Alpinion Medical Systems E-CUBE 8 Diamond User Manual

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USER MANUAL

Rev. 6 (ENG)

70004854

Table of Contents

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Summary of Contents for Alpinion Medical Systems E-CUBE 8 Diamond

Page 1 USER MANUAL Rev. 6 (ENG) 70004854...
Page 2 Gangseo-gu, Seoul, 07789, Republic of Korea Telephone: +82 2 3777 8500 Fax: +82 2 3777 8691 www.alpinion.com Copyright © ALPINION MEDICAL SYSTEMS Co., LTD, All rights reserved. Revision Log The following is a list of major changes and additions that have been made to this manual since it was first released.
Page 3: Table Of Contents
Table of Contents 1. System Basics ................1-1 Introduction ......................1-2 System Components .................... 1-6 Peripherals and Accessories ................1-11 Image Display..................... 1-17 Control Panel ..................... 1-19 QWERTY Keyboard ..................... 1-22 Touch Screen ...................... 1-23 Transducers ......................1-24 2. Getting Started ................2-1 Operating Requirements ..................
Page 4 5. Imaging Functions ................ 5-1 Freezing Images ....................5-2 Zooming Images ....................5-3 Full Screen ......................5-4 Screen Split ......................5-5 CINE Images ......................5-6 Annotating Images ....................5-7 Panoramic Imaging .................... 5-13 Needle Vision™ Plus ..................5-17 Contrast Enhanced Imaging ................5-19 Elastography ......................
Page 5 Emergency Medicine (EM) ................7-178 8. Transducer and Biopsy ..............8-1 Transducer ......................8-2 Biopsy ........................8-7 Transducer Accessories ..................8-18 9. Preset ..................79-1 System Preset ...................... 9-2 Image Preset ...................... 9-47 10. Care and Maintenance ............. 710-1 System Care and Maintenance ................10-2 Battery Care and Maintenance ................
Page 7 System Basics This chapter describes the system overview and operator controls. Introduction ......................1-2 System Components ....................1-6 Peripherals and Accessories ................1-11 Image Display ...................... 1-17 Control Panel ....................... 1-19 QWERTY Keyboard ....................1-22 Touch Screen ....................... 1-23 Transducers ......................1-24...
Page 8: Introduction
Introduction System overview The E-CUBE 8 ultrasound system provides excellent quality and reliability as well as these specific features: Table 1-1 System feature • Height: 1470/1560 mm • Width: 532 mm Physical Dimensions • Depth: 787 mm • Weight: 55 kg (not including options) •...
Page 9 Pencil Doppler • CW2.0 • CW5.0 Linear Array • L3-12T • L3-12H • L3-12H • L8-17H • IO3-12 • IO8-17T Sector Phased Array • SP3-8T • P1-5CT Operable Transducers Convex Array • C1-6CT • C5-8NT • SC1-4H • SC1-4HS • SC1-6H Endocavity •...
Page 10: System Basics
M Mode • A/B Ratio • Distance • Time Basic Measurements (cont.) • Slope • %Stenosis • HR • Verification • DICOM storage • DICOM print • DICOM storage commitment • DICOM media • DICOM worklist Connectivity • DICOM MPPS •...
Page 11: Introduction
Documentation CAUTION Safety instructions must be reviewed before operating the unit. E-CUBE 8 documentation consists of following manuals: • The User Manual and Quick Guide (TRANSLATED) provides information needed by the user to operate the system safely. It describes the basic functions of the system, safety features, operating modes, measurements/calculations, transducers, and user care and maintenance.
Page 12: System Components
System Components Front view There are the main components of your system: Figure 1-1 Front view Component Component Monitor (21.5-inch wide display) Control panel LED lamp Up/Down lever Gel warmer Handle Transducer holder Transducer cable holder Transducer holder CW port System Basics...
Page 13 Rear view Figure 1-2 Rear view Component Component I/O panel ECG port AC outlet System on/off switch AC inlet NOTE When connecting an external monitor to your system, use the monitor with 1366 x 768 or higher resolution. System Components...
Page 14 Side view Figure 1-3 Side view Component Component Monitor arm Caster lock Transducer port Caster Peripheral area In the middle of the system, you can place optional peripherals such as black and white printer and color printer. CAUTION The peripheral area is only for peripheral devices. Do not place transducers or the footswitch in the peripheral area to prevent damaging them from accidentally falling off.
Page 15 I/O panel I/O panel located on the rear side of a system includes video input and output, audio input and output, Ethernet, power and control connections for a printer. See Figure 1-4 below for more details. CAUTION • Each outer (case) ground line of peripheral/accessory connectors are earth grounded. Signal ground lines are not isolated.
Page 16 CAUTION • The connection of equipment or transmission network other than as specified in these instructions can result in electric shock hazard. • Connected peripherals must meet IEC standard (An equipment that processes data: IEC 60950/EN 60950, a medical equipment: IEC 60601-1/EN 60601-1). For product configuration, it must meet the safety requirements of product standard IEC/EN 60601-1 or system standard IEC 60601-1-1/EN 60601-1-1.
Page 17: Peripherals And Accessories
Peripherals and Accessories Before using the peripherals or accessories, you should consider the following requirements. WARNING Observe all warnings and cautions given in the operation manual of peripheral device. CAUTION For compatibility reasons, use only ALPINION approved peripherals or accessories. DO NOT connect any peripherals or accessories without approval by ALPINION.
Page 18 Basic accessories The E-CUBE 8 has the following basic accessories: • E-CUBE 8 console • User Manual, Reference Manual (Soft copy) • Sonic gel • Quick Guide (Soft copy) Optional supplies and accessories The following tables show optional supplies and accessories that have been verified to be compatible with the system.
Page 19 Footswitch (Option) The optional tri-pedal footswitch that is connected with the rear panel of your system performs specific functions easily instead of pressing function keys on the control panel. The each pedal of the footswitch may have different functions depending on the assigned settings such as Freeze, P1, P2, P3, and Rec/Pause.
Page 20 Battery (Option) This system uses lithium ion batteries. The lithium ion battery provides power if AC power is not available. NOTE The battery is designed to work with E-CUBE 8 systems only. Use only the batteries authorized by Alpinion Medical Systems. The length of the time the system can run on the battery will vary, depending on the diagnostic mode and the peripherals connected.
Page 21 Battery icons and status The following battery icons describes the status of the battery and shown on the bottom right of the screen. With the battery icons, you can easily check the remaining battery level. Table 1-2 Battery Icons and status Icon Status Note...
Page 22 Monitor and touch screen Figure 1-6 Monitor buttons Component Component Up ( ) button USB port (2 ports) Mode/Select ( ) button LED lamp button Down ( ) button Brightness dial CAUTION The LED lamp may overheat. Be careful not to directly touch it to avoid injury. 1-16 System Basics...
Page 23: Image Display
Image Display The image display consists of an ultrasound image, application information, patient information, and indicators. Figure 1-7 Image display Hospital logo & name Transducer orientation marker Current date & time Image area Patient ID, Patient name Image parameter Operator ID, Transducer name Clipboard indicator Mechanical index, Thermal index Image clipboard...
Page 24 Screen saver Screen saver mode automatically activates to save the system power when you do not operate the system and the system stays in idle for a specified time. To deactivate this mode and return to normal operating mode, press any key on the control panel. NOTE To configure the screen saver settings, press the [System Preset] key and go to System >...
Page 25: Control Panel
Control Panel Update Figure 1-8 Control panel layout Table 1-3 Key description Controls Description TGC slides Use these controls to adjust TGC values on images. Use these controls to select or adjust the functions in the soft menu at the bottom of the display.
Page 26 Controls Description Use this control to display the Patient Registration screen. You can enter patient Patient data. Transducer Use this control to select the desired transducer, application, and preset. Report Use this control to create a report based on the exam result and edit it. E-view Use this control to activate image management with end of study options.
Page 27 Controls Description Use this control to scroll through menus or options on the screen by moving the Trackball cursor. Freeze Use this control to start and stop scanning. Use this control to print out images. Control Panel 1-21...
Page 28: Qwerty Keyboard
QWERTY Keyboard The QWERTY keyboard is available which you can enter text or perform special functions. Figure 1-9 Keyboard layout Using the special keys Table 1-4 Special key description Controls Description Quick ID Access the Quick ID screen. Patient Browse Access the E-View menu.
Page 29: Touch Screen
Touch Screen Your ultrasound system has the touch screen that enables you to easily access menus or adjust options on the current monitor display. With the touch screen, you can also enter text instead of using the QEWRTY keyboard. Simply touch the menu or option you want. Figure 1-10 Touch screen Controls Description...
Page 30: Transducers
Transducers The E-CUBE 8 ultrasound system provides various types of transducers. Most of them have a state of art in transducer technology: single crystal transducers, composite transducers, and extreme fine pitch transducer, and real-time mechanical 4D transducers Moving and storing transducers Transducers should be placed inside their holders for moving short distances.
Page 31: Getting Started
Getting Started This chapter describes how to get started using your system. Operating Requirements ..................2-2 Moving and transporting the system ..............2-3 Powering On/Off ....................2-6 Adjusting the Monitor and Touch Screen .............. 2-8 Connecting/Disconnecting the Transducer ............2-10 Activating/Deactivating the Transducer ..............
Page 32: Operating Requirements
NOTE Only qualified sonographers or physicians should perform scanning with the system. WARNING Do not install the system by yourself. Only ALPINION MEDICAL SYSTEMS service engineer should install the system. Electrical requirements You should use a system with the specified power outlet as follows: •...
Page 33: Moving And Transporting The System
Moving and transporting the system Before moving the system CAUTION • For your safety, you must follow the precautions carefully before moving or transporting the system. • Before moving the system, make sure that the peripherals in the storage area are installed securely. Before you move the system, use the following steps.
Page 34 When moving the system CAUTION • For your safety, follow the precautions carefully when moving the system. • Do not use the system cables to move the system. • When you move the system with another person, take extra precaution not to injure feet. When moving the system, use the following procedure.
Page 35 When transporting the system When transporting the system with vehicles, use the following procedure. Only use vehicles that are capable of transporting your E-CUBE 8 system. Load and unload the system to a vehicle parked on a level surface. Ensure that the transporting vehicle can handle the weight of the system plus the passengers. Ensure that the load capacity of the lift is capable of handling the weight of the system.
Page 36: Powering On/Off
Powering On/Off Power on Make sure that the power cord is plugged into the power outlet. CAUTION Make sure that the system power is supplied from a separate and properly rated power outlet. Push the System On/Off switch to turn on the system power on the bottom rear of the system. Press the [Power On/Off] key on the control panel.
Page 37 System Protection If the system access control has been set by the administrator, you can access the patient data in the system only after you log on the system. Figure 2-2 System Log In window NOTE To set the system to log on automatically, press the [System Preset] key and go to Administration > Users and select the System Auto Login check box.
Page 38: Adjusting The Monitor And Touch Screen
Adjusting the Monitor and Touch Screen Rotate, tilt, pan, and fold the monitor The position of monitor can be easily adjusted to fit your viewing by help of the professional arm. This monitor can be adjusted in following positions: • Rotating: the monitor with the professional arm provides three pivot points for rotation (covers considerably wide rotation area).
Page 39 Contrast, brightness, and dim brightness To adjust the contrast, Press the Mode/Select ( ) button on the monitor once. To increase the contrast, press the Up ( ) button. Press the Down ( ) button to decrease the contrast. Repeat step 2 until desired value reached. NOTE Current contrast value is shown on the display.
Page 40: Connecting/Disconnecting The Transducer
Connecting/Disconnecting the Transducer Connecting the transducer You can connect the transducer to the transducer port when the system is powered off or on. Make sure that you press the [Freeze] key on the control panel before connecting the transducer. CAUTION Do not touch the patient when connecting or disconnecting a transducer.
Page 41: Activating/Deactivating The Transducer
Activating/Deactivating the Transducer Activating the transducer Use the following procedure to activate the transducer and application. On the control panel, press the [Transducer] key. The dialog box for transducer and application selection appears. Select the desired transducer, application and preset using [Trackball] on the control panel, and then press the [Set] key on the control panel.
Page 43: Starting A Study
Starting a Study This chapter describes how to begin a study. Patient Registration ....................3-2...
Page 44: Patient Registration
Patient Registration You can enter the patient information on the Patient Registration screen. When the patient information is entered, you can perform measurement and calculation, save images to the image archive, and send the images to a DICOM device. You can also identify the patient information on the patient banner and report screen.
Page 45 Patient Registration menu Figure 3-2 Patient menu Starting a new patient On the Patient Registration screen, enter the patient information using the QWERTY keyboard. You can also select and use the virtual keyboard on the touch screen. The cursor positions on the Patient ID field. Enter the patient information using the alphanumeric keyboard.
Page 46 NOTE • Using the [TAB] or [Enter] key on the QWERTY keyboard allows you to navigate through each field on the Patient Registration screen. You can use [Trackball] and the [Set] key on the control panel to move and fix the cursor. •...
Page 47 GYN application ❚ Table 3-3 GYN application Field Description Enter the date of the last menstrual period using the selected date format (ex – MM/DD/YYYY). Expected Ovulation Date Enter an expected ovulation date. Day of Cycle Enter a menstrual cycle. Gravida Enter the number of pregnancy.
Page 48 Pediatrics application ❚ No specific application data Small Part application ❚ No specific application data Enter the general application information. Table 3-7 General application information Field Description Height Enter the patient’s height using selected dimension (cm, ft, inch). Weight Enter the patient’s weight using selected dimension (kg, lb, oz). Blood pressure in mmHg Maximum 16 characters Accession #...
Page 49 Quick ID With the Quick ID feature, you can quickly register a patient by entering the basic patient information. This feature is useful when you do not have enough time to register all patient information. Press the [Quick ID] key on the QWERTY keyboard. Or select Quick Register on the touch screen. The Quick ID screen appears.
Page 50 Searching for an existing patient Press the [Patient] key on the control panel. The Patient Registration screen appears. Select a search criteria (Patient ID, Patient Name, Birth Date, Sex, Exam Date, and Locked) from the Search drop-down list and enter a search keyword. If you select Exam Date, you can select a desired period (Today, Last Week, Last Month, and Last 3 Months) and a specific date from the drop-down list.
Page 51 Retrieving patient information via worklist Press the [Patient] key on the control panel. The Patient Registration screen appears. Select Worklist on the function selection to view patient data from the default worklist server. To change the worklist server, select a source from the Source drop-down list. NOTE Before connecting to the worklist server, you need to configure worklist settings.
Page 52 Deleting a patient or study CAUTION Before deleting a patient or study, make sure you have already backed up the patient data using Backup Patient Archive or export function. After deleting the patient or study, you CANNOT recover it. NOTE To select multiple patients from the patient list, press the [Set] key while the [Ctrl] or [Shift] key is pressed.
Page 53: Imaging Modes
Imaging Modes This chapter describes the general functions of the imaging modes. 2D Mode ........................ 4-2 M Mode ....................... 4-18 Color Flow (CF) Mode ..................4-23 Power Doppler (PD) Mode .................. 4-32 Pulsed Wave Doppler (PWD) Mode ..............4-38 Continuous Wave Doppler (CWD) Mode ............. 4-47 Tissue Doppler Imaging (TDI) Mode ..............
Page 54: 2D Mode
2D Mode In 2D mode ultrasound, your transducer simultaneously scans a plane through the body that can be viewed as a two-dimensional image on the screen. Two-dimensional images and measurements of the anatomical structures of soft tissues such as internal organs and vascularities can be determined. 2D mode display Figure 4-1 2D mode display General workflow...
