P11 EXP User Manual

P11 EXP
Diagnostic Ultrasound System
Release Date: January, 2014

P/N: 4791-0081
Caution:
Federal law restricts this device to sale by or on the order of a physician. Please read the
user manual carefully prior to use.
NOTE: The manufacturer provides the documentation consisted of basic and advanced
user manuals.
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Contents
1 System Safety and Maintenance 1-1

1.1 Safety Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
1.2 Description of Symbols and Signal Words Used . . . . . . . . . . . . . . 1-2
1.2.1 Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
1.2.2 Signal words . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
1.3 Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
1.4 Adverse Effects and Precautions . . . . . . . . . . . . . . . . . . . . . . 1-4
1.5 Biological Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-5
1.6 Scanning Patients and Education . . . . . . . . . . . . . . . . . . . . . 1-5
1.6.1 Safe Scanning Guideline . . . . . . . . . . . . . . . . . . . . . . 1-6
1.6.2 Understanding the MI/TI Display . . . . . . . . . . . . . . . . . . 1-7
1.7 Environmental Requirements . . . . . . . . . . . . . . . . . . . . . . . . 1-10
1.8 Electrical Requirements . . . . . . . . . . . . . . . . . . . . . . . . . . 1-11
1.9 Electrical Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-12
1.10 Cautions for Using Accessories . . . . . . . . . . . . . . . . . . . . . . 1-13
1.11 Environmental Protection . . . . . . . . . . . . . . . . . . . . . . . . . . 1-13
1.12 System Transportation . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-14
1.12.1 Moving the System . . . . . . . . . . . . . . . . . . . . . . . . . 1-14
1.12.2 Transporting the System . . . . . . . . . . . . . . . . . . . . . . 1-14
2 System Specifications 2-1

2.1 Application and Contraindication . . . . . . . . . . . . . . . . . . . . . . 2-2
2.2 System Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
2.3 Probes and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
2.4 Physical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
2.5 Concept of Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
2.5.1 Screen Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
2.5.2 Keyboard Layout . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
2.5.3 Keyboard Description . . . . . . . . . . . . . . . . . . . . . . . 2-6
3 Starting the System 3-1

3.1 Probe Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
3.2 Peripheral Device Connection . . . . . . . . . . . . . . . . . . . . . . . 3-2
3.2.1 Connecting the Footswitch . . . . . . . . . . . . . . . . . . . . . 3-2
3.2.2 Connecting the Video Printer . . . . . . . . . . . . . . . . . . . 3-2
3.2.3 Connecting the Network Printer and USB Printer . . . . . . . . . 3-3
3.3 Power On and Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
3.3.1 Using AC Supply . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
3.3.2 Using Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
3.3.3 LED Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
3.4 General Operation Instructions . . . . . . . . . . . . . . . . . . . . . . . 3-8
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3.5 Patient Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9

3.6 Start Ultrasound Diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . 3-10
3.7 Customize application mode (Create New Exam Mode) . . . . . . . . . . 3-10
3.8 Annotation and Bodymark . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
3.8.1 Annotation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
3.8.2 Bodymark . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12
3.9 Saving/Printing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13
4 System Setup 4-1

4.1 System Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
4.2 File Manager . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
4.2.1 Burn Data to CD/DVD . . . . . . . . . . . . . . . . . . . . . . . 4-3
4.3 Facility Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
4.4 Set Date and Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
4.5 System Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
4.6 System Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
4.6.1 General Setting . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
4.6.2 Set Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
4.6.3 Set Calculation Menu . . . . . . . . . . . . . . . . . . . . . . . 4-7
4.6.4 Set Measurement Method . . . . . . . . . . . . . . . . . . . . . 4-8
4.6.5 Annotation Edit . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10
4.6.6 Define Quick Key . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11
4.6.7 Load Default . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12
4.6.8 DICOM Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-14
5 B Mode 5-1
5.1 Starting B Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
5.2 B Mode Image Information . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
5.3 Real Time B Mode Operation . . . . . . . . . . . . . . . . . . . . . . . . 5-3
5.3.1 B Mode Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
5.3.2 ECG (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
5.3.3 B Gain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
5.3.4 Time Gain Compensation (TGC) . . . . . . . . . . . . . . . . . . 5-4
5.3.5 Depth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
5.3.6 Focal Zones . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
5.3.7 Tissue Acoustic Characteristics . . . . . . . . . . . . . . . . . . 5-6
5.3.8 Dynamic Range . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
5.3.9 Grayscale curve . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
5.3.10 Persistence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
5.3.11 Chroma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
5.3.12 Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
5.3.13 Sector Width and Position . . . . . . . . . . . . . . . . . . . . . 5-8
5.3.14 Line Density . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
5.3.15 Compound Imaging . . . . . . . . . . . . . . . . . . . . . . . . 5-9
5.3.16 Frequency Range . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
5.3.17 Image Orientation . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
5.3.18 Adaptive Image Fusion . . . . . . . . . . . . . . . . . . . . . . . 5-10
5.3.19 uScan Function . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10
5.3.20 Acoustic Output Power . . . . . . . . . . . . . . . . . . . . . . . 5-10
5.3.21 Trapezoidal Imaging . . . . . . . . . . . . . . . . . . . . . . . . 5-11
5.3.22 2D Refresh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11
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5.3.23 Zoom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11

5.4 B Cine Mode Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11
5.4.1 Grayscale curve . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
5.4.2 Chroma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
5.4.3 Image Orientation (Left/Right) . . . . . . . . . . . . . . . . . . . 5-12
5.4.4 Cine Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
5.4.5 Select Image Sequence . . . . . . . . . . . . . . . . . . . . . . 5-12
5.4.6 Panoramic Imaging . . . . . . . . . . . . . . . . . . . . . . . . 5-13
5.4.7 Cine Playback . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13
5.4.8 Saving Image/Cine . . . . . . . . . . . . . . . . . . . . . . . . . 5-13
5.5 Dual and Quad Display Formats . . . . . . . . . . . . . . . . . . . . . . 5-14
5.5.1 Dual Display Format . . . . . . . . . . . . . . . . . . . . . . . . 5-14
5.5.2 Quad Display Format . . . . . . . . . . . . . . . . . . . . . . . 5-15
5.6 Tissue Harmonic Imaging (THI) . . . . . . . . . . . . . . . . . . . . . . 5-15
6 CFM Mode 6-1

6.1 Starting CFM Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
6.2 Color Image Information . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
6.3 Real Time CFM Mode Operation . . . . . . . . . . . . . . . . . . . . . . 6-2
6.3.1 CFM Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
6.3.2 Adjust CFM Sample Box . . . . . . . . . . . . . . . . . . . . . . 6-3
6.3.3 Pulse Repetition Frequency . . . . . . . . . . . . . . . . . . . . 6-3
6.3.4 Wall Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
6.3.5 CFM Gain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
6.3.6 Persistence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
6.3.7 Color Map . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
6.3.8 CFM Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
6.3.9 Baseline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
6.3.11 B Reject . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
6.3.12 CFM Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
6.3.14 Flow Invert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
6.3.15 Line Density . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
6.3.16 2D Refresh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
6.4 CFM Cine Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
6.4.1 C Map . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
6.4.2 B Reject . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
6.4.3 Flow Invert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
6.4.4 Cine Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
6.4.5 Cine Playback . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
7 DPI Mode 7-1

7.1 Starting DPI Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
7.2 DPI Image Information . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
7.3 Real Time DPI Mode Operation . . . . . . . . . . . . . . . . . . . . . . 7-2
7.3.1 DPI Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
7.3.2 Adjust DPI Sample Box . . . . . . . . . . . . . . . . . . . . . . 7-3
7.3.4 Wall Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
7.3.5 DPI Gain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
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7.3.6 Persistence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4

7.3.7 Color Map & Directional DPI . . . . . . . . . . . . . . . . . . . . 7-4
7.3.8 DPI Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
7.3.10 B Reject . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5
7.3.11 DPI Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5
7.3.13 Line Density . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6
7.3.14 2D Refresh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6
7.4 DPI Cine Mode Operation . . . . . . . . . . . . . . . . . . . . . . . . . 7-6
7.4.1 Color Map . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6
7.4.2 B Reject . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7
7.4.3 Cine Playback . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7
8 TDI Mode 8-1

8.1 Starting TDI Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
8.2 TDI Image Information . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
8.3 TDI Mode Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
8.3.1 Real Time TDI Mode Menus . . . . . . . . . . . . . . . . . . . . 8-2
8.3.2 Adjust TDI Sample Box . . . . . . . . . . . . . . . . . . . . . . 8-3
8.3.4 Wall Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
8.3.5 TDI Gain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
8.3.6 Persistence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4
8.3.7 Color Map . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4
8.3.8 TDI Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4
8.3.9 Baseline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4
8.3.11 B Reject . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5
8.3.12 TDI Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5
8.3.14 Flow Invert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6
8.3.15 Line Density . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6
8.3.16 2D Refresh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6
8.4 Cine Mode Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6
8.4.1 C Map . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7
8.4.2 B Reject . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7
8.4.3 Flow Invert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7
8.4.4 Cine Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7
8.4.5 Cine Playback . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7
9 M Mode 9-1
9.1 Starting M Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1
9.2 M Mode Operation, M Trace Inactive . . . . . . . . . . . . . . . . . . . . 9-1
9.2.1 Adjust M Mode Cursor Line . . . . . . . . . . . . . . . . . . . . 9-2
9.3 M Mode Operation, M Trace Active . . . . . . . . . . . . . . . . . . . . . 9-3
9.3.1 M Gain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
9.3.2 Sweep Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
9.3.3 Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4
9.3.4 Chroma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4
9.3.5 M Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4
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9.3.6 Video Invert . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4

9.3.7 Steer M . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
9.3.8 Display Format . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
9.4 Cine Mode Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6
10 Spectral Doppler Mode 10-1

10.1 Activation of Spectral Doppler Mode . . . . . . . . . . . . . . . . . . . . 10-2
10.1.1 B/CFM/DPI/TDI Operation in Spectral Doppler Mode . . . . . . . 10-3
10.1.2 2D Refresh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3
10.1.3 Display Format . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3
10.2 PW Mode Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3
10.2.1 Sample Volume Gate Adjustment . . . . . . . . . . . . . . . . . 10-3
10.2.2 Activation of PW Spectral Display . . . . . . . . . . . . . . . . . 10-4
10.2.3 Pulse Repetition Frequency (PRF) . . . . . . . . . . . . . . . . . 10-4
10.2.4 Wall Filter (WF) . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4
10.2.5 Spectral Doppler Gain . . . . . . . . . . . . . . . . . . . . . . . 10-5
10.2.6 Steer Angle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5
10.2.7 Flow Invert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5
10.2.8 Spectral Doppler Frequency . . . . . . . . . . . . . . . . . . . . 10-5
10.2.9 Sweep Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6
10.2.10 Baseline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6
10.2.11 PW Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6
10.2.12 Angle Correction . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6
10.2.13 Dynamic Range (DYN) . . . . . . . . . . . . . . . . . . . . . . . 10-6
10.2.14 Chroma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-7
10.2.15 Video Invert . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-7
10.3 CW Mode Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-7
10.3.1 Activation of CW Mode (PW↔CW) . . . . . . . . . . . . . . . . 10-7
10.3.2 CW Cursor Position . . . . . . . . . . . . . . . . . . . . . . . . 10-8
10.3.3 Flow Invert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8
10.3.4 Sweep Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8
10.3.5 CW Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8
10.3.6 Dynamic Range (DYN) . . . . . . . . . . . . . . . . . . . . . . . 10-8
10.3.7 Chroma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8
10.3.8 Video Invert . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-9
10.3.9 Display Format . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-9
10.3.11 Wall Filter (WF) . . . . . . . . . . . . . . . . . . . . . . . . . . 10-9
10.4 Spectral Doppler Cine Mode Operation . . . . . . . . . . . . . . . . . . 10-9
11 Triplex Mode 11-1

11.1 B+CFM/TDI+M . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-1
11.2 B+CFM/DPI/TDI+PW . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-1
11.3 B+CFM/DPI+CW . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11-2
12 3D Mode 12-1
12.1 Starting 3D Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-1
12.2 3D Mode Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-2
12.3 3D Mode Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-3
12.3.1 Display Format . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-3
12.3.2 Manual Rotate and Zoom . . . . . . . . . . . . . . . . . . . . . 12-3
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12.3.3 Auto Rotate . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-4

12.3.4 Render Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-4
12.3.5 Trace Cut . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-4
12.3.6 Clip Plane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-5
12.3.7 Opacity Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-6
12.3.8 Multi-Slice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-6
12.3.9 Slice Spacing . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-6
12.3.10 Color Map . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-6
12.3.11 Scan Method . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-6
12.3.12 Z Scale (For Scan Method = Lin) . . . . . . . . . . . . . . . . . 12-6
12.3.13 Z Angle (For Scan Method = Sec) . . . . . . . . . . . . . . . . . 12-6
13 4D Mode 13-1
13.1 Starting 4D Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-1
13.2 4D Mode Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-2
13.3 4D Mode Operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-3
13.3.1 Display Format . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-3
13.3.2 Adjustment of Sample Box & Cut Off Line . . . . . . . . . . . . . 13-3
13.3.3 Sweep Angle . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-4
13.3.4 Cine Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-4
13.3.5 Rescan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-4
13.3.6 Image Quality . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-4
13.3.7 Stabilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-5
13.3.8 Volume Review . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-5
14 Probes and Biopsy 14-1

14.1 Probe . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-1
14.1.1 Available Probes . . . . . . . . . . . . . . . . . . . . . . . . . . 14-2
14.1.2 Probe Usage . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-2
14.1.3 Cleaning the Probe . . . . . . . . . . . . . . . . . . . . . . . . 14-3
14.1.4 Disinfecting or Sterilizing the Probe . . . . . . . . . . . . . . . . 14-3
14.1.5 Disinfecting and Sterilizing the Probe Cable . . . . . . . . . . . . 14-5
14.1.6 Storage and Transportation . . . . . . . . . . . . . . . . . . . . 14-6
14.2 Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-7
14.2.1 Assembling the Biopsy Bracket . . . . . . . . . . . . . . . . . . 14-7
14.2.2 Preparing for a Biopsy . . . . . . . . . . . . . . . . . . . . . . . 14-10
14.2.3 Verifying the Biopsy Bracket . . . . . . . . . . . . . . . . . . . . 14-10
14.2.4 Performing a Biopsy . . . . . . . . . . . . . . . . . . . . . . . . 14-10
14.2.5 Cleaning the Biopsy Bracket . . . . . . . . . . . . . . . . . . . . 14-11
14.2.6 Sterilizing the Biopsy Bracket . . . . . . . . . . . . . . . . . . . 14-11
14.2.7 Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14-12
15 System Maintenance 15-1

15.1 Manufacturer Responsibility . . . . . . . . . . . . . . . . . . . . . . . . 15-1
15.2 Cleaning the System . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-1
15.3 Maintenance Checks . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-2
15.4 Backup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-3
15.5 Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-3
15.6 Equipment Disposal . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-4
15.7 Service Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15-4
A EMC Guidance and Manufacturer’s Declaration A-1
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B In Situ, Derated, and Water Value Intensities B-1
C Principle for Using Acoustic Power C-1
D Acoustic Output Data D-1
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viii
Chapter 1
System Safety and

Maintenance
1.1 Safety Overview

This section discusses measures to ensure the safety of both the operator and patient.
To ensure the safety of both operator and patient, please read the relevant details in this
chapter carefully before operating this system. Disregarding the WARNINGS or violation of
relevant rules may result in personal injury or even loss of life for operator or patient.
Users should observe the following PRECAUTIONS:
• This system complies with Type BF general equipment, and the IEC60601-1 standard.
• Do not modify this system in any way. Necessary modifications must be made only
by the manufacturer or its designated agents.
• This system has been fully adjusted at the factory. Do not adjust any fixed adjustable
parts.
• Not to position this equipment to make it difficult to operate the disconnection device.
• In the event of a malfunction, turn off the system immediately and inform the manu-
facturer or its designated agents.
• The power cable of the system should only be connected to a grounded power socket.
Do not remove the ground cable for any reason.
• Only connect this system, either electronically or mechanically, with devices that
comply with the IEC60601-1 standard. Recheck the leakage current and other safety
performance indices of the entire system to avoid potential system damage caused
by leakage from a current superposition.
• The system does not incorporate any specialized protective measures in the event
it is configured with high-frequency operation devices. The operator should use
CAUTION in these types of applications.
• The system should be installed only by personnel authorized by the manufacturer.

Do not attempt to install the system yourself.
• Only an authorized service engineer may perform maintenance.
• Only a qualified operator, or someone under qualified supervision, should use the
system.
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• Do not use this system in the presence of flammable substances or an explosion

may occur.
• Do not continuously scan the same part of a patient or expose the patient to prolonged
scanning. Doing so may harm the patient.
• When using the system for ultrasound testing, use only qualified ultrasound gel that
complies with system standards.
• Do not use the switch at the back of the unit for normal shut down. Always use the
power-on button in the keyboard area
• Do not unplug any probe when the system is in real time mode. Doing so may
damage the probe. Freeze the scan or enter prepration mode (EXAM) screen before
disconnection.
• To prevent from arm or neck injury, the operator should not stay at the same position
for too long during patient scanning without taking break.
• Do not put liquid on top of the main unit.
• Do not place other objects on top of the control panel. Do not sleep or sit on the
control panel or other part of the ultrasound system.
• There is a cleared list of sterilants and high-level disinfectants for use inprocessing
reusable medical and dental devices on FDA website.That list can be consulted to find
agents that may be useful for probe disinfection. Please refer to the following URL for
FDA-Cleared Sterilants and High Level Disinfectants: http://www.fda.gov/MedicalDevices
/DeviceRegulationandGuidance/ReprocessingofSingle-UseDevices/ucm133514.htm.
• Do not knock or shake the ultrasound system.
• Connect the earth conductor only before powering on the system. Disconnect the
grounding cable only after powering off the system. Otherwise, there is a danger of
electric shock.
• In the environment that patient is 1.8 meters (6 feet) around, connect peripherals
to the auxiliary power outlet which is capable of isolation protection, or power the
peripherals by auxiliary output cable or isolation transformer complied with IEC
60601-1 or the power input of the same safety level.
• Leave at least 20cm at the back and both sides of the ultrasound system for ventilation.
Otherwise, the temperature rise could cause failures.
• For proper disposal of this product, please contact our service department.
1.2 Description of Symbols and Signal Words Used

1.2.1 Symbols
The following symbols are utilized on the product or the label and package thereof.
Symbol Description
General warning sign
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SSI-8000 Mobile Digital Color Doppler Ultrasound System

Warning: dangerous voltage
Service
Manual
Service Manual
Off (Mains power switch OFF)
Off (Mains powerOff
switch OFF)
(Mains power switch OFF)
SSI-8000
SSI-8000Mobile
MobileDigital Color Service Manual
Digital On Doppler
Color
On (Mains Doppler
(Mains
power
Ultrasound
Ultrasound
power
switch
System
ON) switchSystem
ON)
On (Mains power switch ON) Service
ServiceManual
Manual
Off (Mains power switch OFF)
Off
Off(Mains power
(Mains power switch
switchOFF)
OFF)
Protective earth/ground connection.
On
Protective
(Mains power
earth/ground
switch ON)
connection.
Icon for power switch button
On (Mains
On (Mains power switch
power switch ON)
ON)
Potential equilibrium connection
Potential
Protective equilibrium
earth/ground connection
connection.
AC
Potential equilibrium connection
ACequilibrium connection
Potential
Equipotentiality Potential equilibrium connection
AC
AC
AC AC
Type BF Applied Part
IPN N IP classification according to IEC 60529.
Non-ionization radiation: Ultrasound scanner transmits acoustic waves.
Date of manufacture.
Consult operating instructions.
Network Port.
Control port of color video printer.
USB Port
Video input
Video Output
Fragile.
Keep dry.
P/N: 4720-0018-01A
2-4 limit of packages. Maximum of two layers allowed!
Maximum stacking
Keep P/N:
this way upward.
4720-0018-01A
P/N: 2-4
4720-0018-01A
P/N: 2-4
4720-0018-01A
Unique number2-4
for the ultrasound system.
This symbol indicates that waste electrical and electronic equipment must not be disposed of
as unsorted municipal waste and must be collected separately. Please contact an authorized
representative of the manufacturer for information concerning the decommissioning of your
P/N: 4720-0018-01A
equipment.
2-4
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Indoor use only.
1.2.2 Signal words

The following signal words are used throughout the user manual.
Symbol Description
Warning! Follow these instructions to avoid personal injury or system damage.
Caution! Follow these instructions to avoid system damage.
Note Follow these instructions to obtain additional helpful information.
1.3 Messages
All the messages generated by this ultrasound system are self-explanatory. However, you
may encounter the following situations.
License renewal
When the validity of the license is less than 10 days, the message on the above right
will appear on the preparation mode (EXAM) screen. System function will not be
affected until the license is expired. When the license has been expired, the message
on the above left will appear when the user clicks an application mode icon. Please
contact our representative for license renewal.
Auto quit ultrasound scan

In order to protect the operator or the patient from accidentally receiving excessive
acoustic energy, the system automatically stops the real time scan (no on-screen
message will be provided) and returns the preparation mode if there has been no user
activity for 30 minutes. The user may resume the scan from the preparation mode.
No prerequisite action before another ultrasound scan is required.
1.4 Adverse Effects and Precautions

This ultrasound system, same as all other diagnostic ultrasound system in the market,
should be used only for clinically appropriate reasons, for the shortest period of time and
at power settings as low as reasonably achievable (ALARA). The American Institute of
Ultrasound in Medicine (AIUM) principle of As Low As Reasonably Achievable (ALARA)
is recommended during selection of the output of ultrasound power. Try not to aim probe
at the same spot in tissue for a long period of time unless it is necessary for diagnostic
purpose. Do not scan the fetal in the Doppler mode for a long time. Freeze the image any
time when the transducer is not used. This system, as a basic imaging system with the
Doppler and Color Doppler feature generates acoustic power that is below pre-enactment
levels, which are generally considered to be safe for the respective applications.
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1.5 Biological Safety

This product, as with all diagnostic ultrasound equipment, should be used only for valid
reasons and should be used both for the shortest period of time and at the lowest power
settings necessary ( ALARA - As Low As Reasonably Achievable) to produce diagnostically
acceptable images.
The AIUM offers the following guidelines:
Clinical Safety Quoted from AIUM

Approved March 26, 1997
Diagnostic ultrasound has been in use since the late 1950s. Given its
known benefits and recognized efficacy for medical diagnosis, including use
during human pregnancy, the American Institute of Ultrasound in Medicine
herein addresses the clinical safety of such use:
There are no confirmed biological effects on patients or instrument oper-
ators caused by exposures from present diagnostic ultrasound instruments.
Although the possibility exists that such biological effects may be identified in
the future, current data indicate that the benefits to patients of the prudent use
of diagnostic ultrasound outweigh the risks, if any that may be present.
Heating:
Elevating tissue temperature during obstetrical examinations creates medical concerns. At
the embryo development stage, the rise in temperature and the length of time exposed to
heat combine to determine potential detrimental effects. Exercise CAUTION particularly
during Doppler/Color exams.
The Thermal Index (TI) provides a statistical estimate of the potential temperature elevation
(in centigrade) of tissue temperature. Three forms of TI are available: TIS, for soft tissue
exposures; TIB, for instances when bone lies near the beam focus; and TIC, for the heating
of bone situated close to the transducer.
Cavitation:
Cavitation may occur when sound passes through an area that contains a cavity, such as
a gas bubble or air pocket (in the lung or intestine, for example). During the process of
cavitation, the sound wave may cause the bubble to contract or resonate. This oscillation
may cause the bubbles to explode and damage the tissue. The Mechanical Index (MI) has
been created to help users accurately evaluate the likelihood of cavitation and the related
adverse effects.
1.6 Scanning Patients and Education

The Track-3 or IEC60601-2-37 output display standard allows users to share the respon-
sibility for the safe use of this ultrasound system. Follow these usage guidelines for safe
operation:
• In order to maintain proper cleanliness of the transducers, always clean them between
patients.
• Always use a new disinfected sheath on all EV/ER probes during every exam.
• Continuously move the probe, rather than staying in a single spot, to avoid elevated
temperatures in one part of the patient’s body.
• Move probe away from the patient when not actively scanning.
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• Understand the meaning of the TI, TIS, TIB, TIC, and MI output display, as well as
the relationship between these parameters and the thermal/cavitation bioeffect to the
tissue.
• Expose the patient to only the very lowest practical transmit power levels for the
shortest possible time to achieve a satisfactory diagnosis (ALARA - As Low As
Reasonably Achievable).
1.6.1 Safe Scanning Guideline

1. Ultrasound should only be used for medical diagnosis and only by trained medical
personnel.
2. Diagnostic ultrasound procedures should be done only by personnel fully trained in

the use of the equipment, in the interpretation of the results and images, and in the
safe use of ultrasound (including education as to potential hazards).
3. Operators should understand the likely influence of the machine controls, the op-
erating mode (e.g. B-mode, color Doppler imaging or spectral Doppler) and probe
frequency on thermal and cavitation hazards.
4. Select a low setting for each new patient. Output should only be increased during the
examination if penetration is still required to achieve a satisfactory result, and after
the Gain control has been moved to its maximum value.
5. Maintain the shortest examination time necessary to produce a useful diagnostic

result.
6. Do not hold the probe in a fixed position for any longer than is necessary. It should be
removed from the patient whenever there is no need for real-time imaging or spectral
Doppler acquisition. The freeze frame and Cine loop capabilities allow images to be
reviewed and discussed without exposing the patient to continuous scanning.
7. Do not use endo-cavity probes if there is noticeable self heating of the probe when
operating in the air. Although applicable to any probe, take particular care during
trans-vaginal exams during the first eight weeks of gestation.
8. Take particular care to reduce output and minimize exposure time of an embryo or
fetus when the temperature of the mother is already elevated.
9. Take particular care to reduce the risk of thermal hazard during diagnostic ultrasound
when exposing: an embryo less than eight weeks after gestation; or the head, brain
or spine of any fetus or neonate.
10. Operators should continually monitor the on-screen thermal index (TI) and mechanical
index (MI) values and use control settings that keep these settings as low as possible
while still achieving diagnostically useful results.
In obstetric examinations, TIS (soft tissue thermal index) should be monitored during
scans carried out in the first eight weeks after gestation, and TIB (bone thermal index)
thereafter. In applications where the probe is very close to bone (e.g. trans-cranial
applications), TIC (cranial thermal index) should be monitored.
MI>0.3 There is a possibility of minor damage to neonatal lung or

intestine. If such exposure is necessary, reduce the exposure time
as much as possible.
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MI>0.7 There is a risk of cavitation if an ultrasound contrast agent

containing gas micro-spheres is being used. There is a theoretical
risk of cavitation without the presence of ultrasound contrast
agents. The risk increases with MI values above this threshold.
TI>0.7 The overall exposure time of an embryo or fetus should be
restricted in accordance with Table 1.1 below as a reference.
TI Maximum exposure time (minutes)

