GE LOGIQ E9 User Manual

Technical Publications

0459

Direction 5454884-100 English

Rev. 1

LOGIQ E9 User Guide

Version R4

Operating Documentation
Copyright 2012 By General Electric Co.

Regulatory Requirement

0459

LOGIQ E9 complies with regulatory requirements of the following European
Directive 93/42/EEC concerning medical devices.

This manual is a reference for the LOGIQ E9. It applies to Version R4 software for
the LOGIQ E9 ultrasound system.

GE Healthcare
P.O. Box 414, Milwaukee, Wisconsin 53201 U.S.A.
(Asia, Pacific, Latin America, North America)

GE Ultraschall Deutschland GmbH & Co. KG
Beethovenstrasse 239
Postfach 11 05 60
D-42655 Solingen GERMANY
TEL: [phone]; FAX: [phone]

Revision History

Reason for Change

DATE

REV

Rev. 1 2012/11/09 Initial Release

(YYYY/MM/DD)

List of Effective Pages

REASON FOR CHANGE

REVISION

PAGE NUMBER

Title Page Rev. 1 Chapter 2 Rev. 1
Revision History Rev. 1 Chapter 3 Rev. 1
Regulatory Requirements Rev. 1 Chapter 4 Rev. 1
Table of Contents Rev. 1 Index Rev. 1
Chapter 1 Rev. 1

NUMBER

PAGE NUMBER

REVISION

NUMBER

Please verify that you are using the latest revision of this document. Information
pertaining to this document is maintained on ePDM (GE Healthcare electronic Product
Data Management). If you need t o kn ow the latest re vision, co nt a ct your d istri butor, local
GE Sales Representative or in the USA call the GE Ultra sound Clinical Answer Center at
1 800 682 5327 or 1 262 524 5698.

LOGIQ E9

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Regulatory Requirements

Conformance Standards

The following classifications are in accordance with the IEC/
EN 60601-1:6.8.1:

• According to 93/42/EEC Medical Device Directive, this is
Class IIa Medical Device.

• According to IEC/EN 60601-1,

• Equipment is Class I, Type B with BF or CF Applied

Parts.

• According to CISPR 11,

• Equipment is Group 1, Class A ISM Equipment.

This product complies with the regulatory requirement of the
following:

• Council Directive 93/42/EEC concerning med ica l devic es :
the CE label affixed to the product testifies compliance to
the Directive.

The location of the CE marking is shown in the Safety
chapter of this manual.

Authorized EU Representative

European registered place of business:
GE Medical Systems Information Technologies GmbH
(GEMS IT GmbH)
Munzinger Strasse 3, D-79111 Freiburg, GERMANY
Tel: [phone]; Fax: [phone]

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Conformance Standards (continued)

• International Electrotechnical Commission (IEC).

• IEC/EN 60601-1 Medical Electrical Eqiupment, Part 1

General Requirements for Safety.

• IEC/EN 60601-1-1 Safety requirements for medical

electrical systems.

• IEC/EN 60601-1-2 Electromagnetic compatibility -

Requirements and tests.

• IEC/EN 60601-1-4 Programmable electrical medical

systems.

• IEC 60601-1-6 (Usability), EN 1041 (Information

supplied with medical devices)

• IEC 60601-2-37 Medical electrical equipment. Particular

requirements for the safety of ultrasonic medica l
diagnostic and monitoring equipment.

• International Organization of Standards (ISO)

• ISO 10993-1 Biological evaluation of medical devices.

• Underwriters’ Laboratories, Inc. (UL), an independent
testing laboratory.

• UL 60601-1 Medical Electrical Equipment, Part 1

General Requirements for Safety.

• Canadian Standards Association (CSA).

• CSA 22.2, 601.1 Medical Electrical Equipment, Part 1

General Requirements for Safety.

• NEMA/AIUM Acoustic Output Display Standard (NEMA
UD-3).

• Medical Device Good Manufacturing Practice Manual
issued by the FDA (Food and Drug Administration,
Department of Health, USA).

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Certifications

DANGER

• General Electric Medical Systems is ISO 9001 and
ISO 13485 certified.

Original Documentation

• The original document was written in English.

Country Specific Approval

• JAPAN
MHLW Certified Number: 220ABBZX00177000

• KOREA
KFDA License 09-180

• USA AND TERRITORIES

The following optional features ARE NOT available in the
USA and its territories:

– Elastography Quanitfication
– Contrast Enhanced Ultrasound
– Breast Measure Assistant
– OB Measure Assistant

Importer Information

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• Turkey
ITHALATÇI

PENTA ELEKTRONIK MEDIKAL
SISTEMLER SAN. VE TIC. A.S.
HOSDERE CAD. FUAR SOK. 5 / 3
Y. AYRANCI / ANKARA

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Conformance Standards - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i-3
Certifications - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i-5
Original Documentation- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i-5
Country Specific Approval - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i-5
Importer Information - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - i-5

Table of Contents
Chapter 1 — Getting Started

Console Overview

Attention - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-2
Prescription Device- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-2
Indications for Use - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-3
Contraindication - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-4
Important Notices - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-5
Console Graphics- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-7

Moving the System

Before moving the system- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-18
When moving the system - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-20
Operator Panel Movement Controls - - - - - - - - - - - - - - - - - - - - - - - - - 1-21
Setting the front wheels lock - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-23

System Start-Up

Power On- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-24
Power Off- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-25
Circuit breaker - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-27

Probes

Introduction - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-28
Connecting the Probe - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-29
Cable Handling - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-30
Activating the Probe - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-30
Disconnecting the Probe - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-31
Probe Discussion - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-31
Biopsy Special Concerns- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-41
Preparing for a Biopsy- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-43
Surgery/Intra-operative Use- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-64

Beginning an Exam

Scanning a New Patient - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-66
Patient Screen - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1-68

Chapter 2 — Performing an Exam

Optimizing the Image

B-Mode Controls- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-2

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Color Flow Mode Controls - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-5
M-Mode Controls - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-7
M Color Flow Mode- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-7
Doppler Mode Controls - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-8
3D Mode - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-10
Other Controls - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-11

Measurement and Analysis

Introduction - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-16
Location of Measurement Controls- - - - - - - - - - - - - - - - - - - - - - - - - - 2-17
B-Mode Measurements- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-18
Doppler Mode Measurements - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-26
M-Mode Measurements- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-29
Viewing and Editing Worksheets - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-31
Clinical Measurement Accuracy - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2-36
Setting up the Off-Line Paper Printer - - - - - - - - - - - - - - - - - - - - - - - - 2-39

Chapter 3 — After the Exam is Over

Probe Overview

Probe Naming Conventions- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-2
Probe handling and infection control- - - - - - - - - - - - - - - - - - - - - - - - - - 3-3
Endocavitary Probe Handling Precautions- - - - - - - - - - - - - - - - - - - - - - 3-4
Probe Cleaning Process - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-5
Coupling gels - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-16

System Presets

Foreign Language Keyboard Setup - - - - - - - - - - - - - - - - - - - - - - - - - 3-18

Data Backup

EZBackup and EZMove- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-25
Backup procedure: user-defined configurations - - - - - - - - - - - - - - - - - 3-32
Restore procedure: patient data- - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-33
Restore procedure: user-defined configurations- - - - - - - - - - - - - - - - - 3-34

Configuring Connectivity

Overview - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-35
Connectivity Functions - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-36
Anti-Virus Software Note- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-37

Electronic Documentation

Accessing Documentation Via a Windows PC- - - - - - - - - - - - - - - - - - 3-39
Accessing Documentation on the Ultrasound Scanner Via the media- - 3-40
Using Online Help Via F1 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-41

Contact Information

Contacting GE Healthcare Ultrasound - - - - - - - - - - - - - - - - - - - - - - - 3-42
Manufacturer - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-48

System Data

Features/Specifications- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-49

System Care and Maintenance

Expected Service Life Description - - - - - - - - - - - - - - - - - - - - - - - - - - 3-55
Inspecting the System- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-56
Cleaning the system - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-58
Other Maintenance - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-63

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Assistance

Supplies/Accessories - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 3-66

Chapter 4 — Safety

Owner Responsibility

Owner requirements - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-2
Notice against user modification- - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-3

Safety Precautions

Precaution Levels- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-4
Hazard Symbols- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-5
Patient Safety- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-7
Equipment and Personnel Safety- - - - - - - - - - - - - - - - - - - - - - - - - - - 4-11
Classifications - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-18
EMC (Electromagnetic Compatibility) - - - - - - - - - - - - - - - - - - - - - - - - 4-19
Patient Environmental Devices- - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-31
Acoustic Output - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-33

Device Labels

Label Icon Description- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-37
Warning Label Locations- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 4-43

Index

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Chapter 1

Getting Started

Console Overview, Moving the System, System
Start-up, Probes and Beginning an Exam

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1-1

Getting Started

Attention

Console Overview

This manual contains necessary and sufficient information to
operate the system safely. Advanced equipment training may be
provided by a factory trained Applications Specialist for the
agreed-upon time period.

Read and understand all instructions in this manual before
attempting to use the LOGIQ E9 system.

Keep this manual with the equipment at all times. Period ica lly
review the procedures for operation and safety precautions.

Disregarding information on safety is considered abnormal use.
Not all features or products described in this document may be

available or cleared for sale in all markets. Please contact your
local GE Healthcare Ultrasound representative to get th e late st
information.

NOTE: Please note that orders are based on the individually agreed

NOTE: All references to standards / regulations and their revisions are

Prescription Device

upon specifications and may not cont ain all features listed in t his
manual.

valid at the time of publication of the user manual.

CAUTION: United States law restricts this device to sale or use
by, or on the order of a physician.

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Indications for Use

CAUTION

Frequency of Use

Operator Profile

Clinical Applications

Console Overview

The LOGIQ E9 is intended for use by a qualified physician for
ultrasound evaluation.

Daily (Typically 8 hours)

• Qualified and trained physicians or sonographers with at
least basic ultrasound knowledge.

• The operator must have read and understood the user
manual.

Specific clinical applications and exam types include:

• Fetal/Obstetrics

• Abdominal (includes renal, GYN/Pelvic)

• Pediatric

• Small Organ (breast, testes, thyroid)

• Neonatal Cephalic

• Adult Cephalic

• Cardiac (adult and pediatric)

• Peripheral Vascular

• Musculo-skeletal Conventional and Superficial

• Urology (including prostate)

• Transrectal

• Transvaginal

• Transesophageal

• Intraoperative (abdominal, thoracic, vascular and
neurosurgical)

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This machine should be used in compliance with law. Some
jurisdictions restrict certain uses, such as gender
determination.

1-3

Getting Started

Contraindication

The LOGIQ E9 ultrasound system is not intended for ophthalmic
use or any use causing the acoustic beam to pa ss through the
eye.

Only qualified physicians or sonographers should perform
ultrasound scanning on human subjects for medical diagnostic
reasons. Request training, if needed.

1-4

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Console Overview

Important Notices

Do not attempt to install the system alone. General Electric,
Affiliate, or Distributor Field Engineers and Application
Specialists will install and setup the system. See ‘Contact
Information’ on page 3-42 for more information.

