Philips HDI 5000 User manual

Ultrasound System

Reference Manual

4703-0027-03 Rev A April 2000

ATL Ultrasound

P.O. Box 3003

Bothell, WA 98041-3003

USA

Copyright E 2000 by ATL Ultrasound All rights reserved Printed in USA

Manufactured by ATL Ultrasound

22100 Bothell-Everett Highway
Bothell, WA 98021-8431
USA

Telephone [phone] or [phone]
Fax [phone]
ITT International 4740016 SMS UI
Internet www.atl.c om

CAUTION

United States federal law restricts this device to sale by
or on the order of a physician.

“Advanced 3DI”, “Advanced Technology Laboratories”, “ATL”, “CHROMA”, “Cineloop”, “Color Power Angio”, “ENTOS”, “HDI”,
“High Q”, and “Power Harmonic” are registered trademarks of ATL Ultrasound.

“DVS”, “Flash Contrast”, “High Definition”, “Power Motion”, “SonoCT”, “Tissue Specific”, and “WebLink” are trademarks of ATL
Ultrasound.

Non-ATL Ultrasound product names may be trademarks or registered trademarks of their respective owners.

ATL Ultrasound products may be manufactured under or operate in accordance with one or more of the following United States
patents and corresponding patents in other countries: U.S. Patent Numbers 4,581,636; 4,607,642; 4,543,960; 4,644,795;
4,887,306; 5,016,641; 5,123,415; 5,197,477; 5,255,682; 5,050,610; 5,226,422; 5,275,167; 5,207,225; 5,287,753; 5,215,094;
5,381,795; 5,386,830; 5,402,793; 5,390,674; 5,438,994; 5,471,989; 5,482,045; 5,476,097; 5,471,990; 5,456,257; 5,485,842;
5,482,047; 5,479,930; Re 35,148; 5,555,887; 5,617,863; 5,669,385; 5,645,066; D369,307; 5,634,465; 5,603,323; 5,706,819;
5,715,823; 5,718,229; 5,720,291; 5,879,303, 5,951,478; Re 36,564; 5,980,457; 5,961,462; 5,940,123; 5,908,389; 5,891,035;
5,860,924; 5,795,297; 5,846,200; 5,833,613; 6,036,643. Other patent applications are pending in various countries.

Read This First

About Your Manual Set

This manual is part of a manual set. The manual set addresses the reader who is familiar
with ultrasound techniques. Sonography training and clinical procedures are not included
in the manual set. The manual set includes the following:

!

Getting Started

complete the procedures in this manual, you will know how to use these features and
understand the concepts of system operation.

!

Scan h ead s an d Saf et y

guides, transesophageal and laparoscopic scanheads, and acoustic output.

!

ReferenceManual

in

Getting Started

specifications, references, and a glossary.

!

Usin g D isin f ect an t s an d G els

infectants and disinfecting ATL products.

!

Acoustic O utput Tables:

pr ec is ion and ac c ur ac y, t he ac ous tic output default t ables , and the ac ous tic output
tables.

!

Medical Ultrasound Safety:

prudent use, and implementing ALARA (as low as reasonably achievable).

!

Operating Notes

might be misunderstood or cause user difficulty.

: Introduces you to basic system features and concepts. When you

: Contains infor mation about s afety, s c anheads , biops y

:Contains information that supports and amplifies the procedures

. It includes image management, maintenance, troubleshooting,

: Contains information that clarifies certain system responses that

: Contains infor mation about c ompatible gels and dis -

Contains infor mation about mec hanic al and ther mal index

Contains infor mation about bioeffec t s and biophy s ic s ,

About Your Manual Set on Compact Disc (CD)

A C D is inc luded in a poc k et on t he ins ide bac k c ov er of the
CD contains the complete manualset, except forthe
us ing t he CD ar e on t he las t page of the

Please take the time to use the CD, complete the brief survey card included with the
manual set, and mail the survey card to us.

HDI 5000 Reference Manual 4703-0027-03

Operating Notes.

G etting Started

G etting Started

The instructions for

manual.

manual. T he

1--1

Read This First

Conventions Used in This Manual

These conventions are used in this manual:

All procedures are numbered. You must complete steps in the sequence they are pre-

!

sented to ensure a reliable result.
Bulleted lists indicate general information about a particular function or procedure.

!

They do not imply a sequential procedure.
Control names appear in this manual like they appear on the system.

!

Menu items or titles appearing onthe monitor screen are showninthe manual like they

!

appear on the screen.
The left side of the system is to your left as you stand in front of the system, facing the

!

system.
Scanheads and pencil probes both are referred to as scanheads, unless the distinc-

!

tion is important to the meaning of the text.
“Select” means to place the cursor over an item and press SELECT once.

!

“Double-select” means to place the cursor over an item, and quickly press SELECT

!

two times, like double-clicking with a computer mouse. Pressing SELECT too slowly
on double select will only highlight an item. Pressing it rapidly will initiate an action.

