GE Logiq P5 Quick user guide

Technical Publications
Direction 5137113-100 Rev. 3
LOGIQ P5/A5/A5Pro
GE Healthcare
0459
Quick Guide
Copyright© 2008 By General Electric Co. Operating Documentation
Regulatory Requirement
This product complies with regulatory requirements of the following European Directive 93/42/EEC concerning medical devices.
0459
This manual is a reference for the LOGIQ P5/A5/A5Pro. It applies to all versions of the R 3.0.x software for the LOGIQ P5/A5/A5Pro ultrasound system.
GE Healthcare
GE Healthcare: Telex 3797371 P. O. Box 414, Milwaukee, Wisconsin 53201 U.S.A. (Asia, Pacific, Latin America, North America)
GE Ultraschall TEL: 49 212.28.02.207 Deutschland GmbH & Co. KG FAX: 49 212.28.02.431 Beethovenstraße 239 Postfach 11 05 60 D-42655 Solingen GERMANY
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 A
Revision History
REV
1 2 3
PAGE REVISION
NUMBER HISTORY
Title Rev. 3
A and B Rev. 3
1-52 Rev. 3
DATE
April 18 2007 May 22 2008 Dec 10 2008
List of Effective Page
REASON FOR CHANGE
Initial Release BT07 SW Release BT09 SW Release
Please verify that you are using the latest revision of this document. Information pertaining to this document is maintained on GPC (GE Medical Systems Global Product Configuration). If you need to know the latest revision, contact your distributor, local GE Sales Representative or in the USA call the GE Ultrasound Clinical Answer Center at 1-800-682-5327 or 262-524-5698.
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 B
CAUTION
FOR USA ONLY “United Sates law restricts this device to sale or use by or on the order of a physician” if sold in the United States.
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 1

System Power

Power On

To connect the system to the electrical supply:
1. Ensure that the wall outlet is of the appropriate type.
1)
2)
Figure 1-1. Example Plug and Outlet
Configurations
1. 100-120 VAC, 950VA Plug and Outlet Configuration(USA)
2. 220-240 VAC, 950VA Plug and Outlet Configuration (Europe)
2. Ensure that the power switch is turned off.
3. Unwrap the power cable. Make sure to allow sufficient slack in the cable so that the plug is not pulled out of the wall if the system is moved slightly.
4. Attach the power plug to the system and secure it in place by using the retaining clamp.
a.
a
Figure 1-2. Power Plug
a. Retaining clamp for power plug
CAUTION: Ensure that the retaining clamp for the power plug is fixed firmly.
Use caution to ensure that the power cable does not disconnect during system use. If the system is accidentally unplugged, data may be lost.
Press the Power switch to turn the power on. The circuit breaker must also be in the on position.
Figure 1-3. Power On Switch Location
Preparing for an Exam
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 2

Power Off

To power down the system:
1. Press the Power On switch at the front of the system once.
2. The System-Exit window is displayed.
3. Using the Trackball, select Shutdown. The shutdown process takes a few seconds
and is completed when the control panel illumination is power switch is turned off.
4. Disconnect the probes. Clean or disinfect all probes as necessary.
Store them in their shipping cases to avoid damage.

Starting an Exam

You need to select a pre-configured dataflow that sets up the ultrasound system to work according to the services associated to the dataflow.
1. Select your Operator Login and type in your Password:
2. Press Log on.
3. Fill in the New Patient menu as described on Page 3.
OR,
If the patient name is on the patient record list,
1. Trackball to the patient’s name to highlight the name, (or perform a search to locate the patient) then press Select Patient.
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 3

Starting an Exam

New Patient

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

Probe Selection

Select a probe (the system automatically selects the last­used application for this probe).
NOTE: You can preset a probe per application or an application per probe via Utility.

Patient Entry Menu (Refer to Illustration)

Image Management Window [1]
Access to this patient’s exam history and image management features.
Function Selection Window [2]
Worklist displays a Worklist screen. New Patient is used to clear the patient entry screen to input a new patient’s data into the database. Register is used to enter new patient information into the database prior to performing the actual exam. Details displays exam details and additional patient information.
EZ Backup/EZMove [3]
One-step method to backup (move and delete patient images) to an external media.
Dataflow [4]
Selects this exam’s dataflow preference.
Exit [5]
Exits the Patient Menu and returns to scanning.
Patient Information [6]
Patient ID, Name, Birthdate, Age, and Sex.
Category Selection and Exam Information [7&8]
Select the appropriate category and enter the exam information.
Patient View and Exam View [9]
Patient View lists the patients in the database. “Search Key” enables searching list by Patient ID, Last Name, First Name, Birthdate, Sex and Last Exam date. “Search key” and “string” fields help define the search parameters.
Exam View lists the exams of the selected patient. Select the patient or the exam in Patient View and press “Exam View” or “Review“.
Preparing for an Exam
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 4

LOGIQ P5/A5/A5Pro Control Panel Tour

1. Record. Press to activate recording devices
2. Audio On/Off and Volume
3. TGC. Move slide pots left/right to adjust TGC.
4. Reverse. Press to invert the image left/right
5. Additional Feature Keys
6. Keyboard : Use the keyboard to enter patient information and annotations.
7. Mode Keys : M Mode, Continuous W ave (CW) and Pulsed Wave Doppler (PW) Modes, Power Doppler Image Mode (PDI), Color Flow (CF) Mode, B Mode, and B Flow. CW, PW, PDI, CF keys are for LOGIQ P5 only.
8. Imaging/Measurement Keys : Clear, Comment, Body Pattern, Ellipse, Measure, Zoom, M/D, Cursor, Scan Area, Set. Press or rotate these keys, as necessary.
9. Depth : Rotate to adjust the Depth.
10. Imaging Feature Keys : Auto Optimize On/Off, THI, Multi Image Left/Right Select.
11. Print Keys : Press P Keys to archive print or send the image.
12. Probe and Cord Holder
13. Gel Holder
14. Patient: Enter Patient screen
15. Reports: Activates default report and Measurement Selection Menu of report choices.
16. End Exam: Activates Image Management and Touch Panel with end of exam options.
17. User Assigned Utility keys: Activates the configuration system.
18. Probe/Preset keys: Select the application to use and Probe select.
19. Mode Paramenters: To toggle between the Primary menus of different modes
20. Top menu Controls : Activates the changes of functions in the Top menu.
21. Sub menu controls: Activates Sub Menu for Modes and toggles/changes functions.
22. Gain Key
23. Utility key
24. Freeze key: Press Freeze to freeze the image.
Preparing for an Exam
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 5

LOGIQ P5/A5/A5Pro Top and Sub Menu Controls

In general, Top Menu Controls are of two types, they are Push & Turn Knobs, Sub Menu is of Paddle Switch type
1. The Paddle Switch is used to select Sub Menu Controls.
2. The Push is used to select Top Menu Controls
3. The Rotate is used to turn on/off or change the parameter selected through Top Menu Controls.
1
Sub Menu key functions :
1. Up.
2. Increase Value/Next Page
3. Decrease Value/Previous Page
4. Down
2
Top Menu Controls
3
1
4
5
23
4
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 6

LOGIQ P5/A5/A5Pro Monitor Display Tour

1. Institution/Hospital Name, Date, Time, Operator Identification.
2. Patient Name, Patient Identification.
3. Acoustic Output Readout, System status (real­time or frozen)
4. GE Symbol: Probe Orientation Marker. Coincides with a probe orientation marking on the probe.
5. Image Preview.
6. Gray/Color Bar.
7. Cine Gauge.
8. Measurement Summary Window.
9. Image.
10. Measurement.
11. Results Window.
12. Probe Identifier. Exam Study.
13. Imaging Parameters by Mode (current mode highlighted).
14. Focus Marker.
15. TGC (not shown on the image).
16. Body Pattern.
17. Depth Scale.
18. Image Management Menu: Menu, Delete, and Image Manager.
19. Caps Lock: On or Off.
20. iLinq icon, and system messages display.(not shown on the image.
21. Trackball Functionality Status: Scroll, M&A (Measurement and Analysis), Position, Size, Scan Area Width and Tilt.
22. Sub menu
Preparing for an Exam
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 7

B/M Mode Image Optimize

Power Output

Optimizes image quality and allows user to reduce beam intensity. 10% increments between 0-100%. Values greater than 0.1 are displayed.

Dynamic Range

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

Focus Number and Position

Increases the number of transmit focal zones or moves the focal zone(s) so that you can tighten up the beam for a specific area. A graphic caret corresponding to the focal zone position(s) appears on the right edge of the image.
NOTE: Push key to toggle between Focus Number and Focus Position.

Rejection

Frame Average

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

Colorize

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

Gray Map

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

Rotation (Up/Down)

Rotates the image by selecting the value from the pop up menu.

Frequency

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

B Mode Control Panel Controls

Auto Optimize

Automatic Tis sue Optimi zatio n optimizes the image based upon a specified Region of Interest (ROI) or anatomy within the display.

