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1. 132 13 1 Measurements and Calculations in PW Mode wwwwenewwnannnanenenzanenewwwwwa 52 Ua 132 ISA WA AAA AA WAWA AWA NIO WAA AWA NIA WAA 133 Mie ic SA AE AA AA AAA AAA AAA AAA AAA AAA AAA 133 ELA N A AA AAA ESAU vein gs aig vacates gh oad nie II S 133 PLoS UPPER seriea ra ere me CoS a Cat Conner Tne Cr Te 134 Dae sg EOW AUAWA WAW AA AAA AAA AA O WAA 134 132 Vascular RA An 135 NI OUNCES WA aa 135 Chapter 14 Inspection and Maintenance ss 136 Pals NAN KA ua 136 t42 CAINS and DISECO Meini E E E E E O 136 14 21 System Surac CICA E neennka a a a a a edn Ghasiwaee esis 138 14 2 2 Probe and Probe Holder Cleaning and Disinfection 138 1423s Trackball Clanin eea a A E 140 ADA INCDIACING FUSES ainnir nE E a A A 141 ASe DI Ea S eee AEA meen ene Renee ere eee ee 142 PAD MAM AI AA 142 Chapter 15 TODO NA aa ede e a Se aE aoaaa ak Eat 143 elke ANG CAI merone so sees ress voto A AA gb ase O at 143 es Reema F190 10119 ic UA AA 143 Chapter 16 Warranty and Service Policy s 144 VI WO sg VV AR aa WAS AAA AAA AAA AWA E AT E A E EET 144 16 2 SENICE POC y neea a ES 144 Appendix Te Specific ia 146 AI l Electrical Safety CASSIM NO t aan A e EE E A S 146 AI Standards COMP Hane s errie eE EA Ee ATE i A 146
2. lt Body Surface Area Aortic root Diameter LAD Left Atrium Diameter EF SLP Ejection Fraction Slope aooo o o pees SS 216 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Glossary LUTA Left Uterus Aorta RUTA Right Uterus Aorta LOVA Left Ovary Aorta ROVA Right Ovary Aorta Small Parts L THY V Left Thyroid Gland Volume L THY L Left Thyroid Gland Length L THY W Left Thyroid Gland Width L THY H Left Thyroid Gland Height R THY V Right Thyroid Gland Volume R THY L Right Thyroid Gland Length R THY W R THY H Urology Right Thyroid Gland Width Right Thyroid Gland Height A C lt Residual Urine Volume mL or L RUV L RUV W RUV H Residual Urine Length Residual Urine Width Residual Urine Height lt Prostate Volume mm3 cm3 or dm3 PV L PV PV SPSA PPSA PSAD Orthopedics HIP Hip joint Vascular CCA Common Cartid Artery ICA Internal Cartid Artery CA External Cartid Artery Vert A Vertebral Artery Prostate Length Prostate Width Prostate Height Serum of Prostate Specific Antigen Predicted Prostate Specific Antigen Density Prostate Specific Antigen Density Aza zaa Thermal Index Mechanical Index Soft tissue thermal index Lu Bone thermal index TIC Cranial bone thermal index 217 P N 01 54 113174 12 EDANUSA 4901 Morena Blvd Suite 505 www edanusa com San Deigo CA 92117 Tel 888 850 4597
3. Conditions Depth 78mm Focus 50mm 176 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety A2 3 7 Test of Probe E613UA Oooo e KA KAZ em a h 0 2097 0 2097 0 2589 ee KAA o ae Ooo m e jr MAASI eee o KASI MAASI Oooo MAS NAS MASI Inclusive modes ka Control1 AP 15 Frequency 5 5MHz Depth 29mm Focus 10mm Control2 AP 15 Frequency 4 5MHz Depth 29mm Focus 10mm 177 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Acoustic Output Reporting Table Transducer Model E613UA Operating Model B Mode Scan Non scan Aap Aaprt gt l Global Maximum Index Value 07349 oosa 0 aa P 3 MPa 1 677 re Wo mW of W 3 z1 mW Tia3 Z1 Associated Zi cm Acoustic cm Z o Parameters a o Dim of Aaprt PD usec Other Information deq P Imax cm 0 0575 Focal Length Ipa 3 MImax W cm a ca ee KAA es ee KAA KK AP 15 Frequency 4 5MHz Depth 39mm Focus 25mm Control Controll Conditions 178 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Acoustic Output Reporting Table Transducer Model E613UA Operating Model B M Mode Index Label MI a e IC aa Maximum Index Value 07349 00765 ocos6 ooa 013s ro we fuor M Cw ew E se os oss 59302 Mi
4. To create a file folder I Za 3 Roll the trackball to select the driver and then press Set Press Make and a dialog box pops up Enter the file folder name Press Confirm to create a file folder or Cancel to give up the creating operation To delete a file folder l Zi 3 4 Roll the trackball to select the driver and then press Set Roll the trackball to select the file folder to be deleted and then press Set Press Delete and a confirmation dialog box is displayed to ask you whether to delete the file folder Press Yes to delete the designated file folder or No to give up the deleting operation To copy amp paste a file l WA 3 4 Roll the trackball to select the source driver and the type of file and then press Set Roll the trackball to highlight the source file and press Set and then press Copy Roll the trackball to select the destination driver and press Set Press Paste To cut amp paste a file l A 3 4 Roll the trackball to select the driver and the type of file and then press Set Roll the trackball to highlight the file that will be cut and press Set and then press Cut Roll the trackball to select the destination driver and press Set Press Paste To delete a file oo a YA YA Roll the trackball to select the driver and the type of file and then press Set Roll the trackball and then press Set to select the file you want to delete Press Delete and a confirmation
5. 12 2 17w3d 16w3d 18w2d 26w2d 24w d 2 w4d 35w1d 33w0d 37w2d 12 8 17w5d 16w5d 18w4d 26w4d 25wid 27w6d 35w3d 33w1d 3 w5d 13 5 18wOd 17w0d 18w6d 39 4 26w6d 25w3d 28w1d 72 2 35w5d 33w3d 38wO0d 14 1 18w2d 17w2d 19w1d 40 4 27wid 25wod 28w3d 73 2 36w0d 33w5d 38w3d 255 amsa proa oda 561 mwa asa ama A3 9 HUM Jeanty Jeanty P Rodesch F etc Estimation of Gestational Age from measurement of Fetal Long Bones Journal of Ultrasound in Medicine 3 75 1984 MA HUM mm 9 6519438 0 26200391 HUM 0 0026105367 HUM A3 10 CER Goldstein MA CER mm 6 329 4 807 CER 10 1 484 CER 10 0 2474 CER 10 205 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetrical References A3 11 THD Hansmann MA THD mm 6 963496 3 829853 THD 10 0 443065 THD 10 0 1010238 THD 10 0 0099702 THD 0 0 0003773 THD 1 0 A3 12 Estimated Fetal Weight Merz E Werner G amp llan E T 1991 Ultrasound in Gynecology and Obstetrics Textbook and Atlas 312 326 336 Hansmann M Hackeloer B J Staudach A Ultraschalldiagostik in Geburtshilfe und Gynakologie 1995 Campbell S Wilkin D Ultrasonic Measurement if Fetal Abdomen Circumference in the 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
6. 18 90 0 mad 119 29 0 4wad 13 49 0 20w0 16 69 0 26wad 17 91 0 35w1a 19 340 15w5d 15 540 21wa 17 740 26w2d 18 96 0 Tamwza 21 37 0 16w4d 13 570 22w3 16 77 0 20wad 18 99 0 38w6a 19 Rempen Rempen A Biometrie in der Frihgraviditat I Trimenon Biometry in Early Pregnancy 1 Trimester Der Frauenarzt 32 425 1991 Table BPD Rempen 06 0 7wsa 10 13 0 owsa 10 200 twsa 10 27 0 135d 10 07 0 ewoa 10 14 0 Moma 10 21 0 iawa fio 080 swza 10 150 Mowza 10 220 iawa fio 0 90 awa 10 16 0 Mowaa 10 230 raed 10 Osaka Fetal Growth Chart Using the Ultrasonotomographic Technique Keiichi Kurachi Mineo Aoki Department of Obstetrics and Gynecology Osaka University Medical School Revision 3 September 1983 Table BPD Osaka 196 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetrical References BPD BPD BPD MEAN MIN MAX MEAN MIN MAX MEAN MIN MAX cm cm cm 1 44 10w2d 9w6d 10w5d 5 03 20w4d 19w5d 21w3d 7 95 30w d 29w2d 32w3d 2 62 13w3d 12wsa 14w0d 6 00 23wsa 22wad 24wsd 8 62 S4wod 32wid 36w1d 2 72 13wsd 13w00 14w24 6 09 24wod 22w6d 25wod 8 68 S4w2d 32w30 3ewad 3 42 15wsd 14wed 16034 6 67 26w0d 2awed 27wid 9 00 36wzd 34w0d 40wad 381 16wed 16w0d 17w4d 6 90 27wid 25w6d 28w20 9 15 37w3
7. 296 256 Figure 5 5 Example PW Scan In PW mode you can choose scanning in B mode or PW mode by pressing Update When you are scanning 1n non simultaneous mode either the B or the time series window receives data This lets you independently change the PW PRF When scanning in simultaneous mode both the 2D and the time series window receive data This feature lets you define which method is used based on the exam type The sample volume indicator allows you to start a scan in a B scan mode set the sample volume and switch to Doppler mode The sample volume locks in position 1 Press PW to enter B mode and adjust all image control settings appropriate for the current exam 2 Place the cursor inside the vessel of interest 3 You can now adjust the sample line SV size or correction angle as needed for the scan move _ 39 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control the trackball to adjust the sample line press SV SV to adjust the sample volume press PW angle PW angle to adjust correction angle etc 4 Press PW again to enter B PW mode The system locks the sample volume indicator and adds the Time Series window 5 4 8 Additional Control Functions The DUS 60 also provides the following additional control functions which are available through Status menus Adjusts the sector angle for curve probes and the scan width for linear probes providing a larger field of vi
8. 3 12 wk 22 days Merz 56 348 ie Jeant 10 80 12w4d 19 days e 7 40w0d Mer 10 80 12w2d See table FL Merz Z 40w1d Osaka 19 4 71 2 13w0d See table FL Osaka o 40w0d China 16 75 12w4d See table FL China 40w2d Jeant 12w0d 23 days 3 3104 wks n ila 40w0d 2 14w0d See table FTA Osaka Osaka 5 6 86 6 cm 40w0d Goldstein 14 52 mm IE 191 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetrical References A3 2 GS Hellman Hellman LM Kobayashi M Fillisti L etc Growth and development of the human fetus prior to the 20 week of gestation Am J Obstetrics Gynecology 103 789 1969 MA GS mm GS 25 43 7 02 Rempen Rempen A Biometrie in der Frihgraviditat I Trimenon Biometry in Early Pregnancy 1 Trimester Der Frauenarzt 32 425 1991 Table GS Rempen 2SD 2SD 2SD 2SD 060 swa 12 240 rwaa 12 a20 owsa 12 600 12wid 12 090 swsa 12 270 7wsa 12 450 10wod 12 630 Mzaa 12 mo wea 12200 wos 2 a70 1ow2a 12 680 awe 12 12 0 6wOd 12 30 0 8wi1d 48 0 10w3d 12 66 0 13w0d 12 120 Jema 12 a10 owas 12 a00 iowa 12 670 tow 12 4 0 ew2d 12 320 ewad 12 0 0 towed 12 68 0 192d 12 180 ew2d 12 330 ewad 12 510 towed 12 690 Mswada 12 Tokyo Studies on Fetal Growth and Functional Developments Takashi Okai Department of Obstetrics and Gynecology Faculty of Medicine Univer
9. Chi CINE ROV WA A acacamee aia 75 6 8 Fle Manas CM AA 76 E Bre e ci cA Seen ee ee EE ee ee E eee eee een er eee 76 OO CIN PCS re aces te ate a a NA Siete iene eee 78 O8 A BTOWS MATI E ene nets Re ra aetna N 79 Oo AIG SA 80 G58 SD aa Na Nai AI AUA AE AAA AAA AAA AAA 82 Chapter 7 Obstetric Measurements and Calculations s 84 7 1 Obstetric Measurements and Calculations in B Mode wmmmemenwwnnnnmmmn 84 AA 86 yA WA AA KA UU UAE aco AWA cinclvdin E A Sean each wine 86 TAB P AA Cente toa ret rae prey Cera eae Te Plas Tan a nerd Se aoe ee ee 86 A E IA AA 87 MNS PS E apt sere ap cisely E cast cceuepemeateen hy rectesigate 87 Wa UA E ee ee a ee ee ee eee 88 ma BSD AA WA AA AA ere ter een REMOTE AA meee WAA ise Ree kaa ha 88 TOA PA Di ai a a AA A I 89 aa WS st Gs ei AA AA AA EE E a E RY 89 Peels TEMAS AWA E P E P AEE L EEEE P TTE PEENE E 90 OF MeN E EN EEE E I LTEN E EAE A E ct E WA E EAN EATE AEN 90 TEP AO Diaa N E E IEA aE Sea ER ENON E 90 TAREE SI BA AA AA T 91 Dee al BA AA Wa AA WA WA AA AA 91 TANA EDE Ca CAO AA AUWA a YA MWANI oases NATAMAN WE MAA eae KUMEA AKI 92 TER EFW CALCU ALON ee e IAA ILA NO NA deme SUA SITE MUA AU ZA AKUOE NA 94 7 2 Obstetric Measurements and Calculations in PW mode wweewwnnaa 95 Teds Nese IANO SKIN AEE A E E EEIE A PE KUNATA ABASI MWA AE EE WAKA KAGUTA ABIRI UANI 95 AA Aa AA WW Ka e
10. EDANUSA DUS 60 Digital Ultrasonic Diagnostic Imaging System Release 1 2 C Ez About this Manual P N 01 54 113174 12 Release Date July 2011 Copyright EDAN INSTRUMENTS INC 2008 2011 All 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 the equipment if Assembly operations exten
11. PN OER OWS FOU Py eenas A E 147 Aka Machine SpeciriCanlOns AA Aa 147 ANTS Display SPCCiHCallOMs ssrin a E tileh lara O tilt tela ell tas 147 A1 6 Genetal Technical Specifications seirian onnee e E AE T Ei 148 ALIO PrOD SO 149 A 1 8 Operating Storage and Transportation Environment 000mmwa 150 ARSL Operas EDVITONMENE ye peters tcaed dagw aaron oooreed Aan 150 A1 8 2 Storage and Transportation EnvironmMent cccccccccsessssseseeeeeccececeeeeeeeeeeaaaaes 150 Appendix IT Ultrasound Intensity and Safety sssss e 151 AZ Ve Ultrasound im Medicilor a naevacchostacaseetutenianees sie camacichotaac certian 151 A2 2 Ultrasound Safety and the ALARA Principle vwwwwwmmmmmmnnenennnman 151 A2 3 Probe Acoustic Output Parameters LISt wwmmseeeenenennnnennenenennn 153 A2 nr SST OL PLO De C O TUA ire eta a ace toes ath Oa Leena adie ice t sat aa 153 AZZ NESLORPROOG CO UA Gato ret Gaeta AAA et Gy ee ee 157 P29 D2 Testor PLODG COA UA ete aside AAA AAA AAA ashe masini denen acumane hs 161 AZO 4 Tetor Prove LIUA AA AA AAA AAA 165 AZ a Ie tol PLOWS CSO ZU arn AA WA AA EA 169 2 302 eSt Or Probe yA WA WAA tN aan AAA AA awe ees 173 AZo 2 Testor Probe EO DUA enrarir i AE ae tecnica 177 A238 a Jes Or PODE CIO UA monennen a aa a Riccah wate 181 AZ 3D a TestO PODE L S UA E
12. ga a NZI 2B mode Imaging Control This key has two functions Press this key to enter the 2B mode Press this key to activate one of the dual images The probe direction of the activated image is brighter than that of the frozen image gt 37 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control O0 ajay 4B mode Imaging Control Press this key to enter the 4B mode The system divides the image area into four quadrants the first quadrant is 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 is brighter than the direction of the frozen images The four images are obtained separately and only one image at a time is displayed in real time B M mode Display Control Press it to enter the B M mode the B mode and the M mode images are displayed on the screen at the same time Abbreviated as B M or B M There is a line constituted by points with regular spacing on B mode image which is called the M Mark Roll the trackball to move the M Mark Press Set to locate the M Mark M mode Display Control Press this key to enter the M mode It displays an M mode sweep The slope of this mode has four levels Pw AI Pulsed Wave Doppler mode Display Control Press this key to switch between the B mode the B PW mode A pulsed wave
13. the measurement result window 8 Press Measure to finish and exit Dist11 Dist12 Angle Dist21 Dist22 Angle2 Figure 6 12 Angle measurement Histogram Freeze the image first before histogram measurement otherwise the prompt Image is not frozen please freeze and retry will pop up 1 Press Measure to activate measurement function 2 Roll the trackball to highlight menu Histogram and then press Set to activate a measurement cursor on the screen 3 Roll the trackball press Set to anchor the start point 4 Roll the trackball adjust the position and size of the histogram and then press Set to anchor the end point 5 During measurement you can press Change to change the start point and the end point 6 Roll the trackball and press Set again to begin a new histogram measurement You can measure a maximum of four groups of data The outcome is displayed in Measured Results 7 Press Measure to finish and exit Others Roll the trackball to highlight Others to select the desired measurements and calculations 6 6 2 Generic Measurements in M Mode M mode measurements and calculations include distance time slope and heart rate 2 cycles 68 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Operation These are for B M and M display modes only The default measurement of B M and M mode is heart rate measurement M mode measurement menus are shown as follows Distance Time hl
14. 16 ref Osaka Osaka University 2002 April 08 Table FL Osaka 0 94 1 57 15w0d 14w2d 15w5a 4 11_ 24w1d 23w0d 25w1d 6 06 33w2d 31w5d 34w6a 203 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetrical References 2 43 1 w6d 17w0d 18w4d 4 78 27w0d 25w5d 28wid 6 55 36w1d 34w2d 38w0d 2 51 18w1d 17w2d 18w6d 4 85 27w2d 26w0d 28w3d 6 60 36w3d 34w4d 38w3d 2 67 18w5d 17w6d 19w3d 4 97 27w6d 26w4d 29w0d 6 69 37w0a 35w0d 39w1a 18w5d 20w3d 5 16 28w5d 27w3d 30w0d 6 82 37w6d 35w d 40w0d 3 07 20w1d 19w2d 21wod 5 28 29w2d 27w6d 30w4d 6 90 38w3d 36w2d 40w2d A3 8 FTA Osaka Osaka University 2002 April 08 Table FTA Osaka FTA FTA FTA cm cm cm 14w0d 13w2d 14w5d 22w6d 21w5d 23w6d 31w5d 29w6d 33w3d 6o 14w2d 13w4d 14w6d 23wid 22w0d 24w1d 32w0d 30w1d 33w5d 14w4d 13w6d 15w2d 23w3d 22w1d 24w3d 32w2d 30w3d 34w0d 14w6d 14w1d 15w4d 23w5d 22w3d 24w6d 32w4d 30w5d 34w2d 15w1d 14w2d 15w6d 24w0d 22w5d 25w1d 32w6d 31w0d 34w5d 20 romaa 1428 waa 206 swa zomea zizo 658 zano zwoa owon 104 romsa twa waa 345 swa awe zea 080 sinza zawa 2428 6 mwa onza ota 265 owes ats 428 600 banoa aana amma 204 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetrical References
15. 166d 13 as ews 6 43 tiwad e 6 8 tawsd 11 93 166d 13 rio ewa 6 44 tiwad 8 6 9 135d 11 94 160d 13 2 end 6 as mwaa e 7 awe 11 e5 r6wid 13 217 ewes 6 46 mza e 71 t4wod 11 96 r6wid 13 22 ewes 6 47 tiwed 9 7 2 t4wod 12 97 162d 14 23 owa 6 48 mwaa 9 7 3 Mama 12 9 8 rewa 14 24 oma 6 49 zwa To 74 Mamia 12 79 07 Mwao 14 25 ows 6 5 12w0d 9 7 5 t4w2d 1210 owsa 14 26 owsa 6 51 tawid 9 7 6 awa 12 10 1 165d 14 27 owas 7 52 iawa o 7 7 t4wad 12 102 166d 14 28 owed 7 53 t2w2d 9 7 8 awed 12 103 Mwea 14 2o owed 7 54 iawa o 79 awed 12 104 170d 14 3 owed 7 ss iwalo e Tawa 12 105 170d 14 aa towid 7 56 2ead 9 ei awa s2 tow2d 7 5 7 iws 10 8 2 twos S 10 s3 tswa 2 A3 4 BPD Hadlock Hadlock FP Deter RL etc Estimation Fetal Age Computer Assisted Analysis of Multiple Fetal Growth Parameters Radiology 152 497 1984 MA BPD cm 9 54 1 482 BPD 0 1676 BPD Merz Merz E Ultrasound in Gynecology and Obstetrics Stuttgart and New York Thieme Medical Publishers Inc 1991 p 326 195 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetrical References Table BPD Merz fom MA Jama fm MA aso mm MA so mm A Ja MA MA MA MA mm 2SD mm 2SD mm 2SD mm 25D 26 0 o fiswsa 12 aso tomi 18 oo aswaa 17 870 sanza 28 0 t4wid 13 480 19w5 16 68 0 26wid
16. 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 A Z HADLOCKS EFW 10 1 326 0 00326 AC FL 0 0107 HC 0 0438 AC Sthers cm HADLOCK4 Shepard Table 7 3 Obstetric Calculation Formula Measurement Measurement items vary with formulas So you should perform the measurement items according to the preset formula Take Osaka formula for instance to calculate EFW EFW 1 25674 BPD 3 3 50665 FTA FL 6 3 94 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetric Measurements and Calculations 1 In the obstetric menu roll the trackball to highlight EFW and then press Set Use the distance measurement method to measure BPD Use the ellipse method to measure FTA e 2 Use the distance measurement method to measure FL and the result of EFW will be displayed in the measurement result window 7 2 Obstetric Measurements and Calculations in PW mode 1 Press Exam and select Obstetric and then press Set PW o 2 Press to enter the PW mode Press Measure to activate the measurement function The system displays the measurement menu shown as below Items of Measurement and Calculation Umb A MCA Fetal AO Desc AO Placent A and Ductus V D OB MEAS Secondary menu of the obstetric vel
17. Tokyo Studies on Fetal Growth and Functional Developments Takashi Okai Department of Obstetrics and Gynecology Faculty of Medicine University of Tokyo Table CRL Tokyo m MA isojen MA isojen MA Jian A so MA MA MA MA cm 2SD cm 2SD cm 2SD cm 2SD os losa 7 3 owal7 s4 KA Ka 78 14wad 8 os lewsa 7 s2 iowma 7 56 12w5d 7 Je mmaala a fma 7 34 towed 7 58 towod 7 e2 Mamba a2 tad 7 fse mwoajr le walr 84 14wod 8 aa mea 7 ss mwalr 62 walr es 15w0d 14 as ewa 7 az viwad 7 66 19a 7 9 1502d Ma 2 Jowa 7 a4 mwez 68 omba 7 o2 150ad 14 22 eves 7 ae piwa 7 tones 7 foa row Ma 24 foma 7 as rawa r2 hama 7 Tae 0 L 26 owed 7 5 imwa 74 tawia 7 28 rowd 7 s2 iwa 76 mawa 7 China 194 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetrical References Wu Zhongyu Ultrasound Diagnosis in Obstetrics and Gynecology Tianjin Science and Technology Publisher 1995 Table CRL China CRL MA CRL MA CRL MA Twos 6 ea towad 7 Tel izwa 10 a4 Mbwa 12 ee ee ee aa mwa 6 36 10wsd 7 Te 130d 10 86 1624 13 a2 wad 6 37 Moma 7 62 swa 10 87 1624 13 as Twas 6 38 Doma 7 63 13020 ee 163d 13 ria wed 6 39 tiwod 7 6 4 taw2d 11 eo 164d 13 as mwa 6 a mwale Te tawad m e isma 13 ae ewa 6 a1 mwa Ts Tse tawad 11 ot 165d 13 ar ema 6 42 tiw2d e 67 t3wad 11 92
18. 1060 hPa 150 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Appendix Il Ultrasound Intensity and Safety A2 1 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 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 2 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 ul
19. 2 General requirements for IEC EN 60601 1 2 2001 A1 safety Collateral standard Electromagnetic compatibility Requirements and tests Medical electrical equipment Part 1 4 General requirements for IEC EN 60601 1 4 safety Collateral standard Programmable electrical medical systems Medical electrical equipment Part 2 37 Particular requirements for IEC EN 60601 2 37 the safety of ultrasonic medical diagnostic and monitoring equipment Requirements for the declaration of the acoustic output of medical IEC EN 61157 diagnostic ultrasonic equipment 146 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Specifications A1 3 Power Supply Input Power Voltage 14 8 VDC Average working time Maximum charging time Cycle life 300 times A1 4 Machine Specifications a ON 820 so CL we Net weight 7 1 kg A1 5 Display Specifications Display TFT LCD Diagonal Size 12 1 inch View Angle Horizontal Oxtyp 80 Vertical Oyryp 80 see the figure below Pixel Number 1024 768 Typ 450 cd m Contrast Ratio 12 o clock direction Bye 90 xt Ox 90 sa DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Specifications A1 6 General Technical Specifications Display Modes B B B 4B B M M and PW Image Gray Scale 256 levels In area Image Magnification Real time 1 0 x1 44 x1 96 x2 56 x4 0 x5 76 x9 0 x16 0 Frozen only available in B
20. 5 Roll the trackball press Set to anchor the end point the system displays the results of PS ED RI etc in measurement result window re DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Operation 6 Roll the trackball and press Set to begin a new tracing measurement You can measure a maximum of four groups of data The outcome will be displayed in the measurement result window 7 Press Measure to finish and exit 6 6 4 General Report To preview the general ultrasound report Highlight Print Report in the B MEAS menu B Mode Generic Measurement and Calculation Menu and press Set to display the general worksheet dialog box as shown below General worksheet JI Slice size as normal clear envelope uniform hepatic parenchyma Intrahepatic duct not dilated normal Dpv no obvious Abnor echo Slice size as normal smooth cyst wall good transmission sound common bill duct bore not dilated Slice size as normal clear envelope homogeneous low echo cyst no obvious Abnor echo in the spleen Slice size as normal homogeneous echo pancreatic duct not dilated Both kidneys have normal shapes and sizes collecting system light spots are distributed evenly Abnormality is not detected i i Figure 6 20 General Worksheet To edit the general ultrasound report Move the trackball to the text box and edit the report and select OK to save the report and close the dialog box To print the general
21. B Mode 4 The results are displayed in measurement result window 5 To begin a new FL measurement repeat steps through 3 You can measure a maximum of one group of data 7 1 7 AFI To measure AFI 1 Press Measure to activate obstetric measurement 2 In the obstetric menu roll the trackball to highlight the menu AFI press Set and move the cursor to image and display 3 Measure four groups of AF in the method of distance measurement Reference Section 6 6 1 Generic Measurements in B Mode 4 The results AF1 AF2 AF3 AF4 and AFI are displayed in measurement result window 5 To begin a new AFI measurement repeat steps 1 through 3 You can measure a maximum of one group of data 7 1 8 TAD To measure TAD l 2 Press Measure to activate obstetric measurement In the obstetric menu roll the trackball to highlight the menu TAD press Set and move the cursor to image and display Measure TAD in the method of distance measurement _ 88 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetric Measurements and Calculations Reference Section 6 6 1 Generic Measurements in B Mode 4 The results are displayed in measurement result window 5 To begin a new TAD measurement repeat steps through 3 You can measure a maximum of one group of data 7 1 9 APAD To measure APAD 1 Press Measure to activate obstetric measurement 2 In the obstetric menu roll the trackb
22. MEAS Distance Time Slope Heart Rate Others Figure 6 13 M Mode Generic Measurement and Calculation Menu 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 4 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 will be displayed in the measurement result window as shown below 6 Press Measure to finish and exit Figure 6 14 Distance Measurement and the Results To measure time 1 Press Measure to activate a measurement cursor 2 Roll the trackball to highlight Time and press Set 3 Roll the trackball to move the first measurement cursor at the beginning of the 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 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 will be displayed in 69 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Operation Slope Heart Rate the measurement result window as shown below 6 Press Measure to finish and e
23. Rate LVET and Height amp Weight The formulas of B M mode and M mode cardiac LV measurement include TEICHHOLZ and CUBE as shown below and the default formula is TEICHHOLZ 101 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Cardiology Measurements and Calculations 1 CUBE formula NOTE d end diastolic s end systolic Label Description Method Distance mm Ejection Time Time ms or s 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 LVIDd mm x 100 Stroke Index SI No unit SV mL BSA m Fractional Shortening Cardiac Index Cl No unit Mean Velocity Circumferential MVCF No unit LVIDd mm LVIDs mm LVIDd Fiber Shortening mm x ET ms 1000 Body Surface Area Calculate by the selected formula m Table 8 1 Measurement and Calculation Items with CUBE formula CO L min BSA m 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 102 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Cardiology Measurements and Calculations 2 TEICHHOLZ formula NOTE d end diastolic s end systolic Label Description Method LVIDd Left Ventricle Internal D
