GE LOGIQ C3, LOGIQ C5 Premium Quick guide

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GE Healthcare
Technical Publications
Direction 5272220-100 Rev. 2
LOGIQ C5/C5 PRO
Quick Guide
Operating Documentation

Regulatory Requirement

LOGIQ C5/C5 PRO complies with regulatory requirements of the following European Directive 93/42/EEC concerning medical devices.

Manufacturer

GE Medical Systems (China) Co., Ltd.
No. 19 Changjiang Road
Wuxi National Hi-Tech Development Zone
Jiangsu, P.R.China 214028
Tel: +86 510 85225888; Fax: +86 510 85226688
GE Healthcare
GE Medical System: Telex 3797371 P. O. Box 414, Milwaukee, Wisconsin 53201 U.S.A. (Asia, Pacific, Latin America, North America)
GE Ultraschall:Tel: +33 (0) 130 831 300 Deutschland GmbH & Co KG Beethovenstrabe 239, Postfach 11 05 60 D-42655 Solingen, Germany
LOGIQ C5/C5 PRO Quick Guide Direction 5272220-100 Rev. 2 A
Please verify that you are using the latest revision of this document. Information pertaining to this document is maintained on MyWorkshop/ ePDM (GE Healthcare electronic Product Data Management). 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 262-524-5698.

Revision History

REV
1
2

PAGE REVISION

NUMBER HISTORY

Title Rev. 2

1 Rev. 2

1-52 Rev. 2

DATE

May 23, 2008
Feb.10, 2009

List of Effective Page

REASON FOR CHANGE

New Release
Delete “C5 PRO do not support Clipboard”
LOGIQ C5/C5 PRO Quick Guide Direction 5272220-100 Rev. 2 1
Control Panel Tour

LOGIQ C5/C5 PRO Control Panel Tour

1. Power On/Off Switch
2. Probe Key:switch the probes
3. Top Menu Controls
4.
Keyboard :Use the keyboard to enter
patientinformation and annotations.Press F1, F2, F3, F4 and F5 keys to activate Online help/ User Manual, Arrow, Eject, Spooler and activate Sub Menu. The User can define functions for the F6-F12 keys. The following functions are available for F6-F12 Keys: WorkSheet, 3D, LOGIQ View, ECG On/Off, Set Home, Grab Last, Word delete and Text Overlay. Press [Utility] to enter the Utility function and configure the system. Press [Report] to enter the worksheet page.Press[End Exam]to end a exam.
5. Preset,PDI,Steer,Harmonics Keys
6. Paitent Key:Use the key to display th paitent screen
7. Mode Keys: B Mode,M Mode,Pulsed Wave Doppler (PW) Modes and Color Flow (CF) Mode .Press these key to activate the mode
13. Left, Right Key:activate the Left or Right displayed image.
14. Freeze. Press Freeze to freeze the image or return to scanning.
15. Trackball
16. Imaging/Measurement Key: Cursor, Clear, Body Mark Measure, M/D Cursor, Scan Area, Set. Press these keys, as necessary.
17. Time Gain Compensation(TGC):Move slide pots left/right to adjust TGC.
18. Gel Holder
19. Probe Holder
8. Gain/Auto Key:Rotate the key to adjust the Gain; Press the key to activate/deactivate auto optimization.
9. Zoom Key:magnify a zoom region of interest (ROI).
10. Ellipse Keys: activates the area/ellipse measurement function.
11. Depth Key:controls the distance over the images
12. Reverse,Print, Store Key:Reverse key can flips the image 180 degrees left/right. Print Key can archive, print, or send the image.Store Key can save the images to harddisk( factory default)
Figure 1. Control Panel
LOGIQ C5/C5 PRO Quick Guide Direction 5272220-100 Rev. 2 2
Control Panel Tour

LOGIQ C5/C5 PRO Keys

Top/Sub Menu Key Tour

Top Menu Control

In general, there are two types of Top Menu keys: Paddle Switch and adjustable knobs.
1. Press the adjustable knobs to toggle option menu between line one and line two.
2. Rotate the adjustable knobs to adjust the corresponding parameters.
Figure 2. Top Menu Key

Sub Menu Control

1. Press F5 on the keyboard to activate Sub Menu,
2. Use the Direction keys to toggle/change functions

Function Keys - Programmable Keys

F1 = Help (Enter Online Help / User Manual)
F2 = Arrow (Annotation Arrow)
F3 = Eject (Eject media)
F4 = Spooler (Activates DICOM Job Spooler screen)
F5 = Activate Sub Menu
F6 -F12 Programmable
How to Program your programmable
keys
<Utility> - <Admin> - <Function Key>, then use the drop down menu.

