Gima CHISON ECO6 COLOUR ULTRASOUND User guide

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Digital Color Doppler Ultrasound System
ECO 6
Instruction Manual
V1.6
Dec. 2019
57-00610-00
We reserve the rights to make changes to this manual without prior notice.
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ECO 6 Digital Color Doppler Ultrasound 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 6. 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 repairing, but do not cover any labor cost or onsite service cost at end user's side.
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ECO 6 Digital Color Doppler Ultrasound System
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 CHISON‟s 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.
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ECO 6 Digital Color Doppler Ultrasound System
CAUTION: 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.
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.
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 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 CHISON‟s authorized service
engineer to make sure it‟s 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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ECO 6 Digital Color Doppler Ultrasound System
Content
Chapter 1 Introduction .......................................................................................................................................... 1
1.1 System Overview .................................................................................................................................. 1
1.2 Contact Information ............................................................................................................................. 1
Chapter 2 System Safety ..................................................................................................................................... 2
2.1 Safety Overview .................................................................................................................................... 2
2.2 Electrical Safety .................................................................................................................................... 3
2.3 Label ........................................................................................................................................................ 5
2.4 Patient Environmental Devices ........................................................................................................ 7
2.5 Biological Safety .................................................................................................................................. 9
2.6 Scanning Patients and Education .................................................................................................. 10
2.7 Battery Handling Instructions ......................................................................................................... 15
Chapter 3 System Introduction .......................................................................................................................... 17
3.1 Console View ....................................................................................................................................... 17
3.2 Physical Specification ....................................................................................................................... 17
3.3 System View in Different Views ...................................................................................................... 18
3.4 Function Introduction ....................................................................................................................... 19
3.5 Installation Procedures ..................................................................................................................... 21
Chapter 4 Control Panel ................................................................................................................................ ..... 27
4.1 Keyboard Appearance ...................................................................................................................... 27
4.2 Alphanumeric Keyboard ................................................................................................................... 27
4.3 Function Keys/Knob .......................................................................................................................... 28
4.4 Parameter Control key ...................................................................................................................... 30
4.5 STC......................................................................................................................................................... 30
4.6 Central Control .................................................................................................................................... 30
4.7 Information Area Indicating Machine Status ............................................................................... 31
Chapter 5 Operation and Exam Mode ............................................................................................................. 33
5.1 Preparing the System for Use ......................................................................................................... 33
5.2 Choose Exam Mode ........................................................................................................................... 33
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ECO 6 Digital Color Doppler Ultrasound System
5.3 Patient Data Entry .............................................................................................................................. 34
5.4 Image Interface Display .................................................................................................................... 35
5.5 Display Mode ................................ ................................ ................................................................ ....... 35
5.6 B Image Adjustment .......................................................................................................................... 39
5.7 CFM Image Adjustment .................................................................................................................... 42
5.8 PW Image Adjustment ....................................................................................................................... 43
5.9 M Image Menu & Parameters Adjustment.................................................................................... 44
5.10 CPA/DPD Image Adjustment ......................................................................................................... 44
5.11 Full Screen Show ............................................................................................................................. 45
5.12 Edit Comment ................................................................................................................................... 45
5.13 Set Body Mark ................................................................................................................................... 47
5.14 Image and Cine Disposition .......................................................................................................... 48
5.15 Image Browse ................................................................................................................................... 49
5.16 Archive Management ...................................................................................................................... 50
5.17 Report ................................................................................................................................................. 51
5.18 DICOM ................................................................................................................................................. 52
Chapter 6 Measurement and Calculation ........................................................................................................ 54
6.1 Keyboard for Measurement ............................................................................................................. 54
6.2 B Mode general Measurement methods ....................................................................................... 55
6.3 B Fast Measurement .......................................................................................................................... 57
6.4 B General Measurement ................................................................................................................... 58
6.5 ABD Measurement ............................................................................................................................. 59
6.6 OB Measurement ................................................................................................................................ 61
6.7 Pediatric Measurement ..................................................................................................................... 64
6.8 GYN Measurement ............................................................................................................................. 65
6.9 Small Parts Measurement ................................................................................................................ 66
6.10 B Mode Vessel Measurement ........................................................................................................ 67
6.11 Urology Measurement ..................................................................................................................... 67
6.12 Cardiac Measurement ..................................................................................................................... 68
6.13 Normal Measurement in M, B/M mode ........................................................................................ 71
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ECO 6 Digital Color Doppler Ultrasound System
6.14 General Measurement in M mode ................................................................................................ 73
6.15 M Abdomen Measurement ............................................................................................................. 73
6.16 M OB Measurement ......................................................................................................................... 73
6.17 M GYN Measurement ....................................................................................................................... 73
6.18 M Mode Cardiac Measurement ..................................................................................................... 73
6.19 M Urology Measurement ................................................................................................................ 76
6.20 M Small Parts Measurement .......................................................................................................... 76
6.21 M Pediatric Measurement .............................................................................................................. 76
6.22 PW mode measurement methods ................................................................................................ 76
6.23 PW Fast Measurement .................................................................................................................... 77
6.24 PW Genearl Measurement ............................................................................................................. 79
6.25 PW Abdomen Measurement .......................................................................................................... 82
6.26 PW OB Measurement ...................................................................................................................... 82
6.27 PW GYN Measurement ................................................................................................................... 82
6.28 PW Cardiology Measurement ....................................................................................................... 83
6.29 PW Vascular Measurement ............................................................................................................ 88
6.30 PW Urology Measurement ............................................................................................................. 89
6.31 PW Small parts Measurement ....................................................................................................... 89
6.32 PW Pediatric Measurement ........................................................................................................... 89
Chapter 7 Preset ................................................................................................................................................. 90
7.1 General setting .................................................................................................................................... 90
7.2 Measurement ................................ ................................ ................................................................ ....... 92
7.3 Comment ............................................................................................................................................ 101
7.4 Body marks ........................................................................................................................................ 103
7.5 Exam Mode ........................................................................................................................................ 104
7.6 Report .................................................................................................................................................. 107
7.7 DICOM ................................................................................................................................................. 109
7.8 NET Work............................................................................................................................................ 111
7.9 System ................................................................................................................................................ 112
Chapter 8 System Maintenance ...................................................................................................................... 114
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ECO 6 Digital Color Doppler Ultrasound System
8.1 Machine Cleaning ............................................................................................................................. 114
8.2 Probe Maintenance .......................................................................................................................... 114
8.3 Safety Check ................................................................ ................................................................ ...... 116
8.4 Malfunction Check ........................................................................................................................... 116
Chapter 9 Probes .............................................................................................................................................. 117
9.1 General Description ......................................................................................................................... 117
9.2 Care and Maintenance .................................................................................................................... 117
9.3 Probe Operation Instructions ........................................................................................................ 127
9.4 Service Responsibility .................................................................................................................... 129
Appendix A: The Information of EC Representative ...................................................................... 131
Appendix B: Acoustic Output Report Table .................................................................................... 132
Appendix C: Guidance and Manufacturer’s Declaration .............................................................. 180
Appendix D: Measurement Results Summary ................................................................................ 184
Appendix E: Display Accuracy and Acoustic Measurement Uncertainties ............................. 185
Appendix F: Transducer Maximum Surface Temperature ........................................................... 186
Appendix G: Procedures of setting network sharing .................................................................... 187
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ECO 6 Digital Color Doppler Ultrasound System
CHISON website
www.chison.com
Service Support
CHISON Medical Technologies Co., Ltd. Tel:0086-0510-85311707 Fax: 0086-0510-85310726 E-mail: service@chison.com.cn
Placing an Order
CHISON Medical Technologies Co., Ltd. Tel: 0086-0510-8531-0593/0937 Fax: 0086-0510-85310726 Email: export@chison.com.cn
Manufacturer
CHISON Medical Technologies Co., Ltd. No.228, Changjiang East Road, Block 51 and 53, Phase 5, Shuofang Industrial Park, Xinwu District, Wuxi, Jiangsu, China, 214142
No.9, Xinhuihuan Road, Xinwu District, Wuxi, Jiangsu, China 214028
US Agent
Mr. Marco Mu, 2219 Rimland Drive,Suite 301,Bellingham, Barkley Villiage Bellingham,Washington,98226, UNITED STATES Phone: 360-3257028, Fax: 360-9253199, Email: us.agent@mid-link.net MID-LINK INTERNATIONAL CO., LTD
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 keeping 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, testicle, 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.
1.2 Contact Information
For additional information or assistance, please contact your local distributor or the appropriate support resource shown below:
CAUTION: Federal law restricts the device to sale by or on the order of a licensed
practitioner or therapist.
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ECO 6 Digital Color Doppler Ultrasound System
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
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ECO 6 Digital Color Doppler Ultrasound System
to constantly turn on and off the unit. *To dispose of this product properly, please call your local service department.
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.
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ECO 6 Digital Color Doppler Ultrasound System
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.
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 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 Label
This mark indicates that this product
contains a limited amount of hazardous substances in the Chinese Standard GB/T 26572-2011 "Limited Requirements for Restricted Substances in Electrical and Electronic Products". The numbers in the logo are the environmental protection use period of the product, indicating that under the normal use conditions, the harmful substances will not leak or be abrupt. The use of the product will not cause serious pollution to the environment or cause personal or property serious damage, the term unit is year
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 Authority or distributor of the manufacturer for information concerning the decommissioning of your equipment.
ECO 6 Digital Color Doppler Ultrasound System
2.3.1 Warning Symbols
Fig. 2-1 Real panel label
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ECO 6 Digital Color Doppler Ultrasound 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.
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.
This symbol signifies that the user manual
must be read.
The CE mark of Conformity indicates this equipment conforms with the Council Directive 93/42/EEC.
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.
Direct current To indicate on the rating plate that the equipment is suitable for direct current only; to identify relevant terminals.
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.
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ECO 6 Digital Color Doppler Ultrasound System
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
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.
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ECO 6 Digital Color Doppler Ultrasound System
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-X898MD 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/EN 60601-1. 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.  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 60601-1 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.
CAUTION: Make sure using ONLY the dedicated USB disk or removable media to save
or back up data. Before connecting to the ultrasound system, make sure using the latest antivirus
software on the USB disk or removable media to clean any virus. It is user’s responsibility to
ensure the USB disk or removable media is virus-free. Improper use of USB disk or removable media may cause the virus infections of system and eventually malfunction may occur. Such malfunction may impact the stability, effectiveness and safety of the system and probes, and users should immediately stop using the system and probes until CHISON authorized engineer has checked the system and confirm the effectiveness and safety of the system and probes.
CAUTION: Use only secure Local Area Network connection. Don’t connect the
ultrasound system to Internet. Make sure your hospital’s firewall software is configured correctly,
thus blocking incoming connection requests from Internet. Improper use of network connection may cause the virus infections of system and eventually malfunction may occur.
