December 12, 2023 | Author: Anonymous | Category: N/A
DCY2.782.A1200SS/T1.0/A-E
Apogee 1200 Digital Color Doppler Ultrasound Imaging System
OPERATION MANUAL
CONTENTS Preface………….............................................................................................................. III 1. Application Scope and Cautions……………..……………………………………..…..1-1 1.1
APPLICATION SCOPE .................................................................................................. 1-1
1.2
OPERATION CONDITIONS ............................................................................................ 1-1
1.3
POWER REQUIREMENTS ............................................................................................. 1-1
1.4
SAFETY ..................................................................................................................... 1-2
1.5
CAUTIONS ................................................................................................................. 1-3
1.6
CLASSIFICATIONAUTION .............................................................................................. 1-5
2. Composition, Principle and Specifications……………………………………………2-1 2.1
COMPOSITION AND OPERATION PRINCIPLE .................................................................. 2-1
2.2
TECHNICAL SPECIFICATIONS ....................................................................................... 2-3
2.3
DIMENSION AND WEIGHT ............................................................................................ 2-4
3. Introduction to System Components .....................................................................3-1 3.1
SYSTEM CONFIGURATION ........................................................................................... 3-1
3.2
INTRODUCTION TO SYSTEM COMPONENTS .................................................................. 3-2
4. Getting Started……………………………………………….. .......................................4-1 4.1
SYSTEM INSTALLATION ............................................................................................... 4-1
4.2
SYSTEM INSPECTION AND MAINTENANCE .................................................................... 4-2
4.3
PERFORMING AN EXAM .............................................................................................. 4-6
4.4
RELOCATION OF SYSTEM............................................................................................ 4-8
5. System Setup ...........................................................................................................5-1 5.1 5.2
SYSTEM SETUP ..................................................................................... ……………..5-1 SETUP INSTRUCTION...................................................................................................5-2
6. Imaging .....................................................................................................................6-1 6.1
PREPARATION ............................................................................................................ 6-1
6.2
SELECTING PROBE AND EXAM TYPE ........................................................................... 6-1
6.3
PRELIMINARY IMAGING ............................................................................................... 6-3
6.4
B-MODE IMAGING ...................................................................................................... 6-4
6.5
B/M MODE IMAGING ................................................................................................. 6-16
6.6
COLOR FLOW MAP IMAGING (CFM) .......................................................................... 6-21
6.7
COLOR POWER ANGIO IMAGING (CPA) ..................................................................... 6-25
6.8
MULTIPLE IMAGING................................................................................................... 6-26
6.9 6.10
PULSED WAVE DOPPLER IAMGING (PW) ................................................................... 6-28 CONTINUOUS WAVE DOPPLER IAMGING (CW)………………………………………..... 6-33
6.11
TISSUE DOPPLER IMAGING (TDI)………………………………………………………...6-33
7. Annotations of Image Information..........................................................................7-1 I
7.1
MANAGEMENT OF PATIENT INFORMATION..................................................................... 7-1
7.2
ADDING ANNOTATION ................................................................................................. 7-3
7.3
BODYMARKS …………………………………………………………………………….…7-3
7.4
ADDING ARROW ………………………………………………………………….………..7-5
8. Measurement, Calculation and Report ...................................................................8-1 8.1
INTRODUCTION OF MEASUREMENT & CALCULATION ..................................................... 8-1
8.2
GENERAL MEASUREMENT .......................................................................................... 8-2
8.3
MEASUREMENT & CALCULATION PACKAGES .............................................................. 8-14
9.Cine and File Management..………………………………………………...………….9-1 9.1
SAVING IMAGE/ CLIP ................................................................................................. 9-1
9.2
CINE ......................................................................................................................... 9-1
9.3
SENDING FILES TO USB DISK ..................................................................................... 9-3
9.4
PRINTING IMAGE ........................................................................................................ 9-3
10. Maintenance，Inspection,Transportation and Storage. ...................................10-1 10.1
SYSTEM MAINTENANCE ............................................................................................ 10-1
10.2
TROUBLESHOOTING ................................................................................................. 10-1
10.3
CONTACT INFORMATION OF SIUI SERVICE ................................................................. 10-2
10.4
TRANSPORT AND STORAGE CONDITIONS ................................................................... 10-3
10.5
DISPOSAL ................................................................................................................ 10-3
APPENDIX A:
ABBREVIATION ................................................................................ A-1
APPENDIX B:
DESCRIPTION OF SYMBOL............................................................. B-1
APPENDIX C:
ACOUSTIC OUTPUT PARAMETER ................................................. C-1
APPENDIX D:
INSTRUCTION OF 3D IMAGING ..................................................... D-1
APPENDIX E:
RANGE, PRECISION AND ACCURACY OF ADJUSTMENTDISPLAY PARAMETERS ................................................................................. E-1
DCY2.782.A1200SS/T1.0/A-E
II
Preface
Preface To use this system correctly and safely and to ensure a long life, the user should thoroughly understand the functions, operations, instructions as well as its maintenance. Please read the information in this manual carefully before using the system. This system has been designed and manufactured safely for the operators and patients. However, for ensuring safety and reliability, please pay attention to the following instructions: a) This system should be operated only by or under the guidance of a qualified medical practitioner. b) This system belongs to Type BF Class I according to IEC 60601-1:2005. Please operate this system by following the safety requirements described in Chapter 1. c) Do not try to remodel the system. If necessary, contact our agent or us for help. d) The system has been completely adjusted and fixed before delivery. Do not try to readjust any adjustable parts that have been well fixed. e) If any abnormality occurs during operation, turn off the power supply immediately and contact our agent or us for help. f)
Connect the power cable of the unit to a grounded power socket at ground impedance of 0.1Ω or less.
g) Any peripheral devices connected to the analog or digital interfaces must be in compliance with relevant IEC standards (e.g. IEC 60950 for data processing equipment and IEC 60601-1 for medical equipment). Furthermore all configured connections shall comply with the valid version of IEC 60601-1-1 on system standard. Anyone who connects peripheral devices to the system IN/OUT ports shall ensure that the whole system complies with requirements of the valid version of IEC 60601-1-1. If in doubt, consult the technical service department or your local representative. h) The system does not provide special protection functions or measures for use with high frequency operation equipment. The users should be cautious for such application. i)
This Operation Manual may be slightly different from that of your equipment due to system software version, as well as configuration of options and accessories. The actual system that you purchase shall prevail. III
Preface
j)
The company shall be responsible for accuracy and integrity of this Operation Manual.
k) The company reserves the final right to interpret this Operation Manual.
IV
Application Scope and Cautions
Chapter 1 Application Scope and Cautions 1.1 Application Scope The system is designed for clinical ultrasound diagnostic exams.
1.2 Operation Conditions a) This system should be operated under the following ambient conditions for the safe and correct operation: Ambient Temperature: 0℃ to 40℃ Relative Humidity: 30% to 85% Atmospheric Pressure: 700hPa to 1060hPa 【Note 1】: If the operation condition is beyond the specified ranges above, no correct ultrasonic images are ensured. 【Note 2】: If the system is stored for a long time, the ventilation of the stored place shall be considered. See 10.4 Transport and Storage Conditions for the detailed storage conditions. b) Strong sources of radiated emissions or electromagnetic waves, from broadcast & TV station for instance, may cause the system to operate incorrectly or to display with noise. The system must be separated from such emission sources or electromagnetic waves. c) Do not operate this system while other devices are operating with motor or silex switch in the same power supply; otherwise, noise may enter the system from the power cable.
1.3 Power Requirements Never use this system when the power supply does not meet the requirements specified below, otherwise, the system may possibly be damaged. a) Power Voltage: Single phase, 100-240V~, tolerance±10%; 50Hz/60Hz±1Hz b) Connection of Grounded Device: Use a grounded power socket. Before connecting to the power supply, connect the additional potential equalization conductor to the 1-1
Application Scope and Cautions
equipotential terminal on another grounded system or an additional grounded device. c) The removable multi-jack socket provided together with the system can only be used to supply power for the system equipment. The connection of electric devices that are not part of the system and the removable multi-jack socket may result in danger. d) If the non-medical electrical equipment, supplied as a part of the system, is intended to be supplied via a multiple portable socket-outlet with a separating transformer, the direct connection of the non-medical electrical equipment to the wall outlet may result in risks. e) Do not try to deviate any additional multi-jack socket or wire from the removable multi-jack socket of system devices or from the system devices. f)
Any accessories or equipment which are not listed in this manual should not be connected to this system, otherwise, it may result in danger.
g) When the system configured as per this manual is in use, all power supply plugs of the devices shall be connected to the same special portable multiple socket-outlet. If the portable multiple socket-outlet is powered by a special power supply device, this power supply device shall be in compliance with requirements of IEC60601-1 and IEC60601-1-1. The portable multiple socket-outlet for the system shall comply with requirements of IEC60601-1-1 Appendix EEE. h) Do not place the removable multi-jack socket on the ground, otherwise, it may result in danger. i)
The maximum load capacity of the removable multi-jack socket shall not be less than the total load of all devices consisting of the system, or it may result in danger. 【Tip】: In regions where mains supply is not stable, it is recommended to use power supply from a stabilizer with output power of 250VA, so as to avoid damage to the system due to mains fluctuation.
1.4 Safety This system has been designed and manufactured in compliance with international standard IEC 60601-1:2005. To operate it correctly and safely, please follow the instructions below: a) This system is not explosion-proof. Do not operate it in a flammable or easy explosive environment (e.g. in the presence of anesthetics gas, oxygen or hydrogen).
1-2
Application Scope and Cautions
b) This system is not waterproof. Never allow water or other liquid to drip on to the system. c) This unit needs a protective grounding device. Its power cable must be connected to a grounding socket. If the system is powered by a power supply without grounding, its equipotential terminal must be connected to the equipotential terminal on another grounded system or an additional grounded device. Do not use the system where no ground terminal is available. d) Biological safety: The same as other diagnostic ultrasound products, the material used for this product is proved to be innocuous through a long-period trial. It will not result in allergy and stimulation to human body and skin. e) Ultrasound safety: ALARA (As Low As Reasonably Achievable) principle should be observed. Patients should always be exposed to the lowest practical transmit power levels for the shortest possible time. Freeze the system or keep the probe away from the patient if no scanning is performed. Do not examine the patient with the probe on a fixed position of the body for a long time; please check the display of acoustic output and MI, when powering on the system, inputting new patient ID or shifting from non-fetal to fetal application. WARNING: To avoid the risk of electric shock, this equipment must be connected to a supply mains with protective earth only.
1.5 Cautions a)
While operating the system, please follow the methods and procedures described in this manual.
b)
Always turn off the system and protect it with a dust-proof cover whenever the system is not in use.
c)
The system should be operated in a clean environment. Avoid operating it in a place with direct sunshine, impetuous temperature change, full of dust, close to heat source or high humidity; do not put anything on top of the main unit.
d)
Avoid severe vibration; otherwise the components in the system might be damaged.
e)
Before connecting or disconnecting probe(s), firstly ensure that the main unit is set in frozen state. It would be better to turn off the main unit power supply.
f)
Freeze the image whenever no exam is performed.
g)
Any endocavity probes, when in use, should be covered with a probe cover compliant to ISO4074:2002. Biological warning for probe cover: If the covers 1-3
Application Scope and Cautions
used for endocavity probes are condoms, they should be nonlubricant and nonmedicated. Practitioners should be aware that condoms have been shown to be less prone to leakage than commercial probe covers, have a six-fold enhanced AQL (acceptable quality level) when compared with standard examination gloves. Their AQL equals to that of surgical gloves. Users should be aware of latex-sensitivity issues and have available nonlatex-containing covers. DO NOT have any chemical substance (e.g. lubricant) contact the silica keypad of the operation panel, so as to prevent the silica keypad from swelling. h)
The transducer assembly specific to endo-cavity use shall be not excited when it is out of the patient’s body. Otherwise, such excitation does not comply with EMC requirements, which might result in harmful interference to other device(s) in the environment
i)
For instructions on probe disinfection and protection, follow the description in 4.2.9.
j)
It is prohibited to scan eyes with the probe. Keep the acoustic power as low as reasonably achievable (ALARA). Scan the body only in a period required for making the diagnosis, rather than scan the body for a long time. An extended scan might result in harm to personal health. Provided that clinical indications are required, the system operator shall be fully acquainted with acoustic output or be accessible to relevant thermal index. The probe, when exposed in the air and noticeable heat from the probe itself, should not be applied to trans-vaginal exam. Pay special attention to minimize exposed acoustic power and exposure period when used on an embryo or a fetus.
k)
To ensure safety, only qualified ultrasound coupling gel compliant to relevant standards shall be applied.
l)
During examination, in case images are interfered by an AC noise (hum-hum) due to the patient, put a shield sheet between the body and the bed as shown in Fig.1-1, and connect the sheet to the equipotential terminal of the main unit. The hum-hum interference noise can be eliminated.
m) The system operator should not touch any tangible metal parts of any electronic device in the patient environment and the patient at the same time. n)
The system does not provide special protection functions or measures for use with high frequency surgery equipment. The user should be cautious of such application.
o)
Shut down the system in correct procedures, otherwise it might result in system data loss or system failure. 1-4
Application Scope and Cautions
p)
Except for the USB port, do not disconnect the system or any other peripheral device (e.g. a printer) from any plug before the system is turned off, otherwise it may result in system damage or electric shock.
q)
The system is not intended for use with a defibrillator.
r)
The system should not be applied to cardiology directly.
s)
Multiple devices, when interconnected, might result in accumulative leakage current and dangers.
t)
Make sure to use the special components provided by SIUI for system component repair or replacement.
patient shield sheet bed
To the equipotential terminal of main unit Fig. 1-1 Lay a shield sheet to eliminate the hum (AC noise) interference
1.6 Classification 1.6.1 Protection against electric shock According to the type of protection against electric shock: Class I equipment. According to the degree of protection against electric shock: Type BF applied part. 1.6.2 Degree of protection against ingress of liquid The system belongs to IPX0, the probe/transducer head IPX7, and the probe cable IPX4.
1-5
Composition, Principle and Specifications
Chapter 2 Composition, Principle and Specifications 2.1 Composition and Operation Principle 2.1.1 System Composition The system consists of a main unit (including a monitor), probes and peripheral devices. The main unit includes a probe interface board, a T/R board, a digital processing board, a power board, a computer, a control panel (console), a monitor and an ATX power supply. See Fig. 2-1. This system can be connected with 2 probes at the same time. By using the circuitry on the probe interface to switch the probes, the user may select the required probe via the control panel. Main Unit
Monitor
Digital Processing Board
Probe B
T/R Board
Probe A
Probe Interface Board
Ultrasound T/R Front End
Computer Control Platform
ATX Power Supply
Peripherals
Control Panel
Power Supply Board
AC In
Fig. 2-1 Main unit Composition Block Diagram 2.1.2 Operation Principle Basic operation principle of the main unit is as follow: The Digital Processing Board on the one hand transmits digital image signals to the computer control system, on the other hand receives control information from the computer control system and generates corresponding control data to achieve control of
2-1
Composition, Principle and Specifications
the ultrasound T/R front end. Here is the working process of the system: Based on control actions from the control panel, the computer control system generals control commands and parameter data automatically. The Digital Processing Board receives commands and control parameters from the computer control system, distributes them to each functional module. The real-time controller on the Digital Processing Board generates live scan control signals and controls transmission of the front-end T/R Board and Probe Interface Board. The beam-forming module on the Digital Processing Board receives amplified echo signals from the T/R Board and performs digital beam forming, then sends beam data to the subsequent digital signal processing module. As a key technique, digital signal processing plays an important role in ultrasound systems. This technology ensures image information being transmitted and converted with high fidelity; and it will have further processing to acquire better images, which is conducive to correct diagnosis by doctors. Data information such as image data processed by digital signals is sent to the computer control system for further processing and image display. Every time when ultrasound is transmitted, the excitation high-voltage from the Probe Interface Board generates and sends a set of excitation pulses to the current working probe. One element group in the transducer is excited and ultrasound is transmitted. Ultrasound is propagated in and reflected by the human tissue, and the ultrasound returned to the probe is received by the same element group and then sent to the preamplifier on the T/R Board for pre-amplification, depth gain compensation and programmable gain amplification. After this process, signals are sent to the digital processing board. The power module, including ATX power and the power supply board for ultrasound T/R front end, provides all kinds of power required by the system. Based on operator button actions, relevant information is sent from the computer control panel to the computer control system. The platform generates control commands and parameter data automatically, and sends them to the digital processing board. The computer control system is the managerial center of the whole system, which receives operation command from the operation panel, and control the whole system based on the current state of the system. The other functions that the computer control system fulfills also include measurement and calculation, screen display and video processing, management of patient data and images, as well as control of storage, printing and communication.
2-2
Composition, Principle and Specifications
2.2 Technical Specifications Below is a list of hardware and software technical specifications for the System. Hardware and (or) software marked with “option” or a * mark are additional options and may not be available on your current system configuration. 2.2.1 Probes a) Basic Configuration 1) Super broadband high-density multi-frequency (abdominal) convex array probe 2) Super broadband high-density multi-frequency (vascular) linear array probe b) Options 1) Super broadband high-density multi-frequency (lymph) linear array probe ﹡ 2) Super broadband high-density multi-frequency (small part) linear array probe ﹡ 3) Super broadband high-density multi-frequency (pediatric) convex array probe ﹡ 4) Super broadband high-density multi-frequency (vaginal) micro-convex probe ﹡ 5) Super broadband high-density multi-frequency (rectal) linear array probe ﹡ 6) Super broadband high-density multi-frequency (cardiac) micro-convex probe ﹡ 7) Super broadband high-density multi-frequency (surgical) micro-convex probe ﹡ 8) Super broadband high-density multi-frequency (cardiac) phased array probe ﹡ 9) Volume probe ﹡ 2.2.2 Imaging Modes a) B, 2B, 4B modes b) B/M mode, M mode c) B-mode steering (linear probes) d) Tissue Harmonic Imaging (THI) e) Color Flow Map (CFM) f)
Color Power Angio (CPA)
g) Color steering h) Pulsed Wave Doppler (PW) i)
Trapezoidal/ Extended Sector Imaging
j)
Steer M (Anatomic M-mode) ﹡
k) 3D /4D Imaging ﹡ l)
Compound Imaging 2-3
Composition, Principle and Specifications
m) Continuous Wave Doppler (CW) n) Tissue Doppler Imaging (TDI) ﹡ o) Panoramic Imaging ﹡ 2.2.3 Image Parameter Adjustment a) B Mode: Gain, TGC (Time Gain Control), Focal Number, Focal Span, DYN, Persist, PWR, B_GSC, Chroma, One-Key Optimization and Zoom b) M Mode: Sweep Speed, Gain and Chroma c) Color Flow Map/Color Power Angio/ Tissue Doppler Imaging (CFM/CPA/TDI): Color Gain, Color Frequency, Wall Filter, PRF, C Map, Color Box Size d) Pulsed Wave Doppler/ Continuous Wave Doppler (PW/CW): Doppler Gain, Doppler Frequency, Wall Filter, Angle Correct, PRF, Refresh Speed, Baseline, Chroma 2.2.4 Measurement, Analysis and Calculation Functions a) General measurement: 1) 2D: distance, area, circumference, volume 2) M-mode: distance, time and slope 3) Doppler: flow velocity, acceleration, manual trace, auto trace b) Special calculation and measurement package: analysis, calculation and reporting for obstetrics, gynecology, small parts, urology, cardiology and peripheral vascular. 2.2.5 Patient Image File Management a) Hard Disk Drive: images saved in jpg/ppm or DICOM file, and cine clips saved in Cin/Avi/Wmv format. b) Support video printer c) DICOM 3.0 archive ﹡
2.3 Dimension and Weight a) Dimension (L×W×H):
365mm×205mm×386mm
b) Weight: 10kg
2-4
Introduction to Component Parts
Chapter 3 Introduction to Component Parts 3.1 System Configuration
Fig. 3-1 Front View of the Main Unit
Probe Socket Print Control Port Probe Locking Switch
Video Out Port
Main Power Footswitch Port Power In Socket
Equipotential Terminal
ECG Port
Fig. 3-2 Rear View of the Main Unit
3-1
Introduction to Component Parts
a) Main unit (including monitor): 1 pc b) Probe: Super broadband high-density multi-frequency convex array probe (abdomen):
1 pc
Super broadband high-density multi-frequency linear array probe (vessel):
1 pc
3.2 Introduction to System Components 3.2.1 Probe 3.2.1.1 Outside Structure of Probe There is an indication point on the head of the probe housing. Below the indication point is the immersion part. If the color of the indication point is orange, the probe operating frequency is 3.5 MHz, green for 5.0MHz and purple for 8.0 MHz.
Cable
Cable
Cable sleeve
Cable sleeve
7.5MHz 3.5MHz
Control section
Control section
Immersion boundary Immersion Part Probe head
Probe head
(Acoustic lens)
(Acoustic lens)
Convex Probe
Linear Probe Fig. 3-3
Probe Structure
3.2.1.2 Probe Application a) The probe may be damaged even by a slight impact. Use it carefully to avoid shocking or striking against any hard object. b) Ensure that the main unit is in frozen state while connecting or disconnecting probe. c) Be very careful not to scratch the probe head surface (acoustic lens) while operating.
3-2
Introduction to Component Parts
d) Use the sponge or soft cloth with water to clean probe after examination. Please do the sterilization in accordance to the conventional way of hospital. DO NOT use alcohol or cloth containing alcohol or organic solvent like diluent to do the cleaning. For detailed information about the cleaning and sterilization of the probe, please refer to Section 4.2.9. e) All the endocavity probes shall have sterile protective covers without heat source when they are in use. For application of the endocavity probe, do not activate the probe (i.e. should freeze the main unit) when it is in vitro of patients. Otherwise, it may cause harmful interference to other devices. f)
The probe cannot be immersed into water over the water immersion boundary as shown in Fig. 3-3. The waterproof type of the probe is IPX7. If the probe is immersed in water over the immersion boundary carelessly, it may cause failure or potential problem. Should such problems happen, please contact our service personnel immediately.
g) The protection type for the probe cable is IPX4 (Protected against splashing water). If the probe cable is exposed due to scratch or crack of the coating, please contact our service personnel immediately and avoid electric shock. 3.2.2 Operation Panel The operation panel, composed of a trackball, keys/buttons, knobs and toggle switches, controls various functions of the system, such as probe selection, imaging mode change, adjustment of TGC, depth and other parameters. See Fig. 3-4 for the operation panel layout and Table 3-1 for functions of the control parts.
3-3
Introduction to Component Parts
Fig. 3-4 Operation Panel
Table 3-1 Functional List of Control Units
No.
1
Control Unit
Type
Button
Function Description Power switch: on the top left of the control panel, to turn on/ off the system. Parameter adjustment knob: 5 knobs on
2
Button
the top of the control panel, they are
+
SP1,SP2,SP3,SP4,SP5 from left to
Knob
right, to adjust the parameters in different modes.
3
Knob
Audio: below the power switch, to adjust the speaker volume.
3-4
Introduction to Component Parts
4
Knob
Angle: below the Audio knob, to adjust the correction angle in PW mode.
TGC: 8 sliders, on the upper right of the 5
Slider
operation panel, to adjust the gain at different display depth.
B Mode: Press the button center to Button 6
+
activate B mode.
B Mode: Rotate the knob to adjust
Knob
the gain in B mode and M mode.
CFM: Press the button center to Button 7
activate Color Flow Map.
+ Knob
CFM: Rotate the knob to adjust Color Flow Map gain or Color Power Angio gain.
PW: Press the button center to Button 8
+
activate Pulsed Wave Doppler mode.
PW: Rotate the knob to adjust Pulsed
Knob
Wave Doppler gain.
Menu: Press the button to open or Button 9
+
close
the
parameter
submenus
in
different modes.
Menu: Rotate the knob to adjust the
Knob
parameters.
10
11
Toggle
Baseline: to adjust color map baseline
switch
and Pulsed Wave Doppler trace baseline.
Toggle
WF: to adjust Color Doppler or Pulsed
switch
Wave Doppler wall filter.
3-5
Introduction to Component Parts
PRF: 12
Toggle switch
To
adjust
pulse
repetition
frequency of the Color Doppler or Pulsed Wave Doppler. Toggle the switch upward to increase the PRF, or downward to decrease it.
Steer: to adjust the steer angle based on 13
Toggle
the imaging mode. Toggle the switch
switch
upward to steer left, or downward to steer right.
14
15
Toggle switch
Depth: to adjust Image display depth.
Toggle
Focus ： to adjust the Image focus
switch
position.
Probe/Exam: return to probe and exam 16
Button
selection screen, to select the probe and examination type.
17
Button
Zoom: to magnify the image. L/R: to reverse the image left/right and to
18
Button
toggle between live state and frozen state in dual or quadruple mode.
19
Button
U/D: to reverse the image up/down. Inv: to invert the direction of color flow or
20
Button
the positive/negative display of the Doppler spectrum.
Save: to save images or cine clips in 21
Button
frozen state and to user-define exam types in live state.
3-6
Introduction to Component Parts
22
Button
Print: to print images when connecting with a printer.
Update: Display switch key.
To toggle between the live B or M image in B/M mode.
23
Button
To toggle between the B mode image and Doppler Trace in PW mode.
24
Button
25
Button
Dis: to measure distance.
Trace: to measure trace; to activate manual tracing in PW mode.
26
Button
Ellipse: to measure in Ellipse method; to activate auto-tracing in PW mode.
Calc: to activate general measurement 27
Button
and professional calculation packages subject to
the probe and exam type.
Auto: press this key to achieve smart 28
Button
optimization that adjusts the image to its best state. .
Set: the function of this key is similar to left mouse button. 29
To confirm the state selection.
To confirm the annotation and body
Button mark display.
30
Button
To confirm the menu selection.
Arrow: to insert the arrow.
3-7
Introduction to Component Parts
31
Button
ID: to open/close the patient information edit screen.
32
Button
Report: to open/close the report screen. THI: Tissue Harmonic Imaging mode
33
Button
select key. To activate THI function if the probe supporting THI function is used.
CW: Continuous Wave Doppler Image 34
Button
mode select key. To activate CW function if the probe supporting CW function is used.
35
Button
CPA: Color Power Angio (CPA) select key. To enter CPA mode.
TDI: Tissue Doppler Imaging mode 36
Button
select key. To enter TDI mode if the probe supporting TDI function is used.
37
Button
Freq: To switch probe frequency.
38
Button
M Mode: to enter/exit B/M mode.
39
Button
Dual: to enter/exit Dual mode.
40
Button
4D: to enter 3D/4D imaging mode.
41
Button
Freeze: to freeze or unfreeze images.
42
Button
Annot: to enter or quit the annotation state.
3-8
Introduction to Component Parts
Button
43
BDYMK: to open or close the body mark select screen.
Button
44
Guide: to turn on/off biopsy guideline display. Direction keys ↑, ↓, ←, →: use the
Button
45
up/down arrow keys to select the menu items; or use the left /right arrow keys to adjust the parameters.
To select certain item in the menu or the control window.
46
Trackball
/
To move the zoom-box image.
To move the cursor in annotation state.
To select an image frame in cine.
To move the measurement point in measurement state.
