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1. ECG Port Equipotential point earth Power Switch Power Input Socket Probe Connection Port 1 Probe Connection Port 2 Video Printer Controller Port Foot Switch Socket Video Out oh wP ON Oo Figure 2 2 Rear view 2 2 Application and Contraindication Application Abdominal Vascular Breast Thyroid Obstetrical Gynecological Musculo skeletal Cardiac Urology So Do Nea Ss Se eS Contraindication The system is not intended for OPHTHALMIC use or any use that causes the acoustic beam to pass through the eye P N 4701 0081 01B 2 4 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 2 3 Probes and Accessories Supported Transducers 2P1 Phased Array 5P1 Phased Array 6V1 Micro Curved Array 6V3 Micro Curved Array C611 Micro Curved Array C344 Curved Array C362 Curv
2. Package All Package Exit Continue DIST ON Dop Auto Auto Focal Auto OFF Create OB table Edit OB table Figure 4 10 Set measurement method Press the Set Measurement Method tab to configure the measurement method Instructions e Move the cursor over the parameter box and click SET P N 4701 0081 01B 4 7 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Press the LEFT RIGHT keys to change the parameter Information about some items are provided below Set it to Icon Driven and only the items related to the applica tion mode will be displayed in the calculation menu Set it to All Package g Package and all the available items will be shown in the calculation menu irrespective of the application mode Continue DIST Set it to on and you only need to press DIST once to perform multiple distance measurments Set it to on and let the system auto adjust the acoustic focal position Dop Auto l once the scan depth is changed Create OB table It allows you to create your obsteric calculation tables Edit OB table Edit user defined obsteric calculation tables 4 6 5 Annotation Edit SonoScape New Site Genral Setting String
3. SonoScape DICOM INTERFACE ezNetwork Dcfault Exoport USB Set DHCP S Export Remote System Set fix IP address Remote IP 192 168 254 104 Static IP 122 768 254 782 PortNo p NetMask 255 255 2550 AE Title start server Gateway 192 168 254 254 Wk IP 19216825425 Printer IP 92 168 254 183 Wk Port 1200 AE Title ocalsite Wk Title wklistserver O Delete Database O Save Setting O Exit Figure 4 16 DICOM Setting ezNetwork Default Use the ezNetwork default protocol Set DHCP Use the Dynamic Host Configuration Protocol DHCP Set fix IP address Set the local network parameters manually by filling the fields below Static IP Set the local IP address NetMask Set the local netmask address Gateway Set the local gatway address Printer IP Set the IP address of a network printer AE Title Type in the Application Entity AE title of the local system here The AE title must be unique on its network Export USB If this option is checked saving an ultrasound image also exports it to the external USB drive Export Remote System If this option is checked saving an ultrasound image also ex ports it to the Service Class User SCU Remote IP Set the IP address of the DICOM server Port No Set the port number of the DICOM server AE_Title Type in the Application Entity AE title of the DICOM server here This title m
4. Portable Digital Color Doppler Ultrasound System Description SAVE press this key during real time scan to save current application mode as new user defined mode press this key while the ultrasound image is frozen to save im age or cine replay REPORT write report for current diagnosis PRINT trigger the network printers DEL remove the most recently inserted annotations or Bodymarks or redefine the route of trace CLR clear the all measurements and calculations AUDIO adjust the Doppler sound volume MENU press this knob to activate the context menu turn it to change the value of the selected item D GAIN rotate this key to adjust the Doppler gain GAIN rotate this key to adjust the 2D gain B Mode press this key during the real time scan to start B mode imaging and remove additional modes continued on next page P N 4701 0081 01B 2 9 SonoScape S8 S8 Pro Key Gul O Zo 890 EN Y f N l N y l DPI OG Portable Digital Color Doppler Ultrasound System Description THI activate the Tissue Harmonic Imaging CFM turn on off Color Doppler Imaging or Color Flow Mode CFM TDI turn on off Tissue Doppler Imaging TDI PW turn on off Pulsed Wave PW Doppler Imaging CW turn on off Continuous Wave CW Doppler Imaging STEER use this key to adjust the steer angle for linear array probes Function keys lo
5. Genral Setting _ SetPrinter Printer D key Define Measurement key1 BPD Set Calculation Menu kev2 GS Set Measurement Method key3 E Annotation Edit key4 key5 Define Quick key Key6 Load Default key7 Exit key8 key9 key0 Figure 4 12 Assign shortcut keys Click the Define Quick Key tab to define the shortcut keys The D Key column shows the numeric keys the Define Measurement column shows the measurements attached to these keys 4 6 7 Load Default Click the Load Default tab You can load or back up the user setting here New Site SonoScape Genral Setting Load Create Retrleve Set Printer EH EE ET Set Calculation Menu default Set Measurement Method Annotation Edit Define Quick key Load Default Exit Figure 4 13 Back up or load user settings Load and delete Click the Load tab and select a setting name The following prompt message appears Load new setting continue Y N Delete setting DEL Type Y to load the setting or type N to cancel Press DELETE to delete the setting To save the current system setting as a new setting click the Create tab Type in the name for the setting and click CONFIRM P N 4701 0081 01B 4 9 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound
6. 1 8 1 7 Electrical Requirements 2 2 CH nn nn 1 9 1 8 Electrical Safety a au 4448 au a a nd 1 9 1 9 Transducer Maintenance 0 0 eee ee ee eee 1 10 1 10 System Transportation mn nn 1 13 1 10 1 Moving the System nn nn 1 13 1 10 2 Transporting the System 1 14 P N 4701 0081 01B 1 1 SonoScape S8 S8 Pro 1 1 Portable Digital Color Doppler Ultrasound System Safety Overview This section discusses measures to ensure the safety of both the operator and patient To ensure the safety of both operator and patient please read the relevant details in this chapter carefully before operating this system Disregarding the WARNINGS or violation of relevant rules may result in personal injury or even loss of life for operator or patient Users should observe the following PRECAUTIONS This system complies with Type BF general equipment and the EN60601 1 stan dard Do not modify this system in any way Necessary modifications must be made only by the manufacturer or its designated agents This system has been fully adjusted at the factory Do not adjust any fixed adjustable parts In the event of a malfunction turn off the system immediately and inform the manu facturer or its designated agents The power cable of the system should only be connected to a grounded power socket Do not remove the ground cable for any reason Only connect this system either ele
7. 5 12 5 5 2 Quad Display Format ee eee 5 13 5 6 Tissue Harmonic Imaging THI 0 000 eee ees 5 13 5 1 Starting B Mode FS Click the application icon at the preparation mode EXAM screen to start a real time scan The system enters B mode automatically To remove any additional Y modes PW CW CFM DPI M press the B mode key SonoScape Ze er ERENTO TO 056 FPS 47 o D G 3 1 l 0 GN 255 E UD 3 30 E PWR 70 FRQ 3 4 8 D 16 5cm u 5 CHROMA 1 10 ee 60 TS LINE DENSITY FREQUENCY SEC WIDTH SEC POS 2D REFRESH Figure 5 1 B mode 5 2 B Mode Image Information B mode image information right is shown on the top left corner of FPS 13 the screen also refer to Figure 2 4 It shows some parameters D G 160 2 N 47 important for the diagnosis The table below shows the meaning K e of the items listed in the 2D Image Info area PWR 80 FRQ 3 5 2 D 16 5cm number of frames per second dynamic range DYN gray scale curve 2D gain Adaptive Image Fusion Persistence acoustic output power frequency range MHz depth 5 3 Real Time B Mode Operation The B mode operation for the current ultrasound image is inde pendent of the display format single dual or quad Review Section 3 3 for the general operation instructions P N 4701 0081 01B 5 2 SonoScape S8 S8 Pro Portable Digital Color Dop
8. GET WORKL IST CANCEL RESET SAVE Figure 3 1 Patient Information Click on the text box and insert or edit the corresponding patient information Note Text fields next to EDD BSA and GA are calculated by the system using other patient data they are not editable e A valid patient profile should at least have a patient ID and a patient name e Click RESET to reset all entries for the current patient Click CANCEL to exit without saving Click SAVE button to save the current patient information Note For a newly created patient profile the file folder for this patient is created in the File Manger The ultrasound images and calculation results will be saved to the corresponding patient folder An existing patient profile can be searched by Name ID or Account Number Note Click the Local tab Tick Name ID or Acc Type in the first few letters of the Name D or Account Number you are searching for The matched patient profiles will be listed below Click the patient to select it If the ultrasound system is connected to a worklist server you may select a patient from worklist Click the GET WORKLIST button to retrieve a list of patients from the server e History lists previously diagnosed patients P N 4701 0081 01B 3 4 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 3 5 Start Ultrasound Diagnosis At the preparation mode move the cursor over the prob
9. Ca Either in PW or CW mode if the spectral display is not active press the UE actually freezes the 2D image When the spectral display is active press the key to activate the spectral Doppler cine mode CHROMA VIDEO INVERT START END CINE REVIEW Figure 10 7 Function menu in spectral Doppler cine mode Z Press the MENU knob to activate the context CHROMA 7 KO menu in the spectral Doppler cine mode VIDEO INVERT nn 4 Refer to the respective sections listed below for the DISPLAY FORMAT v1 2 T spectral Doppler cine mode operation START END gt CHROMA Refer to Section 10 2 14 FRAME BY FRAME VIDEO INVERT Refer to Section 10 2 15 PLAY STOP gt DISPLAY FORMAT Refer to Section 10 1 3 LOOP SPEED gt Cine Playback Operations START END FRAME BY FRAME PLAY STOP LOOP SPEED Refer to Section 5 4 7 P N 4701 0081 01B 10 9 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System P N 4701 0081 01B 10 10 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Chapter 11 3D Mode The 3D imaging is part of the 4D package which is optional and can be installed upon the user request 3D ultrasound allows the user to see width height and depth of the anatomical structure In this case the echoes are processed by a sophisticated computer program resulting in a reconstructed three dimensional volume image of internal organs or fetus
10. 5 4 1 Grayscale curve GSC e select GSC from the context menu e turn the MENU knob to adjust the GSC setting Refer to Section 5 3 8 for explanations of this function 5 4 2 Chroma CHROMA e press F1 to select CHROMA turn the function knob to change the CHROMA setting Refer to Section 5 3 10 5 4 3 Image Orientation Left Right LTSRT Refer to Section 5 3 15 5 4 4 Cine Review CINE REVIEW If the same patient has gone through the same diagnosis before the saved images can be accessed conveniently from the cine mode menu e select CINE REVIEW from the context menu e turn the MENU knob to select the cine image for review from a list of cine images press the key to start reviewing the selected image P N 4701 0081 01B 5 10 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Remarks Press the key to return to the real time scan immediately 5 4 5 Select Image Sequence Before starting the 3D mode or panoramic imaging a range of image frames can be se lected The sequence is marked by a start marker and an end marker s Use the trackball to locate the start frame position and press the key e Use the trackball to locate the end frame position and press the key 5 4 6 Panoramic Imaging PANORAMIC This function constructs an ultrasound image from a previous scan The ultrasound image constructed in the panoramic imaging provides a larger range view compared to any sin
11. 6 4 1 CMap C MAP Refer to Section 6 3 7 for explanations of this function To change the C MAP setting e press FI to select C MAP turn the function knob to change the C MAP setting or e select C MAP from the context menu turn the MENU knob to change the C MAP setting 6 4 2 B Reject B REJECT Refer to Section 6 3 11 for explanations of this function s press F4 to select B REJECT turn the function knob to change the B REJECT setting or e select B REJECT from the context menu turn the MENU knob to change the B REJECT setting 6 4 3 Flow Invert FLOW INVERT Refer to Section 6 3 14 for explanations and usage of this function 6 4 4 Cine Review CINE REVIEW If the same patient has gone through the same diagnosis before the saved images can be accessed conveniently from the cine mode menu e Press F5 to select CINE REVIEW turn the function knob to select the cine image for review from a list of cine images press the key to start reviewing the selected image Zi Remarks Press the key to return to the real time scan immediately P N 4701 0081 01B 6 7 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 6 4 5 Cine Playback LOOP SPEED START END FRAME BY FRAME Refer to Section 5 4 7 P N 4701 0081 01B 6 8 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Chapter 7 DPI Mode Doppler Power Imaging Doppler Power Imaging DPI mode is esp
12. ER The function menu in the PW mode is DISPLAY FORMAT vi C ya shown in Figure 10 4 Press the NO g Figure 10 3 PW Mode Menu oo knob to activate the PW mode context ENU menu right The STEER ANGLE appears only with linear array probes POWER WF FREQUENCY SWEEP SPEED DYN CHROMA VIDEO INVERT Figure 10 4 Function menu in CFM PW mode with PW spectral active 10 2 3 Pulse Repetition Frequency PRF The Pulse Repetition Frequency sets the velocity range of the spectral display The range of the PRF depends on the probe and the application mode Flip the switch up down to increase decrease the PRF range 2 Remarks e The current PRF value is display at the Spectral Doppler Image Info area PRF e The system automatically adjusts the Wall Filter setting upon changing the PRF value 10 2 4 Wall Filter WF Wall Filter intends to eliminate the low frequency noise generated by movements of blood vessel walls press F2 to select wF e turn the function knob to change the value of the filter 2 Remarks The current Wall Filter value is displayed at the Color Image Info area WF The Wall Filter is adjustable within a range which depends on the current PRF value P N 4701 0081 01B 10 4 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 10 2 5 Spectral Doppler Gain It is possible to change the PW CW gain only when the PW CW spectral display W Is ac
13. GN 20 C P 2 50 E PWR 70 FRQ 24 10 Figure 3 3 Bodymark Inserting bodymark is only possible in freeze mode P N 4701 0081 01B 3 6 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Press the BODYMARK key a collection the graphic body part symbols will be shown on the right half screen 1 Use the TRACKBALL to move the probe maker L at the desired position on a bodymark symbol 2 Rotate the probe marker by pressing the Left Right keys next to the TRACKBALL 3 Press the key to insert the bodymark Press the key to remove annotations as well as bodymark 3 8 Saving Printing For saving image cine refer to Section 5 4 8 Network printing can be triggered by pressing PRINTI Video printing used with thermal printers can be triggered by pressing VIDEO PRINT l Network printers must be configured before use P N 4701 0081 01B 3 7 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System P N 4701 0081 01B 3 8 SonoScape Chapter 4 S8 S8 Pro Portable Digital Color Doppler Ultrasound System System Setup Contents 4 1 4 2 4 3 4 4 4 5 4 6 4 7 System Men s a au a a eaa be od A aaa A ee 4 2 File Manager ss sas 44 8 28 0 a wom nen de we we nk een 4 2 Faeliv Name seres PEL Shs DIS au ag Os ne 4 3 Set Date and Time 2 2 00 02 eee 4 4 System Information 2 2 2 mn
14. Pra A Lel Pi LS q Figure 2 5 Keyboard layout of the system 2 5 3 Keyboard Description Key Description continued on next page P N 4701 0081 01B 2 7 SonoScape S8 S8 Pro FEN FA L R Up Down Portable Digital Color Doppler Ultrasound System Description EXAM press this key to return the system to the preparation mode EXAM screen Patient press this key to access the Patient Information interface Dual press this key to start end dual display Flow Invert press this key to activate deactivate the Flow Invert function in color Doppler mode L R flips the ultrasound image left right U D flips the ultrasound image upward downward Annotation insert texts or predefined annotation items Bodymark insert Bodymarks on the screen Arrow insert an arrow symbol on the ultrasound image AD start volume mode 3D or real time 4D mode m Tuning press this key during scanning to let the system automatically adjust various parameters to obtain high quality image continued on next page P N 4701 0081 01B 2 8 SonoScape S8 S8 Pro
15. To protect against dust and immersion as per requirements in IEC529 o A Non ionization radiation Ultrasound scanner transmits acoustic waves Table A 1 Table of Symbols P N 4701 0081 01B A 1 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System P N 4701 0081 01B A 2 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Appendix B Information of EU Representative SONOMED Via Luigino Tandura 74 00128 Rome Italy Tel 39 06 5082160 Fax 39 06 5084752 P N 4701 0081 01B B 1 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System P N 4701 0081 01B B 2
16. 2 mn m eee eee 5 9 5 3 8 Grayscale curve aooaa Du au OG SG Da I Da Se va 5 6 9 3 9 Persistence u 6448 aA 6 A ee E 5 6 53 10 CORA cs ve ss eses 5 6 5 3 11 Sector Width and Position 2 0004 5 7 5 3 12 Line Density sa e sos dow aa eS aM Be a ee ee 5 7 5 3 13 Compound Imaging 0005 eee eee 5 7 5 3 14 Frequency Range ee ee 5 7 5 3 15 Image Orientation 2 0 0220055 eae 5 8 5 3 16 Adaptive Image Fusion 5 8 59317 uScan FUNCION s s ss e meters Bun a Bee in 5 8 5 3 18 Acoustic Output Power 2 2 Hmmm e e 5 9 5 3 19 Trapezoidallmaging 02 555004 5 9 9 3 20 2D RENESA sussa 5454445 8a 2S ka Se oR Eat 5 9 5 3 21 ZOO posos a oe E E oe 6b ee Ge oe Ge ees 5 9 B Cine Mode Operation 222 2 2 Hmmm nn 5 9 5 4 1 Grayscale curve sos ss sda mem dom be hehe ke ku uch a 5 10 5 4 2 CIMA eet heh db ha eee ee ee ae ee oe ee ee ee 5 10 5 4 3 Image Orientation Left Right 5 10 5 4 4 Cine Review 5 10 5 4 5 Select Image Sequence 2 0 00 ee eee 5 11 5 4 6 Panoramic Imaging Hmmm 5 11 5 4 7 Cine Playback soso R R R oa 5 11 5 4 8 Saving Image Cine aoaaa 5 11 P N 4701 0081 01B 9 1 S8 S8 Pro SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 5 5 Dual and Quad Display Formats 5 12 5 5 1 Dual Display Format
17. 4 6 3 Set Calculation Menu New Site SonoScape U Genral Setting 2D PW M Set Printer Set Calculation Menu O REPORT e ANGLE Set Measurement Method e VOLUME Annotation Edit e VOLUME LXWXH Define Quick key e DOPPLER AREA e COLOR FLOW Load Default e MT Exit e VASCULAR gt e SMALL PART gt e OB GYN gt LEFT VENTRIC gt UROLOGIC gt Mitral valve Diam UPDATE ON OFF MENU OPEN SUBMENU Figure 4 9 Set calculation menu Press the Set Calculation Menu tab to configure the calculation menu which appears in the diagnosis Instructions e Move the cursor over an imaging mode button 2D Pw or M and press SET Use the arrow keys to select the calculation item Press UPDATE to turn on or off an item e Press MENU to open or fold a submenu 4 6 4 Set Measurement Method New Site Genral Setting BPD Method Hadlock FL Method Hadlock Set Calculation Menu CRL Method Robinson Set Printer Set Measurement Method EFW Method Campbell AC Annotation Edit BSA Setting Western Define Quick key Measure Method Trace Load Default
18. AMON A ae ee eee ee ha ee ee ea Ee E 13 1 1 Supported Transducers and Intended Applications 13 1 2 Acoustic Output 2 2 a a 13 2 Environmental Requirements 00020088 13 3 Preparation and U 13 3 1 Inspection sage Of the Probe 0 13 3 2 Probe Connection 20 00 0002 eee 13 3 3 Preparation for Scanning 1 aa a a a a a 13 3 4 Scanning 13 4 Probe Maintenance Cleaning and Disinfection 13 4 1 Probe immersion level 13 4 2 Cleaning nstructionS HH mom 13 4 3 Disinfection Instructions 0 800 2 ea 14 System Maintenance 14 1 Guidance for Serv s ee eee Pee ee ee 14 2 Manufacturer Responsibility 0 a 0000 14 3 Contact Information 2 0 0 0 ee a A Description of Symbols B Information of EU Representative P N 4701 0081 01B vi SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Chapter 1 System Safety and Maintenance Contents 1 1 Safety Overview oaoa e 1 2 1 2 a ieie e HTH 1 3 1 2 Biological Safety au cu as RG E E E R R E I O E EE GE 1 3 1 4 Scanning Patients and Education 1 3 1 4 1 Safe Scanning Guideline 1 4 1 4 2 Understanding the MI TI Display 1 5 1 5 Environmental Requirements 0 nn 1 8 1 6 Transport and Storage Environmental Requirements
19. MPR PEK Some M mode parameters right are displayed at the M SR 4 Mode Info area Press the UPDATE key again to stop updating the M mode GN 200 trace PWR 85 When the M trace is active the function menu is shown as in Figure 9 4 SWEEP SPEED POWER CHROMA M PROCESS VIDEO INVERT Figure 9 4 Function menu in M duplex mode with M trace active Press the MENU knob to activate the M ELJI mode menu right SY DISPLAY FORMAT NN The following subsections provide instruc tions for the M mode operation while the M trace is active 9 3 1 M Gain Only when the M trace is updating can the M mode gain be changed Note that the M gain is different from the B mode 2D gain The M gain controls the overall brightness of the M trace it determines the amplification applied to the received echoes Turn the knob to adjust the M gain a Remark The M gain value is shown at the M Mode Image Info area the GN 9 3 2 Sweep Speed SWEEP SPEED Use this function to adjust the speed of sweeping in the M mode The larger the sweep speed is set the faster the M trace is updating e Press FI to select SWEEP SPEED e Turn the function knob to change the sweep speed P N 4701 0081 01B 9 3 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 4 Remark The current sweep speed value is shown at the M Mode Image Info area the SR 9 3 3 Power POWER The POWER
