GE Voluson E10 Training manual

GE Voluson E10

Ultrasound Training Manual

GE Voluson E10 Training Manual

i

Table of Contents

Table of Contents ................................................................................... i

Module 1 Introduction .......................................................................... 1

Other Course Offerings ........................................................................1

Voluson E10 ................................................................................................... 2

Module 2 System Hardware and Theory .............................................. 3

Signal Flow ..............................................................................................3

System Block Diagram ................................................................................... 4

System Front End Components .............................................................5

Voluson E10 Front End Processor (FEP) .................................................5

RTF - Probe Control Board ......................................................................6

RSE - Pencil Probe Board (optional) ........................................................6

RFM - (RF-Interface & Beamformer) FE Mainboard ...............................6

RFM Board - Interface FPGA.......................................................................... 6

RFM Board - Processing FPGA ....................................................................... 6

RSX - (Beamformer Receiver/Transmitter) Extension Board ..................6

Front End Block Diagram ............................................................................... 7

System Backend Components...............................................................7

Back End Processor (BEP) ........................................................................7

Back End Block Diagram ................................................................................ 8

PC-Motherboard .....................................................................................8

Hard Disk Drive (HDD) .............................................................................9

Distribution of partitions at 500 Gbyte HDD ................................................. 9

Graphic Card ......................................................................................... 10

RTV - Video Management Board .......................................................... 10

External I/O Connection Panel ............................................................. 10

Patient I/O Module .............................................................................. 11

User Console ........................................................................................ 11

Control Panel ........................................................................................ 12

Control Console Positioning ........................................................................ 12

Video Monitor ...................................................................................... 13

Audio .................................................................................................... 13

Power Distribution Components......................................................... 14

Main Power Supply (RSP) ..................................................................... 14

Power Supply Block Diagram ...................................................................... 15

RTB - Distribution Board Bottom ......................................................... 16

Normal Power ON / Shut Down Sequence .......................................... 16

Power On / Boot Up: ................................................................................... 16

Normal Boot-up Process ............................................................................. 17

Boot screen ................................................................................................. 17

Normal Power Off / Shutdown .................................................................... 18

Temperature Control ........................................................................... 18

Module 3 Operating Modes ................................................................ 20

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B-Mode ............................................................................................. 20

Harmonic Imaging .............................................................................. 20

M-Mode ............................................................................................ 21

Color Flow Doppler Mode .................................................................. 21

Power Doppler ................................................................................... 22

Pulsed (PW) Doppler .......................................................................... 22

Continuous Wave (CW) Doppler ......................................................... 22

Other Modes ..................................................................................... 23

Module 4 Network Configuration ....................................................... 24

DICOM ............................................................................................... 24

Prepare for Network Configuration .................................................... 24

GE Dataflows ..................................................................................... 24

TCP/IP Configuration .......................................................................... 25

Device Setup ...................................................................................... 31

DICOM Configuration ........................................................................... 32

Controls ...................................................................................................... 32

Adding a Service ......................................................................................... 34

Services ................................................................................................ 34

STORE / STORE3D Screen ........................................................................... 36

MPPS .......................................................................................................... 37

ST.COMMIT ................................................................................................. 37

STR.REPORT ................................................................................................ 38

QUERY RETRIEVE ........................................................................................ 38

WORKLIST ................................................................................................... 38

REPORT ....................................................................................................... 39

Module 5 Preventive Maintenance .................................................... 40

System Backup ................................................................................... 40

Backup/Restore Database, Presets and Images................................... 40

Backup - SYSTEM CONFIGURATION ............................................................ 40

Save Small Backup (Scan Settings) ....................................................... 41

Load Backups ........................................................................................ 42

Load Small Backup (Scan Settings) ............................................................. 42

Backup Full System Configuration (Full Backup) .................................. 44

External USB-Devices ......................................................................... 46

Disconnection of External USB-Devices ............................................... 47

Connect USB and Network Drives .............................................................. 47

Cleaning the Air Filters ....................................................................... 48

Cleaning the Trackball ........................................................................ 48

Motherboard Battery ......................................................................... 48

Module 6 General Safety Precautions ................................................ 49

Electrical Safety .................................................................................... 49

Electromagnetic Interference .............................................................. 50

Electrostatic Discharge ESD Precautions .............................................. 50

Fire Safety............................................................................................. 51

General Cautions .................................................................................. 51

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Module 7 Troubleshooting ................................................................. 52

Normal Power On/Boot Sequence ...................................................... 52

Connect AC (mains) Power to the Vivid E9/Logiq E9 ........................... 52

Turn System ON ................................................................................... 53

Sleep Mode .......................................................................................... 53

Troubleshooting Log/Image Capture................................................... 54

Shortcuts List ........................................................................................ 55

System Does Not Boot-up .................................................................. 56

Monitor Troubleshooting ................................................................... 57

Load Default Monitor Settings ............................................................. 57

Monitor Test ........................................................................................ 58

Trouble Shooting Operator Panel Issues ............................................. 59

No Audio .............................................................................................. 59

No Video on LCD Display ...................................................................... 59

Wrong Key Activated on the Touch Panel ........................................... 59

Touch Panel Not Responding ............................................................... 60

Probe Recognition ................................................................................ 60

Module 8 Parts Replacement ............................................................. 61

System Layout ................................................................................... 61

System Power Down .......................................................................... 62

Panel Removal ................................................................................... 62

Foot Rest .............................................................................................. 62

Front Panel ........................................................................................... 63

Front Panel Screw Locations ....................................................................... 63

Side Panel ............................................................................................. 64

Back Panel ............................................................................................ 64

Boards and Modules .......................................................................... 64

Power Supply ....................................................................................... 65

Front End .............................................................................................. 65

Back End ............................................................................................... 65

Monitor and Arm Replacement ........................................................... 65

Module 9 System Adjustments ........................................................... 66

Control Console Positioning ............................................................... 66

Control Console Rotation ..................................................................... 66

Control Console Height Adjustment .................................................... 66

Video Monitor ...................................................................................... 66

Glossary ............................................................................................... 67

Acronyms ............................................................................................ 70

Appendix 1 Network Configuration Worksheets ................................ 73

Checklist for Configuring Ultrasound System Network Parameters .... 73

Print Device Information ...................................................................... 74

HIS/RIS Server Information .................................................................. 75

DICOM Devices to Connect to System: ................................................ 76

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Other Needed Information: ................................................................. 76

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Module 1 Introduction

This manual is specific to the GE Voluson E10 systems field service
training presented by the Conquest Imaging training department.
After completing the training, you will:

 Understand overall system operation.
 Identify the parts, boards and modules.
 Understand the role of each component in the system.
 Be able to perform standard maintenance procedures.
 Have the knowledge to troubleshoot common problems.
 Be able to safely access and replace boards and modules.
 Understand of some of the differences in configuration for

different system versions.

Other Course Offerings

This course is one of many ultrasound training courses offered by
Conquest Imaging.

The following are some of our current course offerings:

 Basic Ultrasound
 DICOM Standards and Networks

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You can use this margin
for taking notes.

Voluson E10

The Voluson E10 is most
often used for womens
health-OB/GYN
applications.

 Preventive Maintenance
 Probe Care and Handling
 NFPA 99 Electrical Safety
 Crash Course
 OEM Platforms

To see the full descriptions and the scheduling of these courses,
please visit our training department website:

http://conquestimaging.com/education/

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Module 2 System Hardware and Theory

The goal of the System Hardware and Theory Module is to provide
you with a solid grounding on the purpose of the GE Voluson E10
system’s different components and how they function together
within the system.

The three major functional blocks in all ultrasound systems are:

 Front End – Includes transducer analog signal processing

functions.

 Back End – Includes user interface and system communication

with DICOM systems.

 Power Systems – Generates, regulates and supplies the required

voltages to the various parts of the system.

Signal Flow

System configurations (GE dataflows) are stored on a hard drive
inside the BEP, and all the necessary software is loaded from the hard
drive on power up of the system.

The transmit bursts are routed from the RF interface to the relays
where the ultrasound probes are connected. The signals are
transmitted by the probes as ultrasound into the body. The input
signals travel from the probe connector panel to the Front End
Processor (FEP), then to the Back End Processor (BEP) for digital signal
processing(DSP) and finally, the results are displayed on the monitor.

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System Block
Diagram

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System Front End Components

This section covers system frontend topics for the GE Voluson E10.
Front End is a general term for the parts of the ultrasound system
that receive the reflections from acoustic energy that have been
transmitted into the body and perform the various signal processing
functions on them needed to produce an ultrasound image. The
following are some of the components and functions that are found
in a typical ultrasound system front end:

 Transducers – Transmit focused acoustic energy and receive the

resultant reflections.

 High voltage switches – Used for multiplexing (connects a

particular transducer element to a particular transmitter/receiver
pair)

 High voltage transmitters – Transmit analog data from the

transducers.

 Time Gain Control Amp (TGC) – A variable gain amplifier (VGA) is

used to compensate for image variations due to tissue depth.

 Analog to Digital converter and noise filtering.
 Digital Beamformers – Upconverts signals which increases

sample rates. The signals are stored in memory, apodized and
summed.

 Beamformed Digital Signal Processing – The digital beamformed

signals received are processed into visual and audio outputs the
process of which depends on if the transducer is B-mode (2D),
Doppler, PWD or CWD.

The front end manages the input from the transducers, performs
Analog to Digital conversion, Digital to Analog conversion along with
many other signal processing functions.

