Mindray TE7, TE5 Operator's Manual

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TE7/TE5

Diagnostic Ultrasound System

Operator’s Manual

[Basic Volume]

Contents ............................................................................................................................... i

Intellectual Property Statement .......................................................................................................... I

Responsibility on the Manufacturer Party .......................................................................................... I

Warranty ............................................................................................................................................ II

Exemptions ................................................................................................................................... II

Customer Service Department ..................................................................................................... II

Important Information ....................................................................................................................... III

About This Manual ........................................................................................................................... III

Notation Conventions ....................................................................................................................... IV

Operator’s Manuals .......................................................................................................................... IV

Hardcopy Manuals ........................................................................................................................... IV

Software Interfaces in this Manual ................................................................................................... IV

Conventions ...................................................................................................................................... V

Product Differences ........................................................................................................................... V

1 Safety Precautions .................................................................................................... 1-1

1.1 Safety Classifications ........................................................................................................... 1-1

1.2 Meanings of Signal Words ................................................................................................... 1-2

1.3 Meaning of Safety Symbols ................................................................................................. 1-2

1.4 Safety Precautions ............................................................................................................... 1-3

1.5 Latex Alert .......................................................................................................................... 1-10

1.6 Warning Labels .................................................................................................................. 1-11

2 System Overview ...................................................................................................... 2-1

2.1 Intended Use ........................................................................................................................ 2-1

2.2 Product Specifications .......................................................................................................... 2-1

2.3 System Configuration ........................................................................................................... 2-2

2.4 Introduction of Each Unit ...................................................................................................... 2-8

2.5 Symbols .............................................................................................................................. 2-10

3 System Preparation .................................................................................................. 3-1

3.1 Move/Position the System .................................................................................................... 3-1

3.2 Power ON/OFF ..................................................................................................................... 3-2

3.3 Connecting the Power Cord ................................................................................................. 3-5

3.4 Connecting a Probe ............................................................................................................. 3-6

3.5 Connecting the Footswitch ................................................................................................... 3-7

3.6 Connecting USB Devices ..................................................................................................... 3-7

3.7 Installing a Graph/Text Printer .............................................................................................. 3-8

3.8 Installing a Video Printer .................................................................................................... 3-10

3.9 Brightness and Contrast Adjustment .................................................................................. 3-10

3.10 Display Position Adjustment ............................................................................................... 3-11

3.11 Basic Screen & Operation .................................................................................................. 3-12

4 Exam Preparation ..................................................................................................... 4-1

4.1 Patient Information ............................................................................................................... 4-1

4.2 Select Exam Mode and Probe ............................................................................................. 4-7

4.3 Select the Imaging Mode ..................................................................................................... 4-8

4.4 End an Exam ........................................................................................................................ 4-8

4.5 Activate an Exam ................................................................................................................. 4-8

5 Image Optimization ................................................................................................... 5-1

5.1 Imaging Mode ....................................................................................................................... 5-1

5.2 B Mode Image Optimization ................................................................................................. 5-4

5.3 M Mode Image Optimization .............................................................................................. 5-10

5.4 Color Mode Image Optimization ......................................................................................... 5-12

5.5 Power Mode Image Optimization ....................................................................................... 5-17

5.6 PW/CW Doppler Mode ....................................................................................................... 5-19

5.7 Contrast Imaging ................................................................................................................ 5-26

5.8 Anatomical M Mode ............................................................................................................ 5-33

5.9 TDI ...................................................................................................................................... 5-34

5.10 Color M Mode ..................................................................................................................... 5-36

5.11 3D Imaging ......................................................................................................................... 5-37

6 Display & Cine Review .............................................................................................. 6-1

6.1 Splitting Display .................................................................................................................... 6-1

6.2 Image Magnification ............................................................................................................. 6-1

6.3 iZoom (Full Screen View) ..................................................................................................... 6-1

6.4 Freeze/Unfreeze the Image. ................................................................................................. 6-2

6.5 Cine Review ......................................................................................................................... 6-2

6.6 Image Compare .................................................................................................................... 6-4

6.7 Cine Saving .......................................................................................................................... 6-6

6.8 Preset ................................................................................................................................... 6-6

7 Measurement ............................................................................................................. 7-1

7.1 Basic Operations .................................................................................................................. 7-1

7.2 General Measurements ........................................................................................................ 7-2

7.3 Advanced Measurements ..................................................................................................... 7-2

7.4 Measurement Accuracy ........................................................................................................ 7-3

8 Physiological Signal ................................................................................................. 8-1

8.1 ECG ...................................................................................................................................... 8-2

8.2 Parameters description......................................................................................................... 8-3

9 Annotations and Body Marks ................................................................................... 9-1

9.1 Annotations ........................................................................................................................... 9-1

9.2 Voice Comments .................................................................................................................. 9-4

9.3 Body Mark ............................................................................................................................ 9-5

9.4 Settings ................................................................................................................................. 9-6

10 Patient Data Management ....................................................................................... 10-1

10.1 Patient Information Management ....................................................................................... 10-1

10.2 Image File Management ..................................................................................................... 10-1

10.3 Report Management ........................................................................................................... 10-7

10.4 iStation - Patient Data Management .................................................................................. 10-9

10.5 Recycle bin ....................................................................................................................... 10-12

10.6 iStorage ............................................................................................................................ 10-12

10.7 Print .................................................................................................................................. 10-12

10.8 Back Up Files using the DVD Drive .................................................................................. 10-13

10.9 Patient Task Management ................................................................................................ 10-14

10.10 Administration ................................................................................................................... 10-15

10.11 V-Access ........................................................................................................................... 10-23

10.12 Q-Path .............................................................................................................................. 10-23

11 DICOM/HL7 .............................................................................................................. 11-1

11.1 DICOM Preset .................................................................................................................... 11-2

11.2 Verify Connectivity ............................................................................................................ 11-10

11.3 DICOM Services ................................................................................................................ 11-11

11.4 DICOM Media Storage ..................................................................................................... 11-15

11.5 Structured Report ............................................................................................................. 11-17

11.6 DICOM Task Management ............................................................................................... 11-17

12 Setup........................................................................................................................ 12-1

12.1 System Preset .................................................................................................................... 12-2

12.2 Exam Related Preset ....................................................................................................... 12-22

12.3 Network Related Preset ................................................................................................... 12-24

13 Probes and Biopsy ................................................................................................. 13-1

13.1 Probes ................................................................................................................................ 13-1

13.2 Biopsy Guide .................................................................................................................... 13-16

13.3 Middle Line ....................................................................................................................... 13-44

13.4 eSpacial Navi ................................................................................................................... 13-45

14 DVR Recording ....................................................................................................... 14-1

14.1 Recording ........................................................................................................................... 14-1

14.2 Sending Image ................................................................................................................... 14-1

14.3 DVR Video Replaying......................................................................................................... 14-1

15 Acoustic Output ...................................................................................................... 15-1

15.1 Concerns with Bioeffects .................................................................................................... 15-1

15.2 Prudent Use Statement ...................................................................................................... 15-1

15.3 ALARA Principle (As Low As Reasonably Achievable) ...................................................... 15-1

15.4 MI/TI Explanation ............................................................................................................... 15-2

15.5 Acoustic Power Setting ...................................................................................................... 15-3

15.6 Acoustic Power Control ...................................................................................................... 15-4

15.7 Acoustic Output .................................................................................................................. 15-4

15.8 Measurement Uncertainty .................................................................................................. 15-5

15.9 References for Acoustic Power and Safety ........................................................................ 15-6

16 Guidance and Manufacturer's Declaration ............................................................ 16-1

17 System Maintenance .............................................................................................. 17-1

17.1 Daily Maintenance .............................................................................................................. 17-1

17.2 Troubleshooting .................................................................................................................. 17-7

Appendix A Wireless LAN ........................................................................................A-1

Appendix B Battery ...................................................................................................B-1

Appendix C Barcode Reader ....................................................................................C-1

Appendix D Trolley and Accessories .......................................................................D-1

Appendix E Electrical Safety Inspection ................................................................. E-1

Appendix F iScanHelper ........................................................................................... F-1

Appendix G iWorks (Auto Workflow Protocol) ....................................................... G-1

Appendix H List of Vocal Commands ......................................................................H-1

iii

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.

, and are the trademarks, registered or otherwise, of Mindray in China and other 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.

This posting serves as notice under 35 U.S.C.§287(a) for Mindray patents: http://www.mindrayna.com/patents.

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:

 all installation operations, expansions, changes, modifications and repairs of this product

are conducted by Mindray authorized personnel;

 the electrical installation of the relevant room complies with the applicable national and

local requirements; and

 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.

NOTE:

Prescription use only.

Manufacturer:

Shenzhen Mindray Bio-Medical Electronics Co., Ltd.

Address:

Mindray Building, Keji 12th Road South, High-tech industrial park, Nanshan, Shenzhen 518057,P.R.China

Website:

www.mindray.com

E-mail Address:

service@mindray.com

Tel:

+86 755 81888998

Fax:

+86 755 26582680

Manufacturer:

Mindray DS USA, Inc.

Address:

800 MacArthur Blvd. Mahwah, NJ 07430-0619 USA

Tel:

+1(201) 995-8000

Toll Free:

+1 (800) 288-2121

Fax:

+1 (800) 926-4275

Warranty

THIS WARRANTY IS EXCLUSIVE AND IS IN LIEU OF ALL OTHER WARRANTIES, EXTOUCHED 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

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: (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. The physician

is responsible for the results of 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 also be

continuously alert to dangers other than those indicated. Mindray shall not be liable for damage or loss resulting from negligence or ignorance of the precautions and operating instructions described in this operator’s manual.

10. If a new manager takes over this system, 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 TE7/TE5 Diagnostic Ultrasound System and the compatible probes. To ensure safe and correct operation, carefully read and understand the manual before operating the system.

III

NOTE:

Indicates information of interest to users of this system regarding exceptional conditions or operating procedures.

CAUTION:

U.S.A. Federal Law restricts this device to sale by or on the order of a physician.

NOTE:

Manuals on CD are the manuals translated into languages other than English, according to the English manuals.

If you find that the contents of the manuals on CD are NOT consistent with the system or the English manuals, refer ONLY to the corresponding English manuals.

The accompanying manuals may vary depending on the specific system you purchased. Please refer to the packing list.

Notation Conventions

In this operator’s manual, the following words are used besides the safety precautions (see “Safety Precautions”). Please read this operator’s manual before using the system.

Operator’s Manuals

You may receive multi-language manuals on compact disc or paper. Please refer to the English manual for the latest information and registration information.

The content of the operator manual, such as screenshots, menus or descriptions, may be different from what you see in your system. The content varies depending on the software version, options and configuration of the system.

Hardcopy Manuals

 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.

 Operator’s Manual [Advanced Volume]  Operator’s Manual [Acoustic Power Data and Surface Temperature Data]

Contains data tables of acoustic output for transducers.

 Operation Note

Contains a quick guide for basic system operations.

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.

Product model

Feature

TE7

TE5

Double Dist

√

Depth

√

Parallel line

√

Spline length

√

NOTE:

Only TE7 is available in Canada.

Conventions

In this manual, the following conventions are used to describe the buttons on the display (main screen), items in the menus, buttons in the dialog boxes and some basic operations:

 [Items in menu or on the screen or buttons in dialog box]: square brackets indicate items in

menus or on the screen, or buttons in dialog boxes.

 Tap [Items or Buttons]: tap the corresponding item on the screen.  [Items in menu] -> [Items in submenu]: select a submenu item following the path.

Product Differences

1 Safety Precautions

1.1 Safety Classifications

 According to the type of protection against electric shock:

Class I equipment + Internally powered equipment

 According to the degree of protection against electric shock:

Type-BF applied part

 According to the degree of protection against harmful ingress of water:

The main unit is rated IPX0 The probes are rated IPX7 The foot switch (can be applied in the operating room) is rated IPX8. The power adapter is rated IPX1.

 According to the disinfection and sterilization method(s) recommended by manufacturer:

Equipment with disinfection and sterilization method(s) recommended by manufacturer.

 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:

Portable equipment Mobile equipment (when the system is installed on the trolley)

 Does the equipment has any defibrillation-proof applied parts:

Non-defibrillation-proof applied part

 Permanently installed equipment or non-permanently installed equipment:

Non-permanently installed equipment

Safety Precautions 1-1

Signal word

Meaning

DANGER

Indicates an imminently hazardous situation that, if not avoided, will result in death or serious injury.

WARNING

Indicates a potentially hazardous situation that, if not avoided, could result in death or serious injury.

CAUTION

Indicates a potentially hazardous situation that, if not avoided, may result in minor or moderate injury.

NOTE

Indicates a potentially hazardous situation that, if not avoided, may result in property damage.

Tips

Important information that helps you use the system more effectively.

Symbol

Description

Type-BF applied part The ultrasound probes connected to this system are type-BF applied parts. The ECG leads within this system is type-BF applied part.

General warning sign.

Caution!

Patient/user infection due to contaminated equipment. Be careful when performing cleaning, disinfection and sterilization.

Patient injury or tissue damage from ultrasonic radiation. The ALARA principle must be practiced when operating the ultrasound system.

1.2 Meanings of Signal Words

In this manual, the signal words DANGER, WARNING, CAUTION, NOTE and Tip 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.

1.3 Meaning of Safety Symbols

1-2 Safety Precautions

DANGER:

DO NOT use flammable gasses, such as anesthetic gas or hydrogen, or flammable liquids such as ethanol, near this system, because there is danger of explosion.

WARNING:

Do connect the adapter power plug of this system and power plugs of the peripherals to well-grounded wall receptacles that meet the ratings indicated on the rating nameplate. Using a multifunctional receptacle may affect the system protective grounding performance, and cause the leakage current to exceed safety requirements.

Use the cable provided with this system to connect the printer. Other cables may result in electric shock.

You must use the power adapter provided with the system; otherwise electric shock may result.

You can only use the power supply method provided by Mindray, other power supply modes (e.g. using a UPS) may result in electric shock.

Connect the protective grounding conductor before turning ON the system. Disconnect the grounding cable after turning OFF the system. Otherwise, electric shock may result.

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 protective grounding may result or a gas explosion may occur.

Before cleaning the system, disconnect the power cord from the outlet. Failure to do so may result in system failure and electric shock.

This system is not water-proof designed. DO NOT use this system in any place where water or any liquid leakage may occur. If any water is sprayed on or into the system, electric shock or device malfunction may result. If water is accidentally sprayed on or into the system, power off the system immediately and contact Mindray Customer Service Department or sales representative.

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 Department or sales representative. There is risk of electric shock if a damaged or scratched probe is used.

DO NOT allow the patient to contact the live parts of the ultrasound system or other devices, e.g. signal I/O ports. Electric shock may occur.

1.4 Safety Precautions

Please observe the following precautions to ensure patient and operator’s safety when using this

system.

