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1. AC MA AC MA AC MA AC MA mm 2SD mm 2SD mm 2SD mm 2SD 56 12w1 10 130 19w1 12 206 26w3 15 280 33w3 17 58 12w2 11 132 19w2 12 208 26w4 15 282 33w4 17 60 12w4 10 134 19w3 12 210 26w6 15 284 33w6 17 62 12w5 10 136 19w5 12 212 27w0 15 286 34w0 17 64 12w6 11 138 19w6 12 214 27w1 15 288 34w1 18 66 13w1 11 140 20w1 12 216 27w2 15 290 34w3 18 68 13w2 11 142 20w2 13 218 27w4 15 292 34w4 18 70 13w4 11 144 20w4 12 220 27w5 16 294 34w5 18 72 13w4 11 146 20w5 12 222 27w6 16 296 34w6 19 74 13w6 11 148 20w6 13 224 28w1 15 298 35w1 17 76 14w0 11 150 21w1 15 226 28w2 16 300 35w2 18 78 14w1 12 152 21w1 15 228 28w4 16 302 35w4 17 80 14w3 11 154 21w3 15 230 28w5 16 304 35w5 18 82 14w4 11 156 21w4 13 232 28w6 16 306 35w6 18 84 14w6 11 158 21w6 13 234 29w0 16 308 36w1 17 86 15w0 11 160 22w0 13 236 29w1 17 310 36w2 18 88 15w1 11 162 22w1 15 238 29w3 16 312 36w4 17 90 15w3 11 164 22w3 13 240 29w4 17 314 36w4 19 92 15w4 11 168 22w6 13 242 29w6 16 316 36w6 18 94 15w5 12 170 23w0 13 244 30w0 16 318 37w0 18 96
2. Label Description Channel Method Results display Transverse Abdominal TAD 1 cll AVE MA d AVE APAD Antero Posterior Diameter 4 Distance mm EDO pi bo of the Abdomen d iie RAD CER Cerebellum Diameter 1 LA nb RENIE TARK i Elli T X parameter value in the etus Trunk cross section ipse or Trace Area FTA 1 Mee valid range of the Area mm or dm 3 preset formula will be HUM Humerus Length 1 calculated for the AVE Distance mm value OFD Occipital Frontal Diameter 1 mm THD Thorax Diameter 1 Table 7 2 Obstetric Measurement 2 78 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual The system will calculate AVE MA and AVE EDC automatically after measuring each parameter 7 3 1 GS To measure GS use the Maximum diameter method 1 Press Measure to activate obstetric measurement 2 In the obstetric menu roll the trackball to highlight the menu GS press Set and move the cursor to image and display 3 Measure GS in the method of distance measurement Reference Section 6 6 1 Generic Measurements in B Mode 4 The results are displayed in Measured Results 5 To begin a new GS measurement repeat steps 1 through 3 You can measure a maximum of one group of data 7 3 2 CRL To measure CRL 1 Press Measure to activate obstetric measurement 2 In the obstetric menu roll the trackball to highlight the menu CRL press Set and move the
3. Label Description Method HIP The Angle of Hipbone a The Angle of BL and ARL HIP p The Angle of BL and IL Table 12 1 Orthopedics Measurement and Calculation Items 12 2 Orthopedics Report After the orthopedics examination the system generates a HIP worksheet Roll the trackball to highlight HIP Worksheet and press Set to display HIP Worksheet dialog box as shown below HIP worksheet Figure 12 2 HIP Worksheet 119 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual The diagnosis editing column displays the cursor T and you can enter diagnosis information To print the report Press Print in the HIP Worksheet BH Printing reference Section 5 8 Printing 12 3 Others If you want to begin other measurements you can switch through the menu by selecting Others 120 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 13 Inspection and Maintenance CAUTION The device and accessories are to be disposed of according to local regulations after their useful lives Alternatively they can be returned to the dealer or the manufacturer for recycling or proper disposal Batteries are hazardous waste Do not dispose them together with house hold garbage At the end of their life hand the batteries over to the applicable collection points for the recycling of waste batteries For more detailed information about recycling of this prod
4. Locked Unlocked Figure 4 5 Transducer Ports Figure 4 6 Locked and Unlocked Positions of the Probe Connectors A WARNINGA DO NOT touch the pin of probe connector cAUTION DO NOT plug or pull out the connector when the device is to activated This is to avoid uncontrollable damage to the probe and the main unit NOTE Once the probe is connected to the main unit please do not reinstall it frequently This is to avoid poor contact between the probe and the main unit 4 7 Rear Panel Connections Video connections are located on the rear panel of the DUS 6 A WARNINGA Accessory equipment connected to the analog and digital interfaces must be certified according to the respective IEC EN standards e g IEC EN 60950 for data processing equipment and IEC EN 60601 1 for medical equipment Furthermore all configuration shall comply with the valid version of the standard IEC EN 60601 1 1 Therefore anybody who connects additional equipment to the signal input or output connector to configure a medical system must make sure that it complies with the requirements of the valid version of the system standard IEC EN 60601 1 1 If in doubt consult our technical service department or your local distributor DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual CAUTION To ensure proper grounding and leakage current levels it is the policy of EDAN to have an authorized EDAN representative or EDAN
5. p B Alphabetic key combination Press SHIFT and an alphabetic key corresponding to the language s special character Alphabetic Shift key It is used to shift the characters between lowercase and uppercase Entering key ENTER In annotation mode and comment mode press this key to move the cursor to insert a blank line aja 24 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Delete key In annotation mode and comment mode press this key to delete text word by word s 8 t o a Arrow key In annotation mode and comment mode press the arrow keys to move the comment cursor New Patient key Press this key to cancel all the recent patient data comments measurements calculations and worksheet except saved images T 3 ry Patient information annotation key Press this key to open or to close the Patient Data Input Dialog box Examine Menu key Press this key to display or to exit the examination type menu File System Control key Press this key to enter or to exit the Or to do the presetting file management system Reference Reference Section 6 8 File Management Section 5 7 Presetting When entering the file menu you can not use other function keys i 4 v Snapshot key Press this key to save the current image But after entering the file menu you can t use this key to save the current image Refe
6. Abbreviated Description Obstetrics EDC Estimated Date of Confinement MA Menstrual Age LMP Last Menstrual Period BBT Basal Body Temperature EFW Estimated Fetal Weight GS Gestational Sac Diameter CRL Crown Rump Length BPD Biparietal Diameter HC Head Circumference AC Abdominal Circumference FL Femur Length AFI Amniotic Fluid Index TAD Transverse Abdominal Diameter Transverse Trunk Diameter APAD Antero Posterior Abdominal Diameter CER Cerebellum Diameter FTA Fetus Trunk cross section Area HUM Humerus Length OFD Occipital Frontal Diameter THD Thorax Diameter Cardiology LVIDd Left Ventricle Internal Diameter end diastolic LVIDs Left Ventricle Internal Diameter end systolic HR Heart Rate ESV End Systolic Volume SV Stroke volume CO Cardiac Output EF Ejection fraction M mode FS Fractional Shortening SI Stroke Index CI Cardiac Index MVCF Mean Velocity Circumferential Fiber Shortening BSA Body Surface Area AOD Aortic root Diameter LAD Left Atrium Diameter LAD AOD Left Atrium Diameter Aortic root Diameter CA Cardiac cycle apex A CE Cardiac cycle apex E CA CE The ratio of CA to CE 172 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual EF SLP Ejection Fraction Slope ACV AC Decreasing Velocity DEV Deceleration Velocity DCT Deceleration Time
7. mvv f LAM Pe Jj aam jg s Jj as Jj Ps Lesion 2 Figure 5 3 System defined Comment Library 5 4 6 Body Mark Function To add a body mark 1 Press Body Mark to display the body mark dialog box 2 Highlight a body mark in the body mark dialog box and press Set to confirm the choice to add the body mark The selected body marks are displayed in the bottom left corner of the screen lij Reference Figure 5 1 Typical Image Screen 3 After adding a body mark use the trackball to move the position of the probe and the rotation function is automatically activated and the rotation light is on you can rotate this button to adjust the probe scanning directions 4 Press Set to complete adding the body mark To move a body mark 1 Move the cursor to a body mark and there is a pane around the body mark 2 Press Set and move the cursor to a new position 3 Press Set to confirm the new position 2005 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual There are more than 80 types of body marks as shown below DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Urology Figure 5 4 Body Marks 5 4 7 Adjustment Controls DIP eor ore Multi function knob 1 Press this knob repeatedly to cycle among IP F position and F number functions When one of the functions is to activated rotate the knob to adjust the value When the light of IP is on rotate the knob to adju
8. 154 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 2 5 9w2d 6 5 12w0d 9 7 5 14w2d 12 10 16w4d 14 2 6 9w3d 6 5 1 12w1d 9 7 6 14w3d 12 10 1 16w5d 14 2 7 9w4d 7 5 2 12w2d 9 7 7 14w3d 12 10 2 16w6d 14 2 8 9w5d 7 5 3 12w2d 9 7 8 14w4d 12 10 3 16w6d 14 2 9 9w6d 7 5 4 12w3d 9 7 9 14w5d 12 10 4 17w0d 14 3 10wOd 7 5 5 12w3d 9 8 14w5d 12 10 5 17w0d 14 3 1 10w1d 7 5 6 12w4d 9 8 1 14w6d 12 3 2 10w2d 7 5 7 12w5d 10 8 2 15w0d 12 3 3 10w3d 7 5 8 12w5d 10 8 3 15w0d 12 A3 4 BPD Hadlock Hadlock FP Deter RL etc Estimationg Fetal Age Computer Assisted Analysis of Multiple Fetal Growth Parameters Radilolgy 152 497 1984 MA BPD cm 9 54 1 482 BPD 0 1676 BPD Merz Merz E Ultrasound in Gynexology and Obstetrics Stuttgart and New York Thieme Medical Publishers Inc 1991 p 326 Table BPD Merz BPD MA BPD MA BPD MA BPD MA mm 2SD mm 2SD mm 2SD mm 2SD 21 0 12w1d 13 41 0 17w5 16 61 0 23w6d 17 82 0 31w2d 19 22 0 12w3d 12 42 0 18w0 16 62 0 24w1d 17 83 0 31w5d 18 23 0 12w5d 12 43 0 18w2 16 63 0 24w4d 17 84 0 32w1d 18 24 0 13wOd 13 44 0 18w4 16 64 0 24w6d 17 85 0 32w4d 18 25 0 13w1d 13 45 0 18w6 16 65 0 25w1d 17 86 0 32w6d 19 26 0 13w4d 12 46 0
9. Table 8 3 Other Measurement Items 94 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 4 Calculation items rate Label Description Method EDV mL LVIDd mm y 1000 EDV End Diastolic Volume CUBE formula ESV mL LVIDs mm 1000 ESV End Systolic Volume CUBE formula SV Stroke volume SV mL EDV mL ESV mL CO Cardiac Output CO L min SV mL x HR bpm 1000 EF Ejection fraction M mode EF No unit SV mL EDV mL x 100 FS N it LVID LVID LVID FS Fractional Shortening Ne UN SEM SERI SM d mm x 10096 SI Stroke Index SI No unit SV mL BSA m CI Cardiac Index CI No unit CO L min BSA m MVCF Mean Velocity Circumferential MVCF No unit LVIDd mm LVIDs mm LVIDd Fiber Shortening mm x ET ms 1000 BSA Body Surface Area m Calculate by to the selected formula LVMW Left Ventricular Muscle Weight E ABS EOS tae ACUTUM CORR Som uS 9 Lypwa cm P LVIDd cm 13 6 Left Ventricular Muscle Weight LVMWI LVMWI No unit LVMW BSA Index A E The ratio of CA to CE AIE No unit CA mm CE mm Left Atrium Diameter Aortic LAD AOD LAD AOD No unit LAD mmy AOD mm root Diameter AV SV mL MAVO1 cm MAVO2 cm AVSV Aortic Valve Stroke Volume ET s 50 AA cm Mitral valve instant fl QMV mal vave Instantaneous FOW OMV mL 4 DEV cm s DCT s Table 8 4 Calculation Items 95 DUS 6 Digita
10. 3 52 16wOd 15w1d 16w5d 6 75 26w2d 25wOd 27w3d 9 04 36w4d 34w1d 40w1d 3 62 16w2d 15w3d 17wOd 6 84 26w4d 25w3d 27w5d 9 08 36w6d 34w3d 40w2d 3 72 16w4d 15w6d 17w2d 6 92 26w6d 25w4d 28w0d 9 12 37w1d 34w4d 40w3d 3 81 16w6d 16wOd 17w4d 6 99 27wid 25w6d 28w2d 9 15 37w3d 34w5d 40w4d 3 91 17w1d 16w2d 17w6d 7 07 27w3d 26w1d 28w4d 9 18 37w5d 35wOd 40w5d 4 01 17w3d 16w4d 18w1d 7 15 27w5d 26w3d 29w0d 9 21 38wOd 35w1d 40w6d 4 10 17w5d 16w6d 18w3d 7 23 28wOd 26w5d 29w2d 9 24 38w2d 35w2d 41wOd 4 20 18wOd 17w1d 18w5d 7 30 28w2d 27w0d 29w5d 9 27 38w4d 35w3d 41wOd 4 29 18w2d 17w3d 19w0d 7 38 28w4d 27w2d 29w6d 9 29 38w6d 35w4d 41wOd 4 39 18w4d 17w5d 19w2d 7 45 28w6d 27w3d 30w1d 9 31 39w1d 35w5d 41wOd 4 48 18w6d 18wOd 19w5d 7 53 29w1d 27w5d 30w4d 9 33 39w3d 35w6d 41wOd 4 57 19w1d 18w2d 20wOd 7 60 29w3d 28w0d 30w6d 9 35 39w5d 36wOd 41wOd 4 67 19w3d 18w4d 20w2d 7 67 29w5d 28w2d 31w1d 9 36 40wOd 36wOd 41wOd 4 76 19w5d 18w6d 20w4d 7 74 30wOd 28w4d 31w3d 4 85 20w0d 19w1d 20w6d 7 81 30w2d 28w6d 31w5d Tokyo Studies on Fetal Growth and Functional Developments Tak
11. A1 6 Probe Specifications Supported probe type convex linear micro convex endocavity transvaginal endorectal This device can detect the probe automatically The applications of the probes C363 1 Abdomen Gynecology Fetal Obstetrics and Pediatrics C343 1 Abdomen Gynecology Fetal Obstetrics and Pediatrics C321 Abdomen Gynecology Fetal Obstetrics Pediatrics and Cardiology E613 Transvaginal Gynecology Fetal Obstetrics and Urology E743 Transrectal Rectum and the surrounding viscera uterus ovary and prostate L743 Small parts galactophore thyroid gland prostate Neonatal Cephalic Peripheral Vascular Musculo skeletal both Conventional and Superficial The probe specifications are as follows R60 L43 R20 R10 R40 Probe C363 1 L743 E743 C321 E613 C343 1 Central frequency 3 5 MHz 7 5 MHz 3 5 MHz 6 5 MHz 3 5 MHz 2 0 MHz 6 0 MHz 2 0 MHz 4 5 MHz 2 0 MHz 3 0 MHz 7 0 MHz 3 0 MHz 5 5 MHz 3 0 MHz Frequencies 4 0 MHz 8 0 MHz 4 0 MHz 6 5 MHz 4 0 MHz 5 0 MHz 9 0 MHz 5 0 MHz 7 5 MHz 5 0 MHz 6 0 MHz 10 0 MHz 6 0 MHz 8 5 MHz 6 0 MHz Length of probe 2m cable 134 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual A1 7 Operating Storage and Transportation Environment A1 7 1 Operating Environment Temperature 5 C 40 C Relative humidity range 25 RH 80 RH Atmosph
12. BMP DJ3600 YYYY MM DD M 16 ib 49 USB Disk hd Figure 5 13 General Presetting Dialog Box Item Setting Allows you to Set hospital name displayed on the Hospital key top left of the screen and Input freely a Name diagnosis report with a maximum of 32 characters Default Abdomen obstetric small parts gynecology E 1 Preset the examination type Exam orthopedics cardiology or urology Chinese English French German Spanish Italian Polish Russian Romanian etc The Language Set the overlay language language options varies with language software installed Video Mode PAL Set video mode SnapShot ad BMP JPG DCM if DICOM is installed Set the snap shot type Keyboard i risp 4 Null Turn on or off the keyboard sound Sound Report Select the printer type see table 5 5 ju DJ 3600 DJ4100 DJ Generic VIP LJ Mono VADE aes Printer for the corresponding printer model 39 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Print Report Image Select whether to print image in report Select whether to print image in report when printing by USB printer Date YYYYIMM DD MM DD YYY or t freel Format neues DD MM Y Y Y Y Date Set freely Set the system date Time Set freely Set the system time format H M S SnapShot dus USB Disk Fixed Set the snap shot device Device Select wh
13. The formulas of B mode cardiac LV measurement include Single plane ellipse Dual plane ellipse Bullet and Modified Simpson shown as follows 1 Single plane ellipse formula NOTE d end diastolic s end systolic Label Description Method LVLd Left Ventricle Long axle Diameter Distance mm LVALd Left Ventricle Area of Long axle Ellipse Area mm cm or dm LVLs Left Ventricle Long axle Diameter Distance mm LVALs Left Ventricle Area of Long axle Ellipse Area mm cm or dm HR Heart Rate Key in bpm EDV End Diastolic Volume EDV mL 8 3 x LVALd mm LVLd mm 1000 ESV End Systolic Volume ESV mL 8 3 1 x LVALs mm LVLs mm 1000 SV Stroke volume SV mL EDV mL ESV mL CO Cardiac Output CO L min SV mL x HR bpm 1000 EF Ejection fraction B mode EF No unit SV mL EDV mL x 100 SI Stroke Index SI No unit SV mL BSA m CI Cardiac Index CI No unit CO L min BSA m BSA Body Surface Area Calculate by the selected formula m Table 8 6 Measurement and Calculation Items with Single Plane Ellipse Formula 101 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 2 Dual plane ellipse formula NOTE d end diastolic s end systolic Label Description Method LVALd Left Ventricle Area of Long axle E Ellipse Area mm cm or dm LVAMd pe Ventricula
14. 1 In the gynecology menu roll the trackball to CX L and press Set 2 Measure CX L with distance method 3 The result will be displayed in Measured Results if you have already measured UT L the UT L CX L will also be displayed 9 1 6 UT L CX L To measure UT L CX L 1 In the gynecology menu roll the trackball to highlight UT L CX L and press Set 2 UT L CX L measurement includes two data UT L and CX L in the method of distance measurement 3 The result will be displayed in Measured Results NOTE During measurement if you have already measured any one of the items UT L or CX L when you finished the other one the UT L CX L will be displayed automatically 9 2 Gynecologic Report After the gynecologic examination the system generates a gynecologic worksheet Roll the trackball to highlight Worksheet and press Set display Gynecologic Worksheet dialog box Gynecologic worksheet has three tabs uterus ovary and follicle as shown in figure 9 2 112 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Gynecologic worksheet Figure 9 2 Gynecology Worksheet The diagnosis editing column displays the cursor T and you can enter diagnosis information To print the report Press Print in the Gynecology Worksheet BH Printing reference Section 5 8 Printing 9 3 Others If you want to begin other measurements you can switch through the menu by selecting Others 113
15. 12 39 0 9w2d 12 57 0 11w5d 12 04 0 5wid 12 22 0 7wid 12 40 0 9w3d 12 58 0 11w6d 12 05 0 5w1d 12 23 0 7w2d 12 41 0 9w4d 12 59 0 12wOd 12 06 0 5w2d 12 24 0 7w3d 12 42 0 9w5d 12 60 0 12w1d 12 07 0 5w3d 12 25 0 7w4d 12 43 0 9w6d 12 61 0 12w2d 12 151 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 08 0 5w4d 12 26 0 7w4d 12 44 0 9w6d 12 62 0 12w3d 12 09 0 5w5d 12 27 0 7w5d 12 45 0 10wOd 12 63 0 12w4d 12 10 0 Swod 12 28 0 7w6d 12 46 0 10w1d 12 64 0 12w5d 12 11 0 5w6d 12 29 0 8wOd 12 47 0 10w2d 12 65 0 12w6d 12 12 0 6wOd 12 30 0 8wid 12 48 0 10w3d 12 66 0 13w0d 12 13 0 6w1d 12 31 0 8w2d 12 49 0 10w4d 12 67 0 13w1d 12 14 0 6w2d 12 32 0 8w3d 12 50 0 10w5d 12 68 0 13w2d 12 15 0 6w2d 12 33 0 8w3d 12 51 0 10w6d 12 69 0 13w3d 12 16 0 6w3d 12 34 0 8w4d 12 52 0 11wOd 12 70 0 13w4d 12 17 0 6w4d 12 35 0 8w5d 12 53 0 11w1d 12 71 0 13w5d 12 18 0 6w5d 12 36 0 8w6d 12 54 0 11w2d 12 72 0 14w0d 12 19 0 6w6d 12 37 0 9wOd 12 55 0 11w3d 12 73 0 14w1d 12 Tokyo Studies on Fetal Growth and Functional Developments Takashi Okai Department of Obstetrics and Gynecology Faculty of Medicine University of Tokyo Table GS Tokyo GS GS As MA 28D GS cm M
16. 15 296 30w6 17 76 12w3 10 150 17w4 13 224 23w4 15 298 31w1 16 78 12w4 10 152 17w6 12 226 23w6 15 300 31w3 17 80 12w5 10 154 17w6 13 228 24w0 16 302 31w4 17 82 12w6 10 156 18w1 12 230 24w1 16 304 31w6 17 84 12w6 11 158 18w1 13 232 24w3 15 306 32w1 17 158 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 86 13w1 10 160 18w3 12 234 24w4 15 308 32w2 17 88 13w1 11 162 18w4 12 236 24w4 15 310 32w4 17 90 13w2 11 164 18w5 12 238 24w6 16 312 32w6 17 92 13w4 10 166 18w6 12 240 25w1 15 314 33w1 17 94 13w4 11 168 19w0 13 242 25w2 16 316 33w3 17 96 13w5 10 170 19w1 12 244 25w4 15 318 33w4 17 98 13w6 11 172 19w2 13 246 25w5 16 320 33w6 18 100 14wO 10 174 19w3 12 248 25w6 16 322 34w1 17 102 14w1 12 176 19w4 13 250 26w0 16 324 34w3 18 104 14w2 11 178 19w6 13 252 26w1 16 326 34w5 18 106 14w3 11 180 19w6 15 254 26w3 15 328 34w6 18 108 14w4 11 182 20w1 13 256 26w4 16 330 35w1 18 110 14w5 11 184 20w1 15 258 26w6 15 332 35w4 18 112 14w6 11 186 20w3 13 260 27w0 16 334 35w6 18 114 15w0 11 188 20w4 13 262 27w1 16 336 36w1 18 116 15w1 11 190 20w5 13 264 27w3 15 338 36w
17. LVIDd mm x10096 SI Stroke Index SI No unit SV mL BSA m CI Cardiac Index CI No unit CO L min BSA m MVCF Mean Velocity Circumferential MVCF No unit LVIDd mm LVIDs mm LVIDd Fiber Shortening mm x ET ms 1000 BSA Body Surface Area Calculate by the selected formula m Table 8 2 Measurement and Calculation Items with TEICHHOLZ formula 93 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 3 Other measurement items rate Label Description Method AOD Aortic root Diameter LAD Left Atrium Diameter Distance mm CA Cardiac cycle apex A CE Cardiac cycle apex E EF SLP Ejection Fraction Slope ACV AC Decreasing Velocity Slope mm s DEV Deceleration Velocity DCT Deceleration Time Time ms or s Aortic Valve Volume Opened MAVO1 T beginning MAVO2 Aor Valve Volume Opened Distance mm ending AA Aortic Amplitude LVMW tiennie Muscle weak LVMW g 1 04 IVSTd cm LVIDd cm LVPWd eft Ventricular Muscle Wei 9 em LVIDd cm 13 6 Left Ventricular Muscle Weight LVMWI 9 LVMWI No unit LVMW BSA Index A E The ratio of CA to CE A E No unit CA mm CE mm Left Atrium Diameter Aortic LAD AOD f LAD AOD No unit LAD mm AOD mm root Diameter AVSV mL MAVO1 cm MAVO2 cm AVSV Aortic Valve Stroke Volume ET s 50 AA cm Mitral valve instantaneous flow QMV QMV mL 4 DEV cm s DCT s
18. 1 13w5d 8 2 8 19w2d 11 4 6 25w6d 16 6 4 35w0d 20 1 1 14w0d 8 2 9 19w4d 11 4 7 26w3d 16 6 5 35w3d 20 1 2 14w2d 8 3 19w6d 12 4 8 26w6d 16 6 6 35w6d 20 1 3 14w4d 8 3 1 20w1d 13 4 9 27w4d 17 6 7 36w3d 20 1 4 14w6d 8 3 2 20w3d 13 5 27w6d 17 6 8 37w0d 21 1 5 15w1d 8 3 3 20w5d 14 5 1 28w3d 17 6 9 37w3d 22 1 6 15w3d 8 3 4 21w1d 14 5 2 28w6d 17 7 38w0d 23 1 7 15w5d 8 3 5 21w3d 15 5 3 29w3d 17 7 1 38w3d 23 1 8 16wOd 8 3 6 21w6d 15 5 4 29w6d 17 7 2 38w6d 23 1 9 16w3d 8 3 7 22w2d 15 5 5 30w3d 17 7 3 39w3d 23 2 16w5d 8 3 8 22w4d 15 5 6 30w6d 17 7 4 39w6d 23 2 1 17w0d 8 3 9 23w0d 15 5 7 31w3d 17 7 5 40w2d 23 2 2 17w2d 8 4 23w2d 16 5 8 31w6d 18 2 3 17w4d 8 4 1 23w4d 16 5 9 32w3d 18 Osaka Osaka University 2002 April 08 162 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Table FL Osaka FL FL FL Mean Min Max Mean Min Max Mean Min Max cm cm cm 0 94 13w0d 12w3d 13w4d 3 61 22w1d 21w1d 23w1d 5 69 31w2d 29w6d 32w5d 1 03 13w2d 12w5d 13w6d 3 68 22w3d 21w3d 23w3d 5 74 31w4d 30w1d 33wOd 1 12 13w4d 12w6d 14w1d 3 75 22w5d 21w5d 23w4d 5 80 31w6d 30w2d 33w3d 1 21 13w6d 13w1d 14w3d 3 83 23wOd 22w0d 24w0d 5 85 32w1d 30w4
19. 13w4d 14w6d 27 2 23w1d 22w0d 24w1d 58 3 32wOd 30w1d 33w5d 6 5 14w4d 13w6d 15w2d 28 1 23w3d 22w1d 24w3d 59 4 32w2d 30w3d 34w0d 7 1 14w6d 14w1d 15w4d 29 0 23w5d 22w3d 24w6d 60 4 32w4d 30w5d 34w2d 7 6 15wid 14w2d 15w6d 29 9 24w0d 22w5d 25w1d 61 5 32w6d 31wOd 34w5d 8 1 15w3d 14w4d 16w1d 30 8 24w2d 23w0d 25w3d 62 6 33w1d 31w1d 35w0d 8 7 15w5d 14w6d 16w3d 31 7 24w4d 23w2d 25w5d 63 7 33w3d 31w3d 35w2d 9 2 16wOd 15w1d 16w5d 32 6 24w6d 23w4d 26w0d 64 7 33w5d 31w5d 35w4d 9 8 16w2d 15w3d 17wOd 33 6 25w1d 23w6d 26w2d 65 8 34wOd 32w0d 36w0d 10 4 16w4d 15w5d 17w2d 34 5 25w3d 24w1d 26w5d 66 9 34w2d 32w1d 36w2d 11 0 16w6d 16wOd 17w5d 35 5 25w5d 24w2d 26w6d 67 9 34w4d 32w3d 36w5d 11 6 17w1d 16w2d 17w6d 36 5 26wOd 24w4d 27w2d 69 0 34w6d 32w5d 37w0d 12 2 17w3d 16w3d 18w2d 37 4 26w2d 24w6d 27w4d 70 1 35w1d 33wOd 37w2d 12 8 17w5d 16w5d 18w4d 38 4 26w4d 25w1d 27w6d 71 1 35w3d 33w1d 37w5d 13 5 18w0d 17w0d 18w6d 39 4 26w6d 25w3d 28w1d 72 2 35w5d 33w3d 38wOd 14 1 18w2d 17w2d 19w1d 40 4 27w1d 25w5d 28w3d 73 2 36w0d 33w5d 38w3d 14 8 18w4d 17w4d 19w3d 41 4 27w3d 26w0d 28w5d 74 2 36w2d 33w6d 38w5d 15 5 18w6d 17w6d 19w5d 42 4 27w5d 26w2d 29w1d
20. 15w6 12 172 23w1 15 246 30w1 17 320 37w1 18 98 16w1 12 174 23w2 15 248 30w3 16 322 37w3 18 100 16w2 12 176 23w4 13 250 30w4 17 324 37w4 19 102 16w4 11 178 23w5 15 252 30w6 16 326 37w6 18 104 16w5 12 180 23w6 15 254 30w6 17 328 38wO 18 106 16w6 12 182 24w1 15 256 31w1 17 330 38w1 18 108 17w1 11 184 24w2 15 258 31w2 17 332 38w3 18 110 17w2 11 186 24w4 15 260 31w4 17 334 38w4 18 112 17w3 12 188 24w5 15 262 31w5 17 336 38w5 18 114 17w4 12 190 24w6 16 264 31w6 17 338 38w6 19 116 17w6 12 192 25w0 16 266 32w1 17 340 39w1 19 118 18w0 12 194 25w1 16 268 32w2 17 342 39w2 19 120 18w1 12 196 25w3 15 270 32w4 17 344 39w4 19 122 18w3 12 198 25w4 16 272 32w5 17 346 39w5 19 124 18w4 12 200 25w6 15 274 32w6 17 348 39w6 19 126 18w6 12 202 26w0 16 276 33w0 17 128 19w0 12 204 26w1 15 278 33w1 17 160 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual A3 7 FL Hadlock Hadlock FP Deter RL etc Estimationg Fetal Age Computer Assisted Analysis of Multiple Fetal Growth Parameters Radilolgy 152 497 1984 MA FL cm 10 35 2 460 FL 0 170 FL Merz Merz E Ultrasound in Gynexology and Obstetrics Stuttgart and New York Thieme Medical Publishers Inc 199
21. 32w2d 30w4d 34wOd 2 09 12wOd 11w3d 12w3d 5 57 22w2d 21w2d 23w2d 8 34 32w4d 30w6d 34w3d 2 20 12w2d 11w5d 12w6d 5 66 22w4d 21w4d 23w4d 8 40 32w6d 31w1d 34w5d 2 31 12w4d 12wOd 13w1d 5 74 22w6d 21w5d 23w6d 8 46 33w1d 31w3d 35w1d 2 41 12w6d 12w1d 13w3d 5 83 23w1d 22w1d 24w1d 8 51 33w3d 31w4d 35w3d 2 52 13w1d 12w3d 13w5d 5 92 23w3d 22w3d 24w3d 8 57 33w5d 31w6d 35w6d 2 62 13w3d 12w5d 14w0d 6 00 23w5d 22w4d 24w5d 8 62 34w0d 32w1d 36w1d 2 72 13w5d 13wOd 14w2d 6 09 24wOd 22w6d 25w0d 8 68 34w2d 32w3d 36w4d 2 82 14wOd 13w2d 14w4d 6 17 24w2d 23w1d 25w2d 8 73 34w4d 32w4d 37wOd 2 93 14w2d 13w4d 14w6d 6 26 24w4d 23w3d 25w4d 8 78 34w6d 32w6d 37w3d 3 03 14w4d 13w6d 15w1d 6 34 24w6d 23w5d 25w6d 8 83 35w1d 33wOd 38wOd 3 13 14w6d 14w1d 15w3d 6 43 25w1d 24w0d 26w2d 8 87 35w3d 33w2d 38w2d 156 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 3 23 15w1d 14w3d 15w6d 6 51 25w3d 24w2d 26w4d 8 92 35w5d 33w4d 39wOd 3 33 15w3d 14w5d 16w1d 6 59 25w5d 24w4d 26w6d 8 96 36wOd 33w5d 39w4d 3 42 15w5d 14w6d 16w3d 6 67 26wOd 24w6d 27w1d 9 00 36w2d 34wOd 40wOd
22. Added two silicone pads Added two formats of files AVI and FRM Add the function of moving a comment or a body mark Added a cable holder Added a reference line in the B mode Added the magnification function when freezing the system Added the introduction to the guide line calibration Added the breakstone guide function Added measurement procedures of every supported obstetrical items displaying four growth curves of obstetrical results and more information of obstetrical reference formulas Added detailed information of presetting a report printer Added glossary table Revised the gain and dynamic range III Table of Contents Chapter A as cua itecr iue 1 11 tended UU A ds 1 LI ccs stad ome en ue ME Lec cn e tL 1 MO A A Aids 2 LA CA A ed O 2 1 5 General Safety Precaution Informatica 2 1 5 1 General IHIGEIIADIOUS S du eoe ecce an e epa bees Spa sce esse etse lots tas ean 2 132 Biohazard C Onsiderati Ons AA ca Rep a a a 3 AA A eben la enit oca A Lum e 3 1 6 Labeling Symbols eee ne te A 6 Chapter 2 system OVeEVIOM a uaseset istesds et apis oa as e a an tidad 8 Dip lise PG A ANOS us esa itat uber aum D Lc I ee LL eL Ee oe 8 ZA Front PA ii 8 A RE dos a do 9 AN E IR PA 10 2 2 ON 11 2 2 1 Standard CONIL Mid dd 11 AS A e st chase a E tu et t E A E ALAS toad ds 11 Chapter 3 Transportation and Storage uid n ta isa 13 Sd Moving th System suu A sata 13 3 2 Nm ad
23. EBD Az cm 2 016 Ele cm 1 5 Operating AP 15 Depth 70mm single focus 60 mm Angle 34 Control Frequency 3 0 MHz Conditions Transducer type C343 1 Operating mode B M Mode Acoustic Output ISPTA 3 ISPPA 3 mW cm2 W cm2 Frequency 3 0 MHz 148 MPa WO mW Fc MHz Zsp 6 0 6 0 6 0 cm Beam dimensions x 6 cm 0 2879 0 2879 y 6 cm 0 3136 0 3136 PD usec 0 5361 0 5361 SRF Hz 37 37 EBD Az cm 2 016 Ele cm 1 5 AP 15 Depth 70 mm single focus 60mm DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual A2 5 Low Output Summary Table Low Output Summary Table for systems with no transducers having global maximum index values exceeding 1 0 System DUS 6 Digital Ultrasonic Diagnostic Imaging System Ispta 3 Ipa 3 MImax T d Model TIT TI Val MI ransaucer Mode mW cm ype alue W cm TI 201 C363 1 7 3707 E ed 0 2957 29 6 TIB 0 2019 TI 1 C343 1 8 1745 2 sir 0 4817 50 TIB 0 1665 TI 2081 C321 9 2765 2 aes 0 463 35 5 TIB 0 2081 TIS 0 0892 E613 3 5091 Nl 0 4285 78 2 TIB 0 0892 TIS 0 1054 L743 13 5833 TIB 0 1054 0 5742 135 8 TIC 0 2492 TIS 0 1054 E743 13 5833 0 5742 135 8 TIB 0 1054 149 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Appendix Ill Obstetrical References A3 1 Application Table of Obstetrical Refer