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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 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.
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ECO 6 Digital Color Doppler Ultrasound System
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.
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.
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TI
Maximum exposure time (minutes)
0.7
60
1.0
30
1.5
15
2.0
4
2.5
1
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:
Maximum recommended exposure times for an embryo or fetus
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.
2.6.2 Understanding the MI/TI Display
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ECO 6 Digital Color Doppler Ultrasound System
Distance
Frequency (MHz)
(cm) 1 3 5 7.5
1
0.9332
0.8128
0.7080
0.5957
2
0.8710
0.6607
0.5012
0.3548
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 6 Digital Color Doppler Ultrasound System
Distance
Frequency (MHz)
(cm) 1 3 5 7.5
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
8
0.5754
0.1903
0.0631
0.0158
Thermal Models
Composition
Mode
Specification
Application
1 TIS
Soft tissue
Unscanned
Large aperture (>1cm2)
Liver PW
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/scann ed
Bone at surface
Transcranial
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.
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.
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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.
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
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ECO 6 Digital Color Doppler Ultrasound System
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 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 STC.
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.
2.7 Battery Handling Instructions
CAUTION: Read and observe the following warnings and precautions to ensure correct
and safe use of Li-ion batteries.
Do not immerse the battery in water or allow it to get wet. Do not use or store the battery near sources of heat such as a fire or heater. Do not use any chargers other than those recommended. Do not reverse the positive (+) and negative (-) terminals. Do not connect the battery directly to wall outlets or car cigarette-lighter sockets. Do not put the battery into a fire or apply direct heat to it. Do not short-circuit the battery by connecting wires or other metal objects to the positive (+) and
negative (-) terminals.
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ECO 6 Digital Color Doppler Ultrasound System
Do not pierce the battery casing with a nail or other sharp object, break it open with a hammer, or step on it.
Do not strike, throw or subject the battery to sever physical shock. Do not directly solder the battery terminals. Do not attempt to disassemble or modify the battery in any way. Do not place the battery in a microwave oven or pressurized container. Do not use the battery in combination with primary batteries (such as dry-cell batteries) or
batteries of different capacity, type or brand. Do not use the battery if it gives off an odor, generates heat, becomes discolored or deformed, or appears abnormal in any way. If the battery is in use or being recharged, remove it from the device or charger immediately and discontinue use. Do not use or store the battery where is exposed to extremely hot, such as under window of a car in direct sunlight in a hot day. Otherwise, the battery may be overheated. This can also reduce battery performance and/or shorten service life. If the battery leaks and electrolyte gets in your eyes, do not rub them. Instead, rinse them with clean running water and immediately seek medical attention. If left as is, electrolyte can cause eye injury.
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Chapter 3 System Introduction
3.1 Console View
ECO 6 Digital Color Doppler Ultrasound System
Fig. 3-1 Console View
3.2 Physical Specification
Dimensions of main unit (approx.): 335mmLength×155mmWidth×350mmHeight Net weight of main unit (approx.): 6.5kg
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3.3 System View in Different Views
Fig. 3-2 System Front View
Fig. 3-3 System Side View
1. Ethernet 2. VGA 3.USB 4.FOOT SWITCH 5.DC IN
Fig. 3-4 Console Overview
1. Probe Holder 2.Probe 3.Keyboard
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Fig. 3-5 System Rear View
1. Probe 2.USB 3. REMOTE 4. VIDEO OUT 5.Battery Holder 6. Probe Holder
3.4 Function Introduction
ECO 6 Digital Color Doppler Ultrasound System
1. Display mode: B, 2B, 4B, B/M, M,CFM,PWdisplay mode, Trapezoidal Mode, , Triplex Mode (option), CPA(PD) Mode (option),etc;
2. Support 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 real time clock display annotation in image user-defined annotation;
8. Possess multi-language interface display User interface change, shear plate, printing ,DICOM
3.0 biopsy guided functions;
9. It has permanent storage for image and cine and optional 320GB HDD minimum. 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 256 frames 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  2B Mode
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B/M Mode
C3-A, 2.5-5.0MHz Convex Array
L7M-A, 5.3-10.0MHz Linear Array
L7S-A, 5.3-11.0MHz Linear Array
V6-A, 4.5-8.0MHz Micro-convex Array
R7-A, 5.0-10.0MHz Linear Array
MC6-A, 4.5-8.0MHz Micro-convex Array
MC3-A, 2.5-5.0MHz Micro-convex Array
P3-A , 2.5-4.5MHz Phased Array
M Mode  4B Mode  CFM Mode  PW Mode  Trapezoidal Mode  Triplex Mode (option)  B steer (option)  CPA(PD) Mode (option)  DPD Mode (option)  Biopsy and Super Needle (option)
3.4.2 Accessories
Transducers:
ECO 6 Digital Color Doppler Ultrasound System
Peripherals
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ECO 6 Digital Color Doppler Ultrasound System
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
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 Strong radiation sources or powerful electromagnetic waves (e.g. electro-magnetic waves from radio broadcasting) may result in image ghosting or noise. The system should be isolated from such radiation sources or electromagnetic waves. To prevent damage to the system, do not use in the following locations:
Exposed to direct sunlight Subject to sudden changes in temperature Dusty Subject to vibration Near heat generators High humidity
NOTE:
This equipment generates, uses and can radiate radio frequency energy. The equipment may cause radio frequency interference to other medical and non-medical devices and radio communications. To provide reasonable protection against such interference, this product complies with emissions limits for a Group 1, Class A Medical Devices Directive as stated in EN 60601-1-2. However, there is no guarantee that interference will not occur in a particular installation.
If this equipment is found to cause interference (which may be determined by turning the
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ECO 6 Digital Color Doppler Ultrasound System
equipment on and off), the user (or qualified service personnel) should attempt to correct the problem by one or more of the following measure(s):
Reorient or relocate the affected device(s). Increase the separation between the equipment and the affected device. Power the equipment from a source different from that of the affected device. Consult the point of purchase or service representative for further suggestions.
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.
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
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ECO 6 Digital Color Doppler Ultrasound System
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 equipment.
Before Moving the System
Press 3 s, system will be forced to shut down and completely switch off the system.  Disconnect all cables from off-board peripheral devices (external printer, etc.) from the
console.
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.
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ECO 6 Digital Color Doppler Ultrasound System
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 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 DC IN socket at the rear panel of the system, and 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.
Press for 1 s, system boot,
Press and pop up dialog for shut down. Click the enter key then system power off.
Or press for 3 s, system will be forced to 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 Installation
CAUTION: Please 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.
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ECO 6 Digital Color Doppler Ultrasound System
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 Installation
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 installation
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.
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 a danger of electric shock.
Video printer sign introduction
: Video signal input port
: Video signal output port
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: Print control port
: Video printer switch
3.5.4.2 Graphic printer installation
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.
CAUTION: Please see packing list for fundamental configuration!
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Chapter 4 Control Panel
4.1 Keyboard Appearance
ECO 6 Digital Color Doppler Ultrasound System
Fig. 4-1 Keyboard Appearance
4.2 Alphanumeric Keyboard
Fig. 4-2 Alphanumeric Keyboard
The alphanumeric keys are used for inputting patient‟s number, name, character and figure etc.
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4.3 Function Keys/Knob
Key/knob Icon
Name
Function description
Switch
Turn on or off the device.
Probe
Press this key for selecting probe. It can only select the connected probe.
Patient
Set up a new patient data, input name and other information.
Setup
Press this key to get in or out the system setting page.
End
Press END key to finish the exam.
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.
Comment
Press this key to enter into comment status, and add comments in the image area on the screen.
Del
Press this key to clear the measurement lines, body mark, and comments.
Review
File management of system, you can view and edit the patient data.
Report
Produce/ Save/ Recall an examination report.
Print 1 & print 2
PRINT1: Print the screen image by video printer connected to the system. PRINT2: Print the report by printer connected to the system (Only report page works). Or print the image in the scanning page; Or print the image in the review page.
B
Display B mode.
ECO 6 Digital Color Doppler Ultrasound System
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C
Display CFM mode.
D
Display PW mode.
M
Press this key to change the mode between B/M and M..
THI
Press this key to open or close the THI function..
AIO
Only press this key for automatic optimization image.
Left and Right Invert
Press this key to invert the image from left and right.
Up and Down Invert
Press this key to invert the image from up and down.
Cine
Only press this key to save the current cine loop.
Save
Only press this key to save the current image.
Freeze
Press this key to freeze or unfreeze the current image.
ANGLE/ZOOM
Rotate the knob to adjust the angle or zoom. Press this knob to change the function between angle and zoom.
GAIN
Rotate the knob to adjust the gain of B mode,C mode,D mode,PWmode, and M mode. When pressing the [GAIN] knob, full screen show will be activated. Press it again to exit this function.
DEPTH/FOCUS
Rotate the knob to adjust the depth and focus function position. Press the knob to change the function between depth and focus position.
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ECO 6 Digital Color Doppler Ultrasound System
1
2 3 4 5 6 7 8
9
10
4.4 Parameter Control key
Increase/decrease the corresponding parameters of the screen, or open/close the function.
4.5 STC
STC can be used for adjusting gain compensation in different image depth.
4.6 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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ECO 6 Digital Color Doppler Ultrasound System
Key/knob’s name
Function description
UPDATE
This multifunction key is work with trackball. The function switches with the unit status. Such as, call the annotation and back in measuring.
Exit
Press this key can exit measurement, dialog, and menu.
Cursor
Press this key to show or hide the cursor.
Change
Press this key to change the menu.
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.
Dist
Press this key to enter into distance measurement.
Trace
Press this key to enter into trace measurement.
Calc
Press this key to enter into measurement software package.
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.
Trackball
Trackball is the main operation tool on screen. Position calipers in measurement, the function of the trackball is different under diverse working status.
4.7 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: Case, Task Sequence, battery gauge.
Case: press this icon to change case. Task Sequence: press this icon to show task and its situation, to terminate the task, delete, and
so on. 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.
4.7.1 Indicator Light
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ECO 6 Digital Color Doppler Ultrasound System
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. Sleep Indicator: When the main unit is in sleep mode, the indicator lights, otherwise
extinguished.
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ECO 6 Digital Color Doppler Ultrasound System
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 100-250V, 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 and 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
ECO 6 Digital Color Doppler Ultrasound System
Function Buttons on Patient screen: [Archive]: Operation on the patient information which has already existed; [Worklist]: 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] key 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’s
information before saving measurement or image; otherwise, it will be stored in the wrong patient
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4
2
3
5
6
10 9 8
1
records. After checking the patient, press the [END] key to save the patient’s 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, Image parameter area 7, Gray-scale strip 8, Start point of scanning 9, Image Region 10, Cine loop
5.5 Display Mode
Display mode: B, 2B, 4B, B/M, M, CFM, PW display mode, Trapezoidal Mode, Triplex Mode (option), CPA (PD) Mode (option),etc.