System Conventions

These conventions are used in the system:

The software that runs thesystemusesgraphic display elements similartothose used

!

in many personal computers. References to these elements in the software or in the
manual are defined in the glossary in the

On a menu, protocol, or other display, a highlight bar indicates that the item or name

!

contained within the boundaries of the highlight bar is in the process of being selected.
Pressing the SELECT control or other related control actually selects the item,
assigns a value to a system parameter, or initiates the action related to the selected
item.

On a menu, an underlined letter indicates that pressing the underlined letter on the

!

system keyboard will have the same effect as choosing the menu item with the track­ball and the SELECT control.

On the system keyboard, pressing the Superkey and another designated key, for

!

example 2D Maps, allows you to quickly change a system parameter without using
the menu on which the parameter appears.

1--2

Reference Manual

HDI 5000 Reference Manual 4703-0027-03

.

Read This First

Pressing a key or control the first time initiates a mode change, function, or operation,

!

or changes the value of a system parameter. Pressing the same key or control a sec­ond time resumesaprevious mode or system parameter, cyclestothe next setting, or
ends the function or operation. All MENU controls work this way, and it can be quicker
to press the MENU control than to select Close, especially to exit a submenu.

On a menu, protocol, or other display, text that is lighter in color than the other text on

!

the display indicates that the item ornamecontained withintheboundaries isnot avail­able for selection in that menu, protocol, or display.

A

!

A

!

Selecting Close from a menu ordisplayremovesthe menuordisplayfrom the screen.

!

Selecting + or -- increases or decreases the value of the parameter.

!

An ellipsis ... on a menu indicates that a submenu is available from the selection.

!

To highlight a menu, protocol, or other display item, use the trackball to move the cur-

!

sor to the particular item.
To enter text into a text field, use the keyboard.

!

The softkeys, located on the lower right of the control panel, assume functions based

!

on your control selections. For example, pressing VCR CTRL results in the softkeys
assuming these VCR control functions: PLAY, PAUSE, STOP, FF (Fast Forward),
and REWIND.

or indicates an option or alternative for selection.

or indicates that an option or alternative has been selected.

System Upgrades and Manual Set Updates

ATLUltrasound is committed to innovation and continuedimprovement. Upgrades maybe
announced that consist of hardware or software improvements. Updated manuals will
accompany those system upgrades.

Customer Comments

If you have questions about the manual set, or you discover an error in the manual set,
please call theATL Customer Service at [phone]; orifyou are outsidethe USA, call
the nearest ATL office, listed later in this section. You can alsosendelectronic mail (e-mail)
to ATL Technical Publications at the following address:

[e-mail]

HDI 5000 Reference Manual 4703-0027-03

1--3

Read This First

If You Need Assistance

Customer service representatives are available worldwide to answer questionsandto pro­vide maintenance and service.

Within the United States

For assistance within the USA, contact the ATL corporate headquarters.
ATL Ultrasound

P.O. Box 3003
Bothell, WA 98041-3003
[phone]

For specific questions, use the following directory:

Customer Service

[phone]

Customer representative

!

Upgrade information

!

Sales information

!

Pricing and ordering information

!

Delivery information

!

Marketing Communications

[phone]

Article reprints

!

Videotapes

!

Product literature

!

Supplies and Accessories

[phone]

ATL Learning Center

[phone] or [phone]

Applications course information

!

and referrals
Registration for ATL courses

!

Educational materials

!

Consultation for educational needs

!

Accounts Receivable

[phone] or [phone]

Payments

!

Account balance

!

1--4

HDI 5000 Reference Manual 4703-0027-03

Read This First

Outside the United States

For assistance outside the USA, contact the nearest office:

African Countries , s ee Eur opean Headquar ter s
Algeria, see France
Argentina

ATL Argentina S. A.
Av. General Paz 9082
1408 Buenos Aires

Asian Countries Not L isted , s ee Hong Kong
Australia (Asia Pacific Headquar-

ters)

ATL Australia Pty Ltd.
Unit 2, 4 Skyline Place
Frenchs Forest NSW 2086
Australia

Austria

ATL Austria Gesellschaft m.b.H.
Carlbergergasse 38/13
A-1230 Wien (Vienna)

Belgium

ATL Belgium, N.V.
Keiberg-Paviljoen 209
Excelsiorlaan 53
B-1930 Zaventem

Telephone: [phone]/2490
Fax: [phone]

Telephone: [phone] or 800 251 400
Fax: [phone]

Telephone: [phone]
Fax: [phone]

Telephone: [phone]
Fax: [phone]

Brazil

ATL do Brasil, Ltda.
Rua Assungui, 535 -- Saúde
04131-001, São Paulo, SP

Cambodia , s ee Singapor e

HDI 5000 Reference Manual 4703-0027-03

Telephone: [phone]
Fax: [phone]

1--5

Read This First

Canada

ATL Canada Ltd.
601 Milner Avenue
Scarborough, Ontario M1B 1M8

Telephone: [phone] or 800 263 1647
Telephone, Quebec: 800 811 4113
Fax: [phone]

Carib b ean , s ee Latin Amer ic an Headquar ter s
China

ATL China -- Beijing
Unit 1010, Beijing East OceanCenter

Telephone: [phone]

