Gima CHISON ECO1 B&W ULTRASOUND User guide

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Ultrasound Diagnostic System
Model ECO 1 ECO 3
V1.7
Dec 11, 2014
OPERATION MANUAL
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ECO 1/3 Ultrasound Diagnostic System
Regulatory Requirement
This product conforms to the essential requirements of the Medical Device Directive 93/42/EEC. Accessories without the CE mark are not guaranteed to meet the Essential Requirements of the Medical Device Directive.
This manual is a reference for the ECO 1/ECO 3. Please verify that you are using the latest revision of this document. If you need the latest revision, contact your distributor.
NOTE:
Important
1.No part of this manual may be reduced, modified, copied or reprinted, in whole or in part, without written permission from CHISON.
2.The contents of this manual are subject to change without prior notice and without our legal obligation.
3.Before operating the system, please read and understand this manual. After reading, keep this manual in an easily accessible place. If you have any question or doubt, please contact CHISON's authorized service engineer.
4.CHISON‟s Warranty only cover material and parts costs for repair, but do not cover any labor cost or onsite service cost at end user's side.
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NOTE:
Important information
1.It is the customer‟s responsibility to maintain and manage the system after delivery.
2.The warranty does not cover the following items, even during the warranty period: a)Damage or loss due to misuse or abuse with system and probes, for example, drop the probe, the liquid or the metal part fall into the system. b)Damage or loss caused by Acts of God such as fires, earthquakes, floods, lightning, etc. c)Damage or loss caused by failure to meet the specified conditions for this system, such as inadequate power supply, improper installation or environmental conditions. d)Damage or loss caused by non approved transportation by CHISON. e)Damage or loss due to use the system outside the region where the system was originally sold. f)Damage or loss involving the system purchased from a source other than CHISON or its authorized agents.
3.Do not make changes or modifications to the software or hardware of this system and probes.
4.During operate the system, if user has any doubt, difficulty or any unclear, please contact CHISON's authorized service engineer immediately. Please describe the situation clearly to solve the question in time. Before solve the question, please don‟t operate the system.
5.This system shall not be used by persons other than fully qualified and certified medical personnel.
6.It is prohibited to use the device for fetal sex examination, except for necessary medical needs. The device can only be sold to qualified medical institutions or doctors. The users shall fully understand and master the devices before operating. The users shall have got the qualification, and shall comply with the local laws and regulations, the local religion and customs, etc.
7.The System modified or repaired by people other than CHISONs qualified service engineers, CHISON shall not be liable for the system.
8.The purpose of this system is to provide physicians with data for clinical diagnosis. It is the physician‟s responsibility for diagnostic procedures. CHISON shall not be liable for the results of diagnostic procedures
9.This manual contains warnings regarding foreseeable potential dangers, but user shall always be alert to dangers other than those indicated as well. CHISON shall not be liable for damage or loss that results from negligence or from ignoring the precautions and operating instructions described in this operation manual.
10.Due to negligence not following operation manual, CHISON shall not be liable for the results.
11.Each time before and after ultrasound examination, please check the probe surface, probe cable and sheath whether they are abnormal, such as cracking, peeling and deformation. Also check whether the lens is strongly fixed. Abnormal probes may
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CautionIt is prohibited to use the device for fetal sex examination, except for necessary
medical needs. The device can only be sold to qualified medical institutions or doctors. The users shall fully understand and master the devices before operating. The users shall have got the qualification, and shall comply with the local laws and regulations, the local religion and customs, etc.
Caution: The users should read the operation manual carefully before operating the devices.
Turning on the device means the users have read the operation manual and accept the listed cautions, warnings, and notes in the manuals. If the users disagree and cannot accept the cautions, the users can ask for returning the device.
cause electric shock and injure the patient. Once any abnormal, user must stop using and contact CHISON's authorized service engineer.
12.If the probe is dropped or scratched by hard part, please stop using the probe immediately. And contact CHISON's authorized service engineer to make sure the safety and effectiveness is in good condition before use.
13.If there is any liquid or metal to enter to the system, please power off the system and stop using it immediately. Please first contact CHISONs authorized service engineer to make sure its safe before restart using it.
14.Please don't use solvents (such as paint thinner, benzine, or alcohol) or abrasive cleansers for cleaning the system (including monitor and probes, etc). It may corrode the system and probes.
15.While the system or probe is over life time, please refer to operation manual section 9.4
16.Important data must be backed up on external memory media. CHISON shall not be liable for loss of data stored in the memory of this system caused by operator error or accidents.
17.Please put this operation manual with the system to ensure operator and manager can reach it at any time.
18.LCD display screen may have some dark or light dots, it is normal for the LCD. It
does not mean that LCD screen is defective.
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Content
Chapter 1 Introduction ......................................................................................................... 1
1.1 System Overview ...................................................................................................................... 1
Chapter 2 System Safety........................................................................................................................... 2
2.1 Safety Overview ........................................................................................................................ 2
2.2 Electrical Safety ........................................................................................................................ 3
2.3 Labels ........................................................................................................................................ 5
2.3.1 Warning Symbols ................................................................ ................................ ............ 5
2.4 Patient Environmental Devices ............................................................................................... 6
2.5 Biological Safety ....................................................................................................................... 8
2.6 Scanning Patients and Education ........................................................................................... 9
2.6.1 Safe Scanning Guidelines ............................................................................................... 9
2.6.2 Understanding the MI/TI Display ................................................................................. 11
Chapter 3 System Introduction ............................................................................................................... 15
3.1 Consol Overview ..................................................................................................................... 15
3.2 Physical Specification ............................................................................................................. 15
3.3 System View in Different Views ............................................................................................ 16
3.4 Function Introduction ............................................................................................................ 17
3.4.1 Image Modes ................................................................................................................. 17
3.4.2 Accessories.................................................................................................................... 18
3.4.3 Configuration of the System ......................................................................................... 19
3.5 Installation Procedures .......................................................................................................... 19
3.5.1 Environment Condition ................................................................................................. 19
3.5.2 Powering the System..................................................................................................... 21
3.5.3 Probe Installment .......................................................................................................... 22
3.5.4 Accessories Installment ................................................................................................. 22
Chapter 4 Control Panel ......................................................................................................................... 24
4.1 Alphanumeric Keyboard ....................................................................................................... 24
4.2 Function Keys/Knob .............................................................................................................. 24
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4.2.1 SWITCH ....................................................................................................................... 24
4.2.2 PATIENT....................................................................................................................... 24
4.2.3 PROBE ......................................................................................................................... 24
4.2.4 SETUP ................................................................ .......................................................... 24
4.2.5 END .............................................................................................................................. 25
4.2.6 BODYMARK ............................................................................................................... 25
4.2.7 COMMENT .................................................................................................................. 25
4.2.8 ARROWS...................................................................................................................... 25
4.2.9 DEL............................................................................................................................... 25
4.2.10 Print ............................................................................................................................. 25
4.2.11 Archive ........................................................................................................................ 26
4.2.12 Report ......................................................................................................................... 26
4.2.13 Parameter Control Button ........................................................................................... 26
4.3 Central Control ...................................................................................................................... 26
4.3.1 ENTER ......................................................................................................................... 27
4.3.2 UPDATE ....................................................................................................................... 27
4.3.3 Exit ................................................................................................................................ 27
4.3.4 Cursor ........................................................................................................................... 27
4.3.5 Change ................................ .......................................................................................... 27
4.3.6 Dist ................................................................................................................................ 27
4.3.7 Trace ............................................................................................................................. 27
4.3.8 Calc ............................................................................................................................... 27
4.3.9 MENU ........................................................................................................................... 27
4.3.10 Trackball ..................................................................................................................... 27
4.4 The key of Image Mode ......................................................................................................... 28
4.4.1 B .................................................................................................................................... 28
4.4.2 B/B ................................ ................................................................ ................................ 28
4.4.3 4B .................................................................................................................................. 28
4.4.4 M ................................................................................................................................... 28
4.5 Control of Image .................................................................................................................... 28
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4.5.1 THI ................................................................................................................................ 28
4.5.2 AIO ............................................................................................................................... 28
4.5.3 CINE ............................................................................................................................. 29
4.5.4 SAVE ............................................................................................................................ 29
4.5.5 Left and Right Invert ..................................................................................................... 29
4.5.6 Up and Down Invert...................................................................................................... 29
4.5.7 STC ............................................................................................................................... 29
4.5.8 GAIN ............................................................................................................................ 30
4.5.9 ANGLE/ZOOM Knob .................................................................................................. 30
4.5.10 DEPTH/FOCUS Knob ................................................................................................ 30
4.5.11 Information Area Indicating Machine Status .............................................................. 30
4.5.12 Indicator Light ............................................................................................................ 30
Chapter 5 Operation and Exam Mode .................................................................................................... 32
5.1 Preparing the System for Use ................................................................................................ 32
5.1.1 The Device Inspection .................................................................................................. 32
5.1.2 Power On ...................................................................................................................... 32
5.2 Choose Exam Mode ................................................................................................................ 32
5.2.1 The Probe Identification................................................................................................ 32
5.2.2 Mode Selection ............................................................................................................. 32
5.3 Patient Data Entry ................................................................................................................. 33
5.4 Image Interface Display ......................................................................................................... 34
5.5 Display Mode .......................................................................................................................... 34
5.5.1 B Mode ......................................................................................................................... 34
5.5.2 B/B Mode ...................................................................................................................... 34
5.5.3 4B Mode ....................................................................................................................... 34
5.5.4 B/M Mode ..................................................................................................................... 35
5.5.5 M Mode ........................................................................................................................ 35
5.6 Image Adjustment .................................................................................................................. 35
5.6.1 Frequency...................................................................................................................... 35
5.6.2 Dynamic ........................................................................................................................ 35
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5.6.3 i-Image .......................................................................................................................... 35
5.6.4 Compound ..................................................................................................................... 35
5.6.5 SRA............................................................................................................................... 35
5.6.6 M Speed Adjustment ..................................................................................................... 35
5.6.7 Gain............................................................................................................................... 36
5.6.8 STC ............................................................................................................................... 36
5.6.9 Depth ............................................................................................................................. 36
5.6.10 Focus Pos .................................................................................................................... 36
5.6.11 ANGLE/ZOOM .......................................................................................................... 36
5.6.12 INVERT ...................................................................................................................... 36
5.6.13 THI .............................................................................................................................. 36
5.6.14 AIO ............................................................................................................................. 37
5.7 B Image Menu Adjustment ................................................................................................... 37
5.7.1 Scan Width .................................................................................................................... 37
5.7.2 Focus Num .................................................................................................................... 37
5.7.3 Persistence .................................................................................................................... 37
5.7.4 Line Density .................................................................................................................. 37
5.7.5 Smooth .......................................................................................................................... 38
5.7.6 Edge Enhance ............................................................................................................... 38
5.7.7 Acoustic Power ............................................................................................................. 38
5.7.8 Utility ............................................................................................................................ 38
5.7.9 Advance ........................................................................................................................ 38
5.7.10 Gray Scale Curve ........................................................................................................ 39
5.8 Full Screen Show (need to activate this function in setup) ................................................. 39
5.9 Edit Comment ......................................................................................................................... 40
5.9.1 Overview ....................................................................................................................... 40
5.9.2 Input Characters ............................................................................................................ 40
5.9.3 Input Comment Library Characters .............................................................................. 40
5.9.4 Edit Quick Comments ................................................................................................... 41
5.9.5 Input Quick Comments ................................................................................................. 41
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5.9.6 Move Comments ........................................................................................................... 41
5.9.7 Edit Comments ............................................................................................................. 41
5.9.8 Delete Comments .......................................................................................................... 41
5.9.9 Set the Position of Default Comment ........................................................................... 41
5.10 Set Body Mark ................................ ................................ ...................................................... 42
5.10.1 General Description .................................................................................................... 42
5.10.2 Body Mark Operation ................................................................................................. 44
5.11 Set the Direction of Arrow ................................................................................................... 44
5.12 Image and Cine Disposition ................................................................................................. 44
5.12.1 The Principle of Cine Storage ..................................................................................... 44
5.12.2 Manual Loop ................................................................ ............................................... 44
5.12.3 Automatic Loop .......................................................................................................... 45
5.12.4 Save and Recall Image ................................................................................................ 45
5.12.5 Save and Recall Cine .................................................................................................. 45
5.12.6 Delete images .............................................................................................................. 45
5.12.7 Send images ................................................................................................................ 45
5.13 Image Browse ....................................................................................................................... 45
5.14 Archive Management ........................................................................................................... 46
5.15 Report .................................................................................................................................... 47
5.16 DICOM ................................................................................................................................. 49
5.16.1 DICOM Worklist ......................................................................................................... 49
5.16.2 DICOM Storage .......................................................................................................... 49
5.16.3 DICOM Print .............................................................................................................. 50
5.16.4 DICOM SR ................................................................................................................. 50
Chapter 6 Measurement and Calculation ................................................................................................ 51
6.1 Keyboard for Measurement .................................................................................................. 51
6.1.1 Trackball ....................................................................................................................... 51
6.1.2 [ENTER] ................................ ................................ ....................................................... 51
6.1.3 [UPDATE] .................................................................................................................... 51
6.1.4 [DEL] ............................................................................................................................ 51
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6.1.5 [Change] ....................................................................................................................... 52
6.1.6 [Exit] ............................................................................................................................. 52
6.1.7 Parameters control button ............................................................................................. 52
6.2 B Mode general Measurement methods ............................................................................... 52
6.2.1 Meas. Distance .............................................................................................................. 52
6.2.2 Ellipse ........................................................................................................................... 52
6.2.3 Trace ............................................................................................................................. 53
6.2.4 Histogram...................................................................................................................... 53
6.2.5 Cross-section Diagram .................................................................................................. 54
6.3 Normal measurement and calculation in B mode ................................................................ 54
6.4 ABD measurement and calculation ...................................................................................... 55
6.5 OB measurement and calculation ......................................................................................... 57
6.5.1 EDD (estimated date of delivery) Estimation ............................................................... 59
6.5.2 Growth curves ................................................................ ............................................... 59
6.6 Pediatric measurement .......................................................................................................... 60
6.6.1 HIP Angle...................................................................................................................... 60
6.7 GYN Measurement and Calculation .................................................................................... 60
6.8 Small Parts Measurement and Calculation ......................................................................... 61
6.9 B Mode Vessel Measurement and Calculation .................................................................... 62
6.10 Urology Measurement and Calculation .............................................................................. 62
6.11 Cardiac Measurement and Calculation .............................................................................. 63
6.12 Normal Measurement and Calculation in M, B/M mode ................................................. 63
6.12.1 Distance ...................................................................................................................... 64
6.12.2 Time ............................................................................................................................ 64
6.12.3 Heart rate..................................................................................................................... 64
6.12.4 Velocity ....................................................................................................................... 64
6.13 General Measurement in M mode ...................................................................................... 64
6.14 M Abdomen Measurement .................................................................................................. 65
6.15 M OB Measurement ............................................................................................................. 65
6.16 M GYN Measurement .......................................................................................................... 65
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6.17 M Mode Cardiac Measurement .......................................................................................... 65
6.18 M Urology Measurement ..................................................................................................... 67
6.19 M Small Parts Measurement ............................................................................................... 67
6.20 M Pediatric Measurement ................................................................................................... 67
Chapter 7 Preset ...................................................................................................................................... 68
7.1 General setting ........................................................................................................................ 68
7.2 Measurement .......................................................................................................................... 69
7.2.1 General measurement setting ........................................................................................ 69
7.2.2 Measurement formula setting........................................................................................ 70
7.3 Annotation .............................................................................................................................. 76
7.3.1 Annotation Library ........................................................................................................ 76
7.3.2 Edit Annotation ............................................................................................................. 77
7.3.3 Comment and Arrow Option ......................................................................................... 77
7.4 Body marks ............................................................................................................................. 78
7.4.1 Body Marks Library ...................................................................................................... 78
7.4.2 Body mark edition......................................................................................................... 78
7.4.3 Body mark Option ........................................................................................................ 79
7.5 Exam Mode ............................................................................................................................. 79
7.5.1 Exam Mode Edit ........................................................................................................... 79
7.5.2 Exam Mode Selection ................................................................................................... 79
7.5.3 Exam mode selection .................................................................................................... 80
7.6 DICOM ................................................................................................................................... 81
7.6.1 Add/Edit DICOM Function ........................................................................................... 83
7.7 NET Work .............................................................................................................................. 83
7.8 System ..................................................................................................................................... 83
7.8.1 System information ....................................................................................................... 83
7.8.2 Upgrade ......................................................................................................................... 83
7.8.3 Function Setting ............................................................................................................ 84
7.8.4 Installment setting ......................................................................................................... 84
7.8.5 Video VGA ................................................................................................................... 84
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7.8.6 Image function .............................................................................................................. 84
7.8.7 System Maintenance ..................................................................................................... 84
7.8.8 USB Video Printer Option ............................................................................................ 84
Chapter 8 System Maintenance .............................................................................................................. 85
8.1 Machine Clean ........................................................................................................................ 85
8.2 Probe Maintenance ................................................................................................................ 85
8.3 Safety Check ........................................................................................................................... 86
8.4 Malfunction Check ................................................................................................................. 87
Chapter 9 Probes..................................................................................................................................... 88
9.1 General Description ............................................................................................................... 88
9.2 Care and Maintenance ........................................................................................................... 88
9.2.1 Inspecting Probes .......................................................................................................... 88
9.2.2 Cleaning and Disinfecting ............................................................................................. 89
9.3 Probe Operation Instructions................................................................................................ 96
9.3.1 Scanning the Patient ...................................................................................................... 96
9.3.2 Operating Transvaginal probe ....................................................................................... 97
9.3.3 Cleaning and Disinfecting TV and TR Probes .............................................................. 97
9.4 Service Responsibility ............................................................................................................ 98
Appendix A: The Information of EC Representative ............................................................. 101
Appendix B: Acoustic Output Report Table ............................................................................ 102
Appendix C: Guidance and Manufacturer’s Declaration ...................................................... 123
Appendix D:Measurement Results Summary ......................................................................... 127
Appendix E: Display Accuracy and Acoustic Measurement Uncertainties .......................... 129
Appendix F: Transducer Maximum Surface Temperature ................................................... 130
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Chapter 1 Introduction
This manual contains necessary information for safe system operation. Read and understand all instructions in this manual before operating the system. Always keep this manual with the equipment, and periodically review the procedures for operation and safety precautions.