Safety Precautions 1-3

Do not use an aftermarket probe other than those specified by Mindray. The probes may damage the system, causing a profound failure, e.g. a fire in the worst case.

Do not subject the probes to knocks or drops. Use of a defective probe may cause an electric shock.

10.

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.

11.

DO NOT use this system simultaneously with equipment such as an electrosurgical unit, high-frequency therapy equipment, or a defibrillator, etc. This would result in a risk of electric shock to the patient.

12.

When moving the system, you should first fold the LCD display, disconnect the system from other devices (including probes) and disconnect the system from the power supply.

13.

Accessory equipment connected to the analog and digital interfaces must comply with the relevant IEC standards (e.g., IEC 60950 information technology equipment safety standard and IEC 60601-1 medical equipment standard). Furthermore, all configurations must comply with the standard IEC 60601-1 chapter 16 ME System. It is the responsibility of the person, 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 chapter 16 ME System. If you have any questions regarding these requirements, consult your sales representative.

14.

Prolonged and repeated use of display controls may result in hand or arm nerve disorders for some individuals. Observe the local safety or health regulations concerning the use.

15.

DO NOT contact both the patient and the ultrasound system or the live parts of the ultrasound system (e.g. signal I/O ports). Electric shock may occur.

16.

When using intra-cavity transducers, do not activate the transducer outside the patient’s body.

17.

If you have any doubts of the installation or routing of external protective cables, use the internal power supply of the system.

18.

DO NOT put the ultrasound system in any soft materials (e.g. soft cloth or cotton, etc.) in case that the air vent becomes blocked.

19.

Always read and follow carefully the manufacturer instructions on the contrast agent label.

20.

Only use the ECG leads provided with the ECG module; otherwise electric shock may result.

1-4 Safety Precautions

CAUTION:

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.

Malfunctions due to radio waves:

 If a device emitting radio waves 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) into the room where the system is located.

 If a person brings a device that generates radio

waves near the system, ask him / her to immediately turn OFF the device.

Precautions concerning movement of the system:

 When you place the system on the trolley and move

them together, you must secure all objects on the trolley to prevent them from falling. Otherwise you should separate the system from the trolley and move them individually. When you have to move the system with the trolley upward or downward the stairs, you must separate them first and then move them individually.

 Object placed on the display may fall and injure an

individual when moving.

 Confirm that there is no peripheral device connected

to the system before moving the system. Otherwise, peripheral device may fall and cause injury.

DO NOT expose the system to excessive vibration through transportation. Mechanical damage may result.

Do not connect this system to outlets with the same circuit breakers and fuses that control the current of devices such as life-support systems. If this system malfunctions and generates over current, or when there is an instantaneous current at power ON, the circuit breakers and fuses of the building’s supply circuit may be tripped.

Always keep the system dry. Avoid transporting this system quickly from a cold place to a warm place; otherwise condensation or water droplets may form allowing a short circuit and possible electric shock.

If the circuit protector is tripped, it indicates that the system or a peripheral device was improperly shut down and that the system is unstable. You cannot repair the system under this circumstance and must call the Mindray Customer Service Department or sales representative.

Safety Precautions 1-5

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 mode combinations. Apply the probe only for a period of time required for the purpose of diagnosis.

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.

10.

It is necessary to tap [End] in the bottom-left corner of the operating panel to end the current scan that is in progress and clear the current Patient Information field. Failure to do so may result in new patient data being combined with data of the previous patient.

11.

DO NOT connect or disconnect the system’s power cord or

its accessories (e.g., a printer or a recorder) without turning OFF the power first. This may damage the system and its accessories or cause electric shock.

12.

If the system is powered off improperly during operation, it

may result in data damage of the system’s hard disk or

system failure.

13.

Do not use the system to examine a fetus for a long period of time.

14.

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.

15.

It is recommended to only use the video devices specified in this manual.

16.

Do not use gel, disinfectant, probes, probe sheath or needleguided brackets that are not compatible with the system.

17.

Read the Acoustic Output Principle in the operation manual carefully before operate this system on clinical examination.

18.

Please use the ultrasound gel compliant with the relevant local regulations.

NOTE:

DO NOT use the system in the vicinity of strong electromagnetic field (such as a transformer), which may affect the performance of the system.

DO NOT use the system in the vicinity of high-frequency radiation source, which may affect the performance of the system or even lead to failure.

1-6 Safety Precautions

To avoid damaging the system, DO NOT use it in following environment: (1) Locations exposed to direct sunlight. (2) Locations subject to sudden changes in environmental temperature. (3) Dusty locations. (4) Locations subject to vibration. (5) Locations near heat generators. (6) Locations with high humidity.

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.

When using or placing the system, keep the system horizontal to avoid imbalance.

Remove ultrasound gel from the face of a probe when the examination is complete. Water in the gel may enter the acoustic lens and adversely affect the performance and safety of the probe.

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.

Do not apply external force to the touch screen; otherwise, the system may be damaged.

If the system is used in a small room, the room temperature may rise. Please provide proper ventilation and free air exchange.

10.

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.

11.

Electrical and mechanical performance may be degraded due to long period of 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.

12.

Ensure that the current exam date and time are the same as the system date and time.

13.

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.

14.

Use detachable power supply cord as mains power breaking device. DO NOT set equipment in a place where it is difficult to disconnect the detachable power

supply cord！

Safety Precautions 1-7

WARNING:

The ultrasonic probe is only for use with the specified ultrasonic diagnostic system. Please refer to the 2.3.2 Probes and Needle- guided Brackets Available to select the proper probe.

Confirm that the probe and cable are normal before and after each examination. A defective probe may cause electric shock to the patient.

Do not subject the probe to shock. A defective probe may cause electric shock to the patient.

Do not disassemble the probe as this may cause electric shock or malfunction.

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.

A probe sheath must be installed over the probe before performing intra-cavity or intra-operative examination.

CAUTION:

When using the probe, wear sterile gloves to prevent infection.

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.

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.

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.

It is required to practice ALARA when operating ultrasound system. Minimize the acoustic power without compromising the quality of images.

The probe and the accessories supplied with it are not delivered disinfected or sterilized. Sterilization (or high-level disinfection) is required before use.

Disposable components (for example the probe sheath, the sterile gloves) are packaged sterile and are single-use only. Do not use if the integrity of the packaging has been violated or if the expiration date has passed. Use disposable components which comply with the relevant local regulations.

Please use the disinfection or sterilization solution that 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.

Please read the following precautions carefully to ensure the safety of the patient and the operator when using the probes.

1-8 Safety Precautions

The probe sheath contains natural rubber that can cause allergic reactions in some individuals.

10.

Do not use pre-lubricated condoms as a sheath. Lubricant may not be compatible with the transducer material and damage may result.

11.

Transducer damage may be caused by inappropriate gel, detergent or cleanser:

Do not soak or saturate transducers with solutions containing alcohol, bleach, ammonium chloride compounds, acetone or formaldehyde.

Avoid contact with solutions or coupling gels containing mineral oil or lanolin.

12.

The contrast agent used must comply with the relevant local regulations.

NOTE:

Read the following precautions to prevent the probe from malfunction:

 Clean and disinfect the probe before and after each examination.  After the examination, wipe off the ultrasound gel thoroughly. Otherwise,

the ultrasound gel may solidify and the image quality would be degraded.

Safety Precautions 1-9

Ambient conditions: To prevent the probe from being damaged, do not use it where it will be exposed

to:

 Direct sunlight or X-rays  Sudden changes in temperature  Dust  Excessive vibration  Heat generators

Use the probes under the following ambient conditions:

 ambient temperature: 0°C ～ 40°C  relative humidity: 30% ~ 85% (no condensation)  atmospheric pressure: 700 hPa ~ 1060 hPa.

Use the probe L14-5sp under the following ambient conditions:

 ambient temperature: 10°C ~ 40°C  relative humidity: 30% ~ 85% (no condensation)  atmospheric pressure: 700 hPa ~ 1060 hPa.

Use the probe SC6-1s, SP5-1s, L11-3VNs, L12-3RCs, L14-5Ws and L9-3s under the following working conditions:

 ambient temperature: 0°C ~ 40°C  relative humidity: 20% ~ 85% (no condensation)  atmospheric pressure: 700 hPa ~ 1060 hPa.

Use the probe L20-5s under the following working conditions:

 ambient temperature: 0°C ~ 35°C  relative humidity: 15% ~ 80% (no condensation)  atmospheric pressure: 700 hPa ~ 1060 hPa.

Use the probe C4-1s under the following working conditions:

 ambient temperature: 0°C ~ 35°C  relative humidity: 15% ~ 90% (no condensation)

 atmospheric pressure: 700 hPa ~ 1060 hPa.

Repeated disinfection will eventually damage the probe, please check the probe's performance periodically.

WARNING:

Allergic reactions in patients sensitive to latex (natural rubber) may range from mild skin reactions (irritation) to fatal anaphylactic shock, and may include difficulty breathing (wheezing), dizziness, shock, swelling of the face, hives, sneezing, or itching of the eyes (FDA Medical Alert on latex products, “Allergic Reactions to Latexcontaining Medical Devices”, issued on March 29, 1991).

1.5 Latex Alert

When choosing a probe sheath, it is recommended that you directly contact CIVCO for obtaining information regarding probe sheaths, pricing, samples and local distribution. For CIVCO information, please contact the following:

CIVCO Medical Instruments, Tel: 1-800-445-6741; www.civco.com

1-10 Safety Precautions

No.

Warning Labels

Meaning

CONFORMS TO AAMI Std. ES 60601-1, IEC Std. 60601-2-37，IEC Std. 60601-2-18;

CERTIFIED TO CSA Std. C22.2 NO. 60601-1, 60601-2-37, 60601-2-18

Read this information carefully before using the system.

The following labels are available when the system works with the mobile trolley.

(a) Do not place the system with the mobile trolley 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 trolley. c When the casters are locked, DO NOT push the

trolley.

Non-ionizing radiation

1.6 Warning Labels

Warning labels are attached to this system to call your attention to potential hazards. The symbol

on warning labels indicates safety precautions.

The warning labels use the same signal words as those used in the operator’s manual. Read the operator’s manual carefully before using the system.

The name, design and meaning of each warning label are described as follows:

Safety Precautions 1-11

NOTE:

The functions described in the operator’s manual may vary depending on the specific

system purchased. Only TE7 is available in Canada.

B Mode

M Mode

M Free Xros M

C Mode

Color

Power (DirPower)

D Mode

PW/CW

Special imaging

Smart 3D TDI Color M Left Ventricular Opacification (LVO) Contrast

Voltage

100-240V~; 19Vdc（DCU direct input）

Frequency

50/60Hz

Power input

2.0A (Power adapter)

3.5A (Trolley)

Fuse

T5AL, 250Vac (Power adapter)

Battery

14.8Vdc

2 System Overview

2.1 Intended Use

TE7/TE5 Diagnostic Ultrasound System is applicable for adults, pregnant women, pediatric patients and neonates. It is intended for use in fetal, abdominal, intra-operative (abdominal, thoracic, and vascular), pediatric, small organ (breast, thyroid, testes), neonatal and adult cephalic, trans-esoph. (Cardiac), trans-rectal, trans-vaginal, musculo-skeletal (conventional, superficial), urology, peripheral vessel, adult and pediatric cardiac, ophthalmic exams.

2.2 Product Specifications

2.2.1 Imaging Mode

2.2.2 Power supply

System Overview 2-1

Operating conditions

Storage and transportation conditions

Ambient temperature

0°C~40°C

-20°C~55°C

Relative humidity

30%~85% (no condensation)

20%~95% (no condensation)

Atmospheric pressure

700hPa~1060hPa

WARNING:

Do not use this system in conditions other than those specified.

2.2.3 Environmental Conditions

2.2.4 Dimensions and Weight

Dimensions (including probe holder): 130±10 (Depth) x 380±10 (Width) x 380±5 (Height) mm Weight (including batteries, three-probe socket configuration and one probe): <8.2Kg.

2.3 System Configuration

2.3.1 Standard Configuration

 Main unit (select configuration between one-probe socket and three-probe socket)  Batteries (built-in)  SSD card (built-in)  System software  Wireless adapter (built-in)  iScanHelper  Accessories

 Operator’s manuals and operation note  Ultrasound gel (made by Eco-Med Pharmaceuticals, model: Eco Gel 200, K955246)  Probe holder

Applied part: probes.

2-2 System Overview

Probe model

Probe Type

Intended Use

Region Applied

C5-2s

Convex

Fetal, abdominal, pediatric, peripheral vessel

Body surface

C11-3s

Convex

Abdominal, pediatric, neonatal cephalic, Cardiac Pediatric, peripheral vessel

Body surface

L12-4s

Linear

Ophthalmic, Abdominal, Pediatric, Small organ, musculo-skeletal (conventional, superficial), Peripheral vessel

Body surface

L7-3s

Linear

Abdominal, pediatric, small organ (breast, thyroid, testes), musculo-skeletal (conventional, superficial), peripheral vessel

Body surface

L14-6s

Linear

Pediatric, small organ (breast, thyroid, testes), neonatal cephalic, musculo-skeletal (conventional, superficial), peripheral vessel

Body surface

L14-6Ns

Linear

Ophthalmic, Pediatric, small organ (breast, thyroid, testes), musculo-skeletal (conventional, superficial), Peripheral vessel

Body surface P4-2s

Phased

Fetal, Abdominal, pediatric, neonatal cephalic, adult cephalic, cardiac adult, cardiac pediatric

Body surface

V11-3Ws

Convex

Fetal, trans-rectal, trans-vaginal, urology

Transvaginal Trans-rectal

7LT4s

Linear

Abdominal, intra-operative (abdominal, thoracic and vascular etc.), pediatric, small organ (breast, thyroid, testes), neonatal cephalic, musculo-skeletal (conventional, superficial), peripheral vessel

Body surface/ intra-operative

P7-3Ts

Phased

Trans-esoph.(cardiac)

Transesophageal

L14-5sp

Linear

Abdominal, Intra-operative(abdominal, thoracic and vascular etc.), Pediatric, small organ (breast, thyroid, testes), Neonatal Cephalic, musculo-skeletal (conventional, superficial), peripheral vessel

Body surface/ intra-operative P10-4s

Phased

Abdominal, pediatric, neonatal cephalic, cardiac pediatric

Body surface

L20-5s

Linear

Ophthalmic, Small organ (breast, thyroid, testes), musculo-skeletal (conventional, superficial), peripheral vessel

Body surface SC6-1s

Convex

Fetal, Abdominal, Pediatric, Musculo-skeletal (Conventional), Peripheral vessel

Body surface

6CV1s

Convex

Fetal, Trans-rectal, Trans-vaginal, Urology

Trans-vaginal Trans-rectal

7L4s

Linear

Abdominal, pediatric, small organ (breast, thyroid, testes), neonatal cephalic, musculoskeletal (conventional, superficial), peripheral vessel