0.7 60
1.0 30
1.5 15
2.0 4
2.5 1
Table 1.1: Maximum recommended exposure times for an embryo or fetus
11. Non-diagnostic use of ultrasound equipment is not generally recommended. Ex-

amples of non-diagnostic uses of ultrasound equipment include repeated scans for
operator training, equipment demonstration using normal subjects, and the production
of souvenir pictures or videos of a fetus.
For equipment of which the safety indices are displayed over their full range of values,
the TI should always be less than 0.5 and the MI should always be less than 0.3.
Avoid frequent repeated exposure of any subject.
Scans in the first trimester of pregnancy should not be carried out for the sole purpose
of producing souvenir videos or photographs, nor should their production involve
increasing the exposure levels or extending the scan times beyond those needed for
clinical purposes.
12. Diagnostic ultrasound has the potential for both false positive and false negative
results. Misdiagnosis is far more dangerous than any effect that might result from the
ultrasound exposure. Therefore, diagnostic ultrasound should be performed only by
those with sufficient training and education.
1.6.1.1 Temperature Display for Transducers Intended for Internal Use
For transducers intended for internal applications, for example the intracavitary or trans-
esophageal transducers, the transducer tip temperature is displayed on the screen. Refer
to Figure 1.1 for the location of the temperature display. To protect the patient against the
harm of excessive temperature, the system automatically turns off the transducer when the
temperature of the transducer reaches a threshold temperature, which is adjustable and
has a maximum value of 43◦C.
1.6.2 Understanding the MI/TI Display

Track-3 follows the Output Display Standard for systems which include fetal Doppler appli-
cations. The acoustic output will not be evaluated on an application-specific basis, but the
global maximum de-rated Ispta must be ≤ 720 mW/cm2 and either the global maximum MI
must be ≤ 1.9 or the global maximum de-rated Isppa must be ≤ 190 W/cm2. An exception
is for ophthalmic use, in which case the TI=max (TIS_as, TIC) is not to exceed 1.0; Ispta.3
≤50mW/cm2, and MI ≤ 0.23. Track-3 gives the user the freedom to increase the output
acoustic power for a specific exam, and still limit output acoustic power within the global
maximum de-rated Ispta ≤ 720 mW/cm2 under an Output Display Standard.
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Figure 1.1: Transducer tip temperature display
For any diagnostic ultrasonic systems, Track-3 provides an Output Indices Display Standard.
The diagnostic ultrasound systems and its operator’s manual contain the information
regarding an ALARA (As Low As Reasonably Achievable) education program for the clinical
end-user and the acoustic output indices, MI and TI.
The MI describes the likelihood of cavitation, and the TI offers the predicted maximum
temperature rise in tissue as a result of the diagnostic examination.
In general, a temperature increase of 2.5 ◦C must be present consistently at one spot for 2
hours to cause fetal abnormalities. Avoiding a local temperature rise above 1 ◦C should
ensure that no thermally induced biologic effect occurs.
When referring to the TI for potential thermal effect, a TI equal to 1 does not mean the
temperature will rise 1 degree C. It only means an increased potential for thermal effects can
be expected as the TI increases. A high index does not mean that bioeffects are occurring,
but only that the potential exists and there is no consideration in the TI for the scan duration,
so minimizing the overall scan time will reduce the potential for effects. These operator
control and display features shift the safety responsibility from the manufacturer to the user.
So it is very important to have the Ultrasound systems display the acoustic output indices
correctly and the education of the user to interpret the value appropriately.
RF : De-rating factor
In Situ intensity and pressure cannot currently be measured. Therefore, the acoustic power
measurement is normally done in the water tank, and when soft tissue replaces water along
the ultrasound path, a decrease in intensity is expected. The fractional reduction in intensity
caused by attenuation is DENOTED by the de-rating factor RF ,
RF = (−.a· f ·z)
Where a is the attenuation coefficient in dB cm-1 MHz-1, f is the transducer center

frequency, and z is the distance along the beam axis between the source and the
point of interest.
De-rating factor RF for the various distances and frequencies with attenuation coefficient
0.3dB cm-1 MHz-1 in homogeneous soft tissue is listed in the following table. An example
is if the user uses 7.5MHz frequency, the power will be attenuated by .0750 at 5cm, or
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0.3x7.5x5=-11.25dB. The De-rated Intensity is also referred to as ’.3’ at the end (e.g.
Ispta.3).
Distance Frequency (MHz)

(cm) 1 3 5 7,5
1 0,9332 0,8128 0,7080 0,5957
2 0,8710 0,6607 0,5012 0,3548
3 0,8128 0,5370 0,3548 0,2113
4 0,7586 0,4365 0,2512 0,1259
5 0,7080 0,3548 0,1778 0,0750
6 0,6607 0,2884 0,1259 0,0447
7 0,6166 0,2344 0,0891 0,0266
8 0,5754 0,1903 0,0631 0,0158
I’=I*RF Where I’ is the intensity in soft tissue, I is the
time-averaged intensity measured in water.
Tissue Model
Tissue temperature elevation depends on power, tissue type, beam width, and scanning
mode. Six models are developed to mimic possible clinical situations.
Thermal Composition Mode Specification Typ. app

Models
1TIS Soft tissue Unscanned Large aperture Liver PW

(>1cm )
2TIS Soft tissue Unscanned Small aperture Pencil probe
(<1cm )
3TIS Soft tissue Scanned Evaluated at surface Breast color
4TIB Soft tissue and Scanned Soft tissue at surface Muscle color
bone
5TIB Soft tissue and Unscanned Bone at focus Fetus head PW
bone
6TIC Soft tissue and Unscanned / Scanned Bone at surface Trans cranial
bone
Soft tissue
Describes low fat content tissue that does not contain calcifications or large gas-filled
spaces.
Scanned: (auto-scan)
Refers to the steering of successive burst through the field of view, e.g. B and color mode.
UnScanned
Emission of ultrasonic pulses occurs along a single line of sight and is unchanged until the
transducer is moved to a new position. For instance, the PW, CW and M mode.
TI
TI is defined as the ratio of the In Situ acoustic power (W.3) to the acoustic power required
to raise tissue temperature by 1oC (Wdeg),
T I = W./W deg
Three TIs corresponding to soft tissue (TIS) for abdominal; bone (TIB) for fetal and neonatal
cephalic; and cranial bone (TIC) for pediatric and adult cephalic, have been developed for
applications in different exams.
An estimate of the acoustic power in milliwatts necessary to produce a 1◦C temperature
elevation in soft tissue is:
W deg = / f c
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for model 1 to 4, where fc is the center frequency in MHz.
W deg =  · K · D
for model 5 and 6, where K (beam shape factor) is 1.0, D is the aperture diameter in
cm at the depth of interest
MI
Cavitation is more likely to occur at high pressures and low frequencies in pulse ultrasound
wave in the tissue, which contains the bubble or air pocket (for instance, the lung, intestine,
or scan with gas contrast agents). The threshold under optimum conditions of pulsed
ultrasound is predicted by the ratio of the peak pressure to the square root of the frequency.
MI = Pr 0 / f c
p
Pr’ is the de-rated (0.3) peak rare-fractional pressure in Mpa at the point where PII is
the maximum, and fc is the center frequency in MHz. PII is the Pulse Intensity Integral
that the total energy per unit area carried by the wave during the time duration of the
pulse.
The peak rare-fractional pressure is measured in hydrophone maximum negative volt-
age normalized by the hydrophone calibration parameter.
Display Guideline
For different operation modes, different indices must be displayed. However, only one index
needs to be shown at a time. Display is not required if maximum MI is less than 1.0 for
any setting of the operating mode, or if maximum TI is less than 1.0 for any setting of the
operating mode. For TI, if the TIS and TIC are both greater than 1.0, the scanners need not
be capable of displaying both indices simultaneously. If the index falls below 0.4, no display
is needed. The display increments are no greater than 0.2 for index value less than one
and no greater than 1.0 for index values greater than one (e.g. 0.4, 0.6, 0.8, 1, 2, 3).
Display and Report in Different Mode
For B-Scan Mode
Only display and report MI, and start from 0.4 if maximum MI > 1.0
For Color Mode
Only display and report TIS or TIB and start from 0.4 if maximum TI > 1.0
For Doppler Mode
Only display and report TIS or TIB and start from 0.4 if maximum TI > 1.0
Below is a simple guideline for the user when TI exceeds one limit exposure time to 4(6-TI)
minutes based on the National Council on Radiation Protection. Exposure Criteria for
Medical Diagnostic Ultrasound: I. Criteria Based on Thermal Mechanisms. Report No.113
1992:
Operator Control Features
The user should be aware that certain operator controls may affect the acoustic output. It is
recommended to use the default (or lowest) output power setting and compensate using
Gain control to acquire an image. Other than the output power setting in the soft-menu,
which has the most direct impact on the power; the PRF, image sector size, frame rate,
depth, and focal position also slightly affect the output power. The default setting is normally
around 70% of the allowable power depending on the exam icon.
1.7 Environmental Requirements

The environmental requirements for using the ultrasound system are listed below.
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Operation
Temperature: 10◦C ∼ 40◦C
Relative Humidity: 30%∼75%, no condensation
Atmospheric Pressure: 700∼1060hPa
Transport and Storage

Temperature: -20◦C ∼ 55◦C
Relative Humidity: 20% ∼90 %, no condensation
Atmospheric Pressure: 700∼1060hPa
Strong radiation sources or powerful electromagnetic waves (e.g. electromagnetic waves

from radio broadcasting) may result in image ghosting or noise. The system should be
isolated from such radiation sources or electromagnetic waves.
1.8 Electrical Requirements

Power Supply Requirements: 110-240V∼, 2.7–1.2A, 50/60Hz
Ultrasound system input / AC adapter output: 17.5V, 10A
Main unit voltage
Maintain a fluctuation range of less than ±10% or the system may be damaged.
Grounding
Before connecting the power cable, connect the attached ground protection cable to a
specialized grounding device.
Note
• Please ensure that the power requirements are satisfied. Only use
power lines that meet the system guidelines—failure to follow these
procedures may result in system damage.
• Voltage level may vary in different geographic locations.
• Use only the power button on the side panel to turn on or off the unit.
Mains power switch on the rear panel should be always ON unless
prior to transport or maintenance or service of the equipment.
Caution for using AC adapter:
• Use the AC adapter approved by the manufacturer only.

• AC adapter can get very hot if being used in poorly ventilated area. Main-
tain good ventilation for heat dissipation. Do not put any items on the AC
adapter or the power cable.
• Make sure that the power cable is not entangled and avoid being tripped
over by the cable.
• Do not use the adapter without removing its carrying case.
• To ensure proper grounding, connect the AC adapter to a receptacle/outlet
marked with “hospital grade”.
Caution for using battery:
• To assure the best performance of the system, we recommend to replace

the battery pack every three years.
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• This battery is designed to be an integral part of the ultrasound system. At-

tempting do-it-yourself removal of the battery not only voids the warranty but
also violates the regulations, and is discouraged by IEC 60601-1.
• Do not short the conductive parts of the battery.
• The temperature of the battery can be high right after discharging com-
pletes. To protect it from overheat damage, it will not be charged imme-
diately after being connected to an AC supply.
• During long time storage of the battery, a discharge-charge cycle should be
performed in every 3 to 6 months.
• Do not discard the battery in fire.
• Do not remove the battery pack from the system.
• Do not put foreign metal or other conductive parts inside the system to avoid
electrical short.
• Protect the battery from rain and do not immerse the battery in water.
• Do not place the system at unstable position and use the system.
• Do not heat or burn the battery.
• Do not use the system near any source which produces significant amount
of heat, such as fire and heater.
• Do not charge or discharge the battery in direct sunlight.
• Do not destroy or disassemble the battery; Do not solder the battery.
• This battery pack should only be used with the ultrasound system which it has
been designed for.
• Do not use the battery in strong electric field.
For more information about the AC adapter and the battery, read Section 3.3.
1.9 Electrical Safety
Caution!
Only trained health-care professionals should operate this system.
This equipment complies with the following standards:
• The equipment conforms with the following regulations for electrical safety,
– IEC 60601-1, Medical electrical equipment Part 1: General requirements for

basic safety and essential performance, Class I, BF, continuous operation.
– IEC 60601-2-37:2007, Medical Electrical Equipment Part 2-37: Particular Re-
quirements for the Basic Safety and Essential Performance of Ultrasonic Medical
Diagnostic and Monitoring Equipment.
• The equipment conforms with the following EMC/EMI standards:
– IEC 60601-2-37:2007 and IEC 60601-1-2: 2007, Class A
• Degrees of protection against harmful liquid:

For the main IPX0
system:
For the transducer: IPX7, from the acoustic window to the junction line (Sec-
tion 14.1); and IPX1 for other parts that may contact
with the patient, excluding the transducer connector.
For maximum safety, adhere to these guidelines:
• Proper grounding of the system is critical to avoid electrical shock. For protec-
tion, ground the system with a three-conductor cable, and plug the system
into a hospital-grade receptacle or outlet.
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• Do not remove or entangle the grounding wire.
• Do not remove the protective covers of the system. These covers protect
users from hazardous voltages. Only authorized service technicians can make
replacements of the parts inside the system.
• Never use this system while inflammable gas is present!
• Devices must be powered from the receptacles marked “hospital grade” or

“hospital only” before being connected to the system directly. In case where
“hospital grade” receptacles are not available, use isolation transformers in-
stead.
• Operators and patient must not contact any exposed metal terminals of the
plugs.
• Duration of continuous physical contact with any applied parts of this ultra-
sound system must not exceed 4 hours.
1.10 Cautions for Using Accessories

• Any accessories, provided by other manufacturers other than the manufacturer, to be
connected either electrically or mechanically to this ultrasound system must comply
with the specified IEC standards (IEC 60950 Information Technology Equipment -
Safety and IEC 60601-1 Medical electrical equipment Part 1: General requirements
for basic safety and essential performance.)
• For cleaning, disinfection and sterilization of accessories, please follow the instruc-
tions provided by the manufacturers.
• Installation and service of accessories shall be performed according to the require-

ments of the manufacturers.
• Disposal of the accessories at the end of the product life shall follow the guidance of
the manufacturers.
• The accessories provided with the ultrasound system, e.g. the foot switch and the
printer, are safe to operate in patient environment. Other accessories or devices not
listed in the list of supported accessories must not be used. You may contact us for
the updated version of the list.
• Contact with natural rubber latex may cause a severe anaphylactic reaction in persons
sensitive to the natural latex protein. The operator and patients must avoid contact
with these items. Refer to package labeling to determine latex content and FDAâĂŹs
March 29, 1991 Medical Alert on latex products.
1.11 Environmental Protection

In order to protect the environment, the disposal of waste products, residues, etc. and of the
ultrasound system and accessories at the end of their expected service life should follow
these guidelines:
Disposal of System
Contact the manufacturer or our representatives nearest to you for

proper disposal instructions.
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Disposal of Accessories
Contact the manufacturers of these products for proper disposal

instructions.
Disposal of Waste Products and Residues
Ultrasound coupling gel is water-solvable; residue of the gel can

be removed with medical tissue wipes and disposed as general
medical waste.
1.12 System Transportation

1.12.1 Moving the System
When moving or transporting the system, take the PRECAUTIONS listed below.
Before moving the system:
1. Completely power off the system.
2. Unplug the power cord.
3. Disconnect all cables attached to the system.
4. To prevent damaging the power cord, do not pull, stretch or bend it excessively.
5. Store the probes in their carrying cases or wrap them in soft cloth or foam to prevent
damage.
6. Store gel and other essential accessories in the appropriate storage cases.
1.12.2 Transporting the System

Use extra care when transporting the system in a vehicle. After preparing the system as
described above, take the following additional PRECAUTIONS:
• Before transporting, prepare and pack the system in the original package.
• Secure the system firmly with straps (or as directed otherwise) within the vehicle to
prevent excessive vibrations during transport.
• Drive carefully to prevent vibration damage. Avoid unpaved roads, excessive speeds.
After transportation, the system requires some time to reach thermal equilibrium with the
environment. Decrease or increase this time period (4 to 5 hours for 10◦ C difference)
according to the initial temperature difference of the system and the environment.
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Chapter 2
System Specifications
Contents
2.1 Application and Contraindication . . . . . . . . . . . . . . . . . . . . . . . 2-2
2.2 System Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
2.3 Probes and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
2.4 Physical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
2.5 Concept of Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
2.5.1 Screen Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-5
2.5.2 Keyboard Layout . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-6
2.5.3 Keyboard Description . . . . . . . . . . . . . . . . . . . . . . . . 2-6
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2.1 Application and Contraindication

Application: The device is a general-purpose ultrasonic imaging instrument intended for
use by a qualified physician for evaluation of Abdomen, Cardiac, Small Organ (breast, testes,
thyroid), Peripheral Vascular, Musculo-skeletal (Conventional and Superficial), Pediatric,
Fetal, Cephalic, OB/Gyn and Urology.
Contraindication: The system is not intended for OPHTHALMIC use or any use that
causes the acoustic beam to pass through the eye.
2.2 System Overview
Front View
Side View
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Figure 2.1: Side view
1 Audio Out
2 S-Video Port
3 Two USB Ports
4 Ethernet Port
5 VGA Port
Information for using S-Video and composite video

• This system supports both S-Video (2 in Figure 2.1) and composite
video (5 in Figure 2.2) output.
• In order to use the composite video output, make sure the S-Video
port is disconnected, and connect the composite connector before
the system startup.
• In order to use the S-Video output, make sure the composite video
output port is disconnected before the system startup.
Dust covers
• Some IO sockets are covered using dust covers.
• To remove the dust cover for S-VIDEO, rotate and pull it out.
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Rear View
3
4
5
6
7
Figure 2.2: Rear view
1 Probe Connection Port 1 6 ECG Port

2 Probe Connection Port 2 7 Equipotential point (earth)
3 Video Printer Controller Port 8 DC input
4 Foot Switch Socket
5 Composite Video Out
2.3 Probes and Accessories

Supported Transducers: see 14.1.1 Available Probes.
Standard System Configuration
6 Main unit
6 Footswitch
6 Cable hook
6 Standard accessories package
6 AC Power cable
6 Rating label of fuse
6 Basic user manual
6 Advanced user manual
2.4 Physical Specifications
Net weight (system alone, without docking cart):
approximately 9.8kg
LCD monitor :
15”
Dimensions (with lid opened L×W×H):
400mm×360mm×398mm
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2.5 Concept of Operation

2.5.1 Screen Layout
The user interface of the preparation mode is shown in Figure 2.3.
Hospital name
New Site
Logo
Application mode window: shows the Probe icon window: shows the con-
prede ned and the user de ned diag- nected probes. The icon for the active
nostic modes. probe is highlighted with a red triangle.
Figure 2.3: EXAM screen (user interface of the preparation mode)
The user interface of the application mode is shown in Figure 2.4
1 2 3 4 5 6 7 8
New Site 6V1 MI 0.7 TIS 0.5
T987 Patient Name Dec-21-2011 14:55:08
9 16
1
2 17
11
3
4
18
12 19
5
20 Directional DPI
CINE
13 15
14 THI PW
10
Figure 2.4: Application mode screen
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1 Logo 11 Color Image Info

Spectral Doppler Image Info, or M
2 Hospital Name 12 Mode Image Info, or
Context Menu
3 Patient ID 13 THI and PW/CW status
4 Probe 14 Cine playback progress indicator
5 Patient Name 15 Cine/Freeze Status
6 Date and Time 16 Gray scale / Spectrum wedge
Mechanical Index
7 17 Measurement results
Thermal Index
8 Diagnostic/Application mode icon 18 Depth scale
9 2D Image Info 19 Ultrasound image area
10 Function menu 20 Directional DPI indicator
2.5.2 Keyboard Layout

The keyboard layout is shown in Figure 2.5. It consists of hard keys, knobs, a trackball, flip
switches and TGC slider controls.
Figure 2.5: Keyboard layout of the system
2.5.3 Keyboard Description

Key Description
EXAM
press this key to return the system to the preparation mode
(EXAM screen).
continued on next page . . .
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Key Description
Patient
press this key to access the Patient Information interface.
Dual
press this key to start/end dual display.
Flow Invert
press this key to activate/deactivate the Flow Invert function in
color Doppler mode.
L/R
flips the ultrasound image left/right.
U/D
flips the ultrasound image upward/downward.
Annotation
insert texts or predefined annotation items.
Bodymark
insert Bodymarks on the screen.
Arrow
insert an arrow symbol on the ultrasound image
4D
start volume mode (3D or real time 4D mode).
m-Tuning
press this key during scanning to let the system automatically
adjust various parameters to obtain high quality image.
SAVE
press this key during real time scan to save current application
mode as new user-defined mode.
press this key while the ultrasound image is frozen to save im-
age or cine replay.
REPORT
write report for current diagnosis.
PRINT
trigger the network printers.
DEL
remove the most recently inserted annotations or Bodymarks.
or redefine the route of trace.
CLR
clear the all measurements and calculations.
AUDIO
adjust the Doppler sound volume.
MENU
press this knob to activate the context menu, turn it to change
the value of the selected item.
D GAIN
rotate this key to adjust the Doppler gain.
GAIN
rotate this key to adjust the 2D gain.
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Key Description
B Mode
press this key during the real time scan to start B mode imaging
and remove additional modes.
THI
activate the Tissue Harmonic Imaging.
CFM
turn on/off Color Doppler Imaging, or Color Flow Mode (CFM).
TDI
turn on/off Tissue Doppler Imaging (TDI).
PW
turn on/off Pulsed Wave (PW) Doppler Imaging.
CW
turn on/off Continuous Wave (CW) Doppler Imaging.
STEER
use this key to adjust the steer angle for linear array probes.
Function keys
located at the top of the keyboard, F1 ∼ F5 are function keys
used for accessing the items in the function menu.
Function knob
this knob is located at the top left of the keyboard; use it to
adjust the value of the selected item in the function menu.
DPI
turn on/off Doppler Power Imaging.
M Mode
turn on/off M mode imaging.
FREEZE
unfreeze/freeze the ultrasound image.
FOCUS
flip the switch up/down to change the depth position(s) of the
focal zone(s).
DEPTH
increase or decrease the maximum scanning depth.
PRF
flip this switch to change the Velocity Range represented as
PRF (Pulse Repetition Frequency).
BASELINE
flip this switch to move the baseline, which enlarges the Velocity
Range in one direction.
Trackball
use the trackball to move the cursor position.
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Key Description
UPDATE
in spectral Doppler mode or M mode, press this key to start/stop
PW/CW and M traces.
in 3D mode press this key to toggle the selection between 2D
and 3D images.
SET
this key serves as the confirmation key.
to set, fixate markers and activate buttons/items marked by the
cursor.
ZOOM
zoom ultrasound image.
DIST
measure the distance between two points.
TRACE
press this key and move the trackball to draw a trace on the
ultrasound image; press SET to close the trace.
ELLIPSE
press this key and move the trackball to draw an ellipse on the
ultrasound image.
CALC
press this key to activate the calculation menu.
TGC
slide the TGC control to change the gain in the corresponding
2D depth.
Power status LED.