Zoom

Magnifies a zoom region of interest, which is magnified to approximately the size of a full-sized image. An un-zoomed reference image is displayed adjacent to the zoom window . The system adjusts all imaging parameters accordingly. Press Zoom key to activate. Press right zoom key again to deactivate. Use the Trackball to position the Zoom ROI.

Reverse

Flips the image left/right.
Selects a level below which echoes will not be amplified (an echo must have a certain minimum amplitude before it will be processed).

Edge Enhance

Edge Enhance brings out subtle tissue differences and boundaries by enhancing the gray scale differences corresponding to the edges of structures. Adjustments to M Mode's edge enhancement affects the M Mode only.
Preparing for an Exam

Frame Rate/Resolution

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

Anatomical M Mode

Allows you to move the M Mode trace in order to Image difficult -to - reach anatomy.

Sweep Speed

Changes the speed at which the time line is swept.
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 8
B/M Mode Image Optimize (continued)

B/M Mode Scanning Hints

Auto Optimize. Improves imaging performance
while reducing optimization time. Frequency. Changes system parameters to best
optimize for a particular patient type.
Maps. There is an inter-dependency between gray maps, gain, and dynamic range. If you change a map, revisit gain and dynamic range settings.
Dynamic Range. Affects the amount of gray scale information displayed. If you increase the gain, you may want to decrease the dynamic range.
Edge Enhance. Better delineates the amount of border crispness.
Frame Average. Smooths the image by averaging frames. Affects the amount of speckle reduction.
B Mode Top Menu and Sub Menu 1
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 9

Color Flow/Doppler Image Optimize

Baseline

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

PRF/Wall Filter

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

Angle Correct

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

Auto Angle

Adjuste the angle to the direction of the Flow.

Angle Steer

Slants the Color Flow region of interest or the Dopple M Line to obtain a better doppler angle.

Doppler Display Formats

Display layout can be preset to have B-Mode and Time-motion side-by-side or over-under.

Sample Volume Gate Length

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

Packet Size

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

Invert

Allows blood flow to be viewed from a different perspective, i.e. red away (negative velocities) and blue toward (positive velocities). The real-time or frozen image can be inverted.

Color Flow Control Panel Control

Scan Area

Toggles between the CFM window size and position.

Controls in Common with B Mode

For more information on Focal Zone, Power Output, FR/RES, Frame Averaging, Dynamic Range, Map, and Colorize, refer to the B/M Mode Image Optimize section in this Quick Guide on Page 6.

Scanning Hints

Line Density. Trades frame rate for sensitivity and
spatial resolution. If the frame rate is too slow, reduce the size of the region of interest, select a different line density setting, or reduce the packet size.
Wall Filter. Affects low flow sensitivity versus motion artifact.
To improve sensitivity.
1. Increase the Gain.
2. Decrease the PRF.
3. Increase the Power Output.
4. Adjust the Line Density.
5. Decrease the Wall Filter.
6. Increase Frame Averaging.
7. Increase the Packet Size.
8. Reduce the ROI to the smallest reasonable size.
9. Position the Focal Zones properly.
To decrease motion artifact,
1. Increase the PRF.
2. Increase the Wall Filter.

Threshold

Threshold assigns the gray scale level at which color information stops.
Preparing for an Exam
To eliminate aliasing,
1. Increase the PRF.
2. Lower the Baseline.
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 10
Color Flow/Doppler Image Optimize (continued)
For venous imaging,
1. Ensure that you have selected the small parts exam category.
2. Select a venous application.
3. Select the appropriate probe for very superficial structure.
4. Select two focal zones.
5. Adjust the depth to the anatomy to be imaged.
6. Maintain a low gain setting for gray scale.
7. Activate Color Flow.
8. Maintain the PRF at a lower setting.
9. Increase Frame Averaging for more persistence.
CFM Mode Top and Sub Menu
PWD Mode Top and Sub Menu
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 11

Basic Measurements

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

Distance and Tissue Depth Measurements

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

Circumference/Area (Ellipse) Measurement

1. Press Measure once; an active caliper displays.
2. To position the active caliper, move the Trackball.
3. To fix the start point, press Set. The system fixes the first caliper and displays a second active caliper.
4. To position the second caliper, move the Trackball.
5. Turn the Ellipse control; an ellipse with an initial circle shape appears.
NOTE: Be careful not to press the Ellipse control as this activates the Body Pattern.
6. To position the ellipse and to size the measured axes (move the calipers), move the Trackball.
7. To increase the size, Turn the Ellipse control in a clockwise direction. T o decrease the size, turn the Ellipse control in a counterclockwise direction.
8. To toggle between active calipers, press Measure.
9. To complete the measurement, press Set. The system displays the circumference and area in the measurement results window.
NOTE: Before you complete a measurement:
To erase the ellipse and the current data measured, press Clear once. The original caliper is displayed to restart the measurement.
To exit the measurement function without completing the measurement, press Clear a second time.

Circumference/Area (Trace) Measurement

1. Press Measure twice; a trace caliper displays.
2. To position the trace caliper at the start point, move the Trackball.
3. To fix the trace start point, press Set. The trace caliper changes to an active caliper.
4. To trace the measurement area, move the Trackball around the anatomy. A dotted line shows the traced area.
NOTE: To erase the dotted line but not the trace caliper, press Clear once. To clear the trace caliper and the current data measured, press Clear twice.
NOTE: To erase the line (bit by bit) back from its current point, move the Trackball or turn the Ellipse control counterclockwise.
5. To complete the measurement, press Set. The system displays the circumference and the area in the measurement results window.
NOTE: Before you complete a measurement:
To erase the line (bit by bit) back from its current point, move the T rackball or turn the Ellipse control counterclockwise.
To erase the dotted line but not the trace caliper, press Clear once.
To clear the trace caliper and the current data measured, press Clear twice.
Preparing for an Exam
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 12

Volume

1. To make a volume calculation, do one of the following:
Make one distance measurement.
Make two distance measurements.
Make three distance measurements.
NOTE: Three distances should be done in the dual format mode (side by side images). One measurement is usually made in the sagittal plane and two measurements in the axial pla ne.
Make one distance and one ellipse measurement.
Make one ellipse measurement.
2. Select Volume.

Time Interval Measurement

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

Velocity Measurement

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

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

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

Worksheets

Measurement/Calculation worksheets are available to display and edit measurements and calculation s. There are generic worksheets as well as Application specific worksheets. The worksheets are selected from the worksheet button on the screen.
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 13

Using Probes

Connecting a probe

1. Place the probe's carrying case on a stable surface and open the case.
2. Carefully remove the probe and unwrap the probe cable.
3. DO NOT allow the probe head to hang free. Impact to the probe head could result in irreparable damage.
4. Turn the connector locking handle counter clockwise.
5. Align the connector with the probe port and carefully push into place.
6. Turn the connector locking handle clockwise to secure the probe connector.
7. Carefully position the probe cable in the probe cord holder spot so it is free to move, but not resting on the floor .

Activating the probe

Press the Probe/Preset button on the front panel. Move the cursor to the probe icon displayed on the
monitor screen and press SET. The probe activates in the currently-selected
operating mode. The probe's default settings for the mode and selected exam are used automatically.

Deactivating the probe

When deactivating the probe, the probe is automatically placed in standby mode.
1. Press the Freeze key.
2. Gently wipe the excess gel from the face of the probe.
3. Carefully slide the probe around the right side of the keyboard, toward the probe holder. Ensure that the probe is placed gently in the probe holder.

Disconnecting the probe

Probes can be disconnected at any time. However, the probe should not be selected as the active probe.
1. Move the probe locking handle counterclockwise. Pull the probe and connector straight out of the probe port.
2. Carefully slide the probe and connector away from the probe port and around the right side of the keyboard. Ensure the cable is free.
3.
Be sure that the probe head is clean before placing the probe in its storage box.
Using Probes
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 14

LOGIQ P5/A5/A5Pro Probe Applications

Table 1-1: Probe Indications for Use
Probe Application 3.5C 3.5CS 4C 5CS 8C E8C E8CS 8L 9L 10L 11L 12L i739 t739 3S 5S
Abdomen XXXX XXXX XX Small Parats XXXXXXX Periph. Vasc. XXXX XXXXXXX Obstetrics XXXX X X X X Gynecology XXXX X X X X Pediatrics X X X X X X X Neonatal X X X X X Urology XXXX X X Surgery XX Cardiac XX Endocavitary Transcranial X Intraoperative XX Neonatal Cephalic Adult Cephalic Musculoskeletal Transesophageal Transvaginal X X Transrectal
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 15
LOGIQ P5/A5/A5Pro Probe Applications (continued)
Table 1-2: Probe Indications for Use (continued)
Probe Application 7S i12L BE9CS 4D8C 3CRF 3Sp 5Sp ERB BE9C P2D P6D 4D3C-L 4DE7C UG7C
Abdomen X X X X Small Parts X Periph. Vasc. X X Obstetrics X XX Gynecology X XX Pediatrics X X X X X X X Neonatal X X Urology X X X X X X Surgery Cardiac X X X X X Endocavitary X Transcranial XX Intraoperative X Neonatal Cephalic Adult Cephalic Musculoskeletal Transesophageal X Transvaginal X X Transrectal X X X
Using Probes
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 16

