Mindray DC-40, DC-35, DC-40S, DC-45, DC-40 Pro Operator's Manual

DC-35/DC-40/DC-45/DC-40S/DC-40 Pro
Diagnostic Ultrasound System
Operator’s Manual
[Basic Volume]
Contents
Exemptions ................................................................................................................................... II
Customer Service Department ..................................................................................................... II
1 Safety Precautions ..................................................................................................... 1-1
2 System Overview ........................................................................................................ 2-1
2.4.1Imaging Mode ............................................................................................................... 2-1
2.4.2Power supply ................................................................................................................ 2-2
2.4.3Environmental Conditions ............................................................................................. 2-2
2.4.4Size and Weights .......................................................................................................... 2-3
2.5.1Standard Configuration ................................................................................................. 2-3
2.5.2Probes Available ........................................................................................................... 2-3
2.5.3Options ......................................................................................................................... 2-4
2.5.4Peripherals Supported .................................................................................................. 2-5
3 System Preparation .................................................................................................... 3-1
3.2.1Connecting AC Power Supply ...................................................................................... 3-2
3.2.2Powered by Batteries ................................................................................................... 3-3
3.2.3Equipotential Terminal .................................................................................................. 3-3
3.3.1Powering ON the System ............................................................................................. 3-3
i
3.3.2Powering OFF the System ........................................................................................... 3-5
3.3.3Standby ......................................................................................................................... 3-5
3.4.1Monitor Position Adjusting ............................................................................................ 3-6
3.4.2Adjusting Brightness/Contrast on the Monitor .............................................................. 3-7
3.4.3Control Panel Position Adjustment ............................................................................... 3-8
3.5.1Connecting a Probe ...................................................................................................... 3-9
3.5.2Disconnecting a probe .................................................................................................. 3-9
3.6.1Connecting the USB Devices ..................................................................................... 3-10
3.6.2Connecting a Footswitch ............................................................................................ 3-10
3.6.3Graph /Text printer ...................................................................................................... 3-11
3.6.4Installing Analog Video Printer .................................................................................... 3-14
3.6.5Installing Digital Video Printer ..................................................................................... 3-16
3.6.6Installing a Wireless Printer ........................................................................................ 3-16
3.6.7Installing/ uninstalling Probe/Gel Holder ..................................................................... 3-16
3.7.1Basic Screen ............................................................................................................... 3-18
3.7.2Basic Operations of Screens ...................................................................................... 3-22
3.7.3Touchscreen ............................................................................................................... 3-23
3.7.4Soft keyboard .............................................................................................................. 3-24
4 Exam Preparation ....................................................................................................... 4-1
4.2.1New Patient Information ............................................................................................... 4-1
4.2.2Retrieve Patient Information ......................................................................................... 4-5
4.3.1Dual-probe Switch ........................................................................................................ 4-8
4.5.1Activate an Exam .......................................................................................................... 4-9
4.5.2Continue Exam ............................................................................................................. 4-9
4.6.1Pause Exam ................................................................................................................. 4-9
4.6.2End Exam ................................................................................................................... 4-10
5 Image Optimization ..................................................................................................... 5-1
5.1.1Switching Between Imaging Modes .............................................................................. 5-1
5.1.2Image Adjustment ......................................................................................................... 5-1
5.1.3Quickly Saving Image Settings ..................................................................................... 5-2
5.2.1Basic Procedures for B Mode Imaging ......................................................................... 5-3
5.2.2B Mode Parameters ...................................................................................................... 5-3
5.2.3B Mode Image Optimization ......................................................................................... 5-4
5.3.1Basic Procedures for M Mode Imaging ...................................................................... 5-10
5.3.2M Mode Image Parameters ........................................................................................ 5-10
5.3.3M Mode Image Optimization ....................................................................................... 5-11
ii
5.4.1Basic Procedures for Color Mode Imaging ................................................................. 5-13
5.4.2Color Mode Image Parameters .................................................................................. 5-13
5.4.3Color Mode Image Optimization ................................................................................. 5-13
5.5.1Basic Procedures for Power Mode Imaging ............................................................... 5-18
5.5.2Power Mode Image Parameters ................................................................................. 5-18
5.5.3Power Mode Image Optimization ............................................................................... 5-18
5.6.1Basic Procedures for PW/CW Mode Exam ................................................................ 5-20
5.6.2PW/CW Mode Image Parameters .............................................................................. 5-21
5.6.3PW/CW Mode Image Optimization ............................................................................. 5-22
5.7.1Enter Color M Mode.................................................................................................... 5-27
5.7.2Exit Color M Mode ...................................................................................................... 5-27
5.7.3Color M Mode Image Parameters .............................................................................. 5-27
5.8.1Free Xros M Imaging (Anatomical M-Mode) .............................................................. 5-28
5.8.2Free Xros CM (Curved Anatomical M-Mode) ............................................................. 5-29
5.9.1Basic Procedures for TDI Imaging .............................................................................. 5-31
5.9.2TDI Image Parameters ............................................................................................... 5-31
5.9.3TDI Image Optimization .............................................................................................. 5-31
5.9.4TDI Quantitative Analysis (QA) ................................................................................... 5-32
5.10.1Overview ..................................................................................................................... 5-36
5.10.2Note Before Use ......................................................................................................... 5-40