3.2.3 Socket Panel The socket panel, consisting of peripheral device connectors, is at the system side for connecting to peripheral devices. The socket panel is as shown in Fig. 3-5.
3-9
Introduction to Component Parts
Audio Out Port
S Video Out Port
USB Port (2 pcs)
Network Port
VGA Out Port
Fig. 3-5 Socket Panel
3-10
Getting Started
Chapter 4 Getting Started 4.1 System Installation 4.1.1 Connecting Components In addition to the devices installed in the system, the ultrasound imaging system can support many peripheral devices, e.g. probes, printer, USB device and footswitch. 【Note】: Any device not purchased from SIUI or not installed by SIUI representative is outside the scope of SIUI service agreement or warranty. SIUI will not provide repair service for the above-mentioned device. 4.1.1.1 Connecting/ Disconnecting a Probe a)
Connecting a probe: Insert the probe connector into the probe socket on the main unit （please make sure the assembling direction of the connector is correct, with the cable upward）. Ensure the connection is secured, and then slide the locking switch below the probe socket to lock the probe in the locking position. See Fig. 4-1.
b)
Disconnecting a probe: Slide the locking switch below the probe socket to the unlocking position to release the fixing device, and then you may remove the probe connector from the socket.
【Note 1】: When connecting/disconnecting the probe, the system should be turned off or in frozen state or in exam screen. 【Note 2】: Software error might occur if disconnecting the probe when the system is running. Please restart the system.
Fig. 4-1 Inserting the Probe Connector 4-1
Getting Started
4.1.1.2 Network Connection Connect the network connecting cable to the RJ-45 network port on the main unit, so as to achieve the connection between the main unit and other PC network. 4.1.1.3 Printer Installation a)
Connect the Video In port on the Video Printer (Option)with the Video Out port on the main unit through a BNC cable (if the printer is a video device with an S signal terminal, connect its S-Video In port with S-Video Out port on the main unit through an S terminal cable), and then connect the printer REMOTE port with the PRINTER REMOTE port on the main unit through a print control cable.
b)
After the system is started and it goes to the probe and exam type select screen, press Menu on the control panel, select System Setting, and then select Set Printer to install the printer driver. Now the printer is available for use after the installation. See Chapter 5 for detailed setup information.
【Note】: Please connect the printer before turning on the system. 4.1.2 Electric Cable Connection a)
If the power supply source is not a tripod socket with ground wire, one end of the attached potential equalization conductor must be installed on the equipotential terminal of the system, and the other end should be connected with the equipotential terminal of a grounded system, or a ground device complying with the requirement, so as to ensure that the main unit is grounded reliably.
b)
Make sure the power switch is turned off before connecting the power cable.
【Note】: An abrupt system power failure may easily lead to system program disorder or data loss, which might affect system stability. To avoid such situation, it is recommended to connect a UPS device, with its power consumption at 1000 VA or above, to the system.
4.2 System Inspection and Maintenance Please follow the methods below to inspect the system. If any abnormality is found, please contact SIUI after service. Our service staff would provide detailed consulting service, and take measures to fix the existing problems.
4-2
Getting Started
4.2.1 Inspection when the power is on Check if the power switch indicator on the operation panel is on. 4.2.2 Inspection on knobs & buttons Referring to 3.2.2 Operation Panel, inspect each knob and button to see whether they are working normally. 4.2.3 Inspection on image quality Referring to Chapter 6 Imaging, adjust the image adjust buttons on the operation panel and observe the image display to see whether they are normal or not. 4.2.4 Inspection on measurement function Referring to Chapter 8 Measurement, Calculation and Report, inspect various measurement & calculation functions to see whether they are normal or not. 4.2.5 Inspection on probe and probe cable Inspect whether there is any crack on the water-immersible section on the probe. Inspect the probe cable connector and the probe cable to see whether there is any shedding. 4.2.6 Inspection on potential equalization conductor and power cable Inspect them to see whether there is any separated sheath or shedding on them; check the potential equalization conductor to find whether it is correctly and safely connected. Inspect them carefully to avoid any unexpected danger due to any abnormality on these cables. 【Note】: As the above Sections 4.2.5 and 4.2.6 involve safety, always do these inspections every time before operating the system. Other items may be inspected once every half a year. 4.2.7 Regular safety inspection The following safety inspections should be carried out by an experienced, well-trained qualified person at least once every 24 months: Inspect if the equipment and the accessories are damaged in mechanics and functions. Inspect if the relevant safety labels are clear for identification. Inspect the fuses to ensure they meet requirements of the rated current and break limit. Ensure that all functions of the equipment meet their operation instructions. Inspect if the grounding resistance equal or is less than 0.1Ω. 4-3
Getting Started
Inspect the earth leakage current according to the requirement of IEC 60601. Inspect the patient leakage current according to the requirement of IEC 60601. The leakage current shall not exceed the maximal limit. All data shall be recorded in the system log. If the system does not work properly or pass any of the above tests, the system shall be repaired. 4.2.8 Consumable Check Since the items listed below are consumable, it is advisable to check them regularly, replenish or replace them in time. Table 4-1 List of consumables and tips for replenishment or replacement Item
When to Replenish or Replace
Ultrasonic coupling gel
Running short
Power supply cable and Connection cable
Abnormality in appearance
Dust cover
Worn or torn
Probe
Abnormal appearance of connector or cable When running out of spare fuse, use the fuse specified below:
Fuse
Type: Glass enclosed fuse (time-lag, low-breaking) Size: 5 mm x 20 mm Rating: T4AL250V
【Note】: No coupling gel is supplied with the system when it is delivered from the factory. The user shall purchase the required coupling gel that complies with regulations of the country where the system is installed. It is recommended to use coupling gel conforming to ISO 10993 requirements. 4.2.9 Probe cleaning、disinfection and sterilization The probe should be cleaned and sterilized every time after it is in use. Please follow the conditions below when cleaning and sterilizing the probe, otherwise the probe may be damaged. a) The probe should not be cleaned or sterilized with alcohol, cleanser containing alcohol or other organic solvent (e.g. thinner). b) The immersion part of the probe should not exceed the orientation mark at the probe housing side. c) Do not process the probe with steam high pressure or ethane oxide. 4-4
Getting Started
d) Do not immerse the probe for more than one hour. 4.2.9.1 Cleaning a） Clean the probe surface with soft cloth soaked with water after using the probe. b） If the probe is dirty, use soft cloth soaked with cleanser (e.g. neutral soapsuds) to clean it, and then use soft cloth soaked with water to remove the soapsuds. c） After cleaning, wipe the probe with clean dry cloth. 4.2.9.2 Disinfection a) The probe should be disinfected with special liquid disinfectant. It is recommended to use Glutaral solution or Benzalkonium Bromide solution. The disinfectant solution should be formulated and used following the manufacturer’s product instruction. It is recommended to use disinfectant solution below: Cidex Solution, by Johnson & Johnson b) After disinfection, remove the disinfectant solution on the probe thoroughly with sterile water, and then wipe the probe with soft dry cloth. 【 Warning 】 : A probe cover does not protect the probe from contamination effectively if that probe has been used on a patient at risk of or suspicious to Creutzfeldt Jakob disease (CJD). The probe might have been contaminated severely. Any probe that has been exposed to central nervous system tissue of a patient at risk of or suspicious to CJD or vCJD (variant Creutzfeldt Jakob disease) shall be destroyed, because the probe may not be decontaminated thoroughly. 4.2.9.3 Sterilization For a probe used in interventional procedure, the contact section of the probe with human tissue shall be disinfected and sterilized by following a strict process. a) For installation and usage of biopsy guide, please refer to User Manual for Biopsy Guide provided by the manufacturer. b) Remove the biopsy guide from the probe, and brush the biopsy guide under water. c) After cleaning, dry the biopsy guide with clean gauze. d) The biopsy guide shall be sterilized under special sterilization process. It is recommended to use Glutaral solution described in Section 4.2.9.2, and the solution should be formulated and used following the manufacturer’s product instruction. 【Note】: The biopsy operator shall be qualified for biopsy procedure, otherwise it may result in damage to the patient. 4-5
Getting Started
4.2.10 Trackball cleaning a) Unscrew the ring fixing the trackball. Take out the ball. b) Soak a cotton stick with a little absolute alcohol. Use it to clean the fixing ring, the axis and the bearing (if there is a soft ring within the fixing ring, clean the soft ring as well). c) Soak a soft dry cloth or a cotton stick with a little absolute alcohol. Use it to clean the ball and the trackball base. d) When the ball turns dry, put it back to the trackball base. e) Screw the fixing ring on the trackball.
4.3 Performing an Exam After completing system installation and inspection, the user may get prepared for patient exam. 4.3.1 Getting Prepared a) Ultrasound Coupling Gel: to serve as a couplant between the probe and the patient’s body surface, which is to avoid air in between the skin and the probe that may hinder ultrasound transmission. b) Tissue Paper: to remove ultrasound coupling gel from the patient and the probe. 4.3.2 Starting the System To start the system following the steps below: a) Connect the AC power cable to the Power In socket on the system rear power panel. b) Switch the main power switch on the system rear panel to the “|” position and the indicator is on. c) Press the power switch button on the control panel (refer to Section 3.2.3 for the specific position of the power switch) and start the system (it takes about 3 minutes for initialization). 【Note 1】: If there is any abnormal condition on the system, press and hold down the main power switch on the control panel for over 8 seconds to force the system shut down. If the system is not in use over a long time, please switch the main power switch to the OFF position (“O” position). 【Note 2】: DO NOT turn off the main power switch when starting the system. Use the power switch button on the control panel to shut off the system and then turn off the main power switch. Follow the proper steps to turn off the system, otherwise it may lead to patient data loss and/or hard drive failure. 4-6
Getting Started
4.3.3 General Exam Steps This section will describe the general steps on how to operate this system for patient exam. These steps include inputting patient data, selecting probe and exam type, imaging, annotation and body marks (pictograms), printing, image review, image storage, measurement and calculation. Users can adjust the exam steps according to their exam purpose and operation preference. General exam steps: a)
Select probe and exam type: When starting the system, go to the probe and exam type select screen. Use the trackball and Set button for selection. During patient exam, if you need to choose another probe connected to the probe socket or other exam type, press Probe/Exam button on the control panel and return to the probe and exam type select screen for reselection. See 6.2 Selecting Probe and Exam Type for detailed information.
b)
Input patient data: Input patient data to the system before starting exam. Press the console ID button to enter Patient Information page. Input data in the data entry fields of NAME, ID and DOB. See Chapter 7.1 Management of Patient Information for detailed information.
c)
Imaging: All the available image modes can be directly invoked from the control panel. Image parameter adjustment can be controlled by buttons, knobs and toggle switches on the control panel. See Chapter 6 Imaging for detailed information.
d)
Annotations and body marks: Use the Annot button on the control panel to add annotations to images. Body marks can be invoked through the BDYMK button. See Chapter 7 Annotation of Image Information for detailed information.
e)
Printing: Users can use the printer installed on the system to print images. Press
Print button to print images. See 4.1.1.3 Printer Installation for detailed information about printer connection. f)
Image review: During exam, users may press the Freeze button to enter cine clip mode and to review image frames by rolling the trackball..
g)
Image Storage: Users may store the acquired image frames and/or cine clips in the memory. See 9.1Saving Images/ Clips for detailed information.
h)
Measurement and calculation: Users may press the console Calc button to select measurement and calculation tool and carry on measurement and calculation on frozen images. This system adopts measurement values to calculate and create patient reports. See Chapter 8 Measurement, Calculation and Report for detailed information. 4-7
Getting Started
4.4 Relocation of System To transport the system safely, please observe the following instructions. 4.4.1 Relocation of system (with trolley) a) Do not tilt the equipment more than 10 degrees. b) If a step is higher than 2cm, put something under the casters to make the step height less than 2cm. c) Fix the power cable, the potential equalization conductor and the probe cable tightly so as not be caught by the cart casters. d) Make sure to fix the main unit firmly on the trolley. e) Unlock the caster stoppers before moving the cart. 4.4.2 Transportation of main unit a) Disconnect cables at the rear panel of the main unit (except for the power cable, the potential equalization conductor and the probe cable). b) Put the probe(s) tightly into the probe holder(s). c) Disconnect the main unit from the trolley and transport it with the power cable, the potential equalization conductor and the probe cable(s) held together.
4-8
System Setup
Chapter 5 System Setup 5.1 System Setup The SETUP menu is for setting up system power-up running environment, states and parameters in different modes. The settings will be stored in the system memory and kept in the system even in power-down state, which ensures the system run as the user previously set up upon each system power-up. The various features of the system can be customized by menu settings. After system initialization, it goes to the probe and exam type select screen, as shown in Fig. 5-1.
Fig. 5-1 Select Screen of Probe and Exam Type Press the Menu knob on the control panel to pop up the configuration main screen, as shown in Fig. 5-2. Use the Trackball to move the cursor to the desired item. Press Set to go the submenu. Move the cursor over Exit, and press Set to exit the configuration screen, and return to the exam type select screen.
5-1
System Setup
Fig. 5-2 Configuration Screen
5.2 Setup Instruction 5.2.1 File Manager Enter the screen of File Manager, and a list of functions is displayed on the left, as shown in Table 5-1. Table 5-1 Item
Functional Description
USB ON/OFF
To load/ unload the USB disk
DELETE
To delete a folder
SEARCH
To search for a folder
COPY
To copy a folder
SEND DICOM
To send the DICOM files to a remote SCU
【Note】: Move the cursor to the desired item, and press Set to achieve its function. Move the cursor to the desired folder, and press Set twice to open the folder. A list of functions is displayed on the left, as shown in Table 5-2.
5-2
System Setup
Table 5-2 Item LAST PAGE
Function and Operation Move the cursor to the item. Press Set to return to the last page. Move the cursor to the file to be copied, and press Set to select
COPY
it. Move the cursor to the item again, and press Set to copy the selected file.
PASTE
If the file was copied, move the cursor to the item, and press Set to paste the copied file to this folder. Move the cursor and press Set over the file to be deleted. Move
DELETE
the cursor to the item again, and press Set. In the pop-up window for confirmation, select Yes to delete the selected file. Move the cursor and press Set over the file to be converted in
CONVERT PC
format. Move the cursor to the item again, and press Set. The selected file will be converted to PC format, and saved in the folder.
REPORT ONLY
Display report files only.
IMAGE ONLY
Display image files only. Move the cursor and press Set to select the item, input the key
SEARCH
word in the pop-up search input box. Press search, and the files matching the condition are found automatically.
SELECT ALL
Press the item, and all the files in the folder are selected.
【Note】: When entering another folder, a different functional list for that folder will be displayed on the left screen. 5.2.2 Facility Name Enter the menu Facility Name, type in the facility name with the keyboard, and press
Set to confirm; or use the trackball to move the cursor over OK, and press Set to confirm. 5.2.3 Set Time/ Date Enter the menu Set Time/ Date. Use the left or right arrow button to move the input
5-3
System Setup
cursor to the place where to be modified. Enter the current Time and Date with the number keys according to the display format. When the modification is finished, press
Set to confirm; or use the trackball to move the cursor over OK, and press Set to confirm, or press Cancel to cancel the operation. 5.2.4 System Information System Information displays system hardware, software versions and control code. Each system has a unique control code. Move the cursor to DIAGNO at the bottom right, press Set, and you can see the valid running days before expiry and the functional configuration. Click EXIT at the bottom right to return to the system information screen. Move the cursor to EXIT, press Set to exit the system information screen, and return to the system configuration screen. 5.2.5 System Setting Enter the menu System Setting to perform operations such as General Setting, Set Printer, Set Calculation Menu, Load Default, DICOM Settings. 【Tip】: Select the desired item for setting. When the color of the selected item goes lighter, it means the item is selected. See the red boxes as indicated in Fig. 5-3. 5.2.5.1 General Setting See Fig. 5-3 for the General Setting screen.
5-4
System Setup
Setup Field
Fig. 5-3 General Setting Here are the settings for each option: Language: Move the cursor to the setup field Language (as shown in Fig.5-3), press
Set to select it, and then press ← / → on the control panel to select the desired language. A number of languages are available for selection. Screen Saver: Move the cursor to the setup field Screen Saver, press Set to select it, and then press ← / → on the control panel to turn on or off the screen saver. Trackball sensitive: Move the cursor to the setup field Trackball sensitive, press
Set to select it, and then press ← / → to select the desired trackball sensitivity. Six steps are available. The higher the step is, the more sensitive the trackball will be. Clip Format: Move the cursor to the setup field of Clip Format, press Set to select it, and then press ← / → to select the desired clip format for storage, with System Format and PC Format for selection. Date Format: Move the cursor to the setup field Date Format, press Set to select it, and then press ← / → select the desired date format, with “mm/dd/yyyy, yyyy/mm/dd, dd/mm/yyyy” for selection. Caps Lock: Move the cursor to the setup field Caps lock , press Set to select it, and 5-5
System Setup
then press ← / → to turn on / off the setup. Print Size: Move the cursor to the setup field Print Size, press Set to select it, and then press ← / → to change the print size, in the range of 1-6, i.e. 10%-60% of the print paper size. 5.2.5.2 Set Printer Move the cursor to Set Printer, press Set to enter the printer setup screen, as shown in Fig. 5-4:
Fig. 5-4 Printer Setup Screen Here are the settings for each option: Printer Driver: Default, cannot be changed. Video Invert: Move the cursor to the setup field Video Invert, press Set to select it, and then press ← / → o turn on / off the function. Insert Driver: Move the cursor to the setup field Insert Driver, and its menu prompts Click. Press Set to click it, and the prompt is plug USB with deskjet.ppd. You may insert the USB disk containing deskjet.ppd.
5-6
System Setup
5.2.5.3 Set Calculation Menu Move the cursor to Set Calculation Menu, and press Set to enter the calculation menu setup screen, as shown in Fig. 5-5:
Fig. 5-5 Calculation Menu Setup Screen Measurement and calculation items for 2D, PW or M modes can be set up by the user. Here is the setup: a)
Move the cursor to 2D, PW or M on the top of the screen. Press Set to select the desired mode, and the list of measurement and calculation items is listed below it.
b)
Use ↑ / ↓ to select the desired item, such as ANGLE or VOLUME, and press
Update again to turn on or off its function. The solid dot before the parameter means function enabled, and the hollow dot means disabled. 【Note】: You can only use ↑ / ↓ to select the measurement and calculation item, instead of the trackball or the Set key.
5-7
System Setup
c)
If a + symbol appears before the item, e.g.
, which means a
sub item is available. When such item is selected, press the Menu knob to view its sub items, make the selection, and press Menu again to withdrew the sub items. 5.2.5.4 Set Measurement Method Move the cursor to Set Measurement Method, and press Set to enter the measurement method setup screen, as shown in Fig. 5-6:
Click here to turn to the next page
Fig. 5-6 Measurement Method Setup Screen Here are the setup methods for each item: BSA Setting: Move the cursor to the setup field BSA Setting, press Set to select it, and then press ← / → to select, with Western and Eastern available. Due to different BSA calculation methods for westerners and easterners, the system may apply the corresponding method for calculation based on the setting. Measure Method: Move the cursor to the setup field Measure Method, press Set to select it, and then press ← / → to select, with Trace and Ellipse available. 5-8
System Setup
Package: Move the cursor to the setup field Package, press Set to select it, and then press ← / → to select, with Icon Driven and All Package available. Icon Driven refers to the package for the specific probe, and All Package means that all the packages for any probe are opened. Continue Dist: Move the cursor to the setup field Continue Dist, press Set to select it, and then press ← / → to select ON or Off to turn on or off the function. When ON is selected, in distance measurement press Dis once to measure multiple distances continuously; when Off is selected, , press Dis to measurement one distance only. Dop Auto: Move the cursor to the setup field Dop Auto, press Set to select it, and then press ← / → to select, with Auto and Semi Auto available. Auto means auto trace in PW/CW auto measurement, and Semi Auto means semi-auto trace in PW/CW auto measurement. Focal Auto: Move the cursor to the setup field Focal Auto, press Set to select it, and then press ← / → to select ON or OFF. ON means focus auto adjustment enabled with depth change in live measurement and frozen states, and OFF means focus auto adjustment is disabled and manual change of focus is required. Settings for EFW Method, BPD Method, FL Method, CRL Method and AC Method are available. How to perform setting: Move the cursor to the desired setup field, press Set to select it, and then press ← / → to set up. Press Next Page at the bottom right of the measurement setup screen to turn to the next page. On setting other measurement method, refer to the setting methods above. 5.2.5.5 Load Default Move the cursor to Load Default, press Set to go the default setup screen, with the setup method below: a)
Use the trackball and Set to select Load, then select default, and press Set again to bring the system to the default setup.
b)
Use the trackball and Set to select Create, and input the name for saving. Then 5-9
System Setup
move the cursor to CONFIRM, press Set to confirm and create a new parameter. c)
Use the trackball and Set to select Retrieve, and you may copy the parameters in the system to the USB disk, or copy the parameters in the USB disk to the system. Before the operation, make sure the USB disk is inserted to the system.
5.2.5.6 DICOM Settings Move the cursor to DICOM Settings, press Set to enter the setup screen, as shown in Fig. 5-6:
Fig. 5-7 DICOM Setup Screen After entering the DICOM screen, you may set up IP addresses of Local, Storage and Worklist servers for network printing and transmission. For DICOM transmission, the file format should be the system format for static images, i.e. PPM format, and the patient information (e.g. patient ID) needs to be set up before diagnosis. Use the trackball to move the cursor to Local, press Set to select it, and then move the cursor to the input field of Static IP, press Set, and set up the local IP address manually. Move the cursor to the input field of IP Address, press Set, and then use the keyboard 5-10
System Setup
to input the IP address; Move the cursor to the input field of Netmask, input the netmask; Move the cursor to the input field of Gateway and input the gateway; Move the cursor to the input field of Printer IP, and input the IP address of the printer. 5.2.5.7 Exit In the system configuration screen, move the cursor to Exit on the left, press Set to exit the system setup screen and return to the setup main screen.
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Imaging
Chapter 6 Imaging 6.1 Preparation 6.1.1 Tools a) Ultrasound Coupling Gel: to be applied directly to the patient’s body parts to be examined or the acoustic lens on the probe surface. b) Tissue Paper: to be used to remove ultrasound coupling gel away from the patient skin and the probe after examination. c) Video Recorder or Printer: to record diagnostic images or files. 6.1.2 Operation Procedure a) Power On: Turn on the main power switch on the power rear panel. Press the main unit power switch button on the operation panel, the indicator will be on and the system will complete initialization in about 3 minutes. 【Note】: If the system is in abnormal state and cannot be shut off, press the power switch on the operation panel for more than 8 seconds to force the system shut off completely; if the system is not in use for a long time, toggle the main power switch to OFF position. b) Gain Control Preset: Adjust Gain knob and the slide potentiometers to bring the gain and the TGC (time gain compensation) to proper positions.
6.2 Selecting Probe and Exam Type 6.2.1 Selecting Probe and Exam Type As described in Chapter 5, after system initialization, it goes to the probe and exam type select screen. All the probes connected to the system and the exam types supported by the probes are displayed on the screen. Move the cursor to the desired probe icon (Note: the probe indicated by a red triangle below its icon is the selected probe), and the exam types compatible to that probe will be displayed below. Move the cursor to the desired exam type, Press Set, the corresponding probe connected to the probe socket starts to work, and the system is switched to the selected exam type automatically. The selected 6-1
Imaging
probe name is displayed on the top left of the screen, and the exam type on the top right of the imaging area. In the exam process, you may also press the console Probe/Exam button to return to the probe and exam type select screen to re-select the probe and exam type. The exam types available are shown in Table 6-1. Table 6-1
Exam Types
Liver, Kidney, Pancreas, Obstetrics Carotid, Thyroid, Breast, MSK Cardiology
6.2.2 User Pre-Set Menu The exam types displayed in the system are probe dependant. For different exam type of each probe, the system performs initial settings of ultrasound control parameters according to their specific features, which allows the system in the most suitable state of the specific exam type. The user may also set up control parameters of exam types, create new exam types or delete user preset exam types. Here is the detailed operation description. a) Create New Exam 1) Select the proper probe and exam mode. 2) In live imaging, adjust the imaging parameters to bring up the best image. 3) In live imaging, press Save and the screen displays the prompt below: Going to User Pre-Set Menu Are you sure（Y/N）? Press Y on the keyboard to go to the User Pre-Set Menu, or press N to exit. 4) Three options are available in the User Pre-Set Menu: Create New Exam, Delete Exam and Exit. Move the cursor to Create New Exam, press Set, and the screen will display a prompt box for naming the exam type. 5) Input the correct name, move the cursor to OK, press Set, and the system current parameter settings are saved in that name. To return to the select screen of probe and exam type, you may find the newly created exam type. b) Delete Exam 1) Press Save to enter the User Pre-Set Menu. Move the cursor to Delete Exam, press Set, and all the saved user preset exam types will be displayed. 2) Press ↑ /↓ key to select the exam type to be deleted, and an indication will be displayed before that item. Then move the cursor to OK, press Set, and the 6-2
Imaging
system prompts “Are you sure(Y/N)？”. Press Y to confirm deletion, or N to cancel deletion. 6.2.3 Switching Probe Frequency Each probe has multiple frequencies. Users can switch to the desired one according to diagnostic requirements. In unfrozen state, press Freq on the control panel to change the current probe frequency. There are different frequencies for selection.
6.3 Preliminary Imaging 6.3.1 Use of Probe and Ultrasound Coupling Gel a) Apply adequate amount of ultrasound coupling gel to the surface of the probe and the patient’s body part to be examined. 【Note】: If there is air between the patient body and the probe, black dots will appear on the image. In this case, apply the coupling gel once more. b) An image will appear on the monitor as soon as the probe is placed on the examined area. 6.3.2 Selecting Imaging Mode The system has imaging modes including 2D (B, 2B and B/M), Color Flow Map (CFM), Color Power Angio (CPA), Pulsed Wave Doppler (PW), Trapezoidal/ Extended Sector Imaging, *Continuous Wave Doppler (CW), *Tissue Doppler Imaging (TDI) and * Live 3D imaging (4D). In unfrozen state, users can press B Mode, Dual, M Mode, CFM, CPA, PW, CW, or TDI on the operation panel for mode selection and toggle. * Live 3D imaging: Press 4D on the operation panel to activate live 3D imaging function. 【Note】:The imaging mode with the symbol * is an option. 6.3.3 MI/TI Display MI and TI values shown on the imaging control parameter area are preset by the system according to probe type and imaging mode. MI and TI jointly reflect the relationship between ultrasound output parameters (e.g. frequency and acoustic power) and bioeffects. MI (Mechanical Index): To give relevant indication for the likelihood of ultrasound beam mechanical bioeffects (e.g. cavitation). The higher the MI is, the bigger likelihood of 6-3
Imaging
mechanical bioeffects will be. TI (Thermal Index): To indicate the likelihood of tissue temperature rise. It is an estimation of temperature rise for body tissue with certain property. TI is composed of three indexes: TIS (soft-tissue thermal index), TIB (bone thermal index) and TIC (cranial-bone thermal index). Adjusting acoustic power will change MI or TI display. The higher PWR is, the bigger the MI or TI value; in CFM or PWD mode, toggling PRF to adjust PRF and also to change MI or TI value. The higher the PRF is, the higher the MI or TI value will be. 6.3.4 Freezing and Unfreezing Images Freezing images: In unfrozen state, press Freeze, or use the footswitch to freeze a live image. Unfreezing images: In frozen state, press Freeze or use the footswitch to go to live operation again. When the freeze state is released, the system will refresh the display. 【Note】: The footswitch is a pedal control device connected with a cable. The operational voltage is DC5V. Careless operation will not result in any hazard generally. However, any liquid dripping in the footswitch is prohibited.