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 2B Mode
At B Mode status press parameter key on [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 parameter button on [2B] in 2B mode, the original active image is frozen while the original frozen image is activated.
5.5.3 4B Mode
Press [B] button to enter into B mode, then press [MENU] knob the screen will display B menu.
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Move the cursor to select 4B option, press [MENU] for 4 times to display 4B Mode images. But only one image is in real-time status. Pressing it again can switch the real-time status among four images.
5.5.4 B/M Mode
Press [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. Move the sampling line by trackball.
5.5.5 M Mode
Press [M] key 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.
5.5.6 CFM Mode
CFM is a Doppler mode intended to add color-coded qualitative information concerning the relative velocity and direction of fluid motion within the B mode image.
CFM is useful to see flow in a broad area. It allows visualization of flow in the CROI, whereas Doppler mode provides spectral information in a smaller area. CFM is also used a stepping stone to Doppler mode. You can use CFM to locate flow and vessels prior to activating Doppler.
In CFM mode, move the trackball to change the position of sampling box. Activate the [Steering Angle] and rotate the [MENU] knob to adjust the angle of color sampling box (if current probe is linear probe). Press [ENTER] key to fix the position of color sampling box.At this time adjusts the size of color sampling box through moving trackball. Press [ENTER] key again and move trackball to change the color sampling position again.
Press [C] key to enter into CFM mode; after [C] key light is on, rotate the [GAIN] knob for adjusting the gain of CFM.
CFM mode Exam Procedure:
Follow the same procedure as described under B mode to locate the anatomical area of interest.
After optimizing the B mode image, add Color Flow. Move the color region of interest CROI as close to the center of the image as possible. Optimize the color flow parameters so that a high frame rate can be achieved and appropriate
flow velocity can be visualized.
Press [FREEZE] key to hold the image in cine memory. Record color flow image as necessary.
CFM Scanning Hints: PRF: increase/decrease the PRF on the color bar. Imaging of higher velocity flow requires
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increased velocity scale values to avoid aliasing
Wall Filter: affect low flow sensitivity versus motion artifact Color Map: allow you to select a specific color map. It shows the direction of the flow and
highlights the higher velocity flows.
Color Gain: amplify the overall strength of echoes processed in the CROI Persistence: affect temporal smoothing and color Doppler „robustness‟.
5.5.7 CPA (PD) Mode
Power Doppler Imaging (PD) is a color flow mapping technique used to map the strength of the Doppler signal coming from the flow rather than the frequency shift of the signal. Using this technique, the ultrasound system plots color flow based on the number of reflectors that are moving, regardless of their velocity. PD does not map velocity, therefore it is not subject to aliasing. At B Mode status, press parameter key on [CPA] to enter into the CPA mode.
5.5.8 DPD Mode
In Power DopplerCPA) mode, press parameter key on [DPD] to enter into DPD mode. If you need to go back to PD (CPA) mode from DPD mode, you could press [MENU] key or select the CPA option and press [MENU] again to exit the DPD mode.
5.5.9 B steer
B Steer is available for linear probes. It can steer the beam to obtain the left or right image and enlarge the area without to rotate the probes. In B mode, press menu knob to pop up B Menu, adjust B Steer item to change B steer angle.
5.5.10 Trapezoidal Mode
Trapezoidal image is available for linear probes. In B mode, press menu knob to pop up B Menu, turn Trapezoidal Mode menu on to enter to Trapezoidal Mode.
5.5.11 Biopsy and Super Needle
1. How to enter into Biopsy
Activate the [Biopsy] and press the [MENU] knob to show or hide biopsy line.
2. How to adjust the biopsy
After the biopsy line shows, press the [ENTER] key 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] key to set the default biopsy line position.
3. Super Needle
Super needle is used for enhancing the needle image in the B mode image. After turning on the super needle, super needle and needle angle function will be active and user can adjust the needle angle to optimize the image for needle only (The angle is 5 degree per step.).
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5.5.12 PW Mode
Doppler is intended to provide measurement data concerning the velocity of moving tissues and fluids. PW Doppler lets you examine blood flow data selectively from a small region called the Sample Volume. The X axis represents time while the Y axis represents velocity in either a forward or reverse direction. PW Doppler is typically used for displaying the speed, direction, and spectral content of blood flow at selected anatomical sites.
PW Doppler can be combined with B mode for quick selection of the anatomical site for PW Doppler examination. The site where PW Doppler data is derived appears graphically on the B mode image (Sample Volume Gate). The Sample Volume Gate can be moved anywhere within B mode image.
PW mode Exam Procedure:
Get a good B mode image. Press [C] key to help to locate the vessel you wish to examine. Press [D] key to display the sample volume cursor and gate. Position the sample volume cursor by moving the Trackball left and right. Position or re-size the
sample volume gate by moving the Trackball up and down, then press [ENTER] key. Press [UPDATE] key to display PW Doppler spectrum and the system will run in combined B+Doppler mode. The Doppler signal can be heard through the speakers.
Optimize the PW Doppler spectrum as necessary. Ensure that the sample line is parallel to the blood flow. Press [FREEZE] key to hold the trace in cine memory and stop imaging. Perform measurements and calculations, as necessary. Record results with your recording devices. Press [FREEZE] key to resume imaging. Repeat the above procedure until all relevant flow sites have been examined. Replace the probe in its respective holder.
When entering Duplex mode for the first time, the Doppler spectrum is not activated. The Doppler Sample Volume appears in the default position, and the B mode image or 2D (either B or Color) mode are active. Moving the Trackball will change the Sample Volume position. Press the [ENTER] key to toggle the Trackball function between Sample Volume Gate position and size. Press the [UPDATE] key after the Sample Volume Gate is defined to activate the Spectral Doppler mode. Press the [UPDATE] key for second time to toggle back to 2D (B or Color) update and deactivate the Spectral Doppler.
Doppler mode Scanning Hints:
The best Doppler data will be got when the scanning direction is parallel to the direction of the blood flow; when the scanning direction is perpendicular to the anatomic target, you can get the best B mode image, so you should keep the balance as you don‟t usually get both an ideal B mode image and ideal Doppler data simultaneously.
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Keyboard Keys
Function description
Gain
In real status, rotate [GAIN] knob to adjust the Gain.
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.
Focus / Depth
Press [DEPTH_FOCUS] selection knob until the indicator of [FOCUS] is lit, and rotate the knob to change Focus Position. Press [DEPTH_FOCUS] selection knob until the indicator of [DEPTH] is lit, then rotate the knob to change the depth of image.
Angle / Zoom
Press [ANGLE/ZOOM] knob until the indicator of [ANGLE] is lit, and the angle of sample gate will rotate with the rotation direction. Press [ANGLE/ZOOM] knob to confirm the ZOOM button is lit, and it will appear the zoom box, rotate the knob to select the zoom steps
THI
Turn ON/OFF THI function.
AIO
Only press this key to optimize image.
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.
PRF: adjust the velocity scale to accommodate faster/slower blood flow velocity. Velocity scale determines pulse repetition frequency. Wall Filter: remove the noise caused by vessel or heart wall motion at the expense of low flow sensitivity.
Baseline: adjust the baseline to accommodate faster or slower blood flows to eliminate aliasing. Angle: optimize the accuracy of the flow velocity. It estimates the flow velocity in a direction at an
angle to the Doppler vector by computing the angle between the Doppler vector and the flow to be measured. This is special useful in vascular applications where you need to measure velocity.
Doppler Gain: allow you to control the background information of spectral. Sweep Speed: control speed of spectral update.
Doppler Sample Volume Gate Position and Size (Trackball and ENTER)
Move the sample volume on the B mode‟s Doppler cursor. The gate is positioned over a specific position within the vessel.
To move Doppler cursor position, turn the trackball left or right until positioned over the vessel. To move sample volume gate position, move the trackball up or down until positioned inside the
vessel. To size sample volume gate, press [ENTER] key to toggle trackball function from sample volume gate positioning to sizing, then move the trackball to change sample volume gate size.
5.6 B Image Adjustment
5.6.1 Parameters Adiustment
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Press the key, the displayed image is reversed in the up-down vertical 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.
Full Screen Show
Press [GAIN] knob to activate the full screen show and press it again to exit the function.
Parameter keys
Function description
Freq
In real status, press the first line key of [Frequency] to increase the frequency, and press the second line key of [Frequency] to decrease the frequency.
i-Image
In real status, press the corresponding key of [i-Image] to adjust.
Compound
In real status, press the corresponding key of [Compound] to adjust. The SRA can‟t be edited after opening the compound.
SRA
In real status, press the corresponding key of [SRA] to turn on or off.
Menu’s Name
Function description
Scan Width
Rotate [MENU] button or use the cursor to select [Scan Width] , then press [ENTER] and [UPDATE] to adjust the scan width to the corresponding size.
Gamma
Adjust image gray value parameters. Choose [Gamma], and rotate [MENU] button to select the B Gamma parameters.
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. When Compound or SRA is on, Focus Num can be adjusted to 2 (max)
Persistence
In real status, adjust the contrast and resolution. In real status, move the cursor to [Persistence] selection to adjust.
Dynamic
Dynamic range is used for adjusting the contrast resolution of B mode image and mode image, compressing or enlarging the
5.6.2 B Menu Adjustment
Click [Change] key or [MENU] knob to display the menu. Rotate [MENU] knob or press [Cursor] key to display the cursor ,and move the sample box to the corresponding function, press [MENU] knob to update the function, then rotate [MENU] knob to adjust the function, press [MENU] again to exit the function.
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display range of gray scale. At the real-time status, move the cursor to select [Dynamic] to adjust the Dynamic.
Density
Scan Line Density function is only valid for the image in B mode, 2B 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 [Density] and press [MENU] to adjust the line density
Smooth
Smoothness function is used for restraining the image noise and performing axial smooth processing to make the image smoother.
Move the cursor to [Smooth] selection to adjust.
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 [Edge Enhance] selection to adjust.
A 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.
4B
Move the cursor to [4B] selection to display 4B Mode.
Utility
This function includes post processing, slide show and other items. Press [MENU] knob, then choose Utility selection, it will appear Utility options.
PostProcess
Chroma
Adjust the type of the chroma.
2D Map
Choose [2D Map], and rotate [MENU] button to select the scale curve type.
Gamma
Adjust image gray value parameters.
B Rejection
Adjust image gray scale inhibition parameters Choose [B Rejection], and rotate [MENU] button to adjust B Rejection parameters.