NOTICE This medical equipment is approved, in terms of the prevention

of radio wave interference, to be used in hospitals, clinics and
other institutions which are environmentally qualified. The use of
this equipment in an inappropriate environment may cause
some electronic interference to radios and te lev ision s ar ou n d
the equipment.

Ensure that the following is provided for the new system:

• A separate power outlet with a 20 amp circuit breaker for
120 VAC for 120V area, 7.5 amp circuit breaker for
220-240V AC for 220/240V ar ea or 15 amp circuit breaker for
100 VAC for Japan.

• Take precautions to ensure that the console is protected
from electromagnetic interference.

Precautions include:

• Operate the console at least 5 meters (15 feet ) away

from motors, typewriters, elevators, and other sources
of strong electromagnetic radiation (non-medical grade
UPS must be at least 2 meters (6 feet) away from
console).

• Operation in an enclosed area (wood, plaster or

concrete walls, floors and ceilings) helps prevent
electromagnetic interference.

• Special shielding may be required if the console is to be

operated in the vicinity of radio broadcast equipment.

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Getting Started

WARNING

CAUTION

CAUTION

Important Notices (continued)

To avoid risk of fire, the syst em po we r must be sup plie d fr om a
separate, properly rated outlet.

Under no circumstances should the AC power plug be altered,
changed, or adapted to a configuration rated less than
specified. Never use an extension cord or adapter plug.

To help assure grounding reliability, connect to a “hospital
grade” or “hospital only” grounded power outlet.

Use caution to ensure that the power cable does not
disconnect during system use.

If the system is accidentally unplugged, data may be lost.

To avoid leakage current above safety limits as prescribed by
IEC 60601-1 and to ensure continuity of protective earth. DO
NOT connect LOGIQ E9 and mains-operated accessories to a
single or multiple socket extension cord or power strip.

1-6

Figure 1-1. Example Plug and Outlet Configurations

1. 100-120 VAC, 1200 VA
Plug and Outlet Configuration

2. 220-240 VAC, 1200 VA
Plug and Outlet Configuration

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Console Graphics

CAUTION

Console Overview

The following are illustrations of the console:

Figure 1-2. LOGIQ E9 System (right and left side views)

1. LCD

2. Gel Holder / Specialty Probe Holder

3. Operator Panel, Probe Holders with Cable
Management

4. Brake Release / Up/Down Controls

For compatiblity reasons, use only GE approved probes,
peripherals or accessories.

DO NOT connect any probes or accessories without approval
by GE.

5. Peripherals (Black/White Printer, CD/DVD
Drive), V Nav option, and Network Activity/
Speed (Green=1 Gigabyte and Yellow=100 Mb)
and Hard Disk Drive Indicator

6. Probe Connectors

7. Brakes

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WARNING

Console Graphics (continued)

Figure 1-3. LOGIQ E9 System (front and back views)

1. Power On/Off; Operator Panel USB Ports

2. Brake and Up/Down Controls

3. Probe Cable Management Hooks (underneath
Operator Panel)

4. Black/White Printer

5. CD/DVD Drive

6. Network and Hard Disk Drive Indicators. USB
Ports

7. Patient I/O (ECG, CW Probe Connector)

8. Volume Navigation Connectors

DO NOT touch the patient and any of the connectors on the
ultrasound unit simultaneously, including ultrasound probe
connectors.

DO NOT touch the conducting parts of the USB, Ethernet,
Video, Audio cables when connecting equipment to the unit.

9. Probe Connectors

10. Brake Pedal

11. Rear Handle

12. Power Cord Hook

13. Op Panel Up/Down Manual Release Lever

14. Access to Peripheral USB Ports, Audio In/Out,
DVI Connector, Ethernet Connectors, S-Video

15. Breaker, Ground and Power Cord

16. Back Filter

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USB Ports

CAUTION

CAUTION

CAUTION

Operator Panel

Console Overview

Peripheral devices that use their own AC power source canno t
be attached to the system.

The two Operator Panel USB Ports SHOULD ONLY BE USED
for Bus-powered USB Hard Disk Drives and USB Flash Drives.
The following configurations can be used:

• One or two USB Flash Drives

• One Flash Drive and One Bus-powered Hard Disk Drive

• One Bus-powered Hard Disk Drive

DO NOT plug in TWO Bus-powered Hard Disk Drives at the
same time.

Below Operator Panel and Rear of System

The two USB ports at the back of the system and the two USB
ports below the Operator Panel SHOULD ONLY BE USED for
the following devices:

• Color or Report Printer

NOTE: When connecting an external printer to the LOGIQ E9 via

the USB port on the back of the system, you MUST ensure
that the power supplied to the printer is fed from the same
power feed as the LOGIQ E9. This assures compliance to
leakage currents.

• Flash Drive

• Service Key

ONLY plug in devices to the USB ports located at the rear of
the system WHILE the LOGIQ E9 is NOT powered up . If you
plug in a device while the LOGIQ E9 is powered on, your
system may become unusable.

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CAUTION

CAUTION

CAUTION

Peripheral/Accessory Connector Panel

LOGIQ E9 peripherals CAN ONLY BE properly connected using
the Peripheral/Accessory Connector Panel located behind the
rear door: Color Digital or Report printer, Audio In/Out, DVI
Analog Video Output, S-Video, and Ethernet.

For compatiblity reasons, use only GE-approved prob es,
peripherals, or accessories.

DO NOT connect any probes or accessories without approval
by GE.

The connection of equipment or transmission networks other
than as specified in these instructions can result in electric
shock hazard. Alternate connections will require verification of
compatibility and conformity to IEC/EN 60601-1-1 by the
installer.

To avoid breaking the back cover while opening it in order to
connect up the network cable, use a paper clip an d pull hard to
open up the back cover door.

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Peripheral/Accessory Connector Panel (continued)

Figure 1-4. Peripheral/Accessory Connector Panel

Table 1-1: Peripheral/Accessory Connector Panel Descriptions

Console Overview

No. Item Type of connector

USB Ports USB 2.0

Ethernet RJ-45 Modular, 8-pin

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Table 1-1: Peripheral/Accessory Connector Panel Descriptions (Continued)

No. Item Type of connector

DVI Port Connector DVI Analog Video Output.

Audio In/Out ACR

S-Video S-Video

Note: Use a DVI to VGA Adapter in order to
connect an analog monitor.

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Control Panel Map

Console Overview

Figure 1-5. Control Panel

1. Probe and Cord Holder

2. USB Ports (2)

3. Touch Panel and Joystick controls

4. Keyboard

5. Feature Keys

6. Mode/Gain/XYZ (3D) Controls

7. TGC

8. Trackball, Trackball Keys, Pointer, Measure, Comment,
Body Pattern, Clear, Zoom, 3D/4D, P1

9. L/R, Start/Stop, Freeze

10. Steer/Width/Depth/Reverse

11. Auto

12. P2, P3, P4

LOGIQ E9
Direction 5454884-100 English Rev. 1

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User Guide

1-13

Getting Started

Touch Panel

Figure 1-6. Exam Function Controls

1. Patient: Enters Patient screen

2. Scan: Enters scanning mode screen

3. Reports: Activates default report and Touch
Panel of report choices.

4. End Exam: Activates Image Management and
Touch Panel with end of exam options.

NOTE: Different menus are displayed depending on which Touch Panel

is selected.

At the bottom of the Touch Panel, there are five combination
rotary dials/push buttons. The functiona lity of these rotaries
changes, depending upon the currently-displayed menu. Press
the button to switch between controls, or rot ate the dial to adjust
the value, or move the control left/right or up/down to adjust the
value.

5. Utility: Activates system configuration menus.

6. Model: Selects the application to use.

7. Probe Indicator: Indicates and selects the
probes.

1-14

LOGIQ E9

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User Guide

Direction 5454884-100 English

Rev. 1

Monitor Display

Console Overview

Figure 1-7. Monitor Display Tour

Figure 1-8. Monitor Display Tour 2

NOTE: The date on the monitor may truncate the century when using

the YYYY-MM-DD date format.

LOGIQ E9
Direction 5454884-100 English Rev. 1

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User Guide

1-15

Getting Started

Monitor Display (continued)

1. Institution/Hospital Name, Date, Time, Operator
Identification.

2. Patient Name, Patient Identification, Alternate
(Second) Patient Name/Patient Identification.

3. Power Output Readout

4. GE Symbol: Probe Orientation Marker.

5. Worksheet/Direct Report.

6. Gray/Color Bar.

7. Measurement Summary Window.

8. Image.

9. Measurement Calipers.

10. Measurement Results Window.

11. Scan Assistant Icons

12. Image Preview.

13. Image Clipboard.

14. Probe Identifier. Exam Preset.

15. Imaging Parameters by Mode, SoS indicator (if
applicable).

16. Focal Zone Indicator.

17. TGC.

18. Depth Scale.

19. Body Pattern.

20. Cine Gauge.

21. Current date and time, Caps Lock: (lit when on),
network connection indicator (PC=connected,
PC with X=not connected), wireless LAN
indicator (WLAN=connected, WLAN with X=not
connected), DVR status, InSite ExC status,
InSite ExC controls, system messages display.

22. Image Management Icons:
a. Compare Assistant
b. Active Images screen
c. Delete Images screen
d. Next/Previous Image(s); and Clipboard Slide

Show if you press and hold down the [Ctrl]

key + Next or Previous Arrow
e. Save As Menu
f. Number of Images in Exam
g. Thumbnail Size

23. Trackball Key Functionality Status.

24. 6Tc Probe temperature display

25. 6Tc Probe angle display

1-16

LOGIQ E9

–

User Guide

Direction 5454884-100 English

Rev. 1

Brightness

Console Overview

Adjusting the monitor's brightness is one of the most important
factors for proper image quality. If these controls are set
incorrectly, the Gain, TGC, Dynamic Range and even Power
Output may have to be changed more often than necessary to
compensate.

The proper setup displays a complete gray scale. The lowest
level of black should just disappear into the backgr ound and the
highest white should be bright, but not saturated.

To adjust the brightness:

1. Press the right adjustment button to increase brightness.

2. Press the left adjustment button to decre ase brightness.
The amount of brightness is shown on a slide bar on the

screen.



Figure 1-9. Brightness adjustment button

1. Adjustment (+) Button

2. Adjust (-) Button

Record any changes to the final brightness settings and leave
this information with the system. Generally speaking, do not
change the controls once they have been set. Once set, the
display then becomes the reference for the hard copy device(s).

Table 1-2: Brightness Settings (Recommended)

Room Condition Brightness

Dark Room (Factory default) 60
Bright Room 100

NOTE: After readjusting the monitor's Brightness, readjust all preset

and peripheral settings.

LOGIQ E9

–

User Guide

Direction 5454884-100 English Rev. 1

1-17

Getting Started

Before moving the system

1. Press the Power On/Off switch to power off the system.
See ‘Power Off’ on page 1-25 for more information.

2. Unplug the power cord.

3. All cables from off-board peripheral devices (external Color
Digital/Report printer, etc.) and the ethernet connection
must be disconnected from the console.