Fax: [phone]
24A Jian Guo Men Wai Avenue
Chao Yang District
Beijing 100004

European Countries Not Listed, see European Headquarters
European Headquarters

(European Union representative)
ATL Munich

Edisonstrasse 6

Telephone: [phone]

Fax: [phone]
D-85716 Unterschleissheim
Munich, Germany

France

1--6

ATL France S.A.R.L.
ZA de Courtaboeuf
19, Ave de Norvege, BP 320
F-91958 Courtaboeuf Cédex

Germany

ATL (Deutschland) GmbH
Norbertstrasse 8
D-42655 Solingen

Hong Kong

ATL Hong Kong
Rm 935, New World Building,
East Wing
24 Salisbury Road, Tsim Sha Tsui
Kowloon, Hong Kong

Telephone: [phone]

Fax:[phone]

Telephone: [phone]

Fax: [phone]

Telephone: [phone]

Fax: [phone]

HDI 5000 Reference Manual 4703-0027-03

Read This First

India

Philips Medical Systems India Ltd.
3, Haddows Road
Chennai 600 006

Italy

ATL S.p.A.
Via dei Missaglia 97, Palazzo B4
1-20142 Milan

Korea

Philips Medical Systems Korea
Eunsung Building, Fourth Floor
53-8 chungdam-dong
Kangnam-Ku, Seoul

Laos , s ee Singapor e
Latin American Headquarters

255 Alhambra Circle, Suite 850
Coral Gables, FL 33134
USA

Luxembourg , s ee Belgium

Telephone: [phone]

Fax: [phone]

Telephone: [phone]

Fax: [phone]

Telephone: [phone]

Fax: [phone]

Telephone: [phone]

Fax: [phone]

Malaysia

Electronic Systems (M) Sdn Bhd
No. 76 Jalan Universiti
46200 Petaling Jaya
Selangor Dahrul Ehsan

Mexico

Philips Sistemas Medicos S.A. de
C.V.
Norte 45, #669
02300 México, D.F., México

Middle East , s ee Eur opean Headquar ter s

HDI 5000 Reference Manual 4703-0027-03

Telephone: [phone]

Fax: [phone]

Telephone: [phone]

Fax: [phone]

1--7

Read This First

The Netherlands

ATL Netherlands, B.V.
Polaanerbaan 13H
NL-3447 GN W oerden

New Z ealan d , s ee Aus t r a lia
Pacif i c I slan d s , s ee Aus t r a lia
Peru

Philips Peruana, S.A. Medical Sys­tems
Ave. Comandante Espinar #719
Miraflores
Lima 19, Perú

Poland

Philips Polska Sp. z.o.o. PMS
A1. Jerozolimskie 195B
Warsaw 02-222

Singapore

Philips Medical Systems
620A Lorong 1 Toa Payoh
Singapore 319762

Telephone: [phone]

Fax: [phone]

Telephone: [phone]

Fax: [phone]

Telephone: [phone]

Fax: [phone]

Telephone: [phone]

Fax: [phone]

1--8

Spain

Philips Sistemas Medicos, SA
Calle Martinez Villergas 49
28027 Madrid

Sweden

Philips Medicinska System AB
Kottbygatan 7
S-164 58 Stockholm

Switzerland

Philips Medical Systems
Allmendstrasse 140, Postfach 670
CH-8027 Zurich

Telephone: [phone]

Fax: [phone]

Telephone: [phone]

Fax: [phone]

Telephone: [phone]

Fax: [phone]

HDI 5000 Reference Manual 4703-0027-03

Read This First

Thailand

Philips Electrical (Thailand) Ltd.
209/2 Sanpavut Road
Bangna, Bangkok 10260

United Kingdom

ATL UK Ltd.
Arden Press House, Pixmore Ave­nue
Letchworth, Hertfordshire
England SG6 1LH

Telephone: [phone]

Fax: [phone]

Telephone: [phone]

Fax: [phone]

HDI 5000 Reference Manual 4703-0027-03

1--9

Controls

This section contains information on all system controls, regardless of system configura­tion. It is arranged as follows:

Monitor Module

!

Control Module

!

Main Chassis

!

For specific information about the VCR controls, the hardcopy device controls, network
devices, or other peripherals see the manufacturer’s instructions for those devices.

Monitor Module

The controls on the video monitor affect brightness, contrast, background color, and the
br ightnes s of t he lightbar ( F igur e 2-- 1) . When a c ontr ol is pr es s ed, an on- s c r een dis play
provides information about the relative level of brightness, contrast, background color, or
lightbar brightness (some monitors do not have an on-screen display for lightbar bright­ness). The on-screen display remains on until the timeout period ends, which is about
three seconds after the control is last pressed. To reset the monitor module control setting
to the default setting, press the increase and decrease controls simultaneously.

Before imaging with the system, wait about 20 minutes after turning the system on. The
system can be used, but the video monitor requires a warm-up period. This warm-upperi­od is necessary to ensure consistent image quality.

Brightness adjusts the light output of the entire display.

