Gima CHISON QBit5 ECOCOLOURDOPPLER User guide

Digital Color Doppler Ultrasound System

QBit 3/QBit 5

Operation Manual

V1.1
Dec. 2019

CHISON Medical Technologies Co., Ltd.

We reserve the right to make changes to this manual without prior notice.

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 QBit 3/QBit 5. Please verify that you are using the
latest revision of this document. If you need the latest revision, please contact your

distributor.

Statement

1. No part of this manual may be reproduced, modified, copied or reprinted, in whole
or in part, without written permission from CHISON.

2. The contents of this manual are subject to change without prior notice and without
our legal obligation.

3. Before operating the system, please read and understand this manual. After
reading, keep this manual in an easily accessible place. If you have any question or
doubt, please contact CHISON's authorized service engineer.

4. CHISON’s Warranty only cover material and parts costs for repair, but does not
cover any labor cost or onsite service cost at end user's side.

Digital Color Doppler Ultrasound System

Warning words

Meaning

NOTE

Indicates information of interest to users of the equipment as to exceptional
conditions or operating procedures and make the system work in good
condition.

WARNING

Indicates an imminently hazardous situation which can not be avoided will
result in death, serious injury to the user or damage to the system.

CAUTION

Indicates a potentially hazardous situation which can not be avoided, may
result in death, serious injury to the user or make the system misoperation.

CAUTION:

1. Federal law restricts the device to sale by or on the order of a licensed practitioner or

therapist.

2. It is prohibited to use the device for fetal sex examination, except for necessary medical

needs.

3. The device can only be sold to qualified medical institutions or doctors.

4. The users shall have got the qualification, and shall comply with the local laws and

regulations, the local religion and customs, etc.

5. 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.

Meaning of the signal words

In this manual, the warning words NOTE, CAUTION and WARNING are used for regarding safety
and other important instructions. Please understand their meanings clearly before reading this
manual. The words and their meanings are defined as follows:

Important information

Digital Color Doppler Ultrasound System

NOTE:

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 this system and probes. The System modified or

repaired by people other than CHISON’s qualified service engineers, CHISON shall not be liable for

the system.

4. The 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.

5. 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.

6. 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.

7. Please put this manual with the system to ensure operator and manager can reach it at any

time. Due to negligence not following operation manual, CHISON shall not be liable for the results.

8. LED display screen may have some dark or light dots, it is normal for the LED. It does not

mean that LED screen is defective.

Digital Color Doppler Ultrasound System

CAUTION:

When the above life time is expired, the effectiveness and safety of system and probes
maybe greatly affected, so it’s NOT suggested to continue using the system and probes
even the system and probes seem work properly. But if user still wants to continue using
the system and probes, user should first contact CHISON service center at CHISON
headquarter to arrange the necessary safety check and calibration by CHISON’s
authorized service engineer. If CHISON headquarter service center provides the
calibration certificate for the related system or probe, then user could continue use the
system or probes according to the calibration certificate. However, if CHISON
headquarter service center concludes that the system or probe is no longer complied to
the safety and effectiveness standard, then user should immediately stop using the
system or probe. User understands that such check and calibration cost will be born by
the user.

Systems and probes keep on using after the life time may also be difficult to repair and

maintain, so it’s suggested to renew the product after the life time.

Service Responsibility

If users install, use and maintain the system fully according to CHISON’s installation manual,
operation manual and service manual, then the main unit has a life time of 5 years and probes
have life time of 5 years after ex-work.
The warranty of the system and probes after ex-work is as the time in the warranty card.
The system is a precise electronic system. Only the CHISON’s authorized service engineer could
replace the defective parts. Any assembly, disassembly, handling, repair, or replacement by any
other people may have adverse impact on the safety and effectiveness of the systems and probes,
and thus will reduce the life time of the system and probes, and such systems and probes will not
be covered by CHISON warranty after the above improper handling. Standard maintenance must
be performed by CHISON’s authorized service engineer during the life time of the product.

Digital Color Doppler Ultrasound System

Content

Digital Color Doppler Ultrasound System ................................................................................. 1

Chapter 1 Introduction .................................................................................................................. 1

1.1 System Overview .................................................................................................................... 1

1.2 Contact Information ................................................................................................................ 1

Chapter 2 System Safety .............................................................................................................. 3

2.1 Safety Overview ...................................................................................................................... 3

2.2 Electrical Safety ...................................................................................................................... 4

2.3 Label ......................................................................................................................................... 7

2.4 Patient Environmental Devices ............................................................................................ 9

2.5 Biological Safety ................................................................................................................... 11

2.6 Scanning Patients and Education ...................................................................................... 13

Chapter 3 System Introduction .................................................................................................. 21

3.1 Console View ........................................................................................................................ 21

3.2 Physical Specification .......................................................................................................... 22

3.3 External Interface View ........................................................................................................ 22

3.4 Key System Features........................................................................................................... 24

3.5 Installation Procedures ........................................................................................................ 27

Chapter 4 Control Panel .............................................................................................................. 37

4.1 Keyboard Appearance ......................................................................................................... 37

4.2 Alphanumeric Keyboard ...................................................................................................... 38

4.3 Function Keys/Knobs ........................................................................................................... 38

4.4 Central Control ...................................................................................................................... 41

4.5 Information Area Indicating Machine Status ..................................................................... 42

Chapter 5 Operation and Exam Mode ...................................................................................... 43

5.1 Preparing the System for Use ............................................................................................ 43

5.2 Choose Exam Mode............................................................................................................. 43

5.3 Patient Data Entry ................................................................................................................ 44

5.4 Image Interface Display ....................................................................................................... 45

5.5 Image Mode .......................................................................................................................... 45

Digital Color Doppler Ultrasound System

5.6 B Image Menu & Parameters ............................................................................................. 52

5.7 M Image Menu & Parameters ............................................................................................. 55

5.8 CFM/CPA/DPD/TDI Image Menu & Parameters ............................................................. 56

5.9 PW/CW Image Menu & Parameters .................................................................................. 57

5.10 Image and Cine Disposition .............................................................................................. 57

5.11 Edit Comment ..................................................................................................................... 59

5.12 Set Body Mark .................................................................................................................... 61

5.13 Set the Direction of Arrow ................................................................................................. 62

5.14 Image Browse ..................................................................................................................... 62

5.15 Archive Management ......................................................................................................... 64

5.16 Report .................................................................................................................................. 65

5.17 DICOM ................................................................................................................................. 66

Chapter 6 Measurement and Calculation................................................................................. 69

6.1 Keyboard for Measurement ................................................................................................ 69

6.2 B Mode General Measurement Methods .......................................................................... 70

6.3 B Fast Measurement ............................................................................................................ 74

6.4 B General Measurement ..................................................................................................... 75

6.5 B Abdomen Measurement .................................................................................................. 76

6.6 B OB Measurement .............................................................................................................. 77

6.7 B Pediatrics Measurement .................................................................................................. 80

6.8 B ORTH Measurement ........................................................................................................ 81

6.9 B GYN Measurement ........................................................................................................... 82

6.10 B Small Parts Measurement ............................................................................................. 83

6.11 B Vascular Measurement .................................................................................................. 83

6.12 B Urology Measurement ................................................................................................... 83

6.13 B Cardiology Measurement .............................................................................................. 84

6.13 Normal Measurement in M, B/M mode ........................................................................... 87

6.14 General Measurement in M mode ................................................................................... 88

6.15 M Cardiology Measurement.............................................................................................. 88

6.16 Other Urology Measurement in M Mode ......................................................................... 90

Digital Color Doppler Ultrasound System

6.17 PW mode measurement methods ................................................................................... 90

6.18 PW Fast Measurement ...................................................................................................... 92

6.19 PW General Measurement ............................................................................................... 92

6.20 PW OB Measurement ........................................................................................................ 94

6.21 PW GYN Measurement ..................................................................................................... 94

6.22 PW Cardiology Measurement .......................................................................................... 95

6.23 PW Vascular Measurement ............................................................................................ 100

6.24 Other Urology Measurement in PW Mode ................................................................... 100

Chapter 7 Preset ......................................................................................................................... 101

7.1 General setting .................................................................................................................... 101

7.2 Measurement ...................................................................................................................... 104

7.3 Comment ............................................................................................................................. 113

7.4 Body marks.......................................................................................................................... 116

7.5 Exam Mode ......................................................................................................................... 117

7.6 Report ................................................................................................................................... 121

7.7 DICOM ................................................................................................................................. 124

7.8 Network ................................................................................................................................ 125

7.9 System ................................................................................................................................. 126

Chapter 8 System Maintenance ............................................................................................... 128

8.1 Machine Cleaning ............................................................................................................... 128

8.2 Safety Check ....................................................................................................................... 128

8.3 Malfunction Check .............................................................................................................. 129

Chapter 9 Probes ....................................................................................................................... 130

9.1 General Description ........................................................................................................... 130

9.2 Care and Maintenance ...................................................................................................... 130

9.3 Probe Operation Instructions ............................................................................................ 143

Appendix A: Acoustic Output Report Table .......................................................................... 146

Appendix B: Guidance and Manufacturer’s Declaration .................................................... 232

Appendix C: Measurement Results Summary ...................................................................... 236

Appendix D: Display Accuracy and Acoustic Measurement Uncertainties ..................... 237

Digital Color Doppler Ultrasound System

Appendix E: Transducer Maximum Surface Temperature .................................................. 238

Appendix F: Procedures of setting network sharing........................................................... 239

Digital Color Doppler Ultrasound System

Page 1

CHISON website

www.chison.com

Service Support

CHISON Medical Technologies Co., Ltd.
Tel:[phone]
Fax: [phone]
E-mail: [e-mail]

Placing an Order

CHISON Medical Technologies Co., Ltd.
Tel: [phone]
Fax: [phone]
Email: [e-mail]

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, Abdominal, Pediatric, Small Organ (breast, thyroid, testes), Adult
Cephalic, Cardiac(adult, pediatric), Musculo-skeletal(Conventional, Superficial), Peripheral
Vascular, Transrectal, Transvaginal, Urology.