20. Since this 3D image or volume display is generated after sufficient 2D image data are collected it is not real time For real time 3D or 4D refer to Chapter 12 Contents 11 1 Starting 3D Mode 22 oo on 11 1 11 2 3D Mode Menus mn 11 2 11 3 3D Mode Operation 2246 iu aaa DEDE A SA RE E 11 3 11 3 1 Display Format een 11 3 11 3 2 Rotate Zoom and Move 11 3 11 3 3 Clear amp BRestore ROL 11 4 1194 COD 2 2 ae oe Ge be Ge oe ee Es Brad Boa a EENEG 11 4 11 3 5 ROI Box Adjustment e 11 4 1136 Render Mode 2 2 Emo nn 11 5 11 3 7 Auto Rotate ss as 28 24 6 284 wach we ee Rao 11 5 11 538 MWaCOCUl 322244444444 Sour ESSE SEE EEE SS 11 5 1139 Lo Plane ose 20 u ae se 34 594 34569554 pa ae an 11 6 11 3 10 Opacity Setting 42444444 e626 ES Bone Saw ES 11 6 11 3 11 MUSICOS lt a aa a 85 ser ses e6 eS e ee ee Oe SES A 11 6 11 8 12 Color Map 4 2 444 444 ai sun a oe he ee ee ew E 11 6 113 13 Scan Melhod s sos sues etek eRe SH 11 7 11 3 14 Z Scale For Scan Method Lin 0 11 7 11 3 15 Z Angle For Scan Method Sec 11 7 11 1 Starting 3D Mode Prior to the activation of 3D mode sufficient 2D image information must be acquired These 2D images can be collected with normal transducers working in the B mode The operator s experience and training are vital to satisfactory 3D images Once sufficient
21. SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 10 2 10 Baseline BASELINE Moving the baseline increases the velocity range in one direction The vertical axis repre sents the scale for flow velocity in cm s e Select BASELINE from the context menu e Turn the MENU knob to adjust the amount of the baseline move 10 2 11 PW Power POWER The value of the output power in the PW mode should be kept as low as reasonably achievable e Press FI to select POWER Turn the function knob to adjust the acoustic output Za Remark The acoustic output power in the PW mode is displayed on the screen at the Spectral Doppler Image Info area PWR 10 2 12 Angle Correction ANGLE CORRECT Angle correction enables the adjustment of the flow direction cursor such that it aligns with the vessel axis Its only necessary to use the angle correction when make velocity related measurements Usage instructions e Select ANGLE CORRECT from the context menu turn the MENU knob to switch it on e Press the MENU knob to dismiss the context menu Turn the ANGLE knob to adjust the angle of the flow direction cursor 10 2 13 Dynamic Range DYN DYN e Press F2 to select DYN Turn the function knob to decrease increase the value of Dynamic Range 2 Remarks Dynamic Range is displayed at the Spectral Doppler Image Info Area on the screen DYN P N 4701 0081 01B 10 6 SonoScape S8 S8
22. 6 3 5 CFM Galil sss A85 es eee a ee ee ee ee ee 6 3 6 3 6 Persistence gee 2 mw de rara A eee 6 4 6 3 7 Se Map aan ae innen 6 eee A be 6 4 6 3 8 CFM Power a a 6 4 6 3 9 DASCINS ao ec ed sea SARS eK EE RS E ME E 6 5 6 3 10 Sector Width and Position 004 6 5 6 3 11 BinGlCl cc sesedro BESS ERE EEE GEES 6 5 6 3 12 CFM Frequency 0000 ee eee ees 6 5 6 3 13 Image Orientation Left Right 6 6 6 3 14 Flowlnvert 0 000002 ee ee ee ee 6 6 6 3 15 Line Density 0 00 eee ee 6 6 6 3 16 2D Refresh currais ERES ee RS ew E 6 6 64 CEM Cine Mode nn 6 6 6 4 1 MAD oo ewe Bee ae ra BRS ERR eee eee ES 6 7 6 4 2 B RGJECU en sheen cheered ESTAR eee oe 6 7 6 4 3 POW Invert oem oe eee Ree a ERD DBAS ee ee 6 7 6 4 4 Cine Review a a a a 6 7 6 4 5 Cine Playback aooo a nn 6 8 7 DPI Mode 7 1 7 1 Starting DPI Mode 2 0 nn 7 1 7 2 DPlimagelnformation nn 7 2 7 3 Real Time DPI Mode Operation 04 7 2 7 3 1 DPI MenuS lt bea eee eRe ER RE 7 2 7 3 2 Adjust DPI Sample Box 0 020004 7 3 7 3 3 Pulse Repetition Frequency 04 7 3 7 3 4 Wall Billet amp ua eed oe eee A DES ee 7 3 7 3 5 DPI Gail 2 2 eee hee Se eee eae Se ee eee ee 7 3 7 3 6 Persistence a 7 4 7 3 7 Color Map Directional DPI 7 4 7 3 8 DPLPOWEL lt essere eee ee RE 7 4 7
23. Set erihter Insert Delete Save Set Calculation Menu AA Z Set Measurement Method ABDOMINAL CIRCUMFERENCE Annotation Edit AC ACA Define Quick key ADNEXA Load Default ADRENAL GLAND Exit ANNIOTIC FLUID ANNIOTIC CAVITY ANGLE REGION ANT CONNUNICATION BR ANTEROPOSTERIOR TRUNK DIAMETER ANTERIOR CRANIAL FOSSA APPENDIX AQUEOUS HUMOUR gt Figure 4 11 Annotation edit User can modify the predefined annotation strings Press the Annotation Edit tab the available annotations and the possible operations are listed on the right half screen Instructions e Move the cursor over a string press twice to start editing it You need to click SAVE to save the modification Press to turn the list one page up press to turn the list one page down Enter texts in the text box next to String click Insert and the texts will be added into the annotation list Click Delete to remove the selected string immediately 4 6 6 Define Quick Key The numeric keys on the alphanumeric keyboard can be assigned as shortcut keys for performing measurements P N 4701 0081 01B 4 8 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System New Sit SonoScape gt
24. active and in the General Directory if no valid patient profile is active P N 4701 0081 01B 5 11 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 5 5 Dual and Quad Display Formats The dual display and the quad display of ultrasound images facilitate the comparison of ultrasound images performed at the different time 5 5 1 Dual Display Format Frozen Real Time Display Format fea In the real time mode B CFM PW CW press the key to activate the E dual display The image is reduced to half of its original size and moved to the left to leave space for displaying the other image Press the key to freeze the current image and activate the display on the right Changing the imaging mode for the selected image is possible by pressing the correspond ing key B CFM DPI Use the key to toggle between left and right for the real time display New Hosp C344 SonoScape 95P Apr 06 2010 16 38 16 FPS D G GN UD PWR FRQ D Figure 5 5 Dual display real time B frozen B From LTORT in the context menu accessed by pressing the MENU knob change the left right image orientation for the selected image Press the key to alternate the up down image orientation for the selected image Dual Real Time Display Format Press the DUAL again key to exit the dual display format if
25. e In order to use the S Video output make sure the composite video output port is disconnected before the system startup P N 4701 0081 01B 2 3 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Rear View
26. 012589 Barret King Mar 29 2010 16 22 21 0 9 Er 16 17 11 18 19 12 ae CINE Directional DPI THI PW 13 14 20 10 15 Figure 2 4 Application mode screen P N 4701 0081 01B 2 6 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 1 Logo 11 Color Image Info Spectral Doppler Image Info or M 2 Hospital Name 12 Mode Image Info or Context Menu 3 Patient ID 13 THI and PW CW status 4 Probe 14 Cine playback progress indicator 5 Patient Name 15 Cine Freeze Status 6 Date and Time 16 Gray scale Spectrum wedge 7 KEETA Ar 17 Measurement results Thermal Index Diagnostic Application mode icon 18 Depth scale 9 2D Image Info 19 Ultrasound image area 10 Function menu 20 Directional DPI indicator 2 5 2 Keyboard Layout The keyboard layout is shown in Figure 2 5 It consists of hard keys knobs a trackball flip switches and TGC slider controls Ss 6 4 a M1 _ uo AUDIO os SIRKIIIFTE DE ESC A gt fa AS CTE TT E 7 Y if ay Pa Y Pe Ee ee a TE eee O Cr r FR LH Ri e Mre Yw Ge ESSEET Nm un L L 5 Jl rer ARE VQ ku F debes 50000000A DON m TREE ERDEHTEABHTHHEITE GE900UGs990900S 1 om DO ABE A L U A Pam I a o i l i L a E E FOCOS prety PRF LAS 191 vum FN ZN EN FN PN pea J 1 f bes WE JE n o O ema C N Fg OI TN ABS E Ey Fo SON ss CIA ES ERA ai y 7 Laa ER i L
27. 2D image sequence is acquired press to start the B cine mode To activate the 3D mode P N 4701 0081 01B 11 1 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Press 4D to start the 3D mode Press again to exit the 3D mode and return to the B cine mode Mark the start and end frames Section 5 4 5 page 5 11 the frames enclosed will be sent for producing 3D image New Site 2P1 SonoScape Apr 23 2010 16 08 16 GN 12 D 16 5cm CLEAR ROI Plane A Plane B RESTORE ROI CROP Off ROI MODE Off HIDE ROI Off RENDER MODE Vol AUTO ROTATE Off TRACE CUT Off UNDO CUT CLIP PLANE Off OPACITY OFFSET 32 OPACITY SLOPE 32 MULTI SLICE or Plane C Volu me SLICE SPACING 1 00 COLOR MAP 4 Display SCAN METHOD Lin Z SCALE 1 00 Z ANGLE 75 ROTATE X ROTATE Y ROTATE Z ZOOM MOVE L R DUAL DISPLAY QUAD DISPLAY FULL DISP 3D MOVE U D Figure 11 1 3D Mode The 3D mode display Figure 11 1 is divided into four quadrants and includes cross sectional views of the anatomical structure Plane A shows the longitudinal image Plane B shows the transversal image Plane C shows the horizontal image Volume display the surface or partial transparent view of the 3D structure is displayed at the last quadrant 11 2 3D Mod
28. 3 9 Sector Width and Position 1 a a a 7 5 73 10 BREJE lt 6 4b eee eu ann BRS ERE SEE GEES 7 5 7 311 DPlFrequency 0 0000 eee ee ee 7 5 7 3 12 Image Orientation Left Right 7 5 7 313 LineDensity 0 0 2000 eee eee eee 7 6 7 3 14 2DRefresh ee es 7 6 7 4 DPI Cine Mode Operation 0 00 eee ee ees 7 6 7 4 1 Color Map escitas PREY Ree E E 7 6 7 4 2 B REJEC ses ka ce 4 0 4a 2 2 kleinen 7 7 7 4 3 Cine Playback parars rs Ses eee SS MEMES RR 7 7 8 TDI Mode 8 1 P N 4701 0081 01B jii SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 8 1 Starting TDI Mode 2 mn nn 8 2 8 2 TDI lmagelnformation 0 000 eee ee ee 8 2 8 3 TDI Mode Operation e 8 2 8 3 1 Real Time TDI Mode Menus 8 2 8 3 2 Adjust TDI Sample Box 4 8 3 8 3 3 Pulse Repetition Frequency aoao a a 8 3 8 3 4 Wal PREF 2 2 bu safa ss Ze einen 8 3 8 3 5 Toll o ee ee oe eee he ee ewe ee game 8 3 8 3 6 Persistence 22 22 Can 8 4 837 CO MAD sas 2 se a wu a ae LE near 8 4 8 3 8 EDLPOWEL a8 esas ee eee eee E 8 4 8 3 9 Baseline a a a a a 8 5 8 3 10 Sector Width and Position a aoa aoa a a a a a a aa 8 5 89 11 BROS 8 5 8 3 12 TDI Frequency 4 4 8 5 8 3 13 Image Orientation Left Right 8 6 8 3 14 Flowlnvert 0 2 0 000
29. DIAGNO option shown at the System Information interface is for diagnosing of the system in case of malfunction Only authorized service personals should perform this action 4 6 System Setting Select System Setting and press to configure the system Click Exit to exit the System Setting interface 4 6 1 General Setting New Site SonoScape Genral Setting Language English Set Printer Screen Saver ON Set Calculation Menu Trackball Sensitive 4 Set Measurement Method l Clip Format System Format Annotation Edit Date Format mm dd yyyy Define Quick Key Caps Lock ON Load Default Print Size 3 Exit SAVE w DCM OFF Still Format JPG Format Screen Save 30 Color of ROI Green Display Format v1 2 Figure 4 7 General setting Click on the General Setting tab the following configurations are available P N 4701 0081 01B 4 5 SonoScape Item Language Screen Saver Trackball Sensitivity Clip Format Date Format Caps Lock Print Size SAVE w DCM Still Format Screen Save Color of ROI Display Format Portable Digital Color Doppler Ultrasound System Explanation Set the language of the user interface Turn on or off the screen saver Adjust the sensitivity for
30. Intracavitary Figure 13 1 Surface probes probe For surface probes do not immerse the probe beyond its binding line refer to Figure 13 1 For intracavitary probes the allowed immersion level is shown in Figure 13 2 AX warning e DO NOT use solutions containing alcohol mineral oil for cleaning or disinfecting probes e Wear medical sterile gloves to prevent potential disease transmission Wear protective goggle if necessary e DO NOT apply solutions containing ethyl oxides on the probe 13 4 2 Cleaning Instructions 1 Disconnect the probe from the ultrasound system Remove the biopsy guide if it is attached to the probe 2 Remove all the coupling gel and clean the probe with soft cloth and flowing potable water 3 If the probe surface carries too much residue remove all visible residue with wet cloth soaked in mild soap water Use wet soft cloth to scrub the surface if dried residue exists Remove all soap water residue with damp cloth soaked in potable water 4 Air dry or dry with a soft cloth P N 4701 0081 01B 13 4 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 13 4 3 Disinfection Instructions The level of disinfection is directly related to the duration of contact with the germicide High level of disinfection is recommended for surface probes and required for intracavi tary probes Legally marketed liquid chemical germicides e g Cidex are highly recom mended Prepare and use th
31. Note The probes are provided in non sterile condition from the manufacturer Intracavitary probes should be cleaned and disinfected both be fore and after usage 1 To prevent disease transmission wear sterile gloves 2 Put an adequate amount of coupling gel on the probe head or into the probe sheath 3 Insert the transducer into the probe sheath Use of legally marketed probe sheath N is required for intracavitary operations If lubricant is used it must be water soluble Do not apply coupling gel di rectly on the patient skin 4 Cover the probe with the probe sheath up to the user section probe handle 5 Examine the integrity of the probe sheath If breakage occurs repeat from step 1 to replace the sheath with another new one P N 4701 0081 01B 13 3 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 13 3 4 Scanning Refer to Chapter 3 to turn on the system and start an ultrasound diagnosis 13 4 Probe Maintenance Cleaning and Disinfection Clean the transducer and the probe handle after each use For surface probes disinfect the transducer periodically For intracavitary probes disin fecting the transducer after each use is required Keep a log of maintenance inspection cleaning and disinfection and malfunction 13 4 1 Probe immersion level Cable i L741 C344 Cable Sheath J Probe Handle Binding Line En Scan Head Transducer Figure 13 2
32. SEC WIDTH press F2 to select SEC WIDTH turn the function knob to change the sector width SEC POS e press F3 to select SEC POS turn the function knob to change the sector position Sector width and position are the same as those in the B mode refer to Section 5 3 11 for explanations 8 3 11 B Reject B REJECT Sets the display priorities of the color and 2D grayscale pixels Larger B Reject value suppresses more grayscale pixels The B Reject value is adjustable in the real time mode as well as the freeze mode go to the context menu highlight B REJECT use the LEFT RIGHT keys to adjust the B Reject value 8 3 12 TDI Frequency FREQUENCY The TDI mode frequency controls the transmit frequency Higher frequency delivers better display of low flow velocities but the penetration depth is reduced Lower frequency delivers better display of high flow velocities but the penetration depth is increased e Press F5 to select FREQUENCY Turn the function knob to change the frequency 2 Remark The TDI frequency value is displayed on the screen at the Color Image Info area FRQ P N 4701 0081 01B 8 5 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 8 3 13 Image Orientation Left Right LTSRT Refer to Section 5 3 15 8 3 14 Flow Invert FLOW INVERT The Flow Invert in TDI mode inverts the color display in relation to the direction of flow The Spectral Wedge also inv
33. System Load Create Retrieve Store Name cone Figure 4 14 Create a user setting To back up or retrieve the user setting and data click the Retrieve tab e Click Copy user setting to USB to back up the current user setting and patient data to an external USB drive Make sure to connect the USB drive before performing the backup Click Copy USB user setting to system to copy the backup setting and data from the USB drive Load Create Retrleve Make sure USB drive in the slot Copy user setting to USB Copy user setting to USB Caution Copy USB to hard drive will replace all user setting in the system including patient database Please use it wisely Figure 4 15 Back up or load the user setting and data Z warning Copy backup from the USB drive overwrites the patient data on the system as well 4 7 DICOM Setting This equipment conforms with the Digital Imaging and Communications in Medicine DI COM standard which is the industrial standard for the communication and management of patient data between the devices in the hospital Click the DICOM tab to activate the DICOM Interface You can change the setting for network communication protocols here P N 4701 0081 01B 4 10 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System New Site
34. Ultrasound System Continuously move the probe rather than staying in a single spot to avoid elevated temperatures in one part of the patient s body Move probe away from the patient when not actively scanning Understand the meaning of the TI TIS TIB TIC and MI output display as well as the relationship between these parameters and the thermal cavitation bioeffect to the tissue Expose the patient to only the very lowest practical transmit power levels for the shortest possible time to achieve a satisfactory diagnosis ALARA As Low As Rea sonably Achievable 1 4 1 Safe Scanning Guideline 1 Ultrasound should only be used for medical diagnosis and only by trained medical personnel Diagnostic ultrasound procedures should be done only by personnel fully trained in the use of the equipment in the interpretation of the results and images and in the safe use of ultrasound including education as to potential hazards Operators should understand the likely influence of the machine controls the op erating mode e g B mode color Doppler imaging or spectral Doppler and probe frequency on thermal and cavitation hazards Select a low setting for each new patient Output should only be increased during the examination if penetration is still required to achieve a satisfactory result and after the Gain control has been moved to its maximum value Maintain the shortest examination time necessary to produce a
35. a a 8 5 8 3 11 A qa ser so thy a A een E 8 5 8912 o TOLFCQUENC Ss ss E eaa eel po oe al paa a 8 5 8 3 13 Image Orientation Left Right 8 6 8 3 14 Flowinvert se sa pee ba parar a a e A 8 6 8 3 15 Line Densiy os cs sses us Sasse an 8 6 83 16 20 ROES ca a te oi cee Ge 8 e deu gene en ee 8 6 8 4 Cine Mode Operation 22 2m nm nn 8 6 8 4 1 52 a a a ee eee ee ee en a er ee 8 7 P N 4701 0081 01B 8 1 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 8 4 2 B Rej ct oe an ame Se ee ee oe Ge eS le pen E aba E 8 7 8 4 3 PIOW INVER a a wea ee eRe ee ee ee ee ee Se ee 8 7 8 4 4 Cine Review 2 2s ks Bete bate dues o a 8 7 8 4 5 Cin Playback gt cs ncia ada wae Go 8 8 8 1 Starting TDI Mode FA To activate the TDI mode press the key or the T key on the al phanumerical keyboard The TDI sample box appears in the active 2D UY image Press the B key to deactivate the TDI mode the system enters the B mode 8 2 TDI Image Information The color image information for the TDI mode ultrasound is dis played at the Color Image Info area refer to Figure 2 4 for the location WF 75 The meaning for the items shown in the info area are explained PRF 1 0 in the table below GN 20 C P 1 60 pulse repetition frequency PWR 70 wall filter value Doppler gain D gain FRQ 2 6 Color Map setting persistence value acoustic output power transmitted frequency MHz 8 3 TDI Mode Oper
36. context menu e turn the MENU knob to adjust the PERSIST setting a Remark The persistence value is displayed on the screen at the Color Image Info area the Pin C P 8 3 7 Color Map C MAP Similar to the Color Map in the CFM mode this function select the method for the color coding of the display of color flow e press FI to select C MAP turn the function knob to adjust the CHROMA setting 4 Remark The Color Map method is displayed on the screen at the Color Image Info area the C in C P 8 3 8 TDI Power POWER Similar to the acoustic output power in the B mode the value of the output power in the TDI mode should be kept as low as reasonably achievable press F1 to select POWER e turn the function knob to change the output power 4 Remark The acoustic output power in the TDI mode is displayed on the screen at the Color Image Info area PWR P N 4701 0081 01B 8 4 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 8 3 9 Baseline BASELINE Moving the baseline increases the velocity range in one direction the zero position also moves as a result The maximum velocities in both directions are displayed at the ends of the Spectral Wedge 15 Figure 2 4 e Flip the BASELINE button to move the baseline up or down to move the baseline or e Select BASELINE from the context menu turn the MENU knob to move the baseline 8 3 10 Sector Width and Position
37. eee ee ee ee 8 6 8 3 15 Line Density 2 00 a 8 6 8 3 16 2D Refresh 2 oo nn 8 6 8 4 Cine Mode Operation 2 nn 8 6 8 4 1 MAD wae heed etree ree ate EDER Ss 8 7 8 4 2 B ROGOL o oie eee hw EE RHE Ee EO ESSE BS os 8 7 8 4 3 Flow lnvVert a 8 7 8 4 4 Cine Review nn 8 7 8 4 5 Gine Playback sumisos Gawd AAA A 8 8 9 M Mode 9 1 9 1 StartingMMode 2 0 ee 9 1 9 2 M Mode Operation M Trace Inactive 4 9 1 9 2 1 Adjust M Mode Cursor Line 0 9 2 9 3 M Mode Operation M Trace Active 9 3 9 3 1 MGa eee bees eee eee ee eee ew eee Gee 9 3 9 3 2 Sweep Speed co 9 3 9 3 3 POVO lt lt ws assess A 6 da 9 4 9 3 4 GROMA passa owe AAA 9 4 9 3 5 WERVOCCSS J a 0 u 2 4 6 Gos mada 9 4 9 3 6 VIGGOINVEN ssc u de a arar 9 4 9 3 7 Display Format 2 2 2 2 Hmmm 9 5 9 4 Cine Mode Operation 2 nn 9 5 10 Spectral Doppler Mode 10 1 10 1 Activation of Spectral Doppler Mode 10 2 10 1 1 B CFM DPI TDI Operation in Spectral Doppler Mode 10 3 10 1 2 2D Refresh au u 0 un u an a a 10 3 10 1 3 Display Format 22 on nn 10 3 10 2 PW Mode Operation 22 222 nn nn 10 3 10 2 1 Sample Volume Gate Adjustment 10 3 10 2 2 Activation of PW Spectral Display 10 4 10 2 3 Pulse Repetition Frequency PRE 10 4 10 2 4 Wall Filter WE a 10