Contrast adjusts the difference in light output between the light and dark parts
of the display.

Background Color selects the background color of the display.

Lightbar adjusts the brightness of the lightbar, which illuminates the control
panel.

CAUTION

HDI 5000 Reference Manual 4703-0027-03

Maintaining a very high display-contrast level can damage your screen. Do not
use high-contrast settings for an extended period of time.

2--1

Controls

""""

""""

Monitor Adjustment

Optimal brightness and contrast settings can vary in different lighting conditions and even
from person to person. To minimize incorrect settings when there are multiple users, it is
best to keep the monitor set to the default values.

To display the current monitor control settings:

Press a background color, brightness, or contrast monitor control to display the current
control setting (Figure 2--1). Settings are displayed for approximately 2 seconds. The
lightbar brightness varies, but there is no on-screen display.

To adjust the monitor contrast and brightness to a default setting:

1. Simultaneously press the up and down contrast controls twice to set the monitor to the
factory default.

2. Simultaneously press the up and down brightness controls twice to set the monitor to
the factory default.

3. Simultaneously press the lightbar controls twice to set the monitor to the factory
default.

4. Press the background color control to select the background color onthe display.Col­or 1 is the factory default option.

2--2

5. Press the lightbar brightness control to adjust control panel illumination.

Background color selection

Lightbar brightness

Monitor contrast

Monitor brightness

Figure 2--1. Monitor Module Controls

HDI 5000 Reference Manual 4703-0027-03

Controls

Monitor Latches

The monitor latch has been designed to avoid inadvertent unlatching when you place
items in the tray under the monitor. The handle requires a tool (small screwdriver or metal
rod) to unlatch it.

To unlatch the monitor, insert the tool in the center of the latch handle. Push down to rotate
the latch handle to the down position. Slide the handle toward the rear of the monitor to
unlock the latch. When the latch mechanism is unlocked, the latch handle hangs down
(Figure 2--2), and then the monitor can be removed from the system.

The monitor latch secures the monitor to the system. It is not a tilt/swivel latch. The latch
must remain in the locked position during normal system operation. Unlock the latch only
to remove the monitor from the system. The latch is shown in Figure 2--2.

WARNING

The monitor can fall off of the system if the latches are not locked.

HDI 5000 Reference Manual 4703-0027-03

2--3

Controls

Monitor latch
safety label

Front of monitor

Use a metal rod or a screw­driver to rotate latch handle
to lock or unlock latch.

Latch assembly

Figure 2--2. Monitor Latches

2--4

HDI 5000 Reference Manual 4703-0027-03

Controls

Control Module

See Figure 2--3.

MENU

2D / MM

3D / CINE

PWR

PHYSIO

DOPPLER

TRIGGERS

NET/DISK

COLOR

VOLUME

PROTOCOL PARAMS TIMERS

3D OPT

L/R INVERT

TOP/BOT

TDI

TOOLBAR

OUTPUT

REVIEW

END EXAM

DEL IMG

VCR CTRL

COLOR / DOPPLER

SCALE PRIORITY

BASELINE ANG COR

STEER

PULSED CW

OPTIMIZATION

FR RATE

FILTER ZONES

SV SIZE

0/60

"

INVERT

COLOR PWR IMG MMODE

HARMONICDUAL 2D/COLOR ADV MEASDEL MEASAREACALCS DISTANCE

COMPRESS

COMP IIMG

UPDATE

2D / M MO DE

SEC WIDTH

CURSOR

SELECT

DEPTHFOCUS

ZOOM

HD ZOOM

2D

RECORD

PRINT

2D GAIN

DOP GAI N

COL GAIN

FREEZE

HIGH Q

R

Figure 2--3. Control Module

0/60

"

Selects a Doppler angle correction value of 60 degrees to the right, 60 degrees to the left,
or 0 degr ees angle c or r ec t ion. See als o ANG COR .

2D

Starts 2D imaging. When 2D imaging is active, the indicator next to the control lights.

HDI 5000 Reference Manual 4703-0027-03

2--5

Controls

2D GAIN

Adjusts the receiver gain for the 2D and M-mode image displays. Turn the control clock­wise to increase the gain; turn the control counterclockwise to decrease the gain.

2D/COLOR OPTIMIZATION

Selects from among up to three different fundamental optimization settings for 2D, Color,
TDI, or Power imaging. Settings are dependent upon the active Tissue Specific preset.

2D/MM MENU

Displays a menu with 2D display parameters: Gray Maps (GMap), Chroma (gray-scale
colorization), Persistence, TIs/TIb, Biopsy Sel, 2D PRF, and Biopsy. The following M-
mode display parameters are also available from this menu: Speed and Display.

3D/CINE MENU

Displays a menu with Cineloop review parameters that control the Cineloop sequence,
change the speed of the Cineloop playback, select loop or sweep playback, and trim the
Cineloop sequence. The selections related to 3D imaging are as follows: Create 3D,
Views, Slice, and Cine. With the Advanced 3DI Position Sensor,a Resolution selection
is also available.