Choices for program Keys

WorkSheet
•3D
LOGIQ View
ECG On/Off
•Set Home
Text Overlay
Grab Last
Word Delete

How to Program your hot keys

<Utility> - <Admin> - <Function Key>, <Hot Key> then use the drop down menu.

Choices for hot keys

No function
Biopsy Guide
Save as
Active Image
Measurement Select
Auto Doppler Calculation
Auto Trace
DVD Format
Range Focus
•OB Graph
Measurement All Clear
•ATO
Figure 3. Sub Menu Key

Shortcut keys

Ctrl + Alt + R: Restart the system
Ctrl + E: Eject
LOGIQ C5/C5 PRO Quick Guide Direction 5272220-100 Rev. 2 3
Control Panel Tour

LOGIQ C5/C5 PRO Monitor Display Tour

1. Institution/Hospital Name, Date, Time, Operator Identification, system status (real-time of frozen).
2. Patient Name, Patient Identification.
3. Acoustic Output Readout.
4. GE Symbol: Probe Orientation Marker. Coincides with the probe orientation marking on the probe.
5. Image Preview.
6. Gray/Color Bar.
7. Cine Gauge.
8. Measurement Summary Window.
9. Image.
10. Measurement (not shown).
11. Measurement Results Window.
12. Probe Identifier. Exam Study.
13. Imaging Parameters by Mode (current mode highlighted).
14. Focal Zone.
15. TGC (not shown on the image).
16. Body Pattern.
17. Depth Scale.
18. Top/Sub Menu.
19. Caps Lock: On or Off.
20. Start Menu Icon
21. Card iconTrackball Functionality Status: Scroll, M&A (Measurement and Analysis), Position, Size, Scan Area Width and Tilt.
22. Trackball Functionality Status: Scroll, M&A (Measurement and Analysis), Position, Size, Scan Area Width and Tilt
LOGIQ C5/C5 PRO Quick Guide Direction 5272220-100 Rev. 2 4

System Power

Power On

To connect the system to the electrical supply:
1. Ensure that the wall outlet is of the appropriate type.
2. Ensure that the protective earth (ground) connection is reliable.
ACDC Type Specification ACDC Type Specification
220-240VAC 500VA (China)
220-240VAC 500VA (India)
220-240VAC 500VA (Argentina)
220-240 VAC 500VA (Europe)
100-120 VAC
2.5A (Denmark)
220-240VAC 500VA (Switzerland)
220-240VAC 500VA (U.K.)
100-120 VAC 500VA (USA)
220-240 VAC 500VA (Australial)
3. Unwrap the power cable. Make sure to allow sufficient slack in the cable so that the plug is not pulled out of the wall if the system is moved slightly.
Use caution to ensure that the power cable does not disconnect during system use. If the system is accidentally unplugged, data may be lost.
Press the Power On/Off switch to turn the power on.
a

LEDs

1. When connect the system to the electrical supply,the LED turns amber.
Figure 5. Power LED
2. After pressing the Power On/Off switch,the system power is on and the LED turns Green.The Probe Key LED is lit.
Table 1: Example Plug and Outlet Configurations
Figure 6. Power and Probe LED
Figure 4. Power on Bottom
a. Power Switch Location
LOGIQ C5/C5 PRO Quick Guide Direction 5272220-100 Rev. 2 5
Prepare Exam

Power Off

To power down the system:
1. Press the Power On/Off switch at the front of the system once.
2. The System-Exit window is displayed.
Figure 7. Power Off Window
3. Using the Trackball or Select key, select
Shutdown.
The shutdown process takes a few seconds and is complete when the power LED turns amber.
4. Disconnect the probes.