38. inflammable gas is present Devices must be powered from a receptacle marked hospital grade be fore being connected to the system directly In case hospital grade recep tacles are not available use isolation transformers instead 1 9 Transducer Maintenance The transducers probes provided with the system are durable and have reliable perfor mance These precision instruments should be inspected daily and handled with care Please observe the following PRECAUTIONS Do not drop the transducer on the hard surface This can damage the trans ducer elements and compromise the electrical safety of the transducer Avoid kinking or pinching the transducer cable Use only approved ultrasound coupling gels Follow the instructions for cleaning and disinfecting the probes Disinfecting Surface Transducers Disconnect the transducer from the system Wipe all surfaces with isopropyl alcohol solution and air dry e Clean all surfaces of the probe and cable with soft cloth e Allow the transducer to air dry prior to storage or further use The following statement from AIUM outlines instructions for cleaning the intracavitary trans ducer Guidelines for Cleaning and Preparing Endocavitary Ultrasound Transducers between Patients from AIUM Approved June 4 2003 The purpose of this document is to provide guidance regarding the clean ing and disinfection of transvaginal and transrectal ultrasound probes All sterilization dis
39. is expected The fractional reduction in intensity caused by attenuation is DENOTED by the de rating factor Rr Rp 101 00442 Where a is the attenuation coefficient in dB cm 1 MHz 1 f is the transducer center frequency and z is the distance along the beam axis between the source and the point of interest De rating factor RF for the various distances and frequencies with attenuation coefficient 0 3dB cm 1 MHz 1 in homogeneous soft tissue is listed in the following table An exam ple is if the user uses 7 5MHz frequency the power will be attenuated by 0750 at 5cm or 0 3x7 5x5 11 25dB The De rated Intensity is also referred to as 3 at the end e g Ispta 3 Distance Frequency MHz cm 1 3 5 7 5 1 0 9332 0 8128 0 7080 0 5957 2 0 8710 0 6607 0 5012 0 3548 3 0 8128 0 5370 0 3548 0 2113 4 0 7586 0 4365 0 2512 0 1259 5 0 7080 0 3548 0 1778 0 0750 6 0 6607 0 2884 0 1259 0 0447 7 0 6166 0 2344 0 0891 0 0266 8 0 5754 0 1903 0 0631 0 0158 l I RF Where is the intensity in soft tissue is the time averaged intensity measured in water Tissue Model Tissue temperature elevation depends on power tissue type beam width and scanning mode Six models are developed to mimic possible clinical situations P N 4701 0081 01B 1 6 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Thermal Composition Mode Specification Typ app Models 1TIS Soft tissue Unscanned Large aperture Liver PW gt 1cm 2TIS
40. is removed care should be taken not to contaminate the probe with secretions from the patient At the completion of the procedure hands should be thoroughly washed with soap and water P N 4701 0081 01B 1 12 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Note Obvious rupture in condom integrity does NOT require modification of this protocol These guidelines take into account possible probe contamination due to ruptures in the barrier sheath In summary high level disinfection of the endocavity probes should be carried out routinely Protective barrier is required for every examination to avoid potential disease transmission For all chemical disinfectants PRECAUTIONS must be taken to protect workers and patients from the toxicity of the disinfectant Reference Amis S Ruddy M Kibbler CC Economides DL MacLean AB Assessment of con doms as probe covers for transvaginal sonography J Clin Ultrasound 2000 28 295 8 Rooks VJ Yancey MK Elg SA Brueske L Comparison of probe sheaths for en dovaginal sonography Obstet Gynecol 1996 87 27 9 Milki AA Fisch JD Vaginal ultrasound probe cover leakage implications for patient care Fertil Steril 1998 69 409 11 Hignett M Claman P High rates of perforation are found in endovaginal ultrasound probe covers before and after oocyte retrieval for in vitro fertilization embryo transfer J Assist Reprod Genet 1995 12 606 9 Sterilization and
41. marked by the cursor ZOOM zoom ultrasound image DIST measure the distance between two points TRACE press this key and move the trackball to draw a trace on the ultrasound image press to close the trace ELLIPSE press this key and move the trackball to draw an ellipse on the ultrasound image CALC press this key to activate the calculation menu TGC slide the TGC control to change the gain in the corresponding 2D depth P N 4701 0081 01B 2 12 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Chapter 3 Starting the System Contents 3 1 Probe Connection s se s saamaa a6 kos ka Bon et Bw E US 3 1 3 2 Boet UD 224 u ne be eee eA ee ESSE EG oS 3 2 3 3 General Operation Instructions o o oaoa oa a a a a 3 2 3 4 Patient Information 2 22 nn 3 3 3 5 Start Ultrasound Diagnosis 2 22 mm nn 3 5 3 6 Customize application mode Create New Exam Mode 3 5 3 7 Annotation and Bodymark 0 000 eee eee eee 3 5 3 7 1 ANNOIQUON s amp 2 9 aa a DE RE Bie ee Bene BS 3 5 3 7 2 Bodymark gt 2 0 5 5 2 es mea 3 6 3 8 SAVING PHINUNG 25 s s 1 sch eS 05 ES Se ee O E 3 7 3 1 Probe Connection IN attention e Prior to connecting or disconnecting a probe freeze the image or enter the preparation mode EXAM screen e tis unnecessary to switch the unit off e If a probe is disconnecte
42. nn a a nenne 13 2 13 32 Probe Connection lt lt s se ss HE HR 884 13 3 1333 Preparation for Scanning 2 2 2 2 2m nn nn 13 3 1394 CAMINO se cs oa Su 6 es ES re eee eee Eu ee 13 4 13 4 Probe Maintenance Cleaning and Disinfection 13 4 13 4 1 Probe immersion level nn nn 13 4 13 4 2 Cleaning Instructions e e 13 4 13 4 3 Disinfection Instructions 2 2 m mn nn 13 5 13 1 Transducer Information 13 1 1 Supported Transducers and Intended Applications The transducers supported by S8 are listed in Table 13 1 Note that this list does not cover the transducers for speciality applications Transesophageal TEE 13 1 2 Acoustic Output The acoustic output powers for the supported transducers are listed in the Acoustic Out put Tables in the companion CD ROM of this manual l For the usage and maintenance of the speciality probes refer to the corresponding probe user manuals P N 4701 0081 01B 13 1 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Model Description Intended Applications L741 Linear Array 5 0 10 0 Small Organ Musculo skeletal MHz Conventional amp Superficial Peripheral vessel L742 Linear Array 5 0 12 0 Small Organ Musculo skeletal MHz Conventional amp Superficial Peripheral vessel L743 Linear Array 5 0 10 0 Small Organ Musculo skeletal MHz Conventional amp Superficial Peripheral vessel C344 Curved Array 2 0 5
43. represents the acoustic output power it is identical to that in the B mode Press F2 to select POWER Turn the function knob to change the acoustic output 2 Remarks The current acoustic output power is shown at the M Mode Image Info area the PWR e Note that the PWR shown at the 2D Image Info area will not be updated until the UPDATE key is pressed again 9 3 4 Chroma CHROMA Similar to the chroma setting in the B mode this function gives the effect of changing the M trace color e Press to select CHROMA Turn the function knob to change the chroma setting 9 3 5 M Process M PROCESS This function changes the methods for detection processing for the M trace display e Press F4 to select M PROCESS Turn the function knob to change the method for the M process to to AVE average or PEK peak 2 Remarks The current M PROCESS setting is shown at the M Mode Image Info area the MPR 9 3 6 Video Invert VIDEO INVERT This function inverts the M trace display in relation to brightness In the black white M trace display black and white will be swapped upon setting Video Invert to On e Press F5 to select VIDEO INVERT e Turn the function knob to turn on or off this function P N 4701 0081 01B 9 4 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 9 3 7 Display Format DISPLAY FORMAT Use this function to change the layout of the B M mode ultrasound image Se
44. setting 5 3 11 Sector Width and Position User can reduce the imaging area to the region of interest by reducing the sector width and move the sector position SEC WIDTH press F3 to select SEC WIDTH turn the function knob to change the sector width SEC POS e press FA to select SEC POS turn the function knob to change the sector position 5 3 12 Line Density LINE DENSITY LINE DENSITY can be set to Low Medium or High Higher line density can provide better horizontal resolution but also reduces the frame rate e press FI to select LINE DENSITY turn the function knob to change the LINE DENSITY setting 5 3 13 Compound Imaging COMPOUND Select this item from the context menu turn the MENU knob to turn on off the compound imaging e select COMPOUND from the context menu turn the MENU knob to turn on or off the compound imaging 9 3 14 Frequency Range FREQUENCY The transducer is capable of generating a broadband signal with a certain start frequency and a certain bandwidth The higher frequency that is set the higher the resolution and the lower the penetration press F2 to select FREQUENCY turn the function knob to change the frequency value 2 Remarks The frequency range is displayed at the 2D Image Info area FRO P N 4701 0081 01B 9 7 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 5 3 15 Image Orientation Left Right Up Down Change of
45. the 2D Image Info area GN e It is possible to change the 2D Gain only when B mode is active independent of additional modes 5 3 3 Time Gain Compensation TGC The TGC are adjustable during the real time scan regardless of the imag ing mode B CFM PW CW and display format single dual quad o Use the TGC slide control to adjust the gain which allows compensation for attenuation of the echoes over time depth m Move the slide control to the left to decrease the gain at the corresponding depth move the slide control to the opposite direction to increase the gain at the corre sponding depth P N 4701 0081 01B 9 3 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 2 Remarks The default TGC compensation corresponds to the middle positions at which the slide controls are Before a slide control is moved the TGC is kept to its default value independent of the slider positions e TGC curve disappears when the TGC sliders is inactive for more than several seconds 5 3 4 Depth The depth range is adjustable during the real time scan regardless of the imaging mode B CFM PW CW and display format single dual quad The depth knob controls the depth range of the ultrasound image The system automatically adjusts the frame rate FPS and acoustic power indices TI MI according to the depth SQ Flip the DEPTH switch downwards to increase the depth range
46. the image orientation is possible with all imaging modes real time or frozen independent of the display format single dual quad ii i Orientation Use this function to alternate the image orien Se tation between left and right without rotating the e B o scan head itself The orientation marker Ell cor _ FE sor responds to the position of the first element of the S SS array on the transducer e select LTSOLT from the context menu turn the MENU knob to alternate the image orientation between left and right Fm 4 Remarks lt 5 If the item LTIGRT is not available in the context menu you can also use the key to change the image left right orientation Up Down ty Press the key to alternate the image orientation between up and down Up Down 5 3 16 Adaptive Image Fusion ADAPT IM FUSION Adaptive image fusion provides choices of optimization methods for improving image qual ity through boundary enhancement image smoothing and system optimization e select ADAPT IM FUSION from the context menu turn the MENU knob to adjust the setting for optimizing the adaptive image fusion 2 Remarks Adaptive Image Fusion is displayed at the 2D Image Info Area on the screen The I in 1 P 5 3 17 Scan Function The uScan function is an option If it is not installed the uScan item will not appear in t
47. the trackball to move the clip plane position 4 Remark Note that in the step 1 above e press UPDATE and followed by the space bar to activate the rotation of the volume display or press and followed by the space bar Use the trackball to zoom in out the volume display 11 3 10 Opacity Setting OPACITY OFFSET Use this function to adjust the opacity offset which enhances the display of the 3D struc ture OPACITY SLOPE This function fine tunes the opacity setting 11 3 11 Multi Slice This function shows the surfaces slicing the 3D structure 11 3 12 Color Map COLOR MAP Similar to the C Map function in the B mode this function chooses the method for mapping the amplitudes of echoes to the grayscale or color pixels P N 4701 0081 01B 11 6 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 11 3 13 Scan Method SCAN METHOD Adjust the Scan Method which can be chosen from Linear Motion Lin and Sector Motion Sec to the actual method used for acquiring the volume data 11 3 14 Z Scale For Scan Method Lin Z SCALE This function increases or decreases the volume display in the z direction 11 3 15 Z Angle For Scan Method Sec Z Angle This function changes the Z angle value used for obtaining the display of the 3D structure P N 4701 0081 01B 11 7 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System P N 4701 0081 01B 11 8 SonoScape S8 S8 Pro Portab
48. values greater than one e g 0 4 0 6 0 8 1 2 3 Display and Report in Different Mode For B Scan Mode Only display and report MI and start from 0 4 if maximum MI gt 1 0 For Color Mode Only display and report TIS or TIB and start from 0 4 if maximum TI gt 1 0 For Doppler Mode Only display and report TIS or TIB and start from 0 4 if maximum TI gt 1 0 Below is a simple guideline for the user when TI exceeds one limit exposure time to 4 6 TI minutes based on the National Council on Radiation Protection Exposure Criteria for Medical Diagnostic Ultrasound Criteria Based on Thermal Mechanisms Report No 113 1992 Operator Control Features The user should be aware that certain operator controls may affect the acoustic output It is 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 is normally around 70 of the allowable power depending on the exam icon 1 5 Environmental Requirements The following environmental conditions are within system tolerances for operation Relative Humidity 30 75 no condensation Temperature 10 C 40 C Atmosphere Pressure 700 1060hPa Strong radiation sources or powerful electromagnetic waves e g el
49. within the dual display there is no color mode CFM or DPI or TDI image or e activate the dual real time display format viz real time B real time Color CFM or DPI or TDI display format if within the dual display there is at least one color mode image The dual real time display format can also be activated by pressing the DUAL key twice at the real time color mode P N 4701 0081 01B 5 12 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System New Hosp C344 SonoScape P FPS 20 D G 2 1 GN Figure 5 6 Dual display real time CFM frozen B From LTORT in the context menu accessed by pressing the MENU knob change the left right image orientations for both images REM Press the key to alternate the up down image orientation for both images Press the DUAL key the third time to exit the dual color mode display 5 5 2 Quad Display Format In the real time B or color mode press the numerical 4 key at the keyboard to activate the quad display The image is reduced to a quarter of its original size and moved to the top left to leave space for displaying other images Press the key to freeze the current image and activate the display on the next quadrant clockwise Changing the imaging mode for the selected image is possible by pressing the correspond ing key B CFM DPI TDT From LTORT in the context menu ac
50. 0 Fetal Abdominal Ob GYN MHz C362 Curved Array 2 0 6 0 Fetal Abdominal Ob GYN MHz VC6 2 Curved Array 2 0 6 0 Fetal Abdominal Ob GYN MHz 2P1 Phased Array 2 0 4 0 Abdominal Neonatal Cephalic Adult Cephalic Cardiac MHz Adult Cardiac Pediatric 5P1 Phased Array 3 0 7 0 Pediatric Neonatal Cephalic Cardiac Pediatric MHz 6V1 Micro curved Array Transrectal Transvaginal 4 0 8 0 MHz 6V3 Micro curved Array Transrectal Transvaginal 5 0 9 0 MHz EC9 5 Micro curved Array Transrectal Transvaginal 5 0 9 0 MHz C611 Micro curved Array Abdominal Pediatric Neonatal Cephalic 4 0 8 0 MHz Cardiac Pediatric Table 13 1 Transducer list 13 2 Environmental Requirements The transducers should be used with that the following environmental requirements has been satisfied Operation Storage and transport Relative humidity 30 75 no condensation 20 90 no condensation Ambient tempera 10 C 40 C 20 C 55 C ture Barometric pressure 700hPa 1060hPa 700hPa 1060hPa 13 3 Preparation and Usage of the Probe 13 3 1 Inspection After each use or before first use or after long time storage of the probe the probe must be examined for any damages listed in the table below Stop using the probe if any damage is found Contact your representative for servicing asap Possible damage types Cracks on the probe handle user section Cracks on the probe head applied section Scratches on the probe head acoustic window surface Swel
51. 10 2 10 1 1 B CFM DPI TDI Operation in Spectral Doppler Mode 10 3 10 1 2 2D Refresh xsara 10 3 10 13 Display Format s scs ics s RR a a R RR R R A a 10 3 10 2 PW Mode Operation 2 2 2 Hmmm nn 10 3 10 2 1 Sample Volume Gate Adjustment 10 3 10 22 Activation of PW Spectral Display 10 4 10 2 3 Pulse Repetition Frequency PRE 10 4 10 2 4 Wall Filter WE ee 10 4 10 25 Spectral Doppler Gain 10 5 1026 SEE ANS 22424644444 Gi dE SR E e ARE SE T 10 5 10 2 7 Flowlnvert 0 02 002 o 10 5 10 28 Spectral Doppler Frequency 222 22mm nn 10 5 10 2 9 Sweep Speed m nn 10 5 10 2 10 Baseline lt ss ss ssar d Hd ES na ES EA ES RS ES ES 10 6 10 211 PWPOWG 25454254545 655 6 5 4564 2565 55 S 4S 10 6 10 2 12 Angle Correction 2000022200 10 6 10 2 13 Dynamic Range DYN 22 0500 10 6 10 2 14 Chroma z suspiros 10 7 10 215 Video Inves cocer PERDER PE T 10 7 10 3 CW Mode Operation eee ee 10 7 10 3 1 Activation of CW Mode PWOCW o ee 10 7 10 3 2 CW Cursor Position eses 3 24 au 2 d au 24 Du 24 Bu 545 10 8 10993 PIW Taer 262064 eed ma ES OK ES RA ES ES ES ES 10 8 10 3 4 Sweep Speed ann nn 10 8 1095 CWPOWer cuceceddauedcedSeedsiaedssi ad sun 10 8 10 3 6 Dynamic Range DYN 0 0 05 ee 10 8 P N 4701 0081 01B 10 1 So
52. 4 10 2 5 Spectral Doppler Gain 10 5 P N 4701 0081 01B IV SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 10 2 6 Steer Angle 2 00 ee ee 10 5 10 2 7 FIOWINVEN 22 22 sse Gee TES a oe ea a oe 10 5 10 2 8 Spectral Doppler Frequency 204 10 5 10 2 9 Sweep Speed 0 0 00 ee ee 10 5 10 2 10 Baseline Hm nn 10 6 10 2 11 PW Power 2 2 2 0 5 au a dan man nd ae ehe 10 6 10 2 12 Angle Correction 22 2 2 m mm a a 10 6 10 2 13 Dynamic Range DYN 10 6 10 2 14 GROME s stare cm a eee A Ge ee A oe 10 7 10 2 15 Video Invert ee ee 10 7 10 3 CW Mode Operation nn 10 7 10 3 1 Activation of CW Mode PWOCW 10 7 10 3 2 CW Cursor Position 0 10 8 10 3 3 FIOWINVEN z ss 4 4 4 4 wu men a Sen and Bee 10 8 10 3 4 Sweep Speed KH mn 10 8 10 3 5 CW POWE 2 2 2 22 2 5 66868 we as ad oe 10 8 10 3 6 Dynamic Range DYN 10 8 W527 ONOMA asociada aras 10 8 10 3 8 Video Invert 2 2 0 0 0 ee 10 9 10 3 9 Display Format 2 58042 a 0 zo ee ee ee a Me Ree A 10 9 10 3 10 Pulse Repetition Frequency PRE 10 9 10 3 11 Wall Filter WE 0 0 02 0002 2 eee 10 9 10 4 Spectral Doppler Cine Mode Operation 10 9 11 3D Mode 11 1 11 1 Staning3sD Mode 2 82
53. 4 4 4 6 System Setting ee 4 4 5 4 6 1 General Setting 4 5 4 6 2 Sel Printer ve baw eee he ew eee ed bees 4 6 4 6 3 Set Calculation Menu 0 2 200008 4 7 4 6 4 Set Measurement Method 2 050 4 7 4 6 5 Annotation Edit a a ee ee a 4 8 4 6 6 Define Quick Key 2 En nn 4 8 4 6 7 Load Default s p uds nerea nid d 0 002 002 0084 4 9 4 7 DICOM Setting 2 2 2 2 Hm nn 4 10 5 B Mode 5 1 5 1 Starting B Mode 5 2 5 2 B Mode Image Information 2 00000 2 5 2 5 3 Real Time B Mode Operation 5 2 5 3 1 B Mode Menus nn 5 3 5 3 2 BOJ 9 6 9 RE R RRR RET wees 5 3 5 93 83 Time Gain Compensation TGC 5 3 5 3 4 DCOU a ses Sa BS 5 SED E Se eg DD E ee oe A 5 4 5 3 5 Focal Zones 2 2 2 Ca nn nn 5 4 5 3 6 Tissue Acoustic Characteristics 2 2 2 222 nn 5 5 9 3 7 Dynamic Range nn 5 5 5 3 8 Grayscale curve a 5 6 5 3 9 Persistence a a a a 5 6 5310 COMA ssec sa gs eee ee wwe SE DRESS BE 5 6 5 3 11 Sector Width and Position 0 5 7 5 3 12 Line Density c s s da dau a ea ad RRR R RR a NR 5 7 5 3 13 Compound Imaging a 05 eee 5 7 5 3 14 Frequency Range 2 0 2 eee ee ee ee 5 7 5 3 15 Image Orientation 0 0000 eee ee ee 5 8 5 3 16 Adaptive Imag
54. 8654654 cesan 11 1 11 2 3DMode Menus 0 2 a 11 2 11 3 3D Mode Operation 2 0 00 ee 11 3 11 3 1 Display Format 00020004 11 3 11 3 2 Rotate Zoom and Move 11 3 11 33 Clear amp Restore ROI 11 4 Md GON cirrosis 11 4 11 35 ROI Box Adjustment nn 11 4 11 36 Render Mode eee ee o 11 5 113 7 AUOROAE 2 4cac4o6e ede OSS a Ee ae 11 5 11 38 Trace OU 2 2 2 4 45646 creado 11 5 11 39 CIPRIANO Bane aig eh eae oe eek ee A 11 6 11 3 10 Opacity Setting 2 2 2 0000 11 6 11 3 11 Multi Slice 2 2222 ee 11 6 11312 Color Map seco river PRECE Shee eH eo 11 6 11 3 13 Scan Method 24662846688 45 46 ba eee ewe Ee 11 7 11 3 14 Z Scale For Scan Method Lin 11 7 11 3 15 Z Angle For Scan Method Sec 11 7 12 4D Mode 12 1 12 1 Starting4D Mode 0 0 12 1 12 2 4D Mode Menus 2 0 ee a 12 2 12 3 4D Mode Operations 2 2 0 0 ee 12 3 1231 Display Formal lt s e e sa zu 64 82 rra 12 3 12 3 2 Adjustment of Sample Box amp Cut OffLine 12 3 1233 Sweep Angle A 12 4 P N 4701 0081 01B V SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 12 3 4 Cine Review 12 3 5 Rescan 12 3 6 Image Quality 0 0 0 2 ee a 12 3 7 Stabilization 2 22002 a 13 Transducers 13 1 Transducer Inform
