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DP-50Vet User Manual

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1. RES SA LESS OES ES I EEP Se SA Function 1 Probe holder Used to place the probe 2 LCD Display Displays the image and parameters during scanning tilt angle adjustable 3 Control Panel Refer to the 2 6 3 Control Panel 4 Lock button x2 Press to release the control panel while it s folded 5 Handle Used to carry the machine 6 I O Panel Interface panel used for inputting and outputting signals refer to 2 6 1 I O Panel 7 Power supply panel Electrical port panel refer to 2 6 2 Power Supply Panel 8 Probe ports Used to connect the probe 9 Battery cover Used to hold the battery 10 USB ports 2 6 System Overview Used to connect USB devices 2 6 1 I O Panel 12V 5V O 3 3V A lt 8 gt No Symbol Function 1 Ix Network port 2 e USB ports 4 e Separate video output connecting video printer or LCD 5 gt Remote control port 6 VGA O G VGA signal output E Composite video output 8 Power indicator 2 6 2 Power Supply Panel
2. No Name Description Function 10 Del Press to delete the comment etc T Alphanumeric Same as on PC keys 12 Arrow Press to enter or exit the arrow comment status 13 Menu Main menu Press to display or hide a mode specific parameter menu 14 Cine Cine Review Press to enter or exit the Cine Review status 15 Direction key To adjust LCD brightness or contrast when pressing with lt Fn gt key 16 TGC Move to adjust time gain compensation m Focus Press to switch between Focus and Freq THI Freq THI Rotate to adjust corresponding parameter 48 Depth Press to switch between Depth and Zoom Zoom Rotate to adjust corresponding parameter 19 Patient Patent Press to open exit patient information screen Information 20 Body Mark Press to enter or exit the Body Mark status 21 Probe Probe switch Press to switch Probe and Exam Type Press to enter or exit the character comment 22 Comment status 23 End Exam Press to end an exam Press to clear the comments or measurement 24 Clear calipers on the screen 25 Cursor Press to show the cursor 26 Nav Rot Multifunction knob 3 uad Quad split Press to enter Quad mode from non Quad mode ua Screen Press to switch between windows in Quad mode Js Dual Dual split Press to enter Dual mode from non Dual mode ua Screen Press to switch between windows in Dual mode 29 M Press to enter the M mode 30 B Press to enter the B mode 31
3. 2 100 240 50 60Hz 1 5 0 8A No Name Function 1 Power inlet AC power inlet Used for equipotential connection that balances the 2 Equipotential terminal protective earth potentials between the system and other electrical equipment System Overview 2 7 2 6 3 Control Panel 2 lt 3 gt lt 4 gt El Help Review 6 BpsugnBausssun SE lt 10 gt lt 1 Y E e amp lt 1 3 4 6 7 E Backspace Tab T Y U l gt 1 Caps lock F J L 4 eee ce iJ ft shift z X c E ft J 04 E pon 4 gt T Menu amp oY Ta l u a dl 7 Arrow e 15 Gain i Touch Freeze lt 40 gt lt 42 gt lt 43 gt lt 44 gt lt 45 gt No Name Description Function Off when system is turned off 4 Bower button Green when system is turned on by pressing this button Orange when system is in standby 2 E Exit Press to exit the current status to the previous sc status Press to open or close the accompanying help 3 Help documents 4 Review Press to review the stored images 5 Report Press to open or close the diagnosis reports 6 iStation Press to enter or exit the patient information management system User defined You can assign a function to the key 7 F1 F4 key 8 Biopsy Press to show or hide the biopsy guide line 9 Setup Press to open close the setup menu 2 8 System Overview
4. Parameter Value Range Error Distance Fullscreen Within 3 or when the measured value is less than 40mm the error is less than 1 5mm Time Timeline Display Within 2 Heart rate Timeline Display Within 4 Slope Timeline Display Within 4 NOTE Within the selected field range the measurement accuracy is ensured within the range mentioned above The accuracy specifications are performance in the worst conditions or based on the real test for the system regardless of acoustic speed error 7 4 Measurement 8 Comments and Body Marks 8 1 Comments Comments can be added to an ultrasound image to bring attention notate or communicate information observed during the examination You can add comments to zoomed image cine review image real time image frozen image You can type the character as comments insert the pre defined comments from the comment library or insert arrow markers You must ensure that the entered comments are correct ZNWARNING Incorrect comments may cause misdiagnosis 8 1 1 Comment Basic Procedures 1 To enter comment status e Press the Comment key to enter the comment status and the cursor becomes Press any alphanumeric key and the corresponding letter or numeral is displayed besides the cursor Press the Arrow key to enter the arrow adding status Tips when the system entered comment status the default characters entered are uppercase You can see th
5. NOTE Compression in a JPEG format may result in image distortion W Set cine saving length For details please refer to 6 4 Preset 9 2 4 Saving Images to the System B To save a single frame image in the system 1 Enter Setup gt System Preset gt Key Config gt Output set a user defined key for function Save image to hard drive 2 Press the user defined key to save the image e Inthe image screen press the shortcut key to save the current single frame image with the image frozen and the image is saved with the default filename in the default file directory in the FRM format The thumbnail of this image will appear in the thumbnail area on the right side of the screen When you move the cursor onto the thumbnail its filename with suffix will be displayed e When a dialog box is displayed on the current screen press the user defined key to save the screen in the BMP format B To save cineloop image in the system 1 Enter Setup gt System Preset gt Key Config gt Output set a user defined key for function Save cine 2 Freeze an image Click the user defined key to save the current image file in the default file directory in the dynamic image format CIN The thumbnail of this image will appear in the thumbnail area on the lower side of the screen When you move the cursor onto the thumbnail ts filename with suffix will be displayed 9 2 5 Quickly Saving Images to USB
6. IP is a combination of several image processing parameters which is used for a convenient image optimization The IP combination number is displayed on the image parameter area on the right part of the screen The M IP combination parameters include dynamic range and M soften Select among the IP groups through the IP item in the menu Or adjust it in the image parameter area The system provides 8 groups of IP combinations and the specific value of each parameter can be preset Colorize and Colorize Map Description Colorize function provides an imaging process based on color difference rather than gray distinction Operation Turn on or off the function through the Colorize item in the menu Select the colorize map through the Colorize Map item in the menu The system provides 16 different maps to be selected among Impacts The function is available in real time imaging freeze or cine review status Gray Rejection Description This function is to reject image signals less than a certain gray scale then the rejected signal corresponding area turns black Operation Click Gray Rejection on the image menu to adjust The adjusting range is 0 5 Curve Description To manually enhance or restrain the signal in the certain scale Operation Click Curve in the menu to open the dialogue box to adjust Drag the curve node to increase or decrease the gray scale information drag the node up to increase the information and down to decrease
7. To change the focus position in M mode symbols as 4 of which are displayed on the right of the image Adjust the focus position through the Focus Position item in the menu To show the time mark in M mode image Turn on or off the function through Time Mark item in the menu When time mark is displayed on the M mode image it s much easier to identify the cardiac cycles and detect more details The function is available in real time imaging freeze or cine review status Display Format Description Operation Effects Impacts Speed Description To set the display format of M mode image with B mode image Adjust through the Display Format item in the menu There are 4 formats available for the images display L R V1 1 V1 2 Full Adjust according to the actual situation and obtain a desired analysis through comparison The function is available in real time imaging freeze or cine review status This function is used to set the scanning speed of M mode imaging and the real time speed value is displayed in the image parameter area in the upper left corner of the screen 5 10 Image Optimization Operation Effects IP Description Operation Change the speed through the Speed item in the menu Or adjust it in the image parameter area There are 6 levels of scan speed available the smaller the value the faster the speed Speed changing makes it easier to identify disorders in cardiac cycles
8. r Wait 15 min Font Size Wait 30 min O Sn Arrow Size Display Color temperature LJ Brightness Contrast Load Factory Control button Cancel Composition Description The title bar is used to give a description for the content and Title Bar function of the screen For some screens contents are distributed across several Page Tab pages Use the selection pointer and lt Set gt key to open close the available pages Use the selection pointer and Set key to open close the available pages 3 12 System Preparation Composition Description Content B Radio button click to select the item Check box click to check or uncheck the item B Entry box enter characters manually via the keyboard Position the cursor into the box and then enter the letters or characters B Drop down list box click Y to show the list and select an item OK and Cancel When the operation of a screen is complete press the OK or Cancel button to save or cancel the operation and close the screen To reposition a dialogue box 1 Roll the trackball to move the cursor onto the title bar of the dialogue box At this time the cursor becomes a t press the Set key 2 Roll the trackball and reposition the rectangular graphic to the new desired location 3 Press the lt Set gt key and the dialogue box is moved to the desired position System Preparation 3 13 4 Exam Preparation B
9. 1 Cine Review images can be inadvertently combined in CAUTION y between separate patient scans The cine memory must be cleared at the end of the current patient and the onset of the next new patient by selecting the lt End Exam gt key on the control panel Cine files stored in the system s hard drive shall contain patient information to avoid the selection of an incorrect image file and potential misdiagnosis Display amp Cine Review 6 3 6 2 1 Entering Exiting Cine Review B To enter cine review e Enter Setup gt System Preset gt Image Preset gt Freeze Config to set Status after Freeze to be Cine Then the system enters the manual cine review status once press Freeze to freeze the image Open cine files in thumbnail iStation or Review the system enters automatic cine review status B To exit cine review e Press Freeze key again the system will return to image scanning and exit cine review e Press Cine or lt Esc gt the images are still frozen but the system exits cine review 6 2 2 Cine Review in 2D Mode B Manual cine review After entering the cine review of 2D mode rolling the trackball or rotating the multifunctional knob will display the cine images on the screen one by one If you roll the trackball to the left the review sequence is reversed to the image storing sequence thus the images are displayed in descending order Whereas if you roll the trackball to the
10. 4 B Gain 4 iClear THI Gain 4 F BIP 3 Select an exam mode and probe e Select ABD Abdomen from the drop down list of Exam Mode e Select 35C50EA for example from the drop down list of Probe 4 Image parameter preset e The ABD All Probe field on the left side of the screen displays the parameter preset for all probes in ABD exam mode General Parameter A power Drop down list To set the default acoustic power TIC TIB TIS to choose the item to be displayed on the screen Thermal index Radio button To set the default status of colorize function in B mode Colorize Check box to tumon or off Colorize Map Drop down list To set the default colorize map in B mode Image Optimization 5 13 General Parameter TSI Drop down list To set the default TSI mode for B mode iTouch Drop down list To set the default gain of iTouch in B mode iTouch Bright Drop down list To set the default brightness of iTouch The ABD 35C50EA field on the right side of the screen displays the parameter preset for the35C50EA probe in ABD exam mode Probe Specific Items Depth Drop down list To set the default depth in B Mode Frequency Drop down list To set the default frequency of the transducer FOV Drop down list To set the default FOV in B Mode Focus Position Drop down
11. 9 Needle guided bracket 10 Pack 2 5 4 Peripherals Supported No Item Model HP deskjet 1280 HP Laserjet CM1015 HP officejet 6000 HP officejet J3608 all in one SONY UP 20 2 Color Video Printer MITSUBISHI CP910E HP Photosmart plus B210A Black and White Video SONY UP 897MD Printer MITSUBISHI P93W Z 4 External DVD R W Drive SE S224 USB removable storage device 1 Graph text printer Footswitch This system complies with IEC60601 1 2 2007 and its RF Z WARNING emission meets the requirements of CISPR11 Class B Ina domestic environment the customer or the user should guarantee to connect the system with Class B peripheral devices otherwise RF interference may result and the customer or the user must take adequate measures accordingly 2 4 System Overview Introduction of Each Uni 2 6 System Overview 2 5 No Name
12. To set if to display hide guide line 1 Check Guide Line Display to set the guide line display otherwise the guide line is hidden when enters biopsy status 2 Click OK to confirm the setting and return to Setup menu 12 2 4 Needle guided Bracket Inspection and Installation Inspection of the Needle guided Bracket Be sure to perform inspections before and after use of the needle guided bracket If an abnormality is found on the needle guided bracket immediately stop using it and contact MINDRAY Customer Service Department or sales representative 1 Sterilize the needle guided bracket before and after use 2 Confirm that the needle guided bracket is free of damage deformation stripping malfunction loose or missing parts 3 Confirm that the needle guided bracket is securely mounted in the correct position Installing the Needle guided Bracket B NGB 001 e Metal needle detachable 1 Put on the sterile transducer sheath 2 Select a proper needle guided bracket and match the groove with the tab of the transducer Mount the bracket onto the transducer Probes and Biopsy 12 21 3 Screw the pinch nut of the needle guided bracket to confirm that the needle guided bracket is properly installed on the transducer 4 Adjust the adjusting nut of needle type to a desired shift and screw the nut to fix the guiding block 5 Close the V shaped cover and insert the needle to the guiding hole e Metal needle undet
13. Otherwise you should separate the system from the mobile trolley and move them individually When you have to move the system with the mobile trolley upward or downward the stairs you must separate them first and then move them individually Object placed on the monitor may fall and injure an individual when moving Fasten and fully secure any peripheral device before moving the system A loose peripheral device may fall and injure an individual DO NOT expose the system to excessive vibration through transportation Mechanical damage may result Do not connect this system to outlets with the same circuit breakers and fuses that control the current of devices such as life support systems If this system malfunctions and generates overcurrent or when there is an instantaneous current at power ON the circuit breakers and fuses of the building s supply circuit may be tripped Always keep the system dry Avoid transporting this system quickly from a cold place to a warm place otherwise condensation or water droplets may form allowing a short circuit and possible electric shock If the circuit protector is tripped it indicates that the system or a peripheral device was improperly shut down and the system is unstable You cannot repair the system under this circumstance and must call the Mindray Customer Service Department or sales representative Safety Precautions 1 5 1 6 Safety Precautions There is no risk of high tem
14. Roll the trackball to move the cursor onto the body mark The cursor changes into E indicating you can move the pictogram to a new position 2 Press Set key to select the body mark and a frame will appear around the graphics 3 Roll the trackball to move the Body Mark graphic to the desired position 4 Press Set to anchor and confirm the new graphics position NOTE In Dual B Mode a body mark cannot be moved between the separated image windows 8 2 5 Deleting Body Marks M To delete a body mark 1 Use the trackball to position the cursor on the body mark graphic and Press lt Set gt to select 2 Press Clear to delete the selected body mark NOTE In the Body Mark mode if no object is selected pressing the Clear key will clear all comments body marks and general measurements from the screen Tips e Powering off preset returning switching the exam patient mode probe will clear the body marks Comments and Body Marks 8 5 9 Patient Data Management An exam record consists of all information and data of one exam An exam record consists of the following information e Patient basic information and exam data Image files e Report NOTE 1 DO NOT use the internal hard drive for long term image storage Daily backup is recommended External storage media is recommended for image archive 2 The system patient database space is limited please back up or clear pati
15. Secondary Indications Operator idmin M CPT4 Code Accession 2 CPT4 Description Comment 3 Height Weight BSA 4 New Patient New Exam Cancel Information includes 1 General information e Name Enter patient name through the keyboard Characters of A through Z and 0 through 9 and are allowed V and are not permitted e Patient ID Patient ID is generated automatically by the system after starting a new patient and can be modified manually Once you enter the ID and confirm it you are not allowed to change it NOTE 1 Vis not permitted 2 If enter an ID that is already existed in the system a warning The ID existed load data prompts and you can import the patient data The patient data can be edited after importing e Gender Select Male Female or Unknown for patient gender in the drop down list e DOB Date of birth gt You can either enter the birth date of a patient manually 4 2 Exam Preparation e Age gt Or click s to select the date and click OK to confirm Auto generated age once the BOD is gotten the system can display an auto generated age in the field box the unit can be Years Months or Days If the age is less than one year the system will automatically calculate the age in months or days Also you can manually enter the age NOTE When you enter the date manually please enter it in the format as
16. may not be compatible with the transducer material and damage may result Transducer damage may be caused by inappropriate gel detergent or cleanser Do not soak or saturate transducers with solutions containing alcohol bleach ammonium chloride compounds acetone or formaldehyde Avoid contact with solutions or coupling gels containing mineral oil or lanolin NOTE 1 Read the following precautions to prevent the probe from malfunction Clean and disinfect the transducer before and after each examination e After the examination wipe off the ultrasound gel thoroughly Otherwise the ultrasound gel may solidify and the image quality would be degraded 2 Ambient conditions To prevent the transducer from being damaged do not use it where it will be exposed to e Direct sunlight or X rays Sudden changes in temperature e Dust Excessive vibration Heat generators Use the probes under the following ambient conditions e Ambient temperature 0 C 40 C e Relative humidity 30 to 85 no condensation e Atmospheric pressure 700 hPa 1060 hPa 3 Repeated disinfection will eventually damage the probe please check the probe s performance periodically Safety Precautions 1 9 NOTE 1 The following definition of the WEEE label applies to EU member states only The use of this symbol indicates that this system should not be treated as household waste By ensuring that this system is disposed of correctly
17. packup to import or export patient information images and reports from or to an external memory device See the following figure Backup Patient Record Original Format DICOM Format lll Remove from Local HD after Backup e In the Station screen click or in Review screen click Send To to send patient data to an external memory device you can choose if reports are exported with images See the figure below Patient Data Management 9 9 Send To Target F E DICOM da Printer IHE PDI tt220110211 141030 605A t sdf20110211 14 20110212 111 Property Total 7633 MB Free 5589 MB To export the report 1 Check Export Report on the screen 2 Click OK to confirm You can select paper size for the report in the path Setup Print Preset W Printing report Use a connected graph text printer to print a report Please refer to 11 7 Print Preset for details about default report printer setting For details on report relevant operations please refer to Advanced Volume 9 4 Patient Data Management iStation The patient data include basic patient information exam information image files and reports You can search view backup send restore or delete patient data in iStation B To Enter Station Press lt iStation gt key on the control panel or e Click iStation in the Patient Info screen or e Click iStation in the Review screen The iStatio
18. value of which is displayed in the image parameter area in the upper left corner of the screen Adjust through the Acoustic Power item in the image menu The adjusting range is 7 100 in increments of 3 Generally increasing the acoustic power will increase the brightness and contrast of the image as well as the force of penetration You should perform exams according to actual situation and follow the ALARA Principle Refers to adjustment of focus of the ultrasonic beams symbols as 4 of which will be displayed on the right of the image Adjust the focus number through the Focus Number in the menu Adjust the focus position through the Focus Position in the menu In B Mode focus number can be switched among 1 4 The area that is focused will be of a higher contrast and resolution to provide a much clearer image 5 4 Image Optimization Impacts The greater the number of focus the slower the frame rate to image Imaging Display Adjustment Description Operation B Steer Trapezoid imaging Impacts Line Density Description Operation Effects More information can be obtained without moving the probe or changing the sampling position Change the scan range through the FOV item in the menu The system provided four levels of scan range ExFOV W N M1 M2 You can get a much larger field of view when selecting a larger FOV but the frame rate will decrease This function is to steer the be
19. write blinking in green Other status light off NOTE DO NOT move the machine when the indicator blinking in green Otherwise the HDD may be damaged by sudden shake 2 7 Symbols This system uses the symbols listed in the following table and their meanings are explained as well Symbol Description 1 Type BF applied part General warning caution risk of danger Dangerous voltage A A Y Equipotentiality C O Power button II Network port ec USB ports gt Video output gt Remote control port VGA O C2 VGA signal output AC Alternating current Battery Status Indicator Standby indicator Hard disk indicator Probe port A Probe port B SN Product serial number Beu amp ea Manufacture date m A Authorized representative in the European Community System Overview 2 11 Symbol Description This product is provided with a CE marking in accordance with the regulations stated in Council Directive 93 42 EEC concerning Medical Devices The number adjacent to the CE 0123 marking 0123 is the number of the EU notified body certified for meeting the requirements of the Directive 2 12 System Overview 3 System Preparation 3 1 Move Posit the System Please read and understand the safety precautions before placing the system to ensure safety for both operator and devices 1 Switch off the power a
20. you will help prevent bringing potential negative consequences to the environment and human health For more detailed information with regard to returning and EREENEN recycling this system please consult the distributor from whom you purchased the system 2 For system products this label may be attached to the main unit only 1 5 Latex Alert When choosing a probe sheath it is recommended that you directly contact CIVCO for obtaining probe sheath pricing information samples and local distribution information For CIVCO information please contact the following CIVCO Medical Instruments Tel 1 800 445 6741 WWW civco com WARNING Allergic reactions in latex natural rubber sensitive patients may range from mild skin reactions irritation to fatal anaphylactic shock and may include difficulty in breathing wheezing dizziness shock swelling of the face hives sneezing or itching of the eyes FDA Medical Alert on latex products Allergic Reactions to Latex containing Medical Devices issued on March 29 1991 1 10 Safety Precautions 1 6 Warning Labels The warning labels are attached to this system in order to call your attention to potential hazards The symbol on the warning labels indicates safety precautions The warning labels use the same signal words as those used in the operator s manual Read operator s manual carefully before using the system The name pattern and meaning of eac
21. 3 50 1 17 2 34 10 11 07 3 69 7 38 100 35 00 11 67 23 34 For transmitters at a maximum output power not listed above the recommended separation distanced in meters m can be determined 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 If system image distortion occurs it may be necessary to position system further from sources of conducted RF noise or to install external power source filter to minimize RF noise to an acceptable level Note 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Guidance and Manufacturer s Declaration 15 5 1 6 System Maintenance Routine system maintenance shall be carried out by the user Service maintenance will be provided by Mindray service engineers while the system is under warranty System maintenance after the warranty has expired is the full responsibility of the owner operator Only an authorized Mindray service engineer can perform Z WARNING maintenance not specified in this operator s manual For the sake of the system performance and safety you should perform periodical checks for the system 16 1 Daily Maintenance You are responsi
22. Chemical Name Procedures Minncare Cold 22 Hydrogen Dilute the sterilant with sterilized purified Sterilant Peroxide water 1 20 4 5 Peroxyacetic Acid Immersed time 11 hours Temperature 20 C 25 C Please refer to the instructions provided by the manufacturer of the solution for details 12 30 Probes and Biopsy Before safety and performance is affected plastic bracket NGB 007 can be sterilized by Minncare COLD STERILANT for at least 245 times 11 hours for one time e Refer to the instructions provided by the chemical manufacturer concerning concentration of the solution and method of disinfections and dilution Note that the glutaraldehyde disinfectant solution needs an activating solution Rinse the needle guided bracket thoroughly with sterile water to remove all chemical residues on it e Wipe off the water on the needle guided bracket with sterile cloth or gauze after rinsing it BH STERRAD 1008 low temperature hydrogen peroxide gas plasma sterilization system Chemical name Trade name Procedures Hydrogen Hydrogen Please refer to the instructions provided by the peroxide gas plasma peroxide vapor producer of the solution for details e Refer to the instruction of STERRAD 1008 sterilizing system provided by the manufacturer for operation instructions and cautions e The STERRAD 1008 low temperature hydrogen peroxide gas plasma sterilization system is available for metal needle guided brackets B
23. Cleaning the trackball Tool tissue paper or dry cotton cloth System Maintenance 16 1 Method The trackball on the control panel is used to move the cursor and plays an importance part in man machine communication As one of the most frequently used parts on the control panel it may become ineffective due to dirt that enters into the trackball module a Disassembling the trackball Rotate the trackball clamp ring 35 degrees anticlockwise When the clamping ring lifts remove the clamping ring and trackball You can draw out the ball with the help of adhesive tape See the figures below Clamp ring Rotate clamp ring 35 degrees anticlockwise Remove clamp ring Draw out the ball b Cleaning Clean the lens slightly using the tissue until there is no foreign matter Then clean the other parts and the dust excluder Make sure to exert force properly when clean the small ball otherwise the small ball may drop down See the figure below No system shutdown is required during the whole clean Reinstall the ball and clamp ring after the clean is finished Small ball x3 When liquid is spray onto the trackball area most of the liquid can be discharged through the waterspout besides you can dry the leaving water using the tissue or cloth c Installing the trackball Put back the ball align the buckle with gap of the front cover press the clamp ring with both hands and rotate it 35 degrees clockwise to click the bu
24. Config gt Other to preset a user defined key for sending image and measurement data to the workstation For details on key configuration see 11 1 6 Key Config 11 10 Manage Settings The Manage Settings page is used to import or export the setup data or restore factory setup data 11 10 1 Exporting Setup Data This function is used to write all setup data of the system into a disk for backup The format of the data file is PDP m To export some of preset data Enter Setup gt Manage Settings select some items in the Export field on the left Click Export to open the Export Data screen Select the path to save the data Click OK To export all preset data Click Export All select the path to save the data Wir ono Setup 11 15 11 10 2 Importing Setup Data This function is used to import the existing setup data to the setup data memory of the system The system will reset and operate according to the setup preferences that were imported B To import some of preset data 1 Enter Setup gt Manage Settings select an item in the Import field on the right 2 Click Import to open the Load Data screen 3 Select the imported file 4 Click OK a progress bar will appear and the setup data in DTA format is imported to the specified path 5 To restore the factory setup data click Restore Factory on the right side of the screen B To import all preset data Click Import AII select th
25. Factory contrast Font size Small Medium Large Arrow Size Small Medium Large Comments Clear comments while unfreezing To set if clear comments while unfreezing an image or image or changing changing probe exam probe exam 11 1 3 Image Preset Open the Image Preset page via Setup gt System Preset gt Image Preset as shown in the figure below System Preset Image Preset Reset Config ss cisea l Freeze Config Status after Freeze J Image Cine Memory 4 Cancel Type Item Description Reset Config Probe To set the default probe model for the system Pes Status after Freeze To set the system status after image is frozen Image Cine Memory To set the cine memory splitting type Auto Split Setup 11 5 11 1 4 Meas Open the Meas page via Setup gt System Preset gt Meas Through the page you can set the measure ruler unit and relevant information For details please refer to the Operator s Manual Advanced Volume 11 1 5 OB Open the OB page via Setup gt System Preset gt OB Through the page you can set the gestational age formula fetal growth formula fetal weight formula and the relevant information For details please refer to the Operator s Manual Advanced Volume 11 1 6 Key Config Open the page via Setup gt System Preset gt Key Config as shown in the figure below System Preset Je Config Key Function Funct
26. G 45 Parameter M Speed M IP M Dynamic Range M Gain B Parameters that can be adjusted to optimize the M Mode image are indicated in the following Adjustment Items Control Panel Gain TGC Depth Frequency Gray Map Focus Position Dynamic Range Speed Menu Display Format Colorize Colorize Map IP Edge Enhance M Soften Time Mark Acoustic Power Gray Rejection y Curve Gray Invert Image Optimization 5 9 B During M mode imaging you can switch between B and M menu from the menu title W During M Mode scanning frequency and acoustic power of the transducer are synchronous with that of B Mode W Adjustment of the depth or TGC to the B Mode image will lead to corresponding changes in M Mode image W Press Update to switch between the real time B and freezing B images 5 4 3 M Mode Image Optimization Gain Description Operation Effects To adjust the gain of M mode image The real time gain value is displayed in the image parameter area in the upper left corner of the screen Rotate the Gain iTouch gt knob clockwise to increase the gain and anti clockwise to decrease Or adjust it in the image parameter area The adjusting range is 0 100 Increasing the gain will brighten the image and you can see more received signals However noise may also be increased Focus Position Description Operation Time Mark Description Operation Effects Impacts
27. Limits of Acoustic Output erre n nennen nennen 14 2 14 7 3 Differences between Actual and Displayed MI and TI ssseeees 14 2 14 8 Measurement Uncertainty eccccccccceceeeeeeeeeeceeeeeeee cece aeaeeeeeeeeeseeeaaeaeeeeeeesenenniseeeeeeenees 14 2 14 9 References for Acoustic Power and Safety ooooccconnociccconocicccononcncnanoncnc nano mann nano nc nr rana nana 14 2 15 Guidance and Manufacturer s Declaration eeeeeeeeeeeeeeeeeeeee 15 2 16 System Maintenance simiente iaa 16 2 16 1 Daily Maintenant nana r E a i RA 16 2 16 1 1 Cleaning the System acicate adda Ar a eet 16 2 112 Checking Trans duco oaio I ele oem meiste ee 16 2 16 1 3 Backup of the System Hard Drive ssssssesee eene 16 2 16 2 Maintenance Checks by Service Engineer ssssssssseeee eene 16 2 16 3 Consumables and Periodic Part Replacement oooooccccoconococcccccnccocanononcnnncnnnnnnnononncnnnnnnnnnns 16 2 16 4 Troubleshooting snn 2 mer e e et ee Ten er ep p WU reato 16 2 Contents vii 0123 2011 Shenzhen Mindray Bio Medical Electronics Co Ltd All rights Reserved For this Operator s Manual the issue date is 2011 03 The MindrayVNC ver 1 0 contained in this product is revised by MINDRAY on Aug 2009 based on the UltraVNC ver 1 0 5 5 and it complies with GNU General Public License SHENZHEN MINDRAY BIO MEDICAL ELECTRONICS CO LTD owns the intellectual property righ