3D OPT

Press 3D OPT, during 3D imaging, to optimize the image for either general imaging, or
cardiology. The display indicates the system is optimized for 3D as follows: 2D Opt:Gen

3D or 2D Opt:Res 3D.
ADV MEAS

Displays the Meas Tools menu. The Meas Tools menu includes the following measure-
ment tools: Volume, Vol Method, Vol Flow, CO (Cardiac Output), Heart Rate, Time/
Slope, Calibrate, Set Region, Mean Tr (Mean Trace), Trace, and any optional
measurement tools that you have purchased. Optional tools include % Area Reduction (%

Area Red), % Diameter Reduction (%DiamRed), Hip Angle, and d:D Ratio.
ANG COR

Corrects for the anglebetween the beam axis andthedirection offlow. The cosine theta of
this angle is used in the Doppler equation to calculate the velocity of blood flow. The range
of Doppler angle correction is --70 degrees to +70 degrees in 2-degree increments. Push
the control up to rotate the flow direction cursor in the clockwise direction; push the control
down t o r otate t he flow dir ec t ion c ur s or in t he c ounter c loc k w is e dir ec tion. See als o 0/60

AREA

Displays a measurement cursor, initiates an area andcircumference measurement, ends
a measurement, and cycles through the available 2D or Doppler tracing methods.

.

""""

2--6

HDI 5000 Reference Manual 4703-0027-03

Controls

BASELINE

Shifts the Doppler zero baseline for Doppler and Color imaging.

CALCS

Displays the calculations menu or measurement protocol that supports the active scan­head and clinical option.

COL GAIN

Adjusts the receiver gain for the ColororPower imaging display.Turn the controlclockwise
to increase the ColororPower gain; turn the control counterclockwise to decrease the Col­or or Power gain. Also adjusts the saturation of the VCR playback display.

COLOR MENU
Displays a menu with Color display parameters: Color Maps, Persistence, Post Pro-

cess, Sensitivity, Line Density, (L Density), Mode (velocity, variance, and power), Dy­namic Motion Differentiation (DMD), Blending, Smooth, and Units.

COLOR

Turns Color imaging on and off. Displays the previously active imaging mode. WhenColor
imaging is active, the indicator next to the control lights.

COMP IMG

Activates SonoCT Real-time Compound Imaging. This control is active only for specific
scanheads that support this option. When active, an indicator next to the control lights.

COMPRESS

Changes the dynamic range of the 2D image. The dynamic rangeof the Power image can
be changed from the PWR menu.

CURSOR

During 2D imaging, displays a line of dots that corresponds to the M-line (for M-Mode) or
D-line and a depth cursor (for Doppler). The locations of the line and the depth cursor will
be used for data acquisition when you initiate a scrolling display. You can add the angle
correction cursor by pressing the ANG COR control.

CW

Press CW to turn on continuous-wave (CW) Doppler imaging. Press again to turn off CW
Doppler imaging and display the previously active imaging mode. When CW Doppler
imaging is active, the indicator next to the control lights.

DEL IMG

With the Image Management option, deletes the last image stored on the hard disk. With
the Digital Video Streaming (DVS) option, deletes the selected review image.

HDI 5000 Reference Manual 4703-0027-03

2--7

Controls

DEL MEAS

Deletes the current measurement or a portion of the currently displayed circumference
trace.

DEPTH

Changes the image display depth.

DISTANCE

Activates the first cursor for a distance measurement.

DOP GAIN

Adjusts the receiver gain for the Doppler image display. Turn the control clockwise to in­crease the Doppler gain; turn the control counterclockwise to decrease the Doppler gain.
Also adjusts the tint of the VCR playback display.

DOPPLER MENU
Displays a menu with Doppler display parameters: 2D Update, Gray Maps, Chroma,

Scale Units, Speed, and Display.
DUAL

Provides access to the dualimage display. Dual images can be used for measurements in
a singleimage, if system requirements are met. Measurements are not allowed otherwise.
The UPDATE control is used to alternately activate the images.

2--8

END EXAM

With the Image Management option, press this control to end the current patient exam.

FILTER

Changes the value of the Doppler, Power, or Color wall filter.

FOCUS

Changes the depth of the focal zones. Pressing the control moves the focal zones up or
down to a shallower or deeper depth as reflected by the focal zone markers on the display.

FREEZE

Freezes all displayed images and captures the previously displayed frames for Cineloop
review,M-mode review, Doppler review,and3D creation. Displays the CAPTURE softkey,
which is used to capture loops for image management and review.

FR RATE OPTIMIZATION
In SonoCT Real-time Compound Imaging, changes the scanhead sweep between Sur-

vey and Target. Also changes the frame rate during 2D, Color, and Power imaging.

HDI 5000 Reference Manual 4703-0027-03

Controls

HARMONIC OPTIMIZATION

Selects from among up to three different harmonic optimization settings for 2D THI, TDI
Harmonic, 2D CSI, or Flow CSI. The settings are dependent upon the active Tissue Spe­cific preset.

HD ZOOM

During acquisition, provides optimal processing power to a selected region of interest. An
active (real-time) display is required for this feature.