24. System Control Post Process Bic p s Figure 5 18 Gray Transformation Presetting Figure 5 19 Gray Transformation Presetting Linear 5 Press OK to save the modification or press Cancel to give up At the same time the dialog box is closed NOTE Linear is effective for changing the gray transformation curve only having no effect on the resistance or gamma correction Gray resistance presetting 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 Move the cursor to the node Press Set and move the node with trackball to adjust the gray resistance curve Press Set to complete the adjustment and the result curve is renewed simultaneously Post Process aAl e c o s Figure 5 20 Gray Resistance Presetting Press OK to save the modification or Cancel to give up At the same time the dialog box is 252 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control 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
25. System User Manual System Control 5 3 Screen Layout D Orr AC 60 D 40mm i A ew en an YON HAm Aya mp 296 256 Figure 5 1 Typical Image Screen 1 Top status bar logo image hospital name patient name patient ID system date and time major parameter such as probe name probe frequency THI TSI etc 2 Gray map bar 3 System menu 4 Measurement result window Bottom status bar examination type operation prompt etc Bottom right corner display the state of USB input method etc NOTE I AC power supply with battery connected 1 AC power supply without battery connected aaa Battery power supply 25 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control 5 4 Control Panel Figure 5 2 Control Panel 3 Acoustic power adjusting P off k Eonar onion key knob and TGC sliders Power running indicator lights 4 PC keyboard 5 Function controls 5 4 1 Trackball The trackball operation is easy and convenient 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 Move the M Mark in the B M mode 26 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control Move the sample line in the PW mode Realize single frame playback in the frame
26. You can measure a maximum of one group of data 7 1 12 HUM To measure HUM 1 Press Measure to activate obstetric measurement 2 In the obstetric menu roll the trackball to highlight the menu HUM press Set and move the cursor to image and display 3 Measure HUM in the method of distance measurement Reference Section 6 6 1 Generic Measurements in B Mode 4 The results are displayed in measurement result window 5 To begin a new HUM measurement repeat steps through 3 You can measure a maximum of one group of data 7 1 13 OFD To measure OFD 1 Press Measure to activate obstetric measurement 2 In the obstetric menu roll the trackball to highlight the menu OFD press Set and move the cursor to image and display 3 Measure OFD in the method of distance measurement 90 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetric Measurements and Calculations BA Reference Section 6 6 1 Generic Measurements in B Mode 4 The results are displayed in measurement result window 5 To begin a new OFD measurement repeat steps through 3 You can measure a maximum of one group of data 7 1 14 THD To measure THD 1 Press Measure to activate obstetric measurement 2 In the obstetric menu roll the trackball to highlight the menu THD press Set and move the cursor to image and display 3 Measure THD in the method of distance measurement BA Reference S
27. and Calculations 2 Dual plane ellipse formula NOTE d end diastolic s end systolic Label Description Method 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 2 2 2 Left Ventricular Fractional Area of Ellipse Area mm cm or dm Mitral Valve LVIDs Left Ventricle Internal Diameter HR Heart Rate Key in bpm EDV mL 8 3 m x LVALd mm LVLd End Diastolic Volume mm 1000 ESV mL 8 3 m x LVALs mm LVLs mm 1000 Za Stroke 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 S Stroke Index SI No unit SV mL BSA m End Systolic Volume Cl Cardiac Index Cl No unit CO L min BSA m BSA Body Surface Area Calculate by the selected formula m Table 8 7 Measurement and Calculation Items with Dual Plane Ellipse Formula 3 Bullet volume formula NOTE d end diastolic s end systolic Label Description Method Left Ventricular Fractional Area of Ellipse Area mm cm or dm Mitral Valve LVLd Left Ventricular Length Distance mm Left Ventricular Fractional Area of Mitral Valve Ellipse Area mm cm or dm 111 DUS 60 Digital Ultrasonic Diagnostic Imagin
28. and Calculations In the vascular menu select Vert A Measure Vert A in the method of D trace measurement BA Reference Section 6 6 3 Generic Measurements in PW Mode The results are displayed in measurement result window To begin a new Vert A measurement repeat steps through 3 You can measure a maximum of one group of data 13 1 5 UPPER To measure UPPER l YA Press Measure to activate obstetric measurement In the vascular menu select UPPER Measure UPPER in the method of D trace measurement BA Reference Section 6 6 3 Generic Measurements in PW Mode The results are displayed in measurement result window To begin a new UPPER measurement repeat steps 1 through 3 You can measure a maximum of one group of data 13 1 6 LOWER To measure LOWER l YA Press Measure to activate obstetric measurement In the vascular menu select LOWER Measure LOWER in the method of D trace measurement BA Reference Section 6 6 3 Generic Measurements in PW Mode The results are displayed in measurement result window To begin a new LOWER measurement repeat steps through 3 You can measure a maximum of one group of data 134 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Vascular Measurements and Calculations 13 2 Vascular Report After finishing the vascular examination the system generates a vascular worksheet Roll the trackball to highlight Vascular Worksheet and press S
29. be used no closer to any part of the DUS 60 including cables than the recommended separation distance calculated from the equation applicable to the Conducted 3 Vrms frequency of the transmitter RF IEC 150 kHz Recommended separation distance 61000 4 6 to 80 a MHz d 23 Ve V Radiated RF pr 80 MHz to 800 MHz E IEC 61000 4 3 pe 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 NOTE 1 At 80 MHz and 800 MHz 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 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 60 is used exceeds th
30. connector is 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 2 Prohibit infiltration of any type of liquid into the device or the probe 3 Do not sterilize the probe using techniques such as autoclave ultraviolet gamma radiation gas steam or heat Otherwise severe damage will result 4 The coupling gel adapted to the probe is a medial ultrasound coupling gel 5 Do not immerse the power cord and connector of the probe into solutions Probes can be submerged to but not including the strain relief of the probe array Do not immerse or soak any part of a probe in any cleaning material not listed in the recommended list of disinfectants 139 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Inspection and Maintenance Proper Use of Probes In order to extend the service life and to obtain optimum performance of the probe please operate as follows Inspect power cord socket and acoustical window of the probe periodically Shut down the machine before connecting or disconnecting the probe Do not drop the probe onto the floor or collide with hard objects Otherwise it will be damaged easily When the probe is not used put it in the probe holder Heating the probe is strictly forbidden Pulling or bending the power cord of the probe 1s strictly forbidden otherwise internal connecting lines of the powe
31. dialog box is displayed to ask you whether to delete the file Press Yes to delete the designated file or No to give up the deleting operation 81 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual 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 and confirmation dialog box is displayed to ask you whether to delete all the files 3 Press Yes to delete 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 to enter the new name of the file using the keyboard with a maximum of eight characters 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 the U disk to 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 a U disk 6 8 5 Sending Files If you have installed the DICOM software and the DICOM presetting has been performed correctly you can send images files File Menu afe i snapshot Open DCM Image DCM File File Manai jer Send FileType Cine Images Cine File DC Par kage ma ji a
32. 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 Evaluation of Two Equations for Predicting Fetal Weight by Ultrasound American Journal 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 A3 13 FBP Criterion FBP is a method to estimate fetus physiological condition through fetus response experiment placental level and indexes such as amniotic fluid The score criterion provided by the system is based on Vintzileos formula as shown in the following table 206 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetrical References Observation Time FHR215 FHR215 FHR R times m times m R time2 15S time215S a obtained 1 4 times 25 times through nomm 1 2 times FM FM23 times 30m fetus response FBM21 l Breath FBM21 time ate experime r l time 30 60S l nt can be Movement time260S input into the Limbs Limbs or system spine spine Tonicity bending stretch bend stretch bend fingers gt
33. in B Mode 3 After the two measurements are taken the result of L FO will be displayed in the measurement result window To measure R FO 1 In the gynecology measurement menu roll the trackball to highlight FO and then highlight the secondary menu R FO press Set 2 Take two measurements R FO L and R FO W in the method of distance measurement BA Reference Section 6 6 1 Generic Measurements in B Mode 3 After the two measurements are taken the result of R FO will be displayed in the measurement result window 119 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Gynecology Measurements and Calculations 9 1 5 CX L To measure CX L 1 Inthe gynecology measurement menu roll the trackball to CX L and press Set 2 Measure CX L with distance method BA Reference Section 6 6 1 Generic Measurements in B Mode 3 The result will be displayed in the measurement result window if you have already measured UT L the UT L CX L will also be displayed 9 1 6 UT L CX L To measure UT L CX L 1 In the gynecology measurement menu roll the trackball to highlight UT L CX L and press Set 2 Measure UT L and CX L in the method of distance measurement BA Reference Section 6 6 1 Generic Measurements in B Mode 3 The results will be displayed in the measurement result window NOTE During measurement if you have already measured any one of the items UT L or CX L when you finished the oth
34. mode x1 0 x1 78 x4 0 x16 0 Depth Adjustment Adjustable in real time in B B B 4B B M M and PW modes Frame Correlation 8 levels to adjust 0 7 B B B 4B B M modes ineffective when Coefficient freezing Up Down flip Left Right flip 90 rotate Chinese English etc The language options varies with language Language Conversion 3 99 software installed Abdomen obstetric small parts gynecology orthopedics cardiology urology and vascular Software Packages Distance circumference area volume ratio Yo stenosis histogram and angle M mode Measurement Distance time slope and heart rate D mode Measurement Time heart rate velocity acceleration trace and RI Patient name age sex time date hospital name doctor name comment Annotations full screen character editing Body Mark 130 types USB Port USB 2 0 B mode Measurement 148 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Specifications A1 7 Probe Specifications This device can detect the probe automatically Transvaginal Transrectal Gynecology Fetal Obstetrics and Urology E743UA Transrectal Rectum and the surrounding viscera uterus ovary and prostate L743UA L742UA Small parts galactophore thyroid gland prostate Neonatal Cephalic Peripheral L763UA Vascular Musculo skeletal both Conventional and Superficial NOTE Maximum transducer temperature rise during use Less than 10
35. of the screen BA Reference Figure 5 1 Typical Image Screen 3 After adding a body mark use the trackball to move the position of the probe and the rotation function is automatically activated and the rotation light is on you can rotate this 34 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control button to adjust the probe scanning direction 4 Press Set to complete adding the body mark To move a body mark 1 Move the cursor to a body mark and there is a pane around the body mark 2 Press Set and move the cursor to a new position 3 Press Set to confirm the new position There are more than 130 types of body marks as shown below oer E i H ia 5 uy ole 4 i Fi Obstetric 2 35 System Control DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Twins Small parts 2 Gynecology Orthopedics SABA DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control Cardiology Urology Figure 5 4 Body Marks 9 4 7 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 NOTE To return to a real time B mode image from any imaging mode press B control This also deletes all measurements calculations comments or body marks that are displayed on the screen
36. protective carrying cases 3 Disconnect and secure the footswitch and the connecting cable 4 Raise the brakes away from the front and back caster wheels 5 Push the handle to roll the system forward and maneuver it to its new location and lock the wheel caster brakes 6 Connect optional system accessories such as the single pedal footswitch 7 Secure the system and complete the system setup and then perform all the daily checking before using it 3 2 Storage Do not place the device near the ground walls or the roof Keep good indoor ventilation Avoid strong and direct sunlight and erosive gas 3 3 Transportation To prepare the system for shipment over long distances or rough terrain repack the system in the factory packing 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 anti shock cushions beneath the system It is suitable for transportation by air railway highway and ship Protect the system from inversion collision and splashing with rain and snow DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Installation Instructions Chapter 4 Installation Instructions 4 1 Environmental Requirements Keep the device away from equipment with strong electric field strong magnetic and high volt
37. system date Set freely Set the system time format H M S SnapShot Device Select whether the device enters System l l JI Null sleep mode when no operation is Sleep a performed for certain minutes one et Set the system waiting time to enter Waiting time Set freely l sleep mode 5 60 min USB Disk Fixed Set the storage device of snap shot None save frame save cine save AVI file Define the F1 key select one of the Refresh 1 10 Set the grade of glint speed of system Speed dormancy F manager sweep speed PW invert wall filter pull down options F None save frame save cine save AVI file Define the F2 key select one of the manager sweep speed PW invert wall filter pull down options None save frame save cine save AVI file Define the F3 key select one of the manager sweep speed PW invert wall filter pull down options Select the application tissue of TIS TIB TIC l thermal index Table 5 4 General Presetting Information Printer type Printer model DJ 3600 HP DeskJet D2368 DJ Generic VIP HP DeskJet D2568 HP DeskJet D5568 1 2 3 TI HP DeskJet F2418 HP DeskJet F2488 HP Deskjet 2050 HP Deskjet 1050 HP Deskjet Ink Advantage 2010 Table 5 5 Presetting a Report Printer You must restart the system to validate the change including Language Keyboard Sound and Report Printer After you perform those presetting and press Return the system displays a confirm dialog box t
38. 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 137 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Inspection and Maintenance 14 2 1 System Surface Cleaning To clean the system surface 1 Power off the system and disconnect it from power supply 2 Usea 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 CAUTION Make sure the cleaning solution does not seep into the control panel or any other openings NOTE 1 Take particular care when cleaning the areas near trackball and the slide controls 2 Make sure they are free of gel and any other visible residue 3 Use a soft dry cloth without chemicals for cleaning because the surface of polarizer is very soft and easily scratched 14 2 2 Probe and Probe Holder Cleaning and Disinfection To clean probe holder 1 Disassemble the probe holder by uninstalling the two screws 2 Wash the holder with flowing water using a mild detergent 3 After cleaning and drying assemble the probe holder to the main unit Every time before use layer of medical ultrasound coupling gel should be applied evenly on the area of the acoustical window of the probe Be careful not to generate any air bubble To clean the probes 1 Dis
39. the middle of image area 6 8 2 Opening Files Press File in the real time or 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 78 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Operation Open File Local Disk hd Figure 6 25 File Opening Dialog Box The default driver is the local disk and the default file type is BMP The file types include BMP JPG FRM DCM and CIN Pressing the symbol VW to display the driver or the file type and then roll the trackball to choose one Select a desired file name or enter a file name and press Open or double click on a file name 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 image NOTE 1 Images that have not yet been saved in the saving zone can not be loaded 2 When saving or loading an 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 o on the bottom of the screen to open the previous image and o gt to open the next image press Piaya to perform automatic browsin
40. to the image area and a is 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 will be displayed in the measurement result window 3 Move the cursor to the end diastolic of the left ventricle and then measure LVIDd The method is the same as the generic M mode distance measurement method LVIDd EDV SV EF and FS will be displayed in the measurement result window To enter HR 1 In the M cardiac measurement menu roll the trackball to highlight Input Then select the secondary menu Heart Rate and press Set to display an HR input dialog box as shown below HR input BPM Figure 8 2 HR Input Dialog Box 2 Input a suitable value in the HR bpm box 3 Roll the trackball to highlight OK and press Set and after measuring LV the result of CO will be displayed in the measurement result window To enter LVET 1 In the M cardiac measurement menu roll the trackball to highlight Input Then select the secondary menu LVET and press Set to display an ET input dialog box as shown below ET input M5 Figure 8 3 ET Input Dialog Box 2 Input a suitable value in the LVET ms box 106 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Cardiology Measurements and Calculations 3 Roll the trackball to highlight OK and press Set To enter Height and Weight 1 In the M cardiac measurement menu roll
41. typical location in a typical commercial or hospital environment Voltage dips short lt 5 UT lt 5 UT Mains power quality interruptions and gt 95 dip in UT gt 95 dip in UT for should be that of a typical voltage variations for 0 5 cycle 0 5 cycle commercial or hospital on power supply environment If the user of input lines IEC 40 UT 60 dip in UT 40 UT 60 dip in UT the DUS 60 requires 61000 4 11 for 5 cycles for 5 cycles continued operation during power mains interruptions 70 UT 30 dip in UT 70 UT 30 dip in UT it is recommended that the for 25 cycles for 25 cycles DUS 60 be powered from an uninterruptible power lt 5 UT gt 95 dip in lt 5 UT gt 95 dip in supply or a battery UT for 5 sec UT for 5 sec NOTE UT is the a c mains voltage prior to application of the test level 210 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual EMC Information 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 60 is intended for use in the electromagnetic environment specified below The customer or the user of the DUS 60 should assure that it is used in such an environment IEC Compliance Immunity test 60601 sia Electromagnetic environment guidance test level Portable and mobile RF communications equipment should
42. ultrasound report Press Print in the General worksheet dialog box Printing reference Section 5 8 Printing _74 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Operation 6 7 CINE Review The system provides a storage capacity of 256 frames for CINE Review playback Activate the device and enter the real time B B B 4B B M or PW scanning mode Enable the system to collect images before CINE Review playback The cine function includes frame by frame playback manual playback and motion playback automatic playback The cine review symbol is displayed on the bottom of the screen as shown below a Figure 6 21 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 Figure 6 22 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 is 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 exit frame by frame playback mode and enter the motion playback mode 4 In motion playback mode press Play Stop to play or to stop 5 Press Cine to go back to the frame b
43. use Test the protection earth resistance according to IEC EN 60601 1 and IEC EN 60601 2 37 Limit 0 0 1 Q Test the earth leakage current according to IEC EN 60601 1 and IEC EN 60601 2 37 Limit NC 500 uA SFC 1000 uA Test the patient leakage current according to IEC EN 60601 1 and IEC EN 60601 2 37 Limit NC 100 uA SFC 500 uA Test the Covers leakage current according to IEC EN 60601 1 and IEC EN 60601 2 37 Limit NC100 uA SFC 500 uA 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 personnel of EDAN 142 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Troubleshoooting Chapter 15 Troubleshooting 15 1 Checkup 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 15 2 Troubleshooting Changing the cartridge fuse by the professional personnel of EDAN Troubleshooting see table 14 1 SSS AI Check power supply When the power switch is on Check wires and plugs there isn t any image displayed Check whether the cartridge fuse is melted Check the brightness control knob Inspect the power supply 2 Check whether it is disturbed by the ignition action Strip shape or snowflake shape of
44. 0 Digital Ultrasonic Diagnostic Imaging System User Manual Installation Instructions 4 3 1 Installing and Uninstalling a Cable Holder To install the cable holder 1 Take out the cable holder three screws M312 and packing foam from the package 2 To avoid scraping the main unit put one piece of packing foam on a flat ground 3 Carefully turn the main unit upside down and put it on the packing foam and assemble the screws to the main unit with a cross head screw driver as shown in figure 4 1 4 Carefully turn the main unit with a cable holder to the normal state as shown in figure 4 2 M3x12 3x A Ie Fj A Figure 4 2 Main Unit with Cable Holder To uninstall the cable holder Uninstall the cable holder in a reverse procedure Aa DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Installation Instructions 4 3 2 Installing and Uninstalling a Battery To install a battery if necessary 1 Take out the battery from the package 2 Press the button on the battery cover and pull the cover out 3 Turn the flicker counterclockwise to hide it and push the battery into place 4 Turn the flicker clockwise to keep the battery in place 5 Replace the battery cover Press the button 2 Pull the battery cover out 3 Turn the flicker counter v clockwise to hide it ss Figure 4 3 Installing Battery to Main Unit To uninstall a battery 1 Press the button on the battery cov
45. 1 1992 MA CRL mm 1 684969 0 315646 CRL 0 049306 CRL 0 004057 CRL 0 000120456 CRL Robinson Robinson HP and Fleming JEE A critical evaluation of sonar crown rump length measurements British Journal of Obstetrics and Gynecology 82 702 1975 MA 8 052 CRL 23 73 7 193 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetrical References Hansmann Hansmann M Hackeloer B J Staudach A Ultrasound Diagnosis in Obstetrics and Gynecology New York Spring Verlag 1985 P 439 Table CRL Hansmann CRL CRL CRL CRL ne yA mm a mm YA mm A owa arala 25 awa freon 80 owsa Te 240 owas 7 580 zwa 1080 16028 13 o ewes 7 26 0 owsa 7 58 0 12w5a 9 10 0 ema 14 100 7woa 7 28 0 10wod 7 7600 12W6a 9 113 0 170d 14 mo rw2a 6 30 0 102d 7 63 0 13004 10 116 0 172d 14 120 rwad 7 320 road e 66 0 1924 10 120 0 17wad 14 140 Twos 7 36 0 10Wed 73 0 swsa 10 1260 18wza 15 150 eos 7 380 ttwid 76 0 Mswea 11 130 0 18w60 14 160 ew2a 6 40 0 tw2d 60 0 Mamia 11 1330 19wid 15 170o swa 6 42 0 wad e 63 0 14waa 12 1360 1904d 16 180 ewsd 7 440 mwaa 9 86 0 14waa 12 140 0 20w00 16 190 ewes 7 46 0 tiwa 8 90 0 14wea 12 143 0 20w30 16 200 awed 7 480 ros 9 Teso Misma 12 480 zowa 16 210 owos 7 7500 121d 9 96 0 swa 12 1500
46. 1 1 a ae l 18w0d CRL Robinson 6 7 82 4 ie areas KA 13w6d 6wid See table CRL Hansmann Hansmann 6 150 21w3d 7w0Od See table CRL China China 9 105 17w0d 11w3d See table BPD Tokyo Tokyo 16 92 40w0d 12 18 wk 1 19 wk 8 days 18 24 wk 1 73 wk 12 days 12w1d Hadlock 1115 102 oe 24 30 wk 2 18 wk 15 days 30 36 wk 3 08 wk 22 days 36 42 wk 3 20 wk 22 days 12w1d See table BPD Merz Merz 21 102 40w2d 10 days Rempen 3 27 sai See table BPD R f p 13w5d ee table Rempen for details 190 Parameter Formula DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetrical References 10w0d See table BPD Osaka 40w0d 12w0d See table BPD China China 19 94 AOE 12 18 wk 1 19 wk 8 days 18 24 wk 1 48 wk 10 days 12w0d Hadlock 56 358 WA 24 30 wk 2 06 wk 14 days HC 30 36 wk 2 98 wk 21 days 36 42 wk 2 70 wk 19 days Osaka 13 3 93 6 12wid See table HC Merz Merz 72 364 ADHA Hadlock 50 381 11w6d 12 18 wk 1 66 wk 12 days 41w6d 18 24 wk 2 06 wk 14 days 24 30 wk 2 18 wk 15 days 30 36 wk 2 96 wk 21 days 36 42 wk 3 04 wk 19 days 12wid See table AC Merz 39w6d 12w3d See table FL Tokyo Tokyo 8 72 40w2d 12 18 wk 1 38 wk 10 days 18 24 wk 1 80 wk 13 days 12w1d Hadlock 7 82 24 30 wk 2 08 wk 15 days 42w0d 30 36 wk 2 96 wk 21 days 36 42 wk