28. Please use the ultrasound gel compliant with the relevant local regulations And manage the ultrasound gel properly to ensure that it does not become a source of infection In normal diagnostic ultrasound mode there is no danger of a normal temperature burn however keeping the probe on the same region of the patient for a long time may cause such a burn Do not use the carrying case for storing the transducer If the carrying case is used for storage it may become a source of infection It is required to practice ALARA when operating ultrasound system Minimize the acoustic power without compromising the quality of images The probe and accessories supplied with it are not delivered disinfected or sterilized Sterilization or high level disinfect before use is required Disposable components are packaged sterile and are single use only Do not use if integrity of packaging violated or if expiration date has passed Please use the disposable components compliant with the relevant local regulations Please use the disinfection or sterilization solution that recommended in this operator s manual otherwise Mindray will not be liable for damage caused by other solutions If you have any questions please contact Mindray Customer Service Department or sales representative The probe sheath contains natural rubber that can cause allergic reactions in some individuals Do not use pre lubricated condoms as a sheath Lubricant
29. Preset Where e Auto for the cine memory indicates the system splits the cine memory as per the number of B image windows e Split indicates the system always splits the cine memory even if in the single B window the system splits the cine memory into two as well You can press B key to switch and display the images in either memory so you can compare images in Split mode Display amp Cine Review 6 5 The memory capacity is evenly distributed as per splitting number as shown in the following table Taking B images in low density as an example the capacity of B cine memory is N frames 6 3 2 Imaging Mode Single B Color Dual Quad Split The memory splits The memory splits Auto One memory with into two with into four with capacity N frames capacity N 2 frames capacity N 4 frames each each The memory splits The memory splits The memory splits Split into two with into two with into four with capacity N 2 capacity N 2 frames capacity N 4 frames frames each each each Cine Memory Clear In the following conditions the cine review memory will be cleared 6 4 Start an exam of a new patient Start a new exam for the same patient Switching the probe if the cine memory is split only the cine memory corresponding to the currently activated window is cleared Changing the exam condition if the cine memory is split only the cine memory corresponding to the currently activa
30. Set DICOM Service you can add delete and set the property of the service on DICOM server 10 1 3 1 Storage 1 Enter Setup gt DICOM Preset gt Set DICOM Service gt Storage 2 Select device enter the information For device setting please refer to 10 1 2 DICOM Preset e Click Add to add the service to the Service list e Select an item in the service list change the parameters in the above area and click Update to update the item in the service list click Cancel to cancel changing e Select an item in the service list and click Delete to delete the service e Select an item in the service list and click Default to set the server to be the default service 3 Select an item in the service list and click Verify to verify the connection 4 Click Exit to save and exit the preset 10 4 DICOM DICOM Service Storage Configure the New Service Device server INES Maximum Retries 1L 15 Gray ASC TTE Color Mode Allow Multiframe Add Cancel Service List Device Delete Default AcTite LI ULIS 1L Compression Ratio Lossless Update Service Name AE Title Default Verify Verify Undo DICOM storage setting items are described as follows Name Description After you set the server s in DICOM Server Setting the name Device s will appear in the drop down list select the name of the storage server Service Name Default is xxx Storage and it can be mod
31. WMA Meta bado dite t bate eid beds 11 2 11 15 OB ii i ecce de o ee HEC RUD A e ve ee A e Ru a 11 2 1351 6 Key Conflgiz 5 cti ot EL emt 11 2 119177 BIOpSys i fen etie e E 11 2 11 1 8 Admin Ier Lade a ted cai dece a d i oe doe i Lodi ed te ne 11 2 11 2 Exam Presets td tine 11 2 11 21 Exam Selection e Lo ld ira Gg 11 2 11 2 2 Exam Contiguration it ee a Ee ela e e ne 11 2 ATS Image Presets m ert RU OE i ee ETUR eret 11 2 TLA Measure Presi e eae de e Mf s 11 2 11 5 Body Mark Preset de dear de bei ae dod bea dde sudare bod ue de ed cee 11 2 11 5 1 Preset Body Mark for Exam Mode sssssseeeeeenenenen menn 11 2 11 5 2 Custom Body Marks iiic eite ge bri perte ea Lou La E Re RELY ARERR capitan Lui 11 2 TLG Comment Preset eie oe e ie eterne dre java send Vau Deua ned A cadena anil 11 2 1126 1 Custom COMME sica 11 2 ist Print Preset on cet Dee eot m dte atm PE f eet le n Es 11 2 11 8 Network Presoet indicis ide E Ez eL id eet ei ge adel e E pL de ds 11 2 11 9 Workstation Setting c ccccececccecesnccceeeeecceeeesnecceteeneceesensecenssneceesenaccenennaeeeeenseceneesaeeeneans 11 2 11 10 Manage Setting misil dei qd pe i od Re d geilen 11 2 11 10 1 Exporting Setup Data oerte di cia dt aia 11 2 11 10 2 Importing Setup Data oococicononococinccccoconononcnnncnnnnnnnnnonnnnnnnnnnnnnn nn eene nennen nennen 11 2 Contents v 11 11 Manten O ertt eer a tee Sata 11 2 11 12 System MONN
32. and transport the transducer under following ambient conditions Sudden changes in temperature 2 ni reference only e Ambient temperature 20 C 55 C Relative humidity 30 to 95 no condensation e Atmospheric pressure 700 hPa 1060 hPa 3 When the transducer is sent to MINDRAY Customer Service Department or sales representative for repair be sure to disinfect it and keep it in the carrying case to prevent infection 4 Sterilize the carrying case as necessary 12 2 Biopsy Guide N WARNING The person performing biopsy procedures must understand diagnostic ultrasound thoroughly and have been trained adequately otherwise side effects may be caused in the patient Probes and Biopsy 12 11 12 12 Probes and Biopsy In situations listed below the biopsy needle may fail to penetrate the target The incorrect biopsy may cause various side effects in the patient e Use a needle guided bracket that doesn t match with the transducer Mounts the needle guided bracket incorrectly e Use a biopsy needle that is unsuitable for the type of biopsy being performed Use a biopsy needle that is unsuitable for the type of biopsy being performed Before and after a biopsy procedure is performed confirm that the needle guided bracket is normal Manually confirm that the parts of the needle guided bracket do not slip off or move from their proper positions If the needle guided bracket is used when
33. both planes and the probe orientation on one plane is perpendicular to the other 4 4 Selecting Imaging Mode Use the corresponding key in the control panel to enter the imaging modes For the detailed operations in each imaging mode please refer to 5 Image Optimization 4 5 Activate amp Continue an Exam 4 5 1 Activate an Exam Select an exam finished within 24 hours select the exam record click rom the menu popped up or click Active Exam in iStation or Review screen to activate the exam Note The system can automatically load the patient information and exam data to continue the exam e f you want to continue an exam which data lies in an external memory database you have to first allow the system to load the patient data to the system s patient database 4 5 2 Continue an Exam Select an exam paused within 24 hours select the exam record in iStation screen click trom the menu popped up to continue the exam If you want to continue an exam which data lies in an external memory database you have to first allow the system to load the patient data to the system s patient database Exam Preparation 4 9 46 Pause amp End an Exam 4 6 1 Pause and Exam B Sometimes you have to stop an uncompleted exam due to some special causes When the exam is paused the system can begin other exams Press lt Patient gt to enter Patient Info screen 2 Click Pause Exam m If the system is powered
34. date is the current date b Click Query c The scheduled patients which meet the criteria are displayed in the lower part of the screen d After the first query you can perform the second query based on the preview results The scheduled patients in the list will update in real time 4 Select the desired patient record in the displayed patient list and Select the desired patient and click Start Exam the patient information is imported into the system and then an exam is started Click Transfer the patient information is imported into the Patient Info screen Edit the patient information in the Patient Info screen and select OK to start a new exam 5 To show patient information in details a Click to select a patient record b Click Show Detail to view the detailed patient information and properties m Use the automatic query function via Worklist server 1 Enter DICOM Service Preset screen and open the Worklist page Setup DICOM Preset Set DICOM Service Worklist 2 Select an item in the service list and click Default to set the server to be the default service 3 Click Exit and click Return in the Setup menu 4 Press Patient to enter Patient Info screen 5 Click WorkList to enter the WorkList page 6 The system queries intraday patients via Worklist server automatically and the patient records will appear in the list 10 14 DICOM Po In the off line status yo
35. electronic file DICOM CONFORMANCE STATEMENT of the SCP to check whether SCP supports or not Do not select these compression modes if the storage server doesn t support them 10 1 3 2 DICOM Print 1 Enter Setup gt DICOM Preset gt Set DICOM Service gt Print 2 Select device enter the information For device setting please refer to 10 1 3 DICOM Service Click Add to add the service to the Service list e Select an item in the service list change the parameters in the above area and click Update to update the item in the service list click Cancel to cancel changing e Select an item in the service list and click Delete to delete the service e Select an item in the service list and click Default to set the server to be the default service 3 Select an item in the service list and click Verify to verify the connection 4 Click Exit to confirm the setting and exit the page DICOM Service Print Configure the New Service Device fever Y SeniceName E Roe Maximum Retries EM y 15 Es Print Properties Copies IA Settings MONOCHROME2 AA CS HIGH S2 Film Size BINXION RAMOS aru STANDARD 1 1 AECA PAPER O Min Density CA Max Density ETA Configuration Info IS PESTE MAGAZINE OE SO NONE y v Add Cancel Service List Device Service Name AE Title Default server server Print N Delete Default Verify Undo 10 6 DICOM DICOM print setting items are described as follows Nam
36. examination is complete Water in the gel may enter the acoustic lens and adversely affect the performance and safety of the transducer T You should properly back up the system to a secure external storage media including system configuration settings and patient data Data stored to the system s hard drive may be lost due to system failure improper operation or accident 8 Do not apply external force to the control panel otherwise the system may be damaged 9 If the system is used in a small room the room temperature may rise Please provide proper ventilation and free air exchange 10 To dispose of the system or any part contact Mindray Customer Service Department or sales representative Mindray is not responsible for any system content or accessories that have been discarded improperly Mindray is not responsible for any system content or accessories that have been discarded improperly 11 Electrical and mechanical performance may be degraded due to long usage such as current leakage or distortion and abrasion the image sensitivity and precision may become worse too To ensure optimal system operations it is recommended that you maintain the system under a Mindray service agreement 12 Ensure that the current exam date and time are the same as the system date and time 13 DO NOT turn OFF the power supply of the system during printing file storage or invoking other system operations An interrupted process may
37. gt lt 11 gt No Name Description as Clamp of needle Used for installing the needle guided bracket on the guided bracket transducer lt 2 gt Groove Matched with the tab of the transducer lt 3 gt Pinch nut of needle Used for locking the needle guided bracket and the guided bracket transducer lt 4 gt a agjusng There are 3 types of angles available to be adjusted Angle shift sign 1 5 Matched with the biopsy angle 25 35 45 25 35 45 Beyangle s Determines the angle of the biopsy different SR Angleblock specifications of blocks can be used lt 7 gt Angle pinch nut Used for fixing the angle lock at a chosen angle lt 8 gt Adjusting base of The size of the guiding hole 5 types of needles can be needle type adjusted lt 9 gt Shift sign of needle Matches with the corresponding biopsy needle 14G type 16G 18G 20G 22G lt 10 gt radi pole of indicates the shift Probes and Biopsy 12 15 No Name Description lt 11 gt Adjusting nut of needle Adjusts and fastens the V shaped guiding block to a desired type shift lt 12 gt V shaped guiding Determines the size of the guiding hole the position of block which is controlled by the adjusting nut of needle type Determines the guiding hole together with the V e195 Dimas dato sad shaped guiding block lt can be opened and closed lt 14 gt Buckle Buckles the V shaped cover
38. guide line position Move the cursor onto Position press Set key to move it linearly or press and rotate the multifunctional knob This is operative when there is only one guide line displayed e Adjust angle Move the cursor onto Angle press lt Set gt key to change the guide line angle or press and rotate the multifunctional knob This is operative when there is only one guide line displayed Save verified settings After the position and angle of the guide line are adjusted click Save and the system will save the current settings of the guide line When enter biopsy again the displayed Position and Angle are the verified value e Restore the factory default settings Click Load Factory and the position and angle of the guide line will be restored to the factory default settings e Exit the biopsy verify status Click Exit and the system will exit the verification status of the guide line Probes and Biopsy 12 27 12 2 7 Removing the Needle guided Bracket NGB 001 e Metal needle detachable 1 Open the V shaped cover to release the biopsy needle RUN d A ad t ex 2 Remove the transducer and the needle guided bracket from the biopsy needle 3 Screw the pinch nut of the bracket to release the needle guided bracket 4 Separate the transducer and the needle guided bracket e Metal needle undetachable While holding the transducer and the needle guided bracket open the Grip knob of the needle guided brac
39. image to the hard drive system in the format of JPG or BMP Null To assign no function for a key Print Print Service name En UM preset Trapezoid imaging To turn on the trapezoid function Advanced Save Image Para To save image parameters Features Colorize Turn on off colorize function Dual Probe To enter dual probe state GS CRL BPD HC OFD Measurement NT AC FL AF EFW1 EFW2 Other Set Home To set home of comments Lima To make the cursor return to the home position ABC Display To display hide the comments iZoom To enter exit full screen zoom status iVision To enter exit iVision Setup 11 7 Type Function Description Send image and measurement data to Send to Workstation the workstation m Other Settings Item Description Key Lightness To set the lightness for the keys 0 1 2 3 Key Volume To set the key volume 0 2 O means no sound To set the trackball speed when move the trackball Slow Trackball Speed Medium Fast To set the color for the trackball White Blue Green Pink Trackball Lightness Purple Yellow 11 1 7 Biopsy Open the Biopsy page via Setup gt System Preset gt Biopsy as shown in the figure below B Bracket To select the default needle guided bracket for the probe E Parameter Press to display the biopsy guideline 11 1 8 Admin Open the Admin page via Setup gt System Preset gt Admin For details of access co
40. lt 15 gt Guiding hole of Holds the biopsy needle It is determined by the V biopsy needle shaped guiding block and the V shaped cover e Metal needle undetachable Clamping knob of the needle guide Needle guide hole Clamp Locating groove Grip knob Needle guided bracket E Transducer 12 16 Probes and Biopsy m NGB 002 Clamping knob of the needle guide Needle guide IN Needle guide hole CN Needle guided bracket Transducer B NGB 004 Locking nut Needle guide Locating bulge Transducer Probes and Biopsy 12 17 BH NGB 005 Clamping knob of the needle guide Needle guide rack lt Needle quide Clamp Needle guide hole Grip knob Locating groove Needle guided bracket Transducer B NGB 007 e Metal 12 18 Probes and Biopsy lt 5 gt No Name Description lt 1 gt Support of needle guided Used for installing the needle guided bracket on bracket the transducer lt 2 gt Groove and tab of the Respectively matched with the tab and groove of needle guided bracket the transducer lt 3 gt Angle adjusting base There are 3 types of angles available to be adjusted lt 4 gt Angle shift sign 40 50 60 Matched with the biopsy angle 40 50 60 lt 5 gt Angle pinch nut Used for fixing the angle lock at a chosen angle Used for determining the angle of the biopsy See AMIE DOEK different specificati
41. lt B gt lt Freeze gt or lt ESC gt can also exit the screen 4 3 3 Dual Probe Switching You can preset user defined key to implement switching probes between single B and 2B mode The function is only available to the probes of the same exam mode E In single B mode press the user defined key to switch the current window between two probes with Cine Memory in Image Preset is set to Split B In Dual B mode press the user defined key to switch two windows between two probes Preset the user defined key via Setup by pressing lt Setup gt gt System Preset gt Key Config 1 Select the user defined key in the Key Function page on the left Print Save1 Save2 F1 F4 or select the key of footswitch 2 Select Dual Probe in the page of Advanced Features on the right 4 8 Exam Preparation 3 Click OK to confirm the setting and exit the dialog box 4 After returning the preset the setting will take effect 4 3 4 Bi plane Endocavity Probe 65EB10EA When active the probe system displays sagittal plane B mode image by default you can switch the plane by clicking Select Plane on the menu or pressing the plane select key on the probe to select the plane among S sagittal Plane T transverse Plane The S and T plane are shown visually on the right side of the screen Measurement comment and body mark functions are available when using this probe Body mark added to one plane will be displayed on
42. name can be set via Setup gt System Preset gt Region Exam time Displays the exam time including date and time Exam time can be set via Setup gt System Preset gt Region Exam time will be frozen with the frozen image Acoustic power amp MI TI Displays the acoustic power Including the acoustic power MI Mechanical Index and TI Thermal Index Freeze icon AL The freeze icon Z amp means the image is frozen Patient Information System Preparation 3 9 Displays patient name ID gender and age etc Enter the patient information through the Patient Info screen Or import the saved patient data from iStation or the DICOM Worklist server Probe model Display the currently used probe model or the default model Exam Mode Displays the currently used exam type e g Abdomen is displayed Operator Displays the operator s name on the screen This information is entered through the Patient Info screen e Accession The accession indicates exam number used in hospital information system It can be imported via DICOM or input manually NH Menu area Include image menu measurement menu comment menu bodymark menu and so on Use the trackball or the multifunctional knob to operate on the menu To show or hide the image menu press lt Menu gt key on the control panel The menu area consists of menu title menu items As shown in figure below Menu title Tags Item
43. ococicnosocionscniosina nene bene 7 2 7 2 1 2D General Measurements sss eene eene rra 7 2 7 2 2 M General Measurements eese essen ense tenant sss tnit asina 7 2 7 3 Application Measurement ccccccceeeceecee cece eeeeeeeeaeeeeeeeeesdeaeaeeeceeeeesesacaeceeeeeseeeesaneeeeees 7 2 7 4 M ASUPEMONLACCULACY 2 isset dre eater Det helado eon Edda Pega ein Pug eae Eden 7 2 8 Comments and Body Marks insidiis kx iio aq inia Ric in ad a EURO KR EIU ART RI aes EXER TR Rc 8 2 9 Comments oUm DER Imm EL 8 2 8 1 1 Comment Basic Procedures eeeeseee sese eee netten te tenente hens 8 2 Contents iii 9 1 2 Comment Menu A acti ati 8 2 82123 Addinig Comriients iiit edic biogr tdi n ER ebd danda 8 2 gks Moving Gomiments s rete a 8 2 SLS Editing COMMENTS ce ei eim rei e Ned ieee dat 8 2 9 1 6 Deleting COMME 2 5 2 ni ER Dd E ERE D EE EP RR 8 2 9 2 BOY Mark ise oo tet A eui cg atem al etu ped 8 2 8 2 1 Body Mark Operation Procedures ssssssseseeeeen emnes 8 2 gear T NN 8 2 9 2 3 Adding Body Marks ito E a e d E ER EO echa 8 2 9 2 4 Moving Body Marks deti reo ferta D tid id e rte 8 2 3 2 5 Deleting Body Marks iii ede aed Seah ee Ene EH eee 8 2 9 Patient Data Management sesenta nani nnn nnns 9 2 9 1 Patient Information Management ssssesseeeeneene eene enne nennen 9 2 9 1 1 Enter Patient Informa
44. of the guiding block into the hole of the guiding block B NGB 016 Put on the sterile transducer sheath 2 Select a proper needle guided bracket and match the groove with the tab of the transducer Mount the bracket onto the transducer 3 Screw the pinch nut of the needle guided bracket to confirm that the needle guided bracket is properly installed on the transducer 4 Select a proper guiding block and push it into the groove above the angle block and clamp it tightly me y NPS NM abi aN NY M Mr s w N H 5 Screw the nut of the block to secure the block 6 Insert a biopsy needle with the same specification as that of the guiding block into the hole of the guiding block Probes and Biopsy 12 25 Ensure that all guide parts are seated properly prior to performing 12 2 5 Biopsy Menu Press lt Biopsy gt to show the biopsy menu Biopsy Kit NGB 001 25 y B Select biopsy bracket angle If the needle guided bracket supports more than one biopsy angle you can select the angle from the drop down list B Select Dot size Move the cursor onto Dot Size press Set to select the dot size among Small Medium and Big Tips The guide line is a dot line which consists of two kinds of dots the distance between two dots is depth dependent Move the cursor onto the big dot a numeral which represents the biopsy depth is displayed The biopsy guidezone adjusts along with image ad
45. page via Setup gt System Preset gt Region as shown in the figure below System Preset Region Hospital Information Name hospital Lir A Telephone Fax Website Location _ S eee Medical Director EE E AL Load Logo Language And Time Language Time Zone Date Format YY M MM D YY 2 DD Y Time Format System Date Hit System Time Cancel Item Description To set the hospital relevant information like name address telephone Hospital Information Bada dn To select a language for the system the available languages are Chinese English French German Italian Portuguese Russian Spanish Polish Czech Turkish Finnish Danish Icelandic Language Norwegian and Swedish The system will restart automatically after you change the language and return from the Setup menu Time Zone To select the time zone Date Format To set the date format among DD MM YYYY MM DD YYYY and YYYY MM DD Time Format To select the time format between 12Hour and 24 Hour To set the system date Posit the cursor into the corresponding field and enter the data System Date through the keyboard or click the calendar iconL A and then select the date Enter time to the text box or modify the time via spinner buttons on System Time the right side Setup 11 3 11 1 2 General Open the General page via Setup gt System Preset gt General as shown in the
46. parameter area 2 Press the lt Set gt key 3 Rotate the multifunctional knob to change the values m Adjusting through control panel Trackball control panel key knob or sliders W Adjusting through grayscale bar Move the cursor onto the grayscale bar and press lt Set gt to switch among the gray maps 5 3 B Mode B mode is the basic imaging mode that displays real time images of anatomical tissues and organs 5 3 1 B Mode Exam Protocol Enter the patient information and select the appropriate probe and exam mode Press lt B gt on the control panel to enter B mode Adjust parameters to optimize the image Perform other operations e g measurement and calculation if necessary real time scanning of all image modes press lt B gt on the control panel to return to B mode SR ONS 5 3 2 B Mode Parameters In B mode scanning the image parameter area in the upper left corner of the screen displays the real time parameter values as follows 5 2 Image Optimization Display F 2 5M D 21 3 G 100 FR 34 IP 1 DR 65 Parameter Frequency Depth Gain Frame Rate BIP B Dynamic Range Parameters that can be adjusted to optimize the B Mode image are indicated in the following Adjustment Items Control Panel Gain Depth TGC iTouch Focus Frequency Dual Quad Menu Frequency iBeam Gray Map Focus Position Focus Number Colorize Colorize Map FOV IP Dyn Range Persiste
47. parts are not securely and correctly installed the patient may be injured If an abnormality is found on the needle guided bracket immediately stop using it and contact MINDRAY Customer Service Department or sales representative Do not use a needle guided bracket when scanning is performed The needle may advance in an incorrect direction and possibly injure the patient Never perform a biopsy during image scanning Do not freeze an image while performing biopsy procedure During biopsy procedures the needle may deviate from the desired course due to the tissue characteristics or the type of needle In particular needles of small diameters may deviate to a greater degree Sterilize the transducer and the needle guided bracket before and after each ultrasound guided biopsy procedure is performed Fail to do so may cause the transducer and the needle guided bracket become sources of infection The needle mark displayed on the ultrasound image does not indicate the actual position of the biopsy needle Therefore it should only be used as a reference Always monitor the relative positions of the biopsy needle during the procedures Adjust the needle mark before the biopsy procedure is performed When performing biopsy procedures use only sterile ultrasound gel that is certified to be safe And manage the ultrasound gel properly to ensure that it does not become a source of infection When performing the operation concernin
48. right the review sequence is the same as the image storing sequence thus the images are displayed in ascending order When the reviewing image reaches the first or the last frame further rolling the trackball will display the last or first frame The cine progress bar at the bottom of the screen as shown in the figure below Start mark Cursor 4 End mark Current frame Total frames W Auto Review e Reviewing all In the manual cine review click Auto Play in the menu to activate auto cine review e Setting Region of Auto Review You can set a segment of cine loop which can be reviewed automatically After the auto review region is set the auto cine review can only be performed within this region but the manual cine review can be performed beyond this region When the cine file is saved only the images within this region are saved a Set first frame Manually review the images until the frame which you want to set it as start point then click Set First Frame to set a start mark b Set end frame Manually review the images until the frame which you want to set it as end point then click Set End Frame to set an end mark c Click Auto Play on the image mane d Click Auto Play again or roll the trackball to enter manual review status or press Cine to exit cine reviewing e Click Skip to First Skip to Last to review the first or last image 6 4 Display amp Cine Review Tips you can p
49. set the server s in DICOM Server Setting screen the Device name s will appear in the drop down list select the name of the Worklist server Service Name Default is xxx Worklist and it can be modified AE Title Application Entity title Here it should be consistent with that of the Worklist server Port DICOM communication port 104 by default Here the port should be consistent with that of the Worklist server port Maximum Retries Reserved feature Interval Time s Reserved feature Refers to time after which the system will stop trying to establish Timeout a connection to the service Value 5 60s in increments of 5s and 15 by default Add Click to add the Worklist service to the service list Cancel Click to cancel the parameter setting Select an item in the service list change the parameters in the Update above area and click Update to update the item in the service list Delete Click to delete the selected service in the service list Default Select an item in the service list click Default and you can see Y in the Default column DICOM 10 9 Name Description Click to verify if the two DICOM application entities are normally Verify connected Exit Click to exit the screen Note In terms of Scheduled Station AE Title if you set this item in the Worklist server then Scheduled Station AE Title co
50. specified below The customer or the user of system should assure that it is used in such an environment IMMUNITY TEST IEC 60601 TEST LEVEL COMPLIANCE LEVEL ELECTROMAGNETIC ENVIRONMENT GUIDANCE Conduced RF IEC 61000 4 6 3 Vrms 150 kHz 80 MHz 1 Vrms Radiated RF IEC 61000 4 3 3 V m 80MHz 2 5GHz 3 V m Portable and mobile RF communications equipment should be used no closer to any part of system including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance d 3 5x JP d 1 2xJP 80 MHz to 800 MHz d 2 3xVP 800 MHz to 2 5GHz Where P is the maximum output power rating of the transmitter in watts W according to the transmitter manufacturer and d is the recommended separation distance in meters 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 Ke A 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 e Field strengths from fixed transmitters such as base stations for radio cellul
51. sterile transducer sheath 2 Hold the transducer by one hand select the proper needle guided bracket and hold it with the other hand Match the groove and tab with the tab and groove of the transducer respectively Amount the bracket onto the transducer Probes and Biopsy 12 23 3 Screw the pinch nut of the needle guided bracket to confirm that the needle guided bracket is properly installed on the transducer 4 Select a proper guiding block and push it into the groove above the angle block and clamp it tightly Seo e n Bn gt z ai e EN y P 5 Screw the nut of the block to secure the block 6 Insert a biopsy needle with the same specification as that of the guiding block into the hole of the guiding block e Plastic 1 Put on the sterile transducer sheath 2 Hold the transducer by one hand select proper needle guided bracket and hold it with the other hand Align the narrow end tab of the needle guided bracket with the groove of the transducer then push the needle guided bracket forward making the tabs and the grooves of the needle guided bracket to match with the grooves and tabs of the transducer 3 Check manually to confirm that the needle guided bracket is securely installed on the transducer 4 Select a proper guiding block and push it into the groove above the angle block and clamp it tightly 12 24 Probes and Biopsy 5 Insert a biopsy needle with the same specification as that
52. stops transmitting acoustic power W Default setting of acoustic power Selection of diagnostic applications is the most important factor for controlling ultrasound output The permissible level of intensity of ultrasound differs depending on the region of interest For fetal examinations in particular much care must be exercised In this system imaging setups can be created using the ultrasound output set by you At this time the default function is disabled It is the user s responsibility for any change to the default settings Default choices Initial power 10 to 100 Definition of 100 The maximum acoustic power of a transducer determined by the increase in transducer surface temperature in the selected mode and the acoustic power restrictions specified by the FDA Acoustic Output 14 3 NOTE This system automatically returns to the settings whenever changes are made to the values when you turn on the power switch between probes press End Exam or select Return in the Setup menu In the factory default settings the Acoustic Output is limited below settings Following the ALARA restriction you are allowed to increase the acoustic power under FDA 510 k Guidance Track3 limits and to set it in the image preset screen The acoustic output of the system has been measured and calculated in accordance with IEC60601 2 37 2005 FDA 510 K GUIDANCE Acoustic Output Measurement Standard for Diagnostic Ultraso
53. that of the system 2 Exam Type e Exam application type You can select among ABD Abdomen OB Obstetrics GYN Gynecology CARD Cardiac VAS Vascular URO Urology SMP Small Part and PED Pediatrics Select the exam type tab to enter the exam specific information e General information Study to enter description for each exam description Primary to enter the primary indications reason to perform the indications exam Secondary to enter the secondary indications indications CPT4 code to enter the CPT4 code CPT4 to enter the CPT4 description description e Exam specified information Exam Type Information Description Height ABD Weight Abdomen BSA body After the height and weight are inputted the system will surface automatically calculate the BSA based on the formula which area is set via Setup gt System Preset gt General Calculate gestation age GA and estimated delivery date EDD based on last menstrual period LMP in vitro fertilization IVF basic body temperature BBT previous exam date PRV Select LMP IVF PRV BBT or EDD from the drop down list or calculates GA and LMP according to the EDD and entered date e LMP After you enter LMP the system will calculate OB Calculation and display GA and EDD Obstetric index e IVF After you enter IVF the system will calculate GA and EDD e PRV input the date and GA of the last exam the system wi