Body surface

2.3.2 Probes and Needle-guided Brackets Available

System Overview 2-3

Probe model

Probe Type

Intended Use

Region Applied

P7-3s

Phased

Abdominal, pediatric, neonatal cephalic, adult cephalic, cardiac adult, cardiac pediatric

Body surface

SP5-1s

Phased

Fetal, Abdominal, Pediatric, Neonatal Cephalic, Adult Cephalic, Cardiac Adult, Cardiac Pediatric

Body surface L9-3s

Linear

Abdominal, Pediatric, small organ (breast, thyroid, testes), musculo-skeletal (conventional, superficial), Peripheral vessel

Body surface L11-

3VNs

Linear

Abdominal, Pediatric, small organ (breast, thyroid, testes), musculo-skeletal (conventional, superficial), Peripheral vessel

Body surface

C5-1s

Convex

Fetal, Abdominal, Pediatric, Peripheral vessel

Body surface

C4-1s

Convex

Fetal, Abdominal, Pediatric, Musculo-skeletal (Conventional), Cardiac Adult

Body surface

L14-5Ws

Linear

Abdomen, Pediatric, small organ (breast, thyroid, testes), musculo-skeletal (conventional, superficial), Peripheral vessel

Body surface L12-

3RCs

Linear

Abdominal, Pediatric, small organ (breast, thyroid, testes), musculo-skeletal (conventional, superficial), Peripheral vessel

Body surface

Probe model

Needle-guided Bracket Model

Biopsy

angle/depth

(±1°)

Applicable Biopsy Needle

V113Ws/6CV1s

NGB-004 metal/needle

non-detachable

16G, 17G, 18G

L12-4s/ L7-3s/ L14-6Ns/ 7L4s

NGB-007 plastic/needle

detachable metal/needle

detachable

40°, 50°, 60°

Metal: 14G, 16G, 18G, 20G, 22G Plastic: 13G, 15G, 16G, 18G, 20G

7LT4s

NGB-010 (metal/needle detachable)

30°, 40°, 50°

13G, 15G, 16G, 18G, 20G

P4-2s/SP5-1s

NGB-011 metal/needle

non-detachable

11°, 23°

13G, 15G, 16G, 18G, 20G

C5-2s

NGB-015 Metal/needle

detachable

25°, 35°, 45°

14G, 16G, 18G, 20G, 22G

Some of the probes have corresponding needle-guided brackets for biopsy. The available probes and the corresponding needle-guided brackets are listed as follows:

2-4 System Overview

Probe model

Needle-guided Bracket Model

Biopsy

angle/depth

(±1°)

Applicable Biopsy Needle

L14-6s

NGB-016 Metal/needle

detachable

30°, 40°, 50°

14G, 16G, 18G, 20G, 22G

C11-3s

NGB-018 metal/needle

detachable

15°, 25°, 35°

14G, 16G, 18G, 20G, 22G

SC6-1s/ C5-1s

NGB-022 Metal-needle

detachable

25°, 35°, 45°

Metal: 14G, 16G, 18G, 20G, 22G

L9-3s

NGB-034 Metal-needle

detachable

40°, 50°, 60°

4G, 16G, 18G, 20G, 22G

L14-5Ws

NGB-035 Metal-needle

detachable

47°, 53°, 59°, 65°

14G、16G、18G、20G、22G

C4-1s

NGB-036 Metal-needle

detachable

7°, 25°, 35°

14G、16G、18G、20G、22G

Probe model

Needle-guided Bracket Model

L14-6Ns、L12-4s

CIVCO 658-001

C5-2s

CIVCO 658-002

L14-5sp

CIVCO 698-006

C4-1s

CIVCO 698-019

V11-3Ws

CIVCO 610-543

V11-3Ws

CIVCO 610-1274

L14-5Ws

CIVCO 698-007

L14-5Ws

CIVCO 698-012

NOTE:

Some features may not be available in some countries due to pending regulatory approvals.

Disposable needle-guided bracket

Some of the probes have corresponding disposable needle-guided brackets for biopsy. The available probes and the corresponding disposable needle-guided brackets are listed as follows

Note: The disposable needle-guided brackets are not configured or sold by Mindray. The user can purchase them based on the specific needs. See CIVCO for the use of each disposable needleguided bracket.

System Overview 2-5

2.3.3 Options

No.

Item

Remarks

Footswitch

Types: 2-pedal/3-pedal

Trolley See chapter “Appendix D Trolley and Accessories” for details.

Wall mount/Table stand

After the wall mount/table stand is configured, power adapter and cables should be configured.

Power adapter

Table stand or wall mounting bracket should be configured.

Power cable

The power adapter should be configured.

ECG module

The ECG module should be configured.

ECG cables

ECG module should be configured.

DC-IN cable

ECG module should be configured.

Travelling case

After the travelling case is configured, power adapter and cables must be selected.

10.

External DVD recorder

11.

Barcode reader

12.

Trolley box

13.

iVocal microphone

14.

15.

LVO

16.

iNeedle

17.

Abdomen/General Package

18.

Obstetrical Package

19.

Gynecology Package

20.

Cardiac Package

21.

Small Parts Package

22.

Urological Package

23.

Vascular Package

24.

Nerve Package

25.

Emergency & Critical Package

26.

Pediatrics Package

27.

DICOM

DICOM Basic (including verify (SCU and SCP), task management, DICOM Storage, DICOM Print, DICOM Storage Commitment, DICOM Media Storage (including DICOM DIR))

DICOM Worklist

DICOM Basic should be configured.

2-6 System Overview

No.

Item

Remarks

DICOM MPPS

DICOM OB/GYN SR

DICOM Vascular SR

DICOM Cardiac SR

DICOM Query/Retrieve

DICOM Breast SR

28.

Free Xros M

Not applicable for Canada.

29.

Tissue Doppler Imaging

Cardiac Package should be configured.

30.

IMT

Vascular Package should be configured.

31.

Auto EF

Cardiac Package should be configured.

32.

eSpacialNavi

33.

Contrast Imaging

34.

Contrast Imaging QA

35.

iWorks

36.

DVR Module

37.

McAfee

No.

Item

Model

Black/white video printer(digital)

MITSUBISHI P95DW-N SONY UP-D898MD SONY UP-X898MD

Black/white video printer (analog)

SONY UP-X898MD

Digital color video Printer

SONY UP-D25MD

Barcode reader

LS2208 DS4308 JADAK HS-1M JADAK HS-1R

Footswitch

1266262 1229155 971-SWNOM (2-pedals) 971-SWNOM (3-pedals)

External DVD R/W drive

SDRW-08D2S-U

iVocal

SAMSON XPD1 Headset SAMSON XPD1 Presentation PYLE PUSBMIC43

2.3.4 Peripherals Supported

System Overview 2-7

NOTE:

1. If the ultrasound system cannot recognize the SONY UP-X898MD and SONY UP-D898MD printers automatically, you may need to change the settings on the printer: push <PUSH ENTER> to enter the main menu and select [DIGITAL]->[DRIVER], and select [897].

2. USB cable length of the printers should be within 5-6 ft, otherwise the lifting of the trolley will be affected if the USB cable is too short or even the ultrasound system and the printer cannot be connected; or it’s not easily to arrange the cable tidily if the USB cable is too long.

WARNING:

This system complies with IEC60601-1-2:2007, and its RF emissions meet the requirements of CISPR11 Class B. In a domestic environment, the customer or user should ensure the system is connected to Class B peripheral devices, otherwise RF interference may occur, and the customer or user must take adequate measures accordingly.

 Parts that can be used within patient environment:

 Main unit;  Probes;  Footswitch;  Printers: MITSUBISHI P95DW-N, SONY UP-D25MD, SONY UP-D898MD, SONY UP-

X898MD.

2.4 Introduction of Each Unit

2-8 System Overview

No.

Name

Function

<1>

Touch screen and display

Operator-system interface or control; displays the image and parameters during the scan.

: Battery status indicator.

 Charging status:

It illuminates in orange when batteries are charging; It illuminates in green when batteries are charged fully.

 Discharging status:

It illuminates in green color when the power of the batteries is sufficient;

It blinks in orange color for low battery power.

: AC indicator

The indicator is green at AC supply. The indicator is off when batteries are supplied without

AC supply.

: Standby indicator.

Standby: blinking in orange. Other status: light off.

<2>

Telescoping handle

Used for moving the system occasionally.

<3>

Intra-cavity probe holder

Used for placing the probe.

<4>

Probe locking switch

Locks or unlocks the probe connecting with the main unit.

<5>

Probe port

Connects a probe to the main unit.

<6>

Probe holder

Used for placing the probe.

<7>

Kensington lock

Locks the main unit to the trolley in case of loss.

<8>

Power inlet

Connects with the power adapter.

<9>

Serial port for connecting ECG

Connects with the ECG module <10>

HDMI

Used for extending the monitor.

<11>

USB ports

Connects USB devices.

System Overview 2-9

No.

Name

Function

<12>

Network port

Connects to network.

NOTE:

Mindray recommends using Category 2-certified HDMI output cables (marked as “High Speed”) according to HDMI 1.3 standard for a good output effect. Otherwise, abnormal display effect may result. You can use a HDMI-to-DVI adapter for outputting to a display with DVI input.

When connecting TE7/TE5 with an external display or recording devices via HDMI, choose a right output setting resolution ([Setup] ->[System] ->[Peripheral] -> [Display]), and please make sure the scan rate of 60Hz progressive is supported by the external device, otherwise malfunction may result.

Symbol

Description

Caution!

Standby

Type-BF applied part

No user serviceable parts (power adapter)

Battery installation position Product serial number

Manufacture date

Battery status indicator

AC (Alternating current)

Standby status indicator

Probe connector unlocking symbol

Probe connector locking symbol

Extending port

HDMI

HDMI port

USB port

Network port

2.5 Symbols

This system uses the symbols listed in the following table. Their meanings are explained as follows:

2-10 System Overview

Symbol

Description

Probe socket

Power consumption Maximum load for printer bracket on the trolley

Trolley input Trolley output

Maximum load for storage bin on the trolley

System Overview 2-11

CAUTION:

Maintain a generous, free air flowing space around the back and both sides of the system. Not doing so may result in failure due to the increased rise in the system's operating temperature.

3 System Preparation

3.1 Move/Position the System

Read and understand the safety precautions before positioning the system to ensure the safety of both the operator and the devices.

1. Switch off the power, and pull out the power plug.

2. Disconnect all cables from off-board peripheral devices.

3. Place the system in a desired location.

4. Leave at least 20cm at the back and both sides of the system.

System Preparation 3-1

3.2 Power ON/OFF

CAUTION:

To ensure safe and effective system operation, you must perform daily maintenance and checks. If the system begins to function improperly, immediately stop scanning. If the system continues to function improperly, fully shut down the system and contact the Mindray Customer Service Department or a sales representative. If you use the system in a persistent improperly functioning state, you may harm the patient or damage the equipment.

No.

Check Item

The temperature, relative humidity and atmospheric pressure meet the requirements of the operating conditions. See “2.2.3 Environmental Conditions” for details.

There is no condensation.

There is no distortion, damage or dirt on the system and peripheral devices. If any dirt is found, cleaning should be performed as illustrated in section “17 System Maintenance.”

There are no loose screws on the display or the trolley.

There is no cable damage (e.g., power cord). Maintain secure connections to the system at all times.

The probes and probe cables are free from damage or stains. See chapter “13 Probes and Biopsy” for details of probe cleaning and disinfection.

No miscellaneous odds and ends are attached or affixed to the display.

Ensure that all connections are free from damage and remain clear of foreign object blockages. There are no obstacles around the system and its air vent.

Probe cleaning and disinfection.

The entire scanning environment and field must be clean.

The locking mechanism of the casters (if there is a trolley) works normally.

3.2.1 Power the System ON

 Check before Powering ON

Check before the system is powered on:

3-2 System Preparation

No.

Check Item

There are no unusual sounds or smells indicating possible overheating.

There are no persistently displayed system error messages.

There is no evident excessive noise, or discontinuous, absent or black items in the B mode image.

Check whether there is abnormal heat on the surface of the probe during an ultrasound procedure. If you use a probe which is giving off excessive heat, it may burn the patient.

The display (main screen) can respond functionally.

The date and time are displayed correctly.

WARNING:

If you use a probe giving off excessive heat, it may burn the patient.

If you find anything not functioning properly, this may indicate that the system is defective. In this case, shut down the system immediately and contact Mindray Customer Service Department or sales representative.

NOTE:

When you start the system or switch between transducers, you may hear clicking sounds – this is expected behavior.

NOTE:

DO NOT rush direct shutdown of the system. It may damage the data.

After the system is upgraded, use “Shut Down” to power the system off to make the

upgraded data effective.

 Check the system after it is powered on

Press the power button at the right side of the ultrasound system to power the system on. Check after the system is powered on:

3.2.2 Power the System OFF

You must follow the correct procedures to power the system off. Also, after you upgrade the software or when the system is down, you need to power off and restart it.

If you will not use the system for a long period of time, you should:

1. Disconnect the power adapter.

2. Disconnect the mains power.

3. Turn off powers of all peripherals connected to the system.

 To power the system off normally

1. Press the power button at the right side of the ultrasound system to see the option:

 Shut down: to power the system off normally.  Standby: to enter standby status.  Cancel: to cancel the operation.

2. Select [Shut Down] to power the system off.  To shut down the system directly if it cannot be done normally: Press and hold the power button for a long time and the system will power off without displaying

the “Shutdown Confirm” screen. However, shutting down the system this way may destroy the data.

System Preparation 3-3

NOTE:

Power off the system if the system will not be used for a long period of time (including storage/ transportation condition), and do not leave the system in standby status, otherwise the batteries will run out of power and be permanently damaged.

If the system will not be used for a long period of time, you should disconnect the power adapter, disconnect the mains power, and turn off the power to all peripherals connected to the system.

3.2.3 Standby

 To enter standby:

 Select [Setup] -> [System] -> [General] to set the time for screensaver and standby. If the

system is not carrying out an operation, the screensaver appears after the screensaver delay period. If there is still no operation, the system enters standby after the standby delay period.

 Press the power button and select [Standby].

 To exit standby:

Touch the screen lightly or press the power button.

 Under the standby status:

Exit standby status and power off the system after 5s.

3-4 System Preparation

NOTE:

You must use the specified power adapter.

Do not use this power adapter in conditions other than those specified.

3.3 Connecting the Power Cord

This system can work normally only when it is connected to the external power supply or the battery capacity is sufficient.

3.3.1 Connecting Power

1. Connect the connector of the power adapter to the adapter port in the system.

2. Use a three-wire cable to connect the adapter with the external power supply.

3. The external power supply must meet the requirements in chapter “2.2.2 Power supply”. If you have any question about the power adapter, please contact your sales representative.