LOGIQ P5/A5/A5Pro Features

Table 1-3: Probe Features
Probe Application 3.5C 3.5CS 4C 5CS 8C E8C E8CS 8L 9L 10L 11L 12L i739 t739 3S 5S
Coded Excitation X X X X Coded Harmonics X X XXXXXXXXXXXXXX B-Flow XXX XXXX XX SRI XX XXXXX XXX XXXX Coded Contrast X X X X XX LOGIQ View XXXXXXXXXXXXXX Virtual Convex XXXX XXXXXXXXX Easy 3D XX XXXXXXXXXXXXXX Advanced 3D XX XXXXXXXXXXXXXX Anatomical M XX XXXXXXXXXXXXXX M Color Flow XX XXXXXXXXXXXXXX Tru Access XX XXXXXXXXXXXXXX Non-Imaging CW CrossBeam XX XXXXXXXXXXXX Biopsy XX XX XXXXXXX XXX CW XX 4D
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 17
LOGIQ P5/A5/A5Pro Features (continued)
Table 1-4: Probe Features (continued)
Probe Application 7S ERB BE9C P2D P6D 4D3C-L 4DE7C UG7C i12L BE9CS 4D8C 3CRF 3Sp 5Sp
Coded Excitation X X X Coded Harmonics X X X X X X X X XXXX B-Flow XX SRI XXX X X XXX XXXX Coded Contrast LOGIQ View XXX X X XXX XXXX Virtual Convex XX X X X XXXX Easy 3D XXX XXX XXX Advanced 3D X X X X X X X X X Anatomical M XXX X X XXX XXXX M Color Flow XXX X X XXX XXXX Tru Access XXX X X XXX XXXX Non-Imaging CW X X CrossBeam X X X X X X X X Biopsy XX X X X X XXXX CW X XX 4D XX X
Using Probes
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 18

Probe Cleaning and Disinfection Instructions

Probe Safety

WARNING
CAUTION
Electrical
Hazard
Ultrasound probes are highly sensitive medical instruments that can easily be damaged by improper handling. Use care when handling and protect from damage when not in use. DO NOT use a damaged or defective probe. Failure to follow these precautions can result in serious injury and equipment damage.
Ultrasound transducers can easily be damaged by improper handling and by contact with certain chemicals. Failure to follow these precautions can result in serious injury and equipment damage.
• Do not immerse the probe into any liquid beyond the level specified for that probe. Never immerse the transducer connector or probe adapters into any liquid.
• Avoid mechanical shock or impact to the transducer and do not apply excessive bending or pulling force to the cable.
• Transducer damage can result from contact with inappropriate coupling or cleaning agents:
• Do not soak or saturate transducers with solutions containing alcohol, bleach, ammonium chloride compounds or hydrogen peroxide
• Avoid contact with solutions or coupling gels containing mineral oil or lanolin
• Avoid temperatures above 60°C.
• Inspect the probe prior to use for damage or degeneration to the housing, strain relief, lens and seal. Do not use a damaged or defective probe.
Adequate cleaning and disinfection are necessary to prevent disease transmission. It is the responsibility of the equipment user to verify and maintain the effectiveness of the infection control procedures in use. Always use sterile, legally marketed probe sheaths for intra-cavitary and intra-operative procedures.
For neurological intra-operative procedures, use of a legally marketed, sterile, pyrogen free probe sheath is REQUIRED. Probes for neuro surgical use must not be sterilized with liquid chemical sterilants because of the possibility of neuro toxic residues remaining on the probe.
A defective probe or excessive force can cause patient injury or probe damage:
• Observe depth markings and do not apply excessive force when inserting or manipulating intercavity probes.
• Inspect probes for sharp edges or rough surfaces that could injure sensitive tissue.
In order for liquid chemical germicides to be effective, all visible residue must be removed during the cleaning process. Thoroughly clean the probe, as described on the following page before attempting disinfection.
CREUTZFIELD-JACOB DISEASE Neurological use on patients with this disease must be avoided. If a probe becomes contaminated, there is no adequate disinfecting means.
The probe is driven with electrical energy that can injure the patient or user if live internal parts are contacted by conductive solution:
DO NOT immerse the probe into any liquid beyond the level indicated by the immersion level diagram. Never immerse the probe connector or probe adaptors into any liquid.
DO NOT drop the probes or subject them to other types of mechanical shock or impact. Degraded performance or damage such as cracks or chips in the housing may result.
• Inspect the probe before and after each use for damage or degradation to the housing, strain relief, lens, and seal. A thorough inspection should be conducted during the cleaning process.
DO NOT kink, tightly coil, or apply excessive force on the probe cable. Insulation failure may result.
• Electrical leakage checks should be performed on a routine basis by GE Service or qualified hospital personnel. Refer to the service manual for leakage check procedures.
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 19

Probe Cleaning, After Each Use

1. Disconnect probe from ultrasound console and remove all coupling gel from probe by wiping with a soft cloth and rinsing with flowing water.
2. Wash the probe with mild soap in lukewarm water. Scrub the probe as needed using a soft sponge, gauze, or cloth to remove all visible residue from the probe surface. Prolonged soaking or scrubbing with a soft bristle brush (such as a toothbrush) may be necessary if material has dried onto the probe surface.
3. Rinse the probe with enough clean potable water to remove all visible soap residue.
4. Air dry or dry with a soft cloth.

Probe Disinfection, After Each Use

1. Prepare the germicide solution according to the manufacturer's instructions. Be sure to follow all precautions for storage, use and disposal.
2. Place the cleaned and dried probe in contact with the germicide for the time specified by the germicide manufacturer. High-level disinfection is recommended for surface probes and is required for endocavitary and intraoperative probes (follow the germicide manufacturer's recommended time).
Probes for neuro surgical intra-operative use must NOT be sterilized with liquid chemical sterilants because of the possibility of neuro toxic residues remaining on the probe. Neurological procedures must be done with the use of legally marketed, sterile, pyrogen free probe sheaths.
3. After removing from the germicide, rinse the probe following the germicide manufacturer's rinsing instructions. Flush all visible germicide residue from the probe and allow to air dry.

Probe Immersion Levels

1. Fluid Level
2. Aperture
3. Contact face within patient environment

Probe Disinfection Agents

Ultrasound probes can be disinfected using liquid chemical germicides. The level of disinfection is directly related to the duration of contact with the germicide. Increased contact time produces a higher level of disinfection.
Refer to the Probe Care Card. http://www.gemedicalsystems.com/rad/us/
probe_care.html
Using Probes
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 20

Image Management

Clipboard

As images are saved by pressing any of the print keys (P1, P2 or Print Screen), the images appear at the bottom of the display on the clipboard as thumbnails of the images saved during the exam. These images remain on the clipboard until the end of the exam.

Printing Images

Press the appropriate print key (P1, P2 or Print Screen). For more information on programming the Print buttons, See “Buttons” on page 22.

Browsing an Exam’s Stored Images

‘Mouse over’ the image in the clipboard, then double click Set to view an enlarged thumbnail image.

Managing an Exam’s Stored Images

From the Display, press Active Images; from the New Patient menu, open Active Images.

Deleting an Image

Select the image on the clipboard, then press the onscreen Delete shortcut.
Or, go to Active Images (lower, right-hand portion of the display). Highlight all the images that need to be deleted and press Delete All Temp Images.

Formatting a CD/DVD

1. Insert the backup media. Format the backup media.
Go to the Utility page by pressing “Ins” Key. Select Connectivity, then Removable Media. Label the media appropriately. Press Format.
CAUTION
Storiage media includes: CD-R, DVD-R, NDL 256MByte 066E0690 USB Flash Drive.
2. The Ultrasound system displays a pop-up menu when the formatting has been completed. Press Ok to continue. Verify that the format was successful.
DO NOT use DVD-RW or CD-RW media.

Backing Up Patient Information

Format the media prior to performing these steps.
1. Go to the Utility tab. Select System, then Backup/
Restore.
2. Select the media.
3. Select the parameter under Backup by placing a check mark. Then press Backup.
4. Answer ‘OK’ to the Back-Up pop-up message.
NOTE: The detailed section of this menu decouples the user defined configuration above. This allows you to selectively restore what you want to restore across multiple machines.
NOTE: DO NOT restore service back-ups across systems (from one LOGIQ P5/A5/A5Pro system to another LOGIQ P5/A5/A5Pro system).
Image/ Patient Management
and Connectivity
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 21

Moving Data Between Ultrasound Systems

There are 5 options (Import, Export, Q/R, Worklist and MPEGvue) under Data Transfer.

Import

1. At the other Ultrasound system, insert the removable media.
2. Press Patient and select Data Transfer.
3. Select Import.
4. Select Local Archive-Int. HD from the T ransfer To pull-down menu.
5. Select the patient(s) or exam(s) from the Transfer From Search field for import.
6. Press Transfer.
7. Wait until the patient information is copied and press F3 when finished to eject the media.