54. to exit the screen 10 2 Verify Connectivity If you want to verify connectivity not a must you can click Verify button on the pages of DICOM Service screen respectively e If the verification succeeds it will prompt xxx Verify Succeed e Otherwise it prompts xxx Verify Failed If verification failed the possible causes may be Note Not all the SCPs can support verification please consult SCP belongings to confirm whether SCP can support this service If not the verification won t pass DICOM 10 11 10 3 DICOM Service If the system is configured with DICOM modules and connected to the relevant DICOM servers after verifying connection you can perform storage print Worklist storage commitment and query retrieve applications 10 3 1 DICOM Storage DICOM Storage is used to send image s to DICOM storage server for storage NH Send image in iStation Review main screens 1 Select image s e Press lt iStation gt to enter the Station screen click to select an exam record in the list where thumbnails are displayed in the thumbnail area in the lower part of the screen and then click to select a thumbnail or several thumbnails Or Press lt Review gt to enter the Review screen click to select an image or several images Or e On the main screen select a thumbnail or several thumbnails 2 Select a saved image in the iStaion Review or main screen and click Son the right side of the imag
55. will pop up a prompt Warning Battery is out of power Please connect to power supply or system will be shut down in one minute Connect the power supply to afford normal work 13 5 OneFull Discharge Charge Cycle If the battery has not been used for over 2 months you are recommended to perform one full discharge charge cycle It is also recommended that the battery is stored in the shady and cool area with FCC full current capacity One Full Discharge Charge Cycle 1 Full discharge of the battery to let the system automatically shut down 2 Charge the system to 100 FCC full current capacity 3 Discharge of the system for complete shutdown Battery 13 3 13 6 Checking Battery Performance The battery performance may be degraded over time so you need to check the battery performance periodically The checking procedures are shown as follows 1 Stop the ultrasound exam 2 Connect the system to the AC power supply to charge the batteries until current capacity is full 3 Disconnect the system from the AC power supply to power the system by the batteries until the system automatically shuts down 4 The powering time of the batteries indicates the battery performance If the powering time of the battery is much shorter than that specified in the Specification Manual you may replace the battery or contact the service personnel 13 7 Battery Disposal You need to dispose of the battery when it is damages se
56. 0 DICOM Name Description Device After you set the server s in DICOM Server Setting the name s will appear in the drop down list select the name of the storage commitment server Service Name Default is xxx SC and it can be modified Application Entity title Here it should be consistent with that of AE TU the storage commitment server DICOM communication port 104 by default Here the port Port should be consistent with that of the storage commitment server port Maximum Retries Reserved feature Interval Time s Reserved feature Timeout Value 5 60s in increments of 5s and 15 by default After image storage commitment is sent the system will close the connection with the server Associated Storage The associated storage server is preset before storage commitment only after the exam is sent out can storage ERES commitment be created Add Add the DICOM service to the service list Cancel Click to cancel the parameter setting Select an item in the service list change the parameters in the Update above area and click Update to update the item in the service list Delete Click to delete the selected service in the service list Default Select an item in the service list click Default and you can see Y in the Default column Verity Click to verify if the two DICOM application entities are normally y connected Exit Click
57. 4 5 Peroxyacetic Acid Refer to the instructions provided by the chemical manufacturer concerning concentration of the disinfectant solution method of disinfection and dilution and cautions during use DONOT soak the probe connector or the cable near it into water or any solution Soak the probe into the disinfectant solution for the shortest time the manufacturer recommends for example the shortest time recommended by the manufacturer for soaking Cidex OPA is 12 minutes Follow local regulations when selecting and using the disinfectant 1 Rinse the probe with plenty of sterile water about 2 gallons for at least 1 minute to remove all chemical residues on it Or follow the rinsing method recommended by the disinfectant manufacturer to rinse the probe 2 Wipe off the water on the probe with sterile cloth or gauze after rinsing it DO NOT dry the probe by heating 12 10 Probes and Biopsy 12 1 6 Storage and Transportation When all examinations for the day have been completed confirm that the transducer is in good condition After disinfecting the transducer confirm that the transducer is in good condition and store it in a suitable place so that the next examination can be conducted smoothly 1 To prevent the transducer from being damaged do not store it in locations where it may be exposed to IMNINIMINIMIN LALA For e Direct sunlight or X rays Dust Excessive vibration Heat generators 2 Store
58. A eure etie ek ibt HERR liada 11 2 12 Probes and BIODSV amarrar tci Eu aaa 12 2 12 1 Probes iid C tea tete qve eee ada etn 12 2 12 1 1 Name and Function of Each Part of the Transducer ssssseeeee 12 2 12 1 2 Orientation of the Ultrasound Image and the Transducer Head 12 2 12 13 Operating Procedures 2 o Les Ll bg rte e tre Cnt had RR E a Ub beta 12 2 12 1 4 Wearing the Transducer Sheath sese eene 12 2 12 1 5 Probes Cleaning and Disinfection oooooonnnccnnnnnnccccnnnancccnnnoncccnnnoncccnn nono ccn nan em 12 2 12 1 6 Storage and Transportation ooococonnnnccinnnoccccnnnonccnnnnonccnnnnoncnnnn nn nn nn canon nc cnn aran cc enne 12 2 12 2 Blopsy Gulde ica dd and ih Jandel and ed 12 2 12 2 1 Basic Procedures for Biopsy Guiding sssee e 12 2 12 2 2 Needle guided Brackets seeeeseseeeesee irene cantina nacen 12 2 12 2 3 Biopsy sd ee Oe A creo eder LR e aer e E 12 2 12 2 4 Needle guided Bracket Inspection and Installation ssseeees 12 2 12 2 5 BIOPSY Menu ixi tin tede ue moi aim 12 2 12 2 6 Verify Biopsy Guide Line 20 00 ee cc cece edeeceeeeeeecceeedeceneeeeeeaceeedeaaeeeeeeaaneeedecceeeeeeeenenees 12 2 12 2 7 Removing the Needle guided Bracket sss 12 2 12 2 8 Clean and Sterilize the Needle guided Bracket ssesseee 12 2 12 2 9 Storage and Transpor
59. AH System Overview 2 1 2 4 3 Environmental Conditions Operational Conditions Storage and Transportation Conditions Ambient 0 C 40 C 20 C 55 C temperature Relative 30 85 no condensation 30 95 no condensation humidity Atmospheric 700hPa 1060hPa 700hPa 1060hPa pressure Do not use this system in the conditions other than those Z AWARNING oemed 2 4 4 Size and weights e Size 190mmx415mmx378mm DepthxWeightxHeight e Net Weight 8 6 kg including battery and ACDC module 2 5 System Configuration 2 5 1 Standard Configuration B Main unit W Accessories e Operator s manual Ultrasound gel Power cable Multilingual controls overlay Probe holder 2 5 2 Probes Available No Probe Model Category Intended Use Region Applied Gynecology Obstetrics Pediatric 1 35C50EA Convex Abdominal Vascular Urology Body surface Abdominal Pediatric Cephalic 2 65C15EA Convex Transcranial Cardiac Body surface 3 6SEC10EA Convex Gynecology Obstetrics Pediatric Urology Transvaginal Cephalic Transrectal 4 65EB10EA Convex Urology Transrectal 5 75L38EA Linear Pediatric Small organ Musculo skeletal Body surface Vascular Orthopedics Nerve 2 2 System Overview Region No Probe Model Category Intended Use Applied Linear Pediatric Small organ Musculo skeletal SEN Vascular Orthopedics Nerve Souysullace 7 10L24EA sar ee Musculo skeletal Vascular Bod
60. DP 50 DP 50T Digital Ultrasonic Diagnostic Imaging System Operator s Manual Basic Volume Contents Intellectual Property Statement crena a n a nono cn cnn nc cnn II Responsibility on the Manufacturer Party sse nennen ennemis II Wattanty tt OA A E EA ADA AA E AAA A pated AAA II SA E A A A eve i toes II Company Contact cse a dd odd ea dd nd II Important Iriformatloni n on eet rt onde AA AA II About This Manual cinta da De tin OE TER Dens I Notation Conventions niece ciet eet deed ed e dee ete de te dede dude hee dead ede datada I Operator s Manuals 1 rete a ed t ea ee d Red esee e REA Rda II Manuials Oni Paper ui ltda diis II Manuals in Compact DISC eese A xe A arte dante ee niet II Software Interfaces in this Manual oooonncccnnnnccccnnnoccccnononcncnanoncnc nano ncnr nano nnn rro nennen enne nnne I CONVENTIONS oia e au Ob Wege ntuentauteci eds I Product Differences cde donee de te dae daveb Rede deu ded mede te ded Hida dee ded enda I Safety POCA SS iii dd d sli Ex a isin 1 2 1 1 Safety Classification siii detenti etd eiie ei dai ned inde iae naa 1 2 1 2 Meaning of Signal Words sse eene ener enne AT nns 1 2 1 3 Meaning of Safety Symbols o seri ato e E a nennen enne E en nennen nns 1 2 1 4 Safety Precautions imitado 1 2 1 55 batex Alert do eb End mbi ee iem ihnen i 1 2 1 6 MWarmning Labels enge ER Hp t pe s perd dud 1 2 System O
61. Flash Drive Use user defined keys to quickly save the single frame or cine to USB flash drive Patient Data Management 9 3 The image file is stored in the directory U disk US Export patient folder exam folder Image ID bmp here e Patient folder name patient name patient ID e Exam folder name exam mode exam time B To store single frame image to USB flash drive 1 Set the user defined key through the path Setup System Preset Key Config Select a key in the Key Function page on the left side and select Send image to USB disk in the Output page of Function field on the right side 2 Return from Preset to the main screen 3 Press the user defined key to save the image to the USB flash drive B To store cine to USB flash drive Save cine images to a USB flash drive in the AVI format 1 Set the user defined key through the path Setup System Preset Key Config Select a key in the Key Function page on the left side and select Send AVI Cine to USB disk in the Output page of Function field on the right side 2 Return from Preset to the main screen scan and freeze an image 3 Press the user defined key to save the cineloop 9 2 6 Quickly Saving Full Screen Image to the System This function can save the current full screen image to the system with the image in real time status 1 Set the user defined key through the path Setup by pressing lt Setup gt System Preset Key Config S
62. High pressure steam sterilization only applicable for metal guided bracket Autoclaving moist heat 121 C for 20 minutes NOTE The high pressure steam immersion sterilization do not affect the bracket dual life and the dual life is affected by the daily application of the bracket Please check the appearance of the bracket before using 12 2 9 Storage and Transportation Don t use the carrying case for storing the needle guided bracket If the carrying case is used for storage it may become a source of infection B Between examinations keep the needle guided bracket in a sterile environment m When the needle guided bracket is sent to your MINDRAY representative for repair be sure to disinfect or sterilize it and keep it in the carrying case to prevent infection B Sterilize the carrying case as necessary B Store or transport the needle guided bracket under the following ambient conditions e Ambient temperature 20 C 55 C Relative humidity 30 to 95 no condensation 12 2 10 Disposal Be sure to dispose the needle guided bracket only after sterilizing it Contact your MINDRAY representative when disposing of this device Probes and Biopsy 12 31 1 3 Battery DO NOT install or detach the battery ad arbitrium The batteries have protective mechanism and circuit DO NOT disassemble or alter the battery DO NOT short circuit the batteries by directly connecting the negative terminals with metal obj
63. Measure Press to enter exit Application Measurement Measurement status press to switch between the fixed and active end of the caliper 32 Update Multi imaging mode press to change the currently active window 33 Caliper Press to enter exit general Measurement or Rotate to adjust B or M gain 34 Gain iTouch d Press to enter exit iTouch 35 Save 1 Press to save user defined key System Overview 2 9 No Name Description Function 36 Save 2 Press to save user defined key 37 Set Press to confirm an operation same as the left button of a mouse 38 Trackball Roll the trackball to change the cursor position 39 Set Press to confirm an operation same as the left button of a mouse 40 Freeze Press to freeze or unfreeze the image 41 Print Press to print user defined key 42 Indicator 1 AC indicator AC supply light green Battery supply light off 43 Indicator 2 Battery status indicator Charging light in orange Full light in green Discharge electricity gt 20 light in green Discharge electricity lt 20 blinking in orange Discharge electricity lt 5 blinking in orange rapidly Non charge discharge light off 44 Indicator 3 Standby indicator Standby blinking in orange Other status light off 45 2 10 System Overview Indicator 4 HDD status indicator Read
64. SC gt or to exit the arrow comment status 8 1 4 Moving Comments 1 Move the cursor onto the comment that needs to be moved Press lt Set gt to select it where a highlighted box appears around the comment 2 Roll the trackball to move the comment to the new position 3 Press the lt Set gt key to anchor the comment in the new position and the comment moving operation is complete 8 1 5 Editing Comments B Modifying Editing characters h Move the cursor onto the comment that needs to be modified Directly enter the character at the position that the cursor stays or pa gt Double press the lt Set gt key to enter the edit status use the or E key to move the cursor to a location where needs to insert characters and type characters Press the lt Del gt key to delete the comment character or text on the right side of the cursor Press the lt Backspace gt key to delete the comment character or text on the left side of the cursor Roll the trackball or press the lt Set gt key or the multifunctional knob to confirm the modification and to exit the edit status and the color of the comments turns yellow B Modifying Editing Arrows 1 Move the cursor on the arrow that needs to be modified After the cursor turns to m press the Set key The color of the current arrow turns green and there is green frame around the arrow indicating the arrow can be edited Move the cursor to change the arrow position Rota
65. Send Exam a Backup Exam i the screen in iStation or Review Select the target drive in the Send To or Back Up Patient Record dialogue box 3 Click Backup Exam or OK to start writing with the symbol displays 4 After the writing process is completed click to pop up the Disc Option dialogue box and select Eject to eject the CD DVD B To erase data from a CD DVD 1 Put the CD DVD in the tray 2 Double click the symbol to pop up the Disc Option screen as shown in the figure below As shown in figure below 3 Click Erase to erase data from a CD DVD 4 After the erasing process is completed click Eject in the Disc Option dialogue box Note e Writing data using Send To supports PC format transfer function while CD DVD written by Backup supports only system relevant formats e The Q symbol indicates that the input CD DVD is damaged or with data of wrong format CAUTION During the backup process if a CD DVD is forcibly taken out or you perform other operations the backup process will fail or the system may malfunction NOTE Directly removing a DVD RW DVD RW drive may result in the damage of drive and or the system please refer to 3 6 Connecting Removing a USB Storage Device for disconnection 9 6 Patient Task Manager 18 Click all at the lower right corner of the screen to pop up the following dialogue box 9 14 Patient Data Management Task Management
66. Storage Task ID Destination Progress Type Status Content Create Time Service Setting Including NH Storage Task displays the DICOM storage task B DICOM Print Task displays the DICOM print task B Media Storage Task e DICOM media storage task including disc and USB devices Backup task system relevant format select the exam to be backed up in iStation and click Backup Exam Send to external devices including disc and USB devices select exam data or images in iStation or Review screen click gt Send Exam or Send To W Print Task List of the current printing task Displays the file name status printing or suspended printer name submit time etc If all print tasks are finished the print icon will disappear from the screen if not please check the manager to see if there is any failure task In the Task Management dialogue box patient ID name destination progress type status content and task created time are displayed You can do the following operations Delete Click Cancel to cancel the selected task Retry Click Retry to retry the failed task When the printer ran out of ink or paper tasks in print list will be paused Click Retry to continue the paused print task Select All Click Select All to select all the tasks Patient Data Management 9 15 B Task Status Select the undergoing task the system will display its detailed status information or error information When there
67. System relevant formats e Single frame image file FRM Refers to single frame static image files not to be compressed you can perform measurements and comments adding on this type of files e Cine file CIN System defined multi frame file format you can perform manual or auto cine review and perform measurements or add comments for the reviewed images After you open a stored CIN file the system automatically enters cine review status The system can save FRM files as BMP JPG TIFF or DCM files or save CIN files as AVI DCM files The system can also open FRM JPG BMP and CIN files B PC compatible formats e Screen file BMP Single frame file format used to save the current screen non compressed format Screen file JPG Single frame file format used to save the current screen in the compressed format you can set the compression ratio TIFF Single frame export format e Multi medium files AVI Multi frame file format general cine file format 9 2 Patient Data Management e DICOM files DCM DICOM standard files format single frame or multi frame format used to record patient information and images 9 2 3 Image Storage Preset E Set image size You can set the image size via Setup System Preset General The items are shown as follows Image Output Size Imag Stan O W Set single frame export format e Format You can select the image export format in the Send To dialogue box
68. VEMVICW e Naa 2 2 2 1 Intended Use sie mee EE 2 2 2 2 QContrairidiCationi iiie Ene edd d de e doc did d te d dE d de de dod des ded dt 2 2 2 9 Product and Model Code anie icu ioci 2 2 2 4 Product Specifications essere enne trennen nennen n rn nnns 2 2 24 1 Imaging Mode encrassar ii a eee a lens ion dni ua 2 2 24 25 POWeISUDDIA iiiter mi eto tetas cie oes etta iS elk Relat eS laters 2 2 2 4 3 Environmental Conditions ssssssssese eene eee 2 2 2 4 4 Sizeand weights etti evi ida 2 2 2 5 System Conflguratiori 5 cede mee dee eet din eee 2 2 2 5 1 Standard Conig ratioN ers rnr nira i iI eee 2 2 2 5 2 Probes Available odit mede iie A A 2 2 2 5 3 ODIUORS a a iene a ae 2 2 2 5 4 Peripherals Supported cccccceeeeeeeeecececeeeeeeeeeeeaeeeceeeeeceeecaaneeceeeeeseeeesanaeeeeeeeseeenaees 2 2 2 6 Introduction of Each Unit 1 pete RR ad Dn im HU e nee 2 2 2 64 MO Rae ses i ho as Dd mE eR 2 2 Contents i 2 6 2 Power Supply Panel rette reed EG e aan Ati Dista 2 2 2 0 3 Control Panel ys iei eg pd ei qo e RE d E dg uisus 2 2 2 Symbols iz 2 2 3 System Preparatiofi cocoa qa od Qu na Gun GO ERG a DOR OE ER a Gu Ru n o 3 2 3 4 Move Posit the System icono ta da idad iaa dead 3 2 3 2 Power Supply cit et er eto etd pee d he a Edere ER nated e anao 3 2 3 2 1 Connecting External Power Supply se
69. Y Description The y correction is used to correct non linear distortion of images Operation Click y on the image menu to adjust The adjusting range is 0 3 Gray Invert Description Reverse the polarity of the image Image Optimization 5 11 Operation Impacts Gray Map Description Operation Impacts Click Gray Invert to turn on or off the image inversion The gray rejection curve y and gray invert functions are available in real time imaging freeze or cine review status These post process adjustment will not influence the cine review Adjusting grayscale contras to optimize the image Select among the maps through the Gray Map item in the menu You can also adjust through the grayscale bar move the cursor to the grayscale bar and press lt Set gt on the control panel to adjust The system provides 8 gray maps to be selected among The function is available in real time imaging freeze or cine review status Edge Enhance Description Operation Impacts This function is used to increase image profile so as to distinguish the image boundary Adjust through the Edge Enhance item in the menu The system provides 14 levels of edge enhance effects off represents no edge enhance is turned on and the bigger the value the stronger the effect Larger edge enhance may lead to noise increasing Dynamic Range Description Operation Effects M Soften Description Operation Adjusts
70. achable Put on the sterile transducer sheath 2 Inosculate the locating groove on the clamp with the two raised edges on the transducer head and aligning the locating pit of the clamp to the convex point on the transducer head 3 Turn the grip knob at the tail of the needle guided bracket tightly NGB 002 1 Puton the sterile transducer sheath N Inosculate the locating groove on the clamp with the two raised edges on the transducer head and aligning the locating pit of the clamp to the convex point on the transducer head 3 Turn the grip knob at the tail of the needle guided bracket tightly NGB 004 1 Put on the sterile probe sheath 12 22 Probes and Biopsy 2 Open the retaining clamp align the needle guided bracket with the transducer to locate the locating bulge on the needle guide to the locating grooves on the transducer and then turn the retaining clamp to match it with the transducer 3 When the retaining clamp is turned to the right position the locking nut will lock the retaining clamp and the needle guided bracket is then mounted to the right position B NBG 005 Put on the sterile transducer sheath 2 Inosculate the locating groove on the clamp with the two raised edges on the transducer head and aligning the locating pit of the clamp to the convex point on the transducer head 3 Turn the grip knob at the tail of the needle guided bracket tightly BH NGB 007 e Metal 1 Put on the
71. actor among 0 8 10 3 Exit Press lt Depth Zoom gt e Unfreeze the image the system exit pan zooming status automatically 6 1 2 3 Zoom Full screen Zooming Function to magnify the image in full screen According to the region to be zoomed the system supports two types of full screen zooming e Zoom in the standard area to full screen including image area parameter area image banner thumbnail area and so on Zoom in the image area only to full screen m Procedures 1 Set the User defined key 1 Press lt Setup gt to enter Setup gt System Preset gt Key Config 2 Select a function free key in the function list 3 Select iZoom in the Other page 4 Click OK to complete the setting 2 Open the image or the under scanning image press the user defined iZoom key once to zoom in the standard image area and then press the key again to zoom in the image area only 3 Press the user defined key again to return to normal status B The iZoom status supports Measurements adding comments and body marks e Video output saving image and printing the current area that is zoomed in e Exiting the zooming status by pressing Probe Patient lt iStation gt Review or lt Setup gt 6 1 3 Freeze Unfreeze the Image Press Freeze on the control panel to freeze a scanning image In freeze mode the probe stops transmitting acoustic power and all images as well as the parameters ar
72. al hard disk 5 Click Backup to begin storage If the backup succeeded there will be a tick marked in the Backup list in iStation screen otherwise no tick is marked DICOM 10 15 Tips There should be no DICOMDIR DICMIMG IHE_PDI files in the external storage media of the same name with the one being backed up otherwise the backup can t proceed Please make sure there is enough storage space otherwise backup may fail due to space shortage B Media review 1 Connect the external media with DCM files to the system 2 Select the data source in Station screen and the visible data will be shown If there are several kinds of data on the media the system will ask you to select the format from a dialog box B Data Restore 1 Ifthe DICOM format data is backed up to external media you can restore the data to the system from the media 2 Review the data stored in the external media 3 Select the data to be restored in iStation 4 Click 9 in the iStation screen NOTE Only the system accessible media can be selected 10 5 Showcase Recording Showcase software can be employed for DICOM image file viewing When record DICOM files both files backed up as DICOMDIR format and files transformed into DICOM files by clicking Send To the showcase can be recorded to the CDs together Insert a CD containing showcase software the showcase runs automatically NOTE Toview the DCM files succes
73. al profile B Cardiac measurements Used for left ventricle function measurements and measurements of main artery and vein parameters etc B Gynecology measurements Used for the uterus ovary and follicles etc NH Small Part measurements Used for small parts such as thyroid B Urology measurements Used for prostate seminal vesicle renal adrenal micturated and testicle volume W Vascular measurements Used for carotid cerebral upper and lower extremities vessels etc m Pediatric measurements Used for hip joint measurement Nerve measurements Used for nerve structure measurements B Emergency measurements Used for emergency abdomen obstetric superficial etc Measurement 7 3 7 4 Table 1 Error of 2D Images Measurement Accuracy Parameter Value Range Error Distance Fullscreen Within 3 or when the measured value is less than 40 mm the error is less than1 5 mm Area Trace Full Screen Within 796 or when the measured value is less than 16 cm the error is less than 1 2 cm Area ellipse Full Screen Within 796 or when the measured value is less circle than 16 cm the error is less than 1 2 cm Angle Full screen Within 3 Table 2 Volume Measurements Value Range Error Parameter Within 10 96 or when the measured value is less than 64 cm Full screen the error is less than 6 4 cm Volume Table 3 Time Motion Measurements
74. am transmitted by the probe Steer the transmitting beam through the B Steer item in the menu The steering angles provided are 6 0 6 Turn on or off the function through Trapezoid item in the menu You can define user defined key for trapezoid function via Setup gt System Preset gt Key Config The B Steer and Trapezoid function are available only for linear probes The function determines the quality and information of the image Adjust through the Line Density item in the menu Levels UH H M L The higher the line density the higher the resolution and the lower the frame rate Dynamic Range Description Operation Effects iClear Description Operation Effects Impacts This function is used to adjust the B image resolution to compress or expand the gray display range The real time dynamic range value is displayed on the image parameter area in the upper left corner of the screen Adjust through the Dyn Ra item in the menu Or adjust it in the image parameter area The adjusting range is 30 220dB in increments of 5dB The more the dynamic range the more specific the information and the lower the contrast with more noise This function is used to increase image profile so as to distinguish the image boundary Adjust through the iClear item in the menu The system provides 5 levels of iClear effects adjustment off represents no iClear is turned on and the bigger the valu
75. anual Basic Volume e Operator s Manual Advanced Volume e Operation Note NOTE 1 The manuals in CD are the manuals translated into languages other than English according to English manuals 2 When you find that the contents of the manuals in CD are NOT consistent with the system or English manuals please ONLY refer to the corresponding English manuals 3 The accompanying manuals may vary depending upon the specific system you purchased Please refer to the packing list Software Interfaces in this Manual Depending on the software version preset settings and optional configuration the actual interfaces may be different from those in this manual Conventions In this manual these conventions are used to describe the buttons on the control panel the items in menu buttons in dialog box and some basic operations lt Buttons gt The angular bracket indicates buttons knobs and other controls on control panel Items in menu and buttons in dialog box The square bracket indicates items in menu or buttons in dialog box Click Items or Button Move the cursor to the item or button and press lt Set gt or Click iton the menu Items in Menu gt Items in Submenu Selects a submenu item following the path Dyn Rng Value Indicates menu items with parameter value shows the current value of the item Product Differences DP 50T probe 35C20EA is not available this probe is not released in current versio
76. ar 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 system is used exceeds the applicable RF compliance level above system should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating system e Over the frequency ranges 150kHz to 80MHz field strengths should be less than 1V m 15 4 Guidance and Manufacturer s Declaration TABLE 4 RECOMMENDED SEPARATION DISTANCES BETWEEN PORTABLE AND MOBILE RF COMMUNICATION DEVICE AND SYSTEM The system is intended for use in an electromagnetic environment in which radiated RF disturbance are controlled The customer or the user of system can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communication equipment transmitters and system as recommended below according to the maximum output power of the communication equipment Separation Distance According to Frequency of Transmitter Rated Maximum m Output power of 150kHz 80MHz 80MHz 800MHz 800MHz 2 5GHz Transmitter Mee n 0 01 0 35 0 12 0 23 0 1 1 11 0 37 0 74 1
77. atus 2 Select the body mark adjust the position and direction of the probe icon 3 Exit body mark mode e Press the lt Set gt key to confirm the position and orientation of the probe marker and exit the body mark mode e Press Body Mark again on the control panel e Press the Esc key to confirm the current operation and exit the body mark status 8 2 2 Menu Press lt Menu gt to display the body mark menu You can NH Select Bodymark library Move the cursor to menu title and select the desired library B Display Click Display to display or hide the body mark added 8 2 3 Adding Body Marks W To add the first body mark 1 Enter body mark mode 2 Select the bodymark library through the menu title 3 Select the bodymark 8 4 Comments and Body Marks Move the cursor onto the desired bodymark to highlight your choice and press lt Set gt to add the selected bodymark or rotate the multifunctional knob to view the bodymarks MIC GR ed Re DER Press lt Set gt to confirm the selection a oa A To adjust the probe position and orientation marker Roll the trackball to place the probe marker at the correct position Rotate the multifunctional knob to adjust the orientation Press the lt Set gt key to confirm the position and orientation of the probe marker and exit the body mark mode 8 2 4 Moving Body Marks You can move the body mark graphic to any desired position within the image area 1
78. authorized personnel This warranty shall not extend to B Malfunction or damage caused by improper use or man made failure B Malfunction or damage caused by unstable or out of range power input m Malfunction or damage caused by force majeure such as fire and earthquake El Malfunction or damage caused by improper operation or repair by unqualified or unauthorized service people Malfunction of the instrument or part whose serial number is not legible enough Others not caused by instrument or part itself Company Contact Manufacturer Shenzhen Mindray Bio Medical Electronics Co Ltd E mail Address service mindray com Tel 86 755 26582479 26582888 Fax 86 755 26582934 26582500 EC Shanghai International Holding Corp GmbH Europe Representative Address EiffestraBe 80 Hamburg 20537 Germany Tel 0049 40 2513175 Fax 0049 40 255726 Important Information 1 2 10 It is the customer s responsibility to maintain and manage the system after delivery The warranty does not cover the following items even during the warranty period 1 Damage or loss due to misuse or abuse 2 Damage or loss caused by Acts of God such as fires earthquakes floods lightning etc 3 Damage or loss caused by failure to meet the specified conditions for this system such as inadequate power supply improper installation or environmental conditions 4 Damage or loss due to use of the system outside the region where the
79. ble for daily maintenance 16 1 1 Cleaning the System _ Before cleaning the system be sure to turn off the power N WARNING and disconnect the power cord from the outlet If you clean the system while the power is On it may result in electric shock B Cleaning the probe Please refer to the operator s manual of the corresponding transducer or 12 1 5 Disinfection to perform cleaning and disinfection NH Cleaning the probe cable a Use soft dry cloth to wipe off stains from the probe cable b If itis difficult to clean the stains thoroughly use soft cloth dipped with mild detergent and then let the cable air dry W Cleaning the monitor Using a soft cloth apply a glass cleaner directly to the cloth and wipe down the monitor to remove finger marks dust and smudges Allow the monitor to air dry NOTE 1 Do not use hydrocarbon glass cleaner or cleaner for OA Office Automation equipment to clean the monitor These substances may cause deterioration of the monitor 2 Keyboard on the control panel should be cleaned periodically otherwise keys maybe blocked by dirt and buzzer dings keys don t work B Cleaning the control panel cover and bracket Use dry soft cloth to clean the surface of the system If the system is dirty moisten the Soft cloth with a mild or neutral detergent and wipe off any stains Use dry soft cloth to remove any moisture and allow all hard surfaces to completely air dry B
80. by default 3 Set library enter the library name of custom body marks 4 Add or delete body mark s gt To add the item selected from the Available Items into the Selected Items gt gt To add all items from the Available Items into the Selected Items To remove the selected item in Selected Items to the Available lt Items lt lt To remove all items from the Selected Items 5 Click Up and Down to adjust the sequence of the items in Selected Items 6 Preset the probe mark of the selected body mark in Selected Items Move the cursor onto the probe mark of the body mark in Probe area and press lt Set gt to make the cursor turn green Roll the trackball to change the position of the probe rotate the multifunctional knob to change the angle and press lt Set gt to confirm the orientation of the probe 7 Select the body mark in Selected Items and click Default and then the body mark will be prior to be displayed 8 Click OK to complete the setting 11 5 2 Custom Body Marks The system supports loading and deleting body marks Click Import Custom in the Body Mark Preset screen above enter the user defined body mark screen as shown in the figure below ee TE re TRAMO EY wien 0 Load File Load Directory 11 12 Setup W Load File load a single body mark file W Load Directory load all body mark files located in a directory specified W Return exit the current scree