5.10.3Static 3D ..................................................................................................................... 5-42
5.10.4iLive ............................................................................................................................ 5-52
5.10.54D ............................................................................................................................... 5-54
5.10.6Smart 3D ..................................................................................................................... 5-55
5.10.7iPage (Multi-Slice Imaging) ......................................................................................... 5-57
5.11.1Basic Procedures for iScape Imaging ........................................................................ 5-61
5.11.2Image Acquisition........................................................................................................ 5-62
5.11.3iScape Viewing ........................................................................................................... 5-62
5.11.4Cine Review ................................................................................................................ 5-64
5.12.1Basic Procedure for Elastography .............................................................................. 5-64
5.12.2Enter/Exit .................................................................................................................... 5-65
5.12.3Pressure Hint Curve ................................................................................................... 5-65
5.12.4Cine Review ................................................................................................................ 5-66
6 Display & Cine Review ............................................................................................... 6-1
6.1.1Splitting Display ............................................................................................................ 6-1
6.2.1Spot ............................................................................................................................... 6-1
6.2.2Pan ............................................................................................................................... 6-2
6.2.3iZoom (Full-screen Zooming) ....................................................................................... 6-2
6.3.1Imaging Mode Switching When Frozen ........................................................................ 6-2
6.3.2Imaging Display Format Switching When Frozen ........................................................ 6-3
iii
6.4.1Entering/ Exiting Cine Review ...................................................................................... 6-4
6.4.2Cine Review in 2D Mode (B/B+Color/B+Power/B+TVI/B+TEI) .................................... 6-4
6.4.3Cine Review in M or D Mode ........................................................................................ 6-5
6.4.4Linked Cine Review ...................................................................................................... 6-5
6.5.1Cine Compare ............................................................................................................... 6-6
6.5.2Frame Compare ............................................................................................................ 6-6
6.7.1Cine Memory Setting .................................................................................................... 6-7
7 ECG .............................................................................................................................. 7-1
8 Measurement ............................................................................................................... 8-1
8.2.12D General Measurements .......................................................................................... 8-2
8.2.2M General Measurements ............................................................................................ 8-2
8.2.3Doppler General Measurements .................................................................................. 8-3
9 Comments and Body Marks ...................................................................................... 9-1
9.1.1Comments Basic Procedures ....................................................................................... 9-1
9.1.2Touch Screen Display in Comments ............................................................................. 9-2
9.1.3Adding Comments ........................................................................................................ 9-3
9.1.4Moving Comments ........................................................................................................ 9-5
9.1.5Modifying (Editing) Comments ..................................................................................... 9-5
9.1.6Deleting Comments ...................................................................................................... 9-6
9.1.7Comment Setting .......................................................................................................... 9-6
9.2.1Touch Screen Display in Body Mark ............................................................................. 9-6
9.2.2Adding Body Marks....................................................................................................... 9-7
9.2.3Moving Body Marks ...................................................................................................... 9-7
9.2.4Deleting Body Marks..................................................................................................... 9-7
10Patient Data Management ........................................................................................ 10-1
10.1.1Enter Patient Information ............................................................................................ 10-1
10.1.2Patient Information Setting ......................................................................................... 10-1
10.2.1Memory Media ............................................................................................................ 10-2
10.2.2Image File Formats ..................................................................................................... 10-2
10.2.3Image Storage Preset ................................................................................................. 10-3
10.2.4Quickly Saving Images to the System ........................................................................ 10-3
10.2.5Quickly Saving Full Screen Image to the System ...................................................... 10-4
10.2.6Thumbnails ................................................................................................................. 10-4
iv
10.2.7Image Review and Analysis ........................................................................................ 10-4
10.2.8iVision ......................................................................................................................... 10-6
10.2.9Sending Image File ..................................................................................................... 10-8
10.4.1Viewing Patient Information ...................................................................................... 10-10
10.4.2Searching a Patient .................................................................................................. 10-11
10.4.3Patient Data View & Management ............................................................................ 10-11
10.6.1Setting ....................................................................................................................... 10-13
10.6.2Image Print ................................................................................................................ 10-13
10.6.3Report Print ............................................................................................................... 10-14
10.9.1Access Setting .......................................................................................................... 10-16
10.9.2Setting Access Control ............................................................................................. 10-16
10.9.3System Login ............................................................................................................ 10-16
10.9.4Adding/Deleting a User ............................................................................................. 10-17
10.9.5Modify Password ...................................................................................................... 10-18
11DICOM .........................................................................................................................11-1
11.1.1Network Preset ........................................................................................................... 11-1
11.1.2DICOM Local Preset ................................................................................................... 11-2
11.1.3Service Preset ............................................................................................................ 11-3
11.3.1DICOM Storage .......................................................................................................... 11-8
11.3.2DICOM Print ............................................................................................................. 11-10
11.3.3DICOM Worklist ......................................................................................................... 11-11