Page 55 Image optimization controls Select an option on the touch screen, or rotate the corresponding soft key to select the following imaging functions. Figure 4-2 2D mode touch screen 2D Mode...
Page 56 Gain Increase or decrease in the amount of echo information displayed in an image. It may have the effect of brightening or darkening the image if sufficient echo information is generated. Adjusting the gain ❚ Increase or decrease the sensitivity of the instrument. You can use two controls to adjust gain: The overall gain control and TGC.
Page 57 Depth Increasing the depth enables the deeper structures to be visualized. You can decrease the depth if you do not need the bottom portion of the display. Adjusting Depth ❚ To increase or decrease the depth, rotate the [Depth] key clockwise or counter- clockwise on the control panel.
Page 58 Focus Convex array, linear array, and phased array transducers support multiple transmit focus zones, which you can select in 2D-mode images. Focal zone markers display on the left side of the image screen. Focus Num ❚ Focus Num is used to control the number of focal points. •...
Page 59 Harmonic Tissue Harmonic Imaging (THI) is a system feature that can enhance the contrast resolution with fine tissue differentiation, benefiting patients with poor images. THI creates images from received signals using the harmonics of the transmitted frequency. For certain applications, Filtered THI (FTHI) can be used to optimize temporal resolution. The frame rate of FTHI is higher than THI between similar images.
Page 60 Priority The priority function has the following two options: Width, Tilt Width ❚ Control the size or angle width of the 2D image sector. A smaller angle generally produces an image with a higher frame rate. You can widen or narrow the size of the sector angle to maximize the image's region of interest (ROI). •...
Page 61 Angle Steer In 2D mode, you can tilt an image left or right by using a linear transducer. Adjusting the angle steer ❚ To adjust the angle steer, rotate the [Angle] key clockwise or counter- clockwise on the control panel. The each level of the angle increment/decrement is 5 degrees.
Page 62 Reject Low echo information will not be displayed on the screen below the adjusted rejection level. The rejection function determines the amplitude level below which echoes are suppressed (rejected). Rejection set to high leads to bad tissue display. Adjusting the rejection ❚...
Page 63 Virtual Convex On linear transducers, virtual convex provides a larger field of view in the far field. Adjusting the virtual convex ❚ To activate or deactivate the virtual convex, select Virtual on the touch screen. Virtual convex values ❚ Virtual convex values are On and Off. Virtual convex allows for a wider field of view. This is available in 2D mode, Color Flow mode, and Doppler mode.
Page 64 Elastography Elastography is a technique that adds value to the sonographic examination by enabling you to evaluate the stiffness of tissue. For using this feature, you need an additional request to your local agent. NOTE See "Elastography" on page 5-22 for more information. Adjusting Elastography ❚...
Page 65 Panoramic The Panoramic feature extends your field of view by piecing together multiple 2D images into a single, extended 2D image. For using this feature, you need an additional request to your local agent. CAUTION The quality of the resulting image is user-dependent and requires some additional skill and practice to develop proper technique and become fully proficient.
Page 66 S-FOV (Selected FOV) On convex transducers, S-FOV provides larger field of view in the far field. Adjusting the S-FOV ❚ To activate or deactivate S-FOV, select on the touch screen. EX-FOV On endocavity transducers, EX-FOV provides wide angle field of view. Adjusting the EX-FOV ❚...
Page 67 Rotation In 2D mode, you can rotate an image clockwise by 90 degrees. Adjusting the rotation ❚ To adjust the rotation, select < or > of Rotation on the touch screen. Rotation values ❚ Rotation values are 0, 90, 180, and 270. Persist Persistence provides a visible smoothing effect to the 2D-mode image by persisting lines of image data for each frame of imaging.
Page 68 Speckle Reduction Imaging (SRI) is a smart solution that enables you to reduce unnecessary elements of your image such as speckles and image noises. SRI is useful when unnecessary elements interfere with the desired image detail. After applying SRI, you can view your image more smoothly. The SRI feature is available in 2D, 3D, and 4D modes.
Page 69 Spatial Compound Spatial compound allows you to combine different steering frames to form a single frame at real-time frame rates. Adjusting the spatial compound ❚ To adjust the spatial compound, select < or > of Spt.Comp on the touch screen. Spatial compound values ❚...
Page 70: M Mode
M Mode The M mode display is formed by using a stationary ultrasound beam, yielding distance/motion versus time information for reflections along a single ultrasound beam line. M mode provides a display format and measurement capability that represents tissue displacement (motion) occurring over time along a single vector.
Page 71 Image optimization controls Select an option on the touch screen, or rotate the corresponding soft key to select the following imaging functions. Figure 4-4 M mode touch screen Gain With the Gain control, you can adjust the brightness of M mode image. The adjustment of the Gain control determines the amount of amplification applied to the received echoes.
Page 72 TGC Slide Controls In M mode, the TGC slide controls have the same functions in 2D mode. See "Time Gain Compensation (TGC)" on page 4-5 for more information. Depth In M mode, the depth function is the same as the one in 2D mode. See "Depth" on page 4-5 for more information.
Page 73 Display Format Display Format changes the horizontal/vertical layout between 2D mode and Doppler mode or timeline only. You can select how to have your Doppler time line and anatomy displayed. Adjusting the display format ❚ To adjust the display format, select < or > of Display Format on the touch screen. NOTE This function can not be adjusted when Full M is activated.
Page 74 M mode zoom When the system is in M mode, you can magnify a portion of the reference image using M mode zoom function. To adjust the M mode zoom, In M mode or 2D mode with the M-line displayed, press the [Zoom] key on the control panel to activate Write zoom.
Page 75: Color Flow (Cf) Mode
Color Flow (CF) Mode Color Flow mode is useful when you see the flow in a broad area. Color flow allows visualization of the flow in the CF ROI whereas Doppler mode provides spectral information in a smaller area. Color Flow mode is also used as a stepping stone to Doppler mode. Use Color Flow mode to locate flow and vessels before activating Doppler mode.
Page 76 The combination imaging modes of Color Flow mode and Power Doppler mode The following combination imaging modes are available: – 2D mode with Color Flow or Power Doppler – 2D mode with color and zoom – 2D/Doppler mode with Color Flow or Power Doppler Color flow imaging parameters Use the ultrasound system controls and soft key selections to change the settings for imaging parameters.
Page 77 Image optimization controls Select an option on the touch screen, or rotate the corresponding soft key to select the following imaging functions. Figure 4-6 CF mode touch screen Gain Gain amplifies the overall strength of echoes processed in the Color Flow window or spectral Doppler timeline.
Page 78 PRF (Pulse Repetition Frequency) PRF function is used to adjust the velocity scale to accommodate faster/slower blood flow velocities. Velocity scale determines the pulse repetition frequency (PRF). Adjusting the PRF ❚ To raise or lower the velocity scale, rotate the PRF soft key clockwise or counter-clockwise. PRF values ❚...
Page 79 Smooth Smooth allows you to make a color image smoother by enhancing connection in the axial direction. Adjusting the smooth ❚ To adjust the smooth, rotate the Smooth soft key to clockwise or counter-clockwise. Smooth values ❚ Smooth values are 0 to 10. Color Map Color Map allows you to change the color map used for Color Flow mode, Power Doppler mode and Tissue Doppler Imaging mode.
Page 80 Threshold Threshold assigns the grayscale level at which color information stops. Adjusting the threshold ❚ To increase or decrease the grayscale threshold, rotate the Threshold soft key clockwise or counter- clockwise. Threshold values ❚ Threshold values may vary depending on the transducer and application. The values are returned to the factory or user preset value when you change one of the followings: Transducer, application, or new patient.
Page 81 Adaptive Blend Level Adaptive Blend Level allows you to specify the blending ratio between the 2D image and the color image. Adjusting the adaptive blend level ❚ To adjust this function, select < or > of Adaptive Level on the touch screen. Adaptive blend level values ❚...
Page 82 Flow State Flow State adjusts the PRF of the color image. Adjusting the flow state ❚ To adjust this function, select < or > of Flow State on the touch screen. Flow state values ❚ Flow state values are Low, Mid, and High. The flow state values may vary depending on the transducer and application.
Page 83 Invert (Color Invert) Invert allows you to view blood flow from a different perspective, e.g., red away (negative velocities) and blue toward (positive velocities). You can invert a real-time or frozen image. NOTE • Invert reverses the color map, NOT the color scale. •...
Page 84: Power Doppler (Pd) Mode
Power Doppler (PD) Mode Power Doppler imaging is another way of color flow mapping technology which maps the strength of the Doppler signal from the blood flow. Power Doppler mode, unlike Color flow mode, displays color flow imaging by using the number of reflectors that are moving. Therefore, this mode has no aliasing and is able to measure the slow blood flow.
Page 85 Image optimization controls Select an option on the touch screen, or rotate the corresponding soft key to select the following imaging functions. Figure 4-8 PD mode touch screen Gain Gain amplifies the overall strength of echoes processed in the Color Flow window or spectral Doppler timeline.
Page 86 PRF (Pulse Repetition Frequency) PRF function is used to adjust the velocity scale to accommodate faster/slower blood flow velocities. Velocity scale determines the pulse repetition frequency (PRF). For adjusting the PRF, see "PRF (Pulse Repetition Frequency)" on page 4-26. Ensemble Ensemble allows you to select the density of the scan line.
Page 87 Threshold Threshold assigns the grayscale level at which color information stops. For adjusting the threshold, see "Threshold" on page 4-28. TDI switches to Tissue Doppler Imaging (TDI) mode. For more information on Tissue Doppler Imaging (TDI), see "Tissue Doppler Imaging (TDI) Mode" on page 4-52. Adjusting the TDI ❚...
Page 88 Blend Level Blend Level allows you to specify the blending ratio between the 2D image and the color image. Adjusting the blend level ❚ To adjust this function, select < or > of Blend Level on the touch screen. Blend level values ❚...
Page 89 Line Density Line density optimizes the Color Flow mode frame rate or spatial resolution for the best possible color image. A lower line density is useful in fetal heart beat, adult cardiac applications and in clinical Radiology applications requiring significantly higher frame rates. A higher line density is useful in obtaining very high resolution (e.g.
Page 90: Pulsed Wave Doppler (Pwd) Mode
Pulsed Wave Doppler (PWD) Mode Pulsed Wave Doppler (PWD) is a Doppler mode that measures velocity in a PW sample volume and displays that information in a spectral trace with an audio output. Doppler is intended to provide measurement data concerning the velocity of moving tissues and fluids. PW Doppler lets you examine the blood flow data selectively from a small region called the sample volume.
Page 91 Image optimization controls Select an option on the touch screen, or rotate the corresponding soft key to select the following imaging functions. Figure 4-10 PWD mode touch screen PW Doppler angle Angle between the direction of reflector motion and the direction of propagation of the ultrasound beam.
Page 92 Angle Correct Estimate the flow velocity in a direction at an angle to the Doppler vector by computing the angle between the Doppler vector and the flow to be measured. NOTE When the Doppler mode cursor and angle correct indicator are aligned (the angle is 0), you cannot see the angle correct indicator.
Page 93 Doppler sample volume length Size the sample volume gate. Adjusting the sample volume length ❚ To increase or decrease the gate size, rotate the SV soft key clockwise or counter-clockwise. You can adjust the sample volume gate length whenever the sample volume gate appears on the display. NOTE Adjustments to the sample volume gate size are made from the center point of the sample volume position.
Page 94 Colorize Colorize is the colorization of a conventional 2D mode image or Doppler Spectrum to enhance the user's ability to discern 2D mode, M mode, and Doppler mode intensity valuations. Colorize is NOT a Doppler mode. For adjusting the colorize, see "Colorize" on page 4-14. Sound Sound adjusts the Doppler sound volume.
Page 95 Auto Angle Auto angle allows you to adjust the angle by 60 degrees. Adjusting the auto angle ❚ To adjust the PW Doppler angle, select Auto Angle on the touch screen. NOTE This function may not be available when the virtual convex function is applied to the current image. Auto angle values ❚...
Page 96 Direction Direction is used to specify the part of the spectrum to calculate when using AutoCalc. Adjusting the direction ❚ To adjust the direction, select < or > of Direction on the touch screen. NOTE This function can be adjusted when AutoCalc is activated. Direction values ❚...
Page 97 Display Format Display Format changes the horizontal/vertical layout between 2D mode and Doppler mode or timeline only. You can select how to have your Doppler time line and anatomy displayed. Adjusting the display format ❚ To adjust the display format, select < or > of Display Format on the touch screen. NOTE This function can not be adjusted when Full D is activated.
Page 98 Sensitivity Sensitivity is used to adjust the trace to follow the waveform for signal strength. Adjusting the sensitivity ❚ To adjust the sensitivity, select < or > of Sensitivity on the touch screen. NOTE This function can be adjusted when AutoCalc is activated. Sensitivity values ❚...
Page 99: Continuous Wave Doppler (Cwd) Mode
Continuous Wave Doppler (CWD) Mode Continuous Wave Doppler (CWD) mode allows you to view the velocity and direction of a blood flow at a certain position. As you move the Doppler cursor, images on the Doppler line appear by time order. For using this feature, you need an additional request to your local agent.
Page 100 Image optimization controls Select an option on the touch screen, or rotate the corresponding soft key to select the following imaging functions. Figure 4-12 CWD mode touch screen Update (D pause) In simultaneous mode of 2D and Doppler modes, you can pause a Doppler image and move the image to the 2D live screen by adjusting the Doppler gate.
Page 101 Frequency In Multi-frequency mode, you can change the frequency of the transducer. The frequency function is the same as the one in 2D mode. For adjusting the frequency, see "Frequency" on page 4-9. PRF (Pulse Repetition Frequency) PRF function is used to adjust the velocity scale to accommodate faster/slower blood flow velocities. Velocity scale determines the pulse repetition frequency (PRF).
Page 102 Colorize Colorize is the colorization of a conventional 2D mode image or Doppler Spectrum to enhance the user's ability to discern 2D mode, M mode, and Doppler mode intensity valuations. Colorize is NOT a Doppler mode. For adjusting the colorize, see "Colorize" on page 4-14. Sound Sound adjusts the Doppler sound volume.
Page 103 Direction Direction is used to specify the part of the spectrum to calculate when using AutoCalc. For adjusting the direction, see "Direction" on page 4-44. Invert Invert vertically inverts the spectral trace without affecting the baseline position. For activating or deactivating the invert, see "Invert"...
Page 104: Tissue Doppler Imaging (Tdi) Mode
Tissue Doppler Imaging (TDI) Mode Tissue Doppler Imaging (TDI) mode allows you to view the status of the myocardium by measuring the velocity of the tissue movement on the Doppler image. This mode only is available for adult cardiac application. The combination imaging modes of TDI mode The following combination imaging modes are available: •...
Page 105 Image optimization controls Select an option on the touch screen, or rotate the corresponding soft key to select the following imaging functions. Figure 4-14 TDI mode touch screen General workflow In 2D mode, press the [CF] Key on the control panel. CF mode is activated. Select TDI on the touch screen.
Page 106: 3D And 4D Modes
3D and 4D Modes 3D mode and 4D mode are optional modes that you need to request additionally. If this mode is not available, the 3D and 4D options on the touch screen are deactivated. In 3D/4D setup mode, the region of interest (ROI) graphic appears on the image.
Page 107 Available features in 3D and 4D modes The following features are available in 3D and 4D modes: • Most of 2D controls • Text and Arrow • Measurement • Zoom • Cine (Only for 4D mode) • Sectional Planes: Multi Plane, AnySlice, Cubic View •...