Cancel
Press this menu to exit the postprocess.
Advance
In B Mode, select Advance and press [MENU] knob, it will appear Advance options.
Zoom Coef
Adjust the size of the ruler and image. Choose [Zoom Coef], and rotate [MENU] button to adjust.
Trapezoidal Mode
Press [MENU] to turn on or turn off the trapezoidal function. This function is activated by linear probes.
B Steer
B Steer is available for linear probes. It can steer the beam to
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obtain the left or right image and enlarge the area without to rotate the probes.
Biopsy
Press the [MENU] to show or hide biopsy line. After the biopsy line shows, press the [ENTER] key 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] key to set the default biopsy line position.
Super Needle
Super needle is used for enhance the needle image in the B mode image.
Needle Angle
After turn on the super needle, super needle and needle angle function will be active and user can adjust the needle angle to optimize the image for needle only.
Center Line
Press the [MENU] or [ENTER] to show or hide Center line.
Transducer
Compatible Biopsy Guide Model
V6-A
610-1093 (10041823)
Menu &
Parameters
Function description
Menu
CPA
Rotate [MENU] and press [ENTER] to change the C Menu to CPA Menu.
CF Mode
Activate the [CF Mode] to enter into CF mode.
Color Invert
Invert the color of flow Activate [Color Invert] and rotate [MENU] to turn on or off. Or press
5.63 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 CFM Image Adjustment
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to realize Color invert.
Steering Angle
Activate [Steering Angle] and rotate [MENU] to adjust Steering Angle.
Color Map
Change type of color map. Activate [Color map] and rotate [MENU] to adjust D color map.
Wall Filter
Press parameter control key on [Wall Filter]to change Wall Filter .
Wall Thre.
Activate [Wall Thre.] and rotate [MENU] to adjust Wall Thre..
Blood Effection
Activate [Blood Effection] and rotate [MENU] to adjust Blood Effection.
Density
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.
Utility
PostProcess
Please refer to the PostProcess of B Menu adjustment.
Slide Show
Activate the [Slide show] to enter into slide show mode.
Parameter keys
Function description
Freq
In real status, press the corresponding key of [Compound] to adjust.
Base Line
Adjust the position of baseline. Press parameter control key on [Baseline] to change position of baseline.
PRF
Activate [PRF] and press the corresponding key to adjust PRF.
Persistence
Activate persistence and press parameter control key to adjust.
Menu &
Parameters
Function description
Menu
2D Map
Activate D 2D Map and rotate [MENU].
Spectrum Enhance
Activate [Spectrum Enhance] and rotate [MENU] to adjust Enhance,.
Dynamic Range
Activate [Dynamic Range] and rotate [MENU] to adjust Dynamic,.
Chroma
Adjust the type of the chroma.
Wall Filter
Press parameter control key on [Wall Filter] to adjust wall filter.
Audio
Adjust audio volume. Activate [Audio] and rotate [MENU] to adjust audio volume.
Invert
Press parameter control key on Invert, or press key to invert spectrum.
Utiliy
PostProcess
Please refer to the PostProcess of B Menu adjustment.
Slide Show
Activate the [Slide show] to enter into slide show mode.
Parameter keys
Function description
5.8 PW Image Adjustment
5.8.1 Parameters in PW Mode
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Freq
In real status, press the corresponding key of [Freq] to adjust.
Base Line
Adjust the position of baseline. Press parameter control key on [Baseline] to change position of baseline.
PRF
Activate [PRF] and rotate Menu to Adjust PRF.
Triplex Mode
Activate [Triplex Mode] and press the first line key to turn on or off.
Speed
Press parameter control key on [Speed] to adjust speed.
Menu & Parameters
Function description
Menu
Utility
This function includes post processing, slide show and other items. Press [MENU] knob, then choose Utility selection, it will appear Utility options.
PostProcess
Chroma
Adjust the type of the chroma.
2D Map
Choose [2D Map], and rotate [MENU] button to select the scale curve type.
Gamma
Adjust image gray value parameters.
B Rejection
Adjust image gray scale inhibition parameters Choose [B Rejection], and rotate [MENU] button to adjust B Rejection parameters.
Cancel
Press this menu to exit the postprocess.
Parameter keys
Function description
Speed
Press parameter control key on [Speed] to adjust speed.
M Chroma
Adjust the chroma of M mode.
M 2D Map
Activate M 2D Map and press corresponding parameter keys to adjust.
M Gamma
Adjust image gray value parameters.
Layout
Press corresponding keys to adjust the layout to LR or UD.
Menu & Parameters
Function description
Menu
Wall Filter
Move cursor on [Wall Filter] and rotate the [MENU] to adjust wall filter.
Wall Thre.
Activate [Wall Thre.] and rotate [MENU] to adjust Wall Thre..
Blood Effection
Activate [Blood Effection] and rotate [MENU] to adjust Blood Effection.
5.9 M Image Menu & Parameters Adjustment
5.10 CPA/DPD Image Adjustment
Activate B Mode and press parameter key on CPA to enter into CPA Mode. Then press [MENU] to display CPA Menu and move cursor to DPD to change the menu to DPD Menu.
5.10.1 CPA & DPD Parameter and Menu Adjustmen
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Density
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.
Utility
Please refer to the Utility of B Menu adjustment.
Color Invert
Only can be adjusted on DPD Mode. Invert the color of flow Activate [Color Invert] and rotate [MENU] to turn on or off. Or press
to realize Color invert.
Parameter keys
Function description
Freq
In real status, press the corresponding key of [Freq] to adjust.
Base Line
Adjust the position of baseline. Press parameter control key on [Baseline] to change position of baseline.
PRF
Activate [PRF] and rotate Menu to Adjust PRF.
Persistence
Activate persistence and press parameter control key to adjust.
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
5.11 Full Screen Show
Full screen the image area. Press [GAIN] knob to activate the function; Press [EXIT] button or [GAIN] knob again to exit full screen show.
When full screen shows, press [MENU] knob to show the menu of current mode (except bodymark).
5.12 Edit Comment
5.12.1 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:
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Pathological Change
Anatomy term of Pathological Change
NOTE: If you need to custom the default comments, refer to the pre-set section.
5.12.2 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 again to exit. The will light off and the comments process is finished.
5.12.3 Input Comment Library Characters
1. In comment status, move trackball to image area to edit;
2. Press [Font size] to adjust front size of comments;
3. Rotate [MENU] to select needed comments, then press [MENU] to exit ;
5.12.4 Edit Quick Comments
1. Press [Edit] to pop quick comment edit box;
2. Input customized comments;
3. Press [Done] to finish edit, press [X] to cancel edit;
5.12.5 Input Quick Comments
1. Press [Text] to select needed quick comments;
2. Adjust front size of comments;
3. Press [Input] to place comments in the image area;
5.12.6 Move Comments
1. In comment status, move trackball to the comment, press [ENTER] to activate it;
2. Move trackball to place the comment to target area;
3. Press [ENTER] again to confirm the comment;
5.12.7 Edit Comments
1. In comment status, move trackball to the comment, press [ENTER] to activate it
2. Press [BACKSPACE] to delete unnecessary characters;
3. Press [ENTER] to confirm;
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5.12.8 Delete Comments
5.12.8.1 Delete Characters
In comment status, activate the comment that need to be deleted, then press the [ENTER], it will display "|" on the screen, press [BACKSPACE] to delete the character.
5.12.8.2 Delete Single Comment
Activate the comment that needs to be deleted, press [DEL] to delete comment;
5.12.8.3 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.
5.12.9 Set the Position of Default Comment
Operation:
1. Press [Save Home Pos.] to move cursor to the initial position;
2. Press [Load Home Pos.] to set the initial position;
5.13 Set Body Mark
5.13.1 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 etc., each has different body mark. Each type of body mark automatically is corresponding to current examination mode.
5.13.2 Body Mark Operation
Operation:
1. Press to enter into the body status.
2. Select the body mark that you need.
3. Move trackball after adding the body mark image and then adjust the position of probe. Rotate
[MENU] or [ANGLE] knob can adjust the probe direction. Press Enter- key to confirm when adjustment was finished.
4. Move the Trackball to change the position of the body mark;
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5. If you want to exit from the body mark function, press again;
6. Press [EXIT] to exit body status and the body mark is fastened to the screen.
7. Press [DEL] to delete body marks.
5.14 Image and Cine Disposition
5.14.1 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
5.14.2 Manual Loop
Press [FREEZE] to freeze image, pop cine playback bar, at this time, move cursor to play by hand; Trackball rolling to the right, the loop play with ascending order side by side. Or press parameter button on [Next/Pre] to play.
5.14.3 Automatic Loop
After freezing image, press parameter button on [Play/Pause] to play, press it again to stop. Press [ENTER] to choose the area of automatic playback area needed.
5.14.4 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.
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5.14.5 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 the cine.
5.14.6 Delete images
After recalling the images, press the parameter key on [Delete] to delete the files.
5.14.7 Send images
After recalling the images, press the parameter button on [Send] to send images to USB flash disk, DICOM storage and print. Hint: Activate the DICOM before DICOM storage and print.
5.15 Image Browse
Press to enter image information browsing interface. Press [ENTER] to any function in the image.
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;
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Send images: Send image to USB hard disk , DICOM storage and print;  Print the image: print the image which be chosen, it will be printed as the arrangement set;  Delete images: Delete selected image;  Row*Column: Select image‟s format; Pre page: Page up;  Next page: Page back;  Select All: Select all images; Deselect All: Cancel select all images; 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;
5.16 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.
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;  Data Source: Path choice, select hard disk or U disk;  Patient info: Enter into patient‟s information interface; Review Report: Enter into report interface;
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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;
5.17 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. 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. Press 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 Title: Report options, different kinds of report can choose, such as Normal, OB/GYN
etc.
Hosp: Display the hospital name.
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General Report: Display the kind of report.  Patient Name: Display the patient name.  Age: Display the patient age.  Sex: 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.  Clear All: Clear all the data including the selected images the measurement result and
patient‟s information etc.
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. Select All: Select all the images of the image on the right side. Deselect All: Cancel to select all the images of the image on the right side.
5.18 DICOM
5.18.1 DICOM Worklist
Press [Worklist] in Patient Interface, pop up the following dialog box.
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;
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BirthDate: display the birth date of patients; Sex: display sex of patients; Doctor: display names of doctors; Acc#: display the accession number 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.
5.18.2 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:
Select DICOM Storage in left, choose DICOM server and press Export button to DICOM storage. Enter Task Sequence and watch or edit DICOM process.
5.18.3 DICOM Print
DICOM Print operation is the same as DICOM storage.
5.18.4 DICOM SR
Press [Send DICOM SR] button in report interface, this task is added into 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 measurements according to the exam mode, the change of measurement please refer to the chapter of preset settings.