6.4 B-Mode Imaging 6.4.1 Entering B Mode When the exam type is selected, the system default is to enter B mode. To re-enter B mode from other imaging mode, press the console B Mode button. See Fig. 6-1.
Fig. 6-1 B Mode 6-4
Imaging
B mode imaging parameters are displayed on the left of the ultrasound interface. The imaging parameters are controlled or adjusted via the buttons, knobs, toggle switches or the trackball on the control panel. Imaging parameters for B mode screen are as shown in Fig. 6-2.
Fig. 6-2 Parameters for B Mode Imaging 【Note】: FPS stands for frame per second, D for dynamic range, G for grayscale curve, GN for gain, I for image softening, P for persistence, PWR for power, FRQ for frequency, and D for depth. 6.4.2 Operation of B Mode Controls B Gain
Changing gain may adjust overall brightness of B mode images.
The change of gain determines the amplification value of the received echoes, and all the received echoes are amplified at the same gain value despite the depth. In live state, turn B Mode gain knob to adjust the gain of the B
mode image. Turn it clockwise to increase the gain, and the image gets brighter; or turn it counter-clockwise to decrease the gain, and the image gets dimmer. 【Tip】: 1)
Set appropriate gain. For example, to display the liver, adjust the gain to produce an image with normal evenness and textures, with identification of diaphragm reflector belt closely adjacent to the liver back. The portal vein and the hepatic vein are displayed as echo-free tract structure in the cavity. The portal vein wall has echoes, while echoes of hepatic vein wall are weaker than those of the portal vein.
2) Wrong gain may result in incorrect diagnosis, or inability to diagnose. If the gain is too low, the solid tumor may seem to be cystic, with no echo inside, but the echoes at the back enhance. If the gain is too high, the liquid structure may be full of echoes,
6-5
Imaging
similar to solid tumor; or normal amniotic fluid may be full of small light spot echoes, thus the displayed image is similar to turbid amniotic fluid, which may lead to wrong diagnosis. 3) When the overall gain is low, the overall sensitivity will be low, and the whole image display will be dark, however, which is good for BPD measurement. 4) If the image is unclear when the gain is changed, apply more coupling gel on the examined part or the probe. TGC
Due to attenuation of ultrasound in human body increases with depth, the ultrasound image shall be adjusted according to the depth from near to far, so as to maintain uniform images from near field to far field. When increasing the gain at a certain depth is required, change the TGC (Time Gain Control) sliders.
In live state, slide the sliders to the left to weaken the echo signals, or to the right to enhance the echo signals.
【Tip】: 1) Since the slider positions are different, they are not saved in the user application. 2) When adjusting TGC sliders, the TGC curve is displayed on the right of the ultrasound image area. If the TGC sliders are not moved within 3 seconds, the TGC curve disappears automatically. 【Suggestion】: Adjust the values of TGC sliders like this: weak in near field while strong in far field. Depth
In live state, toggle Depth switch to change the image depth. Toggle it down to increase depth, and the image display size gets smaller for viewing the whole depth range; toggle it up to decrease depth, and the image display size gets bigger. The scan line number and the frame rate are optimized automatically. 【Tip 1】: The maximum and minimum values of depth are probe dependant. The actual depth is displayed in cm, at the top left of the parameter area. 【Tip 2】: In frozen state, the displayed B mode image is repositioned on the monitor, without any change in depth range.
Focus
The selected focus area determines the depth range for 6-6
Imaging
Position
optimization and sharpening of ultrasound beams. The focus position is indicated by blue triangle(s) on the right of the ultrasound image. In live state, toggle Focus switch to change focus position.
Toggle it up to shift the focus position to a shallower depth; OR toggle it down to shift the focus position to a deeper depth.
6.4.3 Parameter Adjustment for B Mode Main Menu In unfrozen state, the main menu of the adjustable parameters are displayed at the screen bottom, as shown in Table 6-2. Table 6-2
Parameters for B Mode Main Menu in Unfrozen State
FOCAL NUMBER
FOCAL SPAN
DYN
GSC
PERSIST
LINE DENSITY
FREQUENCY
SEC.WIDTH
SEC.POS
2D REPRESH
Press Freeze to freeze the image, and another set of parameter menu is displayed at the screen bottom, as shown in Table 6-3. Table 6-3 CHROMA
Parameters for B Mode Main Menu in Frozen State
LOOP SPEED
PLAY/STOP
PANORAMIC
CINE REVIEW
【Note】: The parameters for the main menu can be changed only when selected, and the selected item is displayed with a box. Here is the adjustment description for parameters in the main menu. FOCAL NUMBER
Focal number depends on the probe in use and the scan depth.
In live state, when FOCAL NUMBER in the main menu at the screen bottom is selected, turn the knob below it (i.e. SP1) to change. Turn it clockwise to increase focal number, or counter-clockwise to decrease focal number.
【Tip】: When any of the parameters in the main menu is changed, its value will be displayed on top of the parameter, and disappears in about 3 seconds. LINE
In live state, press SP1 to toggle selection between 2 parameters.
DENSITY
That is when FOCAL NUMBER is selected, press SP1 and LINE DENSITY is selected. Then turn SP1 to change line density, with 3 steps (Low, Med and High) available for selection. 6-7
Imaging
【Tip】: The higher line density results in higher image horizontal resolution and lower frame rate. When changing the parameter, the user needs to weight between frame rate and image quality. FOCAL SPAN
To change the span between foci when 2 or more foci are displayed.
In live state, when FOCAL SPAN in the main menu at the screen bottom is selected, turn the knob below it (i.e. SP2) to change. Turn it clockwise to increase focal span, or counter-clockwise to decrease focal span.
FREQUENCY
In live state, press SP2 to toggle and select FREQUENCY, turn the knob SP2 clockwise to increase the frequency; or counter-clockwise to decrease it. Five frequencies are available for each probe.
DYN
Dynamic control allows enhancement of grayscale, so as to
(Dynamic
display pathological structure easily. Multiple dynamic ranges are
Range)
available.
In live state, when DYN in the main menu at the screen bottom is selected, turn the knob below it (i.e. SP3) to change. Turn it clockwise to increase dynamic range, or counter-clockwise to decrease dynamic range.
SEC.WIDTH
Provided that the ultrasound image covers the region of interest (ROI), the user may change width (for linear probes) or angle (for convex probes, phased probe and so on) of the B mode image, so as to acquire a higher frame rate.
In live state, press SP3 to toggle and select SEC.WIDTH. Turn the knob
SP3 clockwise to increase image width, or
counter-clockwise to decrease image width. GSC
The GSC determines display brightness based on echo amplitude, and the images can be adjusted in read or write mode. The GSC curves vary with different imaging modes, with multiple GSC for selection.
In live state, when GSC in the main menu at the screen bottom is selected, turn the knob below it (i.e. SP4) to change. The GSC are available for selection.
6-8
Imaging
【Tip】: In frozen state, press Menu,GSC can also be adjusted. SEC.POS
With this function, the image can be shifted left or right, but the function is available only when SEC.WIDTH is decreased to a certain level.
In live state, press SP4 to toggle and select SEC.POS. Turn the knob
SP4 clockwise to shift the image to right, or
counter-clockwise to shift the image to left. PERSIST
In live state, when PERSIST in the main menu at the screen bottom is selected, turn the knob below it (i.e. SP5) to change. A number of presets are available. Turn it clockwise to increase persistence, or counter-clockwise to decrease persistence. 【Tip】: Lower persistence improves image real-time, which is good for scanning fast-moving parts; while higher persistence reduces random noise and improves image clarity.
2D REPRESH
In live state, press SP5 to toggle and select 2D REPRESH. Turn the knob SP5 clockwise to turn on/off image refresh in B mode or CFM mode.
CHROMA
In frozen state, turn the knob SP1 to change the display color of ultrasound images. The colors are available for selection.
LOOP
In frozen state, turn the knob SP2 clockwise to increase loop speed
SPEED
value and decrease loop speed, or counter-clockwise to decrease loop speed value and increase loop speed.
PLAY/STOP
In frozen state, turn the knob SP3 clockwise to play the current images, or counter-clockwise to stop playing.
【Note】: For the operation of CINE REVIEW, see Chapter 9. 6.4.4 Panoramic (Option) Panoramic provides the feature to construct and review a static B mode image wider than the given field of view of the probe. With this function, you may review and measure the area of an anatomical structure bigger than one single image. When the operator slides the probe along the skin surface, Panoramic constructs an extended image based on single image frames. In the scan process, the transducer scan plane is parallel to the moving direction. The imaging quality is related to the operation technique. Additional technique and 6-9
Imaging
practice is required to form the proper technique and proficiency. How to enter Panoramic: 1)
In B mode live state, press Freeze to freeze the image.
2)
Turn the knob SP4, and the screen displays “Please wait……”，and then pops up “CLR：Cancel”. If Clear is pressed, the initialization of Panoramic will stop. When the schedule bar is finished, it goes to Panoramic mode, with the display interface as shown in Fig. 6-3. LOGO
Facility Name
Date & Time
PIP
Imaging Area
Parameter Display Area Fig. 6-3 Display Interface of Panoramic Mode
In Panoramic mode, the menu options QUIT and TOGGLE PIP are displayed at the screen bottom. Press SP1 to select QUIT and exit Panoramic screen; press SP2 to select TOGGLE PIP and close PIP function; press SP2 again to open PIP function. 【Note 1】: If the user does not use this function following its intended use, the measurement might be incorrect. 【 Note 2 】 : Panoramic is suitable for scanning areas obviously bigger than single-screen display area. Generally, it is required to scan slowly, perform uniform vertical movement in any direction relevant to the probe mark. 【Note 3】: Ensure that the probe always in the same plane in the whole scanning process. 【Note 4】: The images are saved as the user scans, which can be monitored in the acquisition process.
6-10
Imaging
6.4.5 Parameter Adjustment for B Mode Submenu In B mode live state, press Menu knob to open the parameter submenu, as shown in Table 6-4. Table 6-4
B Mode Submenu in Live State
ECG SONIC SPEED
1540
CHROMA
1
COMPOUND
OFF
LT
RT
SRTⅠ
3
SRTⅡ
3
POWER%
90
TRAPEZOID
OFF
【Note】: The item TRAPEZOID is displayed only when a linear probe is in use. In B mode frozen state, press Menu knob to open another parameter submenu, as shown in Table 6-5. Table 6-5
B Mode Submenu in Frozen State
GSC
1
CHROMA
1
LT
RT
PLAY/STOP LOOPSPEED START END FRAME BY FRAME
……
6.4.5.1 ECG Module The ECG module provides the 3 lead ECG signal acquisition for the cardiac application. It belongs to Type BF applied part. The R-wave triggering is for Stress Echo or to synchronize the image acquisition for 3D cardiac. The ECG has three leads; LL (left leg, RED), LA (left arm, BLACK), RA (right arm, WHITE). LA is for reference, which usually provides a bias voltage from the ECG module, and the LL and RA are the two signals from the body that go to the differential input of the ECG isolation amplifier. 【Note】: The ECG module is only for acquisition and display of 3-lead ECG signals, 6-11
Imaging
which can not be used as a replacement of ECG / EKG machine. How to adjust the function: a)
In live state, press Menu to bring up the B mode parameter submenu. Use the trackball or press ↑ /↓ key to select ECG, and now the item is displayed with a box.
b)
Press → to go to ECG mode, and an ECG menu is displays on the screen, as shown in Table 6-6. Press ← to return. Table 6-6
c)
ECG Menu
ECG
ON
ECG GAIN
1
ECG POSITION
8
ECG INVERT
ON
R-TRIGGER
ON
Use the trackball or press ↑ /↓ key to select the menu option, and the selected menu is displayed with a box.
d)
Press← ／→ to change or set up the parameter or operating status of each menu option.
ECG: set it ON or OFF to turn on or off the ECG circuit. In cardiac application, when ECG circuit is connected, the ECG trace will be displayed at the screen bottom. change ECG gain, with multiple steps available.
ECG GAIN:
ECG POSITION: Set the ECG trace position on screen, the bigger the value is, the lower the position will be.
ECG INVERT: set the ECG trace invert ON or OFF.
R-TRIGGER: R-wave triggering switch, to set it ON or OFF. When it is set ON, the screen displays the R-TRIGGER menu, which includes the parameters below: TRIGGER DELAY: Delay of R-wave when compared with 2D refresh. FRAME COUNT: Number of images transmitted within 1 second. FRAME INTERVAL: 2D image refresh interval. 【Note】: R-TRIGGER is for the phased array probe only. That is only when the phased array probe is in use, will the R-TRIGGER menu be displayed.
6-12
Imaging
6.4.5.2 Parameter Adjustment for Other Parameters in the B Mode Submenu In live state, SONIC
Sound propagates in tissues at different speeds. If the default sonic
SPEED
speed is different from the actual situation, the user may change it properly to obtain a more accurate image. In live state, press Menu to bring up the B mode parameter submenu. Use the trackball or press ↑/↓ key to select SONIC SPEED, turn Menu knob to change. Turn it clockwise to decrease the speed, or counter-clockwise to increase the speed.
CHROMA
In live state, press Menu to bring up the B mode parameter submenu. Use the trackball or press ↑ / ↓ key to select CHROMA, turn Menu knob or press ←／→ to change the display color of ultrasound images. Thirteen colors such as pink and pale blue are available for selection.
COMPOUND
In live state, press Menu to bring up the B mode parameter submenu. Use the trackball or press ↑ / ↓ key to select COMPOUND, turn Menu knob or press ←／→ to turn the function on / off.
LT
RT
Use this function to invert the image on screen left or right without rotating the scanning probe.
In live state, press Menu to bring up the B mode parameter submenu. Use the trackball or press ↑ / ↓ key to select
LT
RT, turn Menu knob or press ←／→ to invert the
image left or right. When it is set ON, the probe orientation mark ● is at the top right of the imaging area; When it is set OFF, the probe orientation mark is at the top left of the imaging area. 【Tip 1】: As the image inverts, the body mark, the scale and the image active mark do not invert. 【Tip 2】: You may also press the console button L/R to achieve this function. SRTⅠ/ SRTⅡ
In live state, press Menu to bring up the B mode parameter submenu. Use the trackball or press ↑ / ↓ key to select 6-13
Imaging
SRTⅠor SRTⅡ, turn Menu knob or press ←／→ to adjust, with multiple steps for selection. 【Tip】: Two levels of SRT (Speckle Reduction Technology) are available. Either both levels used in combination or one level only is acceptable. POWER %
In live state, press Menu to bring up the B mode parameter submenu. Use the trackball or press ↑ / ↓ key to select POWER%, turn Menu knob to adjust. Turn the knob clockwise to decrease power, or counter-clockwise to increase power.
TRAPEZOID
Turn on this function to extend the scanning area of the linear probe.
In live state, press Menu to bring up the B mode parameter submenu. Use the trackball or press ↑ / ↓ key to select TRAPEZOID, turn Menu knob or press ←／→ to turn on or off the TRAPEZOID function.
【Note】: This functional menu is available only when a linear probe is in use.
In frozen state, GSC
In frozen state, press Menu to bring up the B mode parameter submenu. Use the trackball or press ↑ / ↓ key to select GSC, turn
Menu knob or press ←／→ to change. CHROMA
In frozen state, press Menu to bring up the B mode parameter submenu. Use the trackball or press ↑ / ↓ key to select CHROMA, turn Menu knob or press ← ／ → to change. This function is consistent with the main menu option.
LT
RT
In frozen state, you may invert the image left/ right. Its operation is the same as that in live state.
PLAY/ STOP
In frozen state, press Menu to bring up the B mode parameter submenu. Use the trackball or press ↑ / ↓ key to select PLAY/STOP, turn Menu knob clockwise to play, or counter-clockwise to stop.
6-14
Imaging
LOOPSPEED
In frozen state, press Menu to bring up the B mode parameter submenu. Use the trackball or press ↑ / ↓ key to select LOOPSPEED, turn Menu knob or press ←／→ to change. This function is consistent with the main menu option.
START
In frozen state, press Menu to bring up the B mode parameter submenu. Use the trackball or press ↑ / ↓ key to select START, turn
Menu knob to return to the first frame. END
In frozen state, press Menu to bring up the B mode parameter submenu. Use the trackball or press ↑ / ↓ key to select END, turn
Menu knob to jump to the last frame. FRAME BY
In frozen state, press Menu to bring up the B mode parameter
FRAME
submenu. Use the trackball or press ↑ / ↓ key to select FRAME BY FRAME, turn Menu knob to play frame by frame.
6.4.6 Image Zoom a)
In live or frozen state, press Zoom on the control panel, then a zoom ROI box will be displayed in the imaging area.
b)
Use the trackball to move the zoom ROI box, press Set and use the trackball to change the size of the zoom ROI box. Press Set again to adjust its position.
c)
When the image section for zoom-in is confirmed, press Zoom, and the zoomed image is displayed in the image area.
d)
Press Zoom again to exit the Zoom state.
6-15
Imaging
6.4.7 Biopsy Guideline In unfrozen state, press Guide on the control panel once to display the biopsy guide line, and a pair of parallel dotted lines will be shown vertically on the screen with the distance of 1 cm between the two lines and the biopsy needle displayed in the middle of the two biopsy lines. Press Guide on the operation panel to turn off the biopsy guide line display. 【Note】: The biopsy guide line function depends on the probe model, and it is available for B mode images only. 6.4.8 Optimization In unfrozen state, press Auto, and you may achieve one touch optimization. 6.4.9 Tissue Harmonic Imaging (THI) What THI function utilizes is harmonic frequency generated by tissues. The fundamental transmit frequency may generate harmonic frequency echoes. The harmonic frequency received from the tissue is the frequency doubling of the fundamental transmit frequency. The harmonic frequency received in the ultrasound imaging system does not have the fundamental frequency or any accompanying artifact. Decreased artifact as well as accompanying brightness and noise improves contrast resolution and boundary profile. The THI function is helpful for imaging difficult patients. In B-mode/ Color/ Doppler live state, press THI button to enter tissue harmonic imaging. THI is displayed at the lower left of the screen, which means the system is in Tissue Harmonic Imaging mode. The parameter adjustment for normal B mode imaging applies to THI mode as well. When the system is in THI mode, press THI button to exit the mode, and the symbol THI at the lower left of the screen disappears. 【Tip 1】: Compared with normal B-mode images, harmonic images have higher resolution, but decreased scanning depth. The user may select the proper operating mode as required. 【Tip 2】: Tissue Harmonic Imaging is not applicable to all probes.
6.5 B/M Mode Imaging 6.5.1 Entering B/M Mode In B-mode live state, press M on the operation panel. An M-mode sampling line appears on the B-mode image. Move the trackball left or right to control the position of the 6-16
Imaging
M-mode sampling line. Press Update to activate M-mode sweep and go to B/M Mode Imaging (note: only when 2D REFRESH is set ON, the B-mode and M-mode images are both activated, as shown in Fig. 6-4), in which the B-mode image and the M-mode image are displayed up and down, and the M-mode parameters are displayed on the left of the M-mode image. Press Freeze to stop M-mode sweep. In live B/M mode imaging state, move the trackball to control the position of M-mode sampling line. 【Tip】: Press Update repeatedly to cycle toggle the live state of B and B/M modes.
Fig. 6-4 B/M Mode Imaging 6.5.2 Parameter Adjustment for B/M Mode Main Menu In B/M mode live state, an B/M mode main menu is displayed at the screen bottom, as shown in Table 6-7. Table 6-7 SWEEP SPEED
B/M Mode Main Menu in Live State
POWER%
CHROMA
M-PROCESS
VIDEO INVERT
In B/M mode frozen state, another set of parameter menu is displayed at the screen bottom, as shown in Table 6-8. Table 6-8 CHROMA
B/M Mode Main Menu in Frozen State
VIDEO INVERT
START
6-17
END
CINE REVIEW
Imaging
Here is the adjustment description for the parameters. M_Gain
In live state, turn B Mode knob to change M-mode image gain. See 6.4.2 Operation of B Mode Controls for details.
SWEEP
In live state, turn the knob below SWEEP SPEED (i.e. SP1) to
SPEED
change the scrolling sweep speed of M mode, with multiple steps for selection.
Turn
it
clockwise
to
increase
sweep
speed,
or
counter-clockwise to decrease sweep speed. The speed value is displayed on the left, indicated by SR. 【Tip】: When the sweep speed changes, the image scroll speed and the time scale below the M-mode image change as well. POWER %
In live state, turn the knob below POWER % (i.e. SP2) to change the power.
CHROMA
In live state, turn the knob below CHROMA (i.e. SP3) to change the image display color. 【Note】: In frozen state, turn the knob SP1 to change.
M-PROCESS
2 choices are available for M-PROCESS: Ave and Peak. In live state,
turn
the
knob
SP4
clockwise
to
set
Peak,
or
counter-clockwise to set Ave. VIDEO INVERT
The M-mode image display polarity can be changed with this function, i.e. to change from black to white, or white to black. In live state, turn the knob SP5 to set up. Turn it clockwise to set the invert state ON, and the M-mode image display is white; or counter-clockwise to set the invert state OFF, and the M-mode image display is black. 【Note】: In frozen state, turn the knob SP2 to change.
START
In frozen state, turn the knob SP3 to go to the first image frame.
END
In frozen state, turn the knob SP4 to go to the last image frame.
【Note】: For the operation of CINE REVIEW, see Chapter 9.
6-18
Imaging
6.5.3 Parameter Adjustment for B/M Mode Submenu When entering B/M mode and M mode is not activated, press Menu to bring up the menu below. Table 6-9
B/M Mode Submenu when M-mode is not activated ECG CHROMA
1
UP
DOWN
Off
LT
RT
POWER%
70
STEER M
Off
DISPLAY FORMAT
V1/2
Press Update to activate M mode, and then press Menu to bring up another set of menu on screen. Table 6-10
B/M Mode Submenu when M-mode is activated ECG DISPLAY FORMAT
V1/2
In B/M mode frozen state, press Menu to bring up the third set of menu on screen.
Table 6-11
B/M Mode Submenu in frozen state
CHROMA
1
VIDEO INVERT
Off
DISPLAY FORMAT
V1/2
START END FRAME BY FRAME
……
Here is the adjustment description for the parameters of the submenu. UP
DOWN
When M-mode is not activated, press Menu, use the trackball or press ↑ / ↓ key to select UP
DOWN. Turn Menu knob or press
←／→ to set up and invert the image up/ down. 【Tip】: You may also press the console U/D button to achieve this function. 6-19
Imaging
DISPLAY
When M-mode is not activated, press Menu, use the trackball or
FORMAT
press ↑ / ↓ key to select the menu DISPLAY FORMAT. Turn
Menu knob or press ←／→ to set up, with multiple display formats for selection: V1/2 for up/ down display, 1/2 each for B-mode and M-mode images; V2/3 for up/ down display, 2/3 for B-mode, and 1/3 for M-mode; V1/3 for up/ down display, 1/3 for B-mode, and 2/3 for M-mode; H1/2 for left/right display, 1/2 each for B-mode and M-mode images; H1/4 for left/right display, 1/4 for B-mode and 3/4 for M-mode; 01/4 for up/ down display, 1/4 for B-mode and 3/4 for M-mode, without the display of sampling line. 【Note】: For the operation of other parameters, see 6.4.5 Parameter Adjustment for B Mode Submenu. 6.5.4 Steer M / Anatomical M-Mode (Option) In B/M mode, when M mode is not activated, adjust the M mode sampling line to bring it vertical to the anatomical plane. Press Menu, use the trackball or press ↑ / ↓ key to select the menu STEER M, with the default OFF. Turn Menu knob to set it 1, 2 or 3. If it is set 1, the M sampling line onscreen is adjustable; If set 2, two M sampling lines appear; if set 3, three M sampling lines are displayed, as shown in Fig. 6-5. Use the trackball to shift the position of the M sampling line(s) left or right. Turn Menu knob to rotate the M sampling line(s) 360°. Press Set to toggle between the M sampling lines and adjust them. [Note: the selected sampling line is blue, and the un-selected one(s) is green]. 【Note】: When multiple sampling lines are set, and certain probe is in use, you may need to press Update to toggle between each M sampling line and adjust it accordingly.
6-20
Imaging
Fig. 6-5 Steer M with 3 Lines
6.6 Color Flow Map Imaging (CFM) 6.6.1 Entering Color Flow Map Mode In B-mode live state, press CFM to enter Color Flow Map mode (see Fig. 6-6). Use the trackball to move the color ROI box. Press Set, then move the trackball to adjust the size of the color ROI box. Press Set again to toggle the trackball function back to color ROI box positioning. Press CFM again to return to single B mode.
Fig. 6-6 Color Flow Map Imaging 6-21
Imaging
The parameters for CFM mode are displayed on the left of the ultrasound screen. Use the console buttons, knobs, toggle switches and trackball to control or change the imaging parameters. Fig. 6-7 shows the imaging parameters displayed onscreen in CFM mode.
Fig. 6-7 CFM Mode Imaging Parameters 【Note】: PRF stands for Pulse Repetition Frequency, WF for Wall Filter, GN for Gain, C for Color Map, P for Persistence, PWR for Power, and FRQ for Frequency. 6.6.2 Operation of CFM Mode Controls CFM (Color Gain)
In live state, turn CFM knob to adjust color gain of the image. Turn the knob clockwise to increase the flow signal level within the color ROI box, or counterclockwise to decrease it. 【Tip】: Increasing color gain will enhance color flow sensitivity. Too low color gain may lead to insufficient filling of flow signals and dim image color; And excessively high color gain may lead to obvious color outflow.
Steer
In live state, with the linear probe as the currently activated probe, toggle Steer to adjust the steer angle of color box. Toggle it up to steer left, or toggle it down to steer right.
6-22
Imaging
Wall Filter
In live state, toggle WF switch to change wall filter. Toggle it up to
(WF)
increase wall filter, or toggle it down to decrease. It is used for removing color artifact due to vascular wall pulse or valve activity. If WF in the main menu is selected, you may also turn the knob SP2 to adjust wall filter. 【Tip】: This adjustment is relative to color sensitivity. To detect high-velocity flow or turbulent flow, increase the WF value to eliminate frequency shift artifact due to low velocity flow signals and low wall activity. To detect low-velocity flow, decrease the WF value to avoid flow signals with low frequency being cut off.
PRF (Pulse
In live state, toggle PRF up to increase PRF or down to decrease Repetition
Frequency)
it. This adjustment will increase/ decrease the detection range of flow velocity. 【Tip】: Higher PRF will lead to higher detectable flow velocity, lower color filling and higher frame rate; on the contrary, lower PRF will result in lower detectable flow velocity, higher color filling and lower frame rate. It is better to adjust this value without leading to color inversion. When detecting low-velocity flow, decrease the PRF value, so as to increase sensitivity of color flow signal. Low PRF easily results in color alias and mosaic images.