Export

1. Insert, format and label the removable media.
2. Press Patient and select Data Transfer.
3. Select Export.
4. Select the patient(s) or exam(s) to expo rt in the Transfer From Search field (the top portion).
5. Select the destination at the Transfer To pull­down menu.
6. Press Transfer. The progress bar displays during the transfer.
7. Press F3 to eject the media. Specify that you want to finalize the media.

Query/Retrieve (Q/R)

1. Press Patient and select Data Transfer.
2. Select Q/R. The local archive is enabled for the transfer process.
3. Select the Query/Retrieve server from the Transfer From pull-down men u.
4. Press Query in the Transfer From section. The server’s patient list displays.
5. Select the patient(s) or exam(s) to retrieve from the patient list.
6. Press Transfer. The data is retrieved from the server as the progress bar displays.

Worklist

1. Press Patient and select Worklist. The last Worklist used displays on the monitor.
2. Press Refresh to refresh the list or select another Worklist server from the transfer From pull-down menu.
3. Select the patient(s) or exam(s) from the list.
4. Press Transfer. The progress bar displays during the transfer.

MPEGvue

Save the data to CD-R to view on PC
1. Format and label the media; insert the USB Flash / Hard Drive into the front USB Port.
2. Press Patient and select Data Transfer.
3. Select MPEGvue. The patient list in the Local Archive-Int. HD displays in the Transfer From section.
4. Select the media from the Transfer To pull­down menu.
5. Select the patient(s) or exam(s) from the list.
6. Press Transfer. The progress bar displays during the transfer. Files are saved in mpeg format.

Send To the DICOM device

1. Press Patient.
2. Search and select the patient and press Exam. The Patient Exam screen displays.
3. Select the exam which has the images and press Send To.
NOTE: You can only select the Local Archive­Int. HD for Workflow.
4. The Send To dialogue box displays. Choose the destination device and select OK.
NOTE: The destination device is configured in the Utility screen. Multiple devices are able to be configured.
5. The successful/unsuccessful message is displayed at the bottom of the screen.
NOTE: If you press the Clear button in the T ransfer From and T ransfer To section, all the search criteria is cleared and the list is refreshed accordingly.
NOTE: ALWAYS exit to scanning after any Data Transfer function to ensure that the ope ration has completed.
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 22

EZBackup/Move

NOTE: EZBackup/EZMove allows you to manage hard disk space (move images off the hard drive) while maintaining the patient database on the scanner, as well as to back up the patie nt data base and images.
NOTE: EZBackup/EZMove can take up to 20 minutes. Make sure to schedule this at the same time daily, when no patients are scheduled.
1. To start the EZBackup/EZMove procedure, go to the Patient menu and select the EZBackup/ EZMove button at the bottom of the Patient list. The EZBackup/EZMove Wizard starts.
2. Verify the information on the first page of the EZBackup/EZMove Wizard, then press Next.
NOTE: If the EZBackup/EZMove presets need to be modified, those requirements are specified on the Utility --> System --> Backup/Restore page.
3. Verify the information on the EZBackup/ EZMove Wizard, Page 2. This page tells you how many medias you need to do this backup. After you have gathered the media, you are ready to begin the backup. Press Next.
4. A pop-up message appears that provides you with the media label. Label the media, then insert the media. Press OK.
5. The status menu appears.
NOTE: When/if you need to insert the next media, a message appears providing you with the media label a well. Label the media, then insert the media and press OK.

Connectivity

Connectivity on the LOGIQ P5/A5/A5Pro is based on the Dataflow concept.

Login as Administrator. Select Utility. Select Connectivity. Configure the menus from left to right, starting with TCP/IP first. When finished making connectivity changes to the utility menus, restart the system.

TCP/IP

Type in the Computer’s Name (better known as the AE Title). Identify the Ultrasound system to the rest of the network by filling in its IP Address, Subnet Mask, and Gateway (if applicable). Press Save.

Device

Use the Device tab to add DICOM destinations.
1. Press Add.
2. Type the name of the device and it s IP address.
3. Press Ping, then Save.
.
Figure 1-1.
6. When the backup is complete, the Backup completed page appears.
To view the media, do so via the Patient menu by selecting the patient and loading the appropriate media, or via Import, or via DICOM CD View.
Image/ Patient Management
and Connectivity
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 23

Services

To add a service,
1. Select the destination device.
2. Select the service to add and press Add.
3. Type the name in the Name Field.
4. Specify criteria in the Properties b oxes (located in the upper right-hand side and lower lef t-hand side).
5. Press Verify, then Save.
There are two service types that pertain to printers:
Standard Printer is used for digital peripherals.
Video Capture Device is used for devices that are triggered by a contact closure, typically analog devices.

Dataflow

The Dataflow page allows you to add services to the selected dataflow. For example, DICOM services may be for storage, worklist, verify, etc. In addition, there are other service types like video print or standard color print
Set up dataflows for the services.
1. Press Add and type the dataflow name in the name field.
2. Select the service you want to use under My Computer and press >> to add to Dataflow view.
3. Press Verify, then Save.
NOTE: Query/Retrieve MUST be the only service in a dataflow.
NOTE: Set Query/Retrieve to Hidden so that it cannot be selected from the Patient Menu.

Buttons

You can assign print buttons to a device or to a dataflow.
1. Select the print button to configure and the properties on the left of the screen.
2. Select the service you want to use under My Computer and press >> to add to Printflow view.
NOTE: Select the Standard Print und er Active Images Page as necessary.
3. Press Save.
NOTE: You can configure each print key to multiple output devices/workflow.
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 24

Removable Media

Format and verify media.

Miscellaneous

Set up Patient/Exam menu options and Printer and Store Op tions

Saving Images as JPEG files and CINE Loops as AVI files

Format the media prior to following these steps.
1. Insert a media into the drive or an USB Drive into the USB Port.
2. Press Menu (on the lower, right-hand portion of the display) and select Save As. The SAVE AS menu appears.
3. Specify Compression and Save As Type and press Save. The image is saved to the media.
4. Finalize the media by selecting Yes. The media is ejected from the system.
NOTE: If you want to add more images to the media, select “No” and do not finalize the media.

DICOM Status

To check the status of all DICOM jobs or redirect DICOM jobs, press F4.
Image/ Patient Management
and Connectivity
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 25

Using CINE

Activating CINE

Press Freeze, then roll the Trackball to activate CINE. To start CINE Loop playback, press Run/Stop. To stop CINE Loop playback. press Run/Stop.
To activate Timeline CINE, press Freeze, press Scan
Area, then roll the Trackball to activate CINE.

Quickly Move to Start/End Frame

Press First to move to the first CINE frame; press Last to move to the last CINE frame.

Start Frame/End Frame

Turn the Start Frame dial to the left to move to the beginning of the CINE Loop. Turn the dial to the right to move forward through the CINE Loop.
Turn the End Frame dial to the right to move to the end of the CINE Loop. Turn the dial to the left to move backward through the CINE Loop.

Adjusting the CINE Loop Playback Speed

Turn the Loop Speed dial clockwise/counter-clockwise to increase/decrease the CINE Loop playback speed.

Disconnecting B-Mode CINE from Timeline CINE

To review the B-Mode CINE Loop only, press Cine Mode Selection and select B Only.
T o review the T imeline CINE Loop only , press Cine Mode Selection and select TL Only.

To return to linked B-Mode and Timeline CINE Loop review, press Cine Mode Selection and select B/TL.

Moving through a CINE Loop Frame By Frame

Turn Frame by Frame to move through CINE memory one frame at a time.
Preparing for an Exam
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 26

Easy 3D (option)

Acquiring a 3D Scan

1. Optimize the B-Mode image. Ensure even gel coverage.
2. Press the 3D control panel key. Two screens appear.
3. To start acquiring the image, press ‘L’ (the left split screen key).
4. To 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 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.
6. To complete the 3D scan, press ‘R’ (the right split screen key).
NOTE: You can also press Freeze, but then you need to also press the 3D key to obtain the final render.

Manipulating the 3D Scan

Imagine you are able to manipulate the 3D volume of interest (VOI) in your hand.
You can rotate it left to right or right to left. You can rotate it forward/backward (white hand).
Then, imagine that you can view the volume of interest one slice at a time through the anatomy (red hand).
Also imagine that you are able to pull back tissue to view specific portions of anatomy (yellow and green hands).
The 3D volume of interest is a tangible anatomical object that you can see and manipulate easily using the Trackball and Set control panel keys.
Practice positioning the pointer at different places within the 3D volume of interest. Highlight different colors, press Set to select this volume for manipulation. Use the hand to move the 3D vo lume.

Adjusting the 3D Volume of Interest

You can colorize the 3D volume of interest. You can resize the VOI by adjusting the scan
distance.

Performing a Surface Render

From the 3D Top Menu press Texture to add a photorealistic/clay-like quality to the render.
Adjust the opacity and density via Threshold/ Opacity (press the key to adjust opacity). This adjusts what ‘grays’ the system recognizes, allowing you to emphasize/de-emphasize grays as necessary.