55. B REJECT LINE DENSITY FREQUENCY POWER SEC WIDTH SEC POS 2D REFRESH Figure 6 2 Function menu in real time CFM mode Real Time CFM Mode Context Menu P N 4701 0081 01B 6 2 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System ECG gt N i tl JJ mode menu which will appear at the Con NM AS JJ NY BASELINE 0 text Menu area refer to Figure 2 4 Press the MENU knob again to dismiss the CFM mode context menu Figure 6 3 Real time CFM mode context menu vee Press the MENU key to activate the CFM PS A E Sa i le ll PERSIST 40 MENU LT RT gt 6 3 2 Adjust CFM Sample Box Follow the instructions below to adjust the sample box Use the trackball to change the position of the sample box Press the key Use the trackball to change size of the sample box Press the key again to re adjust the position of the sample box 6 3 3 Pulse Repetition Frequency The Pulse Repetition Frequency sets the velocity range of the color flow display The range of the PRF depends on the probe and the application mode Increas ing the PRF range also changes the velocity scale shown on color wedge Flip the switch up down to increase decrease the PRF range 2 Remarks The current PRF value is display at the Color Image Info area PRE The system automatically adjusts the Wall Filter setting upon changing the PRF value 6 3 4 Wall Filter
56. Cursor Line Move the trackball to change the M mode cursor position STEER M This function is only available in B M duplex mode ECG CHROMA UB DOWN Off LT gt RT POWER 60 STEER M Off DISPLAY FORMAT v1 2 Figure 9 3 B menu in B M du plex mode With this function multiple M mode cursor lines can be inserted into the 2D image Follow instructions below to add additional M cursor lines M mode cursor lines mode cursor P N 4701 0081 01B 9 2 Use the trackball to change the M cursor position Press the LEFT RIGHT keys or use the ANGLE knob to change the angle of the M Press the MENU knob to activate the context menu shown on page 9 2 Use the trackball to select STEER M turn the MENU knob to change the number of Turn off the display of the context menu by pressing the MENU knob again If multiple M cursors are present press the key to select the next M cursor The currently selected M cursor is highlighted in cyan SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 2 Remarks The STEER M function is primarily for cardiology application and may be disabled in other appli cation modes e If multiple M cursors are present only the last selected M cursor in cyan will be active upon activating the CFM M TDI M duplex mode 9 3 M Mode Operation M Trace Active Press the UPDATE key to let the M mode trace update
57. Disinfection of Medical Devices General Principles Centers for Disease Control Division of Healthcare Quality Promotion http www cdc gov ncidod hip sterile sterilgp htm 5 2003 ODE Device Evaluation Information FDA Cleared Sterilants and High Level Disin fectants with General Claims for Processing Reusable Medical and Dental Devices March 2003 http www fda gov cdrh ode germlab html 5 2003 ZA Attention e These transducers are not designed to withstand ther mal disinfection Exposure to temperatures higher than 66 C 150 F will cause permanent damage e Do not immerse the probe beyond its binding line e lo clean the transducer refer to the relevant instructions in the probe s manual 1 10 System Transportation 1 10 1 Moving the System When moving or transporting the system take the PRECAUTIONS listed below Before moving the system P N 4701 0081 01B 1 13 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 1 Completely power off the system 2 Unplug the power cord 3 Disconnect all cables attached to the system 4 To prevent damaging the power cord do not pull stretch or bend it excessively 5 Store the probes in their carrying cases or wrap them in soft cloth or foam to prevent damage 6 Store gel and other essential accessories in the appropriate storage cases 1 10 2 Transporting the System Use extra care when transporting the system in a vehicle After prepa
58. IC cranial thermal index should be monitored P N 4701 0081 01B 1 4 SonoScape S8 S8 Pro 11 12 Portable Digital Color Doppler Ultrasound System MI gt 0 3 There is a possibility of minor damage to neonatal lung or intestine If such exposure is necessary reduce the exposure time as much as possible MI gt 0 7 There is a risk of cavitation if an ultrasound contrast agent containing gas micro spheres is being used There is a theoretical risk of cavitation without the presence of ultrasound contrast agents The risk increases with MI values above this threshold Tl gt 0 7 The overall exposure time of an embryo or fetus should be restricted in accordance with Table 1 1 below as a reference o Table 1 1 Maximum recommended exposure times for an embryo or fetus Non diagnostic use of ultrasound equipment is not generally recommended Ex amples of non diagnostic uses of ultrasound equipment include repeated scans for operator training equipment demonstration using normal subjects and the produc tion of souvenir pictures or videos of a fetus For equipment of which the safety indices are displayed over their full range of val ues the TI should always be less than 0 5 and the MI should always be less than 0 3 Avoid frequent repeated exposure of any subject Scans in the first trimester of pregnancy should not be carried out for the sole purpose of producing souvenir videos or photographs nor should their product
59. Lower line density makes the color pixels larger Line density in CFM mode can be set to Low or High press F4 to select LINE DENSITY turn the function knob to change the LINE DENSITY setting 6 3 16 2D Refresh 2D REFRESH If this option is left on the 2D color Doppler image will be active during the Color Doppler PW CW and the Color Doppler M modes press FA to select 2D REFRESH e turn the function knob to turn on or off 2D REFRESH 6 4 CFM Cine Mode Press the key during the real time CFM scan to freeze the image and start the cine mode Recent image frames are cached and ready for review attention All measurements performed in the real time mode will be cleared upon pressing the key The cine mode operation is independent of the display format single dual quad C MAP DIRECT D LOOP SPEED PLAY STOP B REJECT CINE REVIEW Figure 6 4 Function menu in CFM cine mode P N 4701 0081 01B 6 6 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System C MAP 3 Move the trackball fast forward to start playing the cine B REJECT 254 loop Touch the trackball to stop the playback LOOP SPEED gt Press the MENU knob and the cine mode menu APRA qo START je right will appear at the context menu area refer to Figure 2 4 END gt FRAME BY FRAME Figure 6 5 CFM cine mode More cine mode operations are introduced in the following subsettions
60. ND FRAME BY FRAME CHROMA Refer to Section 9 3 4 for explanations e Press Fl to select CHROMA turn the function knob to change the chroma setting or e Select CHROMA from the context menu turn the MENU knob to change the chroma setting VIDEO INVERT Refer to Section 9 3 6 for explanations e Press F2 to select VIDEO INVERT turn the function knob to turn on or off this func tion or e Select VIDEO INVERT from the context menu turn the MENU knob to turn on or off this function DISPLAY FORMAT Refer to Section 9 3 7 for explanations and usage Cine Playback Operations START END FRAME BY FRAME Refer to Section 5 4 7 for explanations and usage P N 4701 0081 01B 9 6 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Chapter 10 Spectral Doppler Mode Pulsed Wave Doppler PW and Continuous Wave Doppler CW are collectively called Spectral Doppler mode PW Doppler lets you examine blood flow data selectively from a small region called the sample volume The sample volume is covered by the sample volume gate which is lo cated on the Spectral Doppler cursor A short line across the sample volume is called the flow direction cursor This cursor line should be aligned to the blood flow direction when measuring the flow velocity CW Doppler examines the flow data all along the Doppler cursor rather than a small region Contents 10 1 Activation of Spectral Doppler Mode
61. Pro Portable Digital Color Doppler Ultrasound System 10 2 14 Chroma CHROMA Similar to the chroma setting in the B mode this function gives the effect of changing the spectral display color The chroma setting is adjustable in the real time mode as well as the freeze mode e Press Fl to select CHROMA Turn the function knob to the chroma setting 10 2 15 Video Invert VIDEO INVERT This function has the effect of changing the background of the spectral display Press F2 to select VIDEO INVERT e Turn the function knob to turn on or off this function The background of the spectral display is e dark when Video Invert is Off bright when Video Invert is On 10 3 CW Mode Operation New Site 2P1 SonoScape Apr 07 2010 16 08 16 FPS D G GN UP 47 3 1 12 3 30 9 emis PWR 70 FRQ 4 7 D 16 5cm BASELINE 0 DISPLAY FORMAT v2 POWER WF FREQUENCY SWEEP SPEED DYN CW CHROMA VIDEO INVERT Figure 10 5 CFM CW duplex mode 10 3 1 Activation of CW Mode PW CW Only phased array probes support the CW imaging mode P N 4701 0081 01B 10 7 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Use the UPDATE key to activate or stop the BASELINE 0 CW spectral display DISPLAY FORMAT Figure 10 6 CW Mode Menu GER When the CW spectral display is active ber da ag
62. SCAN function might be interrupted 3 3 General Operation Instructions Typography Convention This manual employs the following typefaces to denote keys buttons and parameters Keys on the control panel keyboard are typed in the form of KEY Buttons and items shown on the screen are typed in the form of BUTTON Image parameters are typed in the form of parameter P N 4701 0081 01B 3 2 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Move the cursor over an Move the Cursor Around item to select it Use the trackball to move the cursor around EF S ss The item in the context menu can be selected by mov FLOW INVERT d ing the cursor over it To change the value of the corre FREQUENCY 2 sponding item either use the left right arrow keys or turn SWEEP SPEED the MENU knob BASELINE ANGLE CORRECT DYN E a Click Click Operation Move the cursor over a button and When changing system setting or performing ultra ii cal sound scanning it involves the operation of first mov ing the the cursor over a certain item and then press Maisa ing the key This operation is similar to the MEGA click operation on a typical PC Similar terminol Trackball Sensitive ogy will be employed from now on click a but TELS System Format ton means move the cursor using trackball over NTE maddy the button and press the key Quick Access The function menu at the bottom of t
63. Soft tissue Unscanned Small aperture Pencil probe lt 1cm 3TIS Soft tissue Scanned Evaluated at surface Breast color 4TIB Soft tissue and Scanned Soft tissue at surface Muscle color bone 5TIB Soft tissue and Unscanned Bone at focus Fetus head PW bone 6TIC Soft tissue and Unscanned Scanned Bone at surface Trans cranial bone Soft tissue Describes low fat content tissue that does not contain calcifications or large gas filled spaces Scanned auto scan Refers to the steering of successive burst through the field of view e g B and color mode UnScanned Emission of ultrasonic pulses occurs along a single line of sight and is unchanged until the transducer is moved to a new position For instance the PW CW and M mode TI TI is defined as the ratio of the In Situ acoustic power W 3 to the acoustic power required to raise tissue temperature by 10C Wdeg TI W 3 Wdeg Three Tls corresponding to soft tissue TIS for abdominal bone TIB for fetal and neona tal cephalic and cranial bone TIC for pediatric and adult cephalic have been developed for applications in different exams An estimate of the acoustic power in milliwatts necessary to produce a 1 Ctemperature elevation in soft tissue is Wdeg 210 fc for model 1 to 4 where fc is the center frequency in MHz Wdeg 40 K D for model 5 and 6 where K beam shape factor is 1 0 D is the aperture diameter in cm at the depth of interest MI Cavitation is more l
64. SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Regulatory Requirement This product complies with regulatory requirements of the following European directive 93 42 EEC as amended by 2007 47 EC concerning medical devices CE as NOTE Some options are not available on some models This manual is subject to change without prior notice and without legal obligation attached P N 4701 0081 01B 0 1 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Revision History Revision Date Reason for change January 2009 Initial release of product June 2010 Software update to version 2 0 4 x Effective Chapters Pages P N 4701 0081 01B 0 2 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Contents 1 System Safety and Maintenance 1 1 1 1 Safety Overview a 1 2 12 SYymbolUsed si sesa 0 0 teu 0 wd awe a a he Cae 1 3 1 3 Biol gica Safety lt gt s su asic un 2 ibe san dae pee e gl 1 3 1 4 Scanning Patients and Education 2 004 1 3 1 4 1 Safe Scanning Guideline 2222 a nn nn 1 4 1 4 2 Understanding the MI TI Display 1 5 1 5 Environmental Requirements 0 00000 1 8 1 6 Transport and Storage Environmental Requirements 1 8 1 7 Electrical Requirements 2 2 nn 1 9 18 Electrical Safety Hmm 1 9 1 9 Transducer Maintenance 2 2 CE m
65. Wall Filter intends to eliminate the low frequency noise generated by movements of blood vessel walls press F2 to select WF turn the function knob to change the value of the filter 2 Remarks The current Wall Filter value is displayed at the Color Image Info area WF The Wall Filter is adjustable within a range which depends on the current PRF value 6 3 5 CFM Gain Properly adjust the CFM gain or Doppler gain to ensure that the color flow is continuous but no color speckle is present Turn the D GAIN knob clockwise counterclockwise to increase decrease the CFM gain D GAIN P N 4701 0081 01B 6 3 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 2 Remarks The CFM gain value is displayed on the screen at the Color Image Info area GN e It is possible to change the CFM Gain only when the CFM mode is active 6 3 6 Persistence PERSIST Similar to the persistence in the B mode adjust the persistence value to enhance the smoothness of the color image e select PERSIST from the context menu e turn the MENU knob to adjust the PERSIST setting 4 Remark The persistence value is displayed on the screen at the Color Image Info area the Pin C P 6 3 7 Color Map C MAP Use this function to select the method for the color coding of blood flows e press FI to select C MAP turn the function knob to adjust the CHROMA setting 4 Remark The Colo
66. Y the function menu is shown in Figure 10 4 Press the MENU knob to activate the con MENU text menu right Most operations in PW and CW modes are identical Refer to the respective sections for operation instructions 10 3 2 CW Cursor Position In CW imaging mode an area on the spectral cursor line is sampled This area is covered by a small rectangle called the CW cursor The CW cursor position is adjustable using the trackball 10 3 3 Flow Invert Refer to Section 10 2 7 10 3 4 Sweep Speed SWEEP SPEED Refer to Section 10 2 10 10 3 5 CW Power POWER The value of the output power in the CW mode should be kept as low as reasonably achievable highlight POWER at the spectral Doppler mode menu use the LEFT RIGHT keys to adjust the output power of the transducer a Remark The acoustic output power in the CW mode is displayed on the screen at the Spectral Doppler Image Info area PWR 10 3 6 Dynamic Range DYN DYN Refer to Section 10 2 13 10 3 7 Chroma CHROMA Refer to Section 10 2 14 P N 4701 0081 01B 10 8 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 10 3 8 Video Invert VIDEO INVERT Refer to Section 10 2 15 10 3 9 Display Format DISPLAY FORMAT Refer to Section 10 1 3 10 3 10 Pulse Repetition Frequency PRF Refer to Section 10 2 3 10 3 11 Wall Filter WF WF Refer to Section 10 2 4 10 4 Spectral Doppler Cine Mode Operation
67. acility Name and press SET Enter new name and click OK P N 4701 0081 01B 4 3 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System New Sit SonoScape oe Facility Name New site Help change facility name by typing alphanumeric keys e OK Figure 4 4 Facility name 4 4 Set Date and Time Select Set Time Date and press to set the system date and time New Site SonoScape Set Time Date 05 28 10 11 11 36 mm dd yy hh mm ss Help change time date by typing alphanumeric keys CANCEL e OK Figure 4 5 Set date and time 4 5 System Information Select System Information and press to view the system information Both the hard ware and the software version numbers can be identified here Among them the Control Number is a unique number for the equipment and the Software Version number des ignates the current software version P N 4701 0081 01B 4 4 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System New Site SonoScape System Information Control Number 202395 Software Version 2 2 0 4 2 SEQR 4 TFCR 1 0 DFC Ri 0 1 SMR R 0 1 FIFO Ri 2 1 MXR R 1 1 DET Rev 1 2 DLY Rev 14 DIAGNO EC Rev 2 1 e EXIT ECGD N A Figure 4 6 System information IN Attention The
68. activate the DPI mode the system enters the B mode P N 4701 0081 01B 7 1 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System New Hosp C362 MI 0 2 TIS 0 7 SonoScape Mar 23 2010 16 08 16 FPS 47 s 2 DIG 3 1 q e 0 GN 255 9 UD 3 30 PWR 70 FRQ 3 4 8 D 16 5em C MAP DIRECT D gt B REJECT 40 BASELINE 0 10 LTSRT o C MAP DIRECT D WF B REJECT LINE DENSITY FREQUENCY POWER SEC WIDTH SEC POS 2D REFRESH Figure 7 1 DPI mode 7 2 DPI Image Information The DPI image information is displayed at the Color Image Info area 10 in Figure 2 4 PRF 1 0 The meaning for the items shown in the info area are explained WF 75 in the table below GN 20 C P 1 60 pulse repetition frequency wall filter value PWR 70 Doppler gain D gain Color Map setting persistence value FRQ 6 0 acoustic output power transmitted frequency MHz 7 3 Real Time DPI Mode Operation The DPI mode operation for the current ultrasound image is independent of the display format single dual or quad Review Section 3 3 for the general operation instructions 7 3 1 DPI Menus Function Menu The following function menu appears on the screen with the real time DPI mode C MAP DIRECT D WE B REJECT LINE DENSITY FREQUENCY POWER SEC WIDTH SEC POS 2D REFRESH Figure 7 2 Function menu in real time DPI mode Real Time DPI Mode C
69. al Color Doppler Ultrasound System ooncnnnanconsenanannannannannannanenencannancanentnannnanadnennannennnenenenancnnienconnnnnadnennannennes ANNE NTRA Breast Mass 1600 RR tr niani n e S Fat fresh 1450 Blood 1570 Lung fresh 658 rrenan aaa mma RR ER RI mag E Table 5 1 Sound speeds in the different materials 5 3 8 Grayscale curve GSC Brightness of each pixel is determined by the amplitude of the corresponding echo Grayscale curve GSC adjusts the images by changing how the amplitude is converted to brightness press F4 to select GSC turn the function knob to adjust the GSC setting Remarks Grayscale Curve is displayed at the 2D Image Info area on the screen The G in D G 5 3 9 Persistence PERSIST Adjust the persistence value to remove speckles from 2D images and enhance the smooth ness of the image e press F5 to select PERSIST turn the function knob to adjust the PERSIST setting 2 Remarks Persistence value is displayed at the 2D Image Info area on the screen The Pin I P 5 3 10 Chroma CHROMA The echo amplitudes are converted to pixels with different brightness The chroma value color tone and saturation is mapped to the pixels There are 13 map combinations avail able P N 4701 0081 01B 5 6 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System e select CHROMA from the context menu e turn the MENU knob to adjust the CHROMA
70. al germicide for disinfection In order for the germicide to be effective clean the probe thoroughly to remove all visible residues 2 Using high level liquid disinfectant will ensure further statistical reduction in microbial load Because of the potential invisible breakage of the probe sheath additional high level disinfection with chemical germicide is necessary Examples of such high level disinfectants include but are not limited to e 2 4 3 2 glutaraldehyde products a variety of commercially available products in cluding Cidex Metricide or Procide P N 4701 0081 01B 1 11 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Non glutaraldehyde agents including Cidex OPA o phthalaldehyde Cidex PA hy drogen peroxide amp peroxyacetic acid 7 5 Hydrogen Peroxide solution Common household bleach 5 25 sodium hypochlorite diluted to yield 500 parts per million chlorine 10 cc in one liter of tap water This agent is effective but generally not recommended by probe manufacturers because it can damage metal and plastic parts Other agents such as quaternary ammonium compounds are not considered high level disinfectants and should not be used Isopropanol is not a high level disinfec tant when used as a wipe and probe manufacturers generally do not recommend soaking probes in the liquid The FDA has published a list of approved sterilant and high level disinfectants for use in p
71. asonably Achievable education program for the clini cal end user and the acoustic output indices MI and TI The MI describes the likelihood of cavitation and the TI offers the predicted maximum temperature rise in tissue as a result of the diagnostic examination In general a temperature increase of 2 50C must be present consistently at one spot for 2 hours to cause fetal abnormalities Avoiding a local temperature rise above 10C should ensure that no thermally induced biologic effect occurs When referring to the TI for potential thermal effect a TI equal to 1 does not mean the temperature will rise 1 degree C It only means an increased potential for thermal effects can be expected as the TI increases A high index does not mean that bioeffects are oc curring but only that the potential exists and there is no consideration in the TI for the scan duration so minimizing the overall scan time will reduce the potential for effects These operator control and display features move the safety responsibility from the manufacturer to the user So it is very important to have the Ultrasound systems display the acoustic output indices correctly and the education of the user to interpret the value appropriately Rr De rating factor In Situ intensity and pressure cannot currently be measured Therefore the acoustic power measurement is normally done in the water tank and when soft tissue replaces water along the ultrasound path a decrease in intensity