See Subsection 3.3.3.
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Chapter 3
Starting the System
Contents
3.1 Probe Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
3.2 Peripheral Device Connection . . . . . . . . . . . . . . . . . . . . . . . . . 3-2
3.2.1 Connecting the Footswitch . . . . . . . . . . . . . . . . . . . . . . 3-2
3.2.2 Connecting the Video Printer . . . . . . . . . . . . . . . . . . . . 3-2
3.2.3 Connecting the Network Printer and USB Printer . . . . . . . . . . 3-3
3.3 Power On and Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
3.3.1 Using AC Supply . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
3.3.2 Using Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
3.3.3 LED Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
3.4 General Operation Instructions . . . . . . . . . . . . . . . . . . . . . . . . 3-8
3.5 Patient Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9
3.6 Start Ultrasound Diagnosis . . . . . . . . . . . . . . . . . . . . . . . . . . 3-10
3.7 Customize application mode (Create New Exam Mode) . . . . . . . . . . . 3-10
3.8 Annotation and Bodymark . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
3.8.1 Annotation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-11
3.8.2 Bodymark . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-12
3.9 Saving/Printing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-13
3.1 Probe Connection
Caution!
• Prior to connecting or disconnecting a probe freeze the image or en-
ter the preparation mode (EXAM screen).
• It is unnecessary to switch the unit off.
• If a probe is disconnected while it is active scanning, a software error
may occur. In this case switch the ultrasound system OFF and later ON
(perform a restart).
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Instructions:
• Plug the probe into the probe socket.
• Switch the lock clockwise to vertical di-
rection to lock the probe.
• If the cable is too long, you may hang it
on the cable hook at the right side panel.
3.2 Peripheral Device Connection

3.2.1 Connecting the Footswitch
• Do not use the footswitch other than those provided by the manufacturer. Otherwise,
the ultrasound system or the footswitch malfunctions could result.
Connect the footswitch to the footswitch port of the ultrasound system as the figure shown
below.
3.2.2 Connecting the Video Printer
Connect the video printer to the ultrasound system by the S-VIDEO cable provided by
the manufacturer. You can refer the installation method as the above figure shown. The
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video printer is ready to work immediately without any configurations after a successful
connection.
3.2.3 Connecting the Network Printer and USB Printer

3.2.3.1 To install Network Printer
Printer Setup
1. Connect the printer to the ultrasound system, and turn on the printer. The printer
settings are displayed as below.
2. Press OK on the control panel menu of the printer.
3. Press the left or right key to select Network Config , and then press OK to confirm.
4. Press the left or right key to select TCP IP Config , and then press OK to confirm.
5. Press the left or right key to select Manual , and then press OK to confirm.
6. An IP address is displayed, change it to 192.168.254.183 by pressing the left or right

key, and then press OK .
7. If the IP address is correct, use the left or right key to select Yes, and then press OK .
If the IP address is incorrect, use the left or right key to select No , and then press
OK . Repeat Step 6 to enter a correct address.
8. After setting IP address, set the subnet mask to 255.255.255.0 and default gateway
to 192.168.254.183 in the same way as described above.
Ultrasound System Setup
1. Copy the driver file deskjet.ppd provided by the manufacturer into the directory of the
USB drive.
2. Connect the drive to the ultrasound system, and then start up the ultrasound system.
3. Choose System Settings -> Set Printer -> Insert Driver by using the trackball on
the ultrasound system.
4. Select the Set key on the control panel, the screen displays Insert USB including
deskjet.ppd and select the Set key again to complete the installation of the printer
drive.
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IP Address Setup
1. Choose System Settings -> DICOM Settings -> Local -> Static IP by using the
trackball.
2. Set the IP Address as 192.168.254.183, and input the Netmask , Gateway , Printer IP ,
MAC Addr , AE Title respectively. Then click Save .
Note:
IP address and Printer IP should be in the same network segment.
3. Input the IP address of the printer into the textbox beside Ping IP Addr and click
Ping to verify that the system and the printer is correctly connected. After successful
verification, you can print the files.
3.2.3.2 To install USB printer
1. Copy the driver file deskjet.ppd provided by the manufacturer into the directory of the
USB drive.
2. Connect the drive to the ultrasound system, and then start up the ultrasound system.
3. Choose System Settings -> Set Printer -> Insert Driver by using the trackball on
the ultrasound system.
4. Select the Set key on the control panel, the screen displays Insert USB including
deskjet.ppd and select the Set key again to complete the installation of the printer
drive. Reboot the ultrasound system if the installation is completed.
3.3 Power On and Off
Warning!
Review Section 1.8 and Section 1.9 for the detailed electrical requirements
and for the electrical safety.
Important! Read messages below and carefully before starting

up your system. In order to avoid unnecessary electric hazards, it’s recommended to
connect the equipotential point to earth even when operating with the battery.
3.3.1 Using AC Supply

The ultrasound system can be powered by means of two different power sources:
- the AC power through the AC adapter, and

- the battery.
Turn on and off the system:
1. Press the power button on the control panel of system to turn on the system,
the backlight of the keyboard will be on and it takes about 1 minute for the system to
enter the preparation mode (EXAM screen).
2. To turn off the system, press the power button on the control panel.
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Information for power supply status can be found in Section 3.3.3.

Use the battery only during emergency or when no reliable AC power supply is available.
With the external AC power supply available, it is always recommended to use the AC
supply instead of the battery.
Warning!
• The AC adapter is specifically designed for the ultrasound system, do
not use it with other equipments. To avoid electric hazard and system
damage, use only the AC adapter approved by the manufacturer
with the ultrasound system.
• AC adapter can get very hot if being used in poorly ventilated area.
Maintain good ventilation for heat dissipation. Do not cover the AC
adapter or the power cable with any other items.
• Make sure that the power cable is not entangled.
1. Connect the equipotential point at the rear panel to safety ground (earth).
2. Attach the connector of the power cable to the AC adapter firmly.
3. Ensure that the mains voltage level is within the required range.
4. Connect the mains power plug into a wall outlet. To achieve the reliable grounding,
ensure to use a power outlet marked with “hospital grade” or the equivalent. Warning:
To avoid risk of electric shock, this equipment must only be connected to a
supply mains with protective earth.
5. Secure the DC output plug into the power supply socket on the ultrasound system.
The LED POR will be illuminated. Refer to the illustration in Figure 3.1 for proper
connection.
6. Ensure that all the connections are appropriate and press the power button on the
control panel to turn the system on.
Incorrect: Correct:
loose connection tight connection
Figure 3.1: Connecting the DC output plug
Note:
If battery is in use, to switch the power supply to AC source, follow Section
3.3.2.
Warning!
Do not allow the adaptor to hang in the air. Place it on the ground or
other well ventilated platform instead.
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Power supply socket
Ultrasound
system
Power supply socket

Ultrasound
system
3.3.2 Using Battery

The battery serves as a power source when no AC power supply is available. A fully
charged battery can provide power for the system for up to 1 hours. To start operating the
system using only the battery, you need to long-press the power button (press and hold
down the power button for at least 2 seconds).
Battery charging time (from depletion to full):
When the system is off:
approximately 2.5 hours.
When the system is on:
approximately 12 hours.
Warning!
• This battery is designed to be an integral part of the ultrasound
system. Attempting do-it-yourself removal of the battery not only
voids the warranty but also violates the regulations, and is
discouraged by IEC 60601-1.
• Do not short the metal pins on the connectors using metal objects.
Information for disposing the battery:

To dispose and recycle the ultrasound system and the battery properly,
contact the manufacturer representative for instructions.
Turn on the system without connecting the AC adapter to use the battery as the source.
Disconnect the output plug of the AC adapter from the system while it is on, and the system
uses battery as the source automatically.
You may charge the battery while the system is off by connecting the AC adapter to the
system.
You may also charge the battery without turning off the system.
Instructions for charging battery with system on:
1. Connect the equipotential point at the rear panel to safety ground (earth).
2. Attach the connector of the power cable to the AC adapter firmly.
3. Connect the power plug of the AC adapter to the outlet marked with “hospital grade”.
4. Connect the DC output plug into the power supply socket on the ultrasound system.
The system automatically charges the battery and takes the AC supply as source.
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Caution!
• Make sure to follow the above steps. Connecting the DC output plug
of the AC adapter, which has no AC input, into the system can trigger
protection mechanism which automatically shuts down the system.
• If auto-shutdown due to misoperation occurs, connect to the AC
source and restart the system.
• Charge the battery only when the ambient temperature is between
0°C and 45°C.
• When you hear the beep sound and the LED BAT is blinking, it means
that the battery power is almost depleted. You should save your data
and turn off the system or connect the system to an AC power source
immediately.
Note:
Once the system is turned on, the control panel will be illuminated. It
takes about 1 minute for the system to enter the preparation mode (EXAM
screen).
Caution!
DO NOT plug in any external USB drive before the system startup com-
pletes, otherwise the µSCAN function might be interrupted.
3.3.3 LED Indicators

The three Light-Emitting Diodes (LEDs), shown in Figure 3.2, indicate the power supply
status and the battery status. Their indications are listed in Table 3.1 and Table 3.2.
LED
indicators
BAT CHG POR
Battery Charge AC adaptor

indicator indicator indicator
Figure 3.2: LED Indicators
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Using AC power supply. System can be on or off.
Indications
Battery full Off Green Green
Battery not full and being charged. Off Yellow Green
Table 3.1: Status of the power supply - using AC source
Using battery.
Indications Note
System off Off Off Off
System on, battery power high

Green Off Off
and discharging.
System on, battery power medium

Yellow Off Off
and discharging.
System on, battery power critically

low. You should prepare to turn Yellow,
Off Off The buzzer alarms.
off the system or recharge the bat- Blinking
tery.
Table 3.2: Status of the power supply - using battery
3.4 General Operation Instructions

Typography Convention
This manual employs the following typefaces to denote keys, buttons and parameters.
Keys on the control panel (keyboard) are typed in the form of KEY .
Buttons and items shown on the screen are typed in the form of BUTTON.
Image parameters are typed in the form of parameter.
Move the cursor over an Move the Cursor Around
item to select it.
Use the trackball to move the cursor around.
The item in the context menu can be selected by moving
the cursor over it. To change the value of the correspond-
ing item, either use the left/right arrow keys or turn the
MENU knob.
Click Operation Click:

Move the cursor over a button and
When changing system setting or performing ultra- press the SET key to activate it.
sound scanning, it involves the operation of first mov-

ing the the cursor over a certain item and then press-
ing the SET key. This operation is similar to the
“click” operation on a typical PC. Similar terminology
will be employed from now on: “click a button” means
“move the cursor using trackball over the button and
press the SET key”.
Quick Access
The function menu, at the bottom of the screen, shows some items in either one or two
rows. These items can be selected by pressing the corresponding Fn key.
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The item in the function menu represents function, parameter, or option. To change the
value of the selected item, or to enable/disable the selected item, turn the function knob.
F1 F2 F3 F4 F5
Example 1:
In the illustration above, press F2 to select LOOP SPEED; Turn the func-
tion knob to change the value of LOOP SPEED.
F1 F2 F3 F4 F5
Example 2:
In the illustration above, press F2 twice to enable the dual display format
in the 3D imaging mode.
Press F4 to select ZOOM, the zoom function is enabled. The trackball
movement is now bound to the zoom function.
3.5 Patient Information

Patient information can be entered at the Patient Information window.
Press PATIENT key to open the Patient Information window. See Figure 3.3
PATIENT INFORMATION
Name ID DOB
Weight Height LMP Age
BSA Unit: kg/cm EDD Sex
Acc.# GA User
Local History Worklist
Name ID Acc.# String:
Name ID DOB Sex
GET WORKLIST CLOSE CANCEL RESET SAVE
Figure 3.3: Patient Information
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Click on the text box and insert or edit the corresponding patient information.
Note:
• Text fields next to EDD, BSA, and GA are calculated by the system
using other patient data, they are not editable.
• A valid patient profile should at least have a patient ID and a patient
name.
• Click RESET to reset all entries for the current patient! Click CAN-
CEL to exit without saving.
Click SAVE button to save the current patient information. Move the cursor on CLOSE and
press the SET key to close the current exam.
Note:
• For a newly created patient profile, the file folder for this patient is
created in the File Manger.
• The ultrasound images and calculation results will be saved to the
corresponding patient folder.
An existing patient profile can be searched by Name, ID or Account Number.
Note:
• Click the Local tab. Tick Name, ID or Acc.#. Type in the first few
letters of the Name, ID or Account Number you are searching for. The
matched patient profiles will be listed below. Click the patient to
select it.
• If the ultrasound system is connected to a worklist server, you may
select a patient from worklist. Click the GET WORKLIST button to
retrieve a list of patients from the server.
• History lists previously diagnosed patients.
3.6 Start Ultrasound Diagnosis

At the preparation mode, move the cursor over the probe icon to select the probe. The
application modes for the selected probe are listed. Refer to Figure 2.3.
Click a diagnostic icon to start a real time scan.
The system automatically freezes the ultrasound image if there is no user activity for more
than 30 minutes.
3.7 Customize application mode (Create New Exam

Mode)
For each probe, the system has some predefined application modes for some typical
applications. User can change various settings based on a predefined mode, and create a
customized application mode.
Instructions
1. Customize imaging setting by adjusting various parameters.
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2. Click the SAVE key during the real time scan.
Going to
User Preset Menu
Are you sure (Y/N)?
3. Type Y and select Create New Exam.
User Pre-Set Menu
Create New Exam

Delete Exam
Exit
4. Type the name for the new application mode, select OK and press SET key.
5. You can also delete customized mode by selecting “Delete Exam” in step 4. Follow
the on-screen instructions to continue the deletion.
3.8 Annotation and Bodymark

3.8.1 Annotation
Annotation items can be inserted either in the freeze mode or during the real time scan.
Press the ANNOTATION key to start inserting annotation.
New Site C362 MI 0.7 TIS 0.5

Ctrl+ Gain D Gain P.1/32

0
0 AA
1 ABDOMINAL CIRCUMFERENCE
2 AC
3 ACA
4 ADNEXA
1
5 ADRENAL GLAND
6 AMNIOTIC FLUID
7 AMNIOTIC CAVITY
8 ANGLE REGION
9 ANT. COMMUNICATION BR.
2
0 40 46
CINE
Figure 3.4: Annotation
The system predefines a large list of annotation items. User can modify/add
predefined annotation items at the System Setting chapter.
To insert predefined annotations:
1. turn the GAIN knob to scroll between items, turn the D GAIN knob to turn to the
next/previous page of annotation items.
2. highlight the annotation item and press the UPDATE key to select the item.
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3. move the cursor to the desired position and press the SET key to insert the selected
annotation item.
To insert manual text:
move the cursor to the desired position and write the text using the alphanumeric keyboard.
Press the DEL key to delete the last inserted item.

Press the ANNOTATION key again to exit the annotation mode.
Press the CLR key to remove all annotation items on the screen.
Annotations can be saved together with the ultrasound image; and will be cleared upon
exiting current application mode.
3.8.2 Bodymark
For the documentation of the ultrasound diagnosis, a collection of graphic body marks is
available.
FPS 63
D/G 120/2 0
GN 32
I/P 6/40
PWR 70
FRQ 7-13
D 4.4cm 1
0 40 46
CINE
Figure 3.5: Bodymark
Inserting bodymark is only possible in freeze mode.

Press the BODYMARK key, a collection the graphic body part symbols will be
shown on the right half screen.
1. Use the TRACKBALL to move the probe maker ( ) at the desired position on a
bodymark symbol.
2. Rotate the probe marker by pressing the Left/Right keys next to the TRACKBALL .
3. Press the SET key to insert the bodymark.
Press the CLR key to remove annotations as well as bodymark.

The bodymarks will display on the image in the real time mode, and you can adjust the
position and direction of the probe maker by the following methods.
• Press the BODYMARK key and then move the trackball to adjust the position of the
probe maker.
• Press the ANGLE key to adjust the direction of the probe maker.
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3.9 Saving/Printing
For saving image/cine, refer to Section 5.4.8.
Network printing can be triggered by pressing PRINT 1 .
Video printing, used with thermal printers, can be triggered by pressing VIDEO PRINT .
1 Network printers must be configured before use.
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Chapter 4
System Setup
Contents
4.1 System Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
4.2 File Manager . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-2
4.2.1 Burn Data to CD/DVD . . . . . . . . . . . . . . . . . . . . . . . . 4-3
4.3 Facility Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
4.4 Set Date and Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
4.5 System Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-4
4.6 System Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
4.6.1 General Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-5
4.6.2 Set Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-7
4.6.3 Set Calculation Menu . . . . . . . . . . . . . . . . . . . . . . . . 4-7
4.6.4 Set Measurement Method . . . . . . . . . . . . . . . . . . . . . . 4-8
4.6.5 Annotation Edit . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-10
4.6.6 Define Quick Key . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-11
4.6.7 Load Default . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-12
4.6.8 DICOM Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-14
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4.1 System Menu

At the preparation mode, press Menu , the menu in Figure 4.1 appears on the screen.
File Manager
Facility Name
Set Time/Date
System Information
System Setting
Exit
Figure 4.1: System menu
4.2 File Manager

Move the trackball to select File Manager and press Set , the system opens
• the root directory if no patient profile is activated; or
• the patient directory if a patient profile has been activated.
Figure 4.2 illustrates the root directory of the system. Using this interface, user can access
the patient data stored on the system drive and external drives (USB, or CD/DVD). To open
a file folder in the File Manager, move the cursor over the directory name and press Set
twice.
USB ON/OFF
DELETE
MO Device mo /mnt/mo 0K
SEARCH
COPY CD/DVD Device CD/DVD ROM /mnt/cdrom 0K
SEND DICOM
USB Device usb /mnt/removable 512 M
General Directory general ../general 124 M
PatientName PatientName ../PatientName 51 M
Figure 4.2: File manager: root directory
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LAST PAGE Name: Newpatient

ID: H232
COPY Date of Birth: 12/02/1982
PASTE
DELETE
CONVERT PC
REPORT ONLY
IMAGE ONLY
SEARCH
SELECT ALL
SEND DICOM
DICOM PRINT
Figure 4.3: File manager: patient directory
Figure 4.3 illustrates the patient directory.

The function of the buttons shown in the file manager are listed in Table 4.1.
Title Action upon clicking the button

LAST PAGE Returns to the root directory.
SEARCH Searches file by name.
SELECT ALL Selects all the files in the current directory.
COPY Copies the selected file(s) to be pasted into a different file folder.
PASTE Pastes the copied file(s) to the current file folder.
DELETE Deletes the selected file(s).
CONVERT PC Converts the selected file(s) to the PC-readable format.
REPORT ONLY Displays report file(s) only.
IMAGE ONLY Displays image(s) (including cine) only.
SEND DICOM Exports selected file(s) to remote Service Class User (SCU). Refer to
DICOM setting in Section 4.6.8.
USB ON/OFF Loads/Unloads the USB drive.
WRITE→CD/DVD Burn files to CD/DVD, see instructions in Subsection 4.2.1.
Table 4.1: File operations
Note:
Move the trackball over a file and press Set to select the file. Press Set
over the file again to deselect it. Multiple selection is allowed, simply click
another file to add it into the selection.
4.2.1 Burn Data to CD/DVD

Use the file manager, you can follow these steps to burn file(s) to CD/DVD.
1. Press the eject button on the DVD drive to open the drive and insert a blank writable
CD/DVD and close the DVD drive.
2. In the file manager, select one or several files or file folders, and click the COPY
button.
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3. Click LAST PAGE to return to the root directory of the system.
4. Select CD DVD Device in the file manager window and press Set twice.
5. Click WRITE→CD/DVD and the files will be burned to the CD/DVD disc.
4.3 Facility Name

The facility/hospital name is displayed at the top left corner of the main screen, next to the
product logo. To rename the facility/hospital name, select Facility Name and press Set .
Enter new name and click OK.
Facility Name
New Site
Help:
Change facility name by typing
alphanumeric keys.
OK
Figure 4.4: Facility name
4.4 Set Date and Time

Select Set Time/Date and press Set to set the system date and time.
Set Time/Date
05/ 08/ 11 11:21:38

mm dd yy hh:mm:ss
Help:
Change time/date by typing
alphanumeric keys.
CANCEL
OK
Figure 4.5: Set date and time
4.5 System Information

Select System Information and press Set to view the system information. Both the
hardware and the software version numbers can be identified here. Among them, the
Control Number is a unique number for the equipment; and the Software Version
number designates the current software version.
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System Information
Control Number: 20295

Software Version: 2.0.6.0
SEQ Rev: 1.0
TFC Rev: 1.0
DFC Rev: 0.1
SMR Rev: 0.1
FIFO Rev: 1.0
MXR Rev: 1.0
DET Rev: 1.2
DLY Rev: 1.0 DIAGNO
EC Rev: 2.1
ECG Rev: N/A EXIT
Figure 4.6: System information
Caution!
The DIAGNO option shown at the System Information interface is for system
diagnostics or software change. Only authorized service personals should
perform this action.
4.6 System Setting

Select System Setting and press Set to open the interface for configuring the system.
Click the Exit button to exit the System Setting interface.
4.6.1 General Setting
General Setting
Language English
Set Printer Screen Saver On
Set Calculation Menu Trackball Sensitivity 4
Clip Format System Format

Set Measurement Method
Date Format mm/dd/yyyy
Annotation Edit
Caps Lock Off
Define Quick Key
Print Size 3
Load Default Save w/DCM Off
DICOM Settings Still Format JPG Format
Screen Save 30
Exit
Color of ROI Green
Display Format V1/2
Figure 4.7: General setting
Click on the General Setting tab, the following configurations are available. You may need
to click the and buttons to find some items.
To change the setting of an item, click the parameter field button next to the item and rotate
the Adjust knob to change the value.
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Item Explanation
Language Set the language of the user interface.
Screen Saver Turn on or off the screen saver.
Trackball Sensitivity Adjust the sensitivity for tracking the trackball movement.
Clip Format Set the file format for saving multiple frames as video clips.
Currently the System, WMV and AVI formats are supported.
Date Format Set the date format employed by the system to dd/mm/yyyy,
yyyy/mm/dd or mm/dd/yyyy.
Caps Lock If this option is ON, letters are entered capitalized by default.
Press the Shift key and the alphabetic soft key to input a lower
case letter.
Print Size Set the size of the printed image. The range of this setting is 1
to 6. With 6 the image size is scaled to 6 times as large as the
image size with 1.
SAVE w/DCM Only when Clip Format is set to System Format can this op-
tion be modified, otherwise it is fixed to OFF. When saving a still
image or a clip (Subsection 5.4.8) in system format,
• if this option is set to OFF, the system only saves the

image to the local hard drive;
• if this option is set to ONLY, the system only sends the

image through DICOM without saving it to the hard drive;
• if this option is set to BOTH, the system saves the image

locally and sends it through DICOM as well.
You will need to have a valid patient profile in order to send

images through DICOM.
Still Format Set the file format for saving a single frame. The system currently
supports the System, JPEG, BMP and TIFF formats.
Screen Save Set the idle time duration before the system starts the screen
saver. The range is 1 to 60 minutes.
Color of ROI Set the color of the region of interest box.
Display Format This option sets the default display format when a spectral
Doppler or M mode starts. Six formats are possible: V1/3,
V1/2, V2/3, H1/2, H1/4 and O1/4.
One Key Save Move the trackball to the » button and press the SET key to
confirm. Select One Key Save by using the trackball and press
the left/right key to turn ON or OFF.
EFW Unit Unit of Estimated Fetal Weight (EFW) can be set to imperial (lb,
oz) or metrical (kg, g).
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Item Explanation
Print to DICOM Open an ultrasound image and press the Print key,
• if this option is set to ON, the image will be printed with a

DICOM printer.
• if this option is set to OFF, the image will be printed with a

network printer.
Report Format Patient report can be saved in PDF or plain TEXT format.
Measure on screen Set to save or clear the measurement results on the screen after
the image is unfrozen. Options: ALWAYS ON or CLEAR.
Cine Frame Limit Set the maximum frame number to be set. Options: UNLIMITED
or 100∼500
4.6.2 Set Printer
General Setting
Printer Driver Default Printer
Set Printer Video Invert Off
Set Calculation Menu Insert Driver Click
Annotation Edit
Define Quick Key
Load Default
DICOM Settings
Exit
Figure 4.8: Set Printer
Printer Driver: Select the printer driver to match the actual printer in use.
Video Invert: Invert the RGB-color brightness when printing.
Insert Driver: Click the button and follow the on-screen instructions to install a printer
driver.
4.6.3 Set Calculation Menu

Press the Set Calculation Menu tab to configure the calculation menu which appears
during ultrasound exams.
Instructions:
• Move the cursor over an imaging mode button (2D, PW, or M) and press Set .
• Rotate the Adjust knob to select a calculation item.
• Press UPDATE to hide or unhide the selected item in the corresponding imaging
mode.
• When an item contains submenu, press Menu to open or close the submenu.
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General Setting
2D PW M
Set Printer
REPORT
Set Calculation Menu ANGLE
Set Measurement Method VOLUME

VOLUME LXWXH
Annotation Edit DOPPLER AREA
Define Quick Key COLOR FLOW

IMT
Load Default + VASCULAR >
+ SMALL PART >
DICOM Settings
+ ORTHOPAEDIC >
Exit + OB/GYN >
+ LEFT VENTRIC >
+ UROLOGIC >
[UPDATE]: ON/OFF [MENU]: OPEN SUBMENU
Figure 4.9: Set calculation menu
4.6.4 Set Measurement Method
General Setting
BSA Setting Western
Set Printer Measure Method Trace
Set Calculation Menu Package All Package
Continue Dist On
Dop Auto Auto
Annotation Edit
Focal Auto Off
Define Quick Key
EFW Method WEI/SAB NC/AC/FL
Load Default BPD Method Hadlock ∗
DICOM Settings FL Method Hadlock ∗
CRL Method Robinson ∗

Exit
AC Method Hadlock ∗
Next Page
’∗’: Edit or create user define table
Figure 4.10: Set measurement method
Click the Set Measurement Method tab to configure the measurement related settings.
Instructions:
• Move the cursor over the parameter box, and click Set .
• Rotate the Adjust knob to change the parameter. Information about some items are
provided below.
Item Explanation
BSA Setting Sets the BSA calculation formula applicable for Western or Eastern people.
Measure Method Sets the vascular measurement method of area measurement in the B mode to
Trace or Ellipse.
Package Set it to Icon Driven and only the items related to the application/exam mode
will be displayed in the calculation menu. Set it to All Package and all the
available items will be shown in the calculation menu, irrespective of the applica-
tion/exam mode.
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continued from previous page . . .
Continue DIST Set this option to ON and you only need to press Distance once to perform
multiple distance measurements.
Dop Auto Changes the behaviour of the auto-trace measurement function (executed by
pressing the Ellipse key twice) in a frozen PW/CW mode. Set it to AUTO and
no user intervention is required during the measurement; Set it to SEMI-AUTO,
the user will be required to provide the positions of some critical points during
the measurement.
Focal AUTO Set it to ON to allow the system to auto adjust the focal depth when the scan
depth changes.
EFW Set the calculation formula of EFW.
BPD Method Sets the formulae employed for calculating items such as BPD, FL and etc. Click
FL Method the star button to edit the formula or create a new formula. Note predefined
CRL Method formulae are not editable.
AC Method
TAD Method
OFD Method
HC Method
GS Method
Fibula Method
Radius Method
Humerus Method
Ulna Method
Tibia Method
AUA Result By Selects the way (by Average or Last) to calculate the AUA (Adjusted Ultrasound
Age) result.
Follicle Method Set the formula for calculating follicle.
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4.6.5 Annotation Edit
General Setting
String:
Set Printer Insert Delete Save
Set Calculation Menu AA