47. 1 4 HC To measure HC 1 Press Measure to activate obstetric measurement 2 In the obstetric menu roll the trackball to highlight the menu HC press Set and move the cursor to image and display 3 Measure HC in the method of ellipse or trace circumference measurement Reference Section 6 6 1 Generic Measurements in B Mode 4 The results are displayed in measurement result window 5 To begin a new HC measurement repeat steps 1 through 3 You can measure a maximum of one group of data 7 1 5 AC To measure AC 1 Press Measure to activate obstetric measurement 2 In the obstetric menu roll the trackball to highlight the menu AC press Set and move the cursor to image and display 3 Measure AC in the method of ellipse or trace circumference measurement Reference Section 6 6 1 Generic Measurements in B Mode 4 The results are displayed in measurement result window 5 To begin a new AC measurement repeat steps 1 through 3 You can measure a maximum of one group of data 87 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetric Measurements and Calculations 7 1 6 FL To measure FL 1 Press Measure to activate obstetric measurement 2 In the obstetric menu roll the trackball to highlight the menu FL press Set and move the cursor to image and display 3 Measure FL in the method of distance measurement Reference Section 6 6 1 Generic Measurements in
48. 1 time gt 1 time Obtained b image icmsAFs2cm AF gt 2cm y 9 measurement Placental on Placental level includes 0 l Placental l posterior wall l 1 2 and 3 according to the grade is 2 o no grade fetal acoustic image on report interface FBP criterion is as follows 207 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Measurement Accuracy Appendix IV Measurement Accuracy Parameter Range Accuracy Image depth range C363UA 19 mm 245 mm L743UA 29 mm 108 mm lt 4 of full scale M mode time range C363UA 3 99 s 48 1 s L743UA 1 24 s 36 3 s lt 0 3 of full scale TI Two dimension Measurement lt 10 Distance depth up to 250 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 250 mm lt 4 or lt 2 mm if below 40 mm Time up to 12 8 sec lt 5 Heart rate 15 to 999 bom lt 5 Velocity ratio up to 999 mm sec lt 5 Volume Measurement Volume area length diameter up to 999 cm lt 12 or lt 8000 mm if below
49. 14 2 4 Replacing Fuses You can replace the fuses if necessary Step 1 Pull out the fuse box using a minus screwdriver Step 2 Use the tweezers to pull the fuses out through the small hole on the bottom of the box Step 3 Put new fuses 95x20 T3 15AH250V provided by EDAN in position and reposition the fuse box Step 2 141 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Inspection and Maintenance Step 3 14 2 5 Disinfectants Probe 75 medical alcohol Cidex 2 4 Cidex OPA 0 55 WARNING Be sage to choose the cleansers and disinfectants The concentration in the air must not exceed an applicable specified limit Comply with the manufacturer s instructions when using the cleansers and disinfectants The use of diluent paint vinyl oxide or other organic solvents is prohibited These solvents will damage the protective film of the probe surface 14 3 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 Inspect the safety related labels for legibility Inspect the fuse to verify compliance with rated current and breaking characteristics Verify that the device function properly as described in the instructions for
50. 18 WA IA AA AI aR Ct re TR Ce Er A eC Ke aR 118 DF MD ON EW AA AA AA A AAA MA AAA 118 SA AA AA AA AA AA aa a oases 119 IS WA ui TAA NAWA YA LIA ABA INDE COPD Naa OE CET WA OD eee Cee NA INUA UTA 120 DMG KAA ia ai a e WA TA AA WAA 120 9 2 Measurements and Calculations in PW Mode wwwmeennannnnennnnemwnnmmnnwe 120 yv Oe ai MMU E AA EA 121 22 Wee ER OEE 121 DPAP EOV A a a a AA AA 122 D ON WA a ant E ee E E EEEE TO AE 122 dx GYNECOL REPO AAA 122 Ide aa 123 Chapter 10 Small Parts Measurements and Calculations ss 124 10 1 Measurements and Wa NS aaa 124 O2 Some MP Arts REPOL WAUA WA A EE at acetate eee aor 125 IOS a oc en eee ene Aa aa TONE nT tee a ree tee ree eae 126 Chapter 11 Urology Measurements and Calculations sssss 127 Lil Measurement and al Aa 127 LT 2sWTOlO S16 REPOTI ia bacdsanuandueatevencdaimsswentehusdcaucandnastetenddaimeninestehusecaucandoaatesies 128 PER OMES eterna een ra enn ene tei en em Pe eerie le ee eee 129 Chapter 12 Orthopedics Measurements amp Calculations ccccccccssssssssssssscccccsscceesssssees 130 ils Measurements and Ca Aa 130 22 MODE AICS KA AA shades tc Gnas Asawa ae wna eines etc Gace ee 130 UDA SO AA ar Entec rn Re earn anes enna TR Pe aes eR re eer pe ee 131 Chapter 13 Vascular Measurements amp Calculations s
51. 2 13 246 2505 16 320 33w6 18 199 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetrical References 134 16w3 208 22w1 282 29w2 356 39w1 136 16w4 12 210 22w3 284 29w4 358 39w4 19 23w het E A3 6 AC Hadlock Hadlock FP Deter RL etc Estimation Fetal Age Computer Assisted Analysis of Multiple Fetal Growth Parameters Radiology 152 497 1984 MA AC cm 8 14 0 753 AC 0 0036 AC Merz Merz E Ultrasound in Gynecology and Obstetrics Stuttgart and New York Thieme Medical Publishers Inc 1991 p 326 Table AC Merz AC AC AC AC a oa ene mm ne mm m pe reo 124 10 134 1903 12 210 26w6 15 284 33w6 17 e6 awi 11 140 20wi 12 216 27w2 15 200 saws 18 res taw2 11 142 202 13 218 274 15 292 34a 18 rao iawa 11 154 2iwa 15 230 28w5 16 304 365 18 s6 150 11 1602200 13 236 20w1 17 310 3602 18 rao aswa 11 164 203 13 240 29wa 17 314 3604 19 200 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetrical References 95 rene 12 a72 22w 18 248 sowt 17 a20 srw 18 16w1 174 23w2 248 30w3 322 37w3 100 16w2 176 23w4 250 30w4 324 37w4 19 126 awe 12 202 26w0 16 276 samor 1 a7 A3 FL Hadlock Hadlock FP Deter RL etc Estimation Fetal Age Computer Assisted Analysis of Multiple Fetal Growth Para
52. 4 34w5d 0wad 4 76 19w6d 18wea 20wad 774 30w0d 2ewed aw 74 85 20w0d 19wia 20w6d 7 81 30wza 2ewed atwa O 197 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetrical References Tokyo Studies on Fetal Growth and Functional Developments Takashi Okai Department of Obstetrics and Gynecology Faculty of Medicine University of Tokyo Table BPD Tokyo em A osoen A asolem A solem A 350 MA MA MA MA cm 2SD cm 2SD cm 2SD cm 2SD 1 6 twad 7 se iowals 56 23W0d 11 76 somalis 1 8 11w6d 7 3 8 17wOd 8 5 8 23wo5d 11 7 8 31w0d 16 2 rawal7 a trweafe 6 24wad 12 e 32w0d 16 22 rawaa 7 42 16w2d 9 62 25w0d 12 62 33w0d 16 24 awal7 44 19wod fo 64 25wed 12 84 S4w0d 20 26 13w6d 7 ae 19w5d 10 66 26w3d 13 86 35w5d 25 28 waly as 20w2d 10 68 27wad 13 88 37w0d 25 25 3 tawea 7 s 2iwoa 10 7 2ewoa lis Jo 25 sa tewor s s4 zaw2a 10 74 2owsa a China Wu Zhongyu Ultrasound Diagnosis in Obstetrics and Gynecology Tianjin Science and Technology Publisher 1995 Table BPD China em A 350 famo A osoen MA solem A 350 MA MA MA MA cm 2SD cm 2SD cm 2SD cm 25D 1o Jaza ss imalo s7 23wtd 13 76 30w0d 20 2 taw2d 7 s9 imalo 58 25wGd 14 77 Towo 20 21 tawad 7 4 tewoa fo 59 2owsd 14 78 30wGd 21 22 tawed 7 41 tew2dfo le 24w0d 14 7
53. 64000 mm Thyroid gland volume up to 999 cm lt 12 or lt 8000 mm if below 64000 mm Residual urine volume up to 999 mL lt 12 or lt 8000 mm if below 64000 mm Prostate volume up to 999 cm lt 12 or lt 8000 mm if below 64000 mm PW measurement Velocity 5 480 cm s 208 lt 10 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual EMC Information Appendix V EMC Information Guidance and Manufacture s Declaration Guidance and manufacture s declaration electromagnetic emissions For all EQUIPMENT and SYSTEMS NOTE To protect from EMI please leave the DUS 60 system away from the EMI sources For the technical reasons electromagnetic immunity is limited to 1 Vrms otherwise the interfaced images may affect the diagnosis and measurements Guidance and manufacture s declaration electromagnetic emission The DUS 60 is intended for use in the electromagnetic environment specified below The customer or the user of the DUS 60 should assure that it is used in such and environment RF emissions The DUS 60 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 60 is suitable for use in all establishments other IEC 61000 3 2 than domestic and those dire
54. 8 12w3d 10 26 17w6d 10 44 25w2d 25 a ee ee ee ee ee ia twa 10 s 19w2a 47 48 27w0a 25 6 6 36wod 50 ria iamaj io 32 206d 47 5 26w0a 25 6 8 3ewoa 57 2 wajo 38 2awoa 21 56 lowo 22 rewad 10 a 24woa 22 58 lawa 24 sp China Wu Zhongyu Ultrasound Diagnosis in Obstetrics and Gynecology Tianjin Science and Technology Publisher 1995 202 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetrical References Table FL China 0 6 12w4d 18w0d 9 4 2 24w0d 16 6 33wOd 18 0 7 12w5d 7 l 18w2d 9 4 3 24w3d 16 6 1 33w3d 18 0 8 13w0d 8 2 6 18w4d 10 4 4 24w6d 16 6 2 34w0d 18 ro9 tawad 8 27 tewed 10 45 26w2a 16 63 a4wad 19 1 rafe 28 awa ni a8 Taswa 1664 Taswa 20 rit t4wod e 29 Moma at 47 26waa 16 6 5 35wad 20 12 wasje o _ 6s 2 fas owsa 16 65 35068 20 ia Tamba jo a2 20ma lia 5 zrwea 17 68 Tama 21 is Miswada 6 33 20wsa 14 7517 26waa 17 6 9 37wad 22 rie iswa s 34 2iwid 14 52 26wea 17 7 36wod 237 a7 iswsa s 35 2iwaa 15 53 20waa 17 7 4 36wad 29 8 tewodle 36 2iwed 15 54 2owea 17 7 2 sewed 23 19 tewad e 37 22w2a 15 55 30wsa 17 73 3owad 29 2 rewse e 38 22wa 15 56 sowed 17 74 sowed 23 21 rrwor e 39 2awod 15 57 stwaa 17 7 5 4ow2d 29 22 rwadle a 2aw2a 16 58 loweae 23 twat e 4 2awad
55. 9 lamaja 23 maly 42 tewadfo 61 24wad 15 e stwod 2t_ 28 ama 7 ar 2owia 11 66 26w0d 16 8 5 34wad 23 29 mawaa le 48 2owaa 1 67 26wad 16 8 6 s4wed 24 3 tewi e a0 2owsa 1 ee 26wsd 16 8 7 Taswa 24 s1 uswa s 2woa m 69 awid 1e 88 Taswa 24 a2 towed 8 si _ 2iweal 7 arwad 1e 8 9 Taswa 24 33 tewos a 52 2iwaa 12 74 arwed te 9 Tamwa 25 s4 rew2s e 53 2iweal 12 72 2ewid 1e o1 a7wid 25 35 tend 54 2awid 12 73 26waa 19 s6 tenes fe 55 22wa 13 74 2owia 19 a7 trwi e 56 2awea 13 75 20w44 20 198 28 25 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetrical References A3 5 HC Hadlock Hadlock FP Deter RL etc Estimation Fetal Age Computer Assisted Analysis of Multiple Fetal Growth Parameters Radiology 152 497 1984 MA HC cm 8 96 0 540 HC 0 0003 HC Merz Merz E Ultrasound in Gynecology and Obstetrics Stuttgart and New York Thieme Medical Publishers Inc 1991 p 326 Table HC Merz HC HC HC HC Ca 20 a A mm i mm 20 72 12w1 9 146 294 30w5 16 rao 120s 10 Misa 17we 13 228 24wo 16 302 siwa 17 86 1aw1 10 160 1603 12 234 awa 15 308 azw2 17 rao 1aw2 11 164 ews 12 238 24w6 16 312 azwe 17 92 13w4 10 166 18w6 12 240 25w1 15 314 33w1 17 e6 1305 10 170 tot 12 24a 25wa 15 318 sawa 17 rae 136 11 172 1ow
56. A Fetal AO Desc AO Placent A Ductus V Cardiology LV RV Mitral Aorta etc Cardiac report Gynecology B mode Gynecology report UT Endo OV Vol FO CX L UT L CX L PW mode Vascular PW mode Vascular report Velocity CCA ICA ECA Vert A Table 6 1 Examination Items and Results 590 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Operation The system defined examinations are abbreviated as follows Abd Abdominal OB Obstetric Sml Small Parts Gyn Gynecology Ortho Orthopedics Urol Urology Vas Vascular 6 6 1 Generic Measurements in B Mode The default measurement of B mode is distance measurement B mode measurement menus are shown as follows 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 Distance press Set to activate a measurement cursor on the screen 3 Roll the trackball and press Set to anchor the start point 4 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 will be displayed in the measurement result window as shown below 6 Press Measure to finish and exit Figure 6 4 Distance Measurement and the Results 60 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Op
57. C Expanded uncertainty of temperature test U 0 4 C k 2 Specifications Standard Optional Probe Probe L43 High L63 L43 R20 R10 l l R60 frequency R10 R40 High R60 High Micro Micro convex linear array Endocavit convex frequency convex frequency Probe convex convex array transducer y array linear array linear array array transducer Endorectal transducer transducer array transducer array transducer transducer transducer transducer transducer L743UA C363UA AWA C321UA E613UA C343UA C613UA L763UA C362UA L742UA Central 3 5 MHz 7 5 MHz 3 5 MHz 6 5 MHz 3 5 MHz 6 5 MHz 7 5 MHz 3 5 MHz 7 5 MHz frequency Elements 128 128 number Space of 0 66mm 0 42mm 0 40mm 0 34mm 0 63mm 0 28mm 0 63mm 0 50mm 0 30mm elements Max number of 32 32 32 32 32 32 32 32 32 active elements 149 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Specifications Length of probe cable 2200 50 mm Transducer Models Parameter mm s KAA VAA KAA ZA L743UA E743UA L763UA L742UA Col3UA E613UA C363UA C343UA C321UA C362UA Fry 26 6692 26 6692 33 9865 A1 8 Operating Storage and Transportation Environment A1 8 1 Operating Environment Relative humidity range 25 RH 80 RH Atmospheric pressure range 860 hPa 1060 hPa A1 8 2 Storage and Transportation Environment Relative humidity range 25 RH 93 RH Atmospheric pressure range 700 hPa
58. Digital Ultrasonic Diagnostic Imaging System User Manual Cardiology Measurements and Calculations 3 Measure MAVO2 in the method of generic M mode distance measurement 4 Measure AA in the method of M mode distance measurement 5 Measure LVET in the method of generic M mode time measurement 6 After the measurements the result of AVSV will be displayed in the measurement result window 8 1 4 LVMW LVMWI LVMW and LVMWI calculations are as below Measurement items LVPWd IVSTd and LVIDd The calculation formula LVMW g 1 04 IVSTd 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 LYMW and press Set 2 Measure LVPWd IVSTd and LVIDd respectively following the prompt instruction 3 After the measurements the result of LVMW will be displayed in the measurement result window The system will display LVWMI if you have keyed in Height and Weight before the measurement If you had measured LV before it will renovate the LV results 8 2 Cardiac Measurements and Calculations in B Mode 1 Press Exam to select cardiology and press Set 2 In B mode press Measure the system will enter B mode cardiac measurement The B mode cardiac measurement menus are shown as follows B CARDIACG MEAS S P Ellipse RY B P Ellipse LY Bullet PA Heart Rate Mod Simpson LYET Input WorkSheet Oth
59. Doppler PW scan produces a series of pulses used to study the motion of blood flow in a small region along a desired scan line called the sample volume The X axis of the graph represents time and the Y axis represents Doppler frequency shift The shift in frequency between successive ultrasound pulses caused mainly by moving red blood cells can be converted into velocity and flow if an appropriate angle between the insonating beam and blood flow is known Shades of gray in the spectral display represent the strength of the signal The thickness of the spectral signal is indicative of laminar or turbulent flow laminar flow typically shows a narrow band of blood flow information Pulsed Wave Doppler mode and B mode are shown together in a mixed mode display This combination lets you monitor the exact location of the sample volume on the B image in the B _ 38 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control Image Display window while acquiring Pulsed Wave Doppler data in the Time Series window Operation In the B scan the long line lets you adjust the sample line position the two parallel lines that look like let you adjust the sample volume SV size and depth and the line that crosses them lets you adjust the correction angle PW angle 7010 03 16 LOO S D Mr AC 60 D 40mm i L 30 i i To TON TON Waren Mia NA erms i 70 mp
60. 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 will be changed with the change of probe There are different parameters applied in B mode M mode Imaging mode and PW mode so acoustic output will be changed with the change of among B mode M mode and PW mode Field of view scan Frame rate may be changed with the change of the scan angle angle or scan width of the scan width and the acoustic output will also be changed Pulse repeated frequency will be changed with the change of Image depth l l the image depth and the acoustic output will be changed Frame rate and focus position will be changed with the change Focus number l of the focus number and acoustic output will also be changed Acoustic output will be changed with the change of the focus n position even the beam power level and the beam aperture Focus position have not been changed Generally the acoustic output will be higher with it gets nearer to the probe When freezing the system it will stop transmitting ultrasonic Freeze o wave The output of probe will be changed with the change of the Transmission power na l transmission power and acoustic output will be changed The character of the wave focus will be changed with the Multi frequency l l change of the frequency and acoustic output will be change
61. L THY V Left Thyroid Gland Volume x L hid 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 Table 10 1 Small Parts Measurement and Calculation Items 124 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Small Parts Measurements and Calculations The measurements of THY include L THY V and R THY V To measure L THY V 1 In the small parts measurement menu roll the trackball to highlight THY V and then highlight the secondary menu L THY V press Set 2 Measure three pieces of data L THY L L THY W and L THY H in the method of distance measurement BA Reference Section 6 6 3 Generic Measurements in PW Mode 3 After the three measurements the result of L THY V will be displayed in the measurement result window To measure R THY V 1 In the small parts measurement menu roll the trackball to highlight THY V and then highlight the secondary menu R THY V press Set 2 Measure three pieces of data R THY L R THY W and R THY H in the method of distance measurement BA Reference Section 6 6 3 Generic Measurements in PW Mode 3 After the three measurements the result of R THY V will be displayed in the measurement result window 10 2 Small P
62. No unit CA mm CE mm Left Atrium Diameter Aortic LAD AOD LAD AOD No unit LAD mm AOD mm root Diameter AVSV mL MAVO1 cm MAVO2 cm Aortic Valve Stoma Valve flow ET s 50 AA cm Mitral Valve Flow QMV mL 4 DEV cm s DCT s Table 8 4 Calculation Items 8 1 1 LV The B M mode and M mode measurements of LV are based on ESV and EDV measurements which are calculated by LVIDs and LVIDd measurements After measuring LVIDs and LVIDd and entering Heart Rate LVET and Height amp Weight the system calculates 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 ha For mL 7 x forme a cm 2 4 LVIDd cm TEICHHOLZ ESV mL 7 x LVIDs n 2 4 LVIDs cm EDV mL eich mm 1000 CUBE ESV mL LVIDs fmm 1000 Table 8 5 TEICHHOLZ and CUBE Formula 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 105 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Cardiology Measurements and Calculations menu will be displayed Select TEICHHOLZ or CUBE and press Set Then move the cursor
63. 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 130 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Orthopedics Measurements and Calculations The diagnosis editing column displays the cursor 1 and you can enter diagnosis information To print the report Press Print in the HIP Worksheet Printing reference Section 5 8 Printing 12 3 Others Select Others to enter another application measurement 131 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Vascular Measurements and Calculations Chapter 13 Vascular Measurements amp Calculations Usually the vascular examination is in the PW mode 13 1 Measurements and Calculations in PW Mode 1 Press Exam and select Vascular and then press Set PW D 2 Press to enter the PW mode Press Measure to activate the measurement function The system displays the measurement menu as shown below Items of Measurement and Calculation Velocity CCA ICA ECA Vert A Upper and Lower D Vas MEAS veloci Y CCA Yert A Upper Lower vas WorkSheet Others Figure 13 1 Vascular Measurement and Calculation Menu in PW Mode Label Description channe menoa D trace Vertebral Artery Table 13 1 Vascular Measurement and Calculation Items in PW Mode 13 1 1 CCA To measure CCA 1 Press Measure to act
64. TUA a a tala E 185 Ara TEEI AdE fuan ashe eatin routed N AAA EON 189 Appendix III Obstetrical References sss 190 A3 1 Application Table of Obstetrical Reference Formulas 190 D A AA ee Oe Re or E ee ee eee here eee 192 AA Ki AA dln ake canted naa hau ala dir ak ctaat tad at 193 Ao AA LA AA ata AA YA MAM nee ee ome NA WA MMAM UWA MA eee WA NI AMANA SINA 195 PS TG se pe asia AI AA 199 POL Aa AA AA AA 200 NII Wa AA AA E 201 PD UA 204 AS wa ON E AWA WA AAPA ME MIWA UWA A AKAOA KAMA mae CoE 205 AO CER AAA 205 AAETH AWA AAA AA AAA AAA KAA 206 PRON Bi mato Fetal We A cirine btw cb w ai don ten adem a 206 AIBA MIS ded asad tay th eaaaecatet tant th ceed sad anaes E 206 Appendix IV Measurement Accuracy sssss 208 Appendix V EMC Information Guidance and Manufacture s Declaration 209 VII Apex Yr Order List aeris esenea eai enttestesetssousnedesvcecelaeeadtesteeeeuts Appendix VII Glossary Vill DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Introduction Chapter 1 Introduction 1 1 Intended Use The DUS 60 Digital Ultrasonic Diagnostic Imaging System is intended for diagnostic ultrasound imaging analysis in gynecology rooms obstetrics rooms examination rooms intensive care units and emergenc
65. a clear image can be obtained The current focal point combination is shown in the FOCUS position on the left of the screen When the light of focus position is on rotate the knob to shift the position of the current focus clockwise toward far field and counterclockwise toward near field When the light of focus number is on rotate the knob clockwise to increase the focus number and counterclockwise to decrease the focus number Multi function knob 2 Press this knob repeatedly to cycle between Depth and Zoom When one of the functions is activated rotate the knob to adjust the value The rotation function is automatically activated when a body mark is added When the light of Depth is on rotate the knob to adjust scanning depth and the current depth is displayed in the bottom right corner of the image In real time mode or frozen mode press Multi function knob 2 till the zooming light is on and the system displays a zooming window in the middle of the image you can roll the trackball to move the zoom window to the desired area and rotate the zooming adjustment knob to adjust magnification of the zoom window In frozen mode 4 magnification levels are available In real time mode 8 magnification s l DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control levels are available x1 0 x1 44 x1 96 x2 56 x4 0 x5 76 x9 0 and 16 0 Press Set display the zoomed image and then r
66. afety Acoustic Output Reporting Table Transducer Model C363UA Operating Model_ B Mode Scan Non scan Aap Aaprt gt l mnaye Joao aa S sas a s ee a5 Min of W 3 z1 mW Tia 3 Z1 Associated Zi cm Acoustic cm ia E Parameters Z ae Dim of Aaprt PD usec Other intonation deg PIImax cm 0 0211 Focal Length Toa OMi Wiem AP 15 Frequency 3 0MHz Depth 98mm Focus 60mm Control Controll Conditions 182 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Acoustic Output Reporting Table Transducer Model C363UA Operating Model B M Mode Index Label MI TIC Scan ee Non scan aio Mims ade aa one ona ae Ce ir 1 we w a o ELT Acoustic Parameters Zz em 4s sas e AA AA MA o e omg 3 083 3 083 soss soss 3 083 mD o 0 504 IN n n Sn e o oe E E deg PIImax cm 0 027 0 3944 ias Mlna Wiem 0 1041 ME ee ee ee eee eee ssd za Com 3 008 a Control AP 15 Frequency 2 0MHz _ Controll Conditions Depth 98mm Focus 70mm 183 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Acoustic Output Reporting Table Transducer Model C363UA Operating Model PW Mode Index Label MI TIC Scan Aal Non scan oimai osa os an r EEC O EA Cow w A 7926 19 26 le 3 Z l J oe ui C
67. age field and protect the display screen from direct exposure to strong sunlight Keep good ventilation 4 2 Unpacking Inspection Visually examine the package prior to unpacking If any signs of mishandling or damage are detected contact the carrier to claim for damage After unpacking the device you 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 requirements and methods WARNING 1 Do not use the device if it is found to be damaged or defective 2 Donotdrop or collide with the probe Otherwise you shall give up using it 4 3 Connecting Procedure 1 Take the main unit and accessories out from the package 2 Connect the cable holder and battery if it 1s configured to the main unit correctly 3 Connect the probes to the main unit correctly 4 Connect the printer and load the recording paper 5 Connect the power cable 1 Connect the main unit and the common earth terminal firmly via a potential equalization conductor 2 Plug one end of the power cable to the power socket of the main unit and the other end to the special power output socket of the hospital 6 Switch on the main unit Press power switch on the rear side of the main unit and press the power on off key on the top right of the control panel You can operate the main unit after the main interface appears DUS 6
68. all to highlight the menu APAD press Set and move the cursor to image and display 3 Measure APAD in the method of distance measurement Reference Section 6 6 1 Generic Measurements in B Mode 4 The results are displayed in measurement result window 5 To begin a new APAD measurement repeat steps through 3 You can measure a maximum of one group of data 7 1 10 CER To measure CER 1 Press Measure to activate obstetric measurement 2 In the obstetric menu roll the trackball to highlight the menu CER press Set and move the cursor to image and display 3 Measure CER in the method of distance measurement Reference Section 6 6 1 Generic Measurements in B Mode 4 The results are displayed in measurement result window 5 To begin a new CER measurement repeat steps 1 through 3 You can measure a maximum of one group of data 89 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetric Measurements and Calculations 7 1 11 FTA To measure FTA 1 Press Measure to activate obstetric measurement 2 In the obstetric menu roll the trackball to highlight the menu FTA press Set and move the cursor to image and display 3 Measure FTA in the method of ellipse or trace area measurement Reference Section 6 6 1 Generic Measurements in B Mode 4 The results are displayed in measurement result window 5 To begin a new FTA measurement repeat steps 1 through 3
69. and HR Key in Height and Weight To calculate CI and SI 1 In the B cardiac measurement menu roll the trackball to highlight Input Then 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 Figure 8 8 Height and Weight Input Dialog Box 2 Input suitable values in the Height cm and Weight Kg boxes 3 Roll the trackball to highlight OK and press Set BSA will be displayed in the measurement result window After measuring LV and HR SI and CI will also be displayed in measurement result window 8 2 2 RV Right Ventricle Internal Diameter 1 In the B cardiac measurement menu roll the trackball to highlight RV 2 Measure RV in the method of distance 3 The result will be displayed in the measurement result window 8 2 3 PA 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 115 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Cardiology Measurements and Calculations 2 Measure PA in the method of distance measurement 3 The result will be displayed in the measurement result window Other parameters If you want to perform other cardiac parameter measurements please enter B M mode or M mode cardiac measurement 8 3 Cardiac Report After the cardiac examination the system generates a c