Baseline
In live state, toggle Baseline switch up or down to move the color map baseline position. Press Inv to invert the color map upside down against the baseline.
6.6.3 Parameter Adjustment for CFM Mode Main Menu In CFM-mode live state, the main menu for this mode is displayed at the screen bottom, as shown in the table below. Table 6-12
CFM Mode Main Menu in Live State
C MAP/DIRECT.D
WF
B REJECT
LINE DENSITY
POWER%
SEC.WIDTH
SEC.POS
2D REPRESH
6-23
FREQUENCY
Imaging
In CFM-mode frozen state, another menu set is displayed at the screen bottom, as shown in the table below. Table 6-13 C MAP/DIRECT.D
CFM Mode Main Menu in Frozen State
LOOPSPEED
PLAY/STOP
B REJECT
CINE REVIEW
Here is the adjustment description for parameters in the main menu. C MAP/DIRECT.D
In live state, when C MAP/DIRECT.D in the main menu is selected, turn the knob below it (i.e. SP1) to select the desired color map, with the color map displayed on the top right of the screen. 【Tip】: The operation in frozen state is the same.
B REJECT
In live state, when B REJECT in the main menu is selected, turn the knob below it (i.e. SP3) to set up the display priority between CFM and B mode imaging.
FREQUENCY
In live state, when FREQUENCY in the main menu is selected,
（color frequency）
turn the knob SP5 to change frequency of CFM mode. Turn it clockwise
to
increase
frequency,
or
counter-clockwise
to
decrease. 【 Tip 】 : Higher color frequency is conducive to detecting low-velocity blood flow. However, over high color frequency may give rise to noises.
【Tip】: For the operation of CINE REVIEW, see Chapter 9. For the functions of other parameters in the main menu, see 6.4.3 Parameter Adjustment for B Mode Main Menu. The operation is like this: after selecting the item, turn the knob below it for adjustment.
6.6.4 Parameter Adjustment for CFM Mode Submenu In CFM-mode live state, press Menu to open the parameter submenu, as shown in the table below. Table 6-14
CFM Submenu in Live State
ECG PERSIST
0
BASELINE
1
6-24
Imaging
LT
RT
In CFM-mode frozen state, press Menu to open another parameter submenu, as shown in the table below. Table 6-15
CFM Submenu in Frozen State
C MAP
3
B REJECT
252
LOOP SPEED START END FRAME BY FRAME
……
Here is the adjustment description for parameters in the submenu. PERSIST
In live state, press Menu, use the trackball or press ↑/↓ key to select PERSIST, turn Menu knob to change. Turn it clockwise to decrease
persistence,
or
counter-clockwise
to
increase
persistence. Baseline
In live state, press Menu, use the trackball or press ↑/↓ key to select Baseline, turn Menu knob to change. This function is the same as using the toggle switch Baseline.
C MAP
In frozen state, use the trackball or press ↑/↓ key to select C MAP, turn Menu knob to change. This function is the same as the corresponding item in the main menu.
B REJECT
In frozen state, use the trackball or press ↑/↓ key to select B REJECT, turn Menu knob to change. This function is the same as the corresponding item in the main menu.
【Note】: For the adjustment of other parameters in the submenu, see 6.4.5 Parameter Adjustment for B Mode Submenu.
6.7 Color Power Angio Imaging (CPA) In live state, press CPA on the operation panel to enter Color Power Angio mode. See Fig. 6-8. Use the trackball to move the color ROI box. Press Set, and then move the trackball to change the size of the color ROI box. Press Set again to toggle the trackball function back to color ROI box positioning.
6-25
Imaging
Press CPA again to return to single B mode.
Fig. 6-8 CPA Imaging 【Tip】: For the adjustment of CPA imaging parameters, see the adjustment of CFM parameters in 6.6 Color Flow Map Imaging (CFM).
6.8 Multiple Imaging 6.8.1 2B Imaging In B-mode live state, press the console Dual button to enter 2B imaging (see Fig. 6-9). Now the right image is live (the image with green lines on top and below is live). Press
L/R, the left image is live, and the right one is frozen. Press U/D to invert the live image upside down. Press Dual again to return to B mode.
Fig. 6-9 2B Imaging 6-26
Imaging
6.8.2 Color Dual Imaging In CFM or CPA live state, press the console Dual button to display 2 CFM or CPA images, with the left image frozen, and the right image live. The same as in 2B, press
L/R to toggle the live and frozen state, and press U/D to invert the live image upside down. Press Dual again, and the CFM or CPA live images turn to live B-mode images. The frozen image is activated, and the 2 images are both live, with the left one in color mode, and the right one in B mode, as shown in Fig. 6-10. Press U/D to invert both images upside down at the same time. Press Dual again to exit dual mode, and return to CFM or CPA mode.
Fig. 6-10
Color Dual Imaging
6.8.3 Quadruple Imaging In B or color mode live state, press the console number key 4, and the image will be zoomed out to 1/4 of the original size and displayed at the top left of the screen. Press L/R repeatedly 3 times, and the screen displays 4 images. The image with green lines on top and below is live. Press L/R repeatedly to toggle the live image between the 4 images. Press 4 again to exit quadruple imaging.
6-27
Imaging
6.9 Pulsed Wave Doppler Imaging (PW) 6.9.1 Entering PW Mode In B-mode live state, press PW, and the B image and PW spectrum are arranged up and down. The PW sampling line and sampling volume appear in the B image area. Now the PW image is not activated yet. See Fig. 6-11. Move the trackball up and down to change the vertical position of the sample volume, or move it left and right to change the horizontal position of the sample volume. Press Set, and then use the trackball to adjust the size of sample volume. Turn Angle knob to change the angle, and the corrected angle is displayed on top of the velocity scale on the right of the PW image.
Fig. 6-11
PW Sample Volume
Press Update to activate PW scanning and freeze the B image; if 2D REFRESH is set ON, then both B and PW images are activated at the same time, as shown in Fig. 6-12. 【Note】: In CFM or CPA live state, press PW, the CFM or CPA image and the PW image are arranged up and down. Set 2D REFRESH ON, press Update again to achieve triplex display of B, CFM or CPA, and PW images. Press Freeze to stop PW scanning. If PW is live, move the trackball and the system returns to B mode automatically. Now the user may change the position of sample volume before the trackball stops to move for over 0.5s. And the system returns to PW scanning automatically. The time mark of the spectrum is displayed below the image, the speed mark on both 6-28
Imaging
sides of the image, in the unit cm/s, and the parameter values on the left of the image.
Fig. 6-12 PW Imaging 6.9.2 Pulsed Wave Doppler Parameter Adjustment PW Gain
In live state, when entering the PW mode, turn PW knob to change PW gain. 【Tip】: The spectrum displays noise if the gain is too high, or displays weak signals if the gain is too low.
PRF
In live state, toggle PRF switch up to increase or down to decrease PRF. Use this function to change detection range of PW Doppler flow velocity. 【Tip】: Higher velocity flow can be detected if PRF value is up, and lower velocity flow can be detected is PRF is down. The value shall be
adjusted
according
to
the
specific
situations.
Improper
adjustment may lead to inability for flow detection. WF
In live state, toggle WF switch to adjust WF value. Toggle it up to
(Wall Filter)
increase or down to decrease wall filter. when WF in the main menu is selected, turn the knob below it (i.e. SP2) to change. 【Note】: This adjustment may filter out low-frequency signal echoes on both sides of the baseline, not only useless low frequency signals, but also some useful signals. Especially when detecting low-velocity flow, it may lead to flow signals unable to be displayed.
6-29
Imaging
Baseline
In live state, toggle Baseline switch up or down to move Doppler baseline position, and expand the velocity range in one direction.
In live Doppler trace state, press Inv to invert the Doppler trace display direction against the baseline.
Audio
In live state, and also in the PW mode, turn Audio knob to change the volume of the Doppler speaker.
6.9.3 Parameter Adjustment for PW Mode Main Menu In PW live state, the PW mode main menu is displayed at the screen bottom, as shown in the table below. Table 6-16
PW Mode Main Menu in Live State
POWER%
WF
FREQUENCY
CHROMA
VIDEO INVERT
SWEEP SPEED
DYN
In PW frozen state, another set of main menu is displayed at the screen bottom, as shown in the table below. Table 6-17 CHROMA
PW Mode Main Menu in Frozen State
VIDEO INVERT
START
END
CINE REVIEW
Here is the adjustment description for parameters in the main menu. POWER %
In live state, when POWER % in the main menu is selected, turn the knob below it (i.e. SP1) to change the power.
CHROMA
In live or frozen state, press SP1 to select CHROMA, and turn the knob SP1 to change the image display color.
VIDEO INVERT
In live or frozen state, when VIDEO INVERT in the main menu is selected, turn the knob below it (i.e. SP2) to change the display polarity, that is change black to white, or white to black.
FREQUENCY
In live state, turn the knob below FREQUENCY (i.e. SP3) to change PW imaging frequency. Turn it clockwise to increase, or counter-clockwise to decrease frequency.
6-30
Imaging
SWEEP
In live state, turn the knob below SWEEP SPEED (i.e. SP4) to
SPEED
change, with multiple steps available. Turn it clockwise to increase, or counter-clockwise to decrease the speed. 【Tip】: When the sweep speed changes, the image scroll speed and the time scale below the PW image change as well.
DYN (Dynamic
In live state, turn the knob below DYN (i.e. SP5) to change the
Range)
dynamic range of PW images. Turn it clockwise to increase, or counter-clockwise to decrease dynamic range, with the value displayed in the left parameter area.
【Note】: For the adjustment of other parameters, see 6.5.2 Parameter Adjustment for B/M Mode Main Menu. 6.9.4 Parameter Adjustment for PW Mode Submenu When entering B/PW mode and PW mode is not activated, press Menu to bring up the menu below on screen. Table 6-18
B/PW Mode Submenu when PW-mode is not activated STEER ANGLE
12
ECG CHROMA
1
UP
DOWN
Off
LT
RT
POWER%
70
DISPLAY FORMAT
V1/2
【Note】: STEER ANGLE is displayed only when a linear probe is in use. Press Update to activate PW mode, and then press Menu to bring up another set of menu on screen. Table 6-19
B/PW Mode Submenu when PW-mode is activated STEER ANGLE
16
ECG BASELINE
4
ANGLE CORRECT
ON
DISPLAY FORMAT
V1/2
【Note】: STEER ANGLE is displayed only when a linear probe is in use. In B/PW mode frozen state, press Menu to bring up the third set of menu on screen.
6-31
Imaging
Table 6-20
B/PW Mode Submenu in frozen state
CHROMA
1
VIDEO INVERT
OFF
DISPLAY FORMAT
V1/2
START END FRAME BY FRAME
……
Here is the adjustment description for the parameters of the submenu. STEER ANGLE
When using the linear probe, in live state and if PW mode is not activated, press Menu to bring up the PW mode parameter submenu. Use the trackball or press ↑ / ↓ key to select STEER ANGLE, and turn Menu knob to adjust the steer angle of the sampling line. When the sampling line is vertical and the steer angle is 0, turn Menu knob clockwise to steer the sampling line left (minus value), or turn it counter-clockwise to steer the sampling line right (plus value).
You may also toggle Steer to change the steer angle of the sampling line. Toggle it up to steer the sampling line left, or toggle it down to steer the sampling line right.
ANGLE
CORRECT
in live state and if PW mode is not activated, press Menu to bring up the PW mode parameter submenu. Use the trackball or press
↑ / ↓ key to select ANGLE CORRECT, and turn
Menu knob or press ←／→ to set up. When it is set ON, the angle correct cursor is displayed in the sample volume. Now press ←／→ or turn Angle knob to change the angle; When it is set OFF, the cursor is hidden, and the corrected angle is displayed on top of the velocity scale on the right of the PW image.
【Tip 1】: When changing the correct angle, try to keep the correction guide line parallel to the scanned vessel, thus the flow velocity will be close to the actual one.
【Tip 2】: When changing the correct angle, the vertical scale on both sides of the PW image will change accordingly.
【Note】: For the operation of other parameters in the submenu, see parameter adjustment of submenu in other modes. 6-32
Imaging
6.10 Continuous Wave Doppler Imaging (CW) When the phased array probe is in use only, and in B-mode live state, press CW, and the B image and CW spectrum are arranged up and down. The CW sampling line and sampling volume appear in the B image area. Now the CW image is not activated yet. Move the trackball up and down to change the vertical position of the sample volume, or move it left and right to change the horizontal position of the sample volume. Press Set, and then use the trackball to change the size of sample volume. Press Set again, and the trackball function returns to changing the position of sample volume. Press Update to activate CW scanning and freeze the B image; Press Update again to activate B image, and freeze the CW image. Press Update repeatedly to perform cycle switch. 【Note 1】: Only when using the phased-array probe, can it enters CW mode. 【Note 2】: For the adjustment of parameters in CW mode, see the adjustment of controls and parameters in PW mode.
6.11 Tissue Doppler Imaging (TDI，Option) Tissue Doppler Imaging (TDI) is to generate color images according to Doppler effect, with color images overlapping on 2D images. TDI provides information on tissue motion direction and velocity. With TDI function, the users may acquire signals with low flow velocity and high amplitude relevant to wall filter, and generate tissue images with color coding. When the phased array probe is in use only, and in B-mode live state, press TDI to enter the TDI mode. A color box appears on the image. Press TDI again to exit TDI mode. Moving the track ball may shift the color box. Press Set, and move the trackball again to change the size of the color box. Press Set again to restore the trackball function to color box positioning. 【Note 1】: Only when using the phased-array probe, can it enters TDI mode. 【Note 2】: For the adjustment of parameters in TDI mode, see the adjustment of controls and parameters in CFM mode.
6-33
Annotation of Image Information
Chapter 7 Annotation of Image Information 7.1 Management of Patient Information In live or frozen state, press the console ID button to open the patient information edit screen, as shown in Fig. 7-1. Press ID again to close the edit screen. On the screen, the user may input information such as Name, ID, DOB, Height, Weight, LMP and Sex, and save them to the database.
Fig. 7-1 Patient Information Edit Screen Operation: a) Input patient information: Use the trackball to move the cursor to the desired box for inputting information, press Set, and use the keyboard to input. For DOB and LMP, please input numbers as the prompt date format. Take “mmddyyyy“ for
7-1
Annotation of Image Information
example, input 2 digits for month, 2 digits for day, and 4 digits for year. After inputting DOB, the age will be calculated by the system automatically. 【 Note 】 : The patient ID is a must field to input, otherwise the patient information cannot be saved. 【Tip】:
The date format can be set up in System Setting, see 5.2.5.
b) SAVE: After inputting patient information, use the trackball to move the cursor to the SAVE button at the bottom of the edit screen. Press Set to save the patient information, and return to the select screen of probe and exam type. Select the exam type and then start the exam. The name and ID of the current patient are displayed at the top of the screen. Save the information, and the corresponding folders are created in the file management. In scanning, the saved images or clips will be saved to theirs specific folders. c) RESET: use the trackball to move the cursor to the RESET button at the bottom of the edit screen. Press Set to clear all the information for re-input. d) CANCEL: use the trackball to move the cursor to the CANCEL button at the bottom of the edit screen. Press Set to cancel the current operation, and the system returns to the exam screen. e) Search: To search the patient history, after entering the patient information edit screen, you may see the function Search. The default is to search by Name, and the user may select to search by ID or Acc.#. Move the cursor to the information input box on the right to input, and the search result of the patient information can be found and displayed at the bottom. Move the cursor to the patient information, press Set to enter the patient information screen. If the patient information is found, to view the more detailed patient history, move the cursor to History, press Set to enter History screen, and you may see patient information such as Date、Exam type、Report、Cine、Image.
7-2
Annotation of Image Information
7.2 Adding Annotation 7.2.1 Function Description Users can add text or preset annotations to the images. Text function allows users to input characters and numbers, and annotation function allows the user to add preset annotations to images. 7.2.2 Operation Method a) Add annotation characters: In live or frozen state, press Annot to bring up the cursor onscreen and enter the annotation state. Move the cursor to the desired position for annotation, input the characters, and press Set to confirm the input. Before pressing Set, use the trackball to move the characters, and press
Backspace to delete one character before the cursor. b) Add an annotation phrase: In live or frozen state, press Annot to bring up the preset annotations. Press Ctrl+number before the phrase to select the annotation phrase. Move the trackball again, and the selected annotation phrase will be moved with the cursor. Move the cursor to the desired position for annotation, press Set, and the annotation will be displayed at the cursor position. c)
Delete an annotation: In live or frozen state, press Annot to go to the annotation state. Press Del, and move the cursor to the front of the last inputted annotation. Press Del again to delete the annotation.
d) Exit the annotation state: press Annot again to exit the annotation state.
7.3 Body Marks 7.3.1 Functional Description Body Marks are a group of system preset pictorial diagrams of human organs. They are used to indicate the current exam parts. A movable and rotatable green symbol
|
(referred as “probe indicator”，See the red boxes as indicated in Fig. 7-2) in the body mark
7-3
Annotation of Image Information
is used to indicate position and direction of the probe. 7.3.2 Operation Method 1) In frozen state, Press the console BDYMK button to display body marks on the right of the screen, as shown in Fig. 7-2. 2) Use the trackball to move the probe indicator to the desired proper position to add the body mark. Press ←/→ to change the direction of the probe indicator. 3) Press Set to confirm the direction of the probe indicator and the body mark, and the body mark containing the probe indicator will be displayed at the bottom right of the screen. 【Tip】:
Body marks can be added in dual or quadruple mode, but only one body
mark can be displayed on the screen.
probe indicator
Fig. 7-2 Body Marks
7-4
Annotation of Image Information
7.4 Adding Arrow Press Arrow, and an arrow appears in the center of the image area. a) Adjust position: move the trackball to change the position of the arrow. b) Adjust angle: Turn the Menu knob to rotate the arrow 360° and adjust its angle. c) Fix: Press Set to confirm the arrow, or switch to other state or mode, or fix the arrow.
7-5
Measurement, Calculation and Report
Chapter 8 Measurement, Calculation and Report 8.1 Introduction of Measurement & Calculation Measurement & Calculation functions allows user clinical ultrasound analysis, including measurements on ultrasound images and various calculation results based on different calculation methods; these results will be automatically and simultaneously entered into reports for user diagnosis report edit. Measurement and calculation functions are different in various applications and diagnostic modes. During the measurement, the system will be in different states subject to user’s input commands. Prompt of the specific work state is at the bottom right of the screen. Follow these prompts to confirm current work state for proper operation. The control units applied in measurement & calculation (Meas/Calc) and their functions are listed in Table 8-1. Table 8-1 Control Unit Function List Control Unit
Dis Trace Ellipse Calc
Function To measure distance To measure trace To measure in Ellipse method To activate Meas/Calc function and call out the Meas/Calc menu. 【Note】: Pressing this key will not delete measurement data in the report.
Update Del
To activate the fixed cursor in measurement. To delete measurement data on screen, or cancel the measurement trace gradually in trace measurement.
Set
To select the measurement item, release the cursor, and confirm the measurement. 8-1
Measurement, Calculation and Report
8.2 General Measurement 8.2.1
B-mode General Measurement B mode Measurement Menu
Measurement Item Distance Ellipse
Function Description Distance measurement between two points Area and circumference measurement of a regular enclosed region in Ellipse method
Trace
Area and circumference measurement of an irregular enclosed region in Trace method
VOLUME L×W×H
Volume measurement of the target by measuring 3 distances
Ellipsoid-vol. ANGLE
Volume measurement in Ellipsoid method Measurement of the angle between two intersecting planes
8.2.1.1 Distance Measurement Measurement: 1)
In B mode frozen state, press Dis to display a ＋ cursor in the image area and enter the distance measurement state.
2)
Move the cursor to the measurement start point, press Set to fix the start point and bring up another cross cursor ＋.
3)
The second cursor, with a dotted line connecting to the start point cursor, can be moved by using the trackball. The measurement result will be displayed in the measurement result window. Press Update to activate the first cursor for relocation. Press Set again to activate the second cursor.
4)
To move the second cursor to the measurement end point. Press Set to fix the measurement end point, with the dotted line between the end point and the green cursor turning into yellow. Press Dis to finish the measurement.
5)
Repeat steps 2）to 4）to continue with another distance measurement. 8-2
Measurement, Calculation and Report
6)
The measurement result is shown as follows: 1D××.××mm 2D××.××mm
8.2.1.2 Delete Measurement Results 1)
Move data frame position: After the measurement, press Update, and use the trackball to move the position of the data frame at the upper right of the screen, and then press Update or Set to fix the position of the data frame.
2)
Delete single measurement result: After the measurement, press Del and use the trackball to select the measurement result to be deleted. Now the color of measurement result is green. Press Set to delete the measurement result.
3)
Delete all measurement results: After the measurement, press Del twice to delete all measurement cursors and data on the screen.
【 Note 】： The methods above for deleting measurement results apply to any measurement mode. 8.2.1.3 Circumference and Area Measurement: Ellipse Measurement 1: 1)
+ cursor and enter ellipse In B mode frozen state, press Ellipse to display a ○
measurement state. 2)
Move the cursor to certain point in the measurement area. Press Set to fix the axis start point of the ellipse.
3)
Move the cursor to select the desired axis end point and press Set to fix it. Now an ellipse with dotted line connecting between two cursors will be displayed on the screen.
4)
When the ellipse axis is fixed, use trackball to change the ellipse shape and move the cursor to bring the ellipse as close to the measurement area as possible. Press
Update to activate the second cursors and fix the ellipse axis. Press Set to fix the ellipse measurement area and finish the measurement. The measurement results of the ellipse circumference and area will be displayed at the upper right of the screen. 8-3
Measurement, Calculation and Report
5)
Repeat steps 2) to 4) to continue with another ellipse measurement.
6)
The measurement result is shown as follows: EA ××.×× mm2 (Area) EP ××.×× mm (Circumference) Ea ××.××mm Eb ××.××mm
8.2.1.4 Circumference and Area Measurement: Trace Measurement: 1)
In B mode frozen state, press Trace on the control panel to display a × cursor and enter trace measurement state.
2)
Move the cursor to the measurement start point, and press Set to fix it.
3)
Draw the trace along the boundary of the target area with the trackball.
4)
Press Del to delete the trace bit by bit in the trace process, if required.
5)
Press Set at the measurement end point to end the measurement. The system will connect the start point and the end point in a line, and also calculate the area and circumference of the enclosed region. The measurement result of will be displayed at the upper right of the screen.
6)
Repeat steps 2) to 4) to continue with another distance measurement.
7)
The measurement result is shown as follows: TA ××.××mm2 TB ××.××mm
8.2.1.5 Volume LxWxH The volume is calculated by measuring 3 distances (LxWxH). The operations are as follows: 1)
Select an image plane and press Freeze to freeze it, then press Calc to bring up the measurement package menu.
2)
Use the trackball or press ↑/ ↓ to select VOLUME L×W×H from the menu, then press
Set to display the first cursor on the screen. 8-4
Measurement, Calculation and Report
3)
Follow the steps in distance measurement above to measure length and width.
4)
Press Freeze to unfreeze the image, and the two measured data will not disappear. Select an image plane perpendicular to the original image and freeze it. .
5)
Follow the steps in distance measurement above to measure height. The volume is calculated and displayed at the upper right of the screen.
6)
After measurement the measurement menu will automatically show up for selecting other items. Press Calc again to close the menu.
7)
The measurement result is shown as follows: Vo L ××.××mm Vo W ××.××mm Vo H ××.××mm Volume ××.××cm3
【Tip】：The measurement can also be performed in dual B mode. Acquire the images of two perpendicular planes. Start the measurement after freezing the images. 8.2.1.6 Ellipsoid-vol.
Max. transversal diameter plane L
Max. longitudinal diameter plane R
Fig. 8-1 Diagram of Ellipsoid-vol. Measurement 1)
In B mode live state, press Dual to enter dual B mode: Acquire the max. longitudinal diameter plane (plane R in Fig. 8-1). Press L/R to activate another image window and to freeze the max. longitudinal diameter plane. Acquire the max. transversal diameter plane (plane L in Fig. 8-1) image perpendicular to plane R, then press Freeze to freeze the image.
2)
Press Calc to bring up the measurement package menu. 8-5
Measurement, Calculation and Report
3)
Use the trackball or press ↑/ ↓ to select VOLUME from the menu, then press Set to display the start cursor on the screen.
4)
In plane R, follow the ellipse measurement above in 8.2.1.3 to measure the area.
5)
Press Set to confirm the measurement results. Meanwhile the measurement menu will automatically show up. Reselect VOLUME from the menu and press Set to display the start cursor on the screen again.
6)
In plane L, follow the distance measurement above to measure the length of another axis. The volume is calculated and displayed at the upper right of the screen.
7)
The measurement menu will automatically show up for selecting other items after measurement. Press Calc again to close the menu.
8)
The measurement result is shown as follows: VolAA ××.××cm2 VolPP ××.××cm VolAX ××.××cm VolBX ××.××cm VolCX ××.××cm Vol ××.××cm3
8.2.1.7 Angle Measurement: 1)
In B mode frozen state, press Calc to open the measurement package menu.
2)
Use the trackball or press ↑/ ↓ to select ANGLE from the menu, then press Set to display the first cursor on the screen and enter the angle measurement state.
3)
Use the trackball to move the cursor to the target position, then press Set to fix it and the second cursor is displayed on the screen.
4)
Use the trackball to move the cursor to the target position, then press Set to fix and confirm the first line, with the third cursor displayed on the screen.
5)
Use the trackball to change the angle between the two lines. Press Set to fix and confirm the second line (which shares the same start point with the first line), with the 8-6
Measurement, Calculation and Report
angle measurement result displayed at the right of the screen. 6)
The measurement menu will automatically show up for other item selection after measurement. Press Calc again to close the menu.
7)
The measurement result is shown as follows: 1 Angle ××.×× 2 Angle ××.××
8.2.2
M-Mode General Measurement
The measurement items are as follows: Measurement
Function
DISTANCE
To measure the vertical distance between two points
TIME
To measure the time interval between any two points
SLOPE
To acquire the average speed (slope) by measuring the distance and time between two points
HR
To measure the time interval of n heart beat cycles, and acquire the number of heartbeats per minute.
8.2.2.1 Distance Measurement 1: 1)
In M mode frozen state, press Dis and the first cursor as well as two intersecting dotted lines are displayed on the screen.
2)
Move the trackball cursor to the target position. Press Set to fix the first cursor and then the second one will show up.
3)
Move the trackball in the vertical direction, and move the second cursor to the target position, with the measurement result displayed in the data window at the upper right of the screen.
4)
Press Set to fix the second cursor and finish the measurement.
Measurement 2: 1)
In M mode frozen state, press Calc to bring up the measurement package menu. 8-7
Measurement, Calculation and Report
2)
Use the trackball or press ↑/ ↓ to select DISTANCE from the menu, then press Set to display the first cursor as well as two intersecting dotted lines on the screen.
3)
Follow steps 2) to 4) in Measurement 1；
4)
The measurement menu will automatically show up for selecting other items after measurement. Press Calc again to close the menu.
5)
The measurement result is shown as follows: 1 L ××.×× cm 2 L ××.×× cm
8.2.2.2 Time Measurement: 1)
In M mode frozen state, press Calc to bring up the measurement package menu.
