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echo blaster 128 int-1z kit echo blaster 128 ext

1. 2 DUD CD RM Para Floppy disk controllers q Floppy disk drives 43 Human Interface Devices f IDE ATAJATAPI controllers naga IEEE 1394 Bus host controllers lt a Keyboards o Mice and other pointing devices 3 Monitors E8 Network adapters 4 Ports COM amp LPT E E Processors E de SCSI and RAID controllers m Sound video and game controllers Fl ng System devices H Universal Serial Bus controllers e Make sure that latest drivers for your video adapter are installed properly e See Figure 14 Figure 14 e Install the latest DirectX software English version of latest DirectX library is located on supplied CD ROM disc Utilities DirectX folder or available to download from http www microsoft com directx Internet link e By default Windows XP not support High Speed USB 2 0 interface For supporting of High Speed USB 2 0 interface necessary to install Service Pack 1 or Service Pack 2 for Windows XP English version of Service Pack 1 is located on supplied CD ROM disc Utilities Windows XP UpdatesWindowsXP SP1 folder Also Service Pack 1 and Service Pack 2 are available for downloading from htip www microsoft com Internet site lf Windows XP SP1 Windows XP SP2 Service Pack 1 or Service Pack 2 for Windows XP is already installed no need to do anything Read below how to check Service Pack 1 or Service Pack 2 installation installed or not e Find on the desktop My Computer icon
2. American Institute of Ultrasound in Medicine AIUM Bioeffects and safety of diagnostic ultrasound Laurel MD AIUM Publications 1993 American Institute of Ultrasound in Medicine National Electrical Manufacturers Association AIUM NEMA Standard for real time display of thermal and mechanical acoustic output indices on diagnostic ultrasound equipment Revision 1 Laurel MD AIUM Publications 1998a American Institute of Ultrasound in Medicine National Electrical Manufacturers Assoclation AIUM NEMA Acoustic output measurement standard for diagnostic ultrasound equipment Laurel MD AIUM Publications 1998 American Institute of Ultrasound in Medicine AIUM Medical ultrasound safety Rockville MD AIUM Publications 1994 American Institute of Ultrasound in Medicine AIUM Standard Methods for Measuring Performance of Pulse Echo Ultrasound Imaging Equipment Rockville MD AIUM Publications 1991 American Institute of Ultrasound in Medicine AIUM Methods for Measuring Performance of Pulse Echo Ultrasound Equipment Part Il Digital Methods Rockville MD AIUM Publications 1995a American Institute of Ultrasound in Medicine AIUM AIUM Quality Assurance Manual for Gray Scale Ultrasound Scanners Rockville MD AIUM Publications 1995b American Institute of Ultrasound in Medicine AIUM Mechanical Bioeffects from Diagnostic Ultrasound AIUM Consensus Statements J Ultrasound in Medicine 19 number 2 February 2000
3. e See Figure 83 STOP Installation Figure 83 Completing the Found New Hardware Wizard The wizard has finished installing the software hor Fa Ultrasound Probe C4 57507128 J e Success Drivers are founded and installed e Click on Finish e See Figure 84 Click Finish to close the wizard Cancel Figure 84 e Maximize AA hs Echo Wave software window start EL Echo Wave 1 91 Figure 85 e See Figure 85 e You must to see Echo Wave window as shown at Figure 86 o Probe is connected probe type is shown on probe button o Ultrasound image is displaying o Scan mode is working 51 i Echo Wave 1 8 E aj Focus Control jaa ajja se a Depth 150 mm gt Image Enh 3 gt Dun Range 61 dB gt Frame vg 5 frames Scroll 0 mm gt HIT lt zoom 100 Palette an r Scan Angle 100 Gain Control au 40 TGC Control mm O96 0 Palette e e 0 TE mma Advanced Frame rate 41 fps Probe Frequency 3 5 MHz Date 20 02 2004 15 38 Figure 86 Now system is successfully installed and ready for use If you need to install another type of probe only connect it to system and Windows will ask you to install drivers for new probe see Figure 81 NOTE Windows will require drivers installation only first time when you connect probe to system No need to install drive
4. Q How to reinstall or update software A You must uninstall previous installed software Echo Blaster 128 Drivers and Echo Wave software Do the next e Disconnect USB cable from beamformer b7 TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 Go to the Echo Blaster 128 cad P Drivers icon group Accessories p communications Click on Uninstall Echo Mai Echo Blaster 128 Drivers Readme Blaster 128 Drivers icon C1 Echo Wave SY Uninstall Echo Blaster 128 Drivers Entertainment Follow the uninstall Games instructions Graphics an GretagMacbeth See Figure 101 m ee Figure 101 Accessibility Accessories Go to the Echo Wave icon group and click on Uninstall Echo Wave icon Communications Echo Blaster 128 Drivers To Wo F Y Echo Wave 2 0 Entertainment d En Echo Wave Power Status ames H Fac Graphics El Readme GretagMacbeth A ES Uninstall Echo Wave Figure 102 Follow the uninstall instructions a See Figure 102 Download if need latest Echo Blaster 128 Drivers package and Echo Wave software from http www telemed lt Internet site Install Echo Blaster 128 Drivers package and Echo Wave software as described above Connect USB cable and follow the Windows installation instructions as described above Q see dark echo image and low penetration weak visualization at the depth more than 3 cm What is
5. Ultrasound systems e Read the important information Echo Blaster 128 INT 1Z Kit Echo Blaster 128 EXT 12 Kit Echo Blaster 128 PC 1f e Click Next gt 2 RECOMMENDED SYSTEM REQUIREMENTS BM PC compatible desktop notebook or Tablet PC computer Intel chipset based motherboard with integrated USE Cancel e See Figure 33 Back Figure 33 Please select an installation type from the following Complete Echo Blaster 128 Drivers files for all supported probes e Select the Install Type Custom is recommended e Click Next gt e See Figure 34 2o E Advanced You can select which probes to install Recommended 4 Back Cancel Figure 34 33 TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 Select Probes Select probes that you want to install ECE 5 10 128 e Select the probes set to NCS 5 40 r129 be installed See the 24 550 25 probe type on the label CIHE3 5 60 128 and mark the according IHL 54401128 i JCLA3 0720796 check box Iw Renae x e Click Next gt Files for EC6 5 10 128 Probe 14k e See Figure 35 Back Cancel Figure 35 Ready to Install Al Setup now has enough information to start installing the software IF you would like to make any changes before continuing click Back To abort the installation click Cancel When you are ready to start installing the software click on the Install bu
6. Echo Blaster 128 beamformer are not installed properly or beamformer is not en el 10 11 connected to USB port Figure 63 e See Figure 63 e When the icon is lightened GREEN drivers for Echo Blaster 128 beamformer are installed properly beamformer is connected EN to USB port and system is ready to start e See Figure 64 col EM 10 10 Figure 64 4 Echo Blaster 128 Monitor oO x e By left mouse button double clicking on GREEN lightened Echo Blaster 128 Monitor icon such message will appear Echo Blaster 128 is READY for use e See Figure 65 igure Echo Blaster 128 Monitor A al Xx e By left mouse button double clicking on RED lightened Echo Blaster 128 Monitor icon such message will appear Echo Blaster 125 NOT FOUND e See Figure 66 Figure 66 44 TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 e By right mouse button double clicking on Echo Blaster 128 Monitor icon additional menu will appear e See Figure 67 Figure 67 e By left mouse button clicking you can select About Show Log and Exit menu items e See Figure 68 Figure 69 and Figure 70 Figure 70 6 3 5 ECHO WAVE software installation Echo Wave software is graphical user interface of ultrasound scanning system E DA SCANNET Software Echo Blaster 128 Echo Wave e To install it open File Edit View Favorites Tools Help Scanners Software Echo Blast
7. 2005 05 06 Ready to Install E Setup now has enough information to start installing the Echo Wave software IF You Would like to make any changes before continuing click Back To abort the installation click Cancel When you are ready to start installing the software click on the Install button e Ready to install e Click on Install button e See Figure 74 Back Cancel Figure 74 Hardware Installation E 4 IN The software you are installing for this hardware Sound video and game controllers j During software has not passed Windows Logo testing to verify its compatibility installation warning with Windows AP Tell me why this testing te important Message will appear Continuing your installation of this software may impair or destabilize the correct operation of your system e Click on Continue either immediately or in the future Microsoft strongly recommends that you stop this installation now and Anyway button contact the hardware vendor for software that has passed Windows Logo testing e See Figure 75 Continue Anyway Figure 75 47 TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 Setup is complete and pour software is now Installed Click Finish to end the Setup e Setup is
8. Also available from AIUM Publications Apfel R E and Holland C K Gauging the likelihood of cavitations from short pulse low duty cycle diagnostic ultrasound Ultrasound in Med and Biol 17 179 185 1991 Barnett S B ter Haar G R Ziskin M C Rott H D Duck F A and Maeda K International recommendations and guidelines for the safe use of diagnostic ultrasound in medicine Ultrasound in Med and Biol 26 355 366 2000 Bly S H P Vlahovich S Mabee P R and Hussey R G Computed estimates of maximum temperature elevations in fetal tissues during transabdominal pulsed Doppler examinations Ultrasound in Med and Biol 18 389 397 1992 Carstensen E L Duck F A Meltzer R S Schwarz K Q Keller B Bioeffects in echocardiography Echocardiography 6 605 623 1992 Child S Z Hartman C L McHale L A and E L Carstensen Lung damage from exposure to pulsed ultrasound Ultrasound in Med and Biol 16 81 7 825 1990 12 Dalecki D Raeman CH Child SZ et al The influence of contrast agents on hemorrhage produced by lithotripter fields Ultrasound in Med and Biol 23 1435 1439 1997 Doody C Porter H Duck F A and Humphrey V F In vitro heating of human fetal vertebra by pulsed diagnostic ultrasound Ultrasound in Med and Biol 25 1289 1294 1999 Duck F A Starritt H C ter Haar G R and Lunt M J Surface heating of diagnostic ultrasound transducers Br J Radiology 67 1005 1013 1989
9. El i System devices a Universal Serial Bus controllers Figure 93 Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 File Action View Help in Fe g Computer Laul Gs Disk drives ae Display adapters lt 1 DYDICD ROM drives P Floppy disk controllers H q Floppy disk drives al 4 IDE ATA ATAPI controllers bi gt Keyboards Mice and other pointing devices H Ng Monitors H BB Network adapters 4p Other devices LI da E E E Ely F LI ay Ports COM amp mi mano Processors eae Uninstall i Sound video H 4 System device Scan For hardware changes H Universal Seri Properties Figure 94 e Follow the installation process as shown at Figure 81 Figure 82 Figure 83 Figure 84 The probe drivers must be installed automatically e Maximize minimized Echo Wave software window see Figure 85 e You must to see Echo Wave window like shown at Figure 86 o Probe is connected it s type is shown on probe button o Ultrasound image is displaying o Scan mode is working Q An increased level of noises and interferences is observed on ultrasound image see Figure 95 What need to do for noise decreasing 55 Figure 95 A The reason of this appearance can be a non conforming computer power supply unit The main problem of such cheap power supplies is not mounted power filter components to reduce the electromagnetic noises level DU ma 1 a Ka
10. for example see Figure 57 and Figure 58 Install update beamformer drivers Q Echo Wave software is normally starts and without any error messages probe is connected but see Probe not connected message on the probe button see Figure 92 Windows doesn t ask me about probe drivers installation How to Figure 92 solve this problem A The reason is that during 1 st probe connection to system the drivers were not installed properly See Figure 81 for example instead of Next gt button the Cancel button was pressed Do the following steps Connect ultrasound probe to the system Double click on Echo Wave icon see Figure 77 The software window like shown at Figure 78 will appear Minimize software window using Minimize button see Figure 79 software window must be minimized to taskbar see Figure 80 Open Device Manager window see Figure 93 You must to see not installed properly device Ultrasound Probe e Update Driver for this not properly installed probe see Figure 94 54 ia Probe not connected TELEMED File Action wiew Help Hy Computer Gs Disk drives E 3 Display adapters lt 1 DYDICD ROM drives 2 Floppy disk controllers H q Floppy disk drives al 4 IDE ATAJATAPI controllers bi gt Keyboards Mice and other pointing devices H ak Monitors H BB Network adapters 4 Other devices ba UH Ultrasound Probe 12 Ha 4 Ports COM amp LPT E Processors Fe Sound video and game controllers
