GE Vivid S5, Vivid S6 Technical Publications

Technical
Publications

Vivid S5/Vivid S6

GE Medical Systems

User Manual

Volume 1

Direction R2424458-100

Rev. 2

Operating Documentation

Copyright © 2010 By General Electric Co.

Regulatory Requirements

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

This manual is a reference for the Vivid S5 and Vivid S6. It
applies to all versions of the 10.2.x software for the Vivid S5
and Vivid S6 ultrasound systems.

g

GE Medical Systems

MANUAL STATUS

R2424458-100

07 February 2010

Doc ID: DOC0600341

COMPANY DATA GE Medical Systems, Israel Ltd.

PRELIMINARY

 GE Medical Systems. All rights reserved. No part of this
manual may be reproduced, stored in a retrieval system, or
transmitted, in any form or by any means, electronic,
mechanical, photocopying, recording, or otherwise,
without the prior written permission of GE Medical
Systems.

4 Etgar Street

39120 Tirat Carmel

Israel

Tel: [phone] Fax: [phone]

GE Medical Systems Information Technologies GmbH,

Munzinger Strasse 5 D-79111 Freiburg, Germany

Tel: [phone] Fax: [phone]

Table of Contents

Revision History

List of effective pages................................................................. xv

Introduction

Attention......................................................................................... 1

Prescription Device ....................................................................... 1

Safety.............................................................................................. 1

Principles of Operation ................................................................. 2

Interference caution ...................................................................... 2

Indications for use ........................................................................ 3

Contraindications .......................................................................... 3

Documentation .............................................................................. 3

Manual contents ................................................................... 4

Conventions used in this manual ................................................ 5

Regulatory requirements .............................................................. 6

Contact information ...................................................................... 7

Table of Contents

Chapter 1
Safety

Introduction.................................................................................. 15

Hazard symbols.................................................................. 16

Owner responsibility ................................................................... 17

Important safety considerations ................................................ 18

Notice against user modification......................................... 18

Regulatory information............................................................... 19

Directives............................................................................ 19

Product Classifications ....................................................... 19

Conformity to Standards ..................................................... 19

Certifications ....................................................................... 21

Software License Acknowledgements ................................ 21

Device labels................................................................................ 22

Label Locations................................................................... 22

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Table of Contents

Label Icon Description.........................................................23

Acoustic output............................................................................26

Definition of the acoustic output parameters ....................... 26

ALARA.................................................................................26

Safety statement .................................................................27

System controls affecting acoustic output ........................... 27

OB Exam .......................................................................................29

Exam Preparation................................................................29

Acoustic Output Considerations ................................................30

Concerns surrounding fetal exposure .................................30

Patient safety................................................................................31

Patient identification ............................................................31

Diagnostic information.........................................................31

Patient guidance..................................................................32

Probe Safety .................................................................................32

Mechanical hazards ............................................................32

Electrical Hazard .................................................................33

Biological hazards ...............................................................34

Personnel and equipment safety................................................35

Explosion hazard.................................................................35

Electrical hazard..................................................................35

Smoke and fire hazard ........................................................36

Biological hazard.................................................................36

Pacemaker hazard ..............................................................36

LCD Monitor ........................................................................37

Electrical safety............................................................................ 39

Internally connected peripheral devices .............................. 39

External Connection of other peripheral devices.................39

Allergic reactions to latex-containing medical devices ...........40

Use of ECG ...................................................................................41

Use of Defibrillator.......................................................................41

Use of Electrosurgical Unit .........................................................41

Electromagnetic Compatibility (EMC) ........................................ 42

EMC performance ...............................................................43

Declaration of Emissions.....................................................44

Declaration of Immunity.......................................................44

Notice upon Installation of Product......................................44

General notice.....................................................................45

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Peripheral Update for EC countries.................................... 46

Patient Environmental Devices.................................................. 48

Acceptable devices............................................................. 49

Unapproved devices........................................................... 49

Accessories, options, and supplies..................................... 49

Environmental protection.................................................... 50

Chapter 2
Getting started

Introduction.................................................................................. 52

Preparing the unit for use........................................................... 53

Site requirements................................................................ 53

Connecting the unit............................................................. 54

Switching On/Off................................................................. 61

Moving and transporting the unit .............................................. 64

Wheels................................................................................ 64

Moving the unit ................................................................... 64

Transporting the unit........................................................... 66

Reinstalling at a new location ............................................. 67

Preparing Vivid S5/Vivid S6 for scanning ........................... 67

Unit acclimation time........................................................... 68

System description ..................................................................... 69

System overview................................................................. 69

Control panel ...................................................................... 71

The Scanning screen.......................................................... 84

Three-Pedal Footswitch operation...................................... 87

Connecting and disconnecting probes ............................... 87

Adjusting the Display Monitor ............................................. 90

Starting an examination.............................................................. 95

Creating a new Patient record or starting an examination from

an existing patient record.................................................... 95

Selecting a Probe and an Application............................... 100

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Table of Contents

Chapter 3
Basic scanning operations

Assignable keys and Soft Menu Rocker .................................. 103

Using the Assignable Keys Soft Menu ..............................104

Using the Soft Menu Rocker .............................................107

Trackball operation ....................................................................108

Trackball assignment ........................................................108

The system menu..............................................................109

Cineloop operation ....................................................................110

Cineloop overview .............................................................110

Cineloop controls...............................................................111

Using cineloop...................................................................112

Storing images and cineloops ..................................................113

To store a single image .....................................................113

To store a cineloop............................................................113

Removable Media.......................................................................114

Intended use......................................................................114

Supported removable media .............................................115

Zoom ...........................................................................................120

To Magnify an image (Display zoom)................................120

To activate the HR zoom...................................................120

Performing measurements........................................................121

To perform measurements................................................121

Physiological trace ....................................................................122

Connecting the internal ECG.............................................122

Physio controls ..................................................................126

Displaying the ECG trace ..................................................126

Adjusting the display of the ECG trace..............................126

Annotations ................................................................................128

To insert an annotation......................................................128

To edit annotation..............................................................131

To erase annotation ..........................................................131

Configuration of the pre-defined annotation list.................132

Bodymarks ........................................................................134

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Chapter 4
Scanning Modes

Introduction................................................................................ 139

2D-Mode ..................................................................................... 140

2D-Mode overview............................................................ 140

2D-Mode controls ............................................................. 142

Using 2D........................................................................... 148

Optimizing 2D ................................................................... 148

M-Mode ....................................................................................... 150

M-Mode overview ............................................................. 150

M-Mode controls ............................................................... 151

Using M-Mode .................................................................. 153

Optimizing M-Mode........................................................... 155

Color Mode................................................................................. 157

Color Mode overview ........................................................ 157

Color M-Mode overview.................................................... 158

Color Mode controls.......................................................... 159

Using Color Mode ............................................................. 162

Optimizing Color Mode ..................................................... 163

PW and CW Doppler.................................................................. 164

PW and CW Doppler overview ......................................... 164

PW and CW Doppler controls........................................... 165

Using PW/CW Doppler modes ......................................... 167

Optimizing PW/CW Doppler modes.................................. 168

Tissue Velocity Imaging (TVI)........................................... 169

Tissue Tracking ................................................................ 173

Strain rate................................................................................... 178

Strain rate overview.......................................................... 178

Strain rate controls............................................................ 179

Using Strain rate ............................................................... 181

Optimizing Strain rate ....................................................... 181

Strain .......................................................................................... 183

Strain overview ................................................................. 183

Strain controls................................................................... 184

Using Strain ...................................................................... 186

Optimizing Strain .............................................................. 186

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Table of Contents

Tissue Synchronization Imaging (TSI) ..................................... 188

TSI overview......................................................................188

TSI controls .......................................................................189

Using TSI...........................................................................191

Optimizing TSI...................................................................192

Additional scanning features....................................................193

LogiqView..........................................................................193

Compound.........................................................................194

B-Flow ...............................................................................195

Blood flow imaging ............................................................195

Virtual Convex...................................................................196

Chapter 5
Stress Echo

Introduction ................................................................................198

Selection of a stress test protocol template............................199

Image acquisition.......................................................................200

Starting acquisition............................................................201

Continuous capture mode .................................................205

Analysis.............................................................................213

Quantitative TVI Stress echo analysis .....................................218

Accessing QTVI Stress analysis tools...............................219

Vpeak measurement .........................................................220

Tissue Tracking .................................................................223

Quantitative analysis .........................................................223

References........................................................................224

Editing/creating a template .......................................................225

Entering the Template editor screen .................................225

Template editor screen overview ......................................226

Editing/Creating a template...............................................229

Chapter 6
Contrast Imaging

Introduction ................................................................................234

Cardiac imaging ................................................................234

Non-cardiac imaging .........................................................235

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Data acquisition......................................................................... 235

Left Ventricular Contrast Imaging ..................................... 235

LV Contrast overview................................................................ 236

LV Contrast controls ......................................................... 236

Using LV Contrast............................................................. 238

Optimizing LV Contrast..................................................... 239

Vascular Contrast Imaging ....................................................... 240

Abdominal Contrast Imaging ................................................... 241

Chapter 7
Measurement and Analysis

Introduction................................................................................ 246

About Measurement results display.................................. 247

The Assign and Measure modality .......................................... 248

Starting the Assign and Measure modality ....................... 248

Entering a study and performing measurements.............. 249

Measure and Assign modality.................................................. 251

Starting the Measure and Assign modality ....................... 251

Post-measurement assignment labels.............................. 252

Cardiac measurements ............................................................. 255

2D Measurements ............................................................ 255

M-Mode Measurements.................................................... 259

Doppler Measurements .................................................... 262

TSI Measurements ........................................................... 266

Automated Function Imaging............................................ 273

AutoEF Measurements ..................................................... 292

Vascular measurements ........................................................... 302

B-Mode measurements .................................................... 302

Intima-Media Thickness.................................................... 303

M-Mode Measurements.................................................... 308

Doppler measurements .................................................... 309

Pediatric Calculations............................................................... 314

Overview........................................................................... 314

Hip Dysplasia Calculation ................................................. 315

Making Hip Dysplasia Measurement ................................ 315

Performing an OB exam............................................................ 317

Patient entry...................................................................... 317

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Selecting probe and OB application ..................................321

OB Measurements and calculations ........................................322

Introduction........................................................................322

B-Mode measurements.....................................................323

M-Mode measurements ....................................................330

Doppler Mode Measurements ...........................................330

OB parameter configuration .....................................................333

Configuring OB M&A according to geographical regions .. 333

Measurement package configuration.......................................338

Measurement package configuration - example ...............338

User-defined formulas ...............................................................343

User-defined formula - example ........................................ 343

About units ........................................................................349

Measurement result table..........................................................351

Minimizing the Measurement result table..........................351

Moving the Measurement result table ...............................351

Deleting measurements ....................................................352

Worksheet...................................................................................353

Overview ...........................................................................353

Using Worksheet...............................................................354

OB worksheet.............................................................................356

Patient data .......................................................................357

Measurement information..................................................357

Calculation information......................................................358

OB graphs...................................................................................359

Overview ...........................................................................359

Fetal Growth Curve Graph ................................................360

Fetal Trending ...................................................................364

Fetal Growth Bar Graph ....................................................365

OB-Multigestational ...................................................................366

Multiple Fetus ....................................................................366

GYN Measurements ...................................................................370

Introduction........................................................................370

To Start a Gynecology Exam ............................................370

B-Mode Measurements..............................................................371

Uterus length, width, and height........................................371

Ovary length, width, and height.........................................372

Follicle measurements length, width, and height ..............373

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Endometrium thickness (Endo)......................................... 373

M-Mode Measurements............................................................. 374

Doppler Mode Measurements .................................................. 374

Chapter 8
Quantitative Analysis

Introduction................................................................................ 377

Accessing the Quantitative analysis package........................ 378

In replay mode .................................................................. 378

In live ................................................................................ 378

Quantitative Analysis window.................................................. 379

Overview........................................................................... 379

Generation of a trace................................................................. 386

About the sample area...................................................... 386

To generate a trace .......................................................... 386

Manual tracking of the sample area (dynamic anchored

sample area)..................................................................... 387

Zooming in the Analysis window....................................... 388

Deletion of a trace ..................................................................... 389

To delete all traces ........................................................... 389

To delete one specific trace.............................................. 389

Saving/retrieving Quantitative analysis .................................. 389

Frame disabling ......................................................................... 390