4. Ensure that no loose items are left on the console.

5. Wind the power cable around the cable hook below the rear
handle.

NOTE: To prevent damage to the Power Cord, DO NOT pull

excessively on the cord or make sharp bends while
wrapping.

Moving the System

6. Connect all probes to be used while off site. Ensure that
probe cables are out of the way from the wheels and not
protruding beyond the console. Use the probe manageme nt
hooks located below the Operator Panel to further secure
the probe cables.

NOTE: If more than four (4) probes are intended to be used, store

the additional probes securely.

7. Store all other probes in their original cases or in soft cloth
or foam to prevent damage.

1-18

LOGIQ E9

Direction 5454884-100 English

–

User Guide

Rev. 1

Before moving the system (continued)

CAUTION

CAUTION

8. Store sufficient gel and other essential accessories in the
provided space.

DO NOT place probes into the front pocket storage area
when moving the system. This is not a storage space for
probes.

9. Adjust the LCD monitor and control panel to their lowest
positions by using the up/down switch on the front of the
operator panel. Make sure the operator panel is locked in
place.

To prevent system damage while not in use AND/OR
before moving the system, flip down the monitor and lock
the monitor arm and operator panel firmly in place.

10. Unlock the wheels.

Moving the System

LOGIQ E9
Direction 5454884-100 English Rev. 1

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User Guide

1-19

Getting Started

CAUTION

CAUTION

When moving the system

1. Always use the front handle grips to move the system.

2. Take e xtra care when moving the system long d istances and
on inclines. Ask for help if necessary.

Avoid ramps that are steeper than ten degrees to avoid
tipping over the
personnel when moving on a steep incline (>5 degrees) or
loading the system into a vehicle for transport.

NOTE: Wheel chair ramps are usually less than five degrees.

DO NOT attempt to move the console using any cables or
fixtures, such as the probe connectors.

3. Use the foot brake (pedal), located on the bottom of the
system in the front, when necessary.

4. Do not let the system strike walls or door frames.

5. Use extra care when crossing door or elevator thresholds.

6. Once the destination is reached, lock the wheels.

system. Utilize additional care and

The system weighs approximately 140kg (309lbs). To avoid
possible injury and equipment damage:

• Be sure the pathway is clear.

• Limit movement to a slow careful walk.

• Use two or more persons to move the system on inclines or
long distances.

1-20

LOGIQ E9

Direction 5454884-100 English

–

User Guide

Rev. 1

Operator Panel Movement Controls

CAUTION

The system Operator Panel can be freely moved in all
directions. The vertical displacement of the Operator Panel is
motor driven. The control buttons are located adjacent to the
handles.

Figure 1-10. Operator Panel Movement Controls

To move the Operator Panel sideways, press and hold down the
left button to release and move the Operator Panel sideways
until it is in the desired position.

To park the Operator Panel, after moving Operator Panel
sideways to the desired position, release the left button. After
releasing the left button, the system will lock into position after 3
seconds.

Moving the System

To raise/lower the Operator Panel, press and hold down the Up/
Down toggle button (right button) according ly to raise or lower
the Operator Panel. Release the Up/Down button when the Top
Console is in the desired height.

To manually adjust the Operator Panel, manipulate the metal
lever located in-between the slots on the rear of the LOGIQ E9.

When power is on, the brakes are applied to the Operator
Panel. To move the Operator Panel, release it by using the
Operator Panel Movement Controls. This helps to ensure the
life of the brakes.

LOGIQ E9
Direction 5454884-100 English Rev. 1

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User Guide

1-21

Getting Started

CAUTION

Shutdown

NOTE: Once you select Shutdown, both Operator Panel controls are

Park Lock Reset

Make sure to dock the Operator Panel prior to powering down
the system. You cannot lock the Operator Panel into place
during shutdown or after the system has been shut down.

If you shutdown the system wiithout parking the Operato r Panel,
the message “The operator keyboard is not in parked position.”
appears. Place the Operator Panel in the parked position.

disabled. The brakes are released; XY movement is free but you
cannot move the Operator Panel in the Z plane.

When power is off, the Operator Panel is loose, no breaks are
applied. If you do not dock the operator panel, it will move
freely. Please dock the Operator Panel if you will be moving or
transporting the system.

The Park Lock Reset control releases (undocks) the Operator
Panel and resets the position of the Park Lock.

Park Lock Reset is located on the Utility--> System-->
Peripherals screen under “Miscellaneous.”

Figure 1-11. Park Lock Reset

After you press the Park Lock Reset control, you can hear the
motor moving, releasing the Operator Panel for you to position
as you need.

1-22

LOGIQ E9

Direction 5454884-100 English

–

User Guide

Rev. 1

Setting the front wheels lock

CAUTION

The pedal is located between the front wheels of the unit and
enables the user to control the movement of the wheels.

Figure 1-12. Front Pedal Lock/Brake

Table 1-3: Front Pedal Functions

Pedal position Function

Moving the System

1. Left—Swivel Lock Swivel Lock. To move the system, press the Swivel Lock to set
the wheels in a forward-to-back position. First move the system
in the direction you will be going, then press the Swivel Lock. To
release the Swivel Lock, press the center brake release (3).

2. Right—Parking Brake Park. To set the brake, press the right pedal. To release the
brake, press the center brake release.

3. Center—Brake Release Press the center brake to release the swivel lock/parking brake
(3).

When two or more people are releasing the swivel/pivot wheel
controls with the front and rear pe dals, take extra precaution to
prevent unexpected movement which could result in possible
toe injuries.

LOGIQ E9
Direction 5454884-100 English Rev. 1

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User Guide

1-23

Getting Started

CAUTION

Power On

Login

System Start-Up

Press the Power On/Off switch to turn the power on. The
circuit breaker must also be in the on position. For circuit
breaker location, see ‘Circuit breaker’ on page 1-27 for more
information.

Personal IDs and associated passwords can be preset on the
LOGIQ E9.

If the User Auto Logon preset is blank, you are prompted to
login.

1-24

Figure 1-13. Operator Login Window

1. Operator: Select the Operator.

2. Password: Enter Operator’s password (optional).

3. Select type of Logon or Cancel.

• Emergency: Data stored only for the duration of the
current examination.

• OK: Standard logon

• Cancel: Cancel logon

LOGIQ E9

Direction 5454884-100 English

–

User Guide

Rev. 1

Power Off

HINTS

CAUTION

System Start-Up

To power off the system:

1. Set the brake and use the operator panel movement
controls to lock the control panel in place.

If the Park Lock does not engage when you attempt to
dock the Operator Panel in place, reset the Park Brake by
selecting “Park Brake Reset” in the Miscellaneous section
on the Utility -> System -> Peripherals page.

2. When you shutdown the system, enter the scan screen and
lightly press the Power On/Off switch at the front of the
system once. The System-Exit window is displayed.

NOTE: DO NOT press and hold down the Power On/Off switch to

shutdown the system. Instead, lightly press the Power On/
Off switch and select Shutdown.

3. Using the Trackball, select Shutdown.
The shutdown process may take up to two (2) minutes and

is completed when the control panel illumination shuts
down.

NOTE: If the system appears non-responsive, press the Power On/

Off switch. After about six (6) seconds, the “Application not
responding” system dialog appears. Select to end all
system processes and shut down the system.

NOTE: When the Extended Power Supply (EPS) is installed, battery

Additional System Information

LOGIQ E9
Direction 5454884-100 English Rev. 1

–

User Guide

4. Disconnect the probes.
Clean or disinfect all probes as necessary. Store them in

their shipping cases or another appropriate probe storage
system to avoid damage.

DO NOT turn off the circuit breaker before the Power On/Off
switch LED is off.

Data may be lost or system software damaged if the circuit
breaker is turned off before the Power On LED is off.

replacement may be necessary if the circuit breaker is turned off
for long periods of time (3 to 6 months).

For optimum system operation, we recommend that you restart
the system at least once every 24-hour period. If you shut down
the system at the end of the day, no other action is needed.

1-25

Getting Started

Crash Recovery Instructions

In case of a system crash, power cycle the system. Upon
boot-up, all images and measurements, except for generic
worksheets, are preserved in the system. When the system
returns, the system alerts you that unsaved images are still in
the system from the previous patient. Respond to the prompt to
continue the current patient. Check that all images and
measurements have been preserved in the system. Then
resume the exam.

If the system fails to respond to your commands within a typical
period of time, you need to manually reset the system. Simply
hold down the power switch to initiate a normal power down
sequence. After the system has completely shut down (power
switch amber), restart the system using the standard power-up
sequence. All images and measurements, except fo r generic
worksheets, are preserved in the system. When th e system h as
fully powered up, the system alert s you that unsaved images ar e
still in the system from the previous patient. Respond to the
prompt to continue the current patient. Check that all imag es
and measurements have been preserved in the system. If you
do not have any images on the clipboard, the patient must be
retrieved from the database. Then resum e th e ex am .

Unexpected Power Loss

In case of unexpected power loss,

1. Check the system On/Off LED color (green is on, ambe r is

2. If the LCD monitor shuts down along with the system, then

3. Wait about 2 minutes after such an incident and then turn

4. Wait approximately one minute. The system On/Off switch

5. Turn on the LOGIQ E9 by either turning on the circuit

6. Turn on the scanner by pressing the system On/Off switch.

NOTE: The LOGIQ E9 should be plugged into the regular powe r

off).

the system has detected a power failure. It will then activate
the extended power supply (EPS). The EPS permits us to
maintain the integrity of the scanner dat abase. The system
On/Off switch will be green in this situation.

the circuit breaker off (rear panel of the LOGIQ E9) or
unplug the scanner.

should be dark.

breaker or plugging in the scanner.

outlet and not the emergency power outlet.

1-26

LOGIQ E9

Direction 5454884-100 English

–

User Guide

Rev. 1

Circuit breaker

NOTE: If the Circuit Breaker switch does not remain in the On position

System Start-Up

The Circuit Breaker is located at the rear panel of the system.
On supplies main power to all internal systems. Off removes
main power from all internal systems. The circuit breaker
automatically shuts off power to the system in case of a power
overload.

If a power overload occurs:

1. Turn of f all peripheral devices.

2. Reactivate the Circuit Breaker switch.

The Circuit Breaker switch should stay in the On position; DO
NOT hold the switch in the On position. If the Circuit Breaker
switch remains On, follow the Power On procedure.

or trips again:

1. Disconnect the Power Cable.

2. Call Service immediately.

DO NOT attempt to use the system.

Figure 1-14. Circuit Breaker (located at the rear of the system)

LOGIQ E9
Direction 5454884-100 English Rev. 1

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User Guide

1-27

Getting Started

Introduction

Probes

Only use approved probes.

Figure 1-15. 4 DLP Probe Port Connectors

DO NOT plug any LOGIQ 9 probes into the LOGIQ E9 system.
Use the left-most probe port for t he 3CRF, S1-5, S4-10, and 6Tc
probes; use the 3 right probe ports for any “___-D” probe.

Figure 1-16. 1 Non-DLP and 3 DLP Probe Port Connectors

1. 3CRF, S1-5, S4-10, and 6Tc Probe Connector

2. _____-D Probe Connector

1-28

LOGIQ E9

Direction 5454884-100 English

–

User Guide

Rev. 1

Connecting the Probe

CAUTION

Probes can be connected at any time, regardless of whether the
console is powered on or off. To ensure that the ports are not
active, place the system in the image freeze condition.