CAUTION: Please select the most appropriate ultrasound images, measurement tools
and measurement methods for measurements according to your diagnosis needs. The final measurement results must be determined and verified by a physician. Measurement accuracies are affected by many non-technical factors, for example operator’s experience, patient’s status. Please do not only use the ultrasound measurement results as the sole basis for diagnosis, please always use other clinical information to do integrated diagnostics.
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] 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] 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 [UPDATE] 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
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[UPDATE] to switch the long axis and short one.
6.1.4 [DEL]
Main functions are as follows: In frozen status, press [DEL], delete all the measurement results, comments and traces.
6.1.5 [Change]
Press [Change] to switch other menu;
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
Distance
Measurement steps:
1. Press the [Calc] button and press [Change] to enter into Gneral measurement. Move the
trackball to the [distance] item on the menu and press [MENU] or press the quick measure button [Dist]; it will display a segment “+”icon.
2. Move the “+”icon by trackball to fit the one point of the line. Press [ENTER] to fix the start point
and the cursor can be moved to the next position.
3. Press [UPDATE] 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] 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.
Ellipse
Measurement steps:
1. Press the [Calc] button and press [Change] to enter into Gneral measurement. Then move
trackball to the [Perimeter/Area<Trace>] and press [UPDATE] to change it to [Perimeter/Area<Ellipse>] in the menu and it will display a segment “+”icon.
2. Move the “+”icon by cursor, Press [ENTER] to fix the point and the cursor can be moved to
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form a round.
3. Press [UPDATE] 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 can be updated, and can change the size of the axis by the trackball.
5. Now press [UPDATE] can exit to the step 4.
6. After fixing the next axis, can press [ENTER] to complete the measurement.
7. After the measurement, the result will display in the measurement results area.
8. Repeat the steps from 1 ~6 to start next “ellipse” measurement. Press [DEL] 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.
Trace
Measurement steps:
1. Press the [Calc] and [Change] button to enter into Gneral measurement. Move the trackball to
seclect the [Perimeter/Area<Ellipse>], press [UPDATE] to change option to
[Perimeter/Area<Trace>] in the menu and press [ENTER] or press the quick measure button [Trace]; it will display a segment “+”icon.
2. Move the “+”icon by cursor, Press [ENTER] 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] to cancel the tracing.
5. Press [ENTER] 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] 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.
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. Press [Calc] to enter into measurement, press [Change] to switch measurement menu to
[General] measurement.
2. Press [ENTER] on [Histogram] menu to enter into measurement status.
3. Press [ENTER] to fix one apex of the rectangle.
4. Move the trackball to change the cursor position and fix the diagonal point of the rectangle
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Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Distance
Distance
cm
Refer to distance Meas.
Ratio(Distance)
Refer to distance Meas. Formula: R=D1/D2
D1: First Distance D2: Second Distance
Angle
deg
Refer to distance Meas.
Angle Range: 0°~ 180°
Area
Ellipse Trace Ratio(Area) Auto Cubic Spline
Area cm2 Circle cm
Refer to Ellipse and trace meas.
Ellipse and trace.
5. Move the trackball 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
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 250. The vertical axis represents the distribution ratio of each gray scale. The value shown on the top of vertical axis represents the percentage of the maximally distributed gray in the whole gray distribution.
Profile
Profile 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. Press [Calc] to enter into measurement, press [Change] to switch measurement menu to
[General] measurement.
2. Press [ENTER] on [Profile] menu to enter into measurement status.
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 center 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.
6.3 B Fast Measurement
Press [Dist] to enter B Fast measurement in B mode. Press the corresponding parameter control key to switch the fast measurement item.
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Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Volume
Volume (1Distance)
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 Distance)
ml
Refer to distance Meas. Formula: V(π /6)×D1×D22
D1: the longer distance D2: the shorter distance
Volume (3 Distance)
ml
Refer to distance Meas. Formula: V(π /6)× D1× D2× D3
D1, D2, D3: Distance
Volume (1 Dis 1 Ellip)
ml
Refer to distance and ellipse Meas. Formula: V(π /6)×A×B×M
A: Long Axis B: Short Axis M: Distance
Reser Font Size
Adjust the font size of the measurement result, the rang is 10~20.
Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
General Measureme nt
Distance
cm
Refer to distance Meas.
Perimeter/Area <Trace> Perimeter/Area <Auto Cubic Spline> Perimeter/Area <Ellipse>
Area cm2 Circle cm
Refer to Ellipse and trace meas.
Press [UPDATE] to change ellipse and trace.
6.4 B General Measurement
Press [Calc] to enter into measurement status. And press [Change] to choose the General measurement.
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Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Volume (1 Distance )
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 Distance)
ml
Refer to distance Meas. Formula: V(π /6)×D1×D22
D1: the longer distance D2: the shorter distance
Volume (3 Distance)
ml
Refer to distance Meas. Formula: V(π /6)× D1× D2× D3
D1, D2, D3: Distance
Volume(1 Dis 1 Ellip)
ml
Refer to distance and ellipse Meas. Formula: V(π /6)×A×B×M
A: Long Axis B: Short Axis M: Distance
Ratio
Ratio(Distance)
Refer to distance Meas. Formula: R=D1/D2
D1: First Distance D2: Second Distance
Ratio(Area)
Refer to ellipse Meas. Formula: R=A1/A2
A1: First Area A2: Second Area
Angle
Line1/ Line 2
deg
Refer to distance Meas.
Angle Range:0°~ 180°
Histogram
Ellipse Histogram Trace Histogram Rect Histogram
Refer to Histogram
Profile
Refer to Profile
Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
6.5 ABD Measurement
Choose ABD exam mode. Freeze the required image, and 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
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)×1 00%
D1: Length of Normal D2: Length of Stenosis
StA%
%
Refer to ellipse Meas. Formula: ((A1-A2)÷A1)×1 00%
A1: Area of Normal A2: Area of Stenosis
Vessel Area <Ellipse> Vessel Area <Trace> Vessel Area < Auto Cubic Spline>
cm2
Refer to ellipse and trace Meas.
Press [UPDATE] to change ellipse and trace.
Vessel Distance
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
cm cm cm ml
Refer to distance Meas. Formula: V(π /6)×L×H×W
L: Length H: Height W: Width
Renal Volume (Rt/Lt)
Length Height Width
cm
Refer to distance Meas.
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Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Lliac(Rt/Lt)
Height
cm
Refer to distance Meas.
Width
cm
Refer to distance Meas.
StD%
%
Refer to distance Meas. Formula: ((D1-D2)÷D1)×1 00%
D1: Length of Normal D2: Length of Stenosis
StA%
%
Refer to ellipse Meas. Formula: ((A1-A2)÷A1)×1 00%
A1: Area of Normal A2: Area of Stenosis Vessel Area
cm2
Refer to ellipse and trace Meas.
Press [UPDATE] to change ellipse and trace.
Vessel Dis
cm
Refer to distance Meas.
Meas. Menu
Submenu
Unit
Meas. Method
Comment
Distance
cm
Refer to distance Meas.
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
6.6 OB Measurement
Choose OB exam mode. Freeze the required image, and 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
BPD
cm
Refer to distance Meas.
Formula to choose: Bessis, CFEF, Campbell, Chitty, Hadlock, Hansmann, Jeanty, Johnsen, Korean, Kurtz, Merz, Osaka, Rempen, Sabbagha, Shinozuka
HC
Trace Auto Cubic Spline Ellipse
cm
Refer to ellipse and trace Meas.
Formula to choose: CFEF, Campbell, Chitty, Hadlock, Hansmann, Johnsen, Korean, Merz
AC
Trace AutoCubicSplin e Ellipse
cm
Refer to ellipse and trace Meas.
Formula to choose: CFEF, Campbell, Hadlock, Hansmann, Korean, Merz, Shinozuka
Fetal Biological
YS
cm
Refer to distance Meas.
OFD
cm
Refer to distance Meas.
Formula to choose: Hansmann, Korean
APD
cm
Refer to distance Meas.
Formula: Bessis
TAD
cm
Refer to distance Meas.
Formula: CFEF
FTA<Ellipse>/< Trace>/<Auto Cubic Spline>
cm
Refer to distance Meas.
Formula to choose: Bessis, CFEF, Campbell, Chitty, Doubilet, Hadlock, Hansmann, Hohler, Jeanty, Johnsen, Korean, Merz, Osaka, Shinozuka
SL
cm
Refer to distance Meas.
APTD
cm
Refer to distance Meas.
Formula: Hansmann
TTD
cm
Refer to distance Meas.
Formula: Hansmann
ThC
cm
Refer to distance Meas.
Fetal Long Bones
Humerus
cm
Refer to distance Meas.
Formula to choose: Jeanty, Korean, Merz, Osaka
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Meas. Menu
Submenu
Unit
Meas. Method
Comment
ULNA
cm
Refer to distance Meas.
Formula: Jeanty
Tibia
cm
Refer to distance Meas.
Formula to choose: Jeanty, Merz
RAD
cm
Refer to distance Meas.
FIB
cm
Refer to distance Meas.
CLAV
cm
Refer to distance Meas.
Formula: Yarkoni
Fetal Cranium
CER
cm
Refer to distance Meas.
Formula to choose: Chitty, Hill
CM
cm
Refer to distance Meas.
NF
cm
Refer to distance Meas.
NT
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.
LVent
cm
Refer to distance Meas.
Formula: Tokyo
HW
cm
Refer to distance Meas.
OB Others
LtKid
cm
Refer to distance Meas.
RtKid
cm
Refer to distance Meas.
LtRenalAP
cm
Refer to distance Meas.
RtRenalAP
cm
Refer to distance Meas.
LVWrHEM
cm
Refer to distance Meas.
MAD
cm
Refer to distance Meas.
AFI cm
Refer to distance Meas.
AFI=AFI1+AFI2+AFI3+A FI4
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Meas. Menu
Submenu
Unit
Meas. Method
Comment
CX_L
cm
Refer to distance Meas.
6.6.1 Twins Measurement
1. In the new patient OB page, choose the number of gestations from one to four.
2.In the measurement menu, press baby A, and then press [Enter] to switch babies, which could
measure the babies separately.
6.6.2 EDD (estimated date of delivery) Estimation
6.6.2.1 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.
6.6.2.2 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.
6.6.3 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.
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.
6.7 Pediatric Measurement
Select OB exam mode, press [Calc] to enter OB measurement, then press [Change] to switch to pediatrics measurement menu.
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Meas. Menu
Submenu
Unit
Meas. Method
Comment
6.7.1 HIP Angle
Fig. 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] knob to adjust the line angle, press [ENTER] key 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 appear 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 3(acute angle).