81. ck if using a damaged or scratched transducer Safety Precautions 1 3 1 4 Safety Precautions DO NOT allow the patient to contact the live parts of the ultrasound system or other devices e g signal O ports Electric shock may occur Do not use an aftermarket probe other than those specified by Mindray The probes may damage the system causing a profound failure e g a fire in the worst case Do not subject the transducers to knocks or drops Use of a defective transducer may cause an electric shock Do not open the covers and front panel of the system Short circuit or electric shock may result when the system hardware is exposed and powered on Do not use this system when any digital device such as a high frequency electrotome high frequency therapeutic device or defibrillator is applied already Otherwise there is a risk of electric shock to the patient When moving the system you should first fold the keyboard disconnect the system from other devices including probes and disconnect the system from the power supply Accessory equipment connected to the analog and digital interfaces must comply with the relevant IEC standards e g IEC 60950 information technology equipment safety standard and IEC 60601 1 medical equipment standard Furthermore all configurations must comply with the standard IEC 60601 1 1 It is the responsibility of the person who connects additional equipment to the signal input or output p
82. ckle At this moment the clamp ring cannot be moved any further it indicates that the clamp ring clicks in position See the figure below See figure below Before installing Turn 35 degrees Installed Bu ckle Ke 02 16 2 System Maintenance 16 1 2 Checking Transducer Check the transducer connector for crack every time before use DO NOT use the transducer if a crack is inspected A thoroughly inspection to the transducer including cable and connector is required every time when you clean the transducer 16 1 3 Backup of the System Hard Drive To prevent deterioration or loss of data stored in the system hard drive create a backup copy of the hard drive at regular intervals 16 2 Maintenance Checks by Service Engineer The following checks must be performed to ensure and maintain system safety and performance Please contact Mindray Customer Service Department or sales representative to schedule and carry out these checks Check Category Check Item Interior of the system Cleaning Peripherals Ground leakage current Enclosure leakage current Patient leakage current Patient leakage current 110 supply voltage on applied part Patient auxiliary leakage current Electric safety Monitor mounting mechanism Control panel Mechanical safety Mounting mechanism for the peripheral devices Check other mechanical structures Check the transducer appearance Images in each mode image recording Image reco
83. connection of the power cord Verify that the plug has not become loosened or dislodged from the back of the system When the power indicator of the monitor is on and image is blank The interval between turnoff and restart is too short wait a minimum time of 20 seconds The monitor brightness or contrast may be improperly set Turn off the system and wait a minimum time of 1 minute then restart the system Adjust the Contrast The monitor displays the characters but no images The transmission power overall gain or TGC controls are improperly set Verify that a probe is connected and or fully connected The system is in the frozen status Adjust the transmission power gain or TGC control Ensure proper probe connection Unfreeze the image The image quality has degraded The exam mode is not correct The settings of the image post processing are not correct The image presets are inappropriate Select an appropriate exam type Adjust the settings of the image via post processing or reset the post processing to the default values Reset the factory default setups The button is responseless with the system buzzing Button blocked by too much dirt Check the control panel for the button being blocked and press it several times to release it Clean the button System Maintenance 16 5 P N 046 001833 00 V1 0
84. contrast resolution of an image compresses or expands gray display range The real time dynamic range value is displayed on the image parameter area in the upper left corner of the screen Adjust through the Dyn Ra item in the menu Or adjust it in the image parameter area The adjusting range is 30 220dB in increments of 5dB The more the dynamic range the more specific the information and the lower the contrast with more noise This feature is used to process the scan lines of M images to reject noise making the image details to be clearer Adjust through the M Soften item in the menu The system provides 14 levels of M Soften adjustment the bigger the value the stronger the effect 5 12 Image Optimization 5 5 Image Preset 5 5 1 Image Preset The image preset is used to set image parameters for a specific transducer in a specific exam type The setting methods are similar although parameter items are different in each image mode 1 Press lt Setup gt on the keyboard 2 Select Image Preset gt B THI to enter the B mode parameters preset as shown in the following figure Image Preset Exam Mode ER Y B THI j ABD All Probe Probe Apower STO gt ABD 35C50EA Depth 4 4 O TIS tic Ori B Grey Map THI Gray Map Colorize 4 Freq iBeam Colorize Map FOV 4 L R Flip O Left 0 Right TSI Focus Position U D Flip O Up Down Focus Number 4 Rotation Steer BIP Line Density
85. ction verification and DICOM services of the DICOM configured ultrasound machine not including SCP configurations like PACS RIS HIS The DICOM package is optional so the description here is only applicable for the system configured with the DICOM package This system supports the following DICOM functions e DICOM Basic functions DICOM verify connectivity DICOM task management DICOM storage DICOM print DICOM storage commitment DICOM media storage DICOMDIR review e DICOM Worklist Workflows of DICOM preset and application are briefly described as follows 1 DICOM preset network preset DICOM preset and DICOM service 2 Verify connection 3 DICOM Services image storage print Worklist storage commitment media storage DICOMDIR review task management Abbr used in this chapter Abbr Descriptions DICOM ae and Communications in AE Application Entity PDU Protocol Data Unit SCU Service Class User DICOM client SCP Service Class Provider DICOM server SOP Service Object Pair 10 1 DICOM Preset 10 1 1 Network Preset Preset lock TCP IP settings 1 Press lt Setup gt to enter the Setup menu 2 Select Network Preset DICOM 10 1 Network Preset Network Property Current Net Adapter Local Area Connection IP Address XXX XXX XXX XXX Subnet Mask 255 255 255 0 XXX XXX XXX XXX Gateway 10 2 40 254 XXX XXX XXX XXX Cancel 3 Local TCP IP preset items are described as fo
86. e Select the data source in the drop down list of Data Source The occupying space percentage of the selected data source will be displayed 3 Input the searching condition Item including Name ID BOD and Exam Date the default one is name then enter a keyword in accordance with the Item selected e Select Find in results the system will search the keyword based on the existed searched results 4 Select the desired patient information in the list The following menu pops up Exam Preparation 4 5 ia Patient Info p Review Report ES Delete Exam 9 Backup Exam Es Restore Exam 2 Send Exam EN Activate Exam e Continue Exam Button Function Description tel a Click to enter the Review screen mage Gi tah Click to enter the Patient Info screen ko Review Report Click to enter the Diagnostic Report screen X E Click to delete the selected record xam E Click to export the selected patient data to media supported 9 pS Click to import the patient data from an external media xam EN Send Click to send the selected patient data to external device Exam DICOM storage server or DICOM printer C AUNA Click to continue an exam finished within 24 hours Exam e Continue Click to continue an unfinished exam carried out within 24 Exam hours Other buttons e New Exam Click to enter Patient Info screen meanwhile the corresponding patient information is al
87. e Caps Lock indicator lights on 2 Place the cursor to the desired place to set the comment location Add new comment to the image according to actual situation Here you can modify move delete hide or display the completed comments 3 To exit comment status e Inthe comment status press Comment key Or press lt ESC gt or other operating mode keys such as Caliper Measure etc e Inthe arrow adding status press the Arrow key 8 1 2 Comment Menu You can adjust relevant settings in comment status via menu W Display or hide the menu After entering the comment status pressing the lt Menu gt key or the multifunctional knob will show or hide the Comment Text Library menu B Home of comments Assign the user defined key for the set home function in Setup System Preset Key Config Move the cursor to the desired location for a comment and click the Set Home user defined key The current position of the cursor is set to be the default position of the Comments and Body Marks 8 1 comment adding When clicking Home the cursor will turn to the default setting position B Change Font Size Arrow Size e Click Font Size to change the font size of comment Small Mid Big e Click Arrow Size to change the arrow size of comment Small Mid Big The default is the comment text library in the current exam mode When entered the comment status the system displays the customized comment te
88. e The following dialogue box pops up Select Server Storage Server y server Storage Printer Server server Print Cancel 3 Select DICOM in the Target list select a server in the Storage Server list 4 Click OK to start the sending 10 12 DICOM 10 3 2 DICOM Print DICOM Print is used to send image s to DICOM print server to print images W Print image in iStation Review main screens 1 Select image s operations are the same with DICOM storage 2 In the Send To dialogue box select a DICOM print server Select Server Storage Server y server Storage Printer Server server Print Cancel 3 Click OK to send print task 10 3 3 DICOM Worklist After successfully connected DICOM Worklist server with ultrasound system you can query patient records from Worklist server and then import the desired information to your system B To query patient information via Worklist server 1 Press lt Patient gt to enter Patient Info screen 2 Click WorkList to enter the WorkList page DICOM 10 13 WorkList Query ee eee Procedure servers e lll 15 02 2011 Y 15 02 2011 PON A gt Query Scheduled Station AE Title aaa Clear 0 records are listed Patient ID Name Accession Exam Description Exam Date Gender 3 Retrieve Patient Information a Set query criteria among Patient ID Patient Name Accession Search Key Worklist Server or Exam Date The default exam
89. e Description After you set the server s in DICOM Server Setting the Device name s will appear in the drop down list select the name of the print server Service Name Default is xxx Print and it can be modified AE Title Application Entity title Here it should be consistent with that of the print server Port DICOM communication port 104 by default Here the port should be consistent with that of the print server port Maximum Retries Range 0 9 Interval Time s Reserved feature Refers to time after which the system will stop trying to Timeout establish a connection to the service Value 5 60s in increments of 5s and 15 by default Copies Refer to copies of printed files You can select among 1 p through 5 or directly enter the number The system supports RGB color printing and Settings MONOCHROME2 black and white printing Please select the type the printer supports Film Orientation Select between LANDSCAPE and PORTRAIT Priority Specify printing task priority among HIGH MED and LOW Film Size Select film size among the selections listed in the drop down list Display Format Specify quantity of printed files e g STANDARD 2 3 indicates 6 images are printed for each page Medium Type Specify print medium Paper Clear Film Blue Film Cutti Specify whether you want a trim box to be printed around utting a each image on
90. e Patient Information nennen nnns 4 2 4 83 Select Exam Mode and Probe ei oroarea ee Tera EEEn AEE AENEA EAE ER AEREA ENTONAR ASE 4 2 4 3 1 Supported Exam MOdSS icc iiie eid teet igne ant a a etiani 4 2 4 3 2 Selecting Exam Mode and Probe ssssssssssseee enne nnns 4 2 4 3 9 Dual Probe Switching i e IER ERE seu DERE SR LERR ERU FUMER cna RM SIE A 4 2 4 3 4 Bi plane Endocavity Probe 65EB10EA sssssseseeene eene 4 2 4 4 Selecting Imaging Mode ooonnnnccinnninicinnnncccnnnnnncccnn conc nn nn nnno ene eene en nennen nennen enr nnns 4 2 4 5 Activate amp Continue an Exam sss nennen errem eere n nennen nns 4 2 4 5 Activate an EXaIis iiec e pe E REL ER MO ge ad n d E DRE ALI regt 4 2 4 5 2 Continue an Exam iei tei nce ee e AA ee voe e ee dd d i e d eua 4 2 4 6 Pause amp End ar Exam ix re Pte m e b m dixe 4 2 461 Pause and Exatm iid e ee ac ps 4 2 ii Contents 4 10 25 PERG am EXati este A pesa CL Sat 4 2 5 Imago OptimizatiONn ssi iai Er d or RE Eu ERE o iii 5 2 5 1 Switching Between Image Modes sssssssseeeeeeneneeen eene 5 2 5 2 BASICO PMA ene Rio eiae 5 2 5 9 B MOdoe one ed eee oae eee den E eet v e e eee Pen e eed 5 2 5 3 1 B Mode Exam Protocol aicut rente aate ierra tice eder renati c foret ues 5 2 5 3 2 B Mode Parameters maii gest eee iade dag ada tva ddp cde 5 2 5 3 3 B Mode Image Optimization iniecit anniina E aAA enemies 5 2 5 4 CMM i
91. e click the selected thumbnail to open the image To exit the image analysis Press lt Freeze gt or click Exit to exit and enter the real time scanning status Press lt Review gt to exit from the image analysis to the Review status In image analysis status the selected image is open on the screen and the thumbnails of the same exam are displayed on the Thumbnail area you can turn the pages delete or send a selected image 9 2 9 Vision Vision function is used for demonstration of the images stored Image files are played according to file names one by one including the image of system relevant and PC compatible format To perform image demonstration 1 Enter iVision screen 9 6 Patient Data Management Enter image menu gt Advanced select iVision or press the user defined key for Vision on the control panel setting path Setup System Preset Key Config 2 Add the contents to be played and select the demo mode 3 Select an item in the list and click Start to begin the demonstration 4 Click Exit or press lt ESC gt to exit the iVision status The iVision screen is shown as follows iVision Content of DEMO Demo Catalog K ustomize Catalog Demo Manager Number File Name 1 D n7 Demo Add File Add Catalog Delete Demo Mode Option of DEMO Interval 5 BE Q Repetition B Demonstration item The demonstration items are the image files in the formats that th
92. e for each patient based on the patient information entered so that the information of one patient will not be confused with that of another patient 4 2 Patient Information B To enter the Patient Info screen eo Press lt Patient gt or e Move the cursor onto the patient information area on the display and press Set to open the screen B To exit the Patient Info screen e Click OK on the Patient Info screen or press Patient on the control panel again to save the settings and exit the screen e Click Cancel or press lt Esc gt to exit the screen without saving any of the entered patient data eo Press lt B gt or Freeze to return to the current exam mode with the entered information being saved Exam Preparation 4 1 B Click Quick Register on the screen to save the patient information quickly and return to the main screen 4 2 1 New Patient Information The Patient Info page is shown as below Place the cursor onto the targeted box The field box is highlighted and a flashing cursor appears Information can be entered or selected from the options You can also change the cursor position by lt Tab gt lt Enter gt or up down controls Patient Info General Information A Patient data in ESDEUTE MEL 1 20110213 184047 0962 1 iStation M Soon LED oov Bs m NENNEN Age MO Years Months Days ABD Study Description Ref Physician NA x Primary Indications Diagnostician A T
93. e kept still Tip after freezing an image the system may enter cine review measure comment adding or body mark mode which is dependent upon preset Setting path Setup 5 System Preset Image Preset gt Freeze Config Press lt Freeze gt in freeze mode to unfreeze the image the system continues image scanning 6 1 3 1 Imaging Mode Switching When Frozen Imaging mode switching in freeze mode follows the following principles 6 2 Display amp Cine Review e n splitting display B mode press lt B gt to exit splitting display mode and display the image of the currently activated window in full screen e In freeze mode the system supports imaging mode switching between the sub modes only for the activated window The imaging mode and parameters of an unfrozen image is the same as the corresponding one that before frozen but the display format is the same as the one before unfrozen 6 1 3 2 Imaging Display Format Switching When Frozen Image display format switching in freezing mode follows the following principles B 2D M Press Freeze in 2D M scanning mode If the imaging mode before frozen is 2D frozen M real time or 2D real time M frozen then in freeze mode you can switch between 2D real time M real time or 2D frozen M real time by pressing Update key on the control panel B Dual quad splitting display mode Press Freeze key in dual quad splitting display mode When enters freez
94. e keyboard and then click Add Comment Then the directly entered comment will be added to the Available Items and Selected Items e Select Available Items First select a comment library in the drop down list beside Available Items and then click Set on one item displayed below Available Items Setup 11 13 Click gt to add the item in Available Items on the left into Selected Items on the right gt Click gt gt to add all items in Available Items on the left into Selected Items on the right 5 Change position of the selected items select an item on the right side box and click Up Down Left or Right button to change the position of the item 6 Delete comments Remove item from the library or user defined in the Selected Items list Select an item in Selected Items list and click lt to remove it to the Available Items list Click lt lt to remove all items in Selected Items e Delete a user defined item in the Available Items box You can only delete the user defined items rather than the items in the system library After a user defined item is deleted it will not be available Select a user defined item in the Available Items box and click Delete After the user defined item in the Available Items box is deleted the same item in the Selected Items box on the right will disappear as well 7 After you customize comments click OK to confirm and exit the Comment Preset screen 11 7 Pri
95. e mode the default activated window is the real time window before frozen Other image windows display the corresponding cine memories if a certain cine memory is empty then no image is displayed e Press Dual or Quad to switch between dual splitting and quad splitting modes Press lt B gt button on the control panel to enter the single display format which displays the currently activated window In single display format press Dual or Quad to switch between dual splitting and quad splitting mode e Unfrozen in splitting display status when you unfreeze the image you can only unfreeze the image in the activated window other images still keep frozen In single window display status the system displays single image after being unfrozen 6 2 Cine Review After you press the Freeze key the system allows you to review and edit the images prior to the image frozen This function is called as cine review The magnified images can also be reviewed after Freeze is pressed and the operating method is the same You can perform post process operations measurements adding comments and body marks on the images being reviewed The system supports manual review as well as automatic review The default mode is Manual Cine but you can switch between Auto Cine and Manual Cine In addition the system supports the images reviewed along with physiological waveforms if the detection of physiological waveforms is performed
96. e path to save the data 11 11 Maintenance The Maintenance function is designed for you to update the system software or other special functions If you require these functions please contact Mindray Customer Service Department or sales representative You can install options preset measurement bodymark comment and export and upload operation logs here 11 12 System Information Click About in the Setup menu to enter the system information screen The information varies depending upon the system configurations and version B About Lists product name hardware version and other information which is uneditable but can be export as txt file by clicking Save B About Detail Lists version information of the software hardware and other modules which are also uneditable but can be export as txt file by clicking Save B Option Lists option module information 11 16 Setup 12 Probes and Biopsy 12 1 Probe The system supports the following probes No Probe Model Probe Type Illustration 1 35C50EA Convex S 2 65C15EA Convex c gt e a Qo P au L ae 3 65EC10EA Intra cavity O i re N d 4 75L38EA Linear array E a fs gt Q A Y Probes and Biopsy 12 1 Probe Type Illustration Linear array Linear array No Probe Model 5 75L53EA 6 10L24EA 7 65EB10EA Convex ar Note For details of storage time and condi
97. e system supports You can add the exam data in patient database or system supported image files and folders to demonstration list For files and folders in demonstration list the images in the directory and subdirectory are played one by one and the system will automatically jump over the files that can t be opened m Demonstration item There are two kinds of catalogs Demo Catalog and Customize Catalog Demo Catalog demo catalog is the folder in hard disk E disc where the factory DEMO is stored The system plays the images in this folder when performs demonstration The system supports import delete or clear the data in demo catalog Click Demo Manager to operate gt to import data to demo catalog lt to delete the selected data lt lt to delete all data Customize Catalog what saved here is the catalog of the displayed image The system plays the images in the catalog when performs demonstration Operate the catalog by the buttons on the right Add File to add files to the file list Patient Data Management 9 7 Add Catalog to add catalog to the file list Delete to delete the selected file or catalog in the file list Clear to clear all the files or catalogs in the file list B Demonstration mode Interval refer to the interval time for demonstration the adjusting range is 1 500s B Option of Demo You can choose whether to repeat the demonstration or exit after a demonstration is c
98. e the stronger the effect The bigger the value the clearer the profile of the image This function is an optional module Image Optimization 5 5 Smooth Description Operation Persistence Description Operation Effects Impacts Rejects image noise and makes images smooth Adjust through the Smooth item in the menu The system provides 4 levels of smooth function the bigger the value the higher the smooth adjustment This function is used to superimpose and average adjacent B images so as to optimize the image and remove noises Adjust through the Persistence item in the menu The system provides 8 level of frame average adjustment the bigger the value the stronger the effect Persistence can remove image noise to make details to be clearer Persistence increase may lead to signal missing Rotation Invert Description Invert Rotation This function provides a better observation for image display To invert the image horizontally or vertically Click L R Flip or U D Flip in the menu to invert the image Rotate the image through the Rotation item in the menu Image can be rotated by the manners in angle of 0 90 180 270 When the image is rotated in the angle of 90 or 270 the depth scale is displayed on the upper part of the screen When you flip or rotate an image the M mark will change its position on the screen the M mark is located in the upper left corner o
99. e who is responsible for images collection and scanning oy and are not permitted e Accession exam number used in DICOM V is not permitted e Comment exam specific explanation or remarks 4 Functional key e New Patient click to clear the current patient information in the patient information screen in order to input new patient information e New Exam click to clear the current exam information in order to create a new exam for the current patient 4 4 Exam Preparation Pause Exam to pause the current exam e OK click to save the patient data entered and exit the screen Cancel click to cancel the patient data entered and exit the screen 4 2 2 Retrieve Patient Information 4 2 2 1 Station The patient data can be obtained in Station from the system hardware or USB memory device You can enter the searching conditions for the patient 1 To enter Station screen the screen is shown as follows e Press lt iStation gt on the control panel or e Click iStation in the Patient Info screen or e Press the lt Review gt key on the control panel and click iStation in the screen Station Keyword MS Find in results Pree MHD D 4 Exam T Exam Date Time Image Clip Exam State Gender Age Back 1 i ABD 2 02 2011 16 57 13 2 0 Paused Unkn 20110212 16254 3 12 02 2011 16 25 45 20110127 14363 27 01 2011 14 36 33 New Exam Select All Exams 2 Select the data sourc
100. ects DO NOT heat the battery or discard it in a fire Keep the batteries away from fire and other heat sources N WARNING DO NOT immerse the batteries in water or allow them to get wet DO NOT charge the batteries near a heat source or in direct sunlight DO NOT pierce the batteries with a sharp object hit or step on them DO NOT use the batteries mixed with other battery models DO NOT put the batteries into a microwave oven or pressurized container If the batteries emit an odor or heat are deformed or discolored or in a way appear abnormal during use charging or storage immediately remove them and stop using them 13 1 Overview The battery charges when the system is connected to the AC power supply Generally if the system is turned off a completely discharged battery will fully charge in less than 3 hours or generally a battery has been charged for 2 hours it can restore the quality of electric charge to above 95 NOTE 1 It is recommended to charge the batteries when the system is turned off thus you can quickly charge the battery and save time 2 Power off the system if you will not use the system for a long period of time including storage transportation condition and you should not allow the system in standby status otherwise the batteries will be out of power and permanently damaged When the external power supply is not connected a lithium ion battery will provide the p
101. ects may be identified in the future Thus ultrasound should be used in a prudent manner to provide medical benefit to the patient High exposure levels and long exposure times should be avoided while acquiring necessary clinical information 14 3 ALARA Principle As Low As Reasonably Achievable It is required to practice ALARA when using ultrasound energy Practicing ALARA ensures that the total energy level is controlled below a low enough level at which bioeffects are not generated while diagnostic information is being accumulated The total energy is controlled by output intensity and total radiation time The output intensity necessary for examinations differs depending on the patient and the clinical case Not all examinations can be performed with an extremely low level of acoustic energy Controlling the acoustic level at an extremely low level leads to low quality images or insufficient Doppler signals adversely affecting the reliability of the diagnosis However increasing the acoustic power more than necessary does not always contribute to an increase in quality of information required for diagnosis rather increasing the risk of generating bioeffects Users must take responsibility for the safety of patients and utilize ultrasound deliberately Deliberate use of ultrasound means that output power of ultrasound must be selected based on ALARA Acoustic Output 14 1 Additional information regarding the concept of ALARA and the poss
102. ed not install the driver of the printer listed in section 2 5 4 Peripherals Supported Add a print service Please refer to 3 8 Digital Video Printer 3 10 External DVD T 2 Connect the USB cable of the DVD recorder to the USB port on the ultrasound system all USB ports available Connect the power adapter of the DVD on the power supply 3 11 Basic Screen and Operation 3 11 1 Basic Screen 3 8 System Preparation The following diagram maps out the different areas in the screen Hospital name Accession Patient Information Freeze logo Operator Exam time icon Probe Acoustic power MI TI Product Mode Exam Mode Menu area Image area Image Parameters Thumbnail Cine Review Area preview amp zoom Bodymark amp Comment window Thumbnail Area of Images Saved Help information area System status icon B Information Area The information area displays manufacturer logo hospital name exam date amp time acoustic power amp MI TI freeze icon patient information probe model current exam mode and accession etc It can be preset whether to display the operator patient gender age ID name etc via Setup gt System Preset gt General See 11 1 2 General for detailed preset procedures Manufacturer logo Manufacturer logo displayed in the upper left corner of the screen Hospital name Displays the hospital name Hospital
103. ed to assist in the implementation of the ALARA principle As an operator changes a given system control the potential effect of the change in output will be indicated However the Thermal Index is not the same as temperature rise in the body for several reasons First of all in order to provide a single display index to you a number of simplifying assumptions had to be made The biggest assumption was the use of the attenuating formula described above which is much lower than the actual value for most tissues within the body Scanning through muscle or organ tissue for example will produce much higher attenuation than 0 3 dB cm MHz There were also significant simplifications made for the thermal properties of tissue Therefore scanning through highly perfused tissue such as the heart or vasculature will produce significantly less thermal effect than that suggested by the Thermal Index Similarly the Mechanical Index was derived to indicate the relative possibility of mechanical cavitation effects The MI is based on the derated peak rarefactional pressure and the center frequency of the ultrasound wave The actual peak rarefactional pressure is affected by the actual attenuation caused by tissue in the path between the transducer and the focal Acoustic Output 14 5 point Again all solid tissues within the body have higher attenuation than the proscribed 0 3 dB cm MHz value and therefore the actual peak rarefactional pressure will be
104. een each pair of parallel lines in a sequence Trace Length Measures the length of a curve on the image Distance Ratio Measures the lengths of any two line segments and the calculated ratio Area Ratio The areas of any two regions and the calculated ratio The grayscale distribution of ultrasonic echo signals in a closed B histogram region B profile The grayscale distribution of ultrasonic echo signals across a line 7 2 2 M General Measurements M general measurements refer to general measurements on M mode The measurements listed below can be performed Measurement Tools Function Distance The vertical distance between two points Time The time interval between any two points Slope Measures the distance and time between two points and calculates the p slope HR Measures the time of n n lt 8 cardiac cycles and calculates the heart rate in M mode image Velocity Calculates the average velocity by measuring the distance and time between two points 7 2 Measurement 7 3 Application Measurement The system support following measurement types m Abdomen measurements Used for measurements of abdominal organs liver gall bladder pancreas and kidney etc and large abdominal vessels OB measurements Used for measurements of fetal growth indexed including EFW as well as GA and EDD calculations The fetus can be evaluated through growth graph analysis and fetal biophysic
105. efore examining a new patient press End Exam to end the CAUTION exam of the previous patient update the patient ID and information to avoid mixing data of the next new patient 4 1 Start an Exam You can start a patient exam in the following situations New patient information to start a new patient exam enter the patient information first for details please refer to 4 2 1 New Patient Information however the system also supports anonymous patient exam in which you can take the exam without registering patient information New exam to start a new exam for an already recorded patient the recorded information can be obtained either through iStation or Worklist refer to 4 2 2 1 iStation and 4 2 2 2 DICOM Worklist for details Activate an exam select an exam that is ended within 24 hours and continue the exam with the imported patient information and exam data For details please refer to 4 5 Activate amp Continue an Exam e Continue an exam select an exam that is paused within 24 hours and continue the exam with the imported patient information and exam data For details please refer to 4 5 Activate amp Continue an Exam General procedure for an exam enter the patient information gt select an exam mode and probe gt choose an imaging mode gt start the exam To start a new patient exam it is better to enter the detailed patient information The system will set up a unique information databas
106. ei det eius 9 2 9 11 ACCESS Settings si eme et UU ett DE fma D eite lad tes 9 2 9 7 2 Setting Access Control ici da edv id dane 9 2 NN CIN EI 9 2 9 74 Add Delete a User 52 une get edic ib ge dated ER ES qe iion a 9 2 9 7 5 Modify Password sescenti ned in 9 2 10 DIC RR atea aranan raada nania aaaea a nadamah na aiara a lanana tiaan 10 2 iv Contents 10 1 DICOMIPreset s cotas lit re th testet ette ide i d adi e Rd E dais 10 2 1031 1 Network PEeSOt uo Lg va Ee HH qe ce e HR geb ee 10 2 1021 2 gt DICOM Presets to o D RE HIER DR ER AE TERRAS 10 2 10 1 3 DICOMY SGIVICO tie EH ere e etia tere E t n eer Eae pes 10 2 10 2 Verify Connectivity n dee Dd eddie DER Eus 10 2 10 3 DIGOM SSIVICO e Ie ct re n tb eer RR D IR 10 2 10 3 1 DICOMY SIOLage atr id edo ea ea andere Sach Padget uid e deo anand ke depended es 10 2 103 2 DICOM Print ios s dite dede e br date etie bietet 10 2 10 3 3 DICOM WoOrklist occitano 10 2 1034 Storage COMMON 10 2 10 4 DICOM Media Storage ore erdt iaa 10 2 10 5 Showcase Recording ipe eee 10 2 10 6 DICOM Task Manager eisen r a eal EE aAa a AET REE LET PEARES inen nennen nennen nennen 10 2 JESUM ia 11 2 1151 System Preset uem Re t p ER ede i D e pe UE Pbi 11 2 TEET PREGIO n dcdit ei tot ut etie t toi ci tous 11 2 A inre e Ee e dE EE Ee De oer deed dela aed eae 11 2 111 9 Image Preset i x en A e oe e rn er eer ederet epe doeet 11 2