Disabling frames............................................................... 390

Re-enabling all frames...................................................... 390

Optimizing sample area ............................................................ 392

Reshaping a sample area................................................. 392

Labelling a sample area.................................................... 393

Optimizing the trace display..................................................... 394

Optimizing the Y-axis........................................................ 394

Trace smoothing ............................................................... 395

Switching modes or traces....................................................... 397

To switch mode................................................................. 397

To switch trace.................................................................. 397

Cine compound ......................................................................... 398

Anatomical M-Mode................................................................... 399

Introduction ....................................................................... 399

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Table of Contents

Using Anatomical M-Mode ................................................399

Optimizing Anatomical M-Mode ........................................401

Chapter 9
Archiving

Introduction ................................................................................405

Storing images and cineloops ..................................................406

Storing an image ...............................................................407

Storing a cineloop..............................................................407

Saving images and cineloops to a standard format ..........408

MPEGVue/eVue ................................................................410

Retrieving and editing archived information...........................413

Locating a patient record...................................................413

Selecting a patient record and editing data in the archive.418

Deleting archived information............................................422

Moving examinations.........................................................424

Review images in archive..........................................................426

Review the images from a selected examination.............. 426

Select images from the Image list screen .........................427

Connectivity................................................................................431

The dataflow concept ........................................................431

Stand-alone scanner scenario...........................................434

A stand-alone scanner and a stand-alone EchoPAC PC

environment.......................................................................435

A scanner and EchoPAC PC in a direct connect

environment.......................................................................437

A scanner and EchoPAC PC in a network environment ...441

A scanner and a DICOM server in a network....................443

Export/Import patient records/examinations........................... 452

Exporting patient records/examinations ............................452

Importing patient records/examinations ............................460

Disk Management.......................................................................464

Configuring the Disk management function ......................465

Running the Disk management function ...........................468

Data Backup and Restore .................................................471

DICOM spooler ...........................................................................479

Starting the DICOM spooler ..............................................479

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Database import from Vivid 3 or Vivid 4.................................. 482

Transfer Procedure........................................................... 482

Installing the Vivid 3/4 Data Viewer .................................. 485

Using the Vivid 3/4 Data Viewer ....................................... 488

Chapter 10
Report

Introduction................................................................................ 492

Creating a report........................................................................ 493

Working with the report function ....................................... 493

To print a report ................................................................ 496

To store a report ............................................................... 496

Retrieving an archived report............................................ 497

Deleting an archived report............................................... 497

Structured Findings .................................................................. 498

Prerequisite....................................................................... 498

Starting Structured Findings ............................................. 499

Structured Findings structure............................................ 499

Using Structured Findings ................................................ 501

Structured Findings configuration ..................................... 504

Direct report............................................................................... 514

Creating comments........................................................... 514

Creating pre-defined text inputs........................................ 515

Report designer ......................................................................... 516

Accessing the Report designer......................................... 516

Report designer overview ................................................. 516

Designing a report template.............................................. 519

Saving the report template................................................ 530

To exit the Report designer .............................................. 530

Report templates management ................................................ 531

Configuration of the Template selection menu ................. 532

Export/Import of Report templates.................................... 533

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Table of Contents

Chapter 11
Probes

Probe overview...........................................................................537

Supported probes..............................................................537

Vivid S5 Probe/Application Overview ................................ 542

Vivid S6 Probe/Application Overview ................................ 543

Maximum probe temperature ............................................544

Probe orientation...............................................................545

Probe labelling...................................................................546

Environmental Requirements............................................547

Probe Integration .......................................................................548

Selecting probes................................................................548

Connecting the probe........................................................548

Activating the probe...........................................................550

Disconnecting the probe....................................................551

Care and Maintenance ...............................................................552

Planned maintenance........................................................552

Inspecting the probe..........................................................553

Special handling instructions.............................................554

Cleaning and disinfecting probes ......................................556

Probe safety................................................................................562

Biopsy .........................................................................................563

Precaution concerning the use of biopsy procedures .......563

Preparing the Biopsy guide attachment ............................565

Displaying the Guide zone ................................................569

Endocavitary Probe Biopsy Guide Assembly....................571

Biopsy needle path verification..........................................573

Starting the biopsy procedure ...........................................573

Cleaning, disinfection and disposal ................................... 573

Surgery/Intra-operative Use ......................................................574

Preparing for Surgery/Intra-operative Procedures ............574

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Chapter 12
Peripherals

Introduction................................................................................ 576

Printing ....................................................................................... 577

To print an image.............................................................. 577

Specifications for peripherals.................................................. 577

DVR (Digital Video Recorder) ................................................... 578

Overview........................................................................... 578

Using the DVR .................................................................. 578

Configuring the DVR......................................................... 581

Reviewing the DVR Media Externally ............................... 581

Chapter 13
Presets and System setup

Introduction................................................................................ 585

Starting the Configuration package......................................... 588

To open the Configuration package.................................. 588

Overview..................................................................................... 589

Imaging....................................................................................... 590

The Global setup sheet..................................................... 590

Application ........................................................................ 593

Application menu .............................................................. 596

Measure Text.............................................................................. 598

The measurement menu sheet......................................... 598

Configuration of the Measurement menu ......................... 601

The Advanced sheet.................................................................. 603

Parameter configuration ................................................... 603

The Modify Calculations sheet................................................. 604

Parameter configuration ................................................... 604

The OB table sheet........................................................... 605

Report......................................................................................... 611

The diagnostic codes sheet.............................................. 612

The Comment texts sheet................................................. 613

Connectivity............................................................................... 616

Dataflow............................................................................ 616

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Table of Contents

Additional outputs..............................................................623

Tools..................................................................................625

Formats .............................................................................626

TCP-IP...............................................................................632

System ........................................................................................633

The system settings ..........................................................633

About...........................................................................................635

Administration............................................................................636

Users.................................................................................637

Unlock Patient ...................................................................640

Chapter 14
User maintenance

System Care and Maintenance .................................................642

Inspecting the system........................................................642

Cleaning the unit ...............................................................643

Prevention of static electricity interference........................645

System self-test..........................................................................646

System malfunction ...........................................................646

Using InSite ExC ........................................................................650

InSite ExC Functionalities .................................................650

Initiating a Request for Service (RFS)...............................650

Clinical Lifeline Mode ........................................................653

Exiting InSite ExC..............................................................654

Index

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Revision History

Revision Date Reason for Change

1 19 July 2009 Initial release

2 07 February 2010 Updates and additions

List of effective pages

Revision Effective Pages

1All

2All

Please verify that you are using the latest revision of this
document. If you need to know the latest revision, contact your
distributor, local GE Sales Representative or in the USA call the
GE Medical Systems Clinical Answer Center at:
1-800-682-5327 or 1-262-524-5698.

Revision History

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Revision History

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Introduction

The Vivid S5/Vivid S6 ultrasound systems are light-weight, high
performance innovative ergonomic mobile digital ultrasound
imaging systems.

Both systems provide image generation in 2D (B) Mode, Color
Doppler, Power Doppler (Angio), M-Mode, Color M-Mode, PW
and CW Doppler spectra, LVO Contrast, B-Flow, BFI option
applications.

Vivid S6 offers additional modes, like TVI or Tissue Tracking,
and options like TSI (Tissue Synchronization Imaging) and
SI/SRI (Strain/Strain-rate imaging.

The fully digital architecture of the Vivid S5/Vivid S6 unit allows
optimal usage of all scanning modes and probe types,
throughout the full spectrum of operating frequencies.

Introduction

Attention

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 the User's Manual
before attempting to use the Vivid S5/Vivid S6 ultrasound unit.
Keep the manual with the equipment at all time. Periodically
review the procedures for operation and safety precautions.

Prescription Device

For USA only:

CAUTION

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

Safety

All information in Chapter 1, "Safety" on page 13, should be
read and understood before operating the Vivid S5/Vivid S6
ultrasound unit.

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Introduction

Principles of Operation

Medical ultrasound images are created by computer and digital
memory from the transmission and reception of mechanical
high-frequency waves applied through a transducer. The
mechanical ultrasound waves spread through the body,
producing an echo where density changes occur. For example,
in the case of human tissue, an echo is created where a signal
passes from an adipose tissue (fat) region to a muscular tissue
region. The echoes return to the transducer where they are
converted back into electrical signals.

These echo signals are highly amplified and processed by
several analog and digital circuits having filters with many
frequency and time response options, transforming the
high-frequency electrical signals into a series of digital image
signals which are stored in memory. Once in memory, the
image can be displayed in real-time on the image monitor. All
signal transmission, reception and processing characteristics
are controlled by the main computer. By selection from the
system control panel, the user can alter the characteristics and
features of the system, allowing a wide range of uses, from
obstetrics to peripheral vascular examinations.

Transducers are accurate, solid-state devices, providing
multiple image formats. The digital design and use of
solid-state components provides highly stable and consistent
imaging performance with minimal required maintenance. A
sophisticated system design with computer controlled
extensive features and functions make the Vivid S5 and
Vivid S6 easy systems to use and very user friendly.

Interference caution

Use of devices that transmit radio waves near the unit could
cause it to malfunction.

CAUTION

Devices not to be used near this equipment:

Devices which intrinsically transmit radio waves such as
cellular phones, radio transceivers, mobile radio transmitters,
radio-controlled toys, and so on, should not be operated near
the unit.

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Medical staff in charge of the unit are required to instruct
technicians, patients, and other people who may be around the
unit, to fully comply with the above recommendations.

Indications for use

The Vivid S5/Vivid S6 ultrasound unit is intended for the
following applications:

• Abdominal

• Cardiac

• Musculoskeletal including Superficial

• Small Organ

• Pediatric

• OB/Gyn

• Fetal Heart

• Transesophageal

• Peripheral Vascular

• Neonatal Cephalic

• Adult Cephalic

• Intraoperative

Introduction

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

CAUTION

Contraindications

The Vivid S5/Vivid S6 ultrasound unit is not intended for
ophthalmic use or any use causing the acoustic beam to pass

DANGER

through the eye.

Documentation

Vivid S5/Vivid S6 documentation consists of two manuals:

• The Basic User Manual (TRANSLATED) provides
information needed by the user to operate the system
safely. It describes the basic functions of the system, safety
features, operating modes, measurements/calculations,

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Introduction

probes, and user care and maintenance.

Note: Probe information displayed on screen examples
does not necessarily reflect the probes available on your
ultrasound system. Please refer to the Probes chapter for
a listing of available probes and features.

• The Advanced Reference Manual (ENGLISH ONLY)
contains M&A formulas and parameter-names, data tables,
such as OB and Acoustic Output tables.

Note: The documentation kit provides the Basic User
Manual and Advanced Reference Manual in electronic
format only. The CD-ROM includes English and all
translations. Paper documentation may be ordered.

The Vivid S5/Vivid S6 documentation is written for users who
are familiar with basic ultrasound principles and techniques.
They do not include sonographic training or detailed clinical
procedures.

Note: The original documentation was written in English.

CAUTION

Manual contents

The Vivid S5/Vivid S6 User's Manual is organized to provide
the information needed to start scanning immediately.

Some of the functions or features described in this manual are
optional and may not be available in the configuration of your
specific system.

The safety instruction must be reviewed before operation of the
unit.

Finding information

Table of Contents, lists the main topics and their location.

Headers and Footers, give the chapter name and page

number.

Index, provides an alphabetical and contextual list of topics.

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Conventions used in this manual

2-column layout, the right column contains the main text. The
left column contains notes, hints, and warnings.

Keys and buttons, on the control panel are indicated by over
and underlined text (ex.

Bold type, describes button names on the screen.

Italic type: describes program windows, screens and dialogue

boxes.

Safety icons, highlight safety issues as described in
"Introduction" on page 15.

Product icons, indicate product variant features as follows:

Indicates that the relevant feature exists in the standard configuration
of Vivid S6 and is not available on Vivid S5.

2D refers to the 2D mode key)

Introduction

Indicates that the relevant feature exists as an option of the Vivid S6
and is not available on Vivid S5.

Indicates that the relevant feature exists as an option on both Vivid S6
and Vivid S5 systems.

Indicates that the relevant feature exists in the standard configuration
of Vivid S6 and is available as an option on Vivid S5.

Indicates that the relevant feature exists in the standard configuration
of Vivid S5 and is not available on Vivid S6.