1.1 System Overview
Indications for Use
The device is a general-purpose ultrasonic imaging instrument intended for use by a qualified physician for evaluation of Fetal/OB; Abdominal (GYN & Urology); Pediatric; Small Organ(breast, testes, thyroid); Cardiac (adult & pediatric); Peripheral Vascular, Musculo-skeletal Conventional & Superficial, Transrectal and Transvaginal.
Contraindication
The system is NOT intended for ophthalmic use or any use that causes the acoustic beam to pass through the eye.
Contact Information
For additional information or assistance, please contact your local distributor or the appropriate support resource shown below:
CHISON website: www.chison.com Service Support CHISON Medical Imaging Co., Ltd.
Tel: 0086-0510-85311707 Fax: 0086-0510-85310726 E-mail: service@chison.com.cn
Placing an Order CHISON Medical Imaging Co., Ltd.
Tel: 0086-0510-8531-0593/0937 Fax: 0086-0510-85310726 Email: export@chison.com.cn
Manufacturer CHISON Medical Imaging Co., Ltd.
No.228, ChangJiang East Road, Block 51 and 53 Phase 5 Industrial Park, ShuoFang, New District, Wuxi, Jiangsu, China, 214142
US Agent: MR. NANPING WU, 3040 Edenberry Street, Madison, WI 53711 USA
Phone: 608-277-9432, Fax: 920-648-1584 Email: nanpingwu@yahoo.com
Caution: Federal law restricts the device to sale by or on the order of a licensed practitioner or therapist.
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Chapter 2 System Safety
2.1 Safety Overview
This section discusses measures to ensure the safety of both the operator and patient. To ensure the safety of both operator and patient, please read the relevant details in this chapter carefully before operating this system.
Disregarding the warnings or violation of relevant rules may result in personal injury or even loss of life for operator or patient.
Users should observe the following precautions:
This system complies with Type BF general equipment, and the IEC standard. Do not modify this system in any way. Necessary modifications must be made only by the manufacturer or
its designated agents.
This system has been fully adjusted at the factory. Do not adjust any fixed adjustable parts. In the event of a malfunction, turn off the system immediately and inform the manufacturer or its designated
agents. The power cable of the system should only be connected to a grounded power socket. Do not remove the ground cable for any reason. Only connect this system, either electronically or mechanically, with devices that comply with the EN60601-1 standard. Recheck the leakage current and other safety performance indices of the entire system to avoid potential system damage caused by leakage from a current superposition. The system does not incorporate any specialized protective measures in the event it is configured with high-frequency operation devices. The operator should use caution in these types of applications. The system should be installed only by personnel authorized by the manufacturer. Do not attempt to install the system by yourself.
Only an authorized service engineer may perform maintenance. Only a qualified operator, or someone under qualified supervision, should use the system. Do not use this system in the presence of flammable substances, otherwise an explosion may occur. Do not continuously scan the same part of a patient or expose the patient to prolonged scanning; otherwise it
may harm the patient. When using the system for ultrasound testing, use only qualified ultrasound gel that complies with system standards. Do not unplug probe when the system is in active operation. Always go to EXAM screen when need to remove the probe. To prevent from arm or neck injury, the operator should not stay at the same position for too long during patient scanning without taking break. Do not put liquid on top of the main unit.
NOTE
*The system has built-in screen saver to avoid the tic mark on the display. It is not recommended to constantly turn on and off the unit. *To dispose of this product properly, please call your local service department.
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2.2 Electrical Safety
Type of protection against electric shock
Class I Equipment
CLASS I EQUIPMENT in which protection against electric shock does not rely on BASIC INSULATION only, but includes a protective earth ground. This additional safety precaution prevents exposed metal parts from becoming LIVE in the event of an insulation failure.
NOTE: The mains supply shall be cut off after disconnecting the power line and the net power.
Degree of protection against electric shock
Type BF Applied part (for Probes marked with BF symbol) TYPE BF APPLIED PART providing a specified degree of protection against electric shock, with particular regard to allowable LEAKAGE CURRENT
Level of protection against harmful ingress of water
Parts of probe likely to come into contact with operator or patient meet the requirements of drip-proof equipment (IPX1) Parts of probe intended to be immersed in normal use meet the requirements of watertight equipment (IPX7) The IP Classification of System is Ordinary Equipment (IPX0)
Safety level when used in the presence of FLAMMABLE ANAESTHETIC MIXED WITH AIR (or WITH OXYGEN or WITH NITROUS OXIDE):
The Equipment is not suitable for use in the environment with FLAMMABLE ANAESTHETIC MIXED WITH AIR (or WITH OXYGEN or WITH NITROUS OXIDE)
Mode of operation
Continuous Operation For maximum safety, always follow these guidelines: Proper grounding of the system is critical to avoid electrical shock. For protection, ground the chassis with a three-wire cable and plug, and plug the system into a hospital-grade, three-hole outlet.
Do not remove or circumvent the grounding wire. Do not remove the protective covers on the system. These covers protect users from hazardous voltages.
Cabinet panels must remain in place while the system is in use. A qualified electronic technician must make all internal replacements.
Do not operate this system in the presence of flammable gases or anesthetics. All peripheral devices (unless certified as medical grade) that are connected to the system must be powered
through the electrical outlet through an optional isolation transformer.
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Notice upon Installation of Product
Separation distance and effect from fixed radio communications equipment: field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast, and TV broadcast transmitter cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the ultrasound system is used exceeds the applicable RF compliance level as stated in the immunity declaration, the ultrasound system should be observed to verify normal operation. If abnormal operation is observed, additional measures may be necessary, such as re-orienting or relocating the ultrasound system or using an RF shielded examination room may be necessary. Use either power supply cords provided by or designated by CHISON. Products equipped with a power source plug should be plugged into the fixed power socket which has the protective grounding conductor. Never use any adaptor or converter to connect with a power source plug (e.g. three-prong-to-two-prong converter).
Locate the equipment as far away as possible from other electronic equipment. Be sure to use only the cables provided by or designated by CHISON. Connect these cables following the
installation procedures (e.g. wire power cables separately from signal cables). Lay out the main equipment and other peripherals following the installation procedures described in this manual.
Notice against User Modification
The user should never modify this product. User modifications may cause degradation in Electrical Safety. Modification of the product includes changes in:
Cables (length, material, wiring, etc.) System configuration/components
User modifications may cause degradation in EMC performance. Modification of the product includes changes in:
Cables (length, material, wiring, etc.) System installation/layout System configuration/components Securing system parts (cover open/close, cover screwing)
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2.3 Labels
Caution, consult accompanying documents. This symbol advises the reader to consult the accompanying documents for important safety related information such as warnings and pre-cautions that cannot be presented on the device itself.
Dangerous electric voltage. Unplug the main plug before opening the system!
Do not use the following devices near this equipment: cellular phone, radio receiver, and mobile radio transmitter, radio controlled toy, etc. Use of these devices near this equipment could cause this equipment to perform outside the published specifications. Keep power to these devices turned off when near this equipment.
Be careful of static.
WASTE OF ELECTRICAL AND
ELECTRONIC EQUIPMENT (WEEE): This symbol is used for Environment Protection, it indicates that the waste of electrical and electronic equipment must not be disposed as unsorted waste and must be collected separately. Please contact your local
The CE mark of Conformity indicates this
equipment conforms with the Council Directive 93/42/EEC
ECO 1/3 Ultrasound Diagnostic System
Real panel label
2.3.1 Warning Symbols
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Authority or distributor of the manufacturer for information concerning the decommissioning of your equipment.
AUTHORIZED REPRESENTATIVE IN THE EUROPEAN COMMUNITY: This symbol is accompanied by the name and the address of the authorized representative in the European Community.
Type-BF applied part
This symbol is followed by the serial
number of the device.
MANUFACTURER: This symbol is
accompanied by the name and the address of the manufacturer.
Power On/off.
CAUTION: This Power Switch cannot isolate Mains Supply completely.
This symbol signifies that the user manual
must be read.
The “Alternating current” symbol indicates
that the equipment is suitable for alternating current only.
Rx only
This symbol indicates that in the united states of America, Federal law restricts the device to sale by or on the order of a licensed practitioner or therapist.
This symbol is followed by the manufacturing date of the device in the form YYYY-MM.
CORRECT: The correct connection of the battery connector WRONG: The wrong connection of the battery connector
2.4 Patient Environmental Devices
Left side:
1 LAN port 1 VGA port: External monitor 2 USB ports 1 Footswitch port 1 Power in port
Rear panel:
2 Probe ports 1 USB port 1 Video out port 1 Remote port
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Acceptable Devices
The Patient Environmental devices shown above are specified to be suitable for use within the PATIENT ENVIRONMENT.
CAUTION:
DO NOT connect any probes or accessories without approval by CHISON within the PATIENT ENVIRONMENT. DO NOT touch patient and devices without IEC/EN 60601-1 approval to avoid the leakage current risk within the PATIENT ENVIRONMENT.
Unapproved Devices
CAUTION:
DO NOT use unapproved devices. If devices are connected without the approval of CHISON, the warranty will be INVALID. The system can‟t be used with HF surgical equipment; otherwise the burns to patient may occur.
Any device connected to this system must conform to one or more of the requirements listed below:
IEC standard or equivalent standards appropriate to devices. The devices shall be connected to PROTECTIVE EARTH (GROUND).
CAUTION:
Unsafe operation or malfunction may result. Use only the accessories, options and supplies approved or recommended in these instructions for use.
Peripheral used in the patient environment
The system has been verified for overall safety, compatibility and compliance with the following on-board image recording devices: B/W video printer: SONY UP-D711MD The system may also be used safely while connected to devices other than those recommended above if the devices and their specifications, installation, and interconnection with the system conform to the requirements of IEC/EN60601-1. Adapter is considered as a part of ME equipment The connection of equipment or transmission networks other than as specified in the user instructions can result in an electric shock hazard or equipment malfunction. Substitute or alternate equipment and connections require verification of compatibility and conformity to IEC/EN 60601-1 by the installer. Equipment modifications and possible resulting malfunctions and electromagnetic interference are the responsibility of the owner. General precautions for installing an alternate off-board, remote device or a network would include:
The added device(s) must have appropriate safety standard conformance and CE Marking. There must be adequate mechanical mounting of the device and stability of the combination.
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ECO 1/3 Ultrasound Diagnostic System
Risk and leakage current of the combination must comply with IEC/EN 60601-1. Electromagnetic emissions and immunity of the combination must conform to IEC/EN 60601-1-2.
Peripheral used in the non-patient environment
The system has been verified for compatibility, and compliance for connection to a local area network (LAN) via a wire LAN, provided the LAN components are IEC/EN 60950 compliant.
General precautions for installing an alternate off-board, remote device or a network would include:
The added device(s) must have appropriate safety standard conformance and CE Marking. The added device(s) must be used for their intended purpose having a compatible interface.
2.5 Biological Safety
This product, as with all diagnostic ultrasound equipment, should be used only for valid reasons and should be used both for the shortest period of time and at the lowest power settings necessary (ALARA - As Low As Reasonably Achievable) to produce diagnostically acceptable images. The AIUM offers the following guidelines:
Clinical Safety Quoted from AIUM
Approved March 26, 1997
Diagnostic ultrasound has been in use since the late 1950s. Given its known benefits and recognized efficacy for medical diagnosis, including use during human pregnancy, the American Institute of Ultrasound in Medicine herein addresses the clinical safety of such use: There are no confirmed biological effects on patients or instrument operators caused by exposures from present diagnostic ultrasound instruments. Although the possibility exists that such biological effects may be identified in the future, current data indicate that the benefits to patients of the prudent use of diagnostic ultrasound outweigh the risks, if any that may be present.
Heating: Elevating tissue temperature during obstetrical examinations creates medical concerns. At the embryo development stage, the rise in temperature and the length of time exposed to heat combine to determine potential detrimental effects. Exercise caution particularly during Doppler/Color exams. The Thermal Index (TI) provides a statistical estimate of the potential temperature elevation (in centigrade) of tissue temperature. Three forms of TI are available: Soft Tissue Thermal Index (TIS), Bone Thermal Index (TIB) and Cranial Bone Thermal Index (TIC).
Soft Tissue Thermal Index (TIS). Used when imaging soft tissue only, it provides an estimate of potential temperature increase in soft tissue. Bone Thermal Index (TIB). Used when bone is near the focus of the image as in the third trimester OB examination, it provides an estimate of potential temperature increase in the bone or adjacent soft tissue. Cranial Bone Thermal Index (TIC). Used when bone is near the skin surface as in transcranial examination, it provides an estimate of potential temperature increase in the bone or adjacent soft tissue.
Cavitations: Cavitations may occur when sound passes through an area that contains a cavity, such as a gas
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ECO 1/3 Ultrasound Diagnostic System
bubble or air pocket (in the lung or intestine, for example). During the process of cavitations, the sound wave may cause the bubble to contract or resonate. This oscillation may cause the bubbles to explode and damage the tissue. The Mechanical Index (MI) has been created to help users accurately evaluate the likelihood of cavitations and the related adverse effects. MI recognizes the importance of non-thermal processes, cavitations in particular, and the Index is an attempt to indicate the probability that they might occur within the tissue.
2.6 Scanning Patients and Education
The Track-3 or IEC60601-2-37 output display standard allows users to share the responsibility for the safe use of this ultrasound system. Follow these usage guidelines for safe operation:
In order to maintain proper cleanliness of the probes, always clean them between patients. Always use a disinfected sheath on all EV/ER probes during every exam. Continuously move the probe, rather than staying in a single spot, to avoid elevated temperatures in one part
of the patient‟s body.