3.3.2 Powered by Batteries

 When connecting to the external power supply, the system is powered by the external power.

The lithium ion batteries inside it are in the charging status.

 If disconnected from the external power supply, the system is powered by the lithium ion

batteries. Refer to “Appendix B Battery” for the detailed operations and precautions.

System Preparation 3-5

CAUTION:

Tap [Freeze] to freeze an image or turn off the system power before connecting or disconnecting a probe. Failure to do so may result in system or probe failure.

When connecting or disconnecting a probe, place it in the proper position to prevent the probe from falling off or becoming damaged.

Only use probes provided by Mindray. Aftermarket probes may result in damage or cause a fire.

WARNING:

The probes, cables and connectors should be in proper operating order and free from surface defects, cracks and peeling. Otherwise, this may lead to electrical shock.

NOTE:

Before inserting the connector into the probe port, inspect the connector pin. If the pin is bent, do not use the probe until it has been inspected/repaired/replaced.

Locking lever

3.4 Connecting a Probe

3.4.1 Connecting a Probe

1. Keep the cable end of the transducer to the right side of the system; insert the connector into the system port, then press in fully

2. Toggle the locking lever to the left position.

3. Position the probe properly to avoid it being treaded on or becoming wrapped around other devices. DO NOT allow the probe head to hang free.

3-6 System Preparation

WARNING:

DO NOT connect more than one wireless footswitch receiver to the ultrasound system at the same time; otherwise, malfunction may result.

WARNING:

DO NOT directly remove a USB memory device, as the USB device and/or the system may become damaged.

NOTE:

If the USB flash drive cannot be recognized by the system, please try disconnecting and then connecting again several times, or try another USB flash drive. If the problem still exists, please contact Mindray service engineer.

3.4.2 Disconnecting a probe

1. Turn the locking lever to the right position to unlock the connector.

2. Pull the probe connector straight out as shown in the figure below.

3.5 Connecting the Footswitch

The system supports USB port-type footswitches and wireless type footswitches. The function of the foot switch can be preset. See chapter “12.1.6 Footswitch” for details.

3.6 Connecting USB Devices

 When connecting a USB memory device to the ultrasound system via a USB port, a sound is

heard if it is connected successfully and the symbol appears in the top-right corner of the screen.

 To remove the USB device: tap to open the [Remove USB Device] screen. Select the

device to be removed and tap [OK]. A sound is heard when removing the USB memory device.

 The system supports option of external DVD R/W drive. The DVD R/W drive is connected to

the ultrasound system via USB port.

System Preparation 3-7

NOTE:

Printers listed in “2.3.4 Peripherals Supported” chapter have drivers installed already.

Data cable

USB port

Power supply

cable

3.7 Installing a Graph/Text Printer

 Connecting a local printer

As shown in the figure below, a graph / text printer has a power cord and data cable. The power cord should be directly plugged into a well-grounded outlet.

1. Connect the data cable to the USB port on the ultrasound system.

2. Power the system and the printer on.

3. Put the installation optical disk of the printer driver into the external DVD R/W drive.

4. Install the printer driver: Select [Setup] -> [System] -> [Peripheral] -> [Add Printer].

5. Select [Add a local printer] and tap [Next] to enter the screen used for browsing driver.

3-8 System Preparation

NOTE:

See the printer’s operation manual to select the port, or try to use the default port of the system.

NOTE:

When you install the printer’s driver, you must specify the specific path for installation.

A vague path may result in longer searching times.

The network printer functions depending on the configured network environment in the hospital, please consult the network configuration manager in case of failure.

6. Tap [Have Disk] to find the driver path (the installation type should be WIN7 64), and then tap [Next] to install the driver.

7. Complete the operation according to the tips on the screen. Tap [Finish] to end the installation.

 Add network printer

1. As the system is connected into a LAN, open [Setup] -> [System] -> [Peripheral] screen.

2. Tap [Add Printer], select [Add a network, wireless or Bluetooth printer].

3. The system starts to search all available printers within the network. Select the target printer and tap [Next], the system tries to connect to this printer.

4. When the connection is successful, the system prompts the dialogue box, tap [Next] according to the screen tips and then tap [Finish].The printer is installed successfully.

Tips: the system has combined many types/brands of printer drivers, if targeted printer driver is not included in the system, you may need to install the driver for the network printer. Please use the optical disk or USB flash drive with the driver to install according to the system prompts.

Please refer to the accompanying manuals of the printers for details.

System Preparation 3-9

NOTE:

Avoid operating in direct sunlight or the touch screen could be obscured.

3.8 Installing a Video Printer

The system support video printers, consist of the B/W digital printers and color digital printers.

1. Position the printer in the proper place.

2. Plug the printer power cord into an appropriate outlet.

3. Use a USB cable to connect between the system's USB port and the printer's USB port.

4. Load a paper roll, and turn on the system and printer.

5. See section “3.7 Installing a Graph/Text Printer” for the driver installation procedure (printer drivers listed in chapter “2.3.4 Peripherals Supported” are installed already).

3.9 Brightness and Contrast Adjustment

1. Tap in the top-right corner of the screen to open the system tool bar.

2. Drag the slider to change the brightness/contrast on the brightness control or contrast control .

3-10 System Preparation

3.10 Display Position Adjustment

Gently hold the bottom edge of the display when adjusting its position. When positioned vertically, the display can be tilted for 50° backward and 20° forward.

System Preparation 3-11

Probe model, acoustic output value and MITI index

Parameter area

iNeedle

iTouch

Frequency adjustment

TGC control

Operating panel

Patient Information area

System status icon

10.

System tool bar

11.

Gain control

12.

Depth control

3.11 Basic Screen & Operation

3.11.1 Screen Display

3-12 System Preparation

3 4 2

3.11.2 Operating panel

Operating panel located under the image area; consists of imaging mode buttons, menu area and exam related buttons.

1. Imaging mode area Tap imaging buttons to start imaging.

2. Menu area

 Imaging parameter menu: swipe the menu downwards/upwards to see parameter controls;  Cine review menu (under frozen or cine review status);  Measurement menu;  Annotation and body mark menu.

3. Exam operating area Tap each button to enter the screen.

 Patient information;  Exam mode and probe switching;  iStation;  Image review;  Report review.

4. Other buttons You can perform operations using those buttons, including end exam, switching modes, save

an image/cine, print single frame image or freeze/unfreeze image, etc.

System Preparation 3-13

Notes:

 When the iVocal function is enabled, the system can perform

operations both through inputting vocal commands and through tapping icons on the touch screen.

 The ultrasound system can automatically recognize some vocal

commands. For details about the vocal commands, please refer to "17.2Appendix H List of Vocal Commands".

3.11.3 iVocal

Before enabling the iVocal function, ensure that the microphone device and the ultrasound system is properly connected through the USB extension wire.

Tips: If the microphone is not to be used for the moment, you can put the microphone into the vacant probe holder temporarily.

 Vocal command inputting procedures:

1. Tap the icon in the Audio Control menu to start the vocal command recognition;

2. Input a vocal command using the microphone, and after the command is recognized, the system automatically performs the corresponding operation.

3. Tap the icon in the Audio Control menu to pause the vocal command recognition;

3-14 System Preparation

 Currently, only wireless microphone devices can be inserted to the

system for inputting vocal commands.

4. Tap [iVocal] to exit the Audio Control menu.  Setup

Tap the icon in the Audio Command menu to check the system recognizable commands and enter the iVocal Setup menu.

 Add: tap [Add] to enter the Adding New Command menu, tap [Function Description] to

select the desired function, enter the user-defined command in the [Command] text box, and then select OK.

User-defined command naming rules: only Chinese characters, English letters, and digits are supported; the English letters are case-insensitive, consecutive blank spaces are not supported, and a maximum of 128 letters are allowed when entering the English letters; Blank spaces are not supported and a maximum of 30 characters are allowed when entering the Chinese characters; the user-defined commands cannot be empty; User defined commands

System Preparation 3-15

that are already exited in the system but represent different functions are not supported to be added.

 Test: Tap [Test] and input a vocal command to the microphone device. After the vocal

command is recognized, the Success Rate is displayed in fraction. Tap [Test] again to close the vocal command test.

Note: if the vocal command is successfully recognized by the system, both the denominator and numerator of the Success Rate are added by 1 for each time; if the vocal command fails to be recognized by the system, the denominator of the Success Rate is added by 1 for each

time through tapping the icon, while the numerator remains the same. For example: 2/3 represents 2 times of success and 1 time of failure.

 Clear: Tap [Clear] to clear all the Success Rate test records.  Recover: Tap [Recover] to enter the Confirm menu. You can select Yes to restore to the

default settings.

3-16 System Preparation

Icon

Function

Audition the vocal command

Delete the vocal command

Rename the vocal command

Add the failure time by 1

Clear the Success Rate test record of the selected vocal command

System Preparation 3-17

CAUTION:

Before examining a new patient, tap [End] in the bottom-left corner of the operating panel to end the exam of the previous patient. Update the patient ID and information to avoid mixing data between patients.

4 Exam Preparation

A patient exam can be started under the following situations:

 New patient information: to start a new patient exam, patient information must first be entered.  New exam: to start a new exam for patient who is already registered, the recorded information

can be obtained through either iStation or Worklist. See chapter “4.1.2 Retrieve Patient Information” for details.

 Activate exam: to select an exam that has been completed within 24 hours, continue the exam

with imported patient information and exam data. General procedure for an exam: Enter the patient information –> select an exam mode and probe –> Choose an imaging mode ->

Start the exam. Tips: The system supports image scanning and measurement without patient information.

4.1 Patient Information

To start a new patient exam, it is best to enter detailed patient information. The system will set up a unique information database for each patient based on the patient information entered, so that the information of one patient will not be confused with that of another patient.

 To enter the Patient Info screen

 Tap [Patient] on the left side of the operating panel.

 To exit the Patient Info screen

 Tap [Done] on the Patient Info screen.  Tap [Cancel] on the Patient Info screen to exit the screen without saving any of the entered

patient data.

Exam Preparation 4-1

4.1.1 New Patient Information

The Patient Info screen is shown as follows:

4-2 Exam Preparation

Primary indications:

To enter the primary indications (reason for performing the exam.)

Accession #

To enter the exam number used in DICOM.

MRN:

To enter the secondary indications.

Diagnostician:

Person responsible for the exam.

Operator:

Person responsible for image collection and scanning.

Ref. Physician:

Person who requires the operator to carry out the ultrasound.

Comment:

To enter the exam-specific explanation or remarks.

Tap to select the desired field. The field box is highlighted and a flashing cursor appears. Information can be entered or selected from the options.

Information includes:

1. General information

 Patient ID

The Patient ID is generated automatically by the system after starting a new patient, and can

be modified manually.

The ID can also be obtained using the bar code reader.

Tip: you can change patient ID when there is no other exams of the current patient in the

system (including the recycle bin) and the exam is the current active exam.

 Name  Gender  DOB (date of birth):  Age

Auto-generated age: once the DOB is obtained, the system displays an auto-generated

age in the field box. The unit can be “Years”, “Months” or “Days.” If the age is less than

one year, the system will automatically calculate the age in months or days. You can also enter the age manually.

2. Exam information  Exam application type

You can select from: ABD (Abdomen), OB (Obstetrics), GYN (Gynecology), CARD (Cardiac), VAS (Vascular), URO (Urology), SMP (Small Part) and BREAST (Breast).

Select the exam type drop-down list to enter exam-specific information.

 General information:

To delete history entered information:

a) Tap and hold the drop-down list of the item: Operator, Diagnostician or Ref. Physician.

b) Tap to delete.

Exam Preparation 4-3

 Exam-specific information:

Exam Type

Information

Description

General information

Height

Weight

ABD (Abdomen)

BSA (body surface area)

After the height and weight are entered, the system will automatically calculate the BSA based on the formula which is set via [Setup] -> [System] -> [General].

OB (Obstetrics)

Calculation index

Calculate the gestation age (GA) and estimated delivery date (EDD) based on the last menstrual period (LMP), date of conception (DOC), in vitro fertilization (IVF), basic body temperature (BBT) and previous exam date (PRV). Select LMP, DOC, IVF, PRV, BBT, or EDD from the drop-down list, or calculate the GA and LMP according to the EDD and entered date.

 LMP: after you enter the LMP, the system will calculate

the GA and EDD.

 DOC: after you enter the DOC, the system will calculate

the GA and EDD.

 IVF: after you enter IVF, the system will calculate the GA

and EDD.

 PRV: enter the date and GA of the last exam, the system

will calculate a new GA and EDD.

 BBT: enter the BBT, the system will calculate the GA and

EDD.

 EDD: after you enter the EDD, the system will calculate

and display the GA and LMP.

Gravida

Times of pregnancy.

Ectopic

Times of abnormal pregnancy, e.g., extrauterine pregnancy

Gestations

Number of embryos (1, 2, 3, 4)

Para

Times of delivery.

Aborta

Times of abortion.

GYN (Gynecology)

LMP

Last menstrual period.

Gravida

Times of pregnancy.

Para

Times of delivery.

Ectopic

Times of abnormal pregnancy, e.g., extrauterine pregnancy.

Aborta

Times of abortion.

CARD (Cardiology)

BSA (body surface area)

After the height and weight are entered, the system will automatically calculate the BSA based on the formula which is set via [Setup] -> [System] -> [General].

Blood pressure.

HR / RA Press

Right Atrium Pressure.

VAS (Vascular)

BP(L) (blood pressure)

Input left blood pressure.

4-4 Exam Preparation

Exam Type

Information

Description

BP(R) (blood pressure)

Input right blood pressure.

URO (Urology)

Serum PSA

PPSA coefficient:

SMP (Small Parts)

None

/ Breast

None

3. Functional controls:

 [iStation]/[Worklist]: imports patient data from iStation or DICOM Worklist. See chapter

“4.1.2 Retrieve Patient Information” for details.

 [Done]: saves the patient data entered and exits the screen.  [Cancel]: cancels the patient data entered and exits the screen.

4.1.2 Retrieve Patient Information

You can import patient information from iStation or DICOM Worklist for anonymous patients.

4.1.2.1 Retrieve from iStation

Using iStation, the patient data can be obtained in iStation from the system hardware or USB memory device. You can enter search conditions for the patient.

1. In Patient screen, select [iStation] in the bottom-left corner to enter the screen.

2. Select an exam: you can either swipe the screen downwards to search or using the keyword filter.

3. The system enters the Patient screen, and the selected exam information is imported already.

4. Change the patient information if necessary and then tap [Done] to start exam.

Exam Preparation 4-5

4.1.2.2 Retrieve from Worklist

Worklist is an option. To use Worklist function, you have to configure DICOM Basic and DICOM Worklist options.