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Introduction

Indicates that a specific hazard is known to exist which through
inappropriate conditions or actions, will cause:

DANGER

WARNING

CAUTION

• Severe or fatal personal injury

• Substantial property damage

Indicates that a specific hazard is known to exist which through
inappropriate conditions or actions, will 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

Regulatory requirements

The Vivid S5/Vivid S6 ultrasound unit confirms to directives,
classifications, and standards, as described in "Regulatory
information" on page 19.

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Contact information

If additional information or assistance is needed, please
contact the local distributor or the appropriate support resource
listed bellow:

Internet

http://www.gehealthcare.com

http://www.gehealthcare.com/usen/ultrasound/products/probe_care.html

USA

GE Healthcare

Ultrasound Service Engineering

9900 Innovation Drive

Wauwatosa, WI 53226

Clinical Questions

For information in the United States, Canada, Mexico
and parts of the Caribbean, call the Customer Answer
Center.

In other locations, contact your local Applications,
Sales or Service Representative.

Tel: [phone]

Fax: [phone]

Tel: [phone]

or [phone]

Introduction

Service Questions

For service in the United States, call GE CARES

In other locations, contact your local Service
Representative.

Accessories Catalog Requests

To request the latest GE Accessories catalog or
equipment brochures in the United States, call the
Response Center.

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.

In other locations, contact your local Applications,
Sales or Service Representative.

Vivid S5/Vivid S6 User Manual 7
R2424458-100 Rev. 2

Tel: [phone]

Tel: [phone]

Tel: [phone]

Introduction

Canada

GE Healthcare

Ultrasound Service Engineering

9900 Innovation Drive

Wauwatosa, WI 53226

Customer Answer Center

Latin and South America

GE Healthcare

Ultrasound Service Engineering

9900 Innovation Drive

Wauwatosa, WI 53226

Customer Answer Center

Europe

GE Ultraschall

Deutschland GmbH & Co. KG

Beethovenstraße 239

Postfach 11 05 60

D-42655 Solingen

Tel: [phone]

Tel: [phone]

Tel: [phone]

Tel: [phone]

Tel: [phone] toll free

Tel: [phone]

Fax: [phone]

Asia

GE Medical Systems Asia (Singapore)

Service Department - Ultrasound

298 Tiong Bahru Road # 15-01/06

Central Plaza

Singapore 168730

Japan

GE Healthcare Japan Corporation

Customer Service Center

Argentina

GEME S.A.

Miranda 5237

Buenos Aires - 1407

Austria

General Electric Austria GmbH

Euro Plaza, Geb. E, Technologiestr. 10

A-1120 Vienna, Austria

Tel: [phone]

Fax: [phone]

Tel: [phone]

Fax: [phone]

Tel: [phone]

Fax: [phone]

Tel: [phone]

Fax: [phone]

8 Vivid S5/Vivid S6 User Manual

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Belgium

GE Medical Systems Benelux

Kouterveldstraat 20

B-1831 Diegem

Brazil

GE Sistemas Médicos

Av Nove de Julho 5229

Paraiso

Cep: 01407-907 - São Paulo, SP

China

GE Healthcare - Asia

No. 1, Yongchang North Road

Beijing Economic & Technology Development Area

Beijing 100176, China

Denmark

GE Medical Systems (Denmark) A/S

Park Allé 295

2605 Broenby

Introduction

Tel: [phone]

Fax: [phone]

Tel: [phone]

Fax: [phone]

Tel: [phone]

Fax: [phone]

Tel: [phone]

Fax: [phone]

France

GE Healthcare France

11 avenue Morane Saulnier

78457 VELIZY CEDEX

Germany

GE Ultraschall

Deutschland GmbH & Co. KG

Beethovenstraße 239

Postfach 11 05 60

D-42655 Solingen

Greece

GE Medical Systems Hellas AP.

Λεωφόρος Κύπρου 156 AP.

TΚ 164 51, ΑΡΓΥΡΟΥΠΟΛΗ

Vivid S5/Vivid S6 User Manual 9
R2424458-100 Rev. 2

Tel: [phone]

Fax: [phone]

Tel: [phone]

Fax: [phone]

Τηλ.: [phone]

Φαξ: [phone]

Introduction

Italy

GE Medical Systems Italia S.p.A.

Via Galeno 36

20126 Milano

Luxembourg Tel: [phone] toll free

Mexico

GE Sistemas Médicos de Mexico S.A. de C.V.

Rio Lerma #302, 1° y 2° Pisos

Colonia Cuauhtémoc

06500-México, D.F.

Netherlands

GE Medical Systems Nederland B.V.

Atoomweg 512

NL-3542 AB Utrecht

Poland

GE Medical Systems Polska Sp. z o.o.

UI. Wołoska 9

02-583 Warszawa

Tel: [phone]

Fax: [phone]

Tel: [phone]

Fax: [phone]

Tel: [phone] toll free

Fax: [phone]

Tel: [phone]

Fax: [phone]

Portugal

GE Portuguesa, S.A.

Avenida do Forte, 6 - 6A

Edificio Ramazzotti

2790-072 Carnaxide

Russia

GE Healthcare LLC

18 Krasnopresnenskaya Nab.,

Moscow 123317,

Russian Federation

Spain

GE Healthcare

Edificio Gobelas I

C/ Gobelas 35-37

E- 28023-Madrid

Tel: [phone]

Fax: [phone]

Tel: [phone]

Fax: [phone]

Tel: [phone]

Fax: [phone]

10 Vivid S5/Vivid S6 User Manual

R2424458-100 Rev. 2

Sweden

GE Medical Systems Sverige AB

FE-314, Solnastrandväg 98

Se-171 75 Stockholm

Switzerland

GE Medical Systems (Schweiz) AG

Europastrasse 31

CH-8152 Glattbrugg

Turk ey

GE Healthcare

Sun Plaza

Dereboyu Sok. No 24/7

34398 Maslak

Istanbul

United Kingdom

GE Healthcare - Ultrasound,

2 Napier Road,

Bedford,

MK41 0JW

Introduction

Tel: [phone]

Fax: [phone]

Tel: [phone]

Fax: [phone]

Tel: [phone]

Fax: [phone]

Tel: [phone]

Fax: [phone]

Other countries NO TOLL FREE

Tel: int. code + 33 1 39 20 0007

Manufacturer

GE Medical Systems, Israel, Ltd.

Einstein Bldg 4, Etgar st.

P.O. Box 2006

Tirat Carmel 39120, Israel

Vivid S5/Vivid S6 User Manual 11
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Tel: [phone]

Fax: [phone]

Introduction

12 Vivid S5/Vivid S6 User Manual

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Safety

Chapter 1
Safety

• Introduction ................................................................................... .... 15

• Hazard symbols ......................................................................... 16

• Owner responsibility .................................................................... .... 17

• Important safety considerations ................................................. .... 18

• Notice against user modification ................................................ 18

• Regulatory information ................................................................ .... 19

• Directives ................................................................................... 19

• Product Classifications ............................................................... 19

• Conformity to Standards ............................................................ 19

• Certifications .............................................................................. 21

• Software License Acknowledgements ....................................... 21

• Device labels ................................................................................. .... 22

• Label Locations .......................................................................... 22

• Label Icon Description ................................................................ 23

• Acoustic output ............................................................................. .... 26

• Definition of the acoustic output parameters .............................. 26

• ALARA ....................................................................................... 26

• Safety statement ........................................................................ 27

• System controls affecting acoustic output .................................. 27

• OB Exam ........................................................................................ .... 29

• Exam Preparation ...................................................................... 29

• Acoustic Output Considerations ................................................. .... 30

• Concerns surrounding fetal exposure ........................................ 30

• Patient safety ................................................................................. .... 31

• Patient identification ................................................................... 31

• Diagnostic information ................................................................ 31

• Patient guidance ........................................................................ 32

Vivid S5/Vivid S6 User Manual 13
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Safety

• Probe Safety .................................................................................. ..... 32

• Mechanical hazards ....................................................................32

• Electrical Hazard .........................................................................33

• Biological hazards .......................................................................34

• Personnel and equipment safety ................................................ ..... 35

• Explosion hazard ........................................................................35

• Electrical hazard .........................................................................35

• Smoke and fire hazard ................................................................ 36

• Biological hazard ........................................................................36

• Pacemaker hazard ......................................................................36

• LCD Monitor ................................................................................37

• Electrical safety ............................................................................ ..... 39

• Internally connected peripheral devices .....................................39

• External Connection of other peripheral devices ........................39

• Allergic reactions to latex-containing medical devices ............ ..... 40

• Use of ECG .................................................................................... ..... 41

• Use of Defibrillator ....................................................................... ..... 41

• Use of Electrosurgical Unit .......................................................... ..... 41

• Electromagnetic Compatibility (EMC) ........................................ ..... 42

• EMC performance .......................................................................43

• Declaration of Emissions ............................................................44

• Declaration of Immunity ..............................................................44

• Notice upon Installation of Product .............................................44

• General notice ............................................................................45

• Peripheral Update for EC countries ............................................46

• Patient Environmental Devices ................................................... ..... 48

• Acceptable devices .....................................................................49

• Unapproved devices ...................................................................49

• Accessories, options, and supplies ............................................. 49

• Environmental protection ............................................................50

14 Vivid S5/Vivid S6 User Manual

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Introduction

This section describes the important safety measures which
should be taken before operating the Vivid S5/Vivid S6
ultrasound unit. Procedures for simple care and maintenance
of the unit are also described.

Various levels of safety precautions may be found on the
equipment, and different levels of severity are identified by one
of the following icons that precede precautionary statements in
the text.

The following icons and conventions are used to indicate
precautions:

Indicates that a specific hazard is known to exist which through
inappropriate conditions or actions, will cause:

DANGER

WARNING

• Severe or fatal personal injury

• Substantial property damage

Indicates that a specific hazard is known to exist which through
inappropriate conditions or actions, will cause:

• Severe personal injury

• Substantial property damage

Safety

Indicates that a potential hazard may exist which through
inappropriate conditions or actions, will or can cause:

CAUTION

• Minor injury

• Property damage

Note:

used in the operation of the ultrasound system, specifically:

Indicates precautions or recommendations that should be

• Maintaining an optimum system environment

• Using this Manual

• Notes to emphasize or clarify a point

Other precautions or prudent-use recommendations are
indicated in the note sections in the left column. These are:

• Use of the Vivid S5/Vivid S6 ultrasound unit as a
prescription device, under the order of a physician.

• Maintaining an optimum unit environment.

• Reference to the User's Manual.

Vivid S5/Vivid S6 User Manual 15
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Safety

Hazard symbols

Icon description

Potential hazards are indicated by the following icons:

Icon Potential hazard Usage Source

• Patient/user infection due to
contaminated equipment

• Electrical micro-shock to
patient, e.g., ventricular

• Console, accessories or
optional storage devices
that can fall on patient, user,
or others.

• Collision with persons or
objects may result in injury
while maneuvering or during
system transport.

• Injury to user from moving
the console

• Patient injury or tissue
damage from ultrasound
radiation

• Cleaning and care
instructions

• Sheath and glove
guidelines

• Probes

• ECG (if applicable)

• Connections to back panel

• Moving

• Using brakes

• Transporting

• ALARA, the use of Power
Output following the 'as
low as reasonably
achievable' principle

ISO 7000
No. 0659

• Risk of explosion if used in
the presence of flammable
anesthetics

• Patient/user injury or
adverse reaction from fire or
smoke

• Patient/user injury from
explosion and fire

• Flammable anesthetic

• Replacing fuses

• Outlet guidelines

16 Vivid S5/Vivid S6 User Manual

R2424458-100 Rev. 2

Owner responsibility

For USA only:

Safety

CAUTION

Federal law restricts this device to use by, or on the orders of, a
physician.

It is the responsibility of the owner to ensure that anyone
operating the system reads and understands this section of the
manual. However, there is no representation that the act of
reading this manual renders the reader qualified to operate,
inspect, test, align, calibrate, troubleshoot, repair or modify the
system. The owner should make certain that only properly
trained, fully-qualified service personnel undertake the
installation, maintenance, troubleshooting, calibration and
repair of the equipment.

The owner of the Vivid S5/Vivid S6 ultrasound unit should
ensure that only properly trained, fully qualified personnel are
authorized to operate the system. Before authorizing anyone to
operate the system, it should be verified that the person has
read, and fully understands, the operating instructions
contained in this manual. It is advisable to maintain a list of
authorized operators.