11. 768 pels Troubleshoot Advanced coed aon Figure 21 e Disable all Power saving features See details at Figure 22 and Figure 23 Note For Notebook and Tablet PC computers location of Power saving controls can differ See operation manual of your Notebook Tablet PC Display Properties l 8 x Power Options Properties E 2 xj Themes Desktop Screen Saver Appearance Settings Power Schemes Advanced Hibernate UPS el Select the power scheme with the most appropriate settings for this computer Note that changing the settings below will modify the selected scheme Power schemes Home Office Desk Settings for Home Office Desk power scheme Turn off monitor Never Turn off hard disks Never System standby Never Screen saver None hi Settings Preview wait 10 minutes Or resume password protect Monitor power To adjust monitor power settings and save energy click Power coa tint Figure 22 Figure 23 e Configure e mail program Outlook Express for example It is necessary for normal operation of direct e mail sending feature of ultrasound software 21 TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 Note No need to configure e mail software if you are not planning to use it or your computer is not connected to Internet IMPORTANT NOTE If all steps described in this chapter above are p
12. 9 0 MHz o Multifrequency Automatic probe recognition 1 probe port mouse trackball keyboard operation of multiple calipers B mode linear measurements and area perimeter Measurements measurements using elliptical approximation continuous trace angle M mode continuous readout of distance time slope rate heart rate Calculations OB GYN Cardio package 3 color LED indicator of system status Direct e mail sending function with image video Internet attachment Recording up to 1024 frames to memory Play Pause Stop Frame selection Saving ultrasound video file to disk optimized size lossy compression not optimized size full quality Loading ultrasound video file from disk TV output standard via PC display adapter option view recall save any from 16 last freezed images J the set of predefined color schemes custom schemes possibility user friendly pop up menus and dialogue boxes programmable presets for clinically specific imaging image comment save recall browsing Cineloop User Interface anatomical Icons with probe position indicator 10 icons multi language support FOCUSING Analog Beamformer 32 Channel Digital transmit focusing Yes Haley Technology 128 256 real ultrasound lines Upport Multi focus mode e transmit receive focusing max 4 points ce fl e programmable focus area presets e transmit variable focus 8 points Dynamic focus mode e dynamic receive
13. ALARA refers to using the lowest value of potentially hazardous exposure i e combination of acoustic output and dwell time needed to achieve the required diagnostic information Bone Thermal Index TIB the Thermal Index for an exposure model in which the ultrasound beam passes through soft tissue and a focal region is in the immediate vicinity of bone Cranial Bone Thermal Index TIC the Thermal Index for an exposure condition in which the ultrasound beam passes through bone near the beam entrance into the body derated a derated quantity is one which has been measured in water using standard methods and then multiplied by a derating factor This accounts for attenuation of the 74 ultrasound field by the tissue between the transducer and a particular location in the body along the beam axis The derating factor is 0 3 dB cm MHz in these guidelines derated spatial peak time average intensity the largest value in an ultrasound beam of any derated time averaged intensity dwell time the amount of time that the transducer is actively transmitting ultrasound while staying in one place during part of an examination rarefactional pressure the amplitude of a negative instantaneous ultrasonic pressure in an ultrasound beam Soft Tissue Thermal Index TIS the Thermal Index for an exposure model in which the ultrasound beam heats primarily soft tissue spatial average pulse average intensity at the face of the transducer the spat
14. cables devices e Remove the computer s cover according to the computer manual directions e See Figure 26 e Remove stubs from the computer case front panel e Insert the beamformer module to the drive bays do not insert it completely before connecting all the cables to it e See Figure 27 Figure 2 e f supporting holders are between the bays unbend it to insert the beamformer See Figure 28 29 TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 Holders Y Figure 28 e Connect the computer power supply connector to beamformer power connector e Connect USB cable between PC and beamformer using one of these o Internal USB cable if motherboard is featuring High Speed USB 2 0 and has internal USB on board connector refer the motherboard manual o standard USB cable if motherboard is featuring USB 2 0 and has only external port through any matching opening o standard USB cable if PCI to USB 2 0 Adapter is inserted using internal port e Insert the beamformer completely and fix it both sides e See Figure 29 Fixing screws Figure 29 e Temporary disconnect USB cable from beamformer to USB port necessary for proper drivers installation e Connect the power cable monitor and other external devices accessories see Figure 30 30 Figure 30 e DO NOT turn on the power Follow software installation instructions according to chapter 6 3 Sof
15. controllers Universal Serial Bu Properties Scan for hardware changes Launches the Figure 57 Figure 58 Found New Hardware Wizard E Welcome to the Found New Hardware Wizard This wizard helps pon install software for Echo Blaster 128 e Follow Hardware installation Wizard Instructions IF your hardware came with an installation CD gt or floppy disk insert it now What do vou want the wizard to do e See Figure 59 o Instal from a list or specific location a Click Next to continue Black Cancel Figure 59 e When process is finished 4 Found New Hardware ES the corresponding report our new hardware is installed and ready Eo use will appear E E Era 6 41 PM e See Figure 60 Figure 60 43 TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 A NOTE Windows will require drivers installation only first time when you connect beamformer to computer No need to install drivers for beamformer each time when it connected to USB port 6 3 4 Echo Blaster 128 Monitor Utility Echo Blaster 128 Monitor Utility is used for system status monitoring Also this utility helps to see when and how Echo Blaster 128 beamformer is connected to computer to see generated Log file Figure 61 e Utility icon is located in Tray Bar e See Figure 61 and Figure 62 EN 0 de 10 16 Figure 62 e When the icon is lightened RED drivers for a
16. e System Name STEND 4 ismael Stands System Manufacturer GET System Model AW ADACPI System Type ob based PL Processor 286 Family 15 Model 2 Stepping 4 Genumelnt BIOS VersionD ate Award Software International Inc 6 00 PG 1 SMBIOS Version PNG Windows Directory CAIN DOS System Directory CAWINDOW S Systema Boot Device Devices Harddisk olurne Locale Russia Hardware Abstraction Layer Version 5 1 2600 1106 psp 1 020828 19 User Name STEND Administrator Time Zone FLE Standard Time Total Physical Memory 56 00 MB 4yvailable Physical Memory 123 66 MB a 3 F Find what Cloze Find Search selected category onl Search category names only Figure 106 e Click on File and select Save see Figure 107 60 TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 D System Information Al ES File Edit View Tools Help Ctrl 0 Open Close Save Cbrl 5 05 Name Version OS Manufacturer Export System Name System Manufacturer Print Ctrl P System Model System Type Exit Processor BIOS VersionD ate SMBIOS Version Windows Directory System Directory Boot Device Locale Hardware Abstraction Layer User Name Time one Total Physical Memory Available Phusical Memory Search selected category only Search category names only Figure 107 Item Value 4 a Find what Herring Microsoft Windows sP Professional 5 1 2600 Service Pack 1
17. family systems handles a 32 channel multielement probe The number of channels indicates the maximum number of elements to create one echo line Total numbers of independent elements in probe up to 128 4 1 Principle of operation Ultrasound diagnostic system is based on the effect of ultrasound wave reflection from the tissue edges with different acoustic impedance levels Ultrasound waves sent out by the probe head are emitted into the patient s body Reflections from the specific types of tissue and their external surface edges cause partial reflections of the propagating sound wave Return echo comes back to the probe head and after being detected and amplified is displayed on the monitor screen as a pixel combination with various shades of brightness creating an ultrasound image 4 2 Components amp Modifications All Echo Blaster 128 family scanners based on Echo Blaster 128 INT 1Z EXT 1Z Kit It is a main component of ultrasound scanner based on IBM PC compatible computer Existing modifications of the scanners and kits based on Echo Blaster 128 INT 1Z EXT 1Z Kit are e Echo Blaster 128 INT 1Z internal to be installed into regular computer case 14 e Echo Blaster 128 EXT 1Z Kit external made as external device to be placed nearby the PC computer e Echo Blaster 128 PC 1Z scanner Echo Blaster 128 INT 1Z Kit integrated into PC computer e Echo Blaster 128 PC 1Z Portable Echo Blaster 128 INT 1Z Kit integrated into p
18. impossible to examine regions of the body which contain gas or air such as the lungs e The quality of an ultrasound diagnosis depends on where the scan cut is set o Before starting an examination carefully consider where to set the cut to be scanned by the probe so that the region to be examined could be precisely localized by ultrasound e f you have any questions or suggestions about diagnostic system using please contact TELEMED Company NOTES The term Acquisition is understood here as the image forming process whereby a picture is displayed on monitor screen as a result of emitting the ultrasound wave and receiving echoes by the transducer in A the ultrasound probe Both the transducer and the probe are activated during the acquisition process The term FREEZE is understood as the stoppage of the acquisition The button FREEZE turns the ultrasound probe and the transducer circuit 19 6 1 6 SYSTEM SETUP System Requirements and Windows configuring IMPORTANT NOTE Currently Windows 2000 on some computer configurations has A problems with USB 2 0 drivers It s happened so that Windows XP has more stable and bug free USB driver stack That s why we recommend using Windows XP together with Echo Blaster 128 family scanners We are recommended such PC configuration IBM PC compatible Desktop Notebook or Tablet PC computer Intel chipset based motherboard with integrated USB 2 0 controller CPU Pentium 4 Celer
19. installed Service Pack 1 or Service Pack 2 for Windows XP see Figure 17 e Your USB 2 0 controller isn t configured properly for example USB 2 0 drivers are not installed and controller works in USB 1 1 mode Q Instead of declared high frame rate up to 40 60 fps in the peo frame rate indicator see Figure 99 see low value 7 10 fps What is Frame rate 3 fps wrong Figure 99 A The main reasons of such low frame rate are e CPU speed of your computer is too slow see chapter 3 1 System Requirements and Windows configuring e Power Saving feature of your computer is not disabled for example turns Power Saving is on for Notebook computer and decrease CPU speed up to 2 times Computer starts to work slower e Latest Service Packs and updates are not installed Frame rate 5 fos Figure 98 Q Program Echo Wave doesn t start error messages not appears A Installed DirectX version is outdated Version 8 0 or newest needs to be installed It is typical situation when Windows XP is not installed Windows 2000 for example Q Instead of declared high frame rate up to 40 50 fps in the frame rate indicator see Figure 100 see O fps value Sometimes Frame rate fps computer hangs What is wrong Figure 100 A The main reasons of such low frame rate are e Update is not installed as discussed in Microsoft Knowledge Base Article KB822603 see 3 1 2 Windows XP configuring chapter e Instead Windows XP Windows 2000 is installed