Scalpel

To scalpel away portions of the anatomy,
1. Press Scalpel. A caliper appears on the 3D VOI.
2. Press Set to set the caliper. Trackball around the portion to be cut away.
3. Double click and apply the scalpel.
4. Change the projection and scalpel again.
NOTE: You can undo one scalpel.

3DView Scanning Hints

Set the appropriate values for the 3D Acq Mode and Scan Plane.
It is advisable to set the scan distance before the scan begins.
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 27

Basic 4D

1. Scan in 2D and obtain the best possible view of your Region of Interest (ROI).
TIP: Any fluid interface provides the best results. For example, for a 3D/4D view of the fetal face, first obtain the best profile view.
2. Press 3D.
3. Press Real Time 4D.
4. Adjust the size and position of the ROI box using the Scan Area button and Trackball.
Press the Scan Area button ONCE to resize the ROI; move the Trackball left/right or up/down. Press Scan Area AGAIN to re-position the ROI, using the Trackball to move the ROI.
5. Select Preset.
6. To start 4D acquisition, press “SET” button.
7. Use the Tile button change the display between the following screens:
Quad Split Full
TIP: Orientation adjustment may be needed, depending on the anatomy being scanned. For example, if the fetus is in the breech position, the top of the baby’s head is facing up. However, if the fetus is vertex, the top of the head faces down and the orientation needs to be flipped 180 degrees.
Use the 3D Orient button to change the orientation.
Preparing for an Exam
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 28

Optimizing the 4D Rendered Image

Orientation Rotations (when on full screen mode)

Rotates Image Up and Down
Rotate X
Rotates Image Left and Right
Rotate Y
Rotates Image Clockwise and
Counterclockwise
Rotate Z

Tools to Improve 4D Image Quality

TIP: When scanning in 4D, use slow movements to
keep the ROI in the field of view.
Select the Render Setting tab.
Quality
High Quality–best resolution but slower acquisition
rates. Lower Quality–fastest acquisition speeds but less resolution of 3D/4D image.
Lower Threshold
The higher numbers effectively make the image brighter by taking away the low level echoes. Typical range for OB: 10-45.
Render Modes
Rend Mode 1 & 2
Surface Texture–better for older fetuses, more
detail.
Surface Smooth–better for younger fetuses,
smoother rendered image.
Transp MAX–highlights High Intensity echoes,
for fetal skeleton or echogenic structures.
Transp MIN–highlights Low Intensity echoes, for
vascular structures or cystic areas.
Transp X-RAY–used with colo r/power Doppler
to show vessels within the volume.
Gradient Light–more shad ows, bette r de pth
perception.
Light--brighter near field structures, darker far
field structures.
Mix
Combination of two Render Modes (=100%).
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 29

Contact Information

INTERNET

http://www.gemedicalsystems.com
USA
GE Healthcare Ultrasound Service Engineering 9900 Innovation Drive Wauwatosa, WI 53226 TEL: (1) 800-437-1171 or FAX: (1) 414-721-3865

Clinical Questions

For information in the United States, Canada, Mexico and parts of the Caribbean, call the Customer Answer Center: TEL: (1) 800-682-5327 or (1) 262-524-5698
In other locations, contact your local Applications, Sales or Service Representative.
Service Questions
For service in the United States, call GE CARES TEL: (1) 800-437-1171

Accessories Catalog Requests

To request the latest GE Accessories catalog or equipment brochures in the United States, call the Response Center: TEL: (1) 800-643-6439
In other locations, contact your local Applications, Sales or Service Representative.

Placing an Order

To place an order , order supplies or ask an accesory-related question in the United States, call the GE Access Center: TEL: (1) 800-472-3666
In other locations, contact your local Applications, Sales or Service Representative.

OTHER COUNTRIES

NO TOLL FREE TEL: international code + 33 1 39 20 0007

CANADA

GE Healthcare Ultrasound Svc Engineering TEL: (1) 800-664-0732 9900 Innovation Drive Wauwatosa, WI 53226 Customer Answer Center TEL: (1) 262-524-5698

LATIN & SOUTH AMERICA

GE Healthcare Ultrasound Svc Engineering TEL: (1) 262-524-5300 9900 Innovation Drive Wauwatosa, WI 53226 Customer Answer Center TEL: (1) 262-524-5698

EUROPE

GE Ultraschall Deutschland GmbH & Co. KG Beethovenstraße 239 Postfach 11 05 60 D-42655 Solingen -- TEL: 0130 81 6370 toll free TEL: (49) 212.28.02.207 -- FAX: (49) 212.28.02.431

ASIA

GE Medical Systems Asia Asia Support Center 67-4 Takakura cho, Hachiouji-shi Tokyo, 192-0033 TEL: (81) 426-48-2940 -- FAX: (81) 426-48-2905

ARGENTINA

GEME S.A. Miranda 5237 Buenos Aires - 1407 TEL: (1) 639-1619 -- FAX: (1) 567-2678

AUSTRIA

GE GesmbH Medical Systems Austria Prinz Eugen Strasse 8/8 A-1040 WIEN TLX: 136314 TEL: 0660 8459 toll free -- FAX: +43 1 505 38 74

BELGIUM

GE Medical Systems Benelux Gulkenrodestraat 3 B-2160 WOMMELGEM TEL: 0 800 11733 toll free FAX: +32 0 3 320 12 59 TLX: 72722

BRAZIL

GE Sistemas Médicos Av Nove de Julho 5229 01407-907 São Paulo SP TEL: 0800-122345 -- FAX: (011) 3067-8298
Preparing for an Exam
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 30

DENMARK

GE Medical Systems Fabriksparken 20 DK-2600 GLOSTRUP TEL: +45 4348 5400 -- FAX: +45 4348 5399

FRANCE

GE Medical Systems 738 rue Yves Carmen F-92658 BOULOGNE CEDEX TEL: 05 49 33 71 toll free -- F AX: +33 1 46 10 01 20

GERMANY

GE Ultraschall Deutschland GmbH & Co. KG Beethovenstraße 239 Postfach 11 05 60 D-42655 Solingen TEL: 0130 81 6370 toll free TEL: (49) 212.28.02.207 -- F AX: (4 9) 212.28.02.431

GREECE

GE Medical Systems Hellas 41, Nikolaou Plastira Street G-171 21 NEA SMYRNI TEL: +30 1 93 24 582 -- FAX: +30 1 93 58 414

ITALY

GE Medical Systems Italia Via Monte Albenza 9 I-20052 MONZA TEL: 1678 744 73 toll free -- FAX: +39 39 73 37 86 TLX: 3333 28

LUXEMBOURG

TEL: 0800 2603 toll free

MEXICO

GE Sistemas Médicos de Mexico S.A. de C.V. Rio Lerma #302, 1º y 2º Pisos Colonia Cuauhtémoc 06500-México, D.F. TEL: (5) 228-9600 -- FAX: (5) 211-4631

NETHERLANDS

GE Medical Systems Nederland B.V. Atoomweg 512 NL-3542 AB UTRECHT TEL: 06 022 3797 toll free -- FAX: +31 304 11702

POLAND

GE Medical Systems Polska Krzywickiego 34 P-02-078 WARSZAWA TEL: +48 2 625 59 62 -- FAX: +48 2 615 59 66

PORTUGAL

GE Medical Systems Portuguesa S.A. Rua Sa da Bandeira, 585 Apartado 4094 TLX: 22804 P-4002 PORTO CODEX TEL: 05 05 33 7313 toll free - F AX: +351 2 2084494

RUSSIA

GE VNIIEM Mantulinskaya UI. 5A 123100 MOSCOW TEL: +7 095 956 7037 -- FAX: +7 502 220 32 59 TLX: 613020 GEMED SU

SPAIN

GE Healthcare TEL. : +34 (91) 663 25 00 Avda. Europa, 22 FAX : +34 (91) 663 25 01 E-28108 Alcobendas, Madrid

SWEDEN

GE Medical Systems PO-BOX 1243 S-16428 KISTA TEL: 020 795 433 toll free -- FAX: +46 87 51 30 90 TLX: 12228 CGRSWES

SWITZERLAND

GE Medical Systems (Schweiz) AG Sternmattweg 1 CH-6010 KRIENS TEL: 155 5306 -- FAX: +41 41 421859

TURKEY

GE Med. Sys. Turkiye A.S. Mevluk Pehliran Sodak Yilmaz Han, No 24 Kat 1 Gayretteppe ISTANBUL TEL: +90 212 75 5552 -- FAX: +90 212 211 2571

UNITED KINGDOM

GE Medical Systems Coolidge House 352 Buckingham Avenue SLOUGH Berkshire SL1 4ER TEL: 0800 89 7905 toll free -- F AX: +44 753 696067
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 31
DANGER
G

Precaution Levels

Icon description

V ario us levels of safety pre cautions may be fo und on the equ ipment and different levels of concern are identified by one of the following flag words and icons which precede the precautionary statement.
Indicates that a specific hazard is known to exist which through inappropriate conditions or actions will cause:
Severe or fatal personal injury
Substantial property damage.
WARNIN
CAUTION
NOTE: Indicates precautions or recommendations that should be used in the operation of the ultrasound system, specifically:
Maintaining an optimum system environment
Using this Manual
Notes to emphasize or clarify a point.
Indicates that a specific hazard is known to exist which through inappropriate conditions or actions may cause:
Severe personal injury
Substantial property damage.
Indicates that a potential hazard may exist which through inappropriate conditions or actions will or can cause:
Minor injury
Property damage.
Safety
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 32
Biological
A Explosi