1. Place the probe's carrying case on a stable surface and

2. Carefully remove the probe and unwrap the probe cord.

3. DO NOT allow the probe head to hang free. Imp act to the

4. Hold the probe connector vertically with the cable po int ing

5. Align the connector with the probe port and carefully push

6. Turn the connector locking handle to the right to secure the

7. Carefully position the probe cord so it is free to move and is

Probes

open the case.

probe head could result in irreparable damage. Use the
integrated cable management hook to wrap t he cord.

Inspect the probe before and after each use for damage or
degradation to the housing, strain relief, lens, seal, cable
and connector. DO NOT use a transducer which appears
damaged until functional and safe perform ance is verified. A
thorough inspection should be conducted during the
cleaning process.

upward.

into place.
Before inserting the 3CRF, S1-5, S4-10, or 6Tc probe

connector into the left-most (non-DLP) pro be port (see
Figure 1-16 on page 1-28), inspect the probe connector pin.
If the pin is bent, do not use the probe until it has been
inspected and repaired/replaced by a GE Service
Representative.

probe connector.

not resting on the floor.

LOGIQ E9
Direction 5454884-100 English Rev. 1

–

User Guide

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.

1-29

Getting Started

Cable Handling

Take the following precautions with probe cables:

• Keep free from wheels. Use the cable hooks located below

• Do not bend the cable acutely

• Avoid crossing cables between probes.

Activating the Probe

To activate the probe, select the appropriate probe from the
probe indicators on the Touch Panel.

the operator panel.

1-30

Figure 1-17. Probe Indicators

1. Probe Indicators

The probe's default settings for the mode and selected exam are
used automatically.

LOGIQ E9

Direction 5454884-100 English

–

User Guide

Rev. 1

Disconnecting the Probe

CAUTION

Probes can be disconnected at any time. Howeve r, the probe
should not be active when disconnecting the probe.

1. Ensure the probe is deactivated. Deactivate by selecting
another probe or pressing Freeze.

2. Move the probe locking handle to the left.

3. Pull the probe connector straight out of the probe port
carefully.

4. Carefully slide the probe and connector away from the
probe port and around the right side of the keyboard.

5. Ensure the cable is free.

6. Be sure that the probe head is clean before placing the
probe in its storage box or wall hanging unit.

7.

Probe Discussion

The LOGIQ E9 supports the following types of probes:

• Matrix Array. Matrix Array probes.

• Convex Array. Convex Array probes.

• Linear Array. Linear Array probes.

• Micro Convex Array. Micro Convex Array probes.

• Sector Phased Array. Sector Phased Array probes.

• Volume Probes. 4D probes: Convex Array, Micro Convex
Array, Linear Array.

Probes

LOGIQ E9
Direction 5454884-100 English Rev. 1

–

User Guide

Probes for transvaginal and transrectal applications require
special handling. Transvaginal/transrectal examinations and
probe insertions should be performed only by personnel with
adequate training. Refer to t he user documentation enclosed
with these probes.

1-31

Getting Started

Convex Probes

Table 1-4: Common Convex Probe features

Common Features available for all convex probes

• Coded Harmonics

• SRI-HD

• LOGIQView

• Easy 3D

• Advanced 3D

• Raw Data

• PDI

• Scan Assistant

• Anatomical M-Mode

• Retain Field of View

• Speed of Sound

• Image Quality Check

• Compare Assistant

• Biopsy capability

Additional probe features, not common to all convex probes, are
listed in the Capabilities and Features column in Table 1-5 and
Table 1-6:

Table 1-5: Active Matrix Array Probes

Probe Indications for Use Capabilities and Features Illustration

M6C-D • Abdomen

• OB/GYN

• Pediatric

• CrossXBeam

• Anatomical Color M

Table 1-6: Convex and Micro Convex Probes

Probe Indications for Use Capabilities and Features Illustration

C1-5-D • Abdomen

• OB/GYN

1-32

• Coded Contrast

• Tru3D

• V Nav

• CrossXBeam

• Anatomical Color M

• Elastography

• Elastography Quantification
(Not available in USA)

LOGIQ E9

Direction 5454884-100 English

–

User Guide

Rev. 1

Table 1-6: Convex and Micro Convex Probes (Continued)

Probe Indications for Use Capabilities and Features Illustration

Probes

C1-6-D • Abdomen

• OB/GYN

C2-9-D • Abdomen

• OB/GYN

• Pediatric

3CRF • Abdomen

• OB/GYN

• Coded Contrast

• Tru3D

• V Nav

• Anatomical Color M

• B Flow / B Flow Color

• Elastography

• Elastography Quantification
(Not available in USA)

• Coded Contrast

• Tru3D

• V Nav

• Elastography

• Elastography Quantification
(Not available in USA)

• Coded Contrast

• Tru3D

• V Nav

• CrossXBeam

• Anatomical Color M

IC5-9-D • OB/GYN

LOGIQ E9

• TV/TR

• Urology

–

User Guide

• Coded Contrast

• Tru3D

• V Nav

• CrossXBeam

• Anatomical Color M

• Elastography

• Elastography Quantification
(Not available in USA)

Direction 5454884-100 English Rev. 1

1-33

Getting Started

Linear Probes

Table 1-7: Common Linear Probe features

Common Features available for all linear probes

• Coded Harmonics

• SRI-HD

• LOGIQView

• Virtual Convex

• Easy 3D

• Advanced 3D

• Raw Data

• CrossXBeam

• PDI

• Scan Assistant

• Retain Field of View

• Speed of Sound

• Image Quality Check

• Compare Assistant

Additional probe features, not co mmon to all linear probes, are
listed in the Capabilities and Features column in Table 1-8:

Table 1-8: Linear Array Probes

Probe Indications for Use Capabilities and Features Illustration

9L-D • Abdomen

• Musculoskeletal

• OB/GYN

• Pediatric

• Peripheral Vascular

• Small Parts

11L-D • Abdomen

• Musculoskeletal

• Peripheral Vascular

• Small Parts

• Coded Contrast

• Tru3D

• V Nav

• B Flow/B Flow Color

• Elastography

• Elastography Quantification
(Not available in USA)

• Biopsy capability

• Biopsy capability

ML6-15-D • Musculoskeletal

• Neonatal

• Pediatric

• Peripheral Vascular

• Small Parts

L8-18i-D • Intraoperative

• Musculoskeletal

• Neonatal

• Pediatric

• Peripheral Vascular

• Small Parts

1-34

• Coded Contrast

• Tru3D

• V Nav

• B Flow/B Flow Color

• Elastography

• Elastography Quantification
(Not available in USA)

• Biopsy capability

• Tru3D

• V Nav

• B Flow/B Flow Color

Direction 5454884-100 English

LOGIQ E9

–

User Guide

Rev. 1

Sector Probes

Probes

Table 1-9: Common Sector Probe features

Common Features available for all sector probes

• SRI-HD

• LOGIQView

• Virtual Convex

• Raw Data

• PDI

• Scan Assistant

• Retain Field of View

• Speed of Sound

• Image Quality Check

• Compare Assistant

Additional probe features, not common to all sector probes, are
listed in the Capabilities and Features column in Table 1-10:

Table 1-10: Sector Probes

Probe Indications for Use Capabilities and Features Illustration

M4S-D • Adult Cephalic • Easy 3D

M5S-D • Abdomen

• Adult Cephalic

• Cardiac

• OB/GYN

• Pediatric

• Advanced 3D

• Anatomical M-Mode

• Anatomical Color M

• Coded Contrast

• Easy 3D

• Advanced 3D

• Tru3D

• V Nav

• Anatomical M-Mode

• CW

• CAMM

• Color M

• TVI

• TVD

LOGIQ E9

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User Guide

Direction 5454884-100 English Rev. 1

1-35

Getting Started

Table 1-10: Sector Probes (Continued)

Probe Indications for Use Capabilities and Features Illustration

S1-5 • Abdomen

• OB/GYN

S1-5-D • Abdomen

• OB/GYN

S4-10 • Cardiac, Pediatric

• Neonatal

• Pediatric

• Coded Harmonics

• Coded Contrast

• Easy 3D

• Advanced 3D

• Tru3D

• V Nav

• Anatomical M-Mode

• Anatomical Color M

• Biopsy capability

• Coded Harmonics

• Coded Contrast

• Easy 3D

• Advanced 3D

• Tru3D

• Anatomical M-Mode

• Anatomical Color M

• Biopsy capability

• Coded Harmonics

• Easy 3D

• Advanced 3D

• Tru3D

• V Nav

• Anatomical M-Mode

• CW

• Anatomical Color M

• Color M

• TVI

• TVD

S4-10-D • Cardiac, Pediatric

• Neonatal

• Pediatric

6S-D • Cardiac, Pediatric • Coded Harmonics

• Coded Harmonics

• Easy 3D

• Advanced 3D

• Tru3D

• Anatomical M-Mode

• Anatomical Color M

• Color M

• TVI

• TVD

• Easy 3D

• Advanced 3D

• Anatomical M-Mode

• CW

• CAMM

• Anatomical Color M

• Color M

• TVI

• TVD

1-36

LOGIQ E9

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User Guide

Direction 5454884-100 English

Rev. 1

Table 1-10: Sector Probes (Continued)

Probe Indications for Use Capabilities and Features Illustration

Probes

6Tc • Cardiac, Adult

• Transesophageal

• Anatomical M-Mode

• CW

• CAMM

• Color M

LOGIQ E9

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User Guide

Direction 5454884-100 English Rev. 1

1-37

Getting Started

CAUTION

Sector Probes (continued)

Transesophageal probes r equire special ha ndling. Re fer to t he
user documentation (KZ192871) enclosed with these probes.

6Tc Probe The maximum insertion portion width of 6Tc shall not be larger

than 14 +/- 0.22mm.
After the probe has been selected, the scan plane positioning

system automatically calibrates. This calibration cycle lasts 10 to
15 seconds. After the calibration is completed, the probe
temperature sensor is activated, and the probe temperature is
displayed. A message appears on the system display to remind
the user of the importance of using a bite guard when
conducting a TEE examination. When the message disappears
and the calibration cycle is completed, the probe is ready for
operation.

In case the initialization of the probe fails (no response from the
scan plane buttons after initialization), re-select th e pr obe to
repeat the initialization routine.