Should the system fail to operate correctly, or if the unit does
not respond to the commands described in this manual, the
operator should contact the nearest field GE Medical Systems
Service Office.

For information about specific requirements and regulations
applicable to the use of electronic medical equipment, consult
the local, state and federal agencies.

Vivid S5/Vivid S6 User Manual 17
R2424458-100 Rev. 2

Safety

Important safety considerations

Notice against user modification

Never modify this product, including system components,
software, cables, and so on. User modification may cause
safety hazards and degradation in system performance. All
modification must be done by a GE qualified person.

The equipment is not suitable for use in the presence of
flammable anesthetic mixture with air or with Oxygen or Nitrous
Oxide.

This section includes considerations for the
following

• Patient safety

• Personnel and equipment safety

The information contained in this section is intended to
familiarize the user with the hazards associated with the use of
the unit, and to alert them to the extent to which injury and
damage may occur if the precautions are not observed.

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.

Users are obligated to familiarize themselves with these safety
considerations and to avoid conditions that could result in injury
or damage.

18 Vivid S5/Vivid S6 User Manual

R2424458-100 Rev. 2

Regulatory information

Any changes to accessories, peripheral units or any other part of
the system must be approved by the manufacturer. Ignoring this

CAUTION

advice may compromise the regulatory approvals obtained for
the product.

Directives

The GE Healthcare Ultrasound product families are tested to
meet all applicable requirements in relevant EU Directives and
European/International standards.

• Council Directive 93/42/EEC concerning MDD (Medical
Devices Directive): the CE label affixed to the product
testifies compliance to this Directive.

The location of the CE marking is specified in "Device
labels" on page 22.

Product Classifications

Safety

The Vivid S5/Vivid S6 ultrasound unit confirms to the following
classifications, 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, this is Group 1, Class B ISM
Equipment.

• According to IEC 60529, the footswitch rate IPx8 is suitable
for use in surgical rooms.

• Classification according to the degree of protection against
ingress of water as detailed in the current edition of IEC 529
(section 6.1.1): Ordinary for Main Unit (PC), IPX1, IPX7,
IPX8 for ultrasound probes (transducers).

Conformity to Standards

To fulfill the requirements of relevant EC directives and/or
European Harmonized/International standards, the following
documents/standards have been used:

• International Electrotechnical Commission (IEC).

Vivid S5/Vivid S6 User Manual 19
R2424458-100 Rev. 2

Safety

• IEC/EN 60601-1: Medical Electrical Eqiupment, Part 1
General Requirements for Safety

• IEC/EN 60601-1-2: Medical electrical equipment ­Part 1-2: General requirements for safety - Collateral
standard: Electromagnetic compatibility - Requirements
and tests

• EN 55011/ CISPR11+A2 ED3.2: Emitted noise
according to Class B requirements + Electromagnetic
Susceptibility

• IEC/EN 60601-1-4: Medical electrical equipment - Part
1-4: General requirements for safety - Collateral
standard: Programmable electrical medical systems

• IEC/EN 60601-1-6: Medical electrical equipment - Part
1-6: General requirements for basic safety and essential
performance - Collateral Standard: Usability

• IEC/EN 60601-2-37: Medical Electrical Equipment Part
2-37: Particular Requirements for the Safety of
Ultrasonic Medical Diagnostic and Monitoring
Equipment

• EN60601-1-1: 2001 - Medical Electrical Equipment Part
1-1: General Requirements for Safety Collateral
Standard: Safety Requirements for Medical Electrical
Systems

• International Organization of Standards (ISO)

• ISO 10993-1: Biological Evaluation of Medical Devices ­Part 1: Evaluation & Testing

• ISO 10993-5: Biological Evaluation of Medical Devices ­Part 5: Tests for In Vitro Cytotoxicity

• ISO 10993-10:Biological evaluation of medical devices ­Part 10: Tests for irritation and delayed-type
hypersensitivity

• 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.

20 Vivid S5/Vivid S6 User Manual

R2424458-100 Rev. 2

Safety

• NEMA/AIUM Acoustic Output Display Standard (NEMA
US-3, 1998).

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

Certifications

• Quality management standards for medical devices:
General Electric Medical Systems is ISO 9001 and
ISO13485 certified.

Software License Acknowledgements

• WindowBlinds ™ OCX © Stardock ®

Vivid S5/Vivid S6 User Manual 21
R2424458-100 Rev. 2

Safety

Device labels

Label Locations

1

Label 1 - Vivid S5 100-120V Label 2 - Vivid S5 220-240V

3

Label 3 - Vivid S6 100-120V Label 4 - Vivid S6 220-240V

1

2

2

4

3

4

5

5

Label 5 - Universal Label, for all systems Vivid S5/Vivid S6 label locations

Figure 1-1: System Label and Location

22 Vivid S5/Vivid S6 User Manual

R2424458-100 Rev. 2

Label Icon Description

The following table describes the purpose and location of
safety labels and other important information provided on the
equipment.

Label Purpose Location

Safety

Identification and
Rating Plate

• Manufacturer's name and address

• Date of Manufacture

• Model and serial numbers

• Electrical ratings (Volts, Amps,
phase, and frequency)

• Device Listing/Certification Labels

Equipment Type BF, in which
protection against electric shock does
not rely on basic insulation only.
Provides additional safety
precautions such as double insulation
or reinforced insulation, because
there is no provision for protective
earthing or reliance upon installation
conditions.

Equipment Type CF, indicates
equipment having a floating applied
part having a degree of protection
suitable for direct cardiac contact.

Bottom of unit

Probe connectors.

ECG connector

Bottom of unit.

Alternating current Various

This symbol 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.

Vivid S5/Vivid S6 User Manual 23
R2424458-100 Rev. 2

Bottom Cover

Safety

Label Purpose Location

Protective earth (ground) Internal

Earth (ground) Internal

Equipotentiality: indicates terminal to
be used for connecting equipotential
conductors when interconnecting
(grounding) with other equipment.

Connection of additional protective
earth conductors or potential
equalization conductors is not
necessary in most cases and is only
recommended for situations involving
multiple equipment in a high-risk
patient environment to provide
assurance that all equipment is at the
same potential and operates within
acceptable leakage current limits. An
example of a high-risk patient would
be a special procedure where the
patient has an accessible conductive
path to the heart such as exposed
cardiac pacing leads.

Attention - Consult accompanying
documents: alerts the user to refer to
the user documentation when
complete information cannot be
provided on the label.

This marking on the control panel is
especially intended to alert the user
to consult the user manual for use
BEFORE operation of the system.

Bottom of unit

Various

CAUTION - Dangerous voltage: used
to indicate electric shock hazards.

Various

24 Vivid S5/Vivid S6 User Manual

R2424458-100 Rev. 2

Label Purpose Location

Safety

Apply a short push on the ON/OFF
button to shut down the system.

CAUTION: This Power Switch DOES
NOT ISOLATE Mains Supply.

This product consists of devices that
may contain mercury, which must be
recycled or disposed of in
accordance with local, state, or
country laws. (Within this system, the
backlight lamps in the monitor display
contain mercury.)

Date of manufacture: The date
could be a year, year and month, or
year, month and day, as appropriate.
See ISO 8601 for date formats.

Catalog or model number Rear of unit

Serial number Rear of unit

Direct Current: For products to be
powered from a DC supply.

Keyboard

Rear of unit

Rear of unit

GOST-R Mark: per Law of the
Russian Federation No. 184-FZ. The
field 0000 will contain the number of
the institute that issued the GOST
label.

Prescription Device Label for United
States per 21 CFR 801.109(b)(1)

Vivid S5/Vivid S6 User Manual 25
R2424458-100 Rev. 2

Bottom of unit

Bottom of unit

Safety

Acoustic output

Definition of the acoustic output
parameters

Thermal Index

TI is an estimate of the temperature increase of soft tissue or
bone. There are three thermal index categories:

• TIS: Soft tissue thermal index. The main TI category. Used
for applications that do not image bone.

• TIB: Bone thermal index (bone located in a focal region).
Used for fetal application.

• TIC: Cranial bone thermal index (bone located close to the
surface). Used for transcranial application.

Mechanical Index

MI is the estimated likelihood of tissue damage due to
cavitation. The absolute maximum limits of the MI is 1.9 as set
by the FDA 510 (k) guidance of 1997.

Note: Further explanation on "cavitation" appears in the
Reference Manual Chapter 3 - Nonthermal Bioeffects.

Ispta

The Ispta is the Spatial Peak Temporal Average Intensity. The
absolute maximum limit of Ispta is 720 MW/cm

FDA 510(k) guidance of 1997.

2

as set by the

ALARA

Ultrasound procedures should be performed using output
levels and exposure times As Low As Reasonably Achievable
(ALARA) while acquiring clinical information.

Training

During each ultrasound examination the user is expected to
weigh the medical benefit of the diagnostic information that
would be obtained against the risk of potential harmful effects.
Once an optimal image is achieved, the need for increasing
acoustic output or prolonging the exposure cannot be justified.

26 Vivid S5/Vivid S6 User Manual

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Safety

It is recommended that all users receive proper training in
applications before performing them in a clinical setting. Please
contact the local GE sales representative for training
assistance.

Safety statement

GE Medical Systems safety statement

Although no harmful biological effects have been demonstrated
for ultrasound frequencies, intensities and exposure times used
in examination with the GE Vivid S5/Vivid S6 system, GE
Medical Systems recommends using the lowest acoustic
output settings which will produce diagnostically acceptable
information.

System controls affecting acoustic
output

The operator controls that directly affect the acoustic output are
discussed in the Acoustic Output Data Tables in the Reference
Manual. These tables show the highest possible acoustic
intensity for a given mode, obtainable only when the maximum
combination of control settings is selected. Most settings result
in a much lower output. It is important to note the following:

• The duration of an ultrasound examination is as important
as the acoustic output, since patient exposure to output is
directly related to the exposure time.

• Better image quality yields faster clinical results, making it
possible to complete the relevant ultrasound examination
more rapidly. Therefore, any control that improves the
quality of the examination can help to reduce patient
exposure, even though it may not directly affect acoustic
output.

Probe selection

As long as the appropriate application is available, any probe
can be used with the knowledge that the intensities fall at, or
below, those stated in the Acoustic Output Data Tables. The
duration of patient exposure is most likely minimized with the
use of a probe that is optimized to provide resolution and focal
depth, appropriate to the examination.

Vivid S5/Vivid S6 User Manual 27
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Safety

Application selection

Selecting the probe and application preset appropriate to a
particular ultrasound examination automatically provides
acoustic output limits within FDA guidelines for that application.
Other parameters which optimize performance for the selected
application are also set automatically, and should assist in
reducing the patient exposure time. See page 100, for
information on selecting probes and application presets.

Changing imaging modes

Acoustic output depends on the imaging mode selected. The
choice of mode (2D, M-Mode, Doppler or Color Flow)
determines whether the ultrasound beam is stationary or in
motion. This greatly affects the energy absorbed by the tissue.

See Chapter 4, "Scanning Modes" on page 137, for complete
information on changing imaging modes.

When operating in a combined mode, such as 2D and M-Mode,
the total acoustic output comprises contributions from each
individual mode. Depending on the modes in use, either or both
output indices may be affected.

The user can override the default settings, but care should be
taken to observe the displayed MI and TI values.

Power

It is possible to change the power in all operating modes so that
the operator can use the ALARA principle.

28 Vivid S5/Vivid S6 User Manual

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OB Exam

Safety

Exam Preparation

Prior to an ultrasound examination, the patient should be
informed of the clinical indication, specific benefits, potential
risks, and alternatives, if any. In addition, if the patient requests
information about the exposure time and intensity, it should be
provided. Patient access to educational materials regarding
ultrasound is strongly encouraged to supplement the
information communicated directly to the patient. Furthermore,
these examinations should be conducted in a manner and take
place in a setting which assures patient dignity and privacy.

• Prior material knowledge and approval of the presence of
nonessential personnel with the number of such personnel
kept to a minimum.

• An intent to share with the parents per the physician's
judgment, either during the examination or shortly
hereafter, the information derived.

• An offer of choice about viewing the fetus.

• An offer of choice about learning the sex of the fetus, if such
information becomes available.

Ultrasound examinations performed solely to satisfy the
family's desire to know the fetal sex, to view the fetus, or to
obtain a picture of the fetus should be discouraged.