Hazard Symbols - Icon Description

Potential hazards are indicated by the following icons:
Table 1-1: Potential Hazards
Icon Potential Hazard Usage Source
Hazard
Electrical Hazard
Moving Hazard
coustic Output Hazard
on
Hazard Smoke &
Fire Hazard
• Patient/user infection due to contaminated equipment. • Cleaning and care instructions
• Sheath and glove guidelines
• Electrical micro-shock to patient, e.g., ventricular • Probes
• ECG
• Connections to back panel
• Console, accessories or optional storage devices that can fall on patient, user, or others.
• Collision with persons or objects result in injury while maneuvering or during system transport.
• Injury to user from moving the console.
• Patient injury or tissue damage from ultrasound radiation. • ALARA, the use of power output following
• Risk of explosion if used in the presence of flammable anesthetics. • Flammable anesthetic
• Patient/user injury or adverse reaction from fire or smoke.
• Patient/use injury from explosion and fire.
• Moving
• Using brakes
• Transporting
the as low as reasonably achievable principle
• Replacing fuses
• Outlet guidelines
ISO 7000 No. 0659
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 33
G

Important Safety Considerations

The following topic headings (Patient Safety, and Equipment and Personnel Safety) are intended to make the equipment user aware of particular hazards associated with the use of this equipment and the extent to which injury can occur if precautions are not observed. Additional precautions may be provided throughout the manual.
CAUTION
Improper use can result in serious injury. The user must be thoroughly familiar with the instructions and potential hazards involving ultrasound examination before attempting to use the device. Training assistance is available from GE Medical Systems if needed.
The equipment user is obligated to be familiar with these concerns and avoid conditions that could result in injury.

Patient Safety

Related Hazards

WARNIN
Patient identification
Always include proper identification with all patient data and veri fy the accuracy of the patient's name or ID numbers when entering such data. Make sure correct patient ID is provided on all recorded data and hard copy prints. Identification errors could result in an incorrect diagnosis.
Diagnostic information
Equipment malfunction or incorrect settings can result in measurement errors or failure to detect details within the image. The equipment user must become thoroughly familiar with the equipment operation in order to optimize its performance and recognize possible malfunctions. Applications training is available through the local GE representative. Added confidence in the equipment operation can be gained by establishing a quality assurance program.
The concerns listed can seriously affect the safety of patients undergoing a diagnostic ultrasound examination.
CAUTION
Safety
The system’s acoustic output remains transmitting when the user controls are being used. Allowing the system to transmit acousti c output with the probe not in use (or in its holder) can cause the probe to build up he at. Always turn off acoustic output or freeze the image when not in use.
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 34
Related Hazards (continued)
Mechanical hazards
The use of damaged probes or improper use and manipulation of intr acavity probes can result in injury or increased risk of infection. Inspect probes often for sharp, pointed, or rough surface damage that could cause injury or tear protective barriers. Never use excessive force when manipulating intracavity probes. Become familiar with all instructions and precautions provided with special purpose probes.
Electrical
Hazard
CAUTION
CAUTION
CAUTION
Training
It is recommended that all users receive proper training in applications before performing them in a clinical setting. Please contact the local GE representative for training assistance.
ALARA training is provided by GE Application Specialists. The ALARA education program for the clinical end-user covers basic ultrasound pr inc iple s , possib l e biological effects, the derivation and meaning of the indices, ALARA principles, and examples of specific applications of the ALARA principle.
A damaged probe can also increase the risk of e lectric shock if conductive solutions come in contact with internal live part s. Inspect probes often for cracks or openings in the housing and holes in and around the acoustic le ns or other damage that could allow liquid entry. Become familiar with the probe's use and care precautions outlined in Probes and Biopsy.
Ultrasound transducers are sensitive instruments which can easily be damaged by rough handling. Take extra care not to drop transducers and avoid contact with sharp or abrasive surfaces. A damaged hou sing, lens or cable can result in patient injury or serious impairment or operation.
Ultrasound can produce harmful effects in tissue and potentially result in patient injury. Always minimize exposure time and keep ultrasound levels low when there is no medical benefit. Use the principle of ALARA (A only when needed to obtain diagnostic image quality. Observe the acoustic output display and be familiar with all controls affecting the output level. See the Bioeffects section of the Acoustic Output chapter in the Advanced Reference Manual for more information.
Do not use with Defibrillator. This equipment does not have a defibrillator approved applied part.
s Low As Reasonably Achievable), increasing output
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 35
G
G
DANGER
Explosi

Equipment and Personnel Safety

Related Hazards

WARNIN
WARNIN
on
Hazard
Electrical
Hazard
This equipment contains dangerous voltages that are capable of serious injury or death. If any defects are observed or malfunctions occur, stop operating the equipment and perform the proper action for the patient. Inform a
qualified service person and contact a Service Representative for information. There are no user serviceable comp on en ts inside the cons ole . Refer all servicing to qualified service personnel only.
Only approved and recommended peripherals and accessories should be used. All peripherals and accessories must be securely mounted to the LOGIQ P5/A5/A5Pro.
The concerns listed below can seriously affect the safety of equipment and personnel during a diagnostic ultrasound examination.
Risk of explosion if used in the presence of flammable anesthetics.
To avoid injury:
Do not remove protective covers. No user serviceable parts are inside. Refer servicing to qualified service personnel.
To assure adequate grounding, connect the attachment plug to a reliable (hospital grade) grounding outlet.
Never use any adaptor or converter of a three-prong-to-two-prong type to connect with a mains power plug. The protective earth connection will loosen.
Do not place liquids on or above the console. Spilled liquid may contact live parts and increase the risk of shock.
Safety
Plug any peripherals into the LOGIQ P5/A5/A5 Pro AC powe r outle t.
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 36
Biological
Related Hazards (continued)
CAUTION
Smoke & Fire Hazard
Hazard
CAUTION
CAUTION
Do not use this equipment if a safety problem is known to exist. Have the unit repaired and performance verified by qualified service personnel before returning to use.
The system must be supplied from an adequately rated electrical circuit. The capacity of the supply circuit must be as specified in Chapter 3 of the Basic User Manual.
For patient and personnel safety, be aware of biological hazards while performing invasive procedures. To avoid the risk of disease transmission:
Use protective barriers (gloves and probe sheaths) whenever possible. Follow sterile procedures when appropriate.
Thoroughly clean probes and reusable accessories after each patient examination and disinfect or sterilize as needed. Refer to Probes and Biopsy in the Basic User Manual for probe use and care instructions.
Follow all infection control policies established by your office, department or institution as they apply to personnel and equipment.
Contact with natural rubber latex may cause a severe anaphylactic reaction in persons sensitive to the natural latex protein. Sensitive users and patients must avoid contact with these items. Refer to package labeling to determine latex content and FDA’s March 29, 1991 Medical Alert on latex products.
The system is equipped with an Auto Freeze feature which disables acou stic output and fr eeze s the image when th e system is not in use. Take care when deactivating this feature.
CAUTION
Never put any device onto the monitor.
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 37
Related Hazards (continued)
CAUTION
CAUTION
CAUTION
Archived data is managed at the individual sites. Performing data backup (to any device) is recommended on a daily basis.
Do not unpack the LOGIQ P5/A5/A5Pro. This must be performed by qualified service personnel only.
Do not use the LOGIQ P5/A5/A5Pro Ultrasound system ECG wave for diagnosis and monitorin g.
Safety
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 38

Device Labels

Label Icon Description

The following table describes the purpose and location of safety labels and other important information provided on the equipment.
Table 1-2: Label Icons
Label/Icon Purpose/Meaning Location
Identification and Rating Plate Manufacture’s name and address
Date of manufacture Model and serial numbers
Electrical ratings (Volts, Amps, phase, and frequency) Type/Class Label Used to indicate the degree of safety or protection. IP Code (IPX8) Indicates the degree of protection provided by the enclosure per IEC60 529. Can be used in operating room
environment.
Type CF Applied Part (heart in the box) symbol is in accordance with IEC 878-02-03. ECG marked Type CF
“ATTENTION” - Consult accompanying documents” is intended to alert the user to refer to the operator manual
or other instructions when complete information cannot be provided on the label.
!
“CAUTION” - Dangerous voltage” (the lightning flash with arrowhead) is used to indicate electric shock
hazards.
“Mains OFF” indicates the power off position of the mains power breaker. Refer to Chapter 3 in the Basic User Manual for
“Mains ON” indicates the power on position of the mains power breaker. Refer to Chapter 3 in the Basic User Manual for
See “Warning Label Locations” on page 51.
Foot Switch
Various
Inside of console
location information.
location information.
“ON” indicates the power on position of the power switch.
CAUTION: This Power Switch DOES NOT ISOLATE Mains Supply.
Refer to Chapter 3 in the Basic User Manual for location information.
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 39
Table 1-2: Label Icons
Label/Icon Purpose/Meaning Location
“Protective Earth” indicates the protective earth (grounding) terminal. Internal
“Equipotentiality” indicates the terminal to be used for connecting equipotential conductors when
interconnecting (grounding) with other equipment.
This symbol indicates that the waste of electrical and electronic equipment must not be disposed as unsorted municip al waste
and must be collected separately. Please contact an authorized representative of the manufacturer for information concerning
the decommissioning of your equipment
.
Rear of console
Rear of console.
Safety
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 40

Classifications

Type of protection against electric shock
Class I Equipment (*1)
Degree of protection against electric shock
Type CF Applied part (*3)
(for ECG, Probes marked with CF symbol)
Continuous Operation System is Ordinary Equipment (IPX0) Footswitch is IPX8

*1. Class I EQUIPMENT

EQUIPMENT in which protection against electric shock does not rely on BASIC INSULATION only, but includes an earth ground. This additional safety precaution prevents exposed metal parts from becoming LIVE in the event of an insulation failure.