Non-Imaging CW Probes

Table 1-11: CW Probes

Probe Indications for Use Capabilities and Features Illustration

P2D • Adult Cephalic

• Cardiac

• Peripheral Vascular

P6D • Adult Cephalic

• Cardiac

• Peripheral Vascular

• Scan Assistant

• CW

• Speed of Sound

• Compare Assistant

• Scan Assistant

• CW

• Speed of Sound

• Compare Assistant

1-38

LOGIQ E9

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User Guide

Direction 5454884-100 English

Rev. 1

4D Probes

Probes

Table 1-12: Common 4D Probe features

Common Features available for all 4D probes

• Coded Harmonics

• SRI-HD

• LOGIQ View

• 4D

• Raw Data

• PDI

• Scan Assistant

• Retain Field of View

• Speed of Sound

• Image Quality Check

• Compare Assistant

Additional probe features, not common to all sector probes, are
listed in the Capabilities and Features column in Table 1-13:

Ta ble 1-13: 4D Probes

Probe Indications for Use Capabilities and Features Illustration

RNA5-9-D • Neonatal

• Pediatric

RAB2-5-D • Abdomen

• OB/GYN

• Anatomical M-Mode

• Beta View

• Anatomical Color M

• CrossXBeam

• Biopsy capability

• Coded Contrast

• Anatomical M-Mode

• Anatomical Color M

• CrossXBeam

• Biopsy capability

RAB4-8-D • Abdomen

• OB/GYN

• Pediatric

LOGIQ E9

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User Guide

• Anatomical M-Mode

• Anatomical Color M

• CrossXBeam

• Biopsy capability

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1-39

Getting Started

Table 1-13: 4D Probes (Continued)

Probe Indications for Use Capabilities and Features Illustration

RAB6-D • Abdomen

• OB/GYN

• Pediatric

RIC5-9-D • OB/GYN

• TV/TR

• Urology

RSP6-16-D • Musculoskeletal

• Pediatric

• Peripheral Vascular

• Small Parts

• Coded Contrast

• Anatomical M-Mode

• Anatomical Color M

• Coded Contrast

• Anatomical M-Mode

• Beta View

• Anatomical Color M

• CrossXBeam

• Biopsy capability

• Coded Contrast

• Virtual Convex

• CrossXBeam

• Biopsy capability

Beta View

1-40

Beta View enables you to steer the probe head in elevation
direction without moving the probe. This feature is available on
the 4D RIC5-9-D and RNA5-9-D probes during live scanning
and is especially useful during an endovaginal or neonat al hea d
exams.

The Beta View Touch Panel control appears on the B-Mode
Touch Panel when you select either of these two probes. You
can adjust the Beta View contro l Right/Left or Up/Down. When
you press down on the Beta View control, the probe head
re-centers itself.

Beta View is not available while the image is Frozen, during an
image Recall, during a Biopsy procedure, or during Volume
Navigation. When these controls are selected, the Beta View
Touch Panel control is hidden and unavailable.

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Rev. 1

Biopsy Special Concerns

WARNING

CAUTION

CAUTION

Precautions Concerning the Use of Biopsy Procedures

Do not freeze the image during a biop sy procedure. The image
must be live to avoid a positioning error.

Biopsy guidezones are intended to assist the user in
determining optimal probe placement and approximate the
needle path. However, actual needle movement is likely to
deviate from the guideline. Always monitor the relative
positions of the biopsy needle and the subject mass during t he
procedure.

The use of biopsy devices an d accessor ies tha t have not b een
evaluated for use with this equipment may not be com patible
and could result in injury.

Probes

The invasive nature of biopsy procedures requires proper
preparation and technique to control infection and disease
transmission. Equipment must be cleaned as appropriate for
the procedure prior to use.

• Follow the probe cleaning and disinfection procedures and
precautions to properly prepare the probe.

• Follow the manufacturer's instructions for the cleaning of
biopsy devices and accessories.

• Use protective barriers such as gloves and probe sheaths.

• After use, follow proper procedures for decontamination,
cleaning, and waste disposal.

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1-41

Getting Started

CAUTION

WARNING

Precautions Concerning the Use of Biopsy Procedures (continued)

Improper cleaning methods and the use of cer tain cleaning and
disinfecting agents can cause damage to the plastic
components that will degrade imaging perform ance or increase
the risk of electric shock.

NEVER reuse the TR5° disposable biopsy guide attachment
and Disposable sterile Ultra-Pro II Needle guide kits.

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Rev. 1

Preparing for a Biopsy

Displaying the Guidezone

Activate the Biopsy Kit by selecting it from the B-Mode Touch
Panel.

Probes

Figure 1-18. B-Mode Touch Panel Menu

The available biopsy options appear when Biopsy Kit is
selected. There are fixed and adjustable angle biopsy kits and
plastic/disposable and reusable biopsy guides available with the
LOGIQ E9 depending on the probe. Select the desired biopsy
kit.

NOTE: You can display the biopsy guideline on the CFM image in

simultaneous mode. Select the Show Biopsy Mark on CFM
simultaneous Mode preset in the Utility -> System -> System
Image -> Biopsy Guide screen.

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Getting Started

Displaying the Guidezone (continued)

Figure 1-19. Biopsy Guidezones for the S1-5 Probe

1. 1 cm increments

2. 5 cm increments

The biopsy guidezone represents a p ath of the nee dle. The dot s
which make up the guidezones is the depth readout where:

• Yellow represent 1 cm increments.

• Red represents 5 cm increments.

The display should be carefully monitored during a biopsy for
any needle deviation from the center line or guidezone.

Before scanning, verify the needle can be visualized within the
imaging plane. User appropriate needle length to reach target
area.

1-44

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Displaying the Guidezone (continued)

DANGER

The Biopsy Guidezone adjusts along with image adjustments,
such as image inversion/rotations, zoom and dept h changes.

NOTE: To set up biopsy guidezones, refer to Table 16-9 for more

details.

The needle may vary from the center line or guidezone for
various reasons:

• Needle barrel to needle clearance or strength.

• Bracket manufacturing tolerance.

• Needle deflection due to tissue resistance.

• Needle size chosen. Thinner needles may deflect more.

Failure to match the guidezone displayed to the guide may
cause the 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 bi op sies or
patient injury.

Probes

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1-45

Getting Started

CAUTION

Preparing the Biopsy Guide Attachment

Convex, Sector and Linear probes have optional biop sy guide
attachments for each probe. The guide consists of a
non-disposable bracket to attach to the probe, disposable
needle clip to attach to the bracket, sheath, gel (sterile gel if
necessary) and disposable needle barrels.

The disposable needle barrels are available for a variety of
needle sizes.

Please refer to the manufacturer's instructions included in the
biopsy kit.

The bracket is packaged non-sterile and is reusable. To avoid
possible patient contaimination, ensure bracket is properly
cleaned, sterilized or disinfected before each use.

Disposable components are packaged sterile and are single-use
only. Do not use if integrity of packing is vilated or if expiration
date has passed.

1-46

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Fixed Needle Biopsy Guide Assembly

WARNING

DO NOT attempt to use the biopsy bracket and needle guide
until the manufacturer's instructions, provided with the biopsy
bracket and needle guide in the kit, have been read and
thoroughly understood.

1. Identify the appropriate biopsy guide bracket by matching
the label on the bracket with the probe to be used.

2. Orient the bracket so that the needle clip attachment will be
on the same side as the probe orientation mark (ridge).

Probes

a

b

Figure 1-20. Probe/Bracket Alignment

a. Probe Orientation Mark
b. Bracket

3. Attach the biopsy bracket to the probe by sliding the bracket
over the end of the probe until it clicks or locks in place.

4. Place an adequate amount of coupling gel on the face of the
probe.

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Getting Started

a

Fixed Needle Biopsy Guide Assembly (continued)

5. Place the proper sanitary sheath over the probe and biopsy
bracket. Use the rubber bands supplied to hold the sheath in
place.

Figure 1-21. Applying Sanitary Sheath

6. Snap the fixed or adjustable needle clip onto the biopsy
guide bracket.

1-48

Figure 1-22. Fixed Needle Clip Attachment

a. Sheath

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Fixed Needle Biopsy Guide Assembly (continued)

7. Push the locking mechanism towards the bracket to secure
the lock. Make sure the needle guide is firmly attached to
the bracket.

Figure 1-23. Locking the Needle Clip

NOTE: If using an in-plane needle guide, the needle clip appears as

shown here. Be sure to choose an in-plane guide th at
matches the gauge of the needle being used. The in-plane
guide does not support any on-screen grap h ics. T his is
because the guide allows variable angles. For in-plane
needle guides, steps 8 and 9 are not applicable.

Probes

Figure 1-24. Example of In-Plane Needle Guide

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Getting Started

CAUTION

Fixed Needle Biopsy Guide Assembly (continued)

8. Choose the desired gauge (size) needle barrel. T wist it back
and forth to remove it from the plastic tree.

Figure 1-25. Needle Barrel Selection

9. Place the needle barrel into the needle clip with the desired
gauge facing the needle clip and snap into place.

Figure 1-26. Needle Barrel Installation

Ensure that all guide parts are seated properly prior to
performing a biopsy.

1-50

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Multi Angle Biopsy Guide Assembly

WARNING

DO NOT attempt to use the biopsy bracket and needle guide
until the manufacturer's instructions, provided with the biopsy
bracket and needle guide in the kit, have been read and
thoroughly understood.

1. Scan the patient and identify the target for biopsy. Move the
probe to locate the targe t to the cent er of t he imag e. En able
the system biopsy guidezone and try guidezone angles
MBX1 to MBX3 to decide the best angle setting for needle
path.

Probes

Figure 1-27. Example

2. Pull up on the knob (Figure 1-28 a) to freely move the
needle guide attachment. Align the knob with the selected
position of the needle guide attachment.

Push the knob down (Figure 1-28 b) into the desired slot to
secure the angle position of the needle guide attachme nt.

Figure 1-28. Pull up and push down the knob

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Getting Started

Multi Angle Biopsy Guide Assembly (continued)

3. Fit a convex of the biopsy bracket (a) in a concave of the
probe (b).

Figure 1-29. Probe/Bracket Alignment

Hold the side (a) and tuck down the needle guide side (b)
until it clicks or locks in place.

Figure 1-30. Probe/Multi-angle Bracket Alignment 2

4. Place an adequate amount of coupling gel on the face of the
probe.

1-52

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Multi Angle Biopsy Guide Assembly (continued)

5. Place the proper sanitary sheath tightly over the probe and
biopsy bracket. Use the rubbe r bands supplied to hold the
sheath in place.

Figure 1-31. Applying Sanitary Sheath

Probes

6. Snap the needle guide onto the biopsy guide bracket.

Figure 1-32. Snap the needle guide

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Getting Started

Multi Angle Biopsy Guide Assembly (continued)

7. Push the locking mechanism towards the bracket to secure
the lock (a). Make sure the needle g uide is firmly att ached to
the bracket.

Figure 1-33. Lock the Needle guide

8. Choose the desired gauge (size) needle barrel. T wist it back
and forth to remove it from the plastic tree.

1-54

Figure 1-34. Needle Barrel

9. Place the needle barrel into the needle clip with the desired
gauge facing the needle clip and snap into place.

Figure 1-35. Needle Barrel Installation

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Multi Angle Biopsy Guide Assembly (continued)

CAUTION

Remove the biopsy guide

1. Hold the other side and push out the needle clip at t achment
side. See Figure 1-36.

Figure 1-36. Remove the biopsy guide

Prevent damage to the probe lens with finger nails.

Probes

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Getting Started

Releasing the needle

According to the following procedure, you remove the needle
from a probe and an assembly without moving the needle.