20. is not warranted The foregoing warranty is exclusive and in lieu of all other warranties and representations expressed or implied including but not limited to any warranty of merchantability or fitness for any particular trade usage This warranty is also in lieu of any other obligation liability right or claim whether in contract or in tort including any right arising from negligence on the part of TELEMED for any direct incidental consequential or other damage 8 2 Warranty Shipments Returns and Adjustments e A warranty claim must be made promptly and must be received during the applicable warranty period by TELEMED e f it becomes necessary to return a product for repair and or adjustment prior authorization from TELEMED must be obtained Instructions as to how and where these products should be shipped will be provided by TELEMED e Any product or component returned for examination and or warranty repair shall be sent insured prepaid via the means of transportation specified by TELEMED Shipping charges for all products or components replaced or repaired under warranty should be defined separately e In all cases TELEMED has sole responsibility for determining the cause and nature of failure and TELEMED s determination with regard thereto shall be final 8 3 Service Contract A service contract may be obtained for the TELEMED may be after the warranty period has expired The contract provides for any service calls that may b
21. Build 2600 Microsoft Corporation STEND 4 GET AWADACBPI Db based PL Hob Family 15 Model 2 Stepping 4 Genuinelnt Award Software International Inc 6 00 PG 1 Pato CAINDO S CWINDOMW S S ushers Device Harddiskvolume Aussie Version 5 7 2600 1106 xpsp1 020828 1 92 STEND 4 8dministrator FLE Standard Time 56 00 MB 123 56 ME e Save this information as System Information File NFO input the name sysinfo for example select necessary file location CA for example and click on Save button see Figure 108 system Information Aa Ea File Edit View Tools Help Save AS El ES FES Save in Ca WINDOWS C J OGRE Fe mike UTIL ta Documents and Settings mikel vitas My Recent Das My Documents C4xIpnp Documents 3 Downloads My Music in prog E Cj Easymedicsdemo ane WINDOWS 1 Echo Images SOLD Downloads y WUTemp Desktop Ci Echo6lasker Sos files received From BI055 CjPatch 3 gt Program Files z imagerep Projects j2 My Documents Install FI SCNDOP ME Sonic Prog ag Medicina Tem SE Temp kd Com puter Cancel we File name sysinto System Information File MFO bal Woe Save as type Places Figure 108 e After the system information refreshing it will be saved Figure 109 61 TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 A system Information O Op ES File Edit View Tools Help System
22. C and computer monitor via a 1 1 medical insulation transformer which has been designed to IEC 60601 1 The best solution is completely IEC 601 1 certified PC All system including monitor and other connected parts must be configured to comply with IEC 601 1 1 If in any doubt contact the technical service department of your local representative Note that in any case PC used should be approved to the safety standard for IT Information Technology equipment i e IEC 60950 or its national variants Electrical specification is shown below and placed on the rear panel of scanner To avoid electrical shock use only the supplied power cables and connect it to properly grounded power socket Do not use a three pin to two pin adapter This defeats the purpose of safety grounding System should be operated within the voltage limits lf ultrasound scanner will be moved or leaved for a long time without switching on it must be disconnected from power supply If scanner will be switched on do not make any interrupts while operating system and ultrasound software is loading Time for this operation is approx 1 2 min To avoid the risk of electrical shock and fire hazard e before using the probe inspect the probe face housing and cable do not use the probe if the probe or its cable is damaged e always disconnect the AC power supply from the system before cleaning the system e do not use any probe that has been immersed beyond the specified c
23. Click Next gt button See Figure 45 E cho Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 Found New Hardware Wizard Welcome to the Found New Hardware Wizard Windows will search for current and updated software by looking on your computer on the hardware installation CO or on the Windows Update Web site with pour permission Read our privacy policy Can Windows connect to Windows Update to search for software O Yes this time only O Yes now and every time connect a device Found New Hardware Wizard Welcome to the Found New Hardware Wizard This wizard helps you install software for Echo Blaster 128 If your hardware came with an installation CD or floppy disk insert it now What do you want the wizard to do Install from a list or specific location Advanced Click Next to continue Back Cancel Figure 45 3 Operating system is trying to find drivers for new devices See Figure 46 Drivers are founded Click Continue Anyway on this and same dialog Windows which will appear in future See Figure 47 Found New Hardware Wizard Please wait while the wizard searches rej EchoBlaster WOM Video Capture Lj Cancel Figure 46 Hardware Installation NN The software you are installing for this hardware EchoBlaster WOM Video Capture has not passed Windows Logo testing to verify its compatibility with Windows AP T
24. Device Manager utility window and check EchoBlaster WDM Video Capture and Ultrasonograph Connector Bus Device installation as shown at Figure 55 and Figure 56 41 TELEMED you need to Update driver E Device Manager File Action View Help HQ Display adapters El DYD CD ROM drives H Floppy disk controllers el fa Floppy disk drives 2 2 IDE ATAJATAPI controllers iga keyboards Hte Mice and other pointing devices 3 Monitors Network adapters 154 Ports COM amp LPT aj E Processors Er e Sound video and game controllers ban AD Audio Codecs 0 CMI8738 C3DE PCI Audio Device Echoblaster WOM Video Capture nH AD Legacy Audio Drivers Legacy Video Capture Devices ad 0 Media Control Devices bad 0 Standard Game Port E NA 0 Video Codecs El gt Storage volumes System devices Universal Serial Bus controllers Figure 55 bi Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 E Device Manager View Help See Storage volumes a HY aren devices ACPI Fixed Feature Button i Direct memory access controller 4 Intel R 2280106 LPC Interface Controlle ni Intel R 8280106 PCI Bridge 244E Ng Intel R 82645 Processor to AGP Controlle Intel R 87845 Processor to O Controlle 4 15APNP Read Data Port Microcode Update Device 2 Microsoft ACPI Compliant System Ng Motherboard resources i Motherboard resources 2 Motherboard resources Numeric data p
25. Duggan P M and McCowan L M E Reference Ranges and Ultrasonographic Exposure Conditions for Pulsed Doppler Sonographic Studies of the Fetal Internal Carotid Artery J Ultrasound in Medicine 12 719 722 1993 Henderson J Willson K Jago J R and Whittingham T A survey of the acoustic outputs of diagnostic ultrasound equipment in current clinical use Ultrasound in Med and Biol 21 699 705 1995 Holland C K Deng C X Apfel R E Alderman J L Fernandez L A and Taylor K J W Direct evidence of cavitation in vivo from diagnostic ultrasound Ultrasound in Med and Biol 22 91 7 925 1996 Lele P P Local hyperthermia by ultrasound for cancer therapy In Nyborg W L Ziskin M C eds Biological effects of ultrasound Clinics in diagnostic ultrasound Vol 16 New York Churchill Livingstone 135 155 1985 Lopez H How to Interpret the Ultrasound Output Display Standard for Higher Acoustic Output Diagnostic Ultrasound Devices J Ultrasound in Medicine Vol 17 pg 535 1998 Miller D L and Gies R A Gas body based contrast agent enhances vascular bioeffects of 1 09 MHz ultrasound on mouse intestine Ultrasound in Med and Biol 24 1201 1208 1998 National Council on Radiation Protection and Measurements NCRP Exposure criteria for medical diagnostic ultrasound Criteria based on thermal mechanisms Bethesda MD NCRP June 1 1992 National Council on Radiation Protection and Measurements NCRP Exposure cr
26. For compliance with IEC601 1 any computer equipment connected to the USB interface of the ECHO BLASTER 128 INT 1Z EXT 1Z KIT must be certified to IEC standards e g IEC 950 and configured to comply with IEC 601 1 1 Everybody who connects computer equipment to this interface configures a medical system and is therefore responsible for ensuring that the system complies with IEC 601 1 1 If in any doubt contact the technical service department of your local representative 4 4 Peripherals Compatibility Echo Blaster 128 family scanners can work operates with standard PC features PS 2 mouse PS 2 keyboard SVGA monitor Laser printer 600 dpi preferred HP printers optional 17 4 5 Status Indicator The multicolor LED on the front panel indicates system status e RED probe not connected or probe drivers not installed e YELLOW FREEZE mode e GREEN scanning mode acquisition 5 INSTALLATION WARNINGS e Ultrasound scanner should be installed in the premises specifically intended such as an ultrasound scanner lab which area no less than 10 m2 with window coverings to provide some diffused illumination e Power supply wires and other accessories used with the device should be delivered by producer or be the same type as in specification e For proper work and excellent effects use set completed and recommended by producer e Do not connect too many electrical devices to the same power net lt may cause problems with p
27. My Computer e See Figure 15 Figure 15 23 TELEMED Click on My Computer icon by right mouse button Drop down menu appears select Properties menu item See Figure 16 If you see title Service Pack 1 or Service Pack 2 it means that Service Pack 1 or Service Pack 2 is installed now and no need to install reinstall it again See Figure 17 Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 Open Browse with Paint Shop Pro 8 Explore Search Manage System Summary System Information Map Network Drive Disconnect Network Drive Create Shortcut Delete Rename Properties Figure 16 Sistem Restore Automatic Updates Remote TE General i Computer Name Hardware Advanced System Microsoft Windows P Professional Version 007 24 Service Pack 1 Registered to Computer Intel F Pentium R 4 CPU 2806 Hz 2 81 GHz 1 00 GE of RAM Cancel Apply Figure 17 TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 E Device Manager File Action View Help e m ged ce Ka JA HENRYK HJ 4 Computer Ey Disk drives E Display adapters A DYDICD ROM drives 42 Floppy disk controllers HE Floppy disk drives H E IDE ATAJATAPI controllers nga Keyboards 3 Mice and other pointing devices e Make sure that drivers Hs O Na for USB 2 0 interface are 88 Network adapters H Ports COM amp LPT inst
28. R 128 INT 1Z and ECHO BLASTER 128 EXT 12 IMPORTANT To install ultrasound software package You must be logged on as an Administrator or a member of the Administrators group IMPORTANT Uninstall previous version of ultrasound software if it is present Close all application programs running on PC Turn computer on D Scanners Software Echo Blaster 128 3 a olx File Edit View Favorites Tools Help qe i A E E wo 4 1 5 h F id i E To install the drivers ack O B p gt Search gt Folders a ut select Echo Blaster 128 Address Ds Scanners SoftwaretEcho Blaster 128 Go Links Drivers folder from supplied installation apa Echo wave Readme txt CD 126 Drivers See Figure 31 1 objects selected Hd My Computer AF Figure 31 D Scanners Software Echo Blaster 12 Echo Blaster 128 rivers E ol xj File Edit iew Favorites Tools Help ae Y back Thad Bi Search E Folders Es ES prod ie BEL Address E Di Scanners SoftwarelEcho Blaster 126 Echo Blaster 128 Drivers G0 Double click on setup exe icon See Figure 32 SECUD EXE Description Setup Factory setup launcher Company Indic 11 38 ME og My Computer F Figure 32 32 TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 Important Information a l 1 IMPORTANT This drivers package works only with Bearntormers ECHO BLASTER 128
29. See Figure 10 e Device Manager window will appear e Example of this window see at the Figure 11 Note It is only example In your computer the set of hardware can differ System Properties System Restore Automatic Updates 7 Remote General Computer Name A adware Advanced Add Hardware Wizard The Add Hardware Wizard helps you install hardware aap Add Hardware Wizard Device Manager The Device Manager lists all the hardware devices installed on pour computer Use the Device Manager to change the properties of any device Driver Signing Device Manager Hardware Profiles dette Hardware profiles providata way for you to set up and store different hardware copfigurations Hardware Protiles Figure 10 Device Manager File 5 x Action Yiew Help tlb E a Computer Hg Disk drives H E Display adapters El DYDCD ROM drives Ce Floppy disk controllers 4 Floppy disk drives Fle Human Interface Devices 2 2 IDE ATAJATAPI controllers aj naga IEEE 1394 Bus host controllers aj aga Keyboards Mice and other pointing devices 3 Monitors i Network adapters E 4 Ports COM amp LPT ee Processors aj de SCSI and RAID controllers E e Sound video and game controllers System devices Universal Serial Bus controllers Figure 11 21 If in the Device Manager window under symbol unknown device you see not in