Starting an Exam

You need to select a pre-configured dataflow that sets up the ultrasound system to work according to the services associated to the dataflow.
1. Select your Operator Login and type in your Password:
Figure 8. Operator Login Window
2. Press OK.
3. Fill in the New Patient menu as described on page 1-6.
OR,
If the patient name is on the patient record list, Trackball to the patient’s name to highlight the name, (or perform a search to locate the patient).
Clean or disinfect all probes as necessary. Store them in their shipping cases to avoid damage.
LOGIQ C5/C5 PRO Quick Guide Direction 5272220-100 Rev. 2 6

Starting an Exam

New Patient

To start a new patient’s exam,
1. Press Patient. Press the New Patient button on the Patient menu.
2. Select the Exam Category.
3. Type the Patient ID, Patient Name, Birthdate, etc.
4. Press the Register button on the Patient menu (DO NOT press Register if you are automatically generating a patient ID).
5. Press B, Esc, or Exit.

Patient Entry Menu

Image Management Window [1]
Access to this patient’s exam history and image management features.
Function Selection Window [2]
New Patient is used to clear the patient entry screen to input a new patient’s data into the database. Register is used to enter new patient information into the database prior to the actual exam being performed. Details displays exam details and additional patient information.
EZBackup, EZMove [3]
One-step method to backup (move and delete patient images) to an external media.
Dataflow [4]
Selects this exam’s dataflow preference.
Exit [5]
Exits the Patient Menu and returns to scanning.
Patient Information [6]
Patient ID, Name, Birthdate, Age and Sex.
Category Selection and Exam Information [7&8]
Select the appropriate category and enter the exam information.
Patient View and Exam View [9]
Patient View lists the patients in the database. “Search key” enables searching list by Patient ID, Last Name, First Name, Birthdate, Sex, Exam today, Exam between, Exam date before, Examdate, Examdate after, Accession Number and Exam Description. “string” field helps define the search parameters, and “Clear“ clears the searching condition.
Figure 9. Paitent Screen
Exam View lists the exams of the selected patient. Select the patient or the exam in Patient View and press “Exam View”.
LOGIQ C5/C5 PRO Quick Guide Direction 5272220-100 Rev. 2 7
B/M Mode
Image Optimize

B/M Mode Image Optimize

Power Output

Optimizes image quality and allows user to reduce beam intensity. 2% increments between 0-100%.

Dynamic Range

Dynamic Range controls how echo intensities are converted to shades of gray, thereby increasing the adjustable range of contrast.

Focus Number and Position

Increases the number of transmit focal zones or moves the focal zone(s) so that you can tighten up the beam for a specific area. A graphic caret corresponding to the focal zone position(s) appears on the right edge of the image.
NOTE: Push key to toggle between Focus Number and Focus Position.
NOTE: Not available when Auto frequency/Auto depth active.

Rejection

Selects a level below which echoes will not be amplified (an echo must have a certain minimum amplitude before it will be processed).

Edge Enhance

Frame Average

Temporal filter that averages frames together. This has the effect of presenting a smoother, softer image.

Colorize

Enables gray scale image colorization. To deactivate, reselect a Gray Map.

Gray Map

Determines how the echo intensity levels received are presented as shades of gray.

Rotation (Up/Down)

Rotates the image by selecting the value from the Softkey.

Frequency

Multi Frequency mode lets you downshift to the probe's next lower frequency or shift up to a higher frequency.

Line density

Optimizes B Mode frame rate or spatial resolution for the best possible image.

B Mode Control Panel Controls

Auto Optimize

Automatic Tissue Optimization optimizes the image based upon a specified Region of Interest (ROI) or anatomy within the display.

Zoom

Magnifies a zoom region of interest, which is magnified to approximately the size of a full-sized image. An un-zoomed reference image is displayed adjacent to the zoom window. The system adjusts all imaging parameters accordingly. Press Depth/ Zoom/Ellipse key to activate Zoom. Adjust the key to increase or decrease the zoom size. Use the Trackball to position the Zoom ROI. Only when the zoom size reaches the max or press the Depth/ Zoom/Ellipse key again would deactivate the Zoom, and activate Depth.