Move probe away from the patient when not actively scanning. Understand the meaning of the TI, TIS, TIB, TIC and MI output display, as well as the relationship between
these parameters and the thermal/cavitation bioeffect to the tissue. Expose the patient to only the very lowest practical transmit power levels for the shortest possible time to achieve a satisfactory diagnosis (ALARA - As Low As Reasonably Achievable).
2.6.1 Safe Scanning Guidelines
Ultrasound should only be used for medical diagnosis and only by trained medical personnel.
Diagnostic ultrasound procedures should be done only by personnel fully trained in the use of the equipment,
in the interpretation of the results and images, and in the safe use of ultrasound (including education as to potential hazards).
Operators should understand the likely influence of the machine controls, the operating mode (e.g. B-mode) and probe frequency on thermal and cavitation hazards.
Select a low setting for each new patient. Output should only be increased during the examination if penetration is still required to achieve a satisfactory result, and after the Gain control has been moved to its maximum value.
Maintain the shortest examination time necessary to produce a useful diagnostic result.
Do not hold the probe in a fixed position for any longer than is necessary. The frozen frame and Cine loop
capabilities allow images to be reviewed and discussed without exposing the patient to continuous scanning.
Do not use endo-cavitary probes if there is noticeable self heating of the probe when operating in the air. Although applicable to any probe, take particular care during trans- vaginal exams during the first eight weeks of gestation.
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ECO 1/3 Ultrasound Diagnostic System
TI
Maximum exposure time (minutes)
0.7
60
1.0
30
1.5
15
2.0
4
2.5
1
Take particular care to reduce output and minimize exposure time of an embryo or fetus when the temperature of the mother is already elevated.
Take particular care to reduce the risk of thermal hazard during diagnostic ultrasound when exposing: an embryo less than eight weeks after gestation; or the head, brain or spine of any fetus or neonate.
Operators should continually monitor the on-screen thermal index (TI) and mechanical index (MI) values and use control settings that keep these settings as low as possible while still achieving diagnostically useful results. In obstetric examinations, TIS (soft tissue thermal index) should be monitored during scans carried out in the first eight weeks after gestation, and TIB (bone thermal index) thereafter. In applications where the probe is very close to bone (e.g. trans-cranial applications), TIC (cranial bone thermal index) should be monitored. MI> 0.3 there is a possibility of minor damage to neonatal lung or intestine. If such exposure is necessary, reduce the exposure time as much as possible.
MI> 0.7 there is a risk of cavitations if an ultrasound contrast agent containing gas micro-spheres is being used. There is a theoretical risk of cavitations without the presence of ultrasound contrast agents. The risk increases with MI values above this threshold.
TI> 0.7 the overall exposure time of an embryo or fetus should be restricted in accordance with Table 2-2 below as a reference:
Non-diagnostic use of ultrasound equipment is not generally recommended. Examples of non-diagnostic uses of ultrasound equipment include repeated scans for operator training, equipment demonstration using normal subjects, and the production of souvenir pictures or videos of a fetus. For equipment of which the safety indices are displayed over their full range of values, the TI should always be less than 0.5 and the MI should always be less than 0.3. Avoid frequent repeated exposure of any subject. Scans in the first trimester of pregnancy should not be carried out for the sole purpose of producing souvenir videos or photographs, nor should their production involve increasing the exposure levels or extending the scan times beyond those needed for clinical purposes.
Diagnostic ultrasound has the potential for both false positive and false negative results. Misdiagnosis is far more dangerous than any effect that might result from the ultrasound exposure. Therefore, diagnostic ultrasound system should be performed only by those with sufficient training and education.
Table 2-2 Maximum recommended exposure times for an embryo or fetus
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2.6.2 Understanding the MI/TI Display
Track-3 follows the Output Display Standard for systems that include fetal Doppler applications. The acoustic output will not be evaluated on an application-specific basis, but the global maximum de-rated Ispta must be ≤ 720 mW/ cm2 and either the global maximum MI must be ≤ 1.9 or the global maximum de-rated Isppa must be
≤ 190 W/ cm2. An exception is for ophthalmic use, in which case the TI = max (TIS_as, TIC) is not to exceed
1.0; Ispta.3 ≤50mW/ cm2, and MI ≤ 0.23. Track-3 gives the user the freedom to increase the output acoustic
power for a specific exam, and still limit output acoustic power within the global maximum de-rated Ispta 720 mW/ cm2 under an Output Display Standard.
For any diagnostic ultrasonic systems, Track-3 provides an Output Indices Display Standard. The diagnostic ultrasound systems and its operation manual contain the information regarding an ALARA (As Low As Reasonably Achievable) education program for the clinical end-user and the acoustic output indices, MI and TI. The MI describes the likelihood of cavitations, and the TI offers the predicted maximum temperature rise in tissue as a result of the diagnostic examination. In general, a temperature increase of
2.5°C must be present consistently at one spot for 2 hours to cause fetal abnormalities. Avoiding a local temperature rise above 1°C should ensure that no thermally induced biologic effect occurs. When referring to the TI for potential thermal effect, a TI equal to 1 does not mean the temperature will rise 1 degree C. It only means an increased potential for thermal effects can be expected as the TI increases. A high index does not mean that bioeffects are occurring, but only that the potential exists and there is no consideration in the TI for the scan duration, so minimizing the overall scan time will reduce the potential for effects. These operator control and display features shift the safety responsibility from the manufacturer to the user. So it is very important to have the Ultrasound systems display the acoustic output indices correctly and the education of the user to interpret the value appropriately.
RF: (De-rating factor) In Situ intensity and pressure cannot currently be measured. Therefore, the acoustic power measurement is normally done in the water tank, and when soft tissue replaces water along the ultrasound path, a decrease in intensity is expected. The fractional reduction in intensity caused by attenuation is denoted by the de-rating factor (RF),
RF = 10 (-0.1 a f z)
Where a is the attenuation coefficient in dB cm-1 MHz-1, f is the transducer center frequency, and z is the distance along the beam axis between the source and the point of interest.
De-rating factor RF for the various distances and frequencies with attenuation coefficient 0.3dB cm-1 MHz-1 in homogeneous soft tissue is listed in the following table. An example is if the user uses 7.5MHz frequency, the power will be attenuated by .0750 at 5cm, or 0.3x7.5x5=-11.25dB. The De- rated Intensity is also referred to as „.3‟ at the end (e.g. Ispta.3).
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ECO 1/3 Ultrasound Diagnostic System
1
0.9332
0.8128
0.7080
0.5957
2
0.8710
0.6607
0.5012
0.3548
3
0.8128
0.5370
0.3548
0.2113
4
0.7586
0.4365
0.2512
0.1259
5
0.7080
0.3548
0.1778
0.0750
6
0.6607
0.2884
0.1259
0.0447
7
0.6166
0.2344
0.0891
0.0266
Large aperture (>1cm2)
2
TIS
Soft tissue
Unscanned
Small aperture (<1cm2)
Pencil Probe
3
TIS
Soft tissue
Scanned
Evaluated at surface
Breast color
4
TIB
Soft tissue and bone
Scanned
Soft tissue at surface
Muscle color
5
TIB
Soft tissue and bone
Unscanned
Bone at focus
Fetus head PW
6
TIC
Soft tissue and bone
Unscanned/scanned
Bone at surface
Transcranial
Distance Frequency (MHz) (cm) 1 3 5 7.5
I‟=I*RF Where I‟ is the intensity in soft tissue, I is the time-averaged intensity measured in water.
Tissue Model: Tissue temperature elevation depends on power, tissue type, beam width, and scanning mode. Six models are developed to mimic possible clinical situations.
Thermal Models Composition Mode Specification Application
Soft tissue: Describes low fat content tissue that does not contain calcifications or large gas-filled spaces.
Scanned: (auto-scan) Refers to the steering of successive burst through the field of view, e.g. B and color mode.
Unscanned: Emission of ultrasonic pulses occurs along a single line of sight and is unchanged until the transducer is moved to a new position. For instance, the PW, and M mode.
TI: TI is defined as the ratio of the In Situ acoustic power (W.3) to the acoustic power required to raise tissue temperature by 1°C (Wdeg), TI = W.3/Wdeg. Three TIs corresponding to soft tissue (TIS) for abdominal; bone (TIB) for fetal and neonatal cephalic; and cranial bone (TIC) for pediatric and adult cephalic, have been developed for applications in different exams. An estimate of the acoustic power in milli-watts necessary to produce a 1°C temperature elevation in soft tissue is:
Wdeg = 210/fc,for model 1 to 4, where fc is the center frequency in MHz.
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Wdeg = 40 K Dfor model 5 and 6, where K (beam shape factor) is 1.0, D is the aperture diameter in cm at the depth of interest.
MI: Cavitation is more likely to occur at high pressures and low frequencies in pulse ultrasound wave in the tissue, which contains the bubble or air pocket (for instance, the lung, intestine, or scan with gas contrast agents). The threshold under optimum conditions of pulsed ultrasound is predicted by the ration of the peak pressure to the square root of the frequency.
MI = Pr‟ / sqrt(fc) Pr‟ is the de-rated (0.3) peak rare-fractional pressure in Mpa at the point where PII is the
maximum, and fc is the center frequency in MHz. PII is the Pulse Intensity Integral that the total energy per unit area carried by the wave during the time duration of the pulse. The peak rare- fractional pressure is measured in hydrophone maximum negative voltage normalized by the hydrophone calibration parameter.
Display Guideline: For different operation modes, different indices must be displayed. However, only one index needs to be shown at a time. Display is not required if maximum MI is less than 1.0 for any setting of the operating mode, or if maximum TI is less than 1.0 for any setting of the operating mode. For TI, if the TIS and TIB are both greater than 1.0, the scanners need not be capable of displaying both indices simultaneously. If the index falls below 0.4, no display is needed. The display increments are no greater than 0.2 for index value less than one and no greater than 1.0 for index values greater than one (e.g. 0.4, 0.6, 0.8, 1, 2, and 3).
Display and Report
Located on the upper middle section of the system display monitor, the acoustic output display provides the operator with real-time indication of acoustic levels being generated by the system.
For Scan Only display and report MI, and start from 0.4 if maximum MI > 1.0, display in increments of 0.2.
Below is a simple guideline for the user when TI exceeds one limit exposure time to 4(6-TI) minutes based on
the „National Council on Radiation Protection. Exposure Criteria for Medical Diagnostic Ultrasound: I. Criteria Based on Thermal Mechanisms. Report No.113 1992‟.
Operator Control Features: The user should be aware that certain operator controls may affect the acoustic output. It is recommended to use the default (or lowest) output power setting and compensate using Gain control to acquire an image. Other than the output power setting in the soft-menu, which has the most direct impact on the power; the PRF, image sector size, frame rate, depth, and focal position also slightly affect the output power. The default setting is normally around 70% of the allowable power depending on the exam application mode.
Controls Affecting Acoustic Output
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The potential for producing mechanical bioeffects (MI) or thermal bioeffects (TI) can be influenced by certain controls. Direct: The Acoustic Output control has the most significant effect on Acoustic Output. Indirect: Indirect effects may occur when adjusting controls. Controls that can influence MI and TI are detailed under the bioeffect portion of each control in the Optimizing the Image chapter. Always observe the Acoustic Output display for possible effects.
Best practices while scanning HINTS: Raise the Acoustic Output only after attempting image optimization with controls that have no effect on Acoustic Output, such as Gain and TGC.
WARNING: Be sure to have read and understood control explanations for each mode used before
attempting to adjust the Acoustic Output control or any control that can affect Acoustic Output.
Use the minimum necessary acoustic output to get the best diagnostic image or measurement during an examination. Begin the exam with the probe that provides an optimum focal depth and penetration.
Acoustic Output Default Levels In order to assure that an exam does not start at a high output level, the system initiates scanning at a reduced default output level. This reduced level is preset programmable and depends upon the exam icon and probe selected. It takes effect when the system is powered on or New Patient is selected. To modify acoustic output, adjust the Power Output level on the Soft Menu.
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Chapter 3 System Introduction
3.1 Consol Overview
ECO 1/3 Ultrasound Diagnostic System
Console Overview
3.2 Physical Specification
335mmLength×155mmWidth×350mmHeight
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3.3 System View in Different Views
System Front View
ECO 1/3 Ultrasound Diagnostic System
System Side View
1.Ethernet 2.VGA 3.USB 4.Footswicth 5.Power in
Console Overview
1.Probe Holder 2.Probe 3.Keyboard
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ECO 1/3 Ultrasound Diagnostic System
System Rear View
1. Probe 2.USB 3.Remote 4. Video Out 5.Battery Holder 6. Probe Holder
3.4 Function Introduction
1.Possess B, B/B, 4B, B/M, M display mode M, B/M mode possess 4 kinds of scan velocity;
2.Possess many combination of focus, total gain control 8 segments STC;
3.Possess depth scan and image left-right up-down rolling-over function;
4.Possess a lot of imaging technology for example multiple compound imaging (space frequency compound), multiple frequency, multiple zoom ratio, pan zoom, screen scroll, chroma, harmonic imaging etc;
5.Possess image processing, total gain, dynamic range, frequency, focus number, focus position, zoom, compound, scan width, line density, smooth, edge enhancement, frame, persistence, gray scale, restrain boost multi-beam, acoustic power, M velocity;
6.Possess distance proportion circumference volume rate angle histogram in B mode distance time velocity heart rate measurement function in M mode ;GYN measurement software package, small parts measurement software package, ventricle function measurement software package and user defined formula;
7.Possess body mark arrow case number display, real time clock display annotation in image user-defined annotation;
8.Possess multi-language interface display User interface change, shear plate, printing ,DICOM3.0 biopsy guided functions;
9.It has permanent storage for image and cine and optional 320GB HDD. It can also be connected to removable storage via USB port. To realize mass storage ,can recall saved image for analysis;
10.Cine loop storage 256frames real time image;
11.Screen rotation function make you adjust screen angle according to users' requirement 0~30°;
12.Output standard PAL or NTSC video signal and VGA signal;
13.Print or export graphic report.
3.4.1 Image Modes
B mode B/M mode M mode 2B mode 4B mode
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3.4.2 Accessories
C3-A, 2.5-5.0MHz Convex Array Indications for Use: Fetal/OB; Abdominal (GYN & Urology); Pediatric;
L7M-A, 5.3-10.0MHz Linear Array Indications for Use: Pediatric; Small Organ(breast, testes, thyroid); Peripheral Vascular, Musculo-skeletal Conventional & Superficial;
L7S-A, 5.3-11.0MHz Linear Array Indications for Use: Pediatric; Small Organ(breast, testes, thyroid); Peripheral Vascular, Musculo-skeletal Conventional & Superficial;
V6-A, 4.5-8.0MHz Micro-convex Array Indications for Use: OB; GYN & Urology; Transvaginal;
R7-A, 5.0-10.0MHz Linear Array Indications for Use: Urology; Transrectal;
MC6-A, 4.5-8.0MHz Micro-convex Array Indications for Use: Abdominal (GYN & Urology); Pediatric; Small Organ(breast, testes, thyroid); Cardiac (pediatric);
MC3-A ,2.5-5.0MHz Micro-convex Array Indications for Use: Abdominal (GYN & Urology); ; Cardiac (adult & pediatric);
Transducers:
ECO 1/3 Ultrasound Diagnostic System
Peripherals
VGA output for external monitor VIDEO output for B&W video printer LAN port output LAN for DICOM and image review station USB 2.0 for flash drive Foot switch AC/DC adapter: MDS-060AAS19 B
Input: 100-250V~1.5-0.75A, 50-60Hz Output: 19V 3.15A DELTA ELECTRONICS, INC.
