then press Set 2 If the server 1s running normally the current image will be sent to the server 3 The system displays a prompt indicating the successful transmission To send Cine Images 1 Freeze the system 2 Press File to enter the file menu 3 Highlight the secondary menu Cine Images and then press Set 4 If the server is running normally the current Cine images will be sent to the server 5 The system displays a prompt indicating the successful transmission To send DCM file 1 Highlight the secondary menu DCM File and then press Set 2 The system pops up the File Opening Dialog Box for selecting a DCM file to be transmitted q s DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 3 If the server 1s running normally the selected file will be sent to the server 4 The system displays a prompt indicating the successful transmission 6 9 Puncture Function NOTE Use proper
34. 0 Si Skid SHNoun SV mD BSA ci Cardiac index CI No unit CO Liminy BSA m End Systolic Volume 95 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 3 Bullet volume formula Table 8 8 Measurement and Calculation Items with Bullet Formula NOTE d end diastolic s end systolic Label Description Method 0 Left Ventricular Fractional Area of 2 9 2 LVAMd l Ellipse Area mm cm or dm Mitral Valve LVLd Left Ventricular Length Distance mm Left Ventricular Fractional Area of De edd 2 LVAMs l Ellipse Area mm cm or dm Mitral Valve Left Ventricular Length Distance mm Heart Rate Key in bpm EDV mL 5 6 xLVLd mm xLVAMd mm End Diastolic Volume 1000 ESV mL 5 6 xLVLs mm x LVAMs mm otroke volume SV mL EDV mL ESV mL Cardiac Output CO L min SV mL x HR bpm 1000 Ejection fraction B mode EF No unit SV mL EDV mL x 100 Si Smemdes S1 No unit SV mL BSAC o End Systolic Volume 11000 CO SI 06 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 4 Modified SIMPSON formula Table 8 9 Measurement and Calculation Items with Modified SIMPSON Formula NOTE d end diastolic s end systolic Label Description Method Left Ventricular Fractional Area of TEN 2 LVAMd l Ellipse Area mm cm or dm Mitral Valve LVLd Left Ventricular Length Distance mm Left Ventricular Fractional Area of
35. 1 Be careful when cleaning the display screen Since the display screen is easily scratched or damaged we should wipe it with a soft and dry cloth 2 To avoid the possibility of electrostatic shock and damage to the system avoid the use of aerosol spray cleaners on the monitor 3 DO NOT clean the internal base of the device 4 DO NOT clean the system with chlorinated or aromatic solvents acidic or basic solutions isopropyl alcohol or strong detergents such as ammoniated products as they may damage the surface of the system 5 DO NOT use spray detergents on the system or it may force cleaning fluid into the system and damage electronic parts Solvent fumes build up and form flammable gases or damage internal parts 6 DO NOT pour any fluid onto the system surface as fluid seepage into the electrical circuitry may cause excessive leakage current or system failure 7 DO NOT leave residual detergent on the surface of the device 13 3 1 System Surface Cleaning To clean the system surface P Power off the system and disconnect it from power supply 120 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 2 Use a clean gauze pad or lint free cloth moistened lightly with a mild detergent to wipe the surface 3 After cleaning reconnect the system to power source V CAUTION Make sure the cleaning solution does not seep into the control panel or any other openings NOTE 1 Take particular care wh
36. 61 1 Test Item B 3 5 MHz B 2 5MHz B 5 0 MHz 16 25 15 32 10 89 System Single Focus 40mm Depth 40mm settings AP 15 Scan Angle 30 Zomm 40 4 4 Ws T mm 24 27 2 2 L mm i EE ee prr kHz srr Hz So a S Output beam 3 15 1 92 1 92 Dimensions cm jux 0 9 0 AIF Maximum 50 88 52 93 26 62 power mW Power up B mode B mode B mode mode Pree me Bree Initialization B mode B mode B mode e a rmm Acoustic amm o n m zm Z ts contact Zs mm contact O Inclusive ee ee ee Note APF Acoustic power up fraction AIF Acoustic initialization fraction 131 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual A3 2 Test of Probe L741 E741 Transducer Type L741 E741 Test Item B 6 0 MHz B 8 0MHz B 10 0 MHz System Single Focus mem Depth 40mm settings m T 15 Scan c E g Z p mm W ope mm 5 2 L mm 1 3 1 0 1 0 mk SIT rs Output beam 0 48 0 48 0 48 Dimensions cm Eu 0 0 90 an o o p Maximum 29 Power up B mode B mode B mode mode Pree ome ome Initialization B mode B mode B mode e Pree Bree Acoustic amm t m LE e x ee Z ts E contact Zs mm conadt O Inclusive B NENNEN NNI Note APF Acoustic power up fraction AIF Acoustic initialization fraction 132 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual
37. Check whether the power supply works properly and the power cord is well connected and plugged into the power socket Check whether the probe is properly connected to the main unit 14 2 Troubleshooting Changing the cartridge fuse by the professional personnel of EDAN Troubleshooting see table 14 1 Table 14 1 Troubleshooting Examples Ee M 0 mm 00000000 Check power supply Check wires and plugs Check whether the cartridge fuse is melted Check the brightness control knob When the power switch is on the indicator light keeps off and without image displayed Inspect the power supply Check whether it is disturbed by the ignition action Strip shape or of any other device snowflake shape disturbance Check the disturbance of electric or magnetic field occurs on the display screen in the surrounding environment Check whether the plug and socket of power supply and probe are properly connected Adjust overall gain Gain Adjust TGC Image is not displayed clearl k PM i Adjust the brightness and contrast potentiometer on the screen Adjust focus the number and the position Clean the light filter of the display screen Near field image is not clear Adjust the total gain and the upper TGC Far field image is not clear Adjust the total gain and the lower TGC 126 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 15 Warranty and Service Policy Warranty
38. Comment LIDI Y unici a Eb rete eb Ee sta uet ense eme des 47 Ihes Miis RII Ay casita TP 48 S L Presettmg DIC ONT s ce o ER i MEM MEME 48 57 MO IMAI I AIC RP octet setae E 49 2 IDE O oec Sp reps sencte noes onceat are cute oc es seas Gh oe ie ERN DUM fere eS AUI 49 Chapter o Operation sieisen c 51 o64L S clectmip anm Bxamimaltono Dy Be ieu e t p pon tt t o ea definit ttai 51 62 EME DE Now Pale DE 20st tere ad maet dated eee ed iiis 51 6 3 Entering or Editing Patient Information cccccccccccccececeseeeeesseseeeeeecceeeeeeeeeeeeeeaaaaas 51 6 4 Activan d TrAHSUUC Tue oae c e t node dU A enda det ede UG A ene p2 0 5 electis ai mag nE MOG nn EE tI phi Ei ee pen 22 6 6 Measurement and Calculattonzsi ctp tmt ses uae nun eU etu teste otek 32 6 6 1 B mode Generic Measurements ree ro v ie RE PERRA Ea tud pod reus 53 6 6 2 M mode Generic Measurements ccccecccccccecceecececeaeeeseeeeeeecceeeeeseeeeeeeaaaas 62 0 20 92 Genera EREDO ies yess thine Loa eoo casei Agnus a a Soto aM cedet ance vee 64 WAR GMail c 65 6 5 Dile Varas CHO uode e pne init tus n deq uae aet opem eniti niger edad tous neatis ie idet mue 66 6 5 1 DAVIS IMA CCG eso A nein cse harte acm esp chad asus arto e aeuum 66 0 52 OMe mins TNA ES acea HERE gt eM Ep ER MEE 67 0 5 5 STOW SING Td OCS tices atte stes teo BUD ntu NEA e leu D e D NEN Lt UE 68 es I I Br as
39. Conditions Scan Distance 20mm Transducer type E741 Operating mode B Mode Working frequency 6 0MHz Acoustic Output MI IsPTA 3 mW cm2 Global Maximum Value 9 636 pra MPa 1 208 W mW 5 026 0 Parameter PD usec PRF Hz 4682 DS E Operating AP 15 Control Focus 30mm Depth 30mm Conditions Scan Distance 20mm 139 IsPPA 3 W cm 103 7 5 026 6 21 2 4 0 12 0 12 0 25 4682 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Appendix B Obstetrical References Gestational Sac Diameter Hellman LM Kobayashi M Fillisti L et al Growth and development of the human fetus prior to the 20 week of gestation Am J Obstetrics Gynecology 103 789 1969 Rempen A Biometrie in der Frihgraviditat I Trimenon Biometry in Early Pregnancy 1 Trimester Der Frauenarzt 32 425 1991 studies on Fetal Growth and Functional Developments Takashi Okai Department of Obstetrics and Gynecology Faculty of Medicine University of Tokyo Wu Zhongyu Ultrasound Diagnosis in Obstetrics and Gynecology Tianjin Science and Technology Publisher 1995 Crown Rump Length Hadlock FP Shah YP Kanon DJ et al Fetal Crown Rump Length Reevaluation of Relation to Menstrual Age 5 18 weeks with High Resolution Real Time US Radiology 182 2 501 1992 Robinson HP and Fleming JEE A critical evaluation of sonar crown rump length measurements British Journal of O
40. EDAN INSTRUMENTS INC C C 0123 UI9 S S SUISBUI 9nsouserqT oruoseJj ENSIA User Manual Manual Ver 1 3 Release Date April 2009 Part Number MS1R 102259 V1 3 P N MS1R 102259 V1 3 Copyright O Copyright EDAN INSTRUMENTS INC 2008 2009 AII rights reserved Statement This manual will help you understand the operation and maintenance of the product better It 1s reminded that the product shall be used strictly complying with this manual User s operation failing to comply with this manual may result in malfunction or accident for which Edan Instruments Inc hereinafter called EDAN can not be held liable EDAN owns the copyrights of this manual Without prior written consent of EDAN any materials contained in this manual shall not be photocopied reproduced or translated into other languages Materials protected by the copyright law including but not limited to confidential information such as technical information and patent information are contained in this manual the user shall not disclose such information to any irrelevant third party The user shall understand that nothing in this manual grants him expressly or implicitly any right or license to use any of the intellectual properties of EDAN EDAN holds the rights to modify update and ultimately explain this manual Responsibility of the Manufacturer EDAN only considers itself responsible for any effects on safety reliability and performance of
41. End Diastolic Volume EDV mL 7 x LVIDd cm 2 4 LVIDd cm it bainu riisua da Stroke volume SV mL EDV mL ESV mL Cardiac Output CO L min SV mL x HR bpm 1000 Ejection fraction M mode EF No unit SV mL EDV mL x100 FS No unit LVIDd mm LVIDs mm V LVIDd Fractional Shortening mm x100 0 Stroke Index SI No unit SV mL BSA m Cardiac Index Cl No unit CO L min BSA m Mean Velocity Circumferential MVCF No unit LVIDd mm LVIDs mm V LVIDd MVCF Fiber Shortening mm x ET ms 1000 Body Surface Area Calculate by the selected formula m 86 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 2 Other measurement items Table 8 3 Other Measurement Items Habe Description Method 0 AOD Aortic root Diameter Left Atrium Diameter Distance mm Cardiac cycle apex A Cardiac cycle apex E EF SLP Ejection Fraction Slope AC Decreasing Velocity Slope mm s ro Deceleration Velocity Aortic Valve Volume Opened MAVO1 lente beginning Aortic Valve Volume Opened Distance mm ending Aortic Amplitude Left Ventricular Muscle Weight MAVO2 LVMW g 1 04 IVSTd cm LVIDd cm LVPWd LVMW cm F LVIDd cm 13 6 Left Ventricular Muscle Weight LVMWI LVMWI No unit LVMW BSA Index The ratio of CA to CE A E No unit CA mm CE mm Left Atrium Diameter Aortic root Diameter LAD AOD LAD
42. GC o Rejection o Gray Map YC orrectio n THI TSI Needle Guide Bb 100mm Abdominal Exit Figure 6 23 Image Browsing Dialog Box 68 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 6 8 4 File Manager The file manager dialog box is shown as below File Manager Local Disk import From U Disk Export To U Disk Format X File Name File Type Figure 6 24 File Manager Dialog Box You can use the file manager to do the file management After you open an image you can do the image viewing as shown in section 6 8 3 NOTE e When you are copying amp pasting a file cutting amp pasting a file importing a file or exporting a file do not pull in or pull out the U disk e USB disk must be in FAT format Do not use the u disk for other use but only for this device Otherwise the storage and the transmission function may not be stable e We suggest that you use the NETAC U disk U200 U205 U210 To copy amp paste a file Roll the trackball to select the source driver and the type of file and then press Set 2 Roll the trackball to highlight the source file and press Set and then press Copy 3 Roll the trackball to select the destination driver and press Set 4 Press Paste To cut amp paste a file 1 Roll the trackball to select the driver and the type of file and then press Set 69 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual
43. L mm BPD mm HC mm AC mm FL mm TAD mm APAD mm CER mm FTA mm HUM mm OFD mm THD mm Average GA Average EDC LMP GA EDC EFW g Formula Fetal Presentation FHR AFI mm l em Placental Pos Placental Grade Ultrasonic 1mage Diagnosis signature Seal Date 82 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 7 Others If you want to begin other measurements you can switch through the menu by pressing Others B OB MEAS gt gt B OB MEAS 2 gt gt ee DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 8 Cardiology Measurement and Calculation The cardiology examination is usually in the B mode the B M mode or the M mode Press Exam and select Cardiac and then press Set 8 1 M mode Cardiac Measurement and Calculation to enter the B M mode and then press Measure to activate the measurement function The measurement menu _is Press to enter the M mode or press displayed PI CARDIACG REAE LY b Mitral Aorta Heart Rate LYET LY IY Input WorkSheet Others TEICHHOLZ CUBE EF Slope ACY ASE Valve Yolume L40 A40D Yalve Yolume Heart Rate LYET Height Weight Figure 8 1 M Mode Cardiac Measurement and Calculation Menu 1 Items of Measurement and Calculation M CARDIAC MEAS LV Mitral Heart Rate LVET and LVMW 2 Items of input Heart Rate LVET and Height amp Weight The formulas of B M mode and M mode cardiac
44. LVAPd Papillary Muscles Ellipse Area mm cm or dm LVAMs Left Ventricular Anterior Wall Left Ventricular Length Distance mm Left Ventricular Fractional Area of 2 9 2 LVAPs Ellipse Area mm cm or dm Papillary Muscles Heart Rate Key in bpm otroke volume SV mL EDV mL ESV mL co o Cardiac Output CO L min SV mL x HR bpm 1000 rm Ejection fraction B mode EF No unit SV mL EDV mL x 100 C SI Stroke Index SI No unit SV mL BSA m C Cardiac Index CI No unit CO L min BSA m BSA Body Surface Area Calculate by to the selected formula m EDV mLJ LVLd mm 9X 4XLVAMd mm2 42XLVAPd mm2 4 LVAMd mm2 X LVAPdimm2 1000 End Diastolic Volume 1 End Systolic Volume O EF BSA 1 ESV mLJ LVLsz mml 8X 4XLVAMz mm2 2 LYAFs Gom2 J LVAMs mm X LVAPs mm2 1000 97 5 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Other measurement and calculation items Table 8 10 Other Measurement and Calculation Items abe Description mema LVET Left Ventricular Ejection Time LVIDd mm x 100 Shortening mm LVIDd mm x ET ms 1000 8 2 1 LV LV measurement is as below Single plane ellipse Measurement items LVLs LVALs LVLd and LVALd To measure LV In the B cardiac measurement menu roll the trackball to highlight LV Then select S P Ellipse and press Set During end systolic measure LVLs and LVALs respective
45. Manual L FO L Left Follicle Length L FO W Left Follicle Width R FO L Right Follicle Length R FO W Right Follicle Width Cervi Lenat The Taio of Uterus Lenath Seer ee UT L CX L Ratio And Cervix Length 9 1 1 UT To measure UT 1 In the gynecology menu roll the trackball to highlight UT and press Set 2 Measure the three data UT L UT W and UT H in the method of distance measurement 3 After the three data are measured the result of UT 1s displayed in Measured Results You can measure a maximum of one group of data 9 1 2 Endo To measure endometrium 1 In the gynecology menu roll the trackball to highlight Endo and press Set 2 Measure Endo in the method of distance measurement 3 The result of Endo is displayed in Measured Results You can measure a maximum of one group of data 9 1 3 OV V The measurement of OV Vol includes L OV Vol and R OV Vol To measure L OV Vol l In the gynecology menu roll the trackball to highlight OV Vol and then highlight the secondary menu L OV Vol press Set 2 Measure the three data L OV L L OV W and L OV H in the method of distance measurement 3 After the three data are measured the result of L OV Vol is displayed in Measured Results To measure R OV Vol The method is similar to the L OV Vol measurement method 9 1 4 FO The measurement of FO includes L FO and R FO 105 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual To measure
46. N INSTRUMENTS INC 3 F B Nanshan Medical Equipments Park Nanhai Rd 10192 Shekou Nanshan Shenzhen 518067 P R China Tel 0755 26882220 Fax 0755 26882223 EC REPRESENTATIVE Shanghai International Holding Corp GmbH Europe Eiffestrasse 80 D 20537 Hamburg Germany TEL 49 40 2513175 FAX 49 40 255726 E mail antonjin yahoo com cn