Reverse

Flips the image left/right.

Range Focus

Improves the near/mid field image quality, borders/ interfaces, increases contrast and detail resolution across the image, and allows for less filling in the vessels.
Edge Enhance brings out subtle tissue differences and boundaries by enhancing the gray scale differences corresponding to the edges of structures. Adjustments to M Mode's edge enhancement affects the M Mode only.

Sweep Speed

Changes the speed at which the time line is swept. The following speed values are available, 1, 2, 3, 4, 6, 8, 12, 16.
LOGIQ C5/C5 PRO Quick Guide Direction 5272220-100 Rev. 2 8
B/M Mode Image Optimize (continued)

B/M Mode Scanning Hints

Auto Optimize. Improves imaging performance
while reducing optimization time.
Frequency. Changes system parameters to best optimize for a particular patient type.
Maps. There is an inter-dependency between gray maps, gain, and dynamic range. If you change a map, revisit gain and dynamic range settings.
Dynamic Range. Affects the amount of gray scale information displayed. If you increase the gain, you may want to decrease the dynamic range.
Edge Enhance. Better delineates the amount of border crispness.
Frame Average. Smooths the image by averaging frames. Affects the amount of speckle reduction.
Virtual Apex
On Sector probes, Virtual Apex provides a larger field of view in the far field. Virtual Apex is always active with sector probes.
Virtual Convex
On Linear probes, Virtual Convex provides a larger field of view in the far field.
Virtual Convex is always active with linear probe.
Figure 10. B Mode Top/Sub Menu
LOGIQ C5/C5 PRO Quick Guide Direction 5272220-100 Rev. 2 9
Color Flow/Doppler
Image Optimize

Color Flow/Doppler Image Optimize

Baseline

Adjusts the baseline to accommodate faster or slower blood flows to eliminate aliasing.

PRF/Wall Filter

Velocity scale determines pulse repetition frequency. If the sample volume gate range exceeds single gate PRF capability, the system automatically switches to high PRF mode. Multiple gates appear, and HPRF is indicated on the display.
Wall Filter insulates the Doppler signal from excessive noise caused from vessel movement.
NOTE: Push button to toggle between PRF and Wall Filter.

Angle Correct

Estimates the flow velocity in a direction at an angle to the Doppler vector by computing the angle between the Doppler vector and the flow to be measured.

Quick Angle

Quickly adjust the angle by 60 degrees.

Threshold

Sample Volume Gate Length

Sizes the sample volume gate.
Map
Allows a specific color map to be selected. After a selection has been made, the color bar displays the resultant map.

Packet Size

Controls the number of samples gathered for a single color flow vector.

Controls in Common with B Mode

For more information on Focal Zone, Power Output, Frequency, Frame Average, Dynamic Range, Gray Map, and Colorize, refer to the B/M Mode Image Optimize section in this Quick Guide.

Scanning Hints

Line Density. Trades frame rate for sensitivity and
spatial resolution. If the frame rate is too slow, reduce the size of the region of interest, select a different line density setting, or reduce the packet size.
Wall Filter. Affects low flow sensitivity versus motion artifact.
6. Increase Frame Average.
7. Increase the Packet Size.
8. Reduce the ROI to the smallest reasonable size.
9. Position the Focal Zones properly.
To decrease motion artifact,
1. Increase the PRF.
2. Increase the Wall Filter.
To eliminate aliasing,
1. Increase the PRF.
2. Lower the Baseline.
For venous imaging,
1. Ensure that you have selected the vascular exam category.
2. Select a venous application.
3. Select the appropriate probe for very superficial structure.
4. Select two focal zones.
5. Adjust the depth to the anatomy to be imaged.
6. Maintain a low gain setting for gray scale.
7. Activate Color Flow.
8. Maintain the PRF at a lower setting.
9. Increase Frame Averaging for more persistence.
Threshold assigns the gray scale level at which color information stops.