70. ane ellipse method Please refer to the corresponding B mode generic measure method for details and refer to the prompt instruction to help you 113 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Cardiology Measurements and Calculations CO calculation is as below Measurement and input items Measure LV Key in HR To calculate CO 1 In the B cardiac measurement menu roll the trackball to highlight Input Then select the secondary menu Heart Rate and press Set to display an HR input dialog box as shown below HR input BPR Figure 8 6 HR Input Dialog Box 2 Input a suitable value in the HR bpm box 3 Roll the trackball to highlight OK and press Set After measuring LV CO will be displayed in the measurement result window MVCFEF calculation is as below Measurement and input items Measure LV Key in LVET To calculate MVCF 1 Move the cursor to Input Then select the secondary menu LVET and press Set to display an ET input dialog box as shown below ET input 18 Figure 8 7 ET Input Dialog Box Iid DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Cardiology Measurements and Calculations 2 Input a suitable value in the LVET ms box 3 Roll the trackball to highlight OK and press Set After measuring LV MVCF will be displayed in the measurement result window CI and SI calculations are as below Measurement and input items Measure LV
71. any other device 2 disturbance occurs on the display 3 Check the disturbance of electric or magnetic field screen in the surrounding environment 4 Check whether the plug and socket of power supply and probe are properly connected Adjust overall gain Gain Adjust eight TGC slide controls Adjust the brightness and contrast potentiometer Adjust focus the number and the position Clean the light filter of the display screen Image is not displayed clearly on the screen ae Near field image is not clear Adjust the key total gain and the upper TGC 5 Far field image is not clear Adjust the key total gain and the lower TGC 6 Image window is dark Adjust the brightness and contrast knobs Table 15 1 Troubleshooting Examples 143 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Warranty and Service Policy Chapter 16 Warranty and Service Policy 16 1 Warranty 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 case of Damage caused by handling during shipping Subsequent damage caused by improper use or maintenance gt gt gt Damage caused by alteration or repair by anyone not authorized by EDAN gt Damage caused by accidents gt Replacement or removal of s
72. ardiology examination and diagnosis worksheet Roll the trackball to highlight Worksheet and press Set to display Cardiac Worksheet dialog box as shown in figure 8 8 Cardiac worksheet Figure 8 9 Cardiac Worksheet The diagnosis editing column displays the cursor 1 and you can enter diagnosis information To print the report Press Print in the Cardiac Worksheet BA Printing reference Section 5 8 Printing 8 4 Others Select Others to enter another application measurement 116 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Gynecology Measurements and Calculations Chapter 9 Gynecology Measurements and Calculations The gynecology examination is usually in the B mode and the PW mode 9 1 Measurements and Calculations in 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 system displays the measurement menu shown as below B GYN MEAS Distance UT Endo L O Yol FO D d R FO GCA L A ee ea Ot Gyn WorkSheet Others p Figure 9 1 Gynecology Measurement and Calculation Menu in B Mode 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 the B mode are as follows ee UT L Uterus Length UT W Uterus width Distance mm UT H Uterus Height Uterus Endo
73. arts Report After the small parts examination the system generates a THY worksheet Roll the trackball to highlight THY Worksheet and press Set display Small Parts Worksheet dialog box as shown below 125 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Small Parts Measurements and Calculations Small Parts worksheet Figure 10 2 Small Parts Worksheet The diagnosis editing column displays the cursor 1 and you can enter diagnosis information To print the report Press Print in the Small Parts Worksheet BA Printing reference Section 5 8 Printing 10 3 Others Select Others to enter another application measurement 126 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Urology Measurements and Calculations Chapter 11 Urology Measurements and Calculations 11 1 Measurement and Calculation The urology examination is usually in the B mode 1 Press Exam and select Urology and then press Set L 2 Press to enter the B mode 3 Press Measure to activate the measurement function The system displays the measurement menu shown as below B UROL MEAS Distance RUY Prostate Yol Input p SA O O O O O O OO Urol WorkSheet Others d Figure 11 1 Urology Measurement and Calculation Menu ee e R Ruw goada Urine Volume RUV mL 0 7x RUV L mm x RUV W mm x RUV H mm Rw Re or L 1000 RUV L Residual Urine Length RUV W Residual Urine Width Distance
74. be C321UA C613UA Endocavity probe E613UA Ultrasonic Imaging Management System UMS 100 Oo Rechargeable lithium Ion battery Printers are as shown below Printer type Recommended Models Vid ES SONY UP 895MD SONY UP 897MD eee MITSUBISHI P93W MITSUBISHI P95W HP DeskJet D2368 HP DeskJet D2568 USB printer HP DeskJet D5568 HP LaserJet P2015 HP LaserJet P2035 HP Deskjet f2418 HP Deskjet f2488 HP2010 HP2050 HP1050 Table 2 1 Printers DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Overview NOTE Calibration should be performed because HP2418 and HP2488 printers will print out calibration paper every time after replacing jet box Please perform the calibration according to the operation method on the calibration paper The video printer output 110 mmx 82 mm The USB printer output A4 paper 210 mmx 297 mm Freeze footswitch Mobile trolley MT 805 Hand carried bag DICOM 3 0 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Transportation and Storage Chapter 3 Transportation and Storage 3 1 Moving the System The system is designed to be portable and easily transported Power off the system and secure all accessories before moving it to another location CAUTION 1 Switch off the ultrasound system Unplug the power cord from the power source and secure the power cable 2 Put the probes in the probe holder or remove them and place them in the
75. body This device should be used for valid reasons 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 output please refer to appendix II The DUS 60 complies with the requirements of applicable International Electrotechnical Commission IEC standards in terms of safety and acoustic output levels 1 5 3 Electrical Safety WARNING 1 If you have any questions about the grounding connection use the battery but not the AC power supply 2 To ensure grounding reliability only connect the system to a hospital grade power receptacle WARNING _3 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Introduction 10 11 12 13 14 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 installe
76. by frame playback status Move the zoomed window in 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 time calibrating data setting age notating 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 the comment mode to display the corresponding character on the cursor position German Characters French Characters Symbol Key Combination Symbol Key Combination a SHIFTA e SHIFTZ o SHIFTS a SHIFEX a SHIFTD 6 SHIFTS ps SHEFF Ce SHIFT Ca SHIFTS a SHFTN Table 5 1 German and French Characters 5 4 4 Function Controls Description l Rotate this knob to adjust the acoustic power 16 levels 0 15 by way of Acoustic power changing power supply Glide the slide controls to adjust the TGC glide the upper segments to TGC sliders adjust the near field gain and the lower segments to adjust the far field gain glide rightward to increase TGC and glide leftward to decrease Preset key Press this to activate or to deactivate the preset function Preset f l Reference Section 5 7 Presetting 297 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control File management key Press t
77. c Imaging System User Manual Operation Angle yA 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 will be displayed in the measurement result window Press Measure to finish and exit 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 i 2 Press Measure to activate measurement function Roll the trackball to highlight 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 the 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 again to 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 measurement result window in units of degrees The outcome will be displayed in oe ee DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Operation
78. can be set to Fixed or USB Disk by the Storage option in the file menu To choose a storage disk highlight Storage in the file menu and press Set repeatedly to cycle between Fixed and USB Disk NOTE 1 After connecting a removable disk the interface displays a USB symbol on the bottom left corner 2 Please do not use the two USB ports at a time otherwise the system may fail to read write data To set a file type The File Type in the file menu means the file type for the quick saved images To choose a file type for the quick saved images highlight File Type in the file menu and press JG DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Operation Set repeatedly to cycle between JPG BMP FRM and DCM if DICOM 1s installed To save a file The system provides two ways to save images Press Quick Save on the keyboard Press Quick Save on the keyboard to save the current displaying image in BMP JPG FRM or DCM Gf DICOM is installed format set by File Type in the file menu as shown above Use Snapshot Save Cine Save As Save Frame or Save AVI of the file menu to save files gt Snapshot Highlight Snapshot in the file menu and press Set to save the current displaying image in BMP JPG FRM or DCM if DICOM is installed format set by File Type in the file menu as shown above gt Save Frame 1 Press Freeze to freeze the system 2 Play back and find the desired image 3 Press File to ope
79. 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 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 1 Press Preset on the keyboard to activate the presetting function 2 Roll the trackball to highlight Comment and then press Set Then the Comment Preset dialog box is displayed as shown below Comment Preset Abd1 Abd2 OB Cardiac Smi 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 66 99 cursor turns to 1 as shown below You can enter comment with the keyboard Figure 5 22 User defined Comment Library 53 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control 4 Roll the trackball to highlight the right side frame of User defined and press Set Then the 66 99 cursor turns to I as shown below You can enter some detailed help information about the new created comment with the keyboard Figure 5 23 User defined Detailed Infor
80. connect the probe from the system 2 Wipe off all the gel gently with a soft cloth 3 Wash the probe with mild soap in lukewarm water Wipe off the entire residue gently with a soft cloth gently 4 Rinse the probe with enough distilled water to remove all visible soap residues 5 Air dry or dry with a soft cloth 138 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Inspection and Maintenance NOTE The single use sheath should be used on E743UA probe and E613UA probe Before cleaning the probe remove the sheath gently and discard it Put on a new single use sheath before using the probe CAUTION We recommend that the single use sheath should be CE marked or FDA 510 k cleared To disinfect the probe Disinfection should be performed each time after use 1 Prepare the disinfectant 2 Place the cleaned and dried probe in contact with the disinfectant refers to figure 13 1 for the contacting area for the time specified by the disinfectant manufacturer The following figure defines how much of the probe can be submerged Disinfectant C363UA C343UA L743UA E743UA E613UA C321UA C 613UA L763UA C362UA L742UA Figure 14 1 Depth of the Probe Immerged into Disinfectant 3 After removing from the disinfectant rinse the probe according to the disinfectant instructions Flush all residues from the probe and perform air dry WARNING 1 Do not immerse the probe connector If the cable
81. ctly connected to the public Voltage Complies low voltage power supply network that supplies building fluctuations flicker used for domestic purposes emissions IEC 61000 3 3 Guidance and manufacture s declaration electromagnetic immunity for all EQUIPMENT and SYSTEMS Guidance and manufacture s declaration electromagnetic immunity The DUS 60 is intended for use in the electromagnetic environment specified below The customer or the user of DUS 60 should assure that it is used in such an environment Electromagnetic Immunity test IEC 60601 test level Compliance level i environment guidance Electrostatic 6 kV contact 6 kV contact Floors should be wood discharge ESD 8 kV air 8 kV air concrete or ceramic tile If IEC 61000 4 2 floor are covered with synthetic material the relative humidity should be at least 30 209 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual EMC Information Electrical fast 2 kV for power supply 2KV for power supply Mains power quality transient burst IEC lines lines should be that of a typical 61000 4 4 commercial or hospital environment Surge 1 kV line to line 1 kV line to line Mains power quality 61000 4 5 2 kV line to ground 2 kV line to ground should be that of a typical commercial or hospital environment Power frequency Power frequency magnetic 50 60Hz magnetic fields should be at levels field IEC 61000 4 8 characteristic of a
82. culation automatically or Cancel to give up the calculation _ 93 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetric Measurements and Calculations NOTE 1 For EDC calculation make sure that the system date is correct The default standard pregnancy period in the system is 40 weeks For the LMP method calculation if the interval between the input date and the current system date exceeds 40 weeks the system will not accept it For the BBT method calculation if the interval between the input date and the current system date exceeds 266 days system will not accept it 2 The date format of EDC here accords with what you have set in General Presetting window 7 1 17 EFW Calculation This system can calculate EFW according to the measured data corresponding to different formulas Select a Formula in Preset This system provides eleven types of EFW formula as shown below Toko EFW 1 07 BPD 3 3 42 APTD TTD FL EFW g Others cm PEPP 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 101 335 0 0034 AC FL 0 0316 BPD 0 0457 AC HADLOCK2 0 1623 FL EFW g 0 158 FL 101 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
83. d l l The acoustic output will be changed with the change of the Line density eee l number of the scanning line line density The acoustic power will be changed with the change of PRF The pulsed wave and the power will be changed with the Sample volume change of the sample volume and acoustic output will be changed presetting will change acoustic output System will return to the default setting when restarting or Restart or power on off powering on off the system and acoustic output will be changed 152 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Operator Control Features The user should be aware that certain operator controls may affect the acoustic output It 1s recommended to use the default or lowest output power setting and compensate using Gain control to acquire an image Other than the output power setting in the soft menu which has the most direct impact on the power the PRF image sector size frame rate depth and focal position also slightly affect the output power The default setting 1s normally around 70 of the allowable power which will not cause any harm to users and is validated to be the most effective for all the transducers A2 3 Probe Acoustic Output Parameters List A2 3 1 Test of Probe C321UA System settings Control Control1 Control1 Z mm 44 5 44 5 49 5 ers yai mm 0 2861 0 2861 0 2958 ete tore an ed et KAA oo
84. d Fetal Weight B OB MEAS the default measurement is distance measurement GS Gestational Sac Diameter Distance mm Crown Rump Length i C Biparietal Diameter Head Circumference Abdominal Circumference Circumference mm Femur Length Distance mm The measurement Ellipse or Trace Calculating AFI results will be requires 4 sets of displayed in the result Amniotic Fluid Index 1 distance measurement window data AF1 AF2 AF3 and AF4 According to the selected formula described as follows g or kg Estimated Fetal Weight Table 7 1 Obstetric Measurements 1 in B Mode B OB MEAS 2 the default measurement is TAD measurement AA as Results display Transverse Abdominal Diameter Antero Posterior Diameter Distance mm APAD of the Abdomen CER Cerebellum Diameter The measurement ETA Fetus Trunk cross section 3 t or Trace Area results will be Area mm or dm displayed in the result window Occipital Frontal Diameter Distance mm Thorax Diameter Fetal Biophysical Profile Table 7 2 Obstetric Measurements 2 in B Mode SI DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetric Measurements and Calculations The system will calculate MA and AVE EDC automatically after measuring each parameter 7 1 1 GS 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 p
85. d 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 The recommended inspection interval is once per week or less If damage is evident replacement is recommended before use Equipment connected to the DUS 60 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 When more than one medical device is connected to the patient leakage current of the devices is summed together Take caution Don t touch the signal input or output connector and the patient simultaneously Periodically have th
86. e Area Calculate by to the selected formula m7 Table 8 9 Measurement and Calculation Items with Modified SIMPSON Formula 4 EDV mL LVLd mm 9 x h x LVAMd mm 2x LVAPd mm 4 LVAMd mm x LVAPd mm y 1000 ESV mL LVLs mm 9 x h x LVAMs mm 2 x LVAPs mm 4 LVAMs mm x LVAPs mm 1000 5 Other measurement and calculation items abei oeserpnon atid LVET Left Ventricular Ejection Time FS N n LVIDd LVID Fractional Shortening eo ant di FUNN LVIDd mm x 100 MVCF Mean Velocity Circumferential Fiber MVCF No unit LVIDd mm LVIDs Shortening mm LVIDd mm x ET ms 1000 Table 8 10 Other Measurement and Calculation Items 8 2 1 LV LV measurement is as below Single plane ellipse S P Ellipse Measurement items LVLs LVALs LVLd and LVALd To measure LV l In the B cardiac measurement menu roll the trackball to highlight LV Then select S P Ellipse and press Set 2 During end systolic measure LVLs and LVALs respectively The system calculates and displays the result of ESV 3 During end diastolic measure LVLd and LVALd respectively in the method of generic B mode distance measurement and generic B mode ellipse area measurement respectively The system calculates and displays the results of EDV SV and EF Dual plane ellipse B P Ellipse Bullet and Modified Simpson Mod Simpson The operations in these methods are similar to those in the single pl
87. e adverse biological effects of ultrasound on tissue appear to be in contrary to what 1s assumed for X ray threshold effects When tissue 1s repeatedly exposed to ultrasound with intervals in between there will likely be no cumulative biological effect If a certain threshold has been passed biological effects may occur A temperature rise from 37 C to 41 C 1s acceptable for quite a long time whereas a temperature rise to 45 C may not be acceptable The same counts for cavitation in that below a certain level there will be no cavitation and hence no biological effect A prudent starting point for each examination would be first to set the machine for the lowest index setting and then modify from this level until a satisfactory image or Doppler signal 1s obtained keeping track of the TI and second the exposure time during one examination should be kept as short as possible A safety guideline on this should be included 189 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetrical References Appendix Ill Obstetrical References A3 1 Application Table of Obstetrical Reference Formulas Measurement range 2 SD MA range mm 4w0d See table GS Tokyo Tokyo 110 68 12w1d Hellman 17 60 SA j 12w1d 12 days 4w6d Rempen 2 73 See table GS Rempen for 14w1d details China 10 68 5wO0d See table GS China 12w0d Tokyo 6 100 6w3d See table CRL Tokyo 16w0d Hadlock 2 12
88. e applicable RF compliance level above the DUS 60 should be observed to verify normal operation If abnormal performance is 211 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual EMC Information observed additional measures may be necessary such as reorienting or relocating the DUS 60 i Over the frequency range 150 kHz to 80 MHz field strengths should be less than 1 V m 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 60 The DUS 60 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the DUS 60 can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the DUS 60 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 t itt ransmitter ma W V 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 tra
89. e cables and make sure there is no scrape or crack 3 Check the control panel and the monitor and make sure there 1s no crack 4 Check the probe and the connection and make sure there is no scrape or crack 5 Check the power socket and the switch and make sure there is no damage To power on 1 Connect the device to a standard three pin power supply socket via the power cable switch on the AC power switch on the rear panel Or Use the battery as the power supply 2 Press the power on off key on the top right control panel and a startup interface appears To shut down the device 1 Press the power on off key on the keyboard and the system displays a confirm dialog box 2 Select Yes to power off the system Or If the system breaks down press the power on off key on the keyboard for about six seconds to shut down the system directly NOTE Please unplug the AC power cord from the power socket and disconnect the battery 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 process _23 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control To restart the device If there is any trouble described as below please press the power on off key to switch off the device and then
90. e 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 WARNING 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 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 cleansers 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
91. e integrity of the system ground checked by a qualified service engineer To avoid the possibility of electrostatic shock and damage to the system avoid using aerosol spray cleansers on the monitor screens CAUTION _4 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Introduction 1 Do not spray cleansers 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 2 Do not use any fluid onto the system surface as fluid seepage into the electrical circuitry may cause excessive leakage current or system failure 3 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 to perform all on board connections of documentation and storage devices to the DUS 60 4 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 Batteries are hazardous waste Do not dispose them together with house hold garbage At the end of their life hand the batteries over to the applicable collection points for the recycling of waste batteries For more detailed information about recycling of this product or battery please contact your local Civic Office
92. ection 6 6 1 Generic Measurements in B Mode 4 The results are displayed in measurement result window 5 To begin anew THD measurement repeat steps 1 through 3 You can measure a maximum of one group of data 7 1 15 FBP To measure AF 1 Press Measure to activate obstetric measurement 2 Inthe obstetric menu roll the trackball to highlight the menu FBP select AF and press Set 3 Measure AF in the method of distance measurement BA Reference Section 6 6 1 Generic Measurements in B Mode 4 The results are displayed in Measured Results window 5 To begin anew AF measurement repeat steps 1 through 3 Otherwise the system will return to the default measurement of TAD Fetal Biophysical Profile 1 Press Measure to activate obstetric measurement 2 In the obstetric menu roll the trackball to highlight the menu FBP select Key In and press Set _9 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetric Measurements and Calculations 3 The Fetal Biophysical Profile window displays as the following figure shows Select the parameters from the pull down menu of FHR FM FBM FT and PL and then press OK to confirm the biophysical evaluation result will be displayed in the FBP Report Fetal Biophysical Profile FBP Report 1 In the obstetric menu roll the trackball to highlight the menu FBP select FBP Report and press Set to get the FBP report window FBP Report 2 Press Cance
93. eier cctaqsatan nice E E E TEE E tus ATA Zi SAA Funcion ANA T a a T Aa T ORATOR 2 5343C OMMEN UNCU O meen ee ee EA rr On mee 22 IAO Body Mik Aa 34 5247 MAO NA KUN II Ia a7 54 S Additional Control UMCUONS eenei EE A EE AE ES 40 S9 MDU WAWA WAWA a a n AER 41 5 6 Didlog BOKO DA NA AA a 43 Sa OA AA AA IA 43 So nterne AA Aaa 43 5 7 2 Displaying Modifying Presetting Parameters wewwwwa 44 Dede CCHS EAL FRCS CURING AA tah a a AUA 44 Din Ae ROSE MII E Xam ANA ores agence T aweutictewtinw Sy eae tages 46 SIRI PIN FOMU WA AEE 49 3 10 Presettine Post Pio aa 51 5 77 Eins Comment EIDE Yr E ae eee ee 53 Ds We ka KIS AAA ABA aged aici sae sealer AAA AA ante omen AA AA 54 D7 ete sete ION ii Ai 54 SIOM IAN 1 AICS aiie EES avcaiaste Seca iano aeiae on ba eo eo ieee 55 SA AA WA nae oat ener Mate enn enTer 55 Chapter OP Gracin esn a neice chee EE E 57 GAs Ete rine New Patient ia ak uka 57 6 2 Entering or Editing Patient Information meneeeenmnmenenewwnammmnnn F 0o DELCE an E xamimnanon IAA 57 6 4 Activating and Deactivating a Probe aa 58 6 5 oe LEME an Jima ME MIO einen dime sea E EE 58 6 6 Measurements and Calculations wa 58 6 6 1 Generic Measurements in B MO 60 6 6 2 Generic Measurements M M OdG ii 68 6 6 3 Generic Measurements in PW Mode ccccccccccccccccececeeeaeeeeeeeeeeeecceeeeeeeeeeeeeaaaas 71 CO OTE ss O a Re Re AOE 74