11.3.4MPPS ........................................................................................................................ 11-12
11.3.5Storage Commitment ................................................................................................ 11-12
11.3.6Query/Retrieve .......................................................................................................... 11-13
12Setup .......................................................................................................................... 12-1
12.1.1Region ........................................................................................................................ 12-3
12.1.2General ....................................................................................................................... 12-4
12.1.3Image Preset .............................................................................................................. 12-5
12.1.4Application .................................................................................................................. 12-6
12.1.5OB Preset ................................................................................................................... 12-6
12.1.6Key Configuration ....................................................................................................... 12-6
12.1.7Admin .......................................................................................................................... 12-7
v
12.5.1Local TCP/IP ............................................................................................................. 12-10
12.5.2iStorage ..................................................................................................................... 12-12
12.5.3MedTouch/MedSight Preset ..................................................................................... 12-13
12.6.1Option ....................................................................................................................... 12-13
12.6.2Other Settings ........................................................................................................... 12-14
13Probes and Biopsy ................................................................................................... 13-1
13.1.1Name and Function of Each Part of the Probe ........................................................... 13-2
13.1.2Orientation of the Ultrasound Image and the Probe Head ......................................... 13-3
13.1.3Procedures for Operating ........................................................................................... 13-3
13.1.4Wearing the Probe Sheath ......................................................................................... 13-6
13.1.5Probes Cleaning and Disinfection .............................................................................. 13-7
13.1.6Storage and Transportation ...................................................................................... 13-10
13.2.1Basic Procedures for Biopsy Guiding ....................................................................... 13-13
13.2.2Needle-guided Brackets ........................................................................................... 13-14
13.2.3Needle-guided Bracket Inspection and Installation .................................................. 13-19
13.2.4Verifying the Biopsy Guide Line ................................................................................ 13-23
13.2.5Removing the Needle-guided Bracket ...................................................................... 13-24
13.2.6Clean and Sterilize the Needle-guided Bracket ........................................................ 13-27
13.2.7Storage and Transportation ...................................................................................... 13-28
13.2.8Disposal .................................................................................................................... 13-28
14Acoustic Output ........................................................................................................ 14-1
14.4.1Basic Knowledge of MI and TI .................................................................................... 14-2
14.4.2MI/TI Display ............................................................................................................... 14-3
14.7.1Derated Ultrasonic Output Parameters ...................................................................... 14-4
14.7.2Limits of Acoustic Output ............................................................................................ 14-5
14.7.3Differences between Actual and Displayed MI and TI ................................................ 14-5
15EMC Guidance and Manufacturer’s Declaration .................................................... 15-1
16System Maintenance ................................................................................................ 16-1
16.1.1Cleaning the System .................................................................................................. 16-1
16.1.2Clean the Peripherals ................................................................................................. 16-4
16.1.3Checking the Probe .................................................................................................... 16-5
16.1.4Checking the Power Cable and Plug .......................................................................... 16-5
16.1.5Checking Appearance ................................................................................................ 16-5
16.1.6Backup of the System Hard Drive .............................................................................. 16-5
vi
Appendix A Barcode Reader ...................................................................................... A-1
Appendix B Electrical Safety Inspection .................................................................. B-1
Appendix C iScanHelper ............................................................................................ C-1
Appendix D Wireless LAN .......................................................................................... D-1
Appendix E Ultrasound Gel Warmer ......................................................................... E-1
Appendix F Batteries .................................................................................................. F-1
vii
©2017 Shenzhen Mindray Bio-Medical Electronics Co., Ltd. All rights Reserved.
For this Operator’s Manual, the issue date is 2017-04.
Intellectual Property Statement
SHENZHEN MINDRAY BIO-MEDICAL ELECTRONICS CO., LTD. (hereinafter called Mindray) owns the intellectual property rights to this Mindray product and this manual. This manual may refer to information protected by copyright or patents and does not convey any license under the patent rights or copyright of Mindray, or of others.
Mindray intends to maintain the contents of this manual as confidential information. Disclosure of the information in this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden.
Release, amendment, reproduction, distribution, rental, adaptation, translation or any other derivative work of this manual in any manner whatsoever without the written permission of Mindray is strictly forbidden.
, , , , , BeneView, WATO,
BeneHeart, countries. All other trademarks that appear in this manual are used only for informational or editorial purposes. They are the property of their respective owners.
are the trademarks, registered or otherwise, of Mindray in China and other
Responsibility on the Manufacturer Party
Contents of this manual are subject to change without prior notice.
All information contained in this manual is believed to be correct. Mindray shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this manual.
Mindray is responsible for the effects on safety, reliability and performance of this product, only if:
z all installation operations, expansions, changes, modifications and repairs of this
product are conducted by Mindray authorized personnel;
z the electrical installation of the relevant room complies with the applicable national
and local requirements; and
z the product is used in accordance with the instructions for use.
Note
This equipment must be operated by skilled/trained clinical professionals.
Warning
It is important for the hospital or organization that employs this equipment to carry out a reasonable service/maintenance plan. Neglect of this may result in machine breakdown or personal injury.
I
Warranty
THIS WARRANTY IS EXCLUSIVE AND IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESSED OR IMPLIED, INCLUDING WARRANTIES OF MERCHANTABILITY OR FITNESS FOR ANY PARTICULAR PURPOSE.
Exemptions
Mindray's obligation or liability under this warranty does not include any transportation or other charges or liability for direct, indirect or consequential damages or delay resulting from the improper use or application of the product or the use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized personnel.
This warranty shall not extend to:
Malfunction or damage caused by improper use or man-made failure. Malfunction or damage caused by unstable or out-of-range power input. Malfunction or damage caused by force majeure such as fire and earthquake. Malfunction or damage caused by improper operation or repair by unqualified or
unauthorized service people.