Battery Pack : BT-2500, 4400mAh, DONGGUAN POWER INC
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3.4.3 Configuration of the System
Configuration
ECO 1
ECO 3
Color
Grey/White
Black/White
Probe
1(standard), 2(option)
2(standard)
Maximum memory
8GB
8GB
320G HDD
No
Option
Built in battery
Option
Standard
Compound, i-Image, SRA,THI
Standard
Standard
Trapezoidal
No
Standard
Chroma
Standard
Standard
DICOM 3.0
Option
Option
Graphic Printer
Option
Option: HP LaserJet P2055d, HP LaserJet P1102, HP LaserJet Pro 200 color M251n
Probe configuration
Six: C3-A, V6-A, MC3-A, L7M-A, L7S-A, MC6-A
Seven: C3-A, V6-A, MC3-A, L7M-A, L7S-A, MC6-A, R7-A
ECO 1/3 Ultrasound Diagnostic System
3.5 Installation Procedures
Note: Please do not turn on the power switch until finishing all the installation and necessary preparation.
3.5.1 Environment Condition
The system should be operated under the following environment.
3.5.1.1 Operation Environment Requirement
Ambient Temperature: 10 ℃~40 Relative Humidity: 30%75%RH Atmospheric Pressure: 700hPa1060hPa
3.5.1.2 Transport and Storage Environmental Requirement
The following environmental transport and storage conditions are within system tolerances: Temperature: -5º C ~ 40º C Relative Humidity:≤ 80% non-condensing Atmosphere Pressure:700hPa ~ 1060hPa
3.5.1.3 Electrical Requirements
Power Consumption: less than 60 VA Voltage Fluctuation
WARNING
Maintain a fluctuation range of less than ±10% of voltage labeling on rear panel of the system, otherwise the system may be damaged.
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Grounding
Before connecting the power cable, connect the attached ground protection cable from Equipotentiality terminal on system rear panel to a specialized grounding device.
NOTE
Please follow the outlined power requirements. Only use power cables that meet the system guidelinesfailure to follow these procedures may produce system damage. Line power may vary in different geographic locations. Refer to the detailed ratings on the rear panel of the system for detailed information. Battery To avoid the battery bursting, igniting, or fumes from the battery; causing equipment damage, observe the following precautions: Do not immerse the battery in water or allow it to get wet. Do not put the battery into a microwave oven or pressurized container. If the battery leaks or emits an odor, remove it from all possible flammable sources. If the battery emits an odor or heat, is deformed or discolored, or in a way appears abnormal during use, recharging or storage, immediately remove it and stop using it. If you have any questions about the battery, short term (less than one month) storage of battery pack: Store the battery in a temperature range between 0 degrees C (32 degrees F) and 50 degrees C (122 degrees F). Long term (3 months or more) storage of battery pack: Store the battery in a temperature range between-20 degrees C (-4 degrees F) and 45 degrees C (113 degrees F); Upon receipt of the ECO and before first time usage, it is highly recommended that the customer performs one full discharge/charge cycle. If the battery has not been used for >2 months, the customer is recommended to perform one full discharge/charge cycle. It is
also recommended to store the battery in a shady and cool area with FCC (full current capacity).• One Full
Discharge/Charge Cycle Process:1. Full discharge of battery to let the ECO automatically shut down.2. Charge the ECO to 100% FCC (full current capacity).3. Discharge of Venue 40 for complete shutdown(takes one hour for discharge).• When storing packs for more than 6 months, charge the pack at least once during the 6 month timeframe to prevent leakage and deterioration in performance.
3.5.1.4 Operation Space
Please leave enough free space from the back of the system to ensure well ventilation.
Caution: Leave enough free space from the back of the system; otherwise, with the increasing of the
temperature inside the unit, malfunction may occur.
3.5.1.5 System Positioning & Transporting
Moving the System
When moving or transporting the system, take the precautions described below to ensure maximum safety for personnel, the system and other equipments.
Before Moving the System
Press 3 s, system will forced shut down and completely switch off the system. Disconnect all cables from off-board peripheral devices (external printer, etc.) from the console.
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NOTE
To prevent damage to the power cord, DO NOT pull excessively on the cord or sharply bend the cord while wrapping it.
Store all probes in their original cases or wrap them in soft cloth or foam to prevent damage. Replace gel and other essential accessories in the appropriate storage case. Ensure that no loose items are left on the console.
When Moving the System
Carry the system with handle, or put the system on the cart to move it.
NOTE
Walk slowly and carefully when moving the system. Do not let the system strike walls or doorframe.
Transporting the System
Use extra care when transporting the system in a vehicle. After preparing the system as described above, take the following additional precautions:
Only use vehicles that are suitable for transport of the system. Before transporting, place the system in its original storage carton. Load and unload the system to a vehicle parked on a level surface. Load the unit abroad the vehicle carefully and over its center of gravity. Keep the unit still and
upright.
Ensure that the transporting vehicle can bear the weight of system plus the passengers. Secure the system firmly with straps or as directed within the vehicle to prevent movement during transport.
Any movement, coupled with the weight of the system, could cause it to break loose. Drive carefully to prevent damage from vibration. Avoid unpaved roads, excessive speeds, and erratic stops or starts.
3.5.2 Powering the System
3.5.2.1 Acclimation Time
After being transported, the unit requires one hour for each 2.5 º increment if its temperature is below 10 ºC or above 40 ºC.
NOTE
Please keep at least 20 to 30 cm spare space away from the back of the system to ensure well ventilation. Otherwise, with the increasing of the temperature inside the unit, malfunction may occur.
3.5.2.2 Connecting the electric power
After making sure that the AC power supply in hospital is in normal status, and this AC voltage type matches to the power requirements indicated on the label of system, then please connect the plug of power cord to the POWER IN socket at the rear panel of the systemand connect the other end of power cord to the AC power supply socket in hospital. Please use the power cable provided by the manufacturer, other type of power cable is not allowed.
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Press 1 s, system boot,
Press and pop up dialog for shut down. Click the enter key then power off.
Or press 3 s, system will forced shut down
CAUTION
Connecting the system to the wrong AC power supply may cause damage to the system and danger to the operators and animals.
3.5.3 Probe Installment
CautionPlease only use the probes provided by manufacturer for this model, other types of probes are
not allowed to use with this system! Otherwise it may cause the damage to the system and the probe.
CAUTION
Before connecting the probe, please carefully check the probe lens, probe cable and probe connector to see whether there is anything abnormal, such as cracks, falls off. Abnormal probe is not allowed to connect to the system; otherwise there is possibility of electricity shock.
Hold the probe connector lock switch, and insert the connector socket vertically. Release the probe lock switch. Check the locked probe with one hand to make sure that it‟s not loose, and it‟s securely connected
CAUTION
Only power supply at “turn off” state, can install / take-down the probe, otherwise it will damage the machine or the probe. When installing and disassembling probe, please put the probe head inside the probe holder, it can prevent the probe falling down to the ground.
3.5.3.1 Probe Disassembly
Turn the dead lock switch 90degree in counterclockwise direction, extract probe connector plug vertically.
3.5.4 Accessories Installment
Caution:Please only use the optional parts provided or suggested by manufacturer! Using other
types of optional devices may cause the damage to the system and the connected optional devices.
3.5.4.1 Video printer installment
1.Put video printer stably.
2.Connect cable of video printer to video port in the back of the device. And connect the other side to video signal output port in the rear side.
3.Connect the printer line to print control port in the printer rear side, and connect the other side to the print control port in the unit rear side.
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4.Connect power cable of video printer to power system..
5.Adjust printer parameter preset according to the type of printing paper
Caution: Do not use any other power cable to replace 3-wire power cable manufacturer provides,
otherwise there is danger of electric shock.
Video printer sign introduction
: Video signal input port
Video signal output port
Print control port
Video printer switch
3.5.4.2 Graphic printer installment
Put graphic printer stably, connect printer cable to USB port in the left side of the unit. Connect the power cable of graphic printer to power system.
CautionPlease see packing list for fundamental configuration!
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Chapter 4 Control Panel
4.1 Alphanumeric Keyboard
Alphanumeric Keyboard
The alphanumeric keys are used for inputting patient number, name, character and figure etc.
4.2 Function Keys/Knob
4.2.1 SWITCH
Turn on or off the device
4.2.2 PATIENT
Set up a new patient data, input name and other information.
4.2.3 PROBE
Press this button for selecting probe. It can only select the connected probe.
4.2.4 SETUP
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ECO 1/3 Ultrasound Diagnostic System
Press this button to get in or out the system setting page.
4.2.5 END
Press END key to finish the exam.
4.2.6 BODYMARK
Press this key to enter into body mark working status, select the body mark and confirm the probe scanning position on the screen. It is only available in frozen status.
4.2.7 COMMENT
Press this key to enter into comment status, and add comments in the image area on the screen.
4.2.8 ARROWS
Add arrows key to the image area.
4.2.9 DEL
Press this key to clear the measurement lines, body mark, and comments.
4.2.10 Print
PRINT1: Print the screen image by video printer connected to the system.
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1
2
3
4 5 6
7 8 9
10
PRINT2: Print the report by printer connected to the system (Only report page works).
4.2.11 Archive
File management of system, you can view and edit the patient data.
4.2.12 Report
Produce/ Save/ Recall an examination report.
4.2.13 Parameter Control Button
Increase/decrease the corresponding parameters of the screen, or open/close the function.
4.3 Central Control
1. UPDATE 2.EXIT 3.Cursor 4.Change 5.MENU
6. Dist 7.Trace 8.Calc 9.ENTER 10.Trackball
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4.3.1 ENTER
This multifunction key is work with trackball. The function switches with the unit status. Such as, set the cursor position, body mark position, comment position, toggle trackball function, selected the menu, and confirm the input.
4.3.2 UPDATE
This multifunction key is work with trackball. The function switches with the unit status. Such as, call the annotation and back in measuring.
4.3.3 Exit
Press this key can exit measurement, dialog, and menu.
4.3.4 Cursor
Press this key to show or hide the cursor.
4.3.5 Change
Press this key to change the menu.
4.3.6 Dist
Press this key to enter into distance measurement.
4.3.7 Trace
Press this key to enter into trace measurement, and press UPDATE to change between trace and ellipse.
4.3.8 Calc
Press this key to enter into measurement software package.
4.3.9 MENU
Press MENU-knob for second time to select the item and adjust the parameters. Press MENU-knob for third time to exit from current item. Rotate the MENU- knob to select the item
4.3.10 Trackball
Trackball is the main operation tool on screen. Position calipers in measurement, the function of the trackball is different under diverse working status.
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4.4 The key of Image Mode
4.4.1 B
Display B mode
4.4.2 B/B
Press this key to enter into 2B mode.
ECO 1/3 Ultrasound Diagnostic System
4.4.3 4B
Press this key to enter into 4B mode.
4.4.4 M
Press this key to change the mode between B/M and M.
4.5 Control of Image
4.5.1 THI
Press this key to open or close the THI function.
4.5.2 AIO
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Only press this key for automatic optimization image.
4.5.3 CINE
Only press this key to save the current cine loop.
4.5.4 SAVE
Only press this key to save the current image.
4.5.5 Left and Right Invert
ECO 1/3 Ultrasound Diagnostic System
Press this key to invert the image from left and right.
4.5.6 Up and Down Invert
Press this key to invert the image from up and down.
4.5.7 STC
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STC can be used for adjusting gain compensation in different image depth.
4.5.8 GAIN
Rotate the knob to adjust the gain of B mode and M mode.
4.5.9 ANGLE/ZOOM Knob
Rotate the knob to adjust the angle or zoom. Press this knob to change the function between angle and zoom.
4.5.10 DEPTH/FOCUS Knob
Press the knob to adjust the depth and function position. Press the knob to change the function between depth and focus position.
4.5.11 Information Area Indicating Machine Status
Left-to-Right of the up row: hard disk, cable network, USB
Hard disk: press this icon to show the capacity of disc to used save data or USB flash disk in current system Cable network: show the present situation of cable network; press this icon to show the IP address of current
system. USB: show whether this system connects USB flash disk or not, press this icon to show USB safely remove interface.
Left-to-Right of the down row: input method, DICOM Task Sequence, battery gauge
Input method: press this icon to switch Chinese and English input method. DICOM Task Sequence: press this icon to show DICOM task and its situation ,To terminate the DICOM task,
delete, and so onNeed to activate DICOM Battery gauge: show the connecting situation of the battery, just press this icon to show the present State of charge and discharge, remaining electric quantity and available time.
4.5.12 Indicator Light
From left to right: Adapter Indicator, Charge Indicator, and Sleep Indicator. Adapter Indicator: when the main unit connects to the adapter with power supply, the indicator lights, otherwise extinguishes. Charge Indicator: When the battery is charging, the indicator lights, once the battery is charged, the indicator goes out.
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Sleep Indicator: When the main unit is in sleep mode, the indicator lights, otherwise extinguished.
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Chapter 5 Operation and Exam Mode
This chapter mainly describes the process of the normal operation of the device, including the preparation before examination, how to get the image, optimize the image, add comments, body mark and so on.
5.1 Preparing the System for Use
5.1.1 The Device Inspection
(1)The device is placed stability; (2) The grid voltage AC 100-240V, 50Hz-60Hz; (3)Cable is properly connected, firm and ground, the adapter is properly connected to the device; (4)Probe is connected and fixed.
5.1.2 Power On
Long press 1 second to start the machine, wait for the system to enter the user interface, activate the probe slot into the B-mode.
5.2 Choose Exam Mode
5.2.1 The Probe Identification
The system default automatically identifies the current probe type, when the probe is inserted, Press to switch the probe.
CAUTION: Please connect or disconnect the probe only after the system is freezing, in order to
ensure stability and extend the service life of the probe.
5.2.2 Mode Selection
In probe selection interface, probe and clinical application selection page is displayed, you can choose needed probe and inspection part, and press the default into the B-mode, start scan detection.
NOTE: The system has been set clinical application pre-set before leaving factory, each probe has its
own pre-set. The detailed operation steps of the clinical application pre-set of the probe, please refer to the pre-set section.
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5.3 Patient Data Entry
Press the to display the Patient screen
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Patient‟s Information Screen
Function Buttons on Patient screen: [Archive]: Operation on the patient information which has already existed; [Wordlist]Recall patient information in worklist. And need to open the DICOM function; [New Patient]Create a new patient information identity; [New Study]Choose exam applications(OBGYNCARD and so on) for the new patient; [End Study]Edit patient‟s exam item; [OK]Save patient information; [Cancel]Cancel the operation of new patient information; Operation Methods:
(1)Move the Trackball to the position of inputting character, then input patient information by character keyboard. (2)Use the Trackball and the [ENTER] key to switch between different input options: ID, patient name, doctor's name, birthday (It can be automatically calculated when input age), age (It can be automatically calculated when input birthday), gender. (3)Select the exam items, and input the regular inspection information. (4)After inputting the required information, click on the [OK] button to save the patient information, the system will return to the B-mode. (5)Recall information of the previous patient, you can use the Archive or Worklist to recall patient information to exam.
CAUTION: Creating a diagnostic record, you should check the accuracy of the patient information
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1
2
3
5 6 7
11
10
9
1
before saving measurement or image; otherwise, it will be stored in the wrong patient records. After checking the patient, press the [END] key to save the patient information in the system.
5.4 Image Interface Display
1, Logo 2, Control menu 3, Image status prompt 4, Image parameter area 5, System state prompt 6, Gray curve 7, Image parameter area 8, Gray-scale strip 9, Start point of scanning 10, Image Region 11, Cine loop
5.5 Display Mode
Display Mode: B,2B,4B,M,B/M, they can be shifted by the mode key.
5.5.1 B Mode
Press [B] Mode key, and display the single B Mode image, B Mode is the basic mode for two-dimensional scanning and diagnosis.
5.5.2 B/B Mode
Press [2B] to display double B mode images side by side. One image is in real-time status; the other is in frozen status. The real-time image has start scan marker and ruler marker .Press 2B button in [B/B] mode, the original active image is frozen while the original frozen image is activated.
5.5.3 4B Mode
Press [4B] button to enter into 4B mode, the screen will display four B mode images side by side, but only one image is in real-time status. Pressing it again can switch the real-time status among four images.