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:

Digital Color Doppler Ultrasound System

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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: [phone], Fax: [phone], Email: [e-mail]
MID-LINK INTERNATIONAL CO., LTD

EC Representative

Shanghai International Holding Corp.GmbH (Europe)
Address: Eiffestrasse 80, 20537 Hamburg, Germany
Tel: [phone]
Fax: [phone]
E-mail: [e-mail] [e-mail]

Digital Color Doppler Ultrasound System

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Chapter 2 System Safety

2.1 Safety Overview

This section discusses the 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 for operator or patient, or even loss of life.

Users should observe the following precautions:

 This system complies with Type BF general equipment, and the IEC standard. Please follow
this operation manual to use this system properly.
 Please do not modify this system in any way. If modifications are necessary, please contact the
manufacturer first to get more information and permission.

 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 cord of the system should 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 IEC/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 a CHISON's authorized service engineer can perform maintenance.
 Only a qualified operator, or someone under qualified supervision, can use the system.
 Do not use this system in the presence of flammable substances, otherwise an explosion may

Digital Color Doppler Ultrasound System

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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, only use qualified ultrasound gel that complies
with system standards.
 Do not unplug probe when the system is in active operation. Always go to transducer Selection
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.
 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 restarting to use it.c

NOTE:

* The system has built-in screen saver to avoid the tic mark on the display. It is not recommended
to constantly turn on and off the unit.

* To dispose of this product properly, please contact the local CHISON’s Authorized Service

Representative.

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 which includes an additional safety precaution in that accessible conductive parts are
connected to the protective earthing conductor in the electrical installation in such a way that
accessible parts cannot become live in the event of a failure of the basic insulation.

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

Digital Color Doppler Ultrasound System

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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)

The Equipment is not suitable for use in the presence of a flammable anesthetic mixed with air
(with oxygen or with oxide)

Mode of operation

 Continuous Operation
For maximum safety, always follow these guidelines:
 Proper grounding of the system is critical to avoid electric shock. For protection, ground the
chassis with a three-wire cable and plug the system into a hospital-grade, three-hole outlet.

 Do not remove or circumvent the grounding wire.
 Do not remove the protective covers on the system. These covers protect users against

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 with 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

Digital Color Doppler Ultrasound System

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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 only use the cables provided by or designated by CHISON. Connect these cables

following the installation procedures (e.g. wire power cord 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)

Page 7

2.3 Label

Icon

Meaning

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.

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.

Refer to instruction manual/booklet.

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.

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

Digital Color Doppler Ultrasound System

Rear panel label

2.3.1 Warning Symbols on Label

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collected separately. Please contact your local Authority or distributor of the
manufacturer for information concerning the decommissioning of your equipment.

The CE mark of Conformity indicates this equipment conforms to the Council
Directive 93/42/EEC.

Rx only

This symbol indicates that federal law restricts the device to sale by or on the
order of a licensed practitioner or therapist in the united states.

AUTHORIZED REPRESENTATIVE IN THE EUROPEAN COMMUNITY: This
symbol is accompanied by the name and the address of the authorized
representative in the European Community.

MANUFACTURER: This symbol is accompanied by the name and the address of
the manufacturer.

Manufacturing date of the device in the form YYYY-MM.
Serial number of the device.

The “Alternating current” symbol indicates that the equipment is suitable for
alternating current only.

Icon

Meaning

Power On/off
CAUTION: This Power Switch cannot isolate Mains Supply completely.

Type-BF applied part

Main power switch ON

Main power switch OFF

Potential equilibrium connection

IPX0

No protection against ingress of water (system)

IPX7

Protection against the effects of immersion (probes)

2.3.2 Symbols used in the system

Page 9

2.4 Patient Environmental Devices

Right side:

 2 Probe ports (standard)
 2 USB ports on control panel

Rear panel:

 4 USB ports
 1 VIDEO OUT port
 1 DVI port
 1 VGA port
 1 Remote port

Digital Color Doppler Ultrasound System

 1 ECG port
 2 Footswitch ports
 1 LAN port
 1 S-VIDEO port
 1 Power in port
 1 Power out 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.

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 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 occur. Use only the accessories, options and supplies
approved or recommended in these instructions for use.

Peripheral used in the patient environment

The system has been verified for overall safety, compatibility and compliance with the following
on-board image recording devices:
B/W video printer: SONY UP-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.

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 possible resulting malfunctions and
electromagnetic interference are the responsibilities 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

Digital Color Doppler Ultrasound System

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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. The provided LAN components are IEC/EN 60950 compliant.

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

 The added device(s) must have appropriate safety standard conformance and CE Marking.
 The added device(s) must be used for their intended purpose having a compatible interface.

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.

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

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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.

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MI recognizes the importance of non-thermal processes, cavitations in particular, and the Index is
an attempt to indicate the probability that they might occur within the tissue.

2.6 Scanning Patients and Education

The Track-3 or IEC60601-2-37 output display standard allows users to share the responsibility for
the safe use of this ultrasound system. Follow these usage guidelines for safe operation:

 In order to maintain proper cleanliness of the probes, always clean them between patients.
 Always use a disinfected sheath on all EV/ER probes during every exam.
 Continuously move the probe, rather than staying in a single spot, to avoid elevated

temperatures in one part of the patient’s body.

 Move probe away from the patient when not actively scanning.
 Understand the meaning of the TI, TIS, TIB, TIC and MI output display, as well as the

relationship between these parameters and the thermal/cavitation bio effect 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 to the patient and the operator).

 Operators should understand the likely influence of the machine controls, the operating mode
(e.g. B-mode, color Doppler imaging or spectral Doppler) and probe frequency on thermal and
cavitations 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 adjusted to its maximum value.

 Maintain the shortest examination time necessary to produce a useful diagnostic result.

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 Do not hold the probe in a fixed position for any longer than is necessary. It should be removed
from the patient whenever there is no need for real-time imaging or spectral Doppler acquisition.
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.

 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:

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TI

Maximum exposure time

(minutes)

0.7

60

1.0

30

1.5

15

2.0

4

2.5

1

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

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.

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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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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

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.

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TI:
TI is defined as the ratio of the In Situ acoustic power (W.3) to the acoustic power required to raise
tissue temperature by 1°C (Wdeg), TI=W.3/Wdeg.
Three TIs corresponding to soft tissue (TIS) for abdominal; bone (TIB) for fetal and neonatal
cephalic; and cranial bone (TIC) for pediatric and adult cephalic, have been developed for
applications in different exams.
An estimate of the acoustic power in milli-watts necessary to produce a 1°C temperature elevation
in soft tissue is:

Wdeg=210/fc,for model 1 to 4, where fc is the center frequency in MHz.

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

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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 in Different Mode

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 B-Scan Mode
Only display and report MI, and start from 0.4 if maximum MI > 1.0, display in increments of 0.2.

For Color Mode
Only display and report TIS or TIB and start from 0.4 if maximum TI > 1.0, display in increments of

0.2 for values of indices of 2.0 or less, and 0.5 for values of indices greater than 2.0.

For Doppler Mode
Only display and report TIS or TIB and start from 0.4 if maximum TI > 1.0, display in increments of

0.2 for values of indices of 2.0 or less, and 0.5 for values of indices greater than 2.0.

Below is a simple guideline for the user when TI exceeds one limit exposure time to 4(6-TI)

minutes based on the ‘National Council on Radiation Protection. Exposure Criteria for Medical

Diagnostic Ultrasound: I. Criteria Based on Thermal Mechanisms. Report No.113 1992’.

Operator Control Features:
The user should be aware that certain operator controls may affect the acoustic output. It is

recommended to use the default (or lowest) output power setting and compensate using Gain
control to acquire an image. Other than the output power setting in the soft-menu, which has the
most direct impact on the power; the PRF, image sector size, frame rate, depth, and focal position
also slightly affect the output power. The default setting is normally around 70% of the allowable
power depending on the exam application mode.

Controls Affecting Acoustic Output
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.

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Indirect: Indirect effects may occur when adjusting controls. Controls that can influence MI and TI
are detailed under the bio effect 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.

Page 21

Chapter 3 System Introduction

3.1 Console View

Digital Color Doppler Ultrasound System

Fig. 3-1 Console View

NOTE: The photograph above is adapted for 15 inch monitor. For device of 19 inch monitor

please be subject to the actual product.

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Page 22

1

2 3 4

3.2 Physical Specification

Dimensions of main unit (approx.):

1.15 inch monitor: 747mm (Length)*517mm (Width)*1283mm (Height)

2.19 inch monitor (option): 747mm (Length) ×517mm (Width) ×1358.23mm (Height)
Net weight of main unit (approx.): 50 kg (no probe included)

3.3 External Interface View

Fig. 3-2 Front Side View

1. Monitor 2. Speaker 3. Keyboard 4. Probe holder

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2 1 1 2 3 4 5 8 7

6

Fig. 3-3 Right Side View

1.ECG port 2. Probe ports

Fig. 3-4 Rear panel

1.USB 2.0 ports 2.Remote port 3.LAN port 4.DVI port

5.Foot Switch ports 6.Video Out port 7.S-Video port 8.VGA port

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1 2 4

3

Fig. 3-5 Power panel

1.Power In 2.Power Switch 3. Potential equilibrium connection 4.Power Out

3.4 Key System Features

1. Zoom and depth adjustment.

2. Set the total gain, contrast, frequency band, 8 segments of STC, dynamic range, persistence.

3. 256 gray-scale image display technology, Q-image technology, stable performance, high
resolution.