47. NE ME I eatbuteb us teda 11 2 2 Techinmcal Spe CLC ALIONS nrerin e T E T Ta EOT TE 12 22 1 POWT SUPP ereo a me Se me er uu Eee Ee uS I2 22 22 Machine SPEC lie ALOIS uote tiae etate estt an LIRE OU ae Ett asi 12 2 2 3 General Technical Specific dlODss ed aot nd aat meld d aiu tes 12 2 2 4 Probe SPCC iI Ca HONS user ete mes n aate emen deo Lan cene Le honte mises lon aos 13 PASE Drei CROIRE 14 2s T tandar a COnN e rao een a a abso pede ugue optat 14 2 3 2 CODHOFBS crs ioe ad os ona ase aM unte DE D c Mn ee ee 14 Chapter 5 Transportation and Storage sscsssssecccoccsssscececcocossssceecoocossesseeccosossssscecesosssssseeessso 17 3 1 Movino the Syste orici tri e bet n EUER erem Recien se nU Ui ee ite edicu teo AR EO 17 Deis UO PERMET UTE 17 SO IAMS OM Atl METTE 17 Chapter 4 Installation Instructions cccsssscscccssssssssccccssssssscccscssssscccsscsssssccsssesssssscsssseesess 18 4 1 Envirommental Requirermetils uote de oe teneo oeste en do romeo e Rente omatus nod 18 2 2 Unpackiie Speco asira PERIERE Rp D RES UM dpe I D o ME UE 18 2 2 ConmiectinP PrOCC CUI oii etna asic op e bsmtedetuseo tue Brei cut eee etudes esI eiu cud 18 4 3 1 Connecting or Disconnecting Transducers eeesssssssssssssseeeeeeeeeennnnnns 19 4 32 Rear Panel COotnecOLs coissin nn Sexe eiae tuat tu tesa exe E decre 20 Chapter dS System COHLLEODL idonee ERR EC IEEE reu eg doe aeS e etae e e Ur
48. S 3 1s in compliance with the following standards Table 1 2 International Standards IEC 60601 1 1988 A1 A2 Medical electrical equipment Part 1 General requirements for EN 60601 1 1990 A1 A2 safety IEC EN 60601 1 2 2001 A1 IEC EN 60601 1 4 IEC EN 60601 2 37 IEC EN 61157 Medical electrical equipment Part 1 2 General requirements for safety Collateral standard Electromagnetic compatibility Requirements and tests Medical electrical equipment Part 1 4 General requirements for safety Collateral standard Programmable electrical medical systems Medical electrical equipment Part 2 37 Particular requirements for the safety of ultrasonic medical diagnostic and monitoring equipment Requirements for the declaration of the acoustic output of medical diagnostic ultrasonic equipment DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 2 System Overview 2 1 Appearance 2 1 1 Front Panel Figure 2 1 Front Panel Schematic Diagram 1 Probe holders Display screen Contrast adjustment knob Brightness adjustment knob Gain adjustment knob Control panel Power switch Trough for the coupling gel Grip DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 2 1 2 Rear Panel Air Fan Heat emission fan 8 7 6 Figure 2 2 Rear Panel Schematic Diagram 1 Footswitch port 2 Network port 3 Fuse 4 Power supply input port
49. Set to display the menu of the corresponding option _ 39 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual To exit presetting Highlight Return and press Set Then the system restarts automatically The system runs with the new modified parameters after being restarted 5 7 2 Displaying Modifying the Preset Parameter Select a type of presetting and press Set to display the corresponding dialog box and you can modify the parameter following the prompt instruction Ll Reference Chapter 5 6 Dialog box operation 5 7 3 General Presetting 1 In preset menu move the cursor to highlight General and press Set to display general presetting dialog box as shown below 2 Roll the trackball to highlight an item and then press Set Then use the keyboard to enter text General Preset Shenzhen Renmin Hospital Figure 5 13 General Presetting 40 Table 5 4 General Presetting Information Item Hospital Name Default Exam Language Video Mode SnapShot Type Keyboard Sound Report Printer Print Image Report Date Format Date Time SnapShot Device System Sleep Waiting time Refresh Speed Setting Input freely Abdomen obstetric small parts gynecology urology orthopedics or cardiology Chinese English French Spanish etc The language options varies with language software installed PAL BMP JPG 4 Null Report printer Select whether to
50. System User Manual 5 7 6 Presetting Post Processing The preset items include gray map rejection and gamma correction In the preset menu roll the trackball to highlight menu Post Proc and press Set and then display post processing presetting dialog box as shown below Post Process A B C D S Figure 5 17 Post Processing Presetting Gray transformation presetting The gray transformation Gray Trans curve has nine infection round nodes You can reposition them within a specific range to recalculate the curve and update the image To preset gray map take map L for instance 1 Move the cursor to one of the nine round nodes Press Set move the node with trackball to adjust the curve 2 Press Set to complete the adjustment and the Gray Curve is renewed simultaneously 3 Adjust other nodes using the same method 4 Roll the trackball to Linear and press Set Then the gray map curve turns a 45 line and the Gray Curve 1s renewed simultaneously 45 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Post Process B C DJS Figure 5 18 Gray Transformation Presetting Figure 5 19 Gray Transformation Presetting Linear 5 Press OK to save the modification or Cancel to give up At the same time the dialog box 1s closed NOTE Linear is effective for changing the gray transformation curve only having no effect on the resistance or gamma correction Gray resistance presetting
51. The gray resistance Gray Resist curve has one round node You can reposition it within a specific range to recalculate the curve and update the image To preset rejection take map L for instance 1 Move the cursor to the node Press Set and move the node with trackball to adjust the gray resistance curve 2 Press Set to complete the adjustment and the result curve is renewed simultaneously Post Process A B C D S Figure 5 20 Gray Resistance Presetting 46 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 3 Press OK to save the modification or Cancel to give up At the same time the dialog box 1s closed Gamma correction presetting y correction y correction has four levels 0 1 2 and 3 You can select any one of the four levels 5 7 7 Editing Comment Library There are eight tabs of comment library generic abdomen 1 abdomen 2 obstetric cardiac small parts lesion 1 and lesion 2 Each tab has a few sets of comments defined at factory and you can create up to 6 items user defined comments for each tab Creating a comment library for a patient report saves your time especially for recurring examinations You can quickly add a comment by using the comment library Operation procedure l Press File Roll the trackball to highlight Preset and then press Set to activate the presetting function 2 Roll the trackball to highlight Comment and then press Set Then the Comment Preset dialog
52. The recommended inspection interval is once per week or less If damage is evident replacement is recommended before use Equipment connected to the DUS 3 and located in the patient zone must be powered from a medically isolated power source or must be a medically isolated device Equipment powered from a non isolated source can Cause your system to exceed leakage current limits Enclosure leakage current created by an accessory or device connected to a non isolated outlet may add to the enclosure leakage current of the imaging system Use an extension cord or multi socket outlet setup to provide power to the ultrasound system or to the system s peripheral devices may compromise the system grounding and cause your system to exceed leakage current limits To avoid electrical shock and damage to the system turn off and disconnect the device from the AC power source before cleaning and disinfecting 10 When more than one medical device is connected to the patient leakage current of the devices is summed together Take caution 11 Don t touch the signal input or output connector and the patient simultaneously 12 Periodically have the integrity of the system ground checked by a qualified service engineer DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Y CAUTION 1 To avoid the possibility of electrostatic shock and damage to the system avoid using aerosol spray cleaners on the monitor screens 2 DO NOT
53. agnetic environment specified below The customer or the user of the DUS 3 should assure that it is used in such and environment Emissiontest Compliance Electromagneticenvironmentguidance RF emissions The DUS 3 uses RF energy only for its internal function CISPR 11 Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions Class A CISPR 11 Harmonic emissions Class A The DUS 3 is suitable for use in all establishments other IEC 61000 3 2 than domestic and those directly connected to the public Voltage Complies low voltage power supply network that supplies building fluctuations flicker used for domestic purposes emissions IEC61000 3 3 44 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Guidance and manufacture s declaration electromagnetic immunity for all EQUIPMENT and SYSTEMS Guidance and manufacture s declaration electromagnetic immunity The DUS 3 is intended for use in the electromagnetic environment specified below The customer or the user of the DUS 3 should assure that it is used in such an environment Immunity test IEC 60601 test level Compliance level Electrostatic discharge ESD IEC 61000 4 2 Electrical fast transient burst IEC 61000 4 4 Surge IEC 61000 4 5 Power frequency 50 60Hz magnetic field IEC61000 4 8 Voltage dips short interruptions and voltage variations on power
54. ain unit 49 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 3 Check the printer referring to the printer user manual 4 Run the printer 5 Press Print on the keyboard to begin printing USB printer printing 1 Connect the USB printer via the USB port pe Qe de 6 Check the printer referring to the printer user manual Check the Report Printer and Print Report Image in general preset Enter the desired worksheet to edit the examination and diagnosis information Run the printer Press Print of the worksheet dialog box Printer begins to print NOTE P 2 Before printing make sure there is enough paper for printing Before printing make sure the presetting printer type is correct Before printing make sure the printer power cord and the USB cable are connected well DO NOT cut off the printer power supply or the USB cable during printing If the printer can not work normally please restart the printer and the DUS 3 50 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 6 Operation 6 1 Selecting an Examination Type Press Exam to select an examination type You can change the examination type at any time by making a selection from the Exam Type menu list as shown below Figure 6 1 Examination Type Menu 6 2 Entering New Patient Press New Patient to clear all the information and then begin a new patient examination NOTE When you press Ne
55. alculation ecce eee ee eee eee eene e neu 84 8 1 M mode Cardiac Measurement and Calculation eeeesssseeeeeeeee 84 SUM cC EE 89 5 152 VETTER Val Enana a tabs utis a bL AC Cu ED cr e te 9 Ol ee 7 MO El NU m xe 92 SI EVMW TEN MW oett tee Re tuc dieque quiet engl ut ttu tin eat endab He fpes ku tun dide ba 92 8 2 B mode Cardiac Measurement and Calculation eeeessseeeeeeeeee 93 US LE dT T IT 98 5 2 2 RV Right ventricle mternal dTatnelter cuo e ucro etu mee osea 100 5 2 9 PA Aortic Pulmonary Artery eiie ater GR Ee eI ETHER TREE I dons 100 5 9 Cardiac RODOEL eoe ote teri tees E va ad tuia tai uer pM cune tu ue i IEEE 100 Sul ONE etaient ELE ed etu E M II D tI M E LIEN D ME 103 Chapter 9 Gynecology Measurement and Calculation ecce eee eere eere enne 104 9 T Measurement and Calculation zs dert petet Sole asus ideo Lo EAE hot lien Dine es 104 ABE BUM oadeinees 105 DT Dip T Hcr 105 I NON eee aunque eec AM EN ies teen Edu CLE ME 105 CR NIS m 105 oe Nese gt CT eer 106 JMNONSIUEPIM CTUM 106 9 2a Gy DECO REPO iuustomtmotes ditti Deae utate ted sdb ta Deseo eu utate duse sibi s De toutes 106 DNE OUNCES NEIN D TT 109 Chapter 10 Small Parts Measurement and Calculation
56. and the main unit 4 3 2 Rear Panel Connections Video connections are located on the rear panel of the DUS 3 NWARNING Accessory equipment connected to the analog and digital interfaces must be certified according to the respective IEC EN standards e g IEC EN 60950 for data processing equipment and IEC EN 60601 1 for medical equipment Furthermore all configurations shall comply with the valid version of the standard IEC EN 60601 1 1 Therefore anybody who connects additional equipment to the signal input or output connector to configure a medical system must make sure that it complies with the requirements of the valid version of the system standard IEC EN 60601 1 1 If in doubt consult our technical service department or your local distributor 20 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Y CAUTION To ensure proper grounding and leakage current levels it is the policy of EDAN to have an authorized EDAN representative or EDAN approved third party perform all on board connections of documentation and storage devices to the DUS 3 REMOTE Em Footswitch Network 6 a AC IN VGA Bj FUSE T1 6AL 250V leer laa Figure 4 4 Rear Panel Connections Peripheral port 1 remote port 1 Network port DICOM 3 0 1 video output port 1 power supply input port 1 foot switch port 2 fuses 05x20 T1 6AL 250V 1 VGA output port 15 pin 1 equipotential ear
57. ange 3 6 15 25s lt 0 3 of full scale Two dimension Measurement Distance depth up to 246 mm lt 4 or lt 2 mm if below 40 mm Area Trace up to 720 cm lt 8 or lt 130 mm if below 1600 mm Area Ellipse up to 720 cm lt 8 or lt 130 mm if below 1600 mm Angle 0 to 180 lt 3 on 1 2 segment Ratio A gt B Result B A and A B A up to 1 0 lt 10 of A Result A B 1 0 to 99 9 lt 10 of A Time Motion TM Measurement Depth up to 240 mm lt 4 or lt 2 mm if below 40 mm Time up to 25 sec t 196 Heart rate 15 to 999 bpm lt 5 Velocity ratio up to 999 mm sec lt 5 Volume Measurement Volume area diameter length up to 999 cm lt 12 or 8000 mm if below 64000 mm Thyroid gland volume Residual urine volume Prostate volume up to 999 cm up to 999 mL up to 999 cm lt 12 or 8000 mm if below 64000 mm lt 12 or 8000 mm if below 64000 mm lt 12 or 8000 mm if below 64000 mm zs DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Appendix D EMC Information Guidance and Manufacture s Declaration Guidance and manufacture s declaration electromagnetic emissions For all EQUIPMENT and SYSTEMS Guidance and manufacture s declaration electromagnetic emission The DUS 3 is intended for use in the electrom
58. bstetrics and Gynecology 82 702 1975 Hansmann M Hackeloer B J Staudach A Ultrasound Diagnosis in Obstetrics and Gynecology New York Spring Verlag 1985 P 439 Studies on Fetal Growth and Functional Developments Takashi Okai Department of Obstetrics and Gynecology Faculty of Medicine University of Tokyo Wu Zhongyu Ultrasound Diagnosis in Obstetrics and Gynecology Tianjin Science and Technology Publisher 1995 Biparital Diameter Hadlock FP Deter RL et al Estimationg Fetal Age Computer Assisted Analysis of Multiple Fetal Growth Parameters Radilolgy 152 497 1984 Merz E Ultrasound in Gynexology and Obstetrics Stuttgart and New York Thieme Medical Publishers Inc 1991 p 326 Rempen A Biometrie in der Frihgraviditat I Trimenon Biometry in Early Pregnancy 1 Trimester Der Frauenarzt 32 425 1991 Fetal Growth Chart Using the Ultrasonotomographic Technique Keiichi Kurachi Mineo Aoki Department of Obstetrics and Gynecology Osaka University Medical School Revision 3 September 1983 studies on Fetal Growth and Functional Developments Takashi Okai Department of Obstetrics and Gynecology Faculty of Medicine University of Tokyo Wu Zhongyu Ultrasound Diagnosis in Obstetrics and Gynecology Tianjin Science and Technology Publisher 1995 140 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Head Circumference Hadlock FP Deter RL et al Estimationg Fetal A
59. c Imaging System User Manual Chapter 13 Inspection and Maintenance 13 1 Life Period The manufacturer suggests that the useful life of the DUS 3 is five years dating from the manufacturing date marked on the rear panel label NWARNING DO NOT use this device when its life period is exceeded f E he equipment should be sent to the special agencies according to local regulation for separate collection after its useful life 13 2 Daily Checklist Check before the system 1s switched on Visually inspect all the transducers DO NOT use any damaged transducer Visually inspect all the transducer assembly cables and associated connectors Visually inspect all the power cords DO NOT turn on the power if a cord is frayed or split or shows signs of wear Verify that the trackball is clean and free from gel or contaminants Check after the system 1s switched on Visually check the on screen display and lighting Verify that the monitor displays the current date and time There isn t any error message Verify that the transducer identification and indicated frequency on the screen are correct for the activated transducer Ensure that there isn t obvious abnormal noise discontinuous image or dark area Ensure that it isn t smelly or too hot Ensure that the ultrasound window isn t too hot checking with you hand Verify that the buttons and knobs on the keyboard are good to operat