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5.5.4 B/M Mode
Press [B/M] button, a real time B-mode image and a real-time M-mode image will be displayed at the same time. And a sample line will appear in the B-mode image area, which indicates the active sample position for M image on the B image area. Click the position on the B image area to fix the position of sampling line.
5.5.5 M Mode
Press [M] button again, B mode image will disappear; M mode image is still active on the whole screen. M mode image stands for the tissue movement status at the sampling line. The M mode image varies with time, so it is mainly used for cardiac applications.
5.6 Image Adjustment
5.6.1 Frequency
In real status, press the first line button of [Frequency] to increase the frequency, and press the second line button of [Frequency] to decrease the frequency.
5.6.2 Dynamic
Dynamic range is used for adjusting the contrast resolution of B mode image and mode image, compressing or enlarging the display range of gray scale. At the real-time status, press the first line button of [Dynamic] to increase the Dynamic, and press the second line button of [Dynamic] to decrease the Dynamic. The range is 30 to 90.
5.6.3 i-Image
In real status, press the corresponding button of [i-Image] to adjust, the range is 0~3.
5.6.4 Compound
In real status, press the corresponding button of [Compound] to adjust, and the range is 0~3.
The SRA can‟t be edited after opening the compound.
5.6.5 SRA
In real status, press the corresponding button of [SRA] to turn on or off.
5.6.6 M Speed Adjustment
In real M status, press the corresponding button of [Speed] to adjust M speed, and the range is 1~4.
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5.6.7 Gain
In real status, rotate [Gain] button to adjust the Gain, and the range is 0~255, the step is 5.
5.6.8 STC
STC curves can be used for adjusting gain compensation in different image depth. Drag the slide of STC to adjust the value. STC curve will disappear automatically 1 second later after stopping adjustment.
5.6.9 Depth
Press [DEPTH/FOCUS] selection knob until the indicator of [DEPTH] is lit, and then rotate the knob to change the depth of image.
5.6.10 Focus Pos
Press the [DEPTH/FOCUS] selection knob until the indicator of [FOCUS POS] is lit. Then turn the knob to change Focus Position.
5.6.11 ANGLE/ZOOM
Press [ANGLE/ZOOM]button until the indicator of [ANGLE] is lit, and the angle of sample gate will rotate with the rotation direction. Press [ANGLE/ZOOM]button to confirm the ZOOM button is lit, and it will appear the zoom box, rotate the button to select the zoom steps.
5.6.12 INVERT
B mode image and B/M mode image can be reversed horizontally and vertically.
Press the key, the displayed image is reversed in the right-left horizontal direction.
Press the key, the displayed image is reversed in the up-down direction. The horizontal flip status indicators of the upper-left corner of the image window have the following
meanings:
The meaning of the symbol “ ” indicating the probe initiative scanning position “ ” situated in the left
indicates that the first scanning line in the left of the screen is corresponding to the initiative scanning position of the probe,
” situated in the right indicates that the first scanning line in the right of the screen is corresponding to the
initiative scanning position of the probe.
5.6.13 THI
Turn ON/OFF THI
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5.6.14 AIO
Only press this key to optimize image.
5.7 B Image Menu Adjustment
Click [Change] button or [MENU] button to display the menu. Rotate[MENU]button or press[Cursor]button to display the cursor ,and move the sample box to the corresponding function, press [MENU]button to update the function, then rotate[MENU]button to adjust the function, press [MENU]again to exit the function.
5.7.1 Scan Width
Select [Scan Width], and adjust the scan width to the corresponding size.
5.7.2 Focus Num
In B mode, 4 focus points can be selected simultaneously, and the number controlled by the depth, SRA and Compound. Move the cursor to [Focus Num] selection to adjust, and the range is 1~4.
5.7.3 Persistence
In real status, adjust the contrast and resolution. In real status, press the first line button of [Persistence] to adjust. The range is 0~7.
5.7.4 Line Density
Scan Line Density function is only valid for the image in B mode, B/B mode, B/M mode or 4B mode image. The line density has two types: high density and low density. High density means better image quality while low density image has higher frame rate. To do the adjustment, please select the submenu item [LINE DENSITY] and press [MENU] to adjust the line density.
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5.7.5 Smooth
Smoothness function is used for restraining the image noise and performing axial smooth processing to make the image smoother. Move the cursor to [Smoothness] selection to adjust, and the range is 0~7.
5.7.6 Edge Enhance
Edge enhancement is used for enhancing the image outline. In this way the user can view the tissue structure more clearly. Move the cursor to [Smoothness] selection to adjust, and the range is 0~7.
5.7.7 Acoustic Power
Acoustic power means the acoustic power transmitting from the probe. At the real-time status, Move the cursor to [Acoustic power] selection to adjust, and the range is 0~15,and the least adjustable level is 1 dB/level.
5.7.8 Utility
This function includes post processing, slide show and other items. Press [MENU] button, then choose Utility selection, it will appear Utility options.
5.7.8.1 Post Processing
5.7.8.1.1 Chroma
Adjust the type of the chroma. Update [Chroma], and rotate [MENU] button to select the Chroma type, the range is 0~31.
5.7.8.1.2 2D Map
Select the type of the scale curve. Update [2D Map], and rotate [MENU] button to select the scale curve type, the range is 0~4.
5.7.8.1.3 B Gamma
Adjust image gray value parameters. Update [B Gamma], and rotate [MENU] button to select the B Gamma parameters, the range is 0~8.
5.7.8.1.4 B Rejection
Adjust image gray scale inhibition parameters Update [B Rejection], and rotate [MENU] button to adjust B Rejection parameters, the range is 0~256.
5.7.9 Advance
In B Mode, select Advance, after pressing [MENU] button, it will appear Advance options.
5.7.9.1 Zoom Coef
Adjust the size of the ruler. Update [Zoom Coef], and rotate [MENU] button to adjust, the range is 60%~100%.
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Transducer
Compatible Biopsy Guide Model
V6-A
610-1093 (10041823)
5.7.9.2 MB
Through opening MB to improve image quality Press [MENU] to turn on or turn off the MB function.
5.7.9.3 Trapezoidal Mode
Press [MENU]to turn on or turn off the trapezoidal function.
5.7.9.4 Biopsy
Show or hide biopsy. Press the [MENU] to show or hide biopsy line. After the biopsy line shows, press the [ENTER] button to activate the adjustment function of biopsy line, horizontal rolling the trackball can translate the biopsy line, vertical rolling the trackball can adjust the line angle, press the [UPDATE] button to set the default biopsy line position.
Accessories
To order biopsy guides; and other supplies and accessories, contact CIVCO Medical Solutions: CIVCO Medical Solutions 102 First Street South, Kalona, IA 52247-9589 Telephone: 800-445-6741 (USA and Canada), +1 319-656-4447 (International) Fax: 877-329-2482 (USA and Canada), +1 319-656-4451 (International) E-mail: info@civco.com Internet: www.civco.com
NOTE
Model or part numbers in the following tables are subject to change. Biopsy Guides
5.7.9.5 Center Line
Show or hide Center Line. Press the [MENU]to show or hide Center line.
5.7.10 Gray Scale Curve
Move the cursor to the gray-scale curve, and press the [ENTER] button to show gray-scale curve dialog box, click the sliding contacts on the curve to adjust, image, article gray-scale changed. Or through the drop-down box choose pre-settings parameters to show, including standard, High, Low, Equal, Negative.
5.8 Full Screen Show (need to activate this function in setup)
Full screen the image area. Press [Gain] knob to activate the function; Press [EXIT] button to exit full screen show. When full screen shows, press [MENU] knob to show the menu of current mode (except bodymark,
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Classification
Function Description
Abdomen
Abdomen, general anatomy term
Obstetrics
Anatomy term of Obstetrics
Gynecology
Anatomy term of Gynecology
Heart
Anatomy term of Heart
Small Parts
Anatomy term of Small Parts
Lesion
Lesion term:Abdomen、Obstetrics、Gynecology、Heart、Small Parts
annotation, measurement).
5.9 Edit Comment
5.9.1 Overview
The comment is to enter text or symbols on the image, the device is Chinese and English annotation system.
ENTER COMMENT: Press enter into comments status;
Exit COMMENT: Press again or [FREEZE] key to exit; Comment means input the words or symbols on images for making explanation. Add comments can through
keyboard input directly or using the default comments. The default comments are classified by examination mode as follows:
NOTE: If you need to custom the default comments, refer to the pre-set section.
5.9.2 Input Characters
Operation
1.Press button, then system will go into the comment process.
2.Move the cursor to the position where need to comments.
3.Input characters at cursor position by keyboard then press [ENTER] key to confirm.
4.Press COMMENT-key again to exit. The COMMENT-key will light off and the comments process is finished.
5.9.3 Input Comment Library Characters
1In comment status, move trackball to image area to edit; 2Press [Font size]to adjust front size of comments, the range is 10~20; 3Rotate[MENU]to select needed comments, then press[MENU] to exit ;
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5.9.4 Edit Quick Comments
1Press[Edit]to pop quick comment edit box; 2Input customized comments; 3Press[Done]to finish edit, press[X]to cancel edit;
5.9.5 Input Quick Comments
1Press[Text]to select needed quick comments; 2Adjust front size of comments; 3Press[Input]to place comments in the image area;
5.9.6 Move Comments
1In comment status, move trackball to the comment, press [ENTER] key to activate it; 2Move trackball to place the comment to target area; 3Press [ENTER] again to confirm the comment;
5.9.7 Edit Comments
1In comment status, move trackball to the comment, press ENTER key to activate it 2Press[BACKSPACE]to delete unnecessary characters; 3Press[ENTER]to confirm;
5.9.8 Delete Comments
5.9.8.1 Delete Characters
In comment status, activate the comment that need to be deleted, then press the [ENTER] key, it will display "|" on the screen, press[BACKSPACE]key to delete the character.
5.9.8.2 Delete Single Comment
Activate the comment that needs to be deleted, press [DEL] to delete comment;
5.9.8.3 Delete All Contents of the Comment
Don‟t activate the single comment, press[DEL]to delete all characters that has input;
Caution: Press[DEL]key, but it will delete the measurement and body mark at the same time;
5.9.9 Set the Position of Default Comment
Operation: 1Press[Save Home Pos.]to move cursor to the initial position; 2Press[Load Home Pos.]to set the initial position ;
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5.10 Set Body Mark
5.10.1 General Description
The body mark indicates patient‟s examination position and the direction of probe scan on the image. Body marks are divided into: obstetric, abdomen, gynecology, heart and small parts, each has different body mark. Each type of body mark automatically is corresponding to current examination mode. Icon:
Abdomen Mark
Cardiac Mark
Obstetric Mark
Gynecology Mark
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Pediatric Mark
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Small Part Mark
Urology Mark
Vascular Mark
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5.10.2 Body Mark Operation
Operation
Press to enter into the body status. Select the body mark that you need.
Move trackball after adding the body mark image and then adjust the position of probe. Rotate [MENU] key can adjust the probe direction. Press Enter- key to confirm when adjustment was finished. Move the Trackball to change the position of the body mark;
If you want to exit from the body mark function, press again; Press [EXIT]to exit body status and the body mark is fastened to the screen.
Press [DEL] to delete body marks.
5.11 Set the Direction of Arrow
Operation
1.Press to display arrow;
2.Press [Change] button to select cursor type: arrow or cross. And change the size of the cursor.
3.Adjust the position of probe. Rotate [MENU] knob can adjust the probe direction.
4.Press [ENTER] to confirm when adjustment was finished.
5.Press [EXIT] to exit the arrow settings.
6.Press [DEL] to clear the arrows has inputted.
5.12 Image and Cine Disposition
5.12.1 The Principle of Cine Storage
In real image status, the image can be stored in the movie memory in chronological order, maximum frames can be set. The maximum number of frames of the film storage can be set, please refer to pre-set chapter. If the movie memory is full, the recent frame saved into memory, the previous frame removed from memory.
Cine loop indicate diagram
5.12.2 Manual Loop
Press[FREEZE]to freeze image, pop cine playback bar, at this time, move cursor to play by hand; Track ball
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rolling to the right, the loop play with ascending order side by side. Or press [Next/Pre] to play.
5.12.3 Automatic Loop
After freezing image, press[Play/Pause]to play, press it again to stop. Press [ENTER] to choose the area of automatic playback area needed.
5.12.4 Save and Recall Image
Press to save current image, the image will be displayed below the screen; If you need to recall images that have been stored, move cursor to needed image, press [ENTER] to recall it;
or you can recall archived patient‟s information to recall image, please refer to archive chapter.
5.12.5 Save and Recall Cine
In freeze status, press to save cine, then it will be displayed below the screen, move cursor to needed cine ,press [ENTER]to recall cine.
5.12.6 Delete images
After recalling the images , press the [Delete images] to delete the files.
5.12.7 Send images
After recalling the images , press the [Send images] to send images to USB flash disk , DICOM storage and print. Hint: Activate the DICOM before DICOM storage and print.
5.13 Image Browse
Press to enter image information browsing interface. Press[ENTER]to any function in the image.
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Review interface
ID: ID of Current patient. Name: Current patient‟s name. Information: Enter into current patient‟s information interface. Report: Enter into current patient‟s report interface; Send images: Send image to USB hard disk , DICOM storage and print; Delete images: Delete selected image; Row*Column: Select image‟s format; Pre page: Page up; Next page: Page back; New Exam: Exit current examination and open a new dialog box. Continue Exam: Exit image browsing interface and go on checking current patient; Archive: Open up archive management interface; Cancel: Turn off image browsing interface;
5.14 Archive Management
Archive management can search for patient‟s information which has been stored in system. Press[Archive]to archive management interface, all process can be opened up by moving cursor.
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Archive interface
Item: Type selection, select Patient‟s ID or Name; Keyword: Search for key words; Period: Time filter, select today、one week、one month、three months、 six months, recent one year and all; Multiple Choice: Multiple choice; Dada Source: Path choice, select hard disk or U disk; Patient info: Enter into patient‟s information interface; Review Report: Enter into report interface; Backup Exam: Select examination information to USB hard disk; Restore Exam: Recover examination information from USB hard disk; Send Exam: Send selected examination information remotely to USB hard disk or DICOM Storage/Print
(Need to activate the DICOM);
Delete Exam: Delete selected examination information; Patient View: Change display mode of information; Expand All: Select Patient View, it will display sub-directory; Collapse All: Exit sub-directory; Select All: Select all examination information; New Exam: Exit current patient‟s examination; Continue Exam: Exit archive management interface and go on checking current patient; Easy View: Exit archive management interface and open up image browsing interface; Cancel: Exit archive management interface and go on checking current patient;
5.15 Report
Press [ENTER] on the image to add the image into the report page. The report can be saved and printed. It is
convenient for the doctor to view and edit the patients‟ information.
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Reports contain normal report, abdominal report, cardiac report, small part report etc. Move the cursor to the required report page and press[ENTER] to choose.
Click the “Report” button and the page pop up the report page of the current exam mode. Change the other
exam mode report by the drop-down box.
Report Interface
ReportTitle: Report options, different kinds of report can choose, such as Normal, OB/GYN etc. Hosp: Display the hospital name. Abdomen Report: Display the kind of report. Patient Name: Display the patient name. Age: Display the patient age. Gender: Display the patient sex. Patient ID: Display the patient ID. Diagnostic: Input the diagnostic instructions. Description: Input the description of symptom. Tips: Input note information. Send DICOM SR: After activating DICOM , send DICOM structural report to server Print: Print the report with image. Export: Export the PDF report to the U disk. Save: Save the report in system. The image on the right side: Press[ENTER]on the image to add the image into the report.
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5.16 DICOM
5.16.1 DICOM Worklist
Press [Worklist] in Patient Interface , pop up the following dialog box
ECO 1/3 Ultrasound Diagnostic System
ID: input ID or some characters , fuzzy query needs server Search By: select term , ID or name; ID: display the ID of patients Name: display the names of patients BirthDate: display the birth date of patients Sex: display sex of patients Doctor: display names of doctors Acc#: display the NO. of patients Search: press this button to do search operation Apply: select the searched patient and press this button , input all patient information into the new patient
interface Clear: clear all searched content.