30. Summary CF Hardware Resources 05 Name Microsoft Windows XP Professional E Components Version 5 1 2600 Service Pack 1 Build 2600 E E PE E OS Manufacturer Microsott Corporation Entera kl arna CTERIM A System Information Fl Internet Settings Fi efreshing System Information CO ROM BBL C 5 Model 2 Stepping 4 Genuinelnt are International Inc 6 00 FG 1 5 So Syshemse Boot Device Device5HarddiskYolume Locale Russia Hardware Abstraction Layer Version 5 1 2600 1106 psp1 020828 192 User Name STEND Administrator Time Zone FLE Standard Time Total Physical Memory 56 00 MBE Available Phusical Memory 123 66 MB an F 4 Find what Close Find Search selected category only Search category names only Figure 109 e Send this file to technical support service by e mail as attachment 62 8 WARRANTY AND SERVICE INFORMATION 8 1 Warranty TELEMED warrants the diagnostic system to be free from defects in material and workmanship at the original purchaser s location for 18 months exception the probe is warranted for 12 months This warranty covers parts for the full 18 months or 12 months respectively and labor for 90 days In order to comply with this warranty all service must be performed by a TELEMED qualified field engineer or with the express permission of TELEMED Items excluded from this warranty are misuse negligence or accidental damage TELEMED points out that data loss
31. T 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 A Start EL Echo Wave 1 91 Figure 80 Welcome to the Found New Hardware Wizard This wizard helps you install software for Ultrasound Probe C4 5 50 1285 If your hardware came with an installation CD e or floppy disk insert it now What do you want the wizard to do Install from a list or specific location Advanced Click Nest to continue Figure 81 Found New Hardware Wizard Please wait while the wizard searches O Ultrasound Probe C4 5 50 1282 a KI Next gt Cancel Figure 82 90 TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 Hardware Installation AY The software you are installing for this hardware Ultrasound Probe 14 580 28 e During drivers installation such haz not passed Windows Logo testing to verify its compatibility window will with Windows AP Tell me why this testing is important appeal Continuing your installation of this software may impair or destabilize the correct operation of your system e Click on either immediately or in the future Microsoft strongly recommend that you stop this installation now and ContinueAnyway contact the hardware vendor for software that has button passed Windows Logo testing
32. TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 ECHO BLASTER 128 INT 1Z KIT ECHO BLASTER 128 EXT 1Z KIT USER GUIDE Manufactured by TELEMED UAB Dariaus ir Gireno str 42 Vilnius LT 02189 Lithuania phones 370 5 2106272 370 5 2106273 fax 370 5 2306733 Internet http www telemed lt E Mail info telemed t gt TELEMED Ultrasound medical systems NOTE Non TELEMED product names may be trademarks or registered trademarks of their respective owners AUS el aba nG a 5 CII Cl SC aaa 6 ADOULTNE SY SIEM SONNAN Laman ta ANA AGA AA AA ANAN 7 Technical Special Most batass 7 2 cl EIECINCal SATEN eee ee ee dde 11 2 2 EGUOMEN PrO ECO caran a a udanetetia annette 12 2 3 BIOIOJICaL SM AA AA 12 2 4 Ultrasound WAVES CX DO SUC ini NANANA NAA AA 12 4 1 4 2 4 3 4 4 4 5 ETNCIPlS OT OST ATOM sonia cdo NAAN 14 Components amp Modifications Aa 14 A AA AA AA 15 422 Probe UN a ANAN ASARAN AYA RBAN GANAN AGANE ANT AA LANA LAN ANN ANNA NAAN 15 42 3 Peksehal GOMPUIS Gene ee en ce er eee ee 15 Connection ana MGIC ATO iaa 15 Peripherals GOmpatDilihy mamasa a aaa 17 Statis MACO GANANG AA ES 18 INSTALLATION WARNINGS iran lo 6 1 6 2 6 3 System Requirements and Windows configuring a 20 6 1 1 How to check hardware in DEVICE MANAGER Uu 11 a 20 O LZ WINDOWS XP CONMQUANO ai 22 Ultrasound Hardware installa
33. afe use of diagnostic ultrasound A Recommendations General e The use of diagnostic ultrasound to obtain information about function or structure in human beings should be restricted to situations in which the medical benefit that may accrue from the diagnostic data outweighs any foreseeable risk Most such situations are limited to clinical examinations of the ill or potentially ill patient or pregnant women e Situations of training demonstration or research may also provide a medical benefit from diagnostic data that outweighs any foreseeable risk Here information is obtained for people who are not necessarily in the categories of Recommendation 1 above In all situations of training demonstration or research if either of the Thermal Index or Mechanical Index will be greater than 1 then a subject should be informed of the anticipated exposure condition and how it compares in safety with conditions for normal diagnostic practice e Ultrasound should not be used for any of the following o to have a picture of the fetus solely for non medical reasons o to learn the sex of the fetus solely for non medical reasons o for commercial purposes such as trade shows or producing pictures or videos of the fetus Thermal Effects e M mode is valuable clinical tool and despite potential risks is not contraindicated However operators should be careful to limit exposure to critical structures and utilize the exposure information provi
34. al Commission Requirements for The Declaration of the Acoustic Output of Medical Diagnostic Ultrasonic Equipment AIUM NEMA Standard for real time display of thermal and mechanical acoustic output indices on diagnostic ultrasound equipment 1992 OPERATIONAL ENVIRONMENT Nominal operational environment Temperature of the environment 10 45 C Relative humidity not exceeding 85 Yo Atmospheric pressure 70 106 kPa Main power supply 220V 10 50Hz 2 Or 110V 10 60Hz 2 2 SAFETY Please read this information before using the diagnostic system It applies to the ultrasound system transducers accessories and peripherals 2i Electrical safety This system complies with the applicable medical equipment requirements and meets IEC601 1 Class internally powered equipment requirements or powered by Class approved external medical power supply for Echo Blaster 128 EXT 1Z Type B safety requirements NOTE Everybody who connects computer equipment as medical appliance configures a medical system and is therefore responsible for ensuring that the system complies with IEC 601 1 1 The achievement the PC compliance with the requirements of IEC 601 1 is based on electrical safety A standard PC power supply almost certainly does not comply with the electrical IEC 601 1 requirements from several standpoints e g leakage current requirements dielectric strength requirements A Possible solution is powering the P
35. alled properly aE Ries AG Sound video and game controllers e See Figure 18 HS Storage volumes El 4 A System devices E Universal Serial Bus controllers BE Generic USB Hub Intel 82801 DB DBM USB 2 0 Enhanced Host Controller 24D Intel R 82801D6 DBM USB Universal Host Controller 2422 Intel R 82801D6 DBM USB Universal Host Controller 2474 Intel R 82801D6 DBM USB Universal Host Controller 2427 USE Mass Storage Device USB Root Hub USB Root Hub USB Root Hub USB Root Hub Figure 18 25 TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 E Device Manager File Action View Help e m Eal eP A HENRYK B Y Computer E y Disk drives e E Display adapters Ed DYD CD ROM drives Ee Floppy disk controllers Bf Floppy disk drives 4 2 IDE ATAJATAPI controllers Eee Keyboards Mice and other pointing devices 3 Monitors E HS Network adapters a a Other devices ba Universal Serial Bus USE Controller Hi 4 Ports COM amp LPT H Processors E Y Sound video and game controllers E Storage volumes System devices Universal Serial Bus controllers Figure 19 lf USB drivers are installed not properly see Figure 19 File Action wiew Help E Computer Eag Disk drives Hg Display adapters EL DYD CD ROM drives Fy Floppy disk controllers Eee Floppy disk drives 4 3 IDE ATAJATAPI controllers E lt a Keyboards Mice and other poin
36. anufacturer name and address Model Serial number Rear panel Electrical ratings e EC representative Used to indicate the degree of safety or Rear panel along with ATTENTION This symbol is intended to alert the user to the presence of important Rear panel complete operating and maintenance servicing system beamformer instructions in the literature accompanying cover kit the appliance Type B Equipment man symbol IEC 878 02 03 indicates B type equipment which is providing a particular degree of protection against electric shock particularly regarding allowable LEAKAGE CURRENT and reliability of the PROTECTIVE EARTH CONNECTION if present MAINS ON indicates the power on On the power switch position of the mains power switch complete system MAINS OFF indicates the power On the power switch disconnection from the mains ary a kasal ke Rear panel DC power input Echo Blaster 128 EXT Identification and Rating Plate External probe outlet 1Z beamformer 4 SYSTEM OVERVIEW Here is main information about Echo Blaster 128 INT 1Z EXT 1Z Kit based scanners The system consists of see Figure 3 e Beamformer e Ultrasound Probe e Personal Computer Desktop Notebook Tablet PC e Battery External Power Supply option pde Desktop PC Notebook PC Tablet PC SY A AAA a SSS AN Battery External Power Supply I AOS PC Power Line Dan BEAMFORMER Probe Figure 3 The Echo Blaster 128
37. are reuisiun BE Skarting device Ul Derice in borne m gt kilo NG Gystomkpat uste nk Kue ebo ssh bt Loaded Altera loading 1 attempt o Log file will appear at the screen mi e na E A A Send this file to technical support 26 64 PH File ASpotemkoati Epetentonbrd vero UTEIS ROGNE bin Ivaded O pp PASAN DA Penhe c A pin mannertad l service by e mail as attachment eb PM Strean B changed state ko ACQUIRE T SOT o See Figure 104 Cabsti PE Sureau U changed stave LU MUH 4 62b FA SErcan E changed skate Eb PAUSE AFATAN ME rear iia siale In SI 4 20 62 FIRE Probe pin Jia 4 26 FAL Denice is turned DEF 1 20 20H Fil Deere ibis Figure 104 e Detailed description of the problem for example drivers and software installed correctly system works but see very weak echo signal e Attached example of the bad image if need scanner settings must be in default settings see Operation Manual for details After technical support service will receive this information during short time you must receive recommendations about steps to solve problem Technical support service can ask you to send additional Log file named System Log File This System Log File file contains a lot of important information about your computer and its configuration This file can help to TELEMED qualified specialists offer the optimal configuration and best solution for each customer request Do the following steps e F
38. ccuracy and performance verification System accuracy and performance verification should be conduced annually or if doubt exists about image quality or distance estimation Use tissue mimicking phantoms for evaluation of accuracy and performance of the system Refer to Manual supplied with the phantom for detailed description of accuracy and performance verification During the performance assessment or tests using phantoms etc the probe lens may be short time immersed in water or other special liquid NOTE The System was designed for sound velocity in tissue 1540 m sec For accuracy verification need to use phantoms which was calibrated for this sound velocity 65 10 TRANSPORTATION STORAGE AND UTILIZATION 10 1 Transportation and storage Ultrasound scanner should be stored and moved according to the package technical documentation and the standard procedures 10 2 Utilization Utilization recycling of this equipment should be made by specialized company and be according to the local law 66 11 DECLARATION OF CONFORMITY DECLARATION OF CONFORMITY CE We TELEMED UAB Dariaus ir Gireno str 42 Vilnius LT 02189 Lithuania Declare under our sole responsibility that Equipment Ultrasound scanner Model name ECHO BLASTER 128 INT 1Z ECHO BLASTER 128 EXT 1Z is in conformity with the council directive 93 42 EEC Medical Device Directive AE November 11 2003 Date 67 Guidelines for the s
39. ce verificatiON coocccccncconoconnccnniconiconnncanonos 65 10 TRANSPORTATION STORAGE AND UTILIZATION 10 1 Transportation and storage a 66 102 SUIZA MON ci AA 66 11 DECLARATION OF CONFORMITY issan 67 1 INTRODUCTION Dear customer our Echo Blaster 128 family systems are intended for the multipurpose ultrasound examinations based on electronic linear and convex scanning It is ideal budget solution for hospitals specialized diagnostic centers public and private clinics Our new class of PG based compact ultrasound scanners now is featuring 128 element beamformer with multi frequency probes support Scan converter free architecture 128 element probes connection Industry standard ZIF Zero Insertion Force probe connector Connectivity via fast USB 2 0 interface to any PC Desktop Notebook Tablet 12 V powered from external power supply battery standard PC power line External internal power lines digital monitoring displaying reports Digitally controlled acoustic power Light weight true mobility flexible architecture Here in User Guide you can find a common information about Echo Blaster 128 INT 1Z EXT 1Z Kit how to assemble the system components and install the software safety and maintenance information Operation Manual contains controls description 1 1 About the system Echo Blaster 128 INT 1Z EXT 1Z Kit offers to get a real time and frozen ec