4. Image freezing and storage function; the stored images can be recalled for analysis.

5. Scanning direction can be changed and the image can be reversed in left/right, up/down
direction.

6. Distance, area, circumference, volume, fetal weight, heart rate etc. measurements are
available and automatic calculation of OB, cardiology are available. Direct display of gestation age
and expected date of child delivery.

7. Elliptical method and tracing method are provided for area/circumference measurement.

8. Many kinds of body marks can be displayed together with corresponding probe position
indication.

9. Comment function in image area of the screen, special comment terms for different exam mode
can be added according to user’s requirement.

10. Display of Patient ID, Time and Date display according to real-time clock.

11. Trackball available for operation and measurement. Characters can be input directly by
keyboard.

12. When one function is under operation, the corresponding key on the control panel will be
brightly lit. When exiting from the function, the corresponding key on the control panel will be
slightly lit.

13. Measure the percentage of stenosis, blood flow velocity, velocity ratio, blood flow volume and
pressure gradient. Automatically measure the values of maximum velocity, minimum velocity, time
interval, pulsatility index and resistance index.

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Mode

QBit 3

QBit 5

B Mode

Standard

Standard

2 B Mode

Standard

Standard

B/M Mode

Standard

Standard

M Mode

Standard

Standard

4B Mode

Standard

Standard

2D Steer

Standard

Standard

CFM Mode

Standard

Standard

CPA(PD) Mode

Standard

Standard

DPD Mode

Standard

Standard

PW Mode

Standard

Standard

Triplex Mode

Standard

Standard

CW Mode

N/A

Option

TDI

N/A

Option

Color M Mode

N/A

Option

Trapezoidal Mode

Standard

Standard

ECG

N/A

Option

B/BC Mode

Standard

Standard

Super Needle

Option

Option

HD 3D

Option

Option

14. Possess multi-language interface display User interface change, shear plate, printing, DICOM

3.0, biopsy guided functions.

15. It has permanent storage for image and cine on HDD. It can also be connected to removable
storage via USB 2.0 port. To realize mass storage ,can recall saved image for analysis.

16. Cine loop storage 256 frames real time image.

17. Output standard PAL or NTSC video signal and VGA/DVI signal.

18. Print or export graphic report.

3.4.1 Image Modes

Page 26

3.4.2 Accessories

Probe

Frequency

QBit 3

QBit 5

D3C60L

Convex probe

3.5MHz,

2.0-6.8MHz

Option

Option

D7L40L

Linear probe

7.5MHz,

4.0-15.0MHz

Option

Option

Micro convex probe

D6C12L

6.0MHz,

4.0-12.0MHz

Option

Option

Micro convex probe

D7C10L

7.5MHz,

4.0-15.0MHz

Option

Option

Linear probe

D7L40L-REC

7.5MHz,

4.0-15.0MHz

Option

Option

Micro convex probe

D3C20L

3.0MHz,

2.0-6.8MHZ

Option

Option

Probes:

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Digital Color Doppler Ultrasound System

Page 27

Micro convex probe

D6C15L

6.0MHz,

4.0-12.0MHz

Option

Option

Micro convex probe

D5C20L

5.0MHz,

4.0-10.7MHz

Option

Option

Phased array probe

D3P64L

2.5MHz,

1.5-5.3MHz

N/A

Option

Linear probe

D12L40L

12.0MHz,

7.0-15.0MHz

Option

Option

Peripherals

S-VIDEO, VGA, DVI 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

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.

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3.5.1.1 Operation Environment Requirement

Ambient Temperature: 10 ℃ ～40 ℃
Relative Humidity: 30%～75%RH
Atmospheric Pressure: 700hPa～1060hPa
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
IEC/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
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.

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3.5.1.2 Transport and Storage Environmental Requirement

The following environmental transport and storage conditions are within system tolerances:
Temperature: -5℃ ~ 40℃
Relative Humidity: ≤ 80% non-condensing
Atmosphere Pressure: 700hPa ~ 1060hPa

3.5.1.3 Electrical Requirements

Power Requirements: AC 100-240V, 50-60Hz.
Fuse Requirements: Fuse specification is 250V, 5.0 A (time-lag), the model is 50T T5AL 250V.

CAUTION: Please use the fuse provided by manufactory if the fuse need replace. User

can’t buy and exchange the fuse by their self.

Power Consumption: 600 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
guidelines-failure 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.

3.5.1.4 Operation Space

Please leave enough free space for the system to ensure well ventilation.

CAUTION: Leave enough free space for the system; otherwise, with the increasing of the

temperature inside the unit, malfunction may occur.

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3.5.2 System Positioning & Transporting

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

 Power off the system, refer to power off section.
 Switch off the power and unplug the power cord (if the system is plugged into wall outlet).
 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 main unit.

When Moving the System

Carry the system with handle, or put the system on the cart to move it. Use extra care when
crossing door or elevator thresholds.

NOTE:

Always use the handle to move the system. The system weighs approx. 50 kg. For avoid possible
injury or equipment damage.

 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:
Powering the System

 Before transporting, place the system in its original storage case.
 Ensure that the system is firmly secured while inside the vehicle.
 Load the unit abroad the vehicle carefully and over its center of gravity.

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 Keep the storage case still and upright. Secure that 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.

3.5.3 Powering the System

3.5.3.1 Acclimation Time

After being transported, the unit requires one hour for each 2.5 º increment if its temperature is
below 10 ℃ or above 40 ℃.

NOTE:

Please keep at least 20 to 30 cm spare space away from the back of the system to ensure
well ventilation. Otherwise, with the increasing of the temperature inside the unit,
malfunction may occur.

3.5.3.2 Connecting the electric power

To connect the system to the electrical supply:

 Check the power voltage input labeling at rear panel of the system.
 Ensure that the wall outlet is the appropriate type and well grounded.
 Ensure that the system powers off.
 Unwrap the power cord, and allow sufficient slack in the cable so that the plug will not be pulled

out of the wall outlet if the system is moved slightly.

 Attach the power plug to the system and secure it in place by using the retaining clamp.
 Push the power plug securely into the wall outlet.

NOTE:

 Only use the power cord provided by Manufacturer.
 Use caution to ensure that the power cord does not disconnect during system use.
 If the system is accidentally unplugged, data may be lost.

WARNING:

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Page 32

 To avoid risk of fire, the system power must be supplied from a separate, properly rated
outlet.
 Under no circumstances should the AC power plug be altered, changed, or adapted to a
configuration rated less than specified. Never use an extension cord or adapter plug.
 To help assure grounding reliability, connect to a “hospital grade” or “hospital only”
grounded power outlet.

3.5.3.3 Power on

NOTE:

Turn on the green power switch (main power circuit breaker switch) at the back of the main

unit, and then press the Power button on the control panel to turn on the system.

Starting Sequence

The system is initialized and start-up status is reflected on the monitor:

 Control panel initiate
 Boot up the operation system
 Load the software
 Entering into examination status

HINTS

The starting procedure takes about approx. 100 seconds. If a problem occurs, take a picture and
record the error information for service reference.

NOTE:

 After powering off the system, please wait for 1 minute to power on again.
 When the system is powered on, for safety reason, please avoid moving the main unit.

3.5.3.4 Power off

To power off the system:

Press on control panel. When the screen shows shut down dialog box, press “shutdown” to
shut down the system.

Or press for 4 seconds to shut down the system directly.

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NOTE:

After powering off the system

 Disconnect the probes. Clean or disinfect all probes as necessary. Store them in their
original cases to avoid any damage.
 To ensure the system is disconnected from the power source, disconnect power plug
from the wall outlet.

3.5.4 Probes

NOTE:

Only use the probes approved by Manufacturer.

Selecting probes

 Choose the probe according to the different examination.
 Begin the scanning session by choosing the correct application and preset for the examination.

Connecting the Probe

When you connect the probes, please ensure that the probe ports are not active. Freeze the
image by pressing [Freeze] key to deactivate the probe ports.
To connect a probe:

 Place the probe’s carrying case on a stable surface and open the case.
 Carefully remove the probe and unwrap the probe cord.
 DO NOT allow head of the probe hang freely. Impact to head of the probe could result in

irreparable damage.

NOTE:

Inspect the probe before and after each use for damage or degradation to the housing,
strain relief, lens, seal and connector. DO NOT use a probe that appears damaged until its
functional and safe performance is verified. A thorough inspection should be performed
during the cleaning process.

 Align the connector with the probe port and carefully push into place with the cable facing the
back of the system.
 Turn the probe connector locking lever to “lock” status.

Digital Color Doppler Ultrasound System

Page 34

 Carefully position the probe cord so it is free to move and is not resting on the floor.
 When the probe is connected, the system will be automatically recognized.

CAUTION:

 Fault conditions can result in electric shock hazard. DO NOT touch the surface of probe
connector that is exposed when the probe is removed. DO NOT touch the patient when
connecting or disconnecting a probe.

 Take precautions with probe cables. DO NOT bend the cable acutely.

Fig. 3-6 Probe connector “Unlock” status Fig. 3-7 Probe connector “Lock” status

Deactivating the Probe

When deactivating the probe, the probe is automatically placed in a standby mode.
To deactivate a probe:

 Ensure the system is in freezing mode.
 Gently wipe off the excess gel from the probe surface.
 Carefully slide the probe toward the probe holder, and place the probe gently in the probe

holder.

Disconnecting the Probe

Probes can be disconnected when the system is in freezing mode.
To disconnect a probe:

 Turn the connector locking lever to the “Unlock” position.
 Pull the probe and connector straight out of the probe port.
 Carefully slide the probe and connector away from the probe port.
 Ensure that the head of the probe is clean before placing the probe in its storage box.

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Transporting the Probe

When transporting a probe a long distance, store it in its original carrying case.