72. ation The TDI mode operation for the current ultrasound image is independent of the display format single dual or quad TDI mode parameters and settings can be adjusted through the TDI mode menu or directly using the knobs flip switches 8 3 1 Real Time TDI Mode Menus Real Time CFM Mode Function Menu The following function menu appears on the screen with the real time TDI mode C MAP DIRECT D WF B REJECT LINE DENSITY FREQUENCY POWER SEC WIDTH SEC POS 2D REFRESH Figure 8 1 Function menu in real time TDI mode Real Time TDI Mode Context Menu P N 4701 0081 01B 8 2 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System ECG gt vo Press the key to activate the TDI MSN MENU key PERSIST 40 le al j 7 tl 9 mode menu which will appear at the Con e Ze NES BASELINE 0 Ss 4 text Menu area refer to Figure 2 4 MENU z f LTSRT gt Press the MENU knob again to dismiss the TDI mode context menu Figure 8 2 TDI mode menu 8 3 2 Adjust TDI Sample Box Follow the instructions below to adjust the sample box Use the trackball to change the position of the sample box e Press the key Use the trackball to change size of the sample box s Press the key again to re adjust the position of the sample box 8 3 3 Pulse Repetition Frequency The Pulse Repetition Frequency sets the velocity range of the display The range of the PRF d
73. back LOOP SPEED START END FRAME BY FRAME Refer to Section 5 4 7 P N 4701 0081 01B 8 8 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Chapter 9 M Mode M mode can only be used with the B CFM or TDI mode to form the B M CFM M TDI M duplex mode Contents 9 1 Starting M Mode nn 9 1 9 2 M Mode Operation M Trace Inactive 0 9 1 9 2 1 Adjust M Mode Cursor Line 9 2 9 3 M Mode Operation M Trace Active 1 9 3 9 3 1 MI aa rara AAA 9 3 9 3 2 SWEEP SPEER sa 2 dar a o dr are Pee Re eee eee ee 9 3 9 3 3 FOME essa 9 4 9 3 4 CHINA ass pe ewes Ged nadaa la 9 4 9 3 5 NIPIOCESS 2 4004 50 Sete oe PEELE A A A E 9 4 9 3 6 Video INVert oa sa sasora Gt SS ou RS SG SS u mu SS 9 4 9 3 7 Display Format u 0 8 4 esses eee ees AAA 9 5 9 4 Cine Mode Operation 2 Hmmm nn 9 5 9 1 Starting M Mode m Press the M mode key during the real time scan with B CFM TDI mode to acti Ne vate the B M CFM M TDI M duplex mode Only phased array probes 2P1 support CFM M and TDI M modes Press the M mode key again to deactivate the M mode Initially the M mode cursor line a straight line across the ultrasound image is inserted at the center of the 2D ultrasound image The M mode trace Figure 9 1 will not be active until the key is pressed Real time M duplex mode operations are explained in Section 9 2 and Sectio
74. cated at the top of the keyboard F1 F5 are function keys used for accessing the items in the function menu Function knob this knob is located at the top left of the keyboard use it to adjust the value of the selected item in the function menu DPI turn on off Doppler Power Imaging M Mode turn on off M mode imaging continued on next page P N 4701 0081 01B 2 10 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Description FREEZE unfreeze freeze the ultrasound image FOCUS flip the switch up down to change the depth position s of the focal zone s DEPTH increase or decrease the maximum scanning depth PRF flip this switch to change the Velocity Range represented as PRF Pulse Repetition Frequency BASELINE flip this switch to move the baseline which enlarges the Velocity Range in one direction Trackball use the trackball to move the cursor position UPDATE in spectral Doppler mode or M mode press this key to start stop PW CW and M traces in 3D mode press this key to toggle the selection between 2D and 3D images continued on next page P N 4701 0081 01B 2 11 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Description SET this key serves as the confirmation key to set fixate markers and activate buttons items
75. cessed by pressing the MENU knob change the left right image orientation for the selected image Press the key to alternate the up down image orientation for the selected image Press the numerical 4 key again to exit the quad display 5 6 Tissue Harmonic Imaging THI Tissue reflects echoes with the received frequency which is the fundamental frequency as well as the harmonics In THI mode these harmonics are also picked up and analyzed THI gives better grayscale contrast compared to the standard B mode imaging and also helps removing artifacts from the image This imaging technique has been proved to be very useful for difficult to image patients Press the key to enable the THI mode THI status appears at the lower left corner of the screen To disable the THI mode press the key again P N 4701 0081 01B 5 13 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 2 Remarks e THI is available only for selected probes The system automatically optimizes certain parameters B mode gain and frequency and acoustic output power upon enabling THI P N 4701 0081 01B 5 14 SonoScape Chapter 6 S8 S8 Pro Portable Digital Color Doppler Ultrasound System CFM Mode Color Flow Mode In CFM mode velocity information is represented as a color coded overlay on top of a 2D B mode image CFM can also work with other imaging modes to form dupl
76. ctronically or mechanically with devices that comply with the EN60601 1 standard Recheck the leakage current and other safety performance indices of the entire system to avoid potential system damage caused by leakage from a current superposition The system does not incorporate any specialized protective measures in the event it is configured with high frequency operation devices The operator should use CAUTION in these types of applications The system should be installed only by personnel authorized by the manufacturer Do not attempt to install the system yourself Only an authorized service engineer may perform maintenance Only a qualified operator or someone under qualified supervision should use the system Do not use this system in the presence of flammable substances or an explosion may occur Do not continuously scan the same part of a patient or expose the patient to pro longed scanning Doing so may harm the patient When using the system for ultrasound testing use only qualified ultrasound gel that complies with system standards Do not use the switch at the back of the unit for normal shut down Always use the power on button in the keyboard area Do not unplug probe when the system is in active operation Doing so may damage the probe Always go to EXAM screen when need to remove the probe To prevent from arm or neck injury the operator should not stay at the same position for too long during patient scanning
77. d while it is active scanning a soft ware error may occur In this case switch the ultrasound system OFF and later ON perform a restart I Instructions Plug the probe into the probe socket Switch the lock clockwise to vertical direc NA tion to lock the probe e If the cable is too long you may hang it on the cable hook at the right side panel P N 4701 0081 01B 3 1 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 3 2 Boot Up Z warning Review Section 1 7 and Section 1 8 for the detailed electrical requirements and for the electrical safety 4 Ground Mains power input point socket Mains power switch 1 Adjust the voltage selector according to your local voltage level 2 Connect the protective earth pin at the rear panel to safety ground earth 3 Connect the power cable to the mains power input socket at the back of the system 4 Connect the mains power cable to a hospital grade receptacle with the proper rated voltage 5 Switch the mains power input switch ON Turn on the system the keyboard will be illuminated It takes about 1 minute for the system to enter preparation mode EXAM screen 2 Remarks e If the system had been turned off abnormally the system startup time would increase 30 to 60 seconds during when the system goes through the HDD test DO NOT plug in any external USB drive before the system startup completes otherwise the u
78. de Single and dual display formats in the 3D mode are illustrated in Figure 11 4 11 3 2 Rotate Zoom and Move Rotate and zoom the 3D structure P N 4701 0081 01B 11 3 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Method 1 Hide ROI box refer to Section 11 3 5 Move the cursor over the volume display e press UPDATE and move the trackball to rotate the display of the 3D structure press ZOOM and move the trackball to zoom in out the the display of the 3D structure Method 2 ROTATE X Press F1 to select ROTATE X turn the function knob to rotate the 3D structure display around the x axis ROTATE Y Press F2 to select ROTATE Y turn the function knob to rotate the 3D structure display around the y axis ROTATE Z Press to select ROTATE Z turn the function knob to rotate the 3D structure display around the z axis ZOOM Press to select ZOOM turn the function knob to zoom in out the display of the 3D structure Move the 3D structure The 3D structure display can be moveed horizontally or vertically MOVE L R Press F5 to select MOVE L R turn the function knob to move the 3D structure display in the left right direction MOVE U D Press F5 to select MOVE U D turn the function knob to move the 3D structure display in the up down direction 11 3 3 Clear Restore ROI CLEAR ROI Highlight this item and press over it to clear the ROI region The result is in 3D and 2D images the r
79. e Fusion 0 a 5 8 5 3 17 uScan Function e 5 8 5 3 18 Acoustic Output Power 2 5 9 5 3 19 Trapezoidal Imaging eee 5 9 5 3 20 2DRefresSh so ssa a sa as eee E ER 5 9 5321 ZOOM superstar ee eee ee hae ee ES 5 9 5 4 B Cine Mode Operation nn 5 9 5 4 1 Grayscale curve 1 4 4 5 10 5 4 2 SEN DA CRE 5 10 5 4 3 Image Orientation Left Right 5 10 5 4 4 Cine Review 1 a a a a a 5 10 5 4 5 Select Image Sequence 5 11 5 4 6 Panoramic Imaging 00 ee ee eee ee ee 5 11 5 4 7 Cine Playback 1 a 5 11 5 4 8 Saving Image Cine Hmm nn 5 11 5 5 Dual and Quad Display Formats 22 2 LEE mn nn 5 12 5 5 1 Dual Display Format 2 2 2 Hmmm 5 12 59 2 Quad Display Format 5 13 5 6 Tissue Harmonic Imaging THI 5 13 P N 4701 0081 01B SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 6 CFM Mode 6 1 6 1 Starting CFM Mode 2 a 6 1 6 2 Color Image Information 0 0000 eee a 6 2 6 3 Real Time CFM Mode Operation 04 6 2 6 3 1 CFM Menus nn nn 6 2 6 3 2 Adjust CFM Sample Box 004 6 3 6 3 3 Pulse Repetition Frequency 6 3 6 3 4 Wall Filter steqe etese ee eG 5 6440454204 5 E E 6 3
80. e Menus Function menu in the 3D mode is shown in Figure 11 2 ROTATE X ROTATE Y ROTATE Z ZOOM MOVE L R DUAL DISPLAY QUAD DISPLAY FULL DISP 3D MOVE U D Figure 11 2 Function menu in 3D mode P N 4701 0081 01B it2 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System TEN Press the MENU knob during the 3D mode CLEAR ROI tC to activate the 3D mode menu dll Instructions for 3D operation are explained u MEN ROI MODE in the following sections HIDE ROI RENDER MODE AUTO ROTATE TRACE CUT UNDO CUT CLIP PLANE OPACITY OFFSET OPACITY SLOPE MULTI SLICE SLICE SPACING COLOR MAP CINE REVIEW RESCAN IMAGE QUALITY Med STABILIZATION Off Figure 11 3 3D mode menu 11 3 3D Mode Operation 11 3 1 Display Format DUAL DISPLAY QUAD DISPLAY FULL DISP 3D By default the 3D mode uses the quad display format as shown in Figure 11 1 Other display formats are possible press T 2 and 4 on the alphanumeric keyboard to activate the single dual and quad display formats respectively Alternatively in the function menu Figure 11 2 the items DUAL DISPLAY F2 QUAD DISPLAY F3 and FULL DISP 3D also change the 3D mode display formats Apr 23 2010 16 08 16 a SonoScape Apr 23 2010 16 08 16 ia Volume Volume Display Plane A Display Figure 11 4 Single amp dual display formats in the 3D mo
81. e a eee ee ee 1 10 1 10 System Transportation o oo a 1 13 1 10 1 Moving the System aoaaa 1 13 1 10 2 Transporting the System aooaa a a a nn 1 14 2 System Specifications 2 1 2 1 System Overview aoaaa aa 2 2 2 2 Application and Contraindication oa 2 nn m nn 2 4 2 3 Probes and Accessories 2 2 Hmmm a ee 2 5 2 4 Physical Specifications nn 2 5 2 5 Concept of Operation e 2 5 2 5 1 Tee eE 1233 rca as Pe Reed OR eG dE 2 5 2 5 2 Keyboard Layout 2 Emmen 2 7 2 5 3 Keyboard Description 22222 2 2 mn nn 2 7 3 Starting the System 3 1 3 1 Probe Connection 2222 Hmm nn 3 1 de BOOLUD srar a EEE EEE oa oe Ge 3 2 3 3 General Operation Instructions 2 22 2 2 m mn 3 2 3 4 Patient Information 22 2 Hmm nn 3 3 3 5 Start Ultrasound Diagnosis 22 2 Emo nn 3 5 3 6 Customize application mode Create New Exam Mode 3 5 3 7 Annotation and Bodymark 22 2 Emm nn 3 5 3 7 1 Annotation lt s 04 22 8 eu LA Zus eh Sea EE E 3 5 3 7 2 BOQYMAIK etiara esta 26 ran A 3 6 3 8 Saving Printing 2222 nm n nn 3 7 4 System Setup 4 1 4 1 System Menu amp zu 4 u du a in Eu aa aaa de dus 4 2 4 2 File Manager eee 4 2 4 3 Facility Name eee ee 4 3 P N 4701 0081 01B i SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 4 4 Bet Date and Time 2 002 000 02 ee eee 4 4 4 5 System Information 2 2222 Coon nn
82. e germicides following the manufacturer s instructions N warning e DO NOT use high pressure steam to disinfect the probe e DO NOT use thermal disinfection Temperatures higher than 66 C or 150 F will damage the probe 1 Ensure that all visible residues have been removed 2 Prepare the germicide solutions according to the manufacturer s instructions Please also follow the manufacturer s instructions for storage and disposal of the germicide 3 Immerse the probe head into t he germicide for a time interval specified by the germicide manufacturer The immersion level should be kept below the binding line High level disinfection is recommended for surface probes and required for intracavitary probes Note that you may need to rotate and shake the transducer in order to remove the air bubbles between the transducer surface and the germicide solution 4 After removing the probe from the germicide solution rinse it thoroughly with clean potable water to remove all visible germicide Dry the probe with a soft cloth Refer to the germicide manufacturer s instruction to perform high level disinfection P N 4701 0081 01B 13 5 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System P N 4701 0081 01B 13 6 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Chapter 14 System Maintenance We recommend the user to perform the following maintenance operations Clean the probes and p
83. e icon to select the probe The application modes for the selected probe are listed Refer to Figure 2 3 Click a diagnostic icon to start a real time scan The system automatically freezes the ultrasound image if there is no user activity for more than 30 minutes 3 6 Customize application mode Create New Exam Mode For each probe the system has some predefined application modes for some typical ap plications User can change various settings based on a predefined mode and create a customized application mode Instructions 1 Customize imaging setting by adjusting various parameters 2 Click the SAVE key during the real time scan Going to User Pre Set Menu Are you sure Y N 3 Type Y and select Create New Exam User Pre Set Menu Create New Exam Delete Exam Exit 4 Type the name for the new application mode select OK and press SET key 5 You can also delete customized mode by selecting Delete Exam in step 4 Follow the on screen instructions to continue the deletion 3 7 Annotation and Bodymark 3 7 1 Annotation Annotation items can be inserted either in the freeze mode or during the real time scan Press the key to start inserting annotation The system predefines a large list of annotation items User can modify add predefined annotation items at the System Setting chapter To insert predefined annotations 1 t
84. e pixels press to select B REJECT turn the function knob to change the B REJECT value 6 3 12 CFM Frequency FREQUENCY The CFM mode frequency controls the transmit frequency Higher frequency delivers better display of low flow velocities but the penetration depth is reduced Lower frequency delivers better display of high flow velocities but the penetration depth is increased e press F5 to select FREQUENCY e turn the function knob to change the frequency 2 Remark The CFM frequency value is displayed on the screen at the Color Image Info area FRO P N 4701 0081 01B 6 5 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 6 3 13 Image Orientation Left Right LTSRT Refer to Section 5 3 15 6 3 14 Flow Invert FLOW INVERT Similar to the Video Invert function in the M mode which inverts the grayscale display the Flow Invert in CFM mode inverts the color display in relation to the direction of flow The Spectral Wedge also inverts around the baseline The Flow Invert setting is adjustable in the real time mode as well as the freeze mode e press the Flow Invert Finv key to turn On Off the Flow Invert function when Off RED for flow to the transducer BLUE for flow away from the transducer when On BLUE for flow to the transducer RED for flow away from the transducer 6 3 15 Line Density LINE DENSITY This function determines the line density within the CFM sample box
85. ecially useful in displaying very low flow veloci ties DPI can also work with other imaging modes to form duplex and triplex modes Contents 7 1 7 2 7 3 7 4 Starting DPI Mode 44 464646 654 ea 44446444 een ee 7 1 DPI Image Information nn 7 2 Real Time DPI Mode Operation 2 000005 7 2 7 3 1 DPI MENUS o nera ee ee ae re ee ee 7 2 7 3 2 Adjust DPI Sample Box 0 0000 eee 7 3 7 3 3 Pulse Repetition Frequency ee 7 3 7 3 4 Via INGE sussa mass H R R urea pues rain pera 7 3 1 35 DPI 2 22 isso oe G4 OG SS SSS Oe eS 7 3 7 3 6 BEISISICNCO e ea pie we We Bea ee ae He at ee a ee a N ae E 7 4 7 3 7 Color Map Directional DPI 7 4 7 3 8 DEI COMER ss 35 53 ON Sans Ka Brauchen 7 4 7 3 9 Sector Width and Position 2 2222 nn nn 7 5 too BREC susana OOOO REESE EES ODD Ee nd 7 5 7 3 11 DPI Fregleney se a amp na dE ne AA A BS 7 5 7 3 12 Image Orientation Left Right 7 5 7319 Line Density 2 48 00 ea 0 0 0 no a 0 we ew ee a a 7 6 1 3 14 2D Refresh us ns e a na Ba SE a 7 6 DPI Cine Mode Operation 22 222mm nn 7 6 7 4 1 CO Map s u ss ee SAS ceases eGeeet uaa 7 6 7 4 2 D ROCO os ae ao Ge Go dee Ka a oa 7 7 7 4 3 Cine Playback 444 4 aa ew wee ew we 7 7 7 1 Starting DPI Mode 8 Press the key to activate the DPI mode The DPI sample box appears in Ad Y the active 2D image Press the B key to de
86. ectral display is active Usage instructions e Press F5 to select 2D REFRESH e Turn the function knob to turn on or off the 2D REFRESH function 10 1 3 Display Format DISPLAY FORMAT Each PW duplex or CW duplex mode has six possible display formats The screen layout in spectral Doppler duplex mode is similar to that in M duplex mode Refer to illustrations in Figure 9 5 page 9 5 10 2 PW Mode Operation 10 2 1 Sample Volume Gate Adjustment Adjustment of the sample volume gate is possible during the real time PW mode scan Follow instructions below to adjust the sample volume gate Move the trackball to change the location of the gate the spectral Doppler cursor will be moved together For phased array probes the angle of the spectral Doppler cursor is changed for linear array probes the spectral Doppler cursor moves hori zontally P N 4701 0081 01B 10 3 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System s Press the key the gate position is fixed Move the trackball to change the gate size a Remark e Adjusting the gate position and size temporarily pause the PW spectral display if it is active up dating 10 2 2 Activation of PW Spectral Display m The PW spectral is not active until the freezes the 2D image STEER ANGLE 0 UPDATE key is pressed With the de ECG fault setting pressing the UPDATE key also BEE RE 0 ANGLE CORRECT OFF
87. ectromagnetic waves from radio broadcasting may result in image ghosting or noise The system should be isolated from such radiation sources or electromagnetic waves 1 6 Transport and Storage Environmental Require ments The following environmental conditions for transport and storage are within system toler ances Temperature 20 C 55 C Relative Humidity 20 90 no condensation Pressure 700 1060hPa P N 4701 0081 01B 1 8 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 1 7 Electrical Requirements Power Requirements 110 120VAC 220 230VAC Power Consumption 330VA Main unit voltage Maintain a fluctuation range of less than 10 or the system may be dam aged Grounding Before connecting the power cable connect the attached ground protection cable to a specialized grounding device Note Please ensure that the power requirements are satisfied Only use power lines that meet the system guidelines failure to follow these procedures may result in system damage Voltage level may vary in different geographic locations Adjust the voltage rating on the rear panel according to your local voltage level Use only the power button on the side panel to turn on or off the unit Mains power switch on the rear panel should be always ON unless prior to transport or maintenance or service of the equipment 1 8 Electrical Safety Only trained health professionals should operate thi
88. ed Array L741 Linear Array L742 Linear Array L743 Linear Array EC9 5 Micro Curved Array Supported Peripherals lt P Video printers lt P Network printers lt P PC workstation for accessing reviewing ultrasound images lt P USB2 0 removable disk drives lt P Foot switch 2 4 Physical Specifications Weight system alone without docking cart approximately 13 5kg Dimensions with lid closed LxWxH 400mm x 350mm x 230mm 2 5 Concept of Operation 2 5 1 Screen Layout The user interface of the preparation mode is shown in Figure 2 3 P N 4701 0081 01B 2 5 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System New Hosp SonoScape a 16 38 16 Hospital Date amp Time name Logo S Probe icon window an mode shows the connected window i probes The icon for shows the predefined i the active probe is and th user defined S S i highlighted with a diagnostic modes S red triangle Figure 2 3 EXAM screen user interface of the preparation mode The user interface of the application mode is shown in Figure 2 4 1 2 3 4 5 6 7 8 SG Hospital 2P1 MI 0 7 TIS 1 0 no So Scape