24. EFW 10 1 335 0 0034 AC FL 0 0316 BPD 0 0457 AC HADLOCK2 0 1623 FL EFW j 10 1 326 0 00326 AC FL 0 0107 HC 0 0438 AC l HADLOCK3 EFW 10 1 326 0 00326 AC FL 0 0107 HC 0 0438 AC Sthen 0 158 FL EFW 10 1 3596 0 00386 AC FL 0 0064 HC HADLOCK4 0 00061 BPD AC 0 0424 AC 0 174 FL Sera EFW 10 1 7492 0 166 BPD 0 046 AC 2 646 AC BPD 1000 P EFW kg Others cm Merz1 EFW 3200 40479 157 07186 AC 15 90391 BPD 2 EFW g Merz2 EFW 0 1 AC 3 Others cm EFW 1 05775 BPD 0 0930707 BPD 2 0 649145 THD Hansmann EFW kg 0 020562 THD 2 0 515263 Others cm Campbell EFW EXP 4 564 0 282 AC 0 00331 AC 2 Table 7 3 Obstetric Calculation Formula 7 5 2 Measurement Items Different measurement items go with different formula So you can select suitable formula according to the measurement item Take Osaka formula for instance to calculate EFW 1 In the obstetric menu roll the trackball to highlight menu EFW and then press Set 2 Use the distance measurement method to measure BPD and FL use the ellipse method to measure FTA 3 The result of EFW will be displayed in Measured Results 86 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual T 6 Results Obstetric results include Growth Curve and OB Worksheet 7 6 1 Growth Curve You can define the fetus growth by comparing the measured parameter
25. Estimated Fetal Weight 7 2 Obstetric Measurement and Calculation 1 Items of Measurement and Calculation B OB MEAS GS CRL BPD HC AC FL EFW and AFI B OB MEAS 2 TAD APAD CER FTA HUM OFD and THD B OB MEAS B OB MEAS 2 Distance TAD APAD CER FTA HUM OFD Fl THD EFW Others AFI Input Results Others Figure 7 1 Obstetric Measurement and Calculation Menu SU DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 2 Items of input LMP and BBT 7 3 Fetus Growth Measurement Fetus growth is usually measured by the following parameters B OB MEAS the default measurement is distance measurement Label Description Channel Method Results display GS Gestational Sac Diameter 1 CRL Crown Rump Length 1 Pte MERI BPD Biparietal Diameter 1 HC Head Circumference 1 Ellipse or Trace AVE MA and AVE AC Abdominal Circumference 1 Circumference mm EDC will be displayed FL Femur Length 1 Distance mm and only the measured Calculating AFI parameter value in the requires 4 sets of valid range of the AFI Amniotic Fluid Index 1 distance measurement preset formula will be data AF1 AF2 AF3 calculated for the AVE and AF4 value According to the EFW Estimated Fetal Weight i ESSERE oun described as follows g or kg Table 7 1 Obstetric Measurement 1 B OB MEAS 2 the default measurement is TAD measurement
26. cursor to image and display 3 Measure CRL in the method of distance measurement Reference Section 6 6 1 Generic Measurements in B Mode 4 The results are displayed in Measured Results 5 To begin a new CRL measurement repeat steps 1 through 3 You can measure a maximum of one group of data 7 3 3 BPD To measure BPD l 2 Press Measure to activate obstetric measurement In the obstetric menu roll the trackball to highlight the menu BPD press Set and move the cursor to image and display 79 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 3 Measure BPD in the method of distance measurement BE Reference Section 6 6 1 Generic Measurements in B Mode 4 The results are displayed in Measured Results 5 To begin a new BPD measurement repeat steps 1 through 3 You can measure a maximum of one group of data 7 3 4 HC To measure HC 1 Press Measure to activate obstetric measurement 2 In the obstetric menu roll the trackball to highlight the menu HC press Set and move the cursor to image and display 3 Measure HC in the method of ellipse or trace circumference measurement l Reference Section 6 6 1 Generic Measurements in B Mode 4 The results are displayed in Measured Results 5 To begin a new HC measurement repeat steps 1 through 3 You can measure a maximum of one group of data 7 3 5 AC To measure AC l 2 Press Measure to ac
27. henZhen Renmin Hospital EDAN image Menu Angle 3 ScanMode Hiden TGC curve a Dyn Rng Edge Enhance 57 57 Smooth Persist Line Average Rejection Figure 5 5 TGC Curve 5 4 8 Imaging Functions B mode Imaging Control Press this key to enter the B mode The system displays a single real time B mode image B indicates brightness or two dimensional 2D gray scale imaging To access B mode from another imaging mode Press B control and the system displays a single real time B mode image NOTE To return to a real time B mode image from any imaging mode press B control This also deletes all measurements calculations comments or body marks those are display on the screen There is a reference line in the single B mode Press SHIFT CAPS to display or to hide the reference line When the reference line is displayed press Set to locate it To exit B mode press any other mode control 33 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual This key has two functions 2B mode Imaging Control Press this key enter the 2B mode Press this key active one of the dual images The probe direction of the activated image is brighter than that of the frozen image BB DO 4B mode Imaging Control Press this key enter the 4B mode The system divides the image area into four quadrants the first quadrant is on the key top left the second on the key top right the third on the b
28. mm 2SD mm 2SD mm 2SD mm 2SD 03 0 6w6d 10 10 0 8w6d 10 17 0 10w6d 10 24 0 12w6d 10 04 0 7w1d 10 11 0 9w1d 10 18 0 11w1d 10 25 0 13w1d 10 05 0 7w3d 10 12 0 9w3d 10 19 0 11w3d 10 26 0 13w3d 10 06 0 7w5d 10 13 0 9w5d 10 20 0 11w5d 10 27 0 13w5d 10 07 0 8wOd 10 14 0 10wOd 10 21 0 12w0d 10 08 0 8w2d 10 15 0 10w2d 10 22 0 12w2d 10 0 90 8w4d 10 16 0 10w4d 10 23 0 12w4d 10 Osaka Fetal Growth Chart Using the Ultrasonotomographic Technique Keiichi Kurachi Mineo Aoki Department of Obstetrics and Gynecology Osaka University Medical School Revision 3 September 1983 Table BPD Osaka BPD BPD BPD MEAN MIN MAX MEAN MIN MAX MEAN MIN MAX cm cm cm 1 33 10wOd 9w4d 10w3d 4 94 20w2d 19w3d 21w1d 7 88 30w4d 29wOd 32w1d 1 44 10w2d 9w6d 10w5d 5 03 20w4d 19w5d 21w3d 7 95 30w6d 29w2d 32w3d 1 55 10w4d 10wOd 11wOd 5 12 20w6d 20w0d 21w5d 8 02 31w1d 29w4d 32w5d 1 66 10w6d 10w2d 11w2d 5 21 21w1d 20w1d 22w0d 8 08 31w3d 29w6d 33wOd 1 77 11wid 10w4d 11w4d 5 30 21w3d 20w3d 22w2d 8 15 31w5d 30w1d 33w3d 1 88 11w3d 10w6d 11w6d 5 39 21w5d 20w5d 22w4d 8 21 32wOd 30w3d 33w5d 1 99 11w5d 11w1d 12w2d 5 48 22w0d 21wOd 22w6d 8 27
29. 17w6d 19w3d 4 97 27w6d 26w4d 29w0d 6 69 37wO0d 35w0Od 39w1d 2 75 19wOd 18w1d 19w6d 5 04 28w1d 26w6d 29w3d 6 73 37w2d 35w2d 39w3d 2 83 19w2d 18w3d 20w1d 5 10 28w3d 27w1d 29w5d 6 77 37w4d 35w4d 39w5d 2 91 19w4d 18w5d 20w3d 5 16 28w5d 27w3d 30w0d 6 82 37w6d 35w6d 40wOd 2 99 19w6d 19wOd 20w5d 5 22 29w0d 27w5d 30w2d 6 86 38wid 36w1d 40w1d 3 07 20w1d 19w2d 21w0d 5 28 29w2d 27w6d 30w4d 6 90 38w3d 36w2d 40w2d 3 15 20w3d 19w4d 21w2d 5 34 29w4d 28w1d 30w6d 6 94 38w5d 36w4d 40w3d 3 23 20w5d 19w6d 21w4d 5 40 29w6d 28w3d 31w1d 6 98 39wOd 36w6d 40w4d 3 30 21w0d 20wOd 21w6d 5 46 30w1d 28w5d 31w4d 7 02 39w2d 37w1d 40w5d 3 38 21w2d 20w2d 22w1d 5 52 30w3d 29w0d 31w6d 7 06 39w4d 37w2d 40w6d 3 46 21w4d 20w4d 22w3d 5 57 30w5d 29w2d 32w1d 7 10 39w6d 37w4d 41wOd 3 53 21w6d 20w6d 22w5d 5 63 31w0d 29w4d 32w3d 7 12 40wOd 37w5d 41wOd A3 8 FTA Osaka Osaka University 2002 April 08 163 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Table FTA Osaka FTA FTA FTA E MEAN MIN MAX dud MEAN MIN MAX uo MEAN MIN MAX 5 6 14wOd 13w2d 14w5d 26 4 22w6d 21w5d 23w6d 57 2 31w5d 29w6d 33w3d 6 0 14w2d
30. 29 Output beam Dimensions cm 1 92 1 92 f awt MHz 3 569 4 0 APF 96 61 1 61 1 AIF 96 61 1 61 1 Maximum power mW 23 51 9 1901 ob mW cm 12 24 4 79 Power up mode B mode B mode Initialization mode B mode B mode Acoustic output freeze Yes Yes Z mm ra Z ts mm contact contact Inclusive modes NOTES APF Acoustic power up fraction AIF Acoustic initialization fraction Control1 AP 15 Depth 40 mm single focus 30 mm Angle 46 Control2 AP 15 Depth 40 mm single focus 30 mm DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual A2 3 4 Test of Probe E613 Test Item B 6 5 MHz B M 6 5 MHz p MPa 2 136 2 136 spta mW cm 9 027 9 6369 MI 0 4285 0 4285 System settings Control Control2 Z p mm 15 9971 15 9971 W e mm 1 993 1 993 L mm 1 714 1 714 prr kHz 4 686 2 736 srr Hz 74 43 Output beam Dimensions cm 0 896 0 896 f awt MHz 7 7504 6 5 APF 96 79 26 79 26 AIF 96 79 26 79 26 Maximum power mW 4 329 2 722 ob mW cm 4 83 3 04 Power up mode B mode B mode Initialization mode B mode B mode Acoustic output freeze Yes Yes Z t mm Z ts mm contact contact Inclusive modes NOTES APF Acoustic power up fraction AIF Acoustic initialization fraction Control1 AP 15 Depth 30 mm single focus 25 mm Angle 76 Control2 AP 15 Depth 30 mm single focus 20 mm 141
31. 6 8wOd 10 5 1 9w6d 12 6 6 11w5d 13 2 2 6w4d 6 3 7 8w1d 10 5 2 10wOd 12 6 7 11w6d 13 2 3 6w4d 6 3 8 8w2d 10 5 3 10w1d 12 6 8 12wOd 13 2 4 6w5d 7 3 9 8w3d 10 5 4 10w2d 12 A3 3 CRL Hadlock Hadlock FP Shah YP Kanon DJ etc Fetal Crown Rump Length Reevaluation of Relation to Menstrual Age 5 18 weeks with High Resolution Real Time US Radiology 182 2 501 1992 MA CRL mm 1 684969 0 315646 CRL 0 049306 CRL 0 004057 CRL 0 000120456 CRL Robinson Robinson HP and Fleming JEE A critical evaluation of sonar crown rump length measurements British Journal of Obstetrics and Gynecology 82 702 1975 MA 8 052 CRL 23 73 7 Hansmann Hansmann M Hackel er B J Staudach A Ultrasound Diagnosis in Obstetrics and Gynecology New York Spring Verlag 1985 P 439 Table CRL Hansmann CRL MA CRL MA CRL MA CRL MA mm 25D mm 2SD mm 2SD mm 2SD 6 0 6w1d 6 22 0 9wid 7 52 0 12w2d 9 100 0 15w5d 12 7 0 6w2d 7 23 0 9w2d 7 54 0 12w3d 9 103 0 16wOd 13 8 0 6w4d 6 24 0 9w3d 7 56 0 12w4d 9 106 0 16w2d 13 9 0 6w6d 7 26 0 9w5d 7 58 0 12w5d 9 110 0 16w4d 14 10 0 7wOd 7 28 0 10wOd 7 60 0 12w6d 9 113 0 17wOd 14 11 0 7w2d 6 30 0 10w2d 7 63 0 13wOd 10 116 0 17w2d 14 12 0 7w3d 7 32 0 10w3d 8 66 0 13w2d 10 120 0 17w4d
32. 9 6 24w0d 14 7 9 31w3d 21 2 3 13w1d 7 4 2 18w4d 9 6 1 24w2d 15 8 31w6d 21 2 4 13w3d 7 4 3 18w6d 10 6 2 24w5d 15 8 1 32w3d 22 2 5 13w5d 7 4 4 19w1d 10 6 3 25w0d 15 8 2 32w6d 22 2 6 14wOd 7 4 5 19w4d 10 6 4 25w2d 15 8 3 33w2d 23 2 7 14w2d 7 4 6 19w6d 10 6 5 25w5d 16 8 4 33w6d 23 2 8 14w4d 7 4 7 20w1d 11 6 6 26w0d 16 8 5 34w3d 23 2 9 14w6d 8 4 8 20w3d 11 6 7 26w3d 16 8 6 34w6d 24 3 15w1d 8 4 9 20w5d 11 6 8 26w5d 16 8 7 35w4d 24 3 1 15w3d 8 5 21w0d 11 6 9 27w1d 18 8 8 36w1d 24 3 2 15w5d 8 5 1 21w2d 11 7 27w3d 18 8 9 36w5d 24 3 3 16wOd 8 5 2 21w4d 12 7 1 27w6d 18 9 37w1d 25 3 4 16w2d 8 5 3 21w6d 12 7 2 28w1d 18 9 1 37w1d 25 3 5 16w4d 8 5 4 22w1d 12 7 3 28w4d 19 9 2 38w4d 25 3 6 16w6d 8 5 5 22w3d 13 7 4 29w1d 19 9 3 39w2d 25 3 7 17w1d 8 5 6 22w5d 13 7 5 29w4d 20 9 4 40w0d 25 A3 5 HC Hadlock Hadlock FP Deter RL etc Estimationg Fetal Age Computer Assisted Analysis of Multiple Fetal Growth Parameters Radilolgy 152 497 1984 MA HC cm 8 96 0 540 HC 0 0003 HC Merz Table HC Merz Merz E Ultrasound in Gynexology and Obstetrics Stuttgart and New York Thieme Medical Publishers Inc 1991 p 326 HC MA HC MA HC MA HC MA mm 2SD mm 2SD mm 2SD mm 2SD 72 12w1 9 146 17w2 12 220 23w2 15 294 30w5 16 74 12w2 11 148 17w4 12 222 23w4
33. 9wid 7 4 4 11w6d 7 6 8 13w5d 7 9 2 15w3d 14 2 2 9w2d 7 4 6 12w0d 7 13w6d 7 9 4 15w4d 14 2 4 9w4d 7 4 8 12w1d 7 2 14w0d 7 9 6 15w5d 14 2 6 9w6d 7 5 12w2d 7 4 14w1d 7 9 8 15w6d 14 2 8 10w2d 7 5 2 12w3d 7 6 14w2d 7 10 16wOd 14 China Wu Zhongyu Ultrasound Diagnosis in Obstetrics and Gynecology Tianjin Science and Technology Publisher 1995 Table CRL China CRL cm MA s CRL cm MA Eum CRL cm MA en 0 9 7wOd 6 3 4 10w3d 7 5 9 12w6d 10 8 4 15w1d 12 1 7wid 6 3 5 10w4d 7 6 13w0d 10 8 5 15w1d 13 1 1 7w2d 6 3 6 10w5d 7 6 1 13w0d 10 8 6 15w2d 13 1 2 7w3d 6 3 7 10w5d 7 6 2 13w1d 10 8 7 15w2d 13 1 3 7w4d 6 3 8 10w6d 7 6 3 13w2d 11 8 8 15w3d 13 1 4 7w5d 6 3 9 11wOd 7 6 4 13w2d 11 8 9 15w4d 13 1 5 7w6d 6 4 11w1d 8 6 5 13w3d 11 9 15w4d 13 1 6 8wOd 6 4 1 11w1d 8 6 6 13w3d 11 9 1 15w5d 13 1 7 8wid 6 4 2 11w2d 8 6 7 13w4d 11 92 15w6d 13 1 8 8w2d 6 4 3 11w3d 8 6 8 13w5d 11 9 3 15w6d 13 1 9 8w3d 6 4 4 11w4d 8 6 9 13w5d 11 9 4 16wOd 13 2 8w4d 6 4 5 11w4d 8 7 13w6d 11 9 5 16w1d 13 2 1 8w5d 6 4 6 11w5d 8 7 1 14wOd 11 9 6 16w1d 13 2 2 8w6d 6 4 7 11w6d 9 7 2 14w0d 12 9 7 16w2d 14 2 3 9w0d 6 4 8 11w6d 9 7 3 14w1d 12 9 8 16w3d 14 24 9wid 6 4 9 12w0d 9 7 4 14w1d 12 9 9 16w3d 14
34. Clean each part to remove any surface particles Disinfect the parts to kill vegetative organisms and viruses You must take all necessary precautions to eliminate the possibility of exposing patients operators or third parties to hazardous or infectious materials Use universal precautions during cleaning and disinfection You should treat all parts of the device that come in contract with human blood or other body fluids as they were known to be infectious After use clean the outer shell of the device with soft and dry cloth gently Medical cotton ball immerged with a 75 medical alcohol solution should be used to wipe probes gently and thoroughly The cleaning of internal components of the device should be performed by authorized and qualified personnel A WARNINGA 1 To avoid electrical shock and damage to the system always shut down and disconnect the device from the AC power source before cleaning and disinfection 2 To avoid infection always use protective gloves when performing cleaning and disinfecting procedures 3 To avoid infection ensure that the solution expiration date has not passed Y CAUTION 1 Be careful when cleaning the display screen Since the display screen is easily scratched or damaged we should wipe it with a soft and dry cloth 2 To avoid the possibility of electrostatic shock and damage to the system avoid the use of aerosol spray cleaners on the monitor 3 DO NOT clean the internal
35. DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual A2 3 5 Test of Probe C343 1 Test Item B 3 MHz B M 3 MHz p MPa 1 731 1 731 spta mW cm 28 0603 32 0063 MI 0 4817 0 4817 System settings Control Control2 Z p mm 29 3885 29 3885 W pe mm 2 879 2 879 2 mm 3 136 3 136 prr kHz 4 686 2 736 srr Hz 64 37 Output beam Dimensions cm 3 024 3 024 f awt MHz 3 1335 3 1335 APF 96 71 63 71 63 AIF 96 71 63 71 63 Maximum power mW 44 99 28 286 ob mW cm 14 88 9 35 Power up mode B mode B mode Initialization mode B mode B mode Acoustic output freeze Yes Yes Z t mm Z ts mm contact contact Inclusive modes NOTES APF Acoustic power up fraction AIF Acoustic initialization fraction Control1 AP 15 Depth 70 mm single focus 60 mm Angle 34 Control2 AP 15 Depth 70 mm single focus 60 mm 142 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual A2 4 Transducer Power Values Measurement uncertainties Measurement uncertainty for ultrasonic power 26 6 Measurement uncertainty for pressure 13 7 Measurement uncertainty for intensities 26 6 Measurement uncertainty for central frequency 2 Derated and water value intensities All intensity parameters are measured in water Since water does not absorb acoustic energy these water measurements represent a worst case value Biologica
36. Depth of the Probe Immerged into Disinfectant Proper Use of Probes In order to extend the service life and to obtain optimum performance of the probe please operate as follows Inspect power cord socket and acoustical window of the probe periodically Shut down the machine before connecting or disconnecting the probe DO NOT drop the probe onto the floor or collide with hard objects Otherwise it will be damaged easily When the probe is not used put it in the probe holder Heating the probe is strictly forbidden Pulling or bending the power cord of the probe is strictly forbidden otherwise internal connecting lines of the power cord may rupture Coupling gel can only be used on the head of the probe and it should be wiped off after use Each time after use clean and disinfect the probe The acoustical window and the shell of the probe should be examined frequently 125 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual A WARNINGA The DUS 6 cannot be used together with high frequency surgical equipment Y CAUTION 1 DO NOT disinfect or clean probes under high temperature and the temperature should be below 45 C 2 n order to avoid damaging the device the disinfection method is limited to regular maintenance of devices in hospitals Disinfecting instruments should be cleaned first 13 2 3 Needle Guide Cleaning and Disinfecting NOTES Use proper disinfection techniques at all tim
37. Diagnostic Imaging System User Manual 18 24 wk 2 06 wk 14 days 24 30 wk 2 18 wk 15 days 30 36 wk 2 96 wk 21 days 36 42 wk 3 04 wk 19 days Merz 56 348 12w1d 39w6d See table AC Merz Tokyo 8 72 12w3d 40w2d See table FL Tokyo 12 18 wk 1 38 wk 10 days 18 24 wk 1 80 wk 13 days Hadlock 7 82 12w1d 42w0d 24 30 wk 2 08 wk 15 days 30 36 wk 2 96 wk 21 days FL 36 42 wk 3 12 wk 22 days Jeanty 10 80 12w4d 40wOd 19 days Merz 10 80 12w2d 40w1d See table FL Merz Osaka 9 4 71 2 13w0d 40wOd See table FL Osaka China 6 75 12w4d 40w2d See table FL China HUM Jeanty 9 69 12w0d 40wOd 23 days 3 3104 wks FTA Osaka 5 6 86 6 cm 14w0d 40wOd See table FTA Osaka CER Goldstein 14 52 mm THD Hansmann 20 130 mm A3 2 GS Hellman Hellman LM Kobayashi M Fillisti L etc Growth and development of the human fetus prior to the 20 week of gestation Am J Obstetrics Gynecology 103 789 1969 MA GS mm GS 25 43 7 02 Rempen Rempen A Biometrie in der Fr hgravidit t I Trimester Der Frauenarzt 32 425 1991 Table GS Rempen Trimenon Biometry in Early Pregnancy 13 GS mm MA GS mm MA GS mm MA GS mm MA 2SD 2SD 2SD 2SD 02 0 4w6d 12 20 0 6w6d 12 38 0 9w1d 12 56 0 11w4d 12 03 0 5wOd 12 21 0 7wOd
38. Diagnostic Imaging System User Manual 3 Roll the trackball to select the destination driver and press Set 4 Press Paste To delete a file 1 Roll the trackball to select the driver and the type of file and then press Set 2 Rollthe trackball and then press Set to select the file you want to delete 3 Press Delete and a prompt instruction is displayed in the middle of the screen as shown below E 4 Press Yes to delete the designated file or No to give up the deleting operation To delete all 1 Roll the trackball to select the driver and the type of file and then press Set 2 Press Del All and a prompt instruction is displayed in the middle of the screen as shown below vos vw 3 Press Yes to delete the all the files or No to give up the deleting operation To rename a file 1 Roll the trackball to select the driver and the type of file and then press Set 2 Roll the trackball and press Set select the file you want to rename 3 Press Rename to open the dialog box as shown below and enter the new name of the file using the keyboard with a maximum of eight characters E Cancel 4 Press OK to rename the designated file or Cancel to give up the renaming operation DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual To import from U disk You can use the Import From U Disk button to import all the files from U disk to the local disk To export to U disk You can use the
39. Export To U Disk button to export all the files from local disk to U disk 6 8 5 Sending Files If you have installed the DICOM software and the DICOM presetting has been performed correctly you can send images files File Menu Snapshot Save Frame e Save Cine fe AFI Open File Manager Send DCM Image FileType DCM File Storage Fixed Cine Images Preset Cine File Figure 6 26 File Menu with DICOM Function To send a DCM Image 1 Highlight the secondary menu DCM Image and then press Set 2 If the server is running normally the current image will be sent to the server 3 The system displays a prompt indicating the successful transmission To send a DCM file 1 Highlight the secondary menu DCM File and then press Set 2 The system displays the File Opening Dialog Box for selecting a DCM file to be transmitted 3 If the server is running normally the selected file will be sent to the server 4 The system displays a prompt indicating the successful transmission To send Cine Images 1 Freeze the system 2 Press File to enter the file menu 3 Highlight the secondary menu Cine Images and then press Set JU DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 4 If the server is running normally the current Cine images will be sent to the server 5 The progress bar disappears after successful transmission To send a Cine File 1 Highlight the secondary menu Cine File and then
40. HP LaserJet P2035 Table 2 1 Printers Video printer output 110 mmx 82 mm USB printer output A4 paper 210 mmx 297 mm Puncture frames Model Name Description BGK CR60 Needle Guide Bracket Kit For the R60 probe 4 vessels 14G 18G 20G 22G BGK CR40 Needle Guide Bracket Kit For the R40 probe 4 vessels 14G 18G 20G 22G BGK CR20 Needle Guide Bracket Kit For the R20 probe 4 vessels 14G 18G 20G 22G BGK CR10 Needle Guide Bracket Kit For the R10 probe 4 vessels 14G 18G 20G 22G BGK LA43 Needle Guide Bracket Kit For the L43 probe 4 vessels 14G 18G 20G 22G Table 2 2 Needle Guide Bracket Kits The puncture frame of BGK CR60 is as shown in figure 2 4 Mor bs v4 H 45 0 Figure 2 4 Puncture Frame of BGK CR60 DICOM 3 0 Single pedal footswitch MT 802 Mobile trolley The mobile trolley has a compact and mobile console with four wheels and four brakes for safe and convenient transport It can be assembled or disassembled easily refer to MT 802 Trolley Assembling Instruction The external structure complies with usability engineering It has two holders for the probes and one holder for the coupling gel Hand carried bag The bag is portable and it can be carried over the shoulder It can contain not only the main unit but also two probes an array transducer R60 3 5MHz and an endocavity transducer R10 6 5MHz and one bottle of coupling gel I
41. MAVO1 Aortic Valve Volume Opened beginning MAVO2 Aortic Valve Volume Opened ending AA Aortic Amplitude LVMW Left Ventricular Muscle Weight AVSV Aortic Valve Stroke Volume QMV Mitral valve instantaneous flow rate LVLd Left Ventricle Long axle Diameter end diastolic LVALd Left Ventricle Area of Long axle end diastolic LVLs Left Ventricle Long axle Diameter end systolic LVALs Left Ventricle Area of Long axle end systolic LVET Left Ventricular Ejection Time Gynecology UT Uterus UT L Uterus Length UT W Uterus width UT H Uterus Height Endo Uterus Endo membrane Thickness Endometrium L OV Vol Left Ovary Volume L OV L Left Ovary Length L OV W Left Ovary Width L OV H Left Ovary Height R OV Vol Right Ovary Volume R OV L Right Ovary Length R OV W Right Ovary Width R OV H Right Ovary Height L FO L Left Follicle Length L FO W Left Follicle Width R FO L Right Follicle Length R FO W Right Follicle Width CX L Cervix Length UT L CX L Uterus Length Cervix Length Small Parts THY Thyroid Gland L THY V Left Thyroid Gland Volume L THY L Left Thyroid Gland Length L THY W Left Thyroid Gland Width L THY H Left Thyroid Gland Height R THY V Right Thyroid Gland Volume R THY L Right Thyroid Gland Length 173 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual R THY W Right Thyroid Gland Width R THY H Right Thyroid Glan
42. Operating ISPPA 3 Wicm2 Global Maximum Value 0 4285 pr 3 1 4433 MPa WO 4 329 4 329 mW Fc 7 7504 7 7504 7 7504 MHz Zsp 1 75 1 75 1 75 cm Beam dimensions x 6 cm 0 1993 0 1993 y 6 cm PD usec SRF Hz EBD Az cm Ele cm AP 15 Depth 70 mm single focus 80 mm Angle 76 Control Frequency 6 5 MHz Conditions Transducer type E613 Operating mode B M Mode Acoustic Output MI ISPTA 3 ISPPA 3 mW cm2 Wicm2 Global Maximum Value 0 4285 3 7462 73 93 pr 3 1 4433 MPa WO 2 722 2 722 mW Associated Fc 6 5 6 5 6 5 Acoustic MHz Parameter Zsp 1 75 1 75 cm Beam dimensions x 6 cm 0 1993 0 1993 Operating Control Conditions AP 15 Depth 30 mm Focus 20 mm Frequency 6 5 MHz 147 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Transducer type C343 1 Operating mode B Mode Associated Acoustic Parameter Operating Control Conditions pr 3 Global Maximum Value Acoustic Output ISPTA 3 ISPPA 3 mW cm2 W cm2 Global Maximum Value pr 3 MPa WO mW Associated Fc Acoustic MHz Parameter Zsp cm Beam dimensions x 6 cm 0 2879 0 2879 y 6 cm 0 3136 0 3136 PD usec 0 5361 0 5361 SRF Hz 64 64
43. and press Set Save AVI 1 Press Freeze to freeze the system 2 Press File to open the file menu 3 Highlight Save AVI in the file menu and press Set NOTE The AVI files can not be view on this system please use a U disk to copy the AVI files to a PC and view the AVI files by using the WINDOWS RealPlayer Save As When obtaining a satisfying image 1 Press File and select Save As in the file menu to display the File Save As dialog box 2 Choose the driver and the file type 3 Press Set on the pane next to File Name and use the keyboard to enter a file name with a maximum of ten characters 4 Press OK to save 67 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual File Save As USB Disk v BMPR USB Disk Ad EXJ File Name File Type Modified Time j4 Figure 6 22 File Saving Dialog Box When saving a file the saving information is automatically displayed in the middle of image area These files are automatically numbered in sequence For instance if the latest number comes to YYMM0020 and if you save a file the next time the file is numbered YYMM0021 6 8 2 Opening Files Press File in the real time freezing mode and the system displays the file menu Then select Open and press Set to display an Open File dialog box as shown below Open File USB Disk M RENE Figure 6 23 File Opening Dialog Box The default driver is the local disk and the default fil
44. any object DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 2 1 3 Right View Probe Holder Transducer Ports Figure 2 3 Right View Schematic Diagram Peripheral ports 2 transducer ports dual sockets 2 USB ports 1 probe holder for two probes 10 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 2 2 Configuration 2 2 1 9 9999999999 2 2 2 Standard Configuration DUS 6 main unit 1 convex array transducer C363 1 1 power cord European Standard 1 ground wire 1 probe holder 1 cable holder 2 pieces of fuse 95x20 T1 6AL 250V 1 bottle of coupling gel 250mL 1 user manual 2 packing lists 2 silicone pads Options The Digital Ultrasonic Diagnostic Imaging System supports the following options 1 Transducers Convex array transducer C343 1 Linear array transducer L743 Endorecta transducer E743 Endocavity transducer E613 Micro convex array transducer C321 2 Others Ultrasonic Imaging Management System software specifications Operating system support WINDOWS XP and WINDOWS VISTA Video printer and USB printer are as shown in table 2 1 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Options Recommended Models Video printer SONY UP 895MD SONY UP 897MD MITSUBISHI P93W HP DeskJet D2368 HP DeskJet D2468 HP DeskJet D2568 USB printer HP DeskJet D4368 HP LaserJet P2015
45. below Comment Preset Abd OB Cardiac Sml Lesion1 Lesion2 Figure 5 21 Comment Library Presetting To create text for text list Take Generic for instance 1 Press Generic to open the Generic comment library 2 Roll the trackball to highlight one of the custom comments and press Set 3 Roll the trackball to highlight the left side frame of User defined and press Set Then the cursor turns to 1 as shown below You can enter comment with the keyboard Figure 5 22 User defined Comment Library 46 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 4 Roll the trackball to highlight the right side frame of User defined and press Set Then the cursor turns to as shown below You can enter some detailed help information about the new created comment with the keyboard Figure 5 23 User defined Detailed Information of Comment Library 5 Roll the trackball to highlight Add to add the new created comment to Generic 6 Press OK to save the modification or press Cancel to give up and close the dialog box To delete text from text list 1 Press Generic to open the Generic 2 Roll the trackball to highlight the created comment and press Set 3 Press Del to delete the created comment 4 Press OK to save the modification or press Cancel to give up and close the dialog box 5 7 8 Presetting Data The secondary menu of preset data is shown below Factory Default You
46. displays EDV SV and EF Dual plane ellipse Bullet and Modified SIMPSON The operations in these methods are similar to those in the single plane ellipse method Please refer to the corresponding B mode generic measure method for details and you can use the prompt instruction to help you CO calculation is as below Measurement and input items Measure LV Key in HR 105 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual To calculate CO In the B cardiac measurement menu roll the trackball to highlight Input Then select the l secondary menu Heart Rate and press Set to display a HR input dialog box as shown below HR input BPM Figure 8 6 HR Input Dialog Box 2 Input a suitable value in the HR bpm box 3 Roll the trackball to highlight OK and press Set After measuring LV CO will be displayed in Measured Results MVCF calculation is as below Measurement and input items Measure LV Key in LVET To calculate MVCF 1 Move the cursor to Input Then select the secondary menu LVET and press Set to display an ET input dialog box as shown below ET input MS Figure 8 7 ET Input Dialog Box 2 Input a suitable value in the LVET ms box 3 Roll the trackball to highlight OK and press Set After measuring LV MVCF will be displayed in Measured Results 106 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual CI and SI calculation