40. ded by the manufacturer e In particular users should employ exposures which are As Low As Reasonably Achievable ALARA because of the potential for ultrasonic heating of tissue during M mode imaging and normally to a significantly greater extent Doppler ultrasound blood flow examinations Exposure can be reduced by either reducing the Thermal Index using output controls or by reducing the dwell time the amount of time that the transducer remains in one place Mechanical Effects e Users should employ exposures in any relevant mode which are As Low As Reasonably Achievable ALARA because of the potential for o ultrasonically induced capillary hemorrhaging in lung if it is exposed during pediatric diagnostic ultrasound examinations particularly for infants and neonates especially if they are pre term o ultrasonically induced capillary hemorrhaging of the intestine where intestinal peristalsis is inhibited or conditions promote intraluminal or submucosal gas collections 68 o ultrasonically induced capillary hemorrhaging in other soft tissues when Gas Contrast Agents are used e Use of Gas Contrast Agents in a diagnostic ultrasound examination is not recommended within 24 hours before extracorporeal shock wave lithotripsy e Exposure can be reduced by lowering the Mechanical Index using output controls Reducing the dwell time is of use if threshold pressures are exceeded Quality Assurance lt is recommended that equipment
41. e for Ultrasonograph Connector Bus Device If your hardware came with an installation CD or floppy disk insert it now What do you want the wizard to do Install from a list or specific location Advanced Click Next to continue Figure 50 Found New Hardware Wizard E E E Please wait while the wizard searches mE Ultrasonograph Connector Bus Device Herts Cancel Figure 51 40 TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 Found New Hardware Wizard Please wait while the wizard installs the software vy E Ultraszonograph Connector Bus Device a e Drivers copying is in progress de ET o See Figure 52 usgprbus sys To CNYINDOWS AS usbtem324O rivers Black Next gt Cancel Figure 52 Found New Hardware Wizard Completing the Found New Hardware Wizard The wizard has finished installing the software for q E Ultrasonograph Connector Bus Device e Drivers installation is finished e Click Finish button e See Figure 53 Click Finish to close the wizard Cancel Figure 53 bi When process IS y Found New Hardware x finished the Your new hardware is installed and ready to use corresponding report appears See G2 6 41 PM e See Figure 54 Figure oa 6 3 3 Echo Blaster 128 Drivers installation checking We are recommending to check drivers installation after installation is finishing Open
42. e necessary to keep the system operational and will include at least one regularly scheduled service visit per year As part of the scheduled maintenance the service representative will do a complete inspection and test calibration of the system To providing our customers with the best possible support send your comments and suggestions to support telemed It 63 9 MAINTENANCE Performance and Safety Checks see in the Table 3 Table 3 Recommended Maintenance General cleaning Inspect the system cables and probes Before Use Daily system accuracy and performance verification Annually 9 1 General cleaning The LCD CRT screen and all external surfaces may be cleaned with a soft cloth dampened with a neutral detergent Do not use solutions with chlorine ammonia fluoro carbons or hydro carbons Do not use abrasive cleaners or high fiber wipes that may scratch the surface NOTE Before cleaning the unit ensure the unit is off and the mains power cable is disconnected 9 2 Inspecting the System Examine the exterior for cleanliness and general physical condition Ensure the housing is intact hardware is present and secure and labeling is legible Check the cables especially power cable If there is any peeling or cracking of the outside insulation carefully disconnect the cable and replace it with a new one 9 3 Probe maintenance and sterilization Inspect probe cable connector and lens surface Contacts on
43. ell me why this testing 12 important Continuing your installation of this software may impair or destabilize the correct operation of your system either immediately or in the future Microsoft strongly recommends that you stop this installation now and contact the hardware vendor for software that has passed Windows Logo testing Continue Anyway Figure 47 38 TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 Found New Hardware Wizard E E Please wait while the wizard installs the software F EchoBlaster WOM Video Capture e Files copying is in progress 4 e See Figure 48 ana To CAWINDOWS Sustemie Black Hest gt Cancel Figure 48 Found New Hardware Wizard Completing the Found New Hardware Wizard The wizard has finished installing the software for Taj EchoBlaster WOM ideo Capture e Click Finish to search next component e See Figure 49 Click Finish to close the wizard i Cancel Figure 49 39 TELEMED Operating system will find new device named Ultrasonograph Connector Bus Select Install the software automatically option Click Next gt button See Figure 50 Drivers searching is in progress See Figure 51 cho Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 Found New Hardware Wizard Welcome to the Found New Hardware Wizard This wizard helps you Install softwar
44. er GQ ox i Ladia rodets a F x 128 Echo Wave folder Address Dy Scanners SoftwarelEcho Blaster 128 Echo Wave So and double click on setup exe icon setup z setup e See Figure 71 Description Setup Factory setup launcher Ce 1 38 MB Y My Computer Figure 71 45 TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 Important Information 2 1 IMPORTANT This drivers package works only with Bearntormers ECHO BLASTER 128 Ultrasound systems Echo Blaster 128 INT 12 Kit Echo Blaster 128 EXT 12 Kit Echo Blaster 128 PC 14 e Important Information window will appear e Click on Next gt button 2 RECOMMENDED SYSTEM REQUIREMENTS IBM PC compatible desktop notebook or Tablet PE computer Intel chipset based motherboard with integrated USE Cancel e See Figure 72 Back Figure 72 Install Folder 3 Setup will install the software to the directory listed in the box below To install to a different directory either type in the new path or click Browse to select another directory Install files to this location e Select folder to install Echo Wave software C Program Filez4Echo Wave Browse Space required on drive 3 8 MB e Click on Nexts button e See Figure 73 Space available on selected drive 14311 ME Back Cancel Figure 73 46 TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4
45. erformed you can pass to next chapter If not necessary to execute missing steps 6 2 Ultrasound Hardware installation connection Read the User Guide manual information before start e SAFETY e OPERATIONAL ENVIRONMENT e INSTALLATION WARNINGS Configure the computer according to the requirements Always connect power cable s female part to the power connector and the male part to the hospital grade power socket of a proper voltage 6 2 1 PCI to USB 2 0 Adapter PCMCI to USB 2 0 Adapter lf your computer has no High Speed USB 2 0 port it is necessary to install PCI to USB 2 0 adapter for desktop PC or PCMCI to USB 2 0 adapter for Laptop Notebook computers for your PC s capability extension It can be included to delivery set by customer request Figure 24 Figure 25 Typical PCMCI to USB 2 0 adapter for Typical PCI to USB 2 0 adapter for Desktop Notebook computer See Figure 24 computer See Figure 25 Follow the manufacturer s manual to install the adapter and driver 6 2 2 Assembling and connecting ECHO BLASTER 128 INT 1Z KIT Described below hardware installation steps are based on typical computer desktop case Cases available on the market can differ Before installing the hardware learn the manual of concrete case intended for use 28 TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 e Turn off the computer and unplug its power cable e Disconnect all the external
46. finished e Click on Finish button e See Figure 76 lt Back Cancel Figure 76 e The Echo Wave icon will appear at the desktop See Figure 77 e Now system is ready to be started 1 st time ir NG a S F 3 My Computer My Network Internet My Documents Places Explorer Recycle Bin Start Figure 77 48 6 3 6 1 st attempt to run software ultrasound probes installation A A IMPORTANT DO NOT insert ultrasound probe to beamformer all systems ECHO BLASTER 128 INT 1Z and ECHO BLASTER 128 EXT 12 IMPORTANT Power line must be connected all systems ECHO BLASTER 128 INT 1Z and ECHO BLASTER 128 EXT 12 Double click on Echo Wave icon see Figure 77 The software window like shown at Figure 78 will appear Minimize software window using Minimize button see Figure 79 Software window must be minimized to taskbar see Figure 80 A Echo Wave 1 91 em m gt al Figure 78 49 r Palette Control o ces q 102 JO Palette Presets r Cineloap Frame 1 0 Advanced TELEMED Figure 79 Connect ultrasound probe to system Windows will found new hardware Wait until Found New Hardware wizard will appear Select Install software automatically and click on Next gt See Figure 81 Operating system is trying to find drivers for connected probe See Figure 82 Echo Blaster 128 IN
47. focus 8 zones SIGNAL PROCESSING TGC Control 5 zones for each depth Dynamic range control 8 steps Pre processing Overall gain control 16 steps M mode sweep speed control 1 16 sec Acoustic power control 256 levels 10 10096 Variable frame averaging Color processing Brightness contrast gamma control Scan direction and up down orientation control Negative positive control Real time Intelligent Zoom and Free Hand Zoom Bi linear interpolation Echo enhancement control 5 values PERSONAL COMPUTER USB 2 0 Interface Drivers package for beamformer and probes Firmware upgradeable Echo Wave software SDK documentation sample code available by agreement Computer type e Echo Blaster 128 EXT 1Z Kit 12 V from external medical grade power supply 1 5A e Echo Blaster 128 INT 1 Kit 12 V from standard Computer Internal Power Line 1 5A SAFETY IEC601 1 2 Medical electrical equipment part 1 General requirements for safety e Externally powered by Class medical approved power supply adapter for Echo Blaster 128 EXT 1Z e Class for Echo Blaster 128 INT 1 e Type B European Norm EN 55011 1998 CISPR 11 1999 a Naga Industrial scientific and medical ISM radio frequency Post processing Ultrasound software Input Power Electromechanical safety equipment Radio disturbance characteristics Limits and methods of measurement Ultrasound exposure CEI JIEC 61157 1992 International Electro technic
48. ho images in B mode B B mode two echo images on the screen simultaneously one real time and one frozen M mode B M mode two real time images in B and M modes These echo images can be either full size or zoomed Unlike ordinary ultrasound devices this scanner is based on modern digital technologies PC and USB 2 0 application enables many powerful innovative features such as e user friendly easy to use intuitive graphic user interface e echo images storage on hard disk or any other devices e storage a sequence of full size echo images cineloop with possibility to save it in video file format e image and cineloop file formats enables using other applications for viewing stored data e using a variety of peripheral devices e direct echo image and even video e mail sending at one click A variety of available ultrasound probes makes possible application for examinations in therapy obstetrics gynecology urology pediatrics oncology and others Common view of Echo Blaster 128 EXT 1Z Kit is shown on the Figure 1 Beamformer Probe Bani os supply ind Power supply N ea gay USB cable a Y cable CD ROM BE software Figure 1 Common view of Echo Blaster 128 INT 1Z Kit is shown on the Figure 2 Manuals Probe Probe holder Beamformer Oe Ca A LLL a ma KE pao Wan S _ ng F i a seit AB KIA AA KAN Ng CD ROM Manuals Internal MARE USB cable Figure 2 Un Deliver
49. ial average temporal average intensity at the face of the transducer divided by the duty factor where the duty factor is the product of the pulse duration and the pulse repetition frequency spatial average temporal average intensity at the face of the transducer the time averaged intensity averaged over the face of the transducer Thermal Index TI a quantity related to the potential for ultrasonic heating It is proportional to a calculated or estimated temperature rise for model exposure conditions The Thermal Index is given by the ratio of the ultrasonic power emitted by the transducer to the ultrasonic power required to raise tissue temperature by 1 C for the model exposure conditions In the calculation of all Thermal Indices the average ultrasonic attenuation in the body is assumed to be 0 3 dB cm MHz along the beam axis e g the ultrasonic intensity is reduced by 3 dB a factor of 2 for a 5 MHz beam 2 cm into the body along the beam axis Mechanical Index MI a quantity related to the potential for mechanical effects during a diagnostic ultrasound examination It is given by the ratio of the largest value in the ultrasound beam of any derated rarefactional pressure to the square root of the transducer frequency The pressure is in Megapascals and the frequency is in MHz ultrasonic heating the heating of tissue including bone due to the absorption of ultrasound ultrasonic power the total amount of ultrasound energy e