Figure 1-37. Release the needle from assembly

a. Push the knob portion of a sleeve in the direction of the

arrow.
b. The needle is released from the assembly.
c. Push the probe and the assembly in the direction of the

larger arrow to remove the needle.

1-56

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Endocavitary Probe Biopsy Guide Assembly - Representative Example

WARNING

CAUTION

a

b

c

DO NOT use the needle with the catheter (soft t ube). There is a
possibility of breaking the catheter in the body.

Before inserting the needle, scan the patient to determine the
correct puncture depth and site. Only the sterile/sanitary
sheath and rubber band are on the pro be during the pre-nee dle
placement scanning.

Preparation

To prepare the endocavitary probe for use:

1. Remove the probe from the box and carefully examine it for
any damage.

2. If the biopsy guide is to be attached, use the filling removal
tool to clean out the attachment area on the probe head.

Probes

NOTE: Ensure that protective gloves are worn.

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Figure 1-38. Attachment Filling Removal

a. Probe Head
b. Attachment
c. Filling Removal Tool

3. Clean, then disinfect the probe.

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Getting Started

Installing the sheath

NOTE: Remember to rinse all sanitary probe sheaths of powder

NOTE: Ensure that only acoustic coupling gel is used for this

To install the sheath:

1. Remove the sheath from its package. Do not unroll the
sheath.

before placing on the probe. Powder can degrade the
displayed image.

2. Place an adequate amount of ultrasound gel inside the
sheath tip (the gel is between the sheath inner surface and
the probe aperture).

purpose.

3. Place the sheath tip over the probe aperture and then pull
the sheath end toward the probe handle.

4. Inspect the sheath for nicks, cuts or tears.

a

b

c

Figure 1-39. Endocavitary Probe with Sheath

a. Probe Handle
b. Sanitary Sheath
c. Probe Body

5. Rub a finger over the tip of the probe to ensure all air
bubbles have been removed.

1-58

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Direction 5454884-100 English

Rev. 1

Endocavitary Probe Biopsy Guide Preparation

CAUTION

1. If a biopsy is to be performed, snap the metal or plastic
biopsy guide on to the probe over the sheath.

Patient injury or repeated biopsies may result. The needle
placement will not be as intended if the needle guide is not
properly seated and secure.

Figure 1-40. Disposable Biopsy Guide 5 degree Angle

Probes

a

Figure 1-41. Reusable Biopsy Guide

a. Fix with a screw

NOTE: For the RIC5-9-D and IC5-9-D probes, use the TR5

guidelines for the plastic (disposable-only) biopsy guides;
use the RU guidelines with the stainless steel reusable
biopsy guides.

2. Place an adequate amount of ultrasound gel on the gel-filled
sheath tip’s outer surface.

3. Ensure the guide is properly seated and secure by pushing
forward on the needle insertion end of the guide until the
attachment node is firmly in place in it’s hole.

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Getting Started

4D Biopsy Guide Assembly - Representative Example

4D Probe

Figure 1-42. Mounting the Biopsy Needle Guide to the 4D

Probe

1. Place the needle guide onto the probe.

2. Push the needle forward until the bracket catches in the
support on the housing of the probe.

3. Fix the biopsy guide by locking the frame on the opposite
side.

4. Pull lightly and rotate the needle guide barrel to position with
the needle hole on the front side.

NOTE: Needle guide sterilization with autoclave possible.

4D Endocavitary Probe

NOTE: Material: Stainless Steel
NOTE: Needle guide sterilization with autoclave possible.

1. Press the needle guide onto the probe shaft and push it
forward until the small swelling of the needle guide cacthes
in the notch at the probe tip.

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4D Probe Biopsy Needle Path Selection

To select the needle path and verify that the path of the needle is
accurately indicated within the guidezone on the system
monitor, perform the following before use:

1. Properly install the bracket and biopsy guide.

2. Scan in a container filler with water (47° C).

3. Select Biopsy kit. The available biopsy options from the
To uc h Pan e l.

Select the biopsy guidezone where the needle echo p asses
through the center of the guidezone. Use the selected
biopsy guidezone when performing the biopsy.

Biopsy Needle Path Verification

To verify that the path of the needle is accurately indicated within
the guidezone on the system monitor, perform the following:

• Properly install the bracket and biopsy guide.

• Scan in a container filled with water (47° C).

• Display the biopsy guidezone on the monitor.

• Ensure that the needle echo falls within the guidezone
markers.

Probes

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Getting Started

WARNING

The Biopsy Procedure

Biopsy procedures must only be performed on live images.

1. Place coupling gel on the scanning surface of the probe/

2. Activate the biopsy guidezone on the system through the

sheath/biopsy guide assembly.

B-Mode Touch Panel. When using multi-angle guides,
ensure that the proper guidezone angle is displayed.

1-62

Figure 1-43. B-Mode Touch Panel

3. Scan to locate the target. Center th e t arg et in the e lectr onic
guidezone path.

NOTE: Enabling color flow would allow for visualization of the

vascular structure around the area to be biopsied.

4. Place the needle in the guide between the needle barrel and
needle clip. Direct it into the area of interest for specimen
retrieval.

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Post Biopsy

CAUTION

Probes

When the biopsy is complete, remove the needle barrel, need le
clip and probe sheath. Properly dispose of these items in
accordance with current facility guidelines.

Clean and disinfect the probe. See ‘Probe Cleaning Pr ocess’ on

page 3-5 for more information.

The biopsy bracket can be cleaned and disinfected in a
recommended disinfecting agent and reused.

When the biopsy needle guide kit is opened, all parts must be
discarded after the pro cedu re whet her th ey ha ve bee n used or
not.

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Getting Started

CAUTION

Surgery/Intra-operative Use

Preparing for Surgery/Intra-operative Procedures

Preparing the transducer for intra-operative use follows the
same sterile procedure as for biopsy use except that no biopsy
attachments are used. See ‘Preparing the Biopsy Guide
Attachment’ on page 1-46 for more information. Sterile gel is
applied to the transducer face and a sterile sheath completely
covers the transducer and cable which has first undergone a
thorough cleaning and high-level disinfection.

The invasive nature of biopsy procedures requires pr oper
preparation and technique to control infe ction and disease
transmission. Equipment must be cleaned as appropriate for
the procedure prior to use.

For surgery/intra-operative procedu res, a sterile environment is
required. Therefore, both the operator and probe needs to be
sterile.

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Preparing for Surgery/Intra-operative Procedures (continued)

To ensure a sterile environment during the procedure, it is
recommended that this be a two-person job.

1. Perform a high level disinfection of the probe.

2. The scanner (surgeon, sonographer, etc.) should be sterile
and gloved.

3. Place an adequate amount of sterile coupling gel on the
face of the probe.

4. Place the proper sterile sheath over the prob e and cord .

Figure 1-44. Applying Sterile Sheath

5. Depending on the type of procedure, use either sterile water
or sterile gel on the sheath cover.

Probes

NOTE: Follow your institutions guidelines on post surgery/

intra-operative procedures for probe cleaning and disinfection.

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Getting Started

Scanning a New Patient

1. Press Patient.

2. Press New Patient on the Patient menu.

3. If there are images on the clipboard, a pop -u p me n u
appears. Specify whether you want to store images
permanently, delete images, or go to active images.

4. Choose the exam category.

5. Verify the dataflow.

NOTE: DO NOT use the removable media Dataflows on the New

Patient menu.

NOTE: The system can display a warning dialog when the patient is

registered to “No Archive”. If the “W arn register to No
Archive” preset is selected in the Utility -> Connectivity ->
Miscellaneous menu, a warning displays. A different
dataflow for permanent storage of patient data should be
selected.

Beginning an Exam

1-66

6. Fill in patient information.

NOTE: You can also select a patient from the patient database at

the bottom of the Patient menu if the patient has a patient
ID.

Columns drive the ordering of the patients displayed. The
column that you select drives the order of the displayed
patient database.

NOTE: Do not use the following characters when filling in patient

information:

“ ‘ \ / : ; . , * < > | + = [ ] &

7. Select Register.

8. Select the probe to start scanning (or select Exit, Esc, Scan,
or Freeze).

9. Perform the exam.

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Scanning a New Patient (continued)

HINTS

CAUTION

10. Store the images/loops to the clipboard.
To store the still image, press Freeze and run the cineloop

using the Trackball. Select the frame and press P1 (or the
assigned Print key).

To stor e th e cine lo op , press Freeze and run the cineloop
using the Trackball. Select the start/end frame and run the
selected loop. Press P1 (or the assigned Print key).

When you press a Print key during scan (Live Store), the
LOGIQ E9 stores the cine for the specified lengt h of tim e
noted in the T ime Span(s) preset, found und er T im e-Based
Store in Utility -> Ap plication -> Print Controls.

When you press a Print key during scan (Live Store) with
ECG, the LOGIQ E9 stores the cine for the specified
number of heart cycles noted in the Number of heart cycles
preset, found under ECG-Based Store in Utility ->
Application -> Print Controls.

If you set the Number of heart cycles for more than 1 heart
cycle in Utility -> Application -> Print Controls, the LOGIQ
E9 stores the cine for the length of time specified in “Time
Sp an(s) x Number of heart cycles”.

Refer to Chapter 16 for more information on image
storage.

Beginning an Exam

NOTE: Return to the patient screen aut omatically from the scan

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1 1. When you have completed the study, press End Exam. The

image management screen displays. Select the im ages (still
frame or cineloop) you want to store or select Select All to
store all images. Select Permanent Store to store the
images permanently.

After completing the measureme nt, verify that the
measurement result window is updated before you send or
save the image.

screen when you select OK from the “ID is not unique”
warning message.

1-67

Getting Started

Patient Screen

Figure 1-45. Patient Screen (Example: Category OB)

1. Image Management

2. Function Selection

3. EZBackup/EZMove

4. Dataflow Selection

5. Exit

6. Patient Information

7. Category Selection

8. Exam Information

9. Scan Assistant Program

10. Patient View/Exam View

1-68

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Patient Screen (continued)

Enter Patient Data with the alphanumeric keyboard.
To navigate through the Patient Entry menu, use the Tab key or

Trackball and Set to move and fix the cursor.

Image Management

• Patient–Provides a search and creation of patient. (currently
selected)

• Image History–Provides a list of images per exam for the
currently selected patient.

• Active Images–Provides preview of the currently selected
exam and Compare Assistant.

• Data Transfer–Provides an interface to handle patient data
from a remote device.

Function Selection

• New Patient–Used to clear patient entry screen in order to
input a new patient’s data into the database.

• Register–Used to enter new patient information into the
database prior to the exam.

NOTE: If you are using the auto-generate Patient ID feature, do not

select Register. It is always a good practice to Register all
patients.

Beginning an Exam

• Details–Select the Details box to activate/deactivate the
exam details. Exam details include Indications, Comments,
Admission Number, Performing Physician’s Telephone
Number, Referring Physician’s Telephone Number , Operator
Telephone Number, and Exam Description.

NOTE: The Exam Description pull-down selection is used as the

DICOM identifier.

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Getting Started

WARNING

EZBackup/EZMove

Dataflow Selection

NOTE: If you use a DVD-R, select DICOM CD Read in Dataflow.