47. distances between portable and mobile RF communication equipment and the EQUIPMENT or SYSTEM For EQUIPMENT or SYSTEM that are not LIFE SUPPORTING Recommended separation distances between portable and mobile RF communications equipment and the DUS 6 The DUS 6 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the DUS 6 can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the DUS 6 as recommended below according to the maximum output power of the communications equipment Separation distance according to frequency of transmitter m Rated maximum 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz output power of t itt 3 5 3 5 7 ransmitter d 22 JP d 22 JP d IL JP W V E E 0 01 0 12 0 12 0 23 0 1 0 37 0 37 0 73 1 1 2 1 2 2 3 10 3 7 3 7 7 3 100 12 12 23 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply
48. equipment is not applicable to the diagnosis of the pneumatic organs that contain gas such as lung stomach intestines etc It is recommended not to examine the parts with wounds or acute inflammation to avoid cross infection Patients in the following situations are not allowed to be examined with E613 probe vaginal infection such as trichomonal vaginitis colpomycosis venereal disease etc the unmarried vagina deformity menstrual period postmenopausal vagina atrophy difficulty in per vagina ultrasonic examination colporrhagia Pyrilamine placenta previa etc 1 5 General Safety Precaution Information 1 5 1 General Information NMWARNING S This equipment is not intended for treatment CAUTION 1 Federal U S law restricts this device to sale by or on the order of a physician 2 The pictures and interfaces in this manual are for reference only NOTE This equipment is not intended for home use The reliability of the device and the safety of operators and patients are considered during product design and production The following safety and preventive measures should be carried out 1 The device should be operated by qualified operators or under their instructions 2 DO NOT alter parameters of the device at will If it is necessary please consult EDAN or authorized representatives for service 3 The device has already been adjusted to its optimum performance DO NOT adjust any p
49. firmly to designated transducers and should not require excessive force to assemble or disassemble If it appears that excessive force or manipulation is required to assemble or disassemble needle guide components please contact your EDAN customer engineer before using it 23 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual To enable the puncture function In real time B mode imaging highlight Needle Guide and then press Set Prompt information Needle guide line must be calibrated prior to each puncture will be displayed on the screen Press Close and enter the puncture function and a needle guide menu is displayed as shown below Needle Guide Guide Line Display Position Angle Verify Load Factory BGK CR20 Bracket Sel BGK LA43 Return Figure 6 27 Needle Guide Menu To exit puncture function Press Return of the needle guide menu to exit puncture function the needle guide menu will be closed and the needle guide line in image will disappear A WARNINGA DO NOT freeze the system when doing puncture NOTES There are no more than 3 needle guide lines for each puncture frame If image depth lt 8 cm the distance between the two nods of the needle guide line indicates 0 5 cm If image depth gt 8 cm the distance between the two nods of the needle guide line indicates 1 cm 6 9 1 To Select the Angle of Needle Guide Line If the puncture frame has several kinds of angle you
50. flowing water using a mild detergent 3 After cleaning and drying turn the holder downwards to lock it 99 UU Figure 13 1 Probe Holder Figure 13 2 Probe Holder Pothook Probe cleaning and or disinfection 363 1 L743 C321 and C343 1 Every time before using it layer of medical ultrasound coupling gel should be applied evenly on the area of the acoustical window of the probe and the instrument is ready for operation Be careful not to generate any air bubble Disinfection should be performed each time after 123 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual use 1 Wipe off the residual coupling gel gently 2 Use a medical cotton ball immerged with 75 medical alcohol to wipe the probe gently and thoroughly 3 Wipe the probe with a soft cloth soaked with distilled water E743 and E613 The single use sheath should be used on E743 and E613 probe CAUTION We recommend that the single use sheath should be CE marked or FDA 510 k cleared Every time before using it layer of medical ultrasound coupling gel should be applied evenly on the area of the acoustical window of the probe Then put on a single use sheath and the instrument is ready for operation Be careful not to generate any air bubble Disinfection should be performed each time after use 1 Remove the sheath gently and discard it 2 Wipe offthe residual coupling gel gently 3 Use a medica
51. g E743 E613 DO NOT to activate the transducers outside the patient s body NOTE You can use the preset menu to determine which transducer is to activated for the corresponding examination type 6 5 Selecting an Imaging Mode You can select an imaging mode by pressing on BB a or nus and then begin an examination Reference Section 5 4 8 Imaging functions lx Reference Section 5 2 Examining 6 6 Measurement and Calculation Measurement and calculation functions are contained in each examination type and imaging mode B mode generic measurements include distance trace circumference ellipse circumference trace area ellipse area two axis volume three axis volume stenosis and angle measurements M mode generic measurements include distance time slope and heart rate 2 cycles You can perform the measurement and calculation in real time freezing zooming CINE Review playback state Distance and circumference will be presented in mm area in mm cm or dm volume in mm cm dm mL or L time in ms or s and heart rate in bpm etc To activate the measurement function press Measure and the light will be on There is one type of mark in B mode measurement 51 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual There are three types of marks in M mode measurement big and a line The measurement results will be displayed in real time After
52. in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 170 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Appendix VI Order List The following accessories are recommended to be used on the DUS 6 NMWARNING S Probes and other accessories used on the DUS 6 must be provided or recommended by EDAN Otherwise the device may be damaged Part Name Part Number Probe C363 1 MS3 19518 Probe L743 MS3 102351 Probe E613 MS3 102588 Probe C321 MS3 102376 Probe E743 MS3 102384 Probe C343 1 MS3 102573 Needle Guide Bracket Kit BGK CR60 MS3 102338 Needle Guide Bracket Kit BGK CR40 MS3 102346 Needle Guide Bracket Kit BGK CR20 MS3 102380 Needle Guide Bracket Kit BGK CR10 MS3 102364 Needle Guide Bracket Kit BGK LA43 MS3 102355 Coupling gel M50 78001 Foot switch MS3R 102414 Probe Holder MS4 102422 MT 802 Mobile Trolley MS9 102423 Hand Carried Bag MS1 102424 Video Printer SONY UP 897MD M18 520146 Video Printer MITSUBISHI P93W M18 52147 Silicone Pads MS1R 109693 171 Cable Holder MS1R 102833 Screw M3x12 M19 057154 U Disk DT1 G2 2G Kingston M50 078204 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Appendix VII Glossary
53. measurement the outcome is displayed in Measured Results with a serial number You can measure one to four groups of data If you continue to measure the earliest group will be automatically covered by the newest one NOTES 1 If you perform the measurement in the frozen status all the measurements will be canceled when you unfreeze the image 2 During measurement press Back delete the former operation 3 After a complete measurement press Back erase a measurement at a time The generic measurement and calculation include four sets of measurement calipers four sets of ellipses four sets of measurement results at most The examinations and results are shown in table 6 1 Examination Specific measurement labels Result Obstetric GS CRL BPD HC AC FL AFI TAD APAD Fetus growth analysis curve and CER FTA HUM OFD THD and EFW standard obstetric report Cardiology LV RV Mitral Aorta etc Cardiac report Gynecology UT Endo OV Vol FO CX L UT L CX L Gynecology report Small parts THY THY report Urology RUV and PV Urology report Orthopedics HIP HIP report Abdominal None General report Table 6 1 Examination Items and Results The system defined examinations are abbreviated as follows Abd Abdominal OB Obstetric Sml Small Parts Gyn Gynecology Ortho Orthopedics Urol Urology 52 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 6 6 1 Gener
54. prostate volume 11 1 Measurement and Calculation The urology examination is usually in the B mode 1 Press Exam and select Urology and then press Set 2 Press to enter the B mode 3 Press Measure to activate the measurement function The measurement menu will be displayed B UROL MEAS Distance RUV Prostate Vol Input Urol WorkSheet Others Figure 11 1 Urology Measurement and Calculation Menu Label Description Method RUV Residual Urine Volume RUV mL 0 7x RUV L mm x RUV W mm x RUV H mm mL or L 1000 RUV L Residual Urine Length RUV W Residual Urine Width Distance mm RUV H Residual Urine Height PV Pe PV mm 0 52 x PV L mm x PV W mm x PV H mm 1000 mm cm or dm PV L Prostate Length PV W Prostate Width Distance mm PV H Prostate Height ppsa Predicted Prostate 5e ng mL 0 12 x PV Specific Antigen Density spsa um of Prostate ey in SPSA ng Specific Antigen Prostate Specific PSAD PSAD ng mL SPSA ng PV mL 0 01ng SPSA lt 100ng Antigen Density Table 11 1 Urology Measurement and Calculation Items 116 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual To determine the residual urine volume or prostate volume take three measurements length width and height The system calculates the volume To measure RUV 1 In the urology menu roll the trackball to highlight RUV and then press Set 2 Measu
55. tec M UR Ae thick aru 112 9 3 fam A NP IER P o EN ES 113 Chapter 10 Small Parts Measurement and Calculation sse 114 10 1 Measurement and Calculattofic s oes vetet eoa i Socio eo i ves eie veh aene ee ueris 114 10 2 Small Parts Reporta di ia 115 10 3 A o o dd 115 Chapter 11 Urology Measurement and Calculation essen 116 T A Measurement and Calend ee nent t rne ru aeree en ne ERN Ser rA 116 11 2 Urolooie Repo eese ree oem es 117 A Pe D NW CC E 118 Chapter 12 Orthopedics Measurement amp Calculation essen 119 12 1 Measurement and Calcula manta etta iain EE Patito nine avt ra itd 119 122 Orthopedics Repita 119 IPS MEL ca 120 Chapter 13 Inspection and Maintenances uos sop ee p ERR N REM See E RN RDE RR RA NER FR Cab i epe 121 Sl Daily CRIS asia EET 121 13 2 Cleaning and Disitifectio Mis 5 Ahad fac rate A cara ets alee Sod Sauteed acs 121 13 2 12 System Surface C Teaning s asa peor A T Ae tes 123 13 2 2 Probe and Probe Holder Cleaning and Disinfection ssssss 123 13 2 3 Needle Guide Cleaning and Disinfecting sse 126 15 24 Trackball Cleaning su s eon er E Oa e Qa n ope e a i ERA 126 13 2 5 Disinfectants suede eere ai 127 13 27 is esa onmes Vane e age rao das n taps eic etna 127 Chapter 14 Trois 129 E rm 129 A O dd Y 129 Chapter 15 Warranty and Service Policy 1 seeded etta t ti picota cli osa ab aqoa Fea aa uA 130 151 C
56. the patient simultaneously Periodically have the integrity of the system ground checked by a qualified service engineer DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual CAUTION 1 To avoid the possibility of electrostatic shock and damage to the system avoid using aerosol spray cleaners on the monitor screens 2 DO NOT use spray cleaners on the system as this may force cleaning fluid into the system and damage electronic components It is also possible for the solvent fumes to build up and form flammable gases or damage internal components 3 DO NOT use any fluid onto the system surface as fluid seepage into the electrical circuitry may cause excessive leakage current or system failure 4 To ensure proper grounding and leakage current levels it is the policy of EDAN to have an authorized EDAN representative or an EDAN approved third party performs all on board connections of documentation and storage devices to the DUS 6 5 The device and accessories are to be disposed of according to local regulations after their useful lives Alternatively they can be returned to the dealer or the manufacturer for recycling or proper disposal Batteries are hazardous waste Do not dispose them together with house hold garbage At the end of their life hand the batteries over to the applicable collection points for the recycling of waste batteries For more detailed information about recycling of this product or battery
57. the power socket if the device is to remain idle for a long time Y 4 CAUTION 1 You are forbidden to unplug or plug the power cord before switching off the system 2 Wait approximately five seconds between powering the system off and then on again This allows the system to complete its shutdown sequence To restart the device If there is any trouble described as below please switch off the device and then power on the device to restart gt The device displays wrong information and it lasts a long time gt The device displays abnormally gt The device can not execute an operation 21 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 5 2 Examining Apply an appropriate amount of coupling gel medical ultrasound coupling agent to the body area to be examined and then contact the area with the acoustic window of the probe firmly A cross sectional image of tissues will be displayed on the screen Adjust brightness contrast gain TGC acoustic output dynamic range and focus combination properly Adjusting the monitor s contrast and brightness is one of the most important factors for good image quality If theses controls are set incorrectly the gain TGC dynamic range focus combination and even acoustic output may have to be changed more often than necessary to compensate Meanwhile properly move the probe to obtain an optimal image of the target area Or if necessary adjust sweeping
58. to Display B M B B 4B B M Set display mode type Depth 20 mm 250 mm C363 1 Set examine depth A Power 0 15 Set acoustic power 16 levels Focuses Num 1 2 3 4 Set the number of focuses Scan Density High density high frequency Set scanning density Scan Angle 0 1 2 3 Set scanning angle THI Tissue harmonic imaging Set THI General Line Persist 0 7 Set image line correlation H Reverse 4 Null Set the attribute of Horizontal reversal Probe DISP A Diora tie Set the probe type to use this device supports Freq F1 F2 F3 FA F5 Set the frequency of probe Post Process Gray map L A B C D S Select a default gray map IP 0 7 Set the image parameter M speed 1 2 3 4 Set the M mode sweeping speed Gain 0 130 Set the gain of image in 2 increments TSI General muscle fatty fluid Set the type of TSI V Reverse 4 Null Set the attribute of Vertical reversal Table 5 6 Obstetric Presetting Information Parameter A1 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual IP Tab NOTE IP Image Parameter Ob Exam Preset eo EE AZ o ajo ujo mjo mjo mjo ujo ujo u o ujo ujo mjo mjo gjo ujo ujo w Figure 5 15 Obstetric Presetting IP Tab Item Setting Allows you to Select the default dynamic range for the examination in decibels Dynamic Range 30 150 dB During imaging the dynamic range can be adjusted in 4 dB i
59. trackball and press Set to anchor the end point of fixed axis of ellipse Roll the trackball and press Set to define the size of the ellipse Roll the trackball and press Set to begin a new circumference area measurement You can measure a maximum of four groups of data The outcome will be displayed in Measured Results as shown below Press Measure to finish and exit Ellipse1 1 LAxis SAis Circ Area Figure 6 5 Ellipse Circumference Area Method and the Results Trace Method To measure Circumference Area l 2 Press Measure to activate measurement function Roll the trackball to highlight menu Cir Area Then select Trace and press Set to activate a measurement cursor on the screen Roll the trackball and press Set to anchor the start point Roll the trackball to outline the region of interest As you move the trackball the system displays dots to outline the structure To correct an error in the trace press Back to move in reverse along the traced outline Roll the trackball to move forward again The system automatically closes the loop when the last measurement marker is moved very near to the start point Or press Set to close the loop The system draws a line from the position of the active measurement marker to the beginning of the loop 54 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Volume 5 Roll the trackball and press Set to begin a new circumference are
60. value with the fetus growth curve Operation procedure 1 Measure one or more fetus growth parameter GS CRL BPD FL AC HC APAD TAD CER FTA HUM OFD or THD 2 Enter LMP or BBT 3 In the obstetric menu roll the trackball to highlight menu Results and the secondary menu will be displayed Then select Growth Curve and press Set and the Fetus Growth Analysis dialog box will be displayed in the middle of the screen 4 The default tab is GS and the corresponding formula of the current growth curve Move the cursor to another formula in the pull down menu and press Set display the normal growth curve based on the selected formula which can define how the fetus grows 5 Move the cursor to another tab in the pull down menu and press Set to display the growth curve of another measurement item and the phase of the growth corresponding to the measured data The signification of the growth curves is shown below and the x coordinate shows the phase of the growth corresponding to the entered LMP or BBT and the y coordinate shows the measured data Move the cursor to Close and press Set to exit 87 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual fetal growth analysis Rempen hd Figure 7 5 Fetal Growth Curve Single fetal growth analysis al rece 5s GS B Rempen hd CRL B Hansmann hd BPD B Hansmann hd HC MM Merz E Figure 7 6 Fetal Growth Curve Four NOTE Press Singl
61. 0 mm 166 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Appendix V EMC Information Guidance and Manufacture s Declaration Guidance and manufacture s declaration electromagnetic emissions For all EQUIPMENT and SYSTEMS Guidance and manufacture s declaration electromagnetic emission The DUS 6 is intended for use in the electromagnetic environment specified below The customer or the user of the DUS 6 should assure that it is used in such and environment Emission test Compliance Electromagnetic environment guidance RF emissions Group 1 The DUS 6 uses RF energy only for its internal function CISPR 11 Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions Class A CISPR 11 Harmonic emissions Class A The DUS 6 is suitable for use in all establishments other IEC 61000 3 2 than domestic and those directly connected to the public Voltage Complies low voltage power supply network that supplies building fluctuations flicker used for domestic purposes emissions IEC 61000 3 3 167 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Guidance and manufacture s declaration electromagnetic immunity for all EQUIPMENT and SYSTEMS Guidance and manufacture s declaration electromagnetic immunity The DUS 6 is intended for use in the electromagnetic environmen
62. 1 Generic Measurements in B Mode The results are displayed in Measured Results To begin a new CER measurement repeat steps 1 through 3 You can measure a maximum of one group of data 82 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 7 3 11 FTA To measure FTA 1 Press Measure to activate obstetric measurement 2 In the obstetric menu roll the trackball to highlight the menu FTA press Set and move the cursor to image and display 3 Measure FTA in the method of ellipse or trace area measurement pH Reference Section 6 6 1 Generic Measurements in B Mode 4 The results are displayed in Measured Results 5 To begin a new FTA measurement repeat steps 1 through 3 You can measure a maximum of one group of data 7 3 12 HUM To measure HUM 1 Press Measure to activate obstetric measurement 2 Inthe obstetric menu roll the trackball to highlight the menu HUM press Set and move the cursor to image and display 3 Measure HUM in the method of distance measurement BH Reference Section 6 6 1 Generic Measurements in B Mode 4 The results are displayed in Measured Results 5 To begin a new HUM measurement repeat steps through 3 You can measure a maximum of one group of data 7 3 13 OFD To measure OFD l 2 Press Measure to activate obstetric measurement In the obstetric menu roll the trackball to highlight the menu OFD press Set and move the cursor to ima
63. 1 p 326 Table FL Merz FL MA FL MA FL MA FL MA mm 2SD mm 2SD mm 2SD mm 2SD 10 12w2d 11 28 18w4d 13 47 25w d 15 65 33wi1d 17 11 12w5d 10 29 19w0d 12 48 26w1d 16 66 33w4d 17 12 13w2d 10 30 19w3d 12 49 26w4d 15 68 34w4d 17 13 13w4d 11 31 19w5d 12 50 26w6d 16 69 35w0d 18 14 13w5d 11 32 20w1d 12 51 27w2d 16 70 35w3d 18 15 14w0d 11 33 20w4d 13 52 27w5d 16 71 35w6d 18 16 14w3d 11 34 20w6d 13 53 28w1d 16 72 36w2d 18 17 14w5d 11 35 21wid 15 54 28w4d 17 73 36w6d 18 18 15w1d 11 36 21w4d 13 55 29w0d 17 74 37w2d 19 19 15w3d 11 37 21w6d 15 56 29w3d 17 75 37w5d 18 20 15w6d 11 38 22w2d 13 57 29w6d 17 76 38w1d 19 21 16w1d 11 40 23w1d 15 58 30w1d 17 77 38w5d 19 22 16w4d 11 41 23w3d 15 59 30w4d 17 78 39w1d 19 23 16w4d 11 42 23w5d 15 60 31w0d 17 79 39w4d 19 24 17w1d 12 43 24w1d 15 61 31w4d 17 80 40w1d 18 25 14w7d 13 44 24w4d 16 62 31w d 17 26 17w d 13 45 25w0d 16 63 32w2d 17 27 18w2d 13 46 25w3d 15 64 32w6d 17 Jeanty Jeanty P Rodesch F etc Estimation of Gestational Age from measurement of Fetal Long Bones Journal of Ultrasound in Medicine 3 75 1984 MA FL mm 9 541
64. 14 13 0 7w4d 7 34 0 10w5d 7 70 0 13w3d 11 123 0 18wOd 14 14 0 7w6d 7 36 0 10w6d 8 73 0 13w5d 10 126 0 18w2d 15 15 0 8w0d 7 38 0 11w1d 8 76 0 13w6d 11 130 0 18w6d 14 16 0 8w2d 6 40 0 11w2d 8 80 0 14w1d 11 133 0 19w1d 15 17 0 8w3d 6 42 0 11w3d 8 83 0 14w2d 12 136 0 19w4d 16 18 0 8w4d 7 44 0 11w4d 9 86 0 14w4d 12 140 0 20wOd 16 19 0 8w5d 7 46 0 11w6d 8 90 0 14w6d 12 143 0 20w3d 16 20 0 8w6d 7 48 0 12w0d 9 93 0 15w1d 12 146 0 20w6d 16 153 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 21 0 9wOd 7 50 0 12w1d 9 96 0 15w3d 12 150 0 21w3d 16 Tokyo Studies on Fetal Growth and Functional Developments Takashi Okai Department of Obstetrics and Gynecology Faculty of Medicine University of Tokyo Table CRL Tokyo CRL MA CRL MA CRL MA CRL MA cm 2SD cm 2SD cm 2SD cm 2SD 0 6 6w3d 7 3 10w3d 7 5 4 12w4d 7 7 8 14w3d 8 0 8 6w6d 7 3 2 10w4d 7 5 6 12w5d 7 8 14w4d 8 1 7wid 7 3 4 10w6d 7 5 8 13w0d 7 8 2 14w5d 8 1 2 7w4d 7 3 6 11wOd 7 6 13w1d 7 8 4 14w6d 8 1 4 7w6d 7 3 8 11w1d 7 6 2 13w2d 7 8 6 15w0d 14 1 6 8wid 7 4 11w3d 7 6 4 13w3d 7 8 8 15w1d 14 1 8 8w4d 7 4 2 11w4d 7 6 6 13w4d 7 9 15w2d 14 2
65. 1757 0 2977451 FL 0 0010388013 FL Tokyo Studies on Fetal Growth and Functional Developments Takashi Okai Department of Obstetrics and Gynecology Faculty of Medicine University of Tokyo 161 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Table FL Tokyo FL cm MA FL cm MA FL cm MA FL cm MA 2SD 2SD 2SD 2SD 0 8 12w3d 10 2 6 17w6d 10 4 4 25w2d 25 6 2 34w0d 42 1 13wOd 10 2 8 18w4d 14 4 6 26w0d 25 6 4 35w0d 46 1 2 13w4d 10 3 19w2d 17 4 8 27w0d 25 6 6 36w0d 50 1 4 14w1d 10 3 2 20w5d 17 5 28w0d 25 6 8 38w0d 57 1 6 14w5d 10 3 4 21w5d 18 5 2 29w0d 30 7 40w0d 64 1 8 15w2d 10 3 6 22w3d 19 5 4 29w5d 30 7 2 40w2d 64 2 16wOd 10 3 8 23w0d 21 5 6 30w2d 30 2 2 16w4d 10 4 24w0d 22 5 8 31w3d 32 2 4 17w1d 10 4 2 24wbd 24 6 33w0d 38 China Wu Zhongyu Ultrasound Diagnosis in Obstetrics and Gynecology Tianjin Science and Technology Publisher 1995 Table FL China FL cm MA FL cm MA FL cm MA FL cm MA 2SD 2SD 2SD 2SD 0 6 12w4d 7 2 4 18w0d 9 4 2 24w0d 16 6 33w0d 18 0 7 12w5d 7 2 5 18w2d 9 4 3 24w3d 16 6 1 33w3d 18 0 8 13w0d 8 2 6 18w4d 10 4 4 24w6d 16 6 2 34w0d 18 0 9 13w2d 8 2 7 18w6d 10 4 5 25w2d 16 6 3 34w3d 19
66. 19w1 13 66 0 25w4d 17 87 0 33w2d 19 27 0 13w6d 13 47 0 19w3 15 67 0 25w6d 17 89 0 34w1d 21 28 0 14w1d 13 48 0 19w5 16 68 0 26w1d 18 90 0 34w4d 19 29 0 14w2d 13 49 0 20w0 16 69 0 26w4d 17 91 0 35w1d 19 30 0 14w4d 13 50 0 20w3 15 70 0 26w6d 17 92 0 35w4d 19 31 0 14w6d 15 51 0 20w5 16 71 0 27w1d 18 93 0 35w6d 19 32 0 15w1d 15 52 0 21w0 16 72 0 27w4d 18 94 0 36w3d 21 33 0 15w3d 13 53 0 21w2 16 73 0 27w6d 18 95 0 36w6d 21 34 0 15w5d 15 54 0 21w4 17 74 0 28w2d 18 96 0 37w2d 21 35 0 16wOd 15 55 0 21w6 17 75 0 28w4d 18 97 0 37w6d 19 36 0 16w2d 15 56 0 22w1 17 76 0 29wOd 18 98 0 38w2d 21 37 0 16w4d 13 57 0 22w3 16 77 0 29w3d 18 99 0 38w6d 19 38 0 16w6d 15 58 0 22w6 16 78 0 29w6d 18 100 0 39w2d 22 155 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 39 0 17w1d 15 59 0 23w1 17 79 0 30w1d 18 101 0 39w6d 21 40 0 17w3d 15 60 0 23w4 17 81 0 30w6d 19 102 0 40w2d 22 Rempen Rempen A Biometrie in der Fr hgravidit t I Trimenon Biometry in Early Pregnancy 1 Trimester Der Frauenarzt 32 425 1991 Table BPD Rempen BPD MA BPD MA BPD MA BPD MA
67. 3 18 118 15w2 11 192 20w6 15 266 27w4 16 340 36w4 19 120 15w3 11 194 21w1 13 268 27w6 15 342 36w6 19 122 15w4 12 196 21w1 15 270 28w1 16 344 37w1 19 124 15w5 12 198 21w3 13 272 28w2 16 346 37w4 18 126 15w6 11 200 21w4 15 274 28w4 16 348 37w6 19 128 16w0 12 202 21w5 15 276 28w5 16 350 38w1 21 130 16w1 12 204 21w6 15 278 28w6 17 352 38w4 19 132 16w2 12 206 22w1 15 280 29w1 16 354 38w6 19 134 16w3 12 208 22w1 15 282 29w2 16 356 39w1 19 136 16w4 12 210 22w3 15 284 29w4 17 358 39w4 19 138 16w5 12 212 22w3 15 286 29w6 16 360 39w6 19 140 16w6 12 214 22w5 15 288 30w0 16 362 40w1 19 142 17w0 12 216 22w6 15 290 30w1 17 364 40w4 19 144 17w1 12 218 23w1 15 292 30w4 16 A3 6 AC Hadlock Hadlock FP Deter RL etc Estimationg Fetal Age Computer Assisted Analysis of Multiple Fetal Growth Parameters Radilolgy 152 497 1984 MA AC cm 8 14 0 753 AC 0 0036 AC Merz Merz E Ultrasound in Gynexology and Obstetrics Stuttgart and New York Thieme Medical Publishers Inc 1991 p 326 159 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Table AC Merz
68. 75 2 36w4d 34w1d 39w1d 16 2 19w1d 18w1d 20w0d 43 4 28w0d 26w3d 29w2d 76 2 36w6d 34w3d 39w3d 16 9 19w3d 18w3d 20w2d 44 5 28w2d 26w5d 29w5d 77 3 37w1d 34w4d 39w6d 17 6 19w5d 18w4d 20w4d 45 5 28w4d 27w0d 30wOd 78 2 37w3d 34w6d 40wOd 18 4 20w0d 19wOd 20w6d 46 6 28w6d 27w2d 30w2d 79 2 37w5d 35w0d 40w1d 19 1 20w2d 19w1d 21w1d 47 6 29w1d 27w4d 30w4d 80 2 38wOd 35w2d 40w2d 19 9 20w4d 19w3d 21w4d 48 7 29w3d 27w6d 30w6d 81 1 38w2d 35w3d 40w3d 20 6 20w6d 19w5d 21w6d 49 7 29w5d 28w1d 31w1d 82 1 38w4d 35w5d 40w4d 21 4 21w1d 20wOd 22w1d 50 8 30wOd 28w3d 31w3d 83 0 38w6d 36wOd 40w5d 22 2 21w3d 20w2d 22w3d 51 8 30w2d 28w4d 31w6d 83 9 39w1d 36w1d 40w6d 23 0 21w5d 20w4d 22w5d 52 9 30w4d 28w6d 32w1d 84 8 39w3d 36w3d 41wOd 23 8 22w0d 20w6d 23w0d 54 0 30w6d 29w1d 32w3d 85 7 39w5d 36w4d 41wOd 164 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 24 7 22w2d 21w1d 23w2d 55 0 31w1d 29w3d 32w5d 86 6 40wOd 36w6d 41wOd 25 5 22w4d 21w3d 23w4d 56 1 31w3d 29w5d 33wOd A3 9 HUM Jeanty Jeanty P Rodesch F etc Estimation of Gestational Age from measurement of Fetal Long Bones Journal of Ul