107. elect a key in the Key Function page on the left side and select Send Full Screen Image to hard drive in the Output page of Function field on the right side 2 Afterthe setting you can use the user defined key to save full screen image to the system 9 2 7 Thumbnails The stored images or cineloops are displayed in the form of thumbnails on the screen e Inthe Station screen the thumbnails refer to the images stored for the selected exam or the selected patient e Inthe scanning or freeze mode the thumbnails refer to the images stored in the current exam e Inthe Review screen the thumbnails refer to the images stored in the same exam e Inthe Review screen open an image to enter the image analyzing status all the thumbnails belong to the exam are displayed When you move the cursor onto a thumbnail its name and format will be displayed 9 2 8 Image Review and Analysis You can review and analyze the stored images only refer to the images stored in the system default path 9 2 8 1 To review images You can review all images stored in an exam and send delete or analyze the stored images 9 4 Patient Data Management B To enter Review Press lt Review gt to enter Review screen The system display the images stored in this exam of the current patient if there is no current patient information you can review the images of the latest exam e Select an exam of a patient in the Station screen and click to ent
108. emovable hard disk which has unsafe data Otherwise system damage may result It is recommended to only use the video devices specified in this manual Do not use gel disinfectant probes probe sheath or needle guided brackets that are not compatible with the system Read the Acoustic Output Principle in the operation manual carefully before operate this system on clinical examination Please use the ultrasound gel compliant with the relevant local regulations NOTE 1 DO NOT use the system in the vicinity of strong electromagnetic field Such as a transformer which may affect the performance of the system 2 DO NOT use the system in the vicinity of high frequency radiation source which may affect the performance of the system or even lead to failure 3 When using or placing the system keep the system horizontal to avoid disbalance 4 To avoid damaging the system DO NOT use it in following environment 1 Locations exposed to direct sunlight 2 Locations subject to sudden changes in environmental temperature 3 Dusty locations 4 5 5 Locations near heat generators Locations subject to vibration 6 Locations with high humidity 5 Turn ON the system only after the power has been turned OFF for a while If the system is turned ON immediately after being turned OFF the system may not be rebooted properly and could malfunction 6 Remove ultrasound gel from the face of a probe when the
109. en Image Modes Description B Mode key press to enter B mode M Mode key press to enter M mode Dual split display key press to enter the Dual split display mode and press to Switch between the window Switching key Press to change the currently active window in Press to enter the quad split screen display or switch image window in the Quad Quad mode 5 2 Basic Operations Before optimizing the image by adjusting image parameters adjust the brightness and contrast of the display to the best Requirement Available Operations Adjust Gain To modify the Adjust TGC brightness Adjust Acoustic Power try adjusting gain before increasing the acoustic power Image Optimization 5 1 Requirement Available Operations Adjust Dynamic Range To modify gray scale Adjust Map image effect Adjust Persistence Adjust iClear optional Decrease Depth Decrease the Focus Number Decrease the FOV Decrease Line Density Turn on High FR in harmonic mode To increase frame rate m Adjusting through Image Menu Press lt Menu gt or multifunctional knob to open the menu use the trackball and lt Set gt or the multifunctional knob to adjust B Adjusting through image parameter area The image parameter area is located in the upper right corner of the screen The image parameters are displayed while the image menu is not available 1 Move the cursor to the item on the
110. ent data in time 3 Mindray is not responsible for lost data if you DO NOT follow suggested backup procedures 9 1 Patient Information Management 9 1 1 Enter Patient Information The general patient information and exam information are entered through the Patient Info screen for details please refer to 4 2 Patient After completion of patient information entry click OK to save the patient information to the patient data 9 1 2 Patient Information Setting Open Setup System Preset General and then set the following in the Patient Info area Here you can select if to display patient gender age or operator in the screen set the H amp W applied unit and select the using surface formula e Patient information display e H amp W Unit e Surface formula Patient Data Management 9 1 Patient Info Info displays in image banner H amp W Unit OW Surface Formula A D Or 9 2 Image File Management You can store the image files either in the patient database in the system or to external memory devices For a save image you can perform operations like image reviewing analyzing and demonstration iVision 9 2 1 Storage Media System supported memory media including e System hard disk e USB memory devices USB flash drive removable USB hard disk e DVD RW CD R W 9 2 2 Image File Formats The system supports two types of image file formats system relevant and PC compatible B
111. enter administrator name and password before the setting 1 Open the Admin page through the path Setup System Preset Admin See the figure below Patient Data Management 9 17 System Preset Access Control Enable User Account Controt User List User Name User Type Admin Administrator Emergency Operator Delete test Operator Change Password Cancel 2 Click Add to enter the following page Adding New User User Name Password Confirm Password User Type Note The password must consist of 6 16 characters OK Cancel 3 Enter the user name you are not allowed to enter the same name or modify the name already exist 4 Enter user name and the password Set the user role in the drop down list administrator or operator 6 Click OK to confirm the setting and exit the dialogue box then the new user will appear on the User List xn 9 7 4 2 Delete a User Premise you must login the system as the system administrator If not you will be required to enter administrator name and password before the setting 1 Open the Admin page through the path Setup System Preset Admin 2 Select the user to be deleted in the User List Emergency user can t be deleted click Delete to delete the selected user 9 18 Patient Data Management 9 7 5 Modify Password The system administrator can modify password of all users The administrator password by factory is empty you can
112. er the Review screen to review the images of the patient You can also select more than one exam and the system will display images of the lately exam images in Review status The Review screen is shown as follows Review A 20110212 162545 0962 gt Name ES 3 CLIE CTS ABD 12 02 2011 16 57 13 LI Thumbnail Size Small Middle Full B To exit Review e Click Exit on the Review screen or Press lt ESC gt or lt Review gt again NH Basic operations Move the cursor onto an exam item in the Exam History area and press lt Set gt The selected item is highlighted Click Info or Report to view patient information or report Double click a thumbnail to view and analyze an image Rotating the Multifunctional knob will navigate through thumbnails The function buttons are described as follows e Exam History You can select one certain exam from the exam directory to review the images gt If entered from iStation the screen displays the record s selected in the iStation If no patient is selected when it was in iStation then all the patients in the system database will be displayed and the current patient exam is listed gt If entered from the imaging status the Review screen displays the images of the current exam and the default selected image is the one displayed on the preview main screen e Info Patient Data Management 9 5 Click to enter the Patient Info screen you can review or edit the currently selec
113. erform cine review on each image window in the dual quad splitting mode 6 2 3 Cine Review in M Mode After entering the cine review of M mode rolling the trackball or rotating the multifunctional knob will display the cine images on the screen one by one Roll the trackball to the left the review progress slider moves to the left the images moves to the right and the earlier stored images are invoked Whereas roll the trackball to the right the review progress slider moves to the right and the images move to the left the recently stored images are invoked When you review the images until the earliest or the latest frame further rolling the trackball will display the last or first frame The cine progress bar at the bottom of the screen as shown in the figure below Start mark Cursor End mark Time played Time in all Cine review operations are the same as those of 2D mode 6 2 4 Linked Cine Review The linked cine review refers to review of the images captured at the same moment There displays the frame mark EB on the time mark of M image indicating the current 2D image In dual or quad split display mode you can only review images of the current active window use lt Dual gt or lt Quad gt to switch the window 6 3 Cine Memory 6 3 1 Cine Memory Setting There are 2 ways of cine memory split auto and split Setting path select Auto or Split for cine memory in Preset gt System Preset Image
114. es the parameters are displayed by each mode For detailed parameters displayed in this area please refer to the corresponding imaging mode s Image area The image area displays the ultrasound images probe mark or activating window mark time line in M mode coordinate axis including depth time velocity frequency focus position located at depth axis in the form of Af besides the annotation bodymark measurement calipers grayscale bar are also displayed here Thumbnail preview amp Zoom Window image in image In the zoom status this area displays the thumbnail of a complete image and a rectangular frame is used to highlight the currently magnified area This feature is called image in image Help information area The help information area displays various help information or progress bar in the current status Besides the system can provide help for each key Press Help to enter key help status you can see the cursor changes into an arrow with a question mark on it Press any key on the control panel the screen displays the key relevant information meanwhile the system exits the key help status Tips in terms of help information TB refers to Trackball Knob refers to Multifunction knob Thumbnail area of images stored Displays the thumbnail images stored under the current patient Image manage area Page turning when there are more than one page images have been stored you can turn to the next
115. etting 11 2 2 Exam Configuration In the Exam Preset screen click Exam Config page tab to enter Exam Config page Setup 11 9 Exam Preset Exam Config Information Loading or pasting exam presets will overwrite previous presets and can not be reverted Exercise caution for this operation Exam Mode Application ABD Abdominal Package ABD Difficult Abdominal Package Ped ABD Abdominal Package GYN Gynecological Package OB1 Obstetrical Package OB2 3 Obstetrical Package Thyroid Small Parts Package Breast Small Parts Package SMP Small Parts Package Urology Urological Package Prostate Urological Package Vascular Vascular Package Musculoskeleta Small Parts Package Nerve Nerve Package Superficial Small Parts Package Duplicate Cancel The system supports W Copying Exam Mode 1 Select an exam mode you want to copy from the list 2 Click copy 3 Select another exam mode and click Paste The parameters in the source exam mode are copied to the target exam mode target exam mode will not be renamed Tips loading or pasting exam setup data will overwrite previous presets and can t be reverted Exercise caution for this operation E User defined Exam Modes You can create a user defined exam mode by Duplicating an exam mode existed 1 Select the exam mode you want to copy and click Duplicate 2 Input a new name in the dialog box popped up and click OK Tips the user defined exam mode supports duplicati
116. f the imaging area by default Impacts iBeam Description Operation Effects Impacts Auto Merge Description The function is available in real time imaging freeze or cine review status This function is used to superimpose and average images of different steer angles to obtain image optimization Adjust through the iBeam item in the menu Off no iBeam On maximum iBeam optimization Images after iBeam processing can be optimized with less spot noise and higher resolution so that more details for the structure are revealed iBeam is available only for linear probes and it is not available when trapezoid function is turned on In the Dual split mode when the images of the two windows use the same probe type depth invert status rotation status and magnification factor the system will merge the two images so as to extend the field of vision 5 6 Image Optimization Operation Impacts Gray Map Description Operation Impacts IP Description Operation Turn on off the function through the Auto Merge item in the menu Available only for linear probes The function is available in real time imaging freeze or cine review status Adjusting grayscale contras to optimize the image Select among the maps through the Gray Map item in the menu You can also adjust through the grayscale bar move the cursor to the grayscale bar and press lt Set gt on the control panel to adjust The sy
117. figure below System Preset Ge Patient Info neral Info displays in image banner Name Age Hospital Y Gender ID Operator Other Image Output Size Image Area Standard Area Full Screen H amp W Unit O Metric English Surface Formula Oriental L Occidental Screen Saver Enable ScreenSaver Wait 15 Wait 30 Display Cold Warm Color temperature Brightness Contrast Load Factory Type Item Clip Length Time s Output Mode PAL NTSC Comment Font Size Small Medium Large Arrow Size Medium Small Large B Clear comments while unfreezing image or changing probe exam Description Info displays in image banner Patient Info To select if to display the following patient information on the image banner Gender Age Operator ID Name Hospital H amp W Unit To set the unit for patient height and weight Surface Formula To set the surface formula To set the size for a stored image image Sie Image Area Standard Area storage Full Screen Clip length Time s Times 1 60s Output Mode PAL NTSC each Enable ScreenSaver i D ha function and select the waiting Saver Enable Standby Available after Enable ScreenSaver is selected Display Color temperature Cold Warm 11 4 Setup Type Item Description Brightness Contrast Load the factory data of the display brightness and Load
118. g biopsy wear sterile gloves Image of the biopsy target and the actual position of the biopsy needle Diagnostic ultrasound systems produce tomographic plane images with information of a certain thickness in the thickness direction of the transducer That is to say the information shown in the images consist all the information scanned in the thickness direction of the transducer So even though the biopsy needle appears to have penetrated the target object in the image it may not actually have done so When the target for biopsy is small dispersion of the ultrasound beam may lead to image deviate from the actual position Pay attention to this Image deviation is shown as the figures below Biopsy d The biopsy needle appears to reach the target object in the image Probe Needle Target Ultrasound beam Dispersion of the ultrasound beam To avoid this problem note points below Do not rely only on the echo of the needle tip on the image Pay careful attention to the target object which should shift slightly when the biopsy needle comes into contact with it Before you perform the biopsy please evaluate the size of the object and confirm if the biopsy can be carried out successfully When using the needle guided bracket wear sterile gloves to ZNCAUTION prevent infection Probes and Biopsy 12 13 12 2 1 Basic Procedures for Biopsy Guiding 1 Select the right needle guided bracket and needle install
119. generate electrical signals when lt 2 gt lt 2 gt Transducer head receiving the reflected ultrasound waves echoes The convex horizontal section lens on the surface is the acoustic lens Apply ultrasound gel on the acoustic lens lt 3 gt Locating groove Mount the needle guided bracket This transmits electrical signals between the San eee transducer body and connector 26s Conn ctor This connects the transducer to the ultrasonic diagnostic system lt 6 gt Lock handle This locks the connector to the ultrasonic diagnostic system 12 1 2 Orientation of the Ultrasound Image and the Transducer Head The orientation of the ultrasound image and the transducer are shown below The MARK side of the ultrasound image on the monitor corresponds to the mark side of the transducer Check the orientation before the examination take linear probe as an example Orientation mark 12 4 Probes and Biopsy Mark 12 1 3 Operating Procedures This section describes general procedures for operating the transducer The proper clinical technique to be used for operating the transducer should be selected on the basis of specialized training and clinical experience Probes and Biopsy 12 5 B Procedures for operating with biopsy function Inspection before examination Connection to the ultrasonic diagnostic system Examinations Disconnection to the ultrasonic diagnostic system Wiping off
120. h warning label are described as follows No Warning Labels Meaning 1 Before using the system be sure to carefully read the relevant content of this operator s a General warning caution risk of danger b DANGER There is explosion risk if the system is used with flammable anesthetics b Cautions that the system must not be removed covers because the high voltage may cause electric shock 4 The following labels are a DO NOT sit on the system available when the system b DO NOT push the trolley when the casters works with the mobile trolley are locked UMT 50 a b Safety Precautions 1 11 2 System Overview 2 1 Intended Use The Digital Ultrasonic Diagnostic Imaging System is applicable for adults pregnant women pediatric patients and neonates It is intended for use in gynecology obstetrics abdominal pediatric small organ cephalic transcranial musculo skeletal cardiac vascular urology orthopedics nerve 2 2 Contraindication None 2 3 Product and Model Code DP Model code Product code NOTE The functions described in the operator s manual may vary depending upon the specific system you purchased 2 4 Product Specifications 2 4 1 Imaging Mode B Mode B M Mode M 2 4 2 Power supply Voltage 100 240V Frequency 50 60Hz Input Power 1 5 0 8A Fuse 250V T3 15
121. he compatible probes To ensure safe and correct operations carefully read and understand the manual before operating the system Notation Conventions In this operator s manual the following words are used besides the safety precautions refer to Safety Precautions Please read this operator s manual before using the system Operator s Manuals Please read the operator s manuals carefully before operating the system The operator s manuals consist of manuals for the main unit and transducers The English manuals are provided on paper however the manuals which are translated into languages other than English are provided in CD Compact Disc The content of the operator manual such as screens menus or descriptions may be different from what you see in your system The content varies depending upon the software version options and configuration of the system Manuals on Paper Operator s Manual Basic Volume Describes the basic functions and operations of the system safety precautions exam modes imaging modes preset maintenance and acoustic output etc Operator s Manual Advanced Volume Describes measurement preset measurements and calculations etc Operator s Manual Acoustic Power Data and Surface Temperature Data Contains data tables of acoustic output for transducers Operation Note Contains quick guide for basic operations of the system Manuals in Compact Disc e Operator s M
122. he data without the authority 9 7 3 System Login If Enable User Account Control is selected you can access the data in the system only after you login the system You need to enter user name and password in the following cases 9 16 Patient Data Management e Before entering the system Changing user As long as the system is in working status you can enter the above screens without inputting user name and password repeatedly You need to login again after system restart or dormancy B Login the system 1 If the system requires you to log on the system before you access the data you can see the following dialogue box Login Dames uM Password 2 Select the user name in the drop down list of User Name 3 Enter password and click Login For emergency users click Emergency directly to log on B Changing user 1 To log out the current user and change to another user click Bl the lower right corner of the screen to pop up the following dialogue box Session Manage Current User Admin login at 12 02 2011 19 03 25 Change User e Change Password Cancel 2 Click Change User to pop up the Login dialogue box 3 Enter the user name and password in the field box 9 7 4 Add Delete a User The system administrator can add and delete a user while the operator can t 9 7 4 1 Adda User Premise you must login the system as the system administrator If not you will be required to
123. hese post process adjustments will not influence the cine review Increases the frame rate when being turned on in THI mode In single B mode when THI is turned on click the High FR item in the menu to obtain images with high frame rates Display or hide the width scale horizontal scale The scale of the horizontal scale is the same as that of vertical scale depth they change together in zoom mode or when the number of the image window changes The HScale will be inverted when image is turned up down Click HScale on the menu to display or hide the scale 5 8 Image Optimization 5 4 M Mode 5 4 1 1 M Mode Exam Protocol Select a high quality image during B mode scanning and adjust to place the area of interest in the center of the B mode image Press lt M gt on the control panel and roll the trackball to adjust the sampling line Press lt M gt on the control panel again or lt Update gt to enter M mode then you can observe the tissue motion along with anatomical images of B mode During the scanning process you can also adjust the sampling line accordingly when necessary Adjust the image parameters to obtain optimized images Perform other operations e g measurement and calculation if necessary 5 4 2 M Mode Parameters In M mode scanning the image parameter area in the upper left corner of the screen displays the real time parameter values as follows Display V3 IP 6 DR 65
124. ible bioeffects of Ultrasound is available in a document from the AIUM American Institute of Ultrasound Medicine title Medical Ultrasound Safety 14 4 MI TI Explanation 14 4 4 Basic Knowledge of MI and TI The relationship of various ultrasound output parameters frequency acoustic pressure and intensity etc to bioeffects is not fully understood presently It is recognized that two fundamental mechanisms may induce bioeffects One is a thermal bioeffect with tissue absorption of ultrasound and another one is a mechanical bioeffect based on cavitations Thermal Index TI gives the relative index of temperature increase by thermal bioeffect and Mechanical Index MI gives the relative index of mechanical bioeffect Tl and MI indices reflect instantaneous output conditions so they DO NOT consider the cumulative effects of the total examination time B MI Mechanical Index The mechanical bioeffects are the result of compression and decompression of insonated tissues with the formation of micro bubbles that may be referred to as cavitations MI is an index that shows the possibility of the cavitations generation based on acoustic pressure and the value in which the peak rarefactional acoustic pressure is divided by the square root of the frequency Therefore MI value becomes smaller when the frequency is higher or the peak rarefactional acoustic pressure is lower it becomes difficult to generate the cavitations ife x Cy Whe
125. ified AE Title Application Entity title Here it should be consistent with that of the storage server Port DICOM communication port 104 by default Here the port should be consistent with that of the storage server port Maximum Retries Range 0 9 Interval Time s Reserved feature Refers to time after which the system will stop trying to establish Timeout a connection to the service Value 5 60s in increments of 5s and 15 by default Color Mode Gray Mixed Color Compression Mode Select the compression mode uncompressed RLE JPEG and JPEG2000 Compression Ratio Select the compression ratio lossless low medium and high Allow Multiframe If SCP supports this function then select it Add Add the DICOM service to the service list Cancel Click to cancel the parameter setting DICOM 10 5 Name Description Select an item in the service list change the parameters in the Update above area and click Update to update the item in the service list Delete Click to delete the selected service in the service list Default Select an item in the service list click Default and you can see Y in the Default column Verify Click to verify if the two DICOM application entities are normally y connected Exit Click to exit the screen Tips RLE JPEG and JPEG2000 are not supported by all SCPs Please refer to the
126. ion Key Function Key Function Select Function A Savel NULL Save2 NULL F1 Dual Probe Save Image to hard drive Save Cine iZoom 4 CCOO Key Volume o UR SIE ES slow 57 Trackball Lighteness W Key function setting You can set the functions for lt Print gt lt Save gt F key F1 F4 and footswitch To assign a function to a key 1 Click to select the desired key in the Key Function column at the left side of the page 2 Click to select a function in Function area You can see the functions selected at the right side of the select key 3 Click OK to complete function setting The following introduces an example as setting lt F4 gt as Save AVI Cine to USB disk 11 6 Setup 1 Select F4 in the Key Function list at the left side of the page 2 Select Save AVI Cine to USB disk in Function at the right side of the page 3 Click OK to complete the setting In Function area the functions of user defined keys can be divided into five categories Output Print Advances Features Measurement and Other Functions are described as follows Type Function Description Save Image to hard drive eat e ee iS Save Cine To save a cine file to local hard drive Bas Save Image to USB disk ETUR image to USB Save AVI Cine to USB disk Save AVI Cine to USB disk Save Full Screen Image to To save a full screen
127. ion and measurement data to continue the exam If you want to continue an exam which data lies in an external memory database you have to first allow the system to load the patient data to the system s patient database Recycle bin The recycle bin is used to store the deleted patient data exam data and images time lasts from deleting to system is powered off The system supports recovery of those data from the recycle bin NOTE The recycle bin will be cleared after the system is powered off To recover the deleted patient data click El at the lower right corner of the screen when the button is gray the operation is unavailable to enter the Patient Recycle Bin screen 1 Select items to be recovered in the list 2 Select operations e Click Restore Items to restore the item back to iStation Click Delete to delete the item permanently and the item can never be restored again e Click Restore All Items to restore all the items back to iStation Click Empty Recycle Bin to empty the recycle bin and all items can never be restored again Click Exit to exit Recycle Bin screen and return to iStation 9 5 Backing Up and Erasing Files through DVD Drive The system supports DVD RW to write data in CD DVD and to read data from CD DVD in PC Support media DVD RW CD R W Patient Data Management 9 13 B To write data to a CD DVD 1 Puta CD DVD in the tray 2 Select the data to be backed up click
128. ired value through keyboard e Radio button Click the button to select an item Check box click the check box to select one or several options e Drop down list click the arrow beside the list to select an item B General buttons e OK click to confirm the setting exit the current page and then return to the previous page e Cancel click to give up the setting exit the current page and then return to the previous page Setup 11 1 e Load Factory click Load Factory and all parameter settings will be restored to the original factory default 11 1 System Preset Click System Preset on the Setup menu you can preset Page Description Reai To set the hospital name language time zone time format system egion d date time logo and so on General To set patient information exam setup patient management storage system dormancy operation log and so on Image Preset To set some general parameters in imaging modes Meas To set the measure ruler measure result units and so on f To set the relevant information about fetal gestational age fetal growth Obstetrics formula and fetal weight Key Config To assign functions to footswitch and lt Print gt Save lt F1 gt lt F6 gt Bids To set the needle guided bracket model and biopsy guide line relevant psy parameters Admin To set the user account control relevant information 11 2 Setup 11 1 1 Region Open the Region
129. is are task s undergoing the task management icon displays as Ei you can click the icon to check the process When there is are task s failed the task management icon displays as El you can click the icon to check the failure reason When the task management icon displays it means no task is undergoing or failure B DICOM Service Setting Click Service Setting to enter DICOM preset See section 10 3 DICOM Service 9 7 Access Control 9 7 1 Access Setting The system support user type of B Administrator The system administrator can view all patient data such as patient information image and report etc B Operator The operator can only view the exam information saved in the system and operated by himself or herself such as patient information image and report etc The operator cannot view the exam data operated by others Emergency operators are general ones they can enter the system without entering password But they can t modify or delete the password 9 7 2 Setting Access Control The system administrator can preset the access control that is if an operator has the right to access to the data in the system The access control only can be set by the system administrator Setting access control 1 Open the Admin page through the path Setup System Preset Admin 2 If Enable User Account Control is selected you need to login before accessing system data If unselected you can access all t
130. justments such as image inversion rotations zoom and depth changes e When the imaging depth and area are changed the guide line will be adjusted W Display or hide the guide line Set Biopsy Kit on the menu to Off to hide the guide line Or press lt Biopsy gt on the control panel to display or hide the guide line 12 26 Probes and Biopsy B In B mode image menu you can also display hide or select the needle guide bracket via Biopsy Kit item 12 2 6 Verify Biopsy Guide Line Prior to each biopsy procedure be sure to verify the guide Z WarRNING 1 Pre 2 If the needle is not consistent with the guide line DO NOT perform the biopsy procedure NOTE 1 You can perform guide line verification on a single live B image only and all biopsy irrelevant operations are forbidden 2 Forbi planar probe applied biopsy the verification is performed on the first guide line the other guide lines can move together with the first one in parallel 1 Confirm that the needle guided bracket has been installed securely in the correct position 2 Prepare a container filled with sterile water 3 Place the head of the transducer in the sterile water and get a biopsy needle into the needle guide 4 When the biopsy needle appears on the image please adjust the parameters of the menu on the screen to make the biopsy needle is displayed at almost the same position as the selected needle mark e Adjust
131. ket NGB 002 While holding the transducer and the needle guided bracket open the Grip knob of the needle guided bracket NGB 004 Hold the transducer in the left hand unscrew the locking nut with the right hand to open the retaining clamp and then raise the needle guided bracket to separate the locating bulge from the locating grooves NGB 005 While holding the transducer and the needle guided bracket open the Grip knob of the needle guided bracket NGB 007 e Metal 1 Screw the nut of the guiding block and remove the guiding block slightly along the direction of the needle s tail 12 28 Probes and Biopsy 75 a DN 2 Separate the residual part of the needle guide bracket and the transducer from the needle 4 3 Screw the pinch nut of the bracket and remove the needle guided bracket from the transducer EED E eg gi ma A SS S SS SS M 1 e Plastic 1 Remove the guiding block slightly along the direction of the needle s tail 2 Separate the residual part of the needle guide bracket and the transducer from the needle li Ea ede I 1 E N Z f UT 3 Remove the support of needle guided bracket from the transducer B NGB 016 1 Screw the nut of the guiding block and remove the guiding block slightly along the direction of the needle s tail 2 Separate the residual part of the needle guide bracket and the transducer from the needle Probes and Biopsy 12 29 3 Screw
132. list To set the default focus position in B Mode Focus Number Drop down list To set the default focus number in B Mode Steer Drop down list D ani default steer angle for the linear probe in Trapezoid Check box od e ete is default to be open for Line Density Drop down list To set the default line density in B Mode B Gain Drop down list To set the default gain value in B Mode THI Gain Drop down list To set the default THI gain value in B Mode B Gray Map Drop down list To set the default gray map in B Mode THI Gray Map Drop down list To set the default THI gray map in B Mode Roan Drop down list To set the default iBeam value for the linear transducer in B Mode LIR Flip Radio button Ba the default horizontal flipping mode Left or U D Flip Radio button ru the default vertical flipping mode Up or Rotation Drop down list To set the default rotate status in B Mode a IR THe a Due TRECE SUD High FR Check box To set if high FR is turned on by default iClear Drop down list To set default value of iClear 5 Click OK to exit Click OK to confirm and exit or click Cancel to exit without saving 5 14 Image Optimization 6 Display amp Cine Review 6 1 Image Display 6 1 1 Splitting Display The system supports dual split B B and quad split 4B display format However only one window is active e Dual split press Dual key on the control panel to enter the dual split mode and using lt Dual g