Storing the Probe

It is recommended that all probes should be stored in the original carrying case.

 Place the probe connector into the carrying case.
 Carefully wind the cable into the carrying case.
 Carefully place the probe head into the carrying case. DO NOT use excessive force or impact

on the probe head.

3.5.5 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.

3.5.5.1 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

: Print control port

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: Video printer switch

3.5.5.2 Graphic & PC printer installation

Put the printer stably; connect printer cable to USB port of the system (right side of control panel or
back of the main unit).

Connect the power cable of the printer to power system.

CAUTION: Please see packing list for fundamental configuration!

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Chapter 4 Control Panel

4.1 Keyboard Appearance

Digital Color Doppler Ultrasound System

Fig. 4-1 keyboard appearance

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Icon

Name

Function description

Switch

Turn on or off the system.

Patient

Set up a new patient data, input name and other
information.

Probe

Press this key for selecting probe. It can only select
the connected probe.

Arrow

Press this key to enter into arrow status. Add arrows
or cross icon to the image area.

Comment

Press this key to enter into annotation status, and
add annotations in the image area on the screen.

Bodymark

Press this key to enter into body mark working
status, select the body mark and confirm the probe
scanning position on the screen.

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.

4.2 Alphanumeric Keyboard

Fig. 4-2 Alphanumeric Keyboard

The alphanumeric keys are used for inputting patient number, name, character and figure etc.

4.3 Function Keys/Knobs

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Icon

Name

Function description

Angle_Zoom

Press the knob to switch the knob function between
Angle and Zoom. Enter into image zoom or
adjusting angle.
Rotate the knob to adjust the activated function.

Depth_Focus

Press the knob to switch the knob function between
Depth and Focus Position. Rotate the knob to adjust
the activated function.

B knob

Press the knob to enter into B mode, rotate the knob
to adjust the gain of B mode.

C knob

Press the knob to enter into CFM, rotate the knob to
adjust the gain of CFM.
In 3D mode, rotate this knob to spin the 3D image
around X axis.

D knob

Press the knob twice to enter into PW mode, rotate
the knob to adjust the gain of PW mode.
In 3D mode, rotate this knob to spin the 3D image
around Y axis.

M knob

Press the knob once to enter into B/M mode, and
press it again to enter into M mode. Rotate the knob
to adjust the gain of M mode.
In 3D mode, rotate this knob to spin the 3D image
around Z axis.

CPA

Press this key to enter into CPA (PD) mode.

CW

Press this key or [UPDATE] key to enter into CW
mode. (only for model QBit 5)

TDI

Press this key to enter into TDI mode. (only for
model QBit 5)

X-CONTRAST

Press this key to switch the X-CONTRAST
parameter.

AIO

Press this key to activate the AIO function.

FHI

Press this key to turn on or off the FHI function.

Full screen

Press this key to enter into or quit full screen display
mode.

2B

Press this key to enter into 2B mode.

Invert

Press this key to invert the image from up and
down. Or invert the color map of CFM. Or invert the

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Icon

Name

Function description

spectrum of PW/CW.

Cine

Press this key to save the current cine loop.

Save

Press this key to save the current image.

Freeze

Press this key to freeze or unfreeze the current
image.

ESC

Press this key can exit measurement, dialog, and
menu.

END

Press this key to finish the current exam.

Clear

Press this key to clear all the measurement lines,
body mark, and annotations.

Biopsy

Press this key to activate biopsy.

Single B

This key’s function is the same as key B. Display B
mode.

4B

Press this key to enter into 4B mode.

Volume

Press the volume key to adjust PW/CW volume.

SYS

The reserved key.

Help

The reserved key.

Review

File management of system, you can view and edit
the patient data.

Setup

Press this key to enter into or quit the system setting
page.

Q-BEAM

Press this key to turn on or off the Q-beam function.

Q-FLOW

Press this key to turn on or off the Q-flow function.

Change

Press this key to change the menu.

Del

Press this key to delete the measurement, comment
step by step.

4.3.1 STC

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2 3 4

5

7

8

9

10

6

1

STC can be used for adjusting gain compensation in different image depth.

4.3.2 Parameter Control Keys/Knobs

Increase/decrease the corresponding parameters of the screen, or activate/deactivate the
function.

4.4 Central Control

1.UPDATE 2.EXIT 3.CURSOR 4.CLEAR 5.MENU

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Name

Function description

ENTER

This multifunctional 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.

UPDATE

This multifunctional 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.

CLEAR

Press this key to clear all the measurement lines, body mark, and annotations.

MENU

Press the MENU knob for second time to select the item and adjust the
parameters. Press this 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.

Trackball

Trackball is the main operation tool on screen. Position calipers in measurement,
the function of the trackball is different under diverse working status.

6.DIST 7.TRACE 8.CALC 9.ENTER 10.Trackball

4.5 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 has been used to save data or USB flash
disk in current system.
 Cable network: show the present situation of cable network; press this icon to show the IP
address of current system.
 USB: show whether this system connects USB flash disk or not, press this icon to show USB
safely remove interface.

Left-to-Right of the down row: input method, task queue, power

 Input method: press this icon to switch between uppercase and lowercase characters.
 Task queue: press this icon to show task and its situation. To terminate the task, delete, and so

on.
 Power: show the connecting situation of the power.

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Chapter 5 Operation and Exam Mode

This chapter mainly describes the process of the normal operation of the device, including the
preparation before examination, how to get the image, optimize the image, add comments, body
mark and so on.

5.1 Preparing the System for Use

5.1.1 The Device Inspection

1. The device is placed stability.

2. The grid voltage AC 100-240V, 50-60Hz.

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 Start the system

Press to start the system, wait for the system to enter into the user interface and activate
the probe 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 an application preset into the B mode, start
scan detection.

NOTE: The system has been set clinical application preset before leaving factory, each

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probe has its own presets.

The detailed operation steps of the clinical application preset for the probe please refer to the
exam mode part of preset section.

5.3 Patient Data Entry

Press to display the patient screen.

Function Buttons on Patient screen:

Archive: Operation on the patient information which has already existed.
Worklist: Recall patient information in worklist. And need to activate the DICOM function.
New Patient: Create a new patient information identity.
New Study: Choose exam applications (OB, GYN, CARD and so on) for the current patient.
End Study: End the current 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, and then input patient information by
character keyboard.

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4

2 3 5

6

10

9

7

8

1

2. Use the Trackball and the [ENTER] key to switch between different input options: ID, patient
name, doctor's name, birthday (It can be automatically calculated when input age), age (It can be
automatically calculated when input birthday), gender.

3. Select the exam items, and input the regular inspection information.

4. After inputting the required information, click on the [OK] button to save the patient information,
the system will return to the B mode.

5. Recall information of the previous patient, you can use the Archive or Worklist to recall patient
information to exam.

CAUTION: Creating a diagnostic record, you should check the accuracy of the patient

information before saving measurement or image; otherwise, it will be stored in the wrong patient

records. After checking the patient, press to save the patient information in the system.

5.4 Image Interface Display

1, Logo 2, Control menu 3, Image status prompt 4, Image parameter area

5, System state prompt 6, Image parameter area 7, Gray-scale strip

8, Start point of scanning 9, Image Region 10, Cine loop

5.5 Image Mode

5.5.1 B Mode

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Press [B] 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

Press or key 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 key in 2B mode, the original active image is frozen while the original
frozen image is activated.

In frozen status, Press to choose a B mode image to be activated when unfreezes the
image.

5.5.3 4B Mode

Press key to enter into 4B mode, the screen will display four B mode images side by side,
but only one image is in real-time status. Pressing it again can switch the real-time status among

four images.

In frozen status, Press to choose a B mode image to be activated when unfreezes the
image.

5.5.4 B/M Mode

Press [M] key, 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

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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 [STEER]
knob and rotate the knob to adjust the angle of color sampling box (if current probe is linear probe).
Press [ENTER] key to set 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

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

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Persistence: affect temporal smoothing and color Doppler ‘robustness’.

5.5.7 B/BC Mode

In active color mode, turn the [B/BC] item on to display a real B mode image at the right side of the
screen and active Color mode image at the left side of the screen.

5.5.8 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.

Press [CPA] key to enter into the CPA (PD) mode.

Direction PD mode

In Power Doppler (CPA) mode, press [MENU] knob to pop up the PD Menu. Rotate [MENU] knob
to select the DPD Mode and press [MENU] knob to enter into DPD mode.
If you need go back to PD mode from DPD mode, you could press [CPA] key or select the PD
mode item in the DPD mode.

5.5.9 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

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mode image.

PW mode Exam Procedure:

 Get a good B mode image. Press [C] key to help 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 to hold the trace in cine memory and stop imaging.
 Perform measurements and calculations, as necessary.

 Record results with your recording devices.

 Press 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 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

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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.

5.5.10 CW Mode

Continuous Wave Doppler allows examination of blood flow data all along the Doppler cursor
rather than from any specific depth. Gather samples along the entire Doppler beam for rapid
scanning of the heart. Range gated CW allows information to be gathered at higher velocities.
It works with a phased array or pediatric probe.
If the velocity of the blood flow is even too high for the HPRF mode to detect, you have to try CW
mode. Press [CW] key to enter CW mode when the probe supports CW mode.

5.5.11 TDI Mode

TDI mode is tissue Doppler mode, which is intended to provide information of low-velocity tissue
motion, specifically for cardiac movement. Only phased array probe is available for TDI function.

5.5.12 Color M Mode

Color M mode is used for fetal cardiac applications. Color flow overlays color on the M mode
image using velocity and variance color maps. The color flow wedge overlays the B mode image
and M mode timeline. The color flow maps available in M mode are the same as in CFM mode.
Color M mode is a Doppler mode intended to add color coded qualitative information concerning
the relative velocity and direction of fluid motion within the M mode image.
If the system is in color mode and the probe supports Color M mode (e.g. phased array probe),
press [M] key to enter Color M mode.