69. A 28D cm MA 28D GS cm MA 28D 1 4wOd 7 2 6 6w6d 12 4 2 9wid 14 5 8 11w1d 16 1 2 4wid 7 2 8 7w1d 12 4 4 9w3d 14 6 11w3d 16 1 4 4w4d 7 3 7w3d 12 4 6 9w4d 14 6 2 11w4d 16 1 6 5wOd 8 3 2 7w4d 12 4 8 10wOd 15 6 4 11w6d 16 1 8 5wid 8 3 4 8w0d 13 5 10w1d 15 6 6 11w6d 16 2 5w4d 8 3 6 8w1d 13 5 2 10w3d 15 6 8 12w1d 17 2 2 6wOd 11 3 8 8w3d 13 5 4 10w4d 15 2 4 6w1d 11 4 8w6d 13 5 6 10w6d 15 China Wu Zhongyu Ultrasound Diagnosis in Obstetrics and Gynecology Tianjin Science and Technology Publisher 1995 Table GS China GS cm MA 28D GS cm MA 28D GS cm MA 28D GS cm MA 28D 1 5wOd 4 2 5 6w6d 7 4 8w3d 11 5 5 10w3d 12 1 1 5wid 5 2 6 7wOd 7 4 1 8w4d 11 5 6 10w4d 12 1 2 5w2d 5 2 7 7wOd 7 4 2 8w5d 11 5 7 10w5d 12 1 3 5w3d 5 2 8 7wid 8 4 3 8w6d 12 5 8 10w5d 12 1 4 5w4d 5 2 9 7w2d 8 4 4 9wOd 12 5 9 10w6d 12 1 5 5w5d 5 3 7w3d 8 4 5 9wtd 12 6 11wOd 12 1 6 5w6d 5 3 1 7w4d 8 4 6 9w2d 12 6 1 11w1d 12 1 7 6wOd 6 3 2 7w4d 9 4 7 9w3d 12 6 2 11w2d 13 152 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 1 8 6wOd 6 3 3 7w5d 9 4 8 9w4d 12 6 3 11w3d 13 1 9 6w1d 6 3 4 7w6d 9 4 9 9w4d 12 6 4 11w4d 13 2 6w2d 6 3 5 8wOd 9 5 9w5d 12 6 5 11w5d 13 2 1 6w3d 6 3
70. A representative will assist you in troubleshooting the problem and will make every effort to solve it over the phone or Email avoiding potential unnecessary returns In case a return can not be avoided the representative will record all necessary information and will provide a Return Material Authorization RMA form that includes the appropriate return address and instructions An RMA form must be obtained prior to any return Freight policy Under warranty the service claimer is responsible for freight amp insurance charges when a retrun is shipped to EDAN for service including custom charges EDAN is responsible for freight insurance amp custom charges from EDAN to service claimer 130 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Out of warranty the service claimer is responsible for any freight insurance amp custom charges for product Contact information If you have any question about maintenance technical specifications or malfunctions of devices contact your local distributor Alternatively you can send an email to EDAN service department at support edan com cn 131 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Appendix I Specifications A1 1 Electrical Safety Classifications According to the type of protection against electric shock Equipment without internal power source Class equipment According to the degree of protection against el
71. DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 10 Small Parts Measurement and Calculation The abbreviations used in this manual are as shown below THY Thyroid gland THY V Thyroid gland Volume 10 1 Measurement and Calculation The small parts examination is usually in the B mode 1 Press Exam and select Small Parts and then press Set 2 Press to enter the B mode 3 Press Measure to activate the measurement function The measurement menu will be displayed in Measured Results The default measurement is distance measurement B SML MEAS Distance L THY Y THY gt R THY V THY WorkSheet Others Figure 10 1 Small Parts Measurement and Calculation Menu To determine the right thyroid gland volume or left thyroid gland volume take three measurements length width and height The system calculates the volume The measurement items of small parts of B mode are as follows Label Description Method THY Thyroid Gland L THY V mm 0 497 x L THY L mm x L THY W mm x L THY H mm L THY V Left Thyroid Gland Volume L THY L Left Thyroid Gland Length L THY W Left Thyroid Gland Width Distance mm L THY H Left Thyroid Gland Height R THY V Right Thyroid Gland Volume R THY V mm 0 497 x R THY L mm x R THY W mm x R THY H mm R THY L Right Thyroid Gland Length R THY W Right Thyroid Gland Width Distance mm R THY H Right Thyroid Gland Heig
72. Diastolic Volume 1000 ESV mL 5 6 xLVL x LVAM ESV End Systolic Volume nor o zum Sn 1000 SV Stroke volume SV mL EDV mL ESV mL CO Cardiac Output CO L min SV mL x HR bpm 1000 EF Ejection fraction B mode EF No unit SV mL EDV mL x 100 SI Stroke Index SI No unit SV mL BSA m CI Cardiac Index CI No unit CO L min BSA m BSA Body Surface Area Calculate by the selected formula m Table 8 8 Measurement and Calculation Items with Bullet Formula 103 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 4 Modified SIMPSON formula NOTE d end diastolic s end systolic Label Description Method Left Ventricular Fractional Area of 2 2 2 LVAMd f Ellipse Area mm cm or dm Mitral Valve LVLd Left Ventricular Length Distance mm Left Ventricular Fractional Area of LVAPd Papillary Muscles Ellipse Area mm cm or dm LVAMs Left Ventricular Anterior Wall LVLs Left Ventricular Length Distance mm Left Ventricular Fractional Area of 2 2 2 LVAPs Ellipse Area mm cm or dm Papillary Muscles HR Heart Rate Key in bpm EDV End Diastolic Volume 1 ESV End Systolic Volume SV Stroke volume SV mL EDV mL ESV mL CO Cardiac Output CO L min SV mL x HR bpm 1000 EF Ejection fraction B mode EF No unit SV mL EDV mL x 100 SI Stroke Index SI No unit SV mL BSA m CI Cardiac Index CI No unit C
73. Digital Ultrasonic Diagnostic Imaging System User Manual calculation result will be displayed in Measured Results 7 Roll the trackball and press Set to begin a new ratio measurement You can measure a maximum of four groups of data The outcome will be displayed in Measured Results 8 Press Measure to finish and exit E ry Dist11 Dist12 Ratio1 B Figure 6 9 Ratio Measurement and the Results Stenosis Distance stenosis To determine the distance stenosis take two distance measurements A and B The system calculates the stenosis A B A 100 To measure distance stenosis Press Measure to activate measurement function 2 Roll the trackball to highlight menu Stenosis and select Distance and then press Set to activate a measurement cursor on the screen 3 Measure the first distance with the distance measurement method 4 Measure the second distance move the cursor and press Set to anchor the start point and the mark appears Move the cursor with trackball Measurement Results displays the real time measurement value and calculation result 5 During measurement you can press Change to change the start point and the end point if you press Change again the system interchanges the numerator and denominator 6 Roll the trackball and press Set to complete the measurement and the calculation result will be displayed in Measured Results 7 Roll the trackball and p
74. Imaging System User Manual and then freeze it 4 Measure the length of the third axis in the vertical section image with the distance measurement method You can measure a maximum of one group of data The outcome will be displayed in Measured Results In the 2B mode or 4B mode To measure volume 1 Obtain the cross section image and the vertical section image 2 Measure the length of the major axis and the minor axis of the cross section with the ellipse method 3 Roll the trackball to the next image vertical section image measure the length of the third axis with the distance measurement method The outcome will be displayed in Measured Results as shown below 4 Press Measure to finish and exit LAxis mx SAxis zu 3rdAxis Volume Figure 6 7 3 Axis Volume Method and the Results 3 Axis LWH method V 1 6 x Lx WxH L the length W the width H the height Three axis LWH method can be used to perform volume measurement by calculating 3 sets of distance data L W and H Measure the three data in the method of B mode generic distance measurement and then the value of volume will be displayed automatically To measure volume In the B mode 1 Obtain a cross section image and freeze the system 2 Measure the length and the width 56 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Ratio 3 Unfreeze the system to acquire a new image vertical section i
75. Medical Device Depot www medicaldevicedepot com 1 877 646 3300 EDAN INSTRUMENTS INC C 0123 UI3JSs S SUISBUI INSOUSBI JUOST D N USIA User Manual Manual Ver 1 4 Release Date Jan 2010 Part Number MS1R 102299 1 4 P N MS1R 102299 1 4 Copyright O Copyright EDAN INSTRUMENTS INC 2008 2010 AII rights reserved Statement This manual will help you understand the operation and maintenance of the product better It is reminded that the product shall be used strictly complying with this manual User s operation failing to comply with this manual may result in malfunction or accident for which Edan Instruments Inc hereinafter called EDAN can not be held liable EDAN owns the copyrights of this manual Without prior written consent of EDAN any materials contained in this manual shall not be photocopied reproduced or translated into other languages Materials protected by the copyright law including but not limited to confidential information such as technical information and patent information are contained in this manual the user shall not disclose such information to any irrelevant third party The user shall understand that nothing in this manual grants him expressly or implicitly any right or license to use any of the intellectual properties of EDAN EDAN holds the rights to modify update and ultimately explain this manual Responsibility of the Manufacturer EDAN only considers itself responsibl
76. Monitor Ol 20 t Fuse 21 IL Probe socket 22 mU Net work port 23 2 Foots witch To identify a foot switch or the connection for a foot switch 24 de Protective earth ground 25 a Recording on an information carrier 26 EDAN Trademark 27 USB Universal Serial Bus Connection 28 h Dangerous voltage Variability for rotating movement 29 A Rotate clockwise to increase the value and counterclockwise to decrease the value Variabilit 30 1 Adjust right to increase the value and left to decrease the value Table 1 1 Descriptions of Symbols DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 2 System Overview 2 1 Appearance 2 1 1 Front Panel Figure 2 1 Front Panel Schematic Diagram 1 2 Probe holders Display screen Contrast adjustment knob Brightness adjustment knob Acoustic power adjustment knob Control panel Power switch Trough for the coupling gel Handle DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 2 1 2 Rear Panel Air Fan Heat emission fan Figure 2 2 Rear Panel Schematic Diagram 1 Footswitch port 2 Network port 3 Fuse 4 Power supply input port 5 Equipotential earth terminal 6 VGA output port 7 Remote port 8 Video output port CAUTION To have good aeration performance and be able to operate normally please don t cover or plug the air fan or heat dissipation orifice partly or wholly by using
77. O L min BSA m BSA Body Surface Area Calculate by to the selected formula m Table 8 9 Measurement and Calculation Items with Modified SIMPSON Formula 1 EDV mL LVLd mm 9 x x LVAMd mm 2 x LVAPd mm LVAMd mm x LVAPd mm y 1000 ESV mL LVLs mm 9 x la x LVAMs mm 2x LVAPs mm LVAMs mm x LVAPs mm j 1000 104 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 5 Other measurement and calculation items Label Description Method LVET Left Ventricular Ejection Time Time ms FS No unit LVIDd mm LVIDs mm LVIDd mm x 100 Mean Velocity Circumferential Fiber MVCF No unit LVIDd mm LVIDs Shortening mm LVIDd mm x ET msy1000 FS Fractional Shortening MVCF Table 8 10 Other Measurement and Calculation Items 8 2 1 LV LV measurement is as below Single plane ellipse Measurement items LVLs LVALs LVLd and LVALd To measure LV 1 In the B cardiac measurement menu roll the trackball to highlight LV Then select S P Ellipse and press Set 2 During end systolic measure LVLs and LVALs respectively The system calculates and displays ESV value 3 During end diastolic measure LVLd and LVALd respectively the method of former one is similar to the generic B mode distance measurement method and the second one the generic B mode ellipse area measurement method The system calculates and
78. W according to the transmitter GHz manufacturer and d is the recommended separation distance in metres m Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol ERIS m NOTE 1 At 80 MHz and 800 MHz the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people gt Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the DUS 6 is used exceeds the applicable RF compliance level above the DUS 6 should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the DUS 6 E Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m 169 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Recommended separation
79. a measurement You can measure a maximum of four groups of data The outcome will be displayed in Measured Results as shown below 6 Press Measure to finish and exit Trace1 je Circ Area m Figure 6 6 Trace Circumference Area Method and the Results 2 Axis volume method V 1 6 x A x B A the length of major axis B the length of minor axis Two axis volume method can be used to perform volume measurement by calculating only 1 set of measured data Operating Method The two axis volume method is similar to the generic B mode Cir Area measurement ellipse method You can measure a maximum of four groups of data 3 Axis method V 1 6 X AX BXM A the length of major axis B the length of minor axis M the length of the third axis Three axis method can be used to perform volume measurement by calculating 2 sets of measured data EA and the length of the third axis To complete volume measurement first measure EA by ellipse method and then measure the length of the third axis with the distance measurement method and the value of volume will be displayed automatically To measure volume In the B mode 1 Obtain a cross section image and freeze the system 2 Measure the lengths of the major axis and the minor axis of the cross section with the ellipse method 3 Unfreeze the system to acquire a new image vertical section image 55 DUS 6 Digital Ultrasonic Diagnostic
80. age magnification are available 1 0 1 2 1 4 1 6 2 0 2 4 3 0 and 4 0 Press Set display the zoomed image and then roll the trackball to move the zoomed image When a body mark is added the rotation function is automatically activated and the rotation light is on You can rotate this button to adjust the scanning direction When an arrow is added the rotation function is automatically activated and the rotation light is on You can rotate this button to adjust the arrow direction ce C Clear Gain Multi function knob 3 Rotate it to do the key total gain adjustment overall gain 0 130 in increments of 2 Press it to clear all the measurements calculations comments and body marks those are displayed on the screen Adjustment knobs near the screen Contrast rotate this knob to adjust the contrast Brightness rotate this knob to adjust the brightness POWER rotate this knob to adjust the acoustic power 16 levels 0 15 by the way of changing power supply Time Gain Compensation TGC slide controls Glide the slide controls to adjust the TGC glide the upper segments to adjust the near field gain and the lower segments to adjust the far field gain glide right to increase TGC and glide left to decrease TGC The system displays a graphics representing the TGC curve on the image screen as shown in figure 5 5 232 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual
81. al clear envelope homogeneous low echo cyst no obvious Abnor echo in the spleen Slice size as normal homogeneous echo pancreatic duct not dilated Figure 6 18 General Worksheet Dialog Box To print the report Press Print in the General Worksheet Ll Printing reference section 5 8 Printing 6 7 CINE Review The system provides a storage capacity of 256 frames for CINE Review playback Activate the device and enter the real time B B B 4B or B M scanning mode Enable the system to collect images before CINE Review playback The cine function includes frame by frame playback and motion playback The cine review symbol is displayed on the bottom of the screen as shown below 64 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual ee Figure 6 19 CINE Review Symbol To perform the CINE Review playback l 5 6 Press Freeze to freeze the image and the system displays the cine menu as shown below Cine Review Play Stop FPS Gray Map Print Report Figure 6 20 Cine Review Menu Roll the trackball to start playing back frame by frame Roll the trackball to the right to advance the cine data one frame at a time or to the left to move the data in reverse The arrow on the CINE Review Symbol indicates the direction toward which the data is moving The loop of data wraps around when either end is reached As the trackball is moved the current cine number is displ
82. alization conductor The peripheral equipment is located at least 1 5 meters 1 8 meters in Canada and the U S A outside the patient environment A patient environment is defined as the area in which medical examination monitoring or treatment of the patient takes place The peripheral equipment is connected to a main outlet outside the patient environment but still within the same room as the ultrasound system A WARNINGA Equipotential bonding When the device is running with other instruments jointly consideration should be given to equipotentiality Doctors and patients might be exposed to the hazardous and uncontrollable effects of compensating current caused by unbalanced equipotentiality between indoor medical device and touchable conducting parts The safest solution is to build a unified equipotential network to which the medical device is connected using an angular plug Printer Installation This system supports video printer and USB printer To install the video printer l 2 4 Power off the main unit and the printer Connect the VIDEO IN video input of the video printer with the VIDEO OUT video output of the main unit Connect the REMOTE of the video printer with the REMOTE of the main unit li Reference Figure 4 7 Rear Panel Ports Power on the main unit and run the printer To install the USB printer l 2 3 Power off the main unit and the printer Connect
83. alth care professional for ultrasound evaluation of Fetus Abdomen Pediatrics Small Organ Neonatal head Cardiology Peripheral Vessel Musculo skeleton both Conventional and Superficial Urology including prostate Transrecta and Transvagina 1 2 Features This portable device Digital Ultrasonic Diagnostic Imaging System DUS 6 is a high resolution linear convex scanning diagnostic apparatus Applied technologies Tissue Specific Imaging TSI Tissue Harmonic Image THI Digital Beam Forming DBF Dynamic Receiving Focusing DRF Real time Dynamic Aperture RDA Dynamic Frequency Scanning DFS and Dynamic Apodization Display modes B B B 4B B M and M Measurement and calculation functions B mode generic measurement and calculation Distance circumference area volume ratio 9o stenosis and angle M mode generic measurement and calculation Time slope and heart rate File management It supports local disk and removable disk storage USB 1 1 interface enables fast image uploading to your computer in the real time mode It has a 56 MB storage capacity Operation The folding keyboard designed with trackball is easy and convenient for various types of operation In addition 10 non interlaced progressive display and diverse probes are adopted to provide a clear and stable image DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 1 3 Model DUS 6 1 4 Contraindication The
84. and the server Ensure that you have turned on the server before verifying it 5 7 10 Maintenance The maintenance can be only done by EDAN authorized personnel 5 8 Printing To connect a video printer 1 Connect the VIDEO IN video input of the video printer to the VIDEO OUT video output of the main unit 2 Connectthe REMOTE of the video printer to the REMOTE of the main unit 48 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 3 Check the printer referring to the printer user manual 4 Run the printer To print an image Press Print on the keyboard to print the image currently displayed To connect a USB printer 1 Connect the USB printer via the USB port 2 Check the printer referring to the printer user manual 3 Check the Report Printer and Print Report Image in general preset 4 Enter the desired worksheet to edit the examination and diagnosis information 5 Run the printer To print a report Press Print of the worksheet dialog box Printer begins to print NOTES 1 Before printing make sure there is enough paper for printing 2 Before printing make sure the presetting printer type is correct 3 Before printing make sure the printer power cord and the USB cable are connected well DO NOT cut off the printer power supply or the USB cable during printing If the printer can not work normally please restart the printer and the DUS 6 49 DUS 6 Digital Ult
85. approved third party perform all on board connections of documentation and storage devices to the DUS 6 A REMOTE e OUT Footswitch Network I DEAS AC IN GA Al 100V 240V VGA El y FUSE TI 6AL 250V Co cot Figure 4 7 Rear Panel Ports Peripheral ports 1 remote port 1 Network port DICOM 3 0 1 video output port 1 power supply input port 1 footswitch port 2 fuses 95x20 T1 6AL 250V 1 VGA output port 15 pin 1 equipotential earth terminal Equipotential Bonding ST Equipotential bonding conductor Qo o 00000 Equipotential terminal Another device Figure 4 8 Equipotential Bonding Any use of other devices with the system is at the user s risk and may void the system warranty In order to fulfill IEC EN 60601 1 1 requirements connections of peripheral equipment to the DUS 6 must adhere to one of the following conditions The peripheral equipment itself is a medical device approved according to IEC EN 60601 1 Non medical peripheral equipment approved according to any other EN or IEC standard 18 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual must use the following setup for connection Connect the equipotential connector of DUS 6 to an independent protective earth terminal with a potential equ
86. ashi Okai Department of Obstetrics and Gynecology Faculty of Medicine University of Tokyo Table BPD Tokyo BPD MA BPD MA BPD MA BPD MA cm 2SD cm 2SD cm 2SD cm 2SD 1 6 11w3d 7 3 6 16w3d 8 5 6 23w0d 11 7 6 30w1d 15 1 8 11w6d 7 3 8 17w0d 8 5 8 23w5d 11 7 8 31w0d 16 2 12w0d 7 4 17w5d 8 6 24w2d 12 8 32w0d 16 2 2 12w4d 7 4 2 18w2d 9 6 2 25w0d 12 8 2 33w0d 16 2 4 13w0d 7 4 4 19w0d 9 6 4 25w6d 12 8 4 34w0d 20 2 6 13w6d 7 4 6 19w5d 10 6 6 26w3d 13 8 6 35wbd 25 2 8 14w2d 7 4 8 20w2d 10 6 8 27w3d 13 8 8 37w0d 25 3 14w6d 7 5 21w0d 10 7 28w0d 13 9 39w0d 25 3 2 15w2d 7 5 2 21w4d 10 7 2 29w0d 14 9 2 40w0d 25 3 4 16wOd 8 5 4 22w2d 10 7 4 29w5d 14 China Wu Zhongyu Ultrasound Diagnosis in Obstetrics and Gynecology Tianjin Science and Technology Publisher 1995 Table BPD China BPD MA BPD MA BPD MA BPD MA 157 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual cm 2SD cm 2SD cm 2SD cm 2SD 1 9 12w0d 7 3 8 17w3d 9 5 7 23w1d 13 7 6 30w0d 20 2 12w2d 7 3 9 17w5d 9 5 8 23w3d 14 7 7 30w3d 20 2 1 12w4d 7 4 18w0d 9 5 9 23w5d 14 7 8 30w6d 21 2 2 12w6d 7 4 1 18w2d
87. ayed on the right of the CINE Review Symbol Press Cine to stop playing back and then roll the trackball to highlight Play Stop and press Set to enter the motion playback mode During playing back press Play Stop to play or to stop Press Cine to go back to the frame by frame mode Press Freeze to exit the CINE Review playback The default setting is to load images by serial numbers forward When the number reaches 256 it will return to 1 NOTE 1 2 The FPS frames per second is adjustable from 5 to 50 in increments of 5 After opening a cine file you can do some measurements add comments and a body mark on the image and print it in the report See section 5 4 5 Comment function and section 5 4 6 Body mark function for detailed operation information 6 8 File Management Press File to display the file menu shown as below 65 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Menu Menu hot hal ve Frame ve Cine fe Frame gt Cine Open Open File Manager File Manager EL di FileType BMP FileType Storage Fixed Storage Preset Figure 6 21 File Menu the left with no DICOM installed the right with DICOM installed 6 8 1 Saving Files File types The file types include BMP JPG DCM if DICOM is installed CIN FRM and AVI To choose a storage disk The storage disk can be set to Fixed or USB Disk by the Storage option in the file menu To cho
88. base of the device 4 DO NOT clean the system with chlorinated or aromatic solvents acidic or basic solutions isopropyl alcohol or strong detergents such as ammoniated products as they may damage the surface of the system 5 DO NOT use spray detergents on the system or it may force cleaning fluid into the system and damage electronic parts Solvent fumes build up and form flammable gases or damage internal parts 6 DO NOT pour any fluid onto the system surface as fluid seepage into the electrical circuitry may cause excessive leakage current or system failure 7 DO NOT leave residual detergent on the surface of the device 122 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 13 2 1 System Surface Cleaning To clean the system surface 1 Power off the system and disconnect it from power supply 2 Usea clean gauze pad or lint free cloth moistened lightly with a mild detergent to wipe the surface 3 After cleaning reconnect the system to power source CAUTION Make sure the cleaning solution does not seep into the control panel or any other openings NOTES Take particular care when cleaning the areas near track ball and the slide controls Make sure they are free of gel and any other visible residue 13 2 2 Probe and Probe Holder Cleaning and Disinfection To clean probe holder 1 Turn the probe holder upwards and then lift the holder out of the system enclosure 2 Wash the holder with
89. bstetrics and Gynecology Faculty of Medicine University of Tokyo 165 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Appendix IV Measurement Accuracy Parameter Range Accuracy Image depth range R60 20 mm 250 mm L43 30 mm 100 mm R10 40 mm 100 mm R20 20 mm 250 mm R40 20 mm 250 mm lt 4 of full scale M mode time range 3 6 15 25s lt 0 3 of full scale Two dimension Measurement Distance depth up to 250 mm lt 4 or lt 2 mm if below 40 mm Area Trace up to 720 cm lt 8 or lt 130 mm if below 1600 mm Area Ellipse up to 720 cm lt 8 or lt 130 mm if below 1600 mm Angle 0 to 180 lt 3 on 1 2 segment Ratio A gt B Result B A and A B A up to 1 0 lt 10 of A Result A B 1 0 to 99 9 lt 10 of A Time Motion TM Measurement Depth up to 250 mm lt 4 or lt 2 mm if below 40 mm Time up to 25 sec t 196 Heart rate 15 to 999 bpm 15 Velocity ratio up to 999 mm sec 15 Volume Measurement Volume area length up to 999 cm lt 12 or 8000 mm if below 64000 mm diameter Thyroid gland volume up to 999 cm lt 12 or 8000 mm if below 64000 mm Residual urine volume up to 999 mL lt 12 or 8000 mm if below 64000 mm Prostate volume up to 999 cm lt 12 or 8000 mm if below 6400
90. c 4 0 4 0 4 0 Acoustic MHz Parameter Zsp 6 5 6 5 cm Beam dimensions x 6 cm 0 7019 0 7019 Operating Control Conditions AP 15 Depth 80 mm single focus 70 mm Frequency 4 0 MHz 144 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Transducer type L743 E743 Operating mode B Mode Acoustic Output Global Maximum Value Associated Acoustic Parameter Operating Control Conditions ISPTA 3 mW cm2 ISPPA 3 Wicm2 pr 3 MPa WO mW Fc 5 8216 5 8216 5 8216 MHz Zsp 1 55 1 55 1 55 cm Beam dimensions x 6 cm 0 1791 0 1791 y 6 cm PD usec SRF Hz EBD Az cm Ele cm Frequency 6 0 MHz AP 15 Depth 70 mm Single focus 80 mm Transducer type L743 E743 Operating mode B M Mode Acoustic Output ISPTA 3 mW cm2 ISPPA 3 W cm2 Global Maximum Value 0 5742 15 2052 80 6 1 8135 1 8135 WO 6 3474 6 3474 mW Fc 5 8216 5 8216 5 8216 Associated MHz Acoustic Zsp 1 55 1 55 1 55 Parameter cm Beam dimensions x 6 cm 0 1791 0 1791 y 6 cm 0 2097 0 2097 PD usec 0 2922 0 2922 SRF Hz 39 39 EBD Az cm 1 344 Ele cm 0 6 Operating AP 15 Depth 70 mm single focus 30 mm Control Frequency 6 0 MHz Con
91. can highlight Guideline in the needle guide menu and press Set to make a choice and the system displays the angle 74 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 6 9 2 To Display or To Hide the Needle Guide Line Highlight Display in the needle guide menu and press Set repeatedly to display or to hide the needle guide line 6 9 3 To Adjust the Needle Guide Line Needle guide line has been verified when the device is produced The value is saved in Factory data But after a period of use the needle guide line needs to be adjusted since the real value may be changed A WARNINGA 1 Prior to each puncture calibrate the needle guide line 2 If the needle position is not the same as the needle guide line position do not do the puncture To calibrate the guide line performing phantom cal 1 Put the assembled puncture kit put the probe in to water phantom and perform the water scan 2 Adjust the position and angle of needle to comply with the guide line as shown below 3 Select Verify to save the verified value To verify the needle guide line Move the needle guide line horizontally Highlight Position press Set to increase the value and press Back to decrease the value and the value is displayed in the menu option To adjust the angel of needle guide line Enter Angle option to adjust the angle Operation procedure is the same as that of the Position To save the verified