5.16.2 DICOM Storage
Check the save and send in setting, then DICOM storage when saving cine and images. Press send button in archive or freeze interface. DICOM Send interface as follows:
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DICOM Send Interface Select DICOM Storage in left , choose DICOM server and press Export button to DICOM storage. Enter DIOCM Task Sequence and watch or edit DICOM process.
5.16.3 DICOM Print
DICOM Print operation is the same as DICOM storage
5.16.4 DICOM SR
Press Send DICOM SR button in report interface , this task is added into DICOM Task Sequence.
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Chapter 6 Measurement and Calculation
Main content of this chapter: Normal calculation and measurement on B mode image and M mode image, OB calculation and Urology measurement etc, system can enter into corresponding measurement mode depend on current exam mode, and enter into the corresponding report depend on the measurement mode. System has built-in the default measurement according to the exam mode, the change of measurement please refer to the chapter of preset settings.
6.1 Keyboard for Measurement
6.1.1 Trackball
Trackball is used to move the cursor, main functions are as follows:
1.Before starting a measurement, use the trackball to choose the menu options;
2.After starting a measurement, move the trackball to move the cursor, during the measurement, the cursor should not be moved out image area;
3.During the Ellipse method measurement, use trackball to change the length of short axis.
4.Update the moving of the measurement result, move the trackball to change the position of the measurement result.
6.1.2 [ENTER]
During the measurement, the functions of [ENTER] key are as follows:
1.When cursor is on the menu, press the key to choose the options and start the measurement.
2.During the measurement, press the key to anchor the start point and end point.
6.1.3 [UPDATE]
1.Before the measurement, press[UPDATE]to change the measurement method, such as ellipse, trace. The
changeable measurement item has “< >”.
2.During the measurement, UPDATE-KEY is used to switch the start point and end point, long axis and short axis when the measurement is not finished.
3.During the distance measurement, press the[ENTER]to fix the start point, when the end point is not fixed, press the UPDATE-KEY to switch the start point and end point.
4.During the Ellipse measurement, when fix the long axis, but the short axis is not fixed, press the UPDATE-KEY to switch the long axis and short one.
6.1.4 [DEL]
Main functions are as follows: In frozen status, press the[DEL], delete all the measurement results, comments and traces.
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6.1.5 [Change]
Press[Change]to switch other menu; Press[Exit]to exit;
6.1.6 [Exit]
Press[Exit]to exit the measurement menu.
6.1.7 Parameters control button
Press the corresponding button to update the function and use the function.
6.2 B Mode general Measurement methods
The system B mode contains Distance, Ellipse, and Trace.
6.2.1 Meas. Distance
Measurement steps:
1.Press the [Calc] button to enter into measurement. Update the [distance] item in the menu or press the quick measure button [Dist], it will display a segment “+”icon.
2.Move the “+”icon by cursor to fit the one point of the line. Press [ENTER] key to fix the start point and the cursor can be moved to the next position.
3.Press [UPDATE] key can change the activated point, and fit the other point of the line.
4.Move the cursor to the end-point, press [ENTER] again to complete the measurement.
5.After the measurement, the result will display in the measurement results area.
6.Repeat the steps from 1 to 4 to start next “distance” measurement. Press [DEL] key to delete all the measurements.
Note:
Each group of measurement is limited, if the measurement results beyond, it will begin a new group of measurement automatically.
6.2.2 Ellipse
Measurement steps:
1.Press the [Calc] button to enter into measurement. Update the [Ellipse] item in the menu or press the quick measure button [Ellipse], it will display a segment “+”icon.
2.Move the “+”icon by cursor, Press [ENTER] key to fix the point and the cursor can be moved to form a round.
3.Press [UPDATE] key can exchange the activated point and the fixed point.
4.Move the cursor to the end-point of the ellipse, press [ENTER] to fix the axis, at the same time, the next axis be updated, and can change the size of the axis by the cursor.
5.Now press [UPDATE] key can exit to the step 4.
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6.After fixing the next axis, can press [ENTER] key to complete the measurement.
7.After the measurement, the result will display in the measurement results area.
8.Repeat the steps from 1 to 6 to start next “ellipse” measurement. Press [DEL] key to delete all the measurements.
Note:
Each group of measurement is limited, if the measurement results beyond, it will begin a new group of measurement automatically.
6.2.3 Trace
Measurement steps:
1.Press the [Calc] button to enter into measurement. Update the [Trace] item in the menu or press the quick measure button [Trace], it will display a segment “+”icon.
2.Move the “+”icon by cursor, Press [ENTER] key to fix the point and the cursor can be moved to the next position.
3.Make the cursor tracing along the edge of required area, the traced line can be not closed..
4.Now press [UPDATE] key to cancel the tracing.
5.Press [ENTER] key again in the endpoint, the start point and end point of trace line will be closed by a straight line.
6.After the measurement, the result will display in the measurement results area.
7.Repeat the steps from 1 to 5 to start next “trace” measurement. Press [DEL] key to delete all the measurements.
Note:
Each group of measurement is limited, if the measurement results beyond, it will begin a new group of measurement automatically.
6.2.4 Histogram
Histogram is used to calculate the gray distribution of the ultrasound echo signals within a specified area. Use the rectangle, ellipse or trace method to draw along the desired measurement area. The result is shown in the form of histogram. Histogram can be measured only on the frozen image.
Measurement steps by rectangular method:
1.Click[FREEZE]key to freeze the image.
2.Press [ENTER] in [Histogram] menu to enter into measurement status.
3.Click [ENTER] to fix one apex of the rectangle.
4.Move the trace ball to change the cursor position and fix the diagonal point of the rectangle
5.Move the trace ball to change the cursor position, fix the diagonal point of the rectangle, and press [ENTER]again to confirm the measurement area. The result will display on the measurement result area..
Measure the histogram by ellipse or trace method: The method is the same as that to measure y ellipse or trace method, press [UPDATE] to change the measurement between ellipse and trace. The horizontal axis represents the gray scale of the image ranging from 0 to 255. The vertical axis represents the distribution ratio of each gray scale. The value shown on the top of vertical
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Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Distance
cm
Refer to distance Meas.
area/circle
Area cm2 Circle cm
Refer to Ellipse and trace meas.
Ellipse and trace. Press[UPDATE]to change.
Volume 1straight line
ml
Refer to distance Meas. Formula: V π/6×D3
D means: Depth
Volume 1ellipse
ml
Refer to ellipse meas. Formula: V π/6×A×B2
A: Long Axis B: Short Axis
Volume 2 straight line
ml
Refer to distance Meas. Formula: V π/6×D1×D22
D1: the longer distance D2: the shorter distance
Volume 3 straight line
ml
Refer to distance Meas. Formula: V
π/6
×D1×D2×D3
D1, D2, D3: Distance
axis represents the percentage of the maximally distributed gray in the whole gray distribution.
6.2.5 Cross-section Diagram
Cross-section Diagram is used to measure the gray distribution of the ultrasound signals in the vertical or horizontal direction on a certain profile (section). This measurement is only available in the frozen mode. Measurement steps:
1.Click [FREEZE]key to freeze the image.
2.Click[Meas.]key , and choose [B NORMAL MEAS].
3.Draw a straight line at the measuring position. The method is the same as that to measure distance.
4.The calculated result of the profile will be displayed at the centre of the screen. 1-The horizontal (or vertical) axis represents the projection of the profile line on the horizontal direction. 2-The vertical (or horizontal) axis represents the gray distribution of the corresponding points on the profile line. The range is 0 to 255.
6.3 Normal measurement and calculation in B mode
Click display [B], [B/B] or [4B] to enter into B, B/B or 4B mode, then click [Calc]key to enter into measurement status. Or press [Change] to choose the normal measurement.
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Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Volume1 straight line 1 ellipse
ml
Refer to distance and ellipse Meas. Formula: V π/6×A×B×M
A: Long Axis B: Short Axis M: Distance
Ratio
Ratiodistance
Refer to distance Meas. Formula: R=D1/D2
D1: First Distance D2: Second Distance
Ratioarea
Refer to ellipse Meas. Formula: R=A1/A2
A1: First Area A2: Second Area
Angle
deg
Refer to distance Meas.
Angle Range: 0°~ 180°
Histogram
Refer to histogram
Cross-section diagram
Refer to Cross-section
Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Distance
cm
Refer to distance Meas.
CBD
cm
Refer to distance Meas.
GB wall
cm
Refer to distance Meas.
Liver Length
cm
Refer to distance Meas.
Pro Aorta
Height
cm
Refer to distance Meas.
Width
cm
Refer to distance Meas.
StD%
%
Refer to distance Meas. Formula: (( D1-D2÷D1 ×100%
D1: Length of Normal D2: Length of Stenosis
6.4 ABD measurement and calculation
Choose ABD exam mode. Freeze the required image, then Press [Calc] to enter into ABD measurement status. Or press [Change]to choose the ABD measurement.
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Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
StA%
%
Refer to ellipse Meas. Formula: (( A1-A2÷A1 ×100%
A1: Area of Normal A2: Area of Stenosis
Vessel Area
cm2
Refer to ellipse and trace Meas.
Ellipse and trace. Press[UPDATE]to change.
Vessel Dis
cm
Refer to distance Meas.
Mid Aorta
The same as above
The same as above
The same as above
The same as above Distal Aorta
The same as above
The same as above
The same as above
The same as above
Spleen
Length Height Width Volume
cm cm cm ml
Refer to distance Meas. Formula: V =(π/6 ×L×H×W
L: Length H: Height W: Width
Renal Vol. (Rt/Lt)
Length Height Width
cm
Refer to distance Meas.
Lliac(Rt/Lt)
Height
cm
Refer to distance Meas.
Width
cm
Refer to distance Meas.
StD%
%
Refer to distance Meas. Formula: (( D1-D2÷D1 ×100%
D1: Length of Normal D2: Length of Stenosis
StA%
%
Refer to ellipse Meas. Formula: (( A1-A2÷A1 ×100%
A1: Area of Normal A2: Area of Stenosis
Vessel Area
cm2
Refer to ellipse and trace Meas.
Ellipse and trace. Press[UPDATE]to change.
Vessel Dis
cm
Refer to distance Meas.
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Meas. Menu
Submenu
Unit
Meas. Method
Comment
Distance
cm
Refer to distance Meas.
Fetal Biological
GS
cm
Refer to distance Meas.
Formula to choose: CFEF, Campbell, Hadlock, Hansmann, Korean, Merz, Shinozuka
CRL
cm
Refer to distance Meas.
Formula to choose: Hadlock, Hansmann, Korean, Nelson, Osaka, Rempen, Robinson, Shinozuka
YS
cm
Refer to distance Meas.
BPD
cm
Refer to distance Meas.
Formula to choose: Bessis, CFEF, Campbell, Chitty, Hadlock, Hansmann, Jeanty, Johnsen, Korean, Kurtz, Merz, Osaka, Rempen, Sabbagha, Shinozuka
OFD
cm
Refer to distance Meas.
Formula to choose: Hansmann, Korean
HC
cm
Refer to ellipse and trace Meas.
Formula to choose: CFEF, Campbell, Chitty, Hadlock, Hansmann, Johnsen, Korean, Merz
APPD
cm
Refer to distance Meas.
Formula: Bessis
TAD
cm
Refer to distance Meas.
Formula: CFEF
AC
cm
Refer to ellipse and trace Meas.
Formula to choose: CFEF, Campbell, Hadlock, Hansmann, Korean, Merz, Shinozuka
TCA
cm
Refer to distance Meas.
Formula: Osaka FL
cm
Refer to distance
Formula to choose:
6.5 OB measurement and calculation
Choose OB exam mode. Freeze the required image, then Press [Calc] to enter into OB measurement status. Or press [Change]to choose the OB measurement.
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Meas. Menu
Submenu
Unit
Meas. Method
Comment
Meas.
Bessis, CFEF, Campbell, Chitty, Doubilet, Hadlock, Hansmann, Hohler, Jeanty, Johnsen, Korean, Merz, Osaka, Shinozuka
Spine Long
cm
Refer to distance Meas.
APD
cm
Refer to distance Meas.
Formula: Hansmann
TTD
cm
Refer to distance Meas.
Formula: Hansmann
TC
cm
Refer to distance Meas.
Fetal Long Bones
HL
cm
Refer to distance Meas.
Formula to choose: Jeanty, Korean, Merz, Osaka
Ulna Long
cm
Refer to distance Meas.
Formula: Jeanty
Tibia Long
cm
Refer to distance Meas.
Formula to choose: Jeanty, Merz
Radius Long
cm
Refer to distance Meas.
Fibula Long
cm
Refer to distance Meas.
Clavicle Long
cm
Refer to distance Meas.
Formula: Yarkoni
Fetal Cranium
Cerebellum
cm
Refer to distance Meas.
Formula to choose: Chitty, Hill
Posterior Cistern
cm
Refer to distance Meas.
NF
cm
Refer to distance Meas.
NB
cm
Refer to distance Meas.
OOD
cm
Refer to distance Meas.
Formula: OOD
IOD
cm
Refer to distance Meas.
NB
cm
Refer to distance Meas.
Paracele
cm
Refer to distance Meas.
Formula: Tokyo HC Width
cm
Refer to distance
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Meas. Menu
Submenu
Unit
Meas. Method
Comment
Meas.
OB Others
LtRenal
cm
Refer to distance Meas.
RtRenal
cm
Refer to distance Meas.
LtRenalAP
cm
Refer to distance Meas.
RtRenalAP
cm
Refer to distance Meas.
LVWrHEM
cm
Refer to distance Meas.
TAD
cm
Refer to distance Meas.
EFBW
g
Refer to distance and ellipse Meas.
Modify the formula automatically according to EFBW formula in setting
AFI cm
Refer to distance Meas.
AFI=AFI1+AFI2+AFI3 +AFI4
FBP
cm
Refer to distance Meas.
Cervical Length
cm
Refer to distance Meas.
6.5.1 EDD (estimated date of delivery) Estimation
6.5.1.1 Calculating EDD by LMP (Last menstrual period)
1.In the new patient OB page, update the LMP input box.
2.Choose the LMP from the date dialog box or input the LMP date directly.
3.The calculated EDD value will appear in the result measurement area of OB page.
6.5.1.2 Calculating EDD by BBT (Basal body temperature)
1.In the new patient OB page, update the Ovul.Date input box and input the bbt date.
2.The method is the same with the LMP method.
6.5.2 Growth curves
Function: Growth curves comparison is used to compare the measured data of the fetus with the normal growth curve in order to judge whether the fetus grows normally. Measurement steps:
1.Finish the measurement of the OB item and get into the report page.
2.Choose the growth curve at the right list and press [ENTER] to display the growth curve.
3.Choose the growth curve need to display, and check it to show the growth curve on report..
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4.Click [×] icon on the dialog box to exit. Tips: The abscissa of Growth curves is the gestational weeks calculated according to the LMP in patient information.
6.6 Pediatric measurement
Select OB mode, press[Calc]to enter OB mode, then enter into pediatrics mode. Or press [Change] to switch to pediatrics measurement menu
6.6.1 HIP Angle
HIP function is used for evaluating the fetal hip growth. In order to make calculation, three lines need to be added on the image, which is to conform to the fetal anatomic structure. The system will calculate and display two angles for doctor‟s reference. Measurement steps:
1.Choose [HIP Angle] menu item, and click it to enter into measurement.
2.click on the line image region , and appear one line with"+" .Move the line to the target measurement region.
3.rotate [MENU] button to adjust the line angle, press [ENTER] button to fix the line.
4.Then appear the second line, adjust the line according to the step 3, and fix the line.
5.Fix the 3 lines, the measurement results of the angle appears in the district.