Page 108 Operation controls for 3D and 4D modes The following table describes the key functions in 3D and 4D modes. Table 4-2 3D/4D controls Description In 3D/4D setup mode, press to obtain a 3D or 4D image. Freeze In 3D mode, press to switch to 3D/4D setup mode. In 4D mode, press to switch to 3D mode.
Page 109 3D/4D setup mode Setting up for volume acquisition You can optimize the image and select settings for the volume acquisition by using the following imaging options. Figure 4-16 Imaging options for volume acquisition (3D/4D) 3D and 4D Modes 4-57...
Page 110 Table 4-3 Imaging options Imaging option Description View Types MPR, Sectional Planes, Multi Slice Change the display layout. • 1: One rendered volume image Display Format • 2: One rendered volume image and one slice image • 4: One rendered volume image and three slice images User Preset Show the user preset values such as surface and spine.
Page 111 Volume acquisition mode Adjusting the region of interest (ROI) You can adjust the ROI using [Trackball]. The 3D ROI allies to both single sweep 3D and 4D acquisition. Figure 4-17 Region of Interest (ROI) To adjust the 3D ROI of the display, On the touch screen, select 3D or 4D.
Page 112 Performing 4D image scanning In 4D mode, you can acquire real-time 4D images through an acquisition interface. Obtain a 2D image and optimize the image for the best quality. On the control panel, press the [3D/4D] key. If you are in 3D mode, select 4D on the touch screen. The yellow-colored ROI and soft menus for 4D mode appear.
Page 113 Volume visualization mode Viewing volume data The following view types are available: MPR, Sectional Planes, Multi Slice and Volume Analysis. You can change the view type after acquiring volume data by selecting a view type menu. To change view type, –...
Page 114 Defining volume of interest (VOI) and viewing planes You can define a data to be displayed in the volume quadrant by enabling the VOI (volume of interest) and then resizing and repositioning the VOI in relation to the acquired volume data. The system displays the VOI in the volume and the related view plane in each orthogonal MPR.
Page 115 Customizing the render settings After acquiring the volume data, imaging options appear on the touch screen. Imaging options allow you to optimize the volume tissue components. The following table describes the rendering imaging options that you can use in 4D mode. Table 4-5 Rendering imaging options Option Description...
Page 116 Option Description This function enables you to represent a realistic live image. To use this function, adjust the Brightness and HQ Scatter options. Move [Trackball] to adjust the direction of the light. Live HQ • On: Apply the Live HQ preset. •...
Page 117 Cine Cine allows you to save and review the acquired volume data as animated images. When you press the [Freeze] key, Cine options appear on the touch screen. Cine gauge bar is located on the bottom right corner. The selected volume cine number is shown with the color bar. NOTE Cine may not be available in 3D mode.
Page 118 Easy Cut Easy Cut allows you to electronically edit images by cutting away unwanted structures on the ROI. Figure 4-19 Easy Cut Select MPR on the touch screen. Select Easy Cut on the touch screen. Select desired options in the Easy Cut menu and press the [Set] key. Edit the image by using [Trackball].
Page 119 Sectional Planes Sectional Planes supports following view types: Multi Plane, AnySlice, and Cubic View. An image can be viewed in multiple slices. Multi Plane Multi Plane supports the Cine Calc. to review the sliced images. NOTE The volume data is not displayed in Multi Plane mode. Figure 4-20 Multi Plane Select Sectional Planes on the touch screen.
Page 120 AnySlice AnySlice allows you to observe the sectional images after drawing a curved line on the selected image in MPR mode. Figure 4-21 AnySlice Select Sectional Planes on the touch screen. Select AnySlice on the touch screen. The “ ” mark appears. Select Ref.
Page 121 Cubic View In Cubic View, the display shows Sagittal, Transverse, and Coronal plane images in volume data. Figure 4-22 Cubic View Select Sectional Planes on the touch screen. Select Cubic View on the touch screen. Adjust the cube size by using the following methods: a.
Page 122 Multi Slice Multi Slice shows parallel cut planes which are aligned along the X, Y, or Z axis of volume’s bounding box. The each texture is shown as an individual view. The reference image is distinguished with a dotted axis line.
Page 123 Option Description Move to the next or previous multi-slice image. – Rotate the Prev./Next soft key clockwise for next images. Prev./Next – Rotate the Prev./Next soft key counter-clockwise for previous images. Vol.byVol. Select Cine volumes. 2D Colorize Colorize the 2D image. Free Angle MSV (Free Angle Multi Slice View) Free Angle MSV mode shows several MPR views with parallel orientation.
Page 124 Volume Analysis Volume Analysis allows you to review parallel cut planes in specific portions of the anatomy. And you can calculate the volume of an object by cutting it into multiple slices. NOTE In Multi Slice, Volume analysis is not displayed. Figure 4-25 Volume Analysis Select Volume Analysis on the touch screen.
Page 125 Option Description Delete Select to delete the spline in the selected disc. Propagate Disc The disc of the current slice is propagated to the next slice. Volume Display Select to show or hide the volume rendering in the result view. Saving a 3D/4D image You can save 3D or 4D volume data in the system memory.
Page 127: Imaging Functions
Imaging Functions This chapter describes the imaging functions and how to adjust images. Freezing Images ..................... 5-2 Zooming Images ....................5-3 Full Screen ......................5-4 Screen Split ......................5-5 CINE Images ......................5-6 Annotating Images ....................5-7 Panoramic Imaging ....................5-13 Needle Vision™...
Page 128: Freezing Images
Freezing Images Condition in which 2D, M, Doppler, and Color flow image data are retained in a scan converter’s memory for examination and/or photograph as well as for video recording. Freezing an image While scanning an image, press the [Freeze] key on the control panel to freeze the image. You can also freeze an image with the right pedal of the footswitch, if supported.
Page 129: Zooming Images
Zooming Images You can magnify a region of interest (ROI) in a live image or in Cine mode. The zoom option magnifies the ROI on the display. There are two zoom functions that you can use: Read zoom and Write zoom Read zoom Read zoom allows you to manipulate the negative picture and enlarge it.
Page 130: Full Screen
Full Screen Full Screen allows you to view magnified images in full screen. Full Screen display Figure 5-1 Full Screen display To activate the Full Screen mode, On the touch screen, select Full Screen from the 2D tab. The magnified image is displayed in full screen. To exit the Full Screen mode, select Full Screen again.
Page 131: Screen Split
Screen Split Screen Split allows you to view active images as the dual display view. Press the [Dual] key on the control panel. To display other active images, press the [Dual] key again. Screen Split...
Page 132: Cine Images
CINE Images The Cine function is available in all imaging modes. During the real-time imaging, the system places the most recently acquired images as well as the image currently on the screen into a Cine memory buffer. Cine image review functions as a storage and enables you to review the sequence of images in the system memory.
Page 133: Annotating Images
Annotating Images The annotation feature provides the capability to type the comments of free text or insert the pre- defined comments from the comment library. It also provides the user with arrow marks to point to parts of the image. You can place text labels and arrow marks on an image to identify anatomical structures and positions and also annotate an image with a body marker image that indicates the part of the anatomy that you are scanning.
Page 134 Annotation options Figure 5-3 Annotation touch screen General workflow Press the [TEXT] key on the control panel to activate Annotation mode. To configure the default position of the comment cursor, use [Trackball] to place the comment cursor to the desired location of the image screen and select Set Home on the touch screen. The system automatically searches for the word you want in the text bar.
Page 135 Inserting annotations Inserting directional arrow pointers Press the [Arrow] key on the QWERTY keyboard, or select Arrow on the touch screen. An arrow pointer appears on the image screen. The green-colored pointer indicates that it is active and movable. Use [Trackball] to move the pointer to the desired position of the screen. The pointer head direction can be controlled as you move [Trackball].
Page 136 Annotating images with typed words Press the [TEXT] key. Type the desired comment using the QWERTY keyboard. Press the [Enter] key to change or add line. NOTE To complete a comment automatically, rotate the Auto-Complete (on) soft key. To change the font size of comments, rotate the Font Size soft key. Use [Trackball] to move the comment to the desired position of the screen.
Page 137 Deleting annotations To delete all fixed text and pointers, – Press the [Clear] key or press the [Clear All] key on the QWERTY keyboard. Body Pattern Body Pattern is an additional way to annotate the image. Body patterns are small graphic images represent the anatomy being examined.
Page 138 Inserting a body pattern To activate Body Pattern, press the [Body Pattern] key on the control panel. A list of body patterns appears on the touch screen. A default body pattern is displayed automatically when Body Pattern is activated. NOTE To configure the body pattern list, press the [System Preset] key and go to Annotation >...
Page 139: Panoramic Imaging
Panoramic Imaging The Panoramic imaging feature extends your field of view by piecing together multiple 2D images into a single, extended 2D image. For using this feature, you need an additional request to your local agent. After you acquire the extended image, you can rotate it, move it linearly, magnify it, add comments or body patterns, or perform measurements on the extended image.
Page 140 Figure 5-7 Panoramic image acquisition Panoramic imaging options Figure 5-8 Panoramic imaging touch screen 5-14 Imaging Functions...
Page 141 General workflow Apply the enough ultrasound gel along the entire area to be scanned. Place the transducer on the desired scan area. Select Panoramic on the touch screen to activate the Panoramic function. You can access the Panoramic setup mode, and the blue-colored ROI appears. Press the [Set] key to start the image acquisition.
Page 142 Viewing the panoramic image To optimize the image, use the following options. Table 5-1 Panoramic imaging options Option Description Change the gray map. Gray Map Rotate the Gray Map soft key to change the gray map of the 2D image. Colorize the 2D image.
Page 143: Needle Vision™ Plus
Needle Vision™ Plus Needle Vision™ Plus uses integrated Beam Steering technology for increased needle visualization with maintaining excellent image quality and enhancing the needle brightness. With the needle enhancement feature, you can see the needle more easily during clinical procedure. NOTE Needle Vision™...
Page 144 Needle Vision™ Plus options Figure 5-10 Needle Vision™ Plus touch screen General workflow To activate Needle Vision™ Plus, Select NeedleVision on the touch screen. NOTE You can use user-defined key to activate Needle Vision™ Plus. To assign the Needle Vision™ Plus function to user-defined key, press the [System Preset] key and go to User Setting >...
Page 145: Contrast Enhanced Imaging
• Handle the contrast medium as described in the operation manual supplied with the contrast medium. • Check the side effects of the contrast medium used with the manufacturer of the contrast medium. • ALPINION MEDICAL SYSTEMS is not liable for any damage or injury resulting from improper use of contrast media.
Page 146 Abdominal contrast options Figure 5-12 Abdominal contrast touch screen The touch screen displays various image controls which help you to optimize the Contrast mode image. The following table describes available controls on the touch screen. Option Descriptions Select the desired view on the dual images (contrast image and the reference Side Control image).
Page 147 General workflow NOTE The contrast enhanced ultrasound imaging works with the SC1-4H and SC1-4HS transducer. To perform the contrast imaging, On the touch screen, select Contrast from the 2D tab. The contrast image and 2D image are displayed side-by-side. Adjust the acoustic power experientially to obtain a good image. Observe the tissue image to find the target view.
Page 148: Elastography
Elastography Elastography is a non-invasive method in which images demonstrating elasticity characteristics of tissue are used to help detect or classify tumors. It shows the spatial distribution of tissue elasticity properties in a region of interest by estimating the strain before and after tissue distortion caused by external or internal forces.
Page 149 Elastography display Figure 5-13 Elastography display 2D imaging Quality bar Elastography imaging 2D image info Color bar Elastography options Figure 5-14 Elastography touch screen Elastography 5-23...
Page 150 General workflow CAUTION The results achieved in Elastography mode always depend on the accuracy of the procedure performed. Any clinically relevant decisions need to be verified with some other state of the art methods. To activate Elastography, Select Elasto on the touch screen. The system displays two images on the screen in a live, dual format.
Page 151 Color bar The color bar indicates the stiffness of the tissue. The bottom of the color bar indicates that the target area is stiffer than the surrounding tissues, and the top of the color bar indicates that the target area is less stiff than the surrounding tissues.
Page 152 Elastography display layout To change the Elasto display layout, – Select Live Dual on the touch screen. The values are On and Off. Elasto dual layout ❚ The Elastogram and the 2D image are displayed side-by-side on the screen. The 2D image is shown on the left and an Elasto image is shown on the right.
Page 153 Performing a measurement Elasto Size Compare Elasto Size Compare applies the measured data in 2D mode to Elastography mode. Size of lesion in 2D mode and Elastography mode can be compared to have more accurate diagnose result. NOTE Elasto Size Compare is only available to use on freezing in Elastography mode. Figure 5-17 Elasto Size Compare display Press the [Measure] key on the control panel.
Page 154 Elasto Strain Ratio Elasto Strain Ratio provides quantitative information. It is calculated by comparing the strain of a lesion to the surrounding normal tissue. Soft tissue will have higher strain values than stiff tissue. It is displayed as a real-time color map of the relative elasticity. NOTE Elasto Strain Ratio is only available to use on freezing in Elastography mode.
Page 155 Strain bar graph The target and reference bars in graph are used to represent the levels of strain values. It is easy to compare the strain values of target and reference with the strain bar graph. Figure 5-19 Elastography strain bar graph Elastography 5-29...
Page 156: Stress Echo
Stress Echo WARNING Stress Echo data are provided for reference only, not for confirming diagnoses. Stress Echo is an optional cardiac application for Stress Echocardiogram which is combined treadmill test/ pharmacologic agent with an echocardiogram. The stress package provides protocol templates for exercise, as well as pharmacological stress examinations.
Page 157 Protocol Editor Protocol Editor allows you to create, edit, and delete stress echo protocols. When you create or edit a protocol, you can set the number of stage, the number of loops acquired for each view in the stage, and the standard views to include.
Page 158 Creating a new protocol On the Protocols category, click Add to create a new protocol and click OK. If necessary, change the default protocol name. From the Stages category, click Add to create a new stage and click OK. If necessary, edit or select a name for the new stage (Baseline, Pre exercise, Low dose, Peak dose, Peak exercise, Post exercise, Recovery).
Page 159 Preacquisition Activate the ECG function to acquire Stress Echo image clips. On the touch screen, select E-Tool and then select Stress Echo. The Protocol Selection window appears. NOTE You can use user-defined key to activate Stress Echo. To assign the Stress Echo function to user-defined key, press the [System Preset] key and go to User Setting >...
Page 160 Image acquisition Figure 5-21 Stress Echo acquisition display Figure 5-22 Stress Echo acquisition touch screen The following table describes available acquisition menus on the touch screen. Option Description StartAcquisition Start image acquisition. SkipView Select the next view in the current stage. You can cancel the view. SkipStage Select the next stage.
Page 161 If necessary, optimize the image by use the following options: • Frequency: Adjust the operating frequency of the transducer. • DR (Dynamic Range): Adjust the dynamic range. • Line Density: Optimizes 2D-mode frame rate or spatial resolution for the best possible image. •...
Page 162 If the protocol contains continuous stages, then proceed through each continuous stage according to the following instructions: a. To start image acquisition, press the [Freeze] key on the control panel or select StartAcquisition on the touch screen. Continuous is shown in the status bar and the progress bar appears. b.
Page 163 Image selection The selected clips are used for analysis in the review mode and wall motion scoring mode. Selection mode is used to select the best loops of the examination. When the acquisition is ended, Selection mode is enabled automatically, and you can select the preferred loop for each view.
Page 164 On the Selection screen, the following icons are available: Icon Name Description Enter Acquisition Go to the Acquisition screen. Select the image layout. Selection Layout (1X1, 2X1,2X2, 3X3, 4X3…) Provide the automatically optimized Auto layout layout for your selected images. Show or hide the overlaid window Show/Hide Overlays indicating the relevant stages or views.