133. ll calculate a new GA and EDD e BBT input BBT the system will calculate the GA and EDD e EDD after you enter EDD the system will calculate and display GA and LMP Exam Preparation 4 3 Exam Type Information Description Gravida Times of pregnancy Ectopic Times of abnormal pregnancy e g extrauterine pregnancy Gestations Number of embryos 1 2 3 1 is default Para Times of delivery Aborta Times of abortion LMP Last menstrual period Gravida Times of pregnancy GYN Gynecology Para Times of delivery Ectopic Times of abnormal pregnancy e g extrauterine pregnancy Aborta Times of abortion Height Weight BSA body After the height and weight are inputted the system will CARD surface automatically calculate the BSA based on the formula which Cardiac area is set via Setup gt System Preset gt General BP Blood pressure HR RA Press Right Atrium Pressure VAS BP L Input left blood pressure Vascular BP R Input right blood pressure Serum PSA URO Urology PE coefficient SMP Small Parts mone i PED Pediatrics Nong 3 Operating Information Ref Physician the people who requires the operator to do the ultrasound operation U IN and are not permitted e Diagnostician people who is responsible for exam V and are not permitted AP amp Operator peopl
134. llows Name Description Current Net Adapter To select network connection mode DHCP DHCP IP address will be automatically obtained from DNS server Static Static you need to enter the IP address IP Address IP address of the system Subnet Mask Used to set different network segment Gateway Used to set the gateway IP Note e The IP address of the system should not be occupied by other devices in the network or the DICOM function will fail e After you changed Station Name you need to restart the system to make the setting effective press the power button and select Shut Down and restart the system after a while 10 1 2 DICOM Preset To set the DICOM service and server properties 1 Press lt Setup gt to enter the Setup menu 2 Select DICOM Preset 10 2 DICOM DICOM Preset Localhost DICOM Service Property Including SCU and SCP AE Title Server Setting Device Device IP Address Add Device List Device server commit Set DICOM Service IP Address 10 3 36 5 10 6 3 5 3 Preset local DICOM properties and DICOM server B Localhost DICOM Service Property Name Description Application entity title of the ultrasound system AE Title The AE title here should be the same with the one of the acceptable SCU set in the server Port DICOM communication port which should be the same with the one in the server PDU Maximum PDU data package size ranging fr
135. lower Further the actual peak rarefactional pressure will change depending upon the region of the body being scanned For these reasons the TI and MI displays should only be used to assist the operator in implementing ALARA at the time of the patient examination 14 8 Measurement Uncertainty Ispta 32 9 Isppa 32 9 Center frequency fo 296 Total power W 32 9 5 196 for Scan mode and Combined mode Peak rarefactional pressure 16 4 14 9 References for Acoustic Power and Safety 1 Bioeffects and Safety of Diagnostic Ultrasound issued by AIUM in 1993 2 Medical Ultrasound Safety issued by AIUM in 1994 3 Acoustic Output Measurement Standard for Diagnostic Ultrasound Equipment Revision 3 issued by AIUM NEMA in 2004 4 Standard for real time display of thermal and mechanical acoustic output indices on diagnostic ultrasound equipment Revision 2 issued by AIUM NEMA in 2004 5 Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound Systems and Transducers issued by FDA in 2008 6 Medical electrical equipment Part 2 37 Particular requirements for the safety of ultrasonic medical diagnostic and monitoring equipment issued by IEC in 2005 14 6 Acoustic Output 1 5 Guidance and Manufacturer s Declaration The system complies with the EMC standard IEC60601 1 2 2007 The use of unapproved accessories may diminish system WARN ING performance NOTE 1 U
136. missions The system uses RF energy only for its internal function Therefore its RF CISPR 11 Group 1 emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions CISPR 11 Class B The system is suitable for use in all Harmonie Emissions establishments including domestic Class A establishments and those directly IEC 61000 3 2 connected to the public low voltage Voltage Fluctuations Flicker power supply network that supplies Emissions Compliance buildings used for domestic purposes IEC 61000 3 3 15 2 Guidance and Manufacturer s Declaration TABLE 2 GUIDANCE AND MINDRAY DECLARATION ELECTROMAGNETIC IMMUNITY The system is intended for use in the electromagnetic environment specified below The customer or the user of system should assure that it is used in such an environment IEC 60601 COMPLIANCE ELECTROMAGNETIC IMMUNITY TEST est LEVEL 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 floors are covered with synthetic material the relative humidity should be at least 30 Electrical fast 2 kV for power 2 kV for power Mains power quality should Transient burst supply voltage supply voltage be that of a typical IEC 61000 4 4 1 kV for 1 kV for commercial or hospital input output input outpu
137. n 1 Safety Precautions 1 4 Safety Classification W According to the type of protection against electric shock CLASS EQUIPMENT According to the degree of protection against electric shock Type BF applied part W According to the degree of protection against harmful ingress of water Main unit IPXO Probes IPX7 NH According to the degree of safety of application in the presence of a FLAMMABLE ANESTHETIC MIXTURE WITH AIR or WITH OXYGEN OR NITROUS OXIDE EQUIPMENT not suitable for use in the presence of a FLAMMABLE ANESTHETIC MIXTURE WITH AIR or WITH OXYGEN OR NITROUS OXIDE W According to the mode of operation CONTINUOUS OPERATION W According to the installation and use PORTABLE EQUIPMENT MOBILE EQUIPMENT Safety Precautions 1 1 1 2 Meaning of Signal Words In this manual the signal words DANGER Z WARNING Z CAUTION NOTE and Tips are used regarding safety and other important instructions The signal words and their meanings are defined as follows Please understand their meanings clearly before reading this manual Signal word Meaning ZN DANGER Indicates an imminently hazardous situation that if not avoided will result in death or serious injury Z warninc Indicates a potentially hazardous situation that if not avoided could result in death or serious injury A caution Indicates a potentially hazardous situation that if not avoided may result in minor or m
138. n 11 6 Comment Preset You can preset the custom comments library for each exam mode to your preference 11 6 1 Custom Comments You can preset the custom comments library for each exam mode to your preference The comments in the library are provided by the system or user defined ones The name of the library which can be set will appear on the first page of the library 1 To enter Comment Preset Open the Comment page via Setup gt Comment Preset Comment Preset Exam Mode Library Name Available Items gt Adrenal Anterior P Aorta Appendix Artery Bile Duct Bladder Body Bowel Ca Caudate CBD Celiac Axis CHD Chest Wall Colon Compressed Crus Cyst Diaphraam 2 Select exam mode Selected Items Adrenal Aorta Artery Bladder Bowel Caudate Celiac Axis Chest Wall Compressed Cyst Distal Esophagus GB Hepatic Hepatic V lliac A inferior Anterior Appendix ey Bile Duct Body Add Comment Ca d CHD Colon Crus Diaphragm Duodenum Free Fluid Head HepaticA lliac Iiac V ive 3 Enter Library Name you can enter characters for the library name or accept the default name the same as that for the exam mode 4 Add user defined comments directly enter comment texts or select comment texts for the comment library e Directly enter comment texts posit the cursor in the field box above Add Comment enter the text comment through th
139. n 2 5 4 Peripherals Supported 5 Add a print service 1 Open Setup gt Print Preset gt Print Service 2 Click Add Service to enter the following page Print Service AN Digital Image Print v Service Name NNNNEEEEEEEEEEEEEEEEEEEN Cancel 3 Select the service type as Digital Image Print and enter the service name manually 4 Click OK to return to the Printer Service page 5 Set the items in the Property box and click Save to save the settings M Image print For DICOM image printing refer to 10 DICOM e Modify print service a Select an existed printer service in the list System Preparation 3 7 b Select the printer type in the Property box c Set the attribute paper size orientation etc d Click OK to confirm e Image print gt Select the image to be printed on the Station or Review screen and click Send To to select the printer to print Please refer to the accompanying manuals of the printers for more details 3 9 Analog Video Printer 1 2 Connect the printer VIDEO IN port and the ultrasound system S Video on IO panel with the signal cable Connect the Remote cable on printer to the Remote port on the ultrasound system 3 Connect the power cord to a power supply receptacle that is well grounded 4 5 Install the printer driver steps are the same as of graph text printer please refer to 3 7 Graph Text Printer for details And you ne
140. n screen is shown as follows 9 10 Patient Data Management iStation UE E Find in results DEEEH D 1 Exam T Exam Date Time Image Clip Exam State Gende Age Back 110212 16254 12 02 2011 16 57 13 2 20110212 16254 3 12 02 2011 16 25 45 20110127 14363 27 01 2011 14 36 33 20110120 09512 20 01 2011 09 51 29 New Exam Select All Exams Viewing Patient Information W Data Source Select the data source of patient data the system patient database is default B Patient List Display patient information exam mode number of images and cines exam state backed up or not B New Exam After you select a patient data or exam in the Station screen click the New Exam to enter the Patient Info screen where you can select a new exam mode and click OK to begin a new exam B SelectAll Exams Deselect All Exams Click Select All Exams to select all patient data listed Then the button changes into Deselect All Exams you can cancel all the selections by clicking Deselect All 9 4 1 Searching a Patient 1 Select the data source 2 Set search conditions of Name ID DOB Exam Date in the Item drop down list 3 Enter the keyword in accordance with the Item selected and the system searches and displays the results in the patient list 4 When you select a patient in the patient list the images of this patient will be displayed at the bottom of the screen Note e When you clear the keyw
141. nce L R Flip U D Flip Line Density iTouch Acoustic power Smooth High FR TSI FOV Position Rotation HScale Lithotrity Gray Rejection y Curve Gray Invert 5 3 3 B Mode Image Optimization Gain Description Operation Effects Depth Description Operation Effects Impacts To adjust the gain of the whole receiving information in B mode The real time gain value is displayed in the image parameter area in the upper left corner of the screen Rotate the lt Gain iTouch gt knob clockwise to increase the gain and anticlockwise to decrease Or adjust it in the image parameter area The adjusting range is 0 100 Increasing the gain will brighten the image and you can see more received signals However noise may also be increased This function is used to adjust the display depth of sampling the real time value of which is displayed on the image parameter area in the upper left corner of the screen Use the lt Depth Zoom gt knob to adjust the depth Or adjust it in the image parameter area The adjustable depth values vary depending upon the probe types Increase the depth to see tissue in deeper locations while decrease the depth to see tissue in shallower locations Depth increase will cause a decrease in the frame rate Image Optimization 5 3 TGC Description Operation Effects Frequency Description Operation Effects A power Description Operation Effects Impac
142. ncom rot rtm umet els ee ta iU ies 5 2 5 41 MiMode Exam Protocol iui oni reete e at eite d PER 5 2 5 44 M Mode Parameters ais asd asesinar ei dad eve a dv d o de daas 5 2 5 4 8 M Mode Image Optimization ssseeeen emen enne 5 2 5 5 mage Preset aite o gatti beg t ten tad a garant 5 2 5 51 Image Presets adesione idee doe ede e De a do s dv e 5 2 6 Display amp Cine R6VIOW iiim a Ra En ER RR AERE XKLRRX RR ia 6 2 6 1 Image Display nete de deed te ceci toe de Rede dede e ecd dd vk a 6 2 61 1 splitting Displays id cdi ie E ee RG ey 6 2 6 1 2 Image MagnifICatiOH 5 iiic iiid po ect sene badge Hid iain etta pigeat 6 2 6 1 3 Freeze Unfreeze the Image sees essen esee snnt estt nsn 6 2 0 2 GING Se VIO Wisi cett tonic E ERO RE pa OO 6 2 6 2 1 Entering Exiting Cine REVIEW aisar iier irte aE a TREE TRETE EEA mnes 6 2 6 2 2 Cine Review in 2D Modecor adn d i aiea ieii a 6 2 6 2 3 Cine Review in M ModE eioen ar e e A AE ORAE 6 2 0 2 4 Linked Gine ROVIGW ecrire aoia AEREA EAEE AEEA 6 2 6 3 Cine Memoty cese eie Ee eec Hed di HU ee ies adhe NA TE EA it 6 2 6 3 1 Cine Memory Saling saisie aaa Tsa nennt T trennen posten nnns 6 2 6 3 2 Cine Memory Clarita 6 2 6 4 Preset iii eae ee tea ede dee o d tede ted ee doe tee te ea 6 2 7 Measurernient sososxero AAA Dec ce in 7 2 7 1 Basicoperations ni Leg ee aie eee det ae a n 7 2 7 2 General Measurements
143. nd pull out the plug 2 Disconnect the system from all peripherals 3 Place the system in a desired location by holding the handle 4 Leave at least 20cm at the back and both sides of the system CAUTION Maintain a generous free air flowing space around the back and both sides of the system failure may result due to increased rise in system operating temperature 3 2 Power Supply This system can work normally only when it is connected to the external power supply or the battery capacity is sufficient 3 2 1 Connecting External Power Supply A three wire power cord is used to connect the system with the external power supply The external power supply system must meet the following requirements Voltage 100 240V Frequency 50 60Hz Input current 1 5 0 8A 3 2 2 Powered by Battery When connected to the external power supply the system is powered by the external power The lithium ion battery inside it is in charging status When disconnected from the external power supply the system is powered by the lithium ion batteries Refer to 13 Battery for the detailed operations and precautions System Preparation 3 1 3 3 Powering ON OFF 3 3 1 Powering ON CAUTION To ensure safe and effective system operation you must perform daily maintenance and checks If the system begins to function improperly immediately stop scanning If the system continues to function improperly fully shut down the sys
144. needle m guided bracket Matches with the tab of the transducer lt 3 gt Angle adjusting base There are 3 types of angles available to be adjusted Angle shift sign 30 40 lt 4 gt 50 Matches with the biopsy angle 30 40 50 lt 5 gt Angle pinch nut Used for fixing the angle lock at a chosen angle lt 6 gt Angle block Determines the angle of the biopsy different specifications of blocks can be used lt 7 gt Guiding block Used for installing the needles of different specifications 5 types of needles are available Specification of guiding lt 8 block 14G Matched with the corresponding biopsy needle 14G Guiding hole of biopsy lt 9 gt needle 12 20 Probes and Biopsy Used for installing the needles No Name Description Pinch nut of needle Used for locking the needle guided bracket and the S107 guided bracket transducer 12 2 3 Biopsy Preset Open Biopsy page via Setup gt System Preset gt Biopsy B Bracket model To set the default bracket for a probe 1 Select a probe model in the Probe Model list all the supported bracket models will be displayed in the Bracket Model list on the right side If the selected probe has no bracket matched no model is displayed 2 Click to select a bracket model on the Bracket Model list 3 Click OK to confirm the setting and return to Setup menu m Parameter
145. nfigured here should be consistent with the one set in the server For example when you set Scheduled Station AE Title in the Worklist server as DP50 this means you assigned the scheduled exam to DP50 then both Scheduled Station AE Title and AE Title in the ultrasound system configuration should be DP50 10 1 3 4 Storage Commitment 1 Enter Setup gt DICOM Preset gt Set DICOM Service gt Storage Commitment 2 Select device enter the information For device setting please refer to 10 1 3 DICOM Service Click Add to add the service to the Service list Select an item in the service list change the parameters in the above area and click Update to update the item in the service list click Cancel to cancel changing e Select an item in the service list and click Delete to delete the service Select an item in the service list and click Default to set the server to be the default service 3 Select an item in the service list and click Verify to verify the connection 4 Click Exit to confirm the setting and exit the page DICOM Service StorageCommitment Configure the New Service Device server GAEO AE Title A Por CT 1 Timeout Sec E Associated Storage Service Noe Add Cancel Service List Device Service Name AE Title Default commit commit SC N Delete Default Verify Verify Undo DICOM storage commitment setting items are described as follows 10 1
146. ng deleting renaming copying and pasting functions W Renaming Exam Mode available to user defined exam mode only Select an exam mode click Rename W Changing application region available to user defined exam mode only Select an exam click the application region from the Application column select a value from the drop down list 11 10 Setup 11 3 Image Preset Enter Setup gt Image Preset Image preset is used to set the image parameters for each imaging mode Image parameters can be divided into the following three categories B Imaging mode relevant parameters W Parameters pertinent to both exam mode and probe m Other image specific parameters For details please refer to the relevant imaging modes in 5 Image Optimization 11 4 Measure Preset For measurements details please refer to the Advanced Volume 11 5 Body Mark Preset In order to accommodate your workflow numerous preferential settings can be captured in Body Mark Preset This function is to preset body marks in each exam type or user defined body marks 11 5 1 Preset Body Mark for Exam Mode 1 To enter Body Mark Preset screen see the figure below Enter Setup gt Bodymark Preset as shown in the figure below Body Mark Preset Zn Library Name Available Items v Selected Items Default Import Custom Cancel Setup 11 11 2 Selecting exam modes Select the exam mode in the drop down list the current exam mode is
147. ng a defective probe may cause electric shock 1 Check if the locking lever on the probe is locked or unlock it by turning it counterclockwise to horizontal 2 Insert the probe connector into the port with the probe cable pointing to the holder 3 Lock the lever by turning it clockwise 4 Place the cable properly to avoid being treaded or wrapping with other devices DO NOT allow the probe head to hang free 3 4 System Preparation 3 4 2 Disconnecting a Probe 1 Turn the probe lock lever counterclockwise to release the connector 2 Pull the connector straight out 3 Keep the probe in safety and care 3 5 Connecting the Footswitch Connect the footswitch to the main unit via a USB port Set the functions of the footswitch in the Key Config page Refer to 11 1 6 Key Config for details 3 6 Connecting Removing a USB Storage Device DO NOT detach an USB storage device directly otherwise ZNWARNING the ultrasound system or the USB device and or data stored in the device may be damaged B When connecting a USB storage device to the ultrasound system you can see the symbol in the lower right corner of the screen m To remove the USB storage device Click to open the Remove USB Device screen Select the device to be removed Click OK 3 7 Graph Text Printer W Connecting a local printer As shown in the figure below a graph text printer has a power c
148. nnect to this Printer and enter the printer address in the field box 3 When the network is successfully connected you can see the printer in the list Tips the network printer functions depending on the configured network environment in the hospital please consult the network configuration manager in case of failure NOTE When you install the printer s driver you must specify the specific path for installation otherwise vague path may result in longer time for searching W Print Service You can use a graph text printer to print report or images e To set the default report printer and its attribute In Setup gt Print Preset screen select the Print Service select Report Print column in the service list set the items in the Property box Report print Click Print in the report dialog box to print a report or use the user defined key to print see 11 1 6 Key Config for details Please refer to the accompanying manuals of the printers for more details 3 8 Digital Video Printer B Install a local printer Put the printer in a proper place 2 Connect the printer VIDEO IN port and the ultrasound system USB port with the data cable 3 Load a paper roll and turn on the system and printer 4 Install the printer driver steps are the same as of graph text printer please refer to 3 7 Graph Text Printer for details And you need not install the driver of the printer listed in sectio
149. nob to confirm the character added and the color of the character added turns yellow B Adding a Comment Text Move the cursor onto the desired comment text in the menu and press lt Set gt or the multifunctional knob and then the system adds the selected comment text on the set location The added comment text is in the edit status so you can edit the comment text added e Add combined comment Press Menu or the multifunctional knob to show the menu rotate the knob to view the comments one by one press the knob again to add the selected item onto the image comment added in an editable state rotate the multifunctional knob to search for the next part and press the knob again to add the second part of the combined comment Repeat procedures to add other parts of a combined comment Press lt Set gt to complete the comment W Adding an Arrow You can add an arrow to a location where you want to pay attention 8 2 Comments and Body Marks Press the lt Arrow gt key and an arrow will appear at the default position Adjust the arrow Adjust the position and orientation of the arrow roll the trackball to the desired position and use the multifunctional knob to change the orientation in 15 increments Click Arrow Size on the menu to change the arrow size Press lt Set gt or lt Enter gt to anchor the arrow position and then the arrow turns yellow Repeat the above steps to add more arrows Press lt Arrow gt key lt E
150. not be completed and can become lost or corrupted 14 The system should be powered by battery when the integrality and reliability of the protective grounding of external power supply is indeterminate 15 The replaceable fuse is inside the chassis Refer replacing job to Mindray service engineers or engineers authorized by Mindray only Safety Precautions 1 7 Please read the following precautions carefully to ensure the safety of the patient and the operator when using the probes NWARNING 1 Z CAUTION 1 8 Safety Precautions The ultrasonic probe is only for use with the specified ultrasonic diagnostic system Please refer to the 2 5 2 Probes Available to select the proper probe The ultrasonic probe must be used only by qualified professionals Confirm that the probe and cable are normal before and after each examination Electrical shock may result from a defective probe Do not subject the probe to shock A defective probe may cause electric shock to the patient Do not disassemble the probe to avoid the possibility of electric shock Never immerse the probe connector into liquids such as water or disinfectant because the connector is not waterproof Immersion may cause electric shock or malfunction A probe sheath must be installed over the probe before performing intra cavity or biopsy examination When using the probe wear sterile gloves to prevent infection Be sure to use ultrasound gel
151. ns in the manual for disinfection 1 Wear sterile gloves to prevent infection 2 Clean the transducer before disinfecting it MINDRAY recommends the following solutions to disinfect the transducer B Glutaraldehyde based disinfectant Chemical Trade name Procedures name Glutaraldehyde Cidex Activated Please refer to the instructions provided by the 2 2 2 7 Dialdehyde Solution manufacturer of the solution for details Probes and Biopsy 12 9 B Glutaraldehyde based disinfectant Shaken Trade Name Procedures ame aring Please refer to the instructions provided by the Phthalaldehyde Cidex OPA 7 manufacturer of the solution for details 0 55 W N Dodecylpropane 1 3 diamine based disinfectant Chemical Name Manufacturer Trade Procedures Name N Dodecy Antiseptica Triacid N Please refer to the instructions provided by the manufacturer of the Ipropane 1 3 A solution for details diamine W Quaternary Ammoniums based disinfectant Chemical Name Manufacturer Trade Procedures Name Quaternary Ecolab Inc Ster Bac Please refer to the instructions Ammoniums provided by the manufacturer of the solution for details B Hydrogen Peroxide and Peroxyacetic Acid based disinfectant Trade Name Chemical Name Procedures Minncare Cold Sterilant 22 Hydrogen Peroxide Please refer to the instructions provided by the manufacturer of the solution for details
152. nt Preset The settings of a printer include print service and print driver Print Preset Print Service Service Name Service Type Printer Status Add Service r 5 Digital Image Print Fail to open Rename Service 4 gt Property Service Type Report Print Service Name Report Print Printer rs gt Paper Size CERERI w 210 0mm 297 0mm Cancel e Print Service Setting gt Add Service click to begin print service adding gt Remove Service click to delete the selected print service gt Rename Service click to rename the selected print service gt Property to preset the property of print services 11 14 Setup e Printer Driver Setting Printers listed in the operator s manual are all supported by the system no drive is required Click Print Driver page to enter printer driver setting screen gt Display the printer name as well as print status gt You can add printer including network printer gt Check the printer attribute For details about DICOM print please refer to 10 DICOM 11 8 Network Preset For local TCP IP preset and DICOM preset please refer to 10 1 DICOM Preset 11 9 Workstation Setting You can preset to send the image and measurement data to Workstation which is an image data management system B Workstation Preset Enter Setup gt Workstation Setting to set the IP Address and Port m User defined key Preset Enter Setup gt System Preset gt Key
153. ntrol please refer to 9 7 Access Control 11 2 Exam Preset Open Setup gt Exam Preset or click Exam Preset in the Probe amp Exam selection screen to enter Exam Preset screen 11 8 Setup Exam Preset Exam Selection Probe Exam Library Exam Selected ABD aso ABD Difficult Ped ABD GYN OB1 OB2 3 Cardiac Thyroid Breast SMP Urology Prostate Vascular Musculoskeleta Nerve Superficial Orthopedic EM FAST Cancel 11 2 1 Exam Selection After the Exam Preset screen is entered the screen will display the Exam Selection page as shown in the figure below This page is used to assign an exam type to a specific probe 1 To select a probe Move the cursor to Probe and select a probe from the drop down list 2 Selecting delete exam modes On the right side of the screen you can view the exam types supported by the current probe On the left side you can view all the exam modes supported by the system i e Exam Library e gt add a selected exam mode in the Exam Library to the Exam Selected list gt gt add all exam modes in the library to the Exam Selected list e lt remove an exam mode selected from the Exam Selected list e Click Up and Down to adjust the sequence of the items in Selected Items e Click Default to set a selected exam mode as the default exam mode 3 Click OK to confirm the modified setup or click Cancel to cancel the modified s
154. ocessing etc do not affect output These controls should be used when possible to improve the image quality before using controls that directly or indirectly affect output 14 7 Acoustic Output 14 7 1 Derated Ultrasonic Output Parameters In order to determine the relevant Ultrasonic Output Parameters a method is used which allows for the comparison of ultrasound systems which operate at different frequencies and are focused at different depths This approach called derating or attenuating adjusts the acoustic output as measured in a water tank to account for the effect of ultrasound propagation through tissue By convention a specific average intensity attenuation value is used which corresponds to a loss of 0 3 dB cm MHz That is the intensity of ultrasound will be reduced by 0 3 dB MHz for every centimeter of travel from the transducer This can be expressed by the following equation 14 4 Acoustic Output I T x10 C 93 10 x 2 atten water Where latten is the attenuated intensity lwater is the intensity measured in a water tank at distance z fc is the center frequency of the ultrasound wave as measured in water and z is the distance from the transducer The equation for attenuating pressure values is similar except that the attenuation coefficient is 0 15 dB cm MHz or one half the intensity coefficient The intensity coefficient is double the pressure coefficient because intensity is proportional to the square
155. oderate injury NOTE Indicates a potentially hazardous situation that if not avoided may result in property damage Tips Important information that helps you to operate the system more effectively 1 3 Meaning of Safety Symbols Symbol Description Type BF applied part The ultrasound probes connected to this system are type BF applied parts The ECG module connected to this system is Type BF applied part gt General warning caution risk of danger T 9 Patient user infection due to contaminated equipment Be careful when performing the cleaning disinfection and sterilization Patient injury or tissue damage from ultrasound radiation It is required to practice ALARA when operating ultrasound system 1 2 Safety Precautions 1 4 Safety Precautions Please observe the following precautions to ensure patient and operator s safety when using this system DO NOT use flammable gasses such as anesthetic gas or DANGER hydrogen or flammable liquids such as ethanol near this system because there is danger of explosion 1 Doconnectthe power plug of this system and power plugs WARNING 3 of the peripherals to wall receptacles that meet the ratings indicated on the rating nameplate Using a multifunctional receptacle may affect the system protective grounding performance and cause the leakage current to exceed safety requirements Use the cable provided with this system to c
156. of pressure Although the attenuation coefficient chosen 0 3 dB cm MHz is significantly lower than any specific solid tissue in the body this value was chosen to account for fetal examinations In early trimester ultrasound fetal examinations there may be a significant fluid path between the transducer and the fetus and the attenuation of fluid is very small Therefore the attenuation coefficient was lowered to account for this case 14 7 2 Limits of Acoustic Output In accordance with the FDA Track 3 requirements the derating or attenuated approach was incorporated into the FDA Acoustic Output Limits as listed below The maximum acoustic output level from any transducer in any operating mode is expected to fall below these limits FDA Maximum Acoustic Output Limits for Track 3 Attenuated Values Application Ispta 3 mW cm Isppa 3 W cm MI Regions except eyes 720 s 190 lt 1 9 14 7 3 Differences between Actual and Displayed MI and TI In operation the system will display to the operator the Acoustic Output Parameters Thermal Index Tl or Mechanical Index MI or sometimes both parameters simultaneously These parameters were developed as general indicators of risk from either thermal or mechanical action of the ultrasound wave They serve to indicate to the operator whether a particular setting of the system increases or decreases the possibility of Thermal or Mechanical effect More specifically they were design
157. off during scanning the exam status turns paused after the system restart Only one exam can be paused every time When an exam is paused the system will 1 Saves the exam related images reports and measurement data modifies the status as Paused 2 Save the exam information including report imaging mode exam mode image parameters operation mode imaging measurement data and so on 4 6 2 End an Exam Before examining a new patient press lt End Exam gt to end the exam of the previous patient update the patient ID and information to avoid mixing data of the next new patient To end an exam you can do one of the following Press lt End Exam gt on the control panel e Click New Patient on the Patient Info screen to end the last patient exam and clear the patient information e Click New Exam on the Patient Info screen or Station screen or Review screen to end the last exam and clear the exam data 4 10 Exam Preparation 5 Image Optimization 1 The images displayed in this system are only reference for ZA WARNING diagnosis Mindray is not responsible for the correctness of diagnostic results It is the responsibility of the clinician who performs the exam to capture the correct diagnostic results In Dual B imaging mode the measurement results of the merged image may be inaccurate Therefore the results are provided for reference only not for confirming a diagnosis 5 1 Switching Betwe
158. om 16384 to 65536 The default value is 32768 Enter AE Title Port PDU according to the actual situation and then click OK to exit the screen Note e AETitle should be the same with the SCU AE Title preset in the server PACS RIS HIS for example if the AE Title of the server preset in the print server is AAA and the AE Title of the accepted SCU is preset as MMM then in the figure above the AE Title of Local should be MMM and the AE Title of print server should be AAA B DICOM Server Setting Name Description Device Name of the device supporting DICOM services IP Address IP address of the server You can ping other machines to verify connection after entering the Ping correct IP address Also you can check the connection of the already added server in the list DICOM 10 3 Name Description Add Click to add servers to the device list Set DICOM Service Click to enter DICOM service preset see 10 1 3 DICOM Service Delete Click to delete the selected server s in the device list Note e lf the currently entered name has already existed the system will pop up The server name exists Click OK to enter another name 10 1 3 DICOM Service When the system is configured with DICOM basic function module and installed DICOM Worklist and Storage Commitment the corresponding preset settings can be found in DICOM Service screen Enter Setup gt DICOM Preset Click