92. can use this option to return to the factory default data 5 7 9 Presetting DICOM If you have installed the DICOM software do the DICOM presetting as shown below a 2 1921661325 2000 16294 Serveri LA Figure 5 24 DICOM Presetting 47 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Item Description System AE Title The same as the title set in the AE Title of Local Institution Name Set the name of the institution AE Title Set the local AE title Host Name Set the local host name IP Address Set the local IP address Local Port Set the local port Alias Set the alias of the local system Package Set the PDU transmission package size from 4K to 64K and the Size default value is 16K AE Title Set the server AE title the same as the System AE Title displays Host Name Set the server host name IP Address Set the server IP address Server 1 2 Port Set the server port Alias Set the alias of the server Package Set the PDU receiving package size from 4K to 64K and the Size default value is 16K Viii After presetting the server information press Verify to verify the server s connection Current Server To choose the current server Table 5 9 DICOM Presetting Information Press OK to save the presetting and exit or Cancel to exit without saving the presetting NOTES Do not set a same IP Address for the local system
93. changed as changing the Transmission power XA transmission power and acoustic output will be changed The character of the wave focus will be changed as changing Multi frequenc d y the frequency and acoustic output will be changed The acoustic output will be changed as changing the number of Line densit e the scanning line line density Presets contain all the parameters above so any change of the Presets f presetting will change acoustic output System will return to the default set when restarting or Restart or power on off powering on off the system and acoustic output will be changed 137 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual A2 3 Probe Acoustic Output Parameters List A2 3 1 Test of Probe C363 1 Test Item B 4 MHz B M 4 MHz p MPa 1 455 1 455 spta mW cm 24 2641 27 1613 MI 0 2957 0 2957 System settings Control Control2 Z p mm 30 08 30 08 W ove mm 7 019 7 019 mm 3 0 3 0 prr kHz 4 687 2 736 srr Hz 67 39 Output beam Dimensions cm 3 168 3 168 f awt MHZ 3 342 4 0 APF 88 9 88 9 AIF 88 9 88 9 Maximum power mW 53 59 35 11 Iob mW cm 16 916 11 08 Power up mode B mode B mode Initialization mode B mode B mode Acoustic output freeze Yes Yes Z t mm EN nt Z ts mm contact Inclusive modes NOTES APF Acoustic power up fraction AIF A
94. ching a power cord The equipment should be installed by a qualified service engineer Do not try to access the interior of the main unit Only authorized service personnel could remove the unit cover Before use you must make sure that there is no visible evidence of damage on the equipment cables and probes which may affect patient safety or diagnostic capability The recommended inspection interval is once per week or less If damage is evident replacement is recommended before use Equipment connected to the DUS 6 and located in the patient zone must be powered from a medically isolated power source or must be a medically isolated device Equipment powered from a non isolated source can cause your system to exceed leakage current limits Enclosure leakage current created by an accessory or device connected to a non isolated outlet may add to the enclosure leakage current of the imaging system Use an extension cord or multi socket outlet setup to provide power to the ultrasound system or to the system s peripheral devices may compromise the system grounding and cause your system to exceed leakage current limits To avoid electrical shock and damage to the system turn off and disconnect the device from the AC power source before cleaning and disinfecting When more than one medical device is connected to the patient leakage current of the devices is summed together Take caution Don t touch the signal input or output connector and
95. coustic initialization fraction Control1 AP 15 Depth 90 mm single focus 90 mm Angle 30 Control2 AP 15 Depth 80 mm single focus 70 mm DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual A2 3 2 Test of Probe L743 E743 Test Item B 6 MHz B M 6 MHz p MPa 2 036 2 036 spta mW cm 25 9419 29 0394 MI 2 036 2 036 System settings Control Control2a Z p mm 15 18 15 18 W oe mm 1 791 1 791 L mm 2 097 2 097 prr KHz 4 686 2 736 srr Hz 67 39 Output beam Dimensions cm 0 8064 0 8064 f awt MHz 5 8216 5 8216 APF 96 9 96 9 AIF 96 9 96 9 Maximum power mW 10 1 6 3474 ob mW cm 12 52 7 87 Power up mode B mode B mode Initialization mode B mode B mode Acoustic output freeze Yes Yes Z t mm m Z ts mm contact contact Inclusive modes m B NOTES APF Acoustic power up fraction AIF Acoustic initialization fraction Control1 AP 15 Depth 70 mm single focus 80 mm Control2 AP 15 Depth 70 mm single focus 80 mm 139 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual A2 3 3 Test of Probe C321 Test Item B 4 0 MHz B M 4 0 MHz p MPa 1 316 1 316 l spta mW cm 18 3424 21 8548 MI 0 463 0 463 System settings Control1 Control2 Z p MM 23 42 23 42 W ops mm 2 64 2 64 mm 4 604 4 604 prr kHz 7 535 2 736 srr Hz 47
96. cursor is displayed After entering B mode press Measure display the menu below Print Rej Figure 5 7 B Mode Generic Measurement and Calculation Menu Secondary menu The symbol b indicates that there is a secondary menu associated with the menu option Roll the trackball to highlight the menu option with Pb the system displays a secondary menu for the selected option Example The secondary menu of Cir Area contains Ellipse and Trace shown as below 36 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual After entering B mode press Measure display the menu below and highlight the option Cir Area the system will display the secondary menu Ellipse and Trace Figure 5 9 File Menu Figure 5 10 Needle Guide Menu Figure 5 8 Secondary Menu 5 6 Dialog Box Operation The dialog box may have a few tabs as shown below You can select one tab at a time with trackball and Set Also you can modify the parameter following the prompt instruction and then highlight OK and press Set to save the modified parameters and close the dialog box or highlight Cancel to give up the modification and close the dialog box directly Ob Exam Preset Hi Density General L Figure 5 11 Obstetric Examination Preset Dialog Box m a Iz 4 CI ES Hi Density MI CI Fa EN LI 37 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 5 7 Presetting 5 7 1 Enteri
97. d 33w5d 1 30 14w1d 13w3d 14w5d 3 90 23w2d 22w2d 24w2d 5 90 32w3d 30w6d 34wOd 1 39 14w3d 13w5d 15w1d 3 97 23w4d 22w4d 24w4d 5 96 32w5d 31w1d 34w2d 1 48 14w5d 14wOd 15w3d 4 04 23w6d 22w6d 24w6d 6 01 33wOd 31w3d 34w4d 1 57 15w0d 14w2d 15w5d 4 11 24w1d 23w0d 25w1d 6 06 33w2d 31w5d 34w6d 1 66 15w2d 14w4d 16wOd 4 18 24w3d 23w2d 25w3d 6 11 33w4d 32wOd 35w1d 1 75 15w4d 14w6d 16w2d 4 25 24w5d 23w4d 25w5d 6 16 33w6d 32w1d 35w3d 1 83 15w6d 15w1d 16w4d 4 32 25wO0d 23w6d 26w0d 6 21 34wid 32w3d 35w6d 1 92 16w1d 15w3d 16w6d 4 39 25w2d 24w1d 26w3d 6 26 34w3d 32w5d 36w1d 2 01 16w3d 15w4d 17w1d 4 45 25w4d 24w3d 26w4d 6 31 34wbd 33wO0d 36w3d 2 09 16w5d 15w6d 17w3d 4 52 25w6d 24w5d 27w0d 6 36 35w0d 33w2d 36w6d 2 18 17wOd 16w1d 17w5d 4 59 26w1d 25w0d 27w2d 6 41 35w2d 33w4d 37w1d 2 26 17w2d 16w3d 18wOd 4 65 26w3d 25w2d 27w4d 6 46 35w4d 33w6d 37w3d 2 34 17w4d 16w5d 18w2d 4 72 26w5d 25w4d 27w6d 6 50 35w6d 34w0d 37w5d 2 43 17w6d 17wOd 18w4d 4 78 27w0d 25w5d 28w1d 6 55 36w1d 34w2d 38wOd 2 51 18w1d 17w2d 18w6d 4 85 27w2d 26w0d 28w3d 6 60 36w3d 34w4d 38w3d 2 59 18w3d 17w4d 19w1d 4 91 27w4d 26w2d 28w5d 6 64 36wb5d 34w6d 38w5d 2 67 18w5d
98. d Height Urology RUV Residual Urine Volume mL or L RUV L Residual Urine Length RUV W Residual Urine Width RUV H Residual Urine Height PV Prostate Volume mm3 cm3 or dm3 PV L Prostate Length PV W Prostate Width PV H Prostate Height SPSA Serum of Prostate Specific Antigen PPSA Predicted Prostate Specific Antigen Density PSAD Prostate Specific Antigen Density Orthopedics HIP Hip joint 174
99. data are measured the result of UT will be displayed in Measured Results You can measure a maximum of one group of data 9 1 2 Endo To measure endometrium 1 Inthe gynecology menu roll the trackball to highlight Endo and press Set 2 Measure Endo in the method of distance measurement 3 The result of Endo will be displayed in Measured Results You can measure a maximum of one group of data 9 1 3 OV V The measurement of OV Vol includes L OV Vol and R OV Vol To measure L OV Vol In the gynecology menu roll the trackball to highlight OV Vol and then highlight the secondary menu L OV Vol press Set Measure the three data L OV L L OV W and L OV H in the method of distance measurement After the three data are measured the result of L OV Vol will be displayed in Measured Results To measure R OV Vol The method is similar to the L OV Vol measurement method 111 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 9 1 4 FO The measurement of FO includes L FO and R FO To measure L FO 1 In the gynecology menu roll the trackball to highlight FO and then highlight the secondary menu L FO press Set 2 Measure the two data L FO L and L FO W in the method of distance measurement 3 After the two data are measured the result of L FO will be displayed in Measured Results To measure R FO The method is similar to the L FO measurement method 9 1 5 CX L To measure CX L
100. deti aru b dus asd a Late se Mos tat bud lias iaia 65 6 8 1 Savina PIS co teo tcu Ful b De uS dec c eoi gute ctu ca Sn tpe d E Ue 66 0 32 Opening Files aai rei e b edu a orti qaia s a aud reso sei c soe 68 6 8 3 Browsing INA BOS A bees dit etes unt EANCU tie ui ess 69 6 8 4 File Managera A Deak ai he uss 70 DS Tales ene ak cet Rl Face Ga te eI b peus 72 6 9 P nct re FUNCHON AAA A AA a duet da Sed are dore Rakes 33 6 9 1 To Select the Angle of Needle Guide Line eterne 74 6 9 2 To Display or To Hide the Needle Guide Line sess 73 6 9 3 To Adjust the Needle Guide Difesa eet do en eae ve her a se Aid 75 6 9 4 Reference Lines sete tereti e iiu bee leben exe Pt iO eie ER 76 6 10 Breakstonce o ac 76 Chapter 7 Obstetric Measurement and Calculation sse 77 O 77 7 2 Obstetric Measurement and Calculation essen 77 fw GL REED RETE ET TTE THERE ERREUR cide 79 VS doa i ed ERES UNE Eb I DRM A T ERECTAE UTE e A NCE eae 79 A EP UAR 79 qud d PIC edocet a LM M C M M M dua M M LM er ns dee 80 doce ce AMA MEE MA E A M m MA 80 pex pev A 81 Ue i c 81 UE NL UD OCC TEE 81 SE AA rS 82 A A TOS 82 TAN C 83 HCM E SUI Mec tS 83 A MORTON HEROS 83 AS E A ATE 84 TA EDC Caleul tioti a c e oed ce Eee e Fu b s ri aa ad n T NH QN 84 7 4 1 EDC Calculation by Entering LMP niri coder se re i terere e o
101. ditions 145 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Transducer type C321 Operating mode B Mode Acoustic Output MI ISPTA 3 ISPPA 3 mW cm2 W cm2 Global Maximum Value 0 463 9 2765 36 63 pr 3 0 9762 MPa WO 23 51 23 51 mW Associated Fc 3 569 3 569 3 569 Acoustic MHz Parameter Zsp 2 75 2 75 2 75 cm Beam dimensions x 6 cm 0 264 0 264 y 6 cm 0 4604 0 4604 PD usec 0 1514 0 1514 SRF Hz 47 47 EBD Az cm 1 28 Ele cm 1 5 Operating AP 15 Depth 40 mm Focus 30 mm Control Angle 46 Frequency 4 0 MHz Conditions Transducer type C321 Operating mode B M Mode Acoustic Output MI ISPTA 3 ISPPA 3 mW cm2 W cm2 Global Maximum Value 0 463 9 2765 36 63 pr 3 0 9762 MPa WO 23 51 23 51 mW Associated Fc 3 569 3 569 3 569 Acoustic MHz Parameter Zsp 2 75 2 75 2 75 cm Beam dimensions x 6 cm 0 264 0 264 y 6 cm 0 4604 0 4604 PD usec 0 1514 0 1514 SRF Hz 47 47 EBD Az cm 1 28 Ele cm 1 5 Operating AP 15 Depth 40 mm single focus 30 mm Control Angle 46 Frequency 4 0 MHz Conditions 146 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Transducer type E613 Operating mode B Mode Acoustic Output ISPTA 3 mW cm2 Associated Acoustic Parameter
102. e B mode the B M mode or the M mode Press Exam and select Cardiac and then press Set 8 1 M mode Cardiac Measurement and Calculation Press to enter the M mode or press to enter the B M mode and then press Measure to activate the measurement function The measurement menu will be displayed W CARDIAC MEAS Y Mitral Aorta Heart Rate Yalve Yolume LAD AOD LYMW m T i valve Volume Input WorkSheet Heart Rate Others LYET Height e Weight Figure 8 1 M Mode Cardiac Measurement and Calculation Menu 1 Items of Measurement and Calculation M CARDIAC MEAS LV Mitral Heart Rate LVET and LVMW 2 Items of input Heart Rate LVET and Height amp Weight The formulas of B M mode and M mode cardiac LV measurement include TEICHHOLZ and CUBE as shown below and the default formula is TEICHHOLZ 91 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 1 CUBE formula NOTE d end diastolic s end systolic Label Description Method LVIDd Left Ventricle Internal Diameter Distance mm LVIDs Left Ventricle Internal Diameter ET Ejection Time Time ms or s HR Heart Rate M mode heart rate measurement or key in bpm EDV End Diastolic Volume EDV mL LVIDd mm y1000 ESV End Systolic Volume ESV mL LVIDs mm 1000 SV Stroke volume SV mL EDV mL ESV mL CO Cardiac Output CO L min SV mL x HR bpm 1000 EF Ejection fractio
103. e Four to display single growth graphics or four growth graphics 88 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 7 6 2 Obstetric Report After obstetric examination the system will generate an obstetrical diagnosis worksheet automatically 1 In the obstetric menu roll the trackball to highlight Results and it will display secondary menu automatically 2 Select OB Worksheet and press Set open Obstetric Worksheet as shown below Obstetric worksheet pe pe Figure 7 7 Obstetric Worksheet The diagnosis editing column displays the cursor T and you can enter diagnosis information NOTES 1 The system will display the completed measurement and calculation the uncompleted measurement and calculation will not be displayed 2 You can check the measured items by opening the obstetric worksheet dialog box 89 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual whenever you want during measurement or after that Then press OK or Cancel to close the dialog box and continue to measure To print the report Press Print in the Obstetric Worksheet l Printing reference Section 5 8 Printing 7 7 Others If you want to begin other measurements you can switch through the menu by selecting Others 90 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 8 Cardiology Measurement and Calculation The cardiology examination is usually in th
104. e connecting and disconnecting transducers Flip images horizontally to change the scan direction or vertically to change the image orientation The scan direction mark located at the side of probe indicates the beginning direction of scanning The scan direction mark is shown in figure 4 4 Scan Direction Mark REN foe Y xL m Eu Figure 4 4 Probe Scan Direction Mark Schematic Diagram There is information about Model and SN on the probe To connect a transducer l 2 3 Place the transducer s carrying case on a stable surface and open the case Carefully remove the transducer and unwrap the probe cable DO NOT allow the transducer head to hang free Impact to the transducer head could result in irreparable damage Turn the connector locking handle to the OPEN position Align the connector with the transducer port and carefully push into place Turn the locking handle on the transducer connector clockwise to LOCK position This ensures the connector in position and ensures the best possible contact Place the transducer in the transducer holder 16 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual To disconnect a transducer 1 Turn the locking handle on the connector housing counterclockwise to the OPEN position 2 Firmly grasp the transducer connector and carefully remove it from the system port 3 Store each transducer in its protective carrying case EN
105. e displayed in Measured Results 8 1 4 LVMW LVMWI LVMW and LVMWI calculations are as below Measurement items LVPWd IVSTd and LVIDd The calculation formula LVMW g 1 04 IVSTd cm LVIDd cm LVPWd cm LVIDd cm 13 6 LVMWI LVMW g BSA my To calculate I VVMW LVMWI 1 In the M cardiac measurement menu roll the trackball to highlight LVMW and press Set 2 Measure LVPWd IVSTd and LVIDd respectively following the prompt instruction 3 After the measurements the result of LVMW will be displayed in Measured Results System will display LVWMI if you have keyed in Height and Weight before the measurement If you measured LV before it will renovate the LV results 8 2 B mode Cardiac Measurement and Calculation Press Exam select cardiology and press Set In B mode press Measure the system will enter B mode cardiac measurement The B mode cardiac measurement menus are shown as follows B CARDIAC MEAS S P Ellipse RY B P Ellipse LY Bullet PA Mod Simpson Heart Rate Input LWET WorkSheet Height Weight Others Figure 8 5 B Mode Cardiac Measurement and Calculation Menu 1 Items of Measurement and Calculation B CARDIAC MEAS RV LV and PA 100 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 2 Items of input Heart Rate LVET and Height amp Weight The default measurements are LVLs LVALs LVLd and LVALd measurements with single plane ellipse
106. e for any effects on safety reliability and performance of the equipment if Assembly operations extensions re adjustments modifications or repairs are carried out by persons authorized by EDAN and The electrical installation of the relevant room complies with international standards and The equipment is used in accordance with the instructions for use Upon request EDAN may provide with compensation necessary circuit diagrams and other information to help qualified technician to maintain and repair some parts which EDAN may define as user serviceable Using This Guide This guide is designed to give key concepts on safety precautions II A WARNINGA A WARNING label advises against certain actions or situations that could result in personal injury or death CAUTION A CAUTION label advises against actions or situations that could damage equipment produce inaccurate data or invalidate a procedure NOTE A NOTE provides useful information regarding a function or a procedure Revision History Date ECO Version Description 2008 08 05 1 0 1 edition 2009 04 24 2010 01 04 ECO DUS 9003 ECO DUS 9009 Added the 3 Aixs LWH method inputting focus DICOM function file browsing file sending functions and transducer power values Revised the preface and contact information the ranges of the image parameters and the Cleaning and Disinfecting information
107. e measurement status press this key return to the previous operation In comment mode press the key to delete the entered text one by one In parameter setting status press the key decrease the parameter value Change key This key has dual functions pcs In measuring status you can press Change once to change the settled point and the active point In annotation status press this key display the comment library Set key Press this key confirm the selection of a specific function or command Use this key anchor calipers select a menu item or image graphic Or press it to increase the parameter value in parameter setting status Freeze Freeze key Press this key switch between the frozen and real time states When an image is frozen the system inserts P next to the system time clock and the clock pauses When unfreezing the system all the measurements calculations body marks and comments will be erased v E 3 3 a Print key Press this key do the video printing Footswitch Pedaling on the footswitch is equivalent to pressing Freeze Table 5 2 Function Controls 2965 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 5 4 5 Comment Function The comment library is for positions and anatomical structures To add a comment gt To add a comment by using the keyboard p 1 Press Comment and there is a cursor I displayed in the image ar
108. e type is BMP The file types include BMP JPG FRM DCM and CIN Pressing the symbol Y to display the driver or the file type and 68 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual then roll the trackball to choose the type Select a desired file name or enter a file name and press Open the system begins to load the corresponding image A prompt instruction Loading file is displayed in the middle of the screen Then the prompt instruction disappears and the system displays the designated image NOTES 1 Images that have not yet been saved in the saving zone can not be loaded 2 When saving or loading image is still in process prompt instruction Saving file or Loading file please do not perform any other operation This is to avoid damaging the device 3 You should freeze the system before opening Cine images and FRM files 4 After opening a FRM file you can do some measurements add comments and a body mark on the image and print it in the report See section 5 4 5 Comment function and section 5 4 6 Body mark function for detailed operation information 6 8 3 Browsing Images After you open an image press _ lt s to open the previous image and gt to open the next image press EE to exit the browsing 1 D mm B Mod D 100mm lt lt gt gt exit Figure 6 24 Image Browsing Dialog Box NOTE The JPG BMP and DCM if DICOM is installed images a
109. ea for annotating 2 Enter text by using the keyboard 3 Press Set to complete the comment gt To add a comment by using the comment library p 1 Press Comment and there is a cursor I displayed in the image area for annotating 2 Press Change to display the comment library 3 Highlight a comment in the comment library and press Set to confirm the choice and complete the comment To add an arrow id ld 1 Press Comment and there is a cursor I displayed in the image area for annotating 2 Press Set to display an arrow 3 Move the trackball to move the position of the arrow and the rotation function is automatically activated and the rotation light is on you can rotate this button to adjust the arrow direction 4 Press Set to set the position of the arrow To move a comment 1 Move the cursor to a comment and there is a pane around the comment 2 Press Set and move the cursor to a new position 3 Press Set to confirm the new position To delete a comment During commenting you can use DEL to cancel the undesired text word by word or you can use Back to cancel the undesired text one by one The comment library is shown below P re f v JF o Jf ae ese JB o B 5 Generic 21 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 28 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Hyd SB VSD ASD PDA Lesion 1 ws MR j mvp
110. easurement and the Results To determine an angle draw two lines A and B The system calculates the angle To measure angle l 2 Press Measure to activate measurement function Roll the trackball to highlight menu Angle and then press Set to activate a measurement cursor on the screen Draw the first line A with the distance measurement method Draw the second line B move the cursor and press Set to anchor the start point and the mark appears Move the cursor with trackball Measurement Results displays the real time measurement value and calculation result During measurement you can press Change to change the start point and the end point if you press Change to again the system interchanges line A and line B Roll the trackball and press Set to complete this measurement Roll the trackball and press Set to again begin a new angle measurement You can measure a maximum of four groups of data The angles formed by the two lines are displayed in Measured Results in units of degrees The outcome will be displayed in Measured Results Press Measure to finish and exit 60 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual EM 2 Dist11 Dist12 Angle1 xis E Dist21 Dist22 4 Angle2 Figure 6 12 Angle measurement Others Roll the trackball to highlight Others to select a desired measurement item 6 6 2 Generic Measurements in M Mode M mode
111. ectric shock Type B According to the degree of protection against harmful ingress of liquid Whole device IPXO general device Probes IPX4 protect against splashing water According to the degree of safety of application in the presence of a flammable gas Equipment not suitable for use in the presence of a flammable gas According to the mode of operation Continuous operation According to the grade of EMC Group l Class A A1 2 Standards Compliance Standard Description IEC 60601 1 1988 A1 A2 EN 60601 1 1990 A1 A2 Medical electrical equipment Part 1 General requirements for safety IEC EN 60601 1 2 2001 A1 Medical electrical equipment Part 1 2 General requirements for safety Collateral standard Electromagnetic compatibility Requirements and tests IEC EN 60601 1 4 Medical electrical equipment Part 1 4 General requirements for safety Collateral standard Programmable electrical medical systems IEC EN 60601 2 37 Medical electrical equipment Part 2 37 Particular requirements for the safety of ultrasonic medical diagnostic and monitoring equipment IEC EN 61157 Requirements for the declaration of the acoustic output of medical diagnostic ultrasonic equipment A1 3 Power Supply Operating Voltage 100 V 240 V Operating Frequency 50 Hz 60 Hz Input Power 110 VA 132 DUS 6 Digital Ultrasonic Diagnostic Imaging S
112. ely low with Transcranial Doppler it is important to know how to control and limit patient exposure Major governing bodies in ultrasound have issued statements to the effect that there are no known adverse effects from the use of diagnostic ultrasound however exposure levels should always be limited to As Low As Reasonably Achievable the ALARA principle You can control the ultrasonic power or patient exposure to ultrasound in any of the following three ways e Adjust the pulse strength amplitude e Adjust the duration of the pulse pulse duration e Adjust the pulse rate pulse repetition frequency or PRF To change these settings for your system use the following controls Amplitude The power setting directly influences the amplitude of the pulse burst A higher setting increases the amplitude resulting in a higher ultrasound output at the transducer Sample Volume The Sample volume is the axial length of the area from which the Doppler signals are obtained The larger the sample volume the longer the duration of the pulse burst and consequently the higher the ultrasound output and power Spectrum Velocity Scale The higher the scale setting the higher the pulse repetition frequency number of pulses per 136 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual second and consequently higher ultrasound output More pulses per second are equivalent to a higher power output Proper use of these instrument
113. ence Formulas 150 Parameter Formula mapas MA range eod range mm Tokyo 10 68 4w0d 12w1d See table GS Tokyo Hellman 17 60 6wOd 12w1d 0 GS 12 days Rempen 2 73 4w6d 14w1d See table GS Rempen for details China 10 68 5w0d 12w0d See table GS China Tokyo 6 100 6w3d 16wOd See table CRL Tokyo Hadlock 2 121 1 5w5d 18w0d 8 826 CRL Robinson 6 7 82 4 6w3d 13w6d 5 days Hansmann 6 150 6w1d 21w3d See table CRL Hansmann China 9 105 7wOd 17wOd See table CRL China Tokyo 16 92 11w3d 40wOd See table BPD Tokyo 12 18 wk 1 19 wk 8 days 18 24 wk 1 73 wk 12 days Hadlock 15 102 12w1d 42w1d 24 30 wk 2 18 wk 15 days 30 36 wk 3 08 wk 22 days 36 42 wk 3 20 wk 22 days iil Merz 21 102 12w1d 40w2d See table BPD Merz 10 days Rempen 3 27 6w6d 13w5d See table BPD Rempen for details Osaka 13 3 93 6 10wOd 40wOd See table BPD Osaka China 19 94 12wOd 40wOd See table BPD China 12 18 wk 1 19 wk 8 days 18 24 wk 1 48 wk 10 days Hadlock 56 358 12w0d 41w6d 24 30 wk 2 06 wk 14 days ne 30 36 wk 2 98 wk 21 days 36 42 wk 2 70 wk 19 days Merz 72 364 12w1d 40w4d See table HC Merz AC 12 18 wk 1 66 wk 12 days Hedleek 50 384 1 Hw6d 4 w68 DUS 6 Digital Ultrasonic