*2. Type BF APPLIED PART

TYPE BF APPLIED PART providing a specified degree of protection against electric shock, with particular regard to allowable LEAKAGE CURRENT.
Table 1-3: Type BF Equipment
Normal Mode Single fault condition
Patient leakage current Less than 100 microA Less than 500 microA

*3. Type CF APPLIED PART

Type CF Applied Part providing a degree of protection higher than that for TYPE BF Applied Part against electric shock particularly regarding allowable LEAKAGE CURRENTS.
Table 1-4: Type CF Equipment
Normal Mode Single fault condition
Patient leakage current Less than 10 microA Less than 50 microA
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 41

EMC (Electromagnetic Compatibility)

NOTE: This equipment generates, uses and can radiate radio frequency energy. The equipment may cause radio frequency interference to other medical and non­medical devices and radio communications. To provide reasonable protection against such interference, this product complies with emissions limits for a Group 1, Class A Medical Devices Directive as stated in EN 60601-1-2. However, there is no guarantee that interference will not occur in a particular installation.
NOTE: If this equipment is found to cause interference (which may be determined by turning the equipment on and off), the user (or qualified service personnel) should attempt to correct the problem by one or more of the following measure(s):
reorient or relocate the affected device(s)
increase the separation between the equipment and the affected device
power the equipment from a source different from that of the affected device
consult the point of purchase or service representative for further suggestions.
NOTE: The manufacturer is not responsible for any interference caused by using other than recommended interconnect cables or by unauthorized chang es or modifications to this equipment. Unauthorized changes or modifications could void the users’ authority to operate the equipment.
NOTE: To comply with the regulations on electromagnetic interference for a Class A FCC Device, all interconnect cables to peripheral devices must be shielded and properly grounded. Use of cables not properly shielded and grounded may result in the equipment causing radio frequency interference in violation of the FCC regulations.
NOTE: Do not use devices which intentionally transmit RF Signals (cellular phones, transceivers, or radio-controlled products) in the vicinity of the equipment as it may cause performance outside the published specifications. Keep the power to these types of devices turned off when near this equipment.
The medical staff in charge of this equipment is required to instruct technicians, patients, and other peopl e who maybe around this equipment to fully comply with the above requirement.

EMC Performance

All types of electronic equipment may characteristically cause electromagnetic interference with other equipment, either transmitted through air or connecting cables. The term EMC (Electromagnetic Compatibility) indicates the capability of equipment to curb electromagnetic influence from other equipment and at the same time not affect other equipment with similar electromagnetic radiation from itself.
Proper installation following the service manual is required in order to achieve the full EMC performance of the product. The product must be installed as stipulated in 4.2, Notice upon Installation of Product. In case of issues related to EMC, please call your service personnel.
Safety
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 42
The manufacturer is not responsible for any interference caused by using other th an recommended interconnect cables or by unauthorized changes or mod ifications to this equipment. Unauthorized changes or modifications could void the users’ authority to operate the equipment.
CAUTION
Do not use devices which intentionally transm it RF signals (cellula r phones, transceive rs, or radio contro lled product s) in the vicinity of this equipment as it may cause performance outside the published specifications. Keep the power to these type devices turned off when near this equipment.
Keep power to these devices turned off when near this equipment. Medical staff in charge of this equipment is required to instruct technicians, patients and other people who may be around this equipment
to fully comply with the above regulation.
Portable and mobile radio communications equipment (e.g. two-way radio, cellular/cordless telephones, wireless computer networks) should be used no closer to any part of this system, including cables, than determined according to the following method:
Table 1-5: Portable and mobile radio communications equipment distance requirements
Frequency Range: 150 kHz - 80 MHz 80 MHz - 800 MHz 800 MHz - 2.5 GHz
Calculation Method: d=[3.5/V1] square root of P d = [3.5/E1] square root of P d = [7/E1] square root of P Where: d= separation distance in meters, P = rated power of the transmitter, V
If the maximum transmitter power in
watts is rated The separation distance in meters should be
5 2.6 2.6 5.2 20 5.2 5.2 10.5 100 12.0 12.0 24.0
=compliance value for conducted RF, E1 = compliance value for radiated RF
1
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 43

Notice upon Installation of Product

Separation distance and effe ct from fixed radio communicatio ns equipment: field strength s from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast, and TV broadcast transmitter cannot be predicted theoret ically with ac curacy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the ultrasound system is used exceeds the applicable RF compliance level as stated in the immunity declaration, the ultrasound system should be observed to verify normal operation. If abnormal operation is observed, additional measures may be necessary, such as re-orienting or relocating the ultrasound system or using an RF shielded examination room may be necessary.
1. Use either power supply cords provided by GE Medical Systems or ones designated by GE Medical Systems. Products equipped with a power source plug should be plugged into the fixed power socket which has the protective grounding conductor. Never use any adaptor or converter to connect with a power source plug (i.e. three-prong-to-two-prong converter).
2. Locate the equipment as far away as possible from other electronic equipment.
3. Be sure to use only the cables provided by or designated by GE Medical Systems. Connect these cables following the installation procedures (i.e. wire power cables separately from signal cables).
4. Lay out the main equipment and other peripherals following the installation procedures described in the Option Installation manuals.

General Notice

1. Designation of Peripheral Equipment Connectable to This Product. The equipment indicated on Chapter 15 of the Basic User Manual can be hooked up to the product without compromising its EMC performance. Avoid using equipment not designated in the list. Failure to comply with this instruction may result in poor EMC performance of the product.
2. Notice against User Modification The user should never modify this product. User modifications may cause degradation in EMC performance. Modification of the product includes changes in: a. Cables (length, material, wiring, etc.) b. System installation/layout c. System configuration/components d. Securing system parts (cover open/close, cover screwing)
3. Operate the system with all covers closed. If a cover is opened for some reason, be sure to shut it before starting/resuming operation.
4. Operating the system with any cover open may affect EMC performance.
Safety
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 44

Peripheral Update for EC countries

The following is intended to provide the users in EC countries with updated information concerning the connection of the LOGIQ P5/A5/A5Pro to image recording and other devices or communication networks.
The LOGIQ P5/A5/A5Pro has been verified for overall safety, compatibility and compliance with the following on-board image recording devices:
Sony Color Printer UP-D23MD
Sony B/W Printer Model UP-D897MD
Sony Color Printer Model UP-50/51MD
Panasonic DVD-Video, LQ-MD800/800P.800E
Mitsubishi VCR HS-MD3000/3000E/3000U
The LOGIQ P5/A5/A5Pro has also been verified for compatibility, and compliance for connection to a local area network (LAN) via the rear panel Ethernet connection, provided the LAN components are IEC/EN 60950 compliant.
Connection may also be made to a CE Marked and IEC/EN 60950 compliant modem using one of the serial ports at the rear panel. The LOGIQ P5/A5/A5Pro may also be used safely while connected to devices other than those recommended above if the devices and their specifications,
installation, and interconnection with the system conform to the requirements of IEC/EN 60601-1-1. General precautions for installing an alternate on-board device would include:
1. The added device must have appropriate safety standard conformance and CE Marking.
2. The total power consumption of the added devices, which connect to the LOGIQ P5/A5/A5Pro and are used simultaneously, must be less than or equal to the rated supply of the LOGIQ P5/A5/A5Pro.
3. There must be adequate heat dissipation and ventilation to prevent overheating of the device.
4. There must be adequate mechanical mounting of the device and stability of the combination.
5. Risk and leakage current of the combination must comply with IEC/EN 60601-1.
6. Electromagnetic emissions and immunity of the combination must conform to IEC/EN 60601-1-2.
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 45
Peripheral Update for EC countries (continued)
General precautions for installing an alternate off-board, remote device or a network would include:
1. The added device(s) must have appropriate safety standard conformance and CE Marking.
2. The added device(s) must be used for their intended purpose having a compatible interface.
3. Signal or mains isolation devices and additional protective earth may be needed to assure compliance with IEC/EN60601-1-1.
CAUTION
The connection of equipment or transmission networks other than as specified in the user instructions can result in an electric shock hazard or equipment malfunction. Substitute or alternate equipment and connections requires verification of compatibility and conformity to IEC/EN 60601-1-1 by the installer. Equipment modifications and possible resulting malfunctions and electromagnetic interference are the responsibility of the owner.