When the DICOM basic package is configured and the Worklist server has been set, tap [Worklist] in the Patient Info screen to query or import the patient data. (For details about the Worklist server setting, see chapter “11.1.3.3 DICOM Worklist Preset” chapter.)

Worklist can retrieve patient data of two kinds of protocols: DICOM and HL7.

1. In Patient screen, select [Worklist] in the bottom-left corner to enter the import screen.

2. Select the data source: select the server type (DICOM or HL7), choose a Worklist server in the “Worklist Server” drop-down list, and all the patient exam records are listed.

4-6 Exam Preparation

CAUTION:

If the exam mode is changed during a measurement, all measurement calipers on the image will be cleared. The general measurement data will be lost, but application measurement data will be stored in the reports.

3. Enter the search condition:

 Set query criteria from Patient ID, Patient Name, MRN, Scheduled Station AE Title,

Worklist Server, Modality Type or Exam Date. Or select the search key, enter the keywords, then tap [Query] to search.

 To reset the criteria, tap [Clear].

4. Select the desired patient record in the displayed patient list.

5. Select the desired patient and tap [Done]. The patient information is imported into the system and then an exam is started.

4.2 Select Exam Mode and Probe

 Selecting exam mode

1. Tap [Probe] on the left side of the operating panel. The screen displays the following dialog box:

2. Tap to select the probe model and exam mode. The system exits the dialog box and enters the selected exam mode and probe.

Exam Preparation 4-7

 Tap [Exit] to cancel the selection and exit the screen.  Tap and hold any exam mode until it floats, and then drag to change the exam mode list

sequence.

 Tap [A-Z Sort] to sort exam modes by alphabetical order for each probe.

4.3 Select the Imaging Mode

Enter the imaging mode by tapping imaging buttons at the right part of the operating panel. Swipe the area to see the hidden imaging modes.

For detailed operations in each imaging mode, see chapter “5 Image Optimization.”

4.4 End an Exam

Be sure to avoid mixing data between patients. Before examining a new patient, tap [End] in the bottom-left corner of the operating panel to end

the exam of the previous patient.

4.5 Activate an Exam

On the iStation screen, select an exam record which was completed within 24 hours and select [Options] -> [Activate Exam].

Tips:

 The system can automatically load the patient information and exam data to continue the

exam.

 For an activated exam, you can modify the patient ID if there are no other recorded exams

of this patient (including the recycle bin) in the system.

4-8 Exam Preparation

WARNING:

The images displayed in this system are for reference only. Mindray is not responsible for the correctness of diagnostic results.

Tissue Harmonic Imaging does not use contrast agents.

5 Image Optimization

5.1 Imaging Mode

5.1.1 Switching Between Imaging Modes

On the operating panel, tap imaging mode buttons on the right to switch the mode. Current imaging mode is indicated by highlighting the button in blue. For instance, the above

status shows that the system is under B+Color+PW mode (triplex is turned on).

5.1.2 Image Adjustment

1. Tap [Image] on the operating panel to open the image parameter control menu under different imaging modes.

2. Swipe the menu downwards/upwards to check and change parameter controls.

Image Optimization 5-1

See the following imaging chapters for details.

5.1.3 Quickly Saving Image Settings

 Create a new exam mode using current image settings (user-defined exam mode):

1. Tap [Quick Save] in the image menu to bring out the Quick Save dialogue box.

2. Enter the name in the box after “To ” to assign a name for a user-defined exam mode.

3. Tap [Save] to save the current image parameters for the user-defined exam mode.

Tip: the [Quick Save] control is available under all imaging modes.

5-2 Image Optimization

 Check image parameter and change layout:

1. Tap [Edit] to enter the screen for checking the current image menu display for the current exam mode of the particular probe.

2. Tap and hold any parameter until it floats, then you can:

 Drag upwards/downwards to change its position on the image menu;  Drag leftwards/rightwards to change its display on the image menu: drag it to the left

“Options” list to delete its display or drag it to the right “Selected” list to display the

parameter.

3. Tap [Save] to save the settings or tap [Cancel] to cancel changes you made.

Tip: the [Quick Save] and [Edit] controls are available under all imaging modes.

Image Optimization 5-3

Parameter

D G FR

Meaning

Frequency

Depth

Gain

Frame Rate

Dynamic Range

Description

To switch between the fundamental frequency and harmonic frequency as well as select the corresponding frequency type. The real-time frequency value is displayed in the image parameter area in the top-left corner of the screen, and if harmonic frequency is used “F H” is displayed as the harmonic frequency value.

Select the different frequency values through at the left part of the image area.

The adjusting range of the harmonic frequency values can be divided into 4 levels: penetration preferred (HPen), general mode (HGen), resolution preferred (HRes), and the mode between penetration preferred and general mode (HPenGen).

The adjusting range of fundamental frequency values can be divided into 3 levels: penetration preferred (Pen), general mode (Gen), and resolution preferred (Res).

Impacts

The system provides an imaging mode using harmonics of echoes to optimize the image. Harmonic imaging enhances near-field resolution and reduces lowfrequency and large amplitude noise, so as to improve small parts imaging.

Select the frequency according to the detection depth and current tissue features.

Description

To adjust the gain of the whole receiving information in B mode. The real-time gain value is displayed in the image parameter area in the top-left corner of the screen.

5.2 B Mode Image Optimization

B mode is the basic imaging mode that displays real-time images of anatomical tissues and organs.

5.2.1 Basic Procedures for B Mode Imaging

1. Enter the patient information. Select an appropriate probe and exam mode.

2. Tap [B] on the right side of the operating panel to enter B mode.

3. Tap [Image] to open the image menu. Adjust the parameters to optimize the image.

4. Perform other operations (e.g., measurement and calculation) if necessary.

Tip: tap [B] to return to B mode at any time (except LVO mode).

5.2.2 B Mode Parameters

In B mode scanning, the image parameter area in the top-left corner of the screen displays the real-time parameter values as follows:

5.2.3 B Mode Image Optimization

Frequency (Image Quality)

Gain

5-4 Image Optimization

Operations

Drag the [Gain] control on the right part of the image area to adjust the gain. Or, You can change gain value slightly by tapping on the gain control bar directly

Effects

Increasing the gain will brighten the image and you will see more received signals. However, noise may also be increased.

Description

This function is used to adjust the sampling depth, the real-time value of which is displayed in the image parameter area in the top-left corner of the screen.

Operations

Drag the [Depth] control on the right part of the image area to adjust the depth. You can change depth value slightly by tapping on the depth control bar directly. The adjustable depth values vary depending on the probe types.

Effects

Increase the depth to see tissue in deeper locations, or decrease the depth to see tissue in shallower locations.

Description

The system compensates the signals from deeper tissue by segments to optimize the image.

Tap in the bottom-left corner of the image area to open the TGC adjusting dialogue box.

There are 6-segment TGC sliders corresponding to the areas of the image.

Operations

To increase the gain compensation in an area of interest, drag the TGC control to the right.

To decrease the gain compensation in the corresponding area of interest, drag the control to the left.

Double-click any area on the dialogue box, all 6 TGC controls will return to middle state.

About 1.5 seconds after the adjustment is complete, the TGC curve disappears.

Effects

Adjust the signal gain for a particular image area to achieve a balanced image.

Description

Refers to the power of ultrasonic waves transmitted by the probe, the real-time value of which is displayed in the top-left part of the screen.

Operations

Adjust through [A.Power(%)] on the menu. The adjusting range is 3.2-100.0. Tap [-] or [+] to change the value slightly or drag the control directly.

Effects

Generally, increasing the acoustic power will increase the brightness and contrast of the image and the force of penetration.

Impacts

You should perform exams according to actual situations and follow the ALARA Principle.

Depth

TGC

Acoustic Power

Image Optimization 5-5

Focus

Description

Refers to adjusting the focus of the ultrasonic beams, using the symbols which are displayed to the right of the image.

Operations

Adjust the focus number through [Focus Number] on the menu. Tap [-] or [+] to change the value slightly or drag the control directly.

Drag on the right part of the image area to change the focus position. In B mode, the available focus number can be switched between 1-4.

Effects

The area that is focused will be of a higher contrast and resolution.

Impacts

The greater the number of focal zones, the slower the frame rate.

Description

More information can be obtained without moving the probe or changing the sampling position.

FOV (Field of View)

Adjust through [FOV Size (%)] on the menu. Tap [-] or [+] to change the value slightly or drag the control directly.

You can get a much larger field of view when selecting a larger FOV. The frame rate decreases when using a larger FOV.

B Steer

Steer the probe by tapping buttons on the bottom of the image area.

ExFOV (Extended FOV)

Adjust through [ExFOV] on the menu. Off represents no ExFOV effect. For linear probes, the ExFOV function displays as trapezoid imaging. For convex probes, the ExFOV function displays as extending the scanning

angle.

Impacts

The FOV range is available only for convex and phased probes. The ExFOV function is available only for convex and phased probes. When ExFOV function is turned on, [FOV Size (%)] cannot be changed. The B Steer function is available only for linear probes.

Description

The function provides better observation for image display.

Rotation

Rotate the image using the [Rotation] control. Images can be rotated by 0°, 90°, 180° and 270°.

Invert (U/D Flip and L/R Flip)

To invert the image horizontally or vertically. Invert the image using the [L/R Flip]/[U/D Flip] control: tap [Up]/ [Down]/ [Left]/

[Right] to invert the image at different directions.

Effects

You can identify the image orientation using the “m” mark on the screen. By default, the “m” mark is located in the top-left corner of the image.

Image Adjustment

Rotation/Invert (U/D Flip and L/R Flip)

5-6 Image Optimization

iBeam (Spatial Compound Imaging)

Description

This function is used to superimpose and average images of different steer angles to achieve image optimization.

Operations

Adjust through [iBeam] on the menu. The system provides different levels of iBeam effect. Off represents no iBeam.

Effects

Images can be optimized with less spot noise and higher resolution, so that more details for the structure are revealed.

Impacts

The adjustable iBeam levels vary depending on the probe types. iBeam is valid for linear and convex probes, but it is not available when the

ExFOV function is turned on and convex probe is used.

Description

This function applies the gray correction to obtain optimum images.

Operations

Select maps by using [Gray Map] control. The system provides 8 different gray effect maps.

Description

This function provides an imaging process based on color difference rather than gray distinction.

Operations

Select maps or turn on/off the function by using [Tint Map] control. The system provides 8 different color effect maps.

Description

To optimize image parameters as per the current tissue characteristics for a better image effect.

Operations

Tap on the left part of the image area to start iTouch.

Long press to exit. Adjust iTouch gain value through [iTouch] control on the image menu.

Description

Display or hide the width scale (horizontal scale). The scale of the horizontal scale is the same as that of the vertical scale (depth).

They change together in zoom mode, or when the number of the image window changes. When the image is turned up/down, the H Scale will also be inverted.

Operations

Select [H Scale] control to display or hide the scale.

Gray Map

Tint Map

iTouch (Auto Image Optimization)

H Scale

Image Optimization 5-7

Line Density

Description

The function determines the quality and information of the image.

Operations

Adjust through [Line Density] on the menu. There are four levels of line density available: UH, M, H, L.

Effects

The higher the line density, the higher the resolution.

Impacts

The higher the line density, the lower the frame rate.

Description

This function is used to adjust the B image resolution to compress or expand the gray display range. The real-time value displays in the image parameter area in the top-left corner of the screen.

Operations

Adjust through [Dyn Ra.] on the menu. Tap [-] or [+] to change the value slightly or drag the control directly. The adjusting range is 30-240, in increments of 5.

Impacts

The more the dynamic range, the more specific the information and the lower the contrast with more noise.

Description

The function is used to enhance the image profile so as to distinguish the image boundary for optimization.

Operations

Adjust through [iClear] on the menu. Tap [-] or [+] to change the level slightly or drag the control directly. The system provides 7 levels of iClear adjustment: off represents no iClear

effect, and the bigger the value the stronger the effect.

Impacts

It may cause increased noise.

Description

This function is used to superimpose and average adjacent B images, so as to optimize the image and remove noise.

Operations

Adjust through [Persistence] on the menu. Tap [-] or [+] to change the level slightly or drag the control directly. The system provides 7 levels of frame average adjustment: the bigger the value

the stronger the effect.

Effects

Persistence can remove image noise to make details clearer.

Impacts

Increasing Persistence may lead to missing signals.

Description

The TSI function is used to optimize the image by selecting acoustic speed according to tissue characteristics.

Operations

Select different TSI modes using the [TSI] control. The system provides four ways of optimizing for specific tissues: general,

muscle, fluid and fat.

Dynamic Range

iClear

Persistence

TSI (Tissue Specific Imaging)

5-8 Image Optimization

Description

This function can improve contrast and decrease noise, so that a much clearer boundary can be seen.

Operation

Set [Echo Boost] to be “On” to turn the function on.

Impacts

This function is only available using the phased probe in cardiac exam mode (probe P7-3Ts does not support this function)

Description

If the current active probe is P7-3Ts, the parameter will display under the B mode menu. You can enter the patient temperature by this function.

Operation

Enter the temperature by tapping [Patient Temperature].

WARNING:

If the patient temperature is above 37°C (98.6° F) and the [Patient Temperature] setting is below the actual reading, the system could

overestimate the temperature of TEE transducer’s distal tip. This

could trigger the Auto-Cool feature. If the patient temperature reaches or is near 37°C (98.6°F) and the [Patient Temperature] setting is above the actual reading, the system could underestimate the temperature of the TEE transducer's distal tip. The patient is exposed to excessive temperatures.

Description

“Middle Line” helps to locate the focus point of shock wave during the treatment. By watching the treatment procedure in real-time and adjusting the intension and frequency of the shock wave, the harm to the patients can be reduced to the least.

Operations

Tap [Middle Line] on the image menu to hide or display the line.

Description

Display different image effects of one probe for a better observation.

Operation

Tap [Dual Live] to turn on/off the function, and dual-split window of images are displayed on the main screen.

Two pages of adjustable parameters are displayed; where, shared parameters and left window parameters are displayed in the B(L) page, while right window parameters are displayed in the B(R) page.

In the image parameter area on the top-left corner of the main screen, parameters of the both windows are displayed.

Impacts

Image magnification is available in dual live mode.

Echo Boost

Patient Temperature

Middle Line

Dual Live

Image Optimization 5-9

Parameter

F D G V DR

Meaning

Frequency

Depth

M Gain

M Speed

M Dynamic Range

Description

To adjust the gain of M mode image. The real-time gain value is displayed in the image parameter area in the top-left corner of the screen.

Operations

Drag the [Gain] control on the right part of the image area to adjust the gain.

Effects

Increasing the gain will brighten the image and you will see more received signals. However, noise may also be increased.

Description

To set the display format of M mode images and B mode images.

Operations

Select different layout through [Display Format]. There are 4 formats available for image display: V2:3, V3:2, V3:1, Full.