5.5.13 2D Steer

2D 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 2D Steer item to change 2D steer angle.

5.5.14 Trapezoidal Mode

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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.

5.5.15 ECG

The ECG module is a device that provides the 3 lead ECG signal acquisition for cardiac
application. It is not intent for the ECG diagnostic purpose as in the 12-lead module. In the cardiac
application, the ECG trace is displayed on the bottom of the screen. For echo-stress, the R-wave
triggering is used to gate or synchronize the image acquisition. The ECG has 3 leads: LL (left leg,
RED), LA (left arm, BLACK), RA (right arm, WHITE). LA is for reference, which usually provides a
bias voltage from the ECG module, and the LL, LA are the two signals from the body and going to
the differential input of the ECG isolation amplifier.

5.5.16 HD 3D

Before using the HD 3D function, connect the 3D module and the ultrasonic device with a network
cable.

Operation Procedure:

a. In B mode, press the [Freeze] key to enter the frozen status. Rotate the corresponding
parameter knob of [3D ROI] to turn on the 3D ROI. System will display the ROI box.
b. Press the [ENTER] key , the ROI box changes to the dotted line and move the trackball to
adjust the size of the ROI box. Then press [ENTER] key again to confirm the size.
c. Move the trackball to drag the ROI box to the target area, and press the [UPDATE] key to
confirm the location.
d. Then move the trackball and press the [ENTER] key to choose the start pos and end pos of the
designated image.
e. Press the parameter knob of [HD 3D] to enter the HD 3D mode. The system will display the
rebuilt 3D image. Rotate the [C], [D] or [M] key on the control panel, the 3D image will spin around
X axis, Y axis and Z axis. You can press the [ANGLE_ZOOM] knob to reset.
f. Rotate the parameter knob of [Vol Spacing] to set the physical distance of each frame of image
movement.
g. After finishing these operation, you can press [Freeze] key or [B] knob to go back to the real B
mode. Or press [Exit] key to go back to the frozen B mode.

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Menu &

Parameters

Function description

Keyboard Keys

Gain

In real status, rotate [B] 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.

Depth

Press [DEPTH_FOCUS] knob until the indicator of [DEPTH] is lit, and then
rotate the knob to change the depth of image.

Focus

Press [DEPTH_FOCUS] knob until the indicator of [FOCUS] is lit, and then
rotate the knob to change the focus position.

Zoom

Press [ANGLE_ZOOM] knob to appear the zoom box, press [UPDATE] key
and move trackball or rotate the [ANGLE_ZOOM] knob to change the zoom
ratio.

Tips: User also can operate 3D mode directly according to the step d to g, without adjusting

ROI box.

5.5.17 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 enhance 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.).

5.6 B Image Menu & Parameters

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Menu &

Parameters

Function description

Invert

B mode image and B/M mode image can be reversed horizontally and
vertically.

Press , the displayed image is reversed in the up-down direction.
The horizontal flip status indicators of the upper-left corner of the image

window have the following meanings:

The meaning of the symbol “ ” indicating the probe initiative scanning

position “ ” situated in the left indicates that the first scanning line in the left of

the screen is corresponding to the initiative scanning position of the probe, “ ”

situated in the right indicates that the first scanning line in the right of the
screen is corresponding to the initiative scanning position of the probe.

FHI

Press to turn on or off FHI function.

AIO

Press to activate the AIO function.

Full Screen Show

Full screen the image area. Press to activate the function;

Press , [EXIT] or again to exit full screen show.
When full screen shows, press [MENU] knob to show the menu of current

mode (except bodymark, annotation, measurement).

Bottom Menu

Freq

In real status, rotate the corresponding knob of [Freq] to adjust the frequency.

Dynamic

Dynamic range is used for adjusting the contrast resolution of B mode image
and mode image, compressing or enlarging the display range of gray scale.
At the real-time status, rotate the corresponding knob of [Dynamic] to adjust
dynamic.

Focus Num

In B mode, 9 focus points can be selected simultaneously, and the number
controlled by the depth, SRA and Compound.
Rotate the corresponding knob of [Focus Num] to adjust.

Focus Pos.

Rotate the corresponding knob to change Focus Position.

Compound

In real status, rotate the corresponding knob of [Compound] to turn it on or
off.
The SRA can’t be edited after opening the compound.

SRA

In real status, rotate the corresponding knob of [SRA] to turn it on or off.

Q-Image

In real status, rotate the corresponding knob of [Q-Image] to adjust.

Persistence

In real status, adjust the contrast and resolution.
In real status, rotate the corresponding knob of [Persistence] to adjust.

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Menu &

Parameters

Function description

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.
Rotate the corresponding knob of [Density] adjust the line density.

B Rejection

Adjust image gray scale inhibition parameters.
Activate [B Rejection], and rotate [MENU] knob to adjust B Rejection
parameters.

Left Menu

Scan Width

Rotate the corresponding knob of [Scan Width] to adjust the scan width of the
corresponding size.

Smooth

Smoothness function is used for restraining the image noise and performing
axial smooth processing to make the image smoother.
Rotate the corresponding knob of [Smooth] 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.
Rotate the corresponding knob of [Edge Enhance] to adjust.

A Power

Acoustic power means the acoustic power transmitting from the probe.
Rotate the corresponding knob of [A power] to adjust.

L/R Flip

Activate the [L/R Flip] and press the [MENU] knob to invert the image from left
and right.

Menus of Advance

Zoom Coef

Adjust the size of ruler & image.
Rotate the corresponding knob of [Zoom Coef] to adjust.

Trapezoidal Mode

Activate the [Trapezoidal Mode] and press the [MENU] knob to turn on or off
the trapezoidal function.

2D Steer

Activate the [2D Steer] and press the [MENU] knob to turn on or off the 2D
Steer function.

ECG

Activate the [ECG] and press the [MENU] knob to turn on or off the ECG
function.

UD Invert

Activate the [UD Invert] and press the [MENU] knob to turn on/off the ECG
invert.

ECG GAIN

Activate the [ECG GAIN] and rotate the [MENU] knob to increase or decrease
the ECG gain.

ECG POS

Activate the [ECG POS] and rotate the [MENU] knob to set the ECG trace
position.

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Menu &

Parameters

Function description

ECG Velocity

Activate the [ECG Velocity] and rotate the [MENU] knob to set the ECG
Velocity.

ECG Dyn

Activate the [ECG Dyn] and rotate the [MENU] knob to set the ECG dynamic.

Biopsy

Show or hide biopsy.
Activate the [Biopsy] and press the [MENU] knob 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

Activate the [Super Needle] and press the [MENU] knob to turn on or off the
Super Needle function.

Needle Angle

Activate the [Needle Angle] and rotate the [MENU] knob to set the needle
angle.

Center Line

Show or hide Center Line.
Press the [MENU] knob to show or hide center line.

Menu & Parameters

Function description

Post Process

Chroma:Adjust the type of the chroma.

2D Map:Select the type of the scale curve.

Gamma:Adjust image gray value parameters.

B Rejection:Adjust image gray scale inhibition parameters

Slide Show

Activate the [Slide Show] to enter into slide show mode.

Menu &

Parameters

Function description

Keyboard Keys

Refer to B image adjustment for keyboard keys.

Bottom Menu

Speed

Rotate the corresponding knob of [Speed] to adjust M speed.

M Chroma

Rotate the corresponding knob of [M Chroma] to select the Chroma type.

Layout

Rotate the corresponding knob of [Layout] to select the layout of B/M image.

Left Menu

5.6.1 Utility Menu

This function includes post processing, slide show and other items. Press [MENU] knob, then
choose Utility selection, it will appear Utility options.

5.7 M Image Menu & Parameters

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Menu &

Parameters

Function description

M 2D Map

Rotate the corresponding knob of [M 2D Map] knob to select the scale curve

type.

Menu &

Parameters

Function description

Keyboard Keys

Refer to B image adjustment for keyboard keys.

Bottom Menu

Freq

In real status, rotate the corresponding knob of [Freq] to adjust the frequency.

Steer

Press [ANGLE_ZOOM] selection knob until the indicator of [ANGLE] is lit, and
then rotate the knob to change the steer of linear image ROI. Or rotate the
corresponding knob of [Steer] to change the steer of linear image ROI.

Wall Filter

Rotate the corresponding knob of [Wall Filter] to adjust wall filter.

Color Map

Rotate the corresponding knob of [Color Map] knob to select the color type.
(CFM mode only)

Q-flow

Press to turn on or off the Q-flow function.

PRF

Rotate the corresponding knob of [PRF] to Adjust PRF, adjustment range
depends on probe.

Color Invert

Press the corresponding knob of [Color Invert] to invert the color of flow.

Persistence

Rotate the corresponding knob of [Persistence] to adjust.

Q-beam

Press to turn on or off the Q-beam function.

Base Line

Adjust the position of baseline.
Rotate the corresponding knob of [Baseline] to change position of baseline.

Left Menu

CF Mode

Press [MENU] knob on [CF Mode] item to adjust CF mode, velocity or
variance.

Wall Thre.

Activate [Wall Thre.], and rotate [MENU] knob to adjust wall thre.

Blood Effection

Activate [Blood Effection], and rotate [MENU] knob to adjust blood effection,
smooth or resolution.

Density

Press the corresponding knob of [Density] to adjust the line density, high or
low.

B/BC

Press [MENU] knob on [B/BC] item to enter into or quit the B/BC mode.

5.8 CFM/CPA/DPD/TDI Image Menu & Parameters

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Menu &

Parameters

Function description

Keyboard Keys

Refer to B image adjustment for keyboard keys.

