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1. Vivid i Release Notes Direction R2423823 100 Rev 1 Vivid i Ver 9 0 0 b 52 Overview This document contains important information and a summary of new features introduced on the Vivid i system after undergoing a software upgrade from version 6 0 0 or 6 1 0 to version 9 0 0 User Manual A new updated user manual is available See p n R2422929Rev 01 New Probes 6S RS Probe Supports a new cardiology probe for children and small adults May replace the 5S RS and 7S RS Frequency range 2 7 8 0 MHz Foot print size 17x23 mm i12L RS Probe Supports the i12L RS Intra operative probe Frequency range 5 0 13 0 MHz Foot print size 14x 33mm 6 October 2008 4 of 13 Vivid i Release Notes Direction R2423823 100 Rev 1 Vivid i Ver 9 0 0 b 52 6Tc RS Probe New TEE probe Reduces interference pickup from electrosurgical equipment Improves reliability ICE Probe Option AcuNav 10F Catheter Single use disposable sterile 10 French 3 3 mm ultrasound catheter Single plane 90 deg imaging 7 0 mm aperture array length Wideband phased array transducer Longitudinal side fire imaging plane displays anatomy and devices in standard echocardiographic format 64 element Parallel Drive Phased Array imaging technology provides high resolution imaging in all modes Frequencies 5 0 MHz 10 0 MHz 110 cm insertable length Four way steering in two planes anterior posterior left right 160 rotation in each direction 1
2. vascular structures bright lighting moving blood and tissue e Use of GE patented techniques to boost blood echoes and to preferentially suppress non moving tissue signals e B Flow is available in color flow mode with linear array probes for most vascular and shared service applications Blood Flow Imaging BFI Option BFI Combines color flow Doppler mode with gray scale speckle imaging BFI allows better delineation of blood flow without extending into tissue or vessel wall The speckle information visualizes the blood flow direction 2D Operation Smart Depth For every setting of scan depth there is an optimal Frequency Transmit Pattern setting The Frequency Transmit Pattern should be optimized to produce both a clean signal and maximal spatial resolution With Smart Depth turned ON the system will optimize the Frequency Transmit Pattern to follow above guideline and automatically set optimal setting for the currently selected depth The Frequency control value displayed on screen will be modified to display the updated value with every change of depth setting by the operator The operator may change the Frequency control at any time to any desired Frequency Transmit Pattern overriding any automatic settings With Smart Depth turned OFF the Frequency control setting will remain unchanged even when depth setting is changed Octave On Off Button When using the Frequency control on some low frequencies the system switches
3. 60 for maneuverability rapid anatomic orientation and micro positioning Tension control knob for holding desired catheter orientation provides graduated tension to the steering mechanism of the catheter tip Reusable SwiftLink Catheter Connector ICE Cord umbilical cord for one step system catheter set up Biopsy Braekel Support Option On screen biopsy Guide Line guide Zone and depth measure for Civco multi angle biopsy bracket supporting probe models 3S RS 4C RS 8L RS 12L RS New Scanning Modes Tissue Synchronization Imaging TSI Option e TSI calculates and color codes the time from onset of QRS to a detected event typically the time to peak systolic velocity e TSI provides information about synchronicity of myocardial motion e Delayed myocardial segments produce red overlay whereas segments moving in normal rhythm are green 6 October 2008 5 of 13 Vivid i Release Notes Direction R2423823 100 Rev 1 Vivid i Ver 9 0 0 b 52 e Available in live scanning as well as an offline calculation derived from tissue Doppler data e No Q analysis is available on the system Q Analysis can be done on EchoPac PC B Flow Option e B Flow is a new digital imaging technique that provides real time visualization of vascular hemodynamics by directly visualizing blood reflectors and presenting this information in a gray scale display e B Flow provides an intuitive representation of non quantitative hemodynamics in