2)
Use the trackball or press ↑/ ↓ to select TIME from the menu, then press Set to display the first cursor as well as two intersecting dotted lines on the screen.
3)
Move the trackball cursor to the target position. Press Set to fix the first cursor and then the second one will show up.
4)
Use the trackball to move the second cursor to the measurement end point. Press
Set to fix it. The time measurement result will be displayed at the upper right of the screen. 5)
The measurement menu will automatically show up for selecting other items after measurement. Press Calc again to close the menu.
6)
The measurement result is shown as follows: 1 Time ××.××s 2 Time ××.××s
8.2.2.3
Slope
Measurement: 1)
In M mode frozen state, press Calc to bring up the measurement package menu.
2)
Use the trackball or press ↑/ ↓ to select SLOPE from the menu, then press Set to display the start point cursor as well as two intersecting dotted lines on the screen. 8-8
Measurement, Calculation and Report
3)
Move the trackball cursor to the target position. Press Set to fix the cursor and then the second cursor will show up.
4)
Use the trackball to move the second cursor to the measurement end point. Press
Set to fix it. The slope measurement result will be displayed at the right of the screen. 5)
The measurement menu will automatically show up for selecting other items after measurement. Press Calc again to close the menu.
6)
The measurement result is shown as follows: 1
L ××.×× cm
Time ××.××s V ××.×× cm/s 8.2.2.4
Heart Rate (HR)
Measurement: 1)
In M mode frozen state, press Calc to bring up the measurement package menu.
2)
Use the trackball or press ↑/ ↓ to select HR from the menu, then press Set to display the first cursor as well as two intersecting dotted lines on the screen.
3)
Follow the same steps as time measurements in M mode above.
4)
The measurement result is shown as follows: 1 HR ××
8.2.3
PW-mode General Measurement
Measurement items in PW mode: Measurement
Function To automatically trace one or more Doppler waveforms
Auto Trace
according to the waveform scan system, so as to obtain clinical indexes such as velocity, acceleration and heart rate. To manually trace one or more Doppler waveforms, so as to
Manual Trace
obtain clinical indexes such as velocity, acceleration and heart rate.
8-9
Measurement, Calculation and Report
Flow Velocity
To measure velocity and pressure gradient of certain point in the Doppler spectrum waveform.
Acceleration Time HR
To measure the change level of velocity between two points. To measure time interval between any two points. To measure the time interval of n heart beat cycles, and acquire the number of heartbeats per minute.
8.2.3.1 Auto-trace Measurement: 1)
In Doppler image mode, press Freeze to freeze the image and enter cine clips mode.
2)
Press Ellipse to automatically measure velocity and heart rate, with the values displayed at the right of the screen.
【Note1】: Auto-trace can trace one or more cardiac cycles at the same time. 【Note2】: The precision of measurement results depends on the SNR of Doppler spectrum. Adjusting Doppler gain is required before freezing the Doppler image, so as to achieve clearer Doppler spectrum, The measurement result is shown as follows: Vp
××.×× cm/s
PPG
××.×× mmHg
Ve ××.×× cm/s EPG: ××.×× mmHg VM: ××.×× cm/s MPG
××.×× mmHg
PI
××.××
RI
××.××
VT1：××.×× EnVTi
××.×× s
S/D
××.××
HR:
×× 8-10
Measurement, Calculation and Report
8.2.3.2
Manual Trace
If the measurement precision of auto trace can not be guaranteed, user can measure the Doppler images by manual trace. When the procedure of auto trace is finished, the system will calculate values such as heart rate and time automatically. Measurement: 1)
In Doppler frozen state, press Trace to display the first cursor and a vertical dotted line.
2)
Move the cursor to the start point of peak spectrum. Confirm the start point by pressing Set and use the trackball to trace along the spectrum waveform. The system will automatically confirm the peak value cursor, with the trace end point placing in end-diastolic or the start point of the next cardiac cycle. The result is displayed at the upper right of the screen.
3)
Press Set to fix the spectrum trace and now the third cursor is displayed.
4)
Move the third cursor to the trace end point. Press Set to measure heart rate with the result displayed in the data window on the upper right of the screen.
5)
The items measured by manual trace are the same as those for auto trace.
8.2.3.3
Flow Velocity
Measurement: 1)
In Doppler frozen mode, press Calc to bring up the measurement package menu.
2)
Use the trackball or press ↑/ ↓ to select Flow Velocity from the menu, then press
Set to display the first cursor on the screen. 3)
Use the trackball to move the measurement cursor to the desired position, then press
Set to fix it, with the values of velocity and pressure gradient displayed at the right of the screen. 4)
Repeat the steps above to change the position of the measurement point.
5)
The measurement result is shown as follows: 1 Doppler V V
××.××cm/s
PG
××.×× mmHg 8-11
Measurement, Calculation and Report
8.2.3.4
Maximum Flow Velocity
Measurement: 1)
In PW live state, select FREQUENCY from the main menu, and use the knob below it to decrease the frequency to the minimum.
2)
Press Menu, and select ANGLE CORRECT from the pop-up submenu. Set it ON.
3)
Press Update and switch B mode to live state. Turn Angle knob or press ←/ → to change the θ angle to the maximum.
4)
In PW live state, toggle Baseline to minimize the baseline value.
5)
Toggle PRF to maximize the PRF value.
6)
Press Freeze to freeze the image, and press Dis to display a cursor onscreen.
7)
Move the cursor by moving the trackball upward to measure the maximum flow velocity, with the measurement result displayed at the upper right of the screen. Press
Set to finish the measurement. 8)
The measurement result is shown as follows:
8.2.3.5 1)
1V
××.×× cm/s
PG
××.×× mmHg
Minimum Flow Velocity
In PW live state, select FREQUENCY from the main menu, and use the knob below it to change the frequency to the maximum.
2)
Press Menu and select ANGLE CORRECT to turn it ON.
3)
Press Update and switch B mode to live state. Turn Angle knob or press ←/ → to change the θ angle to the minimum.
4)
Toggle PRF to minimize PRF value.
5)
Press Freeze to freeze the image, and press Dis to display a cursor.
6)
Move the cursor by moving the trackball downward to measure the minimum flow velocity, with the measurement result displayed at the upper right of the screen. Press
Set to finish the measurement. 7)
The measurement result is shown as follows: 8-12
Measurement, Calculation and Report
8.2.3.6
1V
××.××cm/s
PG
××.××mmHg
Acceleration
Measurement: 1)
In Doppler frozen state, press Calc to bring up the measurement package menu.
2)
Use the trackball or press ↑/ ↓ to select ACCELERATION from the menu, then press
Set to display the first cursor on the screen. 3)
Move the trackball cursor to the start point position to be measured. Press Set to fix the cursor, and then the second cursor will show up.
4)
Move the measurement cursor to the end point position to be measured. Press Set to fix the cursor, with the measurement result displayed at the right of the screen. The measurement menu will automatically show up again for selecting other items.
5)
The measurement result is shown as follows: 1 Doppler PeakV
××.××cm/s
Time
××.×× s
AccV PHT 8.2.3.7
××.××cm/s ××.××
Time
1)
In Doppler frozen mode, press Calc to bring up the measurement package menu.
2)
Use the trackball or press ↑/ ↓ to select TIME from the menu, then press Set to display the first cursor on the screen.
3)
Move the trackball cursor to the target position. Press Set to fix the cursor and then the second cursor will show up.
4)
Move the measurement cursor with trackball to the end point to be measured. Press
Set to fix the cursor, with the measurement result displayed at the right of the screen. 5)
The measurement result is shown as follows: 1 Doppler Time
××.××s 8-13
Measurement, Calculation and Report
8.2.3.8
Heart Rate
See 8.2.2.4 Heart Rate measurement in M mode for measurement steps.
8.3 Measurement & Calculation Packages The system provides measurement & calculation packages for obstetrics, small parts, urology, gynecology, vessels and cardiology. Users may apply different packages based on their diagnostic needs. 【Note】: Calculation packages are different subject to exam types. In frozen state, press Calc to display the measurement items of the current exam type only. 8.3.1 8.3.1.1
OB OB Measurement
OB calculation package is for calculation of fetal age and estimated date of delivery, measurement of various fetal growth indexes such as fetal weight, and determination of fetal growth based on growth charts and fetal biophysical profile. Select OB exam type. Press Calc in frozen state, and select OB/GYN from the menu by using the trackball. Then press Set to display measurement items in the sub menu. Press
Set again to close the sub menu. Use the trackball to select BABY1. Press Set to switch to multiple gestation measurement. OB measurement process is the same as that of general measurement process. See 8.2 General Measurement for the detailed operation process. For example, Distance measurement for GS, CRL and BPD, and area measurement for HC and AC. The system will automatically perform calculation of fetal age, fetal weight, amniotic fluid Indexes and estimated date of delivery based on OB measurement results. For example, the system will automatically perform calculation of EDD after measuring CRL, BPD, OFD, HC, APD, TAD or FL and perform the calculation of EFW after measuring AC, HC and FL. Based on the calculation result, analysis of fetal growth may be performed for final OB 8-14
Measurement, Calculation and Report
report. 8.3.1.2
OB Report
OB measurement results will be automatically imported to the report. During or after the measurement, press Report to enter the screen of OB report, as shown in Fig. 8-2.
Fig. 8-2 OB Report Screen There is a row of control buttons at the bottom of the screen (as indicated by a red box in the picture above) for opening different screens. Here is the detailed information:
EXIT: Move the cursor to EXIT by using the trackball. Press Set to exit the report.
OB CURVE: Move the cursor to OB CURVE by using the trackball. Press Set to enter the screen of Growth Chart. Move the cursor to Click here in any of the four chart, then press Set to display the menu list as shown in Table 8-2:
8-15
Measurement, Calculation and Report
Table 8-2 List of Calculation Equations for Each Measurement HC/AC
Campbell
BPD
Hansmann
HC
Hansmann
Jeanty
AC
Deter
Hansmann
Jeanty
EFW
Hansmann
FL
Hansmann
Fibula
Hansmann
Jeanty
Merz
Humerus
Hansmann
Jeanty
Merz
Radius
Hansmann
Jeanty
Merz
Tibia
Hansmann
Jeanty
Merz
Ulna
Hansmann
Jeanty
Merz
Move the cursor to select the desired measurement item and the calculation equation. Press Set to automatically display the measurement curve as shown in Fig. 8-3:
Fig. 8-3 Growth Chart Move the trackball to any chart and press Set to display the chart in full screen. Press
Set again to display the charts in quadruple mode. 8-16
Measurement, Calculation and Report
Press OB CURVE to exit the screen of growth chart and return to the OB report screen.
Fetal Anatomic Structure and Biophysical Profile
Move the cursor to PROFILE in the report screen. Press Set to display fetal anatomic structure and biophysical profile as shown in Fig. 8-4. Press PROFILE again to return to the OB report screen.
Fig. 8-4 Fetal Anatomic Structure and Biophysical Profile Move the cursor to the input box of biophysical profile. Press Set to select, then press
←/→ for evaluation or grading. Click Clear to clear all values in the box.
Comparison of Multiple Gestation Measurement Result
Move the cursor to F.COMPARE in the report and press Set to enter the screen of multiple gestation measurement results for comparison. The results for each fetus are displayed abreast for comparison. Press F.COMPARE again to exit and return to the OB report screen.
Insert Images
Move the cursor to PICUTRE in the report and press Set to review the stored images. Press PICTURE again to exit the screen. To insert a picture, move the cursor to the image to be inserted. Press Set twice to select 8-17
Measurement, Calculation and Report
the image, which shows up in the screen of “Insert Images”. To delete a selected image, move the cursor to the image in the screen of “Insert Images”, and press Set.
COMMENT
Move the cursor to COMMENT in the report. Press Set to show up the comment box where users may add comments from the keyboard. Press COMMENT again to exit the screen.
SAVE
Move the cursor to SAVE in the report. Press Set and save the current report to the systems hard disk. Enter the screen of File Manager to review the report.
Review Report
The report is displayed in pages if it is too long. Move the cursor over PREV and press
Set to turn to the previous page of the report. Or move the cursor over NEXT and press Set to turn to the next page. To review the saved report, press Probe/Exam and return to the screen of probe and exam type selection. Press Menu to enter the screen of File manager. Move the cursor over the patient name and ID for review, or click Search by inputting patient ID to automatically display the patient’s folder and open the report. For different exams of the same patient, you may the same ID to review all previous reports.
Print Report
Select the patient report in the measurement application, and press Print on the control panel to print the report. 8.3.2 8.3.2.1
Heart Measurement 2D-mode Left Ventricle Function
In B mode frozen state, press Calc to display the calculation package menu. Use the trackball or arrow keys to move the cursor to the LEFT VENTRIC menu. Press Set and select the measurement method from the submenu, and start the measurement. 8.3.2.1.1 Single Plane Ellipse This method calculates the left ventricular volume by approximating the 2D mode’s 8-18
Measurement, Calculation and Report
long-axis image to an ellipse. Measurement steps are as follows: 1) Use the trackball or arrow keys to select Single Plane from the LEFT VENTRIC menu. Press Set to show the sub menu. 2) Use the trackball or press ↑/ ↓ to select All
from the menu, then press Set to
display the data window of measurement item at the upper right of the screen. The start point cursor is also displayed on the screen. 3) Measure all the items displayed on the data window one by one, with the measurement results displayed in the data window. The measurement items and methods are as follows: Measurement Item
LVALd
Description
Measurement Method
Left ventricular long-axis
Trace measurement. See
area at end diastole
8.2.1 B-mode General Measurement.
LVLd
Left ventricular long-axis
Distance measurement. See
length at end diastole
8.2.1 B-mode General Measurement.
LVALs
Left ventricular long-axis
Trace measurement. See
area at end systole
8.2.1 B-mode General Measurement.
LVLs
Left ventricular long-axis
Distance measurement. See
length at end systole
8.2.1 B-mode General Measurement.
4) Follow the same method above to select one or more measurement items below All
menu to measure again, so as to correct errors of the previous measurements.
【Note】The results of the new single measurement will overwrite the previous ones. 5) The system will automatically calculate the values of EDV, ESV, SV, EF, CO, SI and CI when the above measurements are finished. 8-19
Measurement, Calculation and Report
8.3.2.1.2 Biplane Ellipse This method calculates the left ventricular volume by approximating the 2D mode’s long-axis image and the short-axis image at the level of the mitral valve to an ellipse. See Single Plane Ellipse for measurement steps. Measurement items and methods are as follows:
Measurement Item LVALd
Description
Measurement Method
Left ventricular long-axis
Trace measurement. See
area at end diastole
8.2.1 B-mode General Measurement.
LVALs
Left ventricular long-axis
Trace measurement. See
area at end systole
8.2.1 B-mode General Measurement.
LVAMd
LVIDd
Left ventricular short-axis
Trace measurement. See
area at the level of the mitral
8.2.1 B-mode General
valve at end diastole
Measurement.
Left ventricular short-axis
Distance measurement. See
diameter at end diastole
8.2.1 B-mode General Measurement.
LVAMs
LVIDs
Left ventricular short-axis
Trace measurement. See
area at the level of the mitral
8.2.1 B-mode General
valve at end systole
Measurement.
Left ventricular short-axis
Distance measurement. See
diameter at end systole
8.2.1 B-mode General Measurement.
8.3.2.1.3 Bullet This method calculates the left ventricular volume by approximating the 2D mode long-axis image and the short-axis image at the level of the mitral valve. See Single Plane Ellipse for measurement steps. Measurement items include LVAMd, LVAMs, LVLd and 8-20
Measurement, Calculation and Report
LVLs. See measurement methods mentioned above. 8.3.2.1.4 Simpson This method calculates the left ventricular volume using the 2D mode long-axis image, the short-axis image at the level of the mitral valve, and the short-axis image at the level of the papillary muscle. See Single Plane Ellipse for measurement steps. Measurement items include LVAMd, LVAMs, LVAPd, LVAPs, LVLd and LVLs. Measurement methods are as follows: Measurement Item LVAPd
Description Left
ventricular
Measurement Method
short-axis
Trace measurement. See
area at the level of the
8.2.1 B-mode General
papillary
Measurement.
muscle
at
end
diastole LVAPs
Left
ventricular
short-axis
Trace measurement. See
area at the level of the
8.2.1 B-mode General
papillary
Measurement.
muscle
at
end
systole 【 Note 】 : See Single Plane Ellipse and Biplane Ellipse for the measurement methods of other items. 8.3.2.1.5 Cube This method calculates the left ventricular volume in 2D mode by approximating the given region compared to a cube. See Single Plane Ellipse for measurement steps. Measurement methods are as follows: Measurement Item IVSTd
Description
Measurement Method
Interventricular septal
Distance measurement.
thickness at end diastole
See B mode General Measurement.
LVIDd
Left ventricular short-axis
Distance measurement.
diameter at end diastole
See B mode General
8-21
Measurement, Calculation and Report
Measurement. LVPWd
Left ventricular posterior wall
Distance measurement.
thickness at end diastole
See B mode General Measurement.
LVIDs
Left ventricular short-axis
Distance measurement.
diameter at end systole
See B mode General Measurement.
LVPWs
Left ventricular posterior wall
Distance measurement.
thickness at end systole
See B mode General Measurement.
The system will automatically calculate the values of EDV, ESV, SV, EF, FS, DT_IVS and DT PW when finishing the measurements. 8.3.2.1.6 Teichholz This method calculates the left ventricular volume in 2D mode by approximating the given region compared to a cube. See Single Plane Ellipse for measurement steps. Measurement items include LVIDd and LVIDs. See measurement methods mentioned above. 8.3.2.1.7 Gibson This method calculates the left ventricular volume in 2D mode by approximating the given region compared to a cube. The measurement items and methods are the same asTeichholz. 8.3.2.1.8 Biplane Disk This method calculates the left ventricular volume by using the four-chamber sectional images or two-chamber cross-sectional images perpendicular to each other. See Single Plane Ellipse for measurement steps. Measurement items and methods are as follows: Measurement Item
Description
Diastole2CH
Traces the endocardium of the
Manual measurement of
(two-chamber section at
left ventricle at end-diastole on
area and distance. Select
8-22
Measurement Method
Measurement, Calculation and Report
end diastole)
Diastole4CH
Systole2CH
Systole4CH
the two-chamber
the measurement item and
cross-sectional image and
press Set to display a
sets the position of the LV long
cursor on screen. Use the
axis.
trackball to move the
Traces the endocardium of the
cursor over the
left ventricle at end-diastole on
endocardium of
the four-chamber
end-diastole. Press Set to
cross-sectional image and
fix the cursor and use the
sets the position of the LV long
trackball to draw the
axis.
outline of endocardium.
Traces the endocardium of the
Press Set again to
left ventricle at end-systole on
automatically set the long
the two-chamber
axis of left ventricle (or fix
cross-sectional image and
it). Press Set to confirm
sets the position of the LV long
and exit, or use the
axis.
trackball to correct the
Traces the endocardium of the
fixing of long axis, and
left ventricle at end-systole on
then press Set to confirm
the four-chamber
and exit,
cross-sectional image and sets the position of the LV long axis. 8.3.2.2 Left Ventricle Function in M-mode Three left ventricular function measurements are available in M mode: Cube method, Teichhoiz method, and Gibson method. Measurement: 1) In M mode frozen state, press Calc to bring up the measurement menu. 2) Move the cursor over LEFT VENTRIC. Press Set to open the sub menu items: CUBE, 8-23
Measurement, Calculation and Report
TEICHHOLZ and GIBSON. 3) Use the trackball or press ↑/ ↓ to select and start the desired measurement item. 4) Cube method: move the cursor over CUBE and press Set to open the sub menu. Use the trackball to select the desired measurement method such as D-S and press Set to start the measurement. The values of IVSd, LVIDd, LVPWd, IVSs, LVIDs and LVPWs are measured by using the trackball and pressing Set. The value of EDV, SV, EF and FS are automatically calculated by the system at the same time. Refer the operation above for the other two measurement methods. 8.3.2.3 Mitral Valve in M-mode Measurement: 1) In M mode frozen state, press Calc to bring up the measurement menu. 2) Move the cursor to Mitral Valve and press Set to open the sub menu. 3) Use the trackball or press ↑/ ↓ to select the measurement item such as EPSS and EFSLP. Press Set to start the measurement, with the results displayed at the right side of the screen. See 8.2.2 M-mode General Measurement for detailed measurement. 8.3.2.4 Image Aortic Valve in M-mode Measurement: 1) In M mode frozen state, press Calc to bring up the measurement menu. 2) Move the cursor to Aortic Valve and press Set to open the sub menu. 3) Use the trackball or press ↑/ ↓ to select the measurement item such as AOD and LAD. Press Set to start the measurement, with the results displayed at the right side of the screen. See 8.2.2 M-mode General Measurement for detailed measurement. 8.3.2.5 Mitral Valve in Doppler Image Measurement: 1) In PW mode frozen state, press Calc to bring up the measurement menu. 2) Move the cursor over CARDIAC and press Set to open the sub menu. 3) Use the trackball or press ↑/ ↓ to select Mitral Valve from the sub menu, then press 8-24
Measurement, Calculation and Report
Set to open the sub menu. 4) Use the trackball or press ↑/ ↓ to select the measurement item such as E-wave V, A-wave V and PHT. Press Set to start the measurement, with the results displayed at the right side of the screen. See 8.2.3 PW-mode General Measurement for detailed measurement. 【Note】: See Mitral Valve in Doppler Image for the measurement of Aortic Valve, Tricuspid Valve and TEI Index. 8.3.2.6 Cardiac Report Cardiac measurement result will be automatically imported to the report. Press Report to review the report during or finish the measurement. Press PREV or NEXT to select other pages of the report. Press EXIT to exit the report screen. 8.3.3
Vascular Measurement
8.3.3.1 B-Mode Vascular Measurement Measurement: 1) In B mode frozen state, press Calc to bring up the measurement menu. 2) Move the cursor to VASCULAR and press Set to open the sub menu. 3) Use the trackball or press ↑/ ↓ to select LEFT from the sub menu, or press Set again to switch to RIGHT. 4) Move the cursor to any item of the sub menu. Press Set to open the next level of menu, each of which includes four measurement items of Origin Diam, Reduce Diam, Original Area, Reduced Area. 5) Move the cursor over the measurement item. Press Set to start measuring. See 8.2.1 B-mode General Measurement for detailed measurement. The measurement result, which is displayed at the right side of the screen, will be automatically imported to the report.
8-25
Measurement, Calculation and Report
8.3.3.2 Vascular Measurement in Doppler Mode Measurement: 1) In PW mode frozen state, press Calc to bring up the measurement menu. 2) Move the cursor to VASCULAR and press Set to open the sub menu. 3) Use the trackball or press ↑/ ↓ to select LEFT from the sub menu, or press Set again to switch to RIGHT. 4) Use the trackball or press ↑/ ↓ to select the measurement item such as ICA. Press
Set to start measuring. See 8.2.3 PW-mode General Measurement for detailed measurement. The measurement result, which is displayed at the right side of the screen, will be automatically imported to the report. 8.3.4
Urologic Measurement
Measurement: 1) In B mode frozen state, press Calc to bring up the measurement menu. 2) Move the cursor to UROLOGIC and press Set to open the sub menu. 3) Use the trackball or press ↑/ ↓ to select item from the sub menu. Press Set to open the next level of menu. 4) Use the trackball or press ↑/ ↓ to select the measurement item such as BD1. Press
Set to start measuring. The measurement result, which is displayed at the right side of the screen, will be automatically imported to the report. 8.3.5
Small Part Measurement
Measurement: 1) In B mode frozen state, press Calc to bring up the measurement menu. 2) Move the cursor to SMALL PART and press Set to open the sub menu. 3) Use the trackball or press ↑/ ↓ to select the measurement item. Press Set to start measuring. For example, choose L-Thyriod L×W×H to measure the volume of left thyroid. Measure three distances of two perpendicular views of left thyroid. The volume will be automatically calculated. See 8.2.1.5 Volume LxWxH for detailed measurement. 8-26
Cine and File Management
Chapter 9 Cine and File Management 9.1 Saving Image/ Clip The diagnostic images of cine clips can be saved to the system hard drive for review. Here is the operational instruction for saving images or clips: 1) In live state, press Freeze to freeze the image. 2) Press Save to bring up the saving prompt, as shown in Fig. 9-1. Move the trackball to select, and press Set again to confirm, or press the number keys 1, 2 or 0 to make the selection. 3) Select Save IMAGE or Save CLIP, and a file name input box is displayed, with a system default name. If any change of the name is required, input the new name from the keyboard directly, press Set again to confirm, and the file will be saved to the system default folder. 【Tip】: The images are saved in PPM format, which can be reviewed or displayed in the ultrasound system only. The user may convert the file format to JPG and send the images to the USB disk for off-line review on a PC, or convert to DICOM format and send them to SCU or the USB disk. The clips can also be converted to PC format in the File Manager and reviewed on the PC. If no patient ID is inputted, the images will be saved to the folder General.
9.2 Cine 9.2.1 Functional Description In live state, images are stored continuously into the memory; when the memory is full, new images will replace previous images continuously. After freezing the image, the 9-1
Cine and File Management
images stored in the memory before freezing can be played back, and the user may also review cine clips saved in the system hard drive. 【Note 1】:
The number of cine frames is subject to the applicable mode.
【Note 2】:
When the mode is changed, all the temporarily stored cine images are
deleted; When the system is unfrozen or the power is turned off, all the stored images are erased. 9.2.2 Operation Method 9.2.2.1 Manual Cine In image frozen state, the system is in the default manual single-frame cine state. A cine playback indication bar appears at the lower left of the screen. Move the trackball left or right to play back the images stored in the memory. 9.2.2.2 Continuous Cine In image frozen state, move the trackball quickly to enable auto cine playback. Than tap the trackball to change from auto cineloop to manual cineloop. 9.2.2.3 Playback of Saved Cine If the cine clips are saved in the hard drive following the operational instruction in 9.1, the user may use the cineloop function to review. Here is the operation: 1)
Press Dual to enable dual imaging.
2)
Press Freeze to freeze the image, and the menu option CINE REVIEW is displayed.
3)
Turn the knob SP5 to display the saved files, select the cine clip to be played, press
Set to recall it, and move the trackball to play. 4)
Press Freeze again to exit cineloop and return to dual imaging. Press Dual again to return to B mode.
【 Tip1 】 :
Enabling cineloop will remove the measurement mark and the
measurement display. 【Tip2】: The length of cine clip will be displayed at the bottom left of the status bar. 【Tip3】:
Cineloop can be enabled in any mode (including B, B/M, CFM, CPA and
9-2
Cine and File Management
PW modes) with the same operation.