60. d Calculation Measurement and calculation functions are contained in each examination type and imaging mode B mode generic measurements include distance trace circumference ellipse circumference trace area ellipse area two axis volume three axis volume stenosis and angle measurements M mode generic measurements include distance time slope and heart rate 2 cycles You can perform the measurement and calculation in real time freezing zooming CINE Review playback state Distance and circumference is presented in mm area in mm cm or dm volume in mm cm dm mL or L time in ms or s and heart rate in bpm etc To activate the measurement function press Measure and then the light is on There is one type of mark in B mode measurement There are three types of marks in M mode measurement big and a line 52 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual The measurement results are displayed in real time After measurement the outcome is displayed in Measured Results with a serial number You can measure one to four groups of data If you continue to measure the earliest group 1s automatically covered by the newest one NOTE 1 If you perform the measurement in the frozen status all the measurements will be canceled when you unfreeze the image 2 During measurement press Back to delete the former operation 3 After a complete measurement press Back to
61. display obstetric examination presetting dialog box Parameter Tab Ob Exam Preset Hi Density General General 0 E ERE 7 3 v General f 0 v m Figure 5 14 Obstetric Presetting Parameter Tab Table 5 5 Obstetric Presetting Information Parameter Item Setting Allows you to Display B M B B 4B B M Set display mode type Depth 40 240 mm C361 1 Set examine depth A Power 0 15 Set acoustic power 16 levels Focuses Num 1 2 3 4 Set the number of focuses Scan Density High density high frequency Set scanning density scan Angle 0 1 2 3 Set scanning angle THI Tissue harmonic imaging Set THI General Line Persist O 7 Set image line correlation H Reverse J Null Set the attribute of Horizontal reversal Probe Display all the probe type Set the probe type to use this device supports Freq F1 F2 F3 Set the frequency of probe Post Process Gray map L A B C D S Select a default gray map IP 0 7 Set the image parameter M speed 1 2 3 4 Set the M mode sweeping speed Gain 0 98 Set the gain of image in 2 increments TSI General muscle fatty fluid Set the type of TSI V Reverse J Null Set the attribute of Vertical reversal E UP DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual IP Tab NOTE IP Image Parameter Ob Exam Preset a Figure 5 15 Obstetric Presetting IP Tab Table 5 6 Obstetric Presetting Information IP Item Setting Allows you to Select the defaul
62. docavity scanning or when scanning patients with open wounds output please refer to appendix A The DUS 3 complies with the requirements of applicable International Electrotechnical Commission IEC standards in terms of safety and acoustic output levels Se r Ultrasound may be harmful to human body This device should be used for valid reasons DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 1 5 3 Electrical Safety NWARNING 1 To ensure grounding reliability only connect the system to a hospital grade power receptacle The AC power connector plug for the ultrasound system is a three prong grounded plug and should never be adapted to any two prong non grounded outlet either by modifying the plug or by using an adapter To avoid electrical shock never modify the ultrasound system s AC power circuits To ensure grounding reliability connect the system only to an equivalent outlet SHOCK HAZARD Do not attempt to connect or disconnect a power cord with wet hands Make certain that your hands are clean and dry before touching a power cord The equipment should be installed by a qualified service engineer Do not try to access the interior of the main unit Only authorized service personnel could remove the unit cover Before use you must make sure that there is no visible evidence of damage on the equipment cables and probes which may affect patient safety or diagnostic capability
63. dy mark adding function Press Body Mark and the system displays the body mark dialog box You can choose a type of body mark and press Set to add it or press Close to close the dialog box to give up adding a body mark The selected body marks are displayed in the bottom left corner of the screen li Reference Figure 5 1 Typical Image Screen After adding a body mark you can use the trackball to move the position of the probe and you can also use the rotation function to change the direction of the probe Obstetric 2 375 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Urology Figure 5 4 Body Marks 256 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 5 4 5 Adjustment Controls Focus Position adjustment button Press the button to switch the position of the current focus 16 segments of the adjustable electronic focus are provided by the device By adjusting the focal point a clear image can be obtained The current focal point 1s as shown in the FOCUS position on the left of the screen Image Processing adjustment button Press the button to do the image processing that has 8 levels ranging from 0 to 7 Der Depth adjustment button Press this button to adjust the scanning depth in increments of 10 mm The current depth is displayed in the bottom right corner of the image Multiple Multiple function button This button has three functions In the zoom status press t
64. e 13 3 Cleaning and Disinfection All exterior parts of the device including the control panel probes and puncture needle should be cleaned and or disinfected as necessary or between uses with a recommended cleaner or disinfectant Clean each part to remove any surface particles Disinfect the parts to kill vegetative organisms and viruses 119 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual You must take all necessary precautions to eliminate the possibility of exposing patients operators or third parties to hazardous or infectious materials Use universal precautions during cleaning and disinfection You should treat all parts of the device that come in contract with human blood or other body fluids as they were known to be infectious After use clean the outer shell of the device with soft and dry cloth gently Medical cotton ball immerged with a 75 medical alcohol solution should be used to wipe probes gently and thoroughly The cleaning of internal components of the device should be performed by authorized and qualified personnel NWARNING 1 To avoid electrical shock and damage to the system always shut down and disconnect the device from the AC power source before cleaning and disinfection 2 To avoid infection always use protective gloves when performing cleaning and disinfecting procedures 3 To avoid infection ensure that the solution expiration date has not passed CAUTION
65. e 6 9 3 To Adjust the Needle Guide Line Needle guide line has been verified when the device is produced The value is saved in Factory data But after a period of use the needle guide line needs to be adjusted since the real value may be changed NWARNING 1 Prior to each puncture calibrate the needle guide line 2 If the needle position is not the same as the needle guide line position do not do the puncture To verify the needle guide line Move the needle guide line horizontally Highlight Position press Set to increase the value and Back to decrease the value and the value is displayed in the menu option To adjust the angel of needle guide line Enter Angle option to adjust the angle Operation procedure is the same as that of the Position To save the verified value After verifying the position and the angle highlight Verify and press Set and the system saves Mom DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual the verified value After restarting the system the verified value 1s activated To save the factory data Highlight Load Factory and press Set to load the factory data To select the bracket If the probe has different brackets you can use the Bracket sel option to select the bracket 74 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 7 Obstetric Measurement and Calculation The obstetric examination is usually in the B mod
66. e Enter B mode obstetric examination 1 Press Exam and select Obstetric and then press Set 2 Press to enter the B mode 3 Press Measure to activate the measurement function The measurement menu is displayed 7 1 Abbreviations The abbreviations used in this manual are shown as below EDC Estimated Date of Confinement MA Menstrual Age LMP Last Menstrual Period BBT Basal Body Temperature EFW Estimated Fetal Weight 999 7 2 Obstetric Measurement and Calculation 1 Items of Measurement and Calculation B OB MEAS GS CRL BPD HC AC FL EFW and AFI B OB MEAS 2 TAD APAD CER FTA HUM OFD and THD B OB MEAS B OB MEAS 7 Distance TAD APAD CER FTA HUMI OFD THD Others Ellipse Trace Input Results Others Figure 7 1 Obstetric Measurement and Calculation Menu 75 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 2 tems of input LMP and BBT 7 3 Fetus Growth Measurement Fetus growth is usually measured by the following parameters B OB MEAS the default measurement is distance measurement Table 7 1 Obstetric Measurement Label Description Channel Method Results display es Gestational Sac Diameter Em eshulawm Hao 0 UTE PD xus Diameter HEC ac AwondGramewa o Circumference MA will be displayed Calculating A measured parameter requires 4 sets of value is in the valid Amniotic Fluid Index distance measurement range of the preset
67. e complies with usability engineering Two holders for the probes and one holder for the coupling gel MT 802 Trolley Assembling Instruction Hand carried bag The bag 1s portable and it can be carried over the shoulder It can contain not only the main unit but also two probes an array transducer R60 3 5MHz and an endocavity transducer R10 6 5MHz and one bottle of coupling gel It 1s watertight 16 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 3 Transportation and Storage 3 1 Moving the System Digital Ultrasonic Diagnostic Imaging System 1s designed to be portable and easily transported between sites Power off the system and secure all accessories before moving it to another location L CAUTION 1 DO NOT park or leave unattended on a slope Even when the wheel brakes are engaged the system may slide down a ramp 2 Switch off the ultrasound system Unplug the power cord from the power source and secure the power cable 3 Put the probes in the probe holder or remove them and place them in the protective carrying cases 4 Disconnect and secure the footswitch and the connecting cable 5 Raise the brakes away from the front and back caster wheels 6 Push the handle to roll the system forward and maneuver it to its new location and lock the wheel caster brakes 7 Connect optional system accessories such as the single pedal footswitch 8 Secure the system and complete the system
68. e cre terre Ore itte ipu artt uu TA 69 0 5 5 Sendime mass ETIG soto tim ER nne rete E e aet nte neret taies Sheng adt teet a 71 09 DUrcture FUNC Oien a eden anata a LM t es 12 69 1 To Select the Anple of Needle Guide Liner E oes 73 6 9 2 To Display or To Hide the Needle Guide Line eeseseeeeeeeeeeeeeeese 73 6 9 3 To Adjust the Needle Guide Line tn rh eee nete ntes 73 Chapter 7 Obstetric Measurement and Calculation ecce eee e ee eee eee eee e eee eene 75 Vicks ANOOES VIAU ONS ouis cote alesis i tate caen tubus tices Mons eaten ee eee 75 12 Obstetric Measurement and Calculation orte e Tou tera rent i a EE Eee 75 7 9 Fetus Growth MeasutretHlefib eese roS n etm eb ned i ait cuisse nsu R de t uius 76 TA EDC CANCUN ISSN RR mm T1 Tele TOC aleulattonbyd WI Poean e E A NT TI 124 2 DOC alculauott Dy DB Ie ocio e ETE a uta e site 78 Tos S W Ale Ula Oil eene EON 78 T5 select 4 Formula 10 PLESCU ac isassnqicciadceconistswes a EN Up RU E ule QebR Update Se qoa TAM UE 78 Toe Measurement GING TES RTT DRESS 79 350 USC SH EIS cote iode Morbo dC mote EET MC pae eee ees 79 SO uL CAL OVI U C UTV O caedes eno e bere con utes des E de eu Desc eutu les hene cotta E e du ume des 79 700 2 Obstetrie REPOT seisoi Utt adeo UD Nedstat uon dvo ditus 80 VENDRE B di e tape asi X ageuae bean tcaaaed savas 83 Chapter 8 Cardiology Measurement and C
69. e it In the M mode freeze the desired image Measure the distance between two peaks of cardiac cycles with the time measurement method l 2 3 NOTE Press Measure to activate a measurement cursor Roll the trackball to highlight Heart Rate and press Set and a is displayed Roll the trackball to move the first measurement maker on the first peak systole and then press Set to anchor start position and the measurement mark turns to a vertical line Roll the trackball to move the second measurement maker on the peak systole following two complete cycles and then press Set to anchor end position Roll the trackball and press Set to begin a new heart rate measurement You can measure a maximum of four groups of data The outcome is displayed in Measured Results Press Measure to finish and exit Figure 6 17 Heart Rate Measurement In B M mode you should define the M Mark position and then begin the measurement 6 6 3 General Report General ultrasound report Hospital Name SN 1 General Ultrasound Report ID Age 64 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasonic 1mage Diagnosis Signature Seal Date 6 7 CINE Review Activate the device and enter the real time B B B 4B or B M scanning mode Enable the system to collect images before CINE Review playback The cine function includes frame by frame playback and motion playback Then the c
70. e or Email avoiding potential unnecessary returns In case a return can not be avoided the representative will record all necessary information and will provide a Return Material Authorization RMA form that includes the appropriate return address and instructions An RMA form must be obtained prior to any return Freight policy Under warranty the service claimer 1s responsible for freight amp insurance charges when a retrun is shipped to EDAN for service including custom charges EDAN is responsible for freight insurance amp custom charges from EDAN to service claimer Out of warranty the service claimer 1s responsible for any freight insurance amp custom charges for product 127 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Contact information If you have any question about maintenance technical specifications or malfunctions of devices contact your local distributor Alternatively you can send an email to EDAN service department at support edan com cn 128 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Appendix A Ultrasound Intensity and Safety A1 Ultrasound in Medicine The use of diagnostic ultrasound has proved to be a valuable tool in medical practice Given its known benefits for non invasive investigations and medical diagnosis including investigation of the human fetus the question of clinical safety with regards to ultrasound intensity arises There
71. eet xL ane Figure 9 2 Gynecology Worksheet The diagnosis editing column displays the cursor T and you can enter diagnosis information Print the report Ll Printing reference Chapter 5 8 Printing 107 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Gynecology ultrasound report Gynecology Ultrasound Report Hospital Name ID Age SN I SN 2 Ref MD Route Tae Tpe Tre LMP Gravida Abortus Para Ectopic Uterine UT mm CX L mm UT L CX L mm Endo mm Ovary Left side Right side L OV L mm R OV L mm L OV W mm R OV W mm L OV H mm R OV H mm L OV V mm R OV V mn FO Left side Right side L FO L mm R FO L mm L FO W mm R FO W mm Ultrasonic image Diagnosis Signature Seal Date 108 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 9 3 Others If you want to begin other measurements you can switch through the menu by pressing Others B MEAS B OB MEAS B OB MEAS 2 B S5ML MEAS B ORTHO MEAS B CARDIAC MEAS B UROL MEAS 109 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 10 Small Parts Measurement and Calculation The abbreviations used in this manual are as shown below THY Thyroid gland THY V Thyroid gland Volume 10 1 Measurement and Calculation The small parts examination is usually in the B mode 1 Press Exam and select Small Parts and then press Set 2 Press to enter