Caution:
D 3 shows bias line between protruding of conjunction and acetabular bone D 2 shows direct line between osileum and acetabular bone D 1 shows base line between cotyle, joint purse, gristle periosteum and ilium. β is the angle between D1 and D 2 (acute angle;α is the angle between D 1 and D 3acute angle.
HIP angel
6.7 GYN Measurement and Calculatio n
GYN measurement includes measurement of UT-D (uterus diameter), ENDO (endometrium), CX-L (Uterine cervix length), LEFT OV and RIGHT OV (volume of left and right ovary) and LEFT FO and RIGHT FO (left and right follicle). The result will be calculated and displayed automatically on the screen by measuring
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ECO 1/3 Ultrasound Diagnostic System
Meas. Menu
Submenu
Unit
Meas. Method
Comment
Distance
cm
Refer to distance Meas.
UT
UT_L
cm
Refer to distance Meas.
CUT_L
cm
Refer to distance Meas.
UT_W
cm
Refer to distance Meas.
UT_H
cm
Refer to distance Meas.
UT_V
ml
Refer to distance Meas. 公式 : V=(π/6 ×L×H×W
L: UT_L H: UT_H W: UT_W
UT_D
cm
Refer to distance Meas. Formula: UT_D =L+W+H
L: UT_L H: UT_H W: UT_W
Cervix Vol.
ml
Refer to distance Meas. 公式 : V=(π/6 ×L×H×W
L: Cervix _L H: Cervix _H W: Cervix _W
ENDO
cm
Refer to distance Meas.
OV Vol. L/R
ml
Refer to distance Meas. 公式 : V=(π/6 ×L×H×W
L: OV _L H: OV _H W: OV _W
FO(L/R) FO_L
cm
Refer to distance Meas.
FO_W
cm
Refer to distance Meas.
Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Distance
cm
Refer to distance Meas.
relevant parameters. Freeze the required image under GYN examination, then click [Calc] key to enter into GYN measurement status.
6.8 Small Parts Measurement and Calculation
Freeze the required image under Small parts examination, then click [Calc] key to enter into small parts measurement status.
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Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Thyroid L/R
Volume
ml
Refer to distance Meas. Formula: V
π/6
×L×H×W
L: Thyroid_L H: Thyroid_H W: Thyroid_W
Angle
deg
Refer to distance Meas.
Angle Range: 0°~180°
Ratio
Refer to distance Meas. Formula: R=D1/D2
D1: First Distance D2: Second Distance
Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Kidney Vol. L/R
ml
Refer to distance Meas. Formula: V=( π/6 ×L×H×W
L: Kidney_L H: Kidney_H W: Kidney_w
Bladder Vil.
VL*W*H
ml
Refer to distance Meas. Formula: V=( π/6 ×L×H×W
L: Bladder _L H: Bladder _H W: Bladder _w
Prostate
Volume
ml
Refer to distance Meas. Formula: V=( π/6 ×L×H×W
L: Prostate _L H: Prostate _H W: Prostate _w
PPSA
ng/ml
Formula: PPSA
0.12×V
PSAD
ng/ml
Formula: PSAD=SPSA/V
SPSA: input the SPSA When create a new Patient
RVU
Volume
ml
Refer to distance Meas. Formula: V=( π/6
L: RVU _L H: RVU _H W: RVU _w
6.9 B Mode Vessel Measurement and Calculation
The same as normal measurement in B mode.
6.10 Urology Measurement and Calculation
Normally urology measurements are performed in B and B/B mode. Freeze the required image under Urology examination, then click [Calc] key to enter into Urology measurement status.
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Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment ×L×H×W
Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Distance
cm
Refer to distance Meas.
Single Plane
ml
Refer to distance Meas. Formula: V=( π/6 ×L×D2
Left ventricular parameter at end diastole: LV long-axis SL; LV short-axis SD; Left ventricular parameter at end systole: LV long-axis DL; LV short-axis DD
Bi-Plane
ml
Refer to distance Meas., ellipse Meas. Formula: V=( 8/3 ×Am×Ai÷π×D
D: LV short-axis Am: LV area on mitral valve level figure Ai: LV area on apex level figure
Bullet Volume
ml
Refer to distance Meas., ellipse Meas. Formula: V=( 5/6 ×Am×L
Am: LV area on mitral valve short-axis figure L: LV long-axis
Modi_Simps on
ml
Refer to distance Meas., ellipse Meas. Formula: V=(Am 5×Ap/18×L
Am: LV area on mitral valve short-axis figure Ap: LV cross sectional on papillary muscle level figure. L: LV long-axis
6.11 Cardiac Measurement and Calculation
Normally urology measurements are performed in B and B/B mode. Freeze the required image under Cardiac examination, then click [Calc] key to enter into Cardiac status.
6.12 Normal Measurement and Calculation in M, B/M mode
At real-time status, click [B/M] key twice to enter M mode, press [Calc] key to enter into M mode measurement status. OR At real-time status, click [B/M] key to enter B/M mode, press [Calc] key to enter into M mode measurement status.
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6.12.1 Distance
Measurement steps:
1.Select menu item-“Distance” to enter into measurement.
2.Click on the M image area, it will display a blue dotted line with two horizontal short line. The blue dotted line represents the position need to be measured. The distance between the two short lines is the distance you want to measure. The yellow short line represents it‟s in active status. Click it and drag the short line to anywhere you want to put.
3.Click [UPDATE] button to active the two short lines in turns and dragon them to change the distance between them. The measurement result will be displayed on the result area.
6.12.2 Time
Measurement steps:
1.Select menu item [Time] to enter into measurement.
2.Click on the M image area, it will display two blue straight dotted line. The blue dotted line with one yellow short line on it represents it is in active status. The distance between the two straight lines stands for time you want to measure. You can drag the active straight line to anywhere you want to change the measured time.
3.Click [UPDATE] button to active the two straight lines in turns and dragon them to change the distance between them. The measurement result will be displayed on the result area .
6.12.3 Heart rate
Heart rate is used to calculate the number of heart beats per minute from cardiac image. Measurement steps:
1.Choose [Heart rate] menu item to enter into measurement.
2.The method is same as Time.
3.After the above measurement, the calculated heart rate result is displayed in the measurement result area.
4.Repeat the steps form1 to 3 to start next measurement.
6.12.4 Velocity
Measurement step:
1.Click[Velocity] to enter measurement condition.
2.Select the starting point and press [ENTER], the starting point and the removable cursor display, drag cursor to the end point.
3.Press [ENTER] again, measurement completes, the result displays in the region of measurement
4.repeat 1~3, and enter the next measurement of velocity.
Note: The maximum number of the measurement result on the image area is one. The second
measurement result will cover the first one. The measurement result area will list all the measurement values.
6.13 General Measurement in M mode
At real-time status, click [B/M] key twice to enter M mode, click [Calc] key to enter into M mode cardiology
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measurement status.
Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Distance
cm
Refer to M distance Meas.
Time
s
Refer to M time Meas.
Velocity
cm/s
Refer to M velocity Meas.
HR One Cycle
bpm
Refer to M HR Meas.
Double Cycles
bpm
Refer to M HR Meas.
Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Distance
cm
Refer to M distance Meas.
ET s
Refer to M time Meas.
HR One Cycle
bpm
Refer to M velocity Meas.
Double Cycles
bpm
Refer to M velocity Meas.
LVMM IVSd
cm
Refer to M distance Meas.
Interventricular Septum
LVIDd
cm
Refer to M distance Meas.
Left Ventricular Diameter at diastole
6.14 M Abdomen Measurement
The same with M mode general measurement.
ECO 1/3 Ultrasound Diagnostic System
6.15 M OB Measurement
The same with M mode general measurement.
6.16 M GYN Measurement
The same with M mode general measurement.
6.17 M Mode Cardiac Measurement
Normally urology measurements are performed in M and B/M mode. Freeze the required image under Urology examination, then click [Calc] key to enter into Urology measurement status. Or press [Change] to choose the cardiac measurement.
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Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
LVIDs
cm
Refer to M distance Meas.
Left Ventricular Diameter at systole
LVPWd
cm
Refer to M distance Meas.
Left Ventricular Posterior Wall at diastole
IVSs
cm
Refer to M distance Meas.
Interventricular Septal Thickness at Systole
LVPWs
cm
Refer to M distance Meas.
Left Ventricular Posterior Wall at Systole
EDV
ml
EDV 7.0/ 2.4+LVIDd ×LVIDd3
Left Ventricular Volume at end diastole
ESV
ml
ESV 7.0/ 2.4+LVIDs ×LVIDs3
Left Ventricular Volume at end Systole
SV
ml
SV=|EDV-ESV|
Stroke Volume
SI
SI=SV/BSA
Stroke Volume, BSA: Body Surface Area, it calculated by input the height and weight.
EF
%
EF=SV/EDV×100
Ejection Fraction
SF
%
SF=( LVIDd-LVIDs /LVIDd×100
Contraction Fraction CO
L/min
CO=SV×HR/1000
Cardiac Output
CI
CI=CO/BSA
ECG Index, BSA: Body Surface Area, it calculated by input the height and weight.
LVMW
LVMW
1.04×[(IVSd+LVIDd +LVPWd)3-LVIDd3]-
13.6
LVMWI
LVMWI LVMW/BSA
BSA: Body Surface Area, it calculated by input the height and weight.
MVCF
MVCF
LVIDd-LVIDs ) /LVIDd×LVET)
Average Reduction of Length
Mitral Valve
EF Velocity
cm/s
Refer to M HR Meas.
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Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment AC Velocity
cm/s
Refer to M HR Meas.
A peak/E peak
Refer to M distance Meas.
Mitral Orifoce Flow
Refer to M HR and time Meas. QMV = 4 × DEV × DCT
DEV: Mitral Valve Opening Velocity DCT: Mitral Valve Opening Time
Arota
LAD/AOD
Refer to M distance Meas.
LV and aorta diametrical ratio
Aortic Valvular Orifice Flow
AVSV = (MAVO1+MAVO2)× LVET×50+AA
MAVO1: Aorta opening distance at the beginning. MAVO2: Aorta opening distance at the end. AA: Range of Aorta Wall Motion
6.18 M Urology Measurement
The same as general measurement in M mode.
6.19 M Small Parts Measurement
The same as general measurement in M mode.
6.20 M Pediatric Measurement
The same as general measurement in M mode.
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Function name
Setting method
Function description
Hospital Department
Input freely
Set up the hospital name which is shown at top left
corner of “General Setting” dialog box, 20 characters
Max. can be input
Date and Time
Input freely
Set up the system date (calendar format), select current date directly. Date format can be changed by format setting.
Date Format
Set up freely
Set up date format: Year/Month/Date, Month/Date/Year, Date/Month/Year
Time zone
Set up freely
Set up the working clock of the system.
Chapter 7 Preset
This chapter introduces the operation to make settings of the system through preset menu at preset mode. Preset function is used to set up working environment and status, parameters of each examination mode. The setting will be stored in the memory of system and not be lost even after the system is switched off. When the system is switched on, it will work automatically with the status which is required by the operator. In preset interface, all operation relies on moving trackball to required Function button position. Press [ENTER] button to start operation.
7.1 General setting
Press the [SETUP] key to enter system setting interface. User can do user-defined setting. Click [X] in the title bar or the exit key on the button can exit the system setting interface.
General Setting Interface
Form 1 General setting
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Language
Select language
Select the language of operation interface(Simplified Chinese English and so)
Screen shot Type
Select the need type
Set the content which screen picture contain: only picture, image area and patient information, full screen
Frame number choice
Set up freely
Set the default frame when save the film
Options for Transmitted Images
Click the button to open the setting box
Adjust the parameters of transmitted images: brightness, contrast, gamma.
default
Press button
Recover all preset to factory setting
7.2 Measurement
Measurement includes general measurement setting and measurement formula setting
7.2.1 General measurement setting
General settings can only change the display of measurement unit.
General Measurement settings interface
Distance: cm, mm Area: cm2, mm2 Volume: ml, l Time: s, ms Speed: cm/s, mm/s Acceleration: cm/s2, mm/s2 Angle: deg, rad
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Caption
Display names of all items that is displayed name in measurement menu
Var Name
The name of built-in selected measurement menu, user don‟t
Weight: g, kg Measure Result Optional: whether clear results upon unfreeze, and freeze upon measure.
7.2.2 Measurement formula setting
7.2.2.1 Interface Description-Measurement Menu
Interface for Edition of measurement Formula
Region: pull down and select needed measurement menu Manage: pop up measurement software edition interface, add modify delete change marshalling sequence in
measurement menu.
BM: display measurement of each Exam mode Up: press this button to move selected measurement term up Down: press this button to move selected measurement term down Add Folder: add a measurement item. In the left column when the term is fold there is “+” otherwise “-” Add Measurement: add a measurement item for a term in the right column there is selected item and
detailed parameter.
Add Calc Measurementadd a cal item for a measurement term Remove: remove selected measurement term or item. Default: restore all measurement term as factory setting. Save: save measurement item modification users did Check : display needed items on measurement menu, otherwise not displayed
Sheet 2 Folder Edit content description
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need modify while display order according to the names
Unique Name
Built-in code, user don‟t need modify
Measurement rule
None: Disable rule , Repeat: Repeat this item , Sequential: measure by sequence
Default item
After choosing the Repeat and Sequential , choose one measurement or calculation to activate the measurement rule
7.2.2.2 Interface Description-Measurement Manipulation
Caption
Display the name of selected term that is display names in the measurement menu
Var Name
The name of built-in selected measurement menu, user don‟t need modify while display order according to the names
Unique Name
Built-in code, user don‟t need modify
Display In Menu
Check the required item and it will display on the measurement menu. The item without checking will not display on the measurement menu.
Choose measurement methods
Check the methods in measurement menu , press [update] to switch the method, Otherwise , the measurement is not available
Display in Report
Check and display the item in measurement menu , otherwise ,the item is not displayed
Name
Measurement operation of specific measurement display in results
Unit
Data unit which measurement operation produces
ECO 1/3 Ultrasound Diagnostic System
Interface for Edition of Measurement Formula
Sheet 3 Measurement Edit content description
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Display In Report
Whether display in the report or not.
Average Method
The average rule of data
Modify
Press this button to pop up interface to modify measurement operation
Remove
Press this button to delete selected measurement operation
7.2.2.3 Interface Description-Measurement Calculation
Caption
Display the name of selected term that is display names in the measurement menu
Var Name
The name of built-in selected measurement menu, user don‟t need modify while display order according to the names
Unique Name
Built-in code, user don‟t need modify
Tool Type/Tool
Select available measurement tool type B distance (B line),area/circumference(ellipse, trace),M distance(M vertical line),time(M horizontal line),M slope(M slant)
Name
Needed measurement operation of specific measurement and calculation
Unit
Data unit which measurement operation produces
Display In Report
Whether display in the report or not. Up
Press this button to move measurement operation up
ECO 1/3 Ultrasound Diagnostic System
Interface for Edition of Measurement Formal
Sheet 4 Calc Measurement Edit content description
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Down
Press this button to move measurement operation down
Average Method
The average rule of data
Add
Press this button to pop up interface to add measurement operation
Modify
Press this button to pop up interface to modify measurement operation
Remove
Press this button to delete selected measurement operation
Caption
Display the name of selected term that is display names in the measurement menu
Var Name
The name of built-in selected measurement menu, user don‟t need modify while display order according to the names
Unique Name
Built-in code, user don‟t need modify
Ruler Result
Needed measurement operation of specific measurement and calculation
Edit
Enter into interface to edit formula when selecting calculation item
Maximum
The maximum value displays in result zone and report
Minimum
The minimum value displays in result zone and report
Unit
Data unit which measurement operation produces
Display In
Whether display in the report or not.