ABDOMINAL CIRCUMFERENCE
AC
Annotation Edit ACA
ADNEXA
Define Quick Key
ANDRENAL GLAND
Load Default AMNIOTIC FLUID
AMNIOTIC CAVITY
DICOM Settings
ANGLE REGION
Exit ANT. COMMUNICATION BR.
ANTEROPOSTERIOR TRUNK DIAMETER
ANTERIOR CRANIAL FOSSA
APPENDIX
AQUENOUS HUMOUR
Figure 4.11: Annotation edit
User can modify the predefined annotation strings. Press the Annotation Edit tab, the
available annotations and the possible operations are listed on the right half screen.
Instructions:
• Move the cursor over a string, press Set twice to start editing it. You need to click
SAVE to save the modification.
• Press to turn the list one page up; press to turn the list one page down.
• Enter texts in the text box next to String:, click Insert and the texts will be added
into the annotation list.
• Click Delete to remove the selected string immediately.
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4.6.6 Define Quick Key

The numeric keys on the alphanumeric soft keypad can be assigned as shortcut keys for
performing measurements.
General Setting
D.Key Define Measurement
Set Printer Key 1 BPD
Key 2 GS
Set Calculation Menu ...
Key 3
Set Measurement Method Key 4 ...
Key 5 ...
Annotation Edit ...
Key 6
Define Quick Key Key 7 ...
Key 8 ...
Load Default ...
Key 9
DICOM Settings Key 0 ...
Exit
Figure 4.12: Assign shortcut keys
Click the Define Quick Key tab to define the shortcut keys. The D. Key column shows
the numeric keys; the Define Measurement column shows the measurements attached to
these keys.
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4.6.7 Load Default
General Setting
Load Create Retrieve
Set Printer
default
Set Calculation Menu MySetting
Annotation Edit
Define Quick Key
Load Default
DICOM Settings
Exit
Figure 4.13: Back up or load user settings
4.6.7.1 Load and Delete General Setting
Note:
The profiles under Load and Retrieve tabs store only the configurations
for General Setting.
Click the Load tab and select a setting name. The following prompt message appears,
Load new setting?

continue (Y/N).
Delete setting: [DEL]
Type Y to load the setting or type N to cancel. Press DELETE to delete the setting.
Store Name:
CONFIRM
Figure 4.14: Create a user setting
To save the current system setting as a new setting, click the Create tab (Figure 4.14).
Type in the name for the setting, and click CONFIRM.
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4.6.7.2 Backup and Restore User Setting
To back up or retrieve the user setting and preset, click the Retrieve tab (Figure 4.15).
Make sure a writable USB drive has been connected before proceeding.
Make sure USB drive in the USB slot

Copy user setting to USB
Copy user preset to USB

Load USB user setting to system
Load USB preset to system
Caution: Copy USB to hard drive will replace

all user setting in the system
including patient database. Please
use it wisely.
Figure 4.15: Back up or load the user setting and data
User setting contains the configurations of general setting, printer setting, user defined OB
table and measurement formula table.
• Click Copy user setting to USB to back up the current user setting to an external
USB drive.
• Click Copy USB user setting to system to restore the backup copy of the user
setting from the USB drive.
4.6.7.3 Backup and Restore User Preset
User preset contains the user defined application/exam modes. These application modes
are created by following instructions in Section 3.7 and used as user presets of imaging
parameters.
• Click Copy user preset to USB to backup the user defined application modes to
USB drive.
• Click Copy USB user preset to system to restore the backup copy of user defined
application modes from the USB drive.
Caution!
Restore backup from the USB drive overwrites the patient data on the sys-
tem as well.
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4.6.8 DICOM Setting

This equipment conforms with the Digital Imaging and Communications in Medicine (DI-
COM) standard, which is the industrial standard for the communication and management of
patient data between the devices in the hospital.
Click the DICOM Settings tab to modify network, DICOM and print setting.
General Setting
Local Storage Worklist Print Log
Set Printer
EzNetwork DHCP Static IP
Set Calculation Menu
IP Address 192.168.254.182
Netmask 255.255.255.0
Annotation Edit
Gateway 192.168.254.254
Define Quick Key
Printer IP 192.168.254.183
Load Default AE Title Localsite
DICOM Settings DICOM Export DICOM Storage
Save
Exit
Ping IP Addr.
Ping
Figure 4.16: DICOM Setting: Local
4.6.8.1 Local System and Network Printer
Click the Local tab and configure as follows.

ezNetwork Default Uses the ezNetwork default protocol.
Set DHCP Uses the Dynamic Host Configuration Protocol (DHCP). If this option is selected,
the system startup time will increase about half a minute.
Static IP Uses the following static IP information which shall be provided by the user,
IP Address Sets the IP address of the local system.

NetMask Sets the netmask address of the local system.
Gateway Sets the gateway address of the local system.
Printer IP Sets the IP address of the network printer.
AE Title Sets the Application Entity (AE) title of the local system.
DICOM Export • If this option is set to DICOM Storage, clicking the SEND DICOM button
in the file manager will send the selected image/cine to the remote system through
DICOM. Note that only the image/cine in system format can be exported to the
remote system. • If this option is set to USB, clicking the SEND DICOM button in the
file manager will send the selected image/cine to an external USB drive. Note that
only the image/cine in system format can be exported to the USB drive.
Save Click this button to save the modification.
Ping IP Addr. Type an IP address and click the Ping button to test the connectivity of the
system to the IP address.
Caution!
Reboot the system to allow the modification take effect.
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4.6.8.2 DICOM Storage Server
General Setting
Set Printer
Set Calculation Menu Server Name FirstServer
IP Address 192.168.254.104
Port 9000
Annotation Edit
AE Title start server
Define Quick Key
Timeout (sec) 5
Load Default Save Echo
DICOM Settings
Exit
# Server Name IP Address
1* FirstServer 192.168.254.104
Delete Set Default (*)
Figure 4.17: DICOM Setting: Storage
Click the Storage tab and configure the DICOM Storage server profile.
To select a DICOM Storage server profile from the list, click the profile ID to highlight
it and click the Set Default button.
To delete a DICOM Storage server profile from the list, click the profile ID to highlight
it and click the Delete button.
To add a DICOM Storage server profile, follow these instructions,
Server Name Sets the DICOM storage server name.

IP Address Sets the IP address of the DICOM storage server.
Port Sets the port number of used by the DICOM server.
AE Title Sets the Application Entity (AE) title of the DICOM server.
Timeout Specifies a time period after which the ultrasound system will stop trying to
establish a connection to the server. will be displayed once the test completes.
Echo Click this button to test the connectivity to the server. A summary will be displayed
when the test completes.
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4.6.8.3 DICOM Worklist Server
Click the Worklist tab to configure the worklist server profile.
General Setting
Set Printer
Set Calculation Menu Server Name WkServer
IP Address 192.168.254.25
Port 1200
Annotation Edit
AE Title wk title
Define Quick Key
Timeout (sec) 5
Load Default Max Results 100
DICOM Settings Save Echo
Exit
1* WkServer 192.168.254.25
Figure 4.18: DICOM Setting: Worklist server
To select a worklist server profile from the list, click the profile ID to highlight it and
click the Set Default button.
To delete a worklist server profile from the list, click the profile ID to highlight it and
click the Delete button.
To add a worklist server profile, follow these instructions,
Server Name Sets the worklist server name.

IP Address Sets the IP address of the worklist server.
Port Sets the port number of used by the worklist server.
AE Title Sets the Application Entity (AE) title of the worklist server.
Timeout Specifies a time period after which the ultrasound system will stop trying to
establish a connection to the server.
Max Results Specifies the maximum number of patient records the system is al-
lowed to retrieve when searching the patient database.
once the test completes.
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4.6.8.4 DICOM Print Server
Click the Print tab to configure the DICOM print server profile. Click or to view
settings on other pages.
General Setting
Set Printer
Set Calculation Menu Server Name PrintServer
IP Address 192.168.254.23
Port 1200
Annotation Edit
AE Title Dprint server
Define Quick Key
Timeout (sec) 5
Load Default Format STANDARD\1, 1
DICOM Settings Save Echo
Exit
1* PrintServer 192.168.254.23
Figure 4.19: DICOM Setting: Print
To select a DICOM print server profile from the list, click the profile ID to highlight it
and click the Set Default button.
To delete a DICOM print server profile from the list, click the profile ID to highlight it
and click the Delete button.
once the test completes.
To configure a DICOM print server profile, see below.
Server Name Sets the DICOM print server name.

IP Address Sets the IP address of the DICOM print server.
Port Sets the port number of used by the DICOM print server.
AE Title Sets the Application Entity (AE) title of the DICOM print server.
Timeout Specifies a time period after which the ultrasound system will
stop trying to establish a connection to the server.
Format Sets the number of prints to print on each page.
Priority Sets the print job priority: High, Medium, or Low.
Copies Sets the number of copies to print.
Orientation Specifies whether to print the image Landscape or Portrait.
Film Size Specifies the dimension of the film size.
Destination Specifies the film destination: Magazine—for storing in a film
magazine; Processor—for processing in a film processor.
Magnification Specifies the method used for magnifying images at the printing
process. The value can be set from Replicate, Bilinear,
Cubic or None.
Smooth Type Specifies the value of magnification interpolation for the printer.
Trim Specifies whether a trim box should be printed around each
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image.
Min. Density Specifies the minimum density level of the film.
Max. Density Specifies the maximum density level of the film.
Border Specifies the color of the border (Black or White) which fills the
gap between the images.
Empty Image Specifies whether to print Black or White empty images.
Color Specifies whether to print the images in color or grayscale.
Film Label Specifies a name to be applied to a group of the film labels.
Config. Info Specifies special image quality settings.
4.6.8.5 DICOM Log
Click the Log tab to find a log of DICOM transfer.
Retry Retry Failures Settings
Delete Delete Success Clear All
Patient ID Message Status
《》
Figure 4.20: DICOM Setting: DICOM log
In the log field, ID is the patient ID associated with the image transferred.
Select an entry in the log and click
Retry to resend the image through DICOM, or
Delete to delete the entry from the log.
Click Retry Failures to resend all images that have been failed to be sent through DICOM.
Click Delete Successes to remove all entries for successfully transferred images.
Click Settings to return to the Settings screen.
Click Clear All to remove all the information in the list.
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Chapter 5
B Mode
B mode imaging is intended to provide information of anatomical structure of soft tissues.
Contents
5.1 Starting B Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
5.2 B Mode Image Information . . . . . . . . . . . . . . . . . . . . . . . . . . 5-2
5.3 Real Time B Mode Operation . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
5.3.1 B Mode Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
5.3.2 ECG (Optional) . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-3
5.3.3 B Gain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-4
5.3.4 Time Gain Compensation (TGC) . . . . . . . . . . . . . . . . . . 5-4
5.3.5 Depth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
5.3.6 Focal Zones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-5
5.3.7 Tissue Acoustic Characteristics . . . . . . . . . . . . . . . . . . . 5-6
5.3.8 Dynamic Range . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-6
5.3.9 Grayscale curve . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
5.3.10 Persistence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
5.3.11 Chroma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
5.3.12 Biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7
5.3.13 Sector Width and Position . . . . . . . . . . . . . . . . . . . . . . 5-8
5.3.14 Line Density . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
5.3.15 Compound Imaging . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
5.3.16 Frequency Range . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
5.3.17 Image Orientation . . . . . . . . . . . . . . . . . . . . . . . . . . 5-9
5.3.18 Adaptive Image Fusion . . . . . . . . . . . . . . . . . . . . . . . 5-10
5.3.19 uScan Function . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-10
5.3.20 Acoustic Output Power . . . . . . . . . . . . . . . . . . . . . . . . 5-10
5.3.21 Trapezoidal Imaging . . . . . . . . . . . . . . . . . . . . . . . . . 5-11
5.3.22 2D Refresh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11
5.3.23 Zoom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11
5.4 B Cine Mode Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11
5.4.1 Grayscale curve . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
5.4.2 Chroma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
5.4.3 Image Orientation (Left/Right) . . . . . . . . . . . . . . . . . . . . 5-12
5.4.4 Cine Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-12
5.4.5 Select Image Sequence . . . . . . . . . . . . . . . . . . . . . . . 5-12
5.4.6 Panoramic Imaging . . . . . . . . . . . . . . . . . . . . . . . . . 5-13
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5.4.7 Cine Playback . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13

5.4.8 Saving Image/Cine . . . . . . . . . . . . . . . . . . . . . . . . . . 5-13
5.5 Dual and Quad Display Formats . . . . . . . . . . . . . . . . . . . . . . . 5-14
5.5.1 Dual Display Format . . . . . . . . . . . . . . . . . . . . . . . . . 5-14
5.5.2 Quad Display Format . . . . . . . . . . . . . . . . . . . . . . . . 5-15
5.6 Tissue Harmonic Imaging (THI) . . . . . . . . . . . . . . . . . . . . . . . . 5-15
5.1 Starting B Mode
Click the application icon at the preparation mode (EXAM screen) to start a real
time scan. The system enters B mode automatically. To remove any additional
modes (PW/CW/CFM/DPI/M), press the B mode key.

FPS 63
D/G 120/2 0
GN 32
I/P 6/40
PWR 70
FRQ 7-13
D 4.4cm 1
Figure 5.1: B mode
5.2 B Mode Image Information
B mode image information (right) is shown on the top left corner of FPS 13
the screen (also refer to Figure 2.4). It shows some parameters D/G 160/2
GN 47
important for the diagnosis. The table below shows the meaning
I/P 5/30
of the items listed in the 2D Image Info area. PWR 80
FRQ 3-5.2
D 16.5cm
FPS number of frames per second

D/G dynamic range (DYN) / gray scale curve
GN 2D gain
I/P Adaptive Image Fusion / Persistence
PWR acoustic output power (%)
FRQ frequency range (MHz)
D depth
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5.3 Real Time B Mode Operation

The B mode operation for the current ultrasound image is inde-
pendent of the display format (single, dual or quad). Review Section 3.4 for the general
operation instructions.
5.3.1 B Mode Menus

Real Time CFM Mode Function Menu
The following function menu appears on the screen with the real time B mode image.
FOCAL NUMBER FOCAL SPAN DYN GSC PERSIST
LINE DENSITY FREQUENCY SEC. WIDTH SEC. POS 2D REFRESH
Figure 5.2: Function menu in real time B mode
Real Time B Mode Context Menu
Press the MENU key during the real time ECG →
scan, and the context menu will be shown TISSUE ACOUSTIC 1540
at the Context Menu area (refer to Figure CHROMA 1
2.4). BIOPSY Off
Note that some models do not support
COMPOUND Off
µScan function, hence the item uScan will
LT↔RT ↔
not appear in the context menu for these
ADAPT. IM FUSION 2
models.
uScan Off
Trapezoid (short for Trapezoidal Imaging) is
POWER % 60
only available with linear array probes.
TRAPEZOID Off
Press the MENU knob again to dismiss the
B mode context menu. Figure 5.3: B mode context
menu (real time mode)
5.3.2 ECG (Optional)
ECG curve is displayed at the lower part of the screen when activated.
MAIN MENU
ECG OFF
ECG GAIN 1 R-TRIGGER ON
ECG POSITION 8 TRIGGER DELAY 0
ECG INVERT ON FRAME COUNT 10
R-TRIGGER ON FRAME INTERVAL ON
Figure 5.4: ECG and R-Trigger sub-menus
ECG cable has three leads, i.e. LL (left leg, red), LA (left arm, black), RA (right arm, white).
LA is reference lead, normally provides an offset. LL and RA have signals transmitted from
the patient, and are connected to the ECG isolated preamplifier outputs.
Warning!
ECG module can only be used to collect the 3-electrodes ECG signals; it
is not a replacement of electrocardiography monitor.
1. Select ECG from the menu.
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2. Turn the Menu knob to turn on or off the ECG function. The ECG sub-menu contains
the following items.
ECG Turn on/off the ECG function

ECG GAIN Adjust the ECG gain
ECG POSITION Adjust the ECG curve position
ECG INVERT Turn on/off the ECG curve inversion
R-TRIGGER Turn on/off the R wave trigger
Note: only phased array transducers support R-trigger function. The R-TRIGGER sub-menu
contains the following items.
TRIGGER DELAY Delay of trigger after the 2D refresh

FRAME COUNT Image frames transferred per second
FRAME INTERVAL Interval between 2D image refresh
5.3.3 B Gain
The B mode gain (2D gain), determines the amplifying factors for the received
echoes. The echoes are amplified with the same gain value regardless of depth.
The GAIN knob adjusts the overall brightness of the 2D image.
• Turn the GAIN knob clockwise to increase the 2D gain, the ultrasound image gets
brighter.
• Turn the GAIN knob counterclockwise to decrease the 2D gain, the ultrasound im-
age gets darker.
Remarks:
• The gain value is displayed on the screen at the 2D Image Info area
(GN).
• It is possible to change the 2D Gain only when B mode is active,
independent of additional modes.
5.3.4 Time Gain Compensation (TGC)

The TGC are adjustable during the real time scan regardless of the
imaging mode (B, CFM, PW/CW, . . . ) and display format (single, dual,
quad).
Use the TGC slide control to adjust the gain which allows compensation for
attenuation of the echoes over time (depth).
Move the slide control to the left to decrease the gain at the corresponding
depth; move the slide control to the opposite direction to increase the gain at the
corresponding depth.
Remarks:
• The default TGC compensation corresponds to the middle positions
at which the slide controls are.
• Before a slide control is moved, the TGC is kept to its default value
independent of the slider positions.
• TGC curve disappears when the TGC sliders is inactive for more than
several seconds.
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5.3.5 Depth
The depth range is adjustable during the real time scan regardless of the
imaging mode (B, CFM, PW/CW, . . . ) and display format (single, dual,
quad).
The depth knob controls the depth range of the ultrasound image. The system
automatically adjusts the frame rate (FPS) and acoustic power indices (TI, MI ...)
according to the depth.
• Flip the DEPTH switch downwards to increase the depth range of the 2D image and
the size of image is reduced to display the entire ultrasound image.
• Flip the DEPTH switch upwards to decrease the depth range of the 2D image and
the ultrasound image is magnified.
Remarks:
• The range of the scanning depth depends on the probe type. Depth is
represented in unit of cm.
• The depth scale is shown on the right side of the ultrasound image.
• The current depth is displayed at the 2D Image Info area and repre-
sented by D.
5.3.6 Focal Zones

The focal zone determines the depth range for optimizing the concentration of the ultrasound
beam.
Multiple focal zones are possible. The marker ( ) for focal zone is indicated at the depth
scale.
FOCAL NUMBER
Use this function to change the number of focal zones.
• press F1 to select FOCAL NUMBER.
• turn the function knob to change the number of focal zones.
FOCAL SPAN
This function changes the span of focal zones, or equivalently the distance between the
focal zones.
• press F2 to select FOCAL SPAN.
• turn the function knob to change the span of focal zones.
The focal depth is adjustable during the real time scan regardless of the
imaging mode (B, CFM, PW/CW, . . . ) and the display format (single, dual,
quad).
If multiple focal zones are present, they are moveed with the same amount of
depth. To change the depth position(s) of the focal zone(s):
• flip the FOCUS switch downwards to move the focal zones to deeper locations.
• flip the FOCUS switch upwards to move the focal zones to shallower locations.
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Remarks:
• The maximum number of focal zones depends on the probe in use.
• Increasing the focal number decreases the frame rate and increases
the acoustic power indices.
• Increasing the focal zone depth increases the acoustic power indices.
5.3.7 Tissue Acoustic Characteristics

TISSUE ACOUSTIC
The speed of ultrasound depends on the tissue it is passing through. Tissue acoustic
characteristics specifies the ultrasound speed used for measurements and calculations.
Adjust this parameter to fine tune the focusing.
• select TISSUE ACOUSTIC from the context menu.
• turn the MENU knob to adjust this parameter.
Remarks:
Thursday, April 01, 2010
10:08
• The calculations that depends on the ultrasound velocity varies with

the value of TISSUE ACOUSTIC.
• For your reference, Table 5.1 provides the sound speeds in miscella-
neous tissues/organs/materials.
Tissue Type Phase Velocity (m/s)

Air 330
Soft tissue (average) 1540
Bone, skull 2770 +/- 185
Brain Fresh 1460
Breast in vivo 1510 +/- 5
Breast Fat 1420
Breast Mass 1600
Fat, fresh 1450
Kidney 1560
Liver, fresh 1570
Blood 1570
Lung, fresh 658
Muscle 1580
Uterus 1630
Tendon 1750
Collagen 1675
Water (20C) 1480
Table 5.1: Sound speeds in the different materials
5.3.8 Dynamic Range

DYN
Dynamic Range increases the adjustable range of contrast by enhancing the intensities of
parts of the grayscale. It is useful for optimizing the ultrasound image texture.
• press F3 to select DYN.
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• turn the function knob to adjust the DYN setting.
Remarks:
Dynamic Range is displayed at the 2D Image Info Area on the screen (The
D in D/G).
5.3.9 Grayscale curve

GSC
Brightness of each pixel is determined by the amplitude of the corresponding echo.
Grayscale curve (GSC) adjusts the images by changing how the amplitude is converted to
brightness.
• press F4 to select GSC.
• turn the function knob to adjust the GSC setting.
Remarks:
Grayscale Curve is displayed at the 2D Image Info area on the screen (The
G in D/G).
5.3.10 Persistence
PERSIST
Adjust the persistence value to remove speckles from 2D images and enhance the smooth-
ness of the image.
• press F5 to select PERSIST.
• turn the function knob to adjust the PERSIST setting.
Remarks:
Persistence value is displayed at the 2D Image Info area on the screen
(The P in I/P).
5.3.11 Chroma
CHROMA
The echo amplitudes are converted to pixels with different brightness. The chroma value
(color tone and saturation) is mapped to the pixels. There are 13 map combinations
available.
• select CHROMA from the context menu.
• turn the MENU knob to adjust the CHROMA setting.
5.3.12 Biopsy
BIOPSY
Biopsy can be enabled or disabled in the real time scan moce.
• Move the trackball or press the up/down key to select the BIOPSY setting.
• turn the MENU knob to enable or disable it.
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Figure 5.5: Biopsy Screen
If the BIOPSY is set to ON, the following submenus display.

BIOPSY OFFSET 12.2
BIOPSY ANGLE 42
And two parallel biopsy lines display on the screen, as shown in the following figure.
You can adjust the biopsy offset and biopsy angle if neccessary. It the BIOPSY is set to
OFF, no submenu displays.
Remarks:
• The range of the biopsy offset and angle vary with the probe.
• You should calibrate the biopsy line each time before performing
biopsy. If the position of the biopsy needle is different with that of
the biopsy line, the biopsy cannot be performed.
• The biopsy offset and angle restore to the factory default settings
after the system is restarted.
5.3.13 Sector Width and Position

User can reduce the imaging area to the region of interest by reducing the sector width and
move the sector position.
SEC.WIDTH
• press F3 to select SEC.WIDTH.
• turn the function knob to change the sector width.
SEC.POS
• press F4 to select SEC.POS.
• turn the function knob to change the sector position.
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5.3.14 Line Density

LINE DENSITY
LINE DENSITY can be set to Low, Medium or High. Higher line density can provide better
horizontal resolution, but also reduces the frame rate.
• press F1 to select LINE DENSITY.
• turn the function knob to change the LINE DENSITY setting.
5.3.15 Compound Imaging

COMPOUND
Select this item from the context menu, turn the MENU knob to turn on/off the compound
imaging.
• select COMPOUND from the context menu.
• turn the MENU knob to turn on or off the compound imaging.
5.3.16 Frequency Range

FREQUENCY
The transducer is capable of generating a broadband signal with a certain start frequency
and a certain bandwidth. The higher frequency that is set, the higher the resolution and the
lower the penetration.
• press F2 to select FREQUENCY.
• turn the function knob to change the frequency value.
Remarks:
The frequency range is displayed at the 2D Image Info area FRQ.
5.3.17 Image Orientation (Left/Right, Up/Down)

Change of the image orientation is possible with all imaging modes (real-time or frozen)
independent of the display format (single, dual, quad).
LT↔RT Orientation
marker at the
default location
Use this function to alternate the image orienta-
tion between left and right without rotating the FPS

D/G
63
120/2
T987 Patient Name
0
Dec-21-2011 14:55:08
GN 32
scan head itself. The orientation marker ( ) cor-

I/P 6/40
PWR 70
FRQ 7-13
D 4.4cm 1
responds to the position of the first element of the 2
array on the transducer. 3
• select LT↔LT from the context menu. 5
• turn the MENU knob to alternate the image

orientation between left and right.
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Remarks:
If the item LT↔RT is not available in the context menu, you can
also use the L/R key to change the image left/right orientation.
Up/Down
Press the U/D key to alternate the image orientation between up and down.
5.3.18 Adaptive Image Fusion

ADAPT. IM FUSION
Adaptive image fusion provides choices of optimization methods for improving image quality
through boundary enhancement, image smoothing and system optimization.
• select ADAPT. IM FUSION from the context menu.
• turn the MENU knob to adjust the setting for optimizing the adaptive image fusion.
Remarks:
Adaptive Image Fusion is displayed at the 2D Image Info Area on the
screen (The I in I/P).
5.3.19 µScan Function
The µScan function is an option. If it is not installed, the uScan item will not
appear in the B mode context menu.
uScan
The µScan function allows the transducer to see in more than one direction, eliminates
artifacts from the ultrasound image.
• select uScan from the context menu.
• turn the MENU knob to turn on or off the µScan function.
5.3.20 Acoustic Output Power

POWER %
The acoustic output power of the transducer should be set to the minimum value which
still provides the user with well evaluable information. Always keep the power level and the
exposure time as low as reasonably achievable.
• select POWER % from the context menu.
• turn the MENU knob to adjust the output power.
Remarks:
• The acoustic output power is displayed at the 2D Image Info Area on
the screen (PWR).
• You can decrease the acoustic power indices (MI, TI) by reducing the
output power of the transducer.
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5.3.21 Trapezoidal Imaging