114. end tp eade d Re dtu a eed lee RA n ee Lud auod 35 296 Dialog BOX Op ration iese A AS 37 Dig fa IPIESOIUHD assis co bob ua rdiet tte tees ie a atus eco E RD Ma fne dei deste a oft EEA EA nU ced and 38 Sl Entering and BXIHS 25 os sida E ex ae be coe tbece Due su e sl 38 5 7 2 Displaying Modifying the Preset Parameter ooooocnnccninccnnoccnonaconoconn nono nconncconocnnos 38 DT A A eset oat e bean ss 39 D 1 4 A Vou HERR el pk Rem ds 41 ASES A rae set heen irs ial uei la ct em oU Deu a e 42 244 6 Presetting Post PIOCESSING secs Lerner riani a Ads 44 5 7 7 Editing Comment Library s es eee e Seer A taedas tds 46 5 7 8 Presetting Data std EPA t duabus 47 31 9 Pres tting DICOM a SR 47 AMO Maintenance ii 48 Oc Oe A A LE bits 48 Chapter 6 Operation EAS ATA hp ee bo dus 50 6 1 Selecting an Examination Types e oes de rie Poo eter dp Ted dude er e ae 50 Ges Bieri NOW Patients od ceat Seco ecd bee iode tete tr ettet n nt E a 50 6 3 Entering or Editing Patient Informa eses Fd eet epe eset a te Re ER ERR 50 6 4 Activatinp a Transducers cy duree ra e esp E tos datus Di EO as ec 51 6 5 Selecting an Imaging Mode eer eerte ente aee eie arr ec e ele ep Ue ica 5 6 6 Measurement and CaleulgtiQuE ceca ias 51 6 6 1 Generic Measurements in B Mode 53 6 6 2 Generic Measurements in M Mode ee ec e date ates 61 5 0 3 General Report RT 64 ORC INBROVISWOS ee sata eot ee bea it met e tU etu 64 6 8 File M nag ment xs sitos dao etatis eoa giten latos
115. eric pressure range 860 hPa 1060 hPa Maximum altitude 3 km A1 7 2 Storage and Transportation Environment Temperature 40 C 55 C Relative humidity range 25 RH 93 RH Atmospheric pressure range 700 hPa 1060 hPa Maximum altitude 3 km 135 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Appendix II Ultrasound Intensity and Safety A2 1 Ultrasound in Medicine The use of diagnostic ultrasound has proved to be a valuable tool in medical practice Given its known benefits for non invasive investigations and medical diagnosis including investigation of the human fetus the question of clinical safety with regards to ultrasound intensity arises There is no easy answer to the question of safety surrounding the use of diagnostic ultrasound equipment Application of the ALARA As Low As Reasonably Achievable principle serves as a rule of thumb that will help you to get reasonable results with the lowest possible ultrasonic output The American Institute of Ultrasound in Medicine AIUM states that given its track record of over 25 years of use and no confirmed biological effects on patients or instrument operators the benefits of the prudent use of diagnostic ultrasound clearly outweigh any risks A2 2 Ultrasound Safety and the ALARA Principle Ultrasound waves dissipate energy in the form of heat and can therefore cause tissue warming Although this effect is extrem
116. es Improves the contour enhancement of the image for distinguishing the edges of Edge Enhance a structure in B mode Smooth Adjusts the smooth level Frame Persist Selects the number of frames for frame averaging Line Persist Adjusts the line persist level Line Average Adjusts the line average level AGC Adjust auto gain control Rejection Adjusts the rejection level Gray Map Selects the post processing gray curve map y Correction Adjust y correction Sweep Speed Adjusts the scrolling speed level of the M mode sweep M Mark Adjusts the M Mark of the B M mode Table 5 3 Additional Control Functions These functions can be set using the Set and the Back key 5 5 Menu Menus are displayed on the right of the screen Only one menu can be to activated at a time The types are shown as follows System status menu In B mode or B M mode the system status menu provides information about the current imaging mode In 2B and 4B mode it indicates the status and parameters of the active image In M mode it indicates the status and parameters of M sweep The following are the system status menus of 35 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual B mode B M mode and M mode respectively Figure 5 6 System Status Menu Measurement and calculation menu Perform an operation For instance begin a distance measurement and then the corresponding measurement
117. es to perform a biopsy Disinfect the needle guide before the first use and after each subsequent use Cleaning You should preclean a Needle Guide before disinfecting To clean a Needle Guide use a brush or cloth that has been damped with soap and water or with a specialized soap and precleaner Disinfecting Always disinfect the Needle Guide after use 13 2 4 Trackball Cleaning To clean the trackball 1 Remove the front panel bezel 2 Remove the trackball as shown in figure 13 4 3 Clean trackball with a tissue and isopropyl alcohol 4 Clean the inside of the trackball assembly with a cotton swab and isopropyl alcohol 5 Assemble the trackball and front panel bezel till the assembly parts completely dry 126 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual AS Rotate clockwise to mount the fixing ring Rotate counterclockwise to remove the fixing ring Figure 13 4 Assembling and Disassembling Trackball CAUTION DO NOT drop or place foreign objects inside the trackball assembly or it may affect the trackball operation and damage the system NOTE Be sure to clean the X and Y encoders and the idler wheel 13 2 5 Disinfectants Probe 75 medical alcohol Cidex 2 4 Cidex OPA 0 55 Needle guide 75 medical alcohol Cidex 2 4 A WARNINGA Be sage to choose the cleaners and disinfectants The concentration in the air must not exceed an applicable specified limi
118. ether the device enters System 4 Null sleep mode when no operation is Sleep m done for certain minutes m Set the system waiting time to enter Waiting t Set freel SUR rales eo sleep mode 5 60 min Refresh 1 40 Set the grade of glint speed of system Speed dormancy Table 5 4 General Presetting Information Priter type Printer model DJ 3600 HP DeskJet D2368 HP DeskJet D2468 DJ 4100 HP DeskJet D4368 DJ Generic VIP HP DeskJet D2568 LJ Mono HP LaserJet P2015 HP LaserJet P2035 Table 5 5 Presetting a Report Printer You must restart the system to validate the change including Language Video Mode Keyboard Sound and Report Printer After you perform those presets and press Return the system displays a dialog box to prompt you whether to restart the system as shown below 40 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 5 7 4 Presetting Examination Examination types include abdomen obstetric small parts gynecology orthopedics cardiology and urology Take obstetric examination preset for example in the preset menu move the cursor to highlight Obstetric and press Set to display obstetric examination presetting dialog box Parameter Tab Ob Exam Preset a B S 160 i 0 i 1 Ed Hi Density General atl General a Figure 5 14 Obstetric Presetting Parameter Tab Item Setting Allows you
119. ethod is the same as the generic M mode distance measurement method LVIDd EDV SV EF and FS will be displayed in Measured Results To enter HR In the M cardiac measurement menu roll the trackball to highlight Input Then select the secondary menu Heart Rate and press Set to display a HR input dialog box as shown below 96 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual HR input BPM Figure 8 2 HR Input Dialog Box Input a suitable value in the HR bpm box Roll the trackball to highlight OK and press Set and after measuring LV the result of CO will be displayed in Measured Results To enter LVET In the M cardiac measurement menu roll the trackball to highlight Input Then select the secondary menu LVET and press Set to display an ET input entering dialog box as shown below ET input MS Figure 8 3 ET Input Dialog Box 1 Input a suitable value in the LVET ms box 2 Roll the trackball to highlight OK and press Set To enter Height and Weight 1 In the M cardiac measurement menu roll the trackball to highlight Input Then select the secondary menu Height amp Weight and press Set to display a Height and Weight entering dialog box as shown below 97 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Height and Weight cm kg Figure 8 4 Height and Weight Input Dialog Box 2 Input suitable values in the Height and Weight boxes 3 Roll the
120. ge and display Measure OFD in the method of distance measurement 83 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual BA Reference Section 6 6 1 Generic Measurements in B Mode 4 The results are displayed in Measured Results 5 To begin a new OFD measurement repeat steps 1 through 3 You can measure a maximum of one group of data 7 3 14 THD To measure THD Press Measure to activate obstetric measurement 2 In the obstetric menu roll the trackball to highlight the menu THD press Set and move the cursor to image and display 3 Measure THD in the method of distance measurement BA Reference Section 6 6 1 Generic Measurements in B Mode 4 The results are displayed in Measured Results 5 To begin a new THD measurement repeat steps 1 through 3 You can measure a maximum of one group of data 7 4 EDC Calculation 7 4 1 EDC Calculation by Entering LMP To calculate EDC according to LMP 1 In the obstetric menu roll the trackball to highlight the menu Input and it will display secondary menu automatically as shown below LMP BBT Figure 7 2 Obstetric Input Items Select LMP and press Set and the LMP input dialog box will be displayed on the screen 84 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Figure 7 3 LMP Input Dialog Box 2 Enter LMP 3 Select OK and press Set do the calculation automatically or Cancel to gi
121. heart image of end diastolic and end systolic exactly and conveniently in the B M mode So we suggest that you can do the cardiac measurement and calculation in the B M mode 8 3 Cardiac Report After the cardiac examination the system generates a cardiology examination and diagnosis worksheet Roll the trackball to highlight Worksheet and press Set display Cardiac Worksheet dialog box shown as below Cardiac worksheet Figure 8 9 Cardiac Worksheet The diagnosis editing column displays the cursor T and you can enter diagnosis information To print the report Press Print in the Cardiac Worksheet 108 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual BH Printing reference Section 5 8 Printing 8 4 Others If you want to begin other measurements you can switch through the menu by selecting Others 109 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 9 Gynecology Measurement and Calculation 9 1 Measurement and Calculation The gynecology examination is usually in the B mode 1 Press Exam and select Gynecology and then press Set 2 Press to enter the B mode 3 Press Measure to activate the measurement function The measurement menu will be displayed B GYN MEAS Distance UT Endo L OV Vol OV Vol R OY Vol L FO FO D R FO UT L GX L Gyn WorkSheet Others gt Figure 9 1 Gynecology Measurement and Calculation Menu To determi
122. ht Table 10 1 Small Parts Measurement and Calculation Items The measurements of THY include L THY V and R THY V To measure L TH Y V 1 In the small parts menu roll the trackball to highlight THY V and then highlight the 114 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual secondary menu L THY V press Set 2 Measure the threes data L THY L L THY W and L THY H in the method of distance measurement 3 After the three data are measured the result of L THY V will be displayed in Measured Results To measure R TH Y V The method is similar to the L THY V measurement method 10 2 Small Parts Report After the small parts examination the system generates a THY worksheet Roll the trackball to highlight THY Worksheet and press Set display Small Parts Worksheet dialog box as shown below Small Parts worksheet Figure 10 2 Small Parts Worksheet The diagnosis editing column displays the cursor T and you can enter diagnosis information To print the report Press Print in the Small Parts Worksheet li Printing reference Section 5 8 Printing 10 3 Others If you want to begin other measurements you can switch through the menu by selecting Others 115 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 11 Urology Measurement and Calculation The abbreviations used in this manual are as shown below RUV Residual urine volume PV
123. ic Diagnostic Imaging System User Manual Chapter 15 Warranty and Service Policy 15 1 Warranty EDAN warrants that EDAN s products meet the labeled specifications of the products and will be free from defects in materials and workmanship that occur within warranty period The warranty period begins on the date the products are shipped to distributors The warranty is void in cases of Damage caused by handling during shipping Subsequent damage caused by improper use or maintenance Damage caused by alteration or repair by anyone not authorized by EDAN Yv VY V WV Damage caused by accidents gt Replacement or removal of serial number label and manufacture label If a product covered by this warranty is determined to be defective because of defective materials components or workmanship and the warranty claim is made within the warranty period EDAN will at its discretion repair or replace the defective part s free of charge EDAN will not provide a substitute product for use when the defective product is being repaired 15 2 Service Policy All repairs on products must be performed or approved by EDAN Unauthorized repairs will void the warranty In addition whether or not covered under warranty any product repair shall be exclusively be performed by EDAN certified service personnel If the product fails to function properly or if you need assistance service or spare parts contact EDAN s service center
124. ic Measurements in B Mode The default measurement of B mode is distance measurement B mode measurement menus are shown as follows B MEAS Ellipse Trace Distance Cir Area volume Ratio 3 Axis LWH 0 o Stenosis Distance Angle Area Print Report Others Figure 6 3 B Mode Generic Measurement and Calculation Menu Distance Circumference Area To measure distance 1 Press Measure to activate measurement function 2 Roll the trackball to highlight menu Distance press Set to activate a measurement cursor on the screen 3 Roll the trackball and press Set to anchor the start point 4 Roll the trackball and press Set to anchor the end point 5 Roll the trackball and press Set to begin a new distance measurement You can measure a maximum of four groups of data The outcome will be displayed in Measured Results as shown below 6 Press Measure to finish and exit Dist1 T de euer ets po 1 Figure 6 4 Distance Measurement and the Results Ellipse Method To measure Circumference Area l Ze Press Measure to activate measurement function Roll the trackball to highlight menu Cir Area Then select Ellipse 53 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual and press Set to activate a measurement cursor on the screen Roll the trackball and press Set to anchor the start point of fixed axis of ellipse Roll the
125. l Ultrasonic Diagnostic Imaging System User Manual 8 1 1 LV The B M mode and M mode measurements of LV are based on ESV and EDV which are calculated by LVIDs and LVIDd measurement respectively After measuring LVIDs and LVIDd and entering Heart Rate LVET and Height amp Weight the system can calculate some physiological parameters such as ESV EDV SV EF FS CO MVCF SI and CI There are two calculation formulas for heart antrum volume in the B M mode and the M mode as shown below Item Formula EDV mL 7 x LVIDd cm 2 4 LVIDd cm TEICHHOLZ A ESV mL 7 x LVIDs cm 2 4 LVIDs cm GUBE EDV mL LVIDd mm 1000 ESV mL LVIDs mm 1000 Table 8 5 TEICHHOLZ and CUBE Formula NOTE Ensure that the value of LVIDd is bigger than that of LVIDs or the system can not display the calculation items SV and EF calculation is as below Measurement items LVIDs and LVIDd To measure LV In the M cardiac measurement menu roll the trackball to highlight LV and the secondary menu will be displayed Select TEICHHOLZ or CUBE and press Set Then move the cursor to the image area and a is displayed Move the cursor to the end systolic of left ventricle and measure LVIDs The method is similar to generic M mode distance measurement LVIDs and ESV will be displayed in Measured Results Move the cursor to the end diastolic of the left ventricle and then measure LVIDd The m
126. l cotton ball immerged with 75 medical alcohol to wipe the probe gently and thoroughly 4 Wipe the probe with a soft cloth soaked and distilled water Prohibition The use of diluent paint vinyl oxide or other organic solvents is prohibited These solvents will damage the protective film of the probe surface Do not immerse the transducer connector If the cable connector is immersed do not plug the connector into the system Rinse the connector under running water and dry it thoroughly If necessary contact EDAN for service Prohibit infiltration of any type of liquid into the device or the probe A WARNINGA 1 Do not sterilize the transducer using techniques such as autoclave ultraviolet gamma radiation gas steam or heat Otherwise severe damage will result 2 The coupling gel adapted to the probe is a medial ultrasound coupling gel 3 DO NOT immerse the power cord and connector of the probe into solutions 124 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Transducers can be submerged to but not including the strain relief of the transducer array Do not immerse or soak any part of a transducer in any cleaning material not listed in the recommended list of disinfectants The following figure defines how much of the transducer can be submerged f i qd 4 f rr A A PE A ee m indi ee M M AM Pa Disinfectant 363 1 C343 1 L743 C321 E613 E743 Figure 13 3
127. l tissue does absorb acoustic energy The true value of the intensity at any point depends on the amount type of tissue and the frequency of the ultrasound passing through the tissue The intensity value in the tissue has been estimated by using the following formula Since this value is not the true In Situ intensity the term derated is used to qualify it Derated Water e Where Water Water intensity value e 2 1783 z skinline to measurement depth in cm fe center frequency of the transducer of the transducer system mode combination in MHz 143 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Transducer type C363 1 Operating mode B Mode Acoustic Output Global Maximum Value ISPTA 3 0 2957 Associated Acoustic Parameter Operating Control Conditions pr 3 MPa 0 7384 WO mW 53 59 Fc MHz mW cm2 ISPPA 3 Wicm2 53 59 3 342 3 342 3 342 Zsp cm 6 5 6 5 6 5 Beam dimensions x 6 cm y 6 cm PD usec SRF Hz EBD Az cm Ele cm Frequency 4 0 MHz AP 15 Depth 90 mm Single focus 90 mm Angle 30 Transducer type C363 1 Operating mode B M Mode Acoustic Output MI ISPTA 3 ISPPA 3 mW cm2 W cm2 Global Maximum Value 0 2957 8 2508 21 98 pr 3 0 7384 MPa WO 35 11 35 11 mW Associated F
128. mage and then freeze it Measure the height You can measure a maximum of one group of data The outcome will be displayed in Measured Results In the 2B mode or 4B mode 1 Obtain the cross section image and the vertical section image 2 Measure the length and the width 3 Roll the trackball to the next image vertical section image measure the height The outcome will be displayed in Measured Results as shown below 4 Press Measure to finish and exit iid m E al Length ot Width fee Height Volume Figure 6 8 3 Axis LWH Volume Method and the Results To determine the ratio take two measurements A and B The system calculates the ratio A B or B A To measure ratio l 2 Press Measure to activate measurement function Roll the trackball to highlight menu Ratio press Set to activate a measurement cursor on the screen Measure the first distance A with the distance measurement method Measure the second distance B move the cursor and press Set to anchor the start point and the mark appears Move the cursor with trackball Measurement Results displays the real time measurement value and calculation result During measurement you can press Change once to change the settled point and the active point if you press Change a second time the system interchanges the numerator and denominator Roll the trackball and press Set to complete the measurement and the Ps DUS 6
129. measurement repeat steps 1 through 3 You can measure a maximum of one group of data 7 3 8 TAD To measure TAD l 2 Press Measure to activate obstetric measurement In the obstetric menu roll the trackball to highlight the menu TAD press Set and move the cursor to image and display Measure TAD in the method of distance measurement 81 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual BA Reference Section 6 6 1 Generic Measurements in B Mode 4 The results are displayed in Measured Results 5 To begin a new TAD measurement repeat steps 1 through 3 You can measure a maximum of one group of data 7 3 9 APAD To measure APAD 1 Press Measure to activate obstetric measurement 2 In the obstetric menu roll the trackball to highlight the menu APAD press Set and move the cursor to image and display 3 Measure APAD in the method of distance measurement Reference Section 6 6 1 Generic Measurements in B Mode 4 The results are displayed in Measured Results 5 To begin a new APAD measurement repeat steps 1 through 3 You can measure a maximum of one group of data 7 3 10 CER To measure CER l 2 Press Measure to activate obstetric measurement In the obstetric menu roll the trackball to highlight the menu CER press Set and move the cursor to image and display Measure CER in the method of distance measurement BA Reference Section 6 6
130. measurement and calculation include distance time slope and heart rate 2 cycles These are for B M and M display modes only The default measurement of B M and M mode is heart rate measurement M mode measurement menus are shown as follows M MEAS Distance Time Slope Heart Rate Others Figure 6 13 M Mode Generic Measurement and Calculation Menu Distance To measure distance 1 Press Measure to activate a measurement cursor 2 Rollthe trackball to highlight Distance and press Set 3 Roll the trackball and press Set to anchor the start point and a big is displayed 4 Roll the trackball and press Set to anchor the end point 5 Roll the trackball and press Set to begin a new distance measurement You can measure a maximum of four groups of data The outcome will be displayed in 61 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Measured Results as shown below 6 Press Measure to finish and exit E 2 i Depth1 Figure 6 14 Distance Measurement and the Results Time To measure time 1 Press Measure to activate a measurement cursor 2 Roll the trackball to highlight Time and press Set 3 Roll the trackball to move the first measurement cursor at the beginning of the time interval and then press Set and the measurement mark turns to a vertical line 4 Roll the trackball to move the first measurement cursor at the end of the time in
131. mi ee 84 7 4 2 EDC Calculation by Entering BB neo iS 85 dudo EFW Calculation enta a spe a ai inde od 86 TIL Sea Formula an Preset annia e a Dc decided 86 1 5 2 Measurement AAA O 86 2 0 A NEM E mA SL C E OER TD 87 50s Ve CT OW E UDVO ce deae panna E teas aeu boten fue ee evs aap es ead 87 150 2 Obstetrie Repotb cs eec eoe gi ed asc E or ous cer eee 89 QN MIC r CERTE 90 Chapter 8 Cardiology Measurement and Calculation oooooccinncinococonoconcnonnncnnncnonocnnn cono nconncconnnns 9 8 1 M mode Cardiac Measurement and Calculation sese 91 M A O A TT 96 S25 MBA Nai ue de cete a E te a 8 tee 98 8 13 POR Fe E EA A is o baba iota ted Euboea tiiv tua dedito nei tehel oc i eos etudes fri Ede Au 99 8 14 LVMMS EVNPWL A a sca udi du tede 100 8 2 B mode Cardiac Measurement and Calculation ooooonococcouoccconaccconnnncnonanonnnaconnnnnnnnos 100 a ds S 105 8 2 2 RV Right ventricle internal diameter sse 107 8 2 3 PA Aortic Pulmonary Artery ii 107 8 5 Cardiae REPO AA dedu t Maa E SU E eds 108 SUE OMES e aee ate RIOR RT DE RETR mae Et AMA D RAT RRS IA 109 Chapter 9 Gynecology Measurement and Calculation sse 110 9 1 Measurement and Caleulatiot unde e E NC FAS PATE I C DAY 110 A A EAT 111 IT o oona e Gogh II A S e 111 Oe Ra iU A EA e E ATA 111 A E OERE E S E E 112 STG ES C C MCI 112 FENCE GLO 112 D2 0ynecolasic REDO seda en tts tdfote iode ata
132. n M mode EF No unit SV mL EDV mL x 100 FS Fractional Shortening PE eve ers AORTA SI Stroke Index SI No unit SV mL BSA m CI Cardiac Index CI No unit CO L min BSA m MVCF Mean Velocity Circumferential MVCF No unit LVIDd mm LVIDs mm Fiber Shortening LVIDd mm x ET ms 1000 BSA Body Surface Area Calculate by the selected formula m Table 8 1 Measurement and Calculation Items with CUBE formula The formulas of BSA calculation Oriental BSA m WT kg x HT cm x 73 58 10000 Occidental BSA m WT kg x HT cm x 71 84 10000 HT height cm WT weight kg BSA body surface area m 2 92 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 2 TEICHHOLZ formula NOTE d end diastolic s end systolic Label Description Method LVIDd Left Ventricle Internal Diameter Distance mm LVIDs Left Ventricle Internal Diameter ET Ejection Time Time ms or s HR Heart Rate M mode heart rate measurement or key in bpm EDV End Diastolic Volume EDV mL 7 x LVIDd cm 2 4 LVIDd cm ESV End Systolic Volume ESV mL 7 x LVIDs cm 2 4 LVIDs cm SV Stroke volume SV mL EDV mL ESV mL CO Cardiac Output CO L min SV mL x HR bpm 1000 EF Ejection fraction M mode EF No unit SV mL EDV mL x100 FS Erdetional Sriortening FS No unit LVIDd mm LVIDs mm
133. ncrements to the image Select the default amount of edge enhancement to be applied to Edge Enhancement 0 7 the image Smooth 0 7 Set image smoothing Frame Persist 0 7 Set image frame correlation Line Average 0 7 Set image line softening attribute AGC 0 3 Set Automatic Gain Control Rejection 0 7 Set image noise restrain attribute Table 5 7 Obstetric Presetting Information IP 5 7 5 Presetting Formula In the preset menu move the cursor to highlight Formula and press Set to display formula presetting dialog box as shown below 42 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Formula Preset Rempen y Hadlock z Hadlock y Hansmann lem Hadlock4 y Osaka M v Hadlock y Hadlock z Hadlock hd Goldstein Jeanty y Occidental v ET HA Figure 5 16 Formula Presetting Parameter References Parameter References Tokyo Tokyo Hellman Hadlock GS Rempen CRL Hansmann China China Robinson Tokyo Tokyo Hadlock Hadlock1 Merz Hadlock2 Rempen Hadlock3 Osaka Hadlock4 BPD China EFW Shepard Campbell Merz1 Merz2 Hansmann Osaka Hadlock Tokyo Merz Hadlock AC FL China Jeanty Merz Osaka HC Hadlock Merz HUM Jeanty FTA Osaka CER Goldstein THD Hansmann BSA Oriental Occidental Table 5 8 Formula Presetting Information 43 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 5 7 6 Presetting Po
134. ne the volume of right ovary or left ovary take three measurements length width and height The system calculates the volume The gynecology measurement items of B mode are as follows Label Description Method UT Uterus UT mm UT L mm UT W mm UT H mm UT L Uterus Length UT W Uterus width Distance mm UT H Uterus Height Uterus Endo membrane _ Endo Distance mm Thickness L OV V mL 0 523 x L OV L mm x L OV W mm x L OV Vol Left Vol OV Vo eft Ovary Volume L OV H mm 1000 L OV L Left Ovary Length L OV W Left Ovary Width Distance mm L OV H Left Ovary Height R OV V mL 0 523 x R OV L mm x R OV W mm x R OV Vol Right Ovary Vol n decine NOE R OV H mm 1000 110 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual R OV L Right Ovary Length R OV W Right Ovary Width R OV H Right Ovary Height L FO L Left Follicle Length f Distance mm L FO W Left Follicle Width R FO L Right Follicle Length R FO W Right Follicle Width CX L Cervix Length The ratio of Ut Length UT L CX L pis e Mami UT L CX L Ratio and Cervix Length Table 9 1 Gynecology Measurement and Calculation Items 9 1 1 UT To measure UT 1 Inthe gynecology menu roll the trackball to highlight UT and press Set 2 Measure the three data UT L UT W and UT H in the method of distance measurement 3 After the three