72. en cleaning the areas near track ball and the slide controls 2 Make sure they are free of gel and any other visible residue 13 3 2 Probe and Probe Holder Cleaning and Disinfecting To clean probe holder 1 Turn the probe holder upwards and then lift the holder out of the system enclosure 2 Wash the holder with flowing water using a mild detergent 3 After cleaning and drying turn the holder downwards to lock it Figure 13 1 Probe Holder Figure 13 2 Probe Holder Pothook Probe cleaning and or disinfection 361 1 L741 C321 1 and C341 Every time before using it layers of medical ultrasound coupling gel should be applied evenly on the area of the acoustical window of the probe and the instrument is ready for operation Be careful not to generate any air bubble Disinfection should be performed each time after use 1 Wipe off the residual coupling gel gently 2 Use a medical cotton ball immerged with 75 medical alcohol to wipe the probe gently and thoroughly 3 Wipe the probe with a soft cloth soaked with distilled water E741 and E611 1 The single use sheath should be used on E741 and E611 1 probe 121 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual V CAUTION We recommend that the single use sheath should be CE marked or FDA 510 k cleared Every time before using it layers of medical ultrasound coupling gel should be applied evenly on the area of the acoustical window
73. ences the amplitude of the pulse burst A higher setting increases the amplitude resulting in a higher ultrasound output at the transducer Sample Volume The Sample volume is the axial length of the area from which the Doppler signals are obtained The larger the sample volume the longer the duration of the pulse burst and consequently the higher the ultrasound output and power Spectrum Velocity Scale The higher the scale setting the higher the pulse repetition frequency number of pulses per second and consequently higher ultrasound output More pulses per second are equivalent to a 129 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual higher power output Proper use of these instrument settings can minimize patient exposure and optimize the results and efficiency of the equipment Always apply the ALARA principle use power levels that are As Low As Reasonably Achievable Imaging Functions Affecting Acoustic Output In addition to the level of voltage transmitted adjustment of the following imaging functions and or controls may affect the acoustic output Acoustic output is changed as changing probes There are different parameters applied in B mode and M mode so acoustic output will be changed as changing between B mode and M mode Generally the acoustic output of M mode is lower than the B mode Field of view scan Frame rate may be changed as changing the scan angle of the angle or scan w
74. ension heart image of end diastolic and end systolic exactly and conveniently in the B M mode So we suggest that you can do the cardiac measurement and calculation in the B M mode 8 3 Cardiac Report After the cardiac examination the system generates a cardiology examination and diagnosis worksheet Roll the trackball to highlight Worksheet and press Set to display Cardiac Worksheet dialog box as shown below 100 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Cardiac worksheet Figure 8 3 Cardiac Worksheet The diagnosis editing column displays the cursor T and you can enter diagnosis information Print the report Ll Printing reference Chapter 5 8 Printing 101 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Cardiac ultrasound report Cardiac Ultrasound Report Weight BSA LAD LCD LVPWd LVIDs RV PA FS ACV ET SV SI LVMW QMV Ultrasonic 1mage Sex Hospital Name ID SN I SN 2 Height mm HR bpm Measurement and Calculation Data AOD mm LAD mm IVSTd mm IVIDd mm AA mm EF EF SLP mm s A E MVCF CO L Min CI LVMWI AVSV mm Diagnosis 102 Signature Seal Date DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 8 4 Others If you want to begin other measurements you can switch through the menu by pressing Others B MEAS B OB MEAS B OB MEAS 2 B SL MEAS B GTNM MEAS B ORTHO MEAS B UROL
75. es NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the DUS 3 is used exceeds the applicable RF compliance level above the DUS 3 should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the DUS 3 Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m 146 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Recommended separation distances between portable and mobile RF communication equipment and the EQUIPMENT or SYSTEM For EQUIPMENT or SYSTEM that are not LIFE SUPPORTING Recommended separation distances between portable and mobile RF communications equipment and the DUS 3 The DUS 3 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the DUS 3 can help prevent electromagnetic interference by mainta
76. es Press File in the real time freezing mode and the system displays the file menu Then select Open and press Set to display an Open File dialog box as shown below Open File USB Disk fa BMP d Figure 6 22 File Opening Dialog Box 67 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual The default driver is the local disk and the default file type is BMP The file types include BMP JPG DCM and CIN Pressing the symbol Y to display the driver or the file type and then roll the trackball to choose the type Select a desired File name and press OK the system begins to load the corresponding image A prompt instruction Loading file is displayed in the middle of the screen Then the prompt instruction disappears and the system displays the designated 1mage NOTE 1 Images that have not yet been saved in the saving zone can not be loaded 2 When saving or loading image is still in process prompt instruction Saving file or Loading file please do not perform any other operation This is to avoid damaging the device 3 You should freeze the system before opening Cine Images 6 8 3 Browsing Images After you open an image press os to open the previous image and om to open Exit the next image press to exit the browsing D 0mm B Mode Menu ScanAngle F Number 1 A Pnwar 13 ScanMode HiDen Dyn Rng 78 Edge Enhance QU Smooth Oo Frame Persist 7 Line Average 2 D A
77. ey In annotation mode and comment mode press this key to delete text word by word Arrow key In annotation mode and comment mode press these arrow keys to move the comment cursor Press it to clear all the measurements calculations comments or body marks on the screen New Patient key Press this key to cancel all the recent patient data comment measurement calculation and worksheet except saved images 20 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Patient information annotation key Patient Info Press this key to open or to close the Patient Data Input Dialog box Examine Menu key Press this key to display or to exit the examination type menu System Control key Press this key to enter or to exit the file management system Lii Reference Chapter 6 8 File Management Or to do the presetting BE Reference Chapter 5 7 Preset When entering the file menu you can not use other function keys Snapshot key Press this key to save the current image But after entering the file menu you can t use this to save the current image Lii Reference Chapter 6 8 1 Saving Images Probe Switch key Diverse probes are available for this device Press this key to select a proper type of connected probe with the corresponding information in the top right corner Lii Reference Figure 5 1 Typical Image Screen Frequency Shift Key Press this key to switch to the proper operat
78. ey to confirm the selection of a specific function or command Use this to anchor calipers select a menu item or image graphics Or press it to increase the parameter value in the parameter setting status Freeze key Press this key to switch between the frozen and real time states When an image is frozen the system inserts xb next to the system time clock and the clock pauses When unfreezing the system all the measurements calculations body marks and comments are erased Print key Press this key to do the video printing Footswitch Pedaling on the footswitch is equivalent to pressing Freeze 29 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Comment function The comment library is for positions and anatomical structures To activate the comment function Press Comment and there is a cursor I displayed in the image area for annotating by the following ways Enter text directly onto the image using the keyboard Insert system defined or user defined comment phrases by pressing Change to display the comment library During commenting you can use Delete to cancel the undesired text word by word or you can use Back to cancel the undesired text one by one o Generic DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Lesion 1 Ms An B ASA ee PS Lesion 2 Figure 5 3 System defined Comment Library Body mark adding function To activate the bo
79. formula 93 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Table 8 6 Measurement and Calculation Items with Single Plane Ellipse Formula NOTE d end diastolic s end systolic EDV mL 8 3 z x LVALd mm Y LVLd End Diastolic Volume mm 1000 SV mL EDV mL ESV mL EF No unit SV mL EDV mL x 100 c Cardiac index CI No unit CO Liminy BSA n BSA Body Suface area Caleuiate by the selected fomula m ESV mL 8 3 n x LVALs mm Y LVLs End Systolic Volume mm 1000 HR EDV ESV SV CO EF SI CI BSA 94 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 2 Dual plane ellipse formula Table 8 7 Measurement and Calculation Items with Dual Plane Ellipse Formula NOTE d end diastolic s end systolic Label Deseripion Method 0 LVALd Left Ventricle Area of Long axle 2 2 2 Left Ventricular Fractional Area of Ellipse Area mm cm or dm Mitral Valve LVIDd Left Ventricle Internal Diameter Distance mm LVALs Left Ventricle Area of Long axle p Ellipse Area mm cm or dm Left Ventricular Fractional Area o Mitral Valve LVIDs Left Ventricle Internal Diameter EDV mL 8 3 z x LVALd mm Y LVLd End Diastolic Volume mm 1000 ESV mL 8 3 m x LVALs mm P LVLs mm 1000 e eean SV mL EDV mL ESV mL Cardiac Output CO L min SV mL x HR bpm 1000 n mE EF No unit SV mL EDV mL x 10
80. ge Computer Assisted Analysis of Multiple Fetal Growth Parameters Radilolgy 152 497 1984 Merz E Ultrasound in Gynexology and Obstetrics Stuttgart and New York Thieme Medical Publishers Inc 1991 p 326 Abdominal Circumference Hadlock FP Deter RL et al Estimationg Fetal Age Computer Assisted Analysis of Multiple Fetal Growth Parameters Radilolgy 152 497 1984 Merz E Ultrasound in Gynexology and Obstetrics Stuttgart and New York Thieme Medical Publishers Inc 1991 p 326 Femur Length Hadlock FP Deter RL et al Estimationg Fetal Age Computer Assisted Analysis of Multiple Fetal Growth Parameters Radilolgy 152 497 1984 Merz E Ultrasound in Gynexology and Obstetrics Stuttgart and New York Thieme Medical Publishers Inc 1991 p 326 Jeanty P Rodesch F et al Estimation of Gestational Age from Measurement of Fetal Long Bones Journal of Ultrasound in Medicine 3 75 1984 studies on Fetal Growth and Functional Developments Takashi Okai Department of Obstetrics and Gynecology Faculty of Medicine University of Tokyo Wu Zhongyu Ultrasound Diagnosis in Obstetrics and Gynecology Tianjin Science and Technology Publisher 1995 Humerus Length Jeanty P Rodesch F et al Estimation of Gestational Age from Measurement of Fetal Long Bones Journal of Ultrasound in Medicine 3 75 1984 Estimated Fetal Weight Merz E Werner G amp llan E T 1991 Ultrasound in Gynecology and Obste
81. ge to choose the cleaners and disinfectants The concentration in the air must not exceed an applicable specified limit Comply with the manufacturer s instructions when using the cleaners and disinfectants 13 4 Maintenance Maintenance must be performed every 12 months including safety and functionality of the system The following safety checks should be performed at least every 12 months by a qualified person who has adequate training knowledge and practical experience to perform these tests 99 Inspect the safety related labels for legibility Inspect the fuse to verify compliance with rated current and breaking characteristics Verify that the device functions properly as described in the instructions for use Test the protection earth resistance according to IEC EN 60601 1 Limit 0 0 1 Q Test the earth leakage current according to IEC EN 60601 1 Limit NC 500uA SFC 1000pA Test the patient leakage current according to IEC EN 60601 1 Limit NC 100uA SFC SOOUA Test the Covers leakage current according to IEC EN 60601 1 Limit NC100uA SFC SOOUA The leakage current should never exceed the limit The data should be recorded in an equipment log If the device is not functioning properly or any of the above tests fail please contact the maintenance person of EDAN 125 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 14 Troubleshooting 14 1 Checkup
82. gy and then press Set 2 Press to enter the B mode 3 Press Measure to activate the measurement function The measurement menu is displayed B UROL MEAS Distance RUY Prostate Yol Input SPSA OOOO Urol WorkSheet Others Figure 11 1 Urology Measurement and Calculation Menu Table 11 1 Urology Measurement and Calculation Items DONEC NENML mw feme Urine Volume RUV 0 7x RUV L mm x RUV W mm x RUV H mm mL or L 1000 C Residual Urine Length RUV W Residual Urine Width Distance mm RUV H Residual Urine Height py Posa oe PV mm 0 52 x PV L mm x PV W mm x PV H mm 1000 mm cm or dm m Prostate Length PV W Prostate Width Distance mm PV H Prostate Height ppsA edictec Prostate 56A ng mL 0 12 x PV Specific Aroer Density Serum Prostate SPSA Key in SPSA n Specific oa ey ng Prostat Specific PSAD ee PEU BSAD ng mL SPSA ng PV mL 0 01ng SSPSAx100ng Antigen Density 113 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual To determine the residual urine volume or prostate volume take three measurements length width and height The system calculates the volume To measure RUV 1 In the urology menu roll the trackball to highlight RUV and then press Set 2 Measure the threes data RUV L RUV W and RUV H with distance measurement method 3 After the three data are measured the result of RUV is displayed in Measured Results
83. he generic M mode slope measurement method 3 Measure DCT The method is similar to the generic M mode time measurement method 4 After the measurement the result of QMV 1s displayed in Measured Results 8 1 3 Aortia Aortia calculation 1s as below Measurement items LAD AOD and Valve Volume Aortia calculation In the M cardiac measurement menu roll the trackball to highlight Aortia to display the secondary menu LAD AOD measurement 1 Roll the trackball to highlight LAD AOD and press Set 2 Measure LAD and AOD respectively The method is similar to the generic M mode distance measurement method 3 The result is displayed in Measured Results lt AVSV measurement The calculation formula AVSV mL MAVOI cm MAVO2 cm ET s 50 AA cm The measurement operation procedure 1 Roll the trackball to highlight Valve Volume and press Set 2 Measure MAVOI The method is similar to the generic M mode distance measurement method 3 Measure MAVO2 The method is similar to the generic M mode distance measurement method 4 Measure AA The method is similar to the generic M mode distance measurement method 5 Measure LVET The method is similar to the generic M mode time measurement method 6 After the measurement the result of AVSV is displayed in Measured Results 8 1 4 LVMW LVMWI LVMW and LVMWI calculations are as below 92 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual
84. his button to adjust the magnification 1 0 1 2 1 4 1 6 2 0 2 4 3 0 or 4 0 When a body mark is added the rotation function is automatically activated You can press this button to adjust the scanning direction When an arrow is added press Comment to activate the comment function and then press Set to add an arrow the rotation function 1s automatically activated You can press this button to adjust the arrow direction 2 098 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Adjustment knobs near the screen Contrast rotate this knob to adjust the contrast Brightness rotate this knob to adjust the brightness Gain rotate this knob to adjust the total gain overall gain 0 98 in increments of 2 Time Gain Compensation TGC buttons Press the buttons to adjust the TGC Press the upper buttons to adjust the near field gain and the lower buttons to adjust the far field gain press the right buttons to increase TGC and press the left buttons to decrease TGC The system displays a graphics representing the TGC curve on the image screen as shown below EDAN ShenZhen Renmin Hospital G26 ZAP 0 IP 5 ZFR 23 2008 07 f 17 Name ID C361 1 3 5M General General 16 15 36 1 Lj Lj LI I LI ae Ta LU I ert LI L L LU l m M X 0 B Image Menu F Number A Power 0 ScanMode HiDen Dyn Rng 57 Edge Enhance 0 Smooth Persist Line Average Rejection Gray Map NeedleGuide