TRAPEZOID
The Trapezoidal Imaging, only available with linear array probes, increases the range of
view of the ultrasound image. The TRAPEZOID item is hidden for other types of probes.
• select TRAPEZOID from the context menu.
• turn the MENU knob to turn on or off the trapezoidal imaging.
5.3.22 2D Refresh
2D REFRESH
If this option is left on, the B mode image (the 2D grayscale image) will be active during the
B+PW/CW and the B+M modes.
• press F5 to select 2D REFRESH.
• turn the function knob to turn on or off 2D REFRESH.
5.3.23 Zoom
The zoom function enlarges a selected area of the ultrasound image to full screen.
The zoom function is also available in cine mode.
• Press the ZOOM key, a zoom box is displayed on the image.
• Press the SET key, and move the trackball to move the zoom box position. Press
the SET key again, and move the trackball to change the size of the zoom box.
• Press the ZOOM key to magnify the area enclosed in the zoom box.
5.4 B Cine Mode Operation
During the real time B mode scan, press the FREEZE key to freeze the image
and start cine mode, or freeze mode. Recent image frame sequence will be
cached and ready for review.
Caution!
All measurements performed in the real time mode will be cleared upon
pressing the FREEZE key.
The cine mode operation is independent of the display format (single, dual, quad).
CHROMA LOOP SPEED PLAY/STOP PANORAMIC 2D REFRESH
Figure 5.6: Function menu in B cine mode
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Scroll the trackball fast forward to start playing the GSC 3
cine loop. Move the trackball backwards to stop the CHROMA 1
playback. LT↔RT ↔
Press the MENU knob and the cine mode menu (right) PLAY/STOP |→
will appear at the context menu area (refer to Figure LOOP SPEED ↔
2.4). START |←
More cine mode operations are introduced in the fol- END →|
lowing subsections. FRAME BY FRAME ....
5.4.1 Grayscale curve

GSC
• select GSC from the context menu.
• turn the MENU knob to adjust the GSC setting.
Refer to Section 5.3.9 for explanations of this function.
5.4.2 Chroma
CHROMA
• press F1 to select CHROMA.
• turn the function knob to change the CHROMA setting.
Refer to Section 5.3.11.
5.4.3 Image Orientation (Left/Right)

LT↔RT
5.4.4 Cine Review

CINE REVIEW
If the same patient has gone through the same diagnosis before, the saved images can be
accessed conveniently from the cine mode menu.
• select CINE REVIEW from the context menu.
• turn the MENU knob to select the cine image for review from a list of cine images.
• press the SET key to start reviewing the selected image.
Remarks:
Press the FREEZE key to return to the real time scan immediately.
5.4.5 Select Image Sequence

Before starting the 3D mode or panoramic imaging, a range of image frames can be
selected. The sequence is marked by a start marker and an end marker.
• Use the trackball to locate the start frame position and press the SET key.
• Use the trackball to locate the end frame position and press the SET key.
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5.4.6 Panoramic Imaging

PANORAMIC
This function constructs an ultrasound image from a previous scan. The ultrasound image
constructed in the panoramic imaging provides a larger range view compared to any single
frame of image. Dual the scan for preparing the panoramic imaging, the transducer should
be moving linearly.
• select a range of image frames (refer to Section 5.4.5), press F4 to select PANORAMIC.
• turn the function knob to turn on or off the panoramic imaging.
5.4.7 Cine Playback

Cine playback operations can be performed through the cine mode context menu or the
quick access menu. Items in the quick access menu can be selected by pressing the
corresponding Fn keys. The cine context mode menu can be activated by pressing the
MENU knob.
PLAY/STOP
Use the LEFT/RIGHT keys or turn the MENU knob to pause or start the playback. Alter-
natively, scroll the trackball horizontally fast forward to start playing the cine. Touch the
trackball to stop the playback.
LOOP SPEED
Use the LEFT/RIGHT keys or turn the MENU knob to control the playback speed.
START
Press the LEFT key to move the frame marker to the start of the cine.
END
Press the RIGHT key to move the frame marker to the end of the cine.
FRAME BY FRAME
Press the LEFT/RIGHT keys to move the review the previous/next frame.
5.4.8 Saving Image/Cine

If One Key Save (Subsection 4.6.1) is set to ON, press SAVE for less than 3 seconds to
save the current frame as a single image; press SAVE for more than 3 seconds to save all
frames as a cine clip. The following explains the behaviour of SAVE when One Key Save
is set to OFF.
• To save a frame as an image, press SAVE in cine mode and press 1 . Enter a file
name and followed by the Enter key.
• To save a cine sequence, mark the start and end positions of the sequence, press
SAVE in cine mode and press 2 . If no start and end positions are marked, the whole
sequence will be saved. Enter a name and followed by the Enter key.
The files are saved in the patient folder if a valid patient profile (Refer to Section 3.5.) is
active, and in the General Directory if no valid patient profile is active.
Note:
By setting SAVE w/DCM to ON (Subsection 4.6.1), image/cine are also sent
through DICOM while saving. Please also refer to Section 4.6.8 for more
information about DICOM setup.
5-13
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5.5 Dual and Quad Display Formats

The dual display and the quad display of ultrasound images facilitate the comparison of
ultrasound images performed at the different time.
5.5.1 Dual Display Format

Frozen+Real Time Display Format
In the real time mode (B, CFM, PW/CW . . . ), press the DUAL key to activate the
dual display. The image is reduced to half of its original size and moved to the
left to leave space for displaying the other image. Press the L/R key to freeze the current
image and activate the display on the right.
Changing the imaging mode for the selected image is possible by pressing the correspond-
ing key ( B , CFM , DPI , . . . ).
Use the L/R key to toggle between left and right for the real time display.
Figure 5.7: Dual display: real time B + frozen B
From LT↔RT in the context menu (accessed by pressing the MENU knob), change
the left/right image orientation for the selected image.
Press the U/D key to alternate the up/down image orientation for the selected
image.
Dual Real Time Display Format
Press the DUAL again key to:
• exit the dual display format, if within the dual display there is no color mode (CFM, or
DPI, or TDI) image; or
• activate the dual real time display format, viz, real time B + real time Color (CFM or
DPI, or TDI) display format, if within the dual display there is at least one color mode
image.
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The dual real time display format can also be activated by pressing the DUAL
key twice at the real time color mode.
Figure 5.8: Dual display: real time CFM + frozen B
the left/right image orientations for both images.
Press the U/D key to alternate the up/down image orientation for both images.
Press the DUAL key the third time to exit the dual color mode display.
5.5.2 Quad Display Format

In the real time B or color mode, press the ‘numerical’ 4 key at the keyboard to activate the
quad display. The image is reduced to a quarter of its original size and moved to the top left
to leave space for displaying other images.
Press the L/R key to freeze the current image and activate the display on the next quadrant
(clockwise).
Changing the imaging mode for the selected image is possible by pressing the correspond-
ing key ( B , CFM , DPI , TDI ).
the left/right image orientation for the selected image.
Press the U/D key to alternate the up/down image orientation for the selected
image.
Press the ‘numerical’ 4 key again to exit the quad display.
5.6 Tissue Harmonic Imaging (THI)
Tissue reflects echoes with the received frequency (which is the ‘fundamental
frequency’) as well as the harmonics. In THI mode, these harmonics are also
picked up and analyzed.
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THI gives better grayscale contrast compared to the standard B mode imaging, and also
helps removing artifacts from the image. This imaging technique has been proved to be
very useful for difficult-to-image patients.
Press the THI key to enable the THI mode, THI status appears at the lower left corner of
the screen.
To disable the THI mode, press the THI key again.
Remarks:
• THI is available only for selected probes.
• The system automatically optimizes certain parameters (B mode gain
and frequency, and acoustic output power) upon enabling THI.
5-16
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Chapter 6
CFM Mode (Color Flow Mode)
In CFM mode, velocity information is represented as a color coded overlay on top of a 2D B

mode image.
CFM can also work with other imaging modes to form duplex and triplex modes:
CFM+M (for phased array probes only)

CFM+PW/CW
Contents
6.1 Starting CFM Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
6.2 Color Image Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
6.3 Real Time CFM Mode Operation . . . . . . . . . . . . . . . . . . . . . . . 6-2
6.3.1 CFM Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
6.3.2 Adjust CFM Sample Box . . . . . . . . . . . . . . . . . . . . . . . 6-3
6.3.3 Pulse Repetition Frequency . . . . . . . . . . . . . . . . . . . . . 6-3
6.3.4 Wall Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
6.3.5 CFM Gain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-3
6.3.6 Persistence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
6.3.7 Color Map . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
6.3.8 CFM Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
6.3.9 Baseline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
6.3.11 B Reject . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
6.3.12 CFM Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
6.3.14 Flow Invert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
6.3.15 Line Density . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
6.3.16 2D Refresh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
6.4 CFM Cine Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-6
6.4.1 C Map . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
6.4.2 B Reject . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
6.4.3 Flow Invert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
6.4.4 Cine Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-7
6.4.5 Cine Playback . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-8
6.1 Starting CFM Mode
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Press the CFM key to activate the CFM mode. The CFM sample box appears
in the active 2D image.
Press the B key to deactivate the CFM mode, the system enters the B mode.
New Hosp. C362 MI 0.2 TIS 0.7

Mar-23-2010 16:08:16
FPS 47
D/G 3/1 0
9
GN 255 cm/s
I/P 3/30
PWR 70
FRQ 3-4.8
D 16.5cm
5
→
-9
cm/s
ECG →
50 PERSIST 40
BASELINE 0
10
LT↔RT ↔
70 15
0
C MAP/DIRECT. D WF B REJECT LINE DENSITY FREQUENCY
↔ POWER % SEC. WIDTH SEC. POS 2D REFRESH
↔
Figure 6.1: CFM mode
55
.1
6.2 Color Image Information
↔
The color image information for the CFM mode ultrasound is
ff PRF 3.0
displayed at the Color Image Info area (refer to Figure 2.4 for
w the location).
WF 185
The meaning for the items shown in the info area are explained
in the table below. GN 20
C/P 1/60
PRF pulse repetition frequency
WF wall filter value PWR 70
GN Doppler gain, D gain
C/P Color Map setting / persistence value FRQ 5.1
FRQ transmitted frequency (MHz)
6.3 Real Time CFM Mode Operation

The CFM mode operation for the current ultrasound image is independent of the display
format (single, dual or quad). Review Section 3.4 for the general operation instructions.
6.3.1 CFM Menus

The following function menu appears on the screen with the real time CFM mode.
POWER % SEC. WIDTH SEC. POS 2D REFRESH
Figure 6.2: Function menu in real time CFM mode
Real Time CFM Mode Context Menu
6-2
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ECG →
Press the MENU key to activate the CFM
PERSIST 40
mode menu which will appear at the Context
BASELINE 0
Menu area (refer to Figure 2.4).
LT↔RT ↔
CFM mode context menu. Figure 6.3: Real time CFM
mode context menu
6.3.2 Adjust CFM Sample Box

Follow the instructions below to adjust the sample box.
• Use the trackball to change the position of the sample box.
• Press the SET key. Use the trackball to change size of the sample box.
• Press the SET key again to re-adjust the position of the sample box.
6.3.3 Pulse Repetition Frequency
The Pulse Repetition Frequency sets the velocity range of the color flow display.
The range of the PRF depends on the probe and the application mode. Increasing
the PRF range also changes the velocity scale shown on color wedge.
Flip the PRF switch up/down to increase/decrease the PRF range.
Remarks:
• The current PRF value is display at the Color Image Info area (PRF).
• The system automatically adjusts the Wall Filter setting upon changing
the PRF value.
6.3.4 Wall Filter

Wall Filter intends to eliminate the low frequency noise generated by movements of blood
vessel walls.
• press F2 to select WF.
• turn the function knob to change the value of the filter.
Remarks:
• The current Wall Filter value is displayed at the Color Image Info area
(WF).
• The Wall Filter is adjustable within a range which depends on the
current PRF value.
6.3.5 CFM Gain

Properly adjust the CFM gain (or Doppler gain) to ensure that the color flow is
continuous but no color speckle is present.
Turn the D GAIN knob clockwise / counterclockwise to increase / decrease the
CFM gain.
6-3
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Remarks:
• The CFM gain value is displayed on the screen at the Color Image
Info area (GN).
• It is possible to change the CFM Gain only when the CFM mode is
active.
6.3.6 Persistence
PERSIST
Similar to the persistence in the B mode, adjust the persistence value to enhance the
smoothness of the color image.
• select PERSIST from the context menu.
• turn the MENU knob to adjust the PERSIST setting.
Remark:
• The persistence value is displayed on the screen at the Color Image
Info area (the P in C/P).
6.3.7 Color Map

C MAP
Use this function to select the method for the color coding of blood flows.
• press F1 to select C MAP.
• turn the function knob to adjust the CHROMA setting.
Remark:
• The Color Map method is displayed on the screen at the Color Image
Info area (the C in C/P).
6.3.8 CFM Power

POWER %
Similar to the acoustic output power in the B mode, the value of the output power in the
CFM mode should be kept as low as reasonably achievable.
• press F1 to select POWER %.
• turn the function knob to change the output power.
Remark:
• The acoustic output power in the CFM mode is displayed on the
screen at the Color Image Info area (PWR).
6-4
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6.3.9 Baseline
BASELINE
Moving the baseline increases the velocity range in one direction, the zero position also
moves as a result. The maximum velocities in both directions are displayed at the ends of
the Spectral Wedge (15, Figure 2.4).
• Flip the BASELINE button to move the baseline up or down to move the baseline;
or
• Select BASELINE from the context menu, turn the MENU knob to move the base-
line.

SEC.WIDTH
SEC.POS
Sector width and position are the same as those in the B mode, refer to Section 5.3.13 for
explanations.
6.3.11 B Reject
B REJECT
Sets the display priorities of the color and 2D grayscale pixels. Larger B Reject value
suppresses more grayscale pixels.
• press F3 to select B REJECT.
• turn the function knob to change the B REJECT value.
6.3.12 CFM Frequency

FREQUENCY
The CFM mode frequency controls the transmit frequency.
Higher frequency delivers better display of low flow velocities, but the penetration depth is
reduced.
Lower frequency delivers better display of high flow velocities, but the penetration depth is
increased.
• turn the function knob to change the frequency.
Remark:
• The CFM frequency value is displayed on the screen at the Color
Image Info area (FRQ).
6-5
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LT↔RT
6.3.14 Flow Invert

FLOW INVERT
Similar to the Video Invert function in the M mode which inverts the grayscale display, the
Flow Invert in CFM mode inverts the color display in relation to the direction of flow. The
Spectral Wedge also inverts around the baseline.
The Flow Invert setting is adjustable in the real time mode as well as the freeze mode.
• press the Flow Invert ( Finv ) key to turn On/Off the Flow Invert function.
when Off: RED for flow to the transducer; BLUE for flow away from the
transducer.
when On: BLUE for flow to the transducer; RED for flow away from the
transducer.
6.3.15 Line Density

LINE DENSITY
This function determines the line density within the CFM sample box. Lower line density
makes the color pixels larger. Line density in CFM mode can be set to Low or High.
6.3.16 2D Refresh
2D REFRESH
If this option is left on, the 2D color Doppler image will be active during the Color Doppler+PW/CW
and the Color Doppler+M modes.
6.4 CFM Cine Mode

Press the FREEZE key during the real time CFM scan to freeze the image and
start the cine mode. Recent image frames are cached and ready for review.
Caution!
C MAP/DIRECT. D LOOP SPEED PLAY/STOP B REJECT CINE REVIEW
Figure 6.4: Function menu in CFM cine mode
6-6
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C MAP 3
Move the trackball fast forward to start playing the cine
loop. Touch the trackball to stop the playback. B REJECT 254
Press the MENU knob and the cine mode menu (right) LOOP SPEED ↔
will appear at the context menu area (refer to Figure START |←
2.4). END →|
More cine mode operations are introduced in the fol- FRAME BY FRAME ....
lowing subsections.
Figure 6.5: CFM cine mode con-
text menu
6.4.1 C Map
C MAP
Refer to Section 6.3.7 for explanations of this function. To change the C MAP setting,
• press F1 to select C MAP, turn the function knob to change the C MAP setting; or
• select C MAP from the context menu, turn the MENU knob to change the C MAP
setting.
6.4.2 B Reject
B REJECT
• press F4 to select B REJECT, turn the function knob to change the B REJECT
setting; or
• select B REJECT from the context menu, turn the MENU knob to change the B
REJECT setting.
6.4.3 Flow Invert

FLOW INVERT
Refer to Section 6.3.14 for explanations and usage of this function.
6.4.4 Cine Review

CINE REVIEW
• Press F5 to select CINE REVIEW
• turn the function knob to select the cine image for review from a list of cine images.
Remarks:
6-7
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6.4.5 Cine Playback

LOOP SPEED
START
END
FRAME BY FRAME
6-8
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Chapter 7
DPI Mode (Doppler Power

Imaging)
Doppler Power Imaging (DPI) mode is especially useful in displaying very low flow velocities.
DPI can also work with other imaging modes to form duplex and triplex modes.
Contents
7.1 Starting DPI Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-1
7.2 DPI Image Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
7.3 Real Time DPI Mode Operation . . . . . . . . . . . . . . . . . . . . . . . . 7-2
7.3.1 DPI Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-2
7.3.2 Adjust DPI Sample Box . . . . . . . . . . . . . . . . . . . . . . . 7-3
7.3.4 Wall Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
7.3.5 DPI Gain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-3
7.3.6 Persistence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
7.3.7 Color Map & Directional DPI . . . . . . . . . . . . . . . . . . . . . 7-4
7.3.8 DPI Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4
7.3.10 B Reject . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5
7.3.11 DPI Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-5
7.3.13 Line Density . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6
7.3.14 2D Refresh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6
7.4 DPI Cine Mode Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6
7.4.1 Color Map . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-6
7.4.2 B Reject . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7
7.4.3 Cine Playback . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-7
7.1 Starting DPI Mode
Press the DPI key to activate the DPI mode. The DPI sample box appears in
the active 2D image.
Press the B key to deactivate the DPI mode, the system enters the B mode.
7-1
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New Hosp. C362 MI 0.2 TIS 0.7

Mar-23-2010 16:08:16
FPS 47
D/G 3/1 0
GN 255
I/P 3/30
PWR 70
FRQ 3-4.8
D 16.5cm
5
C MAP/DIRECT. D →
B REJECT 40
BASELINE 0
10
LT↔RT ↔
15
Figure 7.1: DPI mode
7.2 DPI Image Information

The DPI image information is displayed at the Color Image Info
area (10, in Figure 2.4). PRF 1.0
The meaning for the items shown in the info area are explained WF 75
in the table below.
GN 20
PRF pulse repetition frequency C/P 1/60

WF wall filter value
GN Doppler gain, D gain PWR 70
C/P Color Map setting / persistence value
FRQ 6.0
7.3 Real Time DPI Mode Operation

The DPI mode operation for the current ultrasound image is independent of the display
format (single, dual or quad). Review Section 3.4 for the general operation instructions.
7.3.1 DPI Menus

Function Menu
The following function menu appears on the screen with the real time DPI mode.
Figure 7.2: Function menu in real time DPI mode
Real Time DPI Mode Context Menu
7-2
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ECG →
Press the MENU key during the real time
PERSIST 60
DPI scan to activate the DPI mode menu
LT↔RT ↔
which will appear at the Context Menu area
(refer to Figure 2.4). Figure 7.3: Real time DPI mode
menu
DPI mode context menu.
7.3.2 Adjust DPI Sample Box

The Pulse Repetition Frequency sets the velocity range of the color flow display.
Remarks:
the PRF value.
7.3.4 Wall Filter

vessel walls.
Remarks:
(WF).
current PRF value.
7.3.5 DPI Gain

Properly adjust the DPI gain to ensure that the color flow is continuous but no
color speckle is present.
CFM gain.
7-3
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Remarks:
• The DPI gain value is displayed on the screen at the Color Image Info
area (GN).
• It is possible to change the DPI Gain only when the DPI mode is active.
7.3.6 Persistence
PERSIST
smoothness of the DPI image.
• Select PERSIST from the context menu.
• Turn the MENU knob to decrease/increase persistence value.
Remark:
7.3.7 Color Map & Directional DPI

C MAP/DIRECT.D
• press F1 to select C MAP/DIRECT.D.
• turn the function knob to change the value.
Set this value to 1, 2, or 4 to adjust the Color Map setting. Similar to the Color Map in the
CFM mode, this function select the method for the color-coding of the display of blood flow.
Set this value to 3 to enable Directional DPI (only possible during the real time scan). When
Directional DPI is enabled, the above indicator is displayed on the screen.
Remark:
• Note that enabling Directional DPI is only possible during the real
time DPI scan.
• Adjusting Color Map setting is also possible in the freeze mode.
Directional DPI displays the direction of flow while in Doppler Power Imaging. This function
is very useful when there is requirements in applications where sensitivity and directional
information are both required. Red represents flow toward the transducer; Blue represents
flow away from the transducer.
7.3.8 DPI Power

POWER %
Similar to the acoustic output power in the B mode, the value of the output power in the DPI
mode should be kept as low as reasonably achievable.
• turn the function knob to change the value.
7-4
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Remark:
• The acoustic output power in the DPI mode is displayed on the screen
at the Color Image Info area (PWR).

SEC.WIDTH
SEC.POS
explanations.
7.3.10 B Reject
B REJECT
• press F3 to select B REJECT.
• turn the function knob to change the B REJECT value.
7.3.11 DPI Frequency

FREQUENCY
Similar to the CFM frequency, higher DPI frequency delivers better display of low flow
velocities, but the penetration depth is reduced. Lower DPI frequency delivers better display
of high flow velocities, but the penetration depth is increased.
• turn the function knob to change the frequency.
Remark:
• The DPI frequency value is displayed on the screen at the Color Image
Info area (FRQ).

LT↔RT
7-5
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7.3.13 Line Density

LINE DENSITY
This function, similar to the Line Density in CFM mode, adjusts the line density in displaying
the flow in the DPI sample box. Line density can be set to Low or High.
7.3.14 2D Refresh
2D REFRESH
7.4 DPI Cine Mode Operation
Press the FREEZE key during the real time DPI scan to freeze the image and
Caution!
C MAP/DIRECT.D LOOP SPEED PLAY/STOP B REJECT CINE REVIEW
Figure 7.4: Function menu in DPI cine mode
C MAP/DIRECT.D 1
Move the trackball fast forward to start playing the cine
B REJECT 255
loop. Touch the trackball to stop the playback.
LOOP SPEED ↔
Press the MENU knob and the cine mode menu (right)
START |←
will appear at the context menu area (refer to Figure
END →|
2.4).
FRAME BY FRAME ....
More cine mode operations are introduced in the fol-
lowing subsections. Figure 7.5: DPI cine mode
menu
7.4.1 Color Map

C MAP/DIRECT.D
Also refer to Section 7.3.7.
• Press F1 to select C MAP/DIRECT.D, turn the function knob to change the color
map setting; or
• select C MAP/DIRECT.D from the context menu, turn the MENU knob to change
the color map setting.
7-6
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7.4.2 B Reject
B REJECT
Also refer to Section 7.3.10.
• Press F4 to select B REJECT.
• Turn the function knob to change the B REJECT value.
7.4.3 Cine Playback

LOOP SPEED
START
END
FRAME BY FRAME
7-7
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7-8
P11 EXP
Chapter 8
TDI Mode (Tissue Doppler

Imaging)
Tissue Doppler Imaging (TDI) captures the wall motion of vessels and creates a color image
displaying the tissue motion. TDI is a cardiography technique, so it can only be used in
cardiology application modes.
Like conventional Doppler mode, TDI also uses Doppler principle. However, in TDI mode
high amplitude (high intensity), low frequency tissue motion is quantified. In contrast, in the
conventional Doppler mode low amplitude (low intensity), high frequency blood motion is
quantified.
TDI can also work with other imaging modes to form duplex and triplex modes.
Caution!
Only phased array probes (2P1) are TDI capable.
Contents
8.1 Starting TDI Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
8.2 TDI Image Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
8.3 TDI Mode Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-2
8.3.1 Real Time TDI Mode Menus . . . . . . . . . . . . . . . . . . . . . 8-2
8.3.2 Adjust TDI Sample Box . . . . . . . . . . . . . . . . . . . . . . . 8-3
8.3.4 Wall Filter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
8.3.5 TDI Gain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-3
8.3.6 Persistence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4
8.3.7 Color Map . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4
8.3.8 TDI Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4
8.3.9 Baseline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-4
8.3.11 B Reject . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5
8.3.12 TDI Frequency . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-5
8.3.14 Flow Invert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6
8.3.15 Line Density . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6
8.3.16 2D Refresh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6
8.4 Cine Mode Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-6
8.4.1 C Map . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7
8-1
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8.4.2 B Reject . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7

8.4.3 Flow Invert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7
8.4.4 Cine Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7
8.4.5 Cine Playback . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8-7
8.1 Starting TDI Mode

To activate the TDI mode, press the TDI key or the T key on the al-
phanumerical keyboard. The TDI sample box appears in the active 2D
image.
Press the B key to deactivate the TDI mode, the system enters the B
mode.
8.2 TDI Image Information

The color image information for the TDI mode ultrasound is
displayed at the Color Image Info area (refer to Figure 2.4 for PRF 1.0
the location). WF 75
The meaning for the items shown in the info area are explained
in the table below. GN 20
C/P 1/60
WF wall filter value PWR 70
GN Doppler gain, D gain
FRQ 2.6
C/P Color Map setting / persistence value
8.3 TDI Mode Operation

The TDI mode operation for the current ultrasound image is independent of the display
format (single, dual or quad). TDI mode parameters and settings can be adjusted through
the TDI mode menu or directly using the knobs / flip switches.
8.3.1 Real Time TDI Mode Menus

The following function menu appears on the screen with the real time TDI mode.
Figure 8.1: Function menu in real time TDI mode
Real Time TDI Mode Context Menu

ECG →
Press the MENU key to activate the TDI
PERSIST 40
mode menu which will appear at the Context
BASELINE 0
Menu area (refer to Figure 2.4).
LT↔RT ↔
TDI mode context menu. Figure 8.2: TDI mode menu
8-2
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8.3.2 Adjust TDI Sample Box

The Pulse Repetition Frequency sets the velocity range of the display.
Remarks:
the PRF value.
8.3.4 Wall Filter

Wall Filter should be adjusted to remove the random color speckle but also keep
the enough amount of color display.
Remarks:
• The current Wall Filter value is display at the Color Image Info area
(WF).
current PRF value.
8.3.5 TDI Gain

Properly adjust the TDI gain to ensure that the color flow is continuous but no
color speckle is present.
TDI gain.
Remarks:
• The TDI gain value is displayed on the screen at the Color Image Info
area (GN).
• It is possible to change the TDI Gain only when the TDI mode is
active.
8-3
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8.3.6 Persistence
PERSIST
smoothness of the color image.
• select PERSIST from the context menu.
• turn the MENU knob to adjust the PERSIST setting.
Remark:
8.3.7 Color Map

C MAP
Similar to the Color Map in the CFM mode, this function select the method for the color-
coding of the display of color flow.
• press F1 to select C MAP.
• turn the function knob to adjust the CHROMA setting.
Remark:
• The Color Map method is displayed on the screen at the Color Image
Info area (the C in C/P).
8.3.8 TDI Power

POWER %
Similar to the acoustic output power in the B mode, the value of the output power in the TDI
mode should be kept as low as reasonably achievable.
• turn the function knob to change the output power.
Remark:
• The acoustic output power in the TDI mode is displayed on the screen
at the Color Image Info area (PWR).
8.3.9 Baseline
BASELINE
Moving the baseline increases the velocity range in one direction, the zero position also
moves as a result. The maximum velocities in both directions are displayed at the ends of
the Spectral Wedge (15, Figure 2.4).
• Flip the BASELINE button to move the baseline up or down to move the baseline;
or
• Select BASELINE from the context menu, turn the MENU knob to move the base-
line.
8-4
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SEC.WIDTH
SEC.POS
explanations.
8.3.11 B Reject
B REJECT
The B Reject value is adjustable in the real time mode as well as the freeze mode.
• go to the context menu, highlight B REJECT.
• use the LEFT/RIGHT keys to adjust the B Reject value.
8.3.12 TDI Frequency

FREQUENCY
The TDI mode frequency controls the transmit frequency.
Higher frequency delivers better display of low flow velocities, but the penetration depth is
reduced.
Lower frequency delivers better display of high flow velocities, but the penetration depth is
increased.
• Press F5 to select FREQUENCY.
• Turn the function knob to change the frequency.
Remark:
• The TDI frequency value is displayed on the screen at the Color Image
Info area (FRQ).