9.3 Sending Files to USB Disk The files such as images, cine clips and reports saved in the system memory, can be transmitted to the USB disk. Here is the operation: 1） Plug a USB disk to the USB port of the system. 2） On the probe and exam type select screen, press Menu to bring up the setup main screen and go to File Manager. Press the Set button twice over the folder (with files saved) to enter the folder. 3） User the trackball and the Set button to select the file to be copied (press and hold the
Ctrl button and select the file(s), and multiple files can be selected at the same time; click SELECT ALL on the left to select all the files in the folder), and then click CONVERT PC on the left to convert the file(s) to PC format, so as to facilitate reviewing the files on other PC. The converted files will be saved in the same folder. 4） Select the files (in PC format) to be copied), and then click COPY on the left to copy the files. 5） Click LAST PAGE on the left to return to the last screen, and go the folder USB Device. 6） Click PASTE on the left, and paste the file to the USB disk. 7） Click LAST PAGE to return to the last screen. Click USB ON/OFF to unplug the USB disk. Please note that: in the process of USB disk unplug, a running buffer symbol will appear on the screen. Remove the USB disk only when the symbol stops running and the indicator on the USB disk goes off, otherwise it might result in incomplete file transmission and some of the files cannot be opened.
9.4 Printing Image Press Print on the control panel to print the current screen. See Printer Installation in Chapter 4 for printer connection, or Set Printer in Chapter 5 for printer setup. 【Note】:
For more detailed adjustment, see the printer’s user manual.
9-3
Maintenance, Inspection, Transportation and Storage
Chapter 10 Maintenance, Inspection, Transportation and Storage 10.1 System Maintenance Every time before operating the system, the user should inspect the probe cable connecter, the probe cable, the potential equalization conductor and the power cable carefully to check whether there is any separated sheath, shedding or other signs of damages. Verify if the potential equalization conductor is correctly and safely grounded. Special attention should be paid to these daily inspections to avoid unexpected danger and to use the system safely. Upon each system power-up, check whether the power indicator and the fun are in normal operation. The buttons and knobs might be fully inspected once every half a year. For detailed information, please refer to Section 4.2 System Inspection and Maintenance.
10.2 Troubleshooting The following table lists some common failures, possible causes and solutions (see Table 10-1). The user can refer to these solutions to perform troubleshooting. If the causes of failure cannot be identified or problems cannot be solved when the provided solutions are tried, please contact our After Service. DO NOT dismantle the system without instruction of our service technician; otherwise, incorrect operation might lead to system damage or even threaten personal safety. Table 10-1 Troubleshooting List Failures
Causes and Solutions
No power supply
Make sure that if the power cable at the rear panel of the system is well plugged in. If it is, unplug the power cable and check if the fuse is broken. If it is broken, please replace it with a new one in the same specifications.
With power supply, but no image on the screen
The monitor brightness and contrast are adjusted too low to see the image. Adjust the brightness and contrast controls to proper positions. 10-1
Maintenance, Inspection, Transportation and Storage
Failures
Causes and Solutions
No ultrasound image display on the screen in any scanning mode, but characters and grayscale bar are displayed normally
Check if the probe is properly connected to the main unit.
The printer does not work
Check if the printer is properly connected to the main unit and whether the power is on. If there is no response when pressing the print button, but the print button on the printer responds when pressed, then the possible reason is that the print remote cable is not well connected.
Incorrect date display
Follow operation in Section 5.2.4 to reset the date.
If any abnormality occurs, turn off the power supply immediately and inform our After Sales Service about the abnormality as detailed as possible. Please contact our After Sales Service if the system needs repair or readjustment. We are not responsible for any failure due to the system being repaired by any unauthorized engineer. 【Note】:
In case any abnormal situation occurs on the system, to shorten the
service time, please try to describe the failure in details and send it to us.
Statement: Circuit schematics and component list may be provided to SIUI approved qualified service personnel for equipment maintenance.
WARNING: No modification of this equipment is allowed.
10.3 Contact Information of SIUI Service Address:
Shantou Institute of Ultrasonic Instruments Co., Ltd. (SIUI) 77 Jinsha Road, Shantou, Guangdong 515041, China
Tel: 86-754-88250150
Fax: 86-754-88251499
E-mail:
[email protected] or
[email protected]
10-2
Maintenance, Inspection, Transportation and Storage
10.4 Transport and Storage Conditions a) Ambient temperature range: b) Relative humidity range:
-20℃~+60℃
15%~93%
c) Air pressure range: 500hPa~1060hPa Shipment shall be arranged following purchase contract provisions. Avoid drench by rain or snow, and mechanical collision during transportation.
10.5 Disposal The system, as well as its accessories and waste, shall be disposed of or recycled properly at the end of their useful life in accordance with relevant national safety and environmental standards & regulations, so as to reduce the arising risks to the lowest level.
10-3
Abbreviation
Appendix A
Abbreviation
3rd:The third cerebral ventricle %A Redu: Area reduce percentage % D Redu: Diameter reduce percentage AC: Abdominal circumference AC: Anterior chamber A-C: The time from A point to C point AOD: Aortic diameter AFI: Amniotic fluid index AO: Aorta AOAMP: Aortic posterior wall amplitude A-P: Anterior-posterior A-PAU: Antero-posterior diameter after urination APD: Antero-posterior abdominal diameter Area-E: Measure the area with ellipse method Area-T: Measure the area with trace method AVAO CUSP: Aortic valve aortic cusp separation BIF: Bifurcation Blad: Bladder BPD: Biparietal diameter BSA: Body surface area CBD: Common bile duct CD: Cardiac diameter CELIA: Celiac artery CI: Cardiac index CO: Cardiac output CRL: Crown rump length D-E: Height from D point to E point Diam: Diameter EDD: Estimated date of delivery
A-1
Abbreviation
EDV: End-diastolic volume E-E: Height from E point to E’ point EF: Ejection fraction EFW: Estimated fetal weight EPSS: E peak separation to septum ESV: End-systolic volume FIBL: Fibular length FL: Femur length Grow Chart: Growth Chart GS: Gestational sac HC: Head circumference HL: Humeral length HR: Heart rate HW: Hemisphere width IG: Internal gland INFA: Inferior artery IVC: Inferior vena cava IVS: Inter-ventricular septum IVSD: Inter-ventricular septum in diastolic period IVSS: Inter-ventricular septum in systolic period LA: Left atrium LAD: Left atrial diameter LAU: Long diameter after urination L AXIA: Left axillary artery L BRAA: Left brachial artery L Breast: Left breast LCCA: Left common carotid artery L DORA: Left dorsal artery L ECA: Left external carotid artery L Eye: Left eyeball L FEMA: Left femoral artery LHD: Left hepatic duct A-2
Abbreviation
LI: Lower internal L ICA: Left Internal carotid artery L Kidney: Left Kidney LL: Lower lateral L Lobe: Left Lobe L LV: Left lateral ventricle Long: Long Diameter L Ovary: Left Ovary L POPA: Left popliteal artery LRA: Left renal artery L RADA: Left radial artery L Testis: Left Testis L ULNA: Left ulnar artery L Ureter: Left ureter LV: Left ventricle LV: Lateral ventricle LVDD: Diastolic left ventricular diameter LV Func: Left ventricle functions LVOT: Left ventricular outflow tract LVPWD: Left ventricular posterior wall thickness at end diastole LVPWS: Left ventricular posterior wall thickness at end systole LVDS: Systolic left ventricular diameter Meas avera: Measurement averaging MPD: Main pancreatic duct Mult Dist: Measurement of multiple distances MV: Mitral valve MVCF: Mean velocity of circumferential shortening OA: Ocular axis OB: Obstetrics OFD: Occipito-Frontal diameter OOD: Outer orbital diameter ON: Optic nerve A-3
Abbreviation
PA: Pulmonary artery P Grade: Placenta grade Prost: Prostate PV: Portal vein PV: Pulmonic valve PV A: The depth of A peak RA: Right atrium R AXIA: Right axillary artery R BRAA: Right brachial artery R Breast: Right breast RCCA: Right common carotid artery R DORA: Right dorsal artery R ECA: Right external carotid artery R Eye: Right eyeball R FEMA: Right femoral artery RHD: Right hepatic duct R ICA: Right Internal carotid artery R Kidney: Right kidney RL: Radial length R Lobe: Right lobe R LV: Right lateral ventricle R Ovary: Right ovary R POPA: Right popliteal artery RRA: Right renal artery R RADA: Right radial artery R Testis: Right Testis R ULNA: Right ulnar artery R Ureter: Right Ureter RV: Right ventricle RVAW: Right ventricular anterior wall RVET: Right ventricular ejection time RVOT: Right ventricular outflow tract A-4
Abbreviation
RVOTD: Right ventricular outflow tract diameter S-I: Superior-inferior diameter SMA: Superior mesentery artery Splenic A: Splenic artery Splenic V: Splenic vein SUPA: Superior artery SV: Stroke volume TAD: Trans-Abdominal diameter TAU: Transversal diameter after urination TD: Thoracic diameter TL: Tibial length Trans: Transversal diameter TV: Tricuspid valve UI: Upper internal UL: Upper lateral UL: Ulnar length Vol: Volume Volume-A: Measure the volume with Area-length method Volume-B: Measure the volume with Bi-plane method Volume-E: Measure the volume with Ellipse method Volume-S: Measure the volume with Simpson method
A-5
Description of Symbol
Appendix B Number
Description of Symbol
Symbol
IEC publication
Implication
1
878-02-03
Type BF Applied Part
2
878-03-01
Caution, risk of electric shock
3
417-5019
Protective conductor terminal
4
417-5017
Earth (ground) terminal
5
417-5021
Equipotentiality
6
417-5032
Alternating current
7
417-5008
Off(supply)
8
417-5007
On(supply)
9
ISO 7010-M002
Caution: consult documents
10
ISO 7010-W001
General warning sign
accompanying
11
IPX1
529
Protected against falling water
12
IPX4
529
Protected against splashing water
13
IPX7
529
Protected against water immersion
B-1
Acoustic Output Parameter
Appendix C Acoustic Output Parameter Operating Mode：B Mode
Probe：C3L40K TIS
Index Label
MI
Global Maximum Index Value
0.70
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
0.82
1.21 79.3
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt td Prr Other
pr at max. Ipi
Information
deq at max. Ipi Ipa,α at max. MI
3.15
3.15
X
(cm)
1.40
Y
(cm)
1.50
(μsec)
0.315
(Hz)
8192
(Mpa)
2.33
(cm) (W/cm² )
Operating
5.30
95.01
Frequency
(MHz)
3.5
3.5
Power
(dB）
0
0
1
1
(mm）
55
55
(cm）
6.3
6.3
Control
Focus Number
Conditions
Focus Position Focal Depth
C-1
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
Acoustic Output Parameter
Operating Mode：BM Mode
Probe：C3L40K TIS
Index Label
MI
Global Maximum Index Value
0.71
Pra
(Mpa)
P
(mW)
Min.
of
Scan 0.75
Acoustic Parameters
0.13
69.3
[Pα(zs),
(cm)
2.47
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
pr at max. Ipi deq at max. Ipi
0.36
9.22
Zbp
Prr
Non-Scan
15.9
3.23
Ipa,α at max. MI
Operating
Aaprt＞1cm²
(cm)
td
Information
Aaprt≤1cm²
Zs
Dim of Aaprt
Other
Non-Scan
1.26
Ita,α(zs)] Associated
TIB
4.87 5.30 0.35 3.15
3.15
3.15
3.15
X
(cm)
1.40
1.40
1.40
Y
(cm)
1.52
1.53
1.53
(μsec)
0.315
(Hz)
8000
(Mpa)
2.28
(cm) (W/cm²)
0.35 96.12
Frequency
(MHz)
3.5
3.5
3.5
3.5
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
55
55
55
55
(cm）
6.3
6.3
6.3
6.3
Control
Focus Number
Conditions
Focus Position Focal Depth
C-2
TIC
Acoustic Output Parameter
Operating Mode：BM（Anatomical）Mode
Probe：C3L40K TIS
Index Label
MI
Global Maximum Index Value
0.71
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
0.75
Acoustic Parameters
0.13
69.3
(mW)
(cm)
2.47
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
pr at max. Ipi deq at max. Ipi
0.36
9.22
Zbp
Prr
Non-Scan
15.9
3.23
Ipa,α at max. MI
Operating
Aaprt＞1cm²
(cm)
td
Information
Aaprt≤1cm²
Zs
Dim of Aaprt
Other
Non-Scan
1.26
Ita,α(zs)] Associated
TIB
4.87 5.30 0.35 3.15
3.15
3.15
3.15
X
(cm)
1.40
1.40
1.40
Y
(cm)
1.52
1.53
1.53
(μsec)
0.315
(Hz)
8000
(Mpa)
2.28
(cm) (W/cm²)
0.35 96.12
Frequency
(MHz)
3.5
3.5
3.5
3.5
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
55
55
55
55
(cm）
6.3
6.3
6.3
6.3
Control
Focus Number
Conditions
Focus Position Focal Depth
C-3
TIC
Acoustic Output Parameter
Operating Mode： M Mode
Probe：C3L40K TIS
Index Label
MI
Global Maximum Index Value
0.80
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
0.12
0.08
7
7
3.33
3.33
1.40
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt td Other Information
Prr pr at max. Ipi deq at max. Ipi Ipa,α at max. MI
Operating
2.42
3.33
X
(cm)
1.22
1.22
Y
(cm)
3.18
3.18
(μsec)
0.492
(Hz)
288
(Mpa)
2.14
(cm) (W/cm²)
103
Frequency
(MHz)
3.5
3.5
3.5
Power
(dB）
0
0
0
1
1
1
(mm）
55
55
55
(cm）
6.3
6.3
6.3
Control
Focus Number
Conditions
Focus Position Focal Depth
C-4
Acoustic Output Parameter
Operating Mode：B+ColorMode
Probe：C3L40K TIS
Index Label
MI
Global Maximum Index Value
0.69
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
0.03
0.12
2
2
2.68
2.68
1.14
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
(cm)
1.22
1.00
Y
(cm)
1.23
1.00
(μsec)
Prr
(Hz)
pr at max. Ipi
(Mpa)
deq at max. Ipi
1.32 90 1.53
(cm)
Ipa,α at max. MI
(W/cm²)
54
Frequency
(MHz)
3.5
3.5
3.5
Power
(dB）
0
0
0
1
1
1
(mm）
55
55
55
（KHz）
6
6
6
6.3
6.3
6.3
Operating
Focus Number
Control
Focus Position
Conditions
2.68
X
td Other
3.77
Pulse Frequency Focal Depth
Repetition
(cm）
C-5
Acoustic Output Parameter
Operating Mode：B+CPAMode
Probe：C3L40K TIS
Index Label
MI
Global Maximum Index Value
0.69
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
0.03
0.12
2
2
2.68
2.68
1.14
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
(cm)
1.22
1.00
Y
(cm)
1.23
1.00
3.5
3.5
3.5
0
0
0
1
1
1
(mm）
55
55
55
（KHz）
6
6
6
(cm）
6.3
6.3
6.3
(μsec)
Prr
(Hz)
pr at max. Ipi
(Mpa)
deq at max. Ipi
Control Conditions
(W/cm²)
Frequency
(MHz)
Power
(dB）
Focus Number Focus Position Pulse Frequency Focal Depth
1.32 90 1.53
(cm)
Ipa,α at max. MI
Operating
2.68
X
td Other
3.77
Repetition
54
C-6
Acoustic Output Parameter
Operating Mode：PW Mode
Probe：C3L40K TIS
Index Label
MI
Global Maximum Index Value
0.61
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
2.62
1.03
2.41
157
157
149
3.50
3.50
3.50
1.08
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
(cm)
0.90
0.90
0.90
Y
(cm)
1.00
1.00
1.00
Prr pr at max. Ipi deq at max. Ipi
(μsec)
2.21
(Hz)
1230
(Mpa)
1.35
(cm)
Ipa,α at max. MI
(W/cm²)
24
Frequency
(MHz)
3.45
3.45
3.45
3.45
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
25
25
25
25
（KHz）
12.5
12.5
12.5
12.5
(cm）
6.3
6.3
6.3
6.3
Operating
Focus Number
Control
Focus Position
Conditions
3.50
X
td Other
3.55
Pulse Frequency Focal Depth
Repetition
C-7
Acoustic Output Parameter
Operating Mode：B+PWMode
Probe：C3L40K TIS
Index Label
MI
Global Maximum Index Value
0.68
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan 0.78
Acoustic Parameters
0.20
64.3
Non-Scan 0.42
(mW)
18.7 12.1 3.20
Zbp
(cm)
2.37
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
4.56 5.20 0.35 3.4
3.4
3.4
3.4
X
(cm)
1.40
1.40
1.40
Y
(cm)
1.52
1.53
1.53
Prr pr at max. Ipi deq at max. Ipi
(μsec)
0.322
(Hz)
8000
(Mpa)
2.14
(cm)
Ipa,α at max. MI
0.35
(W/cm²)
95.51
Frequency
(MHz)
3.45
3.45
3.45
3.45
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
25
25
25
25
（KHz）
12.5
12.5
12.5
12.5
(cm）
3.2
3.2
3.2
3.2
Operating
Focus Number
Control
Focus Position
Conditions
Aaprt＞1cm²
(cm)
td
Information
Aaprt≤1cm²
Zs
Dim of Aaprt
Other
Non-Scan
1.26
Ita,α(zs)] Associated
TIB
Pulse Frequency Focal Depth
Repetition
C-8
TIC
Acoustic Output Parameter
Operating Mode：B+CFM+PWMode
Probe：C3L40K TIS
Index Label
MI
Global Maximum Index Value
0.82
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan 0.85
Acoustic Parameters
0.32
68.4
Non-Scan 0.48
(mW)
20.12 13.0 3.20
Zbp
(cm)
2.37
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
4.56 5.20 0.35 3.41
3.41
3.41
3.41
X
(cm)
1.40
1.40
1.40
Y
(cm)
1.52
1.53
1.53
Prr pr at max. Ipi deq at max. Ipi
(μsec)
0.322
(Hz)
8000
(Mpa)
2.23
(cm)
Ipa,α at max. MI
(W/cm²)
0.35 96.24
Frequency
(MHz)
3.5
3.5
3.5
3.5
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
25
25
25
25
（KHz）
12.5
12.5
12.5
12.5
(cm）
3.2
3.2
3.2
3.2
Operating
Focus Number
Control
Focus Position
Conditions
Aaprt＞1cm²
(cm)
td
Information
Aaprt≤1cm²
Zs
Dim of Aaprt
Other
Non-Scan
1.51
Ita,α(zs)] Associated
TIB
Pulse Frequency Focal Depth
Repetition
C-9
TIC
Acoustic Output Parameter
Operating Mode：B+CPA+PWMode
Probe：C3L40K TIS
Index Label
MI
Global Maximum Index Value
0.82
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan 0.85
Acoustic Parameters
0.32
68.4
Non-Scan 0.48
(mW)
20.12 13.0 3.20
Zbp
(cm)
2.37
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
4.56 5.20 0.35 3.41
3.41
3.41
3.41
X
(cm)
1.40
1.40
1.40
Y
(cm)
1.52
1.53
1.53
Prr pr at max. Ipi deq at max. Ipi
(μsec)
0.322
(Hz)
8000
(Mpa)
2.23
(cm)
Ipa,α at max. MI
(W/cm²)
0.35 96.24
Frequency
(MHz)
3.5
3.5
3.5
3.5
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
25
25
25
25
（KHz）
12.5
12.5
12.5
12.5
(cm）
3.2
3.2
3.2
3.2
Operating
Focus Number
Control
Focus Position
Conditions
Aaprt＞1cm²
(cm)
td
Information
Aaprt≤1cm²
Zs
Dim of Aaprt
Other
Non-Scan
1.51
Ita,α(zs)] Associated
TIB
Pulse Frequency Focal Depth
Repetition
C-10
TIC
Acoustic Output Parameter
Operating Mode：B Mode
Probe：C3L60K TIS
Index Label
MI
Global Maximum Index Value
0.72
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan 0.87
1.26 82.2
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt td Other Information
Prr pr at max. Ipi deq at max. Ipi Ipa,α at max. MI
Operating
5.48
3.13
3.13
X
(cm)
1.42
Y
(cm)
1.58
(μsec)
0.317
(Hz)
8333
(Mpa)
2.28
(cm) (W/cm²)
97.09
Frequency
(MHz)
3.5
3.5
Power
(dB）
0
0
1
1
(mm）
55
55
(cm）
6.3
6.3
Control
Focus Number
Conditions
Focus Position Focal Depth
C-11
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
Acoustic Output Parameter
Operating Mode：BM Mode
Probe：C3L60K TIS
Index Label
MI
Global Maximum Index Value
0.71
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan 0.71
Acoustic Parameters
0.14
66.4
(mW)
(cm)
2.53
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
pr at max. Ipi deq at max. Ipi
0.39
9.22
Zbp
Prr
Non-Scan
17.2
3.07
Ipa,α at max. MI
Operating
Aaprt＞1cm²
(cm)
td
Information
Aaprt≤1cm²
Zs
Dim of Aaprt
Other
Non-Scan
1.26
Ita,α(zs)] Associated
TIB
4.95 5.48 0.35 3.14
3.14
3.13
3.13
X
(cm)
1.42
1.42
1.42
Y
(cm)
1.56
1.57
1.57
(μsec)
0.317
(Hz)
8000
(Mpa)
2.28
(cm) (W/cm²)
0.34 98.03
Frequency
(MHz)
3.5
3.5
3.5
3.5
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
55
55
55
55
(cm）
6.3
6.3
6.3
6.3
Control
Focus Number
Conditions
Focus Position Focal Depth
C-12
TIC
Acoustic Output Parameter
Operating Mode：BM（Anatomical）Mode
Probe：C3L60K TIS
Index Label
MI
Global Maximum Index Value
0.71
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan 0.71
Acoustic Parameters
0.14
66.4
(mW)
(cm)
2.53
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
pr at max. Ipi deq at max. Ipi
0.39
9.22
Zbp
Prr
Non-Scan
17.2
3.07
Ipa,α at max. MI
Operating
Aaprt＞1cm²
(cm)
td
Information
Aaprt≤1cm²
Zs
Dim of Aaprt
Other
Non-Scan
1.26
Ita,α(zs)] Associated
TIB
4.95 5.48 0.35 3.14
3.14
3.13
3.13
X
(cm)
1.42
1.42
1.42
Y
(cm)
1.56
1.57
1.57
(μsec)
0.317
(Hz)
8000
(Mpa)
2.28
(cm) (W/cm²)
0.34 98.03
Frequency
(MHz)
3.5
3.5
3.5
3.5
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
55
55
55
55
(cm）
6.3
6.3
6.3
6.3
Control
Focus Number
Conditions
Focus Position Focal Depth
C-13
TIC
Acoustic Output Parameter
Operating Mode： M Mode
Probe：C3L60K TIS
Index Label
MI
Global Maximum Index Value
0.90
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
Acoustic Parameters
0.10
(mW)
(cm)
2.53
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
pr at max. Ipi deq at max. Ipi
TIC
0.07
9.22
Zbp
Prr
Non-Scan
6
3.07
Ipa,α at max. MI
Operating
Aaprt＞1cm²
(cm)
td
Information
Aaprt≤1cm²
Zs
Dim of Aaprt
Other
Non-Scan
1.64
Ita,α(zs)] Associated
TIB
2.13
3.33
3.13
3.33
X
(cm)
1.42
1.00
Y
(cm)
1.57
3.20
(μsec)
0.59
(Hz)
287
(Mpa)
2.09
(cm) (W/cm²)
116
Frequency
(MHz)
3.5
3.5
3.5
Power
(dB）
0
0
0
1
1
1
(mm）
55
55
55
(cm）
6.3
6.3
6.3
Control
Focus Number
Conditions
Focus Position Focal Depth
C-14
Acoustic Output Parameter
Operating Mode：B+ColorMode
Probe：C3L60K TIS
Index Label
MI
Global Maximum Index Value
0.78
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
0.03
0.14
2
2
2.50
2.50
1.23
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
cm
1.00
1.00
Y
cm
1.00
1.00
(μsec)
Prr
(Hz)
pr at max. Ipi
(Mpa)
deq at max. Ipi
1.42 90 1.69
(cm)
Ipa,α at max. MI
(W/cm²)
55
Frequency
(MHz)
3.5
3.5
3.5
Power
(dB）
0
0
0
1
1
1
(mm）
55
55
55
（KHz）
6
6
6
6.3
6.3
6.3
Operating
Focus Number
Control
Focus Position
Conditions
2.50
X
td Other
3.67
Pulse Frequency Focal Depth
Repetition
(cm）
C-15
Acoustic Output Parameter
Operating Mode：B+CPA Mode
Probe：C3L60K TIS
Index Label
MI
Global Maximum Index Value
0.78
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
0.03
0.14
2
2
2.50
2.50
1.23
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
(cm)
1.00
1.00
Y
(cm)
1.00
1.00
3.5
3.5
3.5
0
0
0
1
1
1
(mm）
55
55
55
（KHz）
6
6
6
6.3
6.3
6.3
(μsec)
Prr
(Hz)
pr at max. Ipi
(Mpa)
deq at max. Ipi
Control Conditions
(W/cm²)
Frequency
(MHz)
Power
(dB）
Focus Number Focus Position Pulse Frequency Focal Depth
1.42 90 1.69
(cm)
Ipa,α at max. MI
Operating
2.50
X
td Other
3.67
Repetition
(cm）
55
C-16
Acoustic Output Parameter
Operating Mode：PW Mode
Probe：C3L60K TIS
Index Label
MI
Global Maximum Index Value
0.44
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
2.79
1.19
2.33
167
157
159
3.50
3.50
3.50
0.82
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
(cm)
1.00
1.00
1.00
Y
(cm)
1.00
1.00
1.00
Prr pr at max. Ipi deq at max. Ipi
(μsec)
2.28
(Hz)
1250
(Mpa)
1.27
(cm)
Ipa,α at max. MI
(W/cm²)
23
Frequency
(MHz)
3.45
3.45
3.45
3.45
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
25
25
25
25
（KHz）
12.5
12.5
12.5
12.5
3.2
3.2
3.2
3.2
Operating
Focus Number
Control
Focus Position
Conditions
3.50
X
td Other
3.67
Pulse Frequency Focal Depth
Repetition
(cm）
C-17
Acoustic Output Parameter
Operating Mode：B+PW Mode
Probe：C3L60K TIS
Index Label
MI
Global Maximum Index Value
0.69
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
0.69
Acoustic Parameters
0.14
64.4
Non-Scan 0.35
(mW)
16.2 9.01 3.05
Zbp
(cm)
2.04
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
4.75 5.42 0.32 3.5
3.5
3.5
3.5
X
(cm)
1.50
1.50
1.50
Y
(cm)
1.54
1.56
1.56
Prr pr at max. Ipi deq at max. Ipi
(μsec)
0.322
(Hz)
8000
(Mpa)
2.28
(cm)
Ipa,α at max. MI
0.34
(W/cm²)
97.03
Frequency
(MHz)
3.45
3.45
3.45
3.45
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
25
25
25
25
（KHz）
12.5
12.5
12.5
12.5
3.2
3.2
3.2
3.2
Operating
Focus Number
Control
Focus Position
Conditions
Aaprt＞1cm²
(cm)
td
Information
Aaprt≤1cm²
Zs
Dim of Aaprt
Other
Non-Scan
1.30
Ita,α(zs)] Associated
TIB
Pulse Frequency Focal Depth
Repetition
(cm）
C-18
TIC
Acoustic Output Parameter
Operating Mode：B+CFM+PW Mode
Probe：C3L60K TIS
Index Label
MI
Global Maximum Index Value
0.62
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
0.61
Acoustic Parameters
0.24
58
Non-Scan 0.25
(mW)
118.2 9.56 3.14
Zbp
(cm)
2.03
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
4.75 5.40 0.32 3.74
3.74
3.74
3.74
X
(cm)
1.55
1.55
1.55
Y
(cm)
1.60
1.60
1.60
Prr pr at max. Ipi deq at max. Ipi
(μsec)
0.322
(Hz)
8480
(Mpa)
2.38
(cm)
Ipa,α at max. MI
0.34
(W/cm²)
96.03
Frequency
(MHz)
3.45
3.45
3.5
3.5
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
25
25
25
25
（KHz）
12.5
12.5
12.5
12.5
3.2
3.2
3.2
3.2
Operating
Focus Number
Control
Focus Position
Conditions
Aaprt＞1cm²
(cm)
td
Information
Aaprt≤1cm²
Zs
Dim of Aaprt
Other
Non-Scan
1.21
Ita,α(zs)] Associated
TIB
Pulse Frequency Focal Depth
Repetition
(cm）
C-19
TIC
Acoustic Output Parameter
Operating Mode：B+CPA+PW Mode
Probe：C3L60K TIS
Index Label
MI
Global Maximum Index Value
0.62
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan 0.61
Acoustic Parameters
n
0.24
0.25
58
(mW)
118．2 9.56 3.14
Zbp
(cm)
2.03
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
4.75 5.40 0.32 3.74
3.74
3.74
3.74
X
(cm)
1.55
1.55
1.55
Y
(cm)
1.60
1.60
1.60
Prr pr at max. Ipi deq at max. Ipi Ipa,α at max. MI
(μsec)
0.322
(Hz)
8480
(Mpa)
2.38
(cm)
0.34
(W/cm²)
96.03
Frequency
(MHz)
3.45
3.45
3.5
3.5
Power
(dB）
0
0
0
0
1
1
1
1
25
25
25
25
（KHz）
12.5
12.5
12.5
12.5
(cm）
3.2
3.2
3.2
3.2
Operating
Focus Number
Control
Focus Position
Conditions
Aaprt＞1cm²
(cm)
td
Information
Aaprt≤1cm²
Zs
Dim of Aaprt
Other
Non-Sca
Non-Scan
1.21
Ita,α(zs)] Associated
TIB
Pulse
Repetition
Frequency Focal Depth
(mm）
C-20
TIC
Acoustic Output Parameter
Operating Mode：B Mode
Probe：4DL40K TIS
Index Label
MI
Global Maximum Index Value
0.49
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan 0.82
1.03 79.3
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt td Other Information
Prr pr at max. Ipi deq at max. Ipi Ipa,α at max. MI
Operating
2.30
4.47.