HIGH Q

####

Turns on or turns off the peak Doppler trace display, and initiates the automatic calculation
and display of the specific values associated with the Doppler waveform.

INVERT

Inverts the pulsed- or continuous-wave Doppler display or Color display relative to the
baseline.

L/R INVERT

Selects the left or right orientation of the 2D image. An orientation marker adjacent to the
image display denotes the setting of this control.

MMODE

Displays M-mode imaging. Press a second time to return to the previous active imaging
mode. When M-mode imaging is active, the indicator next to the control lights.

NET/DISK MENU

Displays a menu with network and disk parameters that control formatting and ejecting an
optical disk, viewing the hard disk and optical disk exam directories, and getting disk
capacity and network status. With the DVS option, the patient directory is available from
the menu.

OUTPUT

Adjusts the ultrasound power output. Pressing this control up increases the acoustic out­put as reflected by anincrease in thethermal indexandmechanicalindexvalues;pressing
it down decreases the acoustic output as reflected by a decrease in these values.

PARAMS

With the DVS option, displays the Exam Parameters dialog box, from which you can
adjust capture format, ECG trigger, compression, and capture length for the active
acquisition protocol. During freeform capture, the Exam Parameters dialog box displays
the parameters for clip acquisition.

HDI 5000 Reference Manual 4703-0027-03

2--9

Controls

PHYSIO MENU

Displays a menu with physio parameters that control the display of the ECG trace and the
physio channels A and B. You can then increase ordecrease gain, raise or lower the posi­tion of the physio traces, and display the TRIGGERS menu.

PRINT

Prints to the destination specified in the Peripherals and Image Management setups.
With the DVS option, stores images on the hard disk.

PRIORITY

Establishes the priority of display of gray-scale versus color information during Color and
Power imaging. The indicator on the gray scale graphically represents the gray level or
echo amplitude above which gray-scale information will be displayed and below which col­or information will be displayed.

PROTOCOL

With the DVS option, displays the Protocol Startdialog box from which you can select an
acquisition protocol.

PULSED

Turns onthe pulsed Doppler display.Press againto turn the pulsed Doppler display off and
display the previously active imaging mode. When pulsed wave Doppler is active, the indi­cator next to the control lights.

2--10

PWR IMG

Displays Power Motion imaging or Color Power Angio imaging, depending upon the clini­cal option selected. Press a second time to return to the previously active imaging mode.
When Power imaging is active, the indicator next to the control lights.

PWR MENU
Displays a menu with Power Motion imaging display parameters: Power Maps, Persis-

tence, PostProcess, Sensitivity, LDensity,DMD, Background, Display, and Dynam­ic Range. DMD is unavailable in cardiology clinical options.

RECORD

Initiates a recording of the video display on the system VCR. During recording, press this
control to pause the recording.

REVIEW

With the Image Management and the DVS options, allows review of stored images.

HDI 5000 Reference Manual 4703-0027-03

Controls

SCALE

Changes the pulserepetition frequency and the range of the displayed velocity or frequen­cy display range in Color, Power, and Doppler imaging. Automatically initiates high PRF,
when maximum velocity or frequency threshold is attained. Multiple sample volumes are
displayed.

SEC WIDTH

Changes the width of the 2D sector.

SELECT

Initiates an action or enablesacontrol. Alsoallows youto select a trackball option from the
trackball selection menu, which briefly appears above the image display.

STEER

Selects among three possible steering angles for linear array scanheads. The exact
angles are scanhead dependent.

SV SIZE

Changes the sample volume size. The available settings are as follows for all scanheads,
except the D2 TC pencil probe: 1.0, 1.5, 2.0, 2.5, 3.0, 3.5,4.05.0,7.5, 10.0, 12.5, and 15.0
mm. The D2 TC pencil probe has the following settings: 1.5, 2.0, 3.0, 5.0, 10.0, 15.0, and

25.0 mm.

TDI (Tissue Doppler Imaging)

With a compatible scanhead, in 2D Color, Color M-mode, and pulsed-wave Doppler, acti­vates the TDI display.

TGC Slide Controls

Each slide control adjusts the receiver gain for the 2D and M-mode image displays at a
particular depth. When the slide controls are set in the center, a default curve is assigned
that gives a uniform gainthroughouttheimage display. The TGC curve on the screen does
not directly correlate to the TGC slide control positions. Color,Doppler, andPowerimaging
are not affected by the TGC slide controls; these modes assume a flat TGC curve.

TIMERS

With the DVS option, controls three timers used in freeform capture and acquisition proto­cols.

TOOLBAR

With the DVS option, displays the image-review toolbar. Press a second time to remove
the image review toolbar.

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Controls

TOP/BOT

Changes the top and bottom orientation of the image display. An orientation marker adja­cent to the image display denotes the setting of this control.

Trackball

The trackball is used to movedisplayelementsofalltypes. Press SELECT to cycle among
the available trackball options. The options appear immediately above the 2D image dis­play.

TRIGGERS MENU

Displaysthe Triggersmenu. The Triggers menu contains selections for changingthetim-
ing of image update relative to cardiac cycles.