94. ely in the method of generic M mode distance measurement 3 After the measurements the results of EF SLP ACV and A E will be displayed in the measurement result window To measure Valve Volume QMV Calculation formula OMV mL 4 DEV cm s DCT s Measurement operation procedure 1 In the M cardiac measurement menu roll the trackball to highlight Mitral to display the secondary menu Roll the trackball to highlight Valve Volume and press Set Measure DEV in the method of generic M mode slope measurement Measure DCT in the method of generic M mode time measurement oe an R After the measurement the result of QMV will be displayed in the measurement result window 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 lt LAD AOD measurement 1 Roll the trackball to highlight LAD AOD and press Set 2 Measure LAD and AOD respectively in the method of generic M mode distance measurement 3 The results will be displayed in the measurement result window Yo AVSV measurement The calculation formula AVSV mL MAVO1 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 MAVO1 in the method of generic M mode distance measurement 108 DUS 60
95. ement Reference Section 6 6 3 Generic Measurements in PW Mode 4 The results are displayed in measurement result window 5 To begin a new Fetal AO measurement repeat steps 1 through 3 You can measure a maximum of one group of data 96 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetric Measurements and Calculations 7 2 4 Desc AO To measure Desc AO l JA Press Measure to activate obstetric measurement In the obstetric menu select Desc AO Measure Desc AO in the method of D trace measurement Reference Section 6 6 3 Generic Measurements in PW Mode The results are displayed in measurement result window To begin a new Desc AO measurement repeat steps through 3 You can measure a maximum of one group of data 7 2 5 PlacentA To measure Placent A l JA Press Measure to activate obstetric measurement In the obstetric menu select Placent A Measure Placent A in the method of D trace measurement Reference Section 6 6 3 Generic Measurements in PW Mode The results are displayed in measurement result window To begin a new Placent A measurement repeat steps 1 through 3 You can measure a maximum of one group of data 7 2 6 Ductus V To measure Desc AO l JA Press Measure to activate obstetric measurement In the obstetric menu select Desc AO Measure Desc AO in the method of D trace measurement Reference Section 6 6 3 Generic Measurements i
96. en or pressurized containers If the battery emits heat or an odor is deformed or in any way appears abnormal during use recharging or storage immediately remove it and stop using it If you have any questions about the battery consult EDAN or your local representatives CAUTION Do not force the battery into the system Do not immerse the battery into water or allow it get wet Please recharge the battery every month if the battery is to remain idle for a long time Do not pierce the battery with sharp objects or hit it Charge the battery between 0 C and 40 C and store it between 20 C and 60 C which affects battery life Only use the battery and charge the battery with EDAN equipment and charge the battery with the system To avoid the possibility of electrostatic shock and damage to the battery avoid using the battery near the place where may cause static Prevent the battery from children Do not touch the battery s leaks that may make you uncomfortable If the leaks go into eyes do not knead eyes but wash with clean water and send to hospital immediately 10 Only use the battery with the DUS 60 system DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Introduction 1 6 Labeling Symbols Descriptions of symbols of the device are shown in table 1 1 No Symbol EON C c Ah Symbol for Caution WA tein It indicates that the equipment should be sent to special agencies accordi
97. equipment gt Medical lasers gt Scanners gt Cauterizing guns gt Computers gt Monitors gt Fans gt Gel warmers gt Microwave ovens gt Light dimmers gt 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 5 4 Battery Safety Introduction To prevent the battery from igniting emitting fumes bursting injuring personal damaging equipment pay attention to the following precautions WARNING 1 Do not expose the battery to temperatures above 60 C or leave the battery in strong and direct sunlight 2 Do not charge the battery near heat sources such as a fire heater or direct sunlight Do not heat the battery or discard it in fire Do not solder the battery PP U e connect or storage them with a metal material WARNING 6 The battery has a safety device Do not disassemble or alter the battery If the battery leaks or emits an odor remove it from all possible flammable sources The polarities of the battery terminals are marked near the connector do not DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Introduction 8 9 10 11 12 Do not connect the battery to the electrical power outlet Keep the battery away from fire and other heat sources Do not use a damaged battery Do not put the battery into a microwave ov
98. er and pull the cover out 2 Pull the flicker counterclockwise to hide it 3 Pull the battery out 4 Replace the battery cover DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Installation Instructions a TA O ama AA UT o 4 Pull out the battery 2 Pull the battery cover out Figure 4 4 Uninstalling Battery from Main Unit 4 3 3 Connecting and Disconnecting Probes NOTE Ensure that the system is shut down before connecting and disconnecting probes 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 shown below Scan Direction Mark gt oS s Figure 4 5 Probe Scan Direction Mark Schematic Diagram There is information about Model and SN on the probe connector To connect a probe 1 Place the probe s carrying case on a stable surface and open the case 2 Carefully remove the probe and unwrap the probe cable 3 Do not allow the probe head to hang free Impact to the probe head could result in irreparable damage DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Installation Instructions 4 Turn the connector locking handle to the OPEN position Align the connector with the probe port and carefully push into place 6 Turn
99. er one the UT L CX L will be displayed automatically 9 2 Measurements and Calculations in PW Mode l Press Exam and select Gynecology and then press Set PW M 2 Press to enter the PW mode 3 Press Measure to activate the measurement function The system displays the measurement menu shown as below Items of Measurement and Calculation LUTA R UTA LOVA and R OVA 120 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Gynecology Measurements and Calculations Secondary menu of the gynecology measurement items in the PW mode D Gyn MEAS Yelocil Y L UT A R UT A L OV A Rk OV A Others Figure 9 2 Gynecology Measurement and Calculation Menu in PW Mode Label Description Channel metha LUTA Left Uterus Aorta RUTA Right Uterus Aorta 1 a ae ee LOVA Left Ovary Aorta ROVA Right Ovary Aorta Table 9 2 Gynecology Measurement and Calculation Items in PW Mode 9 2 1 LUT A 1 Press Measure to activate the measurement 2 Inthe gynecology measurement menu select L UT A 3 Measure L UT A in the method of D trace measurement BA Reference Section 6 6 3 Generic Measurements in PW Mode 4 The results are displayed in measurement result window 5 You can measure a maximum of one group of data To begin a new L UT A measurement repeat steps 1 through 3 9 2 2 RUTA 1 Press Measure to activate the measurement 2 Inthe gynecology measurement menu selec
100. eration Circumference Area Ellipse Method To measure Circumference Area l WA Press Measure to activate measurement function Roll the trackball to highlight Cir Area Then select Ellipse and press Set to activate a measurement cursor on the screen Roll the trackball and press Set to anchor the start point of fixed axis of ellipse Roll the trackball and press Set to anchor the end point of fixed axis of ellipse Roll the trackball and press Set to define the size of the ellipse 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 will be displayed in the measurement result window as shown below Press Measure to finish and exit Ellipse 1 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 Cir Area Then select Trace and press Set to activate a measurement cursor on the screen Roll the trackball and press Set to anchor the start point Roll the trackball to outline the region of interest As you move the 61 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Operation Volume trackball the system displays dots to outline the structure To correct an error in the trace press Back to move in reverse along t
101. erial number label and manufacture label If a product covered by this warranty is determined to be defective because of defective materials components or workmanship and the warranty claim is 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 16 2 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 if 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 phone 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 is responsible for freight amp insurance charges when a retrun is shipped to EDAN for service including custom charges EDAN is responsible for freight
102. ers Height amp Weight Figure 8 5 B Mode Cardiac Measurement and Calculation Menu 109 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Cardiology Measurements and Calculations 1 Items of Measurement and Calculation B CARDIAC MEAS RV LV and PA 2 Items of input Heart Rate LVET and Height amp Weight The default measurements are LVLs LVALs LVLd and LVALd measurements in the method of single plane ellipse S P Ellipse measurement The formulas of B mode cardiac LV measurement include Single plane ellipse S P Ellipse Dual plane ellipse B P Ellipse Bullet and Modified Simpson Mod Simpson shown as follows 1 Single plane ellipse formula NOTE d end diastolic s end systolic Kenen Heart Rate Key in bpm End Diastolic Volume EDV mL 8 3 m x LVALd mm LVLd mm 1000 mm 1000 svoo Stroke volume SV mL EDV mL ESV mL co Cardiac Output CO L min SV mL x HR bpm 1000 EF Ejection fraction B mode EF No unit SV mL EDV mL x 100 HR End Systolic Volume ESV mL 8 3 x x LVALs mm LVLs SV CO S Stroke Index SI No unit SV mL BSA m Cl Cardiac Index Cl No unit CO L min BSA m BSA Body Surface Area Calculate by the selected formula m Table 8 6 Measurement and Calculation Items with Single Plane Ellipse Formula 110 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Cardiology Measurements
103. et to display Vascular Worksheet dialog box as shown below Yascular worksheet Figure 13 2 Vascular Worksheet The diagnosis editing column displays the cursor 1 and you can enter diagnosis information To print the report Press Print in the vascular worksheet BA Printing reference Section 5 8 Printing 13 3 Others Select Others to enter another application measurement 135 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Inspection and Maintenance Chapter 14 Inspection and Maintenance CAUTION 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 Batteries are hazardous waste Do not dispose them together with house hold garbage At the end of their life hand the batteries over to the applicable collection points for the recycling of waste batteries For more detailed information about recycling of this product or battery please contact your local Civic Office or the shop where you purchased the product 14 1 Daily Checklist Check before the system is switched on Visually inspect all the probes Do not use any damaged probe Visually inspect all the probe 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 Ve
104. ew in the far field Scan Angle sector angle scan width Selects the scan mode High density or High FPS frame rate in frames per Scan Mode Second Dynamic Range Controls the overall contrast resolution of B mode and M mode images Improves the contour enhancement of the image for distinguishing the edges of Edge Enhance a structure in B mode Adjusts the smooth level l Selects the number of frames for frame averaging to present a smoother softer Frame Persist mage l 90 Rotate Rotate the image by 90 degrees in B mode y Correction Adjusts y correction Sweep Speed Adjusts the scrolling speed level of the M mode and PW mode sweep Adjust the sample line position linear probe only 0 7 Adjust the filter wave 0 3 40 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control PW Invert Invert the PW wave Up or Down Adjust D gain in the PW mode Table 5 3 Additional Control Functions These functions can be set using the Set and the Back keys 5 5 Menu Menus are displayed on the right of the screen Only one menu can be activated at a time The types are shown as follows 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 modes it indicates the status and parameters of the active image In M mode it indicates the status and parameters of M sweep In the PW mode it indicates the s
105. f the main unit il Reference Figure 4 7 I O Ports on the Left Panel Power on the main unit and run the printer NOTE The video printers are used in patient vicinity To install an USB printer l WA 3 Power off the main unit and the printer Connect the printer with the main unit by using a USB cable Power on the main unit and run the printer If the printer can not work normally check the printer presetting see Section 5 7 3 General Presetting NOTE 1 Multiple portable socket outlet is not intended for the device anybody who connects it 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 If you want to use a multiple portable socket outlet to supply power to the whole DUS 60 system you are suggested to calculate the system power consumption when building a DUS 60 system so as to match the system power consumption with the power sustained by a multiple portable socket outlet JOD DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control Chapter 5 System Control 5 1 Powering On Off Device To power on the device Before powering on this device check as below 1 Check the potential equalization conductor and make sure it is connected properly 2 Check all th
106. formation deg PUmax cm 0 0311 Focal Length pa Ml W cm 096 oss ae E i Control AP 15 Frequency 6 0MHz Depth 78mm Focus 50mm Controll Conditions 174 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Acoustic Output Reporting Table Transducer Model L742UA Operating Model B M Mode TIS Non scan Global Maximum index Value 09257 0 1148 002051700855 04346 uu au oa M 02535 aos Min of W 3 z1 mW lia 3 z l ee Z em D C uu Z m 17 T Z C N 0 575 iT Ce mmy 5 0334 50334 sosa sossa 5 0334 D usec 0 4574 PRF 2715 uu Informatio deg PUmax cm 0Min Wen 0 1291 OOOO OOO O eee eee eee Control AP 15 Frequency 6 0MHz aa Controll Conditions Depth 78mm Focus 50mm 175 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Acoustic Output Reporting Table Transducer Model L742UA Operating Model PW Mode Index Label MI TIC Scan Al Non scan Global Maximum Index Value 02692 om2 06186 072 s NO We asst asst Associated z cy ne Cos cy uu AA Cza em uu 335 jee XC re amin sa O sa saw 59179 Ceo co ui w m so O O To OoOo information Pia cm 0 0406 0 0406 uoga inns a E a Control AP 15 Frequency 7 0MHz Controll Parameters
107. ft the characters between lowercase and uppercase Press this to display or to hide the menu Exam Examine Menu key Press this key to display or to exit the examination type menu 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 Probe top right corner Reference Figure 5 1 Typical Image Screen 28 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control Frequency Shift Key Press this key to switch to the proper operating frequency for the Freq activated probe When you change the frequency the G gain will change simultaneously Entering key Enter In annotation mode and comment mode press this key to move the cursor to insert a blank line Delete key Del Bksp In annotation mode and comment mode press one of these two keys to delete text word by word Sample line adjusting key Press this to activate and adjust the sample line in the PW mode and adjust M mark in the B M mode a ie el Angle adjusting keys are ee Press these two keys to adjust the correction angle in the PW mode Update In the PW mode press this key to freeze or unfreeze the B mode image t fal Baseline adjusting keys kaama VET Press these two keys to adjust the baseline in the PW mode Sample volume adjusting keys Press these two keys to adjust the sample volume in the PW mode PRF adjus
108. g and press STOR to stop automatic browsing press _Exit or Esc to exit 79 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Operation i i i i D 0mm D 176mm E We sis Figure 6 26 Image Browsing Dialog Box NOTE The JPG BMP and DCM if DICOM is installed images are available to the browsing function 6 8 4 File Manager The file manager dialog box is shown as below Driver File Path disk DEFAULT Directory File Folder Total 0 File Total 8 File Name OK OK ee R 11040007 BMIP 2011 04 14 13 37 11040006 BMP 2011 04 14 13 35 11040005 BMP 2011 04 14 13 34 11040004 BMP 2011 04 14 13 32 11040003 BMP 2011 04 14 11 56 11040002 BMP 2011 04 14 11 56 11040001 BMP 2011 04 14 11 56 11040000 B MP 2011 04 14 11 55 Figure 6 27 File Manager Dialog Box 80 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Operation You can use the file manager to perform the file management After you open an image you can perform the image viewing as shown in section 6 8 3 NOTE 1 When you are copying amp pasting a file cutting amp pasting a file importing a file or exporting a file do not connect or disconnect the U disk 2 USB disk must be in FAT32 format 3 Do not use the U disk for other uses but only for this device Otherwise the storage and the transmission function may not be stable 4 We suggest that you use the Netac U disk Netac U180 2G
109. g System User Manual Cardiology Measurements and Calculations Left Ventricular Length Distance mm HR 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 End Systolic Volume 1000 CO L min SV mL x HR bpm 1000 EF No unit SV mLy EDV mL x 100 S1 Stroke index SI No unib SV my BSA mt ci Cardiac index C1 No unipe CO Liminy BSA m Bsa Body SutaceArea Calculate by the selected tomua m Table 8 8 Measurement and Calculation Items with Bullet Formula 4 Modified SIMPSON formula NOTE d end diastolic s end systolic Label Description Method Left Ventricular Fractional Area of Mitral Valve LVLd Left Ventricular Length Distance mm Left Ventricular Fractional Area of Papillary Muscles Ellipse Area mm cm or dm LVAMs Left Ventricular Anterior Wall Left Ventricular Length Distance mm Left Ventricular Fractional Area of Papillary Muscles EDV End Diastolic Voume ESV End systoieVolume SV L EDV mL ESV ml CO LImin SV mL x HR bpm 1000 EF No unit SV mLy EDV mL x 100 112 Ellipse Area mm cm or dm Ellipse Area mm cm or dm DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Cardiology Measurements and Calculations Stroke Index SI No unit SV mL BSA m Cardiac Index Cl No unit CO L min BSA m Body Surfac
110. g System User Manual Operation 2 2 2 mode Distance and circumference will be 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 the light will be 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 The measurement results will be displayed in real time After measurement the outcome 1s displayed in measurement result window with a serial number You can measure one to four groups of data If you continue to measure the earliest group will be automatically covered by the newest one NOTE 1 If you perform the measurements in the frozen status all the measurements will be cleared when you unfreeze the image 2 During measurement press Back to delete the previous operation 3 After a complete measurement press Back to erase a measurement at a time The generic measurements and calculations include four sets of measurement calipers four sets of ellipses four sets of measurement results at most The examination labels and results are shown in table 6 1 Examination Specific measurement labels Result Obstetric B mode Fetus growth analysis curve and GS CRL BPD HC AC FL AFI TAD APAD standard obstetric report CER FTA HUM OFD THD and EFW PW mode Velocity Umb A MC
111. gh paper for printing 2 Before printing make sure the presetting printer type is correct 3 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 60 HB Gi DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Operation Chapter 6 Operation 6 1 Entering New Patient Press New Patient to clear all the information displayed on the screen and then begin a new patient examination NOTE When you press New Patient the system clears all the recent patient data comments measurements calculations and worksheets except saved images 6 2 Entering or Editing Patient Information Press Patient Info to activate the patient data annotation function and then enter or edit the patient data as shown below Patient Data Input Dialog Figure 6 1 Patient Data Input Dialog Box To switch the input text box press Enter To enter the patient information use the keyboard To exit select OK or Cancel and then press Enter or Set 6 3 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 Roll the trackball to highlight an examination type and press Set to select oe DUS 60 Digital Ultrasonic D
112. h 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 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Installation Instructions 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 60 Peripheral ports 2 USB ports 1 footswitch port 1 Network port DICOM 3 0 1 VGA output port 15 pin 1 remote port 1 video output port Figure 4 7 I O Ports on the Left Panel 20 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Installation Instructions 4 3 5 Equipotential Bonding Equipotential terminal Rear panel Potential equalization conductor Equipotential terminal Another device Figure 4 8 Equipotential Bonding 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 60 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 gt Connect t
113. hange the settled point and the active point In annotation status press this key to display the comment library Set key i Press this key to confirm the selection of a specific function or command Use this key to anchor calipers select a menu item or image graphic Or press it to increase the parameter value in parameter setting status Freeze key Press this key to switch between the frozen and real time states When Freeze an image is frozen the system inserts oR next to the system time clock and the clock pauses When unfreezing the system all the measurements calculations body marks and comments will be erased Print Print key Press this key to do the video printing _ 30 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control p IP D F Position D F number D Depth D Zoom Rotation Rotate it to adjust total gain in the B mode 0 130 in increments of 2 Press it and then rotate it to adjust total gain in the PW mode Gain can not be adjusted in freeze mode Multi function knob 1 Press this knob repeatedly to cycle among IP F position and F number functions When one of the functions is activated rotate the knob to adjust the value When the light of IP is on rotate the knob to adjust the value of IP In B B B and 4B modes 4 focuses and 16 segments of adjustable electronic focus are provided by the device By adjusting focal point combination
114. hanical equipment from other companies need to be connected to the device please contact EDAN or authorized representatives before connection 7 EXPLOSION HAZARD Equipment is not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Introduction WARNING 8 Ifthe liquid crystal material leaks from the panel it should be kept away from the eye or mouth In case of contact with hands skin or clothes it has to be washed away thoroughly with soap 1 5 2 Biohazard Considerations WARNING 1 This device is not suitable for intracardiac use or direct cardiac contact 2 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 probe easily penetrates the fontanels of the infant 3 EDAN makes every effort to manufacture safe and effective probes 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 endocavity scanning oa for the shortest period of time and at the lowest mechanical and thermal indices necessary to Ultrasound may be harmful to human
115. he equipotential connector of DUS 60 to an independent protective earth terminal with a potential equalization conductor gt 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 gt The peripheral equipment is connected to a main outlet outside the patient environment but still within the same room as the ultrasound system WARNING 1 Equipotential 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 21 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Installation Instructions 4 3 6 Printer Installation This system supports video printers and USB printers To install a video printer l 2 4 Power off the main unit and the printer Connect the VIDEO IN video input of the video printer with the VIDEO OUT video output of the main unit Connect the REMOTE of the video printer with the REMOTE o
116. he 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 5 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 will be displayed in the measurement result window as shown below 6 Press Measure to finish and exit Trace Circ Area Figure 6 6 Trace Circumference Area Method and the Results 2 Axis volume method V 7 6 x A x 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 one 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 B x M A the length of major axis B the length of minor axis M the length of the third axis Three axis method can be used to perform volume measurement by calculating two 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