89. egions inside the ROI boxes are removed RESTORE ROI Press this item to restore the display of the region removed by CLEAR ROI previously Note to adjust the ROI boxes see Section 11 3 5 11 3 4 Crop CROP Instead of removing the region inside the ROI box as what CLEAR ROI does this function crops the display to the ROI box Note to adjust the ROI boxes see Section 11 3 5 11 3 5 ROI Box Adjustment ROI MODE This item should be set to On in order to adjust the ROI boxes HIDE ROI Note that the HIDE ROI option is automatically turned off upon enabling ROI MODE Instructions for adjusting the ROI boxes IWhen CLIP PLANE is enabled refer to Section 11 3 9 P N 4701 0081 01B 11 4 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 1 Press UPDATE over a 2D image to select the image The frame of the selected image will be highlighted upon the selection Move the trackball to move the ROI box position Press SET move the trackball to resize the ROI box Press again to enable moving the ROI box position Press to deselect the image Move the cursor over another image and press to select it q A O N 11 3 6 Render Mode RENDER MODE Three render modes are available Volume Rendering Vol X ray Maximum Intensity Projection MaxIP Figure 11 5 Vol Mode displays the contour Figure 11 6 MaxIP Mode displays the sam of the internal organs or fetus ples with the highest intensi
90. elopment stage the rise in temperature and the length of time exposed to heat combine to determine potential detrimental effects Exercise CAUTION particularly during Doppler Color exams The Thermal Index TI provides a statistical estimate of the potential temperature elevation in centigrade of tissue temperature Three forms of Tl are available TIS for soft tissue exposures TIB for instances when bone lies near the beam focus and TIC for the heating of bone situated close to the transducer Cavitation Cavitation may occur when sound passes through an area that contains a cavity such as a gas bubble or air pocket in the lung or intestine for example During the process of cavitation the sound wave may cause the bubble to contract or resonate This oscillation may cause the bubbles to explode and damage the tissue The Mechanical Index MI has been created to help users accurately evaluate the likelihood of cavitation and the related adverse effects 1 4 Scanning Patients and Education The Track 3 or IEC60601 2 37 output display standard allows users to share the respon sibility for the safe use of this ultrasound system Follow these usage guidelines for safe operation In order to maintain proper cleanliness of the transducers always clean them be tween patients Always use a new disinfected sheath on all EV ER probes during every exam P N 4701 0081 01B 1 3 SonoScape S8 S8 Pro Portable Digital Color Doppler
91. enabled the above indicator is displayed on the screen a Remark Note that enabling Directional DPI is only possible during the real time DPI scan e Adjusting Color Map setting is also possible in the freeze mode Directional DPI displays the direction of flow while in Doppler Power Imaging This function is very useful when there is requirements in applications where sensitivity and directional information are both required Red represents flow toward the transducer Blue represents flow away from the transducer 7 3 8 DPI Power POWER Similar to the acoustic output power in the B mode the value of the output power in the DPI mode should be kept as low as reasonably achievable e press F1 to select POWER P N 4701 0081 01B 7 4 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System turn the function knob to change the value 4 Remark The acoustic output power in the DPI mode is displayed on the screen at the Color Image Info area PWR 7 3 9 Sector Width and Position SEC WIDTH press F2 to select SEC WIDTH turn the function knob to change the sector width SEC POS e press F3 to select SEC POS turn the function knob to change the sector position Sector width and position are the same as those in the B mode refer to Section 5 3 11 for explanations 7 3 10 B Reject B REJECT Sets the display priorities of the color and 2D grayscale pixels Larger B Reject value
92. epends on the probe and the application mode Increas ing the PRF range also changes the velocity scale shown on color wedge Flip the switch up down to increase decrease the PRF range 2 Remarks The current PRF value is display at the Color Image Info area PRE The system automatically adjusts the Wall Filter setting upon changing the PRF value 8 3 4 Wall Filter Wall Filter should be adjusted to remove the random color speckle but also keep the enough amount of color display FlERpress F2 to select WF turn the function knob to change the value of the filter 2 Remarks e The current Wall Filter value is display at the Color Image Info area WF The Wall Filter is adjustable within a range which depends on the current PRF value 8 3 5 TDI Gain P N 4701 0081 01B 8 3 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Properly adjust the TDI gain to ensure that the color flow is continuous but no color speckle is present Turn the D GAIN knob clockwise counterclockwise to increase decrease the D GAIN TDI gain 2 Remarks The TDI gain value is displayed on the screen at the Color Image Info area GN e It is possible to change the TDI Gain only when the TDI mode is active 8 3 6 Persistence PERSIST Similar to the persistence in the B mode adjust the persistence value to enhance the smoothness of the color image e select PERSIST from the
93. erts around the baseline e press the Flow Invert Finv key to turn On Off the Flow Invert function when Off RED for flow to the transducer BLUE for flow away from the transducer when On BLUE for flow to the transducer RED for flow away from the transducer 8 3 15 Line Density LINE DENSITY This function determines the line density within the TDI sample box Lower line density makes the color pixels larger Line density in TDI mode can be set to Low or High e press FA to select LINE DENSITY turn the function knob to change the LINE DENSITY setting 8 3 16 2D Refresh 2D REFRESH If this option is left on the 2D color Doppler image will be active during the Color Doppler PW CW and the Color Doppler M modes s press FA to select 2D REFRESH e turn the function knob to turn on or off 2D REFRESH 8 4 Cine Mode Operation Press the key during the real time TDI scan to freeze the image and start the cine mode Recent image frames are cached and ready for review The cine mode operation is independent of the display format single dual quad C MAP DIRECT D LOOP SPEED PLAY STOP B REJECT CINE REVIEW Figure 8 3 Function menu in TDI cine mode P N 4701 0081 01B 8 6 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System C MAP 3 Cine Mode Operation B REJECT 254 Move the trackball fast forward to start playing the cine LOOP SPEED An loop Touch
94. ex and triplex modes CFM M for phased array probes only CFM PW CW Contents 6 1 Starting CFM Mode 0 2000 eee ee ee 6 1 6 2 Color Image Information 2 0 0 eee 6 2 6 3 Real Time CFM Mode Operation 1 6 2 6 3 1 CPM MENUS 2 amp a ra 6 2 6 3 2 Adjust CFM Sample Box o nn 6 3 6 3 3 Pulse Repetition Frequency 6 3 6 3 4 Wall FING 2 2 4 2 8 amp 0 2 SER Sees EAS 6 3 6 3 5 CRM CAM sss 5 5 5 40 3 8 REED A E 6 3 6 3 6 Persistence e me a eis de de oS He oe Ok Bock a ee ae 6 4 6 3 7 CO Map lt s 46646666 EE kag GS SUS Ri 6 4 6 3 8 BERLPOWER s s s 3 2 8 5 5 u 64 4 reos o de a are 6 4 6 3 9 DOSE 0 me CHEE Ge erkennen 6 5 6 3 10 Sector Width and Position a aoao a a 6 5 6 3 11 BAROC e 2 ep 2 0 0 0 e a a ES Bo Buck BS 6 5 6 3 12 CFMFrequency e eee ee eee 6 5 6 3 13 Image Orientation Left Right 6 6 6 3 14 Flowlnvert 2 0 0 0 ee 6 6 6 3 15 Lie DONS esce s ua s Eua Bege et ee Se a eat Bena 6 6 6 3 16 2DRefresh aaau 6 6 6 4 CFM Cine Mode e 6 6 6 4 1 GNI apra wees RAO EEE EEE Ee ES 4 6 7 6 4 2 B ROJEC sse pose ae oe e de me Bee ee a ch 6 7 6 4 3 PIOWIAVEl escore ee eS SE OG ES SESS DUAS SERS AA 6 7 6 4 4 Cine Review s sdo s R E R Foi R R aol Poi go E 6 7 6 4 5 Cine Playback 0 2 000 eee ee ee 6 8 6 1 Starting CFM Mode P N 4701 0081 01B 6 1 SonoScape S8 S8 Pro Por
95. gle frame of image Dual the scan for preparing the panoramic imaging the transducer should be moving linearly e select a range of image frames refer to Section 5 4 5 press F4 to select PANORAMIC turn the function knob to turn on or off the panoramic imaging 5 4 7 Cine Playback Cine playback operations can be performed through the cine mode context menu or the quick access menu Items in the quick access menu can be selected by pressing the corresponding Fn keys The cine context mode menu can be activated by pressing the MENU knob PLAY STOP Use the keys or turn the MENU knob to pause or start the playback Alter natively scroll the trackball horizontally fast forward to start playing the cine Touch the trackball to stop the playback LOOP SPEED Use the keys or turn the MENU knob to control the playback speed START Press the key to move the frame marker to the start of the cine END Press the key to move the frame marker to the end of the cine FRAME BY FRAME Press the keys to move the review the previous next frame 5 4 8 Saving Image Cine To save a frame as an image press SAVE in cine mode and press 1 Type in the file name and followed by the key To save a cine sequence mark the start and end positions of the sequrence press SAVE in cine mode and press 2 Type in the file name and followed by the key The files are saved in the patient folder if a valid patient profile Refer to Section 3 4 is
96. he B mode context menu uScan The uScan function allows the transducer to see in more than one direction eliminates artifacts from the ultrasound image e select uScan from the context menu e turn the MENU knob to turn on or off the Scan function P N 4701 0081 01B 5 8 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 5 3 18 Acoustic Output Power POWER The acoustic output power of the transducer should be set to the minimum value which still provides the user with well evaluable information Always keep the power level and the exposure time as low as reasonably achievable e select POWER from the context menu e turn the MENU knob to adjust the output power 2 Remarks The acoustic output power is displayed at the 2D Image Info Area on the screen PWR You can decrease the acoustic power indices MI TI by reducing the output power of the trans ducer 5 3 19 Trapezoidal Imaging TRAPEZOID The Trapezoidal Imaging only available with linear array probes increases the range of view of the ultrasound image The TRAPEZOID item is hidden for other types of probes e select TRAPEZOID from the context menu turn the MENU knob to turn on or off the trapezoidal imaging 5 3 20 2D Refresh 2D REFRESH If this option is left on the B mode image the 2D grayscale image will be active during the B PW CW and the B M modes e press F5 to select 2D REFRESH e turn the function
97. he screen shows some items in either one or two rows These items can be selected by pressing the corresponding Fn key The item in the function menu represents function parameter or option To change the value of the selected item or to enable disable the selected item turn the function knob CHROMA J LOOP SPEED PLAY STOP PANORAMIC CINE REVIEW O EJ E BQ E E 4 Example 1 In the illustration above press F2 to select LOOP SPEED Turn the function knob to change the value of LOOP SPEED ROTATE X ROTATE Y ROTATE Z ZOOM MOVE L R DUAL DISPLAY QUAD DISPLAY FULL DISP 3D MOVE U D Example 2 In the illustration above press F2 twice to enable the dual display format in the 3D imaging mode Press to select ZOOM the zoom function is enabled The trackball movement is now bound to the attached to zooming in out the 3D image 3 4 Patient Information Patient information can be entered at the Patient Information window Press PATIENT key to open the Patient Information window See Figure 3 1 P N 4701 0081 01B 3 3 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System SG Hospital PATIENT INFORNIATION Name Murray Kim ID DOB 09081982 Weight Height 192 LMP mmddyy Age BSA 265 Unit kg cm EDD Sex m Acc 183209 0 GA sd Worklist Name _ ID Acc String Unknown Person 09081565
98. ikely to occur at high pressures and low frequencies in pulse ultrasound wave in the tissue which contains the bubble or air pocket for instance the lung intestine or scan with gas contrast agents The threshold under optimum conditions of pulsed ultrasound is predicted by the ratio of the peak pressure to the square root of the frequency MI Pr fc Pr is the de rated 0 3 peak rare fractional pressure in Mpa at the point where PII is the maximum and fc is the center frequency in MHz PII is the Pulse Intensity Integral that the total energy per unit area carried by the wave during the time duration of the pulse The peak rare fractional pressure is measured in hydrophone maximum negative volt age normalized by the hydrophone calibration parameter P N 4701 0081 01B 1 7 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Display Guideline For different operation modes different indices must be displayed However only one index needs to be shown at a time Display is not required if maximum MI is less than 1 0 for any setting of the operating mode or if maximum TI is less than 1 0 for any setting of the operating mode For TI if the TIS and TIC are both greater than 1 0 the scanners need not be capable of displaying both indices simultaneously If the index falls below 0 4 no display is needed The display increments are no greater than 0 2 for index value less than one and no greater than 1 0 for index
99. infection represents a statistical reduction in the number of microbes present on a surface Meticulous cleaning of the instrument is the essential key to an initial reduction of the microbial organic load by at least 99 This cleaning is followed by a disinfecting procedure to ensure a high degree of protection from infectious disease transmission even if a disposable barrier covers the instrument during use Medical instruments fall into different categories with respect to potential for infection transmission The most critical level of instruments are those that are intended to penetrate skin or mucous membranes These require P N 4701 0081 01B 1 10 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Sterilization Less critical instruments often called semi critical instruments that simply come into contact with mucous membranes such as fiber optic endoscopes require high level disinfection rather than sterilization Although endocavitary ultrasound probes might be considered even less critical instruments because they are routinely protected by single use dispos able probe covers leakage rates of 0 9 2 for condoms and 8 81 for commercial probe covers have been observed in recent studies For maxi mum safety one should therefore perform high level disinfection of the probe between each use and use a probe cover or condom as an aid in keeping the probe clean There are four generally recognized catego
100. ing i e during the real time volume data acquisition when RESCAN is set to off the motor will stop immediately when RESCAN is set to on the motor continues running for a while attempting to obtain the volume display with a higher resolution 12 3 6 Image Quality IMAGE QUALITY This item sets the image quality for the volume display It can be set to Low Med or High The higher the image quality the slower the response time A lower image quality setting is recommended for the display of the heart 12 3 7 Stabilization STABILIZATION Use this function to improve the stability of display of the 3D structure It is recommended to turn off this function when imaging the heart P N 4701 0081 01B 12 4 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Chapter 13 Transducers S8 supports a wide range of probes which make the system remarkably versatile This chapter provides the transducer information and the guidance for the use and maintenance of the transducers Z warning Review to Chapter 1 especially Section 1 3 and Section 1 4 for safe use of the transducers Contents 13 1 Transducer Information 2 2 22 2 Hmmm nn 13 1 13 1 1 Supported Transducers and Intended Applications 13 1 13 1 2 Acoustic Output 0 000000 ee eee 13 1 13 2 Environmental Requirements nn 13 2 13 3 Preparation and Usage ofthe Probe 13 2 13 3 1 IASDECLON 13 444 6 ee oe oS
101. ion involve increasing the exposure levels or extending the scan times beyond those needed for clinical purposes Diagnostic ultrasound has the potential for both false positive and false negative results Misdiagnosis is far more dangerous than any effect that might result from the ultrasound exposure Therefore diagnostic ultrasound should be performed only by those with sufficient training and education 1 4 2 Understanding the MI TI Display Track 3 follows the Output Display Standard for systems which include fetal Doppler appli cations The acoustic output will not be evaluated on an application specific basis but the global maximum de rated Ispta must be lt 720 mW cm2 and either the global maximum MI must be lt 1 9 or the global maximum de rated Isppa must be lt 190 W cm2 An ex ception is for ophthalmic use in which case the Tl max TIS_as TIC is not to exceed 1 0 Ispta 3 lt 50mW cm2 and MI lt 0 23 Track 3 gives the user the freedom to increase the output acoustic power for a specific exam and still limit output acoustic power within the global maximum de rated Ispta lt 720 mW cm2 under an Output Display Standard P N 4701 0081 01B 1 5 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System For any diagnostic ultrasonic systems Track 3 provides an Output Indices Display Stan dard The diagnostic ultrasound systems and its operator s manual contain the information regarding an ALARA As Low As Re
102. knob to turn on or off 2D REFRESH 5 3 21 Zoom The zoom function enlarges a selected area of the ultrasound image to full screen The zoom function is also available in cine mode e Press the key a zoom box is displayed on the image e Press the key and move the trackball to move the zoom box position Press the key again and move the trackball to change the size of the zoom box e Press the key to magnify the area enclosed in the zoom box 5 4 B Cine Mode Operation L During the real time B mode scan press the key to freeze the image and start cine mode or freeze mode Recent image frame sequence will be cached and ready for review P N 4701 0081 01B Ste SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System IN Attention All measurements performed in the real time mode will be cleared upon pressing the key The cine mode operation is independent of the display format single dual quad CHROMA LOOP SPEED PLAY STOP PANORAMIC 2D REFRESH Figure 5 4 Function menu in B cine mode Scroll the trackball fast forward to start playing the cine pe i loop Move the trackball backwards to stop the play CHROMA x back LTSRT e Press the MENU knob and the cine mode menu PLAY STOP gt right will appear at the context menu area refer to LOOP SPEED Es Figure 2 4 START je More cine mode operations are introduced in the fol END a lowing subsections FRAME BY FRAME
103. l of the acoustic window material Cracks or wear on the probe cable Cracks on the probe connector or any other kinds of visible damage Deformed pins or broken pins exist inside the probe connectors P N 4701 0081 01B 13 2 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 13 3 2 Probe Connection Refer to Section 3 1 for detailed information on probe connection 13 3 3 Preparation for Scanning IN Attention e An effective acoustic coupling does not require inordinate pressure but it does require coupling gel and patient con tact e Check the expiration date of the probe sheath and the coupling gel Never use expired probe sheath and cou pling gel e Latex or natural rubber contained inside medical equip ments or accessories can cause severe allergic reactions in some individuals It s suggested by FDA that the user should identify the latex sensitive patients and be prepared to treat allergic reactions promptly e Only water soluble coupling gel should be applied to the probe head surface Avoid contact with the mineral oll 13 3 3 1 For Surface Probes Put an adequate amount of coupling gel either on the probe head acoustic window or the patient skin If disease transmission is a concern use of the sterile probe sheath is highly recom mended Refer to instructions below to use the probe sheath as a barrier between the patient and the transducer surface 13 3 3 2 For intracavitary probes
104. le Digital Color Doppler Ultrasound System Chapter 12 AD Mode The 4D imaging is part of the 4D package which is optional and can be installed upon the user request 4D imaging enables the display of the real time 3D anatomical structure Contents 12 1 Starting 4D Mode aaao 12 1 12 2 4D Mode Menus ce ee 12 2 12 3 4D Mode Operations nn 12 3 12 3 1 Display Formal ss ss sss a wu ea es e NS Genre 12 3 12 3 2 Adjustment of Sample Box amp Cut Off Line 2 12 3 12 3 3 SweepAngle aaa aaa ee ee es 12 4 1234 Cine Review 00 ee ee 12 4 1239 ROSCA pg va ee ee ahnen ann ee ei 12 4 12 3 6 Image Quality oaoa aa 58 oe oo we Bs 12 4 12 3 7 Stabilization Co oo nn 12 4 12 1 Starting 4D Mode SonoScape New Site 2P1 Apr 23 2010 16 08 16 GN 12 D 16 5cm CLEAR ROI Plane A Plane B RESTORE ROI CROP Off ROI MODE Off HIDE ROI Off RENDER MODE Vol AUTO ROTATE Off TRACE CUT Off UNDO CUT CLIP PLANE Off OPACITY OFFSET 32 OPACITY SLOPE 32 MULTISLICE om Plane C Volume SLICE SPACING 1 00 COLOR MAP 4 Display CINE REVIEW Off SWEEP ANGLE Off RESCAN 55 IMAGE QUALITY Med STABILIZATION Off ROTATE X ROTATE Y ROTATE Z ZOOM MOVE L R DUAL DISPLAY QUAD DISPLAY FULL DISP 3D MOVE U D Figure 12 1 4D Mode with the Quad Displa