Effects

Select different format types according to the actual situation and obtain a desired analysis through comparison.

5.3 M Mode Image Optimization

5.3.1 Basic Procedures for M Mode Imaging

1. Select a high-quality image during B mode scanning, and adjust to position the area of interest in the center of the B mode image.

2. Tap [M] on the right side of the operating panel to enter M sampling line status, and drag the sampling line to the desired position.

3. Tap [M]/ [Update] or double-click the sampling line to enter M mode. You can then observe the tissue motion along with the anatomical images of B mode. During the scanning process, you can also adjust the sampling line accordingly when necessary.

4. Adjust the image parameters to obtain optimized images.

5. Perform other operations (e.g., measurement and calculation) if necessary.

5.3.2 M Mode Image Parameters

 In M mode scanning, the image parameter area in the top-left corner of the screen displays

the real-time parameter values as follows:

 During M mode imaging, menus for B mode and M mode are displayed on the operating panel

at the same time. You can switch between the 2 modes by tapping the mode tab.

 During M mode scanning, depth, focus position, frequency and acoustic power of the probe

are synchronous with that of B mode.

 Adjustment of the TGC to the B mode image will lead to synchronous changes in the M mode

image.

5.3.3 M Mode Image Optimization

Gain

Display Format

5-10 Image Optimization

Speed

Description

This function is used to set the scanning speed of M mode imaging, and the realtime speed value is displayed in the image parameter area in the top-left corner of the screen.

Operations

Adjust through [Speed (mm/s)] on the menu. There are 6 levels of scan speed available.

Effects

Changing speed makes it easier to identify disorders in cardiac cycles.

Description

This function provides an imaging process based on color difference rather than gray distinction.

Operations

Select maps or turn on/off the function by using [Tint Map] control. The system provides 8 different color effect maps.

Description

This function applies the gray correction to obtain optimum images.

Operations

Select maps by using [Gray Map] control. The system provides 8 different gray effect maps.

Description

This function is used to enhance the image profile so as to distinguish the image boundary for optimization.

Operations

Adjust through [Edge Enhance] on the menu. There are 3 levels of edge enhance adjustment available: the bigger the value

the stronger the effect. 0 represents no edge enhance effect.

Impacts

Larger edge enhance may lead to increased noise.

Description

This function is used to adjust the M image resolution to compress or expand the gray display range.

The real-time dynamic range value is displayed in the image parameter area in the top-left corner of the screen.

Operations

Adjust through [Dyn Ra.] on the menu. Tap [-] or [+] to change the value slightly or drag the control directly. The adjusting range is 30-240, in increments of 5.

Effects

The more the dynamic range, the more specified the information.

Description

This feature is used to process the scan lines of M images to reject noise, making image details clearer.

Tint Map

Gray Map

Edge Enhance

Dynamic Range

M Soften

Image Optimization 5-11

Operations

Adjust through [M Soften] on the menu. The system provides 4 levels of M Soften adjustment: the bigger the value the

stronger the effect.

Parameter

PRF

Meaning

Frequency

Color Gain

Pulse Repetition Frequency (PRF)

Color Wall Filter

5.4 Color Mode Image Optimization

The Color mode is used to detect color flow information, and the color is designed to judge the direction and speed of blood flow.

Generally, the color above the color bar indicates the flow towards the probe, while the color below the color bar indicates the flow away from the probe. The brighter the color, the faster the flow speed, while the darker the color, the slower the flow speed.

5.4.1 Basic Procedures for Color Mode Imaging

1. Select a high-quality image during B mode scanning, and adjust to position the area of interest in the center of the B mode image.

2. Tap [Color] on the right side of the operating panel to enter Color mode.

3. Change the position and size of the Region of Interest (ROI).

4. Adjust the image parameters during scanning to obtain optimized images. Tap [Image] to open the image menu. Adjust the parameters to optimize the image.

5. Perform other operations (e.g., measurement and calculation) if necessary.

5.4.2 Color Mode Image Parameters

 In Color mode scanning, the image parameter area in the top-left corner of the screen displays

the real-time parameter values as follows:

 In Color mode, the acoustic power is synchronous with that of B mode. Adjustment of the

depth to the B mode image will lead to corresponding changes in Color mode image.

5-12 Image Optimization

Description

Refers to the overall sensitivity to flow signals. This function is used to adjust the gain in Color mode. The real-time gain value is displayed in the image parameter area in the top-left corner of the screen.

Operations

Drag the [Gain] control on the right part of the image area to adjust the gain.

Effects

Increasing the gain will increase the flow signal presented and noise. The signals may be missing when the gain is adjusted too low.

Description

This function adjusts the width and position of the ROI in Color mode.

Operations

Tap the corner (green dot) of the ROI and drag to change the size. Tap inside the ROI box and drag to change the position.

Impacts

The larger the ROI box, the lower the frame rate, and the lower the resolution and color sensitivity.

Description

Refers to the operating frequency of the probe in Color mode, the real-time value of which is displayed in the image parameter area in the top-left corner of the screen.

Operations

Select the different frequency values through at the left part of the image area.

The adjusting range of frequency values can be divided into 3 levels: penetration preferred (Pen), general mode (Gen), and resolution preferred (Res).

Frequency values vary according to probe types. Select the frequency according to the needs of the detection depth and the current tissue characteristics.

Description

To set and restrict the maximum width of the B mode image to that of the Color ROI.

Operations

Turn the function on or off using the [B/C Align] control.

Impacts

The frame rate increases when the function is turned on.

Description

The feature is used to adjust the ROI of the color flow of different angles with immobility of the linear probe.

Operations

Steer the probe by tapping buttons on the bottom of the image area.

Change size

Change position

5.4.3 Color Mode Image Optimization

Color Gain

ROI Adjustment

Frequency (Image Quality)

B/C Align

Steer

Image Optimization 5-13

Effects

This function is used to adjust the scan angle of linear probes, so as to change the angle between the transmitting beam and flow direction.

Impacts

Steer is only valid for linear probes.

Description

Line density determines the quality and information of the image.

Operations

Adjust through [Line Density] on the menu. There are four levels of line density available: UH, M, H, L.

Effects

The higher the line density, the higher the resolution.

Impacts

The higher the line density, the lower the frame rate.

Description

This function is an indication of the ability to detect flow, which is used to adjust the accuracy of color flow.

Operations

Select different effects through [Packet Size]. There are 3 levels of packet size available: 0 represents no packet size control

and the bigger the value the higher the sensitivity.

Effects

The higher the packet size, the more sensitive the indication for low-velocity flow.

Impacts

Adjusting the packet size may lead to the frame rate changing.

Description

This function is used for fast image optimization.

Operations

Select different effects through [Flow State]. 3 levels are provided: L, M, H.

Description

This function adjusts the temporal smoothing in Color mode to optimize the image.

Operations

Select different effects through [Persistence]. The system provides 6 levels of persistence adjustment: 0 represents no

persistence, and the bigger the value the stronger the effect.

Description

This feature is used to reject noise and smooth the image.

Operations

Adjust through [Smooth] on the menu. The system provides 6 levels of smooth function: the bigger the value the

stronger the effect.

Line Density

Packet Size

Flow State

Persistence

Smooth

5-14 Image Optimization

Scale

Description

This function is used to adjust the speed range of the color flow, which is adjusted using the PRF in the system. The real-time PRF value is displayed in the image parameter area in the top-left corner of the screen.

Operations

Use [Scale] to adjust PRF values. Tap [-] or [+] to change the value slightly or drag the control directly. Or you can pinch on the color bar on top-left corner of the screen to change the

value. The adjusting range varies according to the frequency, probe and depth. Adjust

according to the actual situation.

Effects

Provides a much clearer color flow image. Use a low PRF to observe low-velocity flows, and a high PRF to observe high-

velocity flows.

Impacts

Aliasing may occur if a low-velocity scale is used and high velocities are encountered.

Low velocities may not be identified when a high-velocity scale is used.

Description

Refers to the area where the velocity is zero in the scale. Adjust according to the actual situation so as to get an optimum flow display.

Operations

Adjust through [Baseline] on the menu. A positive value means increase the signals above the baseline, and a negative

value means increase the signals below the baseline.

Description

To set the display mode of the color flow. The color scale will be inverted when the function is turned on.

Operations

Turn the function on or off using the [Invert] control. Select “Auto Invert” in [Setup] -> [System] -> [Image], so the color bar can

automatically invert when the color flow is steered to a certain angle to accommodate the operator’s desire to distinguish the flow direction.

Impacts

Auto invert function is available only for linear probes.

Description

This function is a combination of several image parameters, which indicates the display effect of the color image.

Operations

Select maps by using [Color Map] control. The system provides 21 different maps for selection. The V group provides 11

ordinary maps and the VV group provides 10 2D maps.

Description

It filters out low-velocity signals to provide effective information, and this function is used to adjust the filtered frequency. The real-time value is displayed in the image parameter area in the top-left corner of the screen.

Baseline

Invert

Color Map

WF (Wall Filter)

Image Optimization 5-15

Operations

Adjust through [WF] on the menu. There are 8 levels of wall filter function available. Select the value according to

the actual situation.

Impacts

Flow signals may be missing.

Priority

Description

This function is used to set the levels of the flow display and to display the grayscale signal or color signal.

Operations

Adjust through [Priority (%)] on the menu. Tap [-] or [+] to change the level slightly or drag the control directly. The adjusting range of the priority is 0-100% in increments of 1%. The higher the value, color signals are first to be displayed. The lower the value,

grayscale signals are first to be displayed.

Description

To optimize image parameters as per the current tissue characteristics for a better image effect.

Operations

Tap on the left part of the image area to get iTouch optimization. For probes L12-4s, L9-3s, L11-3VNs and L12-3RCs under EM Vas, Vascular or

Carotid exam mode, using iTouch can also achieve ROI optimization and autotracking.

Description

To optimize image parameters as per the current tissue characteristics for a better image effect. When Smart Tracking is turned on, the system optimizes ROI angle and position automatically to achieve an active tracking by reducing the impact of patient respiratory movement.

Operation

Turn on/off the function by [Smart Tracking] on the menu.

Impacts

Smart tracking is available only for the following probes under EM Vas, VAS and Carotid exam mode: L12-4s, L7-3s, L14-6s, L14-6Ns, L14-5sp, L20-5s, 7L4s, L93s, L11-3VNs, L12-3RCs and L14-5Ws.

Description

This function is used to display B image and Color image synchronously.

Operations

Turn on or off the function through the [Dual Live] item on the menu. When the function is turned on, the window will be automatically switched to the

dual windows (one for B image, and the other for Color image).

iTouch (Auto Image Optimization)

Smart tracking (ROI auto position/steer in Color/PW mode)

Dual Live

5-16 Image Optimization

Parameter

F G PRF

Meaning

Frequency

Power Gain

Pulse Repetition Frequency (PRF)

Power Wall Filter

5.5 Power Mode Image Optimization

Power mode provides a non-directional display of the blood flow in terms of intensity as opposed to flow velocity.

DirPower (Directional Power mode) provides additional information of the flow direction toward or away from the probe.

5.5.1 Basic Procedures for Power Mode Imaging

1. Select a high-quality image during B mode or B + Color scanning, and adjust to position the area of interest in the center of the image.

2. Tap [Power] on the right side of the operating panel to enter Power mode.

3. Change the size and position of the ROI (the same as in Color mode).

4. Adjust the image parameters during B + Power mode scanning to obtain optimized images. Tap [Image] to open the image menu. Adjust the parameters to optimize the image.

5. Perform other operations (e.g., measurement and calculation) if necessary.

5.5.2 Power Mode Image Parameters

 In Power mode scanning, the image parameter area in the top-left corner of the screen

displays the real-time parameter values as follows:

 In Power mode, the acoustic power is synchronous with that of B mode. Adjustment of the

depth to the B mode image will lead to corresponding changes in Power mode image.

Parameters consistent with those in Color mode and B mode are not described. See the relevant Color mode and B mode sections, while special items of the Power mode are introduced in the following.

Image Optimization 5-17

Description

Refers to the overall sensitivity to flow signals. This function is used to adjust the gain in Power mode.

The real-time gain value is displayed in the image parameter area in the top-left corner of the screen.

Operations

Drag the [Gain] control on the right part of the image area to adjust the gain.

Effects

Increasing the gain will increase the flow signal presented and noise. The signals may be missing when the gain is adjusted too low.

Description

This feature indicates the display effect of the Power image. Maps in the Power mode image are grouped into two categories: Power maps

and Directional Power maps.

Operations

Select maps by using [Color Map] control. There are 8 kinds of maps provided: P0-3 belong to Power mode maps, while

Dp0-3 belong to Directional Power mode maps. The Power maps provide information about blood flow, which are highly

sensitive to the low-velocity flows. The Directional Power maps provide information about flow direction.

Description

This function adjusts the transformation of echo intensity into color signal.

Operations

Adjust dynamic range through [Dyn Ra.]. Tap [-] or [+] to change the value slightly or drag the control directly. The adjusting range is 10-70 in increments of 5.

Effects

Increasing the dynamic range leads to higher sensitivity to low-power signals, thus enhancing the range of signals to display.

5.5.3 Power Mode Image Optimization

Power Gain

Power Map

Dynamic Range

5-18 Image Optimization

PW Sampling Line Adjustment

Angle

SVD

CW Sampling Line Adjustment

Angle

CW Focus Depth

Parameter

PRF

SVD

Angle

Meaning

Frequency

Gain

PRF

Wall Filter

SV Position

SV Size

Angle

CW Parameter

F G PRF

SVD

Angle

Meaning

Frequency

Gain

PRF

Wall Filter

SV Position

Angle

5.6 PW/CW Doppler Mode

PW (Pulsed Wave Doppler) mode or CW (Continuous Wave Doppler) mode is used to provide blood flow velocity and direction utilizing a real-time spectrum display. The horizontal axis represents time, while the vertical axis represents Doppler frequency shift.

PW mode provides a function for examining flow at one specific site for its velocity, direction and features. CW mode proves to be much more sensitive to high-velocity flow display. Thus, a combination of both modes will contribute to a much more accurate analysis.

CW imaging is an option.

5.6.1 Basic Procedures for PW/CW Mode Exam

1. Select a high-quality image during B mode or B + Color (Power) mode scanning, and adjust to position the area of interest in the center of the image.

2. Tap [PW]/[CW] on the right side of the operating panel to enter PW/CW sampling line adjustment status.

The sampling status will be displayed in the image parameter area in the top-left corner of the screen as follows:

3. Set the position of the sample line by dragging the sampling line; drag the SV gate to place the SV on the target.

4. Adjust the angle and SV size according to the actual situation: drag the PW angle line to change the angle, pinch on the image area to adjust SV size.

5. Tap [PW]/[CW]/[Update] or double-click the sampling line to enter PW/CW mode and perform the examination. You can also adjust the SV size, angle and depth in real-time scanning.