4. Information Video Overlay Cancel Fig 1 Setting Dual Display when using Multiple Display 3 Select Intel Dual Display Clone as shown in Figure 1 A confirmation message appears If after 15 sec there is no confirmation the setting will be cancelled Figure 2 Confirm the Desktop Change This desktop has been reconfigured Do you want If you do not respond within 15 seconds these changes will be canceled Cancel Fig 2 Confirm the desktop change Note If the external display is not connected the screen shown in Figure 2 will appear differently as shown in Fig 3 6 October 2008 11 of 13 Vivid i Release Notes Direction R2423823 100 Rev 1 Vivid i Ver 9 0 0 b 52 Inter Extreme z Graphics 2 Notebook Scheme Options for mobile Single Display Notebook Display Devices Display Settings Multiple Display Color Correction Note Two displays must be connected to the computer before you can use this feature Please connect another display Fig 3 Single Display setting Note Avoid selecting any other buttons including those encircled in Figure 4 Inter Extreme a CG hics 2 Notebook and Monitor a Single Display Display Devices Ree Notebook C Monitor gt Display Settings Color Correction Hot Keys intei Launch Zoom 3D Settings Information Video Overlay Cancel Fig 4 Avoid activating any of the encircled items LCD Screen Saver A screen s
5. Vivid i Ver 9 0 0 b 52 GE Medical Systems Technical Publications Direction 2423823 100 Rev 1 CE ses Vividi Release Notes Software Version 6 0 0 or 6 1 0 to Software Version 9 0 0 Upgrade Summary Version 9 0 0 b 52 Operating Documentation Copyright 2008 By General Electric Co Regulatory Requirement This product complies with regulatory requirements of the following European Directive 93 42 EEC concerning medical devices This manual is a reference for the Vivid i It applies to version 9 0 0 b 52 software for the Vivid i ultrasound system 6 October 2008 1 ot 13 Vivid i Release Notes Direction R2423823 100 Rev 1 Vivid i Ver 9 0 0 b 52 Revision History Table i 1 Reason for Change REV DATE REASON FOR CHANGE 1 6 October 2008 Release of s w ver 9 0 0 b 52 for upgrade Please verify that you are using the latest revision of this document Information pertaining to this document is maintained on GPC GE Medical Systems Global Product Configuration If you need to know the latest revision contact your distributor local GE Sales Representative or in the USA call the GE Ultrasound Clinical Answer Center at 1 800 682 5327 or 1 262 524 5698 ATTENTION VIVID i USERS This document contains information concerning the use of the VIVID i ultrasound system Precautions and instructions are included that supplement the User Manual p n R2422929 Rev 01
6. and address specific concerns related to software version R 9 0 0 b 52 Keep this document with the User Manual and ensure that all users become familiar with its contents and organization before using the system under this software version 6 October 2008 2 of 13 Vivid i Release Notes Direction R2423823 100 Rev 1 Vividi Ver 9 0 0 b 52 Table of Contents Tel 1G OF COG ints caesarean acca aah ed a te ced aac ence ed aaa nii 3 OV GIG Ws eege GEES 4 Deele nuets acc eo etc EN ec SAN chs EAS Ee 4 News toeerst 4 GE dE 4 ITAL RS EE 4 el Leet 5 IGE Probe Option sinc seco a a re rT p Bc tTa araa a a a Aa eTA a po E E APE aada aaa Aaa secs iaucccauvewacecvecvesecusvaston 5 Ac Nav 10F CGatbeiet ee A AA EA E A A AN 5 Biopsy Bracket Support Option escceeescseeeseeesseeeseeeeeeeeeseneeeseeessneeeseeeeseeseneeseneesesnessneeseneesenesseeseeeeseens 5 New Scanning Mode xs ccticcctie cetee cetsevecneestee ccteeeecaeestacecneeeccerecnaeeccerecnaeeccerecterecbededii VERSEN EENS 5 Tissue Synchronization Imaging TSI Option 5 BeFIOW OPTION EE 6 Blood Flow Imaging DEI Option a aE A EEE E 6 2D OPO ratOn E 6 Smat De POU wes ees fas eseceaaelev ie aE REE ENE E SE E EE Eed EEN 6 Octave On OM BURON eroe e ra E T TE T E AE 6 Wide Aperture Mode csee e Een Eed dE E A a 7 Ultra Denton UD Glay EE 7 Adaptive e EE H Ultra Definition UD Speckle Reduction Vascular eeceecceeseeeeeeseceeeeeeeeeeeeseeeeeeeeeseeaeeeaaeseaeee
7. automatically to second harmonic mode The word Octave appears in the status window In addition to the above control an Octave ON OFF control has been added This control enables quick switching over between Octave imaging and corresponding fundamental frequencies without having to rotate the Frequency selection rotary knob 6 October 2008 6 of 13 Vivid i Release Notes Direction R2423823 100 Rev 1 Vivid i Ver 9 0 0 b 52 Wide Aperture Mode The Wide Aperture function may improve image quality by increasing spatial resolution and signal to noise ratio This feature involves special processing which improves the beam s focus at large depths by increasing the number of probe elements involved in producing the ultrasound beam Wide aperture function can not be controlled manually by the user When using linear or convex probes the wide aperture feature may turn on or off automatically depending on various scanning settings In particular it turns on while placing the focus marker at relatively large depth Wide aperture automatically turns off when focus is moved to a shallow region Wide Aperture mode has an effect of reduced frame rate The focal markers change to indicate whenever Wide Aperture mode is active Standard focal marker gt Wide Aperture focal marker Ultra Definition UD Clarity This control is effective in Cardiology applications only UD Clarity reduces the unwanted effects of speckle in the ultrasound imag