105. lect DISPLAY FORMAT from the context menu and use the MENU knob to change the display format for M duplex mode Six display formats are possible refer to Figure 9 5 on page 9 5 for the illustrations of different display formats onoSca SonoScape Apr 23 2010 16 08 16 SonoScape Jur23 2008 16 08 16 0 e ICE PT Jur23 2008 16 08 16 A Apr 23 2010 16 08 16 10 10 157 187 prrrrpurber RR RR O O O S S ur RR RR RR O RR O RR a ua V1 3 01 4 JuF23 2008 16 08 16 JuF23 2008 16 08 16 157 157 157 y prrtrypyrurtey O a O UN dia H1 4 Figure 9 5 Display formats in the M PW CW mode 9 4 Cine Mode Operation Press the key during the real time scan with the M duplex mode to start the M cine mode 4 Remark When the M trace is inactive pressing the key activates the cine mode Refer to the respective chapters for the single cine mode operations The following figure shows the function menu in the M duplex cine mode with M trace active P N 4701 0081 01B 9 5 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System CHROMA VIDEO INVERT START END CINE REVIEW Figure 9 6 M duplex cine mode with M trace active function menu EX When the M trace is active press the MENU knob chroma 1 Oy to activate the M cine mode context menu right VIDEO INVERT or 22 Refer to the respective sections listed below forthe DISPLAY FORMAT viz VENU M cine mode operation star E
106. mes are cached and ready for review attention All measurements performed in the real time mode will be cleared upon pressing the key The cine mode operation is independent of the display format single dual quad C MAP DIRECT D LOOP SPEED PLAY STOP B REJECT CINE REVIEW Figure 7 4 Function menu in DPI cine mode Move the trackball fast forward to start playing the cine nen E loop Touch the trackball to stop the playback Sue a LOOP SPEED Press the MENU knob and the cine mode menu een right will appear at the context menu area refer to KE Figure 2 4 FRAME BY FRAME l l Figure 7 5 DPI cine mode More cine mode operations are introduced in the following subgggtions 7 4 1 Color Map C MAP DIRECT D Also refer to Section 7 3 7 e Press FT to select C MAP DIRECT D turn the function knob to change the color map setting or e select C MAP DIRECT D from the context menu turn the MENU knob to change the color map setting P N 4701 0081 01B 7 6 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 7 4 2 B Reject B REJECT Also refer to Section 7 3 10 e Press FA to select B REJECT Turn the function knob to change the B REJECT value 7 4 3 Cine Playback LOOP SPEED START END FRAME BY FRAME Refer to Section 5 4 7 P N 4701 0081 01B 7 7 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound S
107. n 9 3 M duplex cine mode operations are explained in Section 9 4 9 2 M Mode Operation M Trace Inactive Before the M mode trace is active the system virtually works at B CFM TDI mode The items in the function menu and the context menu are identical except for B M mode to those with the single B CFM TDI mode In B M duplex mode before the M trace is active the function menu is shown as in Figure 9 2 P N 4701 0081 01B 9 1 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System ECG DISPLAY FORMAT 60 New Site 2P1 SonoScape Apr 07 2010 16 08 16 FPS 47 D G 3 1 GN 12 I P 3 30 PWR 70 FRQ 47 D 16 5cm SWEEP SPEED POWER CHROMA M PROCESS VIDEO INVERT Figure 9 1 B M duplex mode with the M trace updating FOCAL NUMBER FOCAL SPAN DYN GSC PERSIST LINE DENSITY FREQUENCY SEC WIDTH SEC POS 2D REFRESH Figure 9 2 B mode function menu in B M duplex mode with M trace inactive Press the MENU knob to activate the con text menu right lt The B menus in the B M duplex mode is shown above and on the right Except for the item STEER M and DIS PLAY FORMAT which are specific for the M duplex mode all other items has the same meaning as in single B CFM TDI mode Refer to the respective chapters for expla nations and usage of these items 9 2 1 Adjust M Mode
108. nn 4 4 SYSTEM SENA u a8 2 u a na 4 eee ees ee ee eee eee ee 4 5 4 6 1 General Setting 222mm nn 4 5 4 6 2 7 er See Se E CBS RU GUS a E 4 6 4 6 3 Set Calculation Menu mn nn 4 7 4 6 4 Set Measurement Method 2 2 2 222mm nn 4 7 4 6 5 Annotation Edil ss s s se 4 u 0 a Su ee Be au au 4 8 4 6 6 Deline Quick Key s 24 sw E 8 se Aa HH rn 4 8 4 6 7 Load Delauls 22 5A 8 4 442884 ea 4 a we ws 4 9 DICOM Seting sue ss a sot an GRE Hoh Hob Hod Ke He HE 4 10 P N 4701 0081 01B 4 1 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 4 1 System Menu Press MENU in the preparation mode to activate the system menu The rest of this chapter explains how to configure the system and view the system information using the items listed in this menu New Sit SonoScapa o e File Manager Facility Name Set Time Date System Information System Setting DICOM Exit Figure 4 1 System Menu 4 2 File Manager Select File Manager and press SET the system opens the root directory if no patient profile is activated or the patient directory if a patient profile has been activated Figure 4 2 illustrates the root directory of the system Using this interface user can access patient data stored on the hard drive and any external disk drives USB MO or CD DVD To open a file folder in the File Manager move the cursor over the directory name press t
109. noScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 10 3 7 Chroma 10 3 8 Video vel 3 82 24 2 2 232335 10 3 9 Display Format 10 3 10 Pulse Repetition Frequency PRF 10 3 11 Wall Filter WF 10 4 Spectral Doppler Cine Mode Operation 10 1 Activation of Spectral Doppler Mode New Site L741 SonoScape Apr 07 2010 16 08 16 FPS 20 DG Mo ee GN 9 I P 3 30 PWR 80 FRA 43 0 o do do do ar D 4 4cm PRF 1 0 WF 85 GN 22 C P 1 50 PWR 70 FRQ 22 PRF 1 0 E E WF 85 GN 22 FRQ 60 2 PWR 70 DYN 5 O O p Pot f SV 1 4 PW Figure 10 1 CFM PW duplex mode Spectral Doppler Imaging PW CW is normally used with the B CFM DPI TDI mode Press the key during the real time with the single B CFM DPI TDI mode to activate the PW duplex mode Press the key during the real time scan with the single B CFM DPI TDI mode to activate the CW duplex mode 2 a The Spectral Doppler cursor line is inserted atthe center of the 2D image At the lower left corner of the screen PW the PW status icon appears when PW mode is activated or CW the CW status icon appears when CW mode is activated PRF 8 0 WF 400 GN 8 FRQ 2 0 PWR 50 DYN 2 SV 4 1 Figure 10 2 Spectral Doppler Image Information The ultrasound image area is divided into two asymmetrical parts the PW CW spectral which is inactive by defa
110. of the 2D image and the size of image is reduced to display the entire ultrasound image e Flip the DEPTH switch upwards to decrease the depth range of the 2D image and the ultrasound image is magnified 2 Remarks The range of the scanning depth depends on the probe type Depth is represented in unit of cm The depth scale is shown on the right side of the ultrasound image The current depth is displayed at the 2D Image Info area and represented by D 5 3 5 Focal Zones The focal zone determines the depth range for optimizing the concentration of the ultra sound beam Multiple focal zones are possible The marker AU for focal zone is indicated at the depth scale FOCAL NUMBER Use this function to change the number of focal zones e press FI to select FOCAL NUMBER turn the function knob to change the number of focal zones FOCAL SPAN This function changes the span of focal zones or equivalently the distance between the focal zones press F2 to select FOCAL SPAN turn the function knob to change the span of focal zones P N 4701 0081 01B 5 4 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System The focal depth is adjustable during the real time scan regardless of the imaging mode B CFM PW CW and the display format single dual quad If multiple focal zones are present they are moveed with the same amount of depth To change the depth position s of the focal zone
111. on hardware and software upgrades modifications and repairs of this product are performed or instructed by authorized personnel operation transport and storage of this product are under the required environmen tal conditions the product is operated in accordance with this operator s manual 14 3 Contact Information Any feedbacks or inquires concerning our product or service should be directed to the following address T Contact Information Address 4 F Yizhe Building Yuquan Road Shenzhen PR China Zip Code 518051 Tel 400 678 8019 Fax 86 755 26722850 Website http www sonoscape com E mail service sonoscape net P N 4701 0081 01B 14 2 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Appendix A Description of Symbols The following symbols are utilized either in the operator s manual or on the product symbol E pt Dangerous electric voltage A Warning Follow these instructions to avoid personal injury or sys tem damage LA seein nese actor ney age O orons Loarre lanang EZ Potential equilibrium connection CF Isolation from ground max Patient leakage current normal situation lt 10uA with one defect lt 50uA E BF Isolation from ground max Patient leakage current normal situation lt 1004A with one defect lt 500uA R BF Tremble free protection B Max Patient leakage current normal situation lt 100uA with one defect lt 500uA
112. ontext Menu P N 4701 0081 01B 7 2 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System ECG gt 7205 Press the MENU key during the real time VE NN l PERSIST 60 4 77 DPI scan to activate the DPI mode menu which will appear at the Context Menu area N refer to Figure 2 4 Figure 7 3 Real time DPI mode Press the MENU knob again to dismiss the ars DPI mode context menu 7 3 2 Adjust DPI Sample Box Follow the instructions below to adjust the sample box Use the trackball to change the position of the sample box e Press the key Use the trackball to change size of the sample box Press the key again to re adjust the position of the sample box 7 3 3 Pulse Repetition Frequency The Pulse Repetition Frequency sets the velocity range of the color flow display The range of the PRF depends on the probe and the application mode Increas ing the PRF range also changes the velocity scale shown on color wedge Flip the switch up down to increase decrease the PRF range 2 Remarks The current PRF value is display at the Color Image Info area PRE The system automatically adjusts the Wall Filter setting upon changing the PRF value 7 3 4 Wall Filter Wall Filter intends to eliminate the low frequency noise generated by movements of blood vessel walls press F2 to select WF turn the function knob to change the value of the filter 2 Remarks The curren
113. pler Ultrasound System O Press MENU during the 4D mode to acti CLEAR ROI va N 00 vate the 4D mode menu A NS Most functions shown in the 4D mode menus are the same as those in 3D mode menus Refer to Chapter 11 for the opera RENDER MODE tion of these functions AUTO ROTATE TRACE CUT The following sections will focus on ex UNDO CUT plaining the functions which are new in 4D nos The availabilities of some functions depend OPACITY SLOPE on the status of the motor MULTI SLICE SLICE SPACING COLOR MAP Refer to Chapter 10 CINE REVIEW SWEEP ANGLE 12 3 4D Mode Operations di ss IMAGE QUALITY Med STABILIZATION Off 12 3 1 Display Format Figure 12 4 4D mode menu FULL DISP 2D displays the 2D real time image in full screen This option is available only when the transducer motor is not running To turn it on press FI to select and enable this option To adjust the sample box and the cut off line the system must be in FULL DISP 2D display format The following options change the display format in 4D mode to dual quad or single 3D display format Refer to Section 11 3 1 for more information DUAL DISPLAY QUAD DISPLAY FULL DISP 3D 12 3 2 Adjustment of Sample Box amp Cut Off Line 2 Remarks The adjustment of the sample box and the cut off line is only possible with the FULL DISP 2D display format Only the data in the area enclosed by
114. pler Ultrasound System 5 3 1 B Mode Menus Real Time CFM Mode Function Menu The following function menu appears on the screen with the real time B mode image FOCAL NUMBER FOCAL SPAN DYN GSC PERSIST LINE DENSITY FREQUENCY SEC WIDTH SEC POS 2D REFRESH Figure 5 2 Function menu in real time B mode Real Time B Mode Context Menu Press the MENU key during the real time ECG F q scan and the context menu will be shown TISSUE ACOUSTIC at the Context Menu area refer to Figure CHROMA 2 4 BIOPSY Note that some models do not support COMPOUND uScan function hence the item uScan will not appear in the context menu for these models ADAPT IM FUSION Trapezoid short for Trapezoidal Imaging is Scan only available with linear array probes POWER Press the MENU knob again to dismiss the TRAPEZOID B mode context menu Figure 5 3 B mode context menu real time mode 5 3 2 BGain The B mode gain 2D gain determines the amplifying factors for the received echoes The echoes are amplified with the same gain value regardless of depth can The GAIN knob adjusts the overall brightness of the 2D image Turn the GAIN knob clockwise to increase the 2D gain the ultrasound image gets brighter e Turn the GAIN knob counterclockwise to decrease the 2D gain the ultrasound image gets darker 4 Remarks The gain value is displayed on the screen at
115. r Map method is displayed on the screen at the Color Image Info area the C in C P 6 3 8 CFM Power POWER Similar to the acoustic output power in the B mode the value of the output power in the CFM mode should be kept as low as reasonably achievable e press FI to select POWER turn the function knob to change the output power 4 Remark The acoustic output power in the CFM mode is displayed on the screen at the Color Image Info area PWR P N 4701 0081 01B 6 4 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 6 3 9 Baseline BASELINE Moving the baseline increases the velocity range in one direction the zero position also moves as a result The maximum velocities in both directions are displayed at the ends of the Spectral Wedge 15 Figure 2 4 e Flip the BASELINE button to move the baseline up or down to move the baseline or e Select BASELINE from the context menu turn the MENU knob to move the baseline 6 3 10 Sector Width and Position SEC WIDTH press F2 to select SEC WIDTH turn the function knob to change the sector width SEC POS press to select SEC POS turn the function knob to change the sector position Sector width and position are the same as those in the B mode refer to Section 5 3 11 for explanations 6 3 11 B Reject B REJECT Sets the display priorities of the color and 2D grayscale pixels Larger B Reject value suppresses more grayscal
116. ries of disinfection and steril ization Sterilization is the complete elimination of all forms or microbial life including spores and viruses Disinfection the selective removal of microbial life is divided into three classes e High Level Disinfection Destruction removal of all microorganisms ex cept bacterial spores e Mid Level Disinfection Inactivation of Mycobacterium Tuberculosis bac teria most viruses fungi and some bacterial spores Low Level Disinfection Destruction of most bacteria some viruses and some fungi Low level disinfection will not necessarily inactivate My cobacterium Tuberculosis or bacterial spores The following specific recommendations are made for the use of intracavitary ultrasound transducers Users should also review the Centers for Disease Control and Prevention document on sterilization and disinfection of medical devices to be certain that their procedures conform to the CDC principles for disinfection of patient care equipment 1 CLEANING e After removing the probe cover use flowing water to remove any residual from the probe Use a damp gauze pad or other soft cloth and a small amount of mild non abrasive soap water to thoroughly clean the transducer Use a soft bristle brush for cleaning if the residue has dried onto the probe surface Rinse the transducer thoroughly with running water and allow to air dry or dry with a soft cloth 2 DISINFECTION 1 Use liquid chemic
117. ring the system as described above take the following additional PRECAUTIONS Before transporting prepare and pack the system in the original package Secure the system firmly with straps or as directed otherwise within the vehicle to prevent excessive vibrations during transport e Drive carefully to prevent vibration damage Avoid unpaved roads excessive speeds P N 4701 0081 01B 1 14 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Chapter 2 System Specifications Contents 2 1 System Overview 2 2 Application and Contraindication 2 3 Probes and Accessories 2 4 Physical Specifications 25 Concept of Operation 2 5 1 Screen Layout 2 5 2 Keyboard Layout 2 5 3 Keyboard Description P N 4701 0081 01B 2 1 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 2 1 System Overview Front View LCD monitor P N 4701 0081 01B 2 2 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Side View N Bb YN ja lt lt Moo A Audio Out S Video Socket Two USB Ports Ethernet Port VGA Port O A O N Figure 2 1 Side view Information for using S Video and composite video e This system supports both S Video 2 in Figure 2 1 and composite video 5 in Figure 2 2 output In order to use the composite video output make sure the S Video port is disconnected and connect the composite connector before the system startup
118. robe holders daily to remove coupling gel dust and etc Clean the system keyboard monitor and etc regularly IN Attention e Switch the system off before cleaning e Damp cloth soaked in mild soap water is allowed e Protect the system especially the electric parts from drip water e Do not apply acetone alchohol or use abrasives on the system or the transducer surfaces Contents 14 1 Guidance for Service 2 2 e 14 1 14 2 Manufacturer Responsibility 200004 14 2 143 Contact Information 2 2 Hmmm 14 2 14 1 Guidance for Service In case of any malfunctions turn off the system and disconnect the power supply Con tact your SonoScape representative for service Mention the detailed phenomena of the malfunction to the service personnel to help the identification of cause Z warning There are no user replaceable parts inside the system Any kind of do it yourself repairs invalidate the warranty Contact your representative for service instead Regular system check which shall be performed once every year by authorized service personnel is recommended Consult your representative for more details P N 4701 0081 01B 14 1 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 14 2 Manufacturer Responsibility The manufacturer assumes the responsibility with regard to safety reliability and perfor mance of this product only under the following conditions e all installati
119. rocessing reusable medical and dental devices That list can be consulted to find agents that may be useful for probe disinfection 3 You should consult the manufacturer s instructions to prepare store and use the disin fectant Consult SonoScape if you are not sure about the compatibility of these agents with the probes Many of the chemical disinfectants are potentially toxic and many require adequate precautions such as proper ventilation personal protective devices gloves face eye protection etc and rinsing before reusing the probe 3 PROTECTIVE SHEATHS 1 The transducer should be protected with a probe sheath If condoms are used they should be non lubricated and non medicated 2 Practitioners should be aware that condoms have been shown to be less prone to leakage than commercial probe covers and have a six fold enhanced AQL acceptable quality level when compared to standard examination gloves They have an AQL equal to that of surgical gloves 3 Users should be aware of latex sensitivity issues and have available nonlatex containing barriers 4 ASEPTIC TECHNIQUE 1 For the protection of the patient and the health care worker all endocavitary exam inations should be performed by the operator wearing gloves properly throughout the ultrasound diagnostic process 2 Gloves should be used to remove the condom or other barrier from the transducer and to wash the transducer as mentioned above 3 As the probe sheath
120. s e flip the FOCUS switch downwards to move the focal zones to deeper locations e flip the FOCUS switch upwards to move the focal zones to shallower locations 2 Remarks The maximum number of focal zones depends on the probe in use Increasing the focal number decreases the frame rate and increases the acoustic power indices Increasing the focal zone depth increases the acoustic power indices 5 3 6 Tissue Acoustic Characteristics TISSUE ACOUSTIC The speed of ultrasound depends on the tissue it is passing through Tissue acoustic characteristics specifies the ultrasound speed used for measurements and calculations Adjust this parameter to fine tune the focusing e select TISSUE ACOUSTIC from the context menu e turn the MENU knob to adjust this parameter 2 Remarks The calculations that depends on the ultrasound velocity varies with the value of TISSUE ACOUS TIC e For your reference Table 5 1 provides the sound speeds in miscellaneous tis sues organs materials 5 3 7 Dynamic Range DYN Dynamic Range increases the adjustable range of contrast by enhancing the intensities of parts of the grayscale It is useful for optimizing the ultrasound image texture e press F3 to select DYN e turn the function knob to adjust the DYN setting 2 Remarks Dynamic Range is displayed at the 2D Image Info Area on the screen The D in D G P N 4701 0081 01B 5 5 SonoScape S8 S8 Pro Portable Digit
121. s system This equipment complies with the following standards The equipment conforms with the following regulations for electrical safety IEC 60601 1 1988 A1 1991 A2 1995 Medical Electrical Equipment Part 1 General Requirements For Safety Class BF continuous operation IEC 60601 2 37 2001 A1 2004 A2 2005 Medical Electrical Equipment Part 2 37 Particular Requirements For The Safety Of Ultrasonic Medical Di agnostic And Monitoring Equipment The equipment conforms with the following EMC EMI standards IEC60601 1 2 2001 A1 2004 Class A CE e Degrees of protection against harmful liquid For the main sys IPXO tem For the transducer IPX7 from the acoustic window to the junction line Figure 13 1 and IPX1 for other parts that may contact with the pa tient excluding the transducer connector P N 4701 0081 01B 1 9 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System For maximum safety adhere to these guidelines Proper grounding of the system is critical to avoid electrical shock For pro tection ground the system with a three conductor cable and plug the sys tem into a hospital grade receptacle or outlet Do not remove or entangle the grounding wire Do not remove the protective covers of the system These covers protect users from hazardous voltages Only authorized service technicians can make replacements of the parts inside the system Never use this system while