One-step method to backup (move and delete patient images)
to an external media.

Select the appropriate dataflow.

If you place the cursor on the icon, the pop-up menu displays
disk capacity.

Figure 1-46. Dataflow Pop-up

Ensure you have selected a dataflow. If No Archive is selected,
no patient data is saved. A Ø appears next to Dataflow if No
Archive is selected.

Exit

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Used to exit the Patient Menu.

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Patient Information

Category Selection

Beginning an Exam

• Patient ID Number

• Patient Name–Last, First and Middle

• Alternate (Other, Second) Patient ID Name and Number.
The system now allows you to enter a second identification
number for the same patient, which may be required in
certain countries. This is only displayed if enabled on the
Connectivity -> Miscellaneous screen.

• DOB (Birthdate)

• Age (automatically calculated when birthdate is input)

• Sex

Select from 8 exam application categories: Abdomen,
Obstetrics, Gynecology, Cardiology, Vascular, Urology, Small
Parts, or Pediatrics.

When a category is selected, the measurement and category
presets are displayed.

Exam Information

Shows the Current/Active Exam information. Information
pertinent to the selected exam category appears in the window.
All possible information needs to be entered.

• Images–Displays the selected exam’s images.

• Clear–Clears existing data.

• Past Exam (only for OB)–Input past exam data (register the
patient before using).

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Getting Started

CAUTION

Scan Assistant Program

The Scan Assistant Program is either selected automatically or
manually, depending on the preset as configured on the
Utility--> System--> General page.

To avoid patient identification errors, always verify the
identification with the patient. Make sure the correct patient
identification appears on all screens and hard copy prints.

Patient View/Exam View

• Patient View

NOTE: Use Ctrl + A to select all from the Data Transfer list/Patient

NOTE: When you double-click the patient on the patient list using

Lists the patients in the database.

view.

the Set key, the Review screen or New Exam entry screen
displays depending on the preset. You set this preset via
Select Review or New Exam in Utility -> Connectivity ->
Miscellaneous -> “Double click on patient list to start” p reset.

• Search key–select search item from Patient ID, Last

Name, First Name, Other ID, Birthdate, Sex, Exam
Date, Exam Today, Accesstion Number, Exam
Description, Exam Date Before, Exam Date Between ,
Exam Date After, Locked (Y, N) or Img. Archived (Y, N).

NOTE: If “Exam Date Between” is selected, the Input Dialog

displays and you can select the date from the displayed
calender.

NOTE: If “Exam Date Between” is used for the Search key, the

From and To dates are separated by a “-” (dash) in the
Search String.

NOTE: Img. Archived means that the exam was backed up to

external media by EZBackup or Export.

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Patient View/Exam View (continued)

CAUTION

• String–enter appropriate information.

If you select Locked (Y, N) or Archived (Y, N) for the
Search key, enter Y (Yes) or N (No).

• Clear–Clears the entered string.

• Listing XX of XXX -- Displays the quantity of patients

that match the search criteria in the search window and
the quantity of patients in the database.

• Review–Select Patient/Exam for review.

• Resume Exam–Continues the exam for that patient if

you select the last exam of the day.

• New Exam–Creates a new exam based on a current or

searched patient.

• Delete–Deletes Patient/Exam.

NOTE: “Delete” is only displayed when you login as

Administrator.

• Lock/Unlock–Locks the exam/patient. Prevents move

and delete functions.

Beginning an Exam

• Exam View
Displays the Exam History of the selected patient by date .

• Disk - Displays the disk name on which you saved the

exam’s image data. If “+” displays behind t he disk name,
the data is saved on two or more disks.

To avoid patient identification errors, always verify the
identification with the patient. Make sure the correct patient
identification appears on all screens and hard copy prints.

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1-73

Getting Started

CAUTION

Patient Screen (continued)

Maintaining the Patient Database

To maintain optimum system performance and to safeguard
patient data, keep the total number of patients in the database
below 1,000.

To reduce the total number of patients in the dat abase, perform
the following procedure.

1. Before starting EZBackup, select “Unlock All” on the
Utility -> Admin -> Logon screen.

Prepare the unformatted CD- R or DVD-R before EZBackup.

NOTE: Pre-formatted CD-R or DVD-R cannot be used for

EZBackup.

2. First perform EZBackup and then Backup (Patient Archive
and Report Archive).

3. Go to the patient screen, select the patients/exams to
delete. Select “Delete” to delete the selected data.

NOTE: Removing image data with the “EZMove” fun ction does not

reduce the patient number in th e database.

NOTE: Ensure that all patients are exported or backed up BEFORE

deleting them.

We recommend attaching the patient list to the EZBackup
media. Insert the media and select DICOM CD Read for the
dataflow (if you use a USB drive, select DICOM USB Drive
Read). Press the right Set key to select the patient. Press the
left Set key to bring up the print menu. Select Print and press
the right Set key to print the patient list.

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Chapter 2

Performing an Exam

Optimizing the Image and Measurement and Analysis

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2-1

Performing an Exam

B-Mode Controls

Optimizing the Image

Table 2-1: B-Mode Controls

Possible

Control

Depth Y es Depth controls the distance over which the B-Mode images anatomy .

Gain No B-Mode Gain increases or decreases the amount of echo

Focus Yes Increases the number of focal zones or moves the focal zone(s) so

Auto Optimize No Auto Optimize (Auto) lets you optimize the image based upon a the

Bioeffect

To visualize deeper structures, increase the depth. If there is a large
part of the display which is unused at the bottom, decrease the
depth.

information displayed in an image. It may have the effect of
brightening or darkening the image if sufficient echo information is
generated.

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.

actual B Mode image data (Auto Tissue Optimize, ATO). The preset
levels (Low, Medium, and High) allow you to pick a preference for
the contrast enhancement in the resulting image. Low does the least
amount of contrast enhancement, high does the most.
Auto is available in single or multi image, on live, frozen or CINE
images (in B-Mode only), while in zoom, and in Spectral Doppler.
Auto in PW Doppler Mode optimizes the spectral data. Auto adjusts
the Velocity Scale (live imaging only), baseline shift, dynamic range,
and invert (if preset). Upon deactivation, the spectrum is still
optimized.

Description/

Benefit

Mode Cursor No Displays the M/D-Mode cursor on the B-Mode image.

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Optimizing the Image

Table 2-1: B-Mode Controls (Continued)

Possible

Control

SRI-HD No SRI-HD (Speckle Reduction Imaging High Definition) is an adaptive

CrossXBeam No CrossXBeam is the process of combining three or more frames from

Coded Harmonic
Imaging (CHI)

Frequency Yes Multi Frequency mode lets you downshift to the probe's next lower

Bioeffect

algorithm to reduce the unwanted effects of speckle in the
ultrasound image. 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 cange 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 SRI-HD level. SRI-HD is
available in B-Mode imaging and may be used with any transducer
or clinical application when image speckle appears to interfere with
the desired image detail.

different steering angles into a single frame. CrossXBeam is
available on Convex and Linear probes.
CrossXBeam combines multiple co-planar images from different
view angles into a single image at real-time frame rates, using
bi-cubic interpolation.

Yes Harmonic imaging utilizes Digitally Encoded Ultrasound (DEU).

Coded Harmonics enhances near field resolution for improved small
parts imaging as well as far field penetration.

frequency or shift up to a higher frequency.

Description/

Benefit

Steer Yes You can slant the B-Mode or Color Flow linear image left or right to

get more information without moving the probe. The angle steer
function only applies to linear probes.

Virtual Convex Yes On Linear and Sector probes, Virtual Convex provides a larger field

of view in the far field. Virtual Convex is always active with Sector
probes.

TGC No TGC amplifies returning signals to correct for the attenuation caused

Width Y es Y ou can widen or narrow the size of the sector angle to maximize the

Tilt Yes You can steer the sector angle to get more information without

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by tissues at increasing depths. TGC slide pots are spaced
proportionately to the depth. The area each pot amplifies varies as
well. A TGC curve may appear on the display (if preset), matching
the controls that you have set (except during zoom). You can choose
to deactivate the TGC curve on the image.

image's region of interest (ROI).

moving the probe while in B-Mode, M-Mode, Doppler Mode, and
Color Flow Mode. Tilt is not available on Linear probes.

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2-3

Performing an Exam

Table 2-1: B-Mode Controls (Continued)

Possible

Control

Dynamic Range No Dynamic Range controls how echo intensities are converted to

Reverse (if Preset) No Flips the image 180 degrees left/right.
Line Density Yes Optimizes B-Mode frame rate or spatial resolution for the best

Maps No The system supplies B, M, and Doppler Mode system maps.
Frame Average No Temporal filter that averages frames together, thereby using more

Colorize No Colorize is the colorization of a conventional B-Mode image or

Bioeffect

shades of gray, thereby increasing the adjustable range of contrast.
The Dynamic Range control name changes to Compression on
frozen images.

possible image.

pixels to make up one image. This has the effect of presenting a
smoother, softer image.

Doppler Spectrum to enhance the user's ability to discern B, M, and
Doppler Mode intensity valuations. Colorize is NOT a Doppler Mode.

NOTE: You can colorize realtime or CINE images or Timeline CINE,
but not DVR images.

Colorizes the gray scale image to enhance the eye's discrimination
capability . S pectrum Colorize colorizes the spectrum as a function of
power using the inverse of the Colorize map for the signal intensity in
each Doppler line. Colorize enhances the visibility of the spectrum's
characteristics and enhances your ability to identify spectral
broadening and the edge contours of the spectrum used to define
the peak frequency/velocity.
The gray bar displays while Colorize is activated.

Description/

Benefit

Rotation No Flips the image 180 degrees up/down.

CAUTION: When reading a rotated image, be careful to observe the
probe orientation to avoid possible confusion over scan direction or
left/right image reversal.

Rejection No Selects a level below which echoes will not be amplified (an echo

must have a certain minimum amplitude before it will be processed).
Suppression No Suppresses the noise in the image.
Speed of Sound No Changes the transmitted speed of sound for various tissue types.

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Color Flow Mode Controls

Color Flow Mode and Color M-Mode are Doppler Modes
intended to add color-coded qualitative information concerning
the relative velocity and direction of fluid motion within the
B-Mode or M-Mode image.

Table 2-2: Color Flow Mode Controls

Optimizing the Image

Possible

Control

Flow Model
Shortcuts

Gain No Gain amplifies the overall strength of echoes processed in the Color

Scale (Velocity
Scale)

Wall Filter No Filters out low flow velocity signals. It helps get rid of motion artifacts

Color Width Yes Color Width sizes and positions the color window.
Invert (Color Invert) No Lets you view blood flow from a different perspective, e.g., red away

Baseline No Changes the Color Flow or Doppler spectrum baseline to

Angle Steer Yes You can slant the ROI of the Color Flow linear image left or right to

Bioeffect

No In certain applications, you can quickly select the flow state via a

shortcut on the Color Flow Mode Touch Panel menu.

Flow window or spectral Doppler timeline.

Yes Increases/decreases the Scale on the color bar.

caused from breathing and other patient motion.

(negative velocities) and blue toward (positive velocities). You can

invert a real-time or frozen image.