Vivid S5/Vivid S6 User Manual 29
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Safety

Acoustic Output Considerations

The Vivid S5/Vivid S6 system is a multi-use device which is
capable of exceeding FDA Pre-enactment acoustic output

WARNING

CAUTION

(spatial peak-temporal average) intensity limits for fetal
applications.

It is prudent to conduct an exam with the minimum amount and
duration of acoustic output necessary to optimize the image's
diagnostic value.

Concerns surrounding fetal exposure

Always be aware of the acoustic output level by observing the
Acoustic Output Display. In addition, become thoroughly
familiar with the Acoustic Output Display and equipment
controls affecting output.

30 Vivid S5/Vivid S6 User Manual

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Patient safety

Patient identification

The concerns listed in this section can seriously affect the safety
of the patient undergoing a diagnostic ultrasound examination.

WARNING

Always include proper identification with all patient data and
verify the accuracy of the patient's name and/or identity number
when entering such data. Ensure that the correct patient ID is
provided on all recorded data and hard copy prints.
Identification errors could result in an incorrect diagnosis.

Note: For further information on patient identification, see
"Starting an examination" on page 95.

Diagnostic information

The images and calculations provided by the system are
intended for use by competent users, as a diagnostic tool. They
are explicitly not to be regarded as the sole, irrefutable basis for
clinical diagnosis. Users are encouraged to study the literature
and reach their own professional conclusions regarding the
clinical utility of the system.

Safety

The user should be aware of the product specifications and of
the system accuracy and stability limitations. These limitations
must be considered before making any decision based on
quantitative values. If in doubt, the nearest GE Medical
Systems Service Office should be consulted.

Equipment malfunction or incorrect settings can result in
measurement errors or failure to detect details in the image.
The user must become thoroughly familiar with the operation of
the unit in order to optimize its performance and to recognize
possible malfunctions. Application training is available through
the sales representative.

Be certain to ensure privacy data of patient information.

CAUTION

Vivid S5/Vivid S6 User Manual 31
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Safety

Patient guidance

Remember to assist the patient when moving up to the
examination bed, moving down from the bed, or when moving in

CAUTION

the vicinity of the system.

Make sure to keep the patient in full view at all times and never
leave the patient unattended while on the examination bed.

Probe Safety

This section includes information on hazards to both the user
and the equipment, as follow:

• Mechanical hazards

• Electrical hazards

• Biological hazards

Mechanical hazards

Damaged probes or improper use and manipulation of the
transesophageal probe may result in injury or increased risk of
infection. Inspect probes frequently for sharp, pointed or rough
surface damage that could cause injury or tear protective
barriers (gloves and sheaths).

Never use excessive force when manipulating intracavity
probes. Become familiar with all instructions and precautions
provided with special purpose probes.

The use of damaged 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. Become familiar with all instructions and precautions
provided with special purpose probes.

Observe immersion levels as displayed in Figure 11-5, page 559.

WARNING

Inspect probes for sharp edges or rough surfaces that could
injure sensitive tissue.

DO NOT bend or pull the cable forcefully, to avoid mechanical
shock or impact to the probe.

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CAUTION

CAUTION

Safety

Allowing the machine to transmit acoustic output with the probe
not in use (or in its holder) can cause the transducer to build up
heat. Always turn off acoustic output or freeze the image when
not in use. The system's acoustic output remains transmitting
when the user controls are being used.

The system is equipped with an Auto Freeze feature which
disables acoustic output and freezes the image when the
machine is not in use.

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 housing, lens or cable can result in patient
injury or serious impairment or operation.

Transesophageal probe safety

Never use excessive force when manipulating the
transesophageal probe. The detailed operator manual
enclosed with the transesophageal probe must be read
carefully.

Electrical Hazard

Probes are driven by electricity, which can injure the patient or
user when exposed to contact with conductive solution.

A damaged probe may increase the risk of electric shock if
conductive solutions come in contact with internal live pads.
Inspect probes often for cracks or openings in the housing and
holes in and around the acoustic lens, or other damage that
could allow moisture to enter. Become familiar with the use and
care precautions described in Chapter 11, "Probes" on
page 535.

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Safety

WARNING

CAUTION

Do not immerse the probe into any liquid beyond the level shown
in Figure 11-5, page 559. Never immerse the probe connector or
adaptors into any liquid.

Do not subject the probe to mechanical shock or impact, which
may result in cracks or chips in the housing and degrade
performance.

Inspect the probe before and after each use, as described on
page 553, for damage or degradation to the housing, strain relief,
lens and seal.

DO NOT apply excessive force to the probe cable, to prevent
insulation failure.

Electrical leakage checks should be performed regularly by a GE
service representative or qualified hospital personnel, according
to the procedures described in EN 60601-1/IEC 60601-1 §19.

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 (As Low As Reasonably Achievable),
increasing output 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.

Biological hazards

Transesophageal probes require a special handling. Refer to the
user documentation enclosed with these probes.

CAUTION

To minimize disease transmission, legally marketed and sterile
pyrogen-free sheaths should be used for each probe
recommended for intra-cavity procedures.

Adequate cleaning and disinfection are essential to prevent
disease transmission. It is the responsibility of the user to verify
and maintain the effectiveness of the infection control
procedures in use.

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Personnel and equipment safety

The hazards listed below can seriously affect the safety of
personnel and equipment during a diagnostic ultrasound

DANGER

examination.

Explosion hazard

Never operate the equipment in the presence of flammable or
explosive liquids, vapors or gases. Malfunctions in the unit, or
sparks generated by fan motors, can electrically ignite these
substances. Operators should be aware of the following points
to prevent such explosion hazards.

• If flammable substances are detected in the environment,
do not plug in or turn on the system.

• If flammable substances are detected after the system has
been turned on, do not attempt to turn off the unit, or to
unplug it.

• If flammable substances are detected, evacuate and
ventilate the area before turning off the unit.

Safety

WARNING

Electrical hazard

The internal circuits of the unit use high voltages, capable of
causing serious injury or death by electrical shock.

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.

To avoid injury

• Do not remove the unit's protective covers. No
user-serviceable parts are inside. If servicing is required,
contact qualified technical personnel.

• Connect the attachment plug to a hospital-grade grounding
outlet to ensure adequate grounding.

• 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.

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Safety

CAUTION

• Do not place liquids on or above the unit. Conductive fluids
seeping into the active circuit components may cause a
short-circuit, which could result in an electrical fire.

• An electrical hazard may exist if any light, monitor or visual
indicator remains on after the unit is turned off.

Fuses blown within 36 hours of being replaced may indicate a
malfunctioning electrical circuit within the system. In this event,
the unit must be checked by GE Medical Systems service
personnel. No attempt should be made to replace the fuses
with others of a higher rating.

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.

Smoke and fire hazard

The system must be supplied from an adequately rated
electrical circuit. The capacity of the supply circuit must be as
specified.

Biological hazard

For patient and personnel safety, beware of biological hazards
while performing transesophageal procedures. To avoid the
risk of disease transmission:

• Use protective barriers (gloves and probe sheaths)
whenever necessary. Follow sterile procedures as
required.

• Thoroughly clean probes and reusable accessories after
each patient examination and disinfect or sterilize as
needed. Refer to Chapter 11, "Probes" on page 535, for
probe use and care instructions.

• Follow all in-house infection control policies as they apply
to personnel and equipment.

Pacemaker hazard

The possibility of the system interfering with pacemakers is
minimal. However, as this system generates high frequency
electrical signals, the operator should be aware of the potential
hazard this could cause.

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CAUTION

CAUTION

CAUTION

CAUTION

Safety

To avoid injury or system damage, NEVER place any object or
liquid on the monitor.

Archived data is managed at the individual sites. Performing data
backup (to any device) is recommended.

Do not unpack the Vivid S5/Vivid S6. This must be performed by
qualified service personnel only.

Do not use the Vivid S5/Vivid S6 Ultrasound system ECG wave
for diagnosis and monitoring.

DO NOT load non-system software on the system computer.

CAUTION

LCD Monitor

• DO NOT place a finger, hand or any object on the joint of
the monitor or monitor arm to avoid injury when moving the
monitor and monitor arm.

• To avoid result of injury or system damage, NEVER place
any object or liquid on the monitor, whether in the home or
flip down/transport position.

• DO NOT place any object on the ventilation slots on the
upper rear side of the monitor cabinet. Blocking the
ventilation slots prevents proper airflow and may result in
fire, electric shock, or equipment damage.

• Keep small objects or liquids away from the LCD monitor.

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Safety

Small objects or liquid may accidentally fall through the
ventilation slots into the cabinet or spill into the cabinet
which may result in fire, electric shock, or equipment
damage.

If an object or liquid falls/spills into the cabinet, unplug the
system immediately. Call a Service Representative for
information.

• DO NOT scratch or press on the panel with any sharp
objects, such as a pencil or pen, as this may result in
damage to the panel.

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Electrical safety

Internally connected peripheral devices

The system, together with peripheral devices, such as video
tape recorders and printers, meets UL 60601-1 and
IEC 60601-1 (1988) standards for electrical isolation and
safety. These standards are applicable only when the specified
peripheral devices are plugged into the AC outlets provided in
the unit.

External Connection of other peripheral
devices

External devices can be used only if CE marked and in
compliance with related standards (EN 60601-1 or EN 60950).

CAUTION

Conformance to EN 60601-1-1 (2000) must be verified.

External devices meeting EN 60950 should be kept outside of the
patient environment, as defined in IEC 60601-1-1 (2000).

Safety

Other external devices, such as laser cameras, printers, VCRs
and external monitors, usually exceed allowable leakage limits
and, when plugged into separate AC outlets that are then
connected to the unit, are in violation of patient safety
standards. Suitable electrical isolation of such external AC
outlets may be required in order to meet UL2601-1 and
IEC 60601-1 (1988) standards for electrical leakage.

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Safety

Allergic reactions to latex-containing
medical devices

Due to reports of severe allergic reactions to medical devices
containing latex (natural rubber), the FDA advises health-care
professionals to identify latex-sensitive patients, and be
prepared to treat allergic reactions promptly. Latex is a
component of many medical devices, including surgical and
examination gloves, catheters, incubation tubes, anesthesia
masks and dental dams. Patient reaction to latex has ranged
from contact urticaria, to systemic anaphylaxis.

For more details regarding allergic reaction to latex, refer to
FDA Medical Alert MDA91-1, March 29, 1991 Medical Alert on
latex products.

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Use of ECG

Do not use the Vivid S5/Vivid S6 Ultrasound system ECG wave
for diagnosis and monitoring.

CAUTION

Use of Defibrillator

Do not use the Vivid S5/Vivid S6 Ultrasound system with
Defibrillator. This equipment does not have defibrillator-

CAUTION

CAUTION

approved applied parts.

Remove the TEE probe from the patient when defibrillators are
used.

Use of Electrosurgical Unit

To avoid skin burns in surgical use, do not place ECG electrodes
in current path between Electrosurgical Unit (ESU) active and

CAUTION

dispersive electrodes. Keep ESU cables away from ECG leads.

Safety

This equipment provides no special means of protection from
high frequency (HF) burns that may result from using an
electrosurgical unit (ESU). To reduce the risk of HF burns,
avoid contact between the patient and ultrasound transducer
while operating the ESU. Where contact cannot be avoided, as
in the case of TEE monitoring during surgery, make sure the
transducer is not located between the ESU active and
dispersive electrodes and keep the ESU cables away from the
transducer cable.

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Safety

Electromagnetic Compatibility (EMC)

NOTE: This unit carries the CE mark. It complies with
regulatory requirements of the European Directive 93/42/EEC
concerning medical devices. It also complies with emission
limits for a Group 1, Class B Medical Device as stated in
IEC/EN 60601-1-2 (2001).

All types of electronic equipment may characteristically cause
electromagnetic interference with other equipment, transmitted
either through air or connecting cables. The term
Electromagnetic Compatibility (EMC), indicates the capability
of the equipment to curb electromagnetic influence from other
equipment, while at the same time not affecting other
equipment with similar electromagnetic radiation.

Radiated or conducted EMC can cause distortion, degradation,
or artifacts in the ultrasound image which could potentially
obscure diagnostic information.

There is no guarantee that interference will not occur in a
particular installation. If this equipment is found to cause or
respond to interference, which may be determined by turning
equipment on and off, qualified service personnel should
attempt to correct the problem by one or more of the following
measures:

• Re-orient or re-locate the affected device.

• Increase the separation between the unit and the affected
device.