122. suppresses more grayscale pixels press to select B REJECT turn the function knob to change the B REJECT value 7 3 11 DPI Frequency FREQUENCY Similar to the CFM frequency higher DPI frequency delivers better display of low flow ve locities but the penetration depth is reduced Lower DPI frequency delivers better display of high flow velocities but the penetration depth is increased e press F5 to select FREQUENCY turn the function knob to change the frequency 4 Remark The DPI frequency value is displayed on the screen at the Color Image Info area FRO 7 3 12 Image Orientation Left Right LTORT Refer to Section 5 3 15 P N 4701 0081 01B 7 5 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 7 3 13 Line Density LINE DENSITY This function similar to the Line Density in CFM mode adjusts the line density in displaying the flow in the DPI sample box Line density can be set to Low or High e press F4 to select LINE DENSITY turn the function knob to change the LINE DENSITY setting 7 3 14 2D Refresh 2D REFRESH If this option is left on the 2D color Doppler image will be active during the Color Doppler PW CW and the Color Doppler M modes s press FA to select 2D REFRESH e turn the function knob to turn on or off 2D REFRESH 7 4 DPI Cine Mode Operation Press the key during the real time DPI scan to freeze the image and start the cine mode Recent image fra
123. t Wall Filter value is displayed at the Color Image Info area WF The Wall Filter is adjustable within a range which depends on the current PRF value 7 3 5 DPI Gain Properly adjust the DPI gain to ensure that the color flow is continuous but no color speckle is present Turn the D GAIN knob clockwise counterclockwise to increase decrease the CFM gain S sa D GAIN P N 4701 0081 01B 7 3 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 2 Remarks The DPI gain value is displayed on the screen at the Color Image Info area GN e It is possible to change the DPI Gain only when the DPI mode is active 7 3 6 Persistence PERSIST Similar to the persistence in the B mode adjust the persistence value to enhance the smoothness of the DPI image e Select PERSIST from the context menu e Turn the MENU knob to decrease increase persistence value a Remark The persistence value is displayed on the screen at the Color Image Info area the Pin C P 7 3 7 Color Map Directional DPI C MAP DIRECT D e press FI to select C MAP DIRECT D turn the function knob to change the value Set this value to 1 2 or 4 to adjust the Color Map setting Similar to the Color Map in the CFM mode this function select the method for the color coding of the display of blood flow Set this value to 3 to enable Directional DPI only possible during the real time scan When Directional DPI is
124. table Digital Color Doppler Ultrasound System Press the key to activate the CFM mode The CFM sample box appears La Ey in the active 2D image Press the B key to deactivate the CFM mode the system enters the B mode New Hosp C362 MI 0 2 TIS 0 7 Mar 23 2010 16 08 16 SonoScape FPS 47 D G 3 1 o 0 GN 255 E ba UD 3 30 E PWR 70 FRQ 3 4 8 D 16 5cm cm s ECG gt PERSIST 40 BASELINE 0 10 LTSRT o C MAP DIRECT D WF B REJECT LINE DENSITY FREQUENCY POWER SEC WIDTH SEC POS 2D REFRESH Figure 6 1 CFM mode 6 2 Color Image Information The color image information for the CFM mode ultrasound is displayed at the Color Image Info area refer to Figure 2 4 for PRF 3 0 the location WE 185 The meaning for the items shown in the info area are explained in the table below GN 20 C P 1 60 pulse repetition frequency wall filter value PWR 70 Doppler gain D gain Color Map setting persistence value FRQ 5 1 acoustic output power transmitted frequency MHz 6 3 Real Time CFM Mode Operation The CFM mode operation for the current ultrasound image is independent of the display format single dual or quad Review Section 3 3 for the general operation instructions 6 3 1 CFM Menus Real Time CFM Mode Function Menu The following function menu appears on the screen with the real time CFM mode C MAP DIRECT D WF
125. the sample box and the cut off line the shaded area in Figure 12 2 will be collected for 3D rendering To adjust the sample box move the trackball to change the position of the sample box press SET use the trackball to change the size of the sample box use SET to toggle the function of the trackball between resizing and moving the sample box To adjust the cut off line e press UPDATE and use the trackball to move the cut off line e press UPDATE use the trackball to change the position of the control point and the shape of the cut off line use to toggle the function of the trackball between moving the control point and moving the cut off line P N 4701 0081 01B 12 3 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 12 3 3 Sweep Angle SWEEP ANGLE Use this function to modify the sweep angle for displaying the volume structure The mod ification is possible only when the transducer motor is not running it takes effect with the next volume data acquisition 12 3 4 Cine Review CINE REVIEW Use this function to review the image frames captured when the motor was running The previews of the 3D structure are displayed at the bottom of the screen see Figure 12 5 Figure 12 5 Cine review in 4D mode 12 3 5 Rescan RESCAN This function attempts to obtain the volume display with a higher resolution by performing a rescan By default it is set to off Press when the motor is runn
126. the trackball to stop the playback AAA Press the MENU knob and the cine mode context sli 2 menu right appears END p FRAME BY FRAME More cine mode operations are introduced in the fol Figure 8 4 TDI cine mode con lowing subsections text menu 8 4 1 C Map C MAP Refer to Section 6 3 7 for explanations of this function To change the C MAP setting e press FI to select C MAP turn the function knob to change the C MAP setting or e select C MAP from the context menu turn the MENU knob to change the C MAP setting 8 4 2 B Reject B REJECT Refer to Section 6 3 11 for explanations of this function s press F4 to select B REJECT turn the function knob to change the B REJECT setting or e select B REJECT from the context menu turn the MENU knob to change the B REJECT setting 8 4 3 Flow Invert FLOW INVERT Refer to Section 6 3 14 for explanations and usage of this function 8 4 4 Cine Review CINE REVIEW If the same patient has gone through the same diagnosis before the saved images can be accessed conveniently from the cine mode menu e Press F5 to select CINE REVIEW turn the function knob to select the cine image for review from a list of cine images press the key to start reviewing the selected image Zi Remarks Press the key to return to the real time scan immediately P N 4701 0081 01B 8 7 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 8 4 5 Cine Play
127. tive E GAIN The Doppler gain controls the overall brightness of the spectral display When the spectral Doppler display is active turn the knob to adjust the Doppler gain 4 Remark The spectral Doppler gain value is shown at the Spectral Doppler Image Info area the GN 10 2 6 Steer Angle STEER ANGLE Use this function to adjust the spectral Doppler cursor for linear array probes e Select STEER ANGLE from the context menu e Use the MENU knob to change the angle of the spectral Doppler cursor 10 2 7 Flow Invert In PW or CW mode press the key to invert the spectral display in relation to the flow direction The displayed spectrum is inverted around the baseline When Flow Invert is turned on Invert indicator appears on top right of the spectral dis play 10 2 8 Spectral Doppler Frequency FREQUENCY The spectral Doppler frequency controls the transmit frequency press F3 to select FREQUENCY turn the function knob to change the frequency value a Remark The spectral Doppler frequency value is displayed on the screen at the Spectral Doppler Image Info area FRO 10 2 9 Sweep Speed SWEEP SPEED Similar to the sweep speed in the M mode this speed determines how fast the spectral Doppler display is updating e Press FA to select SWEEP SPEED e Turn the function knob to change the sweep speed This function is hidden for those other than linear array probes P N 4701 0081 01B 10 5
128. tracking the trackball movement Set the file format for saving multiple frames as video Set the format for displaying the date on the screen and the ultrasound image If this option is ON typed letters are capitalized by default and in lower case when the SHIFT key is pressed Set the size of the ultrasound image on the paper when printing Refer to Subsection 5 4 8 Set the file format for saving a single frame Set the time duration for the system to wait before activating the screen saver program Set the color of the region of interest box This option sets the default display format in the spectral Doppler and the M modes 4 6 2 Set Printer New Site SonoScape Genral Setting Printer Driver Default Printer Set Printer Video Invert OFF Set Calculation Menu E Insert Driver Click Set Measurement Method Annotation Edit Define Quick Key Load Default Exit Figure 4 8 Set Printer S8 S8 Pro Printer Driver Select the printer driver to match the actual printer in use Video Invert Invert the RGB color brightness for printing Insert Driver Connect a USB drive or an optical disk with the printer driver file inside and click this button to install a printer driver P N 4701 0081 01B 4 6 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System
129. ty along the ultra sound beam Figure 11 7 X ray Mode displays the aver age gray values of the echoes along the ultra sound beam 11 3 7 Auto Rotate AUTO ROTATE Turn on this function to activate the auto rotation of the display of the 3D structure This function is normally used for demonstration purpose The maximum angle of rotation can be set to 45 90 180 270 or 360 The display of the 3D structure rotates continuously first clockwise and then counterclockwise from o to this maximum angle 11 3 8 Trace Cut TRACE CUT Turn this function on to remove any unwanted region from the volume display Practically P N 4701 0081 01B 11 5 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System it can be useful for clearing region obstructing the display of ROI Figure 11 8 Trace Cut To use Trace Cut e Press over TRACE CUT Turn the MENU knob to turn it On e Press the MENU knob to dismiss the menu Use the trackball to plot a trace to enclose the unwanted region e Press to remove the region surrounded by the trace UNDO CUT This function restores the display of the volume removed by TRACE CUT 11 3 9 Clip Plane CLIP PLANE Turn this function on to enable the clipping plane The clipping plane cuts through the 3D structure and shows the section view To move the position of the clip plane 1 Move the cursor over the volume display and press UPDATE or ZOOM 2 Use
130. ult is displayed along with the 2D image Six display formats are possible review Section 10 1 3 on page 10 3 Spectral Doppler image information appears on the screen refer to Figure 10 2 The meaning of these items are shown in the table below Note that the sample volume size SV only has meaning for PW image P N 4701 0081 01B 10 2 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System pulse repetition frequency wall filter value spectral Doppler gain D gain transmitted frequency MHz acoustic output power dynamic range sample volume size for PW image 10 1 1 B CFM DPI TDI Operation in Spectral Doppler Mode When the PW CW spectral display is inactive B CFM DPI TDI operations in the PW CW duplex mode are possible For B mode operation refer to Chapter 5 For CFM operation refer to Chapter 6 For DPI operation refer to Chapter 7 For TDI operation refer to Chapter 8 The following two items shown in the menus in Figure 10 3 are specific to the spectral Doppler duplex mode Refer to Section 10 1 2 and Section 10 1 3 for explanations 2D REFRESH DISPLAY FORMAT For PW operation see Section 10 2 For CW operation see Section 10 3 10 1 2 2D Refresh 2D REFRESH gt Note that this function only has effect for PW duplex mode Set this item to On to enable the real time 2D image display when spectral display is active When 2D Refresh is set to Off the 2D image is frozen once the sp
131. urn the GAIN knob to scroll between items turn the D GAIN knob to turn to the next previous page of annotation items P N 4701 0081 01B 3 5 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System New Hosp C344 MI 0 2 TIS 0 7 SonoScape Mar 23 2010 16 08 16 Ctrl O GAIN D GAIN P 1 32 1 ABDOMINAL CIRCUMFERENCE Ses 2 0 2AC 3 ACA 4 ADNEXA 5 ADRENAL GLAND IBREAST TISSUE 6 AMNIOTIC FLUID 57 7 AMNIOTIC CAVITY 1 8 ANGLE REGION 9 ANT COMMUNICATION BR Figure 3 2 Annotation 2 highlight the annotation item and press the UPDATE key to select the item 3 move the cursor to the desired position and press the key to insert the selected annotation item To insert manual text move the cursor to the desired position and write the text using the alphanumeric key board Press the key to delete the last inserted item Press the key again to exit the annotation mode Press the key to remove all annotation items on the screen Annotations can be saved together with the ultrasound image and will be cleared upon exiting current application mode 3 7 2 Bodymark For the documentation of the ultrasound diagnosis a collection of graphic body marks is available New Hosp C344 MI 0 2 TIS 0 7 Reno s cane Mar 23 2010 16 08 16 FPS 20 D G 3 1 07 GN IP 3 30 PWR 70 FRQ 3 4 8 D 16 5cm 5 PRF 1 0 WF 75
132. useful diagnostic result Do not hold the probe in a fixed position for any longer than is necessary It should be removed from the patient whenever there is no need for real time imaging or spectral Doppler acquisition The freeze frame and Cine loop capabilities allow images to be reviewed and discussed without exposing the patient to continuous scanning Do not use endo cavity probes if there is noticeable self heating of the probe when operating in the air Although applicable to any probe take particular care during trans vaginal exams during the first eight weeks of gestation Take particular care to reduce output and minimize exposure time of an embryo or fetus when the temperature of the mother is already elevated Take particular care to reduce the risk of thermal hazard during diagnostic ultra sound when exposing an embryo less than eight weeks after gestation or the head brain or spine of any fetus or neonate Operators should continually monitor the on screen thermal index TI and mechan ical index MI values and use control settings that keep these settings as low as possible while still achieving diagnostically useful results In obstetric examinations TIS soft tissue thermal index should be monitored dur ing scans carried out in the first eight weeks after gestation and TIB bone thermal index thereafter In applications where the probe is very close to bone e g trans cranial applications T
133. ust be unique on its network Wk IP Set the IP address of the worklist server Wk Port Set the port number of the worklist server Wk_Title Type in the worklist server title here This title must be unique on its network Delete Database Check this to delete the database PING To test the connection with an IP address move the cursor over this button enter the IP address press this button again ECHO Press this button to test the connection with the DICOM server and the worklist server Save Setting Press this button to save the current setting Exit Press this button to leave the DICOM interface without saving the settings P N 4701 0081 01B 4 11 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System P N 4701 0081 01B 4 12 SonoScape Portable Digital Color Doppler Ultrasound System Chapter 5 B Mode B mode imaging is intended to provide information of anatomical structure of soft tissues Contents 5 1 9 2 5 3 5 4 Starting B Mode nn 5 2 B Mode Image Information a aoa aoa a a a a 5 2 Real Time B Mode Operation a oa aoao a a a a a a 5 2 5 3 1 B Mode Menus a a 5 3 9 3 2 gt 2 ouseeeeeesnt tech eect eee ee 5 3 539 Time Gain Compensation TGC 5 3 5 3 4 Do 2282445204588 Bee Cee eee E 5 4 9 3 5 POCA ZONOS o sa aea eh eae eee eee ee ee ee a 5 4 5 3 6 Tissue Acoustic Characteristics 05 5 5 9 3 7 Dynamic Range
134. wice Qu Mo Dvice mo mnt mo 0 CD DVD Muliti Device CD DVD Rom mnt cdrom 0 USB Derice usb mnt removable 0 General Directory general general 211M Exit Figure 4 2 File manager root directory P N 4701 0081 01B 4 2 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Q 2498 Kane NAME ID DATE OF BIRTH Johnson NH_23482 10052010 ppm 12 11 1982 Exit Figure 4 3 File manager patient directory Figure 4 3 illustrates the patient directory The function of the icons shown in the file manager are listed in Table 4 1 Icon o Duu s c s amp e Action upon clicking the icon Go to parent directory Search file by name Copy the selected files to the cache Paste the cached files to the current file folder Delete the selected files Convert the selected files to the PC format Display report files only Display image files only Enable multi selection Display report files only Export selected files to remote Service Class User SCU Load Unload the USB drive Note that the USB drive can be automatically unloaded upon clicking the Exit button Table 4 1 File operations 4 3 Facility Name The facility hospital name is displayed at the top left corner of the screen next to the product logo To rename the facility hospital name select F
135. without taking break Do not put liquid on top of the main unit For proper disposal of this product please contact our service department P N 4701 0081 01B 1 2 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System 1 2 Symbol Used Refer to Appendix A 1 3 Biological Safety This product as with all diagnostic ultrasound equipment should be used only for valid reasons and should be used both for the shortest period of time and at the lowest power settings necessary ALARA As Low As Reasonably Achievable to produce diagnosti cally acceptable images The AIUM offers the following guidelines Clinical Safety Quoted from AIUM Approved March 26 1997 Diagnostic ultrasound has been in use since the late 1950s Given its known benefits and recognized efficacy for medical diagnosis including use during human pregnancy the American Institute of Ultrasound in Medicine herein addresses the clinical safety of such use There are no confirmed biological effects on patients or instrument oper ators caused by exposures from present diagnostic ultrasound instruments Although the possibility exists that such biological effects may be identified in the future current data indicate that the benefits to patients of the prudent use of diagnostic ultrasound outweigh the risks if any that may be present Heating Elevating tissue temperature during obstetrical examinations creates medical concerns At the embryo dev
136. y format P N 4701 0081 01B 12 1 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Connect and select a volume probe click an application mode icon to start with B mode imaging Press to activate the 4D mode The screen by default shows a 2D image with a large sample box and a yellow cut off line See Figure 12 2 Apr 23 2010 16 08 16 GN 12 D 16 5cm Sample box Cut off line amp conntrol point IIA gt D aad Elas u FULL DISP 2D DUAL DISPLAY QUAD DISPLAY FULL DISP 3D Figure 12 2 4D mode with the FULL DISP 2D format The following messages are displayed on the lower right corner of the screen Press keys ly 2 024 to start 4D Press FREEZE to start 3D Pressing activates the 3D mode which is introduced in Chapter 11 Pressing 1 2 or 4 activates the real time volume display in the single dual or quad display format refer to Section 12 3 1 Press to stop the probe motor and also the 4D acquisition 12 2 4D Mode Menus The function menu in 4D mode is shown in Figure 12 3 the item FULL DSIP 2D only appears when the transducer motor is not running ROTATE X ROTATE Y ROTATE Z ZOOM MOVE L R FULL DISP 2D DUAL DISPLAY QUAD DISPLAY FULL DISP 3D MOVE U D Figure 12 3 Function menu in 4D mode P N 4701 0081 01B 12 2 SonoScape S8 S8 Pro Portable Digital Color Dop
137. ystem P N 4701 0081 01B 7 8 SonoScape S8 S8 Pro Portable Digital Color Doppler Ultrasound System Chapter 8 TDI Mode Tissue Doppler Imaging Tissue Doppler Imaging TDI captures the wall motion of vessels and creates a color image displaying the tissue motion TDI is a cardiography technique so it can only be used in cardiology application modes Like conventional Doppler mode TDI also uses Doppler principle However in TDI mode high amplitude high intensity low frequency tissue motion is quantified In contrast in the conventional Doppler mode low amplitude low intensity high frequency blood motion is quantified TDI can also work with other imaging modes to form duplex and triplex modes A Attention Only phased array probes 2P 1 are TDI capable Contents 8 1 Starting TDI Mode 2 nn 8 2 8 2 TDI Image Information 0 0 0000 o 8 2 8 3 TDI Mode Operation 2 2 o 8 2 8 3 1 Real Time TDI Mode Menus 8 2 8 3 2 Adjust TDI Sample Box 22 222004 8 3 8 3 3 Pulse Repetition Frequency 8 3 8 3 4 e R 3354 3454 SOP RRR ee SE 8 3 8 3 5 TCA se 6444 ose sora 8 3 8 3 6 Persistence A e Gr ta ee Sp Sede he Ge ae ARS eh es BO ee 9 8 4 8 3 7 Color Map ass ssa 2 ese aoe ew ed ew ed en ee 8 4 8 3 8 VOVPOWS 4228682485 oe aa as ea 8 4 8 3 9 BasGlNG s bk s su su ss EROS RE RSE we ws 8 5 8 3 10 Sector Width and Position a oaoa a

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