NOTE: Invert reverses the color map, NOT the color Scale.

accommodate higher velocity blood flow. Minimizes aliasing by

displaying a greater range of forward flow with respect to reverse

flow, or vice versa.

Baseline adjusts the alias point. The default baseline is at the

midpoint of the color display and at the midpoint of the color bar

reference display.

get more information without moving the probe. The Angle Steer

function only applies to linear probes.

Description/

Benefit

Accumulation No Accumulation enhances the flow in an image.

Color Flow Line
Density

Map No Allows you to select a specific color map. After you have made your

Threshold No Threshold assigns the gray scale level at which color information

Frame Average No Averages color frames.
Transparency Map No Brings out the tissue behind the color map.

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Y es Optimizes the Color Flow frame rate or spatial resolution for the best

Available in Contrast, Color Flow, and PDI.

possible color image.

selection, the color bar displays the resultant map.

stops.

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Performing an Exam

Table 2-2: Color Flow Mode Controls (Continued)

Possible

Control

Spatial Filter No Smooths out the color, makes it look less pixely.
Flash Suppression No Activates/deactivates Flash Suppression, a motion artifact

Sample Vol (Sample
Volume)

Sample Volume
Length (SV Length)

Packet Size Yes Controls the number of samples gathered for a single color flow

Map Compress No When you increase the value, high velocity elements in the map are

CF/PDI Vertical Size No You can set the default CF/PDI ROI vertical size.
CF/PDI Width No You can set the default CF/PDI ROI width.
CF/PDI Center

Depth
CF/PDI Frequency

(MHz)

Bioeffect

elimination process.

Y es Places the sample volume gate on the Color Flow image. The gate is

positioned over a specific position within the vessel.

Yes Sizes the sample volume gate.

vector.

compressed so that the map darkens. When you decrease the

value, low velocity elements in the map are compressed so that the

map lightens. The effect is visible in the color bar.

No You can set the default CF/PDI center depth.

No You can set the default CF/PDI Frequency (MHz).

Description/

Benefit

CF/PDI Auto
Frequency

CF/PDI Focus Depth
(%)

Power Doppler
Imaging (PDI)

No You can set the default CF/PDI Auto Frequency.

No You can set the default CF/PDI center depth.

No Power Doppler Imaging (PDI) is a color flow mapping technique

used to map the strength of the Doppler signal coming from the flow

rather than the frequency shift of the signal. Using this technique, the

ultrasound system plots color flow based on the number of reflectors

that are moving, regardless of their velocity. PDI does not map

velocity, therefore it is not subject to aliasing.

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M-Mode Controls

Optimizing the Image

Table 2-3: M-Mode Controls

Possible

Control

Sweep Speed Yes Changes the speed at which the timeline is swept.

Anatomical M-Mode Yes Anatomical M-Mode gives you the ability to manipulate the cursor at

Bioeffect

Available in M-Mode, Doppler Mode and M Color Flow Mode.

different angles and positions. The M-Mode display changes

according to a motion of the M cursor.

Curved Anatomical M-Mode (CAMM) displays a distance/time plot

from a free-drawn cursor line. CAMM is available in gray scale, color

and TVI.

Description/

Benefit

M Color Flow Mode

See ‘Color Flow Mode Controls’ on page 2-5.

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2-7

Performing an Exam

Doppler Mode Controls

Table 2-4: Doppler Mode Controls

Possible

Control

Update Yes Toggles between simultaneous and update presentation while

SV Length
(Trackball)

Doppler sample
volume length (SV
Length)

Scale (Velocity
Scale)

Angle Correct/Auto
Angle

Quick Angle No Quickly adjusts the angle by 60 degrees.
Wall Filter No Insulates the Doppler signal from excessive noise caused from

Bioeffect

viewing the timeline.

Yes Moves the sample volume gate on the B-Mode's Doppler Mode

cursor. The gate is positioned over a specific position within the

vessel.

Yes Sizes the sample volume gate.

Yes Adjusts the velocity scale to accommodate faster/slower blood flow

velocities. Velocity scale determines pulse repetition frequency.

If the sample volume gate range exceeds single gate Scale

capability, the system automatically switches to high PRF mode.

Multiple gates appear, and HPRF is indicated on the display.

No 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.

NOTE: When the Doppler Mode Cursor and angle correct indicator

are aligned (the angle is O), you cannot see the angle correct

indicator.

vessel movement.

Description/

Benefit

Baseline No Adjusts the baseline to accommodate faster or slower blood flows to

eliminate aliasing.
Mode Cursor No Displays the Doppler Mode cursor on the B-Mode image.
Steer and Fine Steer Yes You can slant the ROI of the Color Flow linear image left or right to

Audio Volume No Controls audio output.
Invert No Vertically inverts the spectral trace without affecting the baseline

Compression
(Dynamic Range)

Trace Method
(Spectral Trace)

Cycles to Average No The average value over a number of cycles (from 1-5).
Trace Sensitivity No Adjust the trace to follow the waveform for signal strength.

No Dynamic range controls how echo intensities are converted to

No Traces the average mean and peak velocities in realtime or frozen

2-8

get more information without moving the probe. The angle steer

function only applies to linear probes.

position.

shades of gray, thereby increasing the range of contrast you can

adjust.

images.

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Optimizing the Image

Table 2-4: Doppler Mode Controls (Continued)

Possible

Control

Trace Direction No Specifies trace direction.
Cursor Moving No Cursor Moving lets you ‘walk’ Doppler through a vessel while the

Display Format No Changes the horizontal/vertical layout between B-Mode and

Modify Auto Calcs No Activates the menu to select which calculations are automatically

Auto Calcs No Activates the calculation automatically which you select in the Modify

Bioeffect

Doppler gate is moving.

M-Mode, or timeline only.

calculated.

Auto Calculation when the system is in a state of freeze or live.

Description/

Benefit

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2-9

Performing an Exam

3D Mode

3D Type Description Sensor/No Sensor Available Tabs

Table 2-5: 3D Package Options

Easy 3D Designed for rendering

B Mode and Color Flow
Mode images, e.g.,
Baby Face scans.

Advanced 3D Designed for rendering

B Mode and Color Flow
Mode images, e.g.,
vessel trees.

Tru3D (Option) Designed for rendering

B Mode and Color Flow
Mode images, e.g.,
vessel trees.

Acquiring a 3D Scan

To acquire a 3D scan,

1. Optimize the B-Mode image. Ensure even gel coverage.

2. Press the 3D control panel key. Two screens appear.

NOTE: Set appropriate values for Acq Mode and Scan Plane. Al so,

set the scan distance before scanning.

3. To start acquiring the image, press Start (Trackball key).

4. T o perform a parallel scan, scan evenly. To perform a sweep
(fan) scan, rock the probe once. Note the distance of the
scan.

5. The 3D volume of interest (VOI) is dynamically assembled
on the right side of the screen.

NOTE: If the image stops before you’re done scanning, start

acquiring the 3D volume of interest again.

No sensor 3D Acquisition, Easy

3D, Movie

No sensor 3D Acquisition, Easy

3D, Advanced 3D,
Movie

Sensor 3D Acquisition, Easy

3D, Advanced 3D,
Movie, Tru3D

2-10

6. To complete the 3D scan, press End (Trackball key).

NOTE: You can al so pr ess Fr ee ze , bu t th en you need to also pr ess

the 3D key to obtain the final render.

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Other Controls

Acoustic
Output
Hazard

Trackball Key Map

Zoom

Optimizing the Image

The current mapping is shown on the trackball mapping display
area in the lower, right-hand corner of the display screen. Four
Trackball keys surround the Trackball. These Trackball keys are
mapped based on the current state of the system (live imaging,
frozen imaging, measurements, etc.)

Trackball functionality is labeled on t he display. To activate new
functionality for the Trackball, press the correct key adjacent to
the Trackball, as indicated on the display.

Write 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 field. As a result, the MI (TI)
may change.

Observe the output display for possible effects.

To zoom an image, adjust Zoom. A reference image appears in
the lower , left-hand section of the display.

To exit zoom, adjust Zoom until the reference zoom image is
removed or press B-Mode.

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2-11

Performing an Exam

Split Screen

Dual Caliper

Freezing an image

To activate a dual split screen, press L or R.To activate a quad
display, press and hold down L.

When you activate Split Screen by pressing L, the single image
is placed on the left side; when you activate Split screen by
pressing R, the single image is placed on the right side.

To switch between active images, press L/R.
To deactivate, press R until the screen changes.

In split screen, you can draw a caliper, area, ellipse, or spline
trace on both the left and right image at the same time.
Whichever side of the screen that you annotate is called the
“Original” graphic. The copy is called the “Shadow” graphic.

To freeze an image,

NOTE: Deactivating Freeze erases all measurements and calculations

Activating CINE

1. Press Freeze. The Freeze key backlight turns green.

If you are in a mixed mode, both screen formats stop
immediately. Deactivating Freeze restarts both modes and
places a black bar on the trace to indicate the time d iscontinuit y.

To reactivate the image,

1. Press Freeze again.

from the display (but not from the worksheet).

Use the Trackball to start CINE after pressing Freeze.

To activate CINE,

1. Press Freeze.

2. Move the Trackball.

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Body Patterns

Optimizing the Image

To activate body patterns, press the Body Pattern/Ellipse
control. A maximum of 6 body pattern packages are displayed
on the Touch Panel according to exam category and preset.

Select the desired body pattern on the Touch Panel. The
selected body pattern is displayed on the monitor.

Press the Move Pattern control on the Touch Panel to
reposition the body pattern with the Trackball and Set controls.

A probe mark is associated with the body patterns and illustrates
the probe position on the body pattern. This marker can be
placed with the Trackball and rotated with the Ellipse control.

The probe mark type is selectable by rotating the Probe Type
control on the Touch Panel. There are different choices available
with one being a blank selection.

To select the active side in dual B-Mode, use the Active Side
rotary control at the bottom of the Touch Panel.

To clear the body pattern, press the Body Pattern/Ellipse
control to activate body patterns and then press the Clear key.

Press Set on the keyboard or Scan on the Touch Panel to exit
without erasing the body pattern.

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2-13

Performing an Exam

Annotating an Image

Pressing the Comment key or any keys on the alphanumeric
keyboard initiates the comment mode. This assigns the trackball
function to controlling the cursor and displays the comment
library on the Touch Panel menu.

In comment mode, text can be added by using the comment
library or by typing from the alphanumeric keyboard.

After activating the commen t mode, a vertical bar type cursor
appears on the screen. Use the Trackball to move the cursor.

To delete comments by character, press the Backspace key.
To delete all comments and arrow marks, press the Clear key

twice immediately after entering the comment mode.
To move by words or by text group, press the Tab key.
Arrow pointers can be used by activating the F2 (Arrow) key on

the keyboard or by selecting the Comment key and then the top
Trackball key. When the pointe r comes up, it is a GREEN color,
indicating it is active and can be moved.

Using the Fast Key

A keyboard Fast Key is available to record and run a sequence
of often-run keystrokes.

To create a Fast Key, press the F5 key and follow the on-scr een
prompts.

To start a Fast Key, press the F6 key and follow the on-screen
prompts.

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