Malfunction of the instrument or part whose serial number is not legible enough. Others not caused by instrument or part itself.
Customer Service Department
Manufacturer: Address:
Website: E-mail
Address: Tel: +86 755 81888998
Fax: +86 755 26582680
Manufacturer: Mindray DS USA, Inc.
Address: 800 MacArthur Blvd.
Tel: +1(201) 995-8000 Toll Free: +1 (800) 288-2121 Fax: +1 (800) 926-4275
Shenzhen Mindray Bio-Medical Electronics Co., Ltd.
Mindray Building,Keji 12th Road South,High-tech industrial park,Nanshan,Shenzhen 518057,P.R.China www.mindray.com
service@mindray.com
Mahwah, NJ 07430-0619 USA
II
Important Information
1. It is the customer’s responsibility to maintain and manage the system after delivery.
2. The warranty does not cover the following items, even during the warranty period:
(1) Damage or loss due to misuse or abuse.
(2) Damage or loss caused by Acts of God such as fires, earthquakes, floods, lightning,
etc.
(3) Damage or loss caused by failure to meet the specified conditions for this system,
such as inadequate power supply, improper installation or environmental conditions.
(4) Damage or loss due to use of the system outside the region where the system was
originally sold.
(5) Damage or loss involving the system purchased from a source other than Mindray or
its authorized agents.
3. This system shall not be used by persons other than fully qualified and certified medical personnel.
4. Do not make changes or modifications to the software or hardware of this system.
5. In no event shall Mindray be liable for problems, damage, or loss caused by relocation, modification, or repair performed by personnel other than those designated by Mindray.
6. The purpose of this system is to provide physicians with data for clinical diagnosis. It is the physician’s responsibility for diagnostic procedures. Mindray shall not be liable for the results of diagnostic procedures.
7. Important data must be backed up on external memory media.
8. Mindray shall not be liable for loss of data stored in the memory of this system caused by operator error or accidents.
9. This manual contains warnings regarding foreseeable potential dangers, but you shall always be alert to dangers other than those indicated as well. Mindray shall not be liable for damage or loss that results from negligence or from ignoring the precautions and operating instructions described in this operator’s manual.
10. If the manager for this system is changed, be sure to hand over this operator’s manual to the new manager.
About This Manual
This operator’s manual describes the operating procedures for this diagnostic ultrasound system and the compatible probes. To ensure safe and correct operations, carefully read and understand the manual before operating the system.
Notation Conventions
In this operator’s manual, the following words are used besides the safety precautions (refer to "Safety Precautions"). Please read this operator’s manual before using the system.
CAUTION:
U.S.A. Federal Law restricts this device to sale by or on the order
The diagnostic ultrasound system is not intended for ophthalmic use. Its use in this clinical specialty is contraindicated.
of a physician.
III
Operator’s Manuals
You may receive multi-language manuals in compact disc or paper. Please refer to English manual for latest information and register information.
The content of the operator manual, such as screens, menus or descriptions, may be different from what you see in your system. The content varies depending upon the software version, options and configuration of the system.
Manuals on Paper
z Operator’s Manual [Basic Volume]: Describes the basic functions and operations of
the system, safety precautions, exam modes, imaging modes, preset, maintenance and acoustic output, etc.
z Operator’s Manual [Advanced Volume]: Describes measurement preset,
measurements and calculations, etc.
z Operator’s Manual [Acoustic Power Data and Surface Temperature Data]: Contains
data tables of acoustic output for transducers.
z Operation Note: Contains quick guide for basic operations of the system.
NOTE: 1. The manuals in CD are the manuals translated into languages other than
English according to English manuals.
2. When you find that the contents of the manuals in CD are NOT consistent with
the system or English manuals, please ONLY refer to the corresponding English manuals.
3. The accompanying manuals may vary depending upon the specific system you
purchased. Please refer to the packing list.
IV
Software Interfaces in this Manual
Depending on the software version, preset settings and optional configuration, the actual interfaces may be different from those in this manual.
Conventions
In this manual, these conventions are used to describe the buttons on the control panel, the items in menu, buttons in dialog box and some basic operations:
z <Button>: The angular bracket indicates buttons, knobs and other controls on control
panel or keyboard.
z [Item in menu (soft menu) and button in dialog box]: The square bracket indicates
items in menu or buttons in dialog box.
z Click [Item or Button]: Move the cursor to the item or button and press <Set>, or click
it on the menu.
z [Item in Menu]Æ[Item in Submenu]: Select a submenu item following the path. z [Dyn Rng (Value)]: Indicates menu items with parameter, (value) shows the current
value of the item.
V
1 Safety Precautions
1.1 Safety Classification
According to the type of protection against electric shock:
Class I equipment powered by outer power & equipment powered by inner batteries
According to the degree of protection against electric shock:
Type-BF applied part
According to the degree of protection against harmful ingress of water:
Main unit: IPX0
Probes: IPX7
Footswitch:
FS-81-SP-2 (one-pedal) belongs to IPX8.
971-SWNOM (2-pedal or 3-pedal) belongs to IP68.