Voluson E10 Front End Processor (FEP)

In the Voluson E10 systems the front end beamforming electronics
are comprised of the following boards:

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To extend to 192 or 256
channels, the RSX­(Beamformer
Receiver/Transmitter)
Extension board is
required.

RTF - Probe Control Board

The probe control board (RTF) recognizes different probe types and
switches between the Probe Connectors (3 DLP-Connectors, 1 CW­Connector) as required. The board contains:

 One optional CW-Probe Connector
 Three 408 pin Probe-Connectors
 One 408pin Dummy-Probe Connector
 Probe Select Relays
 Probe Recognition

RSE - Pencil Probe Board (optional)

CW scanning is optional on the Voluson E10. This adapter board is for
the connection of CW pencil probes is required for CW-Option.

RFM - (RF-Interface & Beamformer) FE Mainboard

The FrontEnd Mainboard supports Tx/Rx for 128 channels only.

RFM Board - Interface FPGA

The interface FPGA on the RFM board provides the following
functions:

 DMA logic
 Beamformer Interface
 RTF Control Interface
 RTF FPGA Control Interface

RFM Board - Processing FPGA

The processing FPGA on the RFM board provides the following
functions:

 Ultrasound Data Pre-Processing
 System Control
 Motor Control

RSX - (Beamformer Receiver/Transmitter) Extension Board

Subset (for RFM) that is required to extend to 192 or 256 channels. All

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Front End Block
Diagram

components of RSX board are also present on RFM - (RF-Interface &
Beamformer) FE Mainboard.

System Backend Components

This section describes the System Back End topics for the GE Voluson
E10. The back end includes system blocks/components on the user
interface side that perform functions such as master controller, signal
processing, image memory, video layout, peripherals and user
interface.

Back End Processor (BEP)

The Back End Processor (BEP) unit receives the data from the FEP
electronics, stores it in memory, performs scan conversion to the

pixel domain, and drives the system’s monitors.

Contains the HDD that holds the Base Image (Windows 7) and
Application Software (System Specific). The BEP software also
processes the Color Flow, Doppler, M-Mode data and the 3D/4D data.

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Back End Block
Diagram

PC-Motherboard

The major tasks of the motherboard are system control and image
processing/rendering for 2D/3D/4D. It also provides control for the
DVD drive and User Interface (UI) via USB connections. There are four
motherboard configurations for the Voluson E10:

 ADVANTECH Micro-ATX + RTT/RTH6x
 ADVANTECH Micro-ATX + RTH50
 KONTRON Flex-ATX + RTT/RTH6x
 KONTRON Flex-ATX + RTH50

Built in or external Components:

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Distribution of
partitions at 500
Gbyte HDD

 On Board VGA and Graphic Card
 LAN
 USB 2.0
 USB 3.0
 Sound
 CPU: 3.1 GHz at 4 cores

Hard Disk Drive (HDD)

The 500GB Hard Disk is the main storage device of the Voluson E­Series ultrasound system. The Voluson E-Series Hard disk drive (HDD)
is divided into four different partitions:

C: System partition:

 Operating System (Windows 7) including all Windows settings

(IP-address, Network Name, etc.)

 US-Application Software (UISAPP)
 Global Service Platform Software
 Software Options

D: User partition:

 User Presets (Backup) database
 Images (Archive), Patient-ID´s and Reports database
 Service and System settings databases

R: Rescue partition:

 Factory Images of the C: Partition for System recovery after

HDD (Windows) crash.

 Printer Drivers

LINUX partition: (not visible in Windows)

 Linux operating system for rescue functionality.

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Graphic Card

The graphic Card supplies the RTV (Video manager) board with DVI
Video. It offers dynamic contrast enhancement and color stretch
video processing.

RTV - Video Management Board

Distributes DVI-D-information coming from the Graphic Card to the
DVI-D (digital) and DVI-I (integrated) connectors. It also converts DVI­D-inputs to S-Video output(s). Displays external playback video and
adds overlay graphics to it.

 DVI-D output for the System Main Monitor
 DVI-I output for external device (only RGB signals used)
 S-Video output (2 channels)
 S-Video input for external devices
 USB connector for board configuration

External I/O Connection Panel

The GES30 external I/O connection Panel is found at the rear of the
system and includes VGA, USB, Network and S-Video cables to the
Voluson E-Series system.

HDMI OUT Connector for external monitor
VGA OUT Connector for external monitor
USB 3.0 port
USB 2.0 port
S-Video OUT S-Video OUT connector
Network DICOM input/output, twisted pair RJ-45 10/100

megabit/s

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Inputs for the patient I/O
are not meant for patient
monitoring they are
meant for correlation with
patient scans only.

Patient I/O Module

The Patient I/O module allows ECG inputs to be used in conjunction
with patient studies. The scanned image that is displayed is

synchronized with the ECG and PCG traces. In Doppler or M-Mode,
the traces are synchronized to that particular mode’s sweep. The AUX

input is capable of handling external ECG signals from other
diagnostic ECG devices.

User Console

The Voluson E-Series control console or User Interface(UI) consists of
the following electronic sub-assemblies and/or functional
components:

Display/Touch screen module:

 WXGA display - 1280 x 800 pixels
 Integrated USB to converter with USB2.0 High Speed

Interface

 Projected capacitive touch screen
 Console module

Seven port USB 2.0 Hub controller:

 Contols (Encoder/Joycoder) with integrated rotary/push/flip

function

 USB Trackball (2”) with dedicated buttons to emulate

standard three button mouse

 USB standard alphanumeric keyboard
 USB extended keyboard with controller
 LED Indicators with wide range dimming
 LED to illuminate probe port connectors

DC/DC Converter:

Converts 12VDC input voltage to 5VDC and 3.3VDC output voltages
for UI components.

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1.Power button
ON/OFF/Standby

2. Touch Panel screen

3. Alphanumeric keyboard
and F1 key (to invoke
EUM)

4. Logo

5.Height adjustment
control.

6. Console rotation button

7. Touch Panel
rotary/push/flip controls

8. Five mode keys on/off
(push), Gain (rotate) X,Y,Z
rotary controls in 3D/4D
Volume Mode

9. Focus Depth (flip), B­Image Angle (rotate),
Focus Zones (push)

10. Zoom Box on/off
(push), Zoom Size (rotate),
B-Image Depth (flip)

11. P-keys

12. Freeze / Run key

13. Trackball and Trackball
keys

14. Lamp on/off

Control Panel

The control panel is the main user interface, receives user inputs,
communicates with the system host CPU via Universal Serial Bus
(USB) ports and displays various outputs via the touch panel.

It includes the On/Off switch, controls used to manipulate picture
quality, and controls used to measure and analyze, an alphanumeric
keyboard and ergonomic controls.

Control Console Positioning

For ergonomic considerations the control console can be rotated,
translated and adjusted in height. See Control Console Positioning in
the Adjustments module of this manual.

 Height adjustment: 20 cm (7.9 inch)
 Translation adjustment: 20 cm (7.9 inch)
 Rotation adjustment: +/- 40°

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The monitor and it’s

housing are sold as
separate FRUs.

Video Monitor

The Voluson E-Series system video monitor displays the ultrasound
images on a 23” color LCD.

Audio

Audio is provided by two 8 Ohm speakers located in the user console
on either side of the touch panel.

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The audio system is used for:

 Audio Doppler operation
 Audio playback of recorded scan sessions
 Audio error notification.

The audio signal is passed to the speakers from either the RTH50
board or the RTT board depending on the version of the system.

Power Distribution Components

The power distribution components in Voluson E10 systems are
described in this section.

Main Power Supply (RSP)

The AC Power's main tasks are to supply the various internal
subsystems with AC power and to galvanically isolate the system from
the on site Mains Power System. To reduce inrush current, an inrush
current limiter is implemented. From the input voltage from the
Power Supply (RSP) the AC/DC converter generates all system supply
voltages, which include the:

 Front End voltages
 Standby voltages
 ATX motherboard supply
 Tx voltages

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1 Circuit Breaker
2 Fuses (2x T10A H/250V)
3 connector for Main
Power Cable
4 Lift system (12VDC)
5 Auxiliary Output
6 Protective Earth
connection
7 Equipotential
connection

Power Supply
Block Diagram

In addition, the AC/DC device contains the digital motor amplifier.

Input Voltage Range: 100 - 240VAC; 50/60Hz

Auxiliary Output Voltage nominal 115VAC

All DC-supply voltages for built-in peripherals are also generated in
the RSP- Power Supply Module.

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Note After turning off a
system, wait at least 10
seconds before turning it
on again. The system may
not be able to boot if
power is recycled too
quickly.

1. Circuit Breaker

2. Fuses

3. Outlet Plug

RTB - Distribution Board Bottom

The following are the functions of the Distribution Board Bottom
(RTB):

 USB2.0 Interface, Board is connected to PC via a USB cable.
 5 port USB2.0 Hub for connecting peripherals (e.g., optional ECG)
 Feed through DC-Power and Signals for the console (12V_ATX,

5V_ATX, 5VSB, PWR_On, Start_Key, Loud speaker)

 Multiplexer and Amplifier for PC-Sound, Doppler Audio and

VCR/DVD-Recorder)

Normal Power ON / Shut Down Sequence

Power On / Boot Up:

1. Connect the main power cable to the back of the system.

2. If not already done, screw on the pull-out protection of the mains
power cable with the two screws.

3. Connect the main power cable to a hospital grade power outlet
with the proper rated voltage. Never use an adapter that would
defeat the safety ground.