159. ompleted 9 2 10 Sending Image File m On the image screen select a stored image thumbnail click Send To on the right corner of the image the image can be sent to the external device DVD recorder DICOM storage server DICOM print server system connected printer and etc m In the Station screen click or in Review screen click Send To to send the selected image to the external devices See the figure below F E DICOM da Printer H IHE PDI tt220110211 141030 605A e sdf20110211 14 20110212 1116 214 103453 347 Property Total 7633 MB Free 5589 MB Cancel e For external memory devices e g USB memory devices and DVD a PC format transfer JPG AVI BMP AVI TIFF AVI Where a single frame image is exported as JPG TIFF or BMP and the cine file exported as AVI b DCM format transfer DCM including single frame DCM and multi frame DCM c You can also select to export report in RTF format For DICOM Storage or Print server select the DICOM Storage or Print server 9 8 Patient Data Management Fora video printer send images to the video printer connected with the system For a graph text printer send the images to the default graph text printer 9 3 Report Management B Report storage The exam reports are stored under the directory of the exam of the patient B Importing exporting and sending a report In the iStation screen select patient data click fO Restore or
160. onnect the printer Other cables may result in electric shock You must use the power adapter provided with the system otherwise electric shock may result You can only adopt the power supply method provided by Mindray other power supply modes e g using a UPS may result in electric shock Connect the protective grounding conductor before turning ON the system Disconnect the grounding cable after turning OFF the system Otherwise electric shock may result For the connection of power and grounding follow the appropriate procedures described in this operator s manual Otherwise there is risk of electric shock DO NOT connect the grounding cable to a gas pipe or water pipe otherwise improper grounding may result or a gas explosion may occur Before cleaning the system disconnect the power cord from the outlet System failure and electric shock may result This system is not water proof designed Do Not use this system in any place where water or any liquid leakage may occur If any water is sprayed on or into the system electric shock or device malfunction may result If water is accidentally sprayed on or into the system contact Mindray Customer Service Department or sales representative Do not use a transducer that has a damaged scratched surface or exposed wiring of any kind Immediately stop using the transducer and contact Mindray Customer Service Department or sales representative There is risk of electric sho
161. ons of blocks can be used Used for installing biopsy needle there are five lt 7 gt Guiding block specifications of guiding blocks for different biopsy needles lt 8 gt Specification of guiding Matched with the corresponding biopsy block 14G needle 14G lt 9 gt Needle guide hole Used for installing the biopsy needle lt 410 gt Pinch nut of needle guided Used for locking the bracket needle guided bracket and the transducer e Plastic Probes and Biopsy 12 19 No Name Description Support of needle se guided bracket Used for installing the needle guided bracket on the transducer 2 Angle block Used for determining the angle of the biopsy there are three specifications of blocks of angle 3 Guiding block Used for installing biopsy needle there are five specifications of guiding blocks for different biopsy needles Groove and tab of the 4 needle guided bracket Respectively matched with the tab and groove of the transducer Specification of lt 9 guiding block 13G Matched with the corresponding biopsy needle 13G 6 Needle guide hole Used for installing the biopsy needle Specification of angle block 60 B NGB 016 lt gt Corresponding to the size of the biopsy angle 60 No Name Description Clamp of needle guided siy bracket Used for installing the needle guided bracket on the transducer Groove of the
162. or preview page by H orfBrespectively Delete select a thumbnail image and click X to delete it e Send to select a thumbnail image and click to send it to other devices System status icon This area displays the relevant system icons such as USB memory device printer network Chinese English entry and current system time etc None fixing Area Position of areas illustrated here are not fixed you can move them by the trackball within a certain area on the display System Preparation 3 11 e Result window The measurement result window displays the results of recently performed measurements To move the result window a Place the cursor on the title of result window you can see the cursor changes into b Press lt Set gt and move the trackball the window moves together with the cursor c Move the cursor to the target position press Set again to anchor the result window in the target position Comment area For details please refer to 8 Comments and Body Marks Body mark area For details please refer to 8 Comments and Body Marks 3 11 2 Basic Operations of Screens A screen consists of title page tabs contents and buttons as shown in the following figure System Preset Title General Tab Patient Info Other Info displays in image banner vu Image Output Size Clip Length Time s 600 Surface Formula Output Mode Contents O e O Screen Saver Comment
163. ord enter other keyword or cancel the selection Find in results the system will refresh the searched results Patient Data Management 9 11 e Select Find in results the system will do searching based on the last searched results 9 4 2 Patient Data View amp Management Select the desired patient information in the list The following menu pops up les Review Image p Patient Info Review Report ES Delete Exam 9 Backup Exam 9 Restore Exam EN Activate Exam Y Continue Exam B Review Select an exam of a patient click tci Review Image to enter Review screen B Info Gy Patient Info Select an exam of a patient click patient information of this exam B Report on the right side to display the After you select an exam of a patient click e Review Report to view the report of this exam for this patient If no report is generated in the exam the system prompts that There is no report belongs to the exam B Delete Select an exam or a patient click EJ Delete Exam to delete However you cannot delete patient data being printed exported or sent or delete the current exam To delete an image select the image and click on the right side W Backup Restore You can back up the selected patient data to the system supported media in order to view it on PC or restore the patient data to the system from an external media Backup Exam Click to export the selected patient data to the
164. ord and data cable The power cord shall be directly connected to a wall receptacle as required System Preparation 3 5 mu ae e Power cord Data cord USB port Connect the data cable with the USB port on the system Plug the other end power plug into an appropriate outlet Power on the system and the printer Install the printer driver drivers of printers listed in 2 5 4 Peripherals Supported have already installed 1 Enter Setup gt Print Preset select Printer Driver and click Add Printer as shown in figure below Add Printer Wizard Add Local Printer Add Local Printer Add Network Printer o Search Network Printer Connect to this Printer Example server Cancel 2 Select Add Local Printer and click Next to enter the screen of browsing driver select the desired driver and click OK to install the driver Select the printer from the list and the property field displays the service letter of this printer Click OK to finish the installation Add network printer As the system is connected into a LAN open Setup gt Print Preset gt Printer Driver Screen Click Add Printer and select the types of adding network printer Add network printer Select Search Network Printer and click Next to search for the printer select the domain and server in the screen to find the printer 3 6 System Preparation Connecting to the specified printer Select Co
165. orts and configures a medical system to verify that the system complies with the requirements of IEC 60601 1 1 If you have any questions regarding these requirements consult your sales representative Prolonged and repeated use of keyboards may result in hand or arm nerve disorders for some individuals Observe the local safety or health regulations concerning the use of keyboards When using intra cavity transducers do not activate the transducer outside the patient s body CAUTION 1 Precautions concerning clinical examination techniques This system must be used only by qualified medical professionals This operator s manual does not describe clinical examination techniques The clinician should select the proper examination techniques based on specialized training and clinical experience Malfunctions due to radio wave e Ifaradio wave emitting device is used in the proximity of this system it may interfere with operations Do not bring or use devices that generate radio waves such as cellular telephones transceivers and radio controlled toys in the room where the system is installed If a person brings a device that generates radio waves near the system ask him her to immediately turn OFF the device 3 Precautions concerning movement of the system When you place the system on the mobile trolley and move them together you must secure all objects on the mobile trolley to prevent them from falling
166. ost the application measurement data are stored in the report If the system is turned off or End Exam is pressed during a measurement the data not saved will be lost In Dual B imaging mode the measurement results of the merged image may be inaccurate Therefore the results are provided for reference only not for confirming a diagnosis 7 1 Basic operations B Entering Exiting Measurement Enter on the control panel press the lt Caliper gt to enter general measurement press Measure key to enter application measurement Press lt Caliper gt or lt Measure gt key again to exit m Measurement result and help information The system displays and updates measurement results in the result window The help information concerning measurement and calculation is displayed in the Help Information area at the bottom of the screen Measurement 7 1 7 2 7 2 1 General Measurements 2D General Measurements 2D general measurements refer to general measurements on 2D mode Measurement Tools Function Distance Measures the distance between two points of interest The distance between probe surface and the probing point along Depth ultrasound beam Angle The angle between two intersected planes Area Measures the area and perimeter of a closed region Volume The volume of a target Cross Line The length of two line segments which are perpendicular to each other Parallel Line The distance betw
167. ower The model of the chargeable lithium ion battery hereinafter called battery for short is LI341002A Battery 13 1 NOTE 1 Only use the specified batteries 2 f there is only one battery in the system it cannot supply power and cannot be charged 13 2 Precautions 1 Before using the battery carefully read the description in the label on the surface of the battery 2 When you use the battery at the first time and find that it is dirty or emit an odor do not use it 3 Do not expose the battery to heat sources or high pressure 4 Do not leave the battery in direct sunlight 5 Store the battery out of the reach of children Store the battery out of the reach of children 6 The battery is designed to be charged only in this system charge the battery only when the ambient temperature is between 0 and 40 C 7 When the battery is out of power please charge it immediately 8 When the battery will not be used for 10 days or over take it out of the system and store it with caution DO NOT wrap it with conductive material store it in shady cool and dry place 9 Do not knock the battery 13 3 Installing and Removing the Batteries Turn off the system and disconnect the adapter from the WARNING main unit before installing or removing batteries DO NOT install or remove batteries when the system is turned on or the system is turned off but the adapter is connected with the system The ba
168. perature burns during normal ultrasound examinations It is possible for the surface temperature of the transducer to exceed the body temperature of a patient due to environmental temperature and exam type combinations Do not apply the transducer to the same region on the patient for a long time Apply the transducer only for a period of time required for the purpose of diagnosis The system and its accessories are not disinfected or sterilized prior to delivery The operator is responsible for the cleaning and disinfection of transducers and sterilization of biopsy brackets according to the manuals prior to the use All items must be thoroughly processed to completely remove harmful residual chemicals which will not only harmful to the human body but also damage the accessory It is necessary to press End Exam to end the current scan that is in progress and clear the current Patient Information field Otherwise new patient data may be combined with the previous patient data DO NOT connect or disconnect the system s power cord or its accessories e g a printer without turning OFF the power first This may damage the system and its accessories or cause electric shock If the system is powered off improperly during operation it may result in data damage of the system s hard disk or system failure Do not use the system to examine a fetus for a long period of time Do not use a USB memory device e g a USB flash drive r
169. rding by using the standard probe 16 3 Consumables and Periodic Part Replacement This system contains some consumables and parts requiring periodic replacement Before replacing them please contact Mindray Customer Service Department or sales representative for instructions System Maintenance 16 3 16 4 Troubleshooting To ensure proper system operation and function it is recommended that a maintenance and inspection plan be established to periodically check the safety of the system If any system malfunction is experienced contact Mindray Customer Service Department or sales representative If any persistent system malfunction is experienced e g an onscreen error message blank imaging screen absent menus please refer to the following table below If the failure cannot be eliminated please contact Mindray Customer Service Department or sales representative 1 Do not spill water or other liquid into the system while you CAUTION perform the cleaning Otherwise it may result in malfunction or electric shock When you want to clean probe connectors and TGC sliders contact Mindray Customer Service Department or sales representative Cleaning it yourself may result in malfunction or degradation of the performance 16 4 System Maintenance B Troubleshooting Table Failure Cause Measure After the power supply is turned on the power indicator does not light on Abnormal power system or incorrect
170. rein Cy 1 MPa 4MHz For the frequency 1 MHz and the peak rarefactional acoustic pressure 1 MPa MI becomes 1 It is possible to think MI to be one threshold of the cavitations generation Especially it is important to keep MI value to be low when both gases and the soft tissues exist together for such as lung exposure in cardiac scanning and bowel gas in abdominal scanning B TI Thermal Index Tl is determined by the ratio of the total acoustic power to the acoustic power required to raise the tissue temperature by 1 degree C In addition because the temperature rises is greatly different according to tissue structures TI is divided three kinds TIS Soft tissue Thermal Index TIB Bone Thermal Index and TIC Cranial bone Thermal Index e TIS Thermal index related to soft tissues such as abdominal and cardiac applications e TIB Thermal index for applications such as fetal second and third trimester or neonatal cephalic through the fontanel in which the ultrasound beam passes through soft tissue and a focal region is in the immediate vicinity of bone e TIC Thermal index for applications such as pediatric and adult cranial applications in which the ultrasound beam passes through bone near the beam entrance into the body 14 2 Acoustic Output WFUMB World Federation for Ultrasound in Medicine and Biology guidelines state that temperature increase of 4 degree C for 5 min or more should be considered as poten
171. rent tissue characteristics for a better image effect Image Optimization 5 7 Operation Press lt Gain iTouch gt on the control panel the iTouch symbol will display in the image parameter area Click iTouch on the image menu to adjust gain in iTouch status among 12 through 12dB Click iTouch Bright on the image menu to adjust brightness in iTouch status among 2 through 2 Gray Rejection Description This function is to reject image signals less than a certain gray scale then the rejected signal corresponding area turns black Operation Click Gray Rejection in the menu to adjust The adjusting range is 0 5 Curve Description To manually enhance or restrain the signal in the certain scale Operation Click Curve in the menu to open the dialogue box to adjust Drag the curve node to increase or decrease the gray scale information drag the node up to increase the information and down to decrease Y Description The y correction is used to correct non linear distortion of images Operation Click y on the image menu to adjust The adjusting range is 0 3 increase the value the image turns dark Gray Invert Description Reverse the polarity of the image Operation Click Gray Invert to turn on or off the image inversion Impacts The gray rejection curve y and gray invert functions are available in real time High FR Description Operation HScale Description Operation imaging freeze or cine review status T
172. s gt Menu title Displays the menu name gt Tags Attribute tags of the item gt Items Refers to the items on a menu For item that is applicable for more than one mode the item appears as universal item in the certain mode Items of image modes and measurement can be preset refer to 11 Setup for details gt Return to previous menu Click Return to return to the previous menu from the sub menu The multifunction knob can be used to operate the menu Press the know to open the menu rotate the know to navigate through the items one by one 3 10 System Preparation Depending on the item types the multifunction knob can gt Fora commanding item or command optional item press the knob to directly activate the item gt Fora parameter item or ON OFF item press the knob to lock and select the item then rotate the knob to switch among the available values press the knob again to release and deselect the item gt Foran item with sub menu press the knob to extend the sub menu and the cursor navigates to the first sub item At the same time you can exit from the sub menu to the previous item by clicking Return in the sub menu gt For tag items in the menu e g the Right and Left tag in the measurement menu Rotate the multifunctional knob to navigate the tag and press the knob to select the tag Parameter area Displays the image parameters for the activating window If there are more than one imaging mod
173. se of accessories probes and cables other than those specified may result in increased emission or decreased immunity of system The system should not be used adjacent to or stacked with other equipment If adjacent or stacked use is necessary system should be observed to verify normal operation in the configuration in which it will be used The system needs special precautions regarding EMC and needs to be installed and put into service according to the EMC information provided below Preventing conducted RF immunity Due to technological limitations the conducted RF immunity level are limited to 1Vrms level conducted RF interference above 1Vrms may cause wrong diagnosis and measurements We suggest that you position system further from sources of conducted RF noise Operation of system in the case that the patient physiological signal is lower than the minimum amplitude or value specified in the product specifications may cause inaccurate results Portable and mobile RF communications equipment can affects system See tables 1 2 3 and 4 below Guidance and Manufacturer s Declaration 15 1 TABLE 1 GUIDANCE AND MINDRAY DECLARATION ELECTROMAGNETIC EMISSIONS The system is intended for use in the electromagnetic environment specified below The customer or the user of system should assure that it is used in such an environment EMISSIONS TEST COMPLIANCE ELECTROMAGNETIC ENVIROMENT GUIDANCE RF e
174. set the password for it The operator can only modify his her own password To modify the password the user has to login the system first There are two ways to modify password modify it on Admin page or on Session Manage dialogue box m Admin page administrator can modify the password 1 Open the Admin page through the path Setup System Preset Admin 2 Select the user name to be modified except emergency operator in User List click Change Password 3 Enter new password and confirm password in the dialog then click OK B Session Manage page general operator and administrator can modify the password When the user has logged on the system you can see at the lower right corner of the screen 1 Click al at the lower right corner to pop up the Session Manage dialogue box on which you can see the current user s information 2 If you want to modify the current password click Change Password to pop up the Change Password dialogue box Change Password User name Admin New Password pos Confirm New Password a Note The password must consist of 6 16 characters Cancel 3 Enter the previous and the new password in the dialogue box 4 Click OK to exit Patient Data Management 9 19 10 Dicom NOTE Before using DICOM please read the electronic file DICOM CONFORMANCE STATEMENT along with the device This chapter is confined to the preset conne
175. sfully it is suggested to install NET Framework Visual Studio Net of a version later than 2 0 if your computer was installed with TortoiseSVN 10 6 DICOM Task Manager DICOM Task Management is used to view task progress or manage tasks after sending images for storage print or media storage For details on tast manager see 9 6 Patient Task Manager 10 16 DICOM 1 1 Setup The Setup function is designed to set the configuration parameters of operating the system and maintaining user workflow setup data The setup data of the user and system are stored to the hard drive and should be backed up to CD DVD or USB memory devices When the setup data is changed be sure to save the preferences CAUTION according to the methods described in this chapter Mindray is not responsible for the loss of the setup data B To enter Setup Press the lt Setup gt to enter Setup On probe amp exam mode selection page click Exam Preset to enter Exam Preset page System Preset B To exit Setup Selecting Return on the Setup menu or press lt Esc gt to close the Setup menu and the parameter settings is saved If you change the system language and click Return on the Setup menu or press lt ESC gt the system will automatically restart to make the changing effective W Basic operations The commonly used setting types are e Manually inputting posit the cursor into the corresponding box enter the des
176. so imported to the new exam After you edit the patient information in the Patient Info screen select OK to start a new exam e Select All Exams Click to select all records e Exit click to exit iStation 4 2 2 2 DICOM Worklist When the DICOM basic package is configured and the Worklist server has been set click Worklist in the Patient Info screen to query or import the patient data For the setting of Worklist server please refer to 10 DICOM Procedure 1 Select data source choose a worklist server in the drop down list of Worklist Server and then all the patient exam records in the server are listed out 2 Input the searching condition 4 6 Exam Preparation Select exam date period click Query to search the patient data in the period Enter patient ID patient name accession the system affords the result in real time Or select the keyword type enter the keywords and then click Query to search e To reset the criteria click Clear button 3 Select the desired patient from the list e Click Start Exam the patient information is imported into the system and then an exam is started Click Transfer the patient information is imported into the Patient Info screen Edit the patient information in the Patient Info screen and select OK to start a new exam e Click Show Detail to see details of patient data 4 Click Exit to exit the Worklist 43 Select Exam Mode and Probe _ MW the e
177. so may result in the probe and the needle guided bracket to becoming sources of infection Please follow the instructions in the manual for cleaning Never immerse the probe connector into liquid such as water or Z WARNING disinfectant Immersion may cause electrical shock or malfunction 1 When performing cleaning and NCAUTION perormira cloning disinfection of the probe to prevent infection wear sterile gloves After disinfection rinse the probe thoroughly with sterile water to remove all chemical residues Chemical residues on the probe may be harmful to the human body No cleaning and disinfecting may result in the probe becoming a source of infection NOTE 1 Afterthe examination wipe off the ultrasound gel thoroughly Otherwise the ultrasound gel may solidify and the image quality would be degraded 2 DO NOT make the probe to become overheated more than 55 C during cleaning and disinfections High temperature may cause the probe to become deformed or damaged Cleaning 1 Wear sterile gloves to prevent infection 2 Wash the transducer with clean water or soapy water to remove all the foreign matters or wipe the transducer with a soft ethyl carbamate sponge Avoid using a brush because it may damage the transducer 3 Wipe off water on the transducer using sterile cloth or gauze after washing it Do not dry the transducer by heating High Level Disinfections Please follow the instructio
178. specimen 8 After extraction of the biopsy sample is completed gently remove the probe from the body To exit Biopsy menu press lt Esc gt or navigate the cursor onto the Other menu 9 Disassemble the items and properly dispose of these items as required Fail to match the guidezone displayed to the guide may cause the Z DANGER needle to track a path outside the zone It is extremely important that when using the adjustable angle biopsy guides the angle displayed on the screen matches the angle set on the guide otherwise the needle will not follow the displayed guidezone which could result in repeated biopsies or patient injury 12 2 2 Needle guided Brackets A needle guided bracket is available for purchase as an optional accessory it is used in combination with this transducer Part of the probes have matched needle guided bracket and needles To order needle guided brackets contact MINDRAY Customer Service Department or sales representative For biopsy or treatment ultrasound guided biopsy procedures can be performed using this transducer in combination with a needle guided bracket optional accessory and a biopsy needle provided by the user Name of Parts This section describes the parts and corresponding functions of each needle guided bracket 12 14 Probes and Biopsy WB NGB 001 e Metal needle detachable lt 2 gt lt 13 gt lt 6 gt lt 5 gt lt 4 gt lt 15 gt lt 12 gt lt 14
179. ss enm eene 3 2 3 2 2 Powered by Battery eese ese EEA esset AAYAN nsn nbn nnde n 3 2 3 3 Powerd ON OFF min tO tt im uhi it en 3 2 9 9 1 POWT ON siii e er Ue reacties EHE en mte e nee 3 2 3 3 2 Powering OFF secet aie de rada dine id d de dar d do a dn d de dvd 3 2 3 4 Connecting Disconnecting a Probe ssssssssssseeeeee eene 3 2 9 41 Connecting a PIEOD6O iecit gef rdia dcagebeaddagensaateecvtaaddneusaddagenvidadeens 3 2 3 4 2 Disconnecting a Probe iei eder ac 3 2 3 5 Connecting the Foots Witch asenin aaa a e ninh sete tnnt nnne stark sese 3 2 3 6 Connecting Removing a USB Storage Dewvice ssssesseeeeeemen 3 2 3 7 QGraph Text Printer ii bre dou do De sus edet 3 2 3 8 Digital Video Prititer eerte t pterea Rene duda 3 2 3 9 j Analog Video Printer iid itte Eq Ota ee ra tg d te gla a Pt pa ere 3 2 310 External DVD n aid 3 2 3 11 Basic Screen and Operation sss eren 3 2 9 11 1 AAA Der ed e eatin all er at et EE nia at 3 2 3 11 2 Basic Operations of Screens ssssssssssssssssseeeeeeee eene 3 2 4 Exam Preparation sccisccsscssciccnceveccendaseverecececceusedecsvesececceusasessverseecdendadaseversdecnencedsvseeveds 4 2 4 1 Start an Exam indie ede dert ded Le dei dee ed a d eed oa 4 2 4 2 Patient Information prt rd e EP RF pti P EE Odds 4 2 4 2 1 New Patient Infomation narenn e E nennen ener enne 4 2 4 2 2 Retriev
180. st be clean 3 2 System Preparation B Checking after it is turned on Press the power button in the upper right corner on the control panel To check the system after the system is turned on No Check Item 1 There shall no unusual sounds or smells indicating possible overheating 2 There shall be no persistently displayed system error message lt 3 gt There shall no evident excessive noise discontinuous absent or black artifacts in the B Mode image Check if there is abnormal heat on the surface of the probe during an d ultrasound procedure 5 The control panel keys and knobs are fully functional lt 6 gt The exam date and time are the same as the system date and time and are displayed correctly 1 If you use a probe giving off excessive heat it may burn WARNING ne If you find anything not functioning properly this may indicate that the system is defective In this case shut down the system immediately and contact Mindray Customer Service Department or sales representative NOTE When you start the system or switch between probes you will hear clicking sounds this is expected behavior 3 3 2 Powering OFF You need to follow the correct procedures to power off the system In addition after you upgrade the software or when the system is down you need to power off and restart it If you will not use the system for a long period of time after powering off the sy
181. stem you shall disconnect the external power supply turn off powers of all peripherals connected to the system W To power off your system normally Gently press the power button once on the upper right corner of the control panel The Shutdown Confirm screen appears See the figure below 0 OM S Shutdown Standby Cancel Select next operation e Shut down To power off the system normally e Standby To enter the standby status System Preparation 3 3 e Cancel To cancel the operation B To shut down the system in a direct way if you cannot do it normally Press and hold the power button for a long time and the system will power off without displaying the Shutdown Confirm screen Shutting down the system this way may destroy the data NOTE 1 DO NOT rush shutdown of the system in a direct way It may destroy the data 2 After the software upgrade please shut down the system in the normal way using Shut down method so as to guarantee a fully update 3 4 Connecting Disconnecting a Probe 1 When connecting or disconnecting a probe place it in a A CAUTION proper position to prevent the probe from falling off or becoming damaged Only use the probes provided by Mindray Aftermarket probes may result in damage or cause a fire 3 4 1 Connecting a Probe The probes cables and connectors are in proper operating AWARNING order and free from surface defects cracks and peeling Usi
182. stem provides 8 gray maps to be selected among The function is available in real time imaging freeze or cine review status IP is a combination of several image processing parameters which is used for a fast image optimization the real time group of which is displayed in the image parameter area in the upper left corner of the screen The IP combination parameters include dynamic range iClear persistence and smooth Select among the IP groups through the IP item in the menu Or adjust it in the image parameter area The system provides 8 groups of IP combinations and the specific value of each parameter can be preset Colorize and Colorize Map Description Operation Impacts TSI Description Operation iTouch Description Colorize function provides an imaging process based on color difference rather than gray distinction Turn on off the function through the Colorize item in the menu Select the colorize map through the Colorize Map item in the menu The system provides 16 colorize maps to be selected among The function is available in real time imaging freeze or cine review status The TSI function is used to optimize the image by selecting acoustic speed according to tissue characteristics Select among the TSI modes through the TSI item in the menu The system provided 4 ways of optimization for specific tissues general muscle fluid and fat To optimize image parameters as per the cur
183. system supported media X ra Es Restore Exam Click to import the patient data from an external media If no external data source is connected then the button is unavailable NH Send To The system supports to send data to external memory devices or print 2 Send Exam Select the patient record click in the menu to send exam data or images of the selected record e Select the image click Pio send the selected image 9 12 Patient Data Management gt Send patient exam data to USB devices and DVD drive Send images to USB devices DVD drive DICOM storage server DICOM printer video printer and text graph printer Send images with report to USB devices and DVD drive gt Format transfer is available when sending images to USB devices or DVD See 9 2 10 Sending Image File for details gt Press Shift on the control panel to select more than one exam or image at one time E Activate exam After you select an exam which has been performed within 24 hours click Activate Exam activate the exam and load the basic patient information and measurement data to continue the exam If you want to select a patient data in an external memory database to start a new exam or recover the exam you have to first allow the system to load the patient data to the system s patient database Continue Exam Select an exam that is paused within 24 hours click we to activate the exam and load the basic patient informat
184. system was originally sold 5 Damage or loss involving the system purchased from a source other than Mindray or its authorized agents This system shall not be used by persons other than fully qualified and certified medical personnel Do not make changes or modifications to the software or hardware of this system In no event shall Mindray be liable for problems damage or loss caused by relocation modification or repair performed by personnel other than those designated by Mindray The purpose of this system is to provide physicians with data for clinical diagnosis It is the physician s responsibility for diagnostic procedures Mindray shall not be liable for the results of diagnostic procedures Important data must be backed up on external memory media Mindray shall not be liable for loss of data stored in the memory of this system caused by operator error or accidents This manual contains warnings regarding foreseeable potential dangers but you shall always be alert to dangers other than those indicated as well Mindray shall not be liable for damage or loss that results from negligence or from ignoring the precautions and operating instructions described in this operator s manual If the manager for this system is changed be sure to hand over this operator s manual to the new manager About This Manual This operator s manual describes the operating procedures for this diagnostic ultrasound system DP 50 DP 50T and t