According to the degree of safety of application in the presence of a FLAMMABLE
ANESTHETIC MIXTURE WITH AIR or WITH OXYGEN OR NITROUS OXIDE:
EQUIPMENT not suitable for use in the presence of a FLAMMABLE ANESTHETIC MIXTURE WITH AIR or WITH OXYGEN OR NITROUS OXIDE
According to the mode of operation:
CONTINUOUS OPERATION
According to the installation and use:
MOBILE EQUIPMENT
Safety Precautions 1-1
1.2 Meaning of Signal Words
In this manual, the signal words" DANGER”, “ WARNING”, “ CAUTION”,
NOTE” and "Tips" are used regarding safety and other important instructions. The signal
words and their meanings are defined as follows. Please understand their meanings clearly before reading this manual.
Signal word Meaning
DANGER
WARNING
CAUTION
NOTE
Tips Important information that helps you to operate the system more effectively.
Indicates an imminently hazardous situation that, if not avoided, will result in death or serious injury.
Indicates a potentially hazardous situation that, if not avoided, could result in death or serious injury.
Indicates a potentially hazardous situation that, if not avoided, may result in minor or moderate injury.
Indicates a potentially hazardous situation that, if not avoided, may result in property damage.
1.3 Meaning of Safety Symbols
Symbol Description
Type-BF applied part.
The ultrasound probes connected to this system are type-BF applied parts.
General warning, caution, risk of danger.
Patient/user infection due to contaminated equipment. Be careful when performing the cleaning, disinfection and sterilization.
Patient injury or tissue damage from ultrasound radiation. It is required to practice ALARA when operating ultrasound system.
1-2 Safety Precautions
1.4 Safety Precautions
Please observe the following precautions to ensure patient and operator’s safety when using this system.
DANGER:
WARNING:
Do not operate this system and probes in an atmosphere containing flammable gasses or liquids such as anesthetic gasses, hydrogen, and ethanol, because there is danger of explosion.
1.
Do connect the power plug of this system to wall recept acle s that meet the ratings indicated on the rating nameplate. If adapters or multifunctional receptacles are used, it may cause the leakage current to exceed the safety requirement.
2.
In the environment that patient is 1.5 meters around, conn ect peripherals to the auxiliary power outlet which i s cap able of isolation protection, or power the peripherals by auxiliary output cable or isolation transformer complied with IEC 60601­1-1 or the power input of the same safety level.
3.
DO NOT use power supply of different phases to power peripherals, like power supply of air-conditioning.
4.
When using peripherals not powered by the auxiliary output of the ultrasound system, or using peripherals other than permitted by Mindray, make sure the overall leakage current of peripherals and the ultrasound system meets the requirement of the local medical device electrical regulation (like enclosure leakage current should be no more than 500uA of IEC 60601-1-1), and the responsibility is held by the user.
5.
Connect the grounding conductor before turning ON the system. Disconnect the grounding cable af ter turning OFF the system. Otherwise, electric shock may result.
6.
For the connection of power and grounding, follow the appropriate procedures described in this operator’s manual. Otherwise, there is risk of electric shock. Do not connect the grounding cable to a gas pipe or water pipe; otherwise, improper grounding may result or a gas explosion may occur.
7.
Before cleaning the system, disconnect the power cord from the outlet. Otherwise, system failure and electric shock may result.
8.
This system is not water-proof. Do not use this system in an y place where water leakage may occur. If any water is sprayed on or into the system, electric shock may result. If water is accidentally sprayed on or into the system, contact Mindray Customer Service Department or sales represe nt ative.
Safety Precautions 1-3
9.
DO NOT use a probe that has a damaged, scratched surface, or exposed wiring of any kind. Immediately stop using the probe and contact Mindray Customer Service Dep artment or sa les representative. There is risk of elect ric shock if using a damaged or scratched probe.
10.
Do not allow the patient to contact the live parts of the ultrasound system or other devices, e.g. signal I / O port s. Electric shock may occur .
11.
Do not use an aftermarket probe other than t hose specified by Mindray . The probes may damage t he system causing a profound failure, e.g. a fire in the worst case.
12.
Do not subject the probes to knocks or drops . Use of a defective probe may cause an electric shock.
13.
Do not open the covers and front panel of the system. Short circuit or electric shock may result when the system hardware is exposed and powered on.
14.
Do not use this system when any digit al device such as a high­frequency electrotome, high-frequency therapeutic device or defibrillator is applied already. Otherwise, there is a risk of electric shock to the patient.
15.
Only use the ECG leads and PCG transducer provided with the physiology module; otherwise, electric shock may be resulted.
16.
When moving the system, you should hold the handle; otherwise, damage may be resulted by abnormal force. Do not push the system from the left/right side; otherwise, it m ay be toppled over .
17.
The auxiliary power output outlet in the system is used to supply power for the recommended peripheral devices. Do not connect other devices to the outlet, otherwise, the rated out put power may be exceeded and failure may be resulted. Maximum output power of the outlet is 240VA (including the auxiliary output port in the printer compartment).
18.
Accessory equipment (analog or digital) connected to the ultrasound system must comply with the relevant IEC standards (e.g., IEC 60950 informa tion technology equipment safety standard and IEC 60601-1 medical equipment standard).Furthermore, all configurations must comply wit h the standard IEC 60601-1-1.It is the resp onsibility of the perso n, who connects additional equipment to the signal input or output ports and configures a medical system, to verify that the system complies with the requirements of IEC 60601-1-1.If y ou have any questions regarding these requirement s, consult y our sales representative.