Steer

When the indicator of [ANGLE] is lit, rotate [ANGLE_ZOOM] knob to change
the steer of linear image ROI. Or rotate the corresponding knob of [Steer] to
change the steer of linear image ROI.

Bottom Menu

Freq

In real status, rotate the corresponding knob of [Freq] to adjust the frequency.

PW/CWD Chroma

Rotate the corresponding knob of [Chroma] to select the Chroma type.

Speed

Rotate the corresponding knob of [Speed] to adjust PW speed.

Audio

Adjust audio volume.

Rotate the corresponding knob of [Audio] or press & to adjust
audio volume, adjustment range from 0~100%.

Triplex Mode

Press the corresponding knob of [Triplex Mode] to turn on or off triplex mode.

PRF

Rotate the corresponding knob of [PRF] to Adjust PRF, adjustment range
depends on probe.

Base Line

Adjust the position of baseline.
Rotate the corresponding knob of [Baseline] to change position of baseline.

Left Menu

D/CW 2D Map

Activate [2D Map] and rotate [MENU] knob to select the 2D map.

Spectrum Enhance

Activate [Spectrum Enhance] and rotate [MENU] knob to adjust spectrum
enhance.

Dynamic Range

Activate [Dynamic Range] and rotate [MENU] knob to adjust dynamic range.

5.9 PW/CW Image Menu & Parameters

5.10 Image and Cine Disposition

5.10.1 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 preset chapter.
If the movie memory is full, the recent frame saved into memory, the previous frame removed from
memory.

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Cine loop indicate diagram

5.10.2 Manual Loop

Press to freeze image, pop cine playback bar, at this time, move trackball to play by
hand.

5.10.3 Automatic Loop

After freezing image, press [Play/Pause] to play, press it again to stop.
Press [ENTER] key to choose the area of automatic playback area needed.

5.10.4 Loop Range Set

Rotate the corresponding knob of [Start Pos] and [End Pos] to set the loop start position and end
position, the loop range settled.
Rotate the corresponding knob of [Reset Ranges] to reset the loop range to maximum.

5.10.5 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]

key to recall it; or you can recall archived patient’s information to recall image, please refer to
archive chapter.

5.10.6 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] key to recall cine.

5.10.7 Send image

After recalling the images, press the corresponding knob of [Send] to send images to USB flash

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disk, net storage, DICOM storage and print.
Hint1: Activate the DICOM before DICOM storage and print.
Hint2: Click the “Cine transform to AVI” to save the cine to AVI.

Sending Interface

5.11 Edit Comment

5.11.1 Overview

The comment is to enter text or symbols on the image.

Enter COMMENT: Press or enter into comments status; or input characters with
alphanumeric keyboard, the system will enter into comments status too.

Exit COMMENT: Press or again or [EXIT], to exit.
Comment means input the words or symbols on images for making explanation. Add comments

can through keyboard input directly or using the default comments.
The default comments are classified by examination mode as follows:

NOTE: If you need to custom the default comments, refer to the preset section.

5.11.2 Input Characters

Operation:

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1. Press or , then system will go into the comment process; or input characters
with alphanumeric keyboard, the system will enter into comments status too.

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 or again or [EXIT], to exit.

5.11.3 Input Comment Library Characters

1. In comment status, move trackball to image area to edit.

2. Rotate the corresponding knob of [Font size] to adjust front size of comments, the range is
10~20.

3. Rotate [MENU] knob to select needed comments, then press [MENU] knob to exit.

5.11.4 Edit Quick Comments

1. Rotate the corresponding knob of [Edit] to pop quick comment edit box.

2. Input customized comments.

3. Press [Done] to finish edit, press [X] to cancel edit.

5.11.5 Input Quick Comments

1. Press [Text] to select needed quick comments.

2. Adjust front size of comments.

3. Press the corresponding knob of [Input] to place comments in the image area.

5.11.6 Move Comments

1. In comment status, move trackball to the comment, press [ENTER] key to activate it.

2. Move trackball to place the comment to target area.

3. Press [ENTER] key again to confirm the comment.

5.11.7 Edit Comments

1. In comment status, move trackball to the comment, press [ENTER] key to activate it.

2. Press [BackSpace] key to delete unnecessary characters.

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3. Press [ENTER] key to confirm.

5.11.8 Delete Comments

5.11.8.1 Delete Characters

In comment status, activate the comment that need to be deleted, then press the [ENTER] key, it
will display "|" on the screen, press [BackSpace] key to delete the character.

5.11.8.2 Delete Single Comment

Activate the comment that needs to be deleted, press to delete comment.

5.11.8.3 Delete All Contents of the Comment

Don’t activate the single comment, and then press to delete all characters that has input.

CAUTION: Press will delete the measurement and body mark at the same time.

5.11.9 Set the Position of Default Comment

Operation:

1.Press the corresponding knob of [Save Home Pos.] to move cursor to the initial position.

2.Press the corresponding knob of [Load Home Pos.] to set the initial position .

5.12 Set Body Mark

5.12.1 General Description

The body mark indicates patient’s examination position and the direction of probe scan on the
image.
Body marks are divided into: obstetric, abdomen, gynecology, heart and small parts, each has
different body mark. Each type of body mark automatically is corresponding to current examination
mode.

5.12.2 Body Mark Operation

Operation:

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1. Press or 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.

5. If you want to exit from the body mark function, press or again or [EXIT],

to exit; and the body mark is fastened to the screen.

6. Press or to delete the body mark.

5.13 Set the Direction of Arrow

Operation:

1. Press or to display arrow.

2. Press to select cursor type: arrow or cross.

3. Rotate the corresponding knob of [Size] to change the size of the cursor.

4. Rotate [MENU] or [ANGLE] knob can adjust the arrow direction.

5. Press [ENTER] key to confirm when adjustment was finished.

6. Press [EXIT] key or to exit the arrow settings.

7. Press to delete the arrows one by one.

8. Press to clear all the arrows inputted.

5.14 Image Browse

Press to enter image information browsing interface. Press [ENTER] key on an item to

activate the item’s function.

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 ID: ID of Current patient.
 Name: Current patient’s name.
 Information: Enter into current patient’s information interface.
 Report: Enter into current patient’s report interface.
 Send images: Send image to USB disk , DICOM storage and print.
 Print images: 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 the images of this patient.
 Deselect All: Deselect all the images of this patient.
 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.
 Exit: Turn off image browsing interface.

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5.15 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.
 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.

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 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.
 Exit: Exit archive management interface and go on checking current patient.

5.16 Report

Move cursor to the images and press [ENTER] key 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 patient’s

information.
Reports contain normal report, abdominal report, cardiac report, small part report etc. Move the
cursor to the required report page and press [ENTER] key to choose.

Press and the system 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

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etc.

 Hosp: Display the hospital name.
 Abdomen 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] key 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.

5.17 DICOM

5.17.1 DICOM Worklist

Press [Worklist] button in Patient Interface, pop up the following dialog box

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 Name: input ID or some characters , fuzzy query needs server.
 Search By: select term , ID or name.

ID: display the ID of patients.
Name: display the names of patients.

 BirthDate: display the birth date of patients.
 Sex: display sex of patients.
 Doctor: display names of doctors.
 Acc#: display the accession number of patients.
 Update: 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.

5.17.2 DICOM Storage

Check the “Send while saving” in setting, then DICOM storage when saving cine and images.

Press send button in archive or freeze interface. DICOM Send interface as follows:

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Select DICOM Storage in left, choose DICOM server and press Export button to DICOM storage.
Enter Task Queue and watch or edit DICOM process.

5.17.3 DICOM Print

DICOM Print operation is the same as DICOM storage.

5.17.4 DICOM SR

Press [Send DICOM SR] button in report interface, this task is added into Task Queue.

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Chapter 6 Measurement and Calculation

Main content of this chapter:
Normal calculation and measurement on B mode image and M mode image, OB calculation and
Urology measurement etc., system can enter into corresponding measurement mode depend on
current exam mode, and enter into the corresponding report depend on the measurement mode.
System has built-in the default measurement according to the exam mode, the change of
measurement please refers 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] key

During the measurement, the functions of [ENTER] key are as follows:

1. When cursor is on the menu, press the key to choose the options and start the measurement.

2. During the measurement, press the key to anchor the start point and end point.

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6.1.3 [UPDATE] key

1. Before the measurement, press [UPDATE] key to change the measurement method, such as

ellipse, trace. The changeable measurement item has “< >”.

2. During the measurement, [UPDATE] key is used to switch the start point and end point, long

axis and short axis when the measurement is not finished.

3. During the distance measurement, press [ENTER] key to fix the start point, when the end point

is not fixed, press [UPDATE] key to switch the start point and end point.

4. During the Ellipse measurement, when fix the long axis, but the short axis is not fixed, press

[UPDATE] key to switch the long axis and short one.

6.1.4 [CLEAR] key

Press to delete all the measurement results, comments and traces.

6.1.5 [Del] key

Press to roll back the measurements step by step.

6.1.6 [CHANGE] key

Press to switch other menu.

Press [EXIT] key or to exit.

6.1.7 [Exit] key

Press [EXIT] key or to exit the measurement menu.

6.1.8 Parameters control key

Press the corresponding key to update the function and use the function.

6.2 B Mode General Measurement Methods

The system B mode contains Distance, Ellipse, and Trace.

6.2.1 Meas. Distance

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Measurement steps:

1. Press the [CALC] key to enter into measurement. Update the [distance] item in the menu or

press the quick measure key [DIST], it will display a segment “+”icon.

2. Move the “+”icon by trackball to fit the one point of the line. Press [ENTER] key to fix the start

point and the cursor can be moved to the next position.