• Power the equipment from a source other than that of the
affected device.

• Consult the service representative for further suggestions.

The manufacturer is not responsible for any interference or
responses caused by the use of interconnecting cables other
than those recommended, or by unauthorized changes or
modifications to this unit. Unauthorized changes or
modifications could void the user's authority to operate the
equipment.

To comply with the regulations on electromagnetic interference,
all interconnecting cables to peripheral devices must be
shielded and properly grounded. Use of cables not properly
shielded and grounded may result in the equipment causing or

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Safety

responding to radio frequency interference, in violation of the
European Union Medical Device Directive and FCC
regulations.

Do not use devices which intentionally transmit RF signals, for
example, cellular phones, transceivers, or radio controlled
products, in the vicinity of this equipment as it may cause
performance outside the published specifications. Keep the
power to these types of devices turned off when near this
equipment.

EMC performance

Portable and mobile radio communications equipment (e.g.
two-way radio, cellular/cordless telephones, wireless computer
networks), other than those supplied by GE, should be used no
closer to any part of this system, including cables, than
determined according to the following method:

Table 1-1: 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:

Where: d= separation distance in meters, P = rated power of the transmitter,
V

=compliance value for conducted RF, E1 = compliance value for radiated RF

1

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

d=[3.5/V
root of P

] square

1

d = [3.5/E1] square
root of P

d = [7/E1] square
root of P

Vivid S5/Vivid S6 User Manual 43
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Safety

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 1-2: Declaration of Emissions

Emission Type Compliance Electromagnetic Environment

CISPR 11

RF Emissions

IEC 61000-3-2

Harmonic
Disturbance
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, including domestic
establishments and those directly
connected to the public low-voltage
power supply network that supplies
buildings used for domestic purposes.

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.

Notice upon Installation of Product

Separation distance and effect from fixed radio
communications equipment: field strengths 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 theoretically with accuracy. To assess the

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Safety

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 (e.g.
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 (e.g. 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 in Chapter 12, "Peripherals" on
page 575 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:

• Cables (length, material, wiring, etc.)

• System installation/layout

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Safety

• System configuration/components

• 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.

Peripheral Update for EC countries

The following is intended to provide the users in EC countries
with updated information concerning the connection of the
Vivid S5/Vivid S6 to image recording and other devices or
communication networks.

The Vivid S5/Vivid S6 has been verified for overall safety,
compatibility and compliance with the following on-board image
recording devices:

• Sony UP-D895 MD/D897MD Digital Printer

• Sony UP-D23 MD Digital Color Printer

• HP DeskJet 460 Series Inkjet printer

• HP OfficeJet Pro K5400 Series Inkjet printer

The Vivid S5/Vivid S6 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 or USB ports
on the system.

The Vivid S5/Vivid S6 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:

• The added device must have appropriate safety standard
conformance and CE Marking.

• The total power consumption of the added devices, which

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Safety

connect to Vivid S5/Vivid S6 and are used simultaneously,
must be less than or equal to the rated supply of the
VividS5/VividS6.

• There must be adequate heat dissipation and ventilation to
prevent overheating of the device.

• There must be adequate mechanical mounting of the
device and stability of the combination.

• Risk and leakage current of the combination must comply
with IEC/EN 60601-1.

• Electromagnetic emissions and immunity of the
combination must conform to IEC/EN 60601-1-2.

General precautions for installing an alternate off-board,
remote device or a network would include:

• The added device(s) must have appropriate safety
standard conformance and CE Marking.

• The added device(s) must be used for their intended
purpose having a compatible interface.

• Signal or mains isolation devices and additional protective
earth may be needed to assure compliance with IEC/EN
60601-1-1.

The connection of equipment or transmission networks other
than as specified in the user instructions can result in an electric

CAUTION

Vivid S5/Vivid S6 User Manual 47
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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.

Safety

Patient Environmental Devices

1. Rear Panel

2. Peripheral Devices Power

3. Ethernet network

4. Rear USB Ports

5. Audio Output

6. DVI Video output

7. Power Line Circuit Breaker

8. Ground Line

9. Power Line (AC~)

10. DVD Drive

11. Hard-Copy Printer

(numbers 12 through19 not used in figure)

20. LCD

21. LCD Folding Lever

22. Up/Down & Left/right swivel release levers

23. Front USB Ports

24. RS Probe Connectors

25. LOGIQ Probe Connector (Vivid S6 only)

26. Non-imaging Pencil Probe Connector

27. ECG connector

Figure 1-2: Patient Environmental Devices

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CAUTION

Safety

Acceptable devices

The Patient Environmental devices shown on the previous
page are specified to be suitable for use within the PATIENT
ENVIRONMENT.

DO NOT connect any probes or accessories without approval by
GE within the PATIENT ENVIRONMENT.

See "Peripheral Update for EC countries" on page 46 for more
information.

Unapproved devices

DO NOT use unapproved devices.

CAUTION

CAUTION

If devices are connected without the approval of GE, the warranty
will be INVALID.

Any device connected to the Vivid S5/Vivid S6 must conform to
one or more of the requirements listed below:

• IEC standard or equivalent standards appropriate to devices.

• The devices shall be connected to PROTECTIVE EARTH
(GROUND).

Accessories, options, and supplies

Unsafe operation or malfunction may result. Use only the
accessories, options and supplies approved or recommended in
these instructions for use.

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Safety

Environmental protection

System and battery disposal

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.

This product consists of devices that may contain mercury,
which must be recycled or disposed of in accordance with local,
state, or country laws. (Within this system, the backlight lamps
in the monitor display contain mercury.)

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Getting started

Chapter 2
Getting started

• Introduction ................................................................................... .... 52

• Preparing the unit for use ............................................................ .... 53

• Site requirements ....................................................................... 53

• Connecting the unit .................................................................... 54

• Switching On/Off ........................................................................ 61

• Moving and transporting the unit ................................................ .... 64

• Wheels ....................................................................................... 64

• Moving the unit ........................................................................... 64

• Transporting the unit .................................................................. 66

• Reinstalling at a new location ..................................................... 67

• Unit acclimation time .................................................................. 68

• System description ....................................................................... .... 69

• System overview ........................................................................ 69

• Control panel .............................................................................. 71

• The Scanning screen ................................................................. 84

• Three-Pedal Footswitch operation ............................................. 87

• Connecting and disconnecting probes ....................................... 87

• Adjusting the Display Monitor ..................................................... 90

• Starting an examination ............................................................... .... 95

• Creating a new Patient record or starting an examination from an

existing patient record ................................................................ 95

• Selecting a Probe and an Application ...................................... 100

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Getting started

Introduction

Only qualified physicians or ultrasound sonographers should
perform scans of patients for medical diagnostic reasons.
Request training, if needed.

Ensure that unauthorized personnel do not tamper with the
unit.

Service representatives authorized by GE Medical Systems will
unpack and install the unit. Do not attempt to install the unit
alone.

Never set liquids on the unit in order to avoid spillage into the
unit or the control panel. Maintain a clean environment. Turn off
the circuit breaker before cleaning the unit. Refer to "System
Care and Maintenance" on page 642 for cleaning instructions.

To carry out regular preventative maintenance refer to
Chapter 14, "User maintenance" on page 641.

All the warnings in "Important safety considerations" on
page 18, should be read and understood before operating the

WARNING

unit.

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Preparing the unit for use

The Vivid S5/Vivid S6 ultrasound unit must operate within the
proper environment and in accordance with the requirements
described in this section. Before using the system, ensure that
the requirements are met.

Site requirements

Optimal operation of the unit can be obtained by implementing
the following requirements:

Power requirements

The Vivid S5/Vivid S6 ultrasound unit uses a separate power
outlet for 100 – 120 VAC or 240 VAC, 50–60 Hz.

Operating the unit with the wrong voltage range causes
damages, voiding the factory warranty.

WARNING

Getting started

Operating Environment

Ensure that there is sufficient air flow around the
Vivid S5/Vivid S6 ultrasound unit when installed or operated.

Environmental requirements

The Vivid S5/Vivid S6 ultrasound unit requires constant
maintenance of its operational environment. Different
temperature and humidity requirements are specified for
operation, storage and transportation.

Table 2-1: Vivid S5/Vivid S6 temperature and humidity requirements

Requirement Temperature Humidity Air Pressure

Operational 10–40 °C 30–85% 700–1060 hPa

Storage -10–60 °C 30–70% 700–1060 hPa

Transport -10–60 °C 30–70% 700–1060 hPa

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Getting started

Electromagnetic interferences

The
Vivid S5/Vivid S6
ultrasound unit is
approved for use in
hospitals, clinics
and other environ­mentally qualified
facilities, in terms of
the prevention of ra­dio wave interfer­ence. Operation of
the unit in an inap­propriate environ­ment can cause
electronic interfer­ence to radios and
television sets situ­ated near the medi­cal equipment.

Ensure that the unit is protected from electromagnetic
interferences as follows:

• Operate the unit at least 4.5 meters (fifteen feet) away from
equipment that emits strong electromagnetic radiation.

• Shield the unit when operating it in the vicinity of radio
broadcasting equipment, if necessary.

Connecting the unit

A GE-qualified person should perform the initial system
installation.

Connecting the Vivid S5/Vivid S6 ultrasound unit involves
preliminary checks of the power adaptor unit and cord, voltage
level and compliance with electrical safety requirements.

Use only power supply cords, cables and plugs provided by or
designated by GE Medical Systems.

Ensure that the power cord and plug are intact and that the
power plug is the proper hospital-grade type (where required).

The unit should be connected to a fixed power socket which
has the protective grounding connector. Never use an
extension cord or adapter plug.

Failure to provide an adequate earth circuit can cause electrical
shock, resulting in serious injury.

WARNING

Connection of additional protective earth conductors or
potential equalization conductors is not necessary in most cases

WARNING

and is only recommended for situations involving multiple
equipment in a high-risk patient environment to provide
assurance that all equipment is at the same potential and
operates within acceptable leakage current limits. An example of
a high-risk patient would be a special procedure where the
patient has an accessible conductive path to the heart such as
exposed cardiac pacing leads

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Getting started

Voltage level check

Check the label near the circuit breaker on the rear side of the
system (Figure 2-1 or Figure 2-2).

Figure 2-1: Vivid S5 rating labels

WARNING

Figure 2-2: Vivid S6 rating labels

Check the voltage range indicated on the label:

• 100–120 VAC, 50/60 Hz, 5 A
Or

• 230 VAC, 50/60 Hz, 2.5 A

If the mains supply is not within the specified range, do not
connect the unit to the power source. Contact the dealer to have
the unit adjusted to the specific mains supply.

Figure 2-3: Universal label

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Getting started

WARNING

Connecting to the electrical outlet

POWER OUTAGE MAY OCCUR. The Vivid S5/Vivid S6 requires a
dedicated single branch circuit. To avoid circuit overload and
possible loss of critical care equipment, make sure you DO NOT
have other equipment operating on the same circuit.

The unit’s power must be supplied from a separate, properly
rated outlet to avoid risk of fire. Refer to "Power requirements"
on page 53 for rating information.

The power cord should not, under any circumstances, be altered
to a configuration rated less than that specified for the current.

Do not use an extension cord or adapter plug.

1. Ensure that the wall outlet is of appropriate type, and that
the power switch is turned off.

2. Uncoil the power cable, allowing sufficient slack so that the
unit can be moved slightly.

3. Attach the power plug to the system and secure it in place
by using the retaining clamp.

4. Secure the power plug in the wall outlet.

a. Retaining clamp for power plug

Figure 2-4: Power plug

Ensure that the retaining clamp for the power plug is fixed firmly.

CAUTION

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CAUTION

WARNING

Getting started

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 risk of fire, the system power must be supplied from 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.

The battery may
only be disassem­bled and re-assem­bled by an
authorized
field-service engi­neer.

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

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

Figure 2-5: Example Plug and Outlet Configurations

Battery

The System contains an internal battery (optional), which is not
user-accessible. The internal battery acts as a limited
alternative power source, which becomes active when the AC
power fails or AC cable is abruptly pulled out.

Display turns off and no scanning is possible while in battery
mode. For further information about use of the battery see
section "Battery Power Mode" on page 63.

Battery technology

The lithium ion technology used in the system’s battery is
significantly less hazardous to the environment than the lithium
metal technology used in some other batteries (such as watch
batteries). Used batteries should not be placed with common
household waste products. Contact local authorities for the
location of a chemical waste collection program nearest you.