4. Switch ON the circuit breaker at the rear of the system.

When AC power is applied to the system, the ON/OFF standby button
on the control console is amber, indicating that the system is in
standby mode.

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Note The mains outlet for
the system peripheral
auxiliary equipment are
commonly switched with
the ON/OFF standby
button. The power switch
of any attached printer(s)
must be in ON position
before starting the
system. Some auxiliary
equipment may switch
itself to standby mode and
must therefore be
switched on separately.

Boot screen

5. Hold down the ON/OFF standby button (see: Figure 3-3 below) on
the control console for ~3 seconds. The system automatically
performs an initialization sequence which takes about two minutes
and includes the following:

 Loading the operating system.
 Running a quick diagnostic check of the system.
 Detecting connected probes.

When the ON/OFF standby button on the control console is pressed,
the system starts and the operating system is loaded which then
leads to activate the application software.

As soon as the software has been loaded, the system enters 2D-Mode
with the probe and application that was used before the system
shutdown.

Normal Boot-up Process

1. Power is distributed to peripherals, control console, monitor,

FrontEnd and BackEnd processor.

2. The BackEnd processor and rest of the system starts with the

sequence listed in following steps:

 First the BIOS version is shown on the monitor.
 Afterward the “Boot Screen” is displayed. (Voluson is

highlighted).

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Note After turning off a
system, wait at least 10
seconds before turning it
on again. The system may
not be able to boot if
power is recycled too
quickly.

A full shutdown is also
performed when pressing
the ON/OFF standby
button on the control
console twice.

3. Back End processor is turned ON and starts to load the software.

4. The start screen is displayed on the monitor.

5. Start-up progress bars indicating software loading procedures, are
displayed on the monitor.

6. The software initiates and sets up the FrontEnd electronics and the
rest of the system (incl. clicking sound of relays on RTF board).

7. The keyboard backlight is lit.

8. As soon as the software has been loaded, the 2D screen is
displayed on the monitor.

Normal Power Off / Shutdown

To shutdown the system:

1. If not already in read mode, freeze the image.

2. Press the ON/OFF Standby button on the control console. Following
dialog appears:

3. Select Shutdown. The system performs an automatic full shutdown
sequence.

4. Switch OFF the circuit breaker at the rear of the system.

Temperature Control

BTU Info

The main air inlet is through a single filter at the rear of the Voluson
E-Series system:

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 Air holes in the RSP power supply allow the air to pass through;

the three fans inside the RSP pull in the air and circulate it
through the beamformer.

 The two backend fans blow air through the GEB-box (along its

internal components and the PC- Motherboard). The warm air
exits the system through holes in the left side panel (Main Air
Outlet).



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Module 3 Operating Modes

The following general operating modes are available on Voluson E10
systems:

B-Mode

B-Mode is a two-dimensional image of the amplitude of the echo
signal. It is used for location and measurement of anatomical
structures and for spatial orientation during operation of other
modes. In B mode, a two-dimensional cross-section of a three­dimensional soft tissue structure such as the heart is displayed in real
time.

Ultrasound echoes of different intensities are mapped to different
gray scale or color values in the display. The outline of the 2D (B­Mode) (B-Mode) cross-section is a sector, depending on the particular
transducer used. B-mode can be used in combination with any other
mode.

Harmonic Imaging

Tissue Harmonic Imaging, acoustic aberrations due to tissue, are
minimized by receiving and processing the second harmonic signal
that is generated within the insonified tissue. Coded Harmonics
enhances near field resolution for improved small parts imaging as
well as far field penetration. It diminishes low frequency amplitude
noise and improves imaging technically difficult patients.

It may be especially beneficial when imaging isoechoic lesions in
shallow-depth anatomy in the breast, liver and hard-to-visualize fetal
anatomy. Coded Harmonics may improve the B-Mode (2D (B-Mode))
image quality without introducing a contrast agent.

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M-Mode

In M-mode, soft tissue structure is shown as a scrolling display, with
depth on the Y-axis and time on the X-axis. It is mostly used for
cardiac measurements. M-mode is also known as T-M mode or Time­Motion mode. Ultrasound echoes of different intensities are mapped
to different gray scale values in the display. M-mode displays time
motion information derived from a stationary beam. M-mode is
normally used in conjunction with a 2D (B-Mode) (B-Mode) image for
spatial reference.

Color Flow Doppler Mode

Color Doppler is used to detect motion presented as a two­dimensional display. There are three applications of this technique:

 Color Flow Mode - used to visualize blood flow velocity and

direction.

 Power Doppler (Angio) - used to visualize the spatial distribution

of blood.

 Tissue Velocity Imaging - The Tissue Color Doppler Imaging is

used for color encoded evaluation of heart movements. Tissue
Velocity Imaging images provide information about tissue motion
direction and velocity.

Blood flow is displayed as a real-time two-dimensional cross-sectional
image. The 2D (B-Mode) (B-Mode) cross-section is presented as a full
color display, with various colors being used to represent blood flow
(velocity, variance, power and/or direction).

To provide spatial orientation, the full color blood flow crosssection is
overlaid on top of the gray scale cross-section of soft tissue structure
(2D (B-Mode) (B-Mode) echo). Blood velocity is the primary
parameter used to determine the display colors, but power and
variance may also be used.

A high pass filter is used to remove the signals from stationary or
slowly moving structures. Tissue motion is discriminated from blood
flow by assuming that blood is moving faster than the surrounding
tissue. Color flow can be used with 2D (B-Mode) (B-Mode) and
Spectral Doppler modes.

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CW Doppler is optional on
the Voluson E10 systems.

Power Doppler

Power Doppler is the same as Color Doppler except that it uses the
amplitude of the signal to detect movement. The power in the
remaining signal after wall filtering is then averaged over time to
present a steady state image of blood flow distribution. It is
independent of velocity and direction of flow, so there is no signal
aliasing. It is independent of angle allowing the detection of smaller
velocities than Color Doppler, making it easier to detect indistinct
ischemic areas as well as evaluate tiny low-flow vessels. Power
Doppler can be used in combination with 2D (B-Mode) (B-Mode) and
Spectral Doppler modes as well as with 4D mode.

Pulsed (PW) Doppler

PW Doppler processing is one of two spectral Doppler modes, the
other being CW Doppler. In spectral Doppler, blood flow is presented
as a scrolling display, with flow velocity on the Y-axis and time on the
X-axis. The presence of spectral broadening indicates turbulent flow,
while the absence of spectral broadening indicates laminar flow. PW
Doppler provides real time spectral analysis of pulsed Doppler signals.

PW Doppler can be used alone but is normally used in conjunction
with a 2D (B-Mode) (B-Mode) image with an M-line and sample
volume marker superimposed on the 2-D image indicating the
position of the Doppler sample volume. The sample volume size and
location are specified by the operator. Sample volume can be overlaid
by a flow direction cursor which is aligned, by the operator, with the
direction of flow in the vessel, thus determining the Doppler angle.
This allows the spectral display to be calibrated in flow velocity
(m/sec.) as well as frequency (Hz). PW PW Doppler can be used in
combination with 2D (B-Mode) (B-Mode) and Color Flow modes.

Continuous Wave (CW) Doppler

Continuous Wave Doppler systems use two crystals, one to send and
one to receive the echoes. The transmitter inputs a continuous
sinusoidal wave. The receiver detects the shift. An audible sound is
created and recorded by either an analog recorder or spectral
analyzer. Spectral analysis separates the signal into individual
components and assigns a relative importance.

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The benefits of CW Doppler include high sensitivity to low velocities
and detection of high velocities without aliasing. CW Doppler cannot
distinguish between the sending and receiving signals or extraneous
echoes, nor does CW Doppler produce a precise image like Pulsed
Wave Doppler.

Other Modes

4D: The E9 Ultrasound System can be used to acquire multiple,

sequential 2D (B-Mode) (BMode) images which can be combined to

reconstruct a three dimensional image. 4D images are useful in
visualizing three-dimensional structures, and in understanding the
spatial or temporal relationships between the images in the 2D (B­Mode) (B-Mode) sequence. The 4D image is presented using standard
techniques, such as surface or volume rendering.

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Module 4 Network Configuration

The following sections provide some basic biomedical networking
background information along with information and procedures
specific to the GE Voluson E10 ultrasound systems.

DICOM

The Digital Imaging and Communications in Medicine (DICOM) is a
standard that specifies a consistent file structure for biomedical
images and important associated information that must remain
associated with the images such as patient name time, date,
institution etc. The DICOM specification identifies the elements
required to achieve interoperability between medical imaging
computer systems.

DICOM addresses these five general application areas:

 Network image management
 Network image interpretation management
 Network print management
 Imaging procedure management
 Off-line storage media management

Prepare for Network Configuration

You will need to get the facilities network information from the
system administrator. You can print out the information needed to
configure the system using the Network Configuration Worksheet
appended to the end of this manual.

GE Dataflows

GE refers to communication between its ultrasound systems and
other information providers on the network as “dataflows”. A
dataflow is a set of configured settings.

Communication between the Voluson E-Series ultrasound system and
other information providers on the network takes the form of data

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flows. Each dataflow defines the transfer of patient information from
either an input source to the system, or from the system to an output
source. The following are the most common examples:

 The local database is used for patient archiving. Images are

stored to internal hard drive.