50. imits recommended in Section Thermal effects there is no demonstrated risk of clinically significant damage in humans from mechanical effects of ultrasound exposure during a diagnostic examination However capillary hemorrhaging has been observed in lung and the intestine of mammals at diagnostically relevant exposures This effect has also been observed in other soft tissues if gas contrast agents are used For the most part thresholds are just as likely to be exceeded for B mode as for pulsed Doppler or color flow Doppler modes However thresholds are lower for pulsed Doppler modes with relatively long pulses lf the Mechanical Index MI exceeds 1 there is a small risk of capillary hemorrhaging in the lung during ultrasound examinations involving exposure of the neonatal and infant chest The risk may increase in more unusual exposures where the surface of the lung is near the focus Although clinically significant hemorrhaging is unlikely in part because of the small volume of tissue that is affected the potential for achieving clinical significance may increase in the premature infant At the current maximum values for the MI of 1 9 it is unlikely that diagnostic ultrasound exposure would lead to clinically significant intestinal hemorrhage in humans However the likelihood may increase for pathologic conditions inhibiting intestinal peristalsis and promoting intraluminal and submucosal gas collections 70 e A limited number of experime
51. ind System Information icon Figure 105 e Click on this icon 59 TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 Set Program Access and Defaults a Accessories i FA Accessibility ACD Systems Communications Echo Blaster 126 Drivers Entertainment Es Backup Programs 42 Character Map Windows Catalog Windows Update a T AA F System Tools Was Address Book Ba Disk Cleanup Calculator Documents a na R Disk Defragmenter EN Command Prompt Settings W Files and Settings Transfer Wizard pa Motepad C3 Scheduled Tasks Y Paint Search System Information Program Compatibility Wizard Help and Support E System Restore y Synchronize Adobe Reader 6 0 9 Tour Windows xP Windows XP Professional Rum F Internet Explorer windows Explorer Wt MSN Explorer ah Windows Movie Maker Log Off Administrator ka Outlook Express At WordPad Remote Assistance Turn GFF Computer ine NG Windows Media Player start Ye Irfanview 3 Windows Messenger Figure 105 e System Information file appears on the screen see Figure 106 System Information PA a File Edit View Tools Help Value 05 Name Microsoft Windows lt P Professional Version 5 1 2600 Service Pack 1 Build 2600 System Summary H Hardware Resources H Components E Software Environment OS Manufacturer Microsoft Corporation
52. iteria for medical diagnostic ultrasound Il Criteria based on mechanical mechanisms Bethesda MD NCRP in preparation O Neill T P Winkler A J and Wu J Ultrasound heating in a tissue bone phantom Ultrasound in Med and Biol 20 579 588 1994 Patton C A Harris G R and Phillips R A Output Levels and Bioeffects Indices from Diagnostic Ultrasound Exposure Data Reported to the FDA IEEE Trans Ultras Ferro Freq Cont 41 353 359 1994 Ramnarine K V Nassiri D K Pearce J M Joseph A E A Patel R H and Varma T R Estimation of in situ ultrasound exposure during obstetric examinations Ultrasound in Med and Biol 19 319 329 1993 73 Shaw A Preston R C and Bond A D Assessment of the likely thermal index values for pulsed Doppler ultrasonic equipment Stage calculation based on manufacturers data NPL Report CIRA EXT 018 1997 Shaw A Pay N M and Preston R C Assessment of the likely thermal index values for pulsed Doppler ultrasonic equipment Stages Il and Ill experimental assessment of scanner transducer combinations NPL Report CMAM 12 1998 Siddiqi T A O Brien W D Meyer R A Sullivan J M and Miodovnik M In situ human obstetrical ultrasound exposimetry estimates of derating factors for each of three different tissue models Ultrasound in Med and Biol 21 379 391 1995 U S Food and Drug Administration FDA Information for manufacturers seeking marketing clearance of diagn
53. leaning or disinfection level e inspect the power supply AC power supply cable and plug on a regular basis ensure they are not damaged e use only accessories and peripherals recommended by TELEMED WARNING To avoid risk of electrical shock don t open cover of device blocks There are no parts that can be repaired by yourself In case of troubles y contact TELEMED service department or nearest local authorized distributor 11 2 2 Equipment protection To protect your ultrasound system transducer and accessories follow these precautions e excessive cables bending or twisting can cause a failure or intermittent operation e improper cleaning or disinfecting of any system part can cause permanent damage for cleaning and disinfecting instructions see chapter below e do not use solvents such as thinner benzene or abrasive cleaners on any part of the system e do not spill liquid on the system e incorrect assembly or configuration and using an improper power source may damage the system WARNING Ultrasound probes can easily be damaged by improper handling Failure to follow these precautions can result in serious injury and equipment damage 2 3 Biological safety Observe the following precautions related to biological safety e do not use the system if it exhibits erratic or inconsistent behavior e discontinuities in the scanning sequence are hardware failure indication that must be corrected before u
54. mitted by the transducer per unit time 79 Added chapter Declaration Of Conformity 76
55. more than 1 5 C above normal physiological levels 37 C may be used clinically without reservation on thermal grounds o a diagnostic ultrasound exposure that elevates embryonic and fetal in situ temperature above 41 C 4 C above normal temperature for 5 minutes or more should be considered potentially hazardous o the risk of adverse effects is increased with the duration of exposure In addition it has been reported that water immersion body heating of rats yielded the development of encephalocoeles in the rat fetuses in as little as 1 minute at a temperature elevation of 5 C above normal physiological temperature WFUMB 1998 For temperature elevations greater than 1 5 C above normal physiological levels 37 C this information can be approximately matched to a functional form recommended by the NCRP NCRP 1992 This yields an equation for combinations of temperature elevation and time which should be considered potentially hazardous t ASAT where t is the time in minutes at the specified temperature and is the temperature elevation above normal 37 C Barnett et al 1997 have recently published an updated review of thermal effects focusing on the potential for effects on the fetus They note that there is little information on the teratogenic effects from localized heat damage by ultrasound 71 Abbott JG Rationale and derivation of MI and TI a review Ultrasound in Med and Biol 25 431 441 1999
56. mputer All controls apply by computer keyboard and mouse trackball touchpad As a result all ultrasound data and software interface can be observed on SVGA monitor LCD panel 4 3 Connection and Indication TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 Status CCT Ta Indicator M TELEMED gigi a pr PED ae Probe Connector Figure 4 front view of Echo Blaster 128 EXT 1Z beamformer Figure 4 USB Socket MANUFACTURER LELEMED LAB Mais ir or sir dg 0298 varia Peena TYRE Echo amp mile 1JH EXT AF SERA 7934 24074 gra EC REPREAEDI Ta Tiwi labama pra madibum enh im Don 1Sa 021375 Lera Germany CE AUNTY mca os RPD Figure 5 rear view of Echo Blaster 128 EXT 1Z beamformer 12VDC Power DE ih t izy Figure 5 TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 y TELEMED ECHO BLASTER 125 Figure 6 front view of Echo Blaster 128 INT 1Z beamformer a Status Indicator Probe Connector Figure 6 MANUF TU REN TE MEO Ug Ii ec Pe 5a 37 US Vir js La ka TYPE bo iso 170 EEEF FERIAL 854 Na Mal RE D SUPPLY pe Fai 2a ka Figure 7 rear view of Echo Blaster is LE 128 INT 1Z beamformer USB Socket Computer Power Inlet Figure 7 IMPORTANT NOTE The ECHO BLASTER 128 INT 1Z EXT 1Z KIT is partially powered through USB from the computer to which it is connected
57. n the future Microsoft strongly recommends that you stop this installation now and contact the software vendor for software that has passed Windows Logo testing Continue Anyway Figure 40 35 TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 Setup is complete and your software is now installed Click Finish to end the Setup e When setup is complete click Finish e See Figure 41 Figure 41 e The Echo Blaster 128 Drivers package In order to complete the installation your system must be restarted Click OK to continue or installation IS complete Cancel if vou wish to reboot later e Click OK to restart e See Figure 42 Information for advanced File Edit View Favorites Tools Help ae users S peck gt Pi Search alan Folders e After installation Echo Blaster 128 drivers is located in C Program Files Echo Blaster 128 Drivers folder C Media Common Files ComPlus Echo Blaster Applications 125 Drivers e See Figure 43 Figure 43 6 3 2 First beamformer connection After computer rebooting do following e Connect disconnected USB cable to Echo Blaster 128 beamformer 36 TELEMED If Service Pack 2 was installed such window will appear see Figure 44 Select No not this time Click Next gt button Operating system will find new device named Echo Blaster 128 Select Install the software automatically option
58. nother USB aise Part port gt Unused Port by Unused Port Unknown Device Unused Part gt Unused Port USB Root Hub 8 ports Recommendation Try reconnecting the device Windows still does not recognize it replace the device Figure 89 Q Trying to run Echo Wave software the error message see Figure 90 appears What does it mean 53 Echo Blaster 126 beamformer initialization error E x XxX voltage is out of range or power supply is not connected Please check your power supply Figure 90 A The reasons of this message can be e Power supply is not connected to beamformer connect it to beamformer e Power supply is not connected to AC power wall outlet Connect power supply to AC wall outlet e The voltage rating of power supply output doesn t fit to beamformer requirements Contact with tech support service e Power supply is faulty Contact with tech support service Q Trying to run Echo Wave software the error message see Figure 91 appears What does it mean Echo Blaster 126 beamformer initialization error E ES Could not Find beamformer 1 Check the beamformer is connected to USB port 2 Check the Echo Blaster 126 beamformer is installed properly Figure 91 A The reasons of this message can be e The USB cable is not connected between beamformer and computer s USB port Check proper connection of this cable e The beamformer drivers are not installed properly
59. ntal studies suggests that use of ultrasound gas contrast agents GCAs micro bubbles during a diagnostic examination has the potential to increase the likelihood of capillary hemorrhaging in tissues other than lung In experiments on animals the risk of significant hemorrhaging from lithotripter fields is increased for several hours after injection e As long as the recommended output limits are not exceeded mechanical effects are far less likely to be important in obstetrical ultrasound because of the absence of gas bodies Biological Effects The clinical effect of an exposure depends on the nature and degree of tissue injury This can be assessed from biological effects studies Several extensive reviews have been published regarding the adverse biological effects of ultrasonic heating based on animal studies particularly in mammalian species Lele 1985 NCRP 1992 WFUMB 1992 AIUM 1993 WFUMB 1998 With regard to adult tissues the available literature suggests that tissue temperature elevations in the range of 8 10 C sustained for 1 to 2 minutes will cause tissue injury Bly et al 1992 Lele 1985 The reviews have also considered studies of teratogenic effects usually on the developing brain due to whole body heating of the embryo or fetus The recommendations resulting from these reviews can be succinctly expressed as follows WFUMB 1998 o a diagnostic ultrasound exposure that produces a maximum in situ temperature rise of no