6.8 GYN Measurement
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 relevant parameters. Freeze the required image under GYN examination, then press [Calc] to enter into GYN measurement status.
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Meas. Menu
Submenu
Unit
Meas. Method
Comment
Distance
cm
Refer to distance Meas.
UT
UT_L
cm
Refer to distance Meas.
CX_L
cm
Refer to distance Meas.
UT_W
cm
Refer to distance Meas.
UT_H
cm
Refer to distance Meas.
Cervix Vol.
ml
Refer to distance Meas. Formula: V(π/6) ×L×H×W
L: Cervix _L H: Cervix _H W: Cervix _W
ENDO
cm
Refer to distance Meas.
Ovary (L/R)
ml
Refer to distance Meas. Formula: V(π/6) ×L×H×W
L: OV _L H: OV _H W: OV _W
Follicle (L/R)
Follicle width
cm
Refer to distance Meas.
Follicle height
cm
Refer to distance Meas.
Follicle Length
cm
Formula of 2distance V= (π /6)×A×B2 Formula of 3distance V= (π /6)×L×H×W
L: follicle length H: follicle height W: follicle width
Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
6.9 Small Parts Measurement
Freeze the required image under Small parts examination, then press [Calc] to enter into small parts measurement status.
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Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Distance
cm
Refer to distance Meas.
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
Line1/Line2
deg
Refer to distance Meas.
Angle Range:0 °~ 180°
Ratio
Distance1 Distance2
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
Vol.(L*W*H) Vol. (Biplace)
ml
Refer to distance Meas. Formula: V(π /6)×L×H×W
L: Bladder _L H: Bladder _H W: Bladder _W
6.10 B Mode Vessel Measurement
Refer to normal measurement in B mode.
6.11 Urology Measurement
Normally urology measurements are performed in B and 2B mode. Freeze the required image under Urology examination, then press [Calc] to enter into Urology measurement status.
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Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Prostate
Prostate Vol.
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
Residual
Residual Vol. Width Thick Height
ml cm cm cm
Refer to distance Meas. Formula: V(π /6)×L×H×W
Width: Residual_W Thick: Residual _T Height: Residual _H
Meas. Menu
Submenu
Meas. Method/ Meas. Formula
Comment
Teichholz
LVIDd LVIDs
Refer to Distance Meas. Formula: EDV=(7*LVIDd3)/(2.4+LVIDd) ESV=(7*LVIDs3)/(2.4+LVIDs) SV=|EDV-ESV| CO=SV*HR/1000 EF=SV/EDV*100 FS=( LVIDd-LVIDs)/LVIDd*100 SI=SV/BSA CI=CO/BSA
6.12 Cardiac Measurement
Freeze the required image under Cardiac examination, then press [Calc] to enter into Cardiac measurement.
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ECO 6 Digital Color Doppler Ultrasound System
Meas. Menu
Submenu
Meas. Method/ Meas. Formula
Comment
Single Plane
EDV(A2C/A4C) ESV(A2C/A4C)
Refer to Volume of A4CTrace method Formula: SV=|EDV-ESV| CO=SV*HR/1000 EF=SV/EDV*100 SI=SV/BSA CI=CO/BSA
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
Simpson BP
EDV(A2C) ESV(A2C) EDV(A4C) ESV(A4C)
Refer to Volume of A4CTrace method Formula: SV=|EDV-ESV| CO=SV*HR/1000 EF=SV/EDV*100 SI=SV/BSA CI=CO/BSA
Modi Simpson
LVLd LVLs LVAMd LVAMs LVAPd LVAPs
Refer to Distance Meas. & Ellipse Mea. Formula: EDV=
E S V =
SV=|EDV-ESV| CO=SV*HR/1000 EF=SV/EDV*100 SI=SV/BSA CI=CO/BSA
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ECO 6 Digital Color Doppler Ultrasound System
Meas. Menu
Submenu
Meas. Method/ Meas. Formula
Comment
Cube
LVSd LVIDd LVPWd IVSs LVIDs LVPWs
Refer to Distance Meas. Formula: EDV=LVIDd
3
ESV=LVIDs
3
SV=|EDV-ESV| CO=SV*HR/1000 EF=SV/EDV*100 FS=(LVIDd-LVIDs)/LVIDd*100 SI=SV/BSA CI=CO/BSA
Bullet Volume
LVLd LVLs LVAMd LVAMs
Refer to Distance Meas. Formula: EDV=(5/6.0)*LVLd*LVAMd ESV=(5/6.0)*LVLs*LVAMs SV=|EDV-ESV| CO=SV*HR/1000 EF=SV/EDV*100 SI=SV/BSA CI=CO/BSA
Am: LV area on mitral valve short-axis figure L: LV long-axis
Gibson
LVIDd LVIDs
Refer to Distance Meas. Formula: EDV=π/6*(0.98*LVIDd+5.9)*LVID d*LVIDd ESV=π/6*(0.98*LVIDs+5.9)*LVIDs *LVIDs SV=|EDV-ESV| CO=SV*HR/1000 EF=SV/EDV*100 FS=(LVIDd-LVIDs)/LVIDd*100 SI=SV/BSA CI=CO/BSA
Mitral Valve
MV Diam MV Area LA/AO
Refer to Distance Meas. & Ellipse Mea. Formula: LA/AO=LAD/AOD
Aortic Valve
AV Diam AV Area
Refer to Distance Meas. & Ellipse Mea.
Pulmonary Valve
PV Diam PV Area
Refer to Distance Meas. & Ellipse Mea.
Tricuspid Valve
TV Diam TV Area
Refer to Distance Meas. & Ellipse Mea.
LVOT
LVOT Diam LVOT Area
Refer to Distance Meas. & Ellipse Mea.
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ECO 6 Digital Color Doppler Ultrasound System
Meas. Menu
Submenu
Meas. Method/ Meas. Formula
Comment
RVOT
RVOT Diam RVOT Area
Refer to Distance Meas. & Ellipse Mea.
RV/LV
RVIDd LVIDd
Refer to Distance Meas. Formula: RV/LV=RVIDd/LVIDd*100
RA/LA
RA LA
Refer to Area Measment. Formula: RA/LA=RAD/LAD
AO/LA
AO LA
Refer to Distance Meas. Formula: AO/LA=AOD/LAD
PISA
PISA MR(Rad, Als Vel) PISA AR(Rad, Als Vel) PISA TR(Rad, Als Vel) PISA PR(Rad, Als Vel)
Refer to Distance Meas. Formula: Flow Rate=2π*Rad*Rad*Als Vel
LV Mass
Cube(LVSd, LVIDd, LVPWd)
Refer to Distance Meas. Formula: LV Mass=1.04*(( LVSd+ LVIDd+ LVPWd)3- LVIDd3)-13.6 LV Mass Index=LV Mass/BSA
A-L(LVAd sax Epi, LVAd sax Endo, LVLd apical)
Refer to Distance Meas. & Ellipse Mea. Formula: LV Mass=1.05*5/6*(LVAd sax Epi*LVLd apical+sqrt(LVAd sax Epi/π)-sqrt(LVAd sax Endo/π))­LVAd sax Endo*LVLd apical LV Mass Index=LV Mass/BSA
T-E(LVAd sax Epi, LVAd sax Endo, a, d)
Refer to Distance Meas. & Ellipse Mea.
Qp/Qs
AV Diam PV Diam
Refer to Distance Meas.
IVC
IVC Ins IVC Exp
Refer to Distance Meas.
6.13 Normal Measurement in M, B/M mode
At real-time status, press [M] twice to enter into M mode, press [Calc] to enter into M mode
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ECO 6 Digital Color Doppler Ultrasound System
measurement status. Or At real-time status, press [M] to enter into B/M mode, press [Calc] to enter into M mode measurement status.
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. Press [UPDATE] 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.
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. Press [UPDATE] 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.
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.
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.
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ECO 6 Digital Color Doppler Ultrasound System
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.
Heart Rate Single Wave
bpm
Refer to M HR Meas.
Double Wave
bpm
Refer to M HR Meas.
Meas. Menu
Submenu
Uni t
Meas. Method/ Meas. Formula
Comment
Distance
cm
Refer to M distance Meas.
Time
s Refer to M Time Meas.
Slope
cm/ s
Refer to M Velocity Meas.
HR(Single Wave)
s bp m
Refer to M velocity Meas.
6.14 General Measurement in M mode
At real-time status, press [M] key twice to enter M mode, press [Calc] to enter into M mode cardiology measurement status.
6.15 M Abdomen Measurement
Refer to M mode general measurement.
6.16 M OB Measurement
Refer to M mode general measurement.
6.17 M GYN Measurement
Refer to M mode general measurement.
6.18 M Mode Cardiac Measurement
Normally Cardiology measurements are performed in M and B/M mode. Freeze the required image under Cardiology examination, then press [Calc] to enter into Cardiology measurement status. Or press [Change] to choose the cardiac measurement.
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ECO 6 Digital Color Doppler Ultrasound System
Meas. Menu
Submenu
Uni t
Meas. Method/ Meas. Formula
Comment
Left Ventricle
Cube(LVSd, LVIDd, LVPWd, LVSs, LVIDs, LVPWd,CO,SI, CI, FS, SV, EF, EDV, ESV)
Refer to M Distance Meas. Formula: EDV=LVIDd3 ESV=LVIDS
3
SV=|EDV-ESV| CO=SV*HR/1000 EF=SV/EDV*100 FS=( LVIDd-LVIDs)/LVIDd *100 SI=SV/BSA CI=CO/BSA
Interventricular Septum
Teichholz(LVIDd, LVIDs)
Refer to M Distance Meas. Formula: EDV=7*LVIDd3/(2.4+ LVIDd) ESV=7*LVIDs3/(2.4+ LVIDs) SV=|EDV-ESV| CO=SV*HR/1000 EF=SV/EDV*100 FS=( LVIDd-LVIDs)/LVIDd *100 SI=SV/BSA CI=CO/BSA
Gibson(LVIDd, LVIDs)
Refer to M Distance Meas. Formula: EDV=π/6*(.98*LVIDd+0.5
9)*LVIDd
2
ESV=π/6*(1.14*LVIDs+4.
18)*LVIDs2 SV=EDV-ESV CO=SV*HR/1000 EF=SV/EDV*100 FS=( LVIDd-LVIDs)/LVIDd *100 SI=SV/BSA CI=CO/BSA
IVSd/LVPWd
cm
Refer to M Distance Meas.
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ECO 6 Digital Color Doppler Ultrasound System
Meas. Menu
Submenu
Uni t
Meas. Method/ Meas. Formula
Comment
Mitral Valve
EPSS
cm
Refer to M Distance Meas.
MV E Amp
cm
Refer to M Distance Meas.
MV A Amp
cm
Refer to M distance Meas.