Declaration of Emissions

This system is suitable for use in the following environment. The user must assure that it is used only in the electromagnetic environment as specified.
Table 1-6: Declaration of Emissions
Emission Type Compliance Electromagnetic Environment
CISPR 11 RF Emissions
IEC 61000-3-2 Harmonic Disturbanc Emissions
IEC 61000-3-3 Voltage Fluctuations/Flicker Emissions
Group 1 Class B
Class B 230V 50Hz
Complies
This system uses RF energy only for its internal function. Therefore, RF emissions are very low and are not likely to cause any interference in nearby electronic equipment. It is suitable for use in all establishments.
Safety
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 46

Declaration of Immunity

This system is suitable for use in the following environment. The user must assure that the system is used according to the specified guidance and only in the electromagnetic environment listed.
Table 1-7: Declaration of Immunity
Immunity Type Test Level Compliance EMC Environment and Guidance
IEC 61000-4-2 Static discharge (ESD)
IEC 61000-4-4 Electrical fast transient/burst
IEC 61000-4-5 Surge Immunity ± 1.5 kV differential
IEC 61000-4-11 Voltage dips, short interruptions and voltage variations on mains supply
IEC 61000-4-8 Power frequency (50/60 Hz) magnetic field
IEC 61000-4-6 Conducted RF
IEC 61000-4-3 Radiated RF
NOTE: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects, and people.
± 8 kV contact
± 8 kV air ± 1.5 kV for mains ± 2 kV for mains
± 2.5 kV common < 5% U
TBD 3 A/m
TBD 3 V
3 V/m 80 MHz - 2.5 GHz
(> 95% dip) for 0.5 cycle; < 5% UT (> 95% dip) for 0.5 cycle;
T
± 6 kV contact
± 8 kV air
± 1 kV for SIP/SOP ± 1 kV differential
± 2 kV common
(60% dip) for 5 cycles;
40% U
T
70% U
(30% dip) for 25 cycles;
T
< 5% U
150 kHz - 80 MHz 3 V/m
80 MHz - 2.5 GHz
(>95% dip) for 5 sec
T
RMS
Floors should be wood, concrete, or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%. Mains power quality should be that of a typical commercial and/or hospital environment. If the user requires continued operation during power mains interruptions, it is recommended that the system be powered from an uninterruptable power source (UPS). NOTE: UT is the a.c. mains voltage prior to application of the test level. Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial and/ or hospital environment. Separation distance to radio communication equipment must be maintained according to the Table 1-5 on page 42. Interference may occur in the vicinity of equipment marked with the symbol
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 47

Patient Environmental Devices

1. Peripheral Device (Signals I/O Port, Power In)
2. Front Panel (Signal I/O Port, Power Out)
3. Non-Imaging Probes
4. Imaging Probes
5. Probe Port
6. ECG Cable
7. Physio-Signal Input Panel
8. Rear Panel
Safety
Figure 1-1. Patient Environmental Devices
9. Signals I/O Port
10. Power Out
11. Signals I/O Port
12. Footswitch Connector
13. Power In
14. Peripheral Devices
15. Signals I/O Port
16. Power In
17. Footswitch
18. Power Line (AC~)
19. Ground Line
20. Power Cable with Protective Earth
21. DVD Drive
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 48

Acceptable Devices

The devices shown in “Patient Environmental Devices” on page 1-47 are specified to be suitable for use within th e PAT IEN T ENVIR ONMENT.
CAUTION
DO NOT connect any probes or accessories without approval by GE within the PATIENT ENVIRONMENT. See “Peripheral Update for EC countries” on page 44.

Unapproved Devices

CAUTION
Unapproved devices shall not be used in the patient environment. If devices are connected without the approval of GE, the warranty will be INVALID. Any device connected to the LOGIQ P5/A5/A5Pro must conform to one or more of the requirements listed below:
1. IEC standard or equivalent standa rds appropriate to devices.
2. The devices shall be connected to PROTECTIVE EARTH (GROUND).

Accessories, Options, Supplies

CAUTION
Unsafe operation or malfunction may result. Use only the accessories, options and supplies approved or recommended in these instructions for use.
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 49

Acoustic Output

Located on the upper right section of the system display monitor, the acoustic output display provides the operator with real-time indication of acoustic levels being generated by the system. See the Acoustic Output chapter in the Advanced Reference Manual for more information. This display is based on NEMA/AIUM Standards for Real-time Display of Thermal and Mechanic Acoustic Output Indices on Diagnostic Ultrasound Equipment.

Acoustic Output Display Specifications

The display consists of three parts: Thermal Index (TI), Mechanical Index (MI), and a relative Acoustic Output (AO) value. Although not part of the NEMA/AIUM standard, the AO value informs the user of where the system is operating within the range of available output. Depending on the examination and type of tissue involved, the TI parameter will be one of three types:
Soft Tissue Thermal Index (TIS). Used when imaging soft tissue only, it provides an estimate of potential temperature increase in soft tissue.
Bone Thermal Index (TIB). Used when bone is near the focus of the image as in the third trimester OB examination, it provides an estimate of potential temperature increase in the bone or adjacent soft tissue.
Cranial Bone Thermal Index (TIC). Used when bone is near the skin surface as in transcranial examination, it provides an estimate of potential temperature increase in the bone or adjacent soft tissue.
The TI and MI is displayed at all times. The MI and TI displays start at a value of 0.0 and increments in steps of 0.1. Display precision is ± 0.1, and accuracy is ± 50%.

Controls Affecting Output

The potential for producing mechanical bioeffects (MI) or thermal bioeffects (TI) can be influenced by certain controls. The Acoustic Output control has the most significant effect on Acoustic Output. Indirect effects may occur when adjusting other controls. Controls that ca n influence MI a nd TI are det a iled under the Bioef fect s portion of each contro l in the Modes
chapter of the Basic User Manual. Always observe the acoustic output display for possible effects.
Safety
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 50
HINTS
G
A

Best practices while scanning

Raise the Acoustic Output only after attempting image optimization with controls that have no effect on Acoustic Output, such as Gain and TGC.
NOTE: Refer to the Optimization sections of the Modes chapter for a complete discussion of each control.
WARNIN
coustic Output Hazard
Be sure to have read and understood control explanations for each Mode used before attempting to adjust the Acoustic Output control or any control that can effect Acoustic Output.
Use the minimum necessary acoustic output to get the best diagnostic image or measurement during an examination. Begin the exam with the probe that provides an optimum focal depth and penetration.

Acoustic Output Default Levels

In order to assure that an exam may not start at a high output level, the LOGIQ P5/A5/A5Pro may initiate scanning at a reduced default output level. This reduced level is preset programmable and depends upon the exam category and probe selected. It takes effect when the system is powered on or New Patient is selected.
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 51

Warning Label Locations

Console Labels
1. Possible shock hazard. Do not remove covers or panels. No user serviceable parts are inside. Refer servicing to qualified service personnel.
2. Do not use the following devices near this equipment: cellular phone, radio receiver, mobile radio transimitter, radio controlled toy, etc. Use of these devices near this equipment could cause this equipment to perform outside the published specifications. Keep power to these devices turned off when near this equipment.
3. The equipment weighs approximately 80 kg 176 lbs). T o avoid possible injury and equipment damage when transporting from one area of use to another:
- Be sure the pathway is clear
- Limit movement to a slow careful walk.
- Use two or more persons to move the equipment on inclines or long distance.
4. Prescription Device (For U.S.A. Only)
5. The CE Mark of Conformity indicates this equipment conforms with the Council Directive 93/42/EEC.
6. WEEE label indicates that the waste of electrical and electronic equipment must not be disposed as unsorted municipal waste and must be collected separately. Please contact an authorized representative of the manufacturer for information concerning the decommissioning of your equipment.
7. CISPR CAUTION: The LOGIQ P5/A5/A5Pro conforms to the CISPR11, Group 1, Class A of the international standard for Electromagnetic disturbance characteristics.
8. Grounding reliability can only be achieved when this equipment is connected to a receptacle marked “Hospital Only” or “Hospital Grade”. (For U.S.A., Canada, Japan)
9. Power (Indication label)
10. Optional Flexible LCD monitor may rotate in transporting : bind the system securely not to cause the damage in transportation. there is a pinch point in the LCD monitor. Need care for injury on hands or fingers in flipping down the LCD monitor.
Safety
LOGIQ P5/A5/A5Pro Quick Guide Direction 5137113-100 Rev. 3 52
Warning Label Locations (continued)
1.Identification and Rating Plate–USA/Asia 120V Console
2.Identification and Rating Plate–Europe/Asia/Latin America 220V Console
3.Identification and Rating Plate–Japan 120V Console
4.Identification and Rating Plate-Korea 220V Console
5.Identification and Rating Plate-China 220V Console
6.IUL Label
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