117. his key to enter or to exit the file management system di Reference Section 6 8 File Management Tissue Harmonic Imaging Processing key Press this key to do the image processing shifting between tissue harmonic imaging and general in real time Tissue Specific Imaging Processing key TSI Press this key to switch among general muscle fatty and fluid in real time adjust the acoustic speed to get the most satisfying image Colorization key Colorize Press this key to colorize the image Cobalt Sage Sepia magenta flame tan or gray Brightness adjusting keys Ta Press these two keys to adjust brightness And the brightness symbol will aia be displayed at the bottom of the screen Contrast adjusting keys Press these two keys to adjust contrast And the contrast symbol will be displayed at the bottom of the screen Volume adjusting keys Press these two keys to adjust volume in the PW mode And the volume symbol will be displayed at the bottom of the screen n Sound muting key be Press this to close the loudspeaker in the PW mode And the mute pace key r symbol will be displayed at the bottom of the screen Space key S Press this key in the annotation mode and comment mode to introduce a blank space on the cursor position Shift Alphabetic key combination Shift Press SHIFT and an alphabetic key corresponding to the language s special character O n tot oat charac een lonerae Caps Lock l It is used to shi
118. iagnostic Imaging System User Manual Operation Exam lype Abdominal Obstetric Small Parts Gynecology Orthopedics Cardia Urology vascular Return Figure 6 2 Examination Type Menu 6 4 Activating and Deactivating a Probe While multiple probes are connected to the ultrasound system only one can be activated at a time Press Probe repeatedly to cycle through the probes currently connected to the system The model of the activated probe is displayed in the top right corner of the screen Press Freeze to activate or deactivate a probe WARNING DO NOT activate intra corporeal transducers outside the patient s body such as E613UA and E 743UA Otherwise EMC requirements will not be met and harmful interference to other devices in the environment may be caused NOTE 1 You can preset the default probe for the corresponding examination type see section 5 7 4 Presetting Examination 2 The surface temperatures of probes C363UA C362UA and C321UA are 47 27 45 8 C and 46 4 C respectively when they work normally but dont contact with human body 6 5 Selecting an Imaging Mode You can select an imaging mode by pressing Bi i or and then begin an examination BH Reference Section 5 4 7 Imaging functions and section 5 2 Examining 6 6 Measurements and Calculations Measurement and calculation functions are contained in each examination type and imaging 58 DUS 60 Digital Ultrasonic Diagnostic Imagin
119. iameter Distance mm LVIDs Left Ventricle Internal Diameter Distance mm ET Ejection Time Time ms or s Heart Rate M mode heart rate measurement or key in bpm eo etiam ens ht ik ESV mL 7 x LVIDs cm 2 4 LVIDs a co Cardiac Output CO Limin SV mL x HR bpm 1000 opao EF No unit SV mL EDV mL 100 FS No unit LVIDd mm LVIDs mm LVIDd Fractional Shortening mm x100 Stroke Index SI No unit SV mL BSA m Cardiac Index Cl No unit CO L min BSA m MVCF Mean Velocity Circumferential MVCF No unit LVIDd mm LVIDs mm y LVIDd Fiber Shortening mm x ET ms 1000 Body Surface Area Calculate by the selected formula m Table 8 2 Measurement and Calculation Items with TEICHHOLZ formula 3 Other measurement items tabel Description Method ao o Aortic root Diameter e Left Atrium Diameter Distance mm Cardiac cycle apex A Cardiac cycle apex E EF SLP a Fraction Slope AC concen cy Velocity Slope mm s DEV Deceleration pennen DCT Ma Time Time aie ors 103 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Cardiology Measurements and Calculations Aortic Valve Volume Opened beginning Aortic Valve Volume Opened Distance mm ending Aortic Amplitude LVMW g 1 04 IVSTd cm LVIDd cm LVPWd LVMW Left Ventricular Muscle Weight cm LVIDd cm 13 6 Left Ventricular Muscle Weigh
120. indow 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 1 In the gynecology measurement menu roll the trackball to highlight OV Vol and then highlight the secondary menu L OV Vol press Set 118 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Gynecology Measurements and Calculations 2 Take three measurements L OV L L OV W and L OV H in the method of distance measurement BA Reference Section 6 6 1 Generic Measurements in B Mode 3 After the three measurements are taken the result of L OV Vol will be displayed in the measurement result window To measuree R OV Vol 1 In the gynecology measurement menu roll the trackball to highlight OV Vol and then highlight the secondary menu R OV Vol press Set 2 Take three measurements R OV L R OV W and R OV H in the method of distance measurement BA Reference Section 6 6 1 Generic Measurements in B Mode 3 After the three measurements are taken the result of R LOV Vol will be displayed in the measurement result window 9 1 4 FO The measurement of FO includes L FO and R FO To measure L FO 1 In the gynecology measurement menu roll the trackball to highlight FO and then highlight the secondary menu L FO press Set 2 Take two measurements L FO L and L FO W in the method of distance measurement BA Reference Section 6 6 1 Generic Measurements
121. insurance amp custom charges from EDAN to service claimer 144 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Warranty and Service Policy Out of warranty the service claimer is responsible for any freight insurance amp custom charges for product 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 145 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Specifications Appendix l Specifications A1 1 Electrical Safety Classifications According to the type of protection against electric Internally powered equipment shock Class equipment According to the degree of protection against electric shock Whole device IPX0 According to the degree of protection against Probe do not include the probe connector harmful ingress of liquid IPX7 Footswitch optional IP68 According to the degree of safety of application in Equipment not suitable for use in the the presence of a flammable gas presence of a flammable gas According to the mode of operation Continuous operation According to the grade of EMC Group l Class A A1 2 Standards Compliance IEC 60601 1 1988 A1 A2 Medical electrical equipment Part 1 General requirements for EN 60601 1 1990 A1 A2 safety Medical electrical equipment Part 1
122. io by calculating 3 sets of distance data L W and H Measure the three pieces of 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 4 Measure the height You can measure a maximum of one group of data The outcome will be displayed in the measurement result window 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 the measurement result window 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 Ratio press Set to activate a measurement cursor on the screen 3 Measure the first distance A with the distance measurement method 64 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Operation Stenosis 4 Measure the second distance B move the cursor and pres
123. iocni a iS 10 Zl ADON E Oe ene eee oe een ere 10 Deli Me POG UC Wi AA E O O EEUE OE 10 e RGI W ACW apse Siesta ovat iunta shoes ENE acne vides ote Maaco es de eh eee 11 DD COME uOe AA WA AAA AA AWA AWA AA AA AA 12 2 2 Ay Standard Cone rat oi eepe int E E santa tenuate tdeuseet mcduedes 12 Did De DUA aa 12 Chapter 3 Transportation and Storage sss 14 Soles MOV ie the Sy SUSI AA AA AA 14 Die WOLD bd DO AA IA E EE E A EE E 14 re mea Pans YA TA AA O Rn ee me mene Sn eS en eS 14 Chapter 4 Installation Instructions ccccsssssccccssssssssccccsssssscccccssssssccsscssssscccsscsssssscssssessess 15 AA Environmental ReguUTemMeENI Siain a E E TTA AT T 15 AD A pack INS PECUO ereraa AI E EEE 15 BOs COMIN OMIA OC CI AA E S 15 4 3 1 Installing and Uninstalling a Cable Holder vwwwewwmmmmmmm 16 4 3 2 Installing and Uninstalling a Battery weeeememanenemewwnanmmmmn 17 4 3 3 Connecting and Disconnecting Pio aa 18 ddA crip Metal COMME CHONG AS AAA N a ear dee wae 19 A Se CUA PONA BOA vo intact sie sete acd heli E ssihia tinct 21 A310 Printer INSTA latos one E ESA 2 Chapter S System Control sessiioiiii n 23 Sale Powenne On O DEVICE neea a aaa 23 BT AN AA AA AA 24 Ioe Ore WAY OWE IA 25 3t COME ON PING aaa 26 es AA WA Ce en eee NTs ene 26 WA 9 INU BIC aa 27 AA DO CY S
124. ivate obstetric measurement 2 Inthe vascular menu select CCA 3 Measure CCA in the method of D trace measurement 132 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Vascular Measurements and Calculations Reference Section 6 6 3 Generic Measurements in PW Mode 4 The results are displayed in measurement result window 5 To begin anew CCA measurement repeat steps through 3 You can measure a maximum of one group of data 13 1 2 ICA To measure ICA 1 Press Measure to activate obstetric measurement 2 Inthe vascular menu select ICA 3 Measure ICA in the method of D trace measurement Reference Section 6 6 3 Generic Measurements in PW Mode 4 The results are displayed in measurement result window 5 To begin a new ICA measurement repeat steps through 3 You can measure a maximum of one group of data 13 1 3 ECA To measure ECA 1 Press Measure to activate obstetric measurement 2 Inthe vascular menu select ECA 3 Measure ECA in the method of D trace measurement Reference Section 6 6 3 Generic Measurements in PW Mode 4 The results are displayed in measurement result window 5 To begin a new ECA measurement repeat steps 1 through 3 You can measure a maximum of one group of data 13 1 4 VertA To measure Vert A 1 Press Measure to activate obstetric measurement 133 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Vascular Measurements
125. l Ultrasound Intensity and Safety Acoustic Output Reporting Table Transducer Model L763UA Operating Model B M Mode Index Label MI a a ae oimai o o oo ooa eae Ce ore iste E We 0 o ase Min of W 3 z mW 0 565 la 3 Z1 Associated Zea led 1 8567 ue Cza em 22s 225 Ta Ce omg 49898 49898 49898 49898 4 9908 Aaprt Ym os os os os PD ce 0 3435 M we e 2095 O o oo information LO Pima Cm 0 0509 0 5263 0M Wn 0 12 a ann a E Control AP 15 Frequency 6 0MHz _ Controll Conditions Depth 80mm Focus 30mm 167 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Acoustic Output Reporting Table Transducer Model L763UA Operating Model PW Mode Index Label MI TIC Scan Aal Non scan oimne 03687 oss s oo rs ma oss M Cw w a rE Min of W 3 z1 mW 23 12 la 3 Z l Associated z cy lee 1 8567 ue Cza em 2s 255 ez e B o e omg 56693 OOO O seoa 56693 5 6603 Po use Ya ua Pera lea T T 1T information LO Pima Cm 0 0152 0 0152 wa 0 031 un a E a Control AP 15 Frequency 6 0MHz aa Controll Conditions Depth 78mm Focus 30mm 168 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety A2 3 5 Test of Probe C362UA a a ee a ae eee 0 4072 0 4072 0 2923 WAA AA AE KAA kaoa Oo m ajal ee o KANSA KANSA a Inclu
126. l to exit NOTE To get the Total result in the FBP report you have to measure the AF and input the fetal biophysical profile and save them 7 1 16 EDC Calculation EDC Calculation by LMP To calculate EDC according to LMP 1 In the obstetric menu roll the trackball to highlight the menu Input and it will display secondary menu automatically as shown below 92 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetric Measurements and Calculations Figure 7 2 Obstetric Input Items 2 Select LMP and press Set and the LMP input dialog box will be displayed on the screen date input Figure 7 3 LMP Input Dialog Box 3 Enter the LMP in YYYYMMDD Y stands for year M stands for month and D stands for day format with the keyboard 4 Select OK and press Set to perform the calculation automatically or Cancel to give up the calculation EDC Calculation by BBT To calculate EDC according to BBT 1 In the obstetric menu roll the trackball to highlight Input and the system will display the secondary menu automatically 2 Select BBT in the list of input items and press Set and the BBT input dialog box will be displayed date input Figure 7 4 BBT Input Dialog Box 3 Enter the BBT in YYYYMMDD Y stands for year M stands for month and D stands for day format with the keyboard 4 Select OK and press Set to do the cal
127. lowing two complete cycles and then press Set to anchor end position 5 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 will be displayed in the measurement result window 6 Press Measure to finish and exit Figure 6 17 Heart Rate Measurement NOTE In B M mode you should define the M Mark position and then begin the measurement 6 6 3 Generic Measurements in PW Mode PW mode measurements and calculations include velocity heart rate time acceleration RI and D trace The default measurement is velocity measurement The measurement menu is shown below Figure 6 18 PW Mode Generic Measurement and Calculation Menu NOTE Heart rate and time measurement methods are the same as those in the M mode BA Reference Section 6 6 2 Generic Measurements in M Mode Velocity To measure velocity of a point on the Doppler wave 1 Press Measure to activate a measurement cursor 2 Roll the trackball to highlight Velocity and press Set and a is displayed 3 Roll the trackball and press Set to anchor the point measuring velocity Gils DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Operation 4 Roll the trackball and press Set to begin a new velocity measurement You can measure a maximum of four groups of data The outcome will be displayed in the measurement result window as shown below Press Measu
128. mation 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 press 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 press Cancel to give up and close the dialog box 5 7 8 Presetting Data The secondary menu of preset data is shown below 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 perform the DICOM presetting as shown below DICOM 1 2 492 168 1195 2000 16384 EFIT EF Pi a a Server xj Figure 5 24 DICOM Presetting 54 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control tem Description AA Loca S2t_ Steep Alias Set the alias of the local Setthe alias ofthelocalsystem o Package Set the PDU transmission package size from 4K to 64K and the Size default value is 16K Server 1 2 ee o st sp Alias Setthealiasofthesever II the alias of the server 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 cur
129. membrane Endo l Distance mm Thickness L C Left Ovary Length Left Ovary Width Distance mm Left Ovary Height R OV Vol Richt Ovary Volume R OV V mL 0 523 x R OV L mm x R OV W mm x U R OV H mm 1000 117 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Gynecology Measurements and Calculations Right Ovary Length Right Ovary Width Right Ovary Height L FO L Left Follicle Length l l Distance mm L FO W Left Follicle Width R FO L Right Follicle Length R FO W Right Follicle Width Cervix Length The ratio of Uterus Length UT L CX L and Cervix Length UT L CX L Ratio Table 9 1 Gynecology Measurement and Calculation Items in B Mode 9 1 1 UT To measure UT 1 In the gynecology measurement menu roll the trackball to highlight UT and press Set 2 Take three measurements UT L UT W and UT H in the method of distance measurement BA Reference Section 6 6 1 Generic Measurements in B Mode 3 After the three measurements are taken the result of UT will be displayed in the measurement result window You can measure a maximum of one group of data 9 1 2 Endo To measure endometrium 1 Inthe gynecology measurement menu roll the trackball to highlight Endo and press Set 2 Measure Endo in the method of distance measurement BA Reference Section 6 6 1 Generic Measurements in B Mode 3 The result of Endo will be displayed in the measurement result w
130. ment result window 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 Figure 11 2 SPSA Input Dialog Box 11 2 Urologic Report After the urologic examination the system generates a urologic worksheet Roll the trackball to highlight Urol Worksheet and press Set display Urologic Worksheet dialog box as shown below 128 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Urology Measurements and Calculations Urologic worksheet Figure 11 3 Urology Worksheet The diagnosis editing column displays the cursor 1 and you can enter diagnosis information To print the report Press Print in the Urology Worksheet lil Printing reference Section 5 8 Printing 11 3 Others Select Others to enter another application measurement 129 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Orthopedics Measurements and Calculations Chapter 12 Orthopedics Measurements amp Calculations The orthopedics measurements include distance and HIP Figure 12 1 Orthopedics Measurement and Calculation Menu 12 1 Measurements and Calculations Label Description metroa a The Angle of BL and ARL J p The Angle of BL and iL Table 12 1 Orthopedics Measurement and Calculation Items 12 2 Orthopedics Report After the orthopedics examination the system generates a HIP worksheet
131. meters Radiology 152 497 1984 MA FL cm 10 35 2 460 FL 0 170 FL Merz Merz E Ultrasound in Gynecology and Obstetrics Stuttgart and New York Thieme Medical Publishers Inc 1991 p 326 Table FL Merz fm YA zeoe MA zeo mm MA 360 mm MA_ 250 MA MA MA MA mm 2SD mm 2SD mm 2SD mm 25D m iasa 10 29 towod 12 48 26wid 16 766 33w4d 17 12 Taswa 10 30 tows 12 49 26wad 15 768 S4wdd 17 13 hawaa 31 tows 12 50 26wea 16 69 Taswa 18 13 5 20w0d 201 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetrical References ria toad it or 2iwea 18 56 20w34 47 775 Tamwa 18 20 isea oB zawaa Mia 57_ wed 17 78 sema 19 16w1d 23wid 30w1d 38w5d 22 16w4d 11 41 23w3d 30w4d 78 39w1d 19 23 onsa 11 a2 2awsa 15 60 stwoa 17 70 sone 19 ra irma 12 43 2ewid 15 61 3iwad 17 60 4owid 18 2 iawa 13 44 2twad 16 62 lower 20 wea 13 fas Jama 118 Tea fwar O 27 awa 13 a6 26wad 15 64 aawe 17 Jeanty Jeanty P Rodesch F etc Estimation of Gestational Age from measurement of Fetal Long Bones Journal of Ultrasound in Medicine 3 75 1984 MA FL mm 9 5411757 0 2977451 FL 0 0010388013 FL Tokyo Studies on Fetal Growth and Functional Developments Takashi Okai Department of Obstetrics and Gynecology Faculty of Medicine University of Tokyo Table FL Tokyo 0
132. meters Cza cy 26 O o CO e om s24 5224 sama sama s2224 PD ce 0329 M we e as O O o aP oos os oo aa 0 1536 M Sn WA O OO O O O O O OOO AP 15 Frequency 6 0MHz Information Control Controll Conditions Depth 78mm Focus 35mm 187 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Acoustic Output Reporting Table Transducer Model L743UA Operating Model PW Mode Scan Non scan Al Global Maximum Index Value 0 4043 0 9339 3 0125 0 8505 Associated 7 ca orien Ze em 2s O A o Ca eri sore sesa s o7az S782 PPD usec 1 5134 per oa T 0 T information Li P ima Cm 0 0076 0 0076 OMi Wen 0 1433 BA KA KA KAA MAA WAA MAA MAA WAA MANA Control AP 15 Frequency 6 0MHz ai Controll Conditions Depth 78mm Focus 35mm WARNING The device is not intended for ophthalmic use Do not use it for examining ophthalmic vessels or any other procedures which may cause the ultrasound beam to pass through the eye 188 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety A2 4 TI Thermal Index TI is determined by the ratio of the total acoustic power to the acoustic power required to raise the tissue temperature by degree Celsius Once there is a situation that a TI value is greater than 1 0 the TI value will be displayed in the upper part of the screen Th
133. mm RUV H Residual Urine Height py Prva Volume 3 3 3 0 52 x PV L x PV W mm x PV H mm 1000 py cm or dm PV L Prostate Length PV W Prostate Width Distance mm PV H Prostate Height Predicted Prostate PPSA PPSA ng mL 0 12 x PV Specific Acasa Density Serum Prostate SPSA Key in SPSA ng Specific aes Prostat Specifi PSAD 0 pece BSAD ng mL SPSA ng PV mL 0 01ng lt SPSAS100ng Antigen Density Table 11 1 Urology Measurement and Calculation Items To determine the residual urine volume or prostate volume take three measurements length width and height The system calculates the volume 127 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Urology Measurements and Calculations To measure RUV 1 Inthe urology menu roll the trackball to highlight RUV and then press Set 2 Measure threes pieces of data RUV L RUV W and RUV H in the method of distance measurement BA Reference Section 6 6 3 Generic Measurements in PW Mode 3 After the three measurements the result of RUV will be displayed in the measurement result window To measure PV 1 Inthe urology menu roll the trackball to highlight PV and then press Set 2 Measure threes pieces of data PV L PV W and PV H in the method of distance measurement BA Reference Section 6 6 3 Generic Measurements in PW Mode 3 After the three measurements the result of RUV will be displayed in the measure
134. mmended not to examine the parts with wounds or acute inflammation to avoid cross infection 1 5 General Safety Precaution Information 1 5 1 General Information WARNING This equipment is not intended for treatment CAUTION 1 Federal U S law restricts this device to sale by or on the order of a physician 2 The pictures and interfaces in this manual are for reference only NOTE This equipment is not intended for home use 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 WARNING 1 The device should be operated by qualified operators or under their instructions 2 The device should be operated appropriately to avoid mechanical damage to the transducer 3 Do not alter parameters of the device at will If it is necessary please consult EDAN or authorized representatives for service 4 The device has already been adjusted to its optimum performance Do not adjust any presetting control or switch unless it is listed in this manual 5 If the device breaks down please shut down the machine immediately and contact EDAN or authorized representatives 6 Only accessories supplied or recommended by EDAN can be used the battery and probes of EDAN can be only used on EDAN s systems Otherwise the performance and electric shock protection can not be guaranteed If electrical or mec
135. n of W z1 mW lia 3 Z l Associated AA O Cza cy 7 ez co E E E Ce omg 51924 541924 51924 S924 5 1924 Aaprt Ym os os os os re usec 0327 M pero a information LO Pima Cm 0 0632 0 9021 Wa 0 1541 ua a E Control AP 15 Frequency 4 5MHz _ Controll Conditions Depth 39mm Focus 25mm 179 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Acoustic Output Reporting Table Transducer Model E613UA Operating Model PW Mode Scan Non scan Al Global Maximum Index Value 0 3292 0 3405 1 0256 0 3745 Associated Acoustic Parameters Cza cy 18s a 1 lee aa ee E e wiz aa Jan aaoes 44688 Mapt Ym os os os PD sec 1 9666 M we e lea T T 1 information 220 PImax Cm 0 0229 0 0229 aOMi Went ua ln a Control AP 15 Frequency 4 5MHz _ Controll Conditions Depth 39mm Focus 25mm 180 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety A2 3 8 Test of Probe C363UA Oo ee KAA SAA NAA KI 0 3225 0 3225 0 2895 a Ooo MAE AA AE KAZI e o SIA KAZI o o MAE KASI SI KA KA Inclusive modes Control1 AP 15 Frequency 3 0MHz Depth 98mm Focus 60mm Control2 AP 15 Frequency 2 0MHz Depth 98mm Focus 70mm 181 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and S
136. n PW Mode The results are displayed in measurement result window _97 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetric Measurements and Calculations 5 To begin a new Desc AO measurement repeat steps through 3 You can measure a maximum of one group of data 7 3 Results Obstetric results include Growth Curve and OB Worksheet 7 3 1 Growth Curve You can define the fetus growth by comparing the measured parameter value with the fetus growth curve 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 Results and the secondary menu will be displayed Then select Growth Curve and press Set and the Fetus Growth Analysis dialog box will be displayed in the middle of the screen 4 The default tab is GS and the corresponding formula of the current growth curve Move the cursor to another formula in the pull down menu 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 in the pull down menu and press Set to display the growth curve of another measurement item and the phase of the growth corresponding to the measured data The signification of the growth curves 1s shown below and the x coordinate shows the phase of the growth corresponding t
137. n ae rs Mra 02 es oe Min of W 3 z1 mW lia 3 Z l Associated z cny gt Ze tem ass O A 495 eee ez e E Ta e om 3005 3 065 3 065 306s PP usec 1 9784 Pera lea T T Information et Pima em 0 0075 0 0075 wa 0 036 un a E a Control AP 15 Frequency 2 0MHz aa Controll Conditions Depth 98mm Focus 60mm 156 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety A2 3 2 Test of Probe C613UA a a ee MAA a a a aa aa 0 165 0 165 0 175 Oo e KA o Ooo m ese eo oe Oooow KASI MASAA MAASI Inclusive modes Control1 AP 15 Frequency 5 5MHz Depth 29mm Focus 10mm Control2 AP 15 Frequency 4 5MHz Depth 29mm Focus 10mm 157 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Acoustic Output Reporting Table Transducer Model C613UA Operating Model B Mode Index Label x can on scan Global Maximum Index Value 0 8883 0 0725 AAA P MPa 2 Lo Min of W 3 z1 mW lia 3 Z1 Associated 23 Z1 J lt a Acoustic a i Lop cm LZ sp cm 1 3 et Ce Mila sess sass S865 usec i 20 274 Tpa 3 MImax W em 0 2133 Parameters Control AP 15 Frequency 4 5MHz Controll Conditions Depth 29mm Focus 10mm 158 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Inte
138. n the comment library and press Set to confirm the choice and complete the comment 39 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control gt To add an arrow 1 Press Comment and there is a cursor I displayed in the image area for annotating 2 Press Set to display an arrow 3 Move the trackball to move the position of the arrow and the rotation function 1s automatically activated and the rotation light is on You can rotate this button to adjust the arrow direction 4 Press Set to set the position of the arrow To move a comment 1 Move the cursor to a comment and there is a pane around the comment 2 Press Set and move the cursor to a new position 3 Press Set to confirm the new position To delete a comment During commenting you can use DEL or Bksp to cancel the undesired text word by word or you can use Back to cancel the undesired text one by one The comment library is shown below DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control Lesion 2 Figure 5 3 System defined Comment Library 5 4 6 Body Mark Function To add a body mark 1 Press Body Mark to display the body mark dialog box 2 Highlight a body mark in the body mark dialog box and press Set to confirm the choice to add the body mark The selected body marks are displayed in the bottom left corner