Page 165 Figure 5-24 Stress Echo selection touch screen The following table describes available selection menus on the touch screen. Field Description Go to the Acquisition screen. You can acquire image views until one stage is Acquisition completed. Accept the current view. The selected view is marked as a green-colored check Accept icon.
Page 166 Review and scoring (Wall Motion Scoring) Review/WMS mode is used to evaluate clips for cardiac wall motion abnormalities. Different views from different stages are selected for comparison across a wide variety of combinations. Figure 5-25 Stress Echo review display On the Review screen, the following icons are available: Icon Name Description...
Page 167 With scoring the wall motions, you can review and compare images between stages and views. Select Review on the left bottom of the screen. The Review screen appears. In Review mode, use the following options: • Sort by Stage: Sort images by stage. Select the gray check box next to each required stage. •...
Page 168 WMS report In addition to the standard information included in the WMS report, you can include or exclude data to a specific stage. The WMS graphics of the each view on the report indicate the each segment’s wall-motion score by color or degree of shading. Figure 5-26 WMS report To activate the WMS report, Select End Protocol to exit Stress Echo and save the current results.
Page 169 Reviewing a stored Stress Echo Figure 5-27 Reviewing Stress Echo via E-view To review a stored Stress Echo, Press the [E-view] on the control panel. To review the Stress Echo, select the image. The selected image is highlighted. NOTE The Stress Echo exam displays as a single image with a stress echo icon placed on the image. Select Review on the touch screen.
Page 170: Cube Strain
Cube Strain™ Cube Strain™ is an optional cardiac application that provides advanced motion and velocity information of the myocardial tissue. On a basis of 2D speckle tracking technology, the angle independent analysis of this function allows you to assess accurate strain and calculate strain rate of the myocardium, especially for fetal heart.
Page 171 The following table describes the optional icons that you can use for the Cube strain™ function. Icon Name Description Sequence/M mode Open the Sequence/M mode selection screen. selection Start Analysis Start the velocity strain analysis. New Trace Start a new contour tracing. Correct ES Border Edit trace for the end systole.
Page 172 Acquiring images and activating Cube Strain Connect the ECG device and make sure to obtain a stable ECG trace. Acquire 2D mode Cine loops of cardiac view. If necessary, optimize the image by using imaging optimization controls. Adjust the width and depth to increase the frame rate. The frame rate should be more than 60 frames per second.
Page 173 Selecting an image Figure 5-30 View selection window Clipboard (Thumbnails) View selection menu Preview Next icon Select the desired Cine image from the clipboard. The selected Cine images is displayed in the Preview field. Select the corresponding view on the view selection menu to assign to the selected Cine image. You can choose one to three clips simultaneously according to your analysis group.
Page 174 Contouring and starting analysis Figure 5-31 Contouring at ES frame Place landmarks at the endocardium in the end-systolic(ES) frame by using [Trackball], and press the [Set/Cur] key. – Anterior annulus: Press the right [Set/Cur] key. – Posterior annulus: Press the right [Set/Cur] key. –...
Page 175 Exporting the result You can save the data to an external file. To export the result, Insert your removable media to the media tray properly. Select Data Storage on the touch screen. The dialog box appears. Select the desired media from the Device drop-down list. If you select CD/DVD from the Device drop-down list, you can use the following options: •...
Page 177: Managing Patient Information And Image
Managing Patient Information and Image This chapter describes how to capture images. Clipboard ....................... 6-2 Touch Clip ......................6-4 E-view ........................6-5 DICOM Spooler ....................6-18 Printer........................6-20 DVR ........................6-21...
Page 178: Clipboard
Clipboard The clipboard shows captured ultrasound images for a quick review. Pressing the [P1] key captures an active image and displays a preview image on the clipboard. When reloading the previous study, the images belong to that study are shown on the clipboard. Capturing onto the clipboard Press the [P1] key to capture images onto the clipboard.
Page 179 Saving images permanently Press the [E-view] key on the control panel. The images on the clipboard appear expanded. Use [Trackball] to select an image or multiple images and press the [Set] key. To select all images, select Select All. To select inverse images, select Select Inverse. Select Archive on the touch screen to save the image(s).
Page 180: Touch Clip
Touch Clip Touch Clip allows you to compare the images from a patient’s previous exam(s) to the patient’s current exam. Figure 6-1 Touch Clip display To activate the Touch Clip function, Select the desired image(s) on the clipboard. NOTE You can add the images on E-view. See "Image View" on page 6-13 for more information. Click the Touch Clip icon ( ) on the bottom right of the display.
Page 181: E-View
E-view The system provides the E-view feature that allows fast and easy image management. The E-view feature allows you to view the whole patient from local database or removable media, export/import, save as with PC friendly format and send DICOM images to remote server over the network. And it allows you to open an already existing patient exam.
Page 182 List View List View allows you to search and quick view for patients and studies from the local hard disk drive (HDD) or a removable media. Figure 6-3 List View display Figure 6-4 List View touch screen To activate List View, Select a source from the Source drop-down list.
Page 183 Use the following options: • Backup: Export the patient information. • Send To: Send the saved images through the network. • Report: Access Worksheet page. • Reopen Exam: Reopen an already existing exam. Backup To move patient(s) between compatible systems or to back up and retrieve, use Backup menu. You can use the following types of media for performing data backup: CD, DVD, USB HDD, USB flash drive.
Page 184 Backup Spooler ❚ Backup spooler displays all backups which have been sent or which have been failed. To enter the Backup spooler, press the [DICOM Spool] key on the QWERTY keyboard, and then select Backup on the touch screen. You can control or monitor backup jobs. From the Back spooler, you can retry, delete, or redirect job.
Page 185 Send To Send To allows you to save images or studies from your PC to a storage media such as CD, DVD, USB flash drive, USB hard disk, and network storage. Before saving, make sure that the removable media is placed in the right position.
Page 186 Select an image format in the Type field. To save Cine images as a video file, skip to step 12. Table 6-1 Image format Format Function Save a still image as standard DICOM format. It is possible to specify compression type and quality. Save a still image as BMP format.
Page 187 Select PACS on the left of the dialog box. Select a destination device from the DICOM Server drop-down list. NOTE You can configure the destination device. To configure, press the [System Preset] key and go to Connectivity > Storage. Click Send. The progress bar appears during transferring files. Printer ❚...
Page 188 Report Report allows you to access Worksheet page. Press the [Report] key on the control panel. Reopen Exam Reopen Exam allows you to open an already existing exam. The reopened exam is now the current exam and can be closed by pressing the [End Exam]. NOTE You cannot reopen exams, which are older than 24 hours.
Page 189 Image View Image View allows you to view the selected images from list view. You can change the display layout. Figure 6-6 Image View display Layout selection Delete Page selection Add Touch Clip Select All/Select Inverse Exit Figure 6-7 Image View touch screen E-view 6-13...
Page 190 To activate Image View, Select a source from the Source drop-down list. To search patients by using the searching filter, select a search method from the Search drop-down list. Or, you can manually enter a keyword in the search area. Select the desired patient from the patient list.
Page 191 CubeNote CubeNote allows you to send saved images to remote server and review the images through CubeNote app in your mobile device. NOTE For using this feature, you need an additional request to your local agent. To send saved images to CubeNote Control Server, Select the image(s).
Page 192 Image History Image History allows you to review all previous studies for the selected patient. When you access Image History, the study information with the study date and location appears in a table. Figure 6-8 Image History display Figure 6-9 Image History touch screen 6-16 Managing Patient Information and Image...
Page 193 To activate Image History, Insert a media that contains patient data, if necessary. Select a source from the Source drop-down list. To search patients by using the searching filter, select a search method from the Search drop-down list. Or, you can manually enter a keyword in the search area. Select a desired patient from the patient list.
Page 194: Dicom Spooler
DICOM Spooler DICOM spooler displays all DICOM transfers which have been sent or which have been failed. On the QWERTY keyboard, press the [DICOM Spool] key to enter the DICOM spooler. You can control or monitor DICOM jobs. From the DICOM spooler, you can retry, delete, or redirect job. Figure 6-10 DICOM spooler Table 6-2 DICOM job status Job status...
Page 195 Spooler options On the DICOM spooler, you can use the following options: Option Description Select All Select all jobs in the DICOM spooler. Retry Retry sending the selected job. Delete Quit the selected job. Suspend Suspend the selected job. Refresh Refresh the spooler.
Page 196: Printer
Printer Connecting to a printer via USB connection When the system power is off, connect a USB cable of the printer to the USB port at the rear of the system. Press the [Power On/Off] key on the control panel. NOTE Do not disconnect the USB cable when the system power is on.
Page 197: Dvr
Selecting a DVR To select the DVR, Make sure that a DVR is connected to the system when the system power is off. On the touch screen, select E-Tool and go to SystemPreset > System > Peripheral > VCR. Select a DVR recorder from the list. When you have finished, click Save &...
Page 199: Measurements And Reports
Measurements and Reports This chapter describes measurements, calculations and report functions. Basics ........................7-2 Abdomen ......................7-34 Obstetrics ......................7-43 Gynecology ......................7-82 Cardiology ......................7-92 Vascular ......................7-129 Urology ......................7-142 Pediatrics ......................7-149 Small Parts ......................7-158 Breast ........................ 7-166 Musculoskeletal (MSK) ..................
Page 200: Basics
Basics Basic measurement operations To begin the measurement, On the control panel, press the [Measure] key. Use [Trackball] to move the point. Press the [Set] key to fix the point. To modify a measurement, Click the result value you want to change from the Result window. The caliper is activated. Use [Trackball] to change the measurement value and press the [Set] key.
Page 201 Measurement menu display Figure 7-1 Measurement menu display • Measure reference window: The Caliper Easy Guide feature magnifies around the caliper on the display. When the caliper is positioned over the image, the zoomed image is displayed in the reference window. •...
Page 202 NOTE • The result for measurement is shown on the Result window, Mini Report page, and Report page. • After performing basic measurement, you can assign the measurement data to the labeled measurement menu. • To configure the labeled measurements, press the [System Preset] key and go to Measurement > Labeled MEAS..
Page 203 Measurement result window The Result window displays the measurement result. You can change the window status by selecting one of the following icons: Table 7-1 Measurement result window Icon Description Change the background type (e.g. transparent or opaque) of the Result window. Change the position of the Result window.
Page 204 Basic measurement unit Table 7-2 Basic measurement unit Mode Measurement Unit Abbreviation Distance centimeters Area centimeters Circumference centimeters Angle degree 2D mode %Stenosis percent Volume milliliter Disk Volume milliliter Volume Flow Area centimeters Distance centimeters Time milliseconds M mode Slope centimeters per second cm/s %Stenosis...
Page 205 Measurement formula Table 7-3 Measurement formula Mode Measurement Method Formula Circumference Ellipse Area Ellipse A= π(D1)(D2)/4 %Steno= 2 Diameter (1- min(D1, D2)/max(D1, D2))X100 %Stenosis 2 Area %Steno= (1- min(A1, A2)/max(A1, A2)X100 1 Distance V= πD1 2 Distance V= D1X D2Xmin(D1, D2)Xπ/6 Volume 3 Distance V= πD1XD2XD3/6...
Page 206 Basic measurements The basic measurements are available in the following imaging modes: • 2D mode • M mode • Doppler mode 2D mode measurements The basic 2D mode measurements include the following measurement parameters: • Tissue depth • Distance • Circumference and Area •...
Page 207 Distance ❚ • 1 Distance • 3 Lengths • Trace NOTE Measurement error is within 5% of the distance you measured for all transducers. 1 Distance Select Distance on the touch screen. The start point appears. Use [Trackball] to move the marker to the start point. Press the [Set] key to fix the point.
Page 208 Circumference and Area ❚ • Ellipse • Trace • Spline Ellipse Select Ellipse on the touch screen. The start point appears. Use [Trackball] to move the marker to the start point, and press the [Set] key. The first point is fixed, and the second point appears. Use [Trackball] to move the marker to the second point, and press the [Set] key.
Page 209 Angle ❚ • 3 Points • 2 Lines • 2 Lines (Axis) • 3 Lines(BA) • 3 Lines(AB) Angle 3 Points Select Angle on the touch screen. The start point appears. Use [Trackball] to move the marker to the start point, and press the [Set] key. The first point is fixed, and the second point appears.
Page 210 %Stenosis ❚ • 2 Distances • 2 Ellipses • 2 Traces • Trace+Ellipse • Ellipse+Trace Two diameters percent stenosis calculation Select %Stenosis on the touch screen. The start point appears. Measure the larger diameter (D1) of the stenosis using [Trackball], and press the [Set] key. Measure the smaller diameter (D2) of the stenosis using [Trackball], and press the [Set] key.
Page 211 Volume ❚ • 1 Distance • 2 Distances • 3 Distances • Ellipse • Distance+Ellipse 3 Distance volume Select Volume on the touch screen. The start point appears. Use [Trackball] to move the marker to the start point, and press the [Set] key. The first point is fixed, and the second point appears.
Page 212 Disk Volume ❚ • Trace • Spline Trace Select DiskVolume on the touch screen. The start point appears. Use [Trackball] to move the marker to the start point, and press the [Set] key. The first point is fixed, and the second point appears. Use [Trackball] to create a trace of the structure with the second point.
Page 213 A/B Ratio ❚ • 2 Distances • 2 Ellipses • 2 Traces • Ellipse+Trace • Trace+Ellipse Two diameters ratio Select A/B Ratio on the touch screen. The start point appears. Measure the first diameter (D1) of the ratio using [Trackball], and press the [Set] key. Measure the second diameter (D2) of the ratio using [Trackball], and press the [Set] key.
Page 214 Histogram ❚ HIistogram is a function that the gray scale distribution within a marked Region of Interest (ROI) will be graphically displayed on the screen. Select Histogram on the touch screen. Use [Trackball] to move the caliper to the corner of the area where you want to measure the histogram.
Page 215 Volume Flow Area ❚ • Distance Select Volume Flow Area on the touch screen. Use [Trackball] to move the marker to the start point. Press the [Set] key to fix the point. The end point, overlapping the start point, appears. Use [Trackball] to move the marker to the end point, and press the [Set] key.
Page 216 M mode measurements The basic M mode measurements include the following measurement parameters: • Distance • Time • Slope • %Stenosis • Heart rate (HR) • A/B Ratio Distance ❚ • Distance • 3 Lengths 1 Distance Select Distance on the touch screen. The vertical line and the horizontal line are perpendicular to each other.
Page 217 Time ❚ Select Time on the touch screen. The vertical line and the horizontal line are perpendicular to each other. Use [Trackball] to move to the point of intersection, and press the [Set] key. The start point is fixed, and the end point appears. Use [Trackball] to move the point, and press the [Set] key again.
Page 218 A/B Ratio ❚ • Distance • Time Distance ratio Select A/B Ratio and then select Distance on the touch screen. The start point appears. The vertical line and the horizontal line are perpendicular to each other. Measure the first vertical diameter (D1) of the ratio using [Trackball], and press the [Set] key. Measure the second vertical diameter (D2) of the ratio using [Trackball], and press the [Set] key.
Page 219 D mode measurements The basic D mode measurements include the following measurement parameters: • Velocity • Time • Acceleration • Resistivity Index (RI) • Pulsatility Index (PI) • VTI • Heart Rate (HR) • A/B Ratio • S/D Ratio • AC/DC •...
Page 220 Acceleration ❚ Select Acceleration on the touch screen. The vertical line and the horizontal line are perpendicular to each other. Use [Trackball] to move to the point of intersection, and press the [Set] key. The start point is fixed, and the end point appears. Use [Trackball] to move the point, and press the [Set] key again.
Page 221 Velocity-Time Integral (VTI) ❚ Select VTI on the touch screen. The vertical line and the horizontal line are perpendicular to each other. Move the marker to the start point of the waveform using [Trackball], and press the [Set] key. The end point appears. Use [Trackball] to trace one cycle of the waveform, and press the [Set] key.
Page 222 AC/DC ❚ Select AC/DC on the touch screen. The vertical line and the horizontal line are perpendicular to each other. Measure the first oblique line (Accel) of the slope using [Trackball], and press the [Set] key. Measure the second oblique line (Decel.) of the slope using [Trackball], and press the [Set] key. The ratio is calculated.
Page 223 Auto Calc options • Method: Select a trace method for Doppler spectrum. • Direction: Select a trace direction for Doppler spectrum. NOTE • To configure the auto trace options, press the [Image Preset] key and go to General. • To measure the maximum velocity, select Below or Above for the trace direction. •...
Page 224 Semi Auto Trace ❚ In PW mode, select the desired measurement item and then select Semi Auto Trace on the touch screen. The start point appears. Use [Trackball] to move the marker to the start point of the waveform and press the [Set] key. The end point appears.
Page 225 Report The reports summarize the data obtained during the examination. Saved reports are read-only. Therefore it is recommended that the data is carefully reviewed before the report is saved. Use the worksheet to facilitate the review and adjustment of data before generating a report.
Page 226 Report options Figure 7-4 Report touch screen Table 7-4 Report controls Controls Description Report Access Worksheet page. Basic MEAS. View a report of basic measurement. Preview Preview the report in print format. Graph Access OB Graph page (applies only to OB). Anatomical Survey Access Anatomical Survey page (applies only to OB).
Page 227 Report operations Viewing a report ❚ Press the [Report] key on the control panel. You can also select Report on the context menu. You can view a report of labeled measurement. To view a report of basic measurement, select Basic MEAS. on the touch screen. To view a report by application or measurement mode, select an application or a mode from the corresponding list or field on the top left of the display.
Page 228 To change the value type, Move the cursor to the Method column. Press the [Set] key. Select a value type of the measurement from the drop-down list (Last, Average, Maximum, and Minimum). Adding a comment ❚ Select Comment on the touch screen. You can view comments in the Exam Comments screen and Comments screen.
Page 229 To export the report in PDF, Select PDF Export on the touch screen. The dialog box appears. Select a media from the Device field. Enter a file name in the File Name field. Click Save. The progress bar appears during exporting files. Printing a report ❚...
Page 230 Measurement accuracy The measurement values should always be accurate according to measuring caliper and point. Despite the high technical accuracy of the scan geometry and the measuring system of the E-CUBE 8 expert equipment, one must, however, be aware of inaccuracies caused by the ultrasound beam properties and the physiological properties of the scanned structures, tissues and fluids.
Page 231 Calculation accuracy Estimate the overall inaccuracy of a combined measurement and calculation by including the stated inaccuracy from the basic measurement accuracy statements. Calculation formulas and databases are provided as a tool to assist the user, but should not be considered an undisputed database, in making a clinical diagnosis.
Page 232: Abdomen
Abdomen Abdomen measurements and calculations 2D mode measurements 2D mode measurements display in the context menu and the abdomen report with measured result, when assigned. Table 7-6 2D mode measurement (Abdomen) Measurement Description Aorta Aorta Diameter Renal L Renal Length Renal Renal Volume Renal L...
Page 233 Aorta Diameter ❚ Select Aorta on the context menu. The start point appears. Use [Trackball] to move the marker to the start point. To fix the point, press the [Set] key. The end point, overlapping the start point, appears. Use [Trackball] to move the marker to the end point. To complete the measurement, press the [Set] key.
Page 234 Renal Volume (1) ❚ You can measure the length, width, and height for the left and right renal. Each measurement is a typical distance measurement made in appropriate scan plane. Select Rt (right) or Lt (left) on the context menu. Select the Renal folder, and then select Renal L, Renal H, or Renal W.
Page 235 M mode measurements M mode measurements display in the context menu and the abdomen report with measured result, when assigned. Table 7-7 M mode measurement (Abdomen) Measurement Description Heart Rate NOTE To configure the M mode measurement, press the [System Preset] key and go to Measurement > Labeled MEAS.
Page 236 D mode measurements D mode measurements are shown in the context menu and in the abdomen report with measured result, when assigned. Table 7-8 D mode measurement (Abdomen) Measurement Description Aorta Aorta Renal A Renal Artery Hepatic A Hepatic Artery Inferior Vena Cava Hepatic V Hepatic Vein...
Page 237 In each package measurement for Doppler mode, you can use the following measurements. • Auto Trace • Semi Auto Trace • Manual Trace • Peak Systole (PS) • End Diastole (ED) • Minimum Diastole (MD) • S/D or D/S Ratio (S/D or D/S) •...
Page 238 Pulsatility Index (PI) ❚ Select PI on the context menu. The vertical line and the horizontal line are perpendicular to each other. Use [Trackball] to move the marker to the start point of the waveform, and press the [Set] key. The end point appears.
Page 239 Acceleration (Accel) ❚ Select Accel on the context menu. The vertical line and the horizontal line are perpendicular to each other. Use [Trackball] to move to the point of intersection, and press the [Set] key. The start point is fixed, and the end point appears. Use [Trackball] to move the point, and press the [Set] key again.
Page 240 Abdomen report The Abdomen report has two sections of information: • Patient information • Measurement information To start a report, – Press the [Report] key on the control panel. – Select Report on the context menu. For report functions, see "Report" on page 7-27. Patient information •...
Page 241: Obstetrics
Obstetrics Obstetric measurements and calculations 2D mode measurements (OB1, OB2/3) 2D mode measurements are shown in the context menu and in the OB report with measured result, when assigned. Table 7-9 2D mode measurement (OB) Measurement Description Fetal Biometry Fetal Biometry (Package) Biparietal Diameter Head Circumference Abdominal Circumference...
Page 242 Measurement Description Fetal Long Bones Fetal Long Bones (Package) Humerus Humerus Length Radius Radius Length Ulna Ulna Length Tibia Tibia Length Fibula Fibula Length Femur Length CLAV Clavicle Length Spinal Length Fetal Cranium Fetal Cranium (Pacakge) Cisterna Magna Binocular Distance Auto NT Nuchal Translucency Length Nasal Bone Length...
Page 243 Measurement Description Cardiac Axis Cardiac Axis Placenta Thick. Placenta Thickness Amniotic Fluid Index Quadrant 1 Quadrant 2 Quadrant 3 Quadrant 4 Maximal Vertical Pocket CTAR Cardio-Thoracic Area Ratio (Package) ThD ap Anterior-Posterior Thoracic Diameter ThD trans Transverse Thoracic Diameter HrtD ap Anterior-Posterior Heart Diameter HrtD trans Transverse Heart Diameter...
Page 244 Measurement Description APTD-TTD Anteroposterior Trunk Diameter & Transverse Anteroposterior Trunk Diameter multiplied Diameter CTAR Cardiothoracic Area Ratio Ovary Ovary Volume Ovary L Ovary Length Ovary H Ovary Height Ovary W Ovary Width Ovary Vol Ovary Volume NOTE To configure the default measurement for 2D mode, press the [System Preset] key and go to Measurement > Labeled MEAS.
Page 245 2D mode measurements (Fetal Echo) 2D mode measurements are shown in the context menu and in the fetal heart report with measured result, when assigned. Table 7-10 2D mode measurement (Fetal echo) Measurement Description 4 Chamber view 4 chamber view (Package) Ventr.
Page 246 Measurement Description Heart diagonally Heart diagonally Thorax diagonally Thorax diagonally Cardiac Circum. Cardiac Circumference Thoracic Circum. Thorax Circumference Heart Area Heart area Thorax Area Thorax area Cardiac Axis Cardiac axis Venous Venous (Package) Superior Vena Cava Diameter Inferior Vena Cava Diameter Heart Heart (Package) LA Diam.
Page 247 Measurement Description Cardiothoracic Area Ratio (Package) Cardiac Area Cardiac Area Thoracic Area Thoracic Area Arteries Arteries Package Ao. arch Diam. Aortic Arch Diameter Aorta Diam. Aorta Diameter Asc. aorta Diam. Ascending Aorta Diameter Thor. aorta Diam. Thoracic Aorta Diameter Trans. ao. arch Diam. Transverse Aortic Arch Diameter Duct.
Page 248 Abdominal Circumference (AC) ❚ Select AC on the context menu. The start point appears. Use [Trackball] to move the marker to the start point, and press the [Set] key. The first point is fixed, and the second point appears. Move the marker to the second point using [Trackball]. The ellipse appears. Press the [Set] key.
Page 249 Amniotic Fluid Index (AFI) ❚ To calculate the amniotic fluid index, measure the four quadrants of the uterine cavity. Select the AFI folder on the context menu. Select AFI-Q1. The start point appears. a. Use [Trackball] to move the marker to the start point. b.
Page 250 CTAR ❚ Select CTAR on the context menu. The start point appears. a. Use [Trackball] to move the marker to the start point, and press the [Set] key. The first point is fixed, and the second point appears. b. Use [Trackball] to move the marker to the second point. The ellipse appears. c.
Page 251 Automatic Nuchal Translucency Diameter (Auto NT) ❚ Auto NT allows you to automatically measure the nuchal translucency thickness. Figure 7-5 Auto NT display To perform an Auto NT measurement, NOTE Automatic Nuchal Translucency is not available through the factory default. To configure the Auto NT, press the [System Preset] key and go to Measurement >...
Page 252 Left Ventricle – Teichholz Method ❚ The followings are Teichholz measurements: • Teichholz – IVSd, LVIDd, LVPWd, IVSs, LVIDs, LVPWs Select the Teichholz folder on the context menu. Select a Teichholz measurement on the context menu. The start point appears. a.
Page 253 2D mode calculations (OB1, OB2/3) The calculation labels may not be available in the measurement menu. The system performs the calculations when the required measurements are made. The system also shows the calculated values in the measured results and transfers the values to the report. Table 7-11 2D mode calculations (OB) Calculation label Description...
Page 254 2D mode calculations (Fetal Echo) The calculation labels may not be available in the measurement menu. The system performs the calculations when the required measurements are made. The system also shows the calculated values in the measured results and transfers the values to the report. Table 7-12 2D mode calculations (Fetal echo) Calculation Label Description...
Page 255 Osaka (BPD, FTA, FL) Persson (BPD, MAD, FL) Schild (HC, AC, FL) Shepard (AC, BPD) Shinozuka 1 (BPD, APTD, TTD, FL) Shinozuka 2 (BPD, FL, AC) Shinozuka 3 (BPD, APTD, TTD, SL) Tokyo (BPD, APTD, TTD, FL) NOTE • To change the default EFW author, press the [System Preset] key and go to Measurement > OB MEAS. >...
Page 256 M mode measurements (OB1, OB2/3) M mode measurements are shown in the context menu and in the OB report with measured result, when assigned. Table 7-13 M mode measurement (OB) Measurement Description Generic Generic (Package) Dist Distance Slope Slope Time Time Heart Rate %Steno(Dist)
Page 257 M mode measurements (Fetal Echo) M mode measurements are shown in the context menu and in the fetal heart report with measured result, when assigned. Table 7-14 M mode measurement (Fetal echo) Measurement Description 4 Chamber view 4-Chamber-view (Package) Ventr. Dim. Ventricle Dimension Ventr.
Page 258 Measurement Description Teichholz Left Ventricular Dimensions by Teichholz method (Package) IVSd Interventricular Septum - End Diastole LVIDd Left Ventricle Internal Dimension - End Diastole LVPWd Left Ventricle - Posterior Wall - End Diastole IVSs Interventricular Septum - End Systole LVIDs Left Ventricle Internal Dimension - End Systole LVPWs Left Ventricle Posterior Wall - End Systole...
Page 259 Slope ❚ The followings are distance measurements: • Heart – DE Amp Slope, EF Slope Select the Heart folder on the context menu. Select DE Amp Slope or EF Slope. The start point appears. The vertical line and the horizontal line are perpendicular to each other. Use [Trackball] to move to the point of intersection, and press the [Set] key.
Page 260 Left Ventricle – Teichholz Method ❚ The followings are Teichholz measurements: • Teichholz – IVSd, LVIDd, LVPWd, IVSs, LVIDs, LVPWs Select the Teichholz folder on the context menu. Select a Teichholz measurement on the context menu. The start point appears. a.
Page 261 M mode calculations The calculation labels may not be available in the measurement menu. The system performs the calculations when the required measurements are made. The system also shows the calculated values in the measured results and transfers the values to the report. Table 7-15 M mode calculations (Fetal echo) Calculation Label Description...
Page 262 D mode measurements (OB1, OB2/3) D mode measurements are shown in the context menu and in the OB report with measured result, when assigned. Table 7-16 D mode measurement (OB) Measurement Description Aorta Aorta Carotid Carotid Artery Middle Cerebral Artery Umbilical A Umbilical Artery Uterine A...
Page 263 To select a package measurement, Select a package measurement folder. Select a desired measurement from the measurement list. In each Doppler package measurement, you can make the following measurements: • Auto Trace • Semi Auto Trace • Manual Trace • Peak Systole (PS) •...
Page 264 Pulsatility Index (PI) ❚ Select PI on the context menu. The vertical line and the horizontal line are perpendicular to each other. Use [Trackball] to move the marker to the start point of the waveform, and press the [Set] key. The end point appears.
Page 265 Acceleration Time (AT) ❚ Select AT on the context menu. The vertical line and the horizontal line are perpendicular to each other. Use [Trackball] to move to the point of intersection, and press the [Set] key. The start point is fixed, and the end point appears. Use [Trackball] to move the point, and press the [Set] key again.
Page 266 Measurement Description Manual Trace Manual Trace Peak Systole (PS) Resistive Index (RI) PS,ED RI,SD PS,ED RI,SD End Diastole (ED) Pulsatility Index (PI) Time to Peak Velocity Heart Rate Umbilical V Umbilical Vein TAmax Maximum Time-Average Velocity Ductus Ven. Ductus Venosus Manual Trace Manual Trace Ventricular Systole Velocity...
Page 267 Measurement Description Fetal Heart Rate Fetal Heart Rate LVOT Left Ventricular Outflow Tract Manual Trace Manual Trace Vmax Maximum Velocity PR interval P-R interval Time Isovolumic Contraction Time Eject. Time Ejection Time Isovolumic Relaxation Time RVOT Right Ventricular Outflow Tract Manual Trace Manual Trace Vmax...
Page 268 Measurement Description Asc. aorta Vmax Ascending Aorta Velocity Thor. aorta Vmax Thoracic Aorta Velocity Trans. ao. arch Vmax Transversal Aortic Arch Velocity DA Vmax Ductus Arteriosus Velocity PA Vmax Pulmonary Artery Velocity Umb. A Vmax Umbilical Artery Velocity Veins Veins Package SVC Vmax Superior Vena Cava Velocity IVC Vmax...
Page 269 D mode calculations The calculation labels may not be available in the measurement menu. The system performs the calculations when the required measurements are made. The system also shows the calculated values in the measured results and transfers the values to the report. Table 7-18 D mode calculations Calculation label Description...
Page 270 OB report To start a report, – Press the [Report] key on the control panel. – Select Report on the context menu. Report functions – See "Report" on page 7-27 for more information. – To select CUA or AUA for gestational age, rotate the Select AUA/CUA soft key. NOTE To configure the default ultrasound age type, press the [System Preset] key and go to Measurement >...
Page 271 Measurement information • Value: The measured value. If more than one measurement was made for an item, the system uses the specified method (average, maximum, minimum, or last) to determine this value. See also "Editing a report" on page 7-29. •...
Page 272 Fetal heart report To view a report, Select a package measurement folder. Select a desired package measurement. NOTE If any measurement is performed, it is shown as a check mark ( ) next to the package measurement. When the labeled measurements appear, you can create, edit, or delete values in a cell. You can also change the method item.
Page 273 OB graph The OB graph shows curve graphs and bar graphs that indicate predicate fetal growth patterns according to the selected reference (author) for a measurement or calculation. OB graph allows you to access the fetal growth curve compared to a normal growth curve. When a patient has completed data from the previous studies, you can use the graph to look at fetal trending.
Page 274 Display item name Description Reference (Author) name Gestation Sac Length Hellman, Rempen ASUM, CFEF, Chitty, Hadlock, Hansmann, Head Circumference Jeanty, Kurmanavicius, Lessoway, Merz, Nicolaides, Kiserud, Verburg Humerus Humerus Length ASUM, Jeanty, Merz, Osaka Spinal Length Tokyo MCA PI Middle Cerebral Artery Pulsatility Index Bahlman, JSUM, Schaffer MCA PS Middle Cerebral Artery Peak Systole Velocity...
Page 275 Fetal growth curve graphs To start a curve graph, – Select Graph on the context menu. – While viewing the OB report, select Graph on the context menu. To view a curve graph, Figure 7-6 Curve graph • The horizontal axis shows the fetal age in weeks. This age is determined by the entry data on the Patient Registration.
Page 276 To select a measurement, The system shows a list of fetal growth measurements. The graph list is shown by the order of measurements you performed recently. The check mark ( is shown next to the measurement that has measured values. To select a specific measurement, use [Trackball] to move to the measurement field and press the [Set] key.
Page 277 Fetal growth bar graphs To start a bar graph, – While viewing the OB graph, press the Bar soft key. To view a curve graph, – The horizontal axis shows the gestational weeks. – The blue vertical line shows the gestational age (GA) by the LMP data. –...
Page 278 Anatomical survey To start the anatomical survey, – While viewing the OB report, select Anatomical Survey on the touch screen. NOTE The patient specific contents input on the Anatomical Survey page are returned to the factory default settings after starting a new patient. Anatomical survey lists Table 7-20 Anatomical survey lists List...
Page 279 • To set all values in the list as default, select Default. • To clear all values in the list, select Clear. • To edit the lists in anatomical survey, use [Trackball] to move the cursor to the descriptive data field and press the [Set] key.
Page 280: Gynecology
Gynecology Gynecology measurements and calculations 2D mode measurements 2D mode measurements are shown in the context menu and in the GYN report with measured result, when assigned. Table 7-21 2D mode measurement (GYN) Measurement Description Endo Thick. Endometrium Thickness Cervix L Cervix Length Follicle Follicle Volume...
Page 281 Measurement Description Re.amp.desc.max Rectal ampulla descent max Rectocele depth Bladder neck descent Bladder neck rest Bladder neck rest Bladder neck stress Bladder neck stress Bladder desc.max Bladder descent max Levator hiat.stress Levator hiatus stress Residual urine Residual urine Uterine A Uterine Artery Uterine A Diam.
Page 282 Follicle Volume ❚ You can make the ovary follicle volume from one, two, or three distance measurements. 1 Distance Volume Select Rt (right) or Lt (left) on the context menu. Select the Follicle folder. The start point appears. Use [Trackball] to move the marker to the start point. To fix the point, press the [Set] key.
Page 283 3 Distances Volume Select Rt (right) or Lt (left) on the context menu. Select the Follicle folder. The start point appears. a. Use [Trackball] to move the marker to the start point. b. To fix the point, press the [Set] key. The end point, overlapping the start point, appears. c.
Page 284 Ovary Volume (2) ❚ Select Rt (right) or Lt (left) on the context menu. Select Ovary Vol. The start point appears. Use [Trackball] to move the marker to the start point, and press the [Set] key. The first point is fixed, and the second point appears. Use [Trackball] to move the marker to the second point, and press the [Set] key again.
Page 285 M mode measurements M mode measurements display in the context menu and the GYN report with measured result, when assigned. Table 7-22 M mode measurement (GYN) Measurement Description Ovarian Ovarian (Package) Time Time Vessel Diam. Vessel Diameter %Steno(Dist) Two Distances Percent Stenosis Heart Rate Uterine Uterine (Package)
Page 286 D mode measurements D mode measurements are shown in the context menu and in the GYN report with measured result, when assigned. Table 7-23 D mode measurement (GYN) Measurement Description Aorta Aorta Umbilical A Umbilical Artery Placenta Placenta Des. aorta Descending Aorta Uterine A Uterine Artery...
Page 287 NOTE To configure the default package measurement for Doppler mode, press the [System Preset] key and go to Measurement > Labeled MEAS. > GYN > Doppler > Package measurement > a default measurement. Peak Systole, End Diastole, or Minimum Diastole (PS, ED, or MD) ❚...
Page 288 Maximum Time-Average Velocity (TAmax) ❚ Select TAmax on the context menu. The vertical line and the horizontal line are perpendicular to each other. Use [Trackball] to move the marker to the start point of the waveform, and press the [Set] key. The end point appears.
Page 289 GYN / Follicle report The GYN and Follicle report has two sections of information: • Patient information • Measurement information To start a report, – Press the [Report] key on the control panel. – Select Report on the context menu. For report functions, see "Report"...
Page 290: Cardiology
Cardiology Cardiology measurements and calculations 2D mode measurements 2D mode measurements are shown in the context menu and in the cardiology report with measured result, when assigned. Table 7-24 2D mode measurement (Cardiology) Measurement Description Ao/LA Aortic Valve/Left Atrium Package RV Dm Right Ventricle Diameter Ao Dm...
Page 291 Measurement Description IVC Dm Inferior Vena Cave Diameter IVC Inspir. Inferior Vena Cave- Inspiration Diameter IVC Expir. Inferior Vena Cave- Expiration Diameter SVC Dm Superior Vena Cave Diameter SVC Inspir. Superior Vena Cave- Inspiration Diameter SVC Expir. Superior Vena Cave- Expiration Diameter Right Ventricle Package RVIDd Mid Mid- Right Ventricle Diameter - End Diastole...
Page 292 Measurement Description LVAs 4 Left Ventricle End Systolic Area (Apical four chamber) LVAd 2 Left Ventricle End Diastolic Area (Apical two chamber) LVAs 2 Left Ventricle End Systolic Area (Apical two chamber) Heart Rate Teichholz Left Ventricular Dimensions by Teichholz method RVAWd Right Ventricle Anterior Wall -End Diastole RVDd...
Page 293 Measurement Description RA Vol(A-L) Right Ventricular Volume by Area-Length method RA A4C Right Ventricular End Systolic Area-Length (Apical four chamber) RA Vol(Simp) Right Ventricular Volume by Simpson method (Single Plane) RA Vol(Simp) Right Ventricular End Systolic Volume (Apical four chamber) Tricuspid Valve Package TR VC Dm Vena Contracta Diameter...
Page 294 Measurement Description Qp/Qs LVOT Dm Left Ventricular Outflow Track Diameter RVOT Dm Right Ventricular Outflow Track Diameter Auto EF Auto ejection fraction Auto EF (A4C) Auto ejection fraction (Apical four chamber) Auto EF (A2C) Auto ejection fraction (Apical two chamber) NOTE To configure the default measurement for 2D mode, press the [System Preset] key and go to Measurement >...
Page 295 Aortic Annulus – Ring Diameter ① Aortic Sinuses of Valsalva Diameter ② Aortic Tubular Junction Diameter ③ Valve Area (Trace) ❚ To measure the valve area, • MV Area • AV Area Select the MV or AV folder on the context menu. Select MV Area or AV Area.
Page 296 Right Atrium – Single Plane Simpson’s Method ❚ This method allows you to calculate the volume of the right atrium on the four chamber cross- sectional image. RA Vol(Simp) indicates the Simpson measurement. During a Cardiology study, freeze a 4 chamber cross-sectional image. Press the [Measure] key on the control panel.
Page 297 Left Atrium – Biplane Area Length Method ❚ This method allows you to calculate the volume of the left atrium on the two chamber and four chamber cross-sectional images. The followings are area length measurements: • LA A4C • LA A2C During a Cardiology study, freeze 4 chamber or 2 chamber cross-sectional images.
Page 298 Left Ventricle – Teichholz Method ❚ The followings are Teichholz measurements: • Diastole – IVSd, LVIDd, LVPWd • Systole – IVSs, LVIDs, LVPWs Select the Teichholz folder on the context menu. Select Diastole or Systole. The start point appears. a. Use [Trackball] to move the start point to the interventricular septum. b.
Page 299 Left Ventricle – Biplane Simpson’s Method ❚ This method allows you to calculate the volume of the left ventricle on two chamber and four chamber cross-sectional images. The followings are Simpson BP measurements: • EDV2 • ESV2 • EDV4 • ESV4 During a Cardiology study, freeze a 4 chamber or 2 chamber cross-sectional images.
Page 300 Regurgitation Flow – Jet Area ❚ While performing a Cardiology study in Color Flow mode, press the [Freeze] key to freeze an image. Press the [Measure] key on the control panel. Select the AV or MV folder on the context menu. Select AR Jet Area or MR Jet Area.
Page 301 2D mode calculations The calculation labels may not be available in the measurement menu. The system performs the calculations when the required measurements are made. The system also shows the calculated values in the measured results and transfers the values to the report. Table 7-25 2D mode calculations (Cardiology) Calculation Label Description...
Page 302 Calculation Label Description Required LV(s) Mass-c index Left Ventricular Mass Corrected Index IVS(d, s), LVID(d, s), LVPW(d, s), BSA LV Mass T-E Left Ventricle Mass by Truncated Ellipse LV Mass(T-E) Left ventricular mass using a Truncated Ellipse LVA Epi, LVA Endo, a, d LV Mass index Left Ventricular Mass Index LV Mass(T-E), BSA...
Page 303 • Teichholz Method EDV= 7x(LVIDd³) / (2.4 + LVIDd) ESV= 7x(LVIDs³) / (2.4 + LVIDs) SV= EDV – ESV CO= SVxHR EF= (EDV - ESV) / EDV FS= (LVIDd - LVIDs) / LVIDd SI= SV / BSA CI= CO / BSA NOTE BSA is automatically calculated when you enter the height and weight of a patient from the Patient Registration screen.
Page 304 Left Ventricular Mass – Area Length Method ❚ The followings are LV Mass measurements: • LVAd Epi, LVAs Epi • LVAd Endo, LVAs Endo • LVLd, LVLs Select LV Mass A-L folder on the context menu. Select the LVAd Epi or LVAs Epi. The start point appears. a.
Page 305 Auto EF measurements Auto EF (Automated Ejection Fraction) is a semi-automatic measurement tool used for measurement of the global EF (Ejection fraction). Figure 7-7 Auto EF display To perform an Auto EF measurement, Connect the ECG device and activate the ECG function to acquire a stable ECG trace. Acquire 2D Cine images of an Apical 4 chamber view and an Apical 2 chamber view by pressing the [Freeze] key.
Page 306 M mode measurements M mode measurements are shown in the context menu and in the cardiology report with measured result, when assigned. Table 7-26 M mode measurement (Cardiology) Measurement Description Teichholz Left Ventricular Dimensions by Teichholz method RVAWd Right Ventricle Anterior Wall -End Diastole RVDd Right Ventricle Diameter - End Diastole IVSd...
Page 307 Measurement Description RVPEP Right Ventricular Pre-ejection Period TAPSE Tricuspid Annular Plane Systolic Excursion Pul.Vein Pulmonary Vein Package Pul.Vein Dm Pulmonary Vein Diameter NOTE To configure the default measurement for M mode, press the [System Preset] key and go to Measurement > Labeled MEAS.
Page 308 Slope ❚ The followings are distance measurements: • MV – DE Exc/slope, EF slope Select the MV folder on the context menu. Select DE Exc/slope or EF slope. The start point appears. The vertical line and the horizontal line are perpendicular to each other. Use [Trackball] to move to the point of intersection, and press the [Set] key.
Page 309 Left Ventricle – Teichholz Method ❚ The followings are Teichholz measurements: • Diastole – IVSd, LVIDd, LVPWd • Systole – IVSs, LVIDs, LVPWs Select the Teichholz folder on the context menu. Select Diastole or Systole. The start point appears. a. Use [Trackball] to move the start point to the interventricular septum. b.
Page 310 M mode calculation The calculation labels may not be available in the measurement menu. The system performs the calculations when the required measurements are made. The system also shows the calculated values in the measured results and transfers the values to the report. Table 7-27 M mode calculations (Cardiology) Calculation Label Description...
Page 311 Define as: LVSTI= LVPEP/LVET Teichholz Method EDV= 7x(LVIDd³) / (2.4 + LVIDd) ESV= 7x(LVIDs³) / (2.4 + LVIDs) SV= EDV – ESV CO= SV x HR EF= (EDV - ESV) / EDV FS= (LVIDd - LVIDs) / LVIDd SI= SV / BSA CI= CO / BSA NOTE BSA is automatically calculated when you enter the height and weight of a patient from the Patient...
Page 312 D mode measurements D mode measurements are shown in the context menu and in the cardiology report with measured result, when assigned. Table 7-28 D mode measurement (Cardiology) Measurement Description Tricuspid Valve Package TV VTI Tricuspid Valve Velocity Time Integral TV Vmax Tricuspid Valve Peak Velocity TV E Vel.
Page 313 Measurement Description RV A' Right Ventricle TDI A point Velocity RV S' Right Ventricle TDI S point Velocity TV E Tricuspid Valve E point Velocity TV E' Tricuspid Valve TDI E point Velocity Sep E' VTI Septal TDI E point Velocity Time Integral Sep A' VTI Septal TDI A point Velocity Time Integral Lat E' VTI...
Page 314 Measurement Description PV Acc Time Pulmonary Valve Acceleration Time and Slope RVOT VTI Right Ventricular outflow Track Velocity Time Integral RVOT Vmax Right Ventricular outflow Track Maximum Velocity RVET Right Ventricular Ejection Time Heart Rate PR VTI Pulmonary Regurgitation Velocity Time Integral PR Vmax Pulmonary Regurgitation Peak Velocity PR EDV...
Page 315 Measurement Description IVCT Isovolumetric Contraction Time IVRT Isovolumetric Relaxation Time LVET Left Ventricular Ejection Time Mitral Valve Close-Open Duration Time Sep E' Septal TDI E point Velocity Sep A' Septal TDI A point Velocity Sep S' Septal TDI S point Velocity Heart Rate MR Vmax Mitral Regurgitation Peak Velocity...
Page 316 Time ❚ The followings are time measurements: • MV – E Dur, A Dur, IVCT, IVRT, LVET, MCO • AV – IVCT, IVRT, LVET, MCO • TV – RVET, TCO • Pul.Vein – Pul. A Dur. • TDI –Sep E'(T), Sep S'(T), Lat E'(T), Lat S'(T) •...
Page 317 Heart Rate (HR) ❚ Select HR on the context menu. The start point appears. The vertical line and the horizontal line are perpendicular to each other. Use [Trackball] to move to the point of intersection, and press the [Set] key. The start point is fixed, and the end point appears.
Page 318 Calculation Label Description LVOT PGmean Left Ventricular outflow Track Mean Pressure Gradient AVA(VTI) Aortic Valve Area-Velocity Time Integral AVA(Vmax) Aortic Valve Area- Maximum Velocity AVA index(VTI) Aortic Valve Area index by Velocity Time Integral AVA index(Vmax) Aortic Valve Area index by Maximum Velocity Stroke Volume Cardiac Output Stroke Index...
Page 319 Calculation Label Description PVA index(Vmax) Pulmonic Valve Area index by Maximum Velocity Stroke Volume Cardiac Output Stroke Index Cardiac Index Qp/Qs Pulmonary Valve Cardiac Output/ Aortic Valve Cardiac Output Ratio Qp-Qs Pulmonary Valve Cardiac Output - Aortic Valve Cardiac Output PISA Proximal Isovelocity Surface Area Regurgitation Volume Flow...
Page 320 • Mitral Valve SV= πxMV Dm / 4xMV VTI • Aortic Valve SV= πxLVOT Dm / 4xLVOT VTI • Pulmonary Valve SV= πxPV Dm2 / 4xPV VTI CO= SVxHR SI= SV / BSA CI= CO / BSA • Pressure Gradient – PGmax, PGmean The maximum pressure gradient is calculated from a maximum velocity using a velocity measurement method or from the tracing waveform.
Page 321 Valve Area by the Continuity Equation (VTI) ❚ You can measure the mitral valve area and aortic valve area by using the velocity-time integral (VTI) of the Continuity Equation. During a Cardiology study in 2D mode, press the [Freeze] key to freeze an image. Use [Trackball] to scroll to the largest LVOT diameter.
Page 322 dP/dt ❚ Select the MV folder on the context menu. Select MR dP/dt. The start point appears. The vertical line and the horizontal line are perpendicular to each other. The horizontal line indicating regurgitation velocities of 1m/s and 3m/s. Move the marker to the start point using [Trackball] where the MR jet intersects the reference line at a velocity of 1m/s, and then press the [Set] key.
Page 323 Cardiology report To start a report, – Press the [Report] key on the control panel. – Select Report on the context menu. For report functions, see "Report" on page 7-27. The cardiology report has two sections of information: • Patient information •...
Page 324 WMS report To start a report, – Press the [Report] key on the control panel. – Select WMS Report on the context menu. NOTE You can view the WMS report after performing and saving the Stress echo function. To view more studies, use the combo box or the Exam soft key. To view another stage, select Next Stage.
Page 325 Standard IEC(I) type: European standard ❚ – L: Yellow-colored connector, means “Left arm” – R: Red-colored connector, means ““Right arm” – F: Green-colored connector, means “Left leg” – N : Black-colored connector, means “Right leg” AHA(A) type: American standard ❚ –...
Page 326 ECG optimization controls In ECG mode, you can use the ECG options on the touch screen. Figure 7-8 ECG mode trouch screen The following ECG options are available: Option Descriptions Time Trig. Set to show a frozen image each time you specified in Delay Time. If this option is activated, ECG Trig.
Page 327: Vascular
Vascular Vascular measurements and calculations 2D mode measurements 2D mode measurements are shown in the context menu and in the vascular report with measured result, when assigned. Table 7-30 2D mode measurement (Vascular) Measurement Description Carotid Carotid Artery Common Carotid Artery Internal Carotid Artery External Carotid Artery Vert.
Page 328 Measurement Description Radial V Radial Vein Ulnar V Ulnar Vein Innom. V Innominate Vein Lower Extremities Arteries Common Iliac Artery External Iliac Artery Internal Iliac Artery Common Femoral Artery Deep Femoral Artery Superficial Femoral Artery Pop. A Popliteal Artery Posterior Tibial Artery Anterior Tibial Artery Peron.
Page 329 Measurement Description Anterior Cerebral Artery PCA P1 Posterior Celebral Artery P1 segment PCA P2 Posterior Celebral Artery P2 segment Vert. A Vertebral Artery Basilar A Basilar Artery Internal Carotid Artery PComA Posterior Communicating Artery AComA Anterior Communicating Artery Renal Renal Renal A Renal Artery Renal V...
Page 330 NOTE To configure the default measurement for 2D mode, press the [System Preset] key and go to Measurement > Labeled MEAS. > Vascular > 2D > Default Measurement. To select a package measurement, Select a package measurement folder. Select the desired measurement from the measurement list. In each package measurement, you can use the following measurements: •...
Page 331 %Stenosis (Diameter) ❚ Select %Steno(Diam) or %Steno(Diam) dist on the context menu. The start point appears. Measure the larger diameter (D1) of the stenosis using [Trackball], and press the [Set] key. Measure the smaller diameter (D2) of the stenosis using [Trackball], and press the [Set] key. The two diameters percent stenosis (%Steno Diam or %Steno dist) are automatically shown on the Result window.
Page 332 IMT measurements IMT allows you to automatically measure the intima-media thickness of the wall in the carotid artery. When you place the start and end points in a line, the system shows the mean, max, standard deviation and quality index. NOTE You can use this feature only with linear transducer.
Page 333 To analyze an IMT measurement, Click IMT Analysis on the Report page. Select a measurement graph from the graph list, or from the soft key menu. Set the measurement options by using the soft key menu (IMT Measurement, Side, Location). M mode measurements M mode measurements are shown in the context menu and in the vascular report with measured result, when assigned.
Page 334 D mode measurements D mode measurements are shown in the context menu and in the vascular report with measured result, when assigned. Table 7-32 D mode measurement (Vascular) Measurement Description Peak Systole (PS) Velocity End Diastole (ED) Velocity Minimum Diastole (MD) S/D Ratio Resistive Index (RI) Pulsatility Index (PI)
Page 335 To select a package measurement, Select a package measurement folder. Select a desired measurement from the measurement list. In each package measurement, you can use the following measurements: • Peak Systole (PS) • End Diastole (ED) • Minimum Diastole (MD) •...
Page 336 Pulsatility Index (PI) ❚ Select PI on the context menu. The vertical line and the horizontal line are perpendicular to each other. Use [Trackball] to move the marker to the start point of the waveform, and press the [Set] key. The end point appears.
Page 337 D mode calculations The calculation labels may not be available shown in the measurement menu. The system performs the calculations when the required measurements are made. The system also shows the calculated values in the measured results and transfers the values to the report. Table 7-33 D mode calculations (Vascular) Calculation Description...
Page 338 Vascular report The vascular report has two sections of information: • Patient information • Measurement information To start a report, – Press the [Report] key on the control panel. – Select Report on the context menu. For report functions, see "Report" on page 7-27. Patient information •...
Page 339 Vascular summary To start a summary, – Select Summary on the context menu. Patient information • ID • Name • Age • Sex • Exam date • Referring MD NOTE To edit the patient information, go to Patient Registration. Measurement information On the Summary page, the result values are shown on the each side (left, right), if the measurement includes the both side values.
Page 340: Urology
Urology Urology measurements and calculations 2D mode measurements 2D mode measurements are shown in the context menu and in the urology report with measured result, when assigned. Table 7-34 2D mode measurement (Urology) Measurement Description Renal L Renal Length Renal Renal Volume Renal L Renal Length...
Page 341 Measurement Description Post Vol Post Bladder Volume Void Vol Void Volume (Difference between Pre and Post Volume) Renal Vol Renal Volume Bladder Vol Bladder Volume Testicle Vol Testicle Volume Prostate Vol Prostate Volume NOTE To configure the default measurement for 2D mode, press the [System Preset] key and go to Measurement > Labeled MEAS.
Page 342 Renal Volume (2) ❚ Select Rt (right) or Lt (left) on the context menu. Select Renal Vol. The start point appears. Use [Trackball] to move the marker to the start point, and press the [Set] key. The first point is fixed, and the second point appears. Use [Trackball] to move the marker to the second point, and press the [Set] key again.
Page 343 Bladder Volume (2) ❚ Select Bladder Vol on the context menu. The start point appears. Use [Trackball] to move the marker to the start point, press the [Set] key. The first point is fixed, and the second point appears. Use [Trackball] to move the marker to the second point, and press the [Set] key again. The first distance is measured.
Page 344 Prostate Volume (1) ❚ You can measure the length, width, and height of the prostate. Length is measured in the sagittal plane. Width and height are measured in the axial plane. Select the Prostate folder on the context menu. Select Prostate L, Prostate H, or Prostate W. The start point appears. a.
Page 345 M mode measurements M mode measurements are shown in the context menu and in the urology report with measured result, when assigned. Table 7-36 M mode measurement (Urology) Measurement Description Heart Rate NOTE To configure the default measurement for M mode, press the [System Preset] key and go to Measurement > Labeled MEAS.
Page 346 Urology report The urology report has two sections of information: • Patient information • Measurement information To start a report, – Press the [Report] key on the control panel. – Select Report on the context menu. For report functions, see "Report" on page 7-27. Patient information •...
Page 347: Pediatrics
Pediatrics Pediatrics measurements and calculations 2D mode measurements 2D mode measurements are shown in the context menu and in the pediatrics report with measured result, when assigned. Table 7-38 2D mode measurement (Pediatrics) Measurement Description Aorta Aorta Diameter Renal L Renal Length Renal Renal Volume...
Page 348 Renal Volume (1) ❚ You can measure the length, width, and height of the left and right renal. Each measurement is a typical distance measurement made in the appropriate scan plane. Select Rt (right) or Lt (left) on the context menu. Select the Renal folder, and then select Renal L, Renal H, or Renal W.
Page 349 Hip Joint (BA) ❚ The hip angle (α, β) between three lines is calculated. The first line is the baseline. The second line establishes the beta angle (β). The third line establishes the alpha angle (α). Select Rt (right) or Lt (left) on the context menu. Select the Hip folder, and then select Hip(BA).
Page 350 M mode measurements M mode measurements are shown in the context menu and in the pediatrics report with measured result, when assigned. Table 7-39 M mode measurement (Pediatrics) Measurement Description Heart Rate NOTE To configure the default measurement for M mode, press the [System Preset] key and go to Measurement > Labeled MEAS.
Page 351 D mode measurements D mode measurements are shown in the context menu and in the pediatrics report with measured result, when assigned. Table 7-40 D mode measurement (Pediatrics) Measurement Description Aorta Aorta Renal A Renal Artery Hepatic Artery Inferior Vena Cava Hepatic V Hepatic Vein Mid HV...
Page 352 In each package measurement for Doppler mode, you can use the following measurements: • Auto Trace • Semi Auto Trace • Manual Trace • Peak Systole (PS) • End Diastole (ED) • Minimum Diastole (MD) • S/D or D/S Ratio (S/D or D/S) •...
Page 353 Pulsatility Index (PI) ❚ Select PI on the context menu. The vertical line and the horizontal line are perpendicular to each other. Use [Trackball] to move the marker to the start point of the waveform, and press the [Set] key. The end point appears.
Page 354 Acceleration (Accel) ❚ Select Accel on the context menu. The vertical line and the horizontal line are perpendicular to each other. Use [Trackball] to move to the point of intersection, and press the [Set] key. The start point is fixed, and the end point appears. Use [Trackball] to move the point, and press the [Set] key again.
Page 355 Pediatrics report The pediatrics report has two sections of information: • Patient information • Measurement information To start a report, – Press the [Report] key on the control panel. – Select Report on the context menu. For report functions, see "Report" on page 7-27. Patient information •...
Page 356: Small Parts
Small Parts Small parts measurements and calculations 2D mode measurements 2D mode measurements are shown in the context menu and in the small parts report with measured result, when assigned. Table 7-41 2D mode measurement (Small parts) Measurement Description Thyroid Vol Thyroid Volume Testicle Vol Testicle Volume...
Page 357 Thyroid Volume (1) ❚ You can measure the length, width, and height for the left and right thyroid. The each measurement is a typical distance measurement made in the appropriate scan plane. Select Rt (right) or Lt (left) on the context menu. Select the Thyroid folder, and then select Thyroid L, Thyroid H, or Thyroid W.
Page 358 Testicle Volume (1) ❚ You can measure the length, width, and height of the scrotum. Length is measured in the sagittal plane. Width and height are measured in the axial plane. Select Rt (right) or Lt (left) on the context menu. Select the Testicle folder, and then select Testicle L, Testicle H, or Testicle W.
Page 359 M mode measurements M mode measurements are shown in the context menu and in the small parts report with measured result, when assigned. Table 7-42 M mode measurement (Small parts) Measurement Description Distance Distance Time Time Slope Slope Heart Rate NOTE To configure the default measurement for M mode, press the [System Preset] key and go to Measurement >...
Page 360 Heart Rate (HR) ❚ Select HR on the context menu. The vertical line and the horizontal line are perpendicular to each other. Use [Trackball] to move to the point of intersection, and press the [Set] key. The start point is fixed, and the end point appears. Use [Trackball] to move the point, and press the [Set] key again.
Page 361 Small parts report The small parts report has three sections of information: • Patient information • Measurement information • Thyroid analysis To start a report, – Press the [Report] key on the control panel. – Select Report on the context menu. For report functions, see "Report"...
Page 362 Thyroid analysis To start the thyroid anaysis, – While viewing the thyroid report, select Analysis on the context menu. NOTE The patient specific contents input on the Analysis page are returned to the factory default settings after starting a new patient. Analysis lists Table 7-44 Thyroid nodule analysis lists List...
Page 363 List Descriptive data Options Calcifications Absent Micro Ca++ Macro Ca++ Peripheral rim Ca++ Margin Well-defined Regular, Irregular Ill-defined Regular, Irregular Halo sign Absent Complete Thin, Thick Partial Thin, Thick Vascularity Absent Perinodular Peri-Intranodular Lymph Nodes Normal Suspect Intramammary, Axillary Elasticity Assessment Soft Intermediate Hard...
Page 364: Breast
Breast Breast measurements and calculations 2D mode measurements 2D mode measurements are shown in the context menu and in the breast report with measured result, when assigned. Table 7-45 2D mode measurement (Breast) Measurement Description Mass# 1–10 Measurements of the left and right breast mass Mass L Mass Length Mass H...
Page 365 2 Distances Volume Select Rt (right) or Lt (left) on the context menu. Select the Mass folder. The start point appears. a. Move the marker to the start point using [Trackball]. b. To fix the point, press the [Set] key. The end point, overlapping the start point, appears. c.
Page 366 M mode measurements M mode measurements are shown in the context menu and in the breast report with measured result, when assigned. Table 7-46 M mode measurement (Breast) Measurement Description Distance Distance Time Time Slope Slope Heart Rate NOTE To configure the default measurement for M mode, press the [System Preset] key and go to Measurement > Labeled MEAS.
Page 367 Heart Rate (HR) ❚ Select HR on the context menu. The vertical line and the horizontal line are perpendicular to each other. Use [Trackball] to move to the point of intersection, and press the [Set] key. The start point is fixed, and the end point appears. Use [Trackball] to move the point, and press the [Set] key again.
Page 368 Breast report The breast report has three sections of information: • Patient information • Measurement information • Breast analysis To start a report, – Press the [Report] key on the control panel. – Select Report on the context menu. For report function, see "Report" on page 7-27. Patient information •...
Page 369 Breast analysis To start the breast anaysis, – While viewing the breast report, select Analysis on the context menu. NOTE The patient specific contents input on the Analysis page are returned to the factory default settings after starting a new patient. Analysis lists Table 7-48 Breast mass analysis lists List...
Page 370 List Descriptive data Options Associated Features Architectural distortion (Blank) Duct change Skin thickening Skin retraction Edema Vascularity Not present Vessels in rim Internal vascularity Lymph Nodes Normal Suspect Intramammary, Axillary Elasticity Assessment Soft Intermediate Hard Measurement Strain Ratio < 0.70, ≥ 0.70 BI-RADS Category 0, 1, 2, 3, 4, 5, 6 Assessment...