LT↔RT
8-5
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8.3.14 Flow Invert

FLOW INVERT
The Flow Invert in TDI mode inverts the color display in relation to the direction of flow. The
Spectral Wedge also inverts around the baseline.
• press the Flow Invert ( Finv ) key to turn On/Off the Flow Invert function.
when Off: RED for flow to the transducer; BLUE for flow away from the
transducer.
when On: BLUE for flow to the transducer; RED for flow away from the
transducer.
8.3.15 Line Density

LINE DENSITY
This function determines the line density within the TDI sample box. Lower line density
makes the color pixels larger. Line density in TDI mode can be set to Low or High.
8.3.16 2D Refresh
2D REFRESH
8.4 Cine Mode Operation
Press the FREEZE key during the real time TDI scan to freeze the image and
C MAP/DIRECT. D LOOP SPEED PLAY/STOP B REJECT CINE REVIEW
Figure 8.3: Function menu in TDI cine mode
C MAP 3
Cine Mode Operation
Move the trackball fast forward to start playing the cine B REJECT 254
loop. Touch the trackball to stop the playback. LOOP SPEED ↔
Press the MENU knob and the cine mode context START |←
menu (right) appears. END →|
FRAME BY FRAME ....
More cine mode operations are introduced in the fol-

Figure 8.4: TDI cine mode con-
lowing subsections. text menu
8-6
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8.4.1 C Map
C MAP
Refer to Section 6.3.7 for explanations of this function. To change the C MAP setting,
• press F1 to select C MAP, turn the function knob to change the C MAP setting; or
• select C MAP from the context menu, turn the MENU knob to change the C MAP
setting.
8.4.2 B Reject
B REJECT
• press F4 to select B REJECT, turn the function knob to change the B REJECT
setting; or
• select B REJECT from the context menu, turn the MENU knob to change the B
REJECT setting.
8.4.3 Flow Invert

FLOW INVERT
Refer to Section 6.3.14 for explanations and usage of this function.
8.4.4 Cine Review

CINE REVIEW
• Press F5 to select CINE REVIEW
• turn the function knob to select the cine image for review from a list of cine images.
Remarks:
8.4.5 Cine Playback

LOOP SPEED
START
END
FRAME BY FRAME
8-7
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8-8
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Chapter 9
M Mode
M mode can only be used with the B, CFM, or TDI mode to form the B+M, CFM+M, TDI+M
duplex mode.
Contents
9.1 Starting M Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1
9.2 M Mode Operation, M Trace Inactive . . . . . . . . . . . . . . . . . . . . . 9-1
9.2.1 Adjust M Mode Cursor Line . . . . . . . . . . . . . . . . . . . . . 9-2
9.3 M Mode Operation, M Trace Active . . . . . . . . . . . . . . . . . . . . . . 9-3
9.3.1 M Gain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
9.3.2 Sweep Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-3
9.3.3 Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4
9.3.4 Chroma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4
9.3.5 M Process . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4
9.3.6 Video Invert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4
9.3.7 Steer M . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
9.3.8 Display Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-5
9.4 Cine Mode Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-6
9.1 Starting M Mode
Press the M mode key during the real time scan with B/CFM/TDI mode to
activate the B+M/CFM+M/TDI+M duplex mode.
Only phased array probes (2P1) support CFM+M and TDI+M modes.
Press the M mode key again to deactivate the M mode.
Initially the M mode cursor line (a straight line across the ultrasound image) is inserted at
the center of the 2D ultrasound image. The M mode trace (Figure 9.1) will not be active
until the UPDATE key is pressed.
Real time M-duplex mode operations are explained in Section 9.2 and Section 9.3.
M-duplex cine mode operations are explained in Section 9.4.
9.2 M Mode Operation, M Trace Inactive

Before the M mode trace is active, the system virtually works at B/CFM/TDI/. . . mode.
The items in the function menu and the context menu are identical (except for B+M mode)
to those with the single B/CFM/TDI/. . . mode.
9-1
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New Site 2P1

Apr-07-2010 16:08:16
FPS 47 0
D/G 3/1
GN 12
I/P 3/30 5
PWR 70
FRQ 4.7
D 16.5cm 10
15
0
ECG →
MPR PEK
SR FORMAT
DISPLAY 4 60
GN 25 5
PWR 70
10
15
SWEEP SPEED POWER % CHROMA M PROCESS VIDEO INVERT
Figure 9.1: B+M duplex mode with the M trace updating
In B+M duplex mode, before the M trace is active, the function menu is shown as in Figure
9.2.
FOCAL NUMBER FOCAL SPAN DYN GSC PERSIST
LINE DENSITY FREQUENCY SEC.WIDTH SEC.POS 2D REFRESH
Figure 9.2: B mode function menu in B+M duplex mode (with M trace inactive)
Press the MENU knob to activate the con- ECG →
text menu (right). CHROMA 1
The B menus in the B+M duplex mode is UP↑↓DOWN Off

shown above and on the right. LT↔RT ↔
Except for the item STEER M and DISPLAY
POWER % 60
FORMAT, which are specific for the M-
STEER M Off
duplex mode, all other items has the same
DISPLAY FORMAT V1/2
meaning as in single B/CFM/TDI mode. Re-
fer to the respective chapters for explana- Figure 9.3: B menu in B+M du-
plex mode
tions and usage of these items.
9.2.1 Adjust M Mode Cursor Line

Move the trackball to change the M mode cursor position.
STEER M
This function is only available in B+M duplex mode.
With this function,multiple M mode cursor lines can be inserted into the 2D image. Follow
instructions below to add additional M cursor lines.
• Press the MENU knob to activate the context menu shown on page 9-2.
• Use the trackball to select STEER M, turn the MENU knob to change the number
of M mode cursor lines.
• Turn off the display of the context menu by pressing the MENU knob again.
• Use the trackball to change the M cursor position.
• Press the LEFT/RIGHT keys or use the ANGLE knob to change the angle of the M
mode cursor.
9-2
FOCAL NUMBER 4 SWEEP SPEED 4 P11 EXP
CHROMA 1
FOCAL SPAN ↔ POWER % 70
VIDEO INVERT Off
ECG → CHROMA 1
• If multiple M cursors are present, press the SET key to select the next
DISPLAY M cursor.
FORMAT V1/2
DYN The currently
160 selected VIDEO INVERT
M cursor is highlighted in cyan.
Off
START |←
GSC
2 M PROCESS
Remarks:
Peak
END →|
PERSIST 30 ECG →
• The STEER M function is primarily for cardiology application and
FRAME BY FRAME ....
CHROMA 1 may beDISPLAY FORMAT
disabled in other applicationV1/2
modes.
• If multiple M cursors are present, only the last selected M cursor
SEC.WIDTH ↔
(in cyan) will be active upon activating the CFM+M/TDI+M duplex
SEC.POS ↔ mode. M MODE
M MODE
LINE DENSITY High (updated,
(active)
FREQUENCY 3.0 - 5
frozen)
UP|DOWN
9.3 M Mode
Off
Operation, M Trace Active
LT↔RT Press↔
the UPDATE key to let the M mode trace update.
MPR PEK
POWER % Some80
M mode parameters (right) are displayed at the M
SR 4
STEER M ModeOffInfo area.
Press the UPDATE key again to stop updating the M mode GN 200
DISPLAY FORMAT V1/2
trace. PWR 85
When the M trace is active, the function menu is shown as
in Figure 9.4.
M MODE
(inactive)
SWEEP SPEED POWER % CHROMA M PROCESS VIDEO INVERT
Figure 9.4: Function menu in M-duplex mode (with M trace active)
Press the MENU knob to activate the M ECG →

mode menu (right).
DISPLAY FORMAT 60
The following subsections provide instruc-
tions for the M mode operation while the M
trace is active.
9.3.1 M Gain
Only when the M trace is updating can the M mode gain be changed. Note that the M gain
is different from the B mode (2D) gain.
The M gain controls the overall brightness of the M trace, it determines the amplification
applied to the received echoes.
Turn the GAIN knob to adjust the M gain.
Remark:
• The M gain value is shown at the M Mode Image Info area (the GN).
9.3.2 Sweep Speed

SWEEP SPEED
Use this function to adjust the speed of sweeping in the M mode. The larger the sweep
speed is set, the faster the M trace is updating.
• Press F1 to select SWEEP SPEED.
• Turn the function knob to change the sweep speed.
9-3
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Remark:
• The current sweep speed value is shown at the M Mode Image Info
area (the SR).
9.3.3 Power
POWER %
The POWER represents the acoustic output power, it is identical to that in the B mode.
• Press F2 to select POWER %.
• Turn the function knob to change the acoustic output.
Remarks:
• The current acoustic output power is shown at the M Mode Image
Info area (the PWR).
• Note that the PWR shown at the 2D Image Info area will not be updated
until the UPDATE key is pressed again.
9.3.4 Chroma
CHROMA
Similar to the chroma setting in the B mode, this function gives the effect of changing the M
trace color.
• Press F3 to select CHROMA.
• Turn the function knob to change the chroma setting.
9.3.5 M Process
M PROCESS
This function changes the methods for detection processing for the M trace display.
• Press F4 to select M PROCESS.
• Turn the function knob to change the method for the M process to to AVE (average)
or PEK (peak).
Remarks:
The current M PROCESS setting is shown at the M Mode Image Info area
(the MPR).
9.3.6 Video Invert

VIDEO INVERT
This function inverts the M trace display in relation to brightness. In the black/white M trace
display, black and white will be swapped upon setting Video Invert to On.
• Press F5 to select VIDEO INVERT.
• Turn the function knob to turn on or off this function.
9-4
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9.3.7 Steer M
STEER M
This function is used to adjust the M mode sample line.
1. Press the MENU key in the real time mode to display the menu, move the tracball or
press the up/down key on the keyboard to select STEER M.
2. The default seting is OFF. Rotate the MENU knob to set as 1, 2 or 3. 1 stands for
activating the M line, 2 stands for 2 M lines and 3 stands for 3 M lines.
Remarks:
If the STEER M is set as 1, 2 or 3, you can press the SET key to switch
among the lines to adjust it.
9.3.8 Display Format

DISPLAY FORMAT
Use this function to change the layout of the B+M mode ultrasound image.
Select DISPLAY FORMAT from the context menu, and use the MENU knob to change the
display format for M-duplex mode. Six display formats are possible, refer to Figure 9.5 on
page 9-5 for the illustrations of different display formats.
0
1
2
2
3
3
0 5
1
0
2 1
2
3
5
5
V1/2 V2/3
0
4
5
0
1
4
4
5
5
V1/3 O1/4
0 0
0 0
1 1
1 1
2 2
2 2
3 3
3 3
4 4
4 4
5 5
5 5
H1/2 H1/4
Figure 9.5: Display formats in the M/PW/CW mode
9-5
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9.4 Cine Mode Operation
Press the FREEZE key during the real time scan with the M-duplex mode to start
the M cine mode.
Remark:
• When the M trace is inactive, pressing the FREEZE key activates the
cine mode. Refer to the respective chapters for the single cine mode
operations.
The following figure shows the function menu in the M-duplex cine mode with M trace active.
CHROMA VIDEO INVERT START END CINE REVIEW
Figure 9.6: M-duplex cine mode (with M trace active) function menu
When the M trace is active, press the MENU knob CHROMA 1
to activate the M cine mode context menu (right). VIDEO INVERT Off
Refer to the respective sections listed below for the DISPLAY FORMAT V1/2
M cine mode operation. START |←
END →|
FRAME BY FRAME ....
CHROMA Refer to Section 9.3.4 for explanations.
• Press F1 to select CHROMA, turn the function knob to change the chroma setting;
or
• Select CHROMA from the context menu, turn the MENU knob to change the chroma
setting.
VIDEO INVERT Refer to Section 9.3.6 for explanations.
• Press F2 to select VIDEO INVERT, turn the function knob to turn on or off this
function; or
• Select VIDEO INVERT from the context menu, turn the MENU knob to turn on or
off this function.
DISPLAY FORMAT Refer to Section 9.3.8 for explanations and usage.

Cine Playback Operations
START
END
FRAME BY FRAME
Refer to Section 5.4.7 for explanations and usage.
9-6
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Chapter 10
Spectral Doppler Mode
Pulsed Wave Doppler (PW) and Continuous Wave Doppler (CW) are collectively called
Spectral Doppler mode.
PW Doppler lets you examine blood flow data selectively from a small region called the
sample volume. The sample volume is covered by the sample volume gate which is
located on the Spectral Doppler cursor. A short line across the sample volume is called the
flow direction cursor. This cursor line should be aligned to the blood flow direction when
measuring the flow velocity.
CW Doppler examines the flow data all along the Doppler cursor rather than a small region.
Contents
10.1 Activation of Spectral Doppler Mode . . . . . . . . . . . . . . . . . . . . . 10-2
10.1.1 B/CFM/DPI/TDI Operation in Spectral Doppler Mode . . . . . . . . 10-3
10.1.2 2D Refresh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3
10.1.3 Display Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3
10.2 PW Mode Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-3
10.2.1 Sample Volume Gate Adjustment . . . . . . . . . . . . . . . . . . 10-3
10.2.2 Activation of PW Spectral Display . . . . . . . . . . . . . . . . . . 10-4
10.2.4 Wall Filter (WF) . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-4
10.2.5 Spectral Doppler Gain . . . . . . . . . . . . . . . . . . . . . . . . 10-5
10.2.6 Steer Angle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5
10.2.7 Flow Invert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-5
10.2.8 Spectral Doppler Frequency . . . . . . . . . . . . . . . . . . . . . 10-5
10.2.9 Sweep Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6
10.2.10 Baseline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6
10.2.11 PW Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6
10.2.12 Angle Correction . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6
10.2.13 Dynamic Range (DYN) . . . . . . . . . . . . . . . . . . . . . . . . 10-6
10.2.14 Chroma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-7
10.2.15 Video Invert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-7
10.3 CW Mode Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-7
10.3.1 Activation of CW Mode (PW↔CW) . . . . . . . . . . . . . . . . . 10-7
10.3.2 CW Cursor Position . . . . . . . . . . . . . . . . . . . . . . . . . 10-8
10.3.3 Flow Invert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8
10.3.4 Sweep Speed . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8
10.3.5 CW Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8
10.3.6 Dynamic Range (DYN) . . . . . . . . . . . . . . . . . . . . . . . . 10-8
10-1
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10.3.7 Chroma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-8

10.3.8 Video Invert . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-9
10.3.9 Display Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-9
10.3.11 Wall Filter (WF) . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-9
10.4 Spectral Doppler Cine Mode Operation . . . . . . . . . . . . . . . . . . . . 10-9
10.1 Activation of Spectral Doppler Mode
New Site L741

Apr-07-2010 16:08:16
0
FPS 20 9
D/G 2/1 cm/s
GN 9 5
I/P 3/30
PWR 80
FRQ 4.3 10
-9
cm/s
D 4.4cm
PRF 1.0 15
WF 85
GN 22
C/P 1/50
0
PWR 70
FRQ 2.2
5
PRF 1.0
WF 85 10
GN 22
FRQ 6.0
PWR 70 15
DYN 5
SV 1.4
PW
Figure 10.1: CFM+PW duplex mode
Spectral Doppler Imaging (PW/CW) is normally used with the B/CFM/DPI/TDI mode.
Press the PW key during the real time with

PRF 8.0
the single B/CFM/DPI/TDI mode to activate
the PW-duplex mode. WF 400
Press the CW key during the real time scan
with the single B/CFM/DPI/TDI mode to ac- GN 8
tivate the CW-duplex mode.
FRQ 2.0
The Spectral Doppler cursor line is inserted
PWR 50
at the center of the 2D image.
DYN 2
At the lower left corner of the screen,
SV 4.1
PW the PW status icon appears when PW
mode is activated; or Figure 10.2: Spectral Doppler
Image Information
CW the CW status icon appears when CW
mode is activated.
The ultrasound image area is divided into two asymmetrical parts: the PW/CW spectral
(which is inactive by default) is displayed along with the 2D image. Six display formats are
possible, review Section 10.1.3 on page 10-3.
10-2
P11 EXP
Spectral Doppler image information appears on the screen (refer to Figure 10.2). The
meaning of these items are shown in the table below. Note that the sample volume size
(SV) only has meaning for PW image.

WF wall filter value
GN spectral Doppler gain, D gain
DYN dynamic range
SV sample volume size (for PW image)
10.1.1 B/CFM/DPI/TDI Operation in Spectral Doppler Mode

When the PW/CW spectral display is inactive, B/CFM/DPI/TDI operations in the PW/CW
duplex mode are possible.
For B mode operation, refer to Chapter 5.
For CFM operation, refer to Chapter 6.
For DPI operation, refer to Chapter 7.
For TDI operation, refer to Chapter 8.
The following two items shown in the menus in Figure 10.3 are specific to the spectral
Doppler duplex mode. Refer to Section 10.1.2 and Section 10.1.3 for explanations.
2D REFRESH
DISPLAY FORMAT
For PW operation, see Section 10.2.
For CW operation, see Section 10.3.
10.1.2 2D Refresh
2D REFRESH
ã Note that this function only has effect for PW-duplex mode.
Set this item to On to enable the real-time 2D image display when spectral display is active.
When 2D Refresh is set to Off, the 2D image is frozen once the spectral display is active.
Usage instructions:
• Press F5 to select 2D REFRESH.
• Turn the function knob to turn on or off the 2D REFRESH function.

DISPLAY FORMAT
Each PW-duplex or CW-duplex mode has six possible display formats. The screen layout in
spectral Doppler duplex mode is similar to that in M-duplex mode. Refer to illustrations in
Figure 9.5, page 9-5.
10.2 PW Mode Operation

10.2.1 Sample Volume Gate Adjustment
Adjustment of the sample volume gate is possible during the real time PW mode scan.
Follow instructions below to adjust the sample volume gate.
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• Move the trackball to change the location of the gate; the spectral Doppler cursor
will be moved together. For phased array probes, the angle of the spectral Doppler
cursor is changed; for linear array probes, the spectral Doppler cursor moves hori-
zontally.
• Press the SET key, the gate position is fixed. Move the trackball to change the gate
size.
Remark:
• Adjusting the gate position and size temporarily pause the PW spectral
display if it is active (updating).
10.2.2 Activation of PW Spectral Display

The PW spectral is not active until the 0
STEER ANGLE
UPDATE key is pressed. With the de-
ECG →
fault setting, pressing the UPDATE key also
BASELINE 0
freezes the 2D image.
ANGLE CORRECT OFF
The function menu in the PW mode is shown DISPLAY FORMAT V1/2
in Figure 10.4. Press the MENU knob to

Figure 10.3: PW Mode Menu
activate the PW mode context menu (right).
The STEER ANGLE appears only with lin-
ear array probes.
POWER % WF FREQUENCY SWEEP SPEED DYN
CHROMA VIDEO INVERT
Figure 10.4: Function menu in CFM+PW mode (with PW spectral active)
10.2.3 Pulse Repetition Frequency (PRF)

The Pulse Repetition Frequency sets the velocity range of the spectral display.
The range of the PRF depends on the probe and the application mode.
Remarks:
• The current PRF value is display at the Spectral Doppler Image Info
area (PRF).
the PRF value.
10.2.4 Wall Filter (WF)

vessel walls.
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Remarks:
(WF).
current PRF value.
10.2.5 Spectral Doppler Gain
It is possible to change the PW/CW gain only when the PW/CW spectral display
is active.
The Doppler gain controls the overall brightness of the spectral display.
When the spectral Doppler display is active, turn the D GAIN knob to adjust the Doppler
gain.
Remark:
• The spectral Doppler gain value is shown at the Spectral Doppler
Image Info area (the GN).
10.2.6 Steer Angle

STEER ANGLE
Use this function to adjust the spectral Doppler cursor for linear array probes1 .
• Select STEER ANGLE from the context menu.
• Use the MENU knob to change the angle of the spectral Doppler cursor.
10.2.7 Flow Invert

In PW or CW mode, press the Finv key to invert the spectral display in relation to the flow
direction. The displayed spectrum is inverted around the baseline.
When Flow Invert is turned on, Invert indicator appears on top right of the spectral display.
10.2.8 Spectral Doppler Frequency

FREQUENCY
The spectral Doppler frequency controls the transmit frequency.
• turn the function knob to change the frequency value.
Remark:
• The spectral Doppler frequency value is displayed on the screen at
the Spectral Doppler Image Info area (FRQ).
1 This function is hidden for those other than linear array probes.
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10.2.9 Sweep Speed

SWEEP SPEED
Similar to the sweep speed in the M mode, this speed determines how fast the spectral
Doppler display is updating.
• Press F4 to select SWEEP SPEED.
• Turn the function knob to change the sweep speed.
10.2.10 Baseline
BASELINE
Moving the baseline increases the velocity range in one direction. The vertical axis repre-
sents the scale for flow velocity (in cm/s).
• Select BASELINE from the context menu.
• Turn the MENU knob to adjust the amount of the baseline move.
10.2.11 PW Power
POWER %
The value of the output power in the PW mode should be kept as low as reasonably
achievable.
• Press F1 to select POWER %.
• Turn the function knob to adjust the acoustic output.