3. Press [UPDATE] key can change the activated point, and fit the other point of the line.

4. Move the cursor to the end-point, press [ENTER] key 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.

NOTE:

Each group of measurement is limited, if the measurement results beyond, it will begin a new
group of measurement automatically.

6.2.2 Ellipse

Measurement steps:

1. Press the [CALC] key to enter into measurement. Update the [Ellipse] item on the menu; it will

display a segment “+”icon.

2. Move the “+”icon by cursor, Press [ENTER] key to fix the point and the cursor can be moved to

form a round.

3. Press [UPDATE] key can exchange the activated point and the fixed point.

4. Move the cursor to the end-point of the ellipse, press [ENTER] key to fix the axis, at the same

time, the next axis be updated, and can change the size of the axis by the cursor.

5. Now press [UPDATE] key can exit to the step 4.

6. After fixing the next axis, can press [ENTER] key to complete the measurement.

7. After the measurement, the result will display in the measurement results area.

8. Repeat the steps from 1 to 6 to start next “ellipse” measurement.

NOTE:

Each group of measurement is limited, if the measurement results beyond, it will begin a new
group of measurement automatically.

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6.2.3 Trace

Measurement steps:

1. Press the [CALC] key to enter into measurement. Update the [Trace] item in the menu or press

the quick measure key [TRACE], it will display a segment “+”icon.

2. Move the “+”icon by cursor, Press [ENTER] key to fix the point and the cursor can be moved to

the next position.

3. Make the cursor tracing along the edge of required area, the traced line can be not closed.

4. Now press [UPDATE] key to cancel the tracing.

5. Press [ENTER] key again in the endpoint, the start point and end point of trace line will be

closed by a straight line.

6. After the measurement, the result will display in the measurement results area.

7. Repeat the steps from 1 to 5 to start next “trace” measurement.

NOTE:

Each group of measurement is limited, if the measurement results beyond, it will begin a new
group of measurement automatically.

6.2.4 Histogram

Histogram is used to calculate the gray distribution of the ultrasound echo signals within a
specified area. Use the rectangle, ellipse or trace method to draw along the desired measurement
area. The result is shown in the form of histogram.
Histogram can be measured only on the frozen image.

◆ Measurement steps by rectangular method:

1. Press to freeze the image.

2. Press [ENTER] key on [Histogram] menu to enter into measurement status.

3. Press [ENTER] key to fix one apex of the rectangle.

4. Move the trackball to change the cursor position and fix the diagonal point of the rectangle

5. Move the trackball to change the cursor position, fix the diagonal point of the rectangle, and

press [ENTER] key again to confirm the measurement area. The result will display on the
measurement result area.

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◆ Measure the histogram by ellipse or trace method: The method is the same as that to measure

ellipse or trace method, press [UPDATE] key to change the measurement between ellipse and
trace.
The horizontal axis represents the gray scale of the image ranging from 0 to 255.
The vertical axis represents the distribution ratio of each gray scale. The value shown on the top of
vertical axis represents the percentage of the maximally distributed gray in the whole gray
distribution.

6.2.5 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 to freeze the image.

2. Press [CALC] key, and choose [B General Meas.].

3. Draw a straight line at the measuring position. The method is the same as that to measure
distance.

4. The calculated result of the profile will be displayed at the 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. The range is 0 to 255.

6.2.6 Volume of A4CTrace method

A4CTrace tool is used to measure the cardiology item, Single Plane, Simpson BP etc.. These
measurements are used to calculate the volumes.

Measurement steps:

1. Press to freeze the image.

2. Press [CALC] key, and choose [Cardiology]. Activate an A4CTrace measurement such as

Single Plane-EDV.

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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
Perimeter/Area

Area:cm2
Perimeter:
cm

Refer to Ellipse
and trace meas.

Ellipse and trace.

Ratio(Area)

Refer to ellipse
Meas.
Formula: R=A1/A2

A1: First Area
A2: Second Area

Volume

Volume(1Distance)

ml

Refer to Distance
Meas.
Formula:

V=(π/6)*D

3

D means: Depth

Volume(1Ellipse)

ml

Refer to ellipse
meas.
Formula:

V=(π/6)*A*B

2

A: Long Axis
B: Short Axis

Volume(2Distance)

ml

Refer to Distance
Meas.
Formula:

V=(π/6)*D1*D2

2

D1: the longer distance
D2: the shorter distance

Volume(3Distance)

ml

Refer to Distance
Meas.
Formula:
V=(π/6)*D1*D2*D3

D1, D2, D3: Distance

3. Move the cursor to a point and press [ENTER] key to set the start point, then move the cursor

to next point and press [ENTER] key until the last point, and then set the straight line across the
whole area.

4. The Volume of the chosen area will display on the measurement result area.

6.3 B Fast Measurement

Press [DIST] key 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(1Dis1Ellip)

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

General
Measurement

Distance

cm

Refer to Distance
Meas.

Perimeter/Area

Area:cm2
Perimeter:
cm

Refer to Ellipse
and trace meas.

Ellipse and trace.
Press [UPDATE] key to
change.

Volume(1Distance)

ml

Refer to Distance
Meas.
Formula:

V=(π/6)*D

3

D means: Depth

Volume(1Ellipse)

ml

Refer to ellipse
meas.
Formula:

V=(π/6)*A*B

2

A: Long Axis
B: Short Axis

Volume(2Distance)

ml

Refer to Distance
Meas.
Formula:

V=(π/6)*D1*D2

2

D1: the longer distance
D2: the shorter distance

Volume(3Distance)

ml

Refer to Distance
Meas.
Formula:
V=(π/6)*D1*D2*D3

D1, D2, D3: Distance

Volume(1Dis1Ellip)

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

6.4 B General Measurement

Press [B], [2B] or [4B] to enter into B, 2B or 4B mode, then click [CALC] key to enter into

measurement status. Or press to choose the General measurement.

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Meas. Menu

Submenu

Unit

Meas. Method/
Meas. Formula

Comment

Angle

deg

Refer to Distance
Meas.

Angle Range:
0°~ 180°

Histogram

Refer to histogram

Profile

Refer to Profile

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.

Prox Aorta

Height

cm

Refer to Distance
Meas.

Width

cm

Refer to Distance
Meas.

StD%

%

Refer to Distance
Meas.
Formula:
((D1-D2)/D1)*100
%

D1: Length of Normal
D2: Length of Stenosis

StA%

%

Refer to ellipse
Meas.
Formula:
((A1-A2)/A1)*100
%

A1: Area of Normal
A2: Area of Stenosis

Vessel Area

cm2

Refer to Ellipse
and Trace Meas.

Ellipse and trace.
Press [UPDATE] key to
change.

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

6.5 B Abdomen Measurement

Choose Abdomen exam mode. Freeze the required image, then Press [CALC] key to enter into

ABD measurement status. Or press to choose the Abdomen measurement.

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Meas. Menu

Submenu

Unit

Meas. Method/
Meas. Formula

Comment

Spleen

cm
cm
cm

Refer to Distance
Meas.
Formula:
V=(π/6)*L*H*W

L: Length
H: Height
W: Width

Renal
Volume
(Right/Left)

cm

Refer to Distance
Meas.
Formula:
V=(π/6)*L*H*W

L: Length
H: Height
W: Width

Lliac
(Right/Left)

Height

cm

Refer to Distance
Meas.

Width

cm

Refer to Distance
Meas.

StD%

%

Refer to Distance
Meas.
Formula:
((D1-D2)/D1)*100
%

D1: Length of Normal
D2: Length of Stenosis

StA%

%

Refer to ellipse
Meas.
Formula:
((A1-A2)/A1)*100
%

A1: Area of Normal
A2: Area of Stenosis

Vessel Area

cm2

Refer to Ellipse
and Trace Meas.

Ellipse and trace.
Press [UPDATE] key to
change.

Vessel Distance

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

6.6 B OB Measurement

Choose OB exam mode. Freeze the required image, then Press [CALC] key to enter into OB

measurement status. Or press to choose the OB measurement.

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Meas. Menu

Submenu

Unit

Meas. Method

Comment

CRL

cm

Refer to Distance
Meas.

Formula to choose:
Hadlock, Hansmann,
Korean, Nelson, Osaka,
Rempen, Robinson,
Shinozuka

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 cm

Refer to Ellipse and
Trace Meas.

Formula to choose: CFEF,
Campbell, Chitty, Hadlock,
Hansmann, Johnsen,
Korean, Merz

AC cm

Refer to Ellipse and
Trace Meas.

Formula to choose: CFEF,
Campbell, Hadlock,
Hansmann, Korean, Merz,
Shinozuka

FL cm

Refer to Distance
Meas.

Formula to choose: Bessis,
CFEF, Campbell, Chitty,
Doubilet, Hadlock,
Hansmann, Hohler, Jeanty,
Johnsen, Korean, Merz,
Osaka, Shinozuka

Fetal
Biometry

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

cm

Refer to Distance
Meas.

Formula: Osaka

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.

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Meas. Menu

Submenu

Unit

Meas. Method

Comment

Fetal Long
Bones

Humerus

cm

Refer to Distance
Meas.

Formula to choose: Jeanty,
Korean, Merz, Osaka

Ulna Long

cm

Refer to Distance
Meas.

Formula: Jeanty

Tibia Long

cm

Refer to Distance
Meas.

Formula to choose: Jeanty,
Merz

Radius Long

cm

Refer to Distance
Meas.

Fibula Long

cm

Refer to Distance
Meas.

Clavicle Long

cm

Refer to Distance
Meas.

Formula: Yarkoni

Fetal
Cranium

Cerebellum

cm

Refer to Distance
Meas.

Formula to choose: Chitty,
Hill

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

HC Width

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+AFI
4

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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 gestation from one to four.

2. In the measurement menu, press baby A, and then press [ENTER] key 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] key 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.

LMP in patient information.