UPDATE

In ECG-triggered imaging, activates ECG update based on thetriggersyou have selected.
In dual imaging, switches between the two images: if the dual display is active, pressing
UPDATEtoggles between activating the left and right images; if the dual display is frozen,
pressing UPDATE switches between the display of the Cineloop sequence related to each
image. In duplex, UPDATE activates the 2D image or the scrolling display. In simulta­neous, UPDATE switches between simultaneous and duplex update.

VCR CTRL
Allows the VCR to be operated from the system control panel. Displays PLAY, PAUSE,

STOP, FF, and REWIND softkeys.
VOLUME

Push the controlupto increase the audiovolume from the system speakers. Push the con­trol down to decrease the audio volume from the system speakers.

ZONES

Selects the number of focal zones and the distance between them. The maximum number
is five. The range and number supported depends upon the type of scanhead being used.

ZOOM

Magnifies the image in freeze or real-time. There are eight settings. The trackball can be
used to pan the magnified image to see areas that are not displayed.

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HDI 5000 Reference Manual 4703-0027-03

Controls

Softkeys

There are five softkeys located on the right side of the control panel. The softkeys that
appear are dependent upon system operation. For example, when you press VCR CTRL,
the VCR softkeys appear.

PROTOCOL PARAMS TIMERS

TOOLBAR

OPTIMIZATION

HARMONICDUAL 2D/COLOR ADV MEASDELMEASAREACALCS DISTANCE

FR RATE

HIGH Q

R

UPDATE

SELECT

RECORD

PRINT

3D CALIB

FREEZE

Softkeys

Figure 2--4. Softkey Controls

2D CINE

Plays back the 2D Cineloop review.

3D CALIB

Displaysthe3D Calib menu, whichincludes selections for resolution, trigger delay, trigger
interval,frames, and frameinterval, memory used, delay,even, systole, andR-R.With the
Advanced 3DI option, initiates calibrated 3D acquisition.

3D UNCAL

Starts and stops Cineloop acquisition for uncalibrated 3D image rendering.

ACCEPT

Accepts image clips for storage to the hard disk.

CANCEL

In 3D imaging, closes the 3D Calib menu, aborts the current 3D acquisition, and returns to
2D imaging. With theDVSoption,stopsimagecapture, deletes image frames captured for
the current view, and resets the softkeys.

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Controls

CAPTURE

Initiates the acquisition of a clip.

DONE

With the DVS option, stops image capture.

END

With the DVS option, ends an acquisition protocol, the image collection for the stage, and
advances to the next stage of an acquisition protocol.

FF

A VCR control used to fast f orward the VCR.

LABEL VL
Used to label and store a 3D image sequence using a Label Volume form.
PAUSE

Temporarily freezes acquisition. Enables the CANCEL and RESUME softkeys. A VCR
control used to pause the VCR.

PLAY

A VCR control used to play the VCR.

REJECT

Deletes a selected clip and returns to real-time imaging.

RESUME

Resumes 3D acquisition. With the DVS option, resumes image capture.

REWIND

A VCR control used to rewind the VCR.

START

Closes the 3D Calib menu and begins acquisition. Enables the CANCEL and PAUSE
softkeys.

STOP

A VCR control used to stop the VCR.

STORE

Stores selected images to the hard drive. Unselected images are discarded.

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Controls

STORE VL

Stores anacquired 3Dimage volumetothe system harddisk. Also initiates datatransfer to
the workstation or the magneto optical disk, depending on your system’s network setups.

VIEW >

Advances to the next logical view in a stage of an acquisition protocol.

VIEW <

Returns to the previous logical view in a stage of an acquisition protcol.

Keyboard

The keyboard contains special function keys, alphanumeric keys, annotation keys, and
s uper k ey s ( F igur e 2-- 5) . With t he s pec ial f unc tion k ey s , y ou c an per for m s pec ific func ­tions, such as choosing a scanhead or changing setups. The alphanumeric keys areused
with the annotation keys to enter text. The superkeys are used with the Superkey (there
are two, for convenience) to more quickly adjust various image display processing or for­mat characteristics.

The superkeys, labeled with small text below the characters, allow quicker adjustments
than if you usethe corresponding MENUcontrols. Using the superkeys results inanimme­diate change to the setting. A five-second prompt appears above the image display to indi­cate the new setting. The image display and the image information is slso updated to
reflect the new setting.

On a menu, an underlined letter is a keyboard equivalent. When you press a keyboard
equivalent, the result is the same as selecting the menu item.

The following paragraphs describe the functions of each of the keys on the keyboard that
have special functions. Alphanumeric keys that do not have special functions are simply
used for text entry, and they are not listed or explained in the following.

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2--15

Controls

Scan

head

!

Shift

Quick

Save

Q

2D M aps

A

R

Fr Rate

F

Mean Tr

Page

Setups

%
5

Page

Report

^
6

T

Biopsy

G

Tr Dir

VBCZX

CDispCPers Pwr Bg

&*

7

Y

H

Dop

Chroma

U

Graphics

NM

2D Ref

J

Simult

Text

Text Text

C D

8

I

Print

Suspend

Protocol

TI

Text

BA

(

)

9

P

O

Field

A/BLocal

LK

Counter

<

>?