Remark:
• The acoustic output power in the PW mode is displayed on the screen
at the Spectral Doppler Image Info area (PWR).
10.2.12 Angle Correction

ANGLE CORRECT
Angle correction enables the adjustment of the flow direction cursor, such that it aligns with
the vessel axis.
It’s only necessary to use the angle correction when make velocity-related measurements.
Usage instructions:
• Select ANGLE CORRECT from the context menu, turn the MENU knob to switch it
on.
• Press the MENU knob to dismiss the context menu. Turn the ANGLE knob to adjust
the angle of the flow direction cursor.
10.2.13 Dynamic Range (DYN)

DYN
• Press F2 to select DYN.
• Turn the function knob to decrease/increase the value of Dynamic Range.
Remarks:
Dynamic Range is displayed at the Spectral Doppler Image Info Area on
the screen (DYN).
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10.2.14 Chroma
CHROMA
Similar to the chroma setting in the B mode, this function gives the effect of changing the
spectral display color.
The chroma setting is adjustable in the real time mode as well as the freeze mode.
• Press F1 to select CHROMA.
• Turn the function knob to the chroma setting.
10.2.15 Video Invert

VIDEO INVERT
This function has the effect of changing the background of the spectral display.
• Press F2 to select VIDEO INVERT.
• Turn the function knob to turn on or off this function.
The background of the spectral display is
• dark, when Video Invert is Off;
• bright, when Video Invert is On.
10.3 CW Mode Operation
New Site 2P1

Apr-07-2010 16:08:16
FPS 47 0
D/G 3/1
9
cm/s
GN 12
I/P 3/30 5
PWR 70
FRQ 4.7 -9
cm/s
D 16.5cm 10
15
0
MPR PEK
SR 4
GN 25 5
PWR 70
BASELINE 0
10
DISPLAY FORMAT V1/2
15
POWER % WF FREQUENCY SWEEP SPEED DYN

CW
CHROMA VIDEO INVERT
Figure 10.5: CFM+CW duplex mode
10.3.1 Activation of CW Mode (PW↔CW)

Only phased array probes support the CW imaging mode.
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Use the UPDATE key to activate or stop the BASELINE 0
CW spectral display. DISPLAY FORMAT V1/2
Figure 10.6: CW Mode Menu
When the CW spectral display is active,

the function menu is shown in Figure 10.4.
Press the MENU knob to activate the con-
text menu (right).
Most operations in PW and CW modes are
identical. Refer to the respective sections
for operation instructions.
10.3.2 CW Cursor Position

In CW imaging mode, an area on the spectral cursor line is sampled. This area is covered
by a small rectangle called the CW cursor.
The CW cursor position is adjustable using the trackball.
10.3.3 Flow Invert

10.3.4 Sweep Speed

SWEEP SPEED
10.3.5 CW Power
POWER %
The value of the output power in the CW mode should be kept as low as reasonably
achievable.
• highlight POWER % at the spectral Doppler mode menu.
• use the LEFT/RIGHT keys to adjust the output power of the transducer.
Remark:
• The acoustic output power in the CW mode is displayed on the screen
at the Spectral Doppler Image Info area (PWR).
10.3.6 Dynamic Range (DYN)

DYN
10.3.7 Chroma
CHROMA
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10.3.8 Video Invert

VIDEO INVERT

DISPLAY FORMAT
10.3.10 Pulse Repetition Frequency (PRF)

10.3.11 Wall Filter (WF)

WF
10.4 Spectral Doppler Cine Mode Operation

Either in PW or CW mode, if the spectral display is not active, press the
FREEZE actually freezes the 2D image.
When the spectral display is active, press the FREEZE key to activate
the spectral Doppler cine mode.
CHROMA VIDEO INVERT START END CINE REVIEW
Figure 10.7: Function menu in spectral Doppler cine mode
Press the MENU knob to activate the context menu CHROMA 1

in the spectral Doppler cine mode. VIDEO INVERT Off
Refer to the respective sections listed below for the DISPLAY FORMAT V1/2
spectral Doppler cine mode operation. START |←

END →|
CHROMA Refer to Section 10.2.14. FRAME BY FRAME ....
VIDEO INVERT Refer to Section 10.2.15. PLAY/STOP |→
DISPLAY FORMAT Refer to Section 10.1.3. LOOP SPEED ↔
Cine Playback Operations

START
END
FRAME BY FRAME
PLAY/STOP
LOOP SPEED
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10-10
Chapter 11
Triplex Mode
The triple mode is overlapped by three different imaging modes, and can be applied to
view the image. The triple mode includes B+CFM/TDI+M, B+CFM/DPI/TDI +PW and and
B+CFM/DPI+CW.
11.1 B+CFM/TDI+M
Note:
Only the phased probes including 2P1 and 5P1 are available for B+CFM/TDI +M.
Perform the following steps to acquire the image.
1. Optimize a CFM/TDI mode image.
2. Press the M key to enter the inactive B+CFM/TDI +M mode.
• The M-mode cursor is used to position the M-line.

• X-axis is the time scale.
• Y-axis is the depth scale.
3. Adjust the M-mode cursor by using the trackball.
4. Press the UPDATE key on the control panel to activate the M mode.
5. Optimize M-mode image. For details, refer to Section 9.3.
6. Press the M key again to exit.
11.2 B+CFM/DPI/TDI+PW
Perform the following steps to acquire the image.
1. Optimize a CFM/DPI/TDI-mode image.
2. Press the PW key to enter the inactive B+CFM/DPI/TDI+PW mode.
• The Spectral Doppler line and the sample volume gate are used to locate the
qualitative analysis on the image.
• The flow cursor needs to be adjusted parallel to the flow when measuring the
velocity.
• X-axis is the time scale.
• Y-axis is Doppler frequency scale, including a positive and negative indicator.
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3. Adjust the position and angle of the Spectral Doppler line.
• Position the sample volume gate on the Spectral Doppler line by moving the
trackball upwards or downwards.
• Adjust the angle of the Spectral Doppler line by moving the trackball to the left
or the right.
• Press the SET key on the control panel to confirm.
4. Adjust the sample volume gate.
• Press the SET key on the control panel to adjust the size of the sample volume
gate.
• Rotate the ANGLE knob on the control panel to adjust the angle of the flow
cursor.
5. Press the Update key on the control panel to activate the PW mode.
Rotate the AUDIO on the control panel to adjust the audio volume.
Note:
Once the PW-mode is activated, you can move the trackball to stop the Doppler trace
and adjust the sample volume gate. You can also continue imaging without moving
the trackball more than 0.5 second.
6. Optimize the PW-mode image. For details, refer to Section 10.2.
7. Press the PW key again to exit.
11.3 B+CFM/DPI+CW
For details, refer to Section 11.2.
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Chapter 12
3D Mode
3D ultrasound allows the user to see width, height and depth of the anatomical
structure. In this case, the echoes are processed by a sophisticated computer
program resulting in a reconstructed three dimensional volume image of internal organs or
fetus.
Since this 3D image, or volume display, is generated after sufficient 2D image data are
collected, it is not real time. For real time 3D, or 4D, refer to Chapter 13.
Contents
12.1 Starting 3D Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-1
12.2 3D Mode Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-2
12.3 3D Mode Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-3
12.3.1 Display Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-3
12.3.2 Manual Rotate and Zoom . . . . . . . . . . . . . . . . . . . . . . 12-3
12.3.3 Auto Rotate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-4
12.3.4 Render Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-4
12.3.5 Trace Cut . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-4
12.3.6 Clip Plane . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-5
12.3.7 Opacity Setting . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-6
12.3.8 Multi-Slice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-6
12.3.9 Slice Spacing . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-6
12.3.10 Color Map . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-6
12.3.11 Scan Method . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-6
12.3.12 Z Scale (For Scan Method = Lin) . . . . . . . . . . . . . . . . . . 12-6
12.3.13 Z Angle (For Scan Method = Sec) . . . . . . . . . . . . . . . . . . 12-6
12.1 Starting 3D Mode

Prior to the activation of 3D mode, sufficient 2D image information must be acquired. These
2D images can be collected with normal transducers working in the B mode.
The operator’s experience and training are vital to satisfactory 3D images.
Once sufficient 2D image sequence is acquired, press FREEZE to start the B cine mode.
To activate the 3D mode:
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Mark the start and end frames (Section 5.4.5, page 5-12); the frames
enclosed will be sent for producing 3D image.
Press 4D to start the 3D mode.
Press 4D again to exit the 3D mode, and return to the B cine mode.
Figure 12.1: 3D Mode
The 3D mode display (Figure 12.1) is divided into four quadrants and includes cross-
sectional views of the anatomical structure:
• Plane A shows the longitudinal image.
• Plane B shows the transversal image.
• Plane C shows the horizontal image.
• Volume display: the surface or partial-transparent view of the 3D structure is displayed at
the last quadrant.
12.2 3D Mode Menus

Function menu in the 3D mode is shown in Figure 12.2.
ROTATE X ROTATE Y ROTATE Z ZOOM MOVE L-R
DUAL DISPLAY QUAD DISPLAY FULL DISP. 3D MOVE U-D
Figure 12.2: Function menu in 3D mode
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Press the MENU knob during the 3D mode RENDER MODE Vol
to activate the 3D mode menu. AUTO ROTATE Off
Instructions for 3D operation are explained
TRACE CUT Off
in the following sections.
UNDO CUT
CLIP PLANE Off
OPACITY OFFSET 32
OPACITY SLOPE 32
MULTI-SLICE Off
SLICE SPACING 1.00
COLOR MAP 4
SCAN METHOD Lin
Z SCALE 1.00
Z ANGLE 75
Figure 12.3: 3D mode menu
12.3 3D Mode Operation

DUAL DISPLAY
QUAD DISPLAY
FULL DISP. 3D
By default, the 3D mode uses the quad display format, as shown in Figure 12.1.
Other display formats are possible: press 1 , 2 and 4 on the alphanumeric keyboard to
activate the single, dual, and quad display formats respectively.
Alternatively, in the function menu (Figure 12.2), the items: DUAL DISPLAY ← F2 , QUAD
DISPLAY ← F3 , and FULL DISP. 3D ← F4 also change the 3D mode display formats.
Figure 12.4: Single & dual display formats in the 3D mode
Single and dual display formats in the 3D mode are illustrated in Figure 12.4.
12.3.2 Manual Rotate and Zoom

Rotate and zoom the 3D structure.
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Method 1:
Move the cursor over the volume display1 ,
• press UPDATE ; and move the trackball to rotate the display of the 3D structure.
• press ZOOM ; and move the trackball to zoom in/out the the display of the 3D structure.
Method 2:
ROTATE X
Press F1 to select ROTATE X, turn the function knob to rotate the 3D structure display
around the x axis.
ROTATE Y
Press F2 to select ROTATE Y, turn the function knob to rotate the 3D structure display
around the y axis.
ROTATE Z
Press F3 to select ROTATE Z, turn the function knob to rotate the 3D structure display
around the z axis.
ZOOM
Press F4 to select ZOOM, turn the function knob to zoom in/out the display of the 3D
structure.
Move the 3D structure.
The 3D structure display can be moveed horizontally or vertically.
MOVE L-R
Press F5 to select MOVE L-R, turn the function knob to move the 3D structure display in
the left/right direction.
MOVE U-D
Press F5 to select MOVE U-D, turn the function knob to move the 3D structure display in
the up/down direction.
12.3.3 Auto Rotate

AUTO ROTATE
Turn on this function to activate the auto-rotation of the display of the 3D structure. This
function is normally used for demonstration purpose.
The maximum angle of rotation can be set to ◦ , ◦ , ◦ , ◦ , or ◦ . The display of
the 3D structure rotates continuously (first clockwise and then counterclockwise) from ◦ to
this maximum angle.
12.3.4 Render Mode

RENDER MODE
Three render modes are available: Volume Rendering (Vol), X-ray, Maximum Intensity
Projection (MaxIP).
12.3.5 Trace Cut

TRACE CUT
Turn this function on to remove any unwanted region from the volume display. Practically, it
can be useful for clearing region obstructing the display of ROI.
To use Trace Cut:
• Select TRACE CUT in the menu and press SET .
• Press the arrow keys to set the value to In.
• Use the trackball to draw a trace on the volume image.
1 When CLIP PLANE is enabled, refer to Section 12.3.6.
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Figure 12.5: Vol Mode: displays the contour of Figure 12.6: MaxIP Mode: displays the sam-
the internal organs or fetus. ples with the highest intensity along the ultra-
sound beam.
Figure 12.7: X-ray Mode: displays the average

gray values of the echoes along the ultrasound
beam.
Figure 12.8: Trace Cut
• Press SET to close the trace and hide the region inside the trace.
• To hide the region outside the trace, set Trace Cut to Out and repeat the above steps.
Note:
To unhide the region removed by Trace Cut, tap Undo Cut.
UNDO CUT
This function restores the display of the volume removed by TRACE CUT.
12.3.6 Clip Plane

CLIP PLANE
Turn this function on to enable the clipping plane. The clipping plane cuts through the 3D
structure and shows the section view.
To move the position of the clip plane:
1. Move the cursor over the volume display and press UPDATE or ZOOM .
2. Use the trackball to move the clip plane position.
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Remark:
Note that in the step 1 above,
• press UPDATE and followed by the space bar to activate the rotation
of the volume display; or
• press ZOOM and followed by the space bar. Use the trackball to zoom
in/out the volume display.
12.3.7 Opacity Setting

OPACITY OFFSET
Use this function to adjust the opacity offset which enhances the display of the 3D structure.
OPACITY SLOPE
This function fine tunes the opacity setting.
12.3.8 Multi-Slice
This function shows the surfaces slicing the 3D structure. Use the Slice Spacing to adjust
the the space between adjcent slices.
12.3.9 Slice Spacing

When Multi-Slice is enabled, select Slice Spacing from the menu and press SET . Use
the left and right arrow keys to adjust the slice spacing.
12.3.10 Color Map

COLOR MAP
Similar to the C Map function in the B mode, this function chooses the method for mapping
the amplitudes of echoes to the grayscale or color pixels.
12.3.11 Scan Method

SCAN METHOD
Adjust the Scan Method, which can be chosen from Linear Motion(Lin) and Sector Motion
(Sec), to the actual method used for acquiring the volume data.
12.3.12 Z Scale (For Scan Method = Lin)

Z SCALE
This function increases or decreases the volume display in the z direction.
12.3.13 Z Angle (For Scan Method = Sec)

Z Angle
This function changes the Z-angle value used for obtaining the display of the 3D structure.
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Chapter 13
4D Mode
4D imaging enables the display of the real time 3D anatomical structure.
Contents
13.1 Starting 4D Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-1
13.2 4D Mode Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-2
13.3 4D Mode Operations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-3
13.3.1 Display Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-3
13.3.2 Adjustment of Sample Box & Cut Off Line . . . . . . . . . . . . . . 13-3
13.3.3 Sweep Angle . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-4
13.3.4 Cine Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-4
13.3.5 Rescan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-4
13.3.6 Image Quality . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-4
13.3.7 Stabilization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-5
13.3.8 Volume Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13-5
13.1 Starting 4D Mode
Figure 13.1: 4D Mode with the Quad Display format
13-1
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Connect and select a volume probe, click an application mode icon to

start with B mode imaging. Press 4D to activate the 4D mode. The
screen, by default, shows a 2D image with a large sample box and a
yellow cut off line . See Figure 13.2.
Control Point Sample box

on Cut off line
Figure 13.2: 4D mode with the FULL DISP. 2D format)
The following messages are displayed on the lower right corner of the screen:
Press keys
1, 2 or 4
to start 4D.
Press FREEZE
to start 3D.
Pressing FREEZE activates the 3D mode which is introduced in Chapter 12.

Pressing 1, 2 or 4 activates the real time volume display in the single, dual or quad display
format (refer to Section 13.3.1). Press FREEZE to stop the probe motor and also the 4D
acquisition.
13.2 4D Mode Menus

The function menu in 4D mode is shown in Figure 13.3; the item, FULL DSIP. 2D, only
appears when the transducer motor is not running.
ROTATE X ROTATE Y ROTATE Z ZOOM MOVE L-R
FULL DISP. 2D DUAL DISPLAY QUAD DISPLAY FULL DISP. 3D MOVE U-D
Figure 13.3: Function menu in 4D mode
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Press MENU during the 4D mode to acti-
Refer to 3D mode operation.

RENDER MODE Vol
vate the 4D mode menu. AUTO ROTATE Off
TRACE CUT Off
UNDO CUT
CLIP PLANE Off
OPACITY OFFSET 32
Most functions shown in the 4D mode OPACITY SLOPE 32
menus are the same as those in 3D mode MULTI-SLICE Off
menus. Refer to Chapter 12 for the opera- SLICE SPACING 1.00
tion of these functions. COLOR MAP 4
The following sections will focus on explain- CINE REVIEW Off
ing the functions which are new in 4D mode. SWEEP ANGLE 55
The availabilities of some functions depend RESCAN Off
on the status of the motor. IMAGE QUALITY Med
STABILIZATION Off
VOLUME REVIEW 0
Figure 13.4: 4D mode menu
13.3 4D Mode Operations

FULL DISP. 2D displays the 2D real time image in full screen.
This option is available only when the transducer motor is not running. To turn it on, press
F1 to select and enable this option. To adjust the sample box and the cut off line, the
system must be in FULL DISP. 2D display format.
The following options change the display format in 4D mode to dual, quad or single 3D
display format. Refer to Section 12.3.1 for more information.
DUAL DISPLAY
QUAD DISPLAY
FULL DISP. 3D
13.3.2 Adjustment of Sample Box & Cut Off Line

Remarks:
• The adjustment of the sample box and the cut off line is only possible
with the FULL DISP. 2D display format.
• Only the data in the area enclosed by the sample box and the cut
off line (the shaded area in Figure 13.2) will be collected for 3D
rendering.
To adjust the sample box,

• move the trackball to change the position of the sample box;
• press SET ; use the trackball to change the size of the sample box.
• use SET to toggle the function of the trackball between resizing and moving the sample
box.
To adjust the cut off line,
• press UPDATE and use the trackball to move the cut off line;
• press UPDATE ; use the trackball to change the position of the control point and the
shape of the cut off line.
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• use SET to toggle the function of the trackball between moving the control point and
moving the cut off line.
13.3.3 Sweep Angle

SWEEP ANGLE
Use this function to modify the sweep angle for displaying the volume structure. The
modification is possible only when the transducer motor is not running; it takes effect with
the next volume data acquisition.
13.3.4 Cine Review

CINE REVIEW
Use this function to review the image frames captured when the motor was running. The
previews of the 3D structure are displayed at the bottom of the screen; see Figure 13.5.
Figure 13.5: Cine review in 4D mode
13.3.5 Rescan
RESCAN
This function attempts to obtain the volume display with a higher resolution by performing a
rescan. By default it is set to off.
Press FREEZE when the motor is running, i.e., during the real time volume data acquisition,
• when RESCAN is set to off, the motor will stop immediately;
• when RESCAN is set to on, the motor continues running for a while, attempting to
obtain the volume display with a higher resolution.
13.3.6 Image Quality

IMAGE QUALITY
This item sets the image quality for the volume display. It can be set to Low, Med, or High.
The higher the image quality, the slower the response time. A lower image quality setting is
recommended for the display of the heart.
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13.3.7 Stabilization
STABILIZATION
Use this function to improve the stability of display of the 3D structure. It is recommended
to turn off this function when imaging the tissue motion.
13.3.8 Volume Review

VOLUME REVIEW
When using CINE REVIEW to review the 3D structure motion, the VOLUME REVIEW
sets the number of frames to skip when moving the trackball.
Select this item from the menu and press the left or right arrow key to adjust its value.
13-5
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13-6
Chapter 14
Probes and Biopsy
You should be thoroughly familiar with the operations of the probe and the biopsy bracket
before using them. To ensure the performance and availability of the probe and the biopsy
bracket, you should also periodically check, clean, disinfect, sterilize or maintain them.
Note:
A general instruction for the probes is provided in this manual. For details, refer to the
relevant manuals.
14.1 Probe
This ultrasound system supports a wide range of probes which make the system remarkably
versatile.
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14.1.1 Available Probes

The available probes are listed as follows:
Model Application
2P1, 5P1, C611, C362, C344, VC6-2, L743, L742, L741 Body surface
6V1, 6V3, EC9-5 Intracavitary
14.1.2 Probe Usage

• Do not use the probes other than those provided by the manufacturer. Otherwise, the
ultrasound system cannot be performed, and an accident such as a fire may result in
the worst case.
• Use the probe carefully. If any part of the transducer surface is scratched, mmediately
stop using the probe. Otherwise, there is a danger of electric shock.
• Use of legally marketed probe sheath is required for intracavitary operations. If
lubricant is used, it must be water-soluble. Do not apply coupling gel directly on the
patient skin.
• Use the legally marketed coupling gel in accordance with the relevant local regulations.
Read and understand all precautions in the relevant manual of the coupling gel before
using it.
Special concerns before probe usage:

Inspect the probe before each use. In case the following damage is found, stop using the
probe immediately.
• Cracks on the probe handle (user section).

• Cracks on the transducer surface (applied section).
• Scratches on the transducer surface (acoustic window surface).
• Swell of the acoustic window material.
• Cracks or wear on the probe cable.
• Cracks on the probe connector or any other kinds of visible damage.
• Deformed pins or broken pins exist inside the probe connectors.
Body surface probe usages:

Inspect the probe before each use. In case the following damage is found, stop using the
probe immediately.
1. Wear medical sterile gloves.
2. Orient the probe.
3. Perform a scan.
Intracavitatry probe usages:
1. Wear medical sterile gloves.
2. Perform a scan.
a. Remove the packaging and unfold the probe sheath.
b. Apply an appropriate amount of coupling gel to the inside of the sheath and onto
the face of the probe.
c. Hold the probe and unroll the sheath onto the probe.
d. Pull the probe sheath tightly over the face of the probe to remove wrinkles.
e. Secure the sheath to the probe with the adhesive tapes or elastic bands provided.
f. Remove the sheath from the probe, and dispose of the sheath in accordance with
the local laws and regulations.
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3. Orient the probe.

Check the probe orientation mark before the scan. The image acquired from the
mark side of the probe is displayed on the monitor.
4. Perform a scan.
14.1.3 Cleaning the Probe

• To avoid probe damages, do not bump the probe on hard surfaces during the cleaning.
• To avoid the electric shock, disconnect the probe from the ultrasound system before
the cleaning.
• To avoid the potential disease transmission, you should wear medical sterile gloves
and protective goggle during the cleaning.
You should clean the probe after each use. Perform the following steps to clean the probe.
1. Disconnect the probe from the ultrasound system, and remove the probe sheath and
the biopsy bracket from the probe.
2. Use a lint-free soft cloth dampened with mild soapy water to wipe the probe.
If the probe carries blood, body fluid or dried stains, you should wipe it with enzymatic
cleaner.
Remark:
Follow the manufactureraŕs
˛ instructions to make up the enzymatic cleaner.
If there are stains on surface or grooves of the probe, you should use a brush
dampened with portable water to remove them.
3. Rinse the surfaces of the probe with the fresh running water to remove the residual
cleaner completely.
4. Dry the probe with a lint-free soft dry cloth.
14.1.4 Disinfecting or Sterilizing the Probe

• Use the liquid disinfectant/sterilant that meets the local laws and regulations.
• If you use the recommended disinfectant/sterilant, ensure its level and the probe
soaking period meets the requirements. Otherwise, the probe could be damaged
and your warranty might be void. If you have other use or needs, ensure the level of
the make-up disinfectant/sterilant and the probe soaking period are suitable for the
intended clinical application.
• Do not use the expired disinfectant/sterilant.
• Store the probe in a sterile environment, and mention its expiry date before use.
• Do not disinfect/sterilize the probe through autoclaving or contact with ethylene oxide.
• Do not use thermal disinfection/sterilization. Temperatures higher than 66°C or 150◦ F
will damage the probe.
• Not allow any disinfectant/sterilant to be air-dried on the probe.
Disinfection Levels:
To choose an appropriate disinfectant, you first must determine the required level of disin-
fection, based on the probe classification.
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Classification Definition Level of Disinfection Application

Device enters oth-
Intraoperative, biopsy
erwise sterile tissue
Critical Sterilization use or blood contact-
(intraoperative applica-
ing probe
tions)
Device contacts mu-
Semi-critical cous membranes (in- High Endocavitary probe
tracavity applications)
Device contacts intact
Noncritical Mediate or low Body surface probe
skin
Soaking Requirements:
Do not immerse the probe beyond its junction line.
Note:
Disinfectants listed in this manual are recommended because of their chemical compatibility
with product materials, not their biological effectiveness. For the biological effectiveness of
a disinfectant, refer to the guidelines and recommendations of the disinfectant manufacturer,
Association for Practitioners in Infection Control, U.S. Food and Drug Administration, and
U.S. Centers for Disease Control.
To disinfect the body surface probe:
You should disinfect the surface probe after each use. Perform the steps as follows:
1. Clean the probe.

For details, refer to Section 14.1.3.
2. Perform the medium-level disinfection to the surface probe as shown in Table 14.1
until the recommended disinfection period expires.
Note:
If you do not use the recommended disinfectant, make up it as the manufactureraŕs
˛
instructions.
3. Rinse the probe with the fresh running water to remove the residual disinfectant
completely.
Level of
Active
Active Contact Contact
Disinfectant Manufacturer Ingredi-
Ingredi- Type Period
ent
ent
70% iso-
less than
70% isopropyl alcohol ALL propyl 70% Spray/Wipe
10 minutes
alcohol
Quat. Am- less than
T-spray II Pharm. Inc. / Spray/Wipe
monia 10 minutes
Quat. Am- less than
T-spray Pharm. Inc. / Spray/Wipe
monia 10 minutes
Table 14.1: Recommended Method for Medium-level Disinfection
To disinfect the intracavitary probe:

You should disinfect the intracavitary probe before and after each use. Perform the steps as
follows:
1. Clean the probe.

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2. Perform the high-level disinfection to the surface probe as shown in Table 14.2 until
the recommended soak period expires.
Note:
˛
instructions.
3. Rinse the probe with the running sterile water to remove the residual disinfectant
completely.
Level of
Active Ingre- Active Contact Contact
Disinfectant Manufacturer
dient Ingredi- Type Period
ent
CidexT M Activated 45-50 min-
J&J Glutaraldehyde 2.4% Soak
Dialdehyde Solution utes
Resert XL HLD STERIS 2.0% H O 2.0% Soak 8 minutes
Table 14.2: Recommended Method for High-level Disinfection
To sterilize the probe

You should sterilize the intraoperative probe, biopsy use or blood contacting probe after
each use. Perform the steps as follows:
1. Clean the probe.