8. aver feature is active in o prolong the life of the LCD screen Whenever the system is not scanning and the trackball or any of the control panel buttons are not pressed for more than five minutes the display will become dark with a small GE graphics logo appearing randomly on the screen Touching any of the system controls will restore the regular display screen 6 October 2008 12 of 13 Vivid i Release Notes Direction R2423823 100 Rev 1 Vivid i Ver 9 0 0 b 52 CD DVD Burner Improved DVD CD Burning Method e Using an improved version of the burning engine the Vivid i now supports both DVD R and DVD R media types e The media preparation formatting amp labeling process is now very short IMPORTANT NOTE Media that was written previously on software versions 6 0 0 6 1 0 may be read but not re opened on an upgraded software version 9 0 0 Vivid system Peripherals HP5400 Printer Support This printer is supported by the new software Network universal printer The Blue tooth printer technology has been replaced printing through universal PDF file sharing is used Service Support of Insite Il Details are provided in Service Manual 6 October 2008 13 of 13 Vivid i Release Notes Direction R2423823 100 Rev 1
9. e Image speckle usually appears as a grainy texture in otherwise uniform areas of tissue Its appearance is related to image system characteristics rather than tissue characteristics so that changes in system settings such as probe type frequency depth and others can change the appearance of the speckle Too much speckle can impair image quality and make it difficult to see the desired detail in the image Likewise too much filtering of speckle can mask or obscure desired image detail Extra care must be taken to select the optimal speckle reduction level UD Clarity has replaced the speckle reduction SRI control found in Vivid i SW version 6 0 0 or 6 1 0 Adaptive Reject This control is effective in Cardiology applications only Adaptive Reject reduces near field haze and blood pool artifact without diluting tissue appearance of moving structures Conventional Reject function reduces noise by reducing low gray levels It does so by changing the gray map of the whole image Noise is reduced but information in the myocardium may also be lost Adaptive Reject also reduces noise by reducing low gray levels The intensity reduction is done adaptively for each pixel in the image and does not affect the gray map As a result pixels that are close to boundaries and tissue structures are less affected than with the conventional reject method Ultra Definition UD Speckle Reduction Vascular 6 October 2008 7 of 13 Vivid i Release No
10. eaeeeeeeeeas 7 Additional Gray Maps for Shared Services Applications cecceeeceeeeeeeeeeeeseeeeeeeeeeeaeeeeaeeeeaeeseaeeeeaeees 8 Auto Freeze While Scanning in Air 8 Colon Operator EE 8 Smart Depth in Color Mode AA 8 Compound 2D while in Color adne r G N E A a 8 Two Focal FOmis wlle iT COOP eresi ierra a EEE EEE EER AE REE OE EA E Eet 8 New Yellow Cyan Map riaa E E E E E E E E A ERTO 8 User Interlace norna SSES EE SEENEN 9 SOMEM ee eee Eet EE A eer ented A EE ATA E EN 9 Some Green Indicators were Hemoved 9 Top Bottom Soft Key Priority onets nnie cidie ivi aves inte dite ieee tend itis iene iene aveeneeiner ied A cited 9 International KB Supporting 12 Languages sssesseesesseesieetieresiisittstissinssinsintntnnstnstensinnntnnsinntnnntnne nn 10 Swess Package ui secs eee cee tee acne Deeg 10 Larger Continuous Capture Buffer Gize A 10 Ability to Restart capture buffer by trackball update menu 10 IIIT TOON EE 10 IMT TOGMIMphOVEMONt 2 eeaeee ar Eana E atid LEE ATAA E TA AN 10 System Gener l 222 10 Ce tee e Blue EE 10 Connecting to an External Monitor or Prolechor nnt 10 EC KEE 12 CD DVD UE 13 Improved DVD GD Burning Method e en gegtoeen kee stigties Oe E EEEE NS 13 Peripherals esonora enaa aE RE EARE E E EEA a nd sien eateries eres 13 HP5400 Printer SUPPO eege oen an iea dee EECHER 13 Network universal e TEE 13 Ke E 13 SUPPOrt ot Insite leres eee ee ee a eee et ete ea de ie NEE En 13 6 October 2008 3 of 13
11. lect Restart Capture IMT Tool IMT Tool Improvement In Vivid i software versions 6 0 0 6 1 0 sometimes when the image is over gained the IMT tool detects the interface between the Intima and Media as adventitia Mostly happens on over gained images This was improved in software version 9 0 0 System General Reducing Image Size It is now possible to configure the system to display a reduced image size This for example may become useful when using a very large external display See CONFIG gt global imaging tab Connecting to an External Monitor or Projector The VGA output of the system does not output a video signal by default The VGA output has to be activated to generate a proper video signal 6 October 2008 10 of 13 Vivid i Release Notes Direction R2423823 100 Rev 1 Vivid i Ver 9 0 0 b 52 Controlling the External VGA Video Output Use the following procedure to connect the system to a projector or an external monitor 1 Hook up the external display to the Vivid i using the VGA connector 2 Press the Video Out button The following window appears Figure 1 Intel Extreme Graphics 2 ER Notebook and Monitor Scheme Options for mobile Single Display Notebook Monitor Display Devices Display Settings Multiple Display Color Correction Twin Primary Device Hot Keys amp vtencder Notebook Desktop Intel R Dual Secondary Device intel ZE Launch Zoom 3D Settings