135. ng and Exiting To enter presetting 1 Press File highlight Preset and then press Set to display the preset menu as shown below Preset Menu General Abdominal Obstetri Small Parts Gynet ology Orthopedics Cardiat Urology Formula Post Prot Comment Preset Data Maintain Return General Abdominal Obstetrit Small Parts Gynecology Orthopedics Cardiac Urology Formula Post Prot Comment Data Maintain Return Figure 5 12 Preset Menus the left with no DICOM installed and the right with DICOM installed 2 Roll the trackball to highlight one of the options and then press Set to display the menu of the corresponding option To exit presetting Highlight Return and press Set Then the system restarts automatically The system runs with the new modified parameters after being restarted 5 7 2 Displaying Modifying the Preset Parameter Select a type of preset and press Set to display the corresponding dialog box and you can modify the parameter following the prompt instruction Ll Reference Section 5 6 Dialog box operation 38 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 5 7 3 General Presetting 1 In preset menu move the cursor to highlight General and press Set to display general presetting dialog box as shown below 2 Roll the trackball to highlight an item and then press Set Then use the keyboard to enter text General Preset English PAL
136. o highlight Valve Volume and press Set Measure DEV The method is similar to the generic M mode slope measurement method Measure DCT The method is similar to the generic M mode time measurement method After the measurement the result of QMV will be displayed in Measured Results 8 1 3 Aortia Aortia calculation is as below Measurement items LAD AOD and Valve Volume Aortia calculation In the M cardiac measurement menu roll the trackball to highlight Aortia to display the secondary menu lt gt LAD AOD measurement 1 Roll the trackball to highlight LAD AOD and press Set 2 Measure LAD and AOD respectively The method is similar to the generic M mode distance measurement method 3 The result will be displayed in Measured Results lt gt AVSV measurement The calculation formula AVSV mL MAVOI cm MAVO2 cm ET s 50 AA cm The measurement operation procedure 1 Roll the trackball to highlight Valve Volume and press Set 2 Measure MAVOI The method is similar to the generic M mode distance measurement method 3 Measure MAVO2 The method is similar to the generic M mode distance measurement method 4 Measure AA The method is similar to the generic M mode distance measurement method 99 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 5 Measure LVET The method is similar to the generic M mode time measurement method 6 After the measurement the result of AVSV will b
137. oadcast van may also cause interference If you find strong interference shows on the screen please check the sources 1 6 Labeling Symbols Descriptions of symbols of the device are shown in table 1 1 No Symbol Definition 1 SN Serial Number 2 P N Part Number 3 q Date of Manufacture 4 iud Manufacturer 5 pH Consult Instructions for Use 6 A Symbol for Caution 7 e Biological Risks 8 It indicates that the equipment should be sent to special agencies according to local regulations for separate collection after its useful life It indicates that the equipment should be sent to special agencies 9 Y according to local regulations for separate collection after its useful life and MN that this equipment is put on the market after 13 August 2005 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 10 amp General Symbol for Recovery Recyclable Federal U S law restricts this device to sale by or on the order of a 11 Rx only 11 3 ES physician 12 ec ree Authorized Representative in the European Community 13 C The symbol indicates that the device complies with the European Council 0123 Directive 93 42 EEC concerning medical devices 14 R Type B Applied Part 15 No Alternating Current a c 16 ON AC power supply 17 Q OFF AC power supply 18 y Equipotentiality G gt 19 VGA VGA output External
138. oca dtr e o N 130 15 2 Service Poly ibit iex Pte cami ond ped aided valli tea a o beer di ccs 130 Appendix I Specifications sous dun Mose bara wan eA Ote desde cua ena Eater datae tue qp 132 A1 1 Electrical Safety Class ICAO 132 AT 2 Standards Compliance iusto me diit ad 132 Pele SE POWODUSUDDIV A o siete oen eed ood eis RUD cence Rr Eee Mee Mr ERN E TENE 132 AL As Machine SpectfICatlofis sator EE REM O UU REM a QU Rea Fe aea 133 A1 5 General Technical Specifications sor ep YD e tad ecquid ei aee ii pt 133 A16 Probe Specifications a ue ric etes tide adea p id ee eret ERE Pe ur S te RR EET E 134 A1 7 Operating Storage and Transportation Environment sse 135 AT TA Operatng Environment o oss euo eoe A deg M ARR eve dunt 135 A1 7 2 Storage and Transportation Environment sssssssseeeeeee 135 Appendix II Ultrasound Intensity and Safety eee eee eee ente tnnt tn sten ninos 136 A2 1 Ultrasound in Mediche eiaei cece ceccccccccccccceccececeeececececeeeceeeceseceeeeeeesececeeesesesevevecs 136 A2 2 Ultrasound Safety and the ALARA Principle essen 136 A2 3 Probe Acoustic Output Parameters List ooooconnoccccccnonnconncconoconn nono nooncccono coa nonncconncnns 138 O E is A heo o pen pen oda e aibi dd 138 A2 3 2 5 lest oE Probe L743 E743 idas 139 A3 Testof Prob C 32 Lio oc even nun SN ERI DEO e e Et eet 140 A2 3 ANS Testot Probe Eolo leise 141 A259 c Te
139. ose a storage disk highlight Storage in the file menu and press Set repeatedly to cycle between Fixed and USB Disk NOTE After connecting the removable disk the interface displays a USB symbol on the bottom right corner and the USB indicator on the panel is on To set a file type The File Type in the file menu means the file type for the snapshot images To choose a file type for the snapshot images highlight File Type in the file menu and press Set repeatedly to cycle between JPG BMP and DCM if DICOM is installed To save a file The system provides two ways to save images Press Snapshot on the keyboard Press Snapshot on the keyboard to save the current displaying image in BMP JPG or DCM 1f DICOM is installed formats set by FileType in the file menu as shown above Use Snapshot Save Cine Save As Save Frame or Save AVI of the file menu to save files 66 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Snapshot Highlight Snapshot in the file menu and press Set to save the current displaying image in BMP or JPG set by FileType in the file menu as shown above Save Frame 1 Press Freeze to freeze the system 2 Press File to open the file menu 3 Highlight Save Frame in the file menu and press Set to save the current displaying image Save Cine 1 Press Freeze to freeze the system 2 Press File to open the file menu 3 Highlight Save Cine in the file menu
140. ottom left and the fourth on the bottom right Press it repeatedly to active one of the four images The probe direction of the activated image is brighter than the direction of the frozen images The four images are obtained separately and only one image at a time is displayed in real time B M mode Display Control Press it to enter the B M mode the B mode and the M mode images are displayed on the screen at the same time Abbreviated as B M or B M The left image is a real time image of B mode while the right image is a real time image of M mode There is a line constituted by points with regular spacing on B mode image which is called the M Mark Roll the trackball to move the M Mark Press Set to locate the M Mark Press this key enter the M mode It displays an M mode sweep M mode Display Control The slope of this mode has four levels 3 6 15 and 25 seconds 34 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 5 4 9 Additional Control Functions The DUS 6 also provides the following additional control functions which are available through status menus Control function Description Scan Angle sector Adjusts the sector angle for curve transducers and the scan width for linear angle scan width transducers Selects the scan mode High density or High FPS frame rate in frames per Scan Mode second Dynamic Range Controls the overall contrast resolution of B mode and M mode imag
141. perate It can achieve the following functions Move the measurement cursor during measurement Move to select menu items in menu based operations Move the comment cursor in the comment status Move the M Mark in the B M mode 23 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Move the reference line in the B mode Realize single frame playback in the frame by frame playback status Move the zoomed window in the zoom status NOTES 1 Please be gentle when running the trackball 2 Please keep the surface of trackball clean 5 4 2 0 9 Numeric Keys Numbers are used for time calibration data settings age notation and comment adding etc 5 4 3 Alphabetic Keys The system supports some language specific characters through the use of SHIFT with a combination of keys on the keyboard Press any of these keys in the annotation mode and the comment mode to display the corresponding character on the cursor position German Characters French Characters Symbol Key Combination Symbol Key Combination a SHIFT A SHIFT Z fo SHIFT S a SHIFT X SHIFT D 6 SHIFT C p SHIFT F SHIFT V SHIFT G c SHIFT B SHIFT H SHIFT N Table 5 1 German and French Characters 5 4 4 Function Controls K Description Space key Press this key in the annotation mode and comment mode to introduce a blank space on the cursor position
142. peration during power mains interruptions 70 UT 30 dip in UT 70 UT 30 dip in UT it is recommended that the for 25 cycles for 25 cycles DUS 6 be powered from an uninterruptible power lt 5 UT gt 95 dip in lt 5 UT 29596 dip in supply or a battery UT for 5 sec UT for 5 sec NOTE UT is the a c mains voltage prior to application of the test level 168 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Guidance and manufacture s declaration electromagnetic immunity for EQUIPMENT and SYSTEMS that are not LIFE SUPPORTING Guidance and manufacture s declaration electromagnetic immunity The DUS 6 is intended for use in the electromagnetic environment specified below The customer or the user of the DUS 6 should assure that it is used in such an environment IEC Immunity 60601 Compliance i s Electromagnetic environment guidance test test level level Portable and mobile RF communications equipment should be used no closer to any part of the DUS 6 including cables than the recommended separation distance calculated from the equation applicable to the Conducted 3 Vrms 3Vrms frequency of the transmitter RF IEC 150 kHz Recommended separation distance 61000 4 6 to 80 re S Ne MHz LV EIE 80 MHz to 800 MHz 3 V m LE Radiated RF i e 800 MHz to 2 5 GHz IEC 3 V m LE 61000 4 3 80 MHz Where P is the maximum output power rating of the to 2 5 transmitter in watts
143. please contact your local Civic Office or the shop where you purchased the product NOTE Please use the standard power cord as the input line of the network power supply for the adapter to reduce risk Electromagnetic Compatibility EMC Operating the DUS 6 in close proximity to sources of strong electromagnetic fields such as radio transmitter stations or similar installations may lead to interference visible on the monitor screen However the device has been designed and tested to withstand such interference and will not be permanently damaged EMI Limitations Ultrasound machines are susceptible to Electromagnetic Interference EMI from radio frequencies magnetic fields and transients in the air of wiring Ultrasound machines also generate EMI The DUS 6 complies with limits as stated on the EMC label However there is no guarantee that interference will not occur in a particular installation Possible EMI sources should be identified before the unit is installed Electrical and electronic equipment may produce EMI unintentionally due to one of the following defects High frequency electrotome DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Transformer Defibrillator Wireless LAN equipment gt Medical lasers Scanners Cauterizing guns gt Computers gt Monitors Fans Gel warmers gt Microwave ovens Light dimmers gt Portable phones The presence of a broadcast station or br
144. ply works properly and the power cord is well connected and plugged into the power socket Check whether the probe is properly connected to the main unit 14 2 Troubleshooting Changing the cartridge fuse by the professional personnel of EDAN Troubleshooting see table 14 1 Item Problem Solution 1 Check power supply When the power switch is on 2 Check wires and plugs there isn t any image displayed 3 Check whether the cartridge fuse is melted 4 Check the brightness control knob 1 Inspect the power supply 2 Check whether it is disturbed by the ignition action Strip shape or snowflake shape of any other device 2 disturbance occurs on the display 3 Check the disturbance of electric or magnetic field screen in the surrounding environment 4 Check whether the plug and socket of power supply and probe are properly connected 1 Adjust overall gain Gain f 2 Adjust eight TGC slide controls Image is not displayed clearly on 3 Hace 3 Adjust the brightness and contrast potentiometer l 4 Adjust focus the number and the position 5 Clean the light filter of the display screen 4 Near field image is not clear Adjust the key total gain and the upper TGC 5 Far field image is not clear Adjust the key total gain and the lower TGC 6 Image window is dark Adjust the brightness and contrast knobs Table 14 1 Troubleshooting Examples 129 DUS 6 Digital Ultrason
145. press Set 2 The system displays the File Opening Dialog Box for selecting a cine file to be transmitted 3 If the server is running normally the selected file will be sent to the server 4 The progress bar disappears after successful transmission 6 9 Puncture Function NOTE Use proper disinfection techniques at all times to perform a biopsy Always follow these basic precautions A WARNINGA Disinfect the needle guide before the first use and after each subsequent use Always handle transducers and needle guide adaptors with care Do not use a transducer or an adaptor if it has been dropped or struck against a hard surface until it is inspected by an EDAN customer engineer The displayed needle guide pathway on the EDAN video monitor is intended for reference during biopsy procedures A variety of factors outside EDAN s control such as changing tissue density bending of the needle off axis pressure by the person holding the transducer may cause deflection of a needle outside of the displayed video pathway even when the transducer needle guide and the system software are all performing as intended and within manufacturing specification The specialist performing a biopsy procedure must be aware of potential external factors when executing an invasive procedure The caliper must be placed along the needle path If not the displayed measurements may be incorrect EDAN needle guides are designed and manufactured to attach
146. r Fractional Area of Mitral Valve LVIDd Left Ventricle Internal Diameter Distance mm LVALs Left Ventricle Area of Long axle 2 2 2 Left Ventricular Fractional Area of Ellipse Area mm cm or dm LVAMs Mitral Valve LVIDs Left Ventricle Internal Diameter Distance mm HR Heart Rate Key in bpm oe EDV mL 8 3 n x LVALd mm LVLd EDV End Diastolic Volume mm 1000 ESV mL 8 3 m x LVAL LVL ESV End Systolic Volume uals ay IS mm 1000 SV Stroke volume SV mL EDV mL ESV mL CO Cardiac Output CO L min SV mL x HR bpm 1000 EF Ejection fraction B mode EF No unit SV mLy EDV mL x 100 SI Stroke Index SI No unit SV mL BSA m CI Cardiac Index CI No unit CO L min BSA m BSA Body Surface Area Calculate by the selected formula m Table 8 7 Measurement and Calculation Items with Dual Plane Ellipse Formula 102 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 3 Bullet volume formula NOTE d end diastolic s end systolic Label Description Method Left Ventricular Fractional Area of 2 2 2 LVAMd f Ellipse Area mm cm or dm Mitral Valve LVLd Left Ventricular Length Distance mm Left Ventricular Fractional Area of 2 gt 2 LVAMs i Ellipse Area mm cm or dm Mitral Valve LVLs Left Ventricular Length Distance mm HR Heart Rate Key in bpm T EDV mL 5 6 xLVLd mm xLVAMd mm EDV End
147. rasonic Diagnostic Imaging System User Manual Chapter 6 Operation 6 1 Selecting an Examination Type Press Exam to select an examination type You can change the examination type at any time by making a selection from the Exam Type menu list as shown below Figure 6 1 Examination Type Menu 6 2 Entering New Patient Press New Patient clear all the information and then begin a new patient examination NOTE When you press New Patient system cancels all the recent patient data comment measurement calculation and worksheet except saved images 6 3 Entering or Editing Patient Information Press Patient Info to activate the patient data annotation function and then enter or edit the patient data as shown below Patient Data Input Dialog Figure 6 2 Patient Data Input Dialog Box 50 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual To switch the input focus press Enter To enter the patient information use the keyboard To exit focus on OK or Cancel and then press Enter or Set 6 4 Activating a Transducer While multiple transducers can be connected to the ultrasound system only one can be to activated at a time Press Probe repeatedly to cycle through the transducers currently connected to the system The type of the activated transducer is displayed in the key top right corner of the screen A WARNINGA For TRANSDUCER ASSEMBLIES intended for intra corporeal use e
148. re available to the browsing function 69 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 6 8 4 File Manager The file manager dialog box is shown as below File Manager Local Disk Ey Copy Cut Paste Delete Del All Rename _Import From U Disk_ Export To U Disk Format File Name File Type Figure 6 25 File Manager Dialog Box You can use the file manager to do the file management After you open an image you can browse the images as shown in section 6 8 3 NOTES 1 When you are copying amp pasting a file cutting amp pasting a file importing a file or exporting a file do not pull in or pull out the U disk 2 USB disk must be in FAT format 3 Do not use the u disk for other use but only for this device Otherwise the storage and the transmission function may not be stable 4 We suggest that you use KINGSTON U disk DT1 G2 2G Kingston s To copy amp paste a file 1 Roll the trackball to select the source driver and the type of file and then press Set 2 Roll the trackball to highlight the source file and press Set and then press Copy 3 Roll the trackball to select the destination driver and press Set 4 Press Paste To cut amp paste a file 1 Roll the trackball to select the driver and the type of file and then press Set 2 Rollthe trackball to highlight the file that will be cut and press Set and then press Cut 70 DUS 6 Digital Ultrasonic
149. re set control or switch unless it is listed in this manual 4 Ifthe device breaks down please shut down the machine immediately and contact EDAN or EE DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual authorized representatives 5 Only accessories supplied or recommended by EDAN can be used Otherwise the performance and electric shock protection can not be guaranteed If electrical or mechanical equipment from other companies need to be connected to the device please contact EDAN or authorized representatives before connection 6 EXPLOSION HAZARD Equipment is not suitable for use in the presence of a flammable anesthetic mixture with air or with oxygen or nitrous oxide 1 5 2 Biohazard Considerations A WARNINGA 1 This device is not suitable for intracardiac use or direct cardiac contact 2 For neonatal head imaging EDAN recommends that you exercise special care during neonatal cephalic scanning to avoid possible damage to the posterior region of the eye The ultrasound energy emitted by the transducer easily penetrates the fontanels of the infant 3 EDAN makes every effort to manufacture safe and effective transducers You must take all necessary precautions to eliminate the possibility of exposing patients operators or third parties to hazardous or infectious materials These precautions should be considered in the use of any application that may indicate the need for such care and during endocavi
150. re the threes data RUV L RUV W and RUV H in the method of distance measurement 3 After the three data are measured the result of RUV will be displayed in Measured Results To measure PV The method is similar to the RUV measurement method To measure PSAD Measure PV and input SPSA The SPSA input dialog box is as shown below Input the SPSA with the keyboard SPSA input ng Figure 11 2 SPSA Input Dialog Box 11 2 Urologic Report After the urologic examination the system generates a urologic worksheet Roll the trackball to highlight Urol Worksheet and press Set display Urologic Worksheet dialog box as shown below 117 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Urologic worksheet Figure 11 3 Urology Worksheet The diagnosis editing column displays the cursor T and you can enter diagnosis information To print the report Press Print in the Urology Worksheet li Printing reference Section 5 8 Printing 11 3 Others If you want to begin other measurements you can switch through the menu by selecting Others 118 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 12 Orthopedics Measurement amp Calculation The orthopedics measurement includes distance and HIP Figure 12 1 Orthopedics Measurement and Calculation Menu 12 1 Measurement and Calculation The abbreviations used in this manual are as shown in table 12 1
151. rence Section 6 8 1 Saving Files Tissue Harmonic Imaging Processing key THI Press this key to do the image processing shifting between tissue harmonic imaging and general in real time Tissue Specific Imaging Processing key TSI Press this key to switch among general muscle fatty and fluid in real time adjust the acoustic speed to get the most satisfying image Probe Switch key Diverse probes are available for this device Press this key to select a proper type of connected probe with the corresponding information in the top right corner Reference Figure 5 1 Typical Image Screen 25 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual i Frequency Shift Key Press this key to switch to the proper operating frequency for the to activated probe When you change the frequency the G will change simultaneously Image up down Flip key Press this key flip the image vertically Image left right Flip key Press this key to flip the image horizontally Oe Cine key Press this key to enter or exit the frame by frame cine mode a a Comment key Press this key to activate or to exit annotation function w x Body Mark Key Press this key to activate or exit the body mark function It is to indicate the examine position and the scan direction P Measure key Press this key to activate or exit the measurement function e Back key es In th
152. ress Set to begin a new stenosis measurement 58 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual You can measure a maximum of four groups of data The outcome will be displayed in Measured Results Press Measure to finish and exit e e Dist11 Dist12 DSR1 e Figure 6 10 Distance Stenosis Measurement and the Results Area stenosis To determine the area stenosis take two area measurements A and B The system calculates the stenosis A B A 100 To measure area stenosis l 2 Press Measure to activate measurement function Roll the trackball to highlight menu Stenosis and select Area and then press Set to activate a measurement cursor on the screen Measure the first area with the ellipse method Measure the second area move the cursor and press Set to anchor the start point and the mark appears Move the cursor with trackball Measurement Results displays the real time measurement value and calculation result During measurement you can press Change to change the start point and the end point Roll the trackball and press Set to complete the measurement You can measure a maximum of one group of data The outcome will be displayed in Measured Results Press Measure to finish and exit 59 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Angle di A1 A2 ASR Figure 6 11 Area Stenosis M
153. s 13 33 A A a eaeeaytone aaee 13 Chapter 4 Installation Insta css ec beendet ee b ext UT vidoes i dep ee eec Qus eq aL os 14 4 1 Environmental Requirements uut A ee ese ate caste ad 14 4 2 Unpacking Inspections iee ceina ete ecce a ere iu ico i ec min ese e e s 14 4 3 Connecting Procede eni imt pti era Sedes ete op adn es Elia ip amp etus nbus 14 44 Connecting a Cable Holder edv te ieu e Ed deii cte Pu d die 14 4 5 Sticking Silicone Pads ouem ite is 15 4 6 Connecting or Disconnecting Transducers essere 16 4 7 Rear Panel Connections 5 deo e ug rela Hon au egi pad lex e batis nad do pas asia metas 17 Chapters System Control sore PD besten b DAN D Iud t DP cM NR bi steer eMe UE 2 5 T Powering On Off the Device xs casio deas ne e st e dest pa rei dea e a ae cea 21 SWARA A ELA Stites cc eae tic amate can tae mE 22 3 19 Screen UU oia Erste v REA A EMEND Ne aU M EM iaa 22 D Control Banel isis eo dolo 23 SA Trackball oe mna i A E G 23 2412 029 Numeri RS acta sce wrens tan tes trac idet a e es dide 24 DA 3 A SA 24 Ad F nction COMMONS i oto a cuni e eroe Medis eec quema o ce tutem io a iade 24 2 4 5 Comment FUNCHOn s oon de Rene hele tego tede teas Aes 27 2391 6 Body Mark F nction a 4 epe i Ede ds 29 Seq sxdpy sttient COonmt ls oues aee A aS 31 5 4 8 MAS ING FUNCTIONS psec act cut oue ROT ciel ictu tibl ros ool e M MM Sts bo ML Mace 33 5 4 9 Additional Control Funcion id 35 2 5 MENU 3d
154. s are as below Measurement and input items Measure LV and HR Key in Height and Weight To calculate CI and SI 1 In the B cardiac measurement menu roll the trackball to highlight Input Then select the secondary menu Height amp Weight and press Set to display a Height and Weight entering dialog box as shown below Height and Weight cm kg Figure 8 8 Height and Weight Input Dialog Box 2 Input suitable values in the Height cm and Weight Kg boxes 3 Roll the trackball to highlight OK and press Set BSA will be displayed in Measured Results After measuring LV and HR SI and CI will be also displayed in Measured Results 8 2 2 RV Right ventricle internal diameter 1 In the B cardiac measurement menu roll the trackball to highlight RV 2 Measure RV with distance method 3 The result will be displayed in Measured Results 8 2 3 PA Aortic Pulmonary Artery 1 In the B cardiac measurement menu roll the trackball to highlight PA and press Set display a in the image area 2 Measure PA with distance measurement method 3 The result will be displayed in Measured Results 107 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Other parameters If you want to perform other cardiac parameter measurements please enter B M mode or M mode cardiac measurement The result of ventricle volume measurement is more exact in two dimension You can get the two dimension
155. settings can minimize patient exposure and optimize the results and efficiency of the equipment Always apply the ALARA principle use power levels that are As Low As Reasonably Achievable Imaging Functions Affecting Acoustic Output In addition to the level of voltage transmitted adjustment of the following imaging functions and or controls may affect the acoustic output Item Affection Probe Acoustic output will be changed as changing probes There are different parameters applied in B mode and M mode so acoustic output will be changed as changing between B mode and M mode Generally the acoustic output of M mode is lower than the B mode Imaging mode Field of view scan Frame rate may be changed as changing the scan angle of the angle or scan width scan width and the acoustic output will be changed Pulse repeated frequency will be changed as changing the Image depth f 1 image depth and the acoustic output will be changed Frame rate and focus position will be changed as changing the Focus number focus number and acoustic output will be changed Acoustic output will be changed as changing the focus position even the beam power level and the beam aperture have not been changed Generally the acoustic output will be higher as getting nearer to probe Focus position When freezing the system it will stop transmitting ultrasonic wave Freeze The output of probe wil be