2. Sterilize the intraoperative probe as shown in Table 14.3 until recommended soak
period expires.
Note:
If you do not use the recommended sterilant, make up it as the manufactureraŕs
˛
instructions.
3. Rinse the probe with the running sterile water to remove the residual sterilant com-
pletely.
Level of
ent
CidexT M Activated
J&J Glutaraldehyde 2.4% Soak 10 hours
Dialdehyde Solution
Table 14.3: Recommended Method for Sterilization
14.1.5 Disinfecting and Sterilizing the Probe Cable

• Do not immerse the probe connector or handle into disinfectant or sterilant.
• To avoid potential disease transmission, you should wear medical sterile gloves and
protective goggle during the disinfection or serialization.
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• Do not immerse the probe cable into alcohol or isopropyl alcohol at any concentration
for a long period. Avoid any contact with iodine or phenols.
Daily Disinfection
Perform the following steps to clean the probe cable.
1. Use a lint-free soft dry cloth dampened with mild soapy water to wipe the probe cable.
2. Perform the medium-level disinfection to the surface probe as shown in Table 14.4
until the recommended disinfection period expires.
Note:
˛
instructions.
3. Rinse the surfaces of the probe cable with the fresh running water to remove the
residual disinfectant completely.
4. Dry the probe cable with a lint-free soft dry cloth.
Level of
ent
less than
T-spray II Pharm. Inc. Quat. Ammonia / Spray/Wipe
10 minutes
less than
T-spray Pharm. Inc. Quat. Ammonia / Spray/Wipe
10 minutes
Table 14.4: Recommended Method for Medium-level Disinfection
Sterilization
If the probe cable contacts with any blood or body fluid, you should sterilize it. For details,
refer to Sterilizing the Intraoperative Probe.
14.1.6 Storage and Transportation

You should operate, store and transport the probe in accordance with Section 1.7.
To transport the probe:
1. Ensure the probe is cleaned and disinfected before the transportation.
2. Place the probe fully into the carrying case, and carefully wind the cable.
3. Ensure no parts of the probe left outside the carrying case before the package.
4. Pack the carrying case with sponge, and place it in a carton.
To store the probe:

The following items are recommended to be performed for the storage.
• Always store the probe in the probe holder or the specific package.
• Ensure the probe holder or the specific package is clean.
• Do not expose it in direct sunlight or environmental temperature of sudden changes.
• Store the probe alone to avoid any impact on the probe head.
• Carefully wind the probe cable.
• Dry the probe before the storage.
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14.2 Biopsy
You should properly assembly and verify the biopsy bracket before performing the biopsy.
• Only use the biopsy bracket in conjunction with the probe provided by the manufac-
turer. Otherwise, the ultrasound system and probe may be damaged, an accident
such as a fire may result in the worst case.
• Only the trained physicians or sonographers under ultrasound guidance can handle
the biopsy needle guides. During the operation, the operator must observe proper
needle insertion sequencing with the needle guide in order to avoid undue discomfort
and unnecessary risk and injury to the patient.
• You should activate the biopsy guideline before performing a biopsy.
• The biopsy guidelines that display on the monitor are intended as a reference. It
is the operatoraŕs
˛ responsibility to verify correct positioning of the needle during a
biopsy.
• Do not freeze an image when performing a biopsy.
• Do not use a needle guide if the path of the needle is not accurately indicated by
the on-screen guidelines. The path of the needle must display within the guidelines.
Contact the manufacturer or the local distributer if the needle path is not accurately
indicated.
• To avoid hurt the patient accidentally, the operator should be highly concentrated
during a biopsy.
• The biopsy needle is disposable.
• To avoid the infection, disinfect the probe and wear it with the probe sheath performing
a biopsy.
• To avoid possible personnel injury, the operator should perform the biopsy using an
appropriate biopsy bracket.
• You should verify the biopsy bracket before performing a biopsy.
Available Biopsy Brackets

Biopsy
Available Available Biopsy Nee-
Bracket Application
Probe Model dle
Model
NGB2P1 2P1 14G,16G,18G,20G,22G Body surface
NGB6V1 6V1 16G,18G,20G,22G Intracavity
NGB6V3 6V3 16G,18G,20G,22G Intracavity
NGBEC9-5 EC9-5 16G,18G,20G,22G Intracavity
NGBC611 C611 14G,16G,18G,20G,22G Body surface
NGBL743 L743 14G,16G,18G,20G,22G Body surface
14.2.1 Assembling the Biopsy Bracket

To assemble the surface biopsy bracket
Perform the steps as follows:
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1. Ensure there is no damage, deformation, malfunction, loose or missing some parts

on the biopsy bracket before the assembly.
2. Wear sterile gloves.
3. Unfold the probe sheath, and apply an appropriate amount of coupling gel to the
inside of the sheath and onto the face of the probe.
4. Hold the probe and unroll the sheath onto the probe. Pull the probe sheath tightly
over the face of the probe to remove wrinkles.
5. Align the biopsy bracket with the orientation marker of probe.
6. Attach the biopsy bracket to the probe and fasten the biopsy bracket with the locking
screw.
7. Press the tube clamp and insert the biopsy bracket tube into the biopsy bracket.
8. Insert the biopsy needle into the tube.
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9. Make sure that the biopsy bracket is attached to the probe firmly.
To assemble the intracavitary biopsy bracket
1. Ensure there is no damage, deformation, malfunction, loose or missing some parts

on the biopsy bracket before the assembly.
2. Wear sterile gloves.
3. Unfold the probe sheath, and apply an appropriate amount of coupling gel to the
inside of the sheath.
4. Hold the probe and unroll the sheath onto the probe.
5. Pull the probe sheath tightly over the face of the probe to remove wrinkles.
6. Assemble the metal top housing and biopsy bracket.
7. Slide the inner part into the top housing and push forward until it clicks.
8. Align the tip of biopsy bracket with the left and right grooves on the head of probe.
9. Hold the tip of bracket and the head of the probe, and push the other end of the
bracket towards the probe to attach it on the probe.
10. Slide the inner part into the top housing and push forward until it clicks.
11. Check the bracket has been attached firmly on the probe. If the assembly is loose,
please reattach the biopsy bracket.
12. Unfold another probe sheath, and apply an appropriate amount of coupling gel to the
inside of the sheath.
13. Hold the probe attached with the biopsy bracket and unroll the sheath onto them.
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14.2.2 Preparing for a Biopsy

You should prepare the following items before performing the biopsy.
• New, straight, biopsy needle

• Sterilized container of sterile and degassed water
• Probe attached with biopsy needle
• Activated biopsy guideline
• Sterile sheath
14.2.3 Verifying the Biopsy Bracket
Note:
Ensure the biopsy bracket is properly attached to the compatible probe before the verification.
1. Select Biopsy on the menu to in a real time scan of B-mode.
2. Immerse the probe head into the degassed water.
3. Insert the biopsy needle into the maximum depth of the water.
4. Verify that the path of the needle displays according to the guidelines shown on the
image screen.
After verification, the needle guide is ready for use.
14.2.4 Performing a Biopsy
Note:
Ensure the biopsy bracket is properly attached to the compatible probe and be verified
before you perform a biopsy. Perform the steps as follows:
1. Select Biopsy on the menu to enter the a real time B mode.
2. Perform a scan to locate the target.

You can select the OFFSET or ANGLE on the menu, rotate the Menu key or select
the <- or-> key to adjust the biopsy guideline.
Select a preset biopsy guidelines (only for NGBC322, NGBC353, NGB3P1, NGBL742-
2 brackets).
• Select BIOPSY on the menu to display the system menu.

• Click Select A or Select B to select a preset guideline.
• Select the OFFSET or ANGLE on the menu to adjust the selected biopsy
guidelines.
3. Perform the puncture by sliding the needle through the groove in the guide until the
needle, as shown on the display, intercepts the target.
4. Gently remove the probe from the patient after completing the biopsy.
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14.2.5 Cleaning the Biopsy Bracket

• Clean the biopsy bracket after each use.
• Wear medical sterile gloves and protective goggle during the cleaning.
1. Disconnect the probe from the ultrasound system, and remove the biopsy bracket
and biopsy guide tube from the probe.
2. Brush and rinse the bracket with enzymatic cleaner to remove the residue.
Note:
Make up the enzymatic cleaner as the manufactureraŕs
˛ instructions.
3. Dry the bracket with a lint-free soft dry cloth.
14.2.6 Sterilizing the Biopsy Bracket

• Disinfect the biopsy bracket after each use.
• Use the liquid sterilant that meets the local laws and regulations.
• If you use the recommended sterilant, ensure its level and the probe soaking period
meets the requirements. Otherwise, the biopsy bracket could be damaged and your
warranty might be void. If you have other use or needs, ensure the level of the
make-up sterilant and the biopsy bracket soaking period are suitable for the intended
clinical application.
• Do not use the expired sterilant.
• If you use other contact type to sterilize the biopsy bracket, ensure it is guaranteed
by the manufacturer or the local distributer.
• Do not sterilize the plastic biopsy bracket through autoclaving. Avoid biopsy brackets
of any kinds contacting with ethylene oxide.
• Not allow any sterilant to be air-dried on the biopsy bracket.
• Some sterilants are acid or alkaline, the operator should take cautions in prevent-
ing hands or clothing from being directly contact with them. Wash hands or eyes
immediately if they are contaminated by the disinfectants.
• Dispose of the cleaners, sterilants or discard solutions in accordance with the local
standards or regulations.
1. Clean the biopsy bracket.

For details, refer to Cleaning the Biopsy Bracket.
2. Sterilize the biopsy bracket as shown in Tabel 14.5.
Note:
If you do not use the recommended sterilant, make up it as the manufactureraŕs
˛
instructions.
3. Take out the bracket from the steriliant when the recommended soak period expires.
4. Rinse the bracket with running sterile water, and then dry it with a lint-free soft dry
cloth.
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Level of
ent
CidexT M Activated
J&J Glutaraldehyde 2.4% Soak 10hr
Dialdehyde Solution
Table 14.5: Recommended Method for Sterilization
14.2.7 Storage
The biopsy bracket should be stored in a sterile environment. The following items should be
also concerned during the storage.
• Do not expose it in direct sunlight.

• Do not locate it in environmental temperature of sudden changes.
• It has been thoroughly cleaned, disinfected and air dried.
14-12
Chapter 15
System Maintenance
To maintain the safety and functionality of the ultrasound system, you should periodically
perform the maintenance for the ultrasound system and accessories.
• To avoid electrical shock and damage to the ultrasound system, power off and unplug
the system from the AC power outlet before cleaning.
• To maintain the safety and functionality of the ultrasound system, maintenance must
be performed at least every 6 months. Electrical safety tests must also be performed
at regular intervals as specified by local safety regulations.
15.1 Manufacturer Responsibility

The manufacturer assumes the responsibility with regard to safety, reliability and perfor-
mance of this product only under the following conditions,
• all installation, hardware and software upgrades, modifications and repairs of this
product are performed or instructed by authorized personnel;
• operation, transport and storage of this product are under the required environmental
conditions;
• the product is operated in accordance with this user manual.
15.2 Cleaning the System

To clean the system surface:
1. Power off and unplug the ultrasound system from the AC power outlet.
2. Dampen a lint-free soft cloth with 75% alcohol.
3. Use this lint-free soft cloth to clean the surfaces of the monitor screen, the touch
screen, the control panel, the keyboard and the main unit. Take special care and
avoid scratching the screens.
4. Use a cotton swab to remove solids from between keys and controls.
5. In case of blood or any infectious, use a lint-free soft cloth dampened with 70%
isopropyl alcohol.
To clean the dust filter:

The dust filter must be clean at least every 3 months for ventilation.
15-1
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2. Pinch the dust filter with fingers as the figure shown above.
3. Rinse the taken out sponge with refresh running water, and use a brush to rinse the
dust filter with refresh running water.
4. Place the sponge and dust filter back to the ultrasound system after a thorough airing.
To clean the trackball:
2. Press the bulges in the ring by both hands.
3. Turn the ring anticlockwise until the ring lifts.
4. Take out the ring and ball (careful not to drop the ball) from the control panel.
5. Use a lint-free soft cloth dampened with 75
6. Use a cotton swab dampened with 75
7. Place the trackball and the ring back to the control panel, press the bulges in the ring
by both hands and turn the ring clockwise to install the trackball.
15.3 Maintenance Checks

To maintain the safety and functionality of the ultrasound system, the following maintenance
checks must be performed by the service personnel at least every 6 months.
1. Electric Safety
• Integrity of power cable

• Protective conductor resistance
• Ground line leakage current
• Enclosure leakage current
• Patient leakage current
• Patient auxiliary leakage current
2. Battery Safety
Check the intactness and performance of the battery if the battery is frequently used
or not used for 6 months.
• Battery Appearance
No bulging, cracks, damage, leakage or corrosion.
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• Battery Performance
a. Power on the system by using the AC adapter to fully charge the battery.
b. Disconnect the system from the AC adapter to power on the system by the
battery until the system automatically shuts down.
c. The powering time of the battery indicates the battery performance. If the
powering time of the battery is much shorter than 30 minutes, you should
replace the battery or contact Service Department of the manufacturer.
3. Mechanical Safety
• Appearance of the system enclosure

• Appearance of the control panel and the key panel
Note:
The surfaces of the control panel or the key panel may be abrasive because of
the split liquid or other cleaning spray. Take care to find the potential problem
when performing the maintenance checks.
• Control of foot brake
• Connectivity of interfaces
4. Image Recording
• Images in each mode

• Image recording using the standard probe
15.4 Backup
To avoid data loss due to unexpected system breakdown, it is highly recommended to make
backups of critical files (cine files and patient data.) regularly and before updating. The
backups can be saved to a CD/USB disk. Please follow these procedures to make backups:
1. Connect a writable CD/USB disk to the S8 system.
2. Enter the file manager window.
3. Click Patient Folder or General Folder icon to open it.
4. Select the files to be backed up and click COPY button.
5. Click Go to Patient Directory at the upper left corner of screen.
15.5 Troubleshooting
A1: The ultrasound system cannot be started up.
Q1: Check whether the ultrasound system is plugged in, the main power switch is located
to position.
A2: No images are displayed on the LCD monitor.
Q2: Check whether the power supply cable and video cable are well connected.
A3: The LCD monitor displays abnormal.
Q3: Check whether you select an appropriate probe and compatible exam type, or optimize
imaging parameters correctly. For details, refer to Chapter 5-10.
A4: The measurement cannot be performed after pressing the Calc key on the control
panel.
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Q4: Ensure you pressing the Calc key in the frozen mode.
If the above problems still exist, please contact Customer Service Department of the
manufacturer for help.
15.6 Equipment Disposal

You should dispose of the main unit, the probe, the biopsy bracket or other accessories in
accordance with the local laws or regulations.
For the detailed disposal information, consult the manufacturer or the local distribution.
The manufacturer is not responsible for any system content or accessories that have been
discarded improperly.
15.7 Service Information

Only the service personnel of or authorized by the manufacturer can service the ultrasound
system. Any feedbacks or inquires concerning our product or service should be directed to
the manufacturer.
15-4
Appendix A
EMC Guidance and

Manufacturer’s Declaration
This product complies with the EMC standard IEC 60601-1-2:2007.
Note
• The system should not be used adjacent to or stacked with other
equipment. If the adjacent or tacked use is necessary, the system
should be observed to verify normal operation in the configuration in
which it will be used.
• The system needs special precautions regarding EMC and needs to
be installed and put into service according to the EMC information
provided below.
• Preventing conducted RF immunity. Due to technological limitations,
the conducted RF immunity level are limited to 1Vrms level, con-
ducted RF interference above 1Vrms may cause wrong diagnosis and
measurements. We suggested that you position the system further
from sources of conducted RF noise.
• Portable and mobile RF communications equipment can affects the
ultrasound system.
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Electromagnetic emissions
The EQUIPMENT is intended for use in the electromagnetic environment specified
below. The customer or the user of the EQUIPMENT should assure that it is used in
such an environment.
Emission test Compliance Electromagnetic environment guidance
The EQUIPMENT uses RF energy only for its
RF emissions internal function. Therefore, its RF emissions
Group 1
CISPR 11 are very low and are not likely to cause any
interference in nearby electronic equipment.
RF emissions
Class B The EQUIPMENT is suitable for use in all
CISPR 11
establishments, including domestic
Harmonic establishments and those directly connected to
emissions Class A the public low-voltage power supply network
IEC 61000-3-2 that supplies buildings used for domestic
Voltage purposes.
fluctuations /
Complied
flicker emissions
IEC 61000-3-3
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Electromagnetic immunity
Electromagnetic
IEC 60601 test Compliance
Immunity test environment -
level level
guidance
Floors should be wood,
concrete or ceramic tile.
Electrostatic ±2 kV, ±4 kV, ±6 ±2 kV, ±4 kV, ±6
If floors are covered with
discharge (ESD) kV Contact ±2 kV, kV Contact ±2 kV,
synthetic material, the
IEC 61000-4-2 ±4 kV, ±8 kV Air ±4 kV, ±8 kV Air
relative humidity should
be at least 30%.
Mains power quality

Electrical fast
±2 kV for power ±2 kV for power should be that of a
transient/burst
port port typical commercial or
IEC 61000-4-4
hospital environment.
Mains power quality

±1 kV line to line ±1 kV line to line
Surge should be that of a
±2 kV line to ±2 kV line to
IEC 61000-4-5 typical commercial or
earth earth
Mains power quality

<5 % UT(>95 % should be that of a
dip in UT) for 0.5 typical commercial or
period hospital environment. If
<5 % UT(>95 % dip in 40 % UT(60 % dip the user of the
UT) for 0.5 period
Voltage dips and in UT) for 5 EQUIPMENT requires
40 % UT(60 % dip in
Short UT) for 5 periods periods continued operation
interruptions 70 % UT(30 % dip in 70 % UT(30 % dip during power mains
UT) for 25 periods
IEC 61000-4-11 in UT) for 25 interruptions, it is
<5 % UT(>95 % dip in
UT) for 250 periods periods recommended for the
<5 % UT(>95 % EQUIPMENT to be
dip in UT) for 250 powered from an
periods uninterruptible power
supply.
Power frequency
magnetic fields should
Power frequency
be at levels
(50Hz/60Hz)
3 A/m 3 A/m characteristic of a
magnetic field
typical location in a
IEC 61000-4-8
typical commercial or
Note: UT is the a.c. mains voltage prior to application of the test level.
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Electromagnetic immunity
Immunity IEC 60601 Compliance Electromagnetic environment -
test test level level guidance
Portable and mobile RF communications
equipment should be used no closer to
any part of the EQUIPMENT, including
cables, than the recommended
separation distance calculated from the
equation applicable to the frequency of
the transmitter. Recommended
separation distance
Conducted √
d = . p
RF √
3 Vrms d = . p 80MHz to 800MHz
IEC 61000- √
150 kHz to d = . p 800MHz to 2.5GHz
4-6 1 Vrms
80MHz 3 V/m where P is the maximum output power
Radiated 3 Vrms
80MHz to 2.5 rating of the transmitter in watts (W)
RF
GHz according to the transmitter
IEC 61000-
manufacturer and d is the recommended
4-3
separation distance in meters (m). Field
strengths from fixed RF transmitters, as
determined by an electromagnetic site
surveya , should be less than the
compliance level in each frequency
rangeb . Interference may occur in the
vicinity of equipment marked with the
following symbol:
Note 1: At 80MHz and 800MHz, the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation
is affected by absorption and reflection from structures, objects and people.
a Field strengths from fixed transmitters, such as base stations for radio (cellu-
lar/cordless) telephones and land mobile radios, amateur radio, AM and FM radio
broadcast and TV broadcast cannot be predicted theoretically with accuracy. To
assess the electromagnetic environment due to fixed RF transmitters, an electro-
magnetic site survey should be considered. If the measured field strength in the
location in which the EQUIPMENT is used exceeds the applicable RF compliance
level above, the EQUIPMENT should be observed to verify normal operation. If
abnormal performance is observed, additional measures may be necessary, such
as re-orienting or relocating the EQUIPMENT.
b Over the frequency range 150 kHz to 80MHz, field strengths should be less than 3
V/m.
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Recommended separation distances between portable and mobile RF com-

munications equipment and the EQUIPMENT
The EQUIPMENT is intended for use in an electromagnetic environment in which
radiated RF disturbances are controlled. The customer or the user of the EQUIP-
MENT can help prevent electromagnetic interference by maintaining a minimum
distance between portable and mobile RF communications equipment (transmit-
ters) and the EQUIPMENT as recommended below, according to the maximum
output power of the communications equipment.
Rated maximum Separation distance according to frequency of transmitter (m)
output power of
150 kHz to 80MHz to 800MHz to 2.5
transmitter (W)
80MHz 800MHz GHz
√ √ √
d = . p d = . p d = . p
0.01 0.35 0.12 0.23
0.1 1.11 0.38 0.73
1 3.50 1.2 2.3
10 11.07 3.8 7.3
100 35.00 12 23
For transmitters rated at a maximum output power not listed above, the recom-
mended separation distance d in meters (m) can be estimated using the equation
applicable to the frequency of the transmitter, where P is the maximum output
power rating of the transmitter in watts (W) according to the transmitter manufac-
turer.
Note 1: At 80MHz and 800MHz, the separation distance for the higher frequency
range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propa-
gation is affected by absorption and reflection from structures, objects and people.
A-5
P11 EXP
A-6
Appendix B
In Situ, Derated, and Water

Value Intensities
All intensity parameters are measured in water. Since water does not absorb acoustic
energy, theses water measurements represent a worst case value. Biological tissue does
absorb acoustic energy. The true value of the intensity at any point depends on the amount
and type of tissue and the frequency of the ultrasound passing through the tissue. The
intensity value in the tissue, In Situ, has been estimated using the following formula:
In Situ = Water[e−(.al f ) ]
where:
In Situ = In Situ intensity value

Water = Water intensity value
e = .
a = attenuation factor, see Table B.1
l = skinline to measurement depth in cm
f = center frequency of the transducer/system/mode combination in MHz
dB
tissue = a( cm·MHz )
brain = 0.53
heart = 0.66
kidney = 0.79
liver = 0.43
muscle = 0.55
Table B.1: Attenuation factors
Since the ultrasonic path during the exam is likely to pass through varying lengths and
types of tissue, it is difficult to estimate the true In Situ intensity. An attenuation factor of 0.3
is used for general reporting purposes; therefore, the In Situ value commonly reported uses
the formula
InSitu(derated) = Water[e−(.al f ) ]
Since this value is not the true In Situ intensity, the term ‘derated’ is used to qualify it.
B-1
P11 EXP
B-2
Appendix C
Principle for Using Acoustic

Power
ALARA
Please observe ALARA (As Low As Reasonably Achievable) principle when using ultra-
sound. So far there is no confirmed evidence to prove that ultrasound has obvious harm to
humans, but the users shall be cautious when using ultrasound. Provided that sufficient
diagnostic information is acquired, try to shorten the time to examine the patient with the
probe on one body position. The ultrasound power and acoustic intensity are relevant to
scanning time. The user shall observe ALARA principle to select an appropriate ultrasound
power for the exam based on his exam needs.
Ultrasound Effects
Ultrasound effect shall include heating and cavitation.
Heating effect: Ultrasound in nature is mechanical wave. During its propagation in human
body, the human tissues are oscillated, heat is generated, and human tissue tem-
perature rises. Be vigilant to damage due to the heating effect, and always follow
ALARA principle.
Cavitation: Cavitation can occur when sound passes through an area that contains small
bubbles. With ultrasound impact on these small bubbles, temperature and pressure
around the space of the bubbles will increase, or even oscillate and explode, which
may result in physical or chemical effects on the surrounding tissues.
Relevant Parameters
The main parameters related to acoustic power are: transmit frequency, transmit focus
number, transmit voltage, transmit angle, element pitch, etc. These parameters vary subject
to exam modes. Follow ALARA principle to select the appropriate power for scanning.
A multiplicative factor applied to acoustic output parameters intended to account for ul-
trasonic attenuation of tissue between the source and a particular location in the tissue.
In the calculation of all mechanical, the average ultrasonic attenuation is assumed to
beÂă0.3dB/cm-MHz along the beam axis in the body.
References for Acoustic Power and Safety
(1) Bioeffects and Safety of Diagnostic Ultrasound issued by AIUM in 1993
C-1
P11 EXP
(2) Medical Ultrasound Safety issued by AIUM in 1994
(3) Information for Manufacturers Seeking Marketing Clearance of Diagnostic Ultrasound

Systems and Transducers issued by FDA in 2008
C-2
Appendix D
Acoustic Output Data
Please concult the accompanying CD.
EC REP CMC MEDICAL DEVICES & DRUGS, S.L.

C/Horacio Lengo nº 18, CP 29006, Málaga-
Spain
Tel: +34951214054, info@cmcmedicaldevices.com
D-1

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P11 EXP

Diagnostic Ultrasound System

Release Date: January, 2014

1 System Safety and Maintenance 1-1

2 System Specifications 2-1

3 Starting the System 3-1

3.5 Patient Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9

4 System Setup 4-1

5.3.23 Zoom . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-11

6 CFM Mode 6-1

7 DPI Mode 7-1

7.3.6 Persistence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7-4

8 TDI Mode 8-1

9.3.6 Video Invert . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-4

10 Spectral Doppler Mode 10-1

11 Triplex Mode 11-1

12.3.3 Auto Rotate . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-4

14 Probes and Biopsy 14-1

15 System Maintenance 15-1

A EMC Guidance and Manufacturer’s Declaration A-1

B In Situ, Derated, and Water Value Intensities B-1

C Principle for Using Acoustic Power C-1

D Acoustic Output Data D-1

System Safety and

1.1 Safety Overview

• The system should be installed only by personnel authorized by the manufacturer.

• Only an authorized service engineer may perform maintenance.

• Do not use this system in the presence of flammable substances or an explosion

• Do not put liquid on top of the main unit.

• Do not knock or shake the ultrasound system.

1.2 Description of Symbols and Signal Words Used

General warning sign

SSI-8000 Mobile Digital Color Doppler Ultrasound System

Type BF Applied Part

IPN N IP classification according to IEC 60529.

Non-ionization radiation: Ultrasound scanner transmits acoustic waves.

Consult operating instructions.

Control port of color video printer.

Indoor use only.

1.2.2 Signal words

Warning! Follow these instructions to avoid personal injury or system damage.

Caution! Follow these instructions to avoid system damage.

Note Follow these instructions to obtain additional helpful information.

Auto quit ultrasound scan

1.4 Adverse Effects and Precautions

1.5 Biological Safety

Clinical Safety Quoted from AIUM

1.6 Scanning Patients and Education

1.6.1 Safe Scanning Guideline

2. Diagnostic ultrasound procedures should be done only by personnel fully trained in

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

MI>0.3 There is a possibility of minor damage to neonatal lung or

MI>0.7 There is a risk of cavitation if an ultrasound contrast agent

TI Maximum exposure time (minutes)

Table 1.1: Maximum recommended exposure times for an embryo or fetus

11. Non-diagnostic use of ultrasound equipment is not generally recommended. Ex-

1.6.1.1 Temperature Display for Transducers Intended for Internal Use

1.6.2 Understanding the MI/TI Display

Figure 1.1: Transducer tip temperature display

Where a is the attenuation coefficient in dB cm-1 MHz-1, f is the transducer center

Distance Frequency (MHz)

Thermal Composition Mode Specification Typ. app

1TIS Soft tissue Unscanned Large aperture Liver PW

for model 1 to 4, where fc is the center frequency in MHz.

Information for using S-Video and composite video