Doppler Display Formats

Display layout can be preset to have B-Mode and Time-motion side-by-side or over-under.
To improve sensitivity.
1. Increase the Gain.
2. Decrease the PRF.
3. Increase the Power Output.
4. Adjust the Line Density.
5. Decrease the Wall Filter.
LOGIQ C5/C5 PRO Quick Guide Direction 5272220-100 Rev. 2 10
Figure 11. CFM Top/Sub Menu Controls
Figure 12. PWD Top/Sub Menu Controls
Color Flow/Doppler Image Optimize (continued)
LOGIQ C5/C5 PRO Quick Guide Direction 5272220-100 Rev. 2 11
Basic Measurements/
Calculations

Basic Measurements

NOTE: The following instructions assume that you first scan the patient and then press Freeze.

B Mode

Distance and Tissue Depth Measurements

1. Press Measure once; an active caliper displays.
2. To position the active caliper at the start point (distance) or the most anterior point (tissue depth), move the Trackball.
3. To fix the start point, press Set. The system fixes the first caliper and displays a second active caliper.
4. To position the second active caliper at the end point (distance) or the most posterior point (tissue depth), move the Trackball.
5. To complete the measurement, press Set. The system displays the distance or tissue depth value in the measurement results window.
NOTE: Before you complete a measurement:
To toggle between active calipers, press Measure.
To erase the second caliper and the current data measured and start the measurement again, press Clear once.
NOTE: After you complete the measurement, to erase all data that has been measured to this point, but not data entered onto worksheets, press Clear.

Circumference/Area (Ellipse) Measurement

1. Press Measure once; an active caliper displays.
2. To position the active caliper, move the Trackball.
3. To fix the start point, press Set. The system fixes the first caliper and displays a second active caliper.
4. To position the second caliper, move the Trackball.
5. Adjust the Ellipse control; an ellipse with an initial circle shape appears.
6. To position the ellipse and to size the measured axes (move the calipers), move the Trackball.
7. To increase the size, adjust the Ellipse control in a clockwise direction. To decrease the size, adjust the Ellipse control in a counterclockwise direction.
8. To toggle between active calipers, press Measure.
9. To complete the measurement, press Set. The system displays the circumference and area in the measurement results window.
NOTE: Before you complete a measurement:
To erase the ellipse and the current data measured, press Clear once. The original caliper is displayed to restart the measurement.
To exit the measurement function without completing the measurement, press Clear a second time.

Circumference/Area (Trace) Measurement

1. Press Measure twice; a trace caliper displays.
2. To position the trace caliper at the start point, move the Trackball.
3. To fix the trace start point, press Set. The trace caliper changes to an active caliper.
4. To trace the measurement area, move the Trackball around the anatomy. A dotted line shows the traced area.
NOTE: To erase the dotted line but not the trace caliper, press Clear once. To clear the trace caliper and the current data measured, press Clear twice.
NOTE: To erase the line (bit by bit) back from its current point, move the Trackball or adjust the Ellipse control.
5. To complete the measurement, press Set. The system displays the circumference and the area in the measurement results window.
NOTE: Before you complete a measurement:
To erase the line (bit by bit) back from its current point, move the Trackball or adjust the Ellipse control counterclockwise.
To erase the dotted line but not the trace caliper, press Clear once.
To clear the trace caliper and the current data measured, press Clear twice.
LOGIQ C5/C5 PRO Quick Guide Direction 5272220-100 Rev. 2 12

Volum e

1. To make a volume calculation, do one of the following:
Make one distance measurement.
Make two distance measurements.
Make three distance measurements.
NOTE: The three distance measurements should be done in the dual format mode (side by side images). One measurement is usually made in the sagittal plane and two measurements in the axial plane. To use the dual format mode, press the L or R key on front panel.
Make one distance and one ellipse measurement.
Make one ellipse measurement.
2. Select Volume.

M/PWD

Time Interval Measurement

1. Press Measure twice; an active caliper with a vertical dotted line displays.
2. To position the active caliper at the start point, move the Trackball.
3. To fix the start point, press Set. The system fixes the first caliper and displays a second active caliper.
4. To position the second caliper at the end point, move the Trackball.
5. To complete the measurement, press Set. The system displays the time interval between the two calipers in the measurement results window.