156. speed to get satisfying images in the M mode CAUTION 1 Please be gentle when contacting the target area with a probe This is to avoid making the probe damaged or the patient disturbed 2 Please choose a proper probe for the target area with an appropriate frequency to begin the diagnostic operation 3 Adjust the key total gain Gain knob slowly 5 3 Screen Layout D 0mm Abdominal NE CENE J121 204 Figure 5 1 Typical Image Screen 22 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Top status bar logo image hospital name patient Information system date and time major parameter such as G gain AP acoustic power FR frame rate probe model probe frequency THI TSI etc 2 Gray map bar 8 System menu 4 Result area Bottom status bar examination type operation prompt etc Bottom right corner display the state of USB 5 4 Control Panel ae 1 2 a SB Incicato ZTA N E cp cm oea DE 6 6 6 6 6 6 6 6 6 6 89 n 6 6 G C G 6 09 OG 09 8 6 6 6 6 86 6 06J 6 6 U Ss enon Z SE Dan EGLI 6 NA ERE 0 J VY O Rotation m Freeze j S A Figure 5 2 Control Panel Schematic Diagram 1 USB Indicator 2 Backlit control keys 3 Multiple function knob 1 4 Trackball 5 Gain knob 6 Multiple function knob 2 7 TGC sliders 5 4 1 Trackball The trackball is easy and convenient to o
157. st OEPIOBS A O ato man Hi ean 142 N24 Transducer Power Values a u octo eeu ertet te EP RU Ie SER ER TR e A 143 A2 5 Low Output Summary Table oe eee teret rote ea erp ien redox a pr av bee te 149 Appendix IE Obstetrical Referendo 150 A3 1 Application Table of Obstetrical Reference Formulas eeeee 150 ASSI Le ten aut tue MU uus 151 ELE RI E EN E EE A 153 AIA ppm 155 PSS HO A A ean AA R 158 AO A C E eM e Ma Mt c ed E E At 159 AUTE PES bostes NM cand bs NM RE dtd ula esL ER NAM EAE 161 A38 i P CP DK c Dp 163 A39 HUM so date reed der omn bec didt e lenta bein desea 165 ASTU CEC BR A Eden tta lite alt ias atout A c Ear 165 P UNES N E 1D Cmm 165 A312 Estimated Fetal Weight 55 a ds DO vai sis 165 Appendix IV Measurement Accuracy ecrire Eee net tei eer gn eie ptos tu ex eed edo ive vto edu xus 166 Appendix V EMC Information Guidance and Manufacture s Declaration sss 167 Appendix VIS Order Lita ii emestobesdubs pt n stu td 171 Appendix VID GIGSSAEy s s aicete EA E E noe Ta to A A 172 VIII DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 1 Introduction 1 1 Intended Use The DUS 6 Digital Ultrasonic Diagnostic Imaging System is intended for diagnostic ultrasound imaging analysis in gynecology rooms obstetrics rooms examination rooms intensive care units and emergency rooms The DUS 6 is intended for use by or on the order of a physician or similarly qualified he
158. st Processing The preset items include gray map rejection and gamma correction In the preset menu roll the trackball to highlight menu Post Proc and press Set and then display post processing presetting dialog box as shown below Post Process A e c p s Figure 5 17 Post Processing Presetting Gray transformation presetting The gray transformation Gray Trans curve has nine infection round nodes You can reposition them within a specific range to recalculate the curve and update the image To preset gray map take map L for instance 1 Move the cursor to one of the nine round nodes Press Set move the node with trackball to adjust the curve 2 Press Set complete the adjustment and the Gray Curve is renewed simultaneously 3 Adjust other nodes using the same method 4 Roll the trackball to Linear and press Set Then the gray map curve turns a 45 line and the Gray Curve is renewed simultaneously 44 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Post Process e c p s Figure 5 18 Gray Transformation Presetting Figure 5 19 Gray Transformation Presetting Linear 5 Press OK to save the modification or press Cancel to give up At the same time the dialog box is closed NOTE Linear is effective for changing the gray transformation curve only having no effect on the resistance or gamma correction Gray resistance presetting The gray resistance Gray Resis
159. st the value of IP In B B B and 4B mode 4 focuses and 16 segments of adjustable electronic focus are provided by the device By adjusting focal point combination a clear image can be obtained The current focal point combination is shown in the FOCUS position on the left of the screen When the light of focus position is on rotate the knob to shift the position of the current focus clockwise toward far field and counterclockwise toward near field When the light of focus number is on rotate the knob clockwise to increase the focus number and counterclockwise to decrease the focus number sa DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual ODepth Zoom orason Multi function knob 2 Press this knob repeatedly to cycle among Depth and Zoom When one of the functions is to activated rotate the knob to adjust the value The rotation function is automatically to activated when a body mark is added When the light of Depth is on rotate the knob to adjust scanning depth in increments of 10mm and the current depth is displayed in the bottom right corner of the image In real time mode or frozen mode press Multi function knob 2 till the zooming light is on and the system displays a zooming window in the middle of the image you can roll the trackball to move the zoom window to the desired area and rotate the zooming adjustment knob to adjust magnification of the zoom window Eight types of im
160. t Comply with the manufacturer s instructions when using the cleaners and disinfectants 13 3 Maintenance Maintenance must be performed every 12 months including safety and functionality of the system The following safety checks should be performed at least every 12 months by a qualified person who has adequate training knowledge and practical experience to perform these tests Inspect the safety related labels for legibility Inspect the fuse to verify compliance with rated current and breaking characteristics Verify that the device function properly as described in the instructions for use Test the protection earth resistance according to IEC EN 60601 1 Limit 0 0 1 Q 99 Test the earth leakage current according to IEC EN 60601 1 Limit NC 500 uA SFC 1000 uA Test the patient leakage current according to IEC EN 60601 1 Limit NC 100 uA SFC 500 127 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual uA Test the Covers leakage current according to IEC EN 60601 1 Limit NC100 uA SFC 500 uA The leakage current should never exceed the limit The data should be recorded in an equipment log If the device is not functioning properly or any of the above tests fail please contact the maintenance person of EDAN 128 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 14 Troubleshooting 14 1 Checkup Check whether the power sup
161. t curve has one round node You can reposition it within a specific range to recalculate the curve and update the image To preset rejection take map L for instance Move the cursor to the node Press Set and move the node with trackball to adjust the gray resistance curve Press Set complete the adjustment and the result curve is renewed simultaneously Post Process A e c ps Figure 5 20 Gray Resistance Presetting Press he OK to save the modification or Cancel to give up At the same time the dialog box is closed 45 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Gamma correction presetting y correction y correction has four levels 0 1 2 and 3 you can select any one of the four levels 5 7 7 Editing Comment Library There are eight tabs of comment library generic abdomen 1 abdomen 2 obstetric cardiac small parts lesion 1 and lesion 2 Each tab has a few sets of comments defined at factory and you can create up to 6 items user defined comments for each tab Creating a comment library for a patient report saves your time especially for recurring examinations You can quickly add a comment by using the comment library Operation procedure 1 Press File Roll the trackball to highlight Preset and then press Set to activate the presetting function 2 Roll the trackball to highlight Comment and then press Set Then the Comment Preset dialog box is displayed as shown
162. t is watertight KINGSTON U disk DTI G2 2G Kingston 12 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 3 Transportation and Storage 3 1 Moving the System Digital Ultrasonic Diagnostic Imaging System is designed to be portable and easily transported between sites Power off the system and secure all accessories before moving it to another location CAUTION 1 Switch off the ultrasound system Unplug the power cord from the power source and secure the power cable 2 Put the probes in the probe holder or remove them and place them in the protective carrying cases 3 Disconnect and secure the foot switch and the connecting cable 4 Raise the brakes away from the front and back caster wheels 5 Push the handle to roll the system forward and maneuver it to its new location and lock the wheel caster brakes 6 Connect optional system accessories such as the single pedal footswitch 7 Secure the system and complete the system setup and then perform all the daily checklist items before using it 3 2 Storage DO NOT place the device near the ground walls or roof Keep good indoor ventilation Avoid strong and direct sunlight and erosive gas 3 3 Transportation To prepare the system for shipment over long distance or rough terrain repack the system in the factory packing and crate To prepare the system for transport over distances load the system into a
163. t specified below The customer or the user of DUS 6 should assure that it is used in such an environment Electromagnetic Immunity test IEC 60601 test level Compliance level environment guidance Electrostatic 6 kV contact 6 kV contact Floors should be wood discharge ESD 8 kV air 8 kV air concrete or ceramic tile If IEC 61000 4 2 floor are covered with synthetic material the relative humidity should be at least 30 Electrical fast 2 kV for power supply 2KV for power supply Mains power quality transient burst IEC lines lines should be that of a typical 61000 4 4 commercial or hospital environment Surge IEC 1 kV differential mode 1 kV differential mode Mains power quality 61000 4 5 2 kV common mode 2 kV common mode should be that of a typical commercial or hospital environment Power frequency 3A m 3A m Power frequency magnetic 50 60Hz magnetic fields should be at levels field IEC 61000 4 8 characteristic of a typical location in a typical commercial or hospital environment Voltage dips short lt 5 UT lt 5 UT Mains power quality interruptions and gt 95 dip in UT gt 95 dip in UT for should be that of a typical voltage variations for 0 5 cycle 0 5 cycle commercial or hospital on power supply environment If the user of input lines IEC 40 UT 60 dip in UT 40 UT 60 dip in UT the DUS 6 requires 61000 4 11 for 5 cycles for 5 cycles continued o
164. terminal firmly via a ground wire 2 Plug one end of the power cable to the power socket of the main unit the other end to the special power output socket of the hospital 5 Switch on the main unit Press power switch on the left side of the main unit You can operate the main unit after the main interface appears 4 4 Connecting a Cable Holder To connect a cable holder 1 Find the cable holder three screws M3x12 and the packing foam in the package box 14 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 2 To avoid scraping the main unit put one piece of packing foam from the packing box below the main unit and place it on a flat ground 3 Carefully turn the main unit upside down on the packing foam and assemble the screws to the main unit with a cross head screw driver as shown in figure 4 1 4 Carefully turn the main unit with a cable holder to the normal state as shown in figure 4 2 M3x12 3x Figure 4 1 Assembling Position of Cable Holder SU Figure 4 2 Main Unit with Cable Holder 4 5 Sticking Silicone Pads NOTE There are two standby silicone pads for the system If necessary stick them on the rear surface of the keyboard to avoid abrasion as shown below 15 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Figure 4 3 Position of Silicone Pads 4 6 Connecting or Disconnecting Transducers NOTE Ensure that the system is shut down befor
165. terval and then and press Set 5 Roll the trackball and press Set to begin a new time measurement You can measure a maximum of four groups of data The outcome will be displayed in Measured Results as shown below 6 Press Measure to finish and exit E Timel Figure 6 15 Time Measurement Slope To measure slope 1 Press Measure to activate a measurement cursor Roll the trackball to highlight Slope and press Set and a big is displayed Roll the trackball and press Set to anchor the start point and displays a big Be cpm pe Roll the trackball and press Set to anchor the end point 5 Roll the trackball and press Set to begin a new slope measurement You can measure a maximum of four groups of data The outcome will be displayed in Measured Results as shown below 62 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 6 Press Measure to finish and exit eN NE Time a Depth Slope1 Figure 6 16 Slope Measurement and the Results Heart Rate To measure heart rate l 2 In the B M mode roll the trackball to change the position of the M Mark and press Set to obtain a satisfying electrocardiogram and then freeze it In the M mode freeze the desired image Measure the distance between two peaks of cardiac cycles with the time measurement method l 2 NOTE Press Measure to activate a measurement c
166. the printer with the main unit by using a USB cable Power on the main unit and run the printer 19 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual If the printer can not work normally check the printer presetting see Section 5 7 3 General Presetting NOTE If you want to use a multiple portable socket outlet to supply power to the whole DUS 6 system you are suggested to calculate the system power consumption when building a DUS 6 system so as to match the system power consumption with the power sustained by the multiple portable socket outlet 20 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 5 System Control 5 1 Powering On Off the Device To power on the device Before powering on this device check as below 1 Check all the cables and make sure there is no scrape or crack 2 Check the control panel and the monitor and make sure there is no crack 3 Check the probe and the connection and make sure there is no scrape or crack 4 Check the power socket and the switch and make sure there is no damage To power on 1 Connect one end of power cable at the rear panel of the device and the other end to the standard three pin power supply socket 2 Switch on and then the backlit keys on the panel will be on and a startup interface will appear To shut down the device After using it switch off the power supply NOTE Please unplug the AC power cord from
167. tivate obstetric measurement In the obstetric menu roll the trackball to highlight the menu AC press Set and move the cursor to image and display Measure AC in the method of ellipse or trace circumference measurement BH Reference Section 6 6 1 Generic Measurements in B Mode The results are displayed in Measured Results To begin a new AC measurement repeat steps 1 through 3 You can measure a maximum of one group of data 80 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 7 3 6 FL To measure FL 1 Press Measure to activate obstetric measurement 2 In the obstetric menu roll the trackball to highlight the menu FL press Set and move the cursor to image and display 3 Measure FL in the method of distance measurement BE Reference Section 6 6 1 Generic Measurements in B Mode 4 The results are displayed in Measured Results 5 To begin a new FL measurement repeat steps 1 through 3 You can measure a maximum of one group of data 7 3 7 AFI To measure AFI 1 Press Measure to activate obstetric measurement 2 In the obstetric menu roll the trackball to highlight the menu AFI press Set and move the cursor to image and display 3 Measure four groups of AF in the method of distance measurement Reference Section 6 6 1 Generic Measurements in B Mode 4 Theresults AF1 AF2 AF3 AF4 and AFI are displayed in Measured Results 5 To begin a new AFI
168. trackball to highlight OK and press Set The measurements and calculations of all the LV parameters are as below Measurement or input items Input or measurement HR LVET and patient s Height amp Weight Measurement LVIDs and LVIDd To calculate all the LV parameters Input or measure HR LVET and Height amp Weight Measure LVIDs and LVIDd following the prompt instruction All the LV parameters ESV EDV SV FS EF CO MVCF SI and CI will be displayed in Measured Results 8 1 2 Mitral Valve Mitral Valve calculation is as below Measurement items EF slope ACV A E DEV and DCT Mitral Valve measurement In the M cardiac measurement menu roll the trackball to highlight Mitral to display the secondary menu To measure EF slope ACV and A E Roll the trackball to highlight EF Slope ACV or A E and press Set The method of measuring EF Slope and ACV is similar to the generic M mode slope measurement method To measure A E measure the breadth from apex A to point C and the breadth from apex E to point C respectively The method is similar to the generic M mode distance measurement method 98 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual After the measurement the result of EF SLP ACV and A E will be displayed in Measured Results respectively To measure Valve Volume QMV Calculation formula QMV mL 4 DEV cm s DCT s Measurement operation procedure Roll the trackball t
169. trasound in Medicine 3 75 1984 MA HUM mm 9 6519438 0 26200391 HUM 0 0026105367 HUM A3 10 CER Goldstein MA CERmm 26 329 4 807 CERy10 1 484 CER 10 0 2474 CER 10 A3 11 THD Hansmann MA CTHDmm 6 963496 3 829853 THD 10 0 443065 THD 10 0 1010238 THD 10 0 0099702 THD 1 0 r 0 0003773 THD 1 0 A3 12 Estimated Fetal Weight Merz E Werner G amp llan E T 1991 Ultrasound in Gynecology and Obstetrics Textbook and Atlas 312 326 336 Hansmann M Hackel er B J Staudach A Ultraschalldiagostik in Geburtshilfe und Gynakologie 1995 Campbell S Wilkin D Ultrasonic Measurement if Fetal Abdomen Circumference in the Estimation of Fetal Weight Br J Obstetrics and Gynecology September 82 9 689 697 1975 Hadlock F Harrist R et al Estimation of fetal weight with the use of head body and femur measurement a prospective study American Journal of Obstetrics and Gynecology February 1 151 3 333 337 1985 Shepard M Richards V Berkowitz R Warsof S Hobbins J An Evallluation of Two Equations for Predicting Fetal Weight by Ultrasound American Journa of f Obstetrics and Gynecology January 142 1 47 54 1982 Fetal Growth Chart Using the Ultrasonotomographic Technique Keiichi Kurachi Mineo Aoki Department of Obstetrics and Gynecology Osaka University Medical School Revision 3 September 1983 Studies on Fetal Growth and Functional Developments Takashi Okai Department of O
170. ty scanning or when scanning patients with open wounds E for the shortest period of time and at the lowest mechanical and thermal indices necessary to Ultrasound may be harmful to human body This device should be used for valid reasons produce clinically acceptable images According to the ALARA As Low As Reasonably Achievable principles acoustic output should be set to the lowest level required to satisfactorily perform the examination Long time exposure should be avoided For the parameters of sound output please refer to appendix A The DUS 6 complies with the requirements of applicable International Electrotechnical Commission IEC standards in terms of safety and acoustic output levels 1 5 3 Electrical Safety A WARNINGA 1 To ensure grounding reliability only connect the system to a hospital grade power apa DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 10 11 12 receptacle The AC power connector plug for the ultrasound system is a three prong grounded plug and should never be adapted to any two prong non grounded outlet either by modifying the plug or by using an adapter To avoid electrical shock never modify the ultrasound system s AC power circuits To ensure grounding reliability connect the system only to an equivalent outlet SHOCK HAZARD Do not attempt to connect or disconnect a power cord with wet hands Make certain that your hands are clean and dry before tou
171. uct or battery please contact your local Civic Office or the shop where you purchased the product 13 1 Daily Checklist Check before the system is switched on Visually inspect all the transducers DO NOT use any damaged transducer Visually inspect all the transducer assembly cables and associated connectors Visually inspect all the power cords DO NOT turn on the power if a cord is frayed or split or shows signs of wear Verify that the trackball and TGC slide controls are clean and free from gel or contaminants Check after the system is switched on Visually check the on screen display and lighting Verify that the monitor displays the current date and time There isn t any error message Verify that the transducer identification and indicated frequency on the screen are correct for the to activated transducer Ensure that there isn t obvious abnormal noise discontinuous image or dark area Ensure that it isn t smelly or too hot Ensure that the ultrasound window isn t too hot checking with you hand 99 Verify that the buttons and knobs on the keyboard are good to operate 13 2 Cleaning and Disinfection All exterior parts of the device including the control panel probes and puncture needle should be cleaned and or disinfected as necessary or between uses with a recommended cleaner or 121 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual disinfectant
172. ursor Roll the trackball to highlight Heart Rate and press Set and a is displayed Roll the trackball to move the first measurement maker on the first peak systole and then press Set to anchor start position and the measurement mark turns to a vertical line Roll the trackball to move the second measurement maker on the peak systole following two complete cycles and then press Set to anchor end position Roll the trackball and press Set to begin a new heart rate measurement You can measure a maximum of four groups of data The outcome will be displayed in Measured Results Press Measure to finish and exit Figure 6 17 Heart Rate Measurement In B M mode you should define the M Mark position and then begin the measurement Others Roll the trackball to highlight Others in the M Mode Generic Measurement and Calculation Menu to select a measurement item 63 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 6 6 3 General Report To print the general ultrasound report Highlight Print Report in the B Mode Generic Measurement and Calculation Menu and press Set to display the general worksheet dialog box as shown below General worksheet Slice size as normal clear envelope uniform hepatic parenchyma intrahepatic duct not dilated normal Dpv no obvious Abnor echo Slice size as normal smooth cyst wall good transmission sound common bill duct bore not dilated Slice size as norm
173. value After verifying the position and the angle highlight Verify and press Set and the system will save the verified value After restarting the system the verified value is activated To save the factory data Highlight Load Factory and press Set load the factory data 75 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Toselect the bracket If the probe has different brackets you can use the Bracket sel option to select the bracket 6 9 4 Reference Line In the single B mode press SHIFT CAPS to display or to hide the reference line When the reference line is displayed roll the trackball to adjust its position and press Set to set its position 6 10 Breakstone Guide Highlight Breakstone in the B mode menu and press Set to display the breakstone guide line in the middle of the screen 276 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 7 Obstetric Measurement and Calculation The obstetric examination is usually in the B mode To enter B mode obstetric examination 1 Press Exam and select Obstetric and then press Set 2 Press 0 to enter B mode 3 Press Measure to activate the measurement function The measurement menu will be displayed 7 1 Abbreviations The abbreviations used in this manual are shown as below EDC Estimated Date of Confinement MA Menstrual Age LMP Last Menstrual Period 9 0 BBT Basal Body Temperature EFW
174. ve up the calculation 7 4 2 EDC Calculation by Entering BBT To calculate EDC according to BBT 1 In the obstetric menu roll the trackball to highlight the menu Input and it will display secondary menu automatically 2 Select BBT in the list of input items and press Set and the BBT input dialog box will be displayed on the screen Figure 7 4 BBT Input Dialog Box 3 Enter BBT 4 Select OK and press Set do the calculation automatically or Cancel to give up the calculation NOTE In EDC calculation make sure that the system date is correct The default standard pregnancy period in the system is 40 weeks In the LMP method measuring if the interval between the input date and the current system date exceeds 40 weeks the input date will be invalid In the BBT method measuring if the interval between the input date and the current system date exceeds 266 days the input date will be invalid 85 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual 7 5 EFW Calculation This system can calculate EFW according to the measured data 7 5 1 Select a Formula in Preset This system provides eleven types of EFW formula as shown below Options Formula EFW 1 07 BPD 3 3 42 APTD TTD FL Tokyo EFW g Others cm EFW 1 25674 BPD 3 3 50665 FTA FL 6 3 Osaka 2 EFW g FTA cm Others cm HADLOCK1 EFW 10 1 304 0 05281 AC 0 1938 FL 0 004 FL AC
175. vehicle using a lift gate To prevent lateral movement of the system secure the system with cargo straps To prevent sudden jarring of the system during transport provide shock cushions beneath the system It is suitable for transportation by air railway highway and ship Avoid splashing with rain and snow inversion and collision DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual Chapter 4 Installation Instructions 4 1 Environmental Requirements Keep the device away from equipment with strong electric field strong magnetic and high voltage field and protect the display screen from direct exposure to strong sunlight Keep good ventilation 4 2 Unpacking Inspection After unpacking the device customers should follow the PACKING LIST to check the product carefully and to make sure that no damage has occurred during transportation Then install the device according to the installation requirement and method A WARNINGA 1 DO NOT use the device if it is found to be damaged or defective 2 DO NOT drop or collide with the probe Otherwise you shall give up using it 4 3 Connecting Procedure 1 Take the main unit and accessories out of the package 2 Connect the cable holder stick the silicone pads 1f necessary and connect the transducers to the main unit correctly 3 Connect the printer and load the recording paper 4 Connectthe power cable 1 Connect the main unit and the common earth
176. ystem User Manual A1 4 Machine Specifications Main unit dimensions 353 mm W x 315 mm L x 253 mm H Packaging dimensions 500 mm W x 460 mm L x 465 mm H Net weight 11 5 kg A1 5 General Technical Specifications Monitor 10 inch non interlaced progressive scanning black and white monitor Resolution 800x575 pixels Display Modes B B B 4B B M and M Image Gray Scale Image Magnification 256 levels x1 0 x1 2 x1 4 x1 6 x2 0 x2 4 x3 0 x4 0 in distance Storage 56 MB Depth Shift B B B 4B B M M modes in real time in increments of 10 mm Frame Correlation oe 8 levels to adjust 0 7 B B B 4B B M modes ineffective when freezing Coefficient Image Conversion Up Down flip Left Right flip Language Conversion Chinese English French German Spanish Italian Polish Russian Romanian etc The language options varies with language software installed Focus position 16 levels to adjust Focus number Max 4 Software packages Abdomen obstetric small parts gynecology orthopedics cardiology and urology B mode j a Distance circumference area volume ratio stenosis and angle Measurement M mode Distance time slope heart rate 2 cycles Measurement Body Mark gt 80 types USB port USB 1 1 133 DUS 6 Digital Ultrasonic Diagnostic Imaging System User Manual

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