12. ng in order to increase the spatial resolution of the color image With Smart Depth turned ON the system optimizes the Color Frequency Transmit Pattern using the above guideline and automatically sets an optimal setting to correspond with the current location of Color ROI The associated Frequency value displayed on screen changes accordingly The operator may change the Frequency control at any time to any desired setting overriding any automatic settings With Smart Depth turned OFF the Frequency control setting remains unchanged even while ROI depth setting is changed Compound 2D while in Color In this version when using compound in 2D on linear probe and entering Color mode the compound mode will remain in effect in the 2D image and will not be switched off Two Focal Points while in Color While using color on linear or convex probes in vascular applications there can be one or two focal points in effect New Yellow Cyan Map Will work well with variance both ON and OFF 6 October 2008 8 of 13 Vivid i Release Notes Direction R2423823 100 Rev 1 Vivid i Ver 9 0 0 b 52 User Interface Soft Menu 2D Live In the new version each of the gauge bars in the Soft menu indicates the actual value number or state such as on off smaridepth associated with the relevant control Tilt Compress Adaptive Reject DDP UD Clarity Dynamic Range Reject Contour Diff Some Green Indicators were Removed The style of some s
13. oft key button indicators has changed Buttons that have 2 states had green indicator in version 6 0 0 but will now use a highlighted label in new version 9 0 0 to indicate the active mode See for example Up Down or Left Right controls in following figure UpDown Up Left Right Top Bottom Soft Key Priority In SW versions 6 0 0 or 6 1 0 the active label always reverted to the upper label If we pressed Frame Rate and started changing it then changed scanning mode back and forth the active label would have returned to Freq In the new software version 9 0 0 the active label will remain on Frame Rate as long as it is not changed 6 October 2008 9 of 13 Vivid i Release Notes Direction R2423823 100 Rev 1 Vividi Ver 9 0 0 b 52 International KB Supporting 12 Languages The software can now be configured and keycaps can be replaced in order to support the following languages USA English without international symbols International English with international symbols French German Spanish Italian Portuguese Swedish Norwegian 10 Russian 11 Polish 12 Finnish 13 Danish OONAAP WN gt Stress Package Larger Continuous Capture Buffer Size 120 seconds vs 90 sec in software versions 6 0 0 6 1 0 Ability to Restart capture buffer by trackball update menu While in Stress exercise it is possible to reset the capture buffer by simply 1 Press Freeze 2 Press Update 3 Se
14. tes Direction R2423823 100 Rev 1 Vivid i Ver 9 0 0 b 52 This control is used to reduce the amount of speckle in non cardiology applications using the linear or convex probes Additional Gray Maps for Shared Services Applications New improved gray maps named Gray S and Gray U maps were added to the shared services applications on the linear and convex probes Auto Freeze While Scanning in Air To protect ICE transducer tip from damage due to possible over heating the system senses that the returned echoes do not emanate from any tissue The system will enter Semi Freeze mode where no image appears although the system seems to be scanning Once the catheter is inserted the system will automatically start scanning normally This mode is currently only available in 2D 2D color or PW duplex or triplex simultaneous modes If the system is in CW or PW non simultaneous and the tip is placed in air the AutoFreeze does not turn ON A prompt line will appear to indicate this state Color Operation Smart Depth in Color Mode For best sensitivity in color mode the Color Frequency Transmit Pattern used should be optimized as a function of the location of the color POL When ROI is set to a deep region in the body it is recommended to decrease the Color Frequency value setting in order to improve reception of the Doppler signals When ROI is position in a shallow region it is recommended to increase the Color Frequency value setti

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