MV D-E Exc Dist
Refer to M Velocity Meas.
MV E-F Slope
Refer to M Velocity Meas.
MV D-E Slope
Refer to M Velocity Meas.
A-C Int Slope
Refer to M Velocity Meas.
E Duration
s
Refer to M Time Meas.
A Duration
s
Refer to M Time Meas.
Aortic Valve
AOD
cm
Refer to M distance Meas.
LV and aorta diametrical ratio
Ao Sinus Diam
cm
Refer to M Distance Meas.
Ao Asc Diam
cm
Refer to M Distance Meas.
Ao Arch Diam
cm
Refer to M Distance Meas.
Ao Desc Diam
cm
Refer to M Distance Meas.
LVOT Diam
cm
Refer to M Distance Meas.
LAD
cm
Refer to M Distance Meas.
LVPEP/LVET
Refer to M Time Meas.
AA
cm
Refer to M Distance Meas.
Tricuspid Valve
RVOT Diam
cm
Refer to M Distance Meas.
RA Diam
cm
Refer to M Distance Meas.
D-E Exc Dist
Refer to M Velocity Meas.
E-F Slope
Refer to M Velocity Meas.
A-C Int Time
Refer to M Velocity Meas.
Pulmonary Valve
RVPEP
RV/LV
RVET
Refer to M Time Meas.
A wave Amp
cm
Refer to M Distance Meas.
B-C Slope
Refer to M Velocity Meas.
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Page 84
Meas. Menu
Submenu
Uni t
Meas. Method/ Meas. Formula
Comment
RV/LV RVIDd
cm
Refer to M Distance Meas.
LVIDd
cm
Refer to M Distance Meas.
LV Massd
IVsd
cm
Refer to M Distance Meas.
LVIDd
cm
Refer to M Distance Meas.
LVPWd
cm
Refer to M Distance Meas.
TAPSE
cm
Refer to M Distance Meas.
6.19 M Urology Measurement
ECO 6 Digital Color Doppler Ultrasound System
Refer to general measurement in M mode.
6.20 M Small Parts Measurement
Refer to general measurement in M mode.
6.21 M Pediatric Measurement
Refer to general measurement in M mode.
6.22 PW mode measurement methods
Activate PW mode, and then press [Calc] and [Change] to enter PW mode measurement.
NOTE:
In order to get accurate result, the PW image must be clear and high quality. Insure that you have fixed the cursor at the exact place of cardiac systole and diastole.
Velocity
Refer to velocity of M mode general measurement.
Time
Refer to time of M mode general measurement.
HR
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ECO 6 Digital Color Doppler Ultrasound System
Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Distance
Distance
cm
Refer to Distance Meas
Angle
Line1/Line2
deg
Refer to Distance Meas.
Angle Range: 0°~ 180°
Peak
Vs
cm/s
Refer to M speed meas.
Pressure(s)
mmHg
Formula: Pressure 4 × Vs × Vs/10000
Vd
cm/s
Refer to M speed meas.
Pressure(d)
mmHg
Formula: Pressure 4 × Vd × Vd/10000
SD
Formula:SDVs/Vd
RI
Formula:SD (Vs-Vd)/Vs
Time
s
Refer to M time meas.
Refer to HR of M mode general measurement.
Auto Trace
Measurement step:
1. Move the trackball to select the start point of the one cycle and press [ENTER] to fix it.
2. A second cursor “^” will appear, and move the trackball to the end point of the cycle, press
[ENTER] to fix it.
3. The measurement results will be displayed on the monitor and calculate other values of
parameters.
Manual Trace
Measurement step:
1. Move the trackball to select the start point of the one cycle and press [ENTER] to fix it.
2. Move the trackball along the spectrum and press [ENTER] to complete.
3. The measurement results will be displayed on the monitor and calculate other values of
parameters.
6.23 PW Fast Measurement
Press [Dist] to enter PW Fast measurement in PW mode. Press the corresponding parameter
control key to switch the fast measurement item.
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ECO 6 Digital Color Doppler Ultrasound System
Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
HR(Single Wave)
Single wave Time
Bpm s
Refer to M HR meas.
Ratio(Distanc e)
Refer to Distance Meas. Formula: R=D1/D2
D1: First Distance D2: Second Distance
Area
Auto
Vs
cm/s
Refer to M speed meas.
Pressure(s)
mmHg
Formula: Pressure 4 × Vs × Vs/10000
Vd
cm/s
Refer to M speed meas.
Pressure(d)
mmHg
Formula: Pressure 4 × Vd × Vd/10000
VMean
cm/s
Refer to M speed meas.
Pressure(V Mean)
mmHg
Formula: Pressure4× VMean ×VMean/10000
TVI
cm
SD
Formula:SDVs/Vd
RI
Formula:SD (Vs-Vd)/Vs
PI
Formula:SD (Vs-Vd)/VMean
HR(Single wave)
bpm
Ratio( Area)
cm2
Refer to ellipse Meas. Formula: R=A1/A2
A1: First Area A2: Second Area
AutoCubicSpli ne
cm2
Refer to Trace Meas. Ellipse
cm2
Refer to Ellipse Meas.
Trace
cm2
Refer to Trace Meas.
Volume
Volume(1Dist ance)
ml
Refer to Distance Meas. Formula: V=(π/6)*D3
D means: Depth
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ECO 6 Digital Color Doppler Ultrasound System
Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Volume(1Ellip se)
ml
Refer to ellipse meas. Formula: V=(π/6)*A*B2
A: Long Axis B: Short Axis
Volume(2Dist ance)
ml
Refer to Distance Meas. Formula:
V=(π/6)*D1*D2
2
D1: the longer distance D2: the shorter distance
Volume(3Dist ance)
ml
Refer to Distance Meas. Formula: V=(π/6)*D1*D2*D3
D1, D2, D3: Distance
Volume(1Dis1 Ellip)
ml
Refer to distance and ellipse Meas. Formula: V=(π/6)*A*B*M
A: Long Axis B: Short Axis M: Distance
Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Velocity
cm/s
Refer to M speed meas.
Distance
cm
Refer to B distance meas.
Peak
Vs
cm/s
Refer to M speed meas.
Pressure(s)
mmHg
Formula: Pressure 4 × Vs × Vs/10000
Vd
cm/s
Refer to M speed meas.
6.24 PW Genearl Measurement
Press [Calc] to enter PW measurement in PW mode. Press the corresponding parameter control key to switch the general measurement item.
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ECO 6 Digital Color Doppler Ultrasound System
Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Pressure(d)
mmHg
Formula: Pressure 4 × Vd × Vd/10000
SD
Formula:SD Vs/Vd
RI
Formula:SD (Vs-Vd)/Vs
Time
s
Refer to M time meas.
Auto Trace / Manual Trace / 2PT
Vs
cm/s
Refer to M speed meas.
Pressure(s)
mmHg
Formula: Pressure 4 × Vs × Vs/10000
Vd
cm/s
Refer to M speed meas.
Pressure(d)
mmHg
Formula: Pressure 4 × Vd × Vd/10000
VMean
cm/s
Refer to M speed meas.
Pressure(VMea n)
mmHg
Formula: Pressure 4 × VMean × VMean/10000
TVI
cm
SD
Formula:SD Vs/Vd
RI
Formula:SD (Vs-Vd)/Vs
PI
Formula:SD (Vs-Vd)/VMea n
HR(Single wave)
bpm
StD%
Distance1
cm
Refer to B distance meas.
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ECO 6 Digital Color Doppler Ultrasound System
Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Distance2
cm
Refer to B distance meas.
StD%
%
Formula: StD% ((D1-D2) ÷ D1)×100%
D1:Distance1, D2:Distance2
StA%
Area1
cm2
Refer to B ellipse meas.
Area2
cm2
Refer to B ellipse meas.
StA%
%
Formula: StA% ((A1-A2)÷A1) ×100%
A1:Area1,A2:Area2 ICA/CCA
ICA
cm/s
Refer to M speed meas.
Pressure(ICA)
mmHg
Formula: Pressure 4 × ICA × ICA/10000
CCA
cm/s
Refer to M speed meas.
Pressure(CCA)
mmHg
Formula: Pressure 4 × CCA × CCA/10000
ICA/CCA
Formula: ICA/CCA
Flow Volume
Diam
cm
Refer to B distance meas.
TVI
cm
Time
s
Refer to M time meas.
HR(Single wave)
bpm
SV
ml
Formula:
0.785* Diam* Diam*|TVI|
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ECO 6 Digital Color Doppler Ultrasound System
Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
CO
l/min
Formula: SV*HR(Single wave)/1000
Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Umb A Aorta, Descending Uterine Artery(Lt), Uterine Artery(Rt), Pulmonary Artery, MCA Duct Veno FHR
Vs
cm/s
Refer to PW Trace Meas.
Pressure(s)
mmHg
Formula: Pressure=4*Vs*Vs/10000
Vd
cm/s
Refer to PW Trace Meas.
Pressure(d)
mmHg
Formula: Pressure=4*Vd*Vd/10000
VMean
cm/s
Refer to PW Trace Meas.
Pressure(VMea n)
mmHg
Formula: Pressure=4*VMean*VMean/100 00 TVI
cm
SD
Formula: SD=Vs/Vd
RI
Formula: SD=(Vs-Vd)/Vs
PI
Formula: SD=(Vs-Vd)/VMean
HR(Single wave)
bpm
6.25 PW Abdomen Measurement
Refer to PW general measurement.
6.26 PW OB Measurement
Press [Calc] to enter PW measurement in PW OB mode. Or press the corresponding parameter control key to switch the OB measurement item.
6.27 PW GYN Measurement
Press [Calc] to enter PW measurement in PW GYN mode. Or press the corresponding parameter control key to switch the GYN measurement item.
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ECO 6 Digital Color Doppler Ultrasound System
Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Umb A
MCA
Lt/Rt Uterin A
Fetal AO
Vs
cm/s
Refer to M speed meas.
Pressure(s)
mmHg
Formula: Pressure 4 × Vs × Vs/10000
Vd
cm/s
Refer to M speed meas.
Pressure(d)
mmHg
Formula: Pressure 4 × Vd × Vd/10000
VMean
cm/s
Refer to M speed meas.
Pressure(VMea n)
mmHg
Formula: Pressure 4 × VMean × VMean/10000
TVI
cm
SD
Formula:SD Vs/Vd
RI
Formula:SD (Vs-Vd)/Vs
PI
Formula:SD (Vs-Vd)/VMea n
HR(Single wave)
bpm
Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Velocity
cm/s
Refer to PW Velocity Meas.
Acceleratio n
cm/s2
Refer to PW Slope Meas.
Time
s Refer to PW Time Meas.
6.28 PW Cardiology Measurement
Press [Calc] to enter PW measurement in PW cardiology mode. Or press the corresponding parameter control key to switch the cardiology measurement item.