7.2.2.4 Create Measurement Operation
Press [Add] in measurement operation interface, pop up the following dialog box
Interface for Edition of Measurement Formula
Sheet 5 Operation content description of creating new measurement
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Report
Method
The average rule of data
7.2.2.5 Formula Edit-Normal
It is necessary to enter into the following interface when creating measurement operation except OB
Interface for Edition of Measurement Formula
Formula: edit formula in input box via keyboard and built-in formula. Validate: press this button to check whether the formula is right or not after editing formula. Clear: clear the content in the input box Unit: select the unit of calculation consequence Measurement Items: display all available measurement operation in the measurement menu. Function: built-in formula, number input and some parameters that system needs such as BSA, SPSA.etc Cancel: cancel editing formula and close the interface OK: save edited operation and close the interface
7.2.2.6 Formula Edit-OB
It is necessary to call built-in OB formula sheet when creating OB measurement operation the following function interface is required.
Caution: the results of GA and EDD don‟t require unit, the unit of this class has been built-in.
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Measurement Items: display created measurement term by now OB Tables: built-in OB formula table OB List
Measure Item: OB Measurement Item GA Tables: Gestational list for the current measuring project. Growth Table: Growth table for the current measuring. Fetal Weight: Fetal Weight calculation formula.
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EFW Equation: Fetal weight calculation for the current measuring. EFW Growth: Fetal weight growth curve for the current measuring. Info: Display the gestational age and fetal weight for the current measuring. Cancel: Cancel the operation of choosing the formula Save: Save the users choice of formulas.
7.3 Annotation
Annotation Setting Interface
7.3.1 Annotation Library
The annotation database of the system is classified as: abdomen、OB、GYN、Cardiac、small part、Pathological change Annotation can be made by inputting characters from the soft keyboard or recalling the terms saved in annotation database. Press [CommentLib] pull down button, pop up annotation name within system, through trackball and [ENTER] to show required annotation status.
7.3.1.1 Edit Annotation Library
Operation:
1.At the annotation status, Move the cursor to the [Edit Comment Type]button then press [ENTER] key, the annotation will be updated, and can be edited.
2.Input name into the new created annotation status box, Move the cursor to the [Create] button then press [ENTER] key, then create new annotation status and appear in selected annotation status list
3.Move the cursor to the [Delete] button ,press [ENTER] key, then delete current annotation status in the selected annotation list.
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4.Alter name of current annotation status list in [Current Type Name]input box, press[ENTER] on the [Rename] button, then rename the selected annotation status name.
7.3.2 Edit Annotation
Operator uses only current annotation instead of all content annotation status provides, inlay common annotation. If necessary, user can import annotation or self-compiled annotation into common annotation.
7.3.2.1 Add annotation from annotation library
Operation:
1.Select needed source annotation status via Trackball and [ENTER]
2.Select needed annotation at [CommentLib]column then press the[ENTER]button to activate this annotation.
3.Press [ENTER] on [>] button to import selected annotation into user-selected annotation status; press [ENTER] on [>] button to move selected annotation in [Comment Selected] column into source annotation.
4.press[ENTER]on[>>]button to import all annotation in source into user-selected annotation status; Press[ENTER]on[>>] button to move all annotation in[Comment Selected]column into source annotation.
7.3.2.2 Add annotation manually
Operation:
1.Activate[Edit Comment]input box via Trackball and [ENTER] button, then input needed abbreviation and full name of annotation.
2.Press [ENTER] on [Add]button, meanwhile this handout will be added into source and user-selected annotation status.
7.3.2.3 Alter annotation
Operation: Alter annotation in user-selected status, the abbreviation and full name of annotation will be displayed in[Edit Comment] box. Activate needed abbreviation and full name via [ENTER]and alter via keyboard. Press [ENTER] on [Modify] button, modify the annotation in both source and user-selected status.
7.3.2.4 Delete annotation in library
Operation: Select needed annotation in source status, press [ENTER] on [Delete from Lib] button then the annotation deleted.
7.3.3 Comment and Arrow Option
Optional: whether clear comments and arrows upon unfreeze. Optional: whether freeze upon comments and arrows.
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7.4 Body marks
ECO 1/3 Ultrasound Diagnostic System
Interface for Body Mark Setting
7.4.1 Body Marks Library
Built-in body marks: abdomen OB, GYN, Cardiac, small part, urology, vessel. Press [BodyMarkLib] pull down button, pop up name of built-in body marks, show needed body marks via Trackball and [ENTER] button.
7.4.1.1 Edit body marks library
Operation:
1.Press [ENTER]on [Edit BodyMark Type], pop edit box.
2.Input name into the new created body marks box, Move the cursor to the [Create]button then press [ENTER] key, then the new body marks will be created and appear in selected body marks list
3.Move the cursor to the [Delete] button then press [ENTER] key, then delete current body marks in the selected list.
4.Alter current annotation status list name in [Current Type Name] input box, press [ENTER] on the [Rename] button, then rename the selected body marks.
7.4.2 Body mark edition
Operation:
1.Select needed source body marks via Trackball and [ENTER]
2.Select needed body marks at [BodyMarkLib] column then press the [ENTER] button to activate it.
3.Press [ENTER] on [>] button to import selected body marks into user-selected status; press [ENTER] on [>] button to move selected body marks in [BodyMark Selected] column into source body marks.
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4.Press [ENTER]on[>>]button to import all body marks in source into user-selected status; press [ENTER]on[>>] button to move all body marks in [BodyMarks Selected] column into source .
7.4.3 Body mark Option
Optional: whether clear bodymark upon unfreeze. Optional: whether freeze upon bodymark.
7.5 Exam Mode
7.5.1 Exam Mode Edit
Press Utility in the submenu of [MENU], the parameters control area shows as following. According to the corresponding control button to turn on or off the function.
Preset: Display the current preset. Rename: Rename the current preset. Load Preset: Load the preset displayed. Save: Save the current preset. Save As: Save the current preset as others.
7.5.2 Exam Mode Selection
Choose Utility and press [MENU], the following interface pops up. Open the relate function by corresponding control area.
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Interface for ExamMode Setting
Probe: select needed probe and ExamMode fit for it. ExamModeLib: show all existed Exam modes. ExamMode Selected: show Exam modes in probe column. >: import selected Exam modes from ExamModeLib column to ExamMode Selected column. >>: import all Exam modes from ExamModeLib column into ExamMode Selected column. <: delete selected Exam modes in ExamMode Selected column. <<: delete all Exam modes in ExamMode Selected column. Set as default: set selected Exam modes in ExamMode Selected column as default Move up: move selected Exam modes in ExamMode Selected column up. Move down: move selected Exam modes ExamMode Selected column down. Copy to: copy the exam mode selected in ExamMode to a specified preset.
7.5.3 Exam mode selection
Operator can define needed Exam mode in detail including annotation, body marks, measurement menu import and export etc.
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Interface for Exam Mode Setting
ExamMode: show all existed Exam modes in system Comment: double click[ENTER]to activate widget box, can choose existed annotation status name. After
setting, the default of the Exam mode is user-selected.
BodyMark: same as Comment, select user-needed default body marks. Measurement: same as Comment, select user-needed default measurement menu. Rename: rename selected Exam mode Delete: delete selected Exam mode Export: export all built-in Exam modes into USB flash disk. Import: import all built-in Exam modes into USB flash disk. Restore: restore all Exam mode as factory setting.
7.6 DICOM
DICOM includes DICOM Storage , DICOM Worklist , DICOM Print and DICOM SR . If DICOM is to be applied , please make sure DICOM has been activated . In the system page of setting interface , you can check whether DICOM is open or not . If you want to activate DICOM , please contact with CHISON. There must be DICOM SCP server which has been installed with PACS or other relative DICOM server software
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Local AE Title: input local DICOM Title to separate the DICOM equipments in local network. Service: display the local DICOM function worklist , AE Title: display the name of local DICOM AE title , IP: display the IP of DICOM server, Port: display the port of DICOM server Timeout(s): display the delay time Available: display whether DICOM is default or not , Verify: Press verify button and display whether DICOM setting is correct or not Add: add DICOM function and pop up setting dialog, Delete: delete the existed DICOM function Set as default: set one DICOM service as default , Send while saving: check this item and enable DICOM storage while saving image or cine , send clip or
image according to activated function. Send in archive: send DICOM storage in archive or review , send clip or image according to activated function.
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7.6.1 Add/Edit DICOM Function
ECO 1/3 Ultrasound Diagnostic System
Default: check this option , set DICOM function as default; Service: choose DICOM Storage , DICOM Worklist , DICOM Print or DICOM SR; Server AE Title: input DICOM server AE name; Server IP address: input DICOM IP address; SCP port: input DICOM server SCP port; Timeout: set the delay time of DICOM; Tip: choosing the DICOM Print type must be before relative print setting.
7.7 NET Work
Set the unit‟s and target unit‟s IP and do the connection testing.
7.8 System
7.8.1 System information
Display the software version, hardware version, system version, etc.
7.8.2 Upgrade
Software and Hardware can be updated by USB flash drives. Software upgrade File Path: X:\update\XXX or X:\update_SN\XXX.Hardware update File Path: “X:\fpga_update\XXX”, Keyboard upgrade File Path: “X:\ keyboard_update \XXX”. X means USB flash drives.XXX means upgrade content .It should restart manually after hardware update, and after software update, machine can be restarted automatically.
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7.8.3 Function Setting
DICOM: Click [Open] key, it will bring up the DICOM Key Input dialog box. Input the DICOM SN, and click [OK] key to save and exit. Full screen show: refer to DICOM.
7.8.4 Installment setting
Input relevant key to open trial function and the detail please contact CHISON Company.
7.8.5 Video VGA
Choose the video data: NTSC , PAL-M, PAL-D. Video opened: Choose the item to open this function. VGA opened: Choose the item to open this function.
7.8.6 Image function
Export hardware SN and import hardware secret key, it only for engineer use.
7.8.7 System Maintenance
Only an authorized service engineer may perform maintenance.
7.8.8 USB Video Printer Option
Adjust the parameters of Video Printer OptionDark, Light, Sharpness, Gamma. Select the parameters needed to adjust, press [Confirm] button on the slider of the parameter, and move the trackball to change the parameter.
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Chapter 8 System Maintenance
8.1 Machine Clean
Caution: do turn off the power before cleaning and pull out the cable from socket. There is possibility
of electric shock if the device is on
Clean methods:
Use the soft dry cloth to wrap the machine. If the device is quite dirty, use wet soft cloth. After wiping the blot, use soft dry cloth to wipe dry
Caution:
1.Don‟t use organic solvent such s alcohol ,otherwise surface may be ruined
2.When cleaning the machine, don‟t let the liquid inflow the machine, otherwise it may malfunction and there is danger of electric shock.
3.When it is necessary to clean the probe connector and peripheral instrument, please contact Sales office contact customer service or agent of CHISON. Any self-cleaning may result in malfunction or degrading the function of device.
8.2 Probe Maintenance
The probes used by this machine can be divided into two series: body surface and intracavity During all ultrasound scan , ultrasonic radiation on the human body should be as less as possible.
Caution:
1.Only person Received professional training can use the probes.
2.Probes can‟t receive pressure sterilizer, when operation in sterile area, disposable sterile probe hood should be applied.
3.Make sure not to drop the transducer on hard surface. This can damage the transducer elements and compromise the electrical safety of the transducer.
4.Be careful when operation, make sure not to scratch the probe surface.
5.Avoid kinking or pinching the transducer cable.
6.Make sure not to connect the probe to plug or put adjacent cable into any kind of liquid.
7.Keep the probe clean and dry. Power off or freeze when fixing or dismantling the probe.
8.Make sure not to use or deposit the probe in the environment above 50 degree.
9.If any abnormal phenomena of probe is found, immediately stop operation and contact with Sale Office, Customer Service department or Agents of manufacturer.
Cleaning
The cleaning procedure is fit for all probes. After operation every probe should do cleaning according to stated procedure of this passage. Inspection should be done for intracavity probe depends on condition of use
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Cleaning procedure:
1.Wipe the remaining coupling gel and blot with flowing clear water. Avoid the joint part between cable and probe touching the water or others
2.Use wet gauze or other soft cloth with a little liquid soap to clean the probe totally. Don‟t use cleaning agent and cleaner with abrasiveness
3.Use flowing water to rinse fully. Use soft cloth which has been soaked by the concentration of 70% isopropyl alcohol to scrub. Then check the probe to make sure there is no blot.
4.Use clean cloth to dry the probe
Caution: Don‟t put the body surface probe into liquid below acoustical lens. Intracavity probe can‟t
exceed insertion region. Prohibit putting connector of probe into any liquid.
Infection
Infection procedure id fit for intracavity probe If it is necessary to use in surgery, please abide with instruction of professional infection person
Infection procedure:
1.Obey the cleaning procedure to clean the probe totally
2.Prepare and retreat The concentration of 2% glutaraldehyde solution as the infection solution according to the instruction of manufacturer
3.Put the insertion region of probe into infection solution, the inserting depth can‟t exceed insertion region. Don‟t let the probe connector touch any liquid.
4.Soak the probe for 3 h
5.Pull out the probe, immediately rinse totally with sterile water and saline. To make sure of no any solution remaining. Please obey the rule to do right rinsing procedure including enough rinsing water and times
6.When probe is used in sterile area ,make sure to use disposable sterile probe hood
Caution:
1.Don‟t soak probe connector into any liquid
2.Don‟t let the soaking depth of intracavity probe exceed insertion region
3.Prohibit soaking the probe in the liquid for more than 12 h
4.Only use qualified inspection resolution
Deposit:
Please replace the probe in clean and dry environment, avoid direct sunshine Keep the environment to deposit the probe during -1050, Do not put it in high pressure and vacuum environment. When accessing probe be careful and avoid ruin. During transportation or leisure, the probe should be deposited in probe box.
8.3 Safety Check
To make sure this device works normally, a piece of maintenance plan is suggested to make to check the
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serial number
malfunction
reason
Measures
1
Switch button lights but power LED not
Battery lose efficacy, Adapter works irregular
Check the connector between cable and power
2
Power Led lights but LED no image
The interval time is too short to restart
Restart after 1 minute
3
LED display character menu but no scan image
Launch power, gain or STC control errors Not connect to probe or the probe connection is not correct Device is in freezing condition
Control launch power , gain or STC control Make sure of right connection Exit from freezing condition
4
Abnormal image
Exam mode errors Image processing setting errors
Whether Exam mode is proper or not Adjust image processing setting or set it as default
5
Probe works improperly
1.The plug plugs loosely
2.Internal circuit protects
1.Extract the probe and reinsert
2.Restart
6
No OB calculation package menu
Do not select the OB application before scanning.
Select the OB application
7
PRINT-key doesn‟t work
1.The connected printer is approved
2.Printer power is not on
3.Printer is not connect well
1.Change the approved printer
2.Turn on the printer
3.Connect the printer again
device regularly If any abnormal phenomena, immediately stop operation and contact with Sale Office, Customer Service department or Agents of manufacturer.
If no image or menu but image, please check following malfunction table. If the malfunction can‟t be solved,
please contact with Sale Office, Customer Service department or Agents of manufacturer.
8.4 Malfunction Check
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Stress Relief Transducer
Scanhead (Lens)
Binding line
Handle
Chapter 9 Probes
9.1 General Description
Convex Probe Overview
The probes provide high spatial and contrast ultrasound imaging of frequencies from 2.0MHz to 11.0MHz. These probes operate by pulsing sound waves into the body and listening to the returning echoes to produce high-resolution brightness mode, and a real time display.
9.2 Care and Maintenance
The probes that come with the system are designed to be durable and dependable. These precision instruments should be inspected daily and handled with care. Please observe the following precautions:
1.Do not drop the transducer on hard surface. This can damage the transducer elements and compromise the electrical safety of the transducer.
2.Avoid kinking or pinching the transducer cable.
3.Use only approved ultrasonic coupling gels.
4.Follow the instructions for cleaning and disinfecting that come with each probe.
9.2.1 Inspecting Probes
Before and after each use, inspect carefully the probe’s lens, cable, casing, and connector. Look for any damage that would allow liquid to enter the probe. If any damage is suspected, do not use the probe until it has been inspected and repaired/replaced by an authorized Service Representative.
NOTE
Keep a log of all probe maintenance, along with a picture of any probe malfunction.
WARNING
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