19.
Prolonged and repeated use of keyboards may result in hand or arm nerve disorders for some individuals. Observe the local safety or health regulations concerning the use of keyboards.
1-4 Safety Precautions
20.
When using intra-cavity probes, do not activate the probe outside the p atient’s body .
DO NOT touch the Signal I/O ports if in contact with the patient;
21.
otherwise patient injury may result.
CAUTION:
1. Precautions concerning clinical examination techniques: This system must be used only by qualified medical
professionals. This operator’s manual does not describe clinical examination
techniques. The clinician should select the proper examination techniques based on specialized training and clinical experience.
2. Malfunctions due to radio wave: If a radio wave emitting device is used in the proximity of this
system, it may interfere with operations. Do not use or take any devices transmitting RF signals (such as cellular phones, transceivers and radio controlled products) in the room placing the system.
If a person brings a device that generates radio waves near the system, ask him / her to immediately turn OFF the device.
3. Precautions concerning movement of the system: Please install the system on a flat plane with casters locked.
Otherwise, damage may be resulted by accidental moving. Do not move the system laterally, which may result in damage in
case of toppling. Move the system slowly on the slope by two people, otherwise,
damage may result in case of unexpected sliding. Do not sit on the system, which may result individual falling in
case of system moving. Object placed on the monitor may fall and injure an individual. Fasten and fully secure any peripheral device before moving the
system. A loose peripheral device may fall and injure an individual.
When move the system on the steps, please take care to prevent the system from toppling.
4. If the circuit protector is tripped, it indicates that the system or a peripheral device was improperly shut down and the system is unstable. You cannot repair the system under this circumstance and must call the Mindray Customer Service Department or sales representative.
5. There is no risk of high-temperature burns during normal ultrasound examinations. It is possible for the surface temperature of the probe to exceed the body temperature of a patient due to environmental temperature and exam type combinations. Do not apply the probe to the same region on the patient for a long time. Apply the probe only for a period of time required for the purpose of diagnosis.
6. Do not use the system to examine a fetus for a long period of time.
Safety Precautions 1-5
7. The system and its accessories are not disinfected or sterilized prior to delivery. The operator is responsible for the cleaning and disinfection of probes and sterilization of biopsy brackets according to the manuals, prior to the use. All items must be thoroughly processed to completely remove harmful residual chemicals, which will not only be harmful to the human body, but also damage the accessory.
8. It is necessary to press <End Exam> to end the current scan that is in progress and clear the current Patient Information field. Otherwise, new patient data may be combined with the previous patient data.
9. Do not connect or disconnect the system’s power cord or its accessories (e.g., a printer or a recorder) without turning OFF the system power first. This may damage the system and its accessories or cause electric shock.
10. If the system is powered off improperly during operation, it may result in data damage of the system hard disk or system failure.
11. Do not use a USB memory device (e.g., a USB flash drive, removable hard disk) which has unsafe data. Otherwise, system damage may result.
12. It is recommended to only use the video devices specified in this manual.
13. Do not use gel, disinfectant, probes, probe sheath or needle­guided brackets that are not compatible with the system.
14. Read the Acoustic Output Principle in the operation manual carefully before operating this system on clinical examination.
15. The cover contains natural rubber that can cause allergic reactions in some individuals.
NOTE: 1. DO NOT use the system in the vicinity of strong electromagnetic field (such as
2. Do not use the system in the vicinity of high-frequency radiation source (e.g.
3. When using or placing the system, keep the system horizontal to avoid
4. To avoid damaging the system, do not use it in following environment:
16. Please use the ultrasound gel compliant with the relevant local regulations.
17. Normal operation may be affected by unstable mains power supply; it is recommended that our product be powered from an uninterruptible power supply.
a transformer), which may affect the performance of the system.
cellular phones), which may affect the performance of the system or even lead to failure.
imbalance.
z Locations exposed to direct sunlight; z Locations subject to sudden changes in environmental temperature; z Dusty locations; z Locations subject to vibration; z Locations near heat generators; z Locations with high humidity.
1-6 Safety Precautions
5. Turn ON the system only after the power has been turned OFF for a while. If the
system is turned ON immediately after being turned OFF, the system may not be rebooted properly and could malfunction.
6. Press <Freeze> key to freeze an image or turn off the power of the system
before connecting or disconnecting a probe. Otherwise, the system and/or probe can be damaged.
7. Remove the ultrasound gel from the face of the probe when the examination is
completed. Water in the gel may enter the acoustic lens and adversely affect the performance and safety of the probe.
8. You should properly back up the system to a secure external storage media,
including system configuration, settings and patient data. Data stored to the system’s hard drive may be lost due to system failure, improper operation or accident.
9. Do not apply external force to the control panel. Otherwise, the system may be
damaged.
10. If the system is used in a small room, the room temperature may rise. Please
provide proper ventilation and free air exchange.
11. To dispose of the system or any part, contact Mindray Customer Service
Department or sales representative. Mindray is not responsible for any system content or accessories that have been discarded improperly. Mindray is not responsible for any system content or accessories that have been discarded improperly.
12. Electrical and mechanical performance may be degraded due to long usage
(such as current leakage or distortion and abrasion); the image sensitivity and precision may become worse too. To ensure optimal system operations, it is recommended that you maintain the system under a Mindray service agreement.