4.47
X
(cm)
1.20
Y
(cm)
1.42
(μsec)
0.476
(Hz)
4730
(Mpa)
1.83
(cm) (W/cm²)
47.9
Frequency
(MHz)
4.5
4.5
Power
(dB）
0
0
1
1
(mm）
55
55
(cm）
6.3
6.3
Control
Focus Number
Conditions
Focus Position Focal Depth
C-21
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
Acoustic Output Parameter
Operating Mode：BM Mode
Probe：4DL40K TIS
Index Label
MI
Global Maximum Index Value
0.50
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan 0.68
Acoustic Parameters
0.10
65.8
(mW)
(cm)
2.53
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
pr at max. Ipi deq at max. Ipi
0.29
8.31
Zbp
Prr
Non-Scan
13.6
3.23
Ipa,α at max. MI
Operating
Aaprt＞1cm²
(cm)
td
Information
Aaprt≤1cm²
Zs
Dim of Aaprt
Other
Non-Scan
1.03
Ita,α(zs)] Associated
TIB
4.62 2.30 0.32 4.47
4.47
4.47
4.47
X
(cm)
1.20
1.20
1.20
Y
(cm)
1.42
1.42
1.42
(μsec)
0.476
(Hz)
5200
(Mpa)
1.83
(cm)
0.35
(W/cm²)
50
Frequency
(MHz)
4.5
4.5
4.5
4.5
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
55
55
55
55
(cm）
6.3
6.3
6.3
6.3
Control
Focus Number
Conditions
Focus Position Focal Depth
C-22
TIC
Acoustic Output Parameter
Operating Mode：BM（Anatomical）Mode
Probe：4DL40K TIS
Index Label
MI
Global Maximum Index Value
0.50
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
0.68
Acoustic Parameters
0.10
65.8
(mW)
(cm)
2.53
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
pr at max. Ipi deq at max. Ipi
0.29
8.31
Zbp
Prr
Non-Scan
13.6
3.23
Ipa,α at max. MI
Operating
Aaprt＞1cm²
(cm)
td
Information
Aaprt≤1cm²
Zs
Dim of Aaprt
Other
Non-Scan
1.03
Ita,α(zs)] Associated
TIB
4.62 2.30 0.32 4.47
4.47
4.47
4.47
X
(cm)
1.20
1.20
1.20
Y
(cm)
1.42
1.42
1.42
(μsec)
0.476
(Hz)
5200
(Mpa)
1.83
(cm)
0.35
(W/cm²)
50
Frequency
(MHz)
4.5
4.5
4.5
4.5
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
55
55
55
55
(cm）
6.3
6.3
6.3
6.3
Control
Focus Number
Conditions
Focus Position Focal Depth
C-23
TIC
Acoustic Output Parameter
Operating Mode： M Mode
Probe：4DL40K TIS
Index Label
MI
Global Maximum Index Value
0.501
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
0.11
0.07
6
6
4.43
4.43
1.05
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt td Other Information
Prr pr at max. Ipi deq at max. Ipi Ipa,α at max. MI
Operating
2.420
4.43
X
(cm)
0.67
1.22
Y
(cm)
1.20
3.18
(μsec)
0.460
(Hz)
409
(Mpa)
1.74
(cm) (W/cm²)
47
Frequency
(MHz)
4.5
4.5
4.5
Power
(dB）
0
0
0
1
1
1
(mm）
55
55
55
(cm）
6.3
6.3
6.3
Control
Focus Number
Conditions
Focus Position Focal Depth
C-24
Acoustic Output Parameter
Operating Mode：B+Color Mode
Probe：4DL40K TIS
Index Label
MI
Global Maximum Index Value
0.51
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
0.04
0.10
3
3
4.68
4.68
1.10
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
(cm)
1.22
1.22
Y
(cm)
1.23
1.23
(μsec)
Prr
(Hz)
pr at max. Ipi
(Mpa)
deq at max. Ipi
1.32 90 1.53
(cm)
Ipa,α at max. MI
(W/cm²)
54
Frequency
(MHz)
4.5
4.5
4.5
Power
(dB）
0
0
0
1
1
1
(mm）
55
55
55
（KHz）
6
6
6
6.3
6.3
6.3
Operating
Focus Number
Control
Focus Position
Conditions
4.68
X
td Other
4.57
Pulse Frequency Focal Depth
Repetition
(cm）
C-25
Acoustic Output Parameter
Operating Mode：B+CPA Mode
Probe：4DL40K TIS
Index Label
MI
Global Maximum Index Value
0.51
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
0.04
0.10
3
3
4.68
4.68
1.10
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
(cm)
1.22
1.22
Y
(cm)
1.23
1.23
(μsec)
Prr
(Hz)
pr at max. Ipi
(Mpa)
deq at max. Ipi
1.32 90 1.53
(cm)
Ipa,α at max. MI
(W/cm²)
54
Frequency
(MHz)
4.5
4.5
4.5
Power
(dB）
0
0
0
1
1
1
(mm）
55
55
55
（KHz）
6
6
6
6.3
6.3
6.3
Operating
Focus Number
Control
Focus Position
Conditions
4.68
X
td Other
4.57
Pulse Frequency Focal Depth
Repetition
(cm）
C-26
Acoustic Output Parameter
Operating Mode：PW Mode
Probe：4DL40K TIS
Index Label
MI
Global Maximum Index Value
0.61
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
2.62
1.01
3.31
145
151
147
3.80
3.80
3.80
1.08
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
(cm)
0.90
0.90
0.90
Y
(cm)
1.00
1.00
1.00
Prr pr at max. Ipi deq at max. Ipi
(μsec)
2.12
(Hz)
1230
(Mpa)
1.30
(cm)
Ipa,α at max. MI
(W/cm²)
21
Frequency
(MHz)
5.0
5.0
5.0
5.0
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
35
35
35
35
（KHz）
12.5
12.5
12.5
12.5
6.3
6.3
6.3
6.3
Operating
Focus Number
Control
Focus Position
Conditions
3.80
X
td Other
3.55
Pulse Frequency Focal Depth
Repetition
(cm）
C-27
Acoustic Output Parameter
Operating Mode：B+PW Mode
Probe：4DL40K TIS
Index Label
MI
Global Maximum Index Value
0.57
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
0.63
Acoustic Parameters
0.20
60.1
Non-Scan 0.28
(mW)
14.9 9.45 3.13
Zbp
(cm)
2.21
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
4.45 2.38 0.31 4.42
4.42
4.42
4.42
X
(cm)
1.20
1.20
1.20
Y
(cm)
1.42
1.42
1.42
Prr pr at max. Ipi deq at max. Ipi
(μsec)
0.465
(Hz)
5200
(Mpa)
1.73
(cm)
Ipa,α at max. MI
0.35
(W/cm²)
55
Frequency
(MHz)
5.0
5.0
5.0
5.0
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
35
35
35
35
（KHz）
12.5
12.5
12.5
12.5
6.3
6.3
6.3
6.3
Operating
Focus Number
Control
Focus Position
Conditions
Aaprt＞1cm²
(cm)
td
Information
Aaprt≤1cm²
Zs
Dim of Aaprt
Other
Non-Scan
1.2
Ita,α(zs)] Associated
TIB
Pulse Frequency Focal Depth
Repetition
(cm）
C-28
TIC
Acoustic Output Parameter
Operating Mode：B+CFM+PW Mode
Probe：4DL40K TIS
Index Label
MI
Global Maximum Index Value
0.68
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan 0.58
Acoustic Parameters
0.21
5.9
Non-Scan 0.23
(mW)
15.8 9.33 3.24
Zbp
(cm)
2.34
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
4.43 2.26 0.31 4.32
4.32
4.32
4.32
X
(cm)
1.20
1.20
1.20
Y
(cm)
1.42
1.42
1.42
Prr pr at max. Ipi deq at max. Ipi
(μsec)
0.455
(Hz)
5200
(Mpa)
1.69
(cm)
Ipa,α at max. MI
0.35
(W/cm²)
55
Frequency
(MHz)
5.0
5.0
5.0
5.0
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
35
35
35
35
（KHz）
12.5
12.5
12.5
12.5
(cm）
6.3
6.3
6.3
6.3
Operating
Focus Number
Control
Focus Position
Conditions
Aaprt＞1cm²
(cm)
td
Information
Aaprt≤1cm²
Zs
Dim of Aaprt
Other
Non-Scan
1.42
Ita,α(zs)] Associated
TIB
Pulse Frequency Focal Depth
Repetition
C-29
TIC
Acoustic Output Parameter
Operating Mode：B+CPA+PW Mode
Probe：4DL40K TIS
Index Label
MI
Global Maximum Index Value
0.68
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
0.58
Acoustic Parameters
0.21
5.9
Non-Scan 0.23
(mW)
15.8 9.33 3.24
Zbp
(cm)
2.34
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
4.43 2.26 0.31 4.32
4.32
4.32
4.32
X
(cm)
1.20
1.20
1.20
Y
(cm)
1.42
1.42
1.42
Prr pr at max. Ipi deq at max. Ipi
(μsec)
0.455
(Hz)
5200
(Mpa)
1.69
(cm)
Ipa,α at max. MI
0.35
(W/cm²)
55
Frequency
(MHz)
5.0
5.0
5.0
5.0
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
35
35
35
35
（KHz）
12.5
12.5
12.5
12.5
6.3
6.3
6.3
6.3
Operating
Focus Number
Control
Focus Position
Conditions
Aaprt＞1cm²
(cm)
td
Information
Aaprt≤1cm²
Zs
Dim of Aaprt
Other
Non-Scan
1.42
Ita,α(zs)] Associated
TIB
Pulse Frequency Focal Depth
Repetition
(cm）
C-30
TIC
Acoustic Output Parameter
Operating Mode：BMode
Probe：L8L38K TIS
Index Label
MI
Global Maximum Index Value
0.88
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan 0.51
1.99 20.6
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt td Other Information
Prr pr at max. Ipi deq at max. Ipi Ipa,α at max. MI
Operating Control Conditions
5.16
(cm)
1.02
Y
(cm)
0.91
(μsec)
0.266
(Hz)
16667
(Mpa)
2.76
(cm) (W/cm²) (MHz)
Power
(dB）
119.5 10.0
10.0
0
0
1
1
(mm）
23
23
(cm）
2.4
2.4
Focus Number
Focal Depth
5.16
X
Frequency
Focus Position
1.81
C-31
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
Acoustic Output Parameter
Operating Mode：BM Mode
Probe：L8L38K TIS
Index Label
MI
Global Maximum Index Value
0.87
Pra
(Mpa)
P
(mW)
Min.
of
Scan
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
0.46
0.052
0.12
18.2
2.1
2.1
1.99
[Pα(zs),
Ita,α(zs)] (mW) Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt td Other Information
Prr pr at max. Ipi deq at max. Ipi Ipa,α at max. MI
Operating
1.74 1.81 0.23 5.22
5.22
5.19
5.19
X
(cm)
1.00
1.02
1.02
Y
(cm)
0.92
0.93
0.93
(μsec)
0.278
(Hz)
15924
(Mpa)
2.76
(cm)
0.23
(W/cm²)
115.5
Frequency
(MHz)
10.0
10.0
10.0
10.0
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
23
23
23
23
(cm）
2.4
2.4
2.4
2.4
Control
Focus Number
Conditions
Focus Position Focal Depth
C-32
TI C
Acoustic Output Parameter
Operating Mode：BM（Anatomical）Mode
Probe：L8L38K TIS
Index Label
MI
Global Maximum Index Value
0.87
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
0.46
0.052
0.12
18.2
2.1
2.1
1.99
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt td Other Information
Prr pr at max. Ipi deq at max. Ipi Ipa,α at max. MI
Operating
1.74 1.81 0.23 5.22
5.22
5.19
5.19
X
(cm)
1.00
1.02
1.02
Y
(cm)
0.92
0.93
0.93
(μsec)
0.278
(Hz)
15924
(Mpa)
2.76
(cm)
0.23
(W/cm²)
115.5
Frequency
(MHz)
10.0
10.0
10.0
10.0
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
23
23
23
23
(cm）
2.4
2.4
2.4
2.4
Control
Focus Number
Conditions
Focus Position Focal Depth
C-33
TI C
Acoustic Output Parameter
Operating Mode：M Mode
Probe：L8L38K TIS
Index Label
MI
Global Maximum Index Value
0.65
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
0.07
0.05
2
2
6.67
6.67
0.66
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt td Other Information
Prr pr at max. Ipi deq at max. Ipi Ipa,α at max. MI
Operating
1.59
6.67
X
(cm)
0.70
0.70
Y
(cm)
1.50
1.50
(μsec)
0.47
(Hz)
335
(Mpa)
0.95
(cm) (W/cm²)
14
Frequency
(MHz)
10.0
10.0
10.0
Power
(dB）
0
0
0
1
1
1
(mm）
23
23
23
(cm）
2.4
2.4
2.4
Control
Focus Number
Conditions
Focus Position Focal Depth
C-34
Acoustic Output Parameter
Operating Mode：B+ColorMode
Probe：L8L38K TIS
Index Label
MI
Global Maximum Index Value
0.45
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
0.10
1.87
3
4
6.66
6.66
1.15
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
(cm)
0.70
0.70
Y
(cm)
0.60
0.60
Prr pr at max. Ipi deq at max. Ipi
(μsec)
0.58
(Hz)
162
(Mpa)
1.47
(cm)
Ipa,α at max. MI
(W/cm²)
70
Frequency
(MHz)
8.2
8.2
8.2
Power
(dB）
0
0
0
1
1
1
(mm）
23
23
23
（KHz）
3
3
3
2.4
2.4
2.4
Operating
Focus Number
Control
Focus Position
Conditions
6.66
X
td Other
1.06
Pulse Frequency Focal Depth
Repetition
(cm）
C-35
Acoustic Output Parameter
Operating Mode：B+CPAMode
Probe：L8L38K TIS
Index Label
MI
Global Maximum Index Value
0.45
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
0.10
1.87
3
4
6.66
6.66
1.15
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
(cm)
0.70
0.70
Y
(cm)
0.60
0.60
Prr pr at max. Ipi deq at max. Ipi
(μsec)
0.58
(Hz)
162
(Mpa)
1.47
(cm)
Ipa,α at max. MI
(W/cm²)
70
Frequency
(MHz)
8.2
8.2
8.2
Power
(dB）
0
0
0
1
1
1
(mm）
23
23
23
（KHz）
3
3
3
2.4
2.4
2.4
Operating
Focus Number
Control
Focus Position
Conditions
6.66
X
td Other
1.06
Pulse Frequency Focal Depth
Repetition
(cm）
C-36
Acoustic Output Parameter
Operating Mode：PW Mode
Probe：L8L38K TIS
Index Label
MI
Global Maximum Index Value
0.25
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
0.26
0.72
1.55
14
51
45
4.00
4.00
4.00
0.50
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
(cm)
0.70
0.70
0.70
Y
(cm)
0.60
0.60
0.60
7.1
7.1
7.1
7.1
0
0
0
0
1
1
1
1
(mm）
18
18
18
18
（KHz）
6
6
6
6
2.4
2.4
2.4
2.4
Prr pr at max. Ipi deq at max. Ipi
Control Conditions
(μsec)
2.40
(Hz)
1250
(Mpa)
0.62
(cm)
Ipa,α at max. MI
Operating
(W/cm²)
Frequency
(MHz)
Power
(dB）
Focus Number Focus Position Pulse Frequency Focal Depth
4.00
X
td Other
1.62
Repetition
(cm）
11
C-37
Acoustic Output Parameter
Operating Mode：B+PWMode
Probe：L8L38K TIS
Index Label
MI
Global Maximum Index Value
0.77
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
0.65
0.09
0.23
22.3
3.2
4.1
1.78
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
0.24 5.3
5.3
5.29
5.29
(cm)
1.00
1.02
1.02
Y
(cm)
0.92
0.93
0.93
Prr pr at max. Ipi deq at max. Ipi
(μsec)
0.264
(Hz)
5924
(Mpa)
2.76
(cm)
Ipa,α at max. MI
(W/cm²)
0.23 121.4
Frequency
(MHz)
7.1
7.1
7.1
7.1
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
18
18
18
18
（KHz）
6
6
6
6
2.4
2.4
2.4
2.4
Operating
Focus Number
Control
Focus Position
Conditions
1.75
X
td Other
1.64
Pulse Frequency Focal Depth
Repetition
(cm）
C-38
TI C
Acoustic Output Parameter
Operating Mode：B+CFM+PWMode
Probe：L8L38K TIS
Index Label
MI
Global Maximum Index Value
0.77
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
0.74
0.11
0.30
24.0
4.2
4.9
1.92
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
0.24 5.2
5.2
5.21
5.21
(cm)
1.00
1.02
1.02
Y
(cm)
0.92
0.93
0.93
Prr pr at max. Ipi deq at max. Ipi
(μsec)
0.271
(Hz)
5120
(Mpa)
2.76
(cm)
Ipa,α at max. MI
(W/cm²)
0.23 121.4
Frequency
(MHz)
7.1
7.1
7.1
7.1
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
18
18
18
18
（KHz）
6
6
6
6
2.4
2.4
2.4
2.4
Operating
Focus Number
Control
Focus Position
Conditions
1.87
X
td Other
1.54
Pulse Frequency Focal Depth
Repetition
(cm）
C-39
TI C
Acoustic Output Parameter
Operating Mode：B+CPA+PWMode
Probe：L8L38K TIS
Index Label
MI
Global Maximum Index Value
0.77
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
0.74
0.11
0.30
24.0
4.2
4.9
1.92
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
0.24 5.2
5.2
5.21
5.21
(cm)
1.00
1.02
1.02
Y
(cm)
0.92
0.93
0.93
Prr pr at max. Ipi deq at max. Ipi
(μsec)
0.271
(Hz)
5120
(Mpa)
2.76
(cm)
Ipa,α at max. MI
(W/cm²)
0.23 121.4
Frequency
(MHz)
7.1
7.1
7.1
7.1
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
18
18
18
18
（KHz）
6
6
6
6
2.4
2.4
2.4
2.4
Operating
Focus Number
Control
Focus Position
Conditions
1.87
X
td Other
1.54
Pulse Frequency Focal Depth
Repetition
(cm）
C-40
TI C
Acoustic Output Parameter
Operating Mode：B Mode
Probe：P3F14K TIS
Index Label
MI
Global Maximum Index Value
0.70
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan 0.46
1.22 56.4
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt td Other Information
Prr pr at max. Ipi deq at max. Ipi Ipa,α at max. MI
Operating
5.43
3.08
3.08
X
(cm)
1.80
Y
(cm)
1.62
(μsec)
0.441
(Hz)
8333
(Mpa)
2.17
(cm) (W/cm²)
128.5
Frequency
(MHz)
3.0
3.0
Power
(dB）
0
0
1
1
(mm）
60
60
(cm）
7.1
7.1
Control
Focus Number
Conditions
Focus Position Focal Depth
C-41
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
Acoustic Output Parameter
Operating Mode：BM Mode
Probe：P3F14K TIS
Index Label
MI
Global Maximum Index Value
0.70
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
0.80
0.18
0.49
54.2
12.2
12.2
1.22
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt td Other Information
Prr pr at max. Ipi deq at max. Ipi Ipa,α at max. MI
Operating
4.90 5.43 0.21 3.08
3.08
3.07
3.07
X
(cm)
1.80
1.78
1.78
Y
(cm)
1.60
1.54
1.54
(μsec)
0.440
(Hz)
8000
(Mpa)
2.17
(cm) (W/cm²)
0.21 128.1
Frequency
(MHz)
3.0
3.0
3.0
3.0
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
60
60
60
60
(cm）
7.1
7.1
7.1
7.1
Control
Focus Number
Conditions
Focus Position Focal Depth
C-42
TIC
Acoustic Output Parameter
Operating Mode：BM（Anatomical）Mode
Probe：P3F14K TIS
Index Label
MI
Global Maximum Index Value
0.70
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
0.80
0.18
0.49
54.2
12.2
12.2
1.22
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt td Other Information
Prr pr at max. Ipi deq at max. Ipi Ipa,α at max. MI
Operating
4.90 5.43 0.21 3.08
3.08
3.07
3.07
X
(cm)
1.80
1.78
1.78
Y
(cm)
1.60
1.54
1.54
(μsec)
0.440
(Hz)
8000
(Mpa)
2.17
(cm) (W/cm²)
0.21 128.1
Frequency
(MHz)
3.0
3.0
3.0
3.0
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
60
60
60
60
(cm）
7.1
7.1
7.1
7.1
Control
Focus Number
Conditions
Focus Position Focal Depth
C-43
TIC
Acoustic Output Parameter
Operating Mode：M Mode
Probe：P3F14K TIS
Index Label
MI
Global Maximum Index Value
0.59
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
0.11
0.12
7
6
3.33
3.33
1.08
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt td Other Information
Prr pr at max. Ipi deq at max. Ipi Ipa,α at max. MI
Operating
4.71
3.33
X
(cm)
0.70
0.70
Y
(cm)
1.63
1.63
(μsec)
0.69
(Hz)
3.03
(Mpa)
1.86
(cm) (W/cm²)
40
Frequency
(MHz)
3.0
3.0
3.0
Power
(dB）
0
0
0
1
1
1
(mm）
60
60
60
(cm）
7.1
7.1
7.1
Control
Focus Number
Conditions
Focus Position Focal Depth
C-44
Acoustic Output Parameter
Operating Mode：B+ColorMode
Probe：P3F14K TIS
Index Label
MI
Global Maximum Index Value
1.22
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
0.08
4.13
8
6
2.00
2.00
1.73
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
(cm)
0.70
0.70
Y
(cm)
0.51
0.51
Prr pr at max. Ipi deq at max. Ipi
(μsec)
0.74
(Hz)
180
(Mpa)
2.34
(cm)
Ipa,α at max. MI
(W/cm²)
131
Frequency
(MHz)
3.0
3.0
3.0
Power
(dB）
0
0
0
1
1
1
(mm）
60
60
60
（KHz）
6
6
6
7.1
7.1
7.1
Operating
Focus Number
Control
Focus Position
Conditions
2.00
X
td Other
4.34
Pulse Frequency Focal Depth
Repetition
(cm）
C-45
Acoustic Output Parameter
Operating Mode：B+CPAMode
Probe：P3F14K TIS
Index Label
MI
Global Maximum Index Value
1.22
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
0.08
4.13
8
6
2.00
2.00
1.73
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
(cm)
0.70
0.70
Y
(cm)
0.51
0.51
Prr pr at max. Ipi deq at max. Ipi
(μsec)
0.74
(Hz)
180
(Mpa)
2.34
(cm)
Ipa,α at max. MI
(W/cm²)
131
Frequency
(MHz)
3.0
3.0
3.0
Power
(dB）
0
0
0
1
1
1
(mm）
60
60
60
（KHz）
6
6
6
7.1
7.1
7.1
Operating
Focus Number
Control
Focus Position
Conditions
2.00
X
td Other
4.34
Pulse Frequency Focal Depth
Repetition
(cm）
C-46
Acoustic Output Parameter
Operating Mode：PW Mode
Probe：P3F14K TIS
Index Label
MI
Global Maximum Index Value
0.03
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
0.09
0.09
3
3
TIC
4.02
0.06
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
0.29 6.00
6.00
6.00
6.00
(cm)
0.70
0.70
0.70
Y
(cm)
0.41
0.41
0.41
Prr pr at max. Ipi deq at max. Ipi
(μsec)
2.28
(Hz)
1250
(Mpa)
0.08
(cm)
Ipa,α at max. MI
(W/cm²)
Frequency
(MHz)
3.0
3.0
3.0
3.0
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
30
30
30
30
（KHz）
12.5
12.5
12.5
12.5
(cm）
7.1
7.1
7.1
7.1
Operating
Focus Number
Control
Focus Position
Conditions
1.23
X
td Other
1.23
Pulse Frequency Focal Depth
Repetition
C-47
Acoustic Output Parameter
Operating Mode：B+PWMode
Probe：P3F14K TIS
Index Label
MI
Global Maximum Index Value
0.76
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
0.80
0.21
0.45
54.2
14.2
11.2
1.31
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
0.21 3.00
3.00
3.00
3.00
(cm)
1.80
1.78
1.78
Y
(cm)
1.60
1.54
1.54
Prr pr at max. Ipi deq at max. Ipi
(μsec)
0.410
(Hz)
8000
(Mpa)
2.34
(cm)
Ipa,α at max. MI
(W/cm²)
0.21 138.1
Frequency
(MHz)
3.0
3.0
3.0
3.0
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
30
30
30
30
（KHz）
12.5
12.5
12.5
12.5
(cm）
7.1
7.1
7.1
7.1
Operating
Focus Number
Control
Focus Position
Conditions
5.43
X
td Other
4.80
Pulse Frequency Focal Depth
Repetition
C-48
TIC
Acoustic Output Parameter
Operating Mode：B+CFM+PWMode
Probe：P3F14K TIS
Index Label
MI
Global Maximum Index Value
0.86
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
0.80
0.20
0.42
54.2
13.2
12.2
1.52
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
0.21 3.1
3.1
3.1
3.10
(cm)
1.80
1.78
1.78
Y
(cm)
1.60
1.54
1.54
Prr pr at max. Ipi deq at max. Ipi
(μsec)
0.420
(Hz)
8000
(Mpa)
2.42
(cm)
Ipa,α at max. MI
(W/cm²)
0.21 127.0
Frequency
(MHz)
3.0
3.0
3.0
3.0
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
30
30
30
30
（KHz）
6
6
6
6
7.1
7.1
7.1
7.1
Operating
Focus Number
Control
Focus Position
Conditions
5.53
X
td Other
4.80
Pulse Frequency Focal Depth
Repetition
(cm）
C-49
TIC
Acoustic Output Parameter
Operating Mode：B+CPA+PWMode
Probe：P3F14K TIS
Index Label
MI
Global Maximum Index Value
0.86
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
0.80
0.20
0.42
54.2
13.2
12.2
1.52
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
0.21 3.1
3.1
3.1
3.10
(cm)
1.80
1.78
1.78
Y
(cm)
1.60
1.54
1.54
Prr pr at max. Ipi deq at max. Ipi
(μsec)
0.420
(Hz)
8000
(Mpa)
2.42
(cm)
Ipa,α at max. MI
(W/cm²)
0.21 127.0
Frequency
(MHz)
3.0
3.0
3.0
3.0
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
30
30
30
30
（KHz）
6
6
6
6
7.1
7.1
7.1
7.1
Operating
Focus Number
Control
Focus Position
Conditions
5.53
X
td Other
4.80
Pulse Frequency Focal Depth
Repetition
(cm）
C-50
TIC
Acoustic Output Parameter
Operating Mode：B Mode
Probe：U5L50K TIS
Index Label
MI
Global Maximum Index Value
0.82