,

Superkey

Video

Title Arrow

Erase

Line

_

--0

:
;

/.

Erase

Arrow

Screen

+
=

}{
][

”

Micro

phone

’

Shift

Playback

Dop

Maps

Patient

Data

@
21

Chroma

CMaps1

TI

Help

2D

Disp

Format

#
3

EW

2D Pers

DS

Speed

Superkey

$

4

Figure 2--5. Keyboard

$%&'

Press these keys to move the annotation cursor in the direction the arrow points. Press
Shift and an arrow key to annotate the image display at the cursor location with an arrow
that points in the direction of the arrow key. The trackball can then be used to position the
arrow on the display . Additional arrows may be displayed by pressing shift and this key.

Erase

Backspace

Return

Cine

Set

TextHome

Erase

Text

Body

Marker

SH PosHome

2--16

1,2,3,4

Press the Superkeyand one of these keys to select a scanhead, if the scanhead is com­patible with the currently selected Tissue Specific preset. The numbers correspond to the
scanhead receptacles: 1 corresponds to the scanhead receptacle on the left, 2 the middle,
3 the right, and 4 is the pencil probe receptacle. If the scanhead is not compatible with the
currently-selected Tissue Specific preset, then the system will prompt you to select a
scanhead and a Tissue Specific preset.

2D Chroma
Press the Superkey and this key to change the 2D imaging Chroma map.
2D Maps

Press the Superkey and this key to change the 2D gray map.

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Controls

2D Pers

Press the Superkey and this key to change the 2D persistence setting. You cannot
change persistence, dynamic range, or frame rate when the system is in freeze.

2D PRF
Press Superkey and this key to cyclethe frame rate inall modes through Low, Med, and

High values. 2D PRFis equivalent to the 2D PRF selection on the 2D/MMode menu. Se-

lecting an alternate 2D PRF setting may reduce or eliminate reverberation artifact.

2D Ref

Not functional at this time.

Arrow

Displays an arrow on the display. Use the trackball to move the arrow. Press the SELECT
control to anchor the arrow. Press Arrow again to display another arrow.

Biopsy
Press the Superkeyand this key to turn on or turn off the display of the biopsy guide line.
Backspace

Erases the character to the left of the cursor.

Body Marker

Selects a body marker. Once the body marker is displayed, you can use the trackball to
move the body marker. The available body markers are dependent upon the Tissue Spe­cific preset.

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Controls

CDisp
Press the Superkey and this key to turn on or off the display of color on the image.
Cine Playback
Press the Superkey and this key to alternate between play and pause in Cineloop review.
CMaps 1
Press the Superkey and this key to change the color map.
Counter

Press the Superkey and this key to display a dialog box that can be used to set the VCR
frame counter, search the tape for a specific frame, or cancel the operation. The frame
counter is turned on or off in Setups.

CPers

Press the Superkey and this key to change the 2D Color or Power Motion persistence
level. Ensure that the system is not in freeze; you cannot change persistence, dynamic
range, or frame rate when the system is in freeze.

Disp Format
Press the Superkey and this key to change the size of the scrolling display.

2--18

Dop Chroma
Press the Superkey and this key to change the Doppler Chroma map.
Dop Maps

Press the Superkeyandthiskeyto change the gray map that isusedfor the Doppler imag­ing display.

Erase Arrow

Erases an arrow from the display.

Erase Line

Erases a line of text. The cursor must be located on the lineof text that youwant to erase.

Erase Screen

Erases text, title, body markers, arrows, and scanhead position markers from the display.

Erase Text

Erases user-entered text from the display.

HDI 5000 Reference Manual 4703-0027-03

Controls

Field A/B

Press the Superkey and this key to select among three settings that vary the clarity of the
VCR freeze-frame image. A VCR freeze-frame image is composed of two video fields.
Field A/B cycles among field A, field B, and the video frame. After pressing the FREEZE
control, you must press STOP on the VCR (or the STOP softkey) touse the Field A/B key
to select the A or B fields or frame.

Graphics

Press the Superkey and this key temporarily removes the graphics from the captured
review images.

Home

P os ition s t he c ur s or at the home pos ition. See Set H o m e .

MeanTr

Press the Superkeyand this key to turn on or off the display of the High Q mean trace on
the Doppler display.

Microphone

Turns the microphone on or off.

Page

''''

Pages through the review images and the patient report.

Page

%

Pages through the review images and the patient report.

Patient Data
Displays or removes the Patient Data Entry form.
Print Local
Press the Superkey and this key to print with an internal printer or store an image. The

Use Print ButtonTo setup in the Image Management setups determines the function of
the Print Local key. With the DVS option, it initiates a print with an internal printer.

Pwr Bg

Press the Superkey and this key to turn on or off the background of the Power imaging
overlay.

Quick Save

Saves the current system settings as a user-defined preset for the active scanhead and
clinical option.

HDI 5000 Reference Manual 4703-0027-03

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