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Viewing Current Battery Status

When the system is running, a status icon is displayed in the
system Status bar to indicate the current battery status.

Table 2-2: Battery status icons

Icon Status Description

AC Power is ON; no battery present

AC Power is ON; battery is fully charged (80%-100%)

AC Power is ON; battery is partially charged (40%-80%)

AC Power is ON; battery is almost empty (10%-40%)

Note: The % values mentioned above may fluctuate by up to +/- 3 %
points.

View Detailed Battery Status

Refer to page 575
for further informa­tion on peripherals.

CAUTION

In order to view further details about the battery status, click on
the battery-status icon. A more detailed status description
appears.

A special message may appear, suggestion to replace the
battery soon. This message may appear when the battery has
aged to such an extent that even after prolonged charging it will
not hold enough charge.

Peripherals/Accessory connection

The external Peripherals / accessories connectors are situated
on the rear side of the unit See Figure 2-6.

Peripherals/Accessory Connector Panel

Vivid S5/Vivid S6 peripherals and accessories can be properly
connected using the rear connector panel.

Use only approved peripherals, accessories or probes.

DO NOT connect any accessories or probes without approval by GE

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1. Two isolated AC sockets for peripherals (Max. 250VA total)

2. LAN 10/100 Base-TX Ethernet network connector

3. Two interchangeable USB ports (digital printers or other peripherals)

4. Audio output

5. DVI video output connection to external display

Figure 2-6: Peripherals/Accessory Connector Panel

Accessory equipment connected to the analogue and digital
interfaces must be certified according to the respective IEC

WARNING

standards (e.g. IEC 60950 for data processing equipment and
IEC 60601-1 (1988) for medical equipment). Any person
connecting additional equipment to the signal input part or
output part is configuring the medical system, and is therefore
responsible that the system complies with the requirements of
the system standard IEC 60601-1-1 (2000). If in doubt, consult the
technical service department or your local representative.

Do not touch the conducting parts of the USB or Ethernet cables
when connecting equipment to the unit.

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Getting started

The connection of equipment or transmission networks other
than as specified in these instructions can result in electric

CAUTION

Table 2-3: Contents of the Rear Panel

Socket Signal type Device type Note

shock hazard. Alternate connections will require verification of
compatibility and conformity to IEC/EN 60601-1-1 by the installer.

DVI-I Out DVI-I output high

resolution video

USB Universal serial

bus x2

Ethernet 10/100 Base-TX

Ethernet IEEE
8023
Network device

External monitor

USB Cable /
Device

Network device

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Switching On/Off

To switch on the unit:

1. Switch on the circuit breaker on the rear of the unit (see
Figure 2-6).

2. Press (on/off button) on the top left of the control panel
(see Figure 2-11).
After initialization the default scanning screen (2D mode) is
displayed, the active probe being the one connected to the
left most connector socket.

When turning ON
a system while sys­tem is in standby, it
takes a few seconds
before it responds.
Do not push the
on/off button again
during this period
(A second push will
initiate a full shut-

down).

By factory Login
default, the Opera­tor ID is USR and
there is no need to
enter a password

LEDs

There are two LEDs above the On/Off switch that indicate the
status of the system.

Indicates power status.

After pressing the On/Standby switch, the system
power is ON and this LED is lit.

Color: Green

Indicates battery status.

When the battery is charged, the LED is green.
When the battery power is low, the LED is orange.

Color: Green and Orange

Password Protection

Log In

During the turn-on process the system may require the user to
enter a password in order to operate it. Personal IDs and
associated passwords can be configured in the
Vivid S5/Vivid S6. See "Presets and System setup" on
page 583 for more information.

If IDs and passwords have been entered and "Use Auto Logon"
is Off (see "Users" on page 637 for details), the Operator Login
window appears, requesting for an ID and password when
Power up sequence is completed, or when it is required.

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1. Operator: Select the relevant Operator name

2. Password: Enter the Operator’s password

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

4. Log on: Select type of Log on (for example, Standard logon)

5. Cancel: Cancel Log on

Figure 2-7: Operator Login Window

Switching off the unit

When the Vivid S5/Vivid S6 is switched off, the system
performs an automatic shutdown sequence. The unit can be
switched off into one of three states.

• Full shutdown: the entire system is shut down. Full
shutdown is recommended if the system is not intended to
be used for a whole day or longer. It is recommended to
perform a full shutdown at least once a week. This will
prevent extreme memory fragmentation, which might cause
some computer slowdown.

• Standby mode: most of the system is powered down, but
a certain portion of the unit remains energized. The standby
mode allows a shorter reboot time when the system is used
on a daily basis or moved from one place to another.

• Battery mode: When AC power is interrupted, the screen
and keyboard are powered down. The rest of the system is
still powered ON. The fans are heard. When AC power is
resumed, the system will turn ON in less than 10 seconds
(see "Battery Power Mode" on page 63).

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After switching off
the system, wait at
least ten seconds be­fore turning it on
again.

Getting started

Full shutdown

1. Press (on/off button) on the top left of the control panel.
The Exit dialogue window is displayed.

Figure 2-8: The Exit dialogue window

In case of total lock­up of the system,
hold the on/off but­ton down a few sec­onds to turn the
system off.

2. Select Shutdown.
The shutdown process takes a few seconds and is
completed when the control panel illumination is turned off.
Booting up from Full Shut-down mode may take about 60
seconds.

Standby mode

1. Press (on/off button) on the top left of the control panel.
The Exit dialogue window is displayed (Figure 2-8).

2. Select Standby.
The system enters Standby mode.
Booting up from Standby mode may take about 20
seconds.
Note: Whenever the system is fully shut down or put in
standby mode, the system will automatically perform "End
Exam" to save all data and images of the current patient
into the archiving system.

Turning on the system at the new location

1. Plug the AC cable into a proper power outlet.

2. Press (on/off button) (Figure 2-11).

Battery Power Mode

When the system is operating normally, if the AC power is
interrupted or the power cable is removed from the wall outlet
the screen and keyboard will turn off, but the rest of the system

Vivid S5/Vivid S6 User Manual 63
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Getting started

will continue to operate in "Battery Mode", powered by the
internal battery.

While in battery mode, if the AC power is restored within 10
minutes, the system will turn back on within less than 10
seconds.

While in Battery-power mode the system will maintain the
current patient active and not perform "End-Exam". As a result,
when power is restored, the current patient's details and stored
images are readily available on display.

If the AC power is not restored within 10 minutes, the system
will shut-down into Standby mode.

If AC is not restored, the system can remain in Standby mode
for approximately 1 hour using the internal battery power
(assuming battery is fully charged and relatively new). If left for
more than about 1 hour while in standby-mode without AC
power, the system will switch from Standby in to full Shut-down
mode.

Moving and transporting the unit

Wheels

The front wheels of the unit are controlled by the break-pedals
situated above each wheel.

The rear wheels of the unit are controlled by the swivel lock /
release pedals situated above each wheel (see item 10 in
Figure 2-11).

Examine the wheels frequently for defects to avoid breaking or
jamming.

Moving the unit

To prepare the unit to be moved

1. Turn system Off to Full shut-down or Standby mode.

2. Remove the AC plug from the power outlet.

3. Wrap the AC power cord to ensure cord is not hanging in
the wheel area or beyond the sides of the system.

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CAUTION

Getting started

4. Pull the left handle and swivel the keyboard so it will lock in
its central position (see page 93).

5. Disconnect all external cables linking the unit to any
off-board peripheral devices and network. (Note the marks
on each cable to reconnect them later).

6. Place all probes securely in proper probe holders. Ensure
that the probe cables do not protrude from the side of the
unit or interfere with the wheels, or foot area. Hang the
cords on respective hooks provided, ensuring cords are
secure and out of lower portion of the system and do not
extend beyond the sides of system.

7. Ensure that no loose items are left on the unit.

8. If intending to travel over bumpy surface or if more visibility
is required during transportation, fold the LCD screen
forward to a horizontal position (see "Position Adjustment"
on page 92).

Before folding the LCD monitor, please make sure that the gel
bottle is placed with the dispenser tip down into gel holder or
moved sideways in order not touch the monitor's faceplate.

WARNING

9. Unlock the front-wheel’s brakes.

10. Lock the rear wheel brakes (Swivel Brake) for long travel or
free it for short distance traveling where maneuvering is
needed.
Once all cables and cords are wrapped and secure out of
the lower portion of the system, not extending beyond
sides of system, you are ready for transport.

To ensure safety while moving the unit

1. Ensure that the keyboard console is in central-locked
position.

Ensure that the hands of the patient are away from the console
when moving the system or keyboard console.

2. Proceed cautiously when crossing door or elevator
thresholds. Grasp the front handle grips and push or pull or
use the rear handle bar for pushing the system. Do not
attempt to move the unit using cables or probe connectors.

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CAUTION

CAUTION

WARNING

Take extra care while moving the unit on inclines. Do not
hang or lean body weight on the handles.

The rear handle should only be used for pushing the system, not
for pulling, The system might become unstable when hitting an
obstacle while pulled with the rear handle.

3. Ensure that the unit does not strike the walls or door
frames.

4. Ensure the pathway is clear, and probe cables are secure
not to catch onto anything in the path (including wheels and
feet).

5. Move the unit slowly and carefully.

Avoid ramps that are steeper than 10 degrees.

Probe cables may get caught on external devices, such as doors,
medical devices in the transporting path, wheels, or feet. Please
ensure cords are wrapped properly, not extended beyond sides
of system and out of the way for portables.

Transporting the unit

Take extra care when transporting the unit by vehicle. In
addition to the moving precautions listed on page 64, follow the
procedure described below.

1. Disconnect all probes and secure them in their boxes.

2. Lower the system's keyboard to its minimum height.

3. Park the vehicle on a level surface for loading and
unloading.

4. Secure the unit while it is on the lift, to prevent rolling. Do
not attempt to hold it in place by hand. Cushion the unit and
strap the lower part so that it does not break loose.

5. Ensure that the unit is secured inside the vehicle. Secure it
with straps to prevent movement while in transit.

6. Drive cautiously to prevent vibration damage.

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Reinstalling at a new location

1. When the unit is in place at a new location, lock the wheel
brakes (see "Moving and transporting the unit" on page 64).

2. Follow the installation procedure described on "Connecting
the unit" on page 54.

Preparing Vivid S5/Vivid S6 for scanning

1. Lock front Wheel brakes

2. Un-Wrap the AC power cord and plug into power source.

3. Lift the LCD screen to the fully open position while pulling
out the lock. Secure the Monitor at full upright position.

4. Turn the system on.

5. Connect external cables if needed (LAN, USB, etc.).

6. Probe being used to scan should be ready, with cables
clear of foot area and wheels by wrapping un-used portion
of the cord on respective hooks provided.

7. Adjust keyboard's height and swivel (see page 93).

Note: Ensure that the probe cables do not protrude from the
unit or interfere with the wheels, or foot area. The Hanging
cords may cause damage to system if lodged or hooked onto
nearby items. By ensuring cords are secure and out of lower
portion of the system, this may provide a more secure
atmosphere and avoid unnecessary damage.

Avoiding possible hazards

• Avoid dragging cables on the floor. In cases where the
wheel rolls over cable or person pushing the system steps
on cables, it may generate severe force to break the cable
or the connector.

• Avoid hanging cables beyond sides of the system. When
system is moved, these cables may be caught in
door-knobs or other medical equipment and apply severe
forces that may break probe cables or connectors.

• Check that the Gel bottle is not interfering with the folding
screen. The gel bottle needs to be placed with dispenser tip
down into gel holder or moved sideways in order not to
push on the LCD frame (see Figure 2-9).

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Getting started

Proper Gel bottle storage Improper Gel bottle storage

Figure 2-9: Proper Gel bottle storage

Unit acclimation time

Following transport the unit may be very cold or hot. Allow the
unit to acclimate before being switched on. Acclimation will

take one hour for each 2.5
temperature is below 10

o

C

o

F

Hours 43210023

o

C

o

F

Hours 45678910

02.557.510354042.5

32 36.5 41 45.5 50 95 104 108.5

45 47.5 50 52.5 55 57.5 60

113 117.5 122 126.5 131 135.5 140

o

C increment when the unit’s

o

C or above 40oC.

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System description

System overview

Getting started

Figure 2-10: Vivid S5/Vivid S6 System Overview

Note: Above figure is Vivid S6.