6.7 B Pediatrics Measurement

Select OB mode, press [CALC] to enter OB mode, then enter into pediatrics mode. Or press

Tips: The abscissa of Growth curves is the gestational weeks calculated according to the

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to switch to pediatrics measurement menu.

6.7.1 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 result of the angle appears in the district.

CAUTION:

D 3 shows bias line between protruding of conjunction and acetabular bone
D 2 shows direct line between osileum and acetabular bone
D 1 shows base line between cotyle, joint purse, gristle periosteum and ilium.
β is the angle between D1 and D 2 (acute angle);α is the angle between D 1 and D 3(acute angle).

HIP angle

6.8 B ORTH Measurement

Refer to pediatrics measurement.

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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_Length
H: Cervix_Height
W: Cervix_Width

ENDO

cm

Refer to Distance
Meas.

Ovary
Volume
(Left/Right)

ml

Refer to Distance
Meas.
Formula:
V=(π/6)*L*H*W

L: Ovary_Length
H: Ovary_Height
W: Ovary_Width

Follicle
(Left/Right)

Follicle width

cm

Refer to Distance
Meas.

Follicle height

cm

Refer to Distance
Meas.

Follicle Volume

ml

Formula of 2distance

V=(π/6)*A*B

2

Formula of 3distance
V=(π/6)*L*H*W

2distance
A: the longer distance
B: the shorter distance
3distance
L: follicle length
H: follicle height
W: follicle width

6.9 B 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] key to enter into GYN
measurement status.

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Meas. Menu

Submenu

Unit

Meas. Method/
Meas. Formula

Comment

Distance

cm

Refer to Distance
Meas.

Thyroid
(Left/Right)

ml

Refer to Distance
Meas.
Formula:
V=(π/6)*L*H*W

L: Thyroid_ Length
H: Thyroid_Heigh
W: Thyroid_Width

Angle

deg

Refer to Distance
Meas.

Angle Range:
0°～180°

Ratio

Refer to Distance
Meas.
Formula:
R=D1/D2

D1: First Distance
D2: Second Distance

Meas. Menu

Submenu

Unit

Meas. Method/
Meas. Formula

Comment

Kidney
Volume
(Left/Right)

ml

Refer to Distance
Meas.
Formula:
V=(π/6)*L*H*W

L: Kidney_L
H: Kidney_H
W: Kidney_w

Bladder
Volume

V(L*W*H)

ml

Refer to Distance
Meas.
Formula:
V=0.497*L*H*W

L: Bladder _L
H: Bladder _H
W: Bladder _w

Prostate
Volume

ml

Refer to Distance
Meas.
Formula:
V=(π/6)*L*H*W

L: Prostate _L
H: Prostate _H
W: Prostate _w

PPSA

ng/ml

Formula:
PPSA=0.12*V

6.10 B Small Parts Measurement

Freeze the required image under Small parts examination, then press [CALC] key to enter into
small parts measurement status.

6.11 B Vascular Measurement

Refer to normal measurement in B mode.

6.12 B Urology Measurement

Normally urology measurements are performed in B and 2B mode.
Freeze the required image under Urology examination, then press [CALC] key to enter into
Urology measurement status.

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Meas. Menu

Submenu

Unit

Meas. Method/
Meas. Formula

Comment

PSAD

ng/ml

Formula:
PSAD=SPSA/V

SPSA: input the SPSA
when create a new
patient

Residual

Volume

ml

Refer to Distance
Meas.
Formula:
V=0.7*L*H*W

L: RVU_L
H: RVU_H
W: RVU_w

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

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

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

6.13 B Cardiology Measurement

Normally urology measurements are performed in B and 2B mode.
Freeze the required image under Cardiac examination, then press [CALC] key to enter into
Cardiac status.

Hint: input the BSA when creating a new patient.

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Meas. Menu

Submenu

Meas. Method/
Meas. Formula

Comment

Modi Simpson

LVLd
LVLs
LVAMd
LVAMs
LVAPd
LVAPs

Refer to Distance Meas. & Ellipse Mea.
Formula:
EDV=

ESV=
SV=|EDV-ESV|

CO=SV*HR/1000
EF=SV/EDV*100
SI=SV/BSA
CI=CO/BSA

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

Gibson

LVIDd
LVIDs

Refer to Distance Meas.
Formula:
EDV=π/6*(0.98*LVIDd+5.9)*LVIDd*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

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Meas. Menu

Submenu

Meas. Method/
Meas. Formula

Comment

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.

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

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)3­LVIDd3)-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:

T-E(LVAd sax
Epi, LVAd sax
Endo, a, d)

Refer to Distance Meas. & Ellipse Mea.
Formula:

Qp/Qs

AV Diam
PV Diam

Refer to Distance Meas.

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6.13 Normal Measurement in M, B/M mode

At real-time status, press [M] key twice to enter M mode, press [CALC] key to enter into M mode
measurement status.
OR
At real-time status, click [M] key to enter B/M mode, press [CALC] key to enter into M mode
measurement status.

6.13.1 Distance

Measurement steps:

1. Select menu item [Distance]to enter into measurement.

2. Click on the M image area, it will display an orange dotted line with two horizontal short line.

The orange 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] key to activate the two short lines in turns and drag them to change the

distance between them. The measurement result will be displayed on the result area.

6.13.2 Time

Measurement steps:

1. Select menu item [Time] to enter into measurement.

2. Click on the M image area, it will display two orange straight dotted line. The orange 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] key to activate the two straight lines in turns and drag them to change the

distance between them. The measurement result will be displayed on the result area.

6.13.3 Heart rate

Heart rate is used to calculate the number of heart beats per minute from cardiac image.
Measurement steps:

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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
One Cycle

bpm

Refer to M Time Meas.

Double Cycles

bpm

Refer to M Time Meas.

1. Choose [Heart Rate] menu item to enter into measurement.

2. The method is the same as Time.

3. After the above measurement, the calculated heart rate result is displayed in the measurement
result area.

4. Repeat the steps form1 to 3 to start next measurement.

6.13.4 Velocity

Measurement steps:

1. Click [Velocity] menu item to enter measurement condition.

2. Select the starting point and press [ENTER] key, the starting point and the removable cursor

display, drag cursor to the end point.

3. Press [ENTER] key again, measurement completes, the result displays in the region of

measurement

4. Repeat 1~3, and enter the next measurement of velocity.

NOTE: The maximum number of the measurement result on the image area is one. The

second measurement result will cover the first one. The measurement result area will list all the
measurement values.

6.14 General Measurement in M mode

At real time status, press [M] key twice to enter M mode, click [CALC] key to enter into M mode
cardiology measurement status.

6.15 M Cardiology Measurement

Freeze the required image under Urology examination, then press [CALC] key to enter into

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Meas.
Menu

Submenu

Meas. Method/
Meas. Formula

Comment

Distance

Refer to M Distance Meas.

Time

Refer to M Time Meas.

Slope

Refer to M Velocity Meas.

Left
Ventricle

Cube(LVSd,
LVIDd, LVPWd,
LVSs, LVIDs,
LVPWs)

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

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+0.59)*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

Refer to M Distance Meas.

Mitral
Valve

EPSS

Refer to M Distance Meas.

MV E Amp

Refer to M Distance Meas.

MV A Amp

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.

Urology measurement status. Or press to choose the cardiac measurement.

Digital Color Doppler Ultrasound System

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Meas.
Menu

Submenu

Meas. Method/
Meas. Formula

Comment

E Duration

Refer to M Time Meas.

A Duration

Refer to M Time Meas.

Aortic
Valve

AOD

Refer to M Distance Meas.

Ao Sinus Diam

Refer to M Distance Meas.

Ao Asc Diam

Refer to M Distance Meas.

Ao Arch Diam

Refer to M Distance Meas.

Ao Desc Diam

Refer to M Distance Meas.

LVOT Diam

Refer to M Distance Meas.

LAD

Refer to M Distance Meas.

LVPEP/LVET

Refer to M Time Meas.

AA

Refer to M Distance Meas.

Tricuspid
Valve

RVOT Diam

Refer to M Distance Meas.

RA Diam

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.

Pulmonar
y Valve
RVPEP

Refer to M Time Meas.

RVET

Refer to M Time Meas.

A wave Amp

Refer to M Distance Meas.

B-C Slope

Refer to M Velocity Meas.

RV/LV

RVIDd
LVIDd

Refer to M Distance Meas.

6.16 Other Urology Measurement in M Mode

M Abdomen, OB, GYN, Urology, Small Parts, Pediatric and ORTH measurement refer to general
measurement in M mode.

6.17 PW mode measurement methods

Press [D] key to enter PW mode, and then press [CALC] key 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.

6.17.1 Velocity

Measurement steps:

1. Select menu item [Velocity] to enter into measurement.

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2. Click on the PW image area, the measurement result will be displayed on the result area.

6.17.2 Time

Measurement steps:

1. Select menu item [Time] to enter into measurement.

2. Click on the PW image area, it will display two orange straight dotted line. The orange 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] key to activate the two straight lines in turns and drag them to change the

distance between them. The measurement result will be displayed on the result area.

6.17.3 Slope

Measurement steps:

1. Click [Slope] menu item to enter measurement condition.

2. Select the starting point and press [ENTER] key, the starting point and the removable cursor

display, drag cursor to the end point.

3. Press [ENTER] key again, measurement completes, the result displays in the region of

measurement

4. Repeat 1~3, and enter the next measurement of slope.

6.17.4 Auto Trace

Measurement steps:

1. Move the trackball to select the start point of the one cycle and press [ENTER] key to fix it.

2. A second cursor “^” will appear, and move the trackball to the end point of the cycle, press

[ENTER] key to fix it.

3. The measurement results will be displayed on the monitor and calculate other values of

parameters.

6.17.5 Manual Trace

Measurement steps: