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Direction 2305203-100
Rev. 004
The Vivid 3 Systems meet the provisions of the European Council Directive 93/42/EEC concerning medical devices which apply to them.
Conformity assessment was performed according to Annex II by KEMA.
Any changes to accessories, peripheral units or any part of the system must be approved by the manufacturer, GE Medical Systems. Ignoring this advice may compromise
the regulatory approvals obtained for the product.
Requirements given by local laws/acts/ordinances must be followed by the user/installer. [For example, German: German Medical Device Act (Medizinproduktegesetz) and
German Medical Device Ordinance (Medizinprodukte-Betreiberverodnung).]
Standard/Directive Scope
0344 89/336/EEC EMC Directive
GE ULTRASOUND ISRAEL PRODUCTS: 93/42/EEC Medical Device Directive
GE ULTRASOUND ISRAEL products are tested to meet all applicable requirements in
relevant EU Directives and European/International standards (See “Standards used IEC 801-2 Electrostatic Discharge
below”.) IEC 801-3 Radiated Electromagnetic Field
Any changes to accessories, peripheral units or any part of the system must be
approved by the manufacturer, GE Ultrasound Israel. Ignoring this advice may IEC 801-4 Electrical Fast Transient/Burst
compromise the regulatory approvals obtained for the product. IEC 805-1 Surge
Please consult your local GE ULTRASOUND ISRAEL representative for further details.
EN 55011/CISPR 11 Electromagnetic Susceptibility
GE ULTRASOUND EUROPE, Regulatory Affairs Dept. Beethoven Str. 239,Solingen
Germany, tel +49-(0)212-2802-243, has been empowered to enter into commitments EN 60601-1/IEC 601-1/UL 2601-1 Medical Electrical Equipment; General
on our behalf in any matter concerning the provisions of the 93/42/EEC directive. Requirements for Safety
Standards used: EN 61157/ IEC 61157 Requirements for the declaration of the acoustic
To fulfill the requirements of relevant EC directives and/or European Harmonized/ output of medical diagnostic ultrasonic equipment
International standards the following documents/standards have been used:
IEC 60601-2-27 Medical electrical equipment - Part 2: Particular
requirements for the safety of electrocardiographic
monitoring equipment.
IEC 60601-1-4 Medical electrical equipment: Part 1-4: General
requirements for collateral standard: Programmable
electrical medical systems
ISO 10993-1 Biological evaluation of medical devices
ISO 13485 Quality management standards for medical devices
GE Medical Systems
Revision History
PAGE REVISION
NUMBER HISTORY
5 – 81 0
All 1
All 2
All 3
All 4
Please verify that you are using the latest revision of this document. Information pertaining to this document is maintained on GPC (GE Medical
Systems Global Product Configuration). If you need to know the latest revision, contact your distributor, local GE Sales Representative or in the
USA, call the GE Ultrasound Clinical Answer Center at 1-800-682-5327 or 262-524-5698.
Quick Guide Direction 2305203-100 Rev. 004 i
Table of Contents
Quick Guide Direction 2305203-100 Rev. 004 ii
Contraindications
The GE Vivid 3 ultrasound unit is not intended for opthalmic use or any use
causing the ultrasound beam to pass through the eye. The acoustic levels at
which this system operates exceed the FDA limits for opthalmic use.
Bold type Denotes buttons, soft keys, soft key rotaries and
field names that are displayed on the screen.
For additional information, see “Safety” on page 88.
Italic type Denotes the names of windows, screens and dialog
boxes, for example, New Patient window.
Getting Started 10. Foot Brake 15. Floppy/MO Disk (optional)/CD-R Drive
Three-position brake. LEFT locks the wheels, 16. Air Filter Vent
For detailed information, see Chapter 2, Getting MIDDLE unlocks the wheels, and RIGHT locks
17. ECG Cable (Internal/External) Phono
Started in the Vivid 3 User’s Manual. the swivel action.
Connections
11. Footswitch (Not Shown)
18. Footswitch Connection
Configurable footswitch that enables certain
Front and Side View keyboard commands to be operated by foot.
1. Display Monitor 12. Side Bay Rear View
Swivels to the left and right, and tilts up and The color printer or JVC VCR is contained in
the upper-left side bay of the unit. 1. Monitor cables, video and power cables
down.
13. Peripherals Storage Area 2. Power cable storage hook
• 15" Monitor
All VCR recorders (excluding JVC VCRs) and 3. Circuit breaker On/Off switch
• 17" Monitor
black & white printer are positioned on the 4. Ground Screw
2. Speakers peripheral storage area under the front panel. 5. Main power cable socket
3. Alphanumeric Keyboard 14. Cable Hook
4. On/Off Switch
5. General Storage Areas
Situated on either side of the front panel on the
top surface, on either side of the monitor. 1
Either: 3
• Two active probe ports, one park probe port 10
and one pencil probe port. 4
Or: 5
Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 5
Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 6
Electromagnetic Interference
Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 7
Connecting the Unit Voltage Level Checks Connecting to the Electrical Outlet
Before connecting the System, perform preliminary
Before connecting the System to the power source, Before connecting the System to the electrical
checks of the power cord, voltage level, and
perform the following voltage level checks: outlet, ensure that the wall outlet is of the
compliance with electrical safety requirements. Use
appropriate type, and that the power switch is
only the power supply cords, cables, and plugs 1. Check the label near the mains input connector.
turned off.
provided by, or designated by, GE Medical A yellow label indicates the input connector is
Systems. Extension cords must not be used. either 100 V, 120 V, 220 – 240 V. NOTE: To assure grounding reliability, connect to a
Ensure that the power cord and plug are intact and 2. Check the voltage indicated on the label: "hospital grade" or "hospital only" grounded power
that the power plug is the proper hospital-grade outlet.
• 100 V 50 – 60 Hz 8A
type.
• 120 V 50 – 60 Hz 18A To connect the unit to the electrical outlet:
NOTE: A GE-qualified person should perform the
• 220 – 240 V 50 – 60 Hz 4A 1. Uncoil the power cable, allowing sufficient slack
initial system installation.
Maximum power requirement = 1.2 KVa so the plug will not pull out of the power socket
Products equipped with a power source plug should if the unit is moved slightly.
be connected to the fixed power socket which has
Maximum allowed voltage deviation = + 10
2. Secure the power plug in the mains power
the protective grounding conductor. Never use any socket.
If the mains supply is not within the
adapter or converter to connect with a power
specified range, DO NOT CONNECT
source plug (for example, three-prong to two-prong The unit’s power must be supplied
THE UNIT TO THE POWER
converter). from a separate, properly rated outlet
SOURCE. Contact the dealer to have
the unit adjusted for the specific to avoid the risk of fire. Refer to the
Failure to provide an adequate Power Requirements section in
ground circuit can cause electrical mains supply.
Chapter 2 of the Vivid 3 User’s
shock, resulting in serious injury. Manual for rating information. The
Electrical Safety Requirements power plug should not, under any
circumstances, be altered to a
Ensure that all equipment connected to the System configuration rated less than that
complies with national safety requirements for specified for the current. DO NOT use
medical equipment. These safety requirements an extension cord or adapter plug.
include: IEC60601-1, CSA22.2, AS3200.1, and UL
2601-1.
Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 8
Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 10
5. Place all probes in the probe holders and To ensure safety while moving the unit on foot: Transporting the Unit
ensure that the probe cables do not protrude
• Proceed cautiously when crossing door or
from the unit or interfere with the wheels. Store Take extra care when transporting the unit by
elevator thresholds.
all other probes in their original cases, soft cloth vehicle. In addition to following the moving
or foam, to prevent damage. • Grasp the front handle grips or the back handle
precautions listed above, make sure to follow the
bar and push or pull. DO NOT attempt to move
safety precautions below.
Important: Before moving to a new site, remove all the unit using cables or probe connectors. Take
the probes and pack them in their original cases, soft extra care while moving the unit long distances
Important: Save and reuse the original packaging if
cloth or foam, to prevent damage. and on inclines.
moving the unit to other sites. GE service
• Ensure that the unit does not strike walls or representatives or their assignees should perform the
6. Ensure that no loose items are left on the unit. door frames. move. A specially designed van should also be used.
All loose items (such as: gel, ECG cables, CDs • Ensure that the pathway is clear.
and optical disks), should be stored in the unit To ensure safety while transporting the unit by
• Move the unit slowly and carefully.
pockets. vehicle:
• Know where the foot brake is located and learn
7. Unlock the brake by pressing down on the 1. Disconnect all probes and secure them in their
how to use it. The foot brake must be set when
pedal to return it to its middle position. boxes.
moving of the unit stops.
To prepare the unit to be moved 2. Use the control panel release handle, situated
• One adult can usually move the unit along a
(Plug&Scan not installed) or for long term
level surface for short distances. Use two or under the center front of the control panel, to
storage or long distance transportation: lower the control panel to its minimum height.
more persons to move the unit on inclines or
1. Initialize a Full Shutdown, as described in the over long distances. 3. Ensure that all peripherals are secured.
Full Shutdown section in Chapter 2, Getting
4. Ensure that the transporting vehicle is
Started in the Vivid 3 User’s Manual. Avoid inclines that are steeper than
appropriate for the unit’s weight. The
2. Set the circuit breaker to OFF. 10 degrees, or bumps higher than
recommended load capacity is a minimum of
2.5 cm (1 in), to prevent the unit from
3. Remove the plug from the mains power socket. 160 - 168 kg (353 - 370 lbs). The vehicle should
tipping over. After reaching the
4. Follow steps 3 – 7 of the previous procedure. have good shock absorbers and a door large
destination, lock the front wheel
enough for the unit with its monitor and any
brake.
peripherals to clear.
5. Park the vehicle on a level surface for loading
and unloading.
6. Secure the unit while it is on the lift, to prevent
rolling. Do not attempt to hold it in place by
hand. Cushion the unit and strap the lower part
so that it does not break loose.
Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 12
Monitor
Adjustment
Controls
Basic Mode
Archiving & Scan Mode Parameter
On/Off Reporting TGC Gain Selection Adjustment
Button Buttons Sliders Soft Keys Buttons Rotaries
VCR
Playback
Display
Pre-examination Format
Buttons Buttons
Measurement
Buttons
VCR Control
and Print
Buttons
Figure 3: Control Panel Layout Diagram NOTE: For details on Soft Keys and Soft Menu
Rocker functions, see “Soft Key and Soft Menu
Functions” on page 21.
Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 14
Beginning an Examination To enter a new patient: To select a preset from the top of the image screen:
1. Press Patient ID. NOTE: A green triangle is located at the top of the
Entering Patient Details 2. TRACKBALL to Start New Patient in the Select Image screen alongside the name of the
screen and press Select. The Main Details currently-selected preset. Clicking on the triangle
To access patient information: screen is displayed. opens a pull-down menu in which all presets
available for the currently-selected probe are listed.
• Press Patient ID, Date of Birth, or Last Name.
Important: Either an ID Number or Last Name is NOTE: On the image screen, when the cursor is in
Important: The layout of the Patient List screen is mandatory. All other patient details are optional. the area around the preset name or the green
dependent on the screen layout template selected triangle, the cursor changes to a hand-shaped
during system configuration. For details, refer to 3. TRACKBALL to the Patient ID or Last Name field pointer. Clicking Select opens a drop-down menu;
Chapter 14, Presets in the Vivid 3 User’s Manual. and press Select. a checkmark is visible preceding the name of the
4. Enter the patient’s ID number or last name. currently-active preset (Cardiac in the example
NOTE: The screen layout is displayed in accordance 5. Enter additional patient details in the remaining shown below):
with the currently-selected Patient ID Page Type. (For fields, using <Tab> or <Enter>, navigate to
details, refer to Vivid 3 Pro/Expert SW 2.2 Release each field,
Notes). Any one of the following four types may have 6. Use the Select Page soft key rotary to navigate
been be selected: through the data entry pages. Add patient
• Type A:Full details - includes Patient ID, Weight details as required.
and Height 7. Press the Begin Exam soft key.
• Type B:No Patient ID - includes Last Name,
DOB, Weight and Height To select a probe and an application:
• Type C:Patient ID on 2nd line; No Weight or 1. Press Probe. 1. Click the triangle at the top of the image screen (on
Height 2. TRACKBALL to the required application preset in the right of the currently-selected preset name).
• Type D:No Patient ID; No Weight or Height the frame of the appropriate probe and press 2. From the pull-down menu, trackball to the
Select. The name of the currently selected required preset and press Select.
probe and application are displayed in the
The pull-down menu closes and the name of
information bar at the top of the 2D screen. The
the newly-selected preset is displayed at the
examination can now begin.
top of the screen.
NOTE: The names listed in the pull-down menu are
relative to the currently-selected main application.
User-modified preset names are preceeded by an
asterisk (*).
Preset
Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 16
Basic Scanning Operations 3. Use the alphanumeric keyboard to type the Zoom
required text. To add additional annotations,
The System enables the user to perform various press Menu. Magnifies the display in both frozen and live 2D,
supplementary operations to improve both the
To move a line of text: M-Mode and combined mode images.
examination process and quality of the data
archived for future use. If required, a line of text may be moved To zoom an image:
(up/down/left/right)
For detailed information regarding scanning mode 1. Rotate the zoom rotary to magnify the image.
functions, refer to Chapter 3, Modes in the Vivid 3 1. Trackball to the line and press Select. 2. Press the Zoom rotary to toggle between the
User’s Manual. 2. While holding down the Select button on the actual-sized image and the magnified image.
control console, drag the selected line of text to
Storing Images and Cineloops the required position, using the trackball. Performing Measurements
3. Release the Select button. The line of text will
Images and cineloops can be stored at any time To perform measurements:
remain fixed in the new position.
during the scanning session, by using the Store
soft key. • Press Caliper or Measurement. See Chapter
Deleting Text Annotations 6, Cardiac Measurement and Analysis and
NOTE: The Store soft key should be pressed twice. Chapter 7, Vascular Measurement and Analysis
The first time to preview the image, the second to To delete a specific text annotation from the in the User’s Manual for details.
accept and store the image. screen:
For further information, refer to Chapter 10, Patient 1. TRACKBALL to the annotation to be deleted and
Management in the Vivid 3 User’s Manual. press Select to highlight.
2. Press <Line Erase>. The selected annotation
Storing Images on VCR is erased.
NOTE: If you did not select the annotation (Step 1),
Images can be recorded on a video tape. Press
the last line typed will be erased.
VCR Record to start recording. For detailed
information regarding the VCR recorder, refer to
Chapter 12, Peripherals in the Vivid 3 User’s To erase all the annotations from the screen:
Manual.
• Press <Page Erase>.
Text Annotations
Depth Adjustment
To insert a text annotation:
To adjust the image depth:
1. Press <Text>. A text cursor (I) is displayed in
the upper-left corner of the display screen, or in • Rotate the Depth rotary.
the user-defined home position.
2. TRACKBALL the text cursor to the position at
which text is to be inserted.
For additional information, see Chapter 3, Modes in To manually select a heartbeat: To split the screen:
the Vivid 3 User’s Manual. 1. While in any scanning mode, press Freeze. • Press 1/2/4 once to split the screen into two
The scan mode freezes and the First Marker windows.
and End Marker are displayed on either side of • Press the button again to split the screen into
2D-Mode Imaging the last detected heartbeat on the ECG trace. four windows
2. Press the Cine Scroll soft key rotary to start the • Press the button a third time to revert to a single
Accessing 2D-Mode cineloop playback. image display.
3. Use the Previous/Next soft key rotary to select To toggle between windows:
To access 2D-Mode:
the heart cycle to be played back.
• Press 2D. • Press Window Select. The active window is
4. Use the First Marker and/or End Marker soft
marked with a solid light-blue circle near the top
key rotaries to trim or expand the cineloop
Adjusting the Gain in a 2D Image of the image and a yellow frame. Non-active
boundaries.
windows are marked with a hollow circle near
NOTE: By default, one cycle is stored in one cine. the top of the image and no frame.
Use the 2D Gain rotary to adjust the overall gain on However, up to 8 cycles may be stored. Select the
both live and frozen images, as well as on images To enlarge the display area:
required number of cycles, using the Cycles for
retrieved from the image archive. Store soft key: • Press Image Size. The images will increase in
size, and the parameter display column will not
Using Zoom in 2D-Mode be displayed.
• Rotate the Zoom rotary counterclockwise. The • Rotate the Cine Speed soft key rotary to adjust
ROI border increases in size, producing a the frame-rate of the cineloop.
smaller enlargement (zoom factor) of the larger The default is Nominal speed.
area. Continued counterclockwise rotation To view a cineloop frame by frame:
reaches a point at which the zoom is
automatically switched off and the reference 1. Press Stop Cine.
image is no longer displayed. 2. Use the Cine Scroll soft key rotary.
To exit the zoom function:
• Press the Zoom rotary once after the ROI has
been sized and positioned as required.
Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 18
Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 19
Resizing/Repositioning the M-Mode Doppler Mode Imaging 5. While the spectrum is scrolling, use the
Display TRACKBALL to reposition the Doppler cursor
and/or gate position.
Regular Doppler Display
To resize and/or reposition the image display: 6. Press Active Image to toggle between the
To access PW Doppler Mode or CW Doppler active soft key menus.
1. Press the Image Size soft key to toggle
between the M scroll sizes: either half, two Mode: 7. Press Select or 2D to freeze the Doppler
thirds, or full display. spectrum. Then press 2D Update to update the
1. Perform a 2D-Mode scan.
2D image.
2. Press Layout to toggle between a top/bottom 2. Press either PW or CW. The Doppler cursor
or side-by-side split screen display. To access PW Doppler Mode or CW Doppler
(and the Doppler gate, when in PW Doppler
Mode (Triplex Doppler display):
Mode) is displayed on the image.
Enlarging the 2D Image 3. Use the TRACKBALL to position the Doppler 1. Perform a 2D-Mode scan.
cursor (and Doppler gate, when using 2. Press either PW or CW on the control panel.
To display a full-sized 2D image: PW-Mode) over the appropriate anatomy. The Doppler cursor (and the Doppler gate,
1. In M-Mode, press Freeze. The M-Mode display 4. When positioned, press PW or CW to run the when in PW Doppler Mode) is displayed on the
is frozen. PW or CW spectrum. image.
2. Press M. The M scroll will temporarily 5. While the spectrum is scrolling, use the 3. Use the TRACKBALL to position the Doppler
disappear, displaying a full-sized 2D image. TRACKBALL to reposition the Doppler cursor cursor (and Doppler gate when in PW-Mode)
and/or gate position. over the appropriate anatomy.
3. Press M again to re-display the original M-Mode
layout. 6. Press Select or 2D Update to freeze the 4. Once positioned, press PW to run the PW
Doppler spectrum and update the 2D image. spectrum.
Exiting M-Mode NOTE: Only in specific velocities will Interleave
Duplex Doppler Display Triplex be activated automatically.
To exit M-Mode: 5. While the spectrum is scrolling, use the
• Press M. The image reverts to 2D-Mode. The M To access PW Doppler Mode or CW Doppler TRACKBALL to reposition the Doppler cursor
Mode: and/or gate position.
cursor remains on the image; pressing M again
will re-enter M-Mode. 1. Follow steps 1 – 4 above. 6. Press Active Mode to toggle between the
To access Anatomical M-Mode: 2. Press one of the arrows on the Soft Menu active soft key menus.
Rocker. A pop-up menu is displayed on the 7. Press Select or 2D to freeze the Doppler
1. Perform a 2D-Mode scan and press Freeze.
screen. spectrum, then press 2D Update to update the
2. Press M to generate the Anatomical M-Mode 2D image.
3. Use the vertical arrows to highlight the Enable
sweep.
Triplex option from the soft menu. 8. Press 2D Freeze to freeze the 2D display, if
To position the M cursor: required.
4. Use the left or right arrows to change the status
1. Rotate the Line Move soft key rotary clockwise to 1 (enabled). The display changes to Duplex
to move the M Cursor to the right. Doppler, and both the 2D image and Doppler
2. Rotate the Line Rotate soft key rotary Spectrum are active.
clockwise to rotate the M cursor to the right.
Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 20
Adjusting the Gain in Doppler Mode LVO Imaging (optional) • Tissue harmonics
Tissue harmonics give rise to contrast-like
Use the Left Ventricular Opacification Imaging (LVO signals independent of the presence of the
In both CW Doppler and PW Doppler Modes, the
Imaging) application to help identify LV thrombus contrast agent.
Active Gain rotary enables the overall spectral gain
and evaluate wall motion.
to be adjusted in either active or freeze modes and The LVO Imaging application default settings
on images retrieved from the image archive. Support of LVO Imaging is an optional feature of the minimize the occurrences of artifacts. Nevertheless,
Vivid 3 system. the operator has to take these into account when
The 2D Gain rotary enables the overall gain of the
2D image to be adjusted, without affecting the The LVO Imaging application is preset to: analyzing the data and has to confirm the results
Doppler spectrum. using other techniques.
• optimize resolution and enhance delineation of
endocardial borders, and
Enlarging the 2D Image
• optimize assessment of wall motion and wall
Optimizing LV Contrast
thickening.
To temporarily hide Doppler display:
WARNING: Read and carefully follow Usually, the default settings for the LVO Imaging
1. With PW/CW image frozen, press PW or CW. A
the manufacturer’s instructions on the application are the optimal settings. However,
full-sized 2D image is displayed.
contrast agent’s label. depending on the acoustic window of the patient or
2. Press PW or CW again to re-display original the specific contrast agent being used, there may
Doppler layout. be need for adjustment.
Steering on Vascular Applications Misdiagnosis Based on Image Artifacts C CAUTION: Too high a power setting will
destroy the contrast agent in the LV
To steer the Doppler interrogation beam: Misdiagnosis in ultrasound contrast images might cavity. Destruction of the contrast
be caused by several artifacts. These include: agent is shown as a swirling pattern.
1. Press PW.
2. Use the Steer rocker key to steer the Doppler • Motion artifacts If, before injection of the contrast agent, image
interrogation beam to the right, left or Motion artifacts give rise to contrast-like signals quality is not acceptable, increase the power level.
perpendicular to the probe surface. independent of the presence of contrast. Then, when the contrast agent is observed in the
3. Use the Doppler Angle soft key rotary to align Motion artifacts may be caused by patient left ventricle, reduce the power to a level giving
the Doppler angle cursor with the measured movement, including respiration, or by probe homogenous opacification.
vessel. movement influenced by the operator.
• Regional drop-outs If a swirling pattern—that is, destruction of the
To exit PW Doppler Mode or CW Doppler Mode: contrast agent—is observed and persists after the
Regional drop-outs can be caused by the
1. If the system is in PW-Mode, press PW. unintentional destruction of the contrast agent, LV cavity has been filled with the contrast agent,
OR too low a concentration of the contrast agent, continue to reduce the power until homogenous
If the system is in CW-Mode, press CW. Full poor acoustic penetration due to rib and/or lung opacification is obtained.
2D-Mode or CFM-Mode will be displayed. shadows, or by the system failing to detect the
WARNING: Read and carefully follow
2. Press Cursor on the control panel to hide the contrast agent. The last cause might be the
the manufacturer’s instructions on the
Doppler cursor. result of incorrect settings introduced by the
contrast agent’s label.
operator.
Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 21
Angio Mode
TM Soft Key and Soft Menu Functions pressed and/or turned. The lit (yellow) label
indicates the currently active function.
AngioTM Mode (Power Doppler) is application The soft keys are unlabeled grey buttons and
dependent and is only used in vascular and shared rotaries located at the top of the control panel. For more detailed information, refer to Chapter 3,
services applications. Modes in the Vivid 3 User’s Manual.
A set of corresponding soft key icons is displayed at
NOTE: AngioTM Mode is only available on selected the bottom of the screen.
probes and applications.
The functions of the soft keys vary according to the
mode in which the user is working.
Accessing AngioTM Mode
In each mode, a label above and/or below each soft
To activate AngioTM Mode (Power Doppler): key icon on the screen indicates the function of the
corresponding soft key on the control panel, when
• Press Mode 2.
As shown in the example below, PDI (Power
Doppler Image) parameters are displayed on
the right of the screen, indicating that Power
Doppler mode is currently activated:
Soft keys on the screen
Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 22
The Soft Key functions are as follows: • Compression M – increases the compression level and • Focus – changes the location of the focal zone marker by
reduces the M-Mode image contrast when rotated displaying a triangular focus marker that indicates the depth
• %DR – measures two diameters of one blood vessel clockwise, to soften the image. When rotated counter- of the optimized focal point. In Color Mode, the focus
(minimum and maximum). clockwise, increases the M image contrast. location tracks the ROI position.
• %AR – measures two areas of one blood vessel (minimum • Contour M – controls image processing related to the • Foci Number - enables the user to choose the required
and maximum). extent of edge enhancement applied to an image. number of focal zone markers. The number of markers
• 2D Maps – displays a 2D Map menu. The menu enables an • Curve – activates Curved Anatomical M-Mode, enabling available for selection will depend upon the scanning depth
option from a list of non-linear grey-curves or different 2D- the user to generate a synthetic M-Mode display from a of the scan currently in progress.
colorized curves to be selected. curved line drawn on a 2D image. NOTE:Changing the number of focal zone markers affects the
• 2D Caliper – measures distance on the 2D image. • D Caliper – measures maximum velocity, time, and slope Frame Rate.
• 2D Area – measures area on the 2D image. on the spectral Doppler. • Foci Position - sets the position of the focal zone markers
• 2D Volume - measures volume of 2D area. • Directional - shows direction of the Power Doppler (only in (relative to each other).
• Angle – controls the size or angular width of the 2D image Angio [Power Doppler] Mode). NOTE:Toggles between Foci Number/Foci Position.
sector (in degrees). A smaller angle generally produces a • DDP Persistence - enables adjustment of 2D image in
• Foci Spread - sets the spread of the focal zone markers.
scan with a higher frame rate. time. The current frame retains some 2D information from Turning the rotary to the left sets markers closer together;
• ECG Position – the user can position the ECG according previous frames, to prevent noise. turning it to the right, set them further apart.
to preference. • Doppler Angle – enables the user to correct the Doppler • Frame Rate – adjusts the frame rate (in frames/sec).
• Audio Volume – enables the adjustment of the volume velocity scale by defining the angle between the Doppler
• Frequency 2D – enables adjustment of the transmit and
level in Doppler Mode. beam and the interrogated blood vessel (in degrees).
receive operating frequency (in MHz).
• Auto Update – activates the 2D image for a short time • Doppler Maps – displays a drop-down menu of different
• Horizontal Sweep – enables modification of the horizontal
whenever the gate is moved, allowing it to refresh for a Doppler colorization/grey maps when rotated. Select the
required non-linear grey curves or "colorized Doppler" sweep speed (in m/sec).
short distance before the Doppler process is continued. In PW-Mode: focus tracks the Doppler gate position.
curves.
• Baseline (color) – modifies the color distribution map and In CW-Mode: focus tracks the small horizontal marker
changes the color contents of the image accordingly. • Dual Focus - provides another focal point in near field (only
located on the Doppler cursor.
• Baseline (Doppler) – enables the Doppler spectrum to be in Cardiac Mode). In M Mode: focus tracks time (in msecs)
shifted up and down. • ECG - toggles between ON/OFF to show/hide ECG trace In ECG Mode:focus changes the trace speed.
• B/C - controls the priority of black & white image (B) • ECG Internal/External - enables the user to select the • HR – measures heart rate.
vs. color (C). required signal source (either from the ECG cables
• Invert
connected to the system, or from an external ECG source.
• Cine Scroll – enables manual scrolling of the cineloop, in • Left/Right Invert: Enables a mirror image of the 2D
any of the modes, as an alternative to scrolling with the • ECG/Phono Gain - controls the gain of the ECG/Phono
image to be created.
TRACKBALL. signal.
• Up/Down Invert: Enables the 2D image to be rotated
• Cine Speed – controls the cineloop playback speed. When • End Marker – moves the red vertical line that is displayed 180 degrees.
Nominal is displayed on the rotary on the screen, the loop is over the ECG trace to indicate the end of a cineloop. Move
• Invert Color: Enables the color scheme assigned to
running at its original speed. left or right to define the section of the cineloop that is to be
positive and negative velocities to be inverted.
• CO – acquires two measurements; one on the Doppler displayed.
• Invert (Doppler): Enables the spectrum to be flipped
trace and one on the 2D valve diameter. • Envelope Adjustment – corrects and adjusts the envelope
for the Doppler spectrum image auto trace, assuring better 180 degrees, so that negative velocities are displayed
• Color Maps – displays a menu of color map options. Rotate above the baseline and positive velocities below the
accuracy.
the rotary to select a color map. baseline. If the Doppler Mode is combined with Color
• First Marker – moves the green vertical line that is
• Colorize – enables the user to colorize black and white Mode, the color map will also be inverted.
images. With the use of the 2D Maps soft key, the user displayed over the ECG trace to indicate the beginning of a
cineloop. Move left or right to define the section of the • Layout – enables toggling between side-by-side and top-
selects the color map required. bottom layouts when viewing two modes in parallel.
cineloop that is to be displayed.
• Compression 2D – increases compression when rotated • Line Move – enables the M Cursor displayed over 2D
clockwise, resulting in reduced contrast of the 2D image. images in Anatomical M-Mode to be moved from left to right
• Cycles for Store - enables the user to select the number of across the scanning screen.
cycles to be stored in one cine.
Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 23
• Line Rotate – enables the M Cursor displayed over 2D • Sample Volume – enables the TRACKBALL to be assigned 3D Option:
images in Anatomical M-mode to be rotated 360 degrees. to control the size of the sample volume gate (in mm), in
• Layout - 3D - enables the user to select the required 3D
• Low PRF – enables toggling between High and Low Pulse PW-Mode.
View Layout. Options available for selection:
Repetition Frequency (PRF) functions, only in PW-Mode. • Scroll Results – enables scrolling within the list of
• 3D + Cube
• Low Vel. Reject (Color) – enables the extent of low measurements taken and displayed in the measurement
result list window. • Render
velocity removal to be adjusted (in cm/s).
• Sensitivity - active in CW, enables the sensitivity of the • Main Plane
• Low Vel. Reject (Doppler) – enables the low velocity
portions of the spectrum to be filtered (in cm/s), since the Doppler signal to be increased/decreased. • Landscape
Doppler spectrum and audio can contain strong, • Simultaneous – synchronizes all the cineloops to run • Volumes - enables the user to select the required 3D
undesirable wall-motion signals. simultaneously on the screen when working in multiple Viewing option. Choose from the following:
• LV – measures left ventricle parameters (IVS, LVID, LVPW). view. When turned off, only the image in the active segment • Gray
of the screen will run. When running cineloops in split • Color
• Manual Trace/Auto Trace – enables Doppler signal
envelope tracing. screen mode, enables cineloops to be run in only one
• Gray + Color
window or in all windows.
• M Caliper – measures distance, time, and slope on the M- NOTE:Volumes selection only available in Color/Angio Mode.
• Stop Cine – stops the continuous playback of a cineloop
Mode display.
when pressed. Active when cineloop is running. • Auto Movie - enables the user to record the rendering of a
• M Height – measures distance on the M-Mode display. 3D image.
• Tilt – enables the sector of the 2D image to be tilted to the
• M Maps - displays a drop-down menu of different M-Mode • 3D Reset - returns the display to the initial default 3D Cube.
left or right. By default, the axis of symmetry of a 2D image
grey or colorized maps.
is vertical. • Scan Distance - in post-processing, enables the user to
• Previous/Next – enables the user to manually move to the manipulate the incremental distance between each
• Triplex Live - simultaneously presents 2D, Color, & PW - all
next or previous heart cycle. Active when cineloop is live. neighboring scan plan.
running. (Toggles between Previous/Next cycles.)
• Variance – enables the velocity variance calculation and • Save As - when enabled, used to save a 3D image to a
• PS + ED – measures two velocity points on the spectral hard drive, removable drive, floppy disk, etc.
display velocity variable as an indication of the amount of
Doppler window.
turbulent flow.
• Reject 2D – enables 2D (grey) reject in CFM-Mode. Setting Hip Joint Measurement:
• Velocity – measures one velocity point on the Doppler
is differential to the value set in 2D only. Returning to 2D- window. • Hip Joint - enables the user to superimpose lines on an
Mode disables Reject 2D. image and align them with anatomical features, for the
• Velocity Scale – controls the PRF (Pulse Repetition
• Reject M – rejects the low-level echoes in the M-Mode calculation of Hip Joint Angles measurement.
Frequency) values. It enables maximal detected velocity to
image when rotated clockwise, producing a clearer image. • Rotate Line - used to rotate any of the three lines
be modified. In CFM, it also controls the distribution of
Turn the rotary counterclockwise to decrease the low-level shades in the color map over the different velocity values in (superimposed on the image) to the required angle.
echo rejection. • 2D Caliper - used to perform calculation of the angle
the flow.
• Resize Results – enables shortening and/or enlarging of between two lines.
• VF – measures velocity time integral (VTI) and heart rate
the measurement result list shown in the window on the • Ellipse - provides an alternative method of measuring two
(HR) on the spectral Doppler window, and blood vessel
display screen. diameter on the 2D window. diameters (within an elliptical shape).
• ROI Size – enables the TRACKBALL to control the • Volumes - • 2 Diameters - assigns a ratio to a hip joint measurement.
dimensions of the color ROI (Region of Interest, when
pressed. Use the TRACKBALL right, left, up, or down to
• Width – controls the sector width in the case of a linear Biopsy Guide Option:
probe, and angular width for all other probes.
control ROI height/width. • Biopsy Marker - used to adjust and rotate the biopsy
• RUN Cine – activates an endless playback of a cineloop “depth marker” to the required position (estimates the
when pressed. The time frame of the played back cineloop penetration depth of the biopsy needle).
is defined by the colored markers displayed on the ECG • Biopsy Setup - used to select one of three angles when
trace. In 2D-Mode, displays a scrolling image. In Doppler changing the angle of the biopsy bracket attachment.
Mode, displays a scrolling ECG pointer. Active when NOTE:Only applicable to variable-angle adjustable bracket
cineloop is stopped. attachments.
Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 24
Soft Menu Rocker Functions The Soft Menu Rocker functions are as follows: • Frequency – enables the transmission frequency in
Doppler and Color Modes (in MHz) to be modified
The Soft Menu rocker enables access to • Contour 2D – enables the sharpness of images to be to control sensitivity or level of penetration.
increased in the radial direction in 2D or M-Mode.
mode-specific pop-up menus that provide display • Persistence – enables adjustment of color images, so
• Diff (Difficult) – reduces these reverberation artifacts, the current frame retains some color information from
adjustment options. For additional information, refer however frame rate will be reduced as a result. When set to previous frames, to avoid noise.
to Chapter 3, Modes in the Vivid 3 User’s Manual. 0 (zero), this function is active. The factory default for this • Power – controls the amount of acoustic power applied in
function is 1.
all modes (in dB).
• Doppler DR – adjusts the range of color scale used to
• Reject 2D – enables 2D (grey) reject in CFM-Mode. Setting
represent the span of received signal strength from the
is differential to the value set in 2D only. Returning to
blood. It makes the spectrum softer or harder. 2D-Mode disables Reject 2D.
• Doppler Post Processing – controls the amount of • Reject (Doppler) – enables undesirable background noise
contrast of the Doppler display.
to be removed from the Doppler spectrum.
• 2D Dynamic Range – enables control of the dynamic range
• Sample Volume – controls the size of the CFM sample
or contrast of an image in 2D and Doppler Modes (in dB).
volume.
• Flash Removal – enables an algorithm that removes
• Steer Angle – controls the angular direction of the
undesired color flashes due to probe motion or strong
ultrasound beam.
tissue motion. (Note: High values can cause a reduction of
color sensitivity.) • Lateral and Axial Smooth – enables radial and lateral
smoothing of the color pixels.
• Frame Rate – enables the frame rate (in Hz) to be
increased when examining fast moving tissue. When
examining non-moving tissue, the frame rate can be
decreased to increase resolution.
Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 25
Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 26
To rotate the 3D VOI: NOTE: The yellow hand appears only when the
pointer is on an edge of the 3D VOI. If the hand is
1. Position the white trackball pointer (in the not visible, trackball closer to the edge. Only the
shape of a pointing finger) outside of the edge of the plane closest to the hand is highlighted
rectangle and press Select. in yellow.
The white hand will close, as shown in Figure 7.
To manipulate the corner of the 3D VOI:
1. Position the green trackball pointer (in the
Figure 8: Moving through the 3D VOI (Red Hand)
shape of a pointing finger) on one of the
NOTE: Any plane in the volume can be made corners of the VOI and press Select.
active (highlighted by a red rectangle) by placing The trackball cursor shape changes to a green
the red hand over it and clicking on it. closed hand and a small green dot appears on
To manipulate the edge of the 3D VOI: the selected corner.
2. Use the Trackball to move the green hand and
1. Position the trackball pointer over any visible pull back the corner of the plane accordingly, as
edge. The hand pointer turns yellow. shown in Figure 8.
Figure 7: Rotating the 3D VOI (White Hand) 2. Position the yellow pointer (in the shape of a
pointing finger) on the required edge and press
2. Trackball to rotate the 3D VOI in any direction,
Select.
as required. You can also tilt it backwards or
The trackball cursor shape changes to a yellow
forwards, if necessary.
closed hand and the edge of the selected plane
3. Press Select again to release the trackball from (closest to the hand) becomes highlighted in
rotating the VOI. The white hand will open in yellow.
the shape of a pointing finger.
3. Use the Trackball to move the yellow hand (and
the edge of the plane) accordingly - to view
specific anatomical portions, as shown in
Figure 9. Figure 10: Manipulating the Corner of a 3D VOI (Green Hand)
Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 27
NOTE: A bracket attachment is supplied in a • Follow the probe cleaning and disinfection procedures and precautions to properly
"Starter Kit" together with some accessories in a prepare the probe.
separate Biopsy Kit. For details and a list of • Follow the manufacturer's instructions for the cleaning of biopsy devices and accessories.
contents of the kit, refer to theVivid 3 Release • Use protective barriers such as gloves and probe sheaths.
Notes SW 3.1.
• After use, follow proper procedures for decontamination, cleaning, and waste disposal.
C CAUTION: Improper cleaning methods and the use of certain cleaning and
disinfecting agents can cause damage to the plastic components that will degrade
imaging performance, or increase the risk of electric shock.
For more information, refer to the safety instructions supplied with each probe.
Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 28
Displaying the Biopsy Guide Zone Screen The following message is displayed: "Be sure to
select the proper biopsy kit and set up the
The Biopsy Guide Zone is an interactive display proper bracket angle".
drawn on the screen, and associated with the For details on selecting the proper Biopsy Kit,
currently-selected bracket angle of the probe refer to the information provided in the Vivid 3
attachment. Release Notes SW 3.1.
NOTE: For a full description and detailed For “Bracket Attachment Angle Set-up” see the
explanation of this feature, refer to the Vivid 3 instructions, below.
Release Notes SW 3.1. NOTE: If the current probe does not support
NOTE: The user is able to change the way in which use of a biopsy bracket, the message "Biopsy Figure 12: Bracket Attachment Angle Selection Set-up
the Biopsy Guide Zone is displayed, in accordance Guide is not supported" is displayed.
2. Select the required bracket angle (positions 1,
with individual preferences. For example, change 2. Adjust the Biopsy Marker rotary and rotate it to 2, or 3) by clicking on one of the following:
the distance between dots; hide/display the center move the "depth marker" to the required MBX-1, MBX-2, or MBX-3.
line, outer lines etc. For instructions, refer to the position. Use this tool to estimate the needle’s Once the required bracket angle is selected,
Vivid 3 Release Notes SW 3.1. penetration depth. the pop-up menu closes and the Guide Zone
To activate display of the Biopsy Guide Zone: display accordingly reflects the new selection.
1. While in 2D or Color Mode, press Biopsy on NOTE: If you wish to exit the pop-up menu without
the alphanumeric keyboard. making changes to the bracket angle, simply click
on Exit.
If the current probe supports use of a biopsy The changed position of the depth marker is
bracket, the Biopsy Guide Zone is displayed on reflected on the screen. 3. Check the display at the
the screen, as shown in Figure 11 below. top of the screen to make
Bracket Attachment Angle Set-up sure that the selected
angle is appropriate. If not, repeat Step 2 to
change the selection.
NOTE: This procedure is intended for variable-angle
adjustable bracket attachment only. DANGER: Failure to match the
screen-displayed Guide Zone to the
To change the angle of the bracket attachment:
physical angle of the bracket’s needle
1. Press the Biopsy Setup soft rotary key. guide may cause the needle to track a
path outside the Guide Zone.
A pop-up menu is displayed, showing pictures
It is extremely important that when using the
of the bracket attachment at three different
adjustable angle biopsy guides, the angle
angles, as shown in Figure 12.
displayed on the screen matches the angle
set on the guide, otherwise the needle will
not follow the displayed guide zone. This
could result in repeated biopsies, or even
patient injury. For more details on Biopsy
Figure 11: Biopsy Guide Zone displayed on screen Needle Deviation, see the Vivid 3 Release
Notes SW 3.1
Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 29
NOTE: Whenever the system is turned OFF and ON
again, the bracket-hole number - as well as the Needle clip attachment C CAUTION: When pushing the pin to
location of the depth marker - is maintained as before. Orientation mark secure the angle position of the
needle guide attachment, hold the
Preparing the Multi-Angle Guide bracket firmly in place on the probe.
Excessive force may cause the
Attachment bracket to release from the probe.
WARNING: DO NOT attempt to use
9. Apply an adequate amount of coupling gel to
the multi-angle biopsy bracket and
Bracket Probe the face of the probe.
needle guide until the
manufacturer's instructions 10. Place the proper sanitary sheath tightly over the
Figure 14: Aligning the Orientation Mark
(provided with the biopsy bracket probe and biopsy bracket. To hold the sheath
6. Attach the biopsy bracket to the probe by firmly in place, use the rubber bands supplied,
and needle guide in the Biopsy Kit), sliding the bracket over the end of the probe
have been read and thoroughly as shown in Figure 16.
until it clicks or locks in place.
understood.
7. Select the required needle guide attachment
To assemble the multi-angle biopsy guide: angle by pulling the metal locking pin upwards
to freely move the needle guide attachment and
1. Scan the patient and identify the target for the slide it out of the slotted opening on the plastic
biopsy. bracket.
2. Move the probe to locate the target to the
center of the image. Metal
locking Figure 16: Applying the Sanitary Sheath to the Probe
3. Enable the system Biopsy Guide Zone and try
the guide zone angles MBX1, 2 or 3 to decide pin 11. Place the needle clip attachment onto the
the best angle setting for the needle path. See biopsy guide bracket and snap into position, as
“Displaying the Biopsy Guide Zone Screen” on shown in Figure 17.
page 28.
4. Identify the appropriate Biopsy Guide bracket Locking pin in Position 1 Locking pin in new position Needle clip attachment
by matching the label on the bracket with that
Figure 15: Changing Attachment Angle & Locking into Position
on the probe to be used.
8. Align the pin with the currently-selected angle
of the needle guide attachment in order to
match that of the Guide Zone displayed on the
Vivid 3 screen: MBX1, MBX2, or MBX3. For
example, if MBX2 is selected, align the pin with
Figure 13: Multi-Angle Biopsy Guide Bracket position 2 (as shown above) and push it into
5. Orient the bracket so that the needle clip position in the slot. Press the pin downwards to
secure it firmly in place (see picture on right, in Figure 17: Fitting the Needle Clip Attachment onto the
attachment will be on the same side as the Biopsy Guide Bracket
orientation mark (ridge) on the side of the Figure 15 above).
probe, as shown in Figure 14.
Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 30
12. Push the locking mechanism towards the NOTE: When inserting the needle barrel into the 7. Push the locking mechanism towards the
bracket to secure the lock. Make sure the needle clip, make sure the two embossed arrow bracket to secure the lock. Make sure the
needle guide is firmly attached to the bracket - points are facing each other; in this way correct needle guide is firmly attached to the bracket -
see Figure 18. positioning is assured. The gauge marked on one see Figure 18 on page 30.
side of the needle barrel will be visible, since this 8. Choose a needle barrel of the required gauge
Lock will be facing towards you (as shown in Figure 20). (size) and twist it back and forth to remove it
from the plastic holder (tree) - refer to Figure 19
Preparing the Fixed-Angle Guide on page 30.
Attachment 9. Place the selected needle barrel into the needle
clip (see note below) and push to snap into
WARNING: DO NOT attempt to use place - see Figure 20 on page 30.
the fixed-angle biopsy bracket and
Figure 18: Locking the Needle Clip Attachment into Position NOTE: When inserting the needle barrel into the
needle guide until the
needle clip, make sure the two embossed arrow
13. Choose a needle barrel of the required gauge manufacturer's instructions
points are facing each other; in this way correct
(size) and twist it back and forth to remove it (provided with the biopsy bracket
positioning is assured. The gauge marked on one
from the plastic holder (tree) - see below. and needle guide in the Biopsy Kit),
side of the needle barrel will be visible, since this
have been read and thoroughly
Plastic holder will be facing towards you (as shown in Figure 20).
understood.
Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 31
Performing the Biopsy Procedure To complete the Biopsy procedure:
1. When the biopsy is complete, remove the
WARNING: Biopsy procedures must needle barrel, needle clip and probe sheath.
only be performed on live images. 2. Properly dispose of these items in accordance
with current facility guidelines.
NOTE: The biopsy bracket can be sterilized in a
recommended disinfecting agent (refer to the
C CAUTION: Before performing a manufacturer’s instructions - see also the Biopsy
biopsy, ensure that all Biopsy Guide Bracket Cleaning and Sterilization instructions
parts are seated properly. provided in the Vivid 3 Release Notes SW 3.1),
Refer to the following instructions, as after which it may be re-used, as required.
appropriate: “Preparing the Multi-Angle
Guide Attachment” on page 29;
“Preparing the Fixed-Angle Guide
Attachment” on page 30.
To perform the Biopsy procedure:
1. Place coupling gel on the scanning surface of
the probe/sheath/biopsy guide assembly.
2. Activate the Biopsy Guide Zone on the Vivid 3
system by pressing Biopsy on the
alphanumeric keyboard. (Refer to “Displaying
the Biopsy Guide Zone Screen” on page 28).
When using multi-angle guides, ensure that the
proper Guide Zone angle is displayed.
(Refer to “Bracket Attachment Angle Set-up” on
page 28).
3. Scan to locate the target. Center the target in
the electronic Guide Zone path.
4. Carefully place the needle in the guide between
the needle barrel and needle clip. Direct it into
the area of interest for specimen retrieval.
Getting Started
Vivid 3 User Guide Direction 2305203-100 Rev. 004 32
Physiological Traces Changing the ECG Trace Amplitude Hiding the ECG Signal Trace
For additional information, see Chapter 4, To change the ECG trace amplitude: To hide the ECG signal trace:
Physiological Traces in the User’s Manual. 1. Press Physio. 1. Press Physio .
2. Turn Gain ECG rotary. 2. Press the ECG soft key to hide the ECG signal
Connecting the Electrodes To change the ECG trace position: trace. The on-screen LED will dim. Press the
ECG soft key again to display the ECG signal
1. Press Physio. trace.
2. Turn ECG position rotary.
Using the Heart Sound Microphone
Selecting an External ECG Input Device
1 3
2 4 To select external ECG signal input: To use the heart sound microphone device:
1. Press Physio. 1. Connect a microphone cable in the Rear
2. Press the ECG Internal/External soft key so Connector Panel.
that External is lit on screen. To return to the 2. Press Physio.
internal ECG unit, press the ECG Internal/ 3. Press the Phono soft key to display the Phono
External soft key again so that Internal is lit on trace.
1. Footswitch (black)
screen.
2. Phono (blue)
NOTE: ECG Internal/External can also be set by Changing the Phono Trace Position
3. Internal ECG (yellow) accessing the System Configuration and changing
4. ECG (green) to the required settings under the ECG/VCR tab. To change the Phono trace position:
NOTE: If any ECG trace problems occur, use the 1. Press Physio.
Reset ECG soft key.
Adjusting ECG & Phono Display 2. Press the ECG position / Phono Position soft
key rotary to activate the Phono position
Changing the Trace Sweep Speed in function.
2D-Mode 3. Turn the Phono position soft key rotary.
For additional information, see Chapter 5, Stress Selecting an Image To delete an acquired image:
Echo in the User’s Manual. 1. TRACKBALL to the projection/level image cell
To begin acquisition: and press Select.
Accessing Stress Echo Mode 2. Press Menu. The Delete option is displayed.
1. Toggle Freeze to off.
TRACKBALL to the on-screen Delete button and
To access Stress Echo Mode and select a stress 2. Perform a scan in 2D-Mode.
press Select. A pop-up dialog box, requesting
protocol: 3. Press Freeze to stop and replay the last confirmation of the deletion is displayed.
1. Press Protocol. A list of available stress complete heart-loop.
3. TRACKBALL to Yes and press Select.
protocol templates is displayed on the 4. After selecting the preferred loop, press Store.
NOTE: To delete a level, the selected level must
clipboard. 5. Repeat previous steps until all required not contain any images.
NOTE: Stress protocol templates can be edited or projections have been made and completed.
created, as described in Chapter 5,Stress Echo in To replace an acquired image:
NOTE: You may also press Store twice (to accept
the User’s Manual. loops) without performing Steps 1 -3 above. 1. TRACKBALL to the projection/level image cell
2. Use the Select Template soft key rotary to that is to be replaced in the clipboard’s matrix
To select a loop on a Quad View display:
highlight the required template. and press Select.
1. Follow steps 1 – 3 of the previous procedure to 2. Press Store.
3. After selecting the required protocol, press acquire an image.
Freeze to exit Freeze Mode and begin 3. TRACKBALL to Yes and press Select.
2. Press the Quad View soft key so the relevant
acquisition.The name of the selected template
on-screen icon is selected.
is displayed at the top of the clipboard.
3. TRACKBALL to the required quad window and
press Select.
4. Manually select the required image using the
soft keys and soft key rotaries.
5. Press Store.
6. Repeat the previous steps until all required
projections have been acquired and completed.
Stress Echo
Vivid 3 User Guide Direction 2305203-100 Rev. 004 34
Stress Echo
Vivid 3 User Guide Direction 2305203-100 Rev. 004 35
Selecting and Storing Heart Cycles Displaying, Hiding, or Resetting the Assigning New Labels to Levels or
Capture Buffer Projections
After the buffer is filled with continuously captured
cycles, the user can begin to review the contents of To display, hide, or reset the capture buffer: To assign new labels to projections:
the buffer and store images to the scoring matrix.
1. TRACKBALL to the template name and press 1. TRACKBALL to the projection label that is to be
The procedure options available for reviewing the Select. changed and press Menu. A pop-up menu is
contents of the buffer are described below. displayed with a list of available labels.
2. TRACKBALL to the required option and press
To review and select the buffer bar’s captures in Select. 2. TRACKBALL to the required projection label and
Full View: press Select.
NOTE: For details on viewing scoring and
• Use the Previous/Next soft key rotary to scroll measurements during the Stress exam, refer to NOTE: Once a level has an image stored, the label
through the buffer. A blue line indicates the “Reporting” on page 52. of that level can no longer be changed.
location of the heart cycle in the buffer bar, and
the heart cycle is displayed on the screen, Editing and/or Creating Stress Defining New Groups
Templates To assign a name to a group of image cells:
To enter, review, and select the captures in the
1. TRACKBALL to the group name that is to be
buffer bar in quad view: Selecting a Base Template changed in the group list and press Select.
1. Press the Quad View soft key. The first four To select a base template: NOTE: If cells are assigned while the group name
captured heart cycles are displayed. is highlighted, the cells associated with the group
1. Press Protocol.
NOTE: If the Quad View soft key is not available, will be identified by yellow frames.
press Active Mode. Scroll using Active Mode 2. Use the Select Template soft key rotary to
highlight the one to use as the basis of the new NOTE: If the vertical cursor is not displayed in the
through the different soft key menu options, while in
stress template. desired location, move the cursor with the TRACKBALL
Freeze Mode, until the Quad View soft key is
and press Select again to reassign cursor location.
displayed.
Adding/Deleting Levels 2. Use the alphanumeric keyboard to enter a new
2. Use the Previous/Next soft key rotary to scroll
To add levels: name.
through the buffer to display the four previous
or next heart cycles. A blue line indicates the To define cell options:
• Rotate the Set Levels or (Set Peak Level) soft
location of the first window’s heart cycle in the key rotary clockwise until the required number Cell options, such as whether or not the T2 timer is
buffer bar. of levels is reached. displayed, or when scoring is entered, can be
To store heart cycles selected from the buffer To delete levels: configured for each cell.
bar:
• Rotate the Set Levels (or Set Peak Level) soft 1. TRACKBALL to the required image cell and press
1. Press Store. key rotary counter-clockwise to remove the Select.
2. Follow the procedures for analysis, described in unrequired level/s 2. Press Menu.
Chapter 5, Stress Echo of the User’s Manual. NOTE: Be sure not to remove the last and soliday A pop-up menu with cell editing options is
NOTE: Press Exit to return to continuous capture Peak level. Once no Peak level remains in the displayed (e.g., Delete, Enter Quad on Freeze,
acquire mode. template, the user will not be able to add a Peak Unfreeze after Store, Timer 2 Reset or Off,
level to the template. Enter Scoring).
Stress Echo
Vivid 3 User Guide Direction 2305203-100 Rev. 004 36
Deleting Groups
To delete a group:
1. TRACKBALL to the name of the group that is to
be deleted along the right side of the screen
and press Menu.
2. TRACKBALL to Empty and press Select. The
group is removed.
Stress Echo
Vivid 3 User Guide Direction 2305203-100 Rev. 004 37
Cardiac Measurement
and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 38
Cardiac Measurement
and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 39
Cardiac Output Modifying Measurements Deleting Assigned Measurements
1. Measure the LVOT diameter in 2D/M Mode.
To modify a measurement: To delete assigned measurements:
2. Generate the spectrum to be measured and
press Freeze. 1. Highlight the required measurements. 1. Highlight the required measurement.
3. Press Caliper. 2. Press Select twice. 2. Press Menu.
4. Press the CO soft key. 3. TRACKBALL the marker to the required position 3. TRACKBALL to Delete and press Select.
and press Select to anchor the marker.
5. TRACKBALL to the start time point of the trace
4. Perform the required modifications. OR
and press Select.
6. Use the TRACKBALL to trace the Doppler Assigning a Parameter Label After 1. Highlight the required measurement.
envelope from left to right on the required part Measurement
of the spectrum and press Select. 2. Press <Delete>. The highlighted measurement
is deleted from the image and from the
7. TRACKBALL to the bar to indicate the end of the • A measurement can be taken more than once.
database.
heart cycle and press Select. Only the last measurement for a specific
OR
8. To obtain the Cardiac Output (CO) estimation, parameter label can be active and can be
Press <Del Meas>.
assign the result to SystCo (systolic cardiac modified.
To remove/clear all the measurements from the
output), or to one of the heart valves. • The last six measurements for a parameter can
screen:
9. The corresponding cross-sectional diameter of be saved in the database and viewed in the
the valve measured in Step 8 should be Worksheet. • Press Exit.
measured and assigned using a corresponding • A measurement that has not been assigned to OR
2D image. a parameter will not be retained in the Press Caliper.
NOTE: The CO will be calculated, and will be database. NOTE: When measurements are removed using
displayed on the screen and in the Worksheet. To assign a predefined parameter label to the above procedure, measurements that have
a measurement: been assigned are retained in the database.
General Controls 1. Highlight the required measurement. Controlling the Result Table Size
2. Press Menu.
Highlighting Measurements To modify the size of the Result table:
3. TRACKBALL to the required label abbreviation.
To highlight a measurement: 4. Press Select. • Rotate the Resize Results/Scroll Results soft
key rotary.
• TRACKBALL to the required measurement To assign a user-defined parameter label to a
marker on the image, measurement: To scroll through the result table:
OR 1. Highlight the required measurement. 1. Press the Resize Results/Scroll Results soft
TRACKBALL to the required measurement in the key rotary to enable the Scroll Results
result table in the upper-left corner of the 2. Press Menu.
function.
screen. The measurement is highlighted in 3. TRACKBALL to User and press Select.
2. Rotate the Resize Results/Scroll Results soft
green and can be modified. 4. Use the alphanumeric keyboard to enter the key rotary to scroll up or down through the
NOTE: There is an option to jump automatically to required label. results displayed in the Result table.
the next measurement. 5. TRACKBALL to OK and press Select.
Cardiac Measurement
and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 40
The Measure button activates this convention. All the measurements and calculations taken during • Use the Scroll Content soft key rotary to
the examination can be viewed at any time using navigate.
A list of studies (protocols) is displayed on the
the Worksheet. The Worksheet is the only source To adjust the method by which a calculation is
clipboard area on the left of the screen. Each study
that retains all the measurement information. made:
consists of a list of measurement labels.
Measurements are taken according to the order of The Worksheet enables the user to view, edit, delete 1. TRACKBALL to the relevant cell in the Method
the listed measurement labels for the selected or print data independently of a report. Measurements column and press Select.
study. and values can be changed or deleted. The following options are available:
Worksheet formats provided are: • Min
See the Reference Manual for a full list of all
available studies and parameters. • Normal: Displays the parameters and • Max
calculations for which measurements have
NOTE: The user can reconfigure the individual • Last
been assigned.
studies and their parameters. For further • Aver
• Compact: Displays only the value of the
information, refer to Chapter 14, Presets and 2. TRACKBALL to the required option and press
measurements and calculations, and not the
System Setup in the User’s Manual. Select. The values are recalculated.
measurements themselves.
To select a study (protocol) and • Expanded: Displays all available parameters
perform a measurement: and calculations, regardless of whether Including or Excluding Values in a
1. Press Measure. measurements have been assigned to them. Calculation
2. TRACKBALL to the required study and press Accessing a Worksheet • TRACKBALL to the measurement that is to be
Select. To access a Worksheet: included/excluded from the calculation and
3. Perform the measurement and press Select. • Press Worksheet. toggle Select.
The system will automatically jump to the next On the left side of the screen, the list of mode- NOTE: An excluded measurement changes color
measurement to be performed, unless the specific pages for the Worksheet is displayed in the to signify that its value has not been included in the
Autojump option is enabled. clipboard area. The current page is highlighted (by calculation. The value in the Value field is adjusted
To select a different study: default, this is according to the currently-selected accordingly.
application).
• TRACKBALL to the required study and press
Select. • You are able to scroll through different worksheets, Manually Changing a Value
then highlight the required worksheet and select it
by pressing the Select Worksheet button. The 1. TRACKBALL to the value that is to be changed
selected Worksheet list is displayed in the upper and press Select.
left side of the screen. 2. Use the alphanumeric keyboard to enter the
To scroll through the pages: required value. An asterisk (*) indicates that the
• Use the Scroll Pages soft key rotary to value has been manually altered.
navigate. NOTE: To restore automatic calculation, position
OR the TRACKBALL over the asterisk and press Select.
TRACKBALL to the required page and press The manually entered value is replaced by an
Select. automatically calculated value.
Cardiac Measurement
and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 41
Manual Trace
Vascular Measurements
and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 42
Real-time Spectral Tracing and The IMT measurement is based on automatic General Workflow
tracing of the leading edge of the intima surface and
Measurement Function the leading edge of the adventitia surface. After Scanning
1. Perform a scan in one of the Doppler Modes. tracing the two surfaces, multiple measurements
2. Press Trackball, and position the TRACKBALL are made between pairs of pixels located on both 1. Generate a longitudinal scan of the carotid
over the spectrum. traces, as shown in the following figure: artery using normal scanning methods.
3. Press Menu. NOTE: In order to locate the ED time segment
easily, we recommend using the ECG when doing
4. TRACKBALL to Show and press Select. To
the IMT measurement.
disable the function, press Select again.
5. Select Positive, Negative, or Both. 2. Optimize the posterior wall of the carotid. The
measurement will be made from there.
NOTE: The accuracy of the tracing may be
adjusted by using Envelope Adjustment enabled If some parts of the intima or adventitia are not 3. When the image is optimized, press Freeze.
by pressing the Soft Menu Rocker. Using the sufficiently clear, the tracing algorithm omits them.
vertical arrows, select Envelope Adjustment. Use
Measuring
As a result, the trace may appear discontinuous. To
the horizontal arrows for adjustment. ensure accuracy, measurements are only taken 4. Use TRACKBALL to browse the cine-loop and
from parts of the trace which have been drawn. locate a frame that was acquired during end-
Important: The same functions also can be diastolic (ED). Activate ZOOM to improve
performed on frozen Doppler or archived images. As soon as the trace is drawn and the multiple
measurements are made, the result window (shown accuracy.
in Figure 1:) displays: 5. Press Measure.
Automatic IMT Carotid Artery • The average of all of the measurement points 6. Select IMT.
Measurement for the present trace (RTCCA IMT). 7. Select either Left IMT or Right IMT, as shown in
• The standard deviation calculated for all of the the following figure:
Use this feature to measure the IMT (Intima-Media
measured points from the current trace
Thickness) of the posterior wall of the Carotid
(RTCCA IMT Sd).
artery, as shown in the following figure:
• The maximum value (RTCCA IMT Max).
NOTE:
Due to the physics of ultrasound imaging, the IMT
of the anterior (near) wall of the carotid might be
incorrect. This is due to ultrasound artifacts. We
therefore recommend measuring IMT from the
8. Place a vertical arrow anywhere inside the
posterior wall only. The algorithm in this package is
carotid. This marks the area in the carotid
Measure the IMT using any good-quality 2D image set to measure the IMT from the posterior wall only.
where IMT tracing starts.
of the carotid. Standard scan optimization is NOTE: 9. Press SET. A second vertical arrow appears.
required, such as is required to produce any good- Variations in blood pressure during the heart-cycle
quality image of the vessel. 10. Position the second vertical arrow to mark the
cause the IMT to change. Therefore, we
end of the segment where IMT measurement
recommend measuring the IMT at ED (end-
should take place.
diastolic).
Vascular Measurements
and Analysis
Vivid 3 User Guide Direction 2305203-100 Rev. 004 44
The time that has passed since the scan began • While in the single view FlexiView, press the LV 1. Insert the Convex C358 probe into an available
(“Time from Start”) is displayed in the upper-left Monitoring soft key. port.
corner of the live window. All cineloops stored in the To exit FlexiView: 2. Press Probe.
archive retain the “Time from Start” stamp. • Select a preset other than OR in the Select 3. TRACKBALL to the appropriate OB application
NOTE: The timer of the live scan can be reset at Probe and Application screen. preset and press Select.
any time. It is now possible to use either the Caliper
To reset the “Time from Start” timer: (Measure, or Measure and Assign methods) or
OB Package Measure (Assign and Measure method) buttons to
1. TRACKBALL to the timer displayed in the upper- NOTE: The OB applications are only available perform measurements.
left corner of the live image window. when the Convex C358 probe is connected.
Measurements are accumulated in the database.
2. Press Menu.
These measurements can be viewed and edited in
3. TRACKBALL to the Reset Time option and press Operating the OB Package a Worksheet, and displayed in the on-screen Mini-
Select. The next automatically stored loop will Report.
reflect the new “Time from Start”. The general operation is similar to that of the
Cardiac Package. Refer to Chapter 6, Cardiac On-Screen OB Mini-Report
FlexiView for Single Screen Measurement and Analysis in the User’s Manual for
detailed operating instructions. Each measurement made and assigned to a
A full single screen option enables the user to view parameter will appear in a condensed on-screen
full screen, live scanned images in all modes. Patient Details Mini-Report in the upper-right corner of the image.
Automatic storage of cineloops to the clipboard During scanning, this on-screen Mini-Report is not
When an OB application is selected, the Main
according to user configured, predefined time displayed. The Mini-Report is redisplayed when the
Details page of the Patient Details screen is
intervals takes place, without interrupting the Caliper or Measure buttons are pressed.
modified to include:
procedure.
• LMP
To activate full single screen FlexiView:
• EGA
1. Select an OR preset.
NOTE: If the Application Type field in the Patient
2. Press the LV Monitoring soft key. The screen Details screen is not OB, due to a different, prior
automatically changes to a quad screen procedure or application, TRACKBALL to OB in the
display. dropdown list and press Select.
3. Press the LV Monitoring soft key again. The
system will display the live scan.
Shared Services
Vivid 3 User Guide Direction 2305203-100 Rev. 004 46
2D Caliper 1. Generate the image to be measured and press 1. Select an image to be measured and press
Freeze. Freeze, or retrieve a cineloop from the archive.
1. Generate the image to be measured and press 2. Press Caliper. 2. Press Caliper.
Freeze. 3. Press the Ellipse soft key. 3. Press the HR soft key.
2. Press Caliper. 4. TRACKBALL to the start point for the 4. Press the Cine Scroll/Run Cine soft key rotary
3. Press the 2D Caliper soft key. circumference measurement and press Select to activate and highlight the corresponding on-
4. TRACKBALL to the start point of the to anchor the caliper. screen Run Cine soft key icon.
measurement and press Select to anchor the 5. TRACKBALL to adjust the major axis until an 5. Press Active Mode twice to display the Cine
caliper. ellipse of the required shape and size is soft key menu.
5. TRACKBALL to the measurement end point. obtained, then press Select to anchor the 6. Use the First Marker and/or End Marker soft
6. Press Select to anchor the caliper. second caliper. The third and fourth calipers are key rotaries to adjust the markers.
displayed along the minor axis, enabling the
7. Repeat steps 4 – 6 for additional 7. After positioning the markers correctly,
user to further adjust the shape and size of the
measurements. TRACKBALL to the green checkmark next to the
ellipse.
8. Assign labels to the measurements as heart rate in the upper-left corner of the screen
6. To adjust the size of the ellipse, TRACKBALL to and press Select.
described in the Assigning a Parameter Label the appropriate caliper and press Select.
After Measurement on page 39. OR
TRACKBALL the caliper to the required location To reject and cancel the measurement,
and press Select to anchor the position. TRACKBALL to the red “X” and press Select.
7. Repeat steps 4 – 6 for additional
measurements.
8. Assign labels to the measurements.
Shared Services
Vivid 3 User Guide Direction 2305203-100 Rev. 004 48
OB Twins Measurement Tool 3. From the list of pre-defined Fetal Growth_B OB Graphs Tool
measurements displayed, select the required
The OB Twins Preset enables the measurement of item. For example, BPD_B. The OB Graphs option is used to estimate fetal
twins. When performing an OB examination, all growth and development against pre-defined
parameters for each fetus are clearly identified and standards - according to gestational age. For more
labelled (and saved) as "A" and "B". details, refer to the Vivid 3 Release Notes SW 3.1
For more details, refer to the Vivid 3 Release You may select the appropriate chart against which
Notes SW 3.1 to make a comparison (for example, Hadlock,
To activate the OB Twins measurement option: Jeanty, etc.) from a collection of charts.
To activate the OB graphs option:
1. Select the OB Twins preset (as shown below):
1. Press Worksheet on the control console.
2. Position the cursor on
4. Perform the selected measurement, using the EGA and press Select.
cursor displayed on the screen. A chart is displayed (as
NOTE: In the worksheet, displayed measurements shown below), depicting the fetal measurements
and parameters for Twin A and Twin B are clearly in comparison to standard measurement values
separated by a thick horizontal line, as shown in the at the same gestational age, according to the
example below. selected author (Jeanty in this example).
Twin
A
2. Trackball to the pre-defined list of measurement
options (left side of the screen) and make the
appropriate selection in order to perform the
required measurement. For example, Twin
Fetal_Growth_B (as shown below): B
Shared Services
Vivid 3 User Guide Direction 2305203-100 Rev. 004 50
Hip Joint Measurement and 4. Move the second line (Labrum Acetabular)
and drag it into the appropriate position, using
Analysis the rotary key to rotate it as necessary. Press
The Hip Joint Measurements package is a useful Select to fix the line in position; the angle
diagnostic aid for assessing the development of the between the two lines (α) is displayed.
infant hip. This provides two measurement tools for 5. Move the third line (Roof Line) and drag it into
performing the following measurements: position, rotating it as necessary. Press Select to
• Hip Joint Angles fix the line in position; the ß (Beta) angle is
displayed.
• Diameter Ratio
NOTE: By default, the line names are displayed. If
Note: All hip joint measurements automatically
preferred the names may be hidden - for details,
appear in the worksheet and in the Hip Joint Report.
see Vivid 3 Release Notes SW 3.1.
For additional information, see the Vivid 3 Release
The measurement of the angles
Notes SW 3.1.
(degrees) between the lines is
automatically calculated and
displayed in a results box at the top of the screen, NOTE: Pressing Cancel on the drop-down menu,
To perform Hip joint measurements: cancels the currently-selected line; Delete removes
together with the measurement number - for
example, 1 as shown here. the entire measurement (all three lines).
1. From the Presets menu (Small Parts), select
Hip Joint. NOTE: Measurements may be assigned to either 8. Repeat Step 3 through Step 7 for any additional
2. Freeze the image and press Caliper on the the Left or Right hip, as described below. measurements, as required. These will be
control console. displayed on the screen accordingly.
6. If you wish to assign the measurements to the
The Hip Joint soft rotary is displayed below the Left or Right hip, trackball to the results box (the
scanning screen:
cursor becomes hand-shaped) and right-click.
Shared Services
Vivid 3 User Guide Direction 2305203-100 Rev. 004 52
Reporting 5. Press the Save soft key. Deleting Images From Reports
6. Use the alphanumeric keyboard to enter a
For additional information, see Chapter 9, name for the new report in the dialog box. The option to erase images from a report and
Reporting in the User’s Manual. NOTE: The system will automatically add the exam "populate" it with new images, is provided.
date (DDMMMYY) as an extension of the saved To delete images from a report:
Creating Reports report name given by the user to assure easy and
To generate a report: improved identification. 1. Trackball to the image area corresponding to
the image you wish to erase from the report.
• Press Report. 7. TRACKBALL to OK and press Select to save the
2. Press Menu on the control console.
report.
Editing Reports 8. Press Report on the control panel to exit the
3. A pop-up menu is displayed, as shown below:
To edit a report: report and return to the current patient’s
scanning screen.
1. Press Report.
2. TRACKBALL to the report on the screen and press Including Images in Reports
Menu. An asterisk is displayed to the left of the
To add/replace images in a report:
presently selected and displayed template.
1. Press Report.
NOTE: Instead of pressing Menu, you may use the
Template soft key, for easy access to the complete 2. TRACKBALL to the report on the screen and
list of report templates available. press Menu.
3. TRACKBALL to an alternative template layout that
NOTE: For details about configuring alternative
includes image fields and press Select to
report templates, refer to the Stress Tab and Report
highlight the template.
Tab sections in Chapter 14, Presets and System
Setup of the User’s Manual. 4. TRACKBALL to the required image in the
clipboard and press Select. A yellow frame
3. TRACKBALL to an alternative template, if required, indicates that the image has been selected. NOTE: The illustration above shows only one
and press Select to highlight the template. image from a collection of images in the Report.
5. Simultaneously press Select and TRACKBALL
4. The report headings, such as Name, ID, Birth the yellow framed image to the required 4. Select Clear Image to erase the
Date, Indications, and Comments are location in the report template. When Select is currently-selected image from the report.
highlighted in green, and hyperlinked to released, the image is placed and displayed in Alternatively, select Clear All Images to
facilitate editing. the selected location. remove all images from the report.
• TRACKBALL to such a heading and press 5. If necessary, use the drag-and-drop method to
Important: The user must save the report in order to
Select. "re-populate" the report with the required
be able to view the report at a later time with the
• Press OK or Cancel to return to the report images as placed. Once a report is saved, no data images.
after editing is complete. or image can be added to the same report.
NOTE: In any reports, all light green fields are
hyperlinked. Double-clicking such a field will take
you to the original source field, where modifications
may be made if necessary.
Reporting
Vivid 3 User Guide Direction 2305203-100 Rev. 004 53
Printing Reports
To print a report:
NOTE: The report is printed only to an externally
connected printer.
• Press the PC Print soft key.
Reporting
Vivid 3 User Guide Direction 2305203-100 Rev. 004 54
Patient Management and 5. After locating and highlighting the required Annotations or measurements that are marked on
patient, press Select. the screen are also stored with the image. When a
Archiving 6. Edit the patient information as required. split screen image is stored, it is stored exactly as
displayed on the screen.
For additional information, see Chapter 10, Patient 7. Press the OK soft key.
Management and Archiving in the User’s Manual. 8. If the patient record cannot be located The stored images and cineloops are displayed as
(indicating that no previous record exists): thumbnails on the clipboard as shown below.
• Press the Cancel soft key. • A filmstrip icon is displayed in the bottom left
Archiving Package (option) • Press the Begin Exam soft key. corner of each cineloop thumbnail.
The Archiving Package enables the user to • A split screen icon is displayed in the bottom
permanently store images and cineloops, as well as Archiving/Storing Images and left corner of each side-by-side thumbnail.
patient measurements and reports. Cineloops NOTE: To enable measurements to be made on
images recorded on VCR, the M&A on VCR option
Important: Without the Archiving Package, the data When an image is stored, all the additional must be selected in the configuration setup. For
is only stored for the duration of the current information that is displayed, such as the probe further information, refer to Chapter 14, Presets and
examination. application and image settings, is saved with it. System Setup of the User’s Manual. In addition to the
archive, images and cineloops can also be backed up
A system message informs the user if the archived on MOD (Magnetic Optical Disks) or CD-Rs.
patient information is currently in use.
Clipboard area
NOTE: In addition, the Archiving Package provides
the ability to generate and export a list of patients, in
Microsoft Excel format (see page 57). The exported
list provides a summary of demographic details
pertaining to patient exams performed on the system
for a specific period, as selected by the user.
Stored
cine
Beginning an Exam on an Archived Patient loop
Patient Management
and Archiving
Vivid 3 User Guide Direction 2305203-100 Rev. 004 56
To retrieve and/or edit an archived examination: To retrieve a stress examination: Deleting Archived Information
1. Press Archive. 1. Press Archive.
To delete a patient record:
2. Search the Patient List screen by scrolling 2. Using the Select Patient soft key rotary, select
through the list using the Select Patient soft the required patient record that includes the 1. Press Archive.
key rotary. stored stress examinations. 2. Use the Select Patient soft key rotary to
3. Press the Exam List soft key. NOTE: Protocol is enabled and its label is lit only highlight the patient record to be deleted.
NOTE: The images on the most recent for patient records that include stored stress 3. Press the Delete soft key. A pop-up dialog box
examination are displayed on the clipboard. examinations. is displayed.
4. Scroll through the exam list using the Select 3. Press Protocol. 4. TRACKBALL to Yes and press Select.
Exam soft key rotary. 4. Perform the stress analysis again, as required. NOTE: The current patient record and examination
5. Press the Edit soft key. Refer to Chapter 5, Stress Echo in the User’s cannot be deleted.
Manual for further information. To delete a group of patient records:
6. Edit the test as required, using the Select Page
and Select Field soft key rotaries. 5. Press Protocol again to exit the examination,
saving all scoring and analysis, and to return to 1. Press Archive.
7. Press the OK soft key to save all changes 2. Press the Select Patients soft key rotary to
the current patient’s scanning screen.
OR
To retrieve and/or edit a Worksheet: select the first patient record in the group of
Press Cancel to ignore all changes.
records that is to be deleted, and continue
To retrieve and/or edit an archived image: 1. Press Archive. scrolling with the rotary to highlight the group.
1. Enter the archive and select the required 2. Using the Select Patient soft key rotary, select 3. Press the Select Patients soft key rotary again
patient and examination. the required patient record. to indicate that the group is complete.
2. TRACKBALL to the required image on the 3. Press Worksheet. NOTE: The selection process can be cancelled by
clipboard and press Select. 4. Using the alphanumeric keyboard, edit the centering the TRACKBALL on the list and pressing
values as required. Select.
Important: If the selected image displays 5. Press Worksheet again to return to the current 4. Press the Delete soft key. A pop-up dialog box
measurements and annotations, press the Remove patient screen. is displayed.
Overlay soft key to remove all annotations and
measurements 5. TRACKBALL to Yes and press Select.
Redisplaying the Clipboard
NOTE: The current patient record and examination
3. Press Measure or Caliper and make the cannot be deleted.
To redisplay the clipboard and its images:
required measurements and annotations.
4. Press Store. • TRACKBALL over the clipboard area. The
thumbnail images are redisplayed.
Patient Management
and Archiving
Vivid 3 User Guide Direction 2305203-100 Rev. 004 58
Patient Management
and Archiving
Vivid 3 User Guide Direction 2305203-100 Rev. 004 60
Connectivity
Vivid 3 User Guide Direction 2305203-100 Rev. 004 62
Supported Services Exporting Data to DICOM Image The default system generated file is:
Last Name_First Name_Birthdate
Services are the prime elements of a dataflow. Storage, DICOM Print, Media (yyyy,mmm,dd)_Patient ID number.xls.
NOTE: The services associated with the System’s Storage, Excel, or MPEGVue To activate the Export Shortcut:
dataflows cannot be configured by the user. A Data may be exported from the System to various
meeting of both the GE Service representative and NOTE: Short-cut keys are assigned through the
configured services, including:
the local IT personnel must be arranged for Archive Links tab in the System Configuration
configuration. • DICOM Image Storage window - for details refer to the Vivid 3 Release
• DICOM Print (see page 63) Notes SW 3.1.
The following services are supported by the
System: • Media Storage 1. When the current exam is finished and you wish
• Excel to export it to another device, press the Patient
• Echo Database 3.0 ID button on the control console.
• MPEGVue (see page 63)
• DICOM Media Creator The Select window is displayed:
NOTE: Multiple patient exams may be exported
• DICOM Storage
simultaneously to DICOM Image Storage or Media
• DICOM Storage Commitment Storage services. However, when exporting to
• DICOM Verification Excel, each exam must be exported individually.
• DICOM Modality Worklist To export one or more patient exams:
• DICOM Modality Perform Procedure Step
(MPPS) 1. Press Archive.
2. Use the Select Patient/Select Patients soft
key rotary and select the patient, or patients
whose images are to be exported.
3. Press Menu.
4. TRACKBALL to the required option: Export to
DICOM Image Storage, Export to Media
Storage, or Export to Excel.
NOTE: Alternatively, if an Export short-cut key has 2. If the required Export function is located on one
been assigned, you may use this key - see the of the soft-menu buttons (for example, Excel
instructions described below. Export as seen above), simply click the button.
5. Press Select. The system will prompt for the next steps,
accordingly.
6. TRACKBALL to OK and press Select.
3. If the requested Export function does not
Important: When exporting to Excel, the destination appear on any soft-key (has not been defined
path to which the data will be sent must be assigned as a short-cut), just press Cancel and proceed
in the Archive Tab. When exporting to Excel, a with the normal export procedure (as explained
dialog box will be displayed enabling the user to on page 62).
enter a name for the Excel file being created.
Connectivity
Vivid 3 User Guide Direction 2305203-100 Rev. 004 64
4. Select the required media - for example, 6. Name the media by typing a suitable name in The system exports the entire exam data from
MPEGvueCDR (or any other available the Media Label window. each of the currently-selected patient records to
destination media type, such as MPEGvueNET, NOTE: You may use a maximum of 8 characters the selected media, together with an embedded
MPEGvueUSB, etc.). and type in upper or lower case letters. MPEG viewer.
The following dialog box opens (if Do not use any special characters (for During this process, the exam review progress
MPEGvueCDR was selected) and the standard example, #, *, etc.) is visible in the displayed sequence of preview
procedure for writing to CDR will commence: screens; the time required for export will
7. Trackball to Format and press Select.
depend upon the amount of data; longer
The following warning message is displayed: examinations will obviously require longer time.
The progress status showing the percentage of
completed exams (for example, done 60%) is
displayed during the export process.
NOTE: While export is in progress, do not
attempt to use the system!
8. Trackball to Yes and press Select. When export is complete, the following
The media is formatted and the following message is displayed:
message is displayed:
Connectivity
Vivid 3 User Guide Direction 2305203-100 Rev. 004 66
Peripherals
For additional information, see Chapter 12,
Peripherals in the User’s Manual. Link Type
The following peripherals can operate with the VGA Sockets (2)
System.
Socket Video Out
• Sony Black & White Thermal Video Printer
Composite B&W CCIR or RS-130
• Sony Color Thermal Video Printer
Composite Color PAL or NTSC
• HP InkJet Printer
S-Video Y/C, PAL or NTSC
• Video Cassette Recorder (VCR)
• JVC VCR RGB PAL or NTSC
NOTE: The ultrasound system may also be used Composite color PAL or NTSC Video In
S-Video Y/C, PAL or NTSC
safely while connected to devices other than those
recommended, if the devices and their Audio Stereo Left-Right Out Audio Out (to VCR)
specifications, installation and interconnection with
Audio Stereo Left-Right In Audio In (from VCR)
the system conform to the requirements of IEC/EN
60601-1-1. The added device/s must have External Microphone
appropriate safety standard conformance and CE Remote Print Command Make-Break by Relay
Marking. TTL Levels (+5V to Ground)
Printing Video Cassette Recorder The soft keys can be used to perform the following
actions:
The System supports printing for both black & The VCR is connected to the unit and operated
white, and color thermal (on board) printers. using the control panel buttons and soft keys. • Play and Stop: Starts and stops the playback.
These two printers are controlled from the control • Fast Forward: Fast forwards the recording.
Important: Manual calibration and all measurement • Rewind: Rewinds the recording.
panel using the Print A and Print B buttons.
capabilities of the system can be performed on
To print on the Black & White thermal printer: VCR-captured images. • Play speed: Adjusts the speed of all play
modes (regular playback, fast forward and
• Press Print A button. rewind).
VCR Operation
To print on the Color thermal printer: • Freeze: Freezes the playback. The soft key
• Press Print B button. The soft key map and table below describe the controls enable cineloop review.
function of each soft key in the VCR operation. • Search: Searches for a specific counter
HP InkJet Printer Configuration number location while the VCR is in either Play
Normal 1 3 5 7 9 11 or Freeze status.
Pressed 2 4 6 8 10 12 • Search Blank: Searches for the start of a blank
To activate the HP DeskJet Toolbox:
(unrecorded) section. (Operates in forwards
1. While scanning in 2D-Mode, press Freeze to
direction only).
freeze the image.
• Eject: Ejects the VCR tape.
2. TRACKBALL to the image and press Menu.
3. TRACKBALL to the Explorer option on the pop- Soft Key Status/Function Important: Once connected to the unit, only the
up menu and press Select. Eject button is active on the VCR machine.
Play Freeze Stop
4. On drive U:, TRACKBALL to the appropriate
1 Cine Scroll
printer file (For example, HP DeskJet 970c
Series V.2.0 Toolbox, HP DeskJet 990, 2 RUN Cine
HP Deskjet 6122) and press Select.
3 Stop Stop Play
5. Configure the printer settings according to the
4 Search Search Stop
HP instructions.
NOTE: Other printer setting utilities are available 5
12 Freeze/Play Freeze/Play
Peripherals
Vivid 3 User Guide Direction 2305203-100 Rev. 004 68
• Tape name
• Counter number Shuttle - Jog
• VCR status
The following VCR status icons, displayed on the VCR is inactive, although a video
tape is in the VCR.
screen in the VCR Control area, indicate the
current VCR function.
Important: Before starting to record, ensure that the
tape label has been entered into the system, and
that the VCR counter is set correctly.
To adjust the counter: To search for a specific counter number: To search for the start of a blank (unrecorded)
section:
1. TRACKBALL to the counter in the VCR Control 1. Press the Search soft key.
area on the screen. 2. TRACKBALL to the Counter Number field and 1. Press the Search soft key.
2. Enter an identifying name in the Tape name use the alphanumeric keyboard to manually 2. TRACKBALL to Search Blank and press Select:
field, if required. adjust the counter number to the required
3. Enter the counter number in the counter field number.
OR 3. TRACKBALL to the Go To button and press
TRACKBALL to Reset Counter and press Select Select. The VCR will begin the search,
to reset the counter to 0:00:00. displaying a Search icon in the VCR Control
4. TRACKBALL to Done and press Select to save area of the screen. Once the required counter
the changes. number is found, the VCR status icon will
switch to the Play icon, and the VCR will begin
NOTE: Selecting Cancel will undo the current The search commences and the message
playing back the tape from the user-selected
changes to the counter. "Searching blank space, please wait" is
location.
displayed.
On reaching the start of the unrecorded section,
the search process stops and the message
window closes.
Peripherals
Vivid 3 User Guide Direction 2305203-100 Rev. 004 70
For additional detailed information, see Chapter 13, Each probe is labeled with the following
Probes in the User’s Manual. information:
• Name of distributor and manufacturer
Environmental Requirements • Operating frequency
• GE model number
Probes should be operated, stored, and transported
within the parameters outlined below. • Probe serial number
• Month and year of manufacture
The probe name, displayed on the probe housing
and the connector, can be read when the probe is
Property Operational Storage Transport
connected to the unit.
Temp. 10o to 40o C -10o to 60o C - 40o to 60o C
50o to 104o F 14o to 140o F - 40o to 140o F
Probe Orientation
Probe Name
Probes
Vivid 3 User Guide Direction 2305203-100 Rev. 004 71
The probe name, together with a picture of the • Vivid 3 Systems with 3 ports: Probe Integration
probes currently connected to the unit, is displayed The Select Probe and Application screen on the
on the Select Probe Application screen. Vivid 3 ultrasound unit will display four possible The transesophageal probes require
• Vivid 3 Systems with 2 ports: probe connections, three active probes and one special handling. Refer to the user
pencil probe, as shown below: documentation enclosed with these
The Select Probe Application screen on the
probes.
Vivid 3 ultrasound unit will display three
possible probe connections, two active probes
and one pencil probe as shown below: Connecting the Probe
Probes
Vivid 3 User Guide Direction 2305203-100 Rev. 004 72
Probes
Vivid 3 User Guide Direction 2305203-100 Rev. 004 73
Lens
Probes
Vivid 3 User Guide Direction 2305203-100 Rev. 004 74
Probes
Vivid 3 User Guide Direction 2305203-100 Rev. 004 75
Probes
Vivid 3 User Guide Direction 2305203-100 Rev. 004 76
• Linear Array Probes: Linear Array probes are i or T Intraoperative Phased Array Sector Probes
designated by the prefix/suffix "L".
T or P TEE (Single or Multiplane)
• Intraoperative Probes: Intraoperative probes 3S Probe
P or D CW Doppler
are designated by the prefix "i" or "T".
Catalog No. H4550SZ
Non-Imaging Doppler Pencil Probes
Intended Uses • General Cardiology
• Pediatric Cardiology
P2D Probe • Transcranial
• Vascular
Probes
Vivid 3 User Guide Direction 2305203-100 Rev. 004 77
7S Probe 9T Probe Linear Array Probes
Doppler Frequency 4.0 - 5.0 Image Frequency 4.0 - 10.0 Catalog No. H40212LH
Probes
Vivid 3 User Guide Direction 2305203-100 Rev. 004 78
T739 Probe
E721 Probe
Catalog No. H40212LM
Catalog No. H40206LN
Intended Uses • General
• Intraoperative Intended Uses • Transvaginal-
OB/GYN
Image Frequency 5.7 - 10.0 • Transrectal-
Urology
Doppler Frequency 4.4 - 6.7
Image Frequency 4.0 - 10.0
i8L Probe
PAMTE Adapter
Catalog No. H45511NW
Transesophageal Probe
Probes
Vivid 3 User Guide Direction 2305203-100 Rev. 004 79
Presets and System Setup Selecting an Application Preset User-created Application Presets
For additional information, see Chapter 14, Presets To select a probe application preset: To create a new user-created application preset:
and System Setup in the User’s Manual. 1. Press Probe. 1. Select a probe and application preset.
2. TRACKBALL to the required application preset 2. Adjust the scanning parameters as required.
Application Presets and press Select. 3. While the unit is in scanning mode,
simultaneously press <Ctrl> + <Preset>.
Application presets, which determine the settings a Modifying Factory-defined Presets
probe will use for the study, are configured for each 4. TRACKBALL to the Create new field and use the
probe type. The presets are selected in the Select alphanumeric keyboard to type a name for the
To modify a factory preset: new application preset.
Probe and Application screen. The name of the
current application preset is displayed in the title bar 1. Select the probe and application preset. 5. TRACKBALL to Save with New Name and press
at the top of the screen when in any scanning 2. Adjust the scanning parameters in any of the Select.
mode. scanning modes, as required.
Important: Ensure that the preset is saved under a
There are three different types of presets: 3. While the unit is in scanning mode,
unique name. If a factory-defined or user-modified
simultaneously press <Ctrl> + <Preset>.
• Factory-defined presets: Supplied as part of preset name is used, the previous preset will be
4. TRACKBALL to Save Current and press Select replaced and lost.
the system.
to save the user-modified preset under the
• User-modified presets: Modified by the user factory-defined preset name.
and saved under the factory-defined name. To delete a user-created application preset:
• User-created presets: New presets created Restoring Factory-defined Presets 1. Press Probe.
and defined by the user, and saved under a 2. TRACKBALL to the name of the user-created
unique name. Important: Only user-modified presets can be preset that is to be deleted.
restored to their original settings. 3. Press Menu.
Important: New preset settings are valid only for the
specific combination of probe, application icon, and 4. TRACKBALL to Delete and press Select.
To restore factory presets:
patient type.
1. Press Probe. Important: Only user-created presets can be deleted
2. TRACKBALL to the application preset for which from the system. Factory-defined presets and user-
the factory preset settings are to be restored, modified presets cannot be deleted.
then press Select.
3. Simultaneously press <Ctrl> + <Preset>.
4. TRACKBALL to Restore Factory and press
Select.
Enables the user to assign short-cut keys for Enables the user to manage stress templates, Enables the user to set parameters for the video
easy archiving of an exam. In this way, the including: recorder and ECG unit connected to the System.
linking of source (From) and destination (To) • Stress template selection. Configures the printer assignment of both Print A
directories saves time, by eliminating the need • Default stress template designation. and Print B control panel buttons.
to scroll through many windows.
• Definition of the order of Quad View stress
Export functions may be assigned as exams during Analyze Mode. Annotation Settings Tab
short-cuts to any one of the four assignable • Templates available in the System, listed in the
Enables the user to define the primary and
soft-menu buttons: left area.
secondary fonts used for annotations. In this tab,
• DICOM Print • Templates activated for the Stress Package, the user can define the fonts, as well as the default
listed in the right area. position (home location) of the text cursor on the
• DICOM Storage Server
screen when the Text key on the alphanumeric
• DICOMVueCDR Important: The Stress tab will only be displayed if the keyboard is pressed.
• DICOMVueMOD525 Stress Package option is installed.
• Excel Export System Options Tab
Report Tab
• MPEGVueCDR Enables the user to install optional features to the
• MPEGVueNET Enables the user to set general parameters related system, such as: Patient Archive, 3D Option,
to reports, including: MPEGvue, and DICOM Print.
1. Press Config. • Report template selection for specific If an incorrect password is entered in the
2. TRACKBALL to the Archive Links tab and applications. Key field and the Apply button is
press Select. • User-defined report template creation. selected, the option, even if it has already
The Archive Links tab is displayed. • Default report template designation. been correctly installed in the System, will
3. TRACKBALL to the left side of the window • Insertion of user-supplied logo into report be removed from the System.
and select the required action; select the template(s). To access the System Options Tab:
required export function to be associated • All available factory-defined templates, any
with the shortcut (refer to the above list). 1. Press Config.
user-created templates for the selected
application, or any user templates designed on 2. Trackball to System Options tab; press Select.