139. n the file menu 4 Highlight Save Frame in the file menu and press Set to save the current displaying image gt Save Cine 1 Press Freeze to freeze the system 2 Press File to open the file menu 3 Highlight Save Cine in the file menu and press Set gt Save AVI 1 Press Freeze to freeze the system 2 Press File to open the file menu 3 Highlight Save AVI in the file menu and press Set NOTE The AVI files can not be viewed on this system please use a U disk to copy the AVI files to a PC and view them by using the WINDOWS RealPlayer AA DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Operation gt Save As When obtaining a satisfying image 1 Press File and select Save As in the file menu to display the File Save As dialog box 2 Choose the driver and the file type 3 Press Set on the pane next to File Name and use the keyboard to enter a file name with a maximum of ten characters 4 Press OK to save File Save As Local Disk Fal m gt _ File Name File Type Figure 6 24 File Saving Dialog Box NOTE If you do not enter the name for the file the system will automatically number the file in sequence For instance if the latest number comes to YYMMO0020 Y stands for year and M stands for month and if you save a file the next time the file is numbered as YYMM0021 When saving a file the saving information is automatically displayed in
140. ncel to close the dialog box and continue to measure To print the report Press Print in the Obstetric Worksheet BA Printing reference Section 5 8 Printing 7 4 Others Select Others to enter another application measurement 100 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Cardiology Measurements and Calculations Chapter 8 Cardiology Measurements and Calculations 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 The result of ventricle volume measurement is more exact in two dimension You can get the two dimension heart image of end diastolic and end systolic exactly and conveniently in the B M mode So we suggest that you do the cardiac measurement and calculation in the B M mode 8 1 Cardiac Measurements and Calculations in M Mode Im NA Press to enter the M mode or press to enter the B M mode and then press Measure to activate the measurement function The system displays the measurement menu shown as below TEICHHOLZ CUBE EF Slope ACY ASE Valve Yolume hMI CARDIAC MEA LY Mitral Aorta Heart Rate LYET L4AD A0D dd Yalve Yolume Input WorkSheet Others 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
141. ng to local regulations for separate collection after its useful life os General Symbol for Recovery Recyclable Federal law restricts this device to sale by or on the order of a Rx on US ide Authorized Representative in the European Community 12 C The symbol indicates that the device complies with the European Council Wee Directive 93 42 EEC concerning medical devices L Alternating Current a c E sa 18 VGA VGA output External Monitor Ol kd nl B J DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Introduction Net work port Foots witch To identify a footswitch or the connection for a footswitch NO AA NO NO NO oO Protective earth ground Recording on an information carrier Trademark USB Universal Serial Bus Connection Dangerous voltage Variability for rotating movement Rotate clockwise to increase the value and counterclockwise to decrease NO O1 NO N oO NO ae 2 D a 7 1 28 Em Variabilit y 29 N D gt Adjust right to increase the value and left to decrease _ Variation of ultrasound energy a To adjust acoustic power 33 IPX7 Degree of protection provided by enclosures IP Code temporary immersion For the probe but not including the probe connector Power off on the system 2D commes 38 K Loudspeaker To adjust volume in PW mode Table 1 1 Descriptions of Symbols DUS 60 Digital Ultrasonic Diagno
142. nsity and Safety Acoustic Output Reporting Table Transducer Model C613UA Operating Model B M Mode Index Label MI a a ae ai Maximum Index Value 0 5883 0 0688 coos oxo 01578 gt s w foss M aa Www 4799 os oe 5 35 Min of W 3 z1 mW lia 3 Z l Associated AA O Cza a 3 ez e E E o Ce om 5886s 58865 58865 518865 5 8865 Po usec 0 274 M pero a T To To T EE deg P Imax cm 0 0531 0 7584 s Mlna Wen 02133 M ee E a Control AP 15 Frequency 4 5MHz aa Controll Conditions Depth 29mm Focus 10mm 159 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Acoustic Output Reporting Table Transducer Model C613UA Operating Model PW Mode Index Label MI TIC Scan Al Non scan Global Maximum index Value 04034 osa sms osas s M aa Cw ow ee fe o 17 82 Min of W z1 mW lia 3 Z l Associated AA O Cza c 1a a o ez e E O E na e o saa O sae sa3i6 53316 PPD usec 179 M Pera lea T T 11 Information et Pima em 0 0144 0 0144 1M Wem ua EE a E a Control AP 15 Frequency 5 5MHz aa Controll Conditions Depth 29mm Focus 10mm 160 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety A2 3 3 Test of Probe C343UA re ee Ka ee o eee 0 3493 0 3493 0 2957 te KASI WAAE SAA kana WA r e ae ee o MASSA MAASI Inclusive m
143. nsmitter 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 212 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Order List Appendix VI Order List The following accessories are recommended to be used on the DUS 60 WARNING Probes and other accessories used on the DUS 60 must be provided or recommended by EDAN Otherwise the device may be damaged Probe C321UA 12 01 116221 213 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Order List U Disk Netac U180 2G 11 18 052245 10 Cable Holder 01 52 113229 21 51 113150 Probe holder 01 51 113140 Coupling gel holder 21 51 113131 Screw M3x12 11 19 057154 214 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Glossary Appendix VII Glossary Abbreviated Description Obstetrics EFW Estimated Fetal Weight HOO HC CER are m im AI FTA _ Fetus Trunk cross section HUM aman ani AA oD zaa Fetal Biophysical Profile Cardiology ar AAA 215 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Glossary MVCF Mean Velocity Circumferential Fiber Shortening
144. nt Neer CF AAA AA WAA WA WA tet AA AA AA 96 Dig eC CAN OD AA AA AA AA AA AA AAA 96 Tee CSC AUA E E P WAWA WAA MA A EEE A S PE 97 Tea E aa a no es E RUANGWA E T 97 ez DS A a E E E ae MMEA 97 AA T ES EE OEN 98 Te ON E C AI IN T AE 98 TDs SI aa ue ROPOT HA AAA AAA EPA MA Wa 100 TEO MAE MDI WAA TAWA MAMA a TMAA DUNI UTA MAO O WA TANG UM AYA SANA NNA WAL TENEA 100 Chapter 8 Cardiology Measurements and Calculations sssss0eeeeeeeeeeee 101 8 1 Cardiac Measurements and Calculations in M Mode wwwewneennnnannna 101 Ua E E arene ANA NA E ey tre TBA WAA AA re AAR Oey DU KUNI EAE ear TT EE MI KUNIUA WA 105 IA KA ai AAA KA AAA AA WANA MTAMA KIMA ALI 107 SA IN AUA E EE An 108 Sa LENNI EN N ka KA Wa KU Aa UA AA 109 8 2 Cardiac Measurements and Calculations in B Mode wwwwewnenannnannna 109 BSc 2 ee NV a IA gases ete eet hae sansa lease eeanentaen ence 113 8 2 2 RV Right Ventricle Internal Diameter wwwewwmmnnnnnnennnnnmn 115 8 2 3 PAs PUDO y ATTY ho E E E EARO OEEO 115 So Cardiac REPOT UA AAA ee E T A AAA 116 Sa ka AA a a AA 116 Chapter 9 Gynecology Measurements and Calculations cccccccsssssssssssccccccssssssssssccccsees 117 9 1 Measurements and Calculations in B Mode ceecccceeeccccsecsceesseeecseeeseeeeeseens 117 ya EE PE Rigen tonto cme E or or omer Ue ae E IE ree TMA Rn ET TENA AE a ee VAA T ner WA E 1
145. nual Ultrasound Intensity and Safety Acoustic Output Reporting Table Transducer Model C362UA Operating Model PW Mode Index Label MI TIC Scan ee Non scan oimne 0a aa a sear rs Ma or M w a O o o Acoustic Parameters a PZ w aes ei em cores Wa e omg 2 6875 2 6875 2 0875 2 0875 PD oo 1 4124 SN S NN NN Perri sie O o ooo E E deg P Imax cm 0 0108 0 0108 ipus Mlna Wiem 0 0338 D is inna ME ee ee eee eee eee ssi Zee 300 a Control AP 15 Frequency 3 0MHz _ Controll Conditions Depth 98mm Focus 60mm 172 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety A2 3 6 Test of Probe L742UA ee ee ee sae ee 0 2199 0 2199 0 2639 ee KAA KE wea oe se Oooo MASAA KAGAME ee WAS ASA KASI Inclusive modes ka Control1 AP 15 Frequency 7 0MHz Depth 78mm Focus 50mm Control1 AP 15 Frequency 6 0MHz Depth 78mm Focus 50mm 173 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Acoustic Output Reporting Table Transducer Model L742UA Operating Model B Mode Scan Non scan Aap Aaprt gt l Goba Masima nr vae 09297 onae o AA ost ases OO Wo mW of W 3 z1 mW Tia3 Z1 Associated A cm Acoustic i Parameters eee es Ze o 7 T amp MHz 5 0334 5 0334 Dim of ross _ eo AA Other ae A In
146. o prompt you whether to restart the system 5 7 4 Presetting Examination Examination types include abdomen obstetrics small parts gynecology orthopedics cardiology urology and vascular Take obstetric examination presetting for example in the preset menu move the cursor to 46 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control highlight Obstetric and press Set to display obstetric examination presetting dialog box Parameter 1 Tab Ob Exam Preset Param 2 IP C363UA en J A Tl Go JI Hi Density 0 General General Ii pp L E ie Ed 2 E Generali 1 E Figure 5 13 Obstetric Presetting Parameter 1 Tab item seng aiowsyouo SSS Scan ScanAngle OAIB Set scanning aii Soo o Oo Ti h issue harmonic imaging Set THI General N Null Set the attribute of Horizontal reversal Display all the probe type Probe 4 a YP Set the probe type to use this device supports Table 5 6 Obstetric Presetting Information Parameter 1 47 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control Parameter 2 Tab Pre Exam Preset Figure 5 14 Obstetric Presetting Parameter 2 Tab stem Seting Allowsyouto Sample volume 1 7 Setthe size ofthe sample voume per KAA AA wat iter o8 Settne level otwanitter Baseine om6 Setthe pase ine postion o Pseudo color 0 6 Setthe colo
147. o the entered LMP or BBT and the y coordinate shows the measured data Move the cursor to Close and press Set to exit _ 98 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetric Measurements and Calculations fetal growth analysis a b Rempen El Figure 7 6 Fetal Growth Curve Single fetal growth analysis as Gs bal Rempen CRL E Hansmann E BPD Hansmann x HC Ea Merz Ea Figure 7 7 Fetal Growth Curve Four NOTE Press Single Four to display single growth graphics or four growth graphics 99 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetric Measurements and Calculations 7 3 2 Obstetric Report After obstetric examination the system will generate an obstetrical diagnosis worksheet automatically 1 In the obstetric menu roll the trackball to highlight Results and it will display secondary menu automatically 2 Select OB Worksheet and press Set to open Obstetric Worksheet as shown below Obstetric worksheet Figure 7 8 Obstetric Worksheet The diagnosis editing column displays the cursor T and you can enter diagnosis information NOTE 1 The system will display the completed measurements and calculations the uncompleted measurements and calculations will not be 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 Ca
148. ocity measurement items in the PW Umb A mode D En PCA Fetal AO WEEE AL Placent A Ductus wY Others Figure 7 5 Obstetric Measurement and Calculation Menu in PW mode Label Description Channel metno Fetal AO Fetal Aorta l D trace Placent A Placent Aorta Table 7 4 Obstetric Measurements in PW Mode 7 2 1 Umb A To measure Umb A 1 Press Measure to activate obstetric measurement 2 Inthe obstetric menu select Umb A 95 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetric Measurements and Calculations 3 Measure Umb A in the method of D trace measurement Reference Section 6 6 3 Generic Measurements in PW Mode 4 The results are displayed in measurement result window 5 To begin anew Umb A measurement repeat steps 1 through 3 You can measure a maximum of one group of data 7 2 2 MCA To measure MCA 1 Press Measure to activate obstetric measurement 2 Inthe obstetric menu select MCA 3 Measure MCA in the method of D trace measurement Reference Section 6 6 3 Generic Measurements in PW Mode 4 The results are displayed in measurement result window 5 To begin a new MCA measurement repeat steps 1 through 3 You can measure a maximum of one group of data 7 2 3 Fetal AO To measure Fetal AO 1 Press Measure to activate obstetric measurement 2 Inthe obstetric menu select Fetal AO 3 Measure Fetal AO in the method of D trace measur
149. odes ka Control1 AP 15 Frequency 2 0MHz Depth 98mm Focus 60mm 161 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Acoustic Output Reporting Table Transducer Model C343UA Operating Model B Mode Scan Non scan Apaol Aaprt gt l Global Maximum Index Value 09043 oa OO aa P 3 MPa 1 557 ao ui jao Wo mW of W 3 z1 mW Tia3 Z1 Associated Zi cm Acoustic cm EE E E Parameters k Ea Dim of Aaprt PD usec Other Information deg PUmax Cm 0 0184 Focal Length pa e Wiem AP 15 Frequency 2 0MHz Depth 98mm Focus 60mm Control Controll Conditions 162 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Acoustic Output Reporting Table Transducer Model C343UA Operating Model B M Mode Index Label MI 7 wa wani le Mi o0 oa aa ooa ai Ci or os we os a sed Lem 2 9389 WI a Acoustic Cza em 485 i s pe ozo em 256 as e oma sz 2o 29652 2652 29052 UW AA PR iy oe O O o nieces deg PIImax cm 0 0234 0 236 Ta 0 1552 In ics inna a ee ee eee eee Control AP 15 Frequency 2 0MHz Controll Parameters Conditions Depth 98mm Focus 60mm 163 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Acoustic Output Repor
150. oe WAA KAA KA KA O wwe KA e a 153 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Control1 AP 15 Frequency 3 0MHz Depth 98mm Focus 60mm Acoustic Output Reporting Table Transducer Model C321UA Operating Model B Mode TIS TIB Index Label Non Scan Non scan Aap l ra MPa 1506 M Cw w E 38 73 N Q o 5 Min of W 3 z1 mW la3 z1 Associated azi a e as eZ en N 7 a iz ES Po Gey 04958 we e is aa 0 1468 2 Lo ae Control AP 15 Frequency 2 0MHz _ Controll Conditions Depth 98mm Focus 60mm 154 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Acoustic Output Reporting Table Transducer Model C321UA Operating Model B M Mode Index Label MI 7 wa manii TIC aio Mime adores aa aa Losa ra ss W mW 314 E 27 O 33 717 le 3 Z l J oe ui Ze omy aas i 445 ee Caza em M AZ e nig for faa aa fara ae en PPD co 0 4958 Per isis To KAA KA er ee deg P Umax cm 0 0264 0 3579 ipsGMinn Wien 0 1468 M eC Control AP 15 Frequency 3 0MHz Controll Conditions Depth 98mm Focus 60mm 155 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Acoustic Output Reporting Table Transducer Model C321UA Operating Model PW Mode Index Label MI TIC Scan Al Non scan oimne o ona
151. oll the trackball to move the zoomed image NOTE In real time mode magnification function is only available in B mode and 2B mode In frozen mode magnification function is only available in B mode When a body mark is added the rotation function is automatically activated and the rotation light is on You can rotate this button to adjust the scanning direction When an arrow is added the rotation function is automatically activated and the rotation light is on You can rotate this button to adjust the arrow direction In PW mode after activating the PW angle adjustment function the rotation function is automatically activated and the rotation light is on You can rotate this button to adjust the arrow direction Footswitch Pedaling on the footswitch is equivalent to pressing Freeze Table 5 2 Function Controls 9 4 5 Comment Function The comment library is for positions and anatomical structures NOTE The entered text is in upper case by default To add a comment gt To add a comment by using the keyboard Sl 1 Press Comment and there is a cursor I displayed in the image area for annotating 2 Enter text by using the keyboard 3 Press Set to complete the comment gt To add a comment by using the comment library asic 1 Press Comment and there is a cursor I displayed in the image area for annotating 2 Press Change to display the comment library 3 Highlight a comment i
152. or the shop where you purchased the product 5 Please use the standard power cord as the input line of the network power supply for the adapter to reduce risk NOTE The probe stops transmission after freezing disconnecting falling off or entering sleeping mode Main control software checks the probe connection all the time once probe disconnects from the probe socket the system stops transmission Electromagnetic Compatibility EMC Operating the DUS 60 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 of wiring Ultrasound machines also generate EMI The DUS 60 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 is installed Electrical and electronic equipment may produce EMI unintentionally due to one of the following defects gt High frequency electrotome DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual gt Transformer gt Defibrillator gt Wireless LAN
153. press it again to restart the device gt The device displays wrong information and it lasts a long time gt The device displays abnormally gt The device can not execute an operation 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 will be displayed on the screen Adjust brightness contrast gain TGC acoustic output dynamic range focus combination etc properly Adjusting the monitor s contrast and brightness is one of the most important factors for best 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 and adjust D gain sample line sample volume base line PW angle filter steer PRF etc in the PW mode CAUTION 1 Please be gentle when contacting the target area with a probe This is to avoid making the probe damage 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 gain knob slowly 24 DUS 60 Digital Ultrasonic Diagnostic Imaging
154. r cord may rupture Coupling gel can only be used on the head of the probe and it should be wiped off after use Each time after use clean and disinfect the probe The acoustical window and the shell of the probe should be examined frequently WARNING The DUS 60 cannot be used together with high frequency surgical equipment CAUTION 1 Do not disinfect or clean probes under high temperature and the temperature should be below 45 C 2 In order to avoid damaging the device the disinfection method is limited to regular maintenance of devices in hospitals Disinfecting instruments should be cleaned first 14 2 3 Trackball Cleaning To clean the trackball 1 Remove the front panel bezel 2 Remove the trackball as shown in figure 13 2 3 Clean trackball with a tissue and isopropyl alcohol 4 Clean the inside of the trackball assembly with a cotton swab and isopropyl alcohol 5 Assemble the trackball and front panel bezel after the assembly parts completely dry 140 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Inspection and Maintenance Rotate clockwise to mount the fixing ring Rotate counterclockwise to remove the fixing ring Figure 14 2 Assembling and Disassembling Trackball CAUTION Do not drop or place foreign objects inside the trackball assembly or it may affect the trackball operation and damage the system NOTE Be sure to clean the X and Y encoders and the idler wheel
155. rameter References Tokyo Hellman Rempen China Tokyo Hadlock Merz Rempen Osaka China Hadlock Merz Tokyo Hadlock Hansmann China Robinson Tokyo Hadlock Hadlock2 Hadlock3 Hadlock4 Shepard Campbell Merz1 Merz2 Hansmann Osaka Tokyo Hadlock China Jeanty Merz Osaka 50 Table 5 9 Formula Presetting Information DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control 5 6 Presetting Post Processing The preset items include gray map rejection and gamma correction In the preset menu roll the trackball to highlight Post Proc and press Set and then display post processing presetting dialog box as shown below Post Process BOGE 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 l Move the cursor to one of the nine round nodes Press Set move the node with trackball to adjust the curve Press Set to complete the adjustment and the Gray Curve is renewed simultaneously Adjust other nodes using the same method Roll the trackball to Linear and press Set Then the gray map curve turns a 45 line and the Gray Curve is renewed simultaneously 51 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual
156. re to finish and exit Acceleration To measure velocities of two points on the Doppler wave and calculate the acceleration RI Resistance Index D Trace Acceleration Vell Vel2 Interval l 2 Press Measure to activate a measurement cursor Roll the trackball to highlight Acceleration and press Set and a is displayed Roll the trackball and press Set to anchor the first point measuring Vell Roll the trackball and press Set to anchor the second point measuring Vel2 and Interval and calculating Acceleration Roll the trackball and press Set to begin a new acceleration measurement You can measure a maximum of four groups of data The outcome will be displayed in the measurement result window as shown below Press Measure to finish and exit To measure velocities of two peak points on the Doppler wave and calculate RI and S D RI Vell Vel2 Vel1 l 2 3 4 Press Measure to activate a measurement cursor Roll the trackball to highlight RI and press Set and a is displayed Roll the trackball and press Set to anchor the first peak point measuring Vell Roll the trackball and press Set to anchor the second peak point measuring Vel2 calculating RI Roll the trackball and press Set to begin a new RI measurement You can measure a maximum of four groups of data The outcome will be displayed in the measurement result window Press Measure to finish and exi
157. rent server that is connected to the system Table 5 10 DICOM Presetting Information Press OK to save the presetting and exit or Cancel to exit without saving the presetting NOTE 1 Do not set a same IP Address for the local system and the server 2 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 To connect a video printer 1 Connect VIDEO IN video input of the video printer to VIDEO OUT video output of the main unit 2 Connect REMOTE of the video printer to REMOTE of the main unit 65 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control 3 Check the printer referring to the printer user manual 4 Make sure the Report Printer and Print Report Image options in the General Presetting window are set correctly 5 Run the printer Video printing Press Print on the keyboard to print the image currently displayed To connect a USB printer l Za 3 4 5 Connect the USB printer via the USB port 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 USB printing Press Print of the worksheet dialog box Printer begins to print NOTE 1 Before printing make sure there is enou
158. ress Set and move the cursor to image and display 3 Measure GS in the method of distance measurement Reference Section 6 6 1 Generic Measurements in B Mode 4 The results are displayed in measurement result window 5 To begin a new GS measurement repeat steps 1 through 3 You can measure a maximum of one group of data 7 1 2 CRL To measure CRL 1 Press Measure to activate obstetric measurement 2 In the obstetric menu roll the trackball to highlight the menu CRL press Set and move the cursor to image and display 3 Measure CRL in the method of distance measurement Reference Section 6 6 1 Generic Measurements in B Mode 4 The results are displayed in measurement result window 5 To begin a new CRL measurement repeat steps 1 through 3 You can measure a maximum of one group of data 7 1 3 BPD To measure BPD l 2 Press Measure to activate obstetric measurement In the obstetric menu roll the trackball to highlight the menu BPD press Set and move the cursor to image and display 86 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetric Measurements and Calculations 3 Measure BPD in the method of distance measurement Reference Section 6 6 1 Generic Measurements in B Mode 4 The results are displayed in measurement result window 5 To begin a new BPD measurement repeat steps 1 through 3 You can measure a maximum of one group of data 7
159. rify that the trackball and TGC slide controls are clean and free from gel or contaminants Check after the system is switched on Visually check the on screen display and lighting Verify that the monitor displays the current date and time and there isn t any error message Verify that the probe identification and indicated frequency on the screen are correct for the activated probe 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 your hand Verify that the buttons and knobs on the keyboard are good to operate 14 2 Cleaning and Disinfection All exterior parts of the device including the control panel and probes should be cleaned and or disinfected as necessary or between uses with a recommended cleanser or disinfectant Clean 136 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Inspection and Maintenance each part to remove any surface particles Disinfect the parts to kill vegetative organisms and viruses 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 contact with human blood or other body fluids as they were known to b
160. rization coors Table 5 7 Obstetric Presetting Information Parameter 2 48 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control IP Tab NOTE P lmage Parameter Ob Exam Preset Param 1 Param 2 ad 130 M 1 baf Baf a 1 baf Baf s Mf 3 a Mj 1 baf B2 Baf Mfz m 5j gt E 2 Ea 2 E 2 9 ka Bi 2 2 i 2 bl 2 Bi Wi 2 Fal 2 j2 mj maj 2 aa aa aa aa EEN Figure 5 15 Obstetric Presetting IP Tab Select the default dynamic range for the examination in decibels Dynamic Range 30 150 dB During imaging the dynamic range can be adjusted in 4 dB increments Edge Enhancement Select the default amount of edge enhancement to be applied Smooth 0 7 Set image smoothing Frame Persist 0 7 Set image frame correlation Set Automatic Gain Control we oo Set image noise restrain attribute Speckle Reduction Set image speckle reduction attribute Table 5 8 Obstetric Presetting Information IP Line Average 0 7 Set image line softening 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 as shown below 49 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Formula Preset Rempen Hadlock Hadlock Hadlock4 Hansmann Figure 5 16 Formula Presetting System Control Hadlock Hadlock Hadlock Parameter References Pa