85. ht OK and press Set After measuring LV MVCF are displayed in Measured Results CI and SI calculations are as below Measurement and input items Measure LV and HR Key in Height and Weight To calculate CI and SI l In the B cardiac measurement menu roll the trackball to highlight Input select the secondary menu Height amp Weight and press Set to display a Height and Weight entering dialog box 99 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual as shown below Height and Weight cm kg 2 Input suitable values in the Height and Weight boxes 3 Roll the trackball to highlight OK and press Set BSA is displayed in Measured Results After measuring LV and HR SI and CI are also displayed in Measured Results 8 2 2 RV Right ventricle internal diameter 1 In the B cardiac measurement menu roll the trackball to highlight RV 2 Measure RV with distance method 3 The result is displayed in Measured Results 8 2 3 PA Aortic Pulmonary Artery 1 In the B cardiac measurement menu roll the trackball to highlight PA and press Set to display a in the image area 2 Measure PA with distance measurement method 3 The result is displayed in Measured Results Other parameters If you want to do other cardiac parameter measurement please enter B M mode or M mode cardiac measurement The result of ventricle volume measurement is more exact in two dimension You can get the two dim
86. i dc OSES ETRA 23 Jle Oy CT tie YC VC Cc sat cs d eite Goblinus ient ont ss acca 23 352 EXIDO NO aeo in ees det Lots dua on eae meu ete as aaa metal caine ms eund ot os ee mu cedente clit 24 AS Mure 24 o4 XOnmoLPatielscsseesecc hi i eh b ttd e etse RE E pene c 26 IA lke TACK aN icin TH eR 26 DA 009 9 INUTHEEIC K EV S iriri i TT ETT seussi ms aues rd px e eta A 26 3 4 35 a4 10 ks 0515 call OV oc t tios m tabu irat emissum E inei n E 26 3 44 Function OntEOls uui ot odo dtt Mase Rennie tatis dE hath Da sd eid 2I 2320 S CUS Bie BEC ONTO S tases cs asta ee tetas crehaned ETT area 33 3 4 0 Imane Putclloll Sues toit Set nte ee ta QS Sm I Cute tad uis seu Dade umME 34 2 4 7 JAddrional Control FubetlOls aoo ot tete v tb sat cae e Vea 35 Ja JVIOTI ese temi sod ina ont tum Sd ted am out cdm citta fed un rete 36 5 0 Dalo BOX OPTIO ee iies etiem ten piene tides hero AE e Let hen edere ades is Pam 38 Su PPE SC UTD Drennan vae sudvandcs ne edited hans E edi A estdite ud 39 S TL tern and KANO eoe E Eee EE E Bd 39 5 7 2 Displaying Modifying the Preset Parameter eeeeeeessseseeeeerne 40 3 759 Geheral PRES CUI am cet unis v Eu VIS DIE te aE Sio eem 40 357 2b PEOSSTIDP E XAM aecenas vanessa cin A iute e oM p UM 42 Se os PrOSCDHIBO FOUA cena oae o icon eet tutis ninety sau btt o Me ttu E 43 3 41 20 Presciimp POSI PEOCCSSIIIP niet tone nette o m Ont Ro vn Partage a Rr LEM 45 5 7 Editino
87. idth scan width and the acoustic output will be changed Pulse repeated frequency will be changed as changing the Image depth l l i image depth and the acoustic output will be changed Frame rate and focus position will be changed as changing the Imaging mode Focus number focus number and acoustic output will be changed Acoustic output will be changed as changing the focus position u even the beam power level and the beam aperture have not Focus position been changed Generally the acoustic output will be higher as getting nearer to probe Freeze When freezing the system it will stop transmitting ultrasonic Freeze wave T The output of probe wil be changed as changing the Transmission power Y transmission power and acoustic output will be changed The character of the wave focus will be changed as changing Multi frequency l i the frequency and acoustic output will be changed l l The acoustic output will be changed as changing the number of Line density PR l the scanning line line density T Presets contain all the parameters above so any change of the presetting will change acoustic output System will return to the default set when restarting or Restart or power on off powering on off the system and acoustic output will be changed 130 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual A3 Probe Acoustic Output Parameters List A3 1 Test of Probe C361 1 Transducer Type C3
88. ine review symbol is displayed on the bottom of the screen as shown below E Figure 6 18 CINE Review Symbol To perform the CINE Review playback 1 Press Freeze to freeze the image and the system displays the cine menu as shown below Cine Review Play Stop FPS Gray Map Print Report Figure 6 19 Cine Review Menu 2 Roll the trackball to start playing back frame by frame Roll the trackball to the right to advance the cine data one frame at a time or to the left to move the data in reverse The arrow on the CINE Review Symbol indicates the direction toward which the data 1s moving The loop of data wraps around when either end is reached As the trackball is moved the current cine number is displayed on the right of the CINE Review Symbol 3 Press Cine to stop playing back and then roll the trackball to highlight Play Stop and press 65 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Set to enter the motion playback mode 4 During playing back press Play Stop to play or to stop 5 Press Cine to go back to the frame by frame mode 6 Press Freeze to exit the CINE Review playback The default setting is to load images by serial numbers forward NOTE The FPS is adjustable from 5 to 50 in increments of 5 6 8 File Management Press File to display the file menu as shown below File Menu File Menu Snapshot Snapshot Save Cine Save Cine Save AS Save AS T Open Open e File Manager Fi
89. ing frequency for the activated probe When you change the frequency the G changes simultaneously Image up down Flip key Press this key to flip the image vertically 28 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Image left right Flip key Press this key to flip the image horizontally Cine key Press this key to enter or exit the frame by frame cine mode Comment key Co Press this key to activate or exit the annotation function Body Mark Key Press this key to activate or exit the body mark function It is to indicate the examine position and the scan direction Measure key Press this key to activate or exit the measurement function In the real time status press this key to activate a zoom window in the middle of the image you can move it to the desired area with the trackball and adjust magnification of the zoom window by pressing Multiple Then press Set to display the zoomed image and then roll the trackball to move the zoomed image Back key In the measurement status press this key to return to previous operation In comment mode press the key to delete the entered text one by one In parameter setting status press the key to decrease the parameter value Change This key has dual functions In measuring status you can press Change once to change the settled point and the active point In annotation status press this key to display the comment library Press this k
90. ining a minimum distance between portable and mobile RF communications equipment transmitters and the DUS 3 as recommended below according to the maximum output power of the communications equipment Separation distance according to frequency of transmitter m Rated maximum 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz output power of transmitter For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 147 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Appendix E Order List The following accessories are recommended to be used on the DUS 3 A WARNING Probes and other accessories used on the DUS 3 must be provided or recommended by EDAN Otherwise the device may be damaged Part Name Part Number Needle Guide Bracket Kit BGK CR10 MS3 102364 Needle Guide Bracket Kit BGK LA43 MS3 102355 Coupling gel M50 78001 Foot switch MS3R 102414 148 ji EDAN E EDA
91. is no easy answer to the question of safety surrounding the use of diagnostic ultrasound equipment Application of the ALARA As Low As Reasonably Achievable principle serves as a rule of thumb that will help you to get reasonable results with the lowest possible ultrasonic output The American Institute of Ultrasound in Medicine AIUM states that given its track record of over 25 years of use and no confirmed biological effects on patients or instrument operators the benefits of the prudent use of diagnostic ultrasound clearly outweigh any risks A2 Ultrasound Safety and the ALARA Principle Ultrasound waves dissipate energy in the form of heat and can therefore cause tissue warming Although this effect 1s extremely low with Transcranial Doppler it is important to know how to control and limit patient exposure Major governing bodies in ultrasound have issued statements to the effect that there are no known adverse effects from the use of diagnostic ultrasound however exposure levels should always be limited to As Low As Reasonably Achievable the ALARA principle You can control the ultrasonic power or patient exposure to ultrasound in any of the following three ways Adjust the pulse strength amplitude Adjust the duration of the pulse pulse duration Adjust the pulse rate pulse repetition frequency or PRF To change these settings for your system use the following controls Amplitude The power setting directly influ
92. le Manager FileType BIMP FileTvpe Storage USB Disk Storage Preset Preset Figure 6 20 File Menu the left with no DICOM installed the right with DICOM installed 6 8 1 Saving Images You can use Snapshot Save Cine or Save As to save files The snapshot types include BMP DCM if DICOM is installed and JPG and the storage disk can be a fixed one or a removable one You can use the Set to set the types before saving images The system provides two ways to save images using File gt gt Save As or press Snapshot After connecting the removable disk the USB indicator on the panel is on When obtaining a satisfying image 1 Press File and select Save As to display the File Save As dialog box Use the keyboard to enter an image name of up to ten characters 66 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual File Save As USB Disk T BMP File Name File Type Modified Time lt Figure 6 21 File Saving Dialog Box You should choose the driver and the file type you can enter the file name for the image with the keyboard 2 Press Snapshot directly to save the image At the same time the saving information is automatically displayed in the middle of image area These images are automatically numbered in sequence For instance if the latest number comes to YYMMO0020 and then you press Snapshot the current image is saved as numbered YYMMO0021 6 8 2 Opening Imag
93. lume ratio stenosis and angle M mode generic measurement and calculation Time slope and heart rate File management It supports local disk and removable disk storage USB 1 1 interface enables fast image uploading to your computer in the real time mode It has huge storage capacity Operation The folding keyboard designed with trackball is easy and convenient for various types of operation In addition 10 non interlaced progressive display and diverse probes are adopted to provide a clear and stable image 1 3 Model DUS 3 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 1 4 Contraindication The equipment is not applicable to the diagnosis of the pneumatic organs that contain gas such as lung stomach intestines etc It is recommended not to examine the parts with wounds or acute inflammation to avoid cross infection Patients in the following situations are not allowed to be examined with E611 1 probe vaginal infection such as trichomonal vaginitis colpomycosis venereal disease etc the unmarried vagina deformity menstrual period postmenopausal vagina atrophy difficulty in per vagina ultrasonic examination colporrhagia Pyrilamine placenta previa etc 1 5 General Safety Precaution Information 1 5 1 General Information NOTE This equipment is not intended for home use A WARNING This equipment is not intended for treatment CAUTION Federal U S law re
94. ly The system calculates and displays ESV value During end diastolic measure LVLd and LVALd respectively the method of former one is similar to the generic B mode distance measurement method and the second one the generic B mode ellipse area measurement method The system calculates and displays EDV SV and EF Dual plane ellipse Bullet and Modified SIMPSON The operations in these methods are similar to those in the single plane ellipse method Please refer to the corresponding B mode generic measure method for details and you can use the prompt instruction to help you CO calculation is as below Measurement and input items Measure LV Key in HR To calculate CO In the B cardiac measurement menu roll the trackball to highlight Input select the secondary menu Heart Rate and press Set to display a HR input dialog box as shown below 98 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual HR input BPM 2 Inputa suitable value in the HR box 3 Roll the trackball to highlight OK and press Set After measuring LV CO are displayed in Measured Results MVCF calculation is as below Measurement and input items Measure LV Key in LVET To calculate MVCF 1 Move the cursor to Input select the secondary menu LVET and press Set to display an ET input entering dialog box as shown below ET TE GER 2 Inputa suitable value in the LVET box 3 Roll the trackball to highlig
95. me is displayed in Measured Results Press Measure to finish and exit zl DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Dist11 Dist12 Angle1 Dist21 Dist22 Angle2 Figure 6 12 Angle measurement Others Roll the trackball to highlight Others to select the desired measurements and calculations 6 6 2 M mode Generic Measurements M mode measurement and calculation include distance time slope and heart rate 2 cycles These are for B M and M Display Mode Only The default measurement of B M and M mode is heart rate measurement M mode measurement menus are as shown below u MEAS Distance Time Slope Heart Rate Others Figure 6 13 M Mode Generic Measurement and Calculation Menu Distance To measure distance 1 Press Measure to activate a measurement cursor 2 Roll the trackball to highlight Distance and press Set 3 Roll the trackball and press Set to anchor the start point and a big is displayed Roll the trackball and press Set to anchor the end point 5 Roll the trackball and press Set to begin a new distance measurement You can measure a maximum of four groups of data The outcome is displayed in 2605 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Measured Results as shown below 6 Press Measure to finish and exit Figure 6 14 Distance Measurement and the Results Time To measure time 1 Press Measure to activate a measurement cur
96. n Angle 60 alm 7 mm 2 13 mk 7 0 0 Output beam 0 65 EP RENI APR G o ke 00000 96 00 Acoustic output Yes LE d a ml Note APF Acoustic power up fraction AIF Acoustic initialization fraction 135 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual A4 Transducer Power Values Measurement uncertainties Measurement uncertainty for ultrasonic power 26 6 Measurement uncertainty for pressure 13 7 Measurement uncertainty for intensities 26 6 Measurement uncertainty for central frequency 2 Derated and water value intensities All intensity parameters are measured in water Since water does not absorb acoustic energy these water measurements represent a worst case value Biological tissue does absorb acoustic energy The true value of the intensity at any point depends on the amount type of tissue and the frequency of the ultrasound passing through the tissue The intensity value in the tissue has been estimated by using the following formula Since this value is not the true In Situ intensity the term derated is used to qualify it Derated Water e Where Water Water intensity value e 2 1783 z skinline to measurement depth in cm fc center frequency of the transducer of the transducer system mode combination in MHz 136 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Transducer type C361 1 Operating mode B Mode W
97. nd the Results 3 Axis LWH method V 1 60 x Lx W x H L the length W the width H the height Three axis LWH method can be used to perform volume measurement by calculating 3 sets of distance data L W and H Measure the three data in the method of B mode generic distance measurement and then the value of volume will be displayed automatically To measure volume In the B mode 1 Obtain a cross section image and freeze the system 2 Measure the length and the width 3 Unfreeze the system to acquire a new image vertical section image and then freeze it M S Ratio DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 4 Measure the height You can measure a maximum of one group of data The outcome will be displayed in Measured Results In the 2B mode or 4B mode 1 Obtain the cross section image and the vertical section image 2 Measure the length and the width 3 Roll the trackball to the next image vertical section image measure the height The outcome will be displayed in Measured Results as shown below 4 Press Measure to finish and exit Figure 6 8 3 Axis LWH Volume Method and the Results To determine the ratio take two measurements A and B The system calculates the ratio A B or B A To measure ratio 1 Press Measure to activate measurement function 2 Roll the trackball to highlight menu Ratio and press Set to activate a measurement cursor on the screen 3 Measu