4. Click OK.
the Report Designer, listed in the left area. 3. Trackball to the required option and activate the
• All templates that the user has selected which appropriate radio button:
are currently active, listed in the right area. • Patient Archive
• 3D Option
• MPEGvue
• DICOM Print
4. Click OK.
User Maintenance
Vivid 3 User Guide Direction 2305203-100 Rev. 004 86
Troubleshooting Activity Log and Problem Reports 2. Enter a description of the problem or
occurrence.
The system is engineered for reliable operation and
The System automatically logs any error messages 3. Select the Attach screen snapshot checkbox
consistent, high-quality performance. Automatic
that occur during system operation, on a daily to attach the current screen capture, if required.
self-testing facilities are provided to monitor system
basis, for technical support analysis purposes (if
operation and to detect faulty operation as soon as
required). These daily log reports are retained in the
possible, thereby eliminating unnecessary
system and can be recalled for 90 days.
downtime. The detection of any serious malfunction
results in immediate interruption of scanning, and is A reporting tool exists which enables the user or GE
indicated by an error message on the screen. service personnel to download the log report to a
floppy disk.
Monitor Alignment
User Maintenance
Vivid 3 User Guide Direction 2305203-100 Rev. 004 88
The concerns listed below can The images and calculations provided by the Damaged probes or improper use and manipulation
seriously affect the safety of System are intended for use by competent users as of the transesophageal probe can result in injury or
patients undergoing a diagnostic a diagnostic tool. They are explicitly not to be increased risk of infection. Inspect probes
ultrasound examination. regarded as the sole, irrefutable basis for clinical frequently for sharp, pointed or rough surface
diagnosis. Users are encouraged to study the damage that could cause injury or tear protective
literature and reach their own professional barriers (gloves and sheaths).
Patient Identification conclusions regarding the clinical utility of the
system. Transesophageal probe safety:
Always include proper identification with all patient Never use excessive force when
data and verify the accuracy of the patient’s name The user should be aware of the product manipulating the transesophageal
and/or identity number when entering such data. specifications and of the system accuracy and probe. The detailed user manual
Ensure that the correct patient ID is provided on all stability limitations. These limitations must be enclosed with the transesophageal
recorded data and hard copy prints. Identification considered before making any decision based on probe should be read carefully.
errors could result in an incorrect diagnosis. quantitative values. If in doubt, consult the nearest
GE Ultrasound Service Office should be consulted. Electrical
Equipment malfunction or incorrect settings can Hazard
result in measurement errors or failure to detect
details in the image. The user must become A damaged probe can increase the risk of electric
thoroughly familiar with the operation of the unit in shock if conductive solutions come in contact with
order to optimize its performance and to recognize internal live pads. Inspect probes often for cracks or
possible malfunctions. Application training is openings in the housing and holes in and around
available through the sales representative. the acoustic lens, or other damage that could allow
moisture to enter. Become familiar with the use and
care precautions described in the Care and
Maintenance section, in Chapter 13 in the User’s
Manual.
Safety
Vivid 3 User Guide Direction 2305203-100 Rev. 004 90
Safety
Vivid 3 User Guide Direction 2305203-100 Rev. 004 92
Owner Responsibility For information about specific requirements and Safety of Ultrasound
regulations applicable to the use of electronic
It is the responsibility of the owner to ensure that medical equipment, consult the appropriate local,
anyone operating the system reads and state and federal agencies.
ALARA Statement
understands this section of the manual. However,
there is no representation that the act of reading For USA Only: Federal law restricts Ultrasound procedures should be performed using
this manual renders the reader qualified to operate, this device to use by, or on the orders output levels and exposure times As Low As
inspect, test, align, calibrate, troubleshoot, repair, or of, a physician. Reasonably Achievable (ALARA) while acquiring
modify the system. The owner should make certain clinical information.
that only properly trained, fully qualified service
The System employs the principle of ALARA in
personnel undertake the installation, maintenance,
troubleshooting, calibration, and repair of the
Possible Biological Effects configuring factory defaults.This default level takes
effect:
equipment. For a detailed explanation of possible biological
effects, refer to the Reference Manual, which • When the system is first turned on.
The System owners should ensure that only
includes a copy of Medical Ultrasound Safety, • When a new patient is entered.
properly trained, fully qualified personnel are
American Institute of Ultrasound and Medicine,
authorized to operate the system. Before • When changing from one exam category to
1994.
authorizing anyone to operate the system, it should another.
be verified that the person has read, and fully • When changing from one application to
understands, the operating instructions contained in Power Information on Screen another.
this manual. It is advisable to maintain a list of
In the scan parameter area, two fields are allocated Refer to the Reference Manual, which includes a
authorized users.
for the display of power values as follows: copy of Medical Ultrasound Safety, American
Should the system fail to operate correctly, or if the Institute of Ultrasound and Medicine, 1994, for
unit does not respond to the commands described further details.
in this manual, the user should contact the nearest MI =
Field Service Office. TIX = Training
Safety
Vivid 3 User Guide Direction 2305203-100 Rev. 004 94
Electromagnetic Compatibility There is no guarantee that interference will not To comply with the regulations on electromagnetic
occur in a particular installation. If this equipment is interference for a Group 2, Class A Medical Device,
(EMC) found to cause or respond to interference, which all interconnecting cables to peripheral devices
AII types of electronic equipment may may be determined by turning equipment on and must be shielded and properly grounded. Use of
characteristically cause electromagnetic off, qualified service personnel should attempt to cables not properly shielded and grounded may
interference with other equipment, transmitted correct the problem by one or more of the following result in the equipment causing or responding to
either through air or connecting cables. The term measures: radio frequency interference, in violation of the
Electromagnetic Compatibility (EMC) indicates the European Union Medical Device Directive and FCC
• Reorient or relocate the affected device.
capability of the equipment to curb electromagnetic regulations.
influence from other equipment, while at the same • Increase the separation between the unit and
the affected device. Do not use devices which intentionally transmit RF
time not affecting other equipment with similar signals, for example, cellular phones, transceivers
electromagnetic radiation. • Power the equipment from a source other than
or radio controlled products, in the vicinity of this
that of the affected device.
Radiated or conducted EMC can cause distortion, equipment, as they may cause performance outside
degradation or artifacts in the ultrasound image that • Consult the service representative for further the published specifications. Keep the power to
could potentially obscure diagnostic information. suggestions. these types of devices turned off when near this
The manufacturer is not responsible for any equipment.
Important: This unit carries the CE mark. The interference or responses caused by the use of
System complies with regulatory requirements of interconnecting cables other than those
the European Directive, 93/42/EEC, concerning recommended, or by unauthorized changes or
medical devices. It also complies with emission modifications to the unit. Unauthorized changes or
limits for a Group 2, Class A Medical Device as modifications could void the user’s authority to
stated in EN 60601-1-2 (IEC 60101-1). operate the equipment.
Safety
Vivid 3 User Guide Direction 2305203-100 Rev. 004 96
Index
Vivid 3 User Guide Direction 2305203-100 Rev. 004 97
ellipse tool hide doppler display 20 OB Graphs 48 owner responsibility 92
OB package 46 Hip joint measurement and analysis 50 OB Twins 48 P
enter new patient 14 hospital tab 80 perform 16
environmental requirements 5 HP InkJet printer configuration 67 mechanical hazards packages
archiving 54
probes 70 I probes 75
examination miscellaneous tab 82 GYN 49
begin 14 icons M-Mode 18 OB 45
record 68 alert 2 2D image 18 operating room 44
examinations iLinq 84 resize 19 patient details
exercise stress 34 image total gain 18 OB package 45
export delete 57 zoom 18 patient identification 89
image/loop 59 export 59 modes patient information
shortcuts 62 image acquisition 2D 17 access 14
to DICOM Print 63 stress echo 33 angio 21 patient record
to MPEGvue 63 images and cineloops CFM-Mode 18 delete 56
store 16 patient safety 89
F combined 94
Initialization 8 M-Mode 18 perform
factory presets insert regular doppler 19 backup 58
modify 79 text annotation 16 split screen 17 measurements 16
restore 79 L standby 8 periodic maintenance 84
fetal heart evaluation 49 stress echo 33 peripherals 66
FlexiView 44 label connect 8
probe 70 modify
single screen 45 factory preset 79 external connection 91
foot brake 4 linear array probes 77 internally connected 91
log on measurements 39
footswitch 4 monitor specifications 66
connect 8 users 82 personnel and equipment safety 90
LVO imaging 20 adjust 11
format alignment 86 phased array sector probes 76
disk 59 M phono filter 32
moving unit 9
front and side view MA options tab 80 MPEGvue 63 power
unit 4 maintenance display values 92
N
G periodic 84 printer configuration 67
probes 73 new group printers tab 82
GYN package define 35 probe labeling 70
abdominal evaluation 49 user 84
measure and assign convention 37 new patient probe orientation 70
fetal heart evaluation 49 enter 14 probes
measurement tools
H non-imaging doppler pencil probes 76 biological hazards 75
hip joint 50
handling probes 85 OB package 46 O connect 71
hazards vascular 41 curved array (convex) 77
OB package definitions 76
biological 91 measurements OB Graphs tool 48
electrical 90 2D-Mode 37 disconnect 9, 72
OB Twins measurement tool 48 disinfect 74
explosion 90 assign parameter label 39 patient details 45
implosion 90 carotid artery 42 electrical hazards 75
obstetric evaluation 45 environment requirements 70
mechanical 89 delete 39 operating environment 5
moving 90 doppler mode 38 handling 85
option holders 4
pacemaker 91 highlighting 39 3D 25
heart cycles hip joint 50 linear array 77
biopsy guide 27 maintenance 73
store 35 M-Mode 37 orientation
heart sound microphone device 32 modifying 39 mechanical hazards 75
probe 70 non-imaging doppler pencil 76
Index
Vivid 3 User Guide Direction 2305203-100 Rev. 004 98
phased array sector 76 biological hazard 91 steering VCR/ECG 81
ports 4 changing imaging modes 93 vascular applications 20 vocabulary 82
safety 75 diagnostic information 89 storage 4 templates
select 14 electrical 91 store add/delete levels 35
transesophageal 78 electrical hazard 90 images and cineloops 16 editing 35
problem report 86 explosion hazard 90 images on VCR 16 report 53
purge backup data 59 implosion hazard 90 store heart cycles 35 text annotation 16
R mechanical hazards 89 stress echo delete 16
moving hazard 90 analyze 34 time from start stamp 45
record pacemaker hazard 91 image aquisition 33 timers
examination 68 patient 89 score 34 T1 34
reference cineloop 44 patient identification 89 stress echo mode 33 T2 34
regular doppler mode 19 personnel and equipment 90 stress tab 81 total gain
removable media utility screen 59 probe 75 supported services 62 M-Mode 18
report tab 81 probe selection 93 DICOM media creator 62 traces
reports transmit power 94 DICOM modality perform procedure step ECG signal 32
activity log 86 ultrasound 92 62 ECG trace amplitude 32
create 52 user modification 88 DICOM modality worklist 62 phono 32
edit 52 scanning DICOM print 62 sweep speed 32
images 52 operations 16 DICOM storage 62 training 92
installing a new report template 53 screen 15 DICOM storage commitment 62 transesophageal probe 78
problem 86 schedule backup 58 DICOM verification 62 transporting unit 10
retrieve 53 score stress echo data 34 echo database 3.0 62 troubleshooting 86
view 53 screens switch off 8 monitor alignment 86
requirements removable utility screen 59 switch on 8 twins
electrical safety 7 scanning 15 system graphs 48
environmental 5 select probe and application 9, 79 add user 82 measurement 48
operating environment 5 select edit user 83 typographic conventions 2
power 5 application preset 79 system configuration 80 U
site 5 select probe and application 14 perform 80
resize M-Mode 19 select probe and application screen 9, 79 system malfunction 87 ultrasound safety 92
restarting unit 87 shutdown system options tab 81 unit
restore full 8 system tab 80 cleaning 85
factory preset 79 connect 7
soft keys 21 T
result table functions 22 front and side view 4
size 39 soft menu T1 timer 34 moving 9
retrieve VCR 68 T2 timer 34 rear view 4
report 53 soft menu rocker 24 tabs restart 87
ROI functions 24 annotation settings 81 switch off 8
size 23 sonographers 5 archive 80, 81 switch on 8
S speakers 4 connectivity 82 transporting 10
split screen mode 17 hospital 80 unit acclimation time 11
Safety MA options 80 user groups 82
ALARA 92 standards
IEC 601-1 91 miscellaneous 82 user log on 82
application selection 93 printers 82 user maintenance 84
electromagnetic compatibility (EMC) 95 possible biological effects 92
UL-2601-1 91 report 81 user modification
safety 1, 88 stress 81 safety 88
alert icons 2 standby mode 8
static electricity interference 85 system 80
application selection 93 system options 81
Index
Vivid 3 User Guide Direction 2305203-100 Rev. 004 99
V
vascular applications
steering 20
vascular measurement
2D-Mode tools 41
vascular measurement tools 41
VCR
counter 69
operation 67
search for start of blank section 69
soft menu 68
store images 16
VCR/ECG tab 81
view
report 53
stored image 55
vocabulary tab 82
voltage
checks 7
level 7
W
warnings 5
WEEE 91
worksheets 40, 49
Z
zoom 16
2D-Mode 17
CFM-Mode 18
M-Mode 18
Index