Velocity Measurement

1. Press Measure; an active caliper with a vertical dotted line displays.
2. To position the caliper at the desired measurement point, move the Trackball.
3. To complete the measurement, press Set. The system displays the velocity measurement in the measurement results window.

PI, RI, S/D Ratio, D/S Ratio or A/B Ratio

Select PI, RI, S/D Ratio, A/B Ratio or D/S Ratio from the Doppler Primary and secondary menu. Perform velocity measurements.
1. The first caliper is the start point on the Doppler waveform. This would be V velocity for RI, systole for S/D ratio, "A" velocity for A/B ratio or diastole for D/S ratio.
2. The second caliper is the end-point caliper to the end point of the Doppler waveform. This would be V diastole for S/D ratio, "B" velocity for A/B ratio or systole for D/S ratio.
NOTE: For the PI calculation, if Auto Trace is not selected, manually trace the waveform between V
and Vd.
MAX
NOTE: For the PI calculation, if Auto Trace is on, the system automatically traces the waveform when Set is pressed to fix V
for PI, minimum velocity for RI,
d
.
d
for PI, peak
MAX

Worksheets

Measurement/Calculation worksheets are available to display and edit measurements and calculations. There are generic worksheets as well as Application specific worksheets. The worksheets are selected from the Measurement menu or by pressing the function key defined on keyboard.
LOGIQ C5/C5 PRO Quick Guide Direction 5272220-100 Rev. 2 13

Using Probes

CAUTION
Using Probes

Connecting a probe

1. Place the probe's carrying case on a stable surface and open the case.
2. Carefully remove the probe and unwrap the probe cable.
3. DO NOT allow the probe head to hang free. Impact to the probe head could result in irreparable damage. Inspect the probe before and after each use for damage or degradation to the housing, strain relief, lens, seal and connector. DO NOT use a transducer which appears damaged until functional and safe performance is verified. A thorough inspection should be conducted during the cleaning process.
4. Align the connector with the probe port and carefully push into place with the cable facing the front of the system.
5. Turn the connector locking lever up.
6. Carefully position the probe cord so it is free to move, but not resting on the floor.

Activating the probe

Swich the probe

Swich probe between the two probe through pressing Probe bottom.
NOTE: Swiching the probe frequently will cause probe can not be supported warning message.

Deactivating the probe

When deactivating the probe, the probe is automatically placed in standby mode.
1. Ensure the LOGIQ C5/C5 PRO is in freeze mode. If necessary, press the Freeze key.
2. Gently wipe the excess gel from the face of the probe.
3. Carefully slide the probe around the right side of the keyboard, toward the probe holder. Ensure that the probe is placed gently in the probe holder.

Disconnecting the probe

Probes can be disconnected at any time. However, the probe should not be active when disconnecting the probe.
1. Move the probe locking handle counterclockwise.
2. Pull the probe and connector straight out of the probe port.
3. Carefully slide the probe and connector away from the probe port and around the right side of the keyboard.
4. Ensure the cable is free.
5. Be sure that the probe head is clean before plac­ing the probe in its storage box or a wall hanging unit.
Fault conditions can result in electric shock hazard. Do not touch the surface of probe connectors which are exposed when the probe is removed. Do not touch the patient when connecting or disconnecting a probe.
The probe activates automatically in the currently­selected operating mode when it is connected. The probe's default settings for the mode and selected exam are used automatically.
LOGIQ C5/C5 PRO Quick Guide Direction 5272220-100 Rev. 2 14

Probe Application

Table 1: Probe Indications for Use
Probe Application E7C-RC E6C-RS 6.5C--RS 4C-RS 3.8C-RC 7.5L-RC 7L-RC 3S-RC
Abdomen 0 X X 0
Small Parts X X X X
Obstetrics X X X X
Gynecology X X X
Pediatrics X X X 0 0
Neonatal 0 0 0
Urology XX
Cardiac X X X
Endocavity
Transcranial 0 X
Intraoperative 0 0 0
Vascular 0 0 0 X X
Biopsy X XXXXXX
X Main Application O Accessory Application
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