Vivid S5/Vivid S6 User Manual 69
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Getting started

1. LCD Display Monitor: Swivels to the left and right, tilts
backwards and forwards.

2. Display Monitor Spring-lock Release: Pull knob and fold
screen forward to a horizontal position. To unfold the
screen pull the same knob and lift the screen up.

3. Accessory tray (removable)

4. Rear Handle

5. Probe and gel holders: Removable for cleaning. Situated
on either side of the Control panel.

6. Up/down "Flex-Fit" arm

7. DVD Drive

8. Black and white video printer

9. Fans Service Cover

10. Rear Wheels: Swivel wheels. May be swivel-locked

11. Foot Rest (removable)

12. Front Wheels: Each wheel may be braked.

13. Control panel: Contains all the buttons, softkeys and the
alphanumeric keyboard used to operate the system.

14. USB Port

15. Probe cable hooks: Located on each side in the front and
rear of system

16. Front Handle

17. Console swivel operating handle: Situated on the right
side under the control panel
Console lifting operating handle: Situated on the left
side under the control panel

18. Probe ports: Three RS-type Probe sockets

19. Pencil probe socket

20. ECG connector socket: Also supporting the external ECG
input

21. Large probe socket: (Available on Vivid S6 only)
Supporting the TEE probes only

22. RS-Socket locking latch

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Control panel

The following pictures illustrate the layout of the
Vivid S5/Vivid S6 control panel. The buttons and controls are
grouped together for ease of use. A detailed description of the
buttons is provided on the following pages.

1. Power status LEDs and light-sensor

2. On/off button

3. Softmenu keys and rotaries

4. Alphanumeric Keyboard

5. 2D-gain and active-gain rotaries

6. TGC sliders

7. Speakers

8. Softmenu 4-way Rocker

9. Alphanumeric Function keys

10. Speaker volume rotary

11. Scan-mode keys

12. Trackball and related keys

13. Freeze keys

Figure 2-11: Vivid S5/Vivid S6 Control Panel

Note: Above figure is Vivid S6.

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Key illumination

The keys on the control panel are illuminated according to their
availability:

• Illumination in green: the key function is currently active.

• Illumination in white: the key function is available (but not
active) in the current state of the scanner.

• No illumination: The key is not available in the current
state of the scanner.

Power On/Off key

Key Description

Turns the unit ON and OFF.

Sets the unit to Standby.

Navigation keys

The following buttons on the top left of the control panel are
used for navigating different screens and packages on the
scanner. They are related to either pre or post-examination
operations. Each of these operations are described in more
detail in the following chapters.

Key Description

Displays the Archiving opening page. Enables
the user to perform the following functions:

• Create a new patient record

• Edit the current patient’s information

• Browse the Patient List to search for patient
records

• End the current examination

For further information, refer to page 95.

Displays the Select Probe and Application dialog
box that enables the users to select the desired
probe and application preset for the current
examination. For information about selecting
probes, refer to page 100 and page 535.

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Key Description

Enters Stress Echo mode (optional). The
Protocol screen is displayed showing the default
stress protocol for the current probe.

Displays the Measurement worksheet where the
user may edit or delete measurements, change
averaging etc. Refer to page 353 for details on
how to operate the worksheet.

Brings the scanner into the Image review mode,
that enables the user to select images from the
clipboard for analysis, activate the image
browser or enter the Image Review screen
where bigger previews of the images are shown
for image selection. Refer to page 426 for details
on the review of images.

Displays the examination report.

Getting started

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Getting started

Note Key Description

Scan Mode Selection keys

The following keys are used to select the required scan mode,
and to select additional tools that enhance the application’s
capabilities. Refer to page 137 for detailed information about
scanning.

Note: The TVI button is blank on Vivid S5.

Displays the 2D live acquisition mode that is the
default scanning screen for the unit. For further
information on 2D scanning, refer to page 140.

M-Mode can be
added from a
2D scan also in
replay.

CW mode is not
available on all
scanning
probes.

Displays the M-Mode examination screen and
enables M-Mode functions. Used for viewing motion
patterns. For further information, refer to page 150.

Displays the examination screen in Color Flow
Mapping mode. Used to display color-coded blood
flow information. For further information, refer to
page 157.

Displays the examination screen in Pulsed Wave
Doppler mode. Used for displaying the Doppler
spectrum of blood flow at a selected part of the
anatomy. For further information, refer to page 164.

Displays the examination screen in Continuous
Wave Doppler mode. Allows examination of blood
flow data all along the Doppler CW cursor. For
further information, refer to page 164.

Displays the tissue velocity overlay on 2D and
M-Mode scans. If TVI is on, the Doppler modes
(PW/CW) will also be optimized for tissue velocity.
For further information, refer to page 169.

Note: TVI is optional on Vivid S5. The TVI button is
always installed even if option is not installed.

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Note Key Description

Depending on the options installed on the scanner,
this key will bring up the softkey menu for selection
of additional optional scanning modes, such as
AMM, TVI, DTI, TSI, SRI, SI, etc.

The Quantitative Analysis option will also appear (if
installed) as a softkey button named Q Analysis.

Note: Some functions are available only on
Vivid S6.

Basic Mode Parameter Adjustment Controls

The following controls are used to modify and adjust the unit’s
display to best suit the user’s requirements, such as color, gain,
zoom and image depth, according to the mode being operated
by the user.

Controls Description

Gain rotary Controls the total gain of the gray scale images

in 2D Mode.

ATO (Automatic tissue optimization) - while in 2D
press the rotary knob to optimize 2D image
automatically.

Getting started

Active mode
rotary

TGC Six sliding keys that compensate for

Vivid S5/Vivid S6 User Manual 75
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Controls the total gain of other activated modes,
such as, M-Mode, Color, PW, or CW Doppler
modes.

In combined mode, switches between the mode
specific assignable controls without having to
exit each mode in order to control it.

depth-related attenuation in an image. The upper
slider corresponds to the smallest depth.

Getting started

Controls Description

Depth Controls the displayed depth of tissue scan. Has

no effect in replay.

Toggles the cursor display on/off in 2D scanning
mode.

Changes the Doppler unltrasound beam angle
on linear probes. The steering angles are fixed
for each linear probe. This key has no effect with
sector imaging probes.

Zoom Controls image magnification. Press to activate

"HR-Zoom" mode. Rotate clockwise to activate
"Display-zoom" mode and increase zoom factor.
Rotate counterclockwise to decrease and turn off
zoom (see "Zoom" on page 120).

Auto While in 2D it activates ATO - Automatic Tissue

Optimization to optimize 2D image automatically
(see page 144).

While in CW or PW Doppler it activates ASO ­Automatic Spectrum Optimization to optimize the
Doppler spectrum.

Flex This button can be configured to function as any

button on the keyboard (see page 590).

Note: with the exception of alphanumeric and
soft-menu sections.

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Freeze keys

The freeze keys are used to freeze images and cine loops in all
modes for on-line analysis.

Key Description

Stops or restarts all data acquisition. When scan
is frozen, the Trackball can be used to scroll
through the cine loop.

Activates or freezes 2D mode. In simultaneous
mode, pressing
deactivate the 2D image, leaving the other mode
display unchanged. In freeze mode, stops/starts
the cineloop.

Display Format Key

2D FREEZE will activate or

Key Description

Toggles the display priority of 2D-Mode or
Doppler/M-Mode and top/bottom or side by side
display when working in combined mode.

Enables multiple image display windows in
which two or four images can be viewed
simultaneously. When reducing the number of
images, the active window will always been kept.

Toggles the active window in multiple imaging
mode. The active window is indicated by a
highlighted frame. All imaging controls are
normally applied only to the active window.

Same arrows are used while reviewing images
from clipboard, the active frame may be stepped
forward or backwards to review the next or
previous image.

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Getting started

Store Button

Key Description

Store Stores the currently active imaging window to

disk. The stored information depends on the
configuration of the current application.

Stored images are shown on the clipboard.

Measurement controls

The following keys are used to take measurements and
perform calculations.

Key Description

Activates the Measurement & Analysis (M&A)
calculation program. This program is context
sensitive and will display relevant measurements
to the current mode and application. See
page 243 for further details on M&A.

Activates measurement tools (unassigned
measurement). See page 243 for further details
on M&A.

Print and Record Control

Key Description

Record When the DVR option is installed and DVR

media has been mounted, the Record button will
activate or pause the real-time recording of the
displayed image (See page 578 for details)

Note: This button is available even if the DVR
option is not installed.

P1 Prints the current imaging screen content to a

selected (configurable) printer. For more
information about printing (see page 577). The

PRINT key can also be configured for alternative

storing of images (see page 623).

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Getting started

Key Description

P2 Prints the current imaging screen content to a

printer assigned to a second port (configurable).
The default factory configuration is set to
"Secondary Capture". For more information see
page 623.

Trackball operation

The Trackball area consists of the trackball and five
surrounding keys. Three of these have the very same function

SET function) for ergonomic reasons.

(the

Key Description

Trackball Used for navigation and together with the

surrounding keys, to move, select or activate
objects on the screen.

Trackball
Button

Set Depending on the situation (see Figure 3-3,

Controls the trackball assignments between the
mode-specific options. By pressing
the trackball function will cycle through the
possible assignments, which are indicated in the
lower right corner of the screen (see page 108).

page 109):

• Performs the selected control or highlighted
menu item.

• Toggles between the Trackball functions within
the active group.

The key is duplicated for ergonomic reasons.

TRACKBALL,

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Getting started

Key Description

Update/Menu In Freeze, activates menu with additional options

and controls not available from the assignable
keys.

In live mode, toggles between 2D imaging and
live time-motion imaging (Doppler/M-Mode).

Assignable keys and rotary knobs (soft keys)

The functions of the assignable keys and rotaries vary
according to the mode and/or module in which the user is
working.

Key Description

Soft Rotaries Four assignable rotary knobs, whose

mode-specific functions vary according to the
scan mode and position that is currently active.
These assignable rotaries are used both as
rotary-control knobs and as on/off toggles for
different controls on the menu The assigned
functions are indicated above the rotary on the
LCD display. The mode-specific functions for
these rotary knobs are described in Chapter 4,
"Scanning Modes" on page 137.

Assignable
Buttons

Four assignable buttons, whose mode-specific
functions vary according to the scan mode and
position that is currently active. These
assignable buttons are used as on/off toggles for
different controls on the menu. The assigned
functions are indicated above the button on the
LCD display. The mode-specific functions for
these buttons are described in Chapter 4,
"Scanning Modes" on page 137.

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The soft menu rocker

Key Description

Getting started

Soft Menu
Rocker

A 4-way rocker used to access mode-specific
menus, select a menu option and adjust
option-related values.

• The vertical arrows are used to select the menu
options.

• The horizontal arrows are used to adjust the
values.

The mode-specific menus are described in
Chapter 4, "Scanning Modes" on page 137.

The Alphanumeric Function keys

Key Description

Help Displays the on-line version of the user manual.

Config/Diag Displays the configuration dialog box, allowing

user configuration of various settings on the
scanner.

Diagnostics of the system is activated by
pressing Shift >

CONFIG.

LCD To activate LCD adjustments controlled by

softkeys.

Biopsy Displays the biopsy path marker.

Bodymark Displays the available body marks for the current

application.

Page Erase Erases all previously-typed annotations (and

body marks).

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Getting started

Key Description

Physio Provides access to controls for ECG trace. The

ECG controls appear on the soft-menu.

Arrow Displays an arrow that can be used to point at a

specific structure in the image.

Text Enables text annotation to be inserted on the

image. The annotations can be typed or selected
from a (configurable) menu.

Playback For future use

Delete Can be used to delete text during text

annotation.

List of shortcuts on alphanumeric keyboard

Key Description

Alt+E Allows to eject a device like MOD, CD or memory

card.

Alt+L Allows to adjust intensity of keyboard backlight.

Alt+P Allows to view and control printer spooler.

Alt+S Allows to view and control DICOM spooler. (see

"DICOM spooler" on page 479) The DICOM
spooler is used for checking the current job's
status when a job is saved or when the total
spooler status on the right of the Archive
windows displays an error.

Alt+D Allows to comment and save logfiles for

diagnostics (see Chapter 14, "Adding Problem
description" on page 646).

Alt+B Allows to insert a "bookmark" into the system

failure log ("Adding bookmarks" on page 646)

Shift+Config Allows to run various diagnostics.

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