161. rksheet has three tabs uterus ovary and follicle as shown in figure 9 2 122 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Gynecology Measurements and Calculations Gynecologic worksheet Figure 9 2 Gynecology Worksheet The diagnosis editing column displays the cursor 1 and you can enter diagnosis information To print the report Press Print in the Gynecology Worksheet BA Printing reference Section 5 8 Printing 9 4 Others Select Others to enter another application measurement 123 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Small Parts Measurements and Calculations Chapter 10 Small Parts Measurements and Calculations 10 1 Measurements and Calculations 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 the B mode 3 Press Measure to activate the measurement function The measurement menu will be displayed The default measurement is distance measurement B SRIL 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 abet Beseripton ete L THY V mm 0 497 x L THY L mm x L THY W
162. rs and close the dialog box or highlight Cancel to give up the modification and close the dialog box directly Ob Exam Preset Param 2 1P CJ363UA a KISAKI au KI Hi Density General General bal 13 bal L bal 1 4 ka bal 2 bal 3 7 48 ka Gene General i i W E E Figure 5 10 Obstetric Examination Presetting Dialog Box 5 7 Presetting 5 7 1 Entering and Exiting To activate presetting function 1 Press Preset and the system displays the preset menu as shown below _ 43 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control General Ahnoomnal di DICOM gt reset Di Figure 5 11 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 Set to display the menu of the corresponding option 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 2 Displaying Modifying Presetting Parameters Select a type of preset and press Set to display the corresponding dialog box and you can modify the parameter following the prompt instruction Reference Section 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
163. s Set to anchor the 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 once to change the settled point and the active point if you press Change a second time the system interchanges the numerator and denominator Roll the trackball and press Set to complete the measurement and the calculation result will be displayed in the measurement result window Roll the trackball and press Set to begin a new ratio measurement You can measure a maximum of four groups of data The outcome will be displayed in the measurement result window Press Measure to finish and exit Dist11 Dist12 Ratio 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 l 2 Press Measure to activate measurement function Roll the trackball to highlight Yo 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 move the cursor and press Set to anchor the start point and the mark 4 appears Move the cursor with trackball Measurement Results displays the real time measurement 65 DUS 60 Digi
164. shown below 2 Roll the trackball to highlight an item and then press Set Then use the keyboard to enter text _44 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control General Preset Tsyatem Info AA YYvYY MM DD E 50 30 English BMP E Fixed E cm s kd DIGenericVIP E lv lv Figure 5 12 General Presetting Dialog Box Set hospital name displayed on the key top left of the screen and diagnosis report with a maximum of 32 characters Hospital Input freel Name p y Default Exam Abdomen obstetric small parts gynecology Preset the examination type orthopedics cardiology urology or vascular Chinese English etc The language options vary with language software installed Video Mode PAL NTSC Set the video mode Language Set the overlay language SnapShot Type BMP JPG FRM DCM if DICOM is installed Keyboard Sound JI Null Report DJ 3600 DJ4100 DJ Generic VIP LJ Mono Printer Print Report Select whether to print image in report Image Set freely _45 Set the storage file format type of snap shot Turn on or off the keyboard sound Select the printer type see table 5 5 for the corresponding printer model Select whether to print image in report when using USB printer YYYY MM DD MM DD YYY or DD MMI YYYY DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control Date Set freely Set the
165. sions 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 Terms Used in this Manual This guide is designed to give key concepts on safety precautions WARNING A WARNING label advises against certain actions or situations that could result in 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 II Table of Contents Chapter KI AAA 1 Baa KUO AA E A TET T E l l2 WI CALL ES AAA EE RE WAA AA AAA l Modo benenoa aa rte TT oe Rae Tee er eer eee eee l bA OME ATIC AA MAA l 1 5 General Safety Precaution nformation ccccccccccccccccceeeceeceeaeeeessesseeeeeeeeeeeeeeeeeeeeeaas 2 LSF General Na FOAL ALO Nog icc vcs evs AAA T siwv nw one 2 1 52 3 10 Wazard CON SHA NO oec E atari aaa ties Ae anaes 3 Ws Ye HO MCCUE IC Nl ANG NAA AA AA a AAA AAA ae 3 LSA Batey Ui S 6 1 6 Labenne IA a a E OE 8 Chapter 2 System Overview c
166. sity of Tokyo Table GS Tokyo GS MA GS cm MA Be MA i GS cm MA cm 2SD 2SD cm 2SD 2SD 192 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetrical References ia anid 7 38 rnai 46 owdd Tia 62 Tiwa 16 1e swos 8 152 mma 12 48 roon 15 64 twos 16 ow1d 8 4 8w0d 10w1d 11w6d ow4d 8 3 6 8wid 13 5 2 10w3d 15 6 8 12w1d 17 22 woan 38 Tomas 54 Tomas 2a Tema mo 4 awed 13 5 6 towed China Wu Zhongyu Ultrasound Diagnosis in Obstetrics and Gynecology Tianjin Science and Technology Publisher 1995 Table GS China MA MA MA 14 5w0d 4 2 5 6w d aa 4 8w3d 55 10w3d 12 _ Cm oe a a ra swa Ts 28 mwas as wed 12 58 10w5a 12 aa Swad 5 29 Twas le a4 owod 12 59 10wed 12 as swsa s 3 rwad le as Jowa 12 6 mwa 12 rie swed 5 o1 rwad e as ow2d 12 61 riwa 12 a7 owale s2 malo ar owsa 12 62 Tiwa 13 18 foale os meajo as oma 12 es iali 2 owale 3s awalo s lows 12 65 fims 13 21 Tewa Te a6 ewoa 10 51 owed 12 66 mwa 13 22 Tema Te a7 ewid 10 52 10wod 12 67 tiwed 13 23 Tema Te 38 ew2d 10 53 towid 12 68 120d 13 24 ewsd 7 39 ewad Mo s4 Mowa A3 3 CRL Hadlock Hadlock FP Shah YP Kanon DJ etc Fetal Crown Rump Length Reevaluation of Relation to Menstrual Age 5 18 weeks with High Resolution Real Time US Radiology 182 2 50
167. sive modes pe Control1 AP 15 Frequency 3 0MHz Depth 98mm Focus 60mm Control2 AP 15 Frequency 2 0MHz Depth 98mm Focus 60mm 169 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Acoustic Output Reporting Table Transducer Model C362UA Operating Model B Mode Scan Non scan Apaol Aaprt gt l Global Maximum Index Vate 08549 ous OO OOOO ow P 3 MPa 1 528 cs M OO Wo mW of W 3 z1 mW Tia3 Z1 Associated Zi cm Acoustic cm ui cn Parameters Z S Dim of Aami Other Information CP cm 0 0138 Focal Length pa E AP 15 Frequency 2 0MHz Depth 98mm Focus 60mm Control Controll Conditions 170 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Acoustic Output Reporting Table Transducer Model C362UA Operating Model B M Mode Index Label MI a e IC Aaya aia Mme osa wea oes ones ae Ci or 6 o e ssd Lem 300 a Acoustic Parameters a PZ w 44s as ae co 020 ra e oma Paes pao szten a2 2160 aD csc 04594 e w O O o ooo E E deg P Imax cm 0 0243 0 0243 ius Mlna Wiem 0 1409 P inn a ee ee ee eee eee Control AP 15 Frequency 2 0MHz _ Controll Conditions Depth 98mm Focus 60mm 171 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Ma
168. stic Imaging System User Manual System Overview Chapter 2 System Overview 2 1 Appearance 2 1 1 Front View Figure 2 1 Front View 1 Cable holder 2 Display screen 3 Control panel 4 IO ports DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Overview 2 1 2 Rear View 6 1 2 7 3 8 4 5 9 Figure 2 2 Rear View 1 Probe sockets 2 Air Fan 3 AC power switch 4 Appliance inlet 5 Equipotential terminal 6 Handle 7 Probe holder 8 Coupling gel trough 9 Rechargeable lithium battery CAUTION 1 To have good aeration performance and be able to operate normally please don t cover or plug the air fan or heat dissipation orifice partly or wholly by using any object 2 For easy control please don t cover or block the AC power switch using any object DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Overview 2 2 Configuration 2 2 1 Standard Configuration 1 DUS 60 main unit convex array probe C363UA power cord European Standard potential equalization conductor 1 cable holder 2 pieces of fuse 9520 T3 15AL 250V 1 Netac U disk U180 2G 1 bottle of coupling gel 250 mL user manual oe ee 6 E E E OH E a 2 packing lists 2 2 2 Options The Digital Ultrasonic Diagnostic Imaging System supports the following options Linear array probe L743UA L742UA L763UA Endorectal probe E743UA Convex array probe C343UA C362UA Micro convex pro
169. t The trace in PW mode is shown below SI DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Operation FT YPS1 T VPS2 T VPS3 Figure 6 19 Trace Diagram Where gt VPS is the maximum velocity in the cycle gt VED is the minimum velocity in the cycle gt V manis the minimum absolute value NOTE 1 The trace function is effective above the baseline only 2 Freeze the system before performing the tracing function To perform D Trace function manual tracing 1 Press Measure to activate a measurement cursor Roll the trackball to highlight D Trace and press Set Select Manual and a is displayed a Roll the trackball and press Set to anchor the start point 5 Roll the trackball to trace along the Doppler wave forward or press Back to erase the trace backward 6 Press Set to anchor the end point the system displays the results of PS ED RI etc in measurement result window 7 Roll the trackball and press Set to begin a new tracing measurement You can measure a maximum of four groups of data The outcome will be displayed in the measurement result window 8 Press Measure to finish and exit To perform D Trace function automatic tracing 1 Press Measure to activate a measurement cursor Roll the trackball to highlight D Trace and press Set Select Auto and a big is displayed Aa R Roll the trackball and press Set to anchor the start point
170. t R UT A 3 Measure R UT A in the method of D trace measurement BA Reference Section 6 6 3 Generic Measurements in PW Mode 4 The results are displayed in measurement result window 5 You can measure a maximum of one group of data To begin a new R UT A measurement repeat steps 1 through 3 121 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Gynecology Measurements and Calculations 9 2 1 LOVA 1 Press Measure to activate the measurement 2 In the gynecology measurement menu select L OV A 3 Measure L OV A in the method of D trace measurement BA Reference Section 6 6 3 Generic Measurements in PW Mode 4 The results are displayed in measurement result window 5 You can measure a maximum of one group of data To begin a new L OV A measurement repeat steps through 3 9 2 2 ROVA 1 Press Measure to activate the measurement 2 Inthe gynecology measurement menu select R OV A 3 Measure R OV A in the method of D trace measurement BA Reference Section 6 6 3 Generic Measurements in PW Mode 4 The results are displayed in measurement result window 5 You can measure a maximum of one group of data To begin a new R OV A measurement repeat steps through 3 9 3 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 wo
171. t l LVMWI nae LVMWI No unit LVMW BSA X The ratio of CA to CE A E No unit CA mm CE mm Left Atrium Diameter Aorti LADIAOD OTIS TT AD AOD No unit LAD mm AOD mm root Diameter AVSV mL MAVO1 cm MAVOZ2 cm AVSV Aortic Valve Stoma Valve flow ET s 50 AA cm Mitral Valve Flow QMV mL 4 DEV cm s DCT s Table 8 3 Other Measurement Items 4 Calculation items Label Description Method EDV mL LVIDd mm 1000 EDV End Diastolic Volume CUBE formula ESV mL LVIDs mm 1000 End Systolic Volume CUBE formula SV Stroke volume SV mL EDV mL ESV mL CO Cardiac Output CO L min SV mL x HR bpm 1000 EF Ejection fraction M mode EF No unit SV mL EDV mL x 100 FS No unit LVIDd mm LVIDs mm LVIDd Fractional Shortening mm x 100 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 LVIDd Fiber Shortening mm x ET ms 1000 104 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Cardiology Measurements and Calculations Body Surface Area m Calculate by to the selected formula LVMW Left Ventricular Muscle Weight LVMW g 1 04 KIVSTDd cm LVIDd ICU u LVPWd cm LVIDd cm 13 6 Left Ventricular Muscle Weight LVMWI LVMWI No unit LVMW BSA Index The ratio of CA to CE A E
172. tal Ultrasonic Diagnostic Imaging System User Manual Operation 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 will be displayed in the measurement result window Roll the trackball and press Set to begin a new stenosis measurement You can measure a maximum of four groups of data The outcome will be displayed in the measurement result window 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 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 the 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 66 DUS 60 Digital Ultrasonic Diagnosti
173. tatus and parameters of Doppler wave and 2D image The following are the system status menus of B mode B M mode M mode and PW mode respectively Figure 5 6 System Status Menu _A DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control Measurement and calculation menu Perform an operation For instance begin a distance measurement and then the corresponding measurement cursor is displayed 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 gt indicates that there is a secondary menu associated with the menu option Roll the trackball to highlight the menu option with gt the system displays a secondary menu for the selected option Example The secondary menu of Cir Area contains Ellipse and Trace shown as below After entering B mode press Measure to display the menu below and highlight the option Cir Area the system will display the secondary menu Ellipse and Trace Figure 5 8 Secondary Menu SAD DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control Figure 5 9 File 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 paramete
174. the File Opening Dialog Box for selecting a cine file to be transmitted 3 If the server is running normally the selected file will be sent to the server 4 The progress bar disappears after successful transmission _ 83 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetric Measurements and Calculations Chapter 7 Obstetric Measurements and Calculations The obstetric examination is usually in the B mode and the PW mode 7 1 Obstetric Measurements and Calculations in B Mode To enter B mode obstetric examination 1 Press Exam and select Obstetric and then press Set 2 Press to enter B mode 3 Press Measure to activate the measurement function The system displays the measurement menu as shown in figure 7 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 THD and FBP B OB MEAS Distance GS HC b Ellipse AC Trace FL EFW AFI Ellipse Trace Input Results Others Figure 7 1 Obstetric Measurement and Calculation Menu in B mode Items of input LMP and BBT Fetus growth is usually measurement by the following parameters Abbreviations EDC Estimated Date of Confinement MA Menstrual Age LMP Last Menstrual Period BBT Basal Body Temperature 84 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Obstetric Measurements and Calculations EFW Estimate
175. the locking handle on the probe connector clockwise to LOCK position This ensures the connector in position and ensures the best possible contact 7 Place the probe in the probe holder To disconnect a probe 1 Turn the locking handle on the connector housing counterclockwise to the OPEN position 2 Firmly grasp the probe connector and carefully remove it from the system port 3 Store each probe in its protective carrying case LOCK OPEN aa Figure 4 6 Lock and Open Marks on Probe Connectors WARNING Do not touch the pin of probe connector CAUTION Do not plug in 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 and the main unit 4 3 4 Peripheral Connections Video connections are located on the left panel of the DUS 60 WARNING 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 configuration 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 wit
176. the trackball to highlight Input Then 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 Figure 8 4 Height and Weight Input Dialog Box 2 Input suitable values in the Height and Weight boxes 3 Roll the trackball to highlight OK and press Set The measurements and calculations of all the LV parameters are as below Measurement or input items Input or measurement items HR LVET and Height amp Weight Measurement items 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 will be displayed in the measurement result window 8 1 2 Mitral Valve Measurement items of mitral valve include EF slope ACV A E DEV and DCT To measure EF slope ACV and A E 1 In the M cardiac measurement menu roll the trackball to highlight Mitral to display the secondary menu 2 Roll the trackball to highlight EF Slope ACV or A E and press Set a To measure EF Slope and ACV in the method of generic M mode slope measurement b To measure A E measure the breadth from apex A to point C and the breadth from apex 107 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Cardiology Measurements and Calculations E to point C respectiv
177. the value of volume will be displayed automatically lt 6 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Operation 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 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 will be displayed in the measurement result window In the 2B mode or 4B mode To measure volume 1 Obtain the cross section image and the vertical section image 2 Measure the length 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 image measure the length of the third axis with the distance measurement method The outcome will be displayed in the measurement result window as shown below 4 Press Measure to finish and exit LAxis SAxis 3rdAxis Volume Figure 6 7 3 Axis Volume Method and the Results 3 Axis LWH method V 7 6 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 seli DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Operation Rat
178. ting Table Transducer Model C343UA Operating Model PW Mode Index Label MI i a ae oimne 05088 osa a aar ECCE O EA Ww wW 86 45 8645 le 3 Z l J ee 2 25 Cza cy so i so a Caza em S 0 007 re amin foro torr 7017 27017 PD usee 1407 Pera 9 O O To oOo E E deg P Imax cm 0 0077 0 0077 a0 Wen 0 042 ua anne a E a Control AP 15 Frequency 2 0MHz Controll Conditions Depth 98mm Focus 60mm 164 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety A2 3 4 Test of Probe L763UA a a ee Aa a ae ee 0 2802 0 2802 0 2537 oe o o ee jr KANSA eee o oo Oooo MASAA MASSA MAE Inclusive modes ka Control1 AP 15 Frequency 6 0MHz Depth 80mm Focus 30mm 165 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Acoustic Output Reporting Table Transducer Model L763UA Operating Model B Mode can on scan Global Maximum Index Value 0 8131 0 0631 f 0 2158 J on fe ton Min of W 3 z1 mW la3 z1 Associated a31 a eceauunurteann Acoustic 7 Gn te cm Parameters bp Zsp cm 225 et Ce Mila 4 9098 aoe 898 usec 1303435 03902 Information AP 15 Frequency 6 0MHz Depth 80mm Focus 30mm Control Controll Conditions 166 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manua
179. ting keys Press these two keys to adjust the PRF Pulsed Repetition Frequency in the PW mode New Patient key New patient Press this key to cancel all the recent patient data comments measurements calculations and worksheet except saved images l Patient information annotation key Patient Info Press this key to open or to close the Patient Data Input Dialog box Press this key to save the current image Quick Save BH Reference Section 6 8 1 Saving Images 29 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual System Control Image up down Flip key Press this key to flip the image vertically Image left right Flip key Press this key to flip the image horizontally Press this key to clear all the measurements calculations comments Cine key Comment key Comment l l l Press this key to activate or to exit annotation function Body Mark Key BodyMark Press this key to activate or exit the body mark function It is to indicate the examine position and the scan direction Measure key Measure Press this key to activate or exit the measurement function Back key In the measurement status press this key to return to the previous Back 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 key This key has dual functions Change In measuring status you can press Change once to c
180. trasound 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 e Adjust the pulse strength amplitude e Adjust the duration of the pulse pulse duration e 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 influences the amplitude of the pulse burst A higher setting increases the amplitude resulting in a higher ultrasound output at the probe 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 the higher the ultrasound output More pulses per second are 151 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety equivalent to a 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
181. xit Figure 6 15 Time Measurement To measure slope 1 Press Measure to activate a measurement cursor 2 Roll the trackball to highlight Slope and press Set and a big is displayed 3 Roll the trackball and press Set to anchor the start point and displays a big 4 Roll the trackball and press Set to anchor the end point 5 Roll the trackball and press Set to begin a new slope measurement You can measure a maximum of four groups of data The outcome will be displayed in the measurement result window as shown below 6 Press Measure to finish and exit Figure 6 16 Slope Measurement and the Results To measure heart rate 1 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 freeze it 2 Inthe M mode freeze the desired image Measure the distance between two peaks of cardiac cycles with the time measurement method 1 Press Measure to activate a measurement cursor 2 Roll the trackball to highlight Heart Rate and press Set and a is displayed 3 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 4 Roll the trackball to move the second measurement maker on the peak systole _70 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Operation fol
182. y frame mode 6 Press Freeze to exit the CINE Review playback The default setting is to load images by serial numbers forward When the number reaches the last it will return to 1 During playing back press Save As to save the file in BMP JPG RFM DCM CIN or AVI format You can save files to the local disk or U disk For details about operation method please refer to 6 8 1 Saving Files NOTE 1 Cine review is unavailable in M mode 75 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Operation 2 Cine review can t be performed at the beginning of scanning or probe switching You should wait until 30 seconds later 3 The FPS frames per second is adjustable from 5 to 50 in increments of 5 4 After opening a cine file you can perform measurements add comments and the body mark on the image and print them in the report See section 5 4 5 Comment function and section 5 4 6 Body mark function for detailed operation information 6 8 File Management Press File to display the file menu shown as below File Menu Snapshot CF mas nie Y Open Open File Manager File Manager TE C Send Filed ype Filet ype Storage Storage Figure 6 23 File Menu the left with no DICOM installed the right with DICOM installed 6 8 1 Saving Files File types The file types include BMP JPG DCM if DICOM is installed CIN FRM and AVI To choose a storage disk The storage disk
183. y rooms The DUS 60 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 head 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 60 is high resolution linear convex scanning diagnostic apparatus Applied technologies Tissue Specific Imaging TSI Tissue Harmonic Image 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 M and PW File management It supports local disk and removable disk storage USB 2 0 interface enables fast image uploading to your computer in the real time mode It has a 56 MB storage capacity Operation The folding keyboard designed with trackball is easy and convenient for various types of operation In addition 12 1 LCD and diverse probes are adopted to provide clear and stable images 1 3 Model DUS 60 1 4 Contraindications The equipment is not applicable to the diagnosis of the pneumatic organs that contain gas such as lung stomach intestines etc DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Introduction It is reco
184. z Storage Figure 6 28 File Menu with DICOM Function To send a DCM Image 1 Highlight the secondary menu DCM Image and then press Set 2 If the server is running normally the current image will be sent to the server 3 The system displays a prompt indicating the successful transmission 82 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Operation To send a DCM file 1 Highlight the secondary menu DCM File and then press Set 2 The system displays the File Opening Dialog Box for selecting a DCM file to be transmitted 3 If the server is running normally the selected file will be sent to the server 4 The system displays a prompt indicating the successful transmission To send a DCM package 1 Highlight the secondary menu DCM package and then press Set 2 The system displays the File Opening Dialog Box for selecting the driver 3 If the server is running normally all the DCM files of the selected driver will be sent to the server 4 The progress bar disappears after 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 progress bar disappears after successful transmission To send a Cine File 1 Highlight the secondary menu Cine File and then press Set 2 The system displays
185. za cy so so a Caza om S 00083 Un eatin 296 2 7296 2 7296 2 7296 Pe sec 110 ua Pera lea information LO Pima Cm 0 0083 0 0083 aa ooa M in a E a Control AP 15 Frequency 2 0MHz Controll Conditions Depth 98mm Focus 70mm 184 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety A2 3 9 Test of Probe L743UA E743UA ee AA ZI en rr maz 2 085 2 085 2 052 a aa aa ee e KAA KAA KAZA o oe KAA KANE AI Ai 185 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Acoustic Output Reporting Table Transducer Model L743UA Operating Model B Mode Scan Non scan Apaol Aaprt gt l a S ng 1 985 KA me 8 067 of W 3 z1 mW Tia3 Z1 Associated Zi cm Acoustic cm EE E E Parameters a o Dim of Aaprt Other Information deq P Imax cm 0 0483 Focal Length Tpa 3 MI max W em a a o KAA KAKA AP 15 Freguency 6 0MHz Depth 78mm Focus 35mm Control Controll Conditions 186 DUS 60 Digital Ultrasonic Diagnostic Imaging System User Manual Ultrasound Intensity and Safety Acoustic Output Reporting Table Transducer Model L743UA Operating Model B M Mode Scan Non scan Global Maximum Index Value 0 7874 0 0866 0 0183 0 0368 0 2517 Associated Acoustic Para

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