 The local database is used for patient archiving. Afterwards

images are stored to a DVD/CD or external USB device, etc.

 A remote database is used for patient archiving. Images are also

stored to a remote archive.

 Search in the DICOM Modality Worklist, the patient found is

copied into local database. The patient information and the
examination results are stored to the local database. Images are
stored to a DICOM server and to an image network volume on
the local hard drive.

Patient information can include demographic data and images, as
well as reports and Measurement and Analysis (M&A) data. A
dataflow is a set of pre-configured services. Selecting a dataflow
automatically customizes the ultrasound system to work according to
the services associated with this dataflow.

By utilizing data flows, the Voluson E-Series ultrasound system is
automatically configured to optimally meet the needs of the facility,
while keeping the user interface unchanged. Once a dataflow is
selected, the actual location of the database is entirely transparent to
the user.

TCP/IP Configuration

This section describes how to set up TCP/IP Configuration.

Note The following information for the Voluson E-Series must be
obtained before you can start:

 Station name
 AE Title
 IP address
 Port Number.

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The IP addresses for the
default gateway and
other routers at the site
for ROUTING
INFORMATION. Only if
necessary (e.g. for
Internet access).

Note This example shows
fictional numbers!

If fixed IP address is
required, ask your
network administrator for
the appropriate settings.

1. Press the Utilities key on the control console.

2. In the “Utilities” menu touch the Setup button to invoke the setup
desktop on the screen.

3. On the right side of the screen select Connectivity and then click
the Device Setup tab.

4. Click the TCP/IP Configuration button, read the message and
confirm with Yes.

5. The "Internet Protocol (TCP/IP) Properties" dialog appears:

The IP and DNS settings can beassigned automatically, if your network
supports this capability.

Type in:

 IP address
 Subnet mask
 Default gateway
 DNS server

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Note All software drivers
are pre-installed for the
designated Wireless
Network adapter only.

WLAN Setup

The following sections describe WLAN connectivity and setup.

Connecting to the WLAN

To connect and set up the WLAN:

1.Connect the Wireless Network adapter to any accessible USB port.

2. Press the Utilities key on the control console.

3. In the “Utilities” menu touch the Setup button to invoke the setup
desktop on the screen.

4. On the right side of the screen select Connectivity and then click
the Device Setup tab.

5. Click the WLAN Configuration button.

6. The Wireless Network Configuration tool with available Wireless

Networks appears:

7. Check box "Enable Wireless Connection".

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Note If the WLAN fails to
connect, review and/or
recreate the Wireless
connection in the Security
tab.

Add WLAN Profile:

8. Highlight the wireless network you want to use and then click

Connect.

Disconnecting from the WLAN

1. Press the Utilities key on the control console.

2. On the right side of the screen select Connectivity and then click
the Device Setup tab.

3. Click the WLAN Configuration button. The Wireless Network

Configuration tool with available Wireless Networks appears.

4. Select the WLAN you are connected to and then click Disconnect.

Adding a WLAN Profile

1. Open the Wireless Network Configuration tool.

2. Select the Security tab and then click Add.

3. Add the following information to the Wireless Network Properties
page:

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 Network Name (SSID)
 Check box "Connect even if Network is not Broadcasting its Name

(SSID)"

 Network Authentication (Open, Shared Key, WPA PSK or WPA2

PSK)

 Data Encryption
 Network Key
 Key Index

4. After you have filled in all the required information, click OK.

Refreshing a WLAN Network

1. Open the Wireless Network Configuration tool.

2. Click Refresh.

Setting a WLAN Network as Non-Preferable

When you make a WLAN non-preferable, you disconnect the network
from the system and delete all connection settings from the system.
Afterwards the system WILL NOT try to reconnect to this WLAN
automatically. And if you want to reconnect, you will need to re-add
this WLAN.

1. Press the Utilities key on the control console.

2. On the right side of the screen select Connectivity and then click
the Device Setup tab.

3. Click the WLAN Configuration button; see Figure 3-52 on page 3-59
.

4. The Wireless Network Configuration tool with available Wireless
Networks appear.

5. Highlight the wireless network you want to set as non-preferred.

6. Click Make Non-Preferable and confirm the message box.

Removing a WLAN Profile

1. Press the Utilities key on the control console.

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2. On the right side of the screen select Connectivity and then click
the Device Setup tab.

3. Click the WLAN Configuration button; see Figure 3-52 on page 3-59
.

4. The Wireless Network Configuration tool with available Wireless
Networks appear.

5. Select the Security tab and then click Remove.

Customizing an existing WLAN Profile

1. Press the Utilities key on the control console.

2. On the right side of the screen select Connectivity and then click
the Device Setup tab.

3. Click the WLAN Configuration button; see Figure 3-52 on page 3-59
.

4. The Wireless Network Configuration tool with available Wireless
Networks appear.

5. Select the Security tab and then click Customize.

Figure 3-56 Security - Customize

6. Customize the following information:

- Network Name (SSID)

- Check box "Connect even if Network is not Broadcasting its Name
(SSID)"

- Network Authentication (Open, Shared Key, WPA PSK or WPA2 PSK)

- Data Encryption

- Network Key

- Key Index

7. After you have filled in all the required information, click OK.

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Setup Instructions

3-62

Voluson E-Series Service Manual

5539550APB Revision 4

Available WLAN Channels

The available WLAN channels show availability of wireless connect
point that the system can talk to. Each channel supports a finite
number of users and has limited signal strength. This may effect the
ability to connect, the throughput and the connection dropping out.

1. Press the Utilities key on the control console.

2. On the right side of the screen select Connectivity and then click
the Device Setup tab.

3. Click the WLAN Configuration button; see Figure 3-52 on page 3-59
.

4. The Wireless Network Configuration tool with available Wireless
Networks appear.

5. Select the Properties tab.

Figure 3-57 Properties

6. Click Available Channels.

DICOM Device Setup

From the Device Setup screen it is possible to configure:

 DICOM
 Archive
 Network

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Controls

DICOM Configuration

The dialog section is where you set up details of all of your DICOM
target nodes (image servers).

AE Title - Enter the AE (Application Entity) Title under which your

DICOM application is known to other DICOM applications (required).
Obtain the correct AE Title from contact your DICOM network
administrator.

Station Name - Enter the name of the hospital or institute.

Retry Count - Number of retries to establish a successful DICOM

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connection.

Retry Count Seq. - Retry count for sequential mode (only valid if Send
sequ. is checked). If the end number of Retry Count Seq. is reached

and sending was not successful then the “problem” data set is
marked as “failed” in the spooler and the system continues sending

the next image data

Retry Interval - Retry interval minutes.

Timeout (s) - Define a timeout interval.

Default - Default values of Retry Count, Retry Count Seq., Retry

Interval, Timeout (s) are set.

Test Connection - If a destination from the Destination List is selected

and the Test Connection button is pressed, the connection to the
selected destination is tested. If no destination is selected the button
is disabled.

Ping: Ping the selected destination and check the response.

The result can be OK or Failed

Verify: Send DICOM commands and check the response. The

result can be OK or Failed.

If a serial report destination is selected, the Test Connection button
changes to Send Test Report and the Ping and Verify fields disappear.
A test report is sent to the serial port instead of testing the network
connection.

Sound Notification - Acoustic signal for a successful or unsuccessful

transfer (sending Images, Structured Report Transfer and Report).

Destination List - Contains all available destinations and displays:

 Services
 Alias
 AE Title
 IP Address
 Port
 Color / Size

In the checkboxes next to the destination, mark the currently

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The Edit button is disabled
if no destination is
selected.

The Delete button is
disabled if no destination
is selected.

Note: In Edit mode it is
not possible to change the
selected Service.

activated server. If more than one Service is added, then a selection
of one Service can be done with the checkbox.

To check the same Services is not possible for:

 Print
 MPPS
 STR. Report
 Query Retrieve
 Worklist

When more than one STORE, STORE3D or STORAGE COMMIT service
is activated, images are sent to all selected STORE or STORE3D
destinations and committed with the corresponding STORAGE

COMMIT destinations.

Add - Pressing the Add button opens the Device Setup dialog, where

it is possible to add DICOM destinations. For more information see

'Adding a Service'.

Edit - Selecting a destination from the Destination List and pressing

the Edit button opens the Device Setup dialog, with the information
on the selected destination.

Delete - Selecting a destination from the Destination List and

pressing Delete removes the selected destination. The Delete button
is disabled if no destination is selected.

Save&Exit - When the Save&Exit button is pressed, the DICOM
Configuration dialog is closed and all changes are saved.

Exit - When the Exit button is pressed, the DICOM Configuration

dialog is closed and all changes are discarded.

Adding a Service

Select a Service and enter the destination settings (Alias, AE Title, IP

Address and Port).

Services

The following services are available:

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Further information
regarding each service is
provided in the following
sections.

 STORE: Send screen images, 2D cine sequences and 3D/4D data

to a DICOM server (e.g., Viewpoint).

 STORE3D: Send 3D/4D data only (volumes and cine sequences) to

a different store server (e.g., PC with Software 4D View®
installed) than screen images and 2D cine sequences.

 PRINT: Send images stored in printer clipboard to a DICOM

printer.

 MPPS: Send images to a DICOM server with transfer information.
 ST.COMMIT: Send image with an additional layer of security.
 STR.REPORT: Send a structured report.
 QUERY RETRIEVE: Query images or other DICOM objects and

Retrieve them from a PACS or other DICOM Modality.