98. ndicates that the device complies with the European Council Directive 93 42 EEC concerning medical devices DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual L Alternating Current a c Ld OFF AC power supply o Npos esueotentai 22 Foots witch To identify a foot switch or the connection for a foot switch Protective earth ground Recording on an information carrier s EDAN Wem GEM USB Universal Serial Bus Connection Variability for rotating movement 28 Rotate clockwise to increase the value and counterclockwise to decrease the value Variabilit Adjust right to increase the value and left to decrease the value 1 7 Electrical Safety Classifications According to the type of protection against electric shock Equipment without internal power source Class I equipment According to the degree of protection against electric shock Type B According to the degree of protection against harmful ingress of liquid IPXO general equipment But the probe can protect against splashing water IPX4 According to the degree of safety of application in the presence of a flammable gas ss DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Equipment not suitable for use in the presence of a flammable gas According to the mode of operation Continuous operation According to the grade of EMC Group I Class A 1 8 Standards Compliance The DU
99. neral de 16 04 OF 1 I E i i a 5 a L i e i a 1 1 24 im m MT EN D 0mm Cine Review i Play Stop FPE 23 12 Gray Map Print Report 23 22 21 13 20 L N 19 1 E 14 Abdominal a a POM 2H i 18 17 16 15 Figure 5 1 Typical Image Screen LM DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Manufacturer logo Hospital name Patient name Patient ID Type of current probe G AP IP FR Transmitting frequency TSI THI The freeze symbol Time and date Menu window Measured Results window Depth of current image The USB connecting symbol Operation prompt instruction window The cine review symbol Examination type Body mark Probe symbol Focus Current Focus Position and Number Gray bar Image window Probe direction 25 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 5 4 Control Panel Power Indicator Joco odene DD GGG Ge E 9 t TGC Buttons 99 2 8 8 8 6 0 260 CJ alt WOOD me zx n mmg BB m DE I TN Figure 5 2 Control Panel Schematic Diagram Trackball 5 4 1 Trackball The trackball 1s easy and convenient to operate It can achieve the following functions Move the measurement cursor during measurement Move to select menu items in menu based operations Move the comment cursor in the comment status Mo
100. ng environment Temperature 5 C 40 C Relative humidity range 25 RH 80 RH Atmospheric pressure range 860 hPa 1060 hPa Maximum altitude 3 Km Storage and transportation environment Temperature 40 C 55 C Relative humidity range 25 RH 93 RH Atmospheric pressure range 700 hPa 1060 hPa Maximum altitude 3 Km 1 5 2 Biohazard Considerations NWARNING DH for the shortest period of time and at the lowest mechanical and thermal indices necessary to produce clinically acceptable images According to the ALARA As Low As Reasonably Achievable principles acoustic output should be set to the lowest level required to satisfactorily perform the examination Long time exposure should be avoided For the parameters of sound This device is not suitable for intracardiac use or direct cardiac contact For neonatal head imaging EDAN recommends that you exercise special care during neonatal cephalic scanning to avoid possible damage to the posterior region of the eye The ultrasound energy emitted by the transducer easily penetrates the fontanels of the infant EDAN makes every effort to manufacture safe and effective transducers You must take all necessary precautions to eliminate the possibility of exposing patients operators or third parties to hazardous or infectious materials These precautions should be considered in the use of any application that may indicate the need for such care and during en
101. nt value and calculation result During measurement you can press Change to change the start point and the end point Roll the trackball and press Set to complete the measurement You can measure a maximum of one group of data The outcome is displayed in Measured Results Press Measure to finish and exit 60 Angle DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Figure 6 11 Area Stenosis Measurement and the Results To determine an angle draw two lines A and B The system calculates the angle To measure angle l 2 Press Measure to activate measurement function Roll the trackball to highlight menu Angle and then press Set to activate a measurement cursor on the screen Draw the first line A with the distance measurement method Draw the second line B move the cursor and press Set to anchor start point and the mark appears Move the cursor with trackball Measurement Results displays the real time measurement value and calculation result During measurement you can press Change to change the start point and the end point if you press Change again the system interchanges line A and line B Roll the trackball and press Set to complete this measurement Roll the trackball and press Set to again begin a new angle measurement You can measure a maximum of four groups of data The angles formed by the two lines are displayed in Measured Results in units of degrees The outco
102. o Close and press Set to exit fetal growth analysis hi Rempen Ez a iz Menztrual Hae leekz Figure 7 2 Fetal Growth Curve 7 6 2 Obstetric Report After obstetric examination the system generates an obstetrical diagnosis worksheet automatically 80 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 1 In the obstetric menu roll the trackball to highlight Results and the system displays the secondary menu automatically 2 Select OB Worksheet and press Set to open dialog box Obstetric Worksheet The worksheet has three tabs OB data OB 1 and OB 2 as shown below Obstetric worksheet ad Figure 7 3 Obstetric Worksheet The diagnosis editing column displays the cursor T and you can enter diagnosis information NOTE 1 The system displays the completed measurements and calculations The uncompleted measurements and calculations are not displayed 2 You can check the measured items by opening the obstetric worksheet dialog box whenever you want during measurement or after that Then press OK or Cancel to close the dialog box and continue to measure Print the report 81 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Lii Printing reference _ Chapter 5 8 Printing Obstetrical ultrasound report Obstetrical Ultrasound Report Hospital Name ID Age SN I SN 2 Ref MD Measurement and Calculation Data Grow Parameter GA EDC GS mm CR
103. o the measurement of GS 7 4 EDC Calculation 7 4 1 EDC Calculation by LMP To calculate EDC according to LMP 1 In the obstetric menu roll the trackball to highlight the menu Input and the system displays the secondary menu automatically as shown below 2 Select LMP and press Set and the LMP input dialog box is displayed on the screen date input 3 Select OK and press Set to do the calculation automatically or select Cancel to give up the ar e DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual calculation 7 4 2 EDC Calculation by BBT To calculate EDC according to BBT 1 In the obstetric menu roll the trackball to highlight the menu Input and the system displays the secondary menu automatically 2 Select BBT in the list of input items and press Set and the BBT input dialog box is displayed on the screen 3 Select OK and press Set to do the calculation automatically or select Cancel to give up the calculation NOTE In EDC calculation make sure that the system date is correct The default standard pregnancy period in the system is 40 weeks In the LMP method measuring if the interval between the input date and the current system date exceeds 40 weeks the system will not accept the input date In the BBT method measuring if the interval between the input date and the current system date exceeds 266 days the system will not accept the input date 7 5 EFW Calculation This
104. of wiring Ultrasound machines also generate EMI The DUS 3 complies with limits as stated on the EMC label However there is no guarantee that interference will not occur in a particular installation Possible EMI sources should be identified before the unit 1s 1nstalled Electrical and electronic equipment may produce EMI unintentionally due to one of the following defects High frequency electrotome Transformer Defibrillator Wireless LAN equipment Medical lasers 9 99 99 Scanners DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Cauterizing guns Computers Monitors Fans Gel warmers Microwave ovens Light dimmers 99 999 99 Portable phones The presence of a broadcast station or broadcast van may also cause interference If you find strong interference shows on the screen please check the sources 1 6 Labeling Symbols Descriptions of symbols of the device are shown as below Table 1 1 Descriptions of Symbols Ex Symbol m mem 000 Epe pe 2 a pnan 0 It indicates that the equipment should be sent to special agencies according K to local regulations for separate collection after its useful life and that this equipment is put on the market after 13 August 2005 Te General symbol for recovery recyclable T Federal U S law restricts this device to sale by or on the order of a Rx physician Authorized Representative in the European Community The symbol i
105. orking frequency 3 5MHz Acoustic Output MI IsPTA 3 mW cm2 IsPPA 3 W cm Global Maximum Value 109 7 Associated Sm dimensions Acoustic cii EDS Ele cm Operating AP 15 Control Focus 40mm Depth 40mm Angle 30 Conditions Transducer type C341 Operating mode B Mode Working frequency 3 5MHz Acoustic Output IsPTA 3 mW cm 1 5 IsPPA 3 Wicm2 zo o oma 34 34 d 4682 Operating AP 15 Control Focus 40mm Depth 40mm Angle 45 Conditions 137 4082 4682 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Transducer type C321 1 Operating mode B Mode Working frequency 3 5MHz Acoustic Output MI IsPTA 3 IsPPA 3 mW cm W cm d 0 45 4682 Operating AP 15 Control Focus 40mm Depth 40mm Angle 45 Conditions Transducer type E611 1 Operating mode B Mode Working frequency 6 5MHz Acoustic Output IsPTA 3 IsPPA 3 mW cm2 W cm zo EH 08 Operating AP 15 Control Focus 40mm Depth 40mm Conditions Angle 60 138 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Transducer type L741 Operating mode B Mode Working frequency 6 0MHz Acoustic Output MI IsPTA 3 IsPPA 3 mW cm2 Wicm2 Global Maximum Value 12 99 99 68 iv Associated Beam dimensions Acoustic cii Ele cm 0 6 Operating AP 15 Control Focus 30mm Depth 30mm
106. played in Measured Results To measure R THY V The method is similar to the L THY V measurement method 10 2 Small Parts Report After the small parts examination the system generates a THY worksheet Roll the trackball to highlight THY Worksheet and press Set to display Small Parts Worksheet dialog box as shown below Small Parts worksheet Figure 10 2 Small Parts Worksheet The diagnosis editing column displays the cursor T and you can enter diagnosis information Print the report Lii Printing reference Chapter 5 8 Printing IIl DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Thyroid ultrasound report Thyroid Ultrasound Report Hospital Name ID Age SN I Thyroid Left side Right side L THY L R THY L L THY W R THY W L THY H R THY H L THY V R THY V Ultrasonic image Diagnosis signature Seal Date 10 3 Others If you want to begin other measurements you can switch through the menu by pressing Others B MEAS B OB MEAS B OB MEAS 2 B GYN MEAS B ORTHO MEAS B CARDIAC MEAS B UROL MEAS 112 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 11 Urology Measurement and Calculation The abbreviations used in this manual are as shown below RUV Residual urine volume PV prostate volume 11 1 Measurement and Calculation The urology examination is usually in the B mode 1 Press Exam and select Urolo
107. point 5 Roll the trackball and press Set to begin a new distance measurement You can measure a maximum of four groups of data The outcome is displayed in Measured Results as shown below 6 Press Measure to finish and exit Figure 6 4 Distance Measurement and the Results Circumference Area Ellipse Method To measure Circumference Area 1 Press Measure to activate measurement function 2 Roll the trackball to highlight menu Cir Area Then select Ellipse and press Set to activate a measurement cursor on the screen 3 Roll the trackball and press Set to anchor the start point of fixed 54 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual axis of ellipse 4 Roll the trackball and press Set to anchor the end point of fixed axis of ellipse 5 Roll the trackball and press Set to define the size of the ellipse 6 Roll the trackball and press Set to begin a new circumference area measurement You can measure a maximum of four groups of data The outcome is displayed in Measured Results as shown below 7 Press Measure to finish and exit Ellipse1 LAxis SAis Circ Area Figure 6 5 Ellipse Circumference Area Method and the Results Trace Method To measure Circumference Area l 2 Press Measure to activate measurement function Roll the trackball to highlight menu Cir Area Then select Trace and press Set to activate a measurement cursor on the screen Roll the
108. print image in report Set freely Set freely Set freely USB Disk Fixed 4 Null Set freely 1 10 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Allows you to Set hospital name displayed on the top left of the screen and diagnosis report with a maximum of 32 characters Preset the examination type Set the overlay language Set video mode Set the snap shot type Turn on or off the keyboard sound Select the printer type Select whether to print image in report when printing by USB printer YYYYIMM DD MM DD YYY or DD MM YYYY Set the system date Set the system time format H M S Set the snap shot device oelect whether the device enters sleep mode when no operation is done for certain minutes oet the system waiting time to enter sleep mode 5 60 min Set the grade of glint speed of system dormancy You must restart the system to validate the change including Language Video Mode Keyboard Sound and Report Printer After you perform those presets and press Return the system pops up a dialog box to prompt you whether to restart the system as shown below SA DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 5 7 4 Presetting Exam Examination types include abdomen obstetric small parts gynecology orthopedics cardiology and urology Take obstetric examination preset for example in the preset menu move the cursor to highlight Obstetric and press Set to
109. probe has a watertight structure IPX4 The following figure defines how much of the transducer can be submerged 122 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual gt 5mm Disinfectant C361 1 C341 L741 E741 E611 1 C321 1 Figure 13 3 Depth of the Probe Immerged into Disinfectant Proper Use of Probes In order to extend the service life and to obtain optimum performance of the probe please operate as follows 1 Inspect power cord socket and acoustical window of the probe periodically 2 Shut down the machine before connecting or disconnecting the probe 3 DO NOT drop the probe onto the floor or collide with hard objects Otherwise it will be damaged easily 4 When the probe is not used put it in the probe holder 5 Heating the probe is strictly forbidden 6 Pulling or bending the power cord of the probe is strictly forbidden otherwise internal connecting lines of the power cord may rupture 7 Coupling gel can only be used on the head of the probe and it should be wiped off after use 8 Each time after use clean and disinfect the probe 9 The acoustical window and the shell of the probe should be examined frequently NWARNING The DUS 3 cannot be used together with high frequency surgical equipment 123 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual V CAUTION 1 DO NOT disinfect or clean probes under high temperature and the temperatu