185. t key to switch between the two images press lt B gt on the control panel to exit e Quad split press Quad key on the control panel to enter the dual split mode and using Quad key to switch between the two images press lt B gt on the control panel to exit 6 1 2 Image Magnification NOTE Zooming an image changes the frame rate which tends to change thermal indices The position of the focal zones may also change which may cause the peak intensity to occur at a different location in the acoustic filed As a result the MI may change 6 1 2 1 Spot Zoom Procedures 1 Enter zoom In real time image scanning press lt Depth Zoom gt knob on the control panel to light the Zoom indicator 2 Adjust ROI Roll the trackball to change the box size and position press lt Set gt to toggle between setting the size and position And after sample volume is set press lt Zoom gt key again to enter spot zoom status 3 Exit In spot zooming status press lt Depth Zoom gt again Note Spot zooming only can be realized on a scanning image The size and position of sample volume box will be changed along with scanning depth and area Display amp Cine Review 6 1 6 1 2 2 Pan Zoom Procedures 1 Enter Zoom Freeze the image press lt Depth Zoom gt knob on the control panel to light the Zoom indicator Image in image is displayed 2 Rotate lt Depth Zoom gt knob to change the magnification f
186. t environment voltage voltage Surge 1 kV voltage s 1 kV voltage s Mains power quality should IEC 61000 4 5 to voltage s to voltage s be that of a typical 2 kV voltage s 2 kV voltage s Commercial or hospital to earth to earth environment Voltage dips lt 5 Ur gt 95 lt 5 Ur gt 95 Mains power quality should Short interruptions dip in Ur for dip in Ur for0 5 be that of a typical and voltage 0 5 cycle cycle commercial or hospital variation on power environment If you require supply input continued operation during voltage 40 Ur 60 40 Ur 60 dip power mains interruptions it IEC 61000 4 11 dip in Uy for 5 cycle 70 Ur 30 dip in Uy for 25 cycle lt 5 Ur gt 95 dip in Ur for 5 sec in Us for 5 cycle 70 U 30 dip in Ur for 25 cycle lt 5 Ur gt 95 dip in U for 5 sec is recommended that our product be powered from an uninterruptible power supply or a battery Power frequency 50 60 HZ magnetic field IEC 61000 4 8 3 A m 3 A m Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment NOTE Ur is the A C mains voltage prior to application of the test level Guidance and Manufacturer s Declaration 15 3 TABLE 3 GUIDANCE AND MINDRAY DECLARATION ELECTROMAGNETIC IMMUNITY The system is intended for use in the electromagnetic environment
187. t the printer supported size Settings RGB is color printing and MONOCHROME2 is black and white printing Medium Type for black and white printing usually Blue Film or Clear Film is used and for color printing Paper is usually used For details please refer to printer conformance statement Change the setting if necessary 10 1 3 3 DICOM Worklist 1 Enter Setup gt DICOM Preset gt Set DICOM Service gt Worklist 2 Select device enter the information For device setting please refer to 10 1 3 DICOM Service e Click Add to add the service to the Service list e Select an item in the service list change the parameters in the above area and click Update to update the item in the service list click Cancel to cancel changing e Select an item in the service list and click Delete to delete the service e Select an item in the service list and click Default to set the server to be the default service 3 Select an item in the service list and click Verify to verify the connection 4 Click Exit to confirm the setting and exit the page 10 8 DICOM DICOM Service Worklist Configure the New Service Device server li 1 Add Cancel Service List Device server Delete Default Service Name AE Title Timeout Sec Service Name AE Title Default server Worklist N Verify Undo DICOM service setting for Worklist is described as follows Name Description After you
188. tation sse eene 12 2 12 210 Disposal ii tnt e tinet eed bo tome cud eset ee d 12 2 13 Bate aia ana MR 13 2 193T OVOEVIOW i E AA e RR MIS 13 2 toa Precautions nore eae EE 13 2 13 3 Installing and Removing the BatteriesS ooocoonninnicinnnniccnnnocccccnnonnncnanannnr nano narran nn rra rca 13 2 13 4 Battery Status INdicator a eain T ae AERE T dere 13 2 13 5 One Full Discharge Charge CycCl ooononocccinnoccccconocccccnnonnnccnnonnncnnno cnn r nano eene 13 2 13 6 Checking Battery Performance oooonccccnnonicccnnonccccononcncnnnonnncnnno nn nennen nennen ener enne 13 2 19 4 Battery Disposal uc beer etie o me 13 2 14 ACOUSTIC Q tp t mE 14 2 14 1 Concerns with Bideffects cccceseccccesseceeeeedenceseeceneeenedeceenneseceeeenseeeesenseneeeendeceenneseeeeenstans 14 2 14 2 Prudent Use Statement peana A E A e E Aa a A i 14 2 14 3 ALARA Principle As Low As Reasonably Achievable ceeececceeeeseeteeeetieeeeeenneeeeeeaas 14 2 14 4 MI TEEXplanation ettet et eee ae d ee 14 2 14 4 1 Basic Knowledge of MI and TI ener 14 2 14 4 2 MITI DIS play neret ettet a tee ee tends 14 2 14 5 Acoustic Power Settlrig peto prd i a GE UE p EH REPE pian 14 2 14 6 Acoustic Power Control oer t re RUE REUS er e ed te edem 14 2 vi Contents 14 7 Acoustic Output 25 5 cete ae eto ia a a cena a 14 2 14 7 1 Derated Ultrasonic Output Parameters sss 14 2 14 7 2
189. te the multifunctional knob to modify the arrow direction Press the Set or Enter key to complete the modifying operation 8 1 6 Deleting Comments B Deleting Comment Characters Texts or Arrows 1 2 3 Move the cursor to the comment to be deleted Press the Set key to select the comment Press the Del or Clear key to complete the deleting operation Comments and Body Marks 8 3 B Deleting a recently added character text or arrow After you add several comments and the cursor is in the or status pressing lt Clear gt can delete the recently added or recently edited comment B Erase All Text Long press the lt Clear gt to delete all the comments NOTE 1 When no object is selected pressing the Clear key will clear all comments and all measurements calipers 2 After powering off the system will clear all comments on the image 8 2 Body Mark The Body Mark Pictogram feature is used for indicating the exam position of the patient and transducer position and orientation The system supports body marks for Abdomen Cardiology GYN OB Urology Small Part and Vascular applications You can preset the system configured general body marks for each exam mode also you can customize the body mark For details please refer to 11 5 Body Mark Preset 8 2 1 Body Mark Operation Procedures To add the first body mark 1 Press lt Body Mark gt to enter the body mark st
190. ted patient information Report Click to review or edit the currently selected patient report e Image operations Select All click to select all images in the thumbnail window Deselect All after clicking the Select All the button changes into Deselect All you can cancel all the selections by clicking Deselect All Send To click to send the selected image to other location DICOM server printer and etc Or select the image and click Delete click to delete the selected image Or select the image and click e Thumbnail Size Small 4x4 Middle 2x2 Full 1x1 e Switching operations New Exam click to create a new exam for the selected patient and open the Patient Info screen Activate Exam click to enter the currently selected exam and enter the image scanning screen it grays out if the current patient cannot be activated iStation click to enter the iStation screen Exit click to exit the Review status and return to the main screen 9 2 8 2 To analyze images For the image analysis you can view zoom perform post processing and measurements add comments and perform cine multi frame review for a stored image The operation steps are the same as those for real time scanning please refer to relevant sections for details To enter image analysis e Inthe image scanning or freeze status double click a thumbnail stored in this exam to enter the image analysis status or Doubl
191. ted window is cleared Imaging Mode Switching include imaging mode switching among B M display mode switching etc Parameters modification including gt Parameters that can result in imaging region or direction changing such as depth FOV trapezoid steer zoom and so on gt Parameters that can result in image frame changing such as line density focus number and so on Change speed in M mode gt 2D image cleared Unfreeze the image after the image is unfrozen images stored in the cine memory will be cleared but if the cine memory is split only the currently cine memory corresponding to the activated window will be cleared Open close the image file that occupies cine memory Preset Open Setup System Preset General to preset the cine storage length Clip Length Time s 60 0 Clip length 1 60s 6 6 Display amp Cine Review T Measurement There are general measurement and application measurement You can perform measurements on a zoomed image cine reviewing image real time image or a frozen image For measurements details please refer to the Advanced Volume Be sure to measure areas of interest from the most optimal WARNING image plane to avoid misdiagnosis from inaccurate measurement values If an image is unfrozen or the mode is changed during a CAUTION I measurement the calipers and measurement data will be cleared from the screen The general measurement data will be l
192. tem and contact Mindray Customer Service Department or sales representative If you use the system in a persistent improperly functioning state you may harm the patient or damage the equipment B Checking before Power on To check the system before turning on the system No Check Item The temperature relative humidity and atmospheric pressure shall meet the 1 requirements of operating conditions See 2 4 3 Environmental Conditions for details 2 There shall be no condensation There shall be no distortion damage or dirt on the system and peripheral as devices If any dirt is found cleaning shall be performed as defined in section 16 1 1 Cleaning the System lt 4 gt There shall be no loose screws on the LCD or control panel lt 5 gt There shall be no cable damage e g power cord Maintaining secure connections to the system at all times The probes and probe cables shall be free of damage or stains lt 6 gt See 12 1 5 Probes Cleaning and Disinfection for details on probe cleaning and disinfection lt 7 gt No miscellaneous odds and ends are allowed to be attached or affixed to the control panel Ensure that all connections are free from damage and remain clear of foreign lt 8 gt object blockages There shall be no obstacles around the system and its air vent lt 9 gt Probe cleaning and disinfection lt 10 gt The overall scanning environment and field mu
193. the film Yes or No Min Density Enter the minimum density of the film Max Density Enter the maximum density of the film Configuration Info Enter configuration information in the field Destination Specify where the file is exposed MAGAZINE stored in the magazine or PROCESSOR exposed in the processor Magnification Type Replicate interpolated pixels belong to duplicate of adjacent pixels Bilinear interpolated pixels are generated from bilinear interpolations between adjacent pixels Cubic interpolated pixels are generated from cubic interpolations between adjacent pixels None without interpolation Select how the printer magnifies an image to fit the film DICOM 10 7 Name Description Add Add the DICOM service to the service list Cancel Click to cancel the parameter setting Select an item in the service list change the parameters in Update the above area and click Update to update the item in the service list Delete Click to delete the selected service in the service list Default Select an item in the service list click Default and you can see Y in the Default column Click to verify if the two DICOM application entities are Verify normally connected Exit Click to exit the screen Parameter setting should be consistent with the printer performance For instance if the printer cannot support film size to be 8IN 10IN please selec
194. the pinch nut of the bracket and remove the needle guided bracket from the transducer fc AS Gum r CAP FC S l RN A AE 4 Separate the transducer and the needle guided bracket 12 2 8 Clean and Sterilize the Needle guided Bracket Cleaning 1 Wear sterile gloves to prevent infection 2 Or wash with clean water or soapy water to remove all the foreign matters or wipe the bracket with a soft ethyl carbamate sponge 3 Wipe off the water on the needle guided bracket using sterile cloth or gauze after washing it Please follow the instructions in the manual for cleaning Sterilization 1 Wear sterile gloves to prevent infection 2 Clean the needle guided bracket before sterilizing it MINDRAY recommends the following solution or sterilizing system to sterilize the needle guided bracket 3 Follow local regulations when selecting and using the disinfectant B Glutaraldehyde based sterilant Chemical Trade name Procedures name Cidex Please refer to the instructions provided by the Glutaraldehyde Activated manufacturer of the solution for details 2 2 2 7 Glutaraldehyde Soak the transducer into the activated solution for 10 Solution hours 20 25 C Before safety and performance is affected plastic bracket NGB 007 can be sterilized by Cidex Activated Glutaraldehyde Solution for at least 233 times 10 hours for one time B Hydrogen Peroxide and Peroxyacetic Acid based sterilant Trade Name
195. the ultrasound gel Washing the transducer with water Draining drying Immersion into disinfectant Removing the transducer from disinfectant Rinsing the transducer in sterile water Draining drying Inspection after use Storage 12 6 Probes and Biopsy Biopsy procedure Sterilization of the needle guided bracket Inspection after use Storage W Procedures for operating with no biopsy function ZN WARNING Inspection before examination Connection to the ultrasonic diagnostic system Examinations Disconnection to the ultrasonic diagnostic system Wiping off the ultrasound gel Washing the transducer with water Draining drying Immersion into disinfectant Removing the transducer from disinfectant Rinsing the transducer into sterile water Draining drying Inspection after use Storage Disinfect the probe and sterilize the needle guided bracket before and after an ultrasound guided biopsy procedure is performed Failure to do so may cause the probe and the needle guided bracket become source of infection Probes and Biopsy 12 7 12 1 4 Wearing the Transducer Sheath A transducer sheath must be installed over the transducer before performing examination Probe sheaths are available for use with all clinical situations where infection is a concern A probe sheath must be installed over the probe before performing intra cavity or biopsy examination Use a commercially available transd
196. them properly Before biopsy guiding you can preset bracket model biopsy display and guide line dot type For details please refer to 12 2 3 Biopsy Preset 2 Verify the biopsy guide line For details please refer to 12 2 5 Biopsy Menu 3 Press lt Biopsy gt on the control panel e fthe current probe has no matched bracket or the image is frozen and the guide line is hidden before image frozen then you can t enter Biopsy menu e Before entering Biopsy menu the system will prompt you Please verify guidelines before biopsy 4 Set Display as Or to display the guide line select the bracket and guide line according to actual situation For details please refer to 12 2 5 Biopsy Menu 5 On the Biopsy menu click Verify to enter the Verify menu to verify the guide line After the verification click Save on the menu to save the parameter setting And then click Exit to return to Biopsy menu Note e f you switch the probe or needle guided bracket during the biopsy please verify the guide line again When exit the Biopsy Verify menu without saving the setting system will confirm with you Data have changed Do you want to save the changes Click OK to save the setting and return to Biopsy menu Click OK to save the setting and return to biopsy menu 6 Scan to locate the target Center the target in the electronic guidezone path Direct the needle into the area of interest for
197. tial damages in connection with the furnishing performance or use of this manual Mindray is responsible for the effects on safety reliability and performance of this product only if e all installation operations expansions changes modifications and repairs of this product are conducted by Mindray authorized personnel e the electrical installation of the relevant room complies with the applicable national and local requirements and e the product is used in accordance with the instructions for use MindrayVNC ver 1 0 is free open source software the performance of MindrayVNC ver 1 0 is not guaranteed by MINDRAY AN Note AN This equipment must be operated by skilled trained clinical professionals AN Warning AN It is important for the hospital or organization that employs this equipment to carry out a reasonable service maintenance plan Neglect of this may result in machine breakdown or personal injury Warranty THIS WARRANTY IS EXCLUSIVE AND IS IN LIEU OF ALL OTHER WARRANTIES EXPRESSED OR IMPLIED INCLUDING WARRANTIES OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE Exemptions Mindray s obligation or liability under this warranty does not include any transportation or other charges or liability for direct indirect or consequential damages or delay resulting from the improper use or application of the product or the use of parts or accessories not approved by Mindray or repairs by people other than Mindray
198. tially hazardous to embryonic and fetal tissue The smaller the MI TI values the lower the bioeffects 14 4 2 MI TI Display TI and MI values are displayed in real time in the upper part of the screen The operator should monitor these index values during examinations and ensure that exposure time and output values are maintained at the minimum amounts needed for effective diagnosis Under different operating conditions once there is a situation that a MI value is greater than 1 0 the start point of displaying MI values is 0 4 In the same way once there is a situation that a TI value is greater than 1 0 the TI value will be displayed and the start point is 0 4 You can set which TI item is to be displayed in the Open the B THI page in Image Preset screen and the acoustic output setups appear as shown in the figure below Here you can set TIC TIB or TIS to be displayed as well as the level of acoustic power Generally speaking when a cranial exam is performed TIC is set to be displayed only NOTE If there is a value of MI or TI exceeds 1 0 you must be careful to practice the ALARA principle The display precision is 0 1 14 5 Acoustic Power Setting M Acoustic power adjustment Click A power in the menu to adjust the acoustic power percentage and the value is displayed on the screen The greater the acoustic power percentage the greater the current acoustic output When the image is frozen the system
199. tion nem rc 9 2 9 1 2 Patient Information Setting sssssssesseeeenen menm eene 9 2 9 2 Image File Management esent teneret nennen tete hene ente edet hane utendi 9 2 9 2 4 Storage Media iie ce ri te decidido dde dia de ea dad d don edi 9 2 9 2 2 Image File FOA irae nete dtr iaa der Fede cederet ee depre tiet 9 2 9 2 3 Image Storage Preset idee icc ice adag dai c etd b iadg cs 9 2 9 2 4 Saving Images to the System sssssssssssseeeeeeen mne eene nens 9 2 9 2 5 Quickly Saving Images to USB Flash Drive sssseeeemm em 9 2 9 2 6 Quickly Saving Full Screen Image to the System sssssseene 9 2 9 2 4 Thumbnails neta A te dan dad ate wand d dh de dat 9 2 9 2 8 Image Review and Analysis esses narran rra 9 2 LO IVISIOD ida 9 2 9 2 10 Sending Image File 2 ien ic 9 2 9 3 Report Management senes entities nene ina 9 2 9 4 Patient Data Management iStation oonnmiicinnnnicin nncccnnnonccccnnonnccnanoncnc nano nc eene 9 2 9 4 1 Searching a Patient ccce aee doc idt dne di due de do d d es 9 2 9 4 2 Patient Data View amp Management nennen nnns 9 2 9 5 Backing Up and Erasing Files through DVD Drive sssssemm 9 2 9 6 Patient Task Manage ccccccccceceeseccteeeceeeeeeneceedecaeeeeeeenaceddecaeeedeeaedeedecaaeeeteeaaeeddeceaeteees 9 2 Ou Access COMO cmt tr bat E Lm c
200. tion for disinfected probes or sterilized probes and brackets please refer to Technical standard for Disinfection of Medical and Health Structures 12 1 1 Name and Function of Each Part of the Transducer Basic structures and functions of all probes listed above are similar and are described as follows 12 2 Probes and Biopsy B Probe 35C50EA No Name Function It converts the electrical signal into ultrasound signal making the sound beams focus in the given direction meanwhile it will receive the ultrasound signal and then 1 Transducer head convert the received signal into electrical signal The lens on the surface is the acoustic lens Apply ultrasound gel on the acoustic lens Needle guided 2 bracket fix tabs and Used to mount the needle guided bracket grooves Used to transmit electrical signals between the transducer lt 3 gt Transducer cable body and connector Used to connect the transducer to the ultrasonic diagnostic lt 4 gt Transducer connector system The probes structure marked lt 2 gt in the figure above may vary with the matched needle guided brackets B Probe 65EB10EA lt 3 gt E 1 Probes and Biopsy 12 3 No Name Function It utilizes the piezoelectric effect to convert electrical lt 1 gt Transducer head signals into ultrasound waves which are transmitted lt 1 gt convex vertical section to the body and to
201. ts Focus Description Operation Effects The system compensates the signals from deeper tissue by segments to optimize the image There are 8 segment TGC sliders on the control panel corresponding to the areas in the image To increase the gain compensation at an area of interest move the TGC slider to the right To decrease the gain compensation at the corresponding area of interest move the TGC slider to the left About 1 5s after the adjustment is finished the TGC curve disappears Adjust the signal gain for the certain image area to get a balanced image This function is used to select the operating frequency of the current probe the real time value of which is displayed in the image parameter area in the upper left corner of the screen where F represents B mode frequency and FH represents harmonic frequency Adjust it through Frequency on the image menu wherein H means the harmonic frequency Or adjust it in the image parameter area Values of frequency vary depending upon the probe types Select the frequency according to the detection depth and current tissue characteristics The higher the frequency the better the near field resolution but the worse the force of penetration Harmonic imaging enhances near field resolution and reduces low frequency and large amplitude noise so as to improve small parts imaging Refers to the power of ultrasonic wave transmitted by the probe the real time
202. ts to the revised part Please contact Ultrasound1 rd mindray com cn for MindrayVNC ver 1 0 Intellectual Property Statement SHENZHEN MINDRAY BIO MEDICAL ELECTRONICS CO LTD hereinafter called Mindray owns the intellectual property rights to this Mindray product and this manual This manual may refer to information protected by copyright or patents and does not convey any license under the patent rights or copyright of Mindray or of others Mindray intends to maintain the contents of this manual as confidential information Disclosure of the information in this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden Release amendment reproduction distribution rental adaptation translation or any other derivative work of this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden mindray m MET E OmniLab Digi fis MINDRAY BeneView WATO BeneHeart F are the trademarks registered or otherwise of Mindray in China and other countries All other trademarks that appear in this manual are used only for informational or editorial purposes They are the property of their respective owners Responsibility on the Manufacturer Party Contents of this manual are subject to change without prior notice All information contained in this manual is believed to be correct Mindray shall not be liable for errors contained herein or for incidental or consequen
203. ttery is put in the battery bays at the back side of the system You can install or remove it when the system is turned off and the power cord is disconnected from the main unit To install the battery 1 Turn off the unit and detach the power cord from the main unit 2 You can see a battery bay at the back of the system Note that the battery shall be put in correct direction Put the battery into the bay and push to the right side until it s tightly locked 3 Close the battery cover 13 2 Battery Battery cover To remove the battery 1 Turn off the unit and detach the power cord from the main unit 2 Open the battery cover 3 Push the battery to left until it s released 4 Take out the battery from the bay 13 4 Battery Status Indicator The battery status indicator is located in the lower right corner of the screen indicating the battery capacity indicates the battery capacity is empty d indicates the battery capacity is full When the power capacity is not enough the system
204. u can B Perform a second query or B Click Show Detail to view the patient information in details 10 3 4 Storage Commitment Storage commitment is used to make sure the images are successfully stored in the DICOM server Before storage commitment you should set a default storage commitment server W Storage commitment after sending images on Station screen 1 Open iStation screen press lt iStation gt or press Patient and click iStation 2 Select an exam record image s is are stored in the exam record click to open the Send To dialogue box 3 Click to select DICOM in the Target box on the left side then select the DICOM storage server in the Storage Server box on the right side 4 Click OK to start sending The system will send all the images stored in the exam record to the storage server meanwhile it will send storage commitment to the storage commitment server 10 4 DICOM Media Storage The system supports to save patient data to the external media in DCM format Meanwhile in the system you can view the saved DCM files from external media B Media storage 1 Select patient record s in the iStation screen 2 Click o the following dialog box popped up Backup Patient Record Original Format DICOM Format lll Remove from Local HD after Backup p 3 Select the destination and select DICOM format 4 Set whether to remove patient exam data or only images from the loc
205. ucer sheath To order transducer sheath contact CIVCO Medical Instruments Co 102 First Street South Kalona IA 52247 9589 USA Tel 1 319 656 4447 E mail info civco com http www civco com 1 Be sure to cover the probe with a new unused probe sheath CAUTION to prevent infection during examination If the package of a probe sheath is open or broken the sterilization of the probe sheath may not be sufficient DO NOT use such a probe sheath The cover contains natural rubber latex and talc that can cause allergic reactions in some individuals DO NOT use an expired probe sheath Before using probe sheaths verify whether the term of validity has expired Method for reference only 1 Place an appropriate amount of gel inside 2 Insert the transducer into sheath making the sheath or on transducer face Poor sure to use proper sterile technique Pull imaging may result if no gel is used cover tightly over transducer face to remove wrinkles and air bubbles taking care to avoid puncturing cover 3 Secure the sheath with enclosed elastic 4 Inspect the sheath to ensure there are no bands holes or tears 12 8 Probes and Biopsy 12 1 5 Probes Cleaning and Disinfection Once you turn OFF the ultrasonic diagnostic system after completing each examination clean and disinfect or sterilize the probes as required When biopsy procedures have been performed be sure to sterilize the needle guided bracket Fail to do
206. und Equipment NEMA UD 2 2004 and the Standard for Real Time Display of Thermal and Mechanical Indices on Diagnostic Ultrasound Equipment AIUM and NEMA UD 3 2004 14 6 Acoustic Power Control The qualified operator may use the system controls to limit the ultrasound output and to adjust the quality of the images There are three categories of system controls relative to output They are controls that have direct effect on the output controls that indirectly control output and controls that are receiver controls B Direct Controls It is possible to control if necessary the acoustic output with the menu control In this case the maximum value of the acoustic output never exceeds an MI of 1 9 TI of 6 and an Ispta 3 of 720 mW cm in any mode of operation B Indirect Controls The controls that indirectly affect output are many imaging parameters These are operating modes frequency focal point positions image depth and pulse repetition frequency PRF The operating mode determines whether the ultrasound beam is scanning or non scanning Thermal bioeffect is closely connected to M mode Acoustic attenuation of tissue is directly related to transducer frequency The focal point is related to active aperture of transducer and beam width For the higher PRF pulse repetition frequency the more output pulses occur over a period of time B Receiver Controls The receiver controls for example gain dynamic range and image post pr
207. verely degraded or used for 3 years NOTE You should observe the local regulations when disposing of the battery 13 4 Battery 1 4 Acoustic Output This section of the operator s manual applies to the overall system including the main unit probes accessories and peripherals This section contains important safety information for operators of the device pertaining to acoustic output and how to control patient exposure through use of the ALARA as low as reasonably achievable principle Also this section contains information regarding the acoustic output testing and the real time output display Read this information carefully before using the system 14 1 Concerns with Bioeffects Diagnostic ultrasound is recognized as being safe In fact there have been no reports of injuries to patients caused by diagnostic ultrasound It cannot be stated categorically that ultrasound is 100 safe Studies have revealed that ultrasound with extremely high intensity is harmful to body tissues Diagnostic ultrasound technology has made a great leap forward during the last several years This rapid advance has generated concerns about the potential risk of bioeffects when new applications or diagnostic technologies become available 14 2 Prudent Use Statement Although there are no confirmed biological effects on patients caused by exposures from present diagnostic ultrasound instruments the possibility exists that such biological eff
208. xam mode is changed during a measurement all CAUTION measurement calipers on the image will be cleared The data of general measurements will be lost but the data of application measurements will be stored in the reports 4 3 1 Supported Exam Modes The system can be configured with the following exam modes The system supports to preset application type measurements comments body marks image parameters for each exam mode including user defined exam modes For details please refer to 11 2 2 Exam Configuration You can select exam modes for the probes For details please refer to 11 2 1 Exam Selection 4 3 2 Selecting Exam Mode and Probe W Select Probe and Exam Mode 1 Press lt Probe gt to open the following dialog box Exam Preparation 4 7 35C50EA Save As Exam Preset 2 Roll the trackball and press lt Set gt to select the exam mode and use the direction keys to turn pages of the exam modes B To save the image parameters for the current exam mode quickly 1 Click Save to save the image parameters in the current image mode as presets A dialogue box pops up to prompt you the operation will cover the current image preset data 2 Click Save as to save the current image parameters to the designated exam mode B Click Exam Preset to enter the exam preset screen For exam preset please refer to 11 2 Exam Preset B Exit Click Exit or press lt Probe gt to exit press
209. xt library for the current exam If there is no customized comment text library for the current exam it will display the comment text libraries of all the exam modes assigned for the current probe And if no text library for all the exam modes is customized no comment text will be displayed Please refer to 11 6 Comment Preset for comment preset for the specific exam mode B ABC Display Click ABC Display to display or hide the added comments Assign the user defined key for the function in Setup gt System Preset gt Key Config 8 1 3 Adding Comments The system can be configured with comment text libraries including Abdomen Cardiology GYN Gynecology OB Obstetrics Urology SMP Small Part Vascular PED Pediatric and Nerve Blocks B Typing comment characters 1 To set the comment location Roll the trackball or press direction control keys on the keyboard to move the cursor to the desired location for comments 2 To type the alphanumeric characters Type the alphanumeric characters through the qwerty The default characters are uppercase To type the upper characters press Shift and the character key at the same time 3 Move to a new line In the edit status the characters are in green color press lt Enter gt to move the cursor to the new line and the location of the cursor is aligned with that of the first line 4 n the edit status move the trackball or press the multifunctional k
210. y surface Some of the probes have matched needle guided brackets for biopsy the available probes and the corresponding needle guided brackets are listed as follows Probe Model Needle guided Bracket Model Biopsy Angle Depth 1 Applicable Biopsy Needle 35C50EA NGB 001 Metal needle detachable metal needle un detachable 25 35 45 13G 15G 16G 18G 20G 75L38EA NGB 002 metal needle un detachable 40 50 60 13G 15G 16G 18G 20G 65EC10EA 65EB10EA NGB 004 metal needle un detachable 16G 17G 18G 65C15EA NGB 005 metal needle un detachable 12 7 24 2 13G 15G 16G 18G 20G 75L53EA NGB 007 Plastic needle detachable Metal needle detachable 40 50 60 Metal 14G 16G 18G 20G 22G Plastic 13G 15G 16G 18G 20G 10L24EA NGB 016 Metal needle detachable 2 5 3 Options No 30 40 50 Item 14G 16G 18G 20G 22G 1 Clear module 2 IMT module DICOM basic module including task management DICOM storage DICOM print 3 DICOM storage commitment DICOM media storage including DICOM DIR and etc DICOM worklist module only can be applied with the DICOM basic function module configured System Overview 2 3 No Item 5 DVD R W Drive Model SE S224 USB port 6 Footswitch 7 Battery Pack LI341002A 8 Mobile Trolley UMT 50

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