 WORKLIST: Retrieve Patient Information (Name, ID, Birth,...)

from an external Worklist server (e.g., HIS - Hospital Information
System / RIS, Viewpoint).

 REPORT: Send the Patient report data to a PC via network or

serial port.

Alias - Enter a name for the DICOM node to make it easier to handle

various nodes. Use any name, but do not insert space characters.

AE Title - Enter the AE (Application Entity) Title under which your

DICOM application is known to other DICOM applications (required).
For setting the correct AE Title please contact your DICOM network
administrator.

IP Address - Enter the host name or IP Address of the DICOM node.

Port - Enter the port number of the DICOM node.

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STORE / STORE3D
Screen

Note:

2D JPEG Quality is only
active when 2D

Compression is set to

JPEG.

Cine JPEG Quality is only
active when Cine

Compression is set to

JPEG.

Volume Compr. Quality is
only active when Volume

Compr. is set to lossy.

Use for servers that
cannot handle multiple
associations, or do not
sort the images by Image
Number.

If Send sequ. is checked and the Scan Assistant is activated:

 The sequentially “send order” of the images (first, second …) is

derived from the check item order as configured in the setup
page (first item, second item …).

 If more than one image is available on a check item the send

order is defined by the store date (first stored, second stored
and so on…).

 If more than one checklist is available: order as configured in

the setup page.

 If more than one checklist group is available: order as

configured in the setup page.

 Images stored without check item: send order: date, after the

checklist items.

 If the Scan Assistant is deactivated it causes all data to be sent

to this server sequentially. This means that only one transfer is
active to this server at a time. If one transfer fails, all

subsequent transfers are stopped until the failed transfer
succeeds or is removed from the queue.

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Use for servers that have
none of the limitations
listed in the above
paragraph.

Caution: A lossy
compression can reduce
image quality which can
lead to a false diagnosis!

MPPS

ST.COMMIT

 If Send sequ. is not checked, up to 5 data sets can be

transferred at the same time. This means that transfer is
faster. Images can arrive out of order in this case.

Storage Commit - The Storage Commit drop down list contains all

currently added Storage Commit servers. The selected Storage
Commit server is used for committing the images sent to this store
server.

4D View default - Loads the default settings for 4D View®. The

destination information must be entered manually.

DICOM Station default - Loads the default settings for DICOM

Station. The destination information must be entered manually.

Viewpoint default - Loads the default settings for Viewpoint.

If the volume contains color information, the color part of the
volume is compressed with a setting that is 5 points better
than the selected setting, e.g. Setting Mid: color compression
High, grey compression Mid

If an image / multifram cine is compressed using lossy JPEG
compression, a yellow sign (Jxx; xx = compression factor, e.g.
JH) is added to the image (but not to secondary capture
images).

If a volume is compressed using lossy, a yellow sign (Wxx; xx =
compression factor, e.g. W9) is added when reloading the
image.

The Modality Performed Procedure Step MPPS allows you to select
the Store Server and the SR Server.

Only the images sent to the selected Store Server are added to the
image list of the MPPS completed (or discontinued) message.

Note When the MPPS server is created and selected, MPPS messages
are created when an exam is started or ended.

Add a Storage Commit Server. These servers can then be selected in
the drop down list of the STORE-, STORE3D- and STR.REPORT ­Service.

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STR.REPORT

QUERY RETRIEVE

WORKLIST

(Fields that are available
in the worklist are taken
from the worklist, fields
that are only available in
the data base are taken
from the local data base.)

With the DICOM Structured Report it is possible to send OB, GYN,
Vascular and Cardio data.

Storage Commit The Storage Commit drop down list contains all

currently added Storage Commit servers. The selected Storage
Commit server is used for committing the images sent to this store
server.

Combine OB & GYN If the checkbox is enabled, the system sends the

OB- and GYN - data into one file. If not enabled the files will be sent
individually.

Include Scan Assistant Data Select yes or no (default) from the drop

down menu.

Viewpoint default Loads the default settings for Viewpoint.

Select the Default Appl. from the drop down menu.

The drop down menu contains exam applications available in patient
dialog (Abdomen, OB, GYN, Cardio, Uro, Vascular, Neuro, Small Parts,
Pediatric, Ortho). The selected exam application is used for all exams
that are imported into the local archive from a remote query/retrieve
server.

Private Tags Determines whether the private tags defined for

communication with the Viewpoint - worklist are used when querying
the worklist.

Modality Select either All or ULTRASOUND. No selection is also

possible and defaults to “all”.

Add local data

 yes: Locally stored patient data and patient data from the

worklist are merged.

 no: Data only contained in the worklist is used to populate the

patient data fields. No locally stored data is used.

 ask: A dialog is shown whenever there is data from the worklist

and from the local database available. Depending on the
selection in the dialog, either the action described under yes or
no is executed.

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Note Private Tags only
work if the other system
also supports Private
Tags.

REPORT

Note The bit rate (Bits per
second) must be the same
as on the receiving PC
report station.

Viewpoint default Loads the default settings for Viewpoint.

Select one of the following Transfer Modes.

 Network: Send the patient report to a PC report station via

DICOM network.

 Serial: Send the patient report to a PC report station that is

connected by serial port. The optional “PRY USB-RS232
Connection kit” must be connected to the system.

When this Transfer Mode is selected, different fields are available:
COM Port, Flow control and Bits per second.

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To minimize accidental
loss of data, perform
backup of the patient
archive stored on the local
hard drive at least once a
week.

Note It is highly
recommended to Backup
the Full System
Configuration and the
Image Archive at least
once a week.

Backup - SYSTEM
CONFIGURATION

Module 5 Preventive Maintenance

Preventive maintenance procedures are very important in a clinical
setting. Be sure to follow the health care facilities documentation
procedures.

System Backup

System backup is very important. Backup the system anytime you are
in front of it! Your backup is not complete without printouts!

The Backup/Restore function enables the user to:

 Copy/Restore the system configuration. System Configuration

has two options:

1. Small Backup (Scan Settings)

2. Full System Configuration

 Copy/Restore the patient archive.

Backup/Restore Database, Presets and Images

To access backup/restore:

1. Press the Utilities key on the control console.

2. In the “Utilities” menu touch the Setup button to invoke the setup
desktop on the screen.

3. On the right side of the screen select Backup and then click the

System Configuration tab.

Settings and/or Full System Configuration can be saved to the
following destinations:

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 D: partition of internal hard disk
 DVD/CD+R/RW
 Mapped Network Drive.
 Any other drive connected to the system (e.g.; USB-Stick or

external hard disk drive).

Save Small Backup (Scan Settings)

The Image/Scan Settings contain:

 Application Settings
 2D Factory and 2D User Presets
 3D/4D Factory and 3D/4D User Presets
 Annotation Presets
 Scan Assistant Configuration
 Measure Configuration
 Biopsy Lines

To create a Small Backup:

 Insert a DVD/CD+R/RW into the drive or connect an external USB

device.

 Press the Utilities key on the control console.
 In the “Utilities” menu touch the Setup button to invoke the

setup desktop on the screen.

 On the right side of the screen select Backup and then click the

System Configuration tab.

 Click the Save button (1) of the "Small Backup (Scan Settings)"

group.

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The loading procedure
overwrites existing
image/scan settings on
the local hard drive.

6. Select the desired media (2) and click the Save button (3).

7. Select the New File... key and enter a file name (without
extension).

8. Click the OK key to start the process. When the saving has been
completed, click OK.

Load Backups

Make sure to insert the correct System DVD. Additionally you can
load the image settings from “D:\usersettings”.

1. Insert a DVD/CD+R/RW into the drive or connect an external USB
device.

2. Press the Utilities key on the control console.

3. In the “Utilities” menu touch the Setup button to invoke the setup
desktop on the screen.

4. On the right side of the screen select Backup and then click the

System Configuration tab.

Load Small Backup (Scan Settings)

5. Click the Load button (1) of the "Small Backup (Scan Settings)"

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Note If it is desired to load
settings from media
Internal HDD, click on the
Change folder button,
browse for the folder on
“D:\usersettings” and
then click the Load button.

group:

6. Choose the media (2) and click the Load button (3).

7. Select the appropriate file and click OK.

8. Select the desired loading procedure: Complete Backup or Click the

[+] sign next to “Complete Backup” (1) to open the content tree:

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Note To return selected

items from the “Load
Data” field to “Backup
Data” field select the [<<]

button

Note It is recommended to

“Full Backup” system

configuration data before
upgrading the software
and/or image settings
(presets). This ensures
that if settings need to be
reloaded, will be the same
ones the customer was
using prior to service.

3. Click the [+] sign and copy the desired content by clicking the [>>]

button; and so on ....

4. Confirm selection with the Load button (3).

Settings will be loaded and the ultrasound system Application
Software will restart.

Backup Full System Configuration (Full Backup)

A backup of the Full System Configuration contains the following
data:

 User Settings (databases and files containing User Programs,

2D/3D/4D Presets, gray curves etc.)

 System Settings (general "Setup" settings such as Language,

Time/Date format, Button configuration, Annotation settings,
Biopsy lines, Peripheral data, Video Norm, Archive configuration,
etc.)

 Measure Configuration (user specific measure setup settings)
 Patient Archive (database containing patient demographic exam

data and measurements) - no images

 V830 Settings (Options resp. Permanent Key that is specific for

enabled software options and Demo Key)

 Image Transfer Configuration (DICOM configuration e.g., DICOM

servers, AE Title, Station Name, etc.)