110. re should be below 45 C 2 n order to avoid damaging the device the disinfection method is limited to regular maintenance of devices in hospitals Disinfecting instruments should be cleaned first 13 3 3 Needle Guide Cleaning and Disinfecting NOTE Use proper disinfection techniques at all times to perform a biopsy Disinfect the needle guide before the first use and after each subsequent use Cleaning You should preclean a Needle Guide before disinfecting To clean a Needle Guide use a brush or cloth that has been damped with soap and water or with a specialized soap and precleaner Disinfecting Always disinfect the Needle Guide after use 13 3 4 Trackball Cleaning To clean the trackball 1 Remove the front panel bezel 2 Remove the trackball 3 Clean trackball with a tissue and isopropyl alcohol 4 Clean the inside of the trackball assembly with a cotton swab and isopropyl alcohol NOTE Make sure to clean the X and Y encoders and the idler wheel 5 Assemble the trackball and front panel bezel till the assembly parts completely dry V CAUTION DO NOT drop or place foreign objects inside the trackball assembly or it may affect the trackball operation and damage the system 13 3 5 Disinfectants Probe 75 medical alcohol Cidex 2 4 Cidex OPA 0 55 Needle guide 75 medical alcohol Cidex 2 4 124 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual NWARNING Be sa
111. re the first distance A with the distance measurement method 4 Measure the second distance B move the cursor and press Set to anchor start point and the mark appears Move the cursor with trackball Measurement Results displays the real time measurement value and calculation result 5 During measurement you can press Change once to change the settled point and the active point if you press Change a second time the system interchanges the numerator and denominator 6 Roll the trackball and press Set to complete the measurement and the calculation result is displayed in Measured Results 7 Roll the trackball and press Set to begin a new ratio measurement 58 Stenosis DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 8 You can measure a maximum of four groups of data The outcome is displayed in Measured Results Press Measure to finish and exit Dist11 Dist12 Ratio1 Figure 6 9 Ratio Measurement and the Results Distance stenosis To determine the distance stenosis take two distance measurements A and B The system calculates the stenosis A B A 100 To measure distance stenosis E 2 Press Measure to activate measurement function Roll the trackball to highlight menu Stenosis and select Distance and then press Set to activate a measurement cursor on the screen Measure the first distance with the distance measurement method Measure the second distance mo
112. s Specifications Standard Optional Probe Probe L43 7 5MHz High frequency R20 3 5MHz R60 3 5MHz R10 6 5MHz R40 3 5MHz linear array Micro convex array Endocavity convex array transducer convex array transducer transducer transducer Endorectal transducer transducer C361 1 L741 E741 C321 1 E611 1 C341 Central frequency 3 5 MHz 7 5 MHz 3 5 MHz 6 5 MHz 3 5 MHz Length of b ength of probe 2200 50 mm cable x35 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 2 3 Configuration 2 3 1 Standard Configuration DUS 3 main unit 1 convex array transducer C361 1 2 5 3 5 5 0M Hz 1 power cord European Standard 1 earth wire 1 probe holder 2 pieces of fuse 95x20 T1 6AL 250V 1 bottle of coupling gel 250mL user manual 9 9 9 99 9 99 2 packing list 2 3 2 Options The Digital Ultrasonic Diagnostic Imaging System supports the following options 1 Transducers Convex array transducer C341 2 5 3 5 5 0M Hz Linear array transducer L741 6 0 8 0 10 0M Hz Endorecta transducer E741 6 0 8 0 10 0MHz Endocavity transducer E611 1 5 0 6 5 8 0MHz Micro convex array transducer C321 1 2 5 3 5 5 0M Hz 2 Others Ultrasonic Imaging Management System software specifications Operating system support WINDOWS 2000 WINDOWS XP and WINDOWS VISTA software function image gathering storage and playback patient data management worksheet editing and printing
113. se Revised the symbols Revised the Configuration Revised the Life Period Revised the Cleaning and Disinfecting information Revised the Measurement Accuracy Added the 3 Aixs LWH method inputting focus DICOM function file browsing file sending and transducer power values Revised the preface and contact information the range of parameters and the Cleaning and Disinfecting information Add the silica gel pads I Table of Contents Chapter icis 1 Meise INCI CG E E hone Steerer enectne sc aceat anc E E E EE Anau MS l IPM doni araar n word AA R ie ee we E AE E E l k aaa Modea TE l 3 E EEE TC AU OM R EE A E A A E E AEE A nae 2 5 General Satety Precaution Informatio eoe t er QR n PER REI T meee dows 2 5T Genetal IEEOFIB LOT ecce S optat HN en eee sonam unt Reds 2 1 5 2 Diohbazand Consideran ODS cap Eph p Er tease pa ems 3 1 525 Blectrical Sdlety esso aoc n tata nat tese dame Ele e Ces LN eae aoe 4 E6 Lapeno iuniore ssc ssn clue cat M 6 1 7 Elgctrical Satety Classifications usos ettam boe m nd iens tta imas sed nn atii uM 7 155 Standards Compan CC ases ubopeutisud sace dorados treat asco sott a aA ats 8 Chapter 2 System Ov Crview a2 rer eol eee i A 9 PS im SUCUS RET UTI UNDER 9 2 1 LE POMEL PAM ecd coe tht thee el Ree ta tte emen E aede 9 2 1 2 eat Dale losen doo DINEM EUM 10 2 1 5 Ripht View Dual Probe SOCK CUS ed a U
114. sor Roll the trackball to highlight Time and press Set Roll the trackball to move the first measurement cursor at the beginning of the E od time interval and then press Set and the measurement mark turns to a vertical line 4 Roll the trackball to move the first measurement cursor at the end of the time interval and then and press Set 5 Roll the trackball and press Set to begin a new time measurement You can measure a maximum of four groups of data The outcome is displayed in Measured Results shown as below 6 Press Measure to finish and exit Figure 6 15 Time Measurement l Se To measure slope Press Measure to activate a measurement cursor Roll the trackball to highlight Slope and press Set and a big is displayed Roll the trackball and press Set to anchor the start point and displays a big Roll the trackball and press Set to anchor the end point eee Roll the trackball and press Set to begin a new slope measurement You can measure a maximum of four groups of data The outcome is displayed in Measured Results as shown below 6 Press Measure to finish and exit 2635 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Heart Rate Figure 6 16 Slope Measurement and the Results To measure heart rate l pa In the B M mode roll the trackball to change the position of the M Mark and press Set to obtain a satisfying electrocardiogram and then freez
115. splay Control Press it once to enter B M mode the B mode and M mode images are displayed on the screen at the same time Abbreviated as B M or B MD The left image is a real time image of B mode while the right image is a real time image of M mode There is a line constituted by points with regular spacing on B mode image which 1s called the M Mark Roll the trackball to move the M Mark Press Set to locate the M Mark mode has four levels 3 6 15 and 25 seconds Press to cycle among the B M mode or the M mode Press a second time to enter the M mode It displays an M mode sweep The slope of this 5 4 7 Additional Control Functions The DUS 3 also provides the following additional control functions which are available through status menus NR DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Table 5 3 Additional Control Functions Angle sector angle Adjusts the sector angle for curve transducers and the scan width for linear scan width transducers Adjusts the focus number Adjusts the acoustic power Selects the scan mode High density or High FPS frame rate in frames per Scan Mode rondi Dynamic Range Controls the overall contrast resolution of B mode and M mode images Improves the contour enhancement of the image for distinguishing the Edge Enhance edges of a structure in B mode These functions can be set using Set and Back 5 5 Menu Menus are displayed on the right of the screen
116. splays the secondary menu Ellipse and Trace B MEAS Distance Cir Area Volume Ellipse Trace Ratio On Stenosis Angle Print Report Others File menu File Menu Snapshot Save Cine save As Open File Manager FileType BIP Storage USB Disk Preset Figure 5 9 File Menu Figure 5 8 Secondary Menu Needle guide menu Needle Guide Guide Line Display Position Angle Verify Load Factory Bracket Sel Return Figure 5 10 Needle Guide Menu 5 6 Dialog Box Operation The dialog box may have a few tabs as shown below You can select one tab at a time with trackball and Set Also you can modify the parameter following the prompt instruction and then highlight OK and press Set to save the modified parameters and close the dialog box or highlight Cancel to give up the modification and close the dialog box directly B DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Ob Exam Preset cn eo E Hi Density General General 0 v 1 vl Hi Density 3 v 0 v a Figure 5 11 Obstetric Examination Preset Dialog Box 5 7 Presetting 5 7 1 Entering and Exiting Enter presetting 1 Press File highlight Preset and then press Set to display the preset menu as shown below Figure 5 12 Preset Menu the left with no DICOM installed and the right with DICOM installed 2 Roll the trackball to highlight one of the options and then press
117. stricts this device to sale by or on the order of a physician L CAUTION The p nierfaces in th e CAUTION The pictures and interfaces in this manual are for reference only The reliability of the device and the safety of operators and patients are considered during product design and production The following safety and preventive measures should be carried out 1 The device should be operated by qualified operators or under their instructions 2 DO NOT alter parameters of the device at will If it is necessary please consult EDAN or authorized representatives for service 3 The device has already been adjusted to its optimum performance DO NOT adjust any pre set control or switch unless it is listed in the manual 4 Ifthe device breaks down please shut down the machine immediately and contact EDAN or authorized representatives 5 Only accessories supplied or recommended by EDAN can be used Otherwise the performance and electric shock protection can not be guaranteed If electrical or mechanical equipment from other companies need to be connected to the device please contact EDAN or authorized representatives before connection 6 EXPLOSION HAZARD Equipment is not suitable for use in the presence of a flammable ET e DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual anesthetic mixture with air or with oxygen or nitrous oxide Operating storage and transportation environment of the device Operati
118. supply input lines IEC 61000 4 11 6 kV contact 8 kV air 2 kV for power supply lines 1 kV differential mode 2 kV common mode lt 5 UT gt 95 dip in UT for 0 5 cycle 40 UT 60 dip in UT for 5 cycles 70 UT 80 dip in UT for 25 cycles lt 5 UT gt 95 dip in UT for 5 sec 6 kV contact 8 kV air 2KV for power supply lines 1 kV differential mode 2 kV common mode lt 5 UT gt 95 dip in UT for 0 5 cycle 40 UT 60 dip in UT for 5 cycles 70 UT 80 dip in UT for 25 cycles lt 5 UT gt 95 dip in UT for 5 sec Electromagnetic environment guidance Floors should be wood concrete or ceramic tile If floor are covered with synthetic material the relative humidity should be at least 30 Mains power quality should be that of a typical commercial or hospital environment Mains power quality should be that of a typical commercial or hospital environment Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment Mains power quality should be that of a typical commercial or hospital environment If the user of the DUS 3 requires continued operation during power mains interruptions it is recommended that the DUS 3 be powered from an uninterruptible power supply or a battery NOTE UT is the a c mains voltage prior to application of the test level 145 DUS 3 Digital Ul
119. t dynamic range for the examination in decibels Dynamic Range 30 90 dB dB During imaging the dynamic range can be adjusted in 4 dB increments to the image Select the default amount of edge enhancement to be applied to Edge Enhancement 0 7 the image omooth 0 7 Set image smoothing Frame Persist 0 7 Set image frame correlation Line Average 0 7 Set image line softening attribute AGC 0 3 oet Automatic Gain Control Rejection 0 7 Set image noise restrain attribute 5 7 5 Presetting Formula In the preset menu move the cursor to highlight Formula and press Set to display formula presetting dialog box shown as below 43 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Formula Preset Rempen kd Hadlock Hadlock 7 Hadlack4 Osaka El Hansmann 7 Figure 5 16 Formula Presetting Table 5 7 Formula Presetting Information Parameter GS BPD AC HC FTA THD References Tokyo Hellman Rempen China Tokyo Hadlock Merz Rempen Osaka China Hadlock Merz Hadlock Merz Osaka Hansmann 44 Parameter CRL EFW FL HUM CER BSA Hadlack Hadlack Hadlack Goldstein Jeanty Occidental References Tokyo Hadlock Hansmann China Robinson Tokyo Hadlock1 Hadlock2 Hadlock3 Hadlock4 Shepard Campbell Merz1 Merz2 Hansmann Osaka Tokyo Hadlock China Jeanty Merz Osaka Jeanty Goldstein Oriental Occidental DUS 3 Digital Ultrasonic Diagnostic Imaging
120. th terminal Equipotential Bonding Equipotential bonding conductor Equipotential terminal Other device Figure 4 5 Equipotential Bonding Equipotential terminal Any use of other devices with the system is at the user s risk and may void the system warranty In order to fulfill IEC EN 60601 1 1 requirements connections of peripheral equipment to the DUS 3 must adhere to one of the following conditions The peripheral equipment itself is a medical device approved according to IEC EN 60601 1 Non medical peripheral equipment approved according to any other EN or IEC standard must use the following setup for connection Connect the DUS 3 to an independent protective earth terminal with an earth wire connection to the ultrasound system s Equipotential Connector Ensure that the protective earth wire is connected to a qualified protective earth connection independent of the existing system s earth connection via the power cable 2 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual The peripheral equipment is located at least 1 5 meters 1 8 meters in Canada and the U S A outside the patient environment A patient environment is defined as the area in which medical examination monitoring or treatment of the patient takes place The peripheral equipment is connected to a main outlet outside the patient environment but still within the same room as the ultrasound system warnincA 1 Eq
121. thod to measure FTA Se dw Use the distance measurement method to measure FL and the result of EFW is displayed in Measured Results 7 6 Results Obstetric results include Growth Curve and OB Worksheet 7 6 1 Growth Curve You can define the fetus growth by comparing the measured parameter value with the fetus growth curve 2795 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Operation procedure 1 Measure one or more fetus growth parameter GS CRL BPD FL AC HC APAD TAD CER FTA HUM OFD or THD 2 Enter LMP or BBT 3 In the obstetric menu roll the trackball to highlight menu Results and the secondary menu is displayed Then select Growth Curve and press Set and the Fetus Growth Analysis dialog box 1s displayed in the middle of the screen 4 The default tab 1s GS and the corresponding formula of the current growth curve Move the cursor to another formula and press Set to display the normal growth curve based on the selected formula which can define how the fetus grows 5 Move the cursor to another tab and press Set to display the growth curve of another measurement item and the phase of the growth corresponding to the measured data Take Rempen formula to GS for example the signification of the growth curve is as shown below and the x coordinate shows the phase of the growth corresponding to the entered LMP or BBT and the y coordinate shows the measured GS data Move the cursor t
122. tion and it lasts a long time 2 The device displays abnormally 3 The device can not execute an operation L3 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 5 2 Examining Apply an appropriate amount of coupling gel medical ultrasound coupling agent to the body area to be examined and then contact the area with the acoustic window of the probe firmly A cross sectional image of tissues is displayed on the screen Adjust the brightness contrast gain TGC acoustic output dynamic range and focus combination properly Adjusting the monitor s contrast and brightness is one of the most important factors for proper image quality If theses controls are set incorrectly the gain TGC dynamic range focus combination and even acoustic output may have to be changed more often than necessary to compensate Meanwhile properly move the probe to obtain an optimal image of the target area Or if necessary adjust sweeping speed to get satisfying images in the M mode V CAUTION 1 Please be gentle when contacting the target area with a probe This is to avoid making the probe damaged or the patient disturbed 2 Please choose a proper probe for the target area with an appropriate frequency to begin the diagnostic operation 3 Adjust the total gain Gain knob slowly 5 3 Screen Layout 1 2 3 4 5 6 7 8 9 10 11 Shenzhen Renmin Hospital Da FE FIP S NN EE wl 2008 Op 1 DAN MAITIE ID Ca6i 1 2 5M General Ge