60. on Centrino 1 2 GHz or better with 400 533 800 MHz FSB 128 MB DDR RAM or more 10 MB free hard disk space SVGA monitor with 800x600 or 1024x768 resolution AGP display adapter with 8 MB video memory Windows XP installed with latest Service Packs and Hot Fix available DirectX 8 0 or above installed The TCO 92 95 99 certificated display UL CSA TUV CE certificated computer s power supply 6 1 1 How to check hardware in DEVICE MANAGER Sometimes during Windows or Echo Blaster 128 family scanners probes installation needs to check driver s installation using Device Manager utility Process of Device Manager utility checking described below Find on the desktop My y Computer icon My Computer See Figure 8 Figure 8 Open l Browse with Paint Shop Pro 8 Click on My Computer Poe icon by right mouse ER button SE System Summary Drop down menu System Information appears Map Network Drive Disconnect Network Drive Select Properties menu item Create Shortcut Delete See Figure 9 Rename Properties Figure 9 20 TELEMEL Echo D Dp LJ 7 Z A A f fr fr nr User Guide REV 2 4 2005 05 0 12 9 28 INT 1Z EXT 1Z 7 KIT aster e System Properties window appears e Select Hardware tab e Press Device Manager button e
61. operators implement quality assurance measures to maintain the capability of obtaining reliable diagnostic information at acoustic exposures which are As Low As Reasonably Achievable As the quality of diagnostic information depends in part on operator training it is also recommended that sonographers ultrasound technologists be appropriately qualified and registered in regional organizations of ultrasound professionals B Conclusions General e Although there are many exposure conditions for which the risk of injury during a diagnostic ultrasound examination is negligible this is not the case for every possible exposure condition using currently available equipment Therefore the persons responsible for the ultrasonic exposure must ensure that the exposure is justified i e that reliable diagnostic information can be achieved and that the benefits outweigh the risk e The conclusions listed below provide guidance as to the risks due to thermal and mechanical effects arising from ultrasound exposure To be useful all the conclusions need to be taken into consideration Thermal Effects e At the time of writing the information published on output levels during B mode imaging indicates that the risk of injury from ultrasonic heating is negligible during this type of examination At this time there appears to be no reason on thermal grounds to limit such scanning for any clinical indication including ultrasound examination of normal p
62. ortable case with LCD panel All other characteristics of these scanners and kits are same Detailed specifications of all modifications possible are available here http www telemed It 4 2 1 Beamformer Beamformer functions are excite electric pulses to fire the probe ultrasound echo signals pre amplification compensation of the ultrasound attenuation due to travel depth reordering the receiving signal sequence and focusing by applying the appropriate time delays e shifting the center frequency of BPF band pass filter to follow the frequency shift that occurs according to the travel depth e the ultrasound signal compression by means of Log Amplifier detection the echo signal envelope 4 2 2 Probe Unit Probe unit is piezoelectric transformer which provides the acoustical pulse used to exanimate the medium and used for both transmission and reception i e the transducer is used in pulse echo mode A voltage waveform is applied to the transducer and the converted into an acoustic waveform inverse piezoelectric effect Acoustic pulse is then partially transmitted and partially reflected by intervening soft tissues structures in the body The reflected acoustic waveform is received by the same transducer and is converted into a voltage waveform direct piezoelectric effect The probe unit consists up to 128 piezoelectric elements Probe enclosure has a relief color mark to affix the scanning direction 4 2 3 Personal Co
63. ostic ultrasound systems and transducers Rockville MD FDA Sept 30 1997 World Federation for Ultrasound in Medicine and Biology WFUMB WFUMB Symposium on Safety and Standardization in Medical Ultrasound Chapter 1 ed Barnett S B and Kossoff G Ultrasound in Med and Biol 18 739 750 1992 World Federation for Ultrasound in Medicine and Biology WFUMB WFUMB Symposium on Safety of Ultrasound in Medicine Conclusions and recommendations on thermal and non thermal mechanisms for biological effects of ultrasound ed Barnett S B Ultrasound in Med and Biol 24 Supplement 1 1998 D Glossary of Terms ALARA As Low As Reasonably Achievable a principle which is used to reduce unnecessary potentially hazardous exposure to individuals by keeping doses As Low As Reasonably Achievable As shown throughout this guideline application of the ALARA principle to diagnostic ultrasound differs from its common usage in diagnostic X ray imaging where it is assumed that there is no threshold exposure In the use of diagnostic ultrasound there are three ranges of exposure i e combinations of Thermal or Mechanical Indices and dwell time that need to be considered At exposures that are clearly below the thresholds for health effects further reduction of exposure is not justified whether it is via reductions in dwell time or acoustic output There can also be exposures that are or may be above thresholds for health effects In these cases
64. regnant women e In all other operating modes especially those used for Doppler blood flow examinations risk of injury from ultrasonic heating depends on the temperature elevation and the dwell time as indicated by the conclusions given below e lf the Thermal Index TI does not exceed 1 currently available evidence indicates that the risk of an injury due to ultrasonic heating is negligible for the vast majority of conditions of the diagnostic ultrasound examination e For first trimester transabdominal fetal examinations through a bladder path greater than 5 cm in length evidence indicates that it is possible that the maximum temperature elevation which could be obtained is as much as 2 3 times that of the displayed Soft Tissue Thermal Index TIS More caution may be warranted in these situations particularly if the TIS exceed 1 e The Soft Tissue Thermal Index TIS is the appropriate indicator of the potential for ultrasonic heating for examinations in which the ultrasound beam travels a path 69 which is made up principally of homogeneous soft tissue or a soft tissue fluid path as in a first trimester fetal examination or an abdominal examination If bone including 2 or 3 trimester fetal bone is within the ultrasound beam then the Bone Thermal Index TIB is often the appropriate indicator except as noted in the next conclusion If bone is in contact with the transducer then the Cranial Thermal Index TIC is the appropria
65. rocessor i PCI bus i Plug and Play Software Device Enumerate i r Programmable interrupt controller System board Md System CMOS real time clock id System speaker System timer 4 Terminal Server Device Redirector ng Ultrasonograph Connector Bus Device a IPA Universal Serial Bus controllers Figure 56 If Echo Blaster 128 beamformer drivers were not installed properly see Figure 57 see Figure 58 42 TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 Es Device Manager File Action View Help LF cg Device Manager File Action view Help TELEMED pi ng Computer H a Disk drives E a Display adapters al Computer Ae DYDICD ROM drives Ea Disk drives 0 23 Floppy disk controllers H E Display adapters Ta a aati Ed DYD CD ROM drives vM Flopp disk drives IDE ATAJATAPI controllers Co Sp ian E H Floppy disk drives Hga Keyboards 612 IDE ATAJATAPI controllers Y Mice and other pointing devices fal Keyboards Hd Monitors iI TO Mice and other pointing devices E BB Network adapters il 22 Monitors a nG Other devices E EH Network adapters a iq Other devices E dar Echo Blaster 128 aes a 4 Ports COM amp LPT aa Ports COM amp LPT LALA e Processors F ae Processors Disable H Sound video and game controllers 1 Sound video and Uninstall El e Storage volumes E y Storage volumes System devices 3 System devices Universal Serial Bus
66. roper work or even make failure of the device e Device connected to power net is still supplied even if switched off e Any changes made in ultrasound scanner made by user are prohibited and cause loss of guarantee e Always disconnect the scanner from power supply if notice o Failure of power supply cable o Device was dropped o Work is not correct o Strange noises or smoke from the cover e Damage of the scanner made by wrong use cause loss of guarantee e Keep device from temperature shock When you will move the scanner from cold to warm place please wait 0 5 to 1 hour before switch on It is necessary because of water condensation at electronic parts Do not use the scanner close to moisture source or in place with high moisture Do not use compressed air or vacuum to clean the device Do not drop hit or shake Take care when work with ultrasound probe Probes should be clean after work from gel and other deposits Do not use any aggressive chemicals To increase life time of probes always leave them after work with freeze acquisition e Probes changing can be done only at FREEZE mode or POWER OFF e Ultrasonic waves have a low transmittivity in air and gas within the living body If air is present between the probe and the skin examination may be impossible o Therefore it is necessary to apply an acoustic coupler special gel olive oil liquid paraffin etc so that the probe adheres closely to the skin o Iltis also
67. rs for probe each time when it connected NOTE Do not unplug power cable during scan mode You can damage scanner Exit from software and only after that unplug power cable NOTE Do not unplug USB cable during scan mode You can damage scanner Exit from software and only after that unplug USB cable gt gt gt 52 TELEMED Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 7 TROUBLESHOOTING Read this chapter carefully before you will call Tech Support service Tal FAQ Q Connecting beamformer to USB port 4 Found New Hardware X instead typical success message Found New Echo Blaster 128 Hardware see Figure 87 see warning message USB Device Not Recognized see E 4G 10 19 Figure 88 and Figure 89 How to solve this Figure 87 problem A USB Device Not Recognized x One of the USB devices attached to this computer has malfunctioned and Windows does not recognize it For assistance in solving this problem click this message EN Figure 88 USE Device Not Recognized 3 3 One of the USB devices attached to this computer has malfunctioned and Windows does not recognize it The location of the device is shown in bold type A At the rear panel of computer several USB port in Unused Port connectors are located Connect Hi Unused Port beamformer to a
68. se e do not use the system if it exhibits artifacts on the LCD screen either within the clinical image or on the area outside it e artifacts are indication of hardware and or software errors that must be corrected before use e perform ultrasound procedures prudently use the ALARA As low As Reasonably Achievable principle see APPENDIX Guidelines for the safe use of diagnostic ultrasound WARNING At detection of discrepancy to patients safety requirements A occurrence or probability of risk you need to inform immediately the local dealer and the manufacturer for single European customers to inform the EC representative labeled on the rear panel 2 4 Ultrasound waves exposure Ultrasound waves used in diagnostic system have frequencies from 3 5 MHz to 7 5 MHz Sound waves with such frequency are weaken in air so can be measured for example in water Ultrasound waves sent by converter have so small power medium intensity less than 100mW cm that according to International Electro technical Commission IEC 1157 standards is within AIUM NEMA standards and have not any impact for patient health unnecessary exposure should be avoided Detailed information is expounded in APPENDIX Guidelines for the safe use of diagnostic ultrasound 3 LABELING Table 2 describes the purpose and location of safety labels and other important information provided on the equipment Table 2 LABEL SYMBOL DESCRIPTION LOCATION M