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan 0.39
1.6 21.6
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt td Other Information
Prr pr at max. Ipi deq at max. Ipi Ipa,α at max. MI
Operating
1.91
3.78
3.78
X
(cm)
1.01
Y
(cm)
0.93
(μsec)
0.366
(Hz)
8320
(Mpa)
2.56
(cm) (W/cm²)
109.5
Frequency
(MHz)
5.0
5.0
Power
(dB）
0
0
1
1
(mm）
24
24
(cm）
2.4
2.4
Control
Focus Number
Conditions
Focus Position Focal Depth
C-51
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TI C
Acoustic Output Parameter
Operating Mode：BM Mode
Probe：U5L50K TIS
Index Label
MI
Global Maximum Index Value
0.82
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
0.46
0.038
0.20
18.2
2.1
2.5
1.6
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt td Other Information
Prr pr at max. Ipi deq at max. Ipi Ipa,α at max. MI
Operating
1.94 1.91 0.23 3.77
3.77
3.77
3.77
X
(cm)
1.00
1.00
1.00
Y
(cm)
0.93
0.93
0.93
(μsec)
0.378
(Hz)
8832
(Mpa)
2.76
(cm) (W/cm²)
0.23 113.0
Frequency
(MHz)
5.0
5.0
5.0
5.0
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
24
24
24
24
(cm）
2.4
2.4
2.4
2.4
Control
Focus Number
Conditions
Focus Position Focal Depth
C-52
TI C
Acoustic Output Parameter
Operating Mode：BM（Anatomical）Mode
Probe：U5L50K TIS
Index Label
MI
Global Maximum Index Value
0.82
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
0.46
0.038
0.20
18.2
2.1
2.5
1.6
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt td Other Information
Prr pr at max. Ipi deq at max. Ipi Ipa,α at max. MI
Operating
1.94 1.91 0.23 3.77
3.77
3.77
3.77
X
(cm)
1.00
1.00
1.00
Y
(cm)
0.93
0.93
0.93
(μsec)
0.378
(Hz)
8832
(Mpa)
2.76
(cm) (W/cm²)
0.23 113.0
Frequency
(MHz)
5.0
5.0
5.0
5.0
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
24
24
24
24
(cm）
2.4
2.4
2.4
2.4
Control
Focus Number
Conditions
Focus Position Focal Depth
C-53
TI C
Acoustic Output Parameter
Operating Mode：M Mode
Probe：U5L50K TIS
Index Label
MI
Global Maximum Index Value
0.45
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
0.07
0.05
2
2
4.1
4.1
0.91
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt td Other Information
Prr pr at max. Ipi deq at max. Ipi Ipa,α at max. MI
Operating
1.59
4.1
X
(cm)
0.90
0.90
Y
(cm)
1.30
1.30
(μsec)
0.463
(Hz)
512
(Mpa)
0.99
(cm) (W/cm²)
20
Frequency
(MHz)
5.0
5.0
5.0
Power
(dB）
0
0
0
1
1
1
(mm）
24
24
24
(cm）
2.4
2.4
2.4
Control
Focus Number
Conditions
Focus Position Focal Depth
C-54
Acoustic Output Parameter
Operating Mode：B+ColorMode
Probe：U5L50K TIS
Index Label
MI
Global Maximum Index Value
0.60
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
0.15
1.47
4
4
4.2
4.2
1.23
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
(cm)
0.70
0.70
Y
(cm)
0.90
0.90
(μsec)
Prr pr at max. Ipi deq at max. Ipi
0.602
(Hz)
162
(Mpa)
1.52
(cm)
Ipa,α at max. MI
(W/cm²)
80
Frequency
(MHz)
5.0
5.0
5.0
Power
(dB）
0
0
0
1
1
1
(mm）
21
21
21
（KHz）
3
3
3
2.4
2.4
2.4
Operating
Focus Number
Control
Focus Position
Conditions
4.2
X
td Other
1.06
Pulse Frequency Focal Depth
Repetition
(cm）
C-55
Acoustic Output Parameter
Operating Mode：B+CPAMode
Probe：U5L50K TIS
Index Label
MI
Global Maximum Index Value
0.60
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
0.15
1.47
4
4
4.2
4.2
1.23
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
(cm)
0.70
0.70
Y
(cm)
0.90
0.90
(μsec)
Prr pr at max. Ipi deq at max. Ipi
0.602
(Hz)
162
(Mpa)
1.52
(cm)
Ipa,α at max. MI
(W/cm²)
80
Frequency
(MHz)
5.0
5.0
5.0
Power
(dB）
0
0
0
1
1
1
(mm）
21
21
21
（KHz）
3
3
3
2.4
2.4
2.4
Operating
Focus Number
Control
Focus Position
Conditions
4.2
X
td Other
1.06
Pulse Frequency Focal Depth
Repetition
(cm）
C-56
Acoustic Output Parameter
Operating Mode：PW Mode
Probe：U5L50K TIS
Index Label
MI
Global Maximum Index Value
0.51
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
0.38
0.72
1.55
20
51
45
4.00
4.00
4.00
1.02
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
(cm)
0.70
0.70
0.70
Y
(cm)
0.90
0.90
0.90
Prr pr at max. Ipi deq at max. Ipi Ipa,α at max. MI
(μsec)
2.34
(Hz)
1250
(Mpa)
0.72
(cm) (W/cm²)
22
Frequency
(MHz)
5.0
5.0
Power
(dB）
0
0
1
1
(mm）
21
21
（KHz）
6
6
2.4
2.4
Operating
Focus Number
Control
Focus Position
Conditions
4.00
X
td Other
1.59
Pulse
Repetition
Frequency Focal Depth
(cm）
C-57
Acoustic Output Parameter
Operating Mode：B+PWMode
Probe：U5L50K TIS
Index Label
MI
Global Maximum Index Value
0.94
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
0.52
0.12
0.23
19.2
3.5
3.6
1.8
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
0.22 3.70
3.70
3.70
3.70
(cm)
1.00
1.00
1.00
Y
(cm)
0.93
0.93
0.93
Prr pr at max. Ipi deq at max. Ipi Ipa,α at max. MI
(μsec)
0.365
(Hz)
8832
(Mpa)
2.66
(cm) (W/cm²)
0.23 110.0
Frequency
(MHz)
5.0
5.0
5.0
5.0
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
21
21
21
21
（KHz）
6
6
6
6
2.4
2.4
2.4
2.4
Operating
Focus Number
Control
Focus Position
Conditions
1.87
X
td Other
1.94
Pulse
Repetition
Frequency Focal Depth
(cm）
C-58
TI C
Acoustic Output Parameter
Operating Mode：B+CFM+PWMode
Probe：U5L50K TIS
Index Label
MI
Global Maximum Index Value
0.90
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
0.62
0.18
0.27
19.2
3.5
3.6
1.7
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
0.22 3.60
3.60
3.60
3.60
(cm)
1.00
1.00
1.00
Y
(cm)
0.93
0.93
0.93
Prr pr at max. Ipi deq at max. Ipi
(μsec)
0.375
(Hz)
8832
(Mpa)
2.45
(cm)
Ipa,α at max. MI
(W/cm²)
0.23 121.0
Frequency
(MHz)
5.0
5.0
5.0
4.0
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
18
18
18
18
（KHz）
3
3
3
3
2.4
2.4
2.4
2.4
Operating
Focus Number
Control
Focus Position
Conditions
1.86
X
td Other
1.90
Pulse Frequency Focal Depth
Repetition
(cm）
C-59
TI C
Acoustic Output Parameter
Operating Mode：B+CPA+PWMode
Probe：U5L50K TIS
Index Label
MI
Global Maximum Index Value
0.90
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
0.62
0.18
0.27
19.2
3.5
3.6
1.7
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt td Other Information
Prr pr at max. Ipi deq at max. Ipi Ipa,α at max. MI
Operating Control Conditions
1.90 1.86 0.22 3.60
3.60
3.60
3.60
X
(cm)
1.00
1.00
1.00
Y
(cm)
0.93
0.93
0.93
(μsec)
0.375
(Hz)
8832
(Mpa)
2.45
(cm) (W/cm²)
0.23 121.0
Frequency
(MHz)
5.0
5.0
5.0
5.0
Power
(dB）
0
0
0
0
1
1
1
1
18
18
18
18
3
3
3
3
2.4
2.4
2.4
2.4
Focus Number Focus Position
(mm）
Frame Rate Focal Depth
(cm）
C-60
TIC
Acoustic Output Parameter
Operating Mode：BMode
Probe：V6L11K TIS
Index Label
MI
Global Maximum Index Value
0.70
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan 0.46
1.22 56.4
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt td Other Information
Prr pr at max. Ipi deq at max. Ipi Ipa,α at max. MI
Operating
5.43
3.08
3.08
X
(cm)
1.80
Y
(cm)
1.62
(μsec)
0.441
(Hz)
8333
(Mpa)
2.17
(cm) (W/cm²)
128.5
Frequency
(MHz)
6.0
6.0
Power
(dB）
0
0
1
1
(mm）
65
65
(cm）
7.1
7.1
Control
Focus Number
Conditions
Focus Position Focal Depth
C-61
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
Acoustic Output Parameter
Operating Mode：BM Mode
Probe：V6L11K TIS
Index Label
MI
Global Maximum Index Value
0.85
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
0.65
0.11
0.26
25.4
4.3
4.3
2.40
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt td Other Information
Prr pr at max. Ipi deq at max. Ipi Ipa,α at max. MI
Operating
2.09 2.09 0.18 5.36
5.36
5.35
5.35
X
(cm)
0.49
0.47
0.47
Y
(cm)
0.96
0.98
0.98
(μsec)
0.346
(Hz)
9960
(Mpa)
3.53
(cm) (W/cm²)
0.18 250.3
Frequency
(MHz)
6.0
6.0
6.0
6.0
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
65
65
65
65
(cm）
7.1
7.1
7.1
7.1
Control
Focus Number
Conditions
Focus Position Focal Depth
C-62
TIC
Acoustic Output Parameter
Operating Mode：MMode
Probe：V6L11K TIS
Index Label
MI
Global Maximum Index Value
0.62
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
0.02
0.01
1
1
6.00
6.00
0.58
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt td Other Information
Prr pr at max. Ipi deq at max. Ipi Ipa,α at max. MI
Operating
1.56
6.00
X
(cm)
0.70
0.70
Y
(cm)
0.90
0.90
(μsec)
0.37
(Hz)
378
(Mpa)
0.80
(cm) (W/cm²)
10
Frequency
(MHz)
6.0
6.0
6.0
Power
(dB）
0
0
0
1
1
1
(mm）
65
65
65
(cm）
7.1
7.1
7.1
Control
Focus Number
Conditions
Focus Position Focal Depth
C-63
Acoustic Output Parameter
Operating Mode：B+ColorMode
Probe：V6L11K TIS
Index Label
MI
Global Maximum Index Value
0.15
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
2.61
0.34
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
5.00
5.00
(cm)
0.70
0.70
Y
(cm)
0.41
0.41
Prr pr at max. Ipi deq at max. Ipi
(μsec)
0.89
(Hz)
162
(Mpa)
0.44
(cm)
Ipa,α at max. MI
(W/cm²)
4
Frequency
(MHz)
5.7
5.7
5.7
Power
(dB）
0
0
0
1
1
1
(mm）
60
60
60
（KHz）
6
6
6
7.1
7.1
7.1
Operating
Focus Number
Control
Focus Position
Conditions
5.00
X
td Other
1.52
Pulse Frequency Focal Depth
Repetition
(cm）
C-64
Acoustic Output Parameter
Operating Mode：B+CPAMode
Probe：V6L11K TIS
Index Label
MI
Global Maximum Index Value
0.15
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
2.61
0.34
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
5.00
5.00
(cm)
0.70
0.70
Y
(cm)
0.41
0.41
Prr pr at max. Ipi deq at max. Ipi
(μsec)
0.89
(Hz)
162
(Mpa)
0.44
(cm)
Ipa,α at max. MI
(W/cm²)
4
Frequency
(MHz)
5.7
5.7
5.7
Power
(dB）
0
0
0
1
1
1
(mm）
60
60
60
（KHz）
6
6
6
7.1
7.1
7.1
Operating
Focus Number
Control
Focus Position
Conditions
5.00
X
td Other
1.52
Pulse Frequency Focal Depth
Repetition
(cm）
C-65
Acoustic Output Parameter
Operating Mode：PW Mode
Probe：V6L11K TIS
Index Label
MI
Global Maximum Index Value
0.29
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
TIC
1.88
1.18
3.66
158
155
152
2.50
2.50
2.50
0.46
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
(cm)
0.70
0.70
0.70
Y
(cm)
0.51
0.51
0.51
6.25
6.25
6.25
6.25
0
0
0
0
1
1
1
1
(mm）
30
30
30
30
（KHz）
12.5
12.5
12.5
12.5
7.1
7.1
7.1
7.1
Prr pr at max. Ipi deq at max. Ipi
(μsec)
2.42
(Hz)
1250
(Mpa)
0.68
(cm)
Ipa,α at max. MI
(W/cm²)
Frequency (MHz) Operating Control Conditions
Power
(dB）
Focus Number Focus Position Pulse Frequency Focal Depth
2.50
X
td Other
4.71
Repetition
(cm）
10
C-66
Acoustic Output Parameter
Operating Mode：B+PWMode
Probe：V6L11K TIS
Index Label
MI
Global Maximum Index Value
0.73
Pra
(Mpa)
P
(mW)
Min.
of
Scan
[Pα(zs),
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
0.61
0.13
0.24
26.8
4.1
4.1
2.45
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
0.18 5.24
5.24
5.24
5.24
(cm)
0.49
0.47
0.47
Y
(cm)
0.96
0.98
0.98
Prr pr at max. Ipi deq at max. Ipi
(μsec)
0.354
(Hz)
9960
(Mpa)
3.41
(cm)
Ipa,α at max. MI
0.18
(W/cm²)
248
Frequency
(MHz)
6.25
6.25
6.25
6.25
Power
(dB）
0
0
0
0
1
1
1
1
30
30
30
30
（KHz）
12.5
12.5
12.5
12.5
(cm）
7.1
7.1
7.1
7.1
Operating
Focus Number
Control
Focus Position
Conditions
2.15
X
td Other
2.09
Pulse Frequency Focal Depth
Repetition
(mm）
C-67
TIC
Acoustic Output Parameter
Operating Mode：B+CFM+PWMode
Probe：V6L11K TIS
Index Label
MI
Global Maximum Index Value
0.90
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
0.63
0.23
0.19
24.8
4.9
3.1
2.21
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
(cm)
0.96
0.98
0.98
deq at max. Ipi
(μsec)
0.361
(Hz)
9960
(Mpa)
3.18
(cm)
Power
(W/cm²)
Repetition
244 6.25
6.25
6.25
0
0
0
0
1
1
1
1
(mm）
30
30
30
30
（KHz）
6.0
6.0
6.0
6.0
(cm）
7.1
7.1
7.1
7.1
(dB）
Focus Position
0.18
6.25
Focus Number
Focal Depth
5.3
Y
pr at max. Ipi
Frequency
5.3
0.47
Prr
Pulse
5.3
0.47
(MHz)
Conditions
5.3
0.49
Frequency
Control
0.18
(cm)
Ipa,α at max. MI
Operating
2.25
X
td Other
2.09
C-68
TIC
Acoustic Output Parameter
Operating Mode：B+CPA+PWMode
Probe：V6L11K TIS
Index Label
MI
Global Maximum Index Value
0．96
Pra
(Mpa)
P
(mW)
Min.
of
[Pα(zs),
Scan
TIB
Non-Scan Aaprt≤1cm²
Aaprt＞1cm²
Non-Scan
0.63
0.23
0.19
24.8
4.9
3.1
2.21
(mW)
Ita,α(zs)] Associated Acoustic Parameters
Zs
(cm)
Zbp
(cm)
Zb
(cm)
z at max.. Ipi,α
(cm)
deq
(cm)
fawf
(MHz)
Dim of Aaprt
Information
0.18 5.3
5.3
5.3
5.3
(cm)
0.49
0.47
0.47
Y
(cm)
0.96
0.98
0.98
Prr pr at max. Ipi deq at max. Ipi
(μsec)
0.361
(Hz)
9960
(Mpa)
3.18
(cm)
Ipa,α at max. MI
0.18
(W/cm²)
244
Frequency
(MHz)
6.25
6.25
6.25
6.25
Power
(dB）
0
0
0
0
1
1
1
1
(mm）
30
30
30
30
（KHz）
6.0
6.0
6.0
6.0
7.1
7.1
7.1
7.1
Operating
Focus Number
Control
Focus Position
Conditions
2.25
X
td Other
2.09
Pulse Frequency Focal Depth
Repetition
(cm）
C-69
TIC
Instruction of 3D Imaging
Appendix D
Instruction of 3D Imaging (Option)
D.1 Enter 3D Imaging When an active 2D image is frozen, press 4D to enter 3D imaging. In 3D mode, the object is scanned from 3 planes, as shown in Fig. D-1. Four sections are displayed onscreen to shown different slice planes of images. The top left is the X-view, which shows the normal scanning image; the bottom left is the Z-view, the top right is the Y-view, and the bottom right is the 3D rendering view.
Fig.D-1 Use the trackball to move the cursor to the ROI (region of interest) box, press Update to select the ROI, move the trackball to adjust the ROI position, and press Set to confirm the ROI position. Meanwhile, use the trackball to change the size of the ROI box. press Set again to restore the trackball function to adjusting the ROI position. Press Update to confirm the ROI finally.
D-1
Instruction of 3D Imaging
D.2 Adjustment of 3D Main Menu Enter 3D mode, and its main menu is displayed at the bottom of the screen, as shown in Table D-1. Table D-1 ROTATE X
3D Main Menu
ROTATE Y
ROTATE Z
ZOOM
MOVE L-R
DUAL DISPLAY
QUAD DISPLAY
FULL DISP.3D
MOVE U-D
Here is the description of parameter functions and adjustment: ROTATE X
Press the knob below ROTATE X (i.e. SP1) to select the parameter, and turn the knob to rotate the image against X-axis.
ROTATE Y
Press the knob below ROTATE Y (i.e. SP2) to select the parameter, and turn the knob to rotate the image against Y-axis.
DUAL
Press the knob below DUAL DISPLAY (i.e. SP2) to select the parameter,
DISPLAY
and the screen displays the X-view and the 3D image.
ROTATE Z
Press the knob below ROTATE Z (i.e. SP3) to select the parameter, and turn the knob to rotate the image against Z-axis.
QUAD
Press the knob below QUAD DISPLAY (i.e. SP3) to select the
DISPLAY
parameter, and the screen returns to the display of 4 sections, i.e. images in 3 planes and a 3D image.
ZOOM
With this function, you may zoom in/ out the images in the 3 planes starting from the rotation center.
Press the knob below ZOOM (i.e. SP4) to select the parameter. Turn the knob clockwise to zoom out the 3D image, or turn it counter-clockwise to zoom in the 3D image.
FULL DISP.
Press the knob below FULL DISP. 3D (i.e. SP4) to select the parameter,
3D
and you may achieve full screen display of 3D images. D-2
Instruction of 3D Imaging
MOVE L-R
With this function, you may move the rotation center along the intersection of the 3 planes, so as to display the cross-section images in parallel.
Press the knob below MOVE L-R (i.e. SP5) to select the parameter. Turn the knob clockwise to move the ROI right, or turn it counter-clockwise to move the ROI left.
MOVE U-D
Press the knob below MOVE U-D (i.e. SP5) to select the parameter. Turn the knob clockwise to move the ROI down, or turn it counter-clockwise to move the ROI up.
D.3 3D Submenu In 3D frozen state, press Menu to bring up the submenu, as shown in Table D-2. Table D-2
3D Submenu
CROP
Off
ROI MODE
On
HIDE ROI
Off
RENDER MODE
Vol
AUTO ROTATE
Off
TRACE CUT
Off
UNDO OUT CLIP PLANE
Off
OPACITY OFFSET
32
OPACITY SLOPE
32
MULTI-SLICE
Off
SLICE SPACING
1.00
SCAN METHOD
Lin
Z SCALE
1.00
Z ANGLE
75
D-3
Instruction of 3D Imaging
【Note】: If any item in the submenu is displayed in gray, it means such item is not adjustable. Here is the description of parameter functions and adjustment: CROP
During information acquisition, the CROP mode allows the display of information in the crop ROI only, and you may change the size and position of ROI, as well as reflection change in the volume area.
Use the trackball to move the cursor over CROP, press Set to select it, turn Menu knob or press ←／→ to set it ON or OFF, so as to turn on or off the CROP function.
ROI MODE
Move the cursor over ROI MODE, press Set to select it, turn Menu knob or press ←／→ to set it ON or OFF, so as to turn on or off ROI MODE.
HIDE ROI
Move the cursor over HIDE ROI, press Set to select it, turn Menu knob or press ←／→ to set it ON or OFF. Setting it ON is to hide ROI.
RENDER
In color copy mode, the color information of color or power Doppler
MODE
signals can be used for 4D display. Move the cursor over RENDER MODE, press Set to select it, turn Menu knob or press ←／→ to select Vol, Max IP or X-ray. Vol – The image closer to the ROI volume box is brighter, while the image farther from the ROI is dimmer. Max IP – The maximum color value of the CROP ROI is displayed. X-ray – All the color values of the CROP ROI are calculated and averaged (with the same effect as the X-ray image).
AUTO
Move the cursor over AUTO ROTATE, press Set to select it, turn Menu
ROTATE
knob or press ←／→ to select the angle for 3D image auto rotation, with 45°, 90°, 180°, 270° and 360° available. Then the 3D image will be
D-4
Instruction of 3D Imaging
automatically rotated according to the selected angle. TRACE CUT
With this function, you may trace manually to remove the image region not desired to display, so as to make the interested object clearer for display.
Move the cursor over TRACE CUT, press Set to select it, turn
Menu knob or press ←／→ to set it OFF, IN or OUT.
OFF: select it to close this function.
IN: select it, and move the cursor to the 3D image. Press Set to fix the first point. Move the trackball to trace along the region to be cut, which is marked in red automatically. Press Set again to close the trace profile, and have the region in the profile cut.
OUT: select it, and when the same method as mentioned above is used, the region outside of the profile is cut.
UNDO OUT
Move the cursor over UNDO OUT, press Set to undo the last crop operation. 【Note】: Undo the crop operation once only, i.e. to cancel the last crop.
CLIP PLANE
Move the cursor over CLIP PLANE, press Set to select it, turn Menu knob or press ←／→ to set it ON or OFF, so as to turn on or off the plane.
OPACITY
Move the cursor over OPACITY OFFSET, press Set to select it, turn
OFFSET
Menu knob or press ←／→ to set different offset values.
OPACITY
Move the cursor over OPACITY SLOPE, press Set to select it, turn
SLOPE
Menu knob or press ←／→ to set different slope values.
SCAN
METHOD
Based on the acquisition method of volume information (either through linear or tilt motion), use this function to change the scan
D-5
Instruction of 3D Imaging
method (linear or sector), so as to calculate the volume information.
Move the cursor over SCAN METHOD, press Set to select it, turn
Menu knob or press ←／→ to select Lin (linear) or Sec (sector). Z SCALE
The moving speed of the probe might be somewhat different, which can be corrected by Z scale. The moving speed of the probe is in inverse proportion of Z scale. The increase of Z scale compensates slow-speed scanning, while the decrease of Z scale compensates fast-speed scanning.
Move the cursor over Z SCALE, press Set to select it, turn Menu knob or press ←／→ to increase or decrease Z scale.
Z ANGLE
When SCAN METHOD is set Sec, move the cursor over Z ANGLE, press
Set to select it, turn Menu knob or press ←／→ to change Z ANGLE. 【Note】: It needs some time to buffer for the setup of some parameters to take effect. The screen will display Please wait…, Just be patient to wait for the change.
D-6
Range, Precision and Accuracy of Adjustment/Display Parameters
Appendix E Range, Precision and Accuracy of Adjustment/Display Parameters Range Adjustment/ Display Parameter Depth 4.8cm~24.1cm
Precision
Accuracy
0.8cm
≥95%
B_Gain
1~255
1
≥90%
B_PWR
30~100
2
≥90%
Span
1~4
1
≥95%
B_GSC
1~7
1
-
DYN
1~14
4
≥85%
LD
High, Med,Low
-
-
B_Chroma
1~13
-
-
SRT
0~15
1
-
M_Gain
0~255
2
≥90%
MSP
0~5
-
≥95%
M_Chroma
1~5
-
-
D_Gain
0~255
2
≥90%
DSP
1~8
2.5
≥85%
D_PRF
1.0~16k
1k
≥95%
D_Angle
0 ~ 72 degrees
2 degrees
≥90%
D_Steer
-10, 0, +10 degrees
10
≥90%
D_WF
60~300
10
≥95%
D_Chroma
1~5
-
-
C_PER
0~7
1
-
C_Map
0~9
1
-
C_PRF
0.5~8.0k
0.25
≥95%
C_WF
20~1000
20
≥95%
C_Steer
-10, 0, +10 degrees
10
≥90%
C Gain
0~255
2
≥90%
E-1