123. trackball and press Set to anchor the start point Roll the trackball to outline the region of interest As you move the trackball the system displays dots to outline the structure To correct an error in the trace press Back to move in reverse along the traced outline Roll the trackball to move forward again The system automatically closes the loop when the last measurement marker is moved very near to the start point Or press Set to close the loop The system draws a line from the position of the active measurement marker to the beginning of the loop Roll the trackball and press Set to begin a new circumference area 55 Volume DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual measurement You can measure a maximum of four groups of data The outcome is displayed in Measured Results as shown below 6 Press Measure to finish and exit Trace1 Circ Area Figure 6 6 Trace Circumference Area Method and the Results 2 Axis volume method V 1 6 X AX B A the length of major axis B the length of minor axis Two axis volume method can be used to perform volume measurement by calculating only 1 set of measured data Operating Method The two axis volume method is similar to the generic B mode Cir Area measurement ellipse method You can measure a maximum of four groups of data 3 Axis method V 1 6 X AX BX M A the length of major axis B the length of minor axis M the length
124. trasonic Diagnostic Imaging System User Manual Guidance and manufacture s declaration electromagnetic immunity for EQUIPMENT and SYSTEMS that are not LIFE SUPPORTING Guidance and manufacture s declaration electromagnetic immunity The DUS 3 is intended for use in the electromagnetic environment specified below The customer or the user of DUS 3 should assure that it is used in such an environment Compliance Immunity test IEC 60601 test level T Electromagnetic environment guidance Portable and mobile RF communications equipment should be used no closer to any part of the DUS 3 including cables than the recommended separation distance calculated from the equation applicable to the frequency Conducted RF 3 Vrms of the transmitter IEC 61000 4 6 150 kHz to 80 MHz Recommended separation distance is 32 Ne Radiated RF 3 V m r 35 2n IEC 61000 4 3 80 MHz to 2 5 GHz qu Z to Z 1 1 WP 800 MHz to 2 5 GHz Where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in metres m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol I NOTE 1 At 80 MHz and 800 MHz the higher frequency range appli
125. trics Textbook and Atlas 312 326 336 Hansmann M Hackel er B J Staudach A Ultraschalldiagostik in Geburtshilfe und Gynakologie 1995 Campbell S Wilkin D Ultrasonic Measurement if Fetal Abdomen Circumference in the 141 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Estimation of Fetal Weight Br J Obstetrics and Gynecology September 82 9 689 697 1975 Hadlock F Harrist R et al Estimation of fetal weight with the use of head body and femur measurement a prospective study American Journal of Obstetrics and Gynecology February 1 151 3 333 337 1985 Shepard M Richards V Berkowitz R Warsof S Hobbins J An Evallluation of Two Equations for Predicting Fetal Weight by Ultrasound American Journa of f Obstetrics and Gynecology January 142 1 47 54 1982 Fetal Growth Chart Using the Ultrasonotomographic Technique Keiichi Kurachi Mineo Aoki Department of Obstetrics and Gynecology Osaka University Medical School Revision 3 September 1983 Studies on Fetal Growth and Functional Developments Takashi Okai Department of Obstetrics and Gynecology Faculty of Medicine University of Tokyo 142 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Appendix C Measurement Accuracy Parameter Range Accuracy Image depth range R60 40mm 240mm L43 30mm 100mm R10 40mm 100mm R20 40mm 240mm R40 40mm 240mm lt 4 of full scale M mode time r
126. uipotential bonding When the device is running with other instruments jointly consideration should be given to equipotentiality 2 Doctors and patients might be exposed to the hazardous and uncontrollable effects of compensating current caused by unbalanced equipotentiality between indoor medical device and touchable conducting parts The safest solution is to build a unified equipotential network to which the medical device is connected using an angular plug Printer Installation This system supports video printer and USB printer To install the video printer 1 Power off the main unit and the printer 2 Connect the VIDEO IN video input of the video printer with the VIDEO OUT video output of the main unit Reference 3 Connect the REMOTE of the video printer with the REMOTE of the 1 Figure 2 2 Rear main unit Panel Diagram 4 Power on the main unit and run the printer 2 Chapter 5 7 3 To install the USB printer j General 1 Power off the main unit and the printer Presetting 2 Connect the printer with the main unit by using a USB cable 3 Power on the main unit and run the printer If the printer can not work normally check the printer presetting NOTE If you want to use the multiple portable socket outlet to supply power to the whole DUS 3 system you are suggested to calculate the system power consumption when building a DUS 3 system so as to match the system power consumption with the power s
127. ure LVIDd The method 1s similar to generic M mode distance measurement LVIDd EDV SV EF and FS are displayed in Measured Results Enter HR l In the M cardiac measurement menu roll the trackball to highlight Input select the secondary menu Heart Rate and press Set to display a HR input dialog box as shown below 89 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual HR input BPI Input a suitable value in the HR box Roll the trackball to highlight OK and press Set and after measuring LV the result of CO is displayed in Measured Results Enter LVET In the M cardiac measurement menu roll the trackball to highlight Input select the secondary menu LVET and press Set to display an ET input dialog box as shown below ET input M58 Input a suitable value in the LVET box Roll the trackball to highlight OK and press Set Enter Height and Weight In the M cardiac measurement menu roll the trackball to highlight Input select the secondary menu Height amp Weight and press Set to display a Height and Weight entering dialog box as shown below Height and Weight cm kg 2 Input suitable values in the Height and Weight boxes 90 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 3 Roll the trackball to highlight OK and press Set The measurements and calculations of all the LV parameters are as below
128. ure function In real time B mode imaging highlight Needle Guide and then press Set Prompt information Needle guide line must be calibrated prior to each puncture is displayed on the screen Press Close and enter the puncture function and a needle guide menu is displayed shown as below Needle Guide Guide Line Display Position 44 0 BGK CR40 Angle 117 2 BGK CROU Verify BGK CR10 Load Factory BGK CR20 Bracket Sel BGK LA43 Return Bracket 6 Figure 6 26 Needle Guide Menu Oe DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual To exit puncture function Press Return of the needle guide menu to exit puncture function the needle guide menu 1s closed and the needle guide line in image disappears A WARNINGA DO NOT freeze the system when doing puncture NOTE There are no more than 3 needle guide lines for each puncture frame e lf image depth lt 8 cm the distance between the two nods of the needle guide line indicates 0 5 cm e lf image depth gt 8 cm the distance between the two nods of the needle guide line indicates 1 cm 6 9 1 To Select the Angle of Needle Guide Line If the puncture frame has several kind of angle you can highlight Guideline in the needle guide menu and press Set to make a choice and the system displays the angle 6 9 2 To Display or To Hide the Needle Guide Line Highlight Display in the needle guide menu and press Set repeatedly to display or to hide the needle guide lin
129. use spray cleaners on the system as this may force cleaning fluid into the system and damage electronic components It is also possible for the solvent fumes to build up and form flammable gases or damage internal components 3 DO NOT use any fluid onto the system surface as fluid seepage into the electrical circuitry may cause excessive leakage current or system failure 4 To ensure proper grounding and leakage current levels it is the policy of EDAN to have an authorized EDAN representative or an EDAN approved third party perform all on board connections of documentation and storage devices to the DUS 3 5 The device and accessories are to be disposed of according to local regulations after their useful lives Alternatively they can be returned to the dealer or the manufacturer for recycling or proper disposal NOTE Please use the standard power cord as the input line of the network power supply for the adapter to reduce risk Electromagnetic Compatibility EMC Operating the DUS 3 in close proximity to sources of strong electromagnetic fields such as radio transmitter stations or similar installations may lead to interference visible on the monitor screen However the device has been designed and tested to withstand such interference and will not be permanently damaged EMI Limitations Ultrasound machines are susceptible to Electromagnetic Interference EMI from radio frequencies magnetic fields and transients in the air
130. ustained by the Multiple portable socket outlet 299 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 5 System Control 5 1 Powering the Device To power on the device Before powering on this device check as below 1 Check all the cables and make sure there is no scrape or crack 2 Check the control panel and the monitor and make sure there is no crack 3 Check the probe and the connection and make sure there 1s no scrape or crack 4 Check the power socket and the switch and make sure there is no damage To power on l Connect one end of power cable at the rear panel of the device and the other end to the standard three pin power supply socket 2 Switch on and then the power indicating light on the panel 1s on and a startup interface appears To shut down the device After using it switch off power supply The power indicating light on the panel is off NOTE Please unplug the AC power cord from the power socket if the device is to remain idle for a long time CAUTION 1 You are forbidden to unplug or plug the power cord before switching off the system 2 Wait approximately five seconds between powering the system off and then on again This allows the system to complete its shutdown sequence To restart the device If there 1s any trouble described as below please switch off the device and then power on the device to restart 1 The device displays wrong informa
131. ut Model and SN on the probe To connect a transducer 1 Place the transducer s carrying case on a stable surface and open the case 2 Carefully remove the transducer and unwrap the probe cable 3 DO NOT allow the transducer head to hang free Impact to the transducer head could result in irreparable damage 4 Turn the connector locking handle to the OPEN position 5 Align the connector with the transducer port and carefully push into place 6 Turn the locking handle on the transducer connector clockwise to the LOCK position This ensures the connector in position and ensures the best possible contact 7 Place the transducer in the transducer holder 219 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual To disconnect a transducer 1 Turn the locking handle on the connector housing counterclockwise to the OPEN position 2 Firmly grasp the transducer connector and carefully remove it from the system port 3 Store each transducer in its protective carrying case Figure 4 2 Transducer Ports Figure 4 3 Locked and Unlocked Positions of the Probe Connectors NWARNING DO NOT touch the pin of probe connector L CAUTION DO NOT plug or pull out the connector when the device is activated This is to avoid uncontrollable damage to the probe and the main unit NOTE Once the probe is connected to the main unit please do not reinstall it frequently This is to avoid poor contact between the probe
132. ve the M Mark in the B M mode Realize single frame playback in the frame by frame playback status 9 9 9 99 Move the zoomed window 1n the zoom status NOTE 1 Please be gentle when running the trackball 2 Please keep the surface of trackball clean 5 4 2 0 9 Numeric Keys Numbers are used for calibrating time data settings age notation and comment adding etc 5 4 3 Alphabetic Keys The system supports some language specific characters through the use of SHIFT with a combination of keys on the keyboard Press any of these keys in the annotation mode and comment mode to display the corresponding character on the cursor position Table 5 1 German and French Characters 26 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual German Characters French Characters Symbol Key Combination Symbol Key Combination SHIFT A SHIFT Z SHIFT S SHIFT X SHIFT D SHIFT C e suierv SHIFT SHIFT a sure 5 4 4 Function Controls Table 5 2 Function Controls Space key Press this key in the annotation mode and comment mode to introduce a blank space on the cursor position Alphabetic key combination Press SHIFT and alphabetic key corresponding language s special character Alphabetic Shift key It is used to switch the characters between lowercase and uppercase Entering key In annotation mode and comment mode press this key to move the cursor to insert a blank line Delete k
133. ve the cursor and press Set to anchor start point and the mark appears Move the cursor with trackball Measurement Results displays the real time measurement value and calculation result During measurement you can press Change to change the start point and the end point if you press Change again the system interchanges the numerator and denominator Roll the trackball and press Set to complete the measurement and the calculation result is displayed in Measured Results Roll the trackball and press Set to begin a new stenosis measurement You can measure a maximum of four groups of data The outcome is displayed 1n Measured Results 59 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual 8 Press Measure to finish and exit Dist11 Dist12 DSR Figure 6 10 Distance Stenosis Measurement and the Results Area stenosis To determine the area stenosis take two area measurements A and B The system calculates the stenosis A B A 100 To measure area stenosis l 2 Press Measure to activate measurement function Roll the trackball to highlight menu Stenosis and select Area and then press Set to activate a measurement cursor on the screen Measure the first area with the ellipse method Measure the second area move the cursor and press Set to anchor start point and the mark appears Move the cursor with trackball Measurement Results displays the real time measureme
134. w Patient Key system cancels all the recent patient data comment measurement calculation and worksheet except saved images 6 3 Entering or Editing Patient Information Press Patient Info to activate the patient data annotation function and then enter or edit the patient data using keyboard Patient Data Input Dialog Femall4 Figure 6 2 Patient Data Input Dialog Box To switch the input focus press Enter To enter the patient information use the keyboard 5 DUS 3 Digital Ultrasonic Diagnostic Imaging System User Manual To exit focus on OK or Cancel and then press Enter or Set 6 4 Activating a Transducer While multiple transducers can be connected to the ultrasound system only one can be activated at a time Press Probe repeatedly to cycle through the transducers currently connected to the system The type of the activated transducer 1s displayed in the top right corner of the screen NWARNING For TRANSDUCER ASSEMBLIES intended for intra corporeal use e g E741 E611 1 DO NOT activate the transducers outside the patient s body NOTE You can use the preset menu to determine which transducer is activated for the corresponding examination type 6 5 Selecting an Imaging Mode You can select an imaging mode by pressing nnj BR a or cus and then begin an examination Lii Lii Reference Reference Chapter 5 4 6 Imaging functions Chapter 5 2 Examining 6 6 Measurement an

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