69. stalled device it must be installed completely Example of such not properly installed device see at the Figure 12 If in the Device Manager you see device with attached symbol it means resource conflicts in your computer Example of such not properly configured device see at the Figure 13 NANG Fl 4 Computer See Disk drives E Display adapters Hs CVD CD ROM drives E Foppy disk controllers El Poppy disk drives El IDE ATAJATAPI contralless H Keyboards 5 Mice and other ponting devices H El Monizors HES Network adapters AGE Cther devices E Mulimaria A amp i idin Zantenller Gn Parts COM Re LPT CF ae Perressanta HA Sard iden end gane controllers H dq System devices Figure 12 Z Device Manager ala File Action Yiew Help e 0182 2 EHENRAYE F Computer See Disk drives 4 B Display adapters EL DWDICD ROM drives HG Floppy disk controllers El Floppy disk drives H E IDE ATAJATAPI controllers ip keyboards Bl Mice and other pointing devices Fl ig Monitors Network adapters EP Intel R PROJ100 VE Network Connection fl Ports COM amp LPT Processors Fe Sound video and game controllers E P System devices Figure 13 6 1 2 Windows XP configuring IMPORTANT NOTE It is very important part of User Guide Read it very carefully 22 lolx File Action Yiew Help E lage edsa E Computer Ese Disk drives 3 pat Sdaplers
70. te indicator If bone is within about 1 cm of the transducer and this is closer than the nearest focal zone the Cranial Thermal Index TIC is the appropriate indicator More caution may be warranted in these cases because of the potential for transducer self heating heating of the transducer may add significantly to any ultrasonic heating which may occur Generally more caution may be warranted for transvaginal transesophegeal and transrectal examinations because heating of the transducer has the potential to produce additional heat to adjacent tissue This conclusion and the following one provide guidance to the user if the temperature elevation in the fetus could exceed 1 C as a result of a diagnostic ultrasound exposure If the exposure produces a maximum in situ temperature of no more than 38 5 C 1 5 C above normal physiological levels then it may be used Clinically without reservation on thermal grounds To be considered potentially hazardous on thermal grounds it appears that a diagnostic ultrasound exposure must elevate embryonic and fetal in situ temperatures to the following temperatures for approximately the corresponding durations 39 C 2 degrees above normal 60 minutes 40 C 3 degrees above normal 15 minutes 41 C 4 degrees above normal 4 minutes 42 C 5 degrees above normal 1 minute 43 C 6 degrees above normal 0 25 minutes Mechanical Effects At exposures that do not exceed the output l
71. the probe connector must be without bends The surface of probe lens must be clean without scraps and bladders Check for any crack which will allow liquid to enter the probe especially joints such as cable connector and cable probe If any such damage is found do not use the probe till replaced Clean the probe lens cable and casing thoroughly After every patient exam wipe the ultrasound transmission gel off the transducer Wipe the transducer and cable with a dry or water moistened soft cloth Then wipe with a Glutaraldehyde based disinfectant To assure optimal sterilization always follow the manufacturer s directions Use care to avoid getting solution in the probe connector Wrap the connector in the plastic bag to avoid liquid contact with the connector Use an EPA registered germicide intended for use on plastic medical instruments 2 Glutaraldehyde type solutions without surfactants are recommended Follow the germicide manufacturer s instructions regarding concentration time of contact storage and disposal Do not use alcohol or alcohol based solutions Thoroughly rinse all residues from the probe with sterile distilled water after removal from the germicide Do not wipe the strain relief nousing joint the strain relief or the cable with isopropyl alcohol Isopropyl alcohol can cause damage to these parts of the transducer This and any mechanical damage is not covered by the warranty or your service contract 64 9 4 System a
72. ti WT FILTER NO FILTER Figure96 Figure 97 Mounted filter components Not mounted filter components Power supply manufacturer save on several dollars Ask your computer manufacturer retailer to change non conforming power supply to another one certificated and labeled by CE TUV UL CSA CB VDE FCC FTZ etc Also be sure that your computer monitor is conforming to TCO 92 TCO 95 or TCO 99 electromagnetic radiation standards see the label on the monitor 56 Q Trying to run software computer hangs or starts to reboot during startup Whats wrong A The main reason of this problem is that computer power supply is weak and not able to hold peak currents during system start up It is main problem of cheap power supplies instead declared 200 or 300 Wt real power is 100 or 150 Wt Ask your computer manufacturer retailer to change non conforming power supply to another one This situation is actual only for Echo Blaster 128 INT 1Z Kit equipment Q Instead of declared high frame rate up to 40 60 fps in the peo frame rate indicator See Figure 98 see low value 4 5 fos What is wrong A The main reasons of such low frame rate are e Computer hardware doesn t meet the requirements Instead of High Speed USB 2 0 interface the ultrasound system was connected to Low Speed USB 1 1 You need to update computer hardware or install PCI to USB 2 0 adapter PCMCI to USB 2 0 adapter read corresponding chapter in this manual e Not
73. ting devices 3 Monitors Network adapters a a Other devices Fr Universal Serial Bus Sige Hi y Ports COM amp LPT Update Driver E Processors Disable E Sound video and game cor Uninstall E nagp Storage volumes System devices Universal Serial Bus controll Properties Scan For hardware changes Figure 20 update driver see Figure 20 e Windows XP and Windows XP Service Pack 1 contain several critical USB bugs errors For these bugs fixing is necessary to install Hot Fix as discussed in Microsoft Knowledge Base Article KB822603 More details about this update you can read here http support microsoft com default aspx scid kb en us 822603 KB822603 update for all languages is located on supplied CD ROM disc Utilities Windows XP Updates WindowsXP KB822603 x86 folder NOTE No need to install KB822603 update if Service Pack 2 installed This update already included in the Service Pack 2 26 Echo Blaster 128 INT 1Z EXT 1Z KIT User Guide REV 2 4 2005 05 06 Display Properties E x Themes Desktop Screen Saver Appearance Settings I lt IND MS TELEMED Set Screen resolution of your Desktop to 800x600 or 1024x768 e See Figure 21 Display e Set Color depth to 16 24 or lipama A9OZMT VisionMaster Pro 451 on NVIDIA GeForce Fx 5700 32 bit e See Figure 21 Color quality Medium 16 bit Screen resolution Less More 1024 bu
74. tion connection occcocccocncoccconiconcccnnononanonanonanes 28 6 2 1 PCI to USB 2 0 Adapter PCMCI to USB 2 0 Adapter oocccoccccoccccoocnco 28 6 2 2 Assembling and connecting ECHO BLASTER 128 INT 1Z KIT 28 6 2 3 Assembling and connecting ECHO BLASTER 128 EXT 1Z KIT 31 Software installation for Windows XP aaa 31 6 3 1 Echo Blaster 128 Drivers installation cooccconnconnccocncocnonanicanonannnnanonos 32 0 9 2 F IFS OC all ONIMEl CONNECCION cranir ANAN NAGA 36 6 3 3 Echo Blaster 128 Drivers installation checking ccoocccocncconicoconocncnanonas 41 6 3 4 Echo Blaster 128 Monitor Utility aaa ma viele Gn 44 6 3 5 ECHO WAVE software installation XQXQ Xa 45 6 3 6 1 st attempt to run software ultrasound probes installation 49 Ji ROUBLE SHOOTING do 7 1 Tee A een ee nett eet AA 53 Contact with technical support service XQX XX a 58 9 WARRANTY AND SERVICE INFORMATION sss 03 8 1 8 2 VV ANALY waaa EN 63 Warranty Shipments Returns and Adjustments ccececeseeeeeeeeeeeeeeeeeeeeeeees 63 3 8 3 Service Contract inci nana 63 MAINTENANCE saa 64 Dale 6 21 clk INN iii 64 9 2 IIS DSC TING UC VSEM enea aan AA 64 9 3 Probe maintenance and sterilization cooocccocccccncconnconncconocanocarononnonanenanoss 64 9 4 System accuracy and performan
75. tton e To start installing click Install in Ready to Install window Hote regarding drivers installation pop up message will appear stating the driver is not digitally signed by Microsoft You will need to acknowledge this message by clicking OK not Cancel to proceed with driver installation e See Figure 36 Back Cancel Figure 36 34 Setup will install necessary files See Figure 37 Cleaning system files wait for a few minutes to complete See Figure 38 Echo Blaster 128 Drivers pre installation process See Figure 39 Sometimes during installation the message like shown on Figure 40 appears Click Continue Anyway button each time this o similar message appears Installing Files Please wait while setup installs the necessary files Installing C Program Files usghw dll Figure 37 cy CA WINDOWS System32 cmd exe a Please wait while setup is cleaning system files Figure 38 cn C WINDOWS System32 cmd exe Please wait for Echo Blaster 128 Drivers to pre install When asked press Continue Anyway Figure 39 Software Installation The software you are installing haz not passed Windows Logo testing to very its compatibility with Windows sP Tell me why this testing is important A Continuing your installation of this software may impair or destabilize the correct operation of your system either immediately or i
76. tware installation for Windows XP 6 2 3 Assembling and connecting ECHO BLASTER 128 EXT 1Z KIT Connect external power supply to the power socket rear panel DO NOT insert USB cable to the beamformer and PC ports DO NOT connect the ultrasound probe to the beamformer connector Start the software installation according to chapter 6 3 Software installation for Windows XP NOTE Beamformer is powered partially from PC via the USB and draws approx 250 mA If you need to use a USB Hub to share the USB A connection with other devices it is important to ensure that you use a self powered Hub that can supply power to its connected devices The device may not function if connected to a passive or bus powered USB Hub 6 3 Software installation for Windows XP Echo Blaster 128 family scanners software consists of 2 packages e Echo Blaster 128 Drivers e Echo Wave 31 At first it is necessary to install Echo Blaster 128 Drivers package This package contains USB drivers for beamformer and ultrasound probes At second it is necessary to install Echo Wave software package It is graphical user interface The installation process of Echo Blaster 128 Drivers and Echo Wave described 6 3 1 Echo Blaster 128 Drivers installation IMPORTANT DO NOT insert USB cable to beamformer all systems ECHO BLASTER 128 INT 1Z and ECHO BLASTER 128 EXT 12 IMPORTANT DO NOT insert ultrasound probe to beamformer all systems ECHO BLASTE
77. wrong 7 2 A The main reasons of such low penetration are Working surface of transducer is dirty Necessary to clean transducer surface See corresponding chapter in this manual No ultrasound gel on the transducer Apply an adequate amount of gel or water to the scan surface Very low gain Incorrect Echo Wave software controls settings Set image controls to Default settings Contact with technical support service If problems during installation or operation remains and you can t solve it by yourself use support telemed lt e mail address First at all send to technical support service such information e Scanner type for example Echo Blaster 128 EXT 1Z Kit e Serial number of the scanner for example 2351 050428 9686 e Probe type for example HL9 0 40 1 282 Serial number of the probe for example 3241 050504 9701 58 e Echo Blaster 128 drivers version for example Echo Blaster 128 Drivers 2 63 e Echo Wave software version for example Echo Wave 2 93 e Attached Log file generated by scanner o Run Echo Wave software all cables and probe must be connected o Using right mouse button click on the Echo Blaster 128 Monitor icon additional menu will appear o Select Show Log menu item Figure 103 o See Figure 103 Pl EBEv lt 0L ing Miliya y a Liz Jl LAWA yer L al Ul Priven yersin lp y p YE Looded MERA A FH beuico Echo Elaister TE MAA LOPE Maria re Cecil LAME AR IE line
78. y set 1 Beamformer Echo Blaster 128 INT 1Z EXT 1Z Kit 6 User guide Operation manual Software CD ROM Probe holder Standard USB cable for Echo Blaster 128 EXT 1Z Kit internal USB cable for Echo Blaster 128 INT 1 Kit 7 Power supply medical grade 100 220 VAC 50 60 Hz for Echo Blaster 128 EXT 1Z Kit only 8 Power supply cable for Echo Blaster 128 EXT 1Z Kit only 9 Ultrasound probe types and quantity is defined by customer 10 PCI to USB 2 0 adapter or PCMCIA to USB 2 0 adapter optional defined by customer Dm SI HON 1 3 About the system software Your diagnostic system contains Echo Wave software to control its operation TELEMED provides latest Echo Wave software version and drivers package with your system In the software the unique technologies making the intellectual property of TELEMED company are used Latest software version can be downloaded from http www telemed It internet site 1 4 Technical Specification Table 1 contains technical specifications of Echo Blaster 128 INT 1Z EXT 1Z Kit Table 1 GENERAL FUNCTIONS B B B B M Imaging Modes M FREEZE mode Scan angle changing in 6 steps for frame rate maximizing linear Scanning Method convex microconvex 512 512 pixels True 256 gray shades full motion and full size real time ultrasound imaging up to 60 fps Depth Selection cm 128 elements probes 31 different types available o 3 5 MHz o 5 0 MHz o 7 5 MHz RIBES o

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