6. Adjust the image parameters during PW/CW mode scanning to obtain optimized images. Tap [Image] to open the image menu. Adjust the parameters to optimize the image.

7. Perform other operations (e.g., measurement and calculation) if necessary.

Tap [Update] to switch between B (B+Color) and PW image.

5.6.2 PW/CW Mode Image Parameters

In PW/CW mode scanning, the image parameter area in the top-left corner of the screen displays the real-time parameter values as follows:

Image Optimization 5-19

Description

This function is intended to adjust the gain of the spectrum map. The real-time gain value is displayed in the image parameter area in the top-left corner of the screen.

Operations

Drag the [Gain] control on the right part of the image area to adjust the gain.

Effects

Increasing the gain will brighten the image and you will see more received signals. However, noise may also be increased.

Description

To adjust the SV position and size of sampling in PW mode, the real-time value of SV and SVD are displayed in the image parameter area in the top-left corner of the screen.

SV size

Adjust SV size by finger gesture. Use two fingers to adjust the SV size by pinching movement on the image area.

The adjusting range is 0.5-20 mm.

SVD

Tap and drag the SV gate to change depth.

Effects

The smaller the SV size, the more accurate the result. More details are obtained when selecting a large SV size.

Description

To adjust the CW mode SVD. The real-time focus position value is displayed in the image parameter area in the top-left corner of the screen.

Operation

Tap and drag the SV to select the focus depth.

Description

Refers to the operating frequency of the probe in PW mode, the real-time value of which is displayed in the image parameter area in the top-left corner of the screen.

Operation Select the different frequency values through at the left part of the image

area. The adjusting range of frequency values can be divided into 3 levels:

penetration preferred (Pen), general mode (Gen), and resolution preferred (Res).

Select the frequency according to the detection depth and current tissue features.

 When you adjust the depth of the B mode image, related changes will occur in the PW/CW

mode image as well.

 Most of the parameters are the same for the PW mode and CW modes, so parameters of both

are combined together to be introduced here.

Only phased probes support CW mode.

5.6.3 PW/CW Mode Image Optimization

Gain

CW Focus Position

Frequency (Image Quality)

5-20 Image Optimization

Effects

The higher the frequency, the better the resolution and sensitivity, and the worse the force of penetration.

Image Optimization 5-21

Scale

Description

This function is used to adjust the speed range of the flow, which is adjusted using the PRF in the system.

The real-time PRF value is displayed in the image parameter area in the top-left corner of the screen.

Operations

Use buttons on the right part of the image area to adjust PRF values.

Or you can pinch on the vertical axis of scale to change the range.

Effects

Provides a much clearer color flow image. Use a low PRF to observe low-velocity flows, and a high PRF to observe high-

velocity flows.

Impacts

Aliasing may occur if a low-velocity scale is used and high velocities are encountered.

Low velocities may not be identified when a high-velocity scale is used.

Description

To optimize image parameters as per the current tissue characteristics for a better image effect.

Operations

Tap on the left part of the image area to get iTouch optimization. For L12-4s, L9-3s, L11-3VNs and L12-3RCs probes under EM Vas, VAS and

carotid exam modes, you can use iTouch to optimize PW sampling line automatically.

Description

This function is used to trace the spectrum and calculate the PW/CW mode image parameters. The results are displayed in the results window.

Tap [Auto Calc] to turn the auto calculation function on or off. After auto calculation function is turned on, select “Auto Calc” tab to enter the

auto calculation menu.

Auto Calculation Parameter

Select parameters in the dialog box prompted by tapping [Auto Calc Param.] on the Auto Calc menu.

Auto Calculation Cycle

To set the heart cycle number for auto-calculation. Adjust through [Auto Calc Cycle] on the menu.

Trace Area

To set the trace area of the Doppler wave in the spectrum map, applicable for auto calculation, V Max and V Mean display.

Adjust through [Trace Area] on the menu. The available selections of trace area are: Above, Below, All.

To set the smooth level when tracing.

iTouch

Auto-Calculation

5-22 Image Optimization

Trace Smooth

Adjust through [Trace Smooth] on the menu. There are 4 levels of smooth effect provided, the bigger the value, the higher the

smooth processing.

Trace Sensitivity

This function is used to set the sensitivity of tracing in the spectrum.

Adjust through [Trace Sensitivity] on the menu. There are 5 levels of sensitivity adjustment, the bigger the value the higher the

sensitivity.

Operations

In real-time scanning, the results displayed are derived from the calculation of the latest cardiac cycle.

In the freeze and cine status, the results displayed are calculated from the current selected area.

Description

This function is used to set how the spectrum is displayed.

Operations

Turn the function on or off using the [Invert] control. Select “Auto Invert” in the [Setup] -> [System] -> [Image], so the spectrum can

automatically invert when the color flow is steered to a certain angle to accommodate the operator’s desire to distinguish the flow direction.

Description

This function is used to set the scanning speed of PW mode imaging.

Operations

Adjust through [Speed (mm/s)] on the menu. There are 6 levels of scan speed available.

Effects

Changing the speed makes it easier to identify the cardiac cycles and to detect more details.

Description

This function is used to create a balance between time resolution and spatial resolution.

Operations

Adjust through [T/F Res.] on the menu. There are 4 levels of T/F Res. values available.

Description

Operations

Adjust through [WF] on the menu. 7 levels of wall filter function are provided.

Impacts

Signals of low-velocity flow may be missing.

Invert

Speed

T/F Res.

Wall Filter

Image Optimization 5-23

Tint Map

Description

This function provides an imaging process based on color difference rather than gray distinction.

Operations

Select maps or turn on/off the function by using [Tint Map] control. There are 8 color effect maps available.

Description

This function applies the gray correction to obtain optimum images.

Operations

Select maps by using [Gray Map] control. There are 10 gray effect maps available.

Description

To set the display format of PW mode images with B mode images.

Operations

Select different layout through [Display Format]. There are 4 formats for displaying the images: V2:3, V3:2, V3:1, Full.

Description

This function is used to set whether a B image (B + Color image) and PW image are displayed synchronously.

Operations

Select [Duplex]/[Triplex] to turn the synchronization on or off.

Description

HPRF mode is used when detected velocities exceed the processing capabilities of the currently selected PW Doppler scale, or when the selected anatomical site is too deep for the selected PW Doppler scale.

Operations

Turn the function on or off using the [HPRF] control.

Effects

HPRF enhances the range for detecting high-velocity flow.

Description

Refers to the area where the velocity is zero in the spectrum.

Operations

Tap and drag the green baseline on the spectrum to change the position.

Effects

Changes the flow-velocity range to optimize the image.

Gray Map

Display Format

Duplex/Triplex

HPRF

Baseline

5-24 Image Optimization

Angle

Description

This function is used to adjust the angle between Doppler vector and flow to make the velocity more accurate.

The real-time adjusting angle value is displayed on the left part of the spectrum map.

Operations

Adjust through [Angle] on the menu. Tap [-] or [+] to change the value slightly or drag the control directly. The adjustable angle range is -89~89°, in increments of 1°.

Description

To adjust the angle faster, in increments of 60°. The real-time value is displayed on the left part of the spectrum map.

Operations

Tap the three buttons above [Quick Angle] on the bottom of the image area. There are 3 angles for quick adjustment: -60°, 0° and 60°.

Description

The dynamic range conveys the information which is being transformed from echo intensity to grayscale.

Operations

Adjust dynamic range through [Dyn Ra.]. Tap [-] or [+] to change the value slightly or drag the control directly. The adjusting range is 24-72.

Effects

The more the dynamic range, the more specific the information and the lower the contrast with more noise.

Description

This function is used to adjust the output audio in the spectrum map.

Operations

Adjust through [Volume] on the menu. Tap [-] or [+] to change the value slightly or drag the control directly. The adjusting range of the audio is 0-100%.

Effects

Utilizing the output audio helps to identify the feature and the status of flow.

Description

This function is used to adjust the angles for the sampling line.

Operations

Steer the probe by tapping buttons on the bottom of the image area.

Effects

This feature is used to steer the direction of the beam so as to change the angle between the beam and flow direction with immobility of the linear probe.

Impacts

The PW Steer function is available only for linear probes.

Quick Angle

Dynamic Range

PW Volume

PW Steer

Image Optimization 5-25

CAUTION:

Set MI index by instructions in the contrast agent accompanied manual.

Read contrast agent accompanied manual carefully before using contrast function.

NOTE:

Be sure to finish setting the parameters before injecting the agent into the patient to avoid affecting the image consistency. This is because the agent's acting time is limited.

The contrast agent used must comply with the relevant local regulations.

5.7 Contrast Imaging

The contrast imaging is used in conjunction with ultrasound contrast agents to enhance the imaging of blood flow and microcirculation. Injected contrast agents re-emit incident acoustic energy at a harmonic frequency which is much more efficient than the surrounding tissue. Blood containing the contrast agent stands out brightly against a dark background of normal tissue.

Contrast imaging is an option. Only C5-1s, C5-2s and C4-1s support abdominal contrast imaging function. Only P4-2s and SP5-1s supports LVO.

5.7.1 Basic Procedures

To perform successful contrast imaging, start with an optimized B image and have the target region in mind. To perform contrast imaging:

1. Select the probe and the exam mode; tap [Image] to open the image menu.

2. Fix the probe.

3. Tap [Contrast] on the right side of the operating panel to enter the contrast imaging mode.

4. Adjust the acoustic power experientially to obtain a good image. Tap [Dual Live] to activate the dual live function. Observe the tissue image to find the target

view.

5. Inject the contrast agent, and tap [Timer1] to start the contrast timing. When the timer begins to work, time will be displayed on the screen.

6. Observe the image. Use the [Pro Capture] and [Retro Capture] on the menu to save the images. Tap those controls again or tap [Freeze] to end the live capture.

Perform several live captures if there are more than one sections of interest.

7. At the end of contrast imaging, tap [Timer 1] again to exit the timing function. Perform procedures 3-5 if necessary.

For every single contrast imaging procedure, use [Timer 2] for timing. If necessary, activate the destruction function by taping [Destruct] and destruct the micro-

bubbles left by the last contrast imaging, or to observe the reinfusion effect in a continuous agent injecting process.

8. Exit contrast imaging. Tap [B] to return to B mode.

5-26 Image Optimization

Type

Parameter

Meaning

Contrast

FC H

Contrast frequency

Depth

Gain

Frame rate

Dynamic Range

Tissue

Gain

Dynamic Range

NOTE:

The starting time displayed may be inconsistent with the actual one due to system error or some other human error. Check the agent-injecting time.

5.7.2 Parameters

Parameter Area Display

When entering the imaging mode, the screen displays the contrast image. If the [Dual Live] is

“ON”, both the contrast image (marked with “ ”) and tissue image (marked with “ ”) are

displayed (the two window positions can be changed). Parameter area displays as follows:

Image Optimization

The parameters in Contrast mode are similar to those in B mode. See B mode imaging parameters for details. Special imaging parameters are introduced below.

Timer

The two timers are used to record the total time of the contrast imaging and the single time of one contrast exam.

After the image is frozen, Timer 1 is still running, and after unfreezing, the corresponding time can be seen.

Timer 2 stops timing when an exam is frozen, and after unfreezing, Timer 2 is off.

Activate [Timer 1(2)] to start timing from the moment you inject the contrast agent. The screen displays the times in the bottom-right corner.

 The time begins at 0.  In live mode, the elapsed time is displayed. For example, 00:00:08 means the elapsed time is

8 seconds.

 If the image is frozen during timing, the timer stops working and the elapsed time is displayed.  Turn off [Timer 1] or [Timer 2] and the timer stops running.

Micro-bubble Destruction

Function: to destroy the micro-bubbles left by the previous contrast imaging, or observe the reinfusion effect in a continuous agent injecting process.

 Entering: tap [Destruct] to enable the micro-bubble destruction function.  Parameters: set the parameters using the menu controls.

 [DestructAP(dB)]: adjust the destruct acoustic power.  [Des.Time(ms)]: adjust the destruct time.

Image Optimization 5-27

Dual Live

In live mode or freeze mode, tap [Dual Live] to enable the dual live function. Both the contrast

image (marked with “ ”) and the tissue image (marked with “ ”) are displayed (the position can

be changed). Tips:

 In dual live mode, the screen displays the contrast image and tissue image  In freeze mode, only one cine review progress bar displays as the contrast image and

tissue image are reviewed synchronously.

 Image position

Use [CEUSPos: XX] to adjust the position of the contrast image. When it is selected as “Left”, the image displays at the left part of the image area on the screen.

Mix Map

This function combines the contrast image with the tissue image, so that the contrast regions of interest can be located.

Select options besides [Mix] to select different mixing modes: Contrast and C&T.

 When the dual live function is on, you can see the mixed effect on the contrast image.  When the dual live function is off, you can see the mixed effect on the full-screen image.

iTouch

In contrast status, you can also get a better image effect by using the iTouch function.

 Tap to turn the function on (the icon turns blue).

 Long press to exit the function.

Image Saving

 Live capture

In live mode, you can save the images of interest by tapping [Pro Capture] and [Retro Capture].

 Cine saving

In freeze mode, tap [Save Clip] at the bottom of the operating panel.

5-28 Image Optimization

CAUTION:

Contrast Imaging QA images are provided for reference only, not for confirming a diagnosis.

5.7.3 Left Ventricular Opacification (LVO)

Basic Procedures for LVO:

1. Acquire ECG signal；

2. Tap [Probe] on the touch screen to open Probe/Exam Mode selecting dialogue box;

3. Select the probe and LVO exam mode; Workflow of LVO is similar to abdomen contrast imaging.

5.7.4 Measurement, Comments and Body Marks

The system supports image measurement, comment and body mark functions. For details, see the relevant sections.

5.7.5 Contrast Imaging QA

Contrast Imaging QA adopts time-intensity analysis to obtain perfusion quantification information of velocity flow. This is usually performed on both suspected tissue and normal tissue to get specific information of the suspected tissue.

1. Perform image scanning, freeze the image and select a range of images for analysis; or select a desired cine loop from the stored images.

NOTE: in case of inaccuracy of the data, do not adjust the depth and the pan-zoom when saving the cine.

2. Tap [Contrast QA] to activate the function.

3. Mark out the interested part (ROI). If necessary, perform curve fitting on the time-intensity curve.

4. Analyze the parameters of the curve, or perform B measurement.

5. Save the curved image, export the data and do parameter analysis.

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5.7.5.1 Contrast QA Screen

(For reference only)

1---Contrast cineloop window

Sample area: indicates sampling position of the analysis curve. The sample area is colorcoded, 8 (maximum) sample areas can be indicated.

2---B Cineloop window

 Sample areas are linked in the contrast cineloop window and B cineloop window.