13. The replaceable fuse is inside the chassis. Refer replacing job to Mindray
service engineers or engineers authorized by Mindray only.
14. Do not turn OFF the power supply of the system during printing, file storage or
invoking other system operations. An interrupted process may not be completed, and can become lost or corrupted.
15. The iScape feature constructs a single extended image from a series of
individual image frames. The quality of the final image is user-dependent and requires skill to efficiently apply the feature and technique. Exercise caution when measurements are performed from an iScape image.
16. Ensure that the current exam date and time are the same as the system date
and time.
Please read the following precautions carefully to ensure the safety of the patient and the operator when using the probes.
WARNING:
1. The probe is only for use with the specified ultrasonic diagnostic system. Please refer to the “2.5.2 Probes Available” to select the proper probe.
2. The ultrasonic probe must be used only by qualified professionals.
3. Confirm that the transducer and probe cable are normal before and after each examination. A defective probe may cause electric shock to the patient.
Safety Precautions 1-7
4. Do not subject the probe to shock. A defective probe may cause electric shock to the patient.
CAUTION:
5. Do not disassemble the probe to avoid the possibility of electric shock.
6. Never immerse the probe connector into liquids such as water or disinfectant because the connector is not waterproof. Immersion may cause electric shock or malfunction.
7. A probe sheath must be installed over the probe before performing intra-cavity or intra-operative examination.
1. When using the probe, wear sterile gloves to prevent infection.
2. Be sure to use sterile ultrasound gel. Please use the ultrasound gel compliant with the relevant local regulations. And manage the ultrasound gel properly to ensure that it does not become a source of infection.
3. In normal diagnostic ultrasound mode, there is no danger of a normal-temperature burn; however, keeping the probe on the same region of the patient for a long time may cause such a burn.
4. Do not use the carrying case for storing the probe. If the carrying case is used for storage, it may become a source of infection.
5. It is required to practice ALARA when operating ultrasound system. Minimize the acoustic power without compromising the quality of images.
6. The probe and accessories supplied with it are not delivered disinfected or sterilized. Sterilization (or high-level disinfect) before use is required.
7. Disposable components should be packaged sterile and for single-use only. Do not use if integrity of packaging violated or if expiration date has passed. Please use the disposable components compliant with the relevant local regulations.
8. Please use the disinfection or sterilization solution recommended in this operator’s manual; otherwise Mindray will not be liable for damage caused by other solutions. If you have any questions, please contact Mindray Customer Service Department or sales representative.
9. Do not use pre-lubricated condoms as a sheath. Lubricant may not be compatible with the probe material and damage may result.
10. The damage of the probe may be caused by the contact of improper gel or cleaner:
z DO NOT soak or saturate probes in the strong polar solution
of ethanol, chloride of lime, ammonium chloride, acetone or formaldehyde.
z DO NOT contact the probe with solutions or ultrasound gels
containing oily medium such as mineral oil or lanoline.
1-8 Safety Precautions
NOTE: Read the following precautions to prevent the probe from malfunction:
z Before connecting or disconnecting the probe, freeze or turn off the
diagnostic ultrasound system.
z Clean and disinfect the probe before and after each examination. z After the examination, wipe off the ultrasound gel thoroughly. Otherwise,
the ultrasound
Ambient conditions:
1. To prevent the probe from being damaged, do not use it where it will be exposed to:
z Direct sunlight or X-rays z Sudden changes in temperature z Dust z Excessive vibration z Heat generators
2. Use probes under the following ambient conditions :
z ambient temperature: 0°C to 40°C z relative humidity: 30% to 85% (no condensation) z atmospheric pressure: 700 hPa to 1060 hPa
3. Use D7-2E probes under the following ambient conditions :
z ambient temperature: 10°C to 40°C z relative humidity: 30% to 85% (no condensation) z atmospheric pressure: 700 hPa to 1060 hPa
Repeated disinfection will eventually damage the probe, please check the probe performance periodically.
gel may solidify and the image quality would be degraded.
1.5 Latex Alert
When choosing a probe sheath, it is recommended that you directly contact CIVCO for obtaining probe sheath, pricing information, samples and local distribution information. For CIVCO information, please contact the following:
CIVCO Medical Instruments
Tel: 1-800-445-6741
WWW.civco.com
WARNING:
Allergic reactions in latex (natural rubber) sensitive patients may range from mild skin reactions (irritation) to fatal anaphylactic shock, and may include difficulty in breathing (wheezing), dizziness, shock, swelling of the face, hives, sneezing or itching of the eyes (FDA Medical Alert on latex products, “Allergic Reactions to Latex-containing Medical Devices”, issued on March 29, 1991).
Safety Precautions 1-9
1.6 Warning Labels
The warning labels are attached to this system in order to call your attention to potential hazards. The symbol on the warning labels indicates safety precautions.
The warning labels use the same signal words as those used in the operator’s manual. Read operator’s manual carefully before using the system.
The name, pattern and meaning of each warning label are described as follows:
No. Warning Labels Meaning
1.
a
b
d
c
a. Do not place the system on a sloped surface. Otherwise the system may slide, resulting in personal injury or the system malfunction. Two persons are required to move the system over a sloped surface.
b. Do not sit on the system. c. DO NOT push the system when the
casters are locked. d. Please carefully read this manual
before use system.