 Network Configuration (Network settings: IP address, Network

Profiles, e-mail configuration, network printer, network drives,
computer name)

 Service Platform (state of the Service Software)

To perform a full backup:

1. Press the Utilities key on the control console.

2. In the “Utilities” menu touch the Setup button to invoke the setup
desktop on the screen.

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3. On the right side of the screen select Backup and then click the

System Configuration tab.

4. Click the Save button of the "Full System Configuration" group.

5. Choose the destination (1).

6. Enter the description of the Full Backup (2).

Note Image data will not be backed up! To backup the Image Archive,

refer to Section 4.4.6 on page 4-20 .

7. Click the Next button (3).

8. To start the backup process click Yes.

After copying the data, the Voluson E-Series reboots and the
application starts again.

When the “Full Backup” is saved on a network drive it may be

desirable to move the data (e.g., for backup or maintenance). To map

a network drive see Section 3.13.7 on page 3-70 .

The backups reside in sub folders of the main “fullbackup” -folder
found at the root of the drive. For Example: Backups on the mapped

Network Drive are below path Z:\fullbackup.

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The directory structure of the full backup data is as follows:

The sub folders have the names fbX where X is a number (e.g.,
Z:\fullbackup\fb1).

The data resides within a directory structure within these sub folders.
It is possible to move the fbX sub folders, even leaving gaps in the
numeration sequence.

However, NO change MUST be made to the contents of the fbX
folders itself, otherwise the backup data cannot be restored!

If the destination “Other drive“ is selected, the

available drives (e.g., external USB-memory stick)
can be chosen from the pull-down menu.

When the backup is saved to an external USB-device, the system has
to be informed about the removal of the hardware.

This is why every "Full Backup Save" and "Full Backup Delete" dialog
has a Stop USB Devices button.

External USB-Devices

USB sticks should not have any auto install software on it. Always
erase any software from the device first by formatting it on a desktop
PC prior to using it unless you are absolutely certain that the device is
completely blank.

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Note When connecting
external USB devices, be
sure to execute Safety
Directions found in the
Voluson E-Series Basic
User Manual.

Note If an external drive
was not recognized
automatically after
connecting it, click Rescan
Drive.

Caution: Unplugging or

ejecting USB devices
without first stopping
them can cause the
system to crash and
possibly result in loss of
important data!!!

Connect USB and
Network Drives

When an external USB-storage device (such as an USB-memory stick
or an external hard disk) is connected to the Voluson E-Series, the
operating system detects the device and automatically installs a
driver. During this process, several dialogs may pop up, starting with
the “Found New Hardware“ dialog box.

The device is then accessible using the drive letter the system
assigned to it.

Disconnection of External USB-Devices

Before an external USB-device such as a memory stick can be
disconnected, the system has to be prepared the removal of the
device!

Before removing any device, you must press the Eject key on the
keyboard.

When you press the Eject key on the keyboard, the following dialog
window will be displayed:

The “Connect USB and Network Drives” window shows all USB and
Network drives that are connected to the system. Use this dialog, to
stop the USB-devices before they are physically disconnected.

To stop the external device, select it and then click the Stop Device
button.

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Confirm the "‘Stop Device" dialog with OK and Close the "Connect

USB and Network Drives" window. The device can now be safely

removed.

Cleaning the Air Filters

Clean the system's air filter to ensure that a clogged filter does not
cause the system to overheat and reduce system performance and
reliability. GE recommends the filters be cleaned quarterly.

To remove the air filter reach behind the back handle and lift the filter
upwards. To clean it use a vacumn and replace.

Cleaning the Trackball

The optical trackball of the more

Motherboard Battery

The motherboard battery should be tested as a part of normal
maintenance. A CR2032 lithium coin battery (3V) is recommended by
GE for replacement.

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Module 6 General Safety Precautions

This section is not intended to be an all-inclusive safety procedure
guide. It is only brief overview of best practices that applies to all
health care facilities and types of medical equipment. You should be
familiar with the policies and procedures of the facility where you
work AND the safety precautions and procedures described in the
manufacturer’s documentation for a particular OEM.

Electrical Safety

The system is a Class I medical device with Type BF and Type CF
isolated patient-applied parts. Only CF isolated transducers can be
used for invasive (internal) exams.

The following are warnings recommended by the manufacturer:

 Grounding prevents shock hazards. The chassis is grounded with

a three wire plug and cable which must be plugged into a
grounded outlet.

 Never connect the system using a power strip or extension cord.
 The ultrasound system should never be connected to the same

circuit as life-support devices.

 All devices that have patient contact: transducers, ECG leads and

pencil probes that are not specifically labeled as defibrillation
proof must be removed from contact with the patient before
defibrillation.

 Non-medical peripherals such as printers should not be used

within 1.5 meters (5ft) of a patient unless the device is powered
with an isolated outlet on the back of the system or an isolated
transformer that meets medical safety standards; IEC 60601-1.

 Wrist straps should not be worn when working on a system when

the power turned on. The +5 Vdc supply is a very-high current
supply. Use caution when troubleshooting.

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Electromagnetic Interference

Electromagnetic Interference (EMI) between wireless electronic
transmitting devices and medical equipment can cause degradation
of the ultrasound image. The system is in compliance with existing
EMI/EMC requirements. However, the use of this system in proximity
of an electromagnetic field can cause degradation of the ultrasound
image at times. Review the environment in which the system is being
used, to identify possible sources of radiated emissions. Sources of
these emissions can be from electrical devices used in the same or
adjacent room. Communication devices that transmit or receive RF
signals; cellular phones, pagers, radio, TV, or microwave transmission
equipment located nearby can cause these emissions. If EMI from an
outside source is causing disturbances, you may need to relocate your

system. Electrosurgical units (ESUs), MRI’s and many other medical

devices introduce radio frequency (RF) electromagnetic fields to the
environment. Because ultrasound imaging frequencies are in the RF
range, ultrasound transducer circuits are also susceptible to RF
interference. For example, the noise generated by an ESU in use can

easily impair or eliminate the ultrasound’s ability to capture an image.

Some measures to reduce the chance of EMI interference include:

 Three-meter rule – no powered on cell phones, or pagers within

three meters of the system while in operation.

 Locate the system away from other imaging equipment such as

MRI’s that produce strong electromagnetic fields.

Electrostatic Discharge ESD Precautions

Electrostatic discharge (ESD), commonly referred to as a static shock,
is a naturally occurring phenomenon. Electrical charges naturally
build up on individuals and can create static shocks. The human body
can build up a charge as high as 25,000 volts, therefore a discharge
from a system user or patient to the ultrasound system can cause
damage to the system or transducers. Digital ICs are particularly
vulnerable. Low humidity is a condition that favors the build-up of
electrostatic charge.

The following are the most common causes of ESD:

 Moving equipment
 Moving people

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 Low humidity (hot and dry conditions)
 Improper grounding
 Unshielded cables
 Poor connections

Use the following precautions in order to reduce ESD:

 Wrist straps
 Antistatic mats
 Antistatic spray on carpets or linoleum

Before handling a board or you can touch a grounded surface such as
the power supply housing to discharge any built-up charge.

Fire Safety

The following general fire safety practices are relevant for all
electrical equipment:

 If there is any evidence of smoke or fire disconnect system power

immediately.

 On electrical or chemical fires use only extingushers that are

specified for this use. Using water or other liquids is very
dangerous and can lead to injury.

General Cautions

The following are general cautions that apply to all ultrasound
systems:

 Batteries must be handled as hazardous waste. Check that the

cases are intact and the terminals are clean. Follow your facilities
procedures regarding disposal should they become damaged.

 If the system has been stored below 10°C allow it to reach room

temperature before connecting or turning on to prevent
damaged caused by internal condensation.

 System transductors cannot be cleaned/decontaminated by any

sort of heat process. Refer to manufacturer’s specifications and
hospital procedures for the particular transducer.

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Note: a probe should be
connected to the system
or the system will boot up
in no mode.

Note: Do not cycle the
circuit breaker ON-OFF­ON in less than five
seconds. When turning
the circuit breaker off you
must wait until the
ON/OFF button is no
longer lit. The system
should be completely de­energized before turning
the circuit breaker ON
again.

Note: The E9 functions on
voltages from 100-240V
and 50 or 60Hz. If using
220 V power, a center
tapped power source is
required.

Module 7 Troubleshooting

This module covers common troubleshooting tools and procedures
for the Voluson E10 systems.

Normal Power On/Boot Sequence

The following describes the normal power on/boot sequence for the
Voluson E10 systems

The system has two power switches:

 The Circuit Breaker Switch is located on the back of the system

next to the power cord plug-in. This allows to the system power
supply to power up but does not turn on the system itself.

 The On/Off button is located on the user control panel at the

front of the system. This switch initates system Bootup.

Connect AC (mains) Power to the Vivid E9/Logiq E9

Before connecting AC Power to the ultrasound unit you should
perform the following preliminary checks of the power cord, voltage
levels and compliance with electrical safety requirements.

 Ensure that the wall outlet is of appropriate type, and that the

Mains Circuit Breaker is turned off.

 Verify that the power cable is without any visible scratches or any

sign of damage.

 Verify that the on-site mains voltage is within the limits indicated

on the rating label near the circuit breaker on the rear of the
unit.

 Connect the Power Cable’s to the power Inlet at the rear of the

unit and lock the plug into position with the ACC Clamp.

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2D Screen

Sleep mode is not a
substitute for a regular
shutdown. Shutdown the
system completely at least
once a day to prevent
performance issues.

Turn System ON

Switch ON the Mains power circuit breaker at the rear of the unit. The
control panel ON/OFF button should become amber. You should also
hear a “click” sound from the relays in the AC Power supply and the
unit is ready to boot. The ON/OFFbutton will remain amber.

Press once on the ON/OFF button on the Operator Panel to boot the
unit. The ON/OFF button turns green when it is pressed.

During a normal boot sequence, you will notice that:

 The unit’s ventilation fan starts on full speed, but slows down

after a few seconds.

 Power is distributed to the peripherals, Operator Panel (Console),

Monitor, FEP and BEP.

 Back end processor is turned ON and begins to load the software.
 The Start Screen displays on the monitor.
 A start-up bar indicating the time used for software loading, is

displayed on the monitor.

 The software initiates and sets up the front end electronics.
 The backlight in the keyboard is lit.
 When the software load is complete the 2D screen is displayed

on the screen, as long as a probe has been connected, or a No
Mode screen is displayed, indicating that no probe has been

connected.

Sleep Mode

Sleep Mode is intended to reduce the boot up time (is less than 120
seconds) on portable studies. Sleep mode saves all memory content
in the hard drive and shuts down. When booting up, memory content
is then restored from the HDD.

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1. Serial Number

2. System Type

3. Software Version

4. Application Software

5. Hardware ID

6. Backup File Name

7. Factory Settings: Date
& Tune version

Troubleshooting Log/Image Capture

You should collect vital system information before starting any
troubleshooting.

1. Press the Utilities key on the control console.

2. In the “Utilities” menu touch the Setup button to invoke the setup

desktop on the screen.

3. On the right side of the screen select Administration and then

click the System Info tab.

The following information should be noted:

 System Type
 System Serial number (also visible on label on back of the system)
 Application Software version
 Backup version (File name, Date of Factory Settings, Tune

version, etc.)

 Additional information (e.g., Hardware ID, “Mainboard Type”,

HW configuration, etc.)

All the above information can be found in the "System Info" page:

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8. Hardware configuration
(board versions)

9. Mainboard Type (e.g.
ADVANTECH ATX)

10. Console version

Factory use ONLY! These
functions are not intended
for the user.
Ctrl+ Alt + D
Ctrl + F8
Shift + Ctrl + F11
Crtl + Alt + F11

Shortcuts List

Press the Ctrl + H key simultaneous to display the shortcuts list and a
description of what they do. Some functions that appear on this list
are for factory use only.

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System Does Not Boot-up

Trouble shooting tree:

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Problem

Check

No Image

Is the power cord is properly
connected?

Is the video cable is properly
connected?

Are any pins on the video cable
bent?

Is the video signal present on
the backplane?

Warning message: “Wrong

monitor type or monitor

firmware detected! ...” appears

after startup.

This referenced non-existant
pages in the manul. Check the
online help?

Picture is fuzzy.

Adjust the picture contrast and
picture brightness. Some SVGA
cards having an excessive video
output level will cause a fuzzy
picture at the maximum
contrast level.

Video test patterns are not
clear, bright, parallel or square.

Replace the monitor.

Monitor Troubleshooting

The following suggestions may be useful in troubleshooting monitor
malfunctions:

Load Default Monitor Settings

To load the default monitor settings:

1. Press the Utilities key on the control console.

2. In the “Utilities” menu touch the Monitor button to display the

"Monitor Menu".

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3. Touch the Semi-Dark Room button to load default monitor settings
for your system.

Monitor Test

1. Press the Utilities key on the control console.

2. In the “Utilities” menu touch the Setup button to invoke the setup
desktop on the screen.

3. On the right side of the screen select Administration and then click
the Service tab.

4. Enter the password <SHE> and click the Accept button to display
the Service Tools page.

5. Select the Monitor Test button in the “Service Tools” menu.

6. The screen becomes white.

 WHITE should be displayed without any tint (discolor) or colored

pixels.

7. Press the right/left trackball key repeatedly to step through RED,
GREEN, BLUE, BLACK and GRAYSCALE.

 Each color should be displayed correctly (without any tint or

discolored pixels).

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8. To exit the Monitor Test program, press ESC.

Trouble Shooting Operator Panel Issues

This section covers common operator panel issues.

No Audio

Check volume settings in the application and also in Windows.

Use headphones, (the type that you use on a personal CD player or a
laptop) to test the audio output directly from the back of the BEP.

 If no Audio is present on the BEP, reload software. If the problem

persists, replace the BEP.

 Always measure the speakers’ impedance; it should measure

approximately 7 ohms. If speakers are bad, it is possible that the
amplifier on the on the UI may be defective, too.

No Video on LCD Display

 If the video is too dim, has dimmed areas or there is no video at

all, replace the HV LCD inverter.

 Check the cabling within the system.
 If the HV LCD inverter is burnt, there is a possibility that the

Digital Video Card on the PC also got damaged; in that case you
can replace the Video Card.

 Replace the Video Adapter inside the BEP.
 Replace the Back End Processor if the problem continues.
 Replace the Upper Panel Assembly.

Wrong Key Activated on the Touch Panel

 Calibrate touch panel.
 Replace Upper Panel Assembly.

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Touch Panel Not Responding

 Calibrate the Touch Panel.
 Reload software.
 Replace Upper Panel Assembly.

Probe Recognition

Check all the probes on all the ports. Remove all the probes, and then
check each probe singly in every port.

 If the problems persist with all the probes,
 If only one probe fails to be recognized, replace the probe.

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Check the model number
and other vital
information before
ordering parts for the
system.

Module 8 Parts Replacement

This section provides procedures and information for replacing spare
parts on the E10 systems. Always follow the standard ESD and safety
procedures when replacing parts or modules. Pay close attention to
the part number when replacing parts:

 Most parts are labeled with the part number.
 Always replace like for like or check compatibility.
 Visually inspect all parts before installing.
 Some parts are different depending on BT level and/or SW.

System Layout

The following shows the basic layout of the Voluson E10 system:

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System Power Down

The system should be completely powered down before opening the
chassis and beginning any parts replacement:

Panel Removal

Panels should be removed in the following order:

Foot Rest

To unlock:

 Turn the 4 quick release devices below the footrest 90°

 Remove the Footrest Cover & Wheel Axis Cover.

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Remove Plastic Strip

Front Panel Screw
Locations

Front Panel

To remove the front panel from the console:

 Gently remove the strip from around the probe openings on the

front panel while the panel is still affixed to the console.

 Remove the four screws from the holes shown below and lift out

the panel.

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Side Panel

Back Panel

After the side panel has been removed you can proceed to remove
the back panel.

Boards and Modules

Power supply

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Power Supply

Front End

Back End

Monitor and Arm Replacement

Lift cover off gently to dislodge from clips.

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The monitor and it’s

housing are sold as
separate FRUs.

Module 9 System Adjustments

This module covers adjustments that can be made to the GE E10
systems.

Control Console Positioning

For ergonomic considerations the control console can be rotated,
translated and adjusted in height.

 Height adjustment: 20 cm (7.9 inch)
 Translation adjustment: 20 cm (7.9 inch)
 Rotation adjustment: +/- 40°

Control Console Rotation

Press the Brake button inside of the handlebar opening to
rotate/translate the console to the desired position. Press the Brake
button again in order to secure the console against uncontrolled
movement.

Control Console Height Adjustment

Height adjustment is done with the Lift UP / Lift DOWN buttons inside
of the handlebar opening.

Video Monitor

The Voluson E-Series system video monitor displays the ultrasound

images on a 23” color LCD. The LCD Flat panel monitor is adjustable in

relation to the user interface:

 Tilt: + 40° / - 90°
 Rotate: +/- 90°

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Glossary

Apodization – A weighting function used as means of reducing
side lobes in the beam.

Application Entity – A node in a DICOM network.

Back End – System block on the user interface side that

contains master controller, signal processing, image memory
and video layout, peripheral and user interface.

Beamforming – A common signal processing technique used to
enable directionally or spatially selected signals to be sent or
received from sensor arrays.
Cine – The cine mode is a series of rapidly recorded images
taken sequentially and displayed in a dynamic movie display
format.

Digital Imaging and Communications in Medicine – A medical
imaging standard for file format and network communications
protocol for file sharing between entities capable of sending
and receiving patient data and images in DICOM format.
DisplayPort – A digital display interface standard administered
by the Video Electronics Standards Association (VESA).
Doppler effect – Change in the frequency of a periodic event
(such as sound waves) due to a change in distance between the
source and the observer.

Doppler Range Gating – Range gate circuit only allows Doppler
shift data from a user specified area to be displayed as output.

Dynamic Host Configuration Protocol – A standardized
network protocol used on IP networks for dynamically
distributing network configuration parameters. IP addresses
and networking parameters are requested automatically from
a DHCP server, reducing the need to configure these settings
manually.
Electromagnetic Interference – (EMI) is when a radio
frequency (RF) transmitting device interferes with the
operation of another electronic device. In a healthcare
environment wireless EMI can cause medical equipment to
malfunction.

Extended Power Supply –Supplies power to BEP for soft
shutdown.

Front End – System block that collects data; probe interface,
transmitter/receiver, beamformer, front end controller.