3---Time-intensity curve

 Y axis represents the intensity (unit: dB), while X axis represents the time (unit: s).  Frame marker: a yellow line that is perpendicular to the X axis, can be moved horizontally

left to right (right to left).

 Tap the check box beside the ROI to set if to hide or to display the QA curve.  To get the current X/Y axis value; tap [Show Curve Value] to activate the function, and a

green line is displayed. Move the green line, and the corresponding X/Y axis value is displayed.

5.7.5.2 Basic Operations of Contrast QA

QA Analysis Image Range

The system set the starting time and ending time of the cine to be first frame and last frame of QA analysis range.

Setting ROI

This function is used for setting the target. Up to eight ROIs can be saved on the reference image, with the corresponding eight traces plotted

simultaneously on the graph. Each ROI display has a different color, and its corresponding trace data is plotted using that same color.

There are two different methods for determining the shapes of the sample area: Standard ROI and Freehand ROI.

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 Trace ROI

1. Tap [Trace ROI].

2. Review the image to a desired frame.

3. Move the green circle over the reference image(s) to position the circle.

4. Tap the circle to fix the starting point, and the center of the circle is set as the starting point.

5. Tap the circle to fix the other point. When a suitable ROI has been drawn, confirm the ROI by double tapping the circle.

The system automatically links the start point to the end point by drawing a line between them.

 Ellipse ROI

1. Tap [Ellipse ROI].

2. Review the image to a desired frame.

3. Move the green circle on the reference image. Tap the circle to fix the starting point, and the center of the circle is set as the starting point.

4. Move the circle to the desired place. Tap the circle to fix the end point, and the center of the circle is set as the end point.

5. Move the circle to adjust the size of the ROI. To confirm the size of the ROI, tap the circle.

 Delete ROI

Tap [Delete All] to clear out all ROIs. The corresponding traces for the deleted ROIs are erased from the plot.

 Copy ROI

Tap [Copy ROI] to create a new ROI similar to the current or latest added ROI.

Motion Tracking

Tap [Motion Tracking] to enable the function. This function provides a motion compensated ROI as precise time-intensity information can be

acquired using active tracking. It can enhance the calculation accuracy as reducing the impact of probe or patient respiratory movement.

Tips: Elliptical ROIs can be positioned in any manner that keeps their center within the image boundaries. In the case that part of the ROI is outside the image boundary, only data from within the image boundary is used for calculating the mean intensity value.

X Scale

Select [X Scale] to choose different value, so that the X scale display manner will be changed. This function can be used to track detailed tissue information.

Export/Save Trace Data

1. Tap [Export].

2. Select the drive and enter the file name in the displayed window.

3. Select [OK] to save the data and return to the QA Analysis screen.

 All displayed ROI traces are saved in the exported file.  The parameters are included in the trace file if the user has fixed a ROI.  Only data from the user selected image range is included in the exported trace file.

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NOTE:

If the contrast signal inside the selected ROI does not meet the requirements of gamma fitting condition, that is the bulleting injection, curve fitting may not be available.

Curve Fitting

The system can calculate characteristic parameters according to curve fitting formula and data, display fit curve for time-intensity curve, and perform data analysis on time-intensity curve for data table.

 Tap [Fit Curve] on the touch screen to turn on the function, where color of the fitted curve

is consistent with color of the current ROI curve.

 Tap [Raw Curve] to hide/display raw curve.  Tap [Table Display] to check parameters.

Parameters calculated include the following:

 GOF (Goodness of Fit): to calculate the fit degree of the curve; range: 0-1, where 1 means

the fit curve fits the raw curve perfectly.

 BI (Base Intensity): basic intensity of no contrast agent perfusion status.  AT (Arrival Time): time point where contrast intensity appears, generally, the actual time

value is 110% higher than the base intensity.

 TTP (Time To Peak): time when the contrast intensity reaches peak value.  PI (Peak Intensity): contrast peak intensity.  AS (Ascending Slope): ascending slope of contrast, the slope between the start point of

lesion perfusion to the peak.

 DT/2: time when the intensity is half the value of the peak intensity.  DS (Descending Slope): descending slope of the curve.  AUC (Area Under Curve): to calculate the area under the time-intensity curves during

contrast.

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CAUTION:

Anatomical M images are provided for reference only, not for confirming a diagnosis. Please compare the image with that of other machines, or make diagnosis using none-ultrasound methods.

Display

Parameter

Free Xros M Speed

Description

To adjust the position and angle of the M-mark line.

Operation

 Position Adjustment

When the M-mark line is activated, tap the dotted circle and drag the sampling line to change the position. The direction is recognized by the arrow at the end of the line.

 Angle Adjustment

When the M-mark line is activated, tap the dotted circle and drag along the sampling line to adjust the fulcrum of the line, and adjust the angle by rotating the sampling line.

The adjusting angle range is 0-360 in increments of 1.

5.8 Anatomical M Mode

5.8.1 Free Xros M Mode

For an image in the traditional M mode, the M-mark line goes along the beams transmitted from the probe. Thus it is difficult to obtain a good plane for difficult-to-image patients that cannot be moved easily. However, in the anatomical M mode, you can manipulate the M-mark line to move to any position at desired angles. The system supports anatomical M scanning in 2D imaging modes (B, Color, Power and TVI mode).

5.8.1.1 Imaging

 Real-time Imaging

1. In real-time B mode or M mode, adjust the probe and image to obtain the desired plane.

2. Tap [Free Xros M] on the right side of the operating panel to enter Free Xros M mode.

3. Adjust the M-mark line to obtain optimized images and necessary information.

 Imaging in Freeze Mode

1. Open Free Xros M imaging of images in cine memory, tap [Free Xros M].

2. Adjust the M-mark line and image parameters to obtain optimized images and necessary information.

5.8.1.2 Free Xros M Image Parameters

 In Free Xros M mode imaging, the image parameter area in the upper left corner of the screen

displays the real-time parameter values as follows:

 During Free Xros M mode imaging, menus for B mode, Free Xros M mode and other modes

are displayed at the same time, tap mode tabs to switch the menus.

 Parameters consistent with those in M mode are not to be introduced, please refer to relevant

section of the M mode, while special items of the Free Xros M mode will be introduced in the following.

Adjustment of the M-mark Line

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Description

This function is to adjust the display of the image.

Operation

Adjust through the [Display Format] item in the menu.

Display Format

5.8.1.3 Exit

 In Free Xros M mode, tap [Free Xros M] or [B] to exit.

5.9 TDI

TDI mode is intended to provide information of low-velocity tissue motion, specifically for cardiac movement.

There are 4 types of TDI mode:

 Tissue Velocity Imaging (TVI): This imaging mode is used to detect tissue movement with

direction and speed information.

 Tissue Energy Imaging (TEI): This imaging mode reflects the status of cardiac movement

by displaying the intensity of tissue, the brighter the color the less the intensity.

 Tissue Velocity Doppler Imaging (TVD): This imaging mode provides direction and speed

information of the tissue quantificationally with doppler spectrum.

 Tissue Velocity M Imaging (TVM): This function assists to observe the cardiac motion

through a direct angle. TVM mode is also called Color Tissue M mode, refer to "5.10 Color M Mode" for details.

 Only phased probe is valid for TDI function.

5.9.1 TDI Exam Protocol

 In real-time mode, tap [TDI] on the right side of the operating panel to enter the corresponding

TDI mode as follows:

 In B or B+Color mode, tap to enter TVI mode.  In Power mode, tap to enter TEI mode.  In PW mode, tap to enter TVD sampling line adjustment status.  In M mode, tap to enter TVM sampling line adjustment status.

 Switching between the TDI modes

In TDI mode, tap [Color], [Power], [M] or [PW] to switch between the modes.

 Exit TDI

 Tap [TDI] to exit TDI mode and enter general imaging modes.  Or, tap [B] to return to B mode directly.

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Display

F G PRF

Parameter

Frequency

Gain

PRF

WF (Wall Filter)

Display

PRF

SVD

Parameter

Frequency

Gain

PRF

WF (Wall Filter)

SV Position

SV Size

Description

This function is used for a fast image optimization by providing an adjustment on 2 parameters, including scale and filter.

Operation

Adjust through the [Tissue State] item in the menu. There are 3 levels provided to adjust: L, M, H.

5.9.2 TDI Image Parameters

 In TDI mode scanning, the image parameter area in the top-left corner of the screen will

display the real-time parameter values as follows:

 TVI/ TEI

 TVD

 TVM

Image parameters combine the parameters of TVI mode and M mode.

5.9.3 TDI Image Optimization

 In TVM mode, adjustable parameters are the same as those in B, M, and TVI modes; please

refer to the relevant contents for details.

 In each TDI mode, parameters that can be adjusted are similar to those in the color flow

modes (Color, PW, and Power); please refer to relevant chapters for details. The following is to introduce the specific items in TDI mode.

Tissue State

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5.10 Color M Mode

Color M mode provides information of color flow or tissue movement on the M mode images to indicate cardiac motion state. It is highly sensitive to the flow or tissue movement.

The Color M mode includes Color Flow M mode and Color Tissue M mode (also known as TVM).

5.10.1 Enter Color M Mode

 Color Flow M mode

 In B+M Mode, tap [Color].  In B+Color, B+ Color+ PW or B+ Color+ CW mode, tap [M].

 Color Tissue M mode(TVM)

 In B+TVI/TVD, or B+TVI+TVD mode, tap [M].  In Color Flow M mode, tap [TDI] on the right side of the operating panel.

5.10.2 Exit Color M Mode

 Tap [Color] or [M] to exit Color M mode.  Or, tap [B] to return to B mode directly.

5.10.3 Image Parameters

 In Color Flow M mode, parameters that can be adjusted are in accordance with those in B, M

and Color modes; please refer to relevant sections of B, Color and M mode for details.

 In Color Tissue M mode, parameters that can be adjusted are in accordance with those in B,

M and TVI modes; please refer to relevant sections of B, Color and TVI modes for details.

 In Color M mode scanning, the image parameter area in the top-left part of the screen will

display the real-time parameter values.  ROI Adjustment The ROI size and position determine the size and position of the color flow or color tissue

displayed in the Color M mode image.

 Tap the corner (green dot) of the ROI and drag to change the ROI size.  Tap inside the ROI box and drag to change the ROI position.

 Tap mode tabs in the image menu to switch between current activated modes. For example,

tap [Color] in the image menu to activate Color ROI adjusting status.

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NOTE:

3D imaging is largely environment-dependent, so the images obtained are provided for reference only, not for confirming diagnoses.

View point

X Y 1

2 3 4

5 6 7

5.11 3D Imaging

5.11.1 Overview

Ultrasound data based on three-dimensional imaging methods can be used to image any structure where a view cannot be achieved with the standard 2D-mode and to improve the understanding of complex structures.

 Terms

 3D image Volume Rendering (VR): the image displayed to represent the volume data.  View point: a position for viewing volume data/3D image.  MultiPlaner Rendering (MPR): the three sectional planes of the volume acquisition. As

shown in the figure below, the XY-paralleled plane is the C-section, the XZ-paralleled plane is the B-section, and the YZ-paralleled plane is the A-section. The probe is moved along the X-axis.

 ROI (Region of Interest): a volume box used to determine the height and width of scanning

volume.

 VOI (Volume of Interest): a volume box used to display the 3D image (VR) by adjusting the

region of interest in MPR.

 ROI and VOI

After the system enters 3D imaging, a B image with ROI displays on the screen. A line (shown in the following figure) shows that the upper edge position of the VOI is inside the ROI.

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View

Curved VOI

U/D

At the upper part of curved VOI

D/U

At the lower part of curved VOI

L/R

At the left part of curved VOI

R/L

At the right part of curved VOI

F/B

Displays as a dot

B/F

Displays as a dot

ROI position adjustment

Cut plane

A window

B window

C window

3D window (VR)

 ROI size and position

Tap the corner (green dot) of the ROI and drag to change the size. Tap inside the ROI box and drag to change the position.

 Curved VOI adjustment

Tap the cut plane and drag to change the curved VOI position. This function changes the curved shape of the nearest VOI section and facilitates observation of the volume data of interest.

The orientation and shape (line or dot) of curved VOI vary depending on the view direction:

 MPR

The principle of 3D imaging is to render a 3D image from multiple 2D image information. The

following describes the spatial relationship of 3 MPRs (A, B and C) and the 3D image (VR).

In the quad display format view, the screen displays 3 MPRs (A, B and C) and the 3D image.

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Mindray TE7, TE5 Operator's Manual

Specifications and Main Features

Frequently Asked Questions

User Manual

Contents

Intellectual Property Statement

Responsibility on the Manufacturer Party

Warranty

Exemptions

Customer Service Department

Important Information

About This Manual

Notation Conventions

Operator’s Manuals

Hardcopy Manuals

Software Interfaces in this Manual

Conventions

Product Differences

1 Safety Precautions

1.1 Safety Classifications

1.2 Meanings of Signal Words

1.3 Meaning of Safety Symbols

1.4 Safety Precautions

1.5 Latex Alert

1.6 Warning Labels

2 System Overview

2.1 Intended Use

2.2 Product Specifications

2.2.1 Imaging Mode

2.2.2 Power supply

2.2.3 Environmental Conditions

2.2.4 Dimensions and Weight

2.3 System Configuration

2.3.1 Standard Configuration

2.3.2 Probes and Needle-guided Brackets Available

2.3.3 Options

2.3.4 Peripherals Supported

2.4 Introduction of Each Unit

2.5 Symbols

3 System Preparation

3.1 Move/Position the System

3.2 Power ON/OFF

3.2.1 Power the System ON

3.2.2 Power the System OFF

3.2.3 Standby

3.3 Connecting the Power Cord

3.3.1 Connecting Power

3.3.2 Powered by Batteries

3.4 Connecting a Probe

3.4.1 Connecting a Probe

3.4.2 Disconnecting a probe

3.5 Connecting the Footswitch

3.6 Connecting USB Devices

3.7 Installing a Graph/Text Printer

3.8 Installing a Video Printer

3.9 Brightness and Contrast Adjustment

3.10 Display Position Adjustment

3.11 Basic Screen & Operation

3.11.1 Screen Display

3.11.2 Operating panel

3.11.3 iVocal

4 Exam Preparation

4.1 Patient Information

4.1.1 New Patient Information

4.1.2 Retrieve Patient Information

4.1.2.1 Retrieve from iStation

4.1.2.2 Retrieve from Worklist

4.2 Select Exam Mode and Probe

4.3 Select the Imaging Mode

4.4 End an Exam

4.5 Activate an Exam

5 Image Optimization

5.1 Imaging Mode

5.1.1 Switching Between Imaging Modes

5.1.2 Image Adjustment

5.1.3 Quickly Saving Image Settings

Gain

5.2 B Mode Image Optimization

5.2.1 Basic Procedures for B Mode Imaging

5.2.2 B Mode Parameters