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ECO 6 Digital Color Doppler Ultrasound System
Slope
cm/s
Refer to PW Slope Meas.
HR(Single Wave)
bpm
Refer to PW Time Meas.
ED/PS
ED PS
cm/s
Refer to PW Velocity Meas. Formular: RI=(ED-PS)/ED
Mitral Valve
MV E Vel
cm/s
Refer to PW Velocity Meas. Formular: MV E PG=4*MV E Vel*MV E Vel/10000 E/Ea=MV E Vel/Ea
MV A Vel
cm/s
Refer to PW Velocity Meas. Formular: MV A PG=4*MV A Vel*MV A Vel/10000 E/A=MV E Vel/MV A Vel A/E=MV A Vel/MV E Vel
MV VTI
Refer to PW Trace Meas. Formular: MV PGmax=4*MV Vmax*MV Vmax/10000 MV PGmean=4*MV Vmean*MV Vmean/10000 MV SV=0.785*MV Diam*MV Diam*|MV VTI| MR Fraction=MR Flow/MV SV*100
MVA(PHT)
Formular: MV PHT=(-1)*0.3*VPeak/Slope MVA PHT=220/MV PHT/1000
MVA(VTI)
Formular: MV(VTI)=π *|LVOT VTI*LVOT Diam*LVOT Diam|/MV VTI/4
MV E Dur
s
Refer to PW Time Meas.
MV A Dur
s
Refer to PW Time Meas.
MV DecT
s
Refer to PW Time Meas.
MR Vmax
cm/s
Refer to PW Velocity Meas. Formula: MR PGmax=4*MR Vmax*MR Vmax/10000
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ECO 6 Digital Color Doppler Ultrasound System
MR VTI
Refer to PW Trace Meas. Formula: MR PGmax=4*MR Vmax*MR Vmax/10000 MR PGmean=4*MR PGmean*MR PGmean/10000
dp/dt
Formula: dp/dt=32/Time
IVRT
s
Refer to PW Time Meas.
IVCT
s
Refer to PW Time Meas.
Aortic
AV Vmax
cm/s
Refer to PW Velocity Meas. Formular: AV PGmax=4*AV Vmax*AV Vmax/10000
AV VTI
Refer to PW Trace Meas. Formular: AV PGmax=4*AV Vmax*AV Vmax/10000 AV PGmax=4*AV Vmean*AV Vmean/10000 AV SV=0.785*AV Diam*AV Diam*|AV VTI| AR Fraction=AR Flow/AV SV*100
AVA(VTI)
Formular: AVA(VTI)=π*|LVOT VTI*LVOT Diam*LVOT Diam|/AV VTI/4
LVOT Vmax
cm/s
Refer to PW Velocity Meas. Formular: LVOT PGmax=4*LVOT Vmax*LVOT Vmax/10000
LVOT VTI
Refer to PW Trace Meas. Formular: LVOT PGmax=4*LVOT Vmax*LVOT Vmax/10000 LVOT PGmax=4*LVOT Vmean*LVOT Vmean/10000
LVPEP
s
Refer to PW Time Meas.
LVET
s
Refer to PW Time Meas.
AR Vmax
cm/s
Refer to PW Velocity Meas. Formular: AR PGmax=4*AR Vmax*AR Vmax/10000
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ECO 6 Digital Color Doppler Ultrasound System
AR VTI
Refer to PW Trace Meas. Formular: AR PGmax=4*AR Vmax*AR Vmax/10000 AR PGmean=4*AR Vmean*AR Vmean/10000
AR DecT
s
Refer to PW Time Meas.
AR PHT
Tricuspid Valve
TV Vmax
cm/s
Refer to PW Velocity Meas. Formular: TV PGmax=4*TV Vmax*TV Vmax/10000
TV E Vel
cm/s
Refer to PW Velocity Meas. Formular: TV E PG=4*TV E Vel*TV E Vel/10000
TV A Vel
cm/s
Refer to PW Velocity Meas. Formular: TV A PG=4*TV A Vel*TV A Vel/10000 E/A=TV E Vel/TV A Vel A/E=TV A Vel/TV E Vel
TVA(VTI)
Formular: TVA(VTI)=π*|RVOT VTI*LVOT Diam*LVOT Diam|/TV VTI/4
RVSP
Formular: TR PGmax=4*TR Vmax*TR Vmax/10000 RVSP=RAP+4*TR Vmax*TR Vmax/10000
Pulmonary Valve
RVOT Vmax
Refer to PW Velocity Meas. Formular: RVOT PGmax=4*RVOT Vmax*RVOT Vmax/10000
RVOT VTI
Formular: RVOT PGmax=4*RVOT Vmax*RVOT Vmax/10000 RVOT PGmean=4*RVOT Vmean*RVOT Vmean/10000
PV Vmax
cm/s
Refer to PW Velocity Meas. Formular: PV PGmax=4*PV Vmax*PV Vmax/10000
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PV VTI
Formular: PV PGmax=4*PV Vmax*PV Vmax/10000 PV PGmean=4*PV Vmean*PV Vmean/10000
PVA(VTI)
Formular: PVA(VTI)=π*|RVOT VTI*LVOT Diam*LVOT Diam|/PV VTI/4
MPA Vmax
cm/s
Refer to PW Velocity Meas. Formular: MPA PGmax=4*MPA Vmax*MPA Vmax/10000
RPA Vmax
cm/s
Refer to PW Velocity Meas. Formular: RPA PGmax=4*RPA Vmax*RPA Vmax/10000
LPA Vmax
cm/s
Refer to PW Velocity Meas. Formular: LPA PGmax=4*LPA Vmax*LPA Vmax/10000
RVPEP
s
Refer to PW Time Meas.
RVET
s
Refer to PW Time Meas.
RAEDP
Formular: PR PGmax=4*PR Vmax*PR Vmax/10000 RAEDP=RAP+4*PR Vmax*PR Vmax/10000
PR Vmax
Refer to PW Velocity Meas. Formular: PR PGmax=4*PR Vmax*PR Vmax/10000
PR VTI
Formular: PR PGmax=4*PR Vmax*PR Vmax/10000 PV PGmean=4*PR Vmean*PR Vmean/10000
PR PHT
Pulmonary Vein
PVein S Vel
Refer to PW Velocity Meas.
PVein D Vel
Refer to PW Velocity Meas.
PVein A Vel
Refer to PW Velocity Meas.
PVein A Dur
Refer to PW Time Meas.
PVein S VTI
Refer to PW Trace Meas.
PVein D VTI
Refer to PW Trace Meas.
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PISA
MR,AR,TR,PR
Refer to PW Trace Meas. Formular: EROA=|Flow Rate/Vmax| Flow=EROA/VTI Fraction=Flow/SV*100
Qp/Qs
AV VTI
Refer to PW Trace Meas. Formular: AV SV=0.785*AV Diam*AV Diam/|AV VTI| CO=AV SV*AV HR/1000
PV VTI
Refer to PW Trace Meas. Formular: PV SV=0.785*PV Diam*PV Diam/|PV VTI| CO=PV SV*PV HR/1000 Qp/Qs Qp-Qs
Tei Index
IRT Refer to PW Time Meas.
ICT Refer to PW Time Meas.
ET
Refer to PW Time Meas. Formular: Tei Index=(ICT+IRT)/ET
TDI
MV medial (Sa,Ea,Aa,ARa,DR a)
Refer to PW Velocity Meas. & Slope Meas.
MV lateral (Sa,Ea,Aa,ARa)
Refer to PW Velocity Meas. & Slope Meas.
Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Subclavian A
Prox CCA
Mid CCA Vs
cm/s
Refer to M speed meas.
Pressure(s)
mmHg
Formula: Pressure4 × Vs× Vs/10000
Vd
cm/s
Refer to M speed meas.
6.29 PW Vascular Measurement
Press [Calc] to enter PW measurement in PW vascular mode. Or press the corresponding parameter control key to switch the vascular measurement item.
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ECO 6 Digital Color Doppler Ultrasound System
Meas. Menu
Submenu
Unit
Meas. Method/ Meas. Formula
Comment
Distal CCA
Bulb
Prox ICA
Mid ICA
Distal ICA
ECA
Vertebral A
Pressure(d)
mmHg
Formula: Pressure4× Vd × Vd/10000
VMean
cm/s
Refer to M speed meas.
Pressure(VMea n)
mmHg
Formula: Pressure4×VMean ×VMean/10000
TVI
cm
SD
Formula: SD=Vs/Vd
RI
Formula: SD=(Vs-Vd)/Vs
PI
Formula: SD=(Vs-Vd)/VMean
HR(Single wave)
bpm
Flow Volume
Diam
cm
Refer to PW Distance Meas.
VTI
cm
Refer to PW Distance Meas.
6.30 PW Urology Measurement
Refer to PW general measurement.
6.31 PW Small parts Measurement
Refer to PW general measurement.
6.32 PW Pediatric Measurement
Refer to PW general measurement.
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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.
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] to start operation.
7.1 General setting
7.1.1 General Interface
Press the [SETUP] 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.
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Function name
Setting method
Function description
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.
Screen Controller
Select the function and set its start time
Enable screen saver, user can custom screen saver images, a custom picture named "screensaver", JPG, PNG, BMP format, size does not exceed 512 * 384 pixels.
Language
Select language
Select the language of operation interface(Simplified Chinese English and so on)
Auto Export
Select the need option
Select to export files to U disk or Network after storage.
Default
Press button
Recover all preset to factory setting.
7.1.2 Image & Cine setting
Function name
Setting method
Function description
Screen Type
Select the need type
Set the content which screen picture contain: only picture, image and patient information, full screen.
Cine Frames
Select the parameter
Set the default frame or time when saving the film.
Options for Image Area
Click the button to open the setting box
Set the STC curve, including always shows, always hide and hide for 1 to 8 seconds.
ECO 6 Digital Color Doppler Ultrasound System
User can select Image&Cine option to set the screen type, parameters of image, cine or image area. See the following sheet 2 for detailed description.
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Function name
Setting method
Function description
Options for Transmitted Images
Click the button to open the setting box
Adjust the parameters of transmitted images: brightness, contrast, and gamma and select the need image type.
PC Print Image Option
Select the need option
Including print area and arrangement condition in the image foresee interface.
7.1.3 Keyboard setting
Users can set the different functions for number keys and other optional buttons according to the using habits.
Key: display the settable number keys and buttons and selected function. Output: including store images, store films, store images to U disk, store film to U disk, etc.
function options.
Image mode: including image full screen, biopsy, chroma, etc. Print: including video print, pc print etc. Measurement: including GS, CR, BPD, HC, AC, etc.  Other: including arrow, archive.
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.
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