2.
3.
4.
5.
6.
Beware of excessive stress exerted to the system.
Mind your hands.
Please do not lift the hanger or try to push the ultrasound system by using it.
Non-ionizing radiation
CONFORMS TO AAMI STD 60601-1, IEC STD 60601-2-37,IEC STD 60601­2-18;
CERTIFIED TO CSA STD C22.2 NO. 60601-1, 60601-2-37, 60601-2-18
1-10 Safety Precautions
2 System Overview
2.1 Intended Use
The Diagnostic Ultrasound System is intended for adults, pregnant women, pediatric patients and neonates.It is intended for use in fetal, abdominal, pediatric, small organ(breast, thyroid, testes), neonatal cephalic,adult cephalic,trans-rectal, trans-vaginal, musculo­skeletal(conventional), musculo- skeletal(superficial), cardiac adult, cardiac pediatric and peripheral vessel exams.
2.2 Contraindication
This system is not intended for ophthalmic use.
2.3 Product and Model Code
DC
-
Model code Product code
NOTE: The functions described in the operator’s manual may vary depending upon the
specific system you purchased.
2.4 Product Specifications
2.4.1 Imaging Mode
B Mode B M Mode M Color M Mode (CM) C Mode Color
D Mode PW Doppler CW Doppler
PowerDirpower
System Overview 2-1
Special Imaging
Elastography
Tissue Doppler Imaging
TDI QA
iScape View
Free Xros M/Free Xros CM
3D/4D
Smart 3D
Static 3D
iPage
iLive
2.4.2 Power supply
Voltage Frequency 50/60Hz
Power consumption
Fuse 250V~ T10AH
100240V
600VA
2.4.3 Environmental Conditions
Operational Conditions Storage and Transportation
Conditions
Ambient temperature
Relative humidity
Atmospheric pressure
WARNING:
10℃~40 -20℃~55
30%85% 30%95%
700hPa1060hPa 700hPa1060hPa
Do not use this system in the conditions other than those specified.
2-2 System Overview
2.4.4 Size and Weights
External dimensions:
z 812mm (L)X600mm (W)X1331 (1515)mm (H)
Net weight: 130.87Kg (without the battery)
2.5 System Configuration
2.5.1 Standard Configuration
Main unit
Accessories
z Operator's manuals z Ultrasound gel z Dust-proof cover z Probe ports dust-proof cover z Tray assembly z Left bracket for the intra-cavity probe z Right bracket for the intra-cavity probe z Probe holder z Probe holder for pencil probe z Cables z Grounding cable z Multilingual controls overlay
2.5.2 Probes Available
No. Probe Model Intended Use Region Applied
3C5A Fetal, Abdominal, Pediatric, Neonatal
1.
7L4A Abdominal, Pediatric, Small Organ
2.
3. L7-3
4. D7-2E Fetal, Abdominal Abdomen
5. L14-6NE
Cephalic, Musculo-skeletal (Conventional), Peripheral vessel
(breast, thyroid, testes), Neonatal Cephalic, Musculo-skeletal (Conventional), Musculo-skeletal (Superficial), Peripheral vessel
Abdominal, Pediatric, Small Organ (breast, thyroid, testes), Neonatal Cephalic, Musculo-skeletal (Conventional), Musculo-skeletal (Superficial), Peripheral vessel
Pediatric, Small Organ (breast, thyroid, testes), Musculo-skeletal (Conventional), Musculo-skeletal (Superficial), Peripheral vessel
Body surface
Body surface
Body surface
Body surface
6. V11-3 Fetal, Trans-rectal, Trans-vaginal Intracavitary
System Overview 2-3
No. Probe Model Intended Use Region Applied
7. P4-2
Abdominal, Adult Cephalic, Cardiac Adult, Cardiac Pediatric
Body surface
Some of the probes have matched needle-guided brackets for biopsy, the available probes and the corresponding needle-guided brackets are listed as follows:
NGB-004
V11-3
Metal/needle un-detachable
/ 16G, 17G, 18G
Plastic/needle detachable:
3C5A
NGB-006 (plastic/needle detachable, metal/needle detachable)
25°, 35°, 45°
13G, 15G, 16G, 18G, 20G;
Metal/needle detachable: 14G, 16G, 18G, 20G, 22G
Metal/needle detachable: 14G, 16G, 18G, 20G, 22G;
Plastic/needle detachable: 13G, 15G, 16G, 18G, 20G
7L4A/L14-6NE/ L7-3
NGB-007
plastic/needle detachable metal/needle detachable
40°, 50°, 60°
NGB-011
P4-2
11°, 23° 13G, 15G, 16G, 18G, 20G
metal/needle un-detachable
2.5.3 Options
No. Item
1 ECG module (including ECG lead)
2 DC-IN cable (configured with ECG module)
3 Ultrasound gel warmer
4 4D module
5 CW module
6 Buit-in battery
7 Built-in Wireless Adapter
8 Pencil probe port
9 Footswitch: (two-pedal/three-pedal)
10 1D barcode reader
11 Nerve Package
12 Emergency&Critical Package
13 Application
software
14 IVF
package
15 Smart OB
IMT
16 Smart NT
17 Smart Bladder
18 Tissue Doppler Imaging
19 iScape View
2-4 System Overview
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