Harmonics – Ultrasound method that generates images using

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twice the frequency of the transmitted sound.

I2C – Inter-IC bus, a two wire serial bus for communication
between integrated circuits. Developed by Philips in the 1980’s

it is now an industry standard.
In Plane Switching – A type of thin film transistor LCD screen
that has particularly good wide viewing angle and accurate
color reproduction.

Loops – Multiframe objects (e.g. video)
M Mode – is also known as T-M mode or time-motion mode.

Ultrasound echoes are mapped to a gray scale display by
intensity. Is derived from a stationary beam.

Modality Performed Procedure Step – The modality provides
information about a performed study, the number of images
that were scanned and the status of the exam. The information
is shared between a digital modality and the PACS and RIS.

Multiplexing – Multiple signals transmitted over a single
medium.
Picture Archive and Communications Systems – DICOM
Medical imaging storage server that stores images from
diagnostic devices such as MRI, ultrasound and X-rays.

Phased Array Ultrasound (3D imaging) – Sound waves are
transmitted at different angles to obtain image.

Physio – Refers to ECG inputs.
Protocol Data Units – Message formats exchanged between

peer entities within a layer. A PDU consists of protocol control
information and user data.
PS_ON – Refers to an active low signal used with all ATX and
newer power supplies that use 20-24 pin motherboard
connector. When high all voltages except 5V stand-by are
disabled.
Run-Length Encoding – A lossless compression method
implemented by specifying the number of times a particular
intensity value is repeated.

Synthetic Aperture – An imaging method that improves
resolution and depth of ultrasound images.

Time Gain Compensation – Uses an array of sliding tabs which

control the gain, which compensates for the difference of the
strength of the ultrasound returning from varied distances to
make the ultrasound image appear uniformly lit from top to
bottom.

Thin Film Transistor – A type of LCD display that uses active

matrix technology.

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Tissue Velocity Imaging – calculates and color-codes the
velocities in tissue. The velocity is acquired by sampling of
tissue Doppler velocity values at discrete points.
QRS Detect – QRS is ventricular depolarization part of a normal
EKG waveform which is easiest to detect to count a single heart
beat due to it having the highest amplitude.

Wide eXtended Graphics Array – Non standard resolution
based on XGA display standards that have been widened to
provide a wide screen aspect ratio.

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These Acronyms are
color coded
according to type:

Standard Electronic
Industry terms

DICOM terms

Company Specific
Acronym

Standard Ultrasound
or Medical
Terminology

GE Voluson E10 Training Manual

Acronyms

AC – Alternating Current

ACR – American College of Radiology

AE – Application Entity

ASIC – Application Specific Integrated Circuit
ADC – Analog to Digital Converter
ATCG – Real Time TGC analog Control bus
ATGC – Advanced Analog Time Gain Compensation

ATO – Automatic Tissue Optimization

BEP – Back End Processor

BEPPS – Back End Processor Power Supply

BF – Body Floating
B Mode – Brightness Mode

BTU – British Thermal Unit

CF – Cardiac Floating
CLA – Curved Linear Array (transducer)

CP – Control Panel

CW – Continuous Wave (transducer)

CMOS – Complementary Metal Oxide

CSD – Common Service Desk
CTO – Continuous Tissue Optimization

DAC – Digital to Analog Converter

DGC – Depth Gain Control (same as TGC)

DHCP – Dynamic Host Configuration Protocol

DICOM – Digital Imaging and Communications in Medicine

DIMM – Dual Inline Memory Module
DMA – Direct Memory Access
DNS – Domain Name Server
DSP – Digital Signal Processing

ECG – Electrocardiogram

EMC – ElectroMagnetic Compatibility
EMI – ElectroMagnetic Interference
ESD – ElectoStatic Discharge

ESU – Electro Surgical Unit

FEP – Front End Processor
FMI – Field Modification Instruction

4D MC – 4D Motor Controller

FOV – Field of View

FP – Front Panel

FPD – Flat Panel Display

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FPGA – Field Programmable Gate Array
FRU – Field Replaceable Unit
HDD – Hard Disk Drive

HIS – Hospital Information System

IC – Integrated Circuit
HSS – High Speed Serial bus
IEC – International Electrotechnical Commission
IPS – In Plane Switching
IT – Information Technology
LCD – Liquid Crystal Display

MPS – Main Power Supply

MPPS – Modality Performed Procedure Step

MRI – Magnetic Resonance Imaging

OEM – Original Equipment Manufacturer

OP – Operator Panel

PACS – Picture Archive and Communications Systems

PCI – Peripheral Component Interconnect
PIC – Programmable Intelligent Processor
PS – Power Supply

PWT – Pulsed Wave Transducer

RAM – Random Access MemoryRC – Receive Beamformer and
Controller Board

RDD – CD-R Drive

RIS – Radiology Information System

RF – Radio Frequency
RLE – Run Length Encoding

ROI – Region of Interest

RTF - Probe Control Board
RTB - Distribution Board Bottom
RTU – User Console Board
RTV - Video Management Board

SATA – Serial AT Attachment

SCP – Service Class Provider

SIP – Signal/Image Processing

SVGA – Super Video Graphics Array
TFT – Thin Film Transistor

TGC – Time Gain Control or Time Gain Compensation
TVI – Tissue Velocity Imaging

UI – User Interface
USB – Universal Serial Bus
VCR – Video Cassette Recorder

VCI – Volume Contrast Imaging

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VGA – Variable Gain Amplifier

VI – Video Interface

WXGA – Wide eXtended Graphics Array

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Parameter

Description

Alias

A unique identifier for the DIMAQ-IP host AE Title.
The alias is only used only by the ultrasound system,
and not by DICOM, the Alias makes it easier to
switch between hosts if the machine is to be used in
multiple subnets or networks.

AE Title

The AE Title of the DIMAQ-IP host.

Host Name

The full computer name of the DIMAQ-IP host.

Workgroup

The workgroup name of the DIMAQ-IP. An entry is
always required for this parameter.

DHCP

Is Dynamic Host Configuration Protocol used?
The parameter value is always either Yes or No.

Subnet Mask

The IP address of the subnet mask. The system
needs this to see other nodes on the network. If no
subnet mask is available, use 255.255.255.0

The DICOM server may
need to be configured to
recognize the ultrasound
system. The storage
device vendor needs to
know the ultrasound
system AET and port
number (104).

You can obtain this
information from the
facility network
administrator or IT
department. The service
person for the DICOM
devices may also have the
IP addresses for the
subnet mask and
gateway.

Appendix 1 Network Configuration
Worksheets

You can print out these pages to gather information when preparing
for network configuration. Most of the necessary information can be
obtained from the system administrator or IT department of the
facility.

Checklist for Configuring Ultrasound System Network
Parameters

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Parameter

Description

Gateway

The IP address for the gateway, which indicates
where to direct TCP/IP traffic destined for another
subnet. Not all systems require a gateway IP
address.

AE Title

The AET for the storage device.

Port

The network port that the storage device uses to
communicate with the ultrasound system.

Storage
Commitment

Does the device support storage commitment?

Archive

Is the device intended as an archive device?

Parameter

Description

Host Name

The host name of the print device.
TCP/IP

Address

The IP address of the print device.

Logical Name

The name that displays in the Presets and the film
sheet.

AE Title

The AET for the print device.
Port

The network port that the print device uses to

Except for the print device
logical names, you can
obtain the information
listed below from the
device vendor or the
facility DICOM
administrator or IT group.

Print Device Information

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Parameter

Description

communicate with the ultrasound system

Parameter

Description

Host
Name

The host name of the HIS/RIS server.

TCP/IP
Address

The IP address of the HIS/RIS server.

Logical
Name

An arbitrary name that is required for the
configuration but does not display in the user
interface.

AE Title

The AET for the HIS/RIS server.

Port

The network port that the HIS/RIS server uses to
communicate with the ultrasound system.

The HIS/RIS vendor needs
to know the ultrasound
system AET, which
displays on the local AEs
configuration screen
under HIS/RIS.

To complete the DICOM Print Device Configuration you will also need
to gather the following information from the device vendor:

 The type of print device.
 The film sheet format (for the Film Sheet Formats option; only

required if the customer plans to use a format other than the
default format).

 The media it uses: blue film, clear film, or paper (for the Medium

type option).

 Whether the print device or a darkroom develops the film (for

the Film destination option).

HIS/RIS Server Information

Except for the HIS/RIS server logical names, obtain the information
listed below from the device vendor or the facility DICOM
administrator or IT group.

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DICOM (network) printer

Yes 
No 

DICOM storage server

Yes 
No 

DICOM commit server

Yes 
No 

DICOM PPS server

Yes 
No 

DICOM structured report
server

Yes 
No 

DICOM Analog Printer

Yes 
No 

Maximum Network Speed

If a printer is to be
connected the
manufacturer and model
number of the printer.

Minimum network­connection information.

(Application Entity) AE title

Note: Case sensitive.

Station Name

Optional

System Location

Optional

Note that several types of

servers can be connected,
if the servers are on
different ports you will
need the cooresponding
port information.

DICOM Devices to Connect to System:

Other Needed Information:

© 2017 Conquest Imaging

GE Voluson E10 Training Manual

77

Device Name

Printer Information

Number of copies

(usually one)

Film Size

specified

Film Medium

Film Display Format

Film Orientation

Portrait 
Landscape 

© 2017 Conquest Imaging