Page 371: Musculoskeletal (Msk)
Musculoskeletal (MSK) MSK measurements and calculations 2D mode measurements 2D mode measurements are shown in the context menu and in the MSK report with measured result, when assigned. Table 7-49 2D mode measurement (MSK) Measurement Description Volume Volume Hip(BA) The system calculates and shows angles β and α. Hip(AB) The system calculates and shows angles α...
Page 372 2 Distances Volume Select Rt (right) or Lt (left) on the context menu. Select the Volume. The start point appears. a. Move the marker to the start point using [Trackball]. b. To fix the point, press the [Set] key. The end point, overlapping the start point appears. c.
Page 373 Hip(BA) ❚ The hip angle (α, β) between three lines is calculated. The first line is the baseline. The second line establishes the beta angle (β). The third line establishes the alpha angle (α). Select Rt (right) or Lt (left) on the context menu. Select Hip(BA).
Page 374 M mode measurements M mode measurements are shown in the context menu and in the MSK report with measured result, when assigned. Table 7-50 M mode measurement (MSK) Measurement Description Heart Rate NOTE To configure the default measurement for M mode, press the [System Preset] key and go to Measurement > Labeled MEAS.
Page 375 MSK report The MSK report has two sections of information: • Patient information • Measurement information To start a report, – Press the [Report] key on the control panel. – Select Report on the context menu. For report functions, see "Report" on page 7-27. Patient information •...
Page 376: Emergency Medicine (Em)
Emergency Medicine (EM) EM measurements and calculations 2D mode measurements 2D mode measurements are shown in the context menu and in the EM report with measured result, when assigned. Table 7-52 2D mode measurement (EM) Measurement Description Aorta Aorta Renal L Renal Length Bladder Bladder Volume...
Page 377 Renal Length ❚ Select Rt (right) or Lt (left) on the context menu. Select Renal L. The start point appears. Use [Trackball] to move the marker to the start point. To fix the point, press the [Set] key. The end point, overlapping the start point, appears. Use [Trackball] to move the marker to the end point.
Page 378 Bladder Volume (2) ❚ Select Bladder Vol on the context menu. The start point appears. Use [Trackball] to move the marker to the start point, and press the [Set] key. The first point is fixed, and the second point appears. Use [Trackball] to move the marker to the second point, and press the [Set] key again.
Page 379 M mode measurements M mode measurements are shown in the context menu and in the EM report with measured result, when assigned. Table 7-53 M mode measurement (EM) Measurement Description %Stenosis Two Diameters Percent Stenosis A/B Ratio Two Diameters Ratio Heart Rate NOTE To configure the default measurement for M mode, press the [System Preset] key and go to Measurement >...
Page 380 D mode measurements D mode measurements are shown in the context menu and in the EM report with measured result, when assigned. Table 7-54 D mode measurement (EM) Measurement Description Aorta Aorta Renal A Renal Artery Superior Mesenteric Artery Inferior Mesenteric Artery Inferior Vena Cava Uterine A Uterine Artery...
Page 381 NOTE To configure the default package measurement for Doppler mode, press the [System Preset] key and go to Measurement > Labeled MEAS. > EM > Doppler > Package measurement > a default measurement. Peak Systole, End Diastole or Minimum Diastole (PS, ED, or MD) ❚...
Page 382 Maximum Time-Average Velocity (TAmax) ❚ Select TAmax on the context menu. The vertical line and the horizontal line are perpendicular to each other. Use [Trackball] to move the marker to the start point of the waveform, and press the [Set] key. The end point appears.
Page 383 EM report The EM report has two sections of information: • Patient information • Measurement information To start a report, – Press the [Report] key on the control panel. – Select Report on the context menu. For report functions, see "Report" on page 7-27. Patient information •...
Page 385: Transducer And Biopsy
Transducer and Biopsy This chapter describes the transducer overview and biopsy preparations. Transducer ......................8-2 Biopsy ........................8-7 Transducer Accessories ..................8-18...
Page 386: Transducer
Transducer The ultrasound system uses transducers to obtain graphic data of the human body and then displays it on the screen. Always use application-specific transducers in order to obtain the best quality images. It is also important to use a preset that is best suited to the particular organ being scanned. Transducer components Figure 8-1 Transducer components Component...
Page 387 Compatible Transducers The following transducers are compatible with the E-CUBE 8 ultrasound system: NOTE The manual refers to transducers that can be connected to the system. It might be possible that some transducers or applications are not available in some countries. Table 8-1 Compatible transducers Transducer Type...
Page 388 Transducer Type Application Biopsy Guide OB, GYN, Abdomen, • SC1-6 Biopsy Starter kit Pediatric, Musculoskeletal • Multi-angle (MSK), Urology, Emergency Convex Medicine (EM) C1-6CT OB, Pediatric, Abdomen, Cardiac, Emergency Medicine (EM) Convex C5-8NT OB, Abdomen, Pediatric, • SC1-6 Biopsy Starter Kit Musculoskeletal (MSK), •...
Page 389 Transducer Type Application Biopsy Guide OB, GYN, Urology, • EN3-10 Disposable Needle Emergency Medicine (EM) Guide • EN3-10 Reusable Needle Guide Endocavity EC3-10T OB, GYN, Urology, • EN3-10 Disposable Needle Emergency Medicine (EM) Guide • EN3-10 Reusable Needle Guide Endocavity EV3-10T OB, GYN, Abdomen, Pediatric, Urology,...
Page 390 Transducer- specific features Table 8-2 Transducer feature Speckle Feature Harmonics Reduction Multi- Easy Virtual Spatial Biopsy (THI) Imaging beam Convex Compounding Model (SRI) C1-6CT C5-8NT SC1-4H SC1-4HS SC1-6H CW2.0 CW5.0 EV3-10T EC3-10T E3-10 L3-12H L3-12T L3-12H L8-17H IO3-12 IO8-17T SP3-8T P1-5CT VE3-10H VC1-6T...
Page 391: Biopsy
The biopsy kit components vary depending on the transducer type. The components are as following: Figure 8-2 Biopsy starter kit Component Component Needle guide bracket Sheath Needle guide & Needle barrel Rubber band NOTE The biopsy starter kit can be purchased from ALPINION MEDICAL SYSTEMS. Biopsy...
Page 392 Precautions concerning the use of biopsy procedure • Do not freeze the image during a biopsy procedure. The image must be live to avoid WARNING a positioning error. Biopsy guidezones are intended to assist the user in determining optimal transducer placement and approximate the needle path. However, actual needle movement is likely to deviate from the guideline.
Page 393 The biopsy guidezone display WARNING • Do not freeze the image during a biopsy procedure. The image must be live to avoid a positioning error. • The biopsy guidelines that display on the system monitor are not intended as an absolute reference. It is the user's responsibility to verify correct positioning of the needle during a biopsy procedure.
Page 394 Preparing the biopsy guide attachment The each transducer (convex, sector, and linear transducers) has the optional biopsy guide attachment. The guide consists of a non-disposable bracket to attach to the transducer, disposable needle clip to attach to the bracket, sheath, coupling gel, and disposable needle guide. The disposable needle guides are available for a variety of needle sizes.
Page 395 Assembling the multi-angle biopsy guide WARNING DO NOT attempt to use the biopsy bracket and needle guide until the manufacturer's instructions, provided with the biopsy bracket and needle guide in the kit, have been read and thoroughly understood. NOTE For detailed information on a biopsy guide, please contact the manufacturer(CIVCO) of the biopsy guide. Scan the patient and identify the target for biopsy.
Page 396 Place the ultrasound gel inside a sanitary sheath. Cover the transducer and biopsy bracket with the sanitary sheath. Use the rubber bands to tighten the sheath. Snap the needle guide onto the biopsy guide bracket. Push the locking mechanism towards the bracket to secure the lock. Make sure that the needle guide is firmly attached to the bracket.
Page 397 Select a desired size of the needle barrel from the plastic tree. Twist the needle barrel back and forth to remove it. Place the needle barrel into the needle guide until it clicks into place. CAUTION Before performing a biopsy, ensure that all guide parts are seated properly. Biopsy 8-13...
Page 398 Assembling the single-angle biopsy guide WARNING DO NOT attempt to use the needle guide until the manufacturer's instructions, provided with the needle guide in the kit, have been read and thoroughly understood. NOTE For detailed information on a biopsy guide, please contact the manufacturer(Aspen Surgical Products, Inc.) of the biopsy guide.
Page 399 Place the second sheath over the transducer and needle guide. Secure the sheath with bands. Disposable biopsy guide (Plastic) Place the ultrasound gel inside the sheath and/or on the transducer scanning surface. Place the transducer sheath over the transducer and secure the sheath with bands. Place the needle guide onto the transducer and snap into position.
Page 400 Verifying the biopsy needle path WARNING • The biopsy guidelines that display on the system monitor are not intended as an absolute reference. It is the user's responsibility to verify correct positioning of the needle during a biopsy procedure. • The path of the needle must display within the guideline. Do not use a needle guide if the path of the needle is not accurately displayed by the on-screen guidelines.
Page 401 CAUTION Ensure that the selected angle on the biopsy guide corresponds to the selected guide line of the guidezone. Place the needle in the guide line between the needle barrel and the needle guide. Direct it into the area of interest. CAUTION Always use a straight, new and sterile needle for each biopsy procedure.
Page 402: Transducer Accessories
Transducer Accessories Transducer sheath Transducer sheaths help to prevent contamination from blood or body fluids during the examination, operation, or biopsy. Sheaths should be used for clinical application that may indicate the need for such care, and during endocavity scanning; during biopsy or puncture procedures; or when scanning patients with open wounds.
Page 403 Ultrasound Gel The ultrasound gel helps to transfer the sound waves into the body during the examination. Using appropriate ultrasound gels may cause damage to the transducer. To prevent transducer damage, only use ultrasound gels approved or recommended by ALPINION. Refer to Download Center on website (http://www.alpinion.com/web/support/download.asp) for the latest list of compatible ultraound gels.
Page 405: Preset
Preset This chapter describes the preset features that you can configure the default settings of your system. System Preset ......................9-2 Image Preset ......................9-47...
Page 406: System Preset
System Preset In each preset menu, you can configure different default settings for its submenus. System Preset display Figure 9-1 System preset display Preset...
Page 407 System Preset menus To access preset menus, select the desired menu on the touch screen. NOTE After changing some preset menus, you may need to reboot the system. Figure 9-2 System preset touch screen Table 9-1 System preset menu Preset menu Description Customize the system configurations such as general settings, control panel, System...
Page 408 General workflow To enter the System Preset menu, Press the [System Preset] key on the QWERTY keyboard. To scroll through the current page, press the Navigate soft key. To exit the menu, click Save & Exit or Exit. You can also press the [System Preset] or [2D] key. To change the settings in System Preset, Press the [System Preset] key on the QWERTY keyboard.
Page 409 System The System menu contains the following submenus: • General • Control Panel • Peripheral • Patient Info • Monitor General The General menu allows you to configure the general system settings such as hospital, time and date, and screen saver. Organization ❚...
Page 410 Location ❚ • Language: Change the display language. NOTE After changing the language, you need to reboot the system. • Unit: Select a measurement unit, Metric or US. When you select US, all units are changed from centimeter to inch. Power Off ❚...
Page 411 To change the time zone, Click Date / Time under Time Format. Click the Date and Time tab. Click Change time zone... to change the time zone. Time Zone Settings screen appears. Select your time zone from the drop-down list. To set Daylight Savings Time (DST), select the Automatically adjust clock for daylight saving changes check box.
Page 412 Control Panel The Control Panel menu provides options for trackball and the control panel keys. Trackball ❚ • Trackball Travel Speed: Change the trackball speed (Slow, Medium, Fast). • Trackball Cine Speed: Change the speed for scrolling through Cine sequences (Slow, Medium, Fast).
Page 413 Peripheral The Peripheral menu provides peripheral options for VCR, standard printer, and RS232C port. NOTE To configure the printer key function, go to User Setting > Print/Foot Switch. ❚ • Video Format: Select a video format (NTSC or PAL). • VCR: Select a VCR type. Standard Printer( Report Only ) ❚...
Page 414 Patient Info The Patient Info menu provides useful options related to patient management and E-view, and allows you to configure the patient banner display option. Patient Information ❚ • Hide Patient Information: Select to hide patient information on patient banner. •...
Page 415 Monitor The Monitor menu allows you to adjust the display pattern using gray bars and color bars. After the monitor adjustment, you need to check your peripherals. To adjust the monitor, see "Adjusting the Monitor and Touch Screen" on page 2-8. Figure 9-5 Gray &...
Page 416 Annotation The Annotation menu allows you to specify body pattern/text options and to define body pattern/text libraries on the context menu. The following menus are available: General, Body Pattern, and Text. General The General menu allows you to configure the text and body options. Text Preset ❚...
Page 417 BodyPattern The BodyPattern menu allows you to define and change body pattern libraries. The left side of the Body Pattern menu shows all available body pattern libraries, and the right side shows the specific body patterns for the selected library. Once you have defined body patterns for a library, they are shown on the touch screen display of Body Pattern.
Page 418 To delete a body pattern, Select the library you want to delete a body pattern from the library list. Use [Trackball] to select a body pattern, and press the [Set] key. Click Delete to delete the body pattern. Press the Save soft key and then click Yes to save the changes. To change the location of a body pattern, Select the library you want from the library list.
Page 419 To delete a text, Select the library you want from the library list. Use [Trackball] to select a text and press the [Set] key. Click Delete to delete the text. Press the Save soft key and then click Yes to save the changes. To change the text location, Select the library you want from the library list.
Page 420 Measurement The Measurement menu allows you to specify measurement and calculation preset. General The General menu allows you to define the cursor and result window settings. General ❚ • Repeat Measurement: Set to repeat the measurement. – Repeat: The selected measurement on the context menu is repeated. –...
Page 421 Basic MEAS. The Basic MEAS. menu shows all settings for the basic measurement in each application. Depending on the application, available settings may vary. You can define the basic measurement and default method for each basic measurement. You can control basic measurement by using the soft keys in each measurement mode.
Page 422 Specify Default Measure Key Sequence. For example) OB1, M mode: Select 2 Sequences (Distance, Time) or 3 Sequences (Distance, Time, Slope). When you select Distance, Time for 2 Sequences, the distance caliper will be shown by pressing the [Measure] key once. The time caliper will be shown by pressing the [Measure] key twice. Labeled MEAS.
Page 423 Select a measurement application from the drop-down list. Select a measurement mode (2D, M, or Doppler). All of the available measurement lists appears on the left of the measurement window. The default measurements are shown on the context menu. To add a measurement to the context menu, select a measurement from the Available Measurement list and click Add.
Page 424 Creating a new parameter ❚ To create a new parameter on a defined measurement, Click New Parameter. Specify the following parameter information. • Parameter Name: Enter a parameter name. • Formula: Enter a calculation formula and click Check to verify that the syntax is correct. •...
Page 425 Editing a parameter ❚ To edit the customized parameter, Select a parameter from the list and click Edit Parameter. The Edit Parameter window appears on the screen. Change the formula and output format such as Method, Unit, and Precision. Click OK and then Yes to save your changes. Editing a calculation ❚...
Page 426 Setting up the automatic sequence for EFW ❚ The automatic sequence feature allows you to perform EFW measurements in sequence. Press the [System Preset] key and go to Measurement > Labeled MEAS. Select an OB application from the Available Measurement list. Select an EFW folder and click Add.
Page 427 OB MEAS. The OB MEAS. menu allows you to define default OB presets such as OB type and OB graph. You can also register a user-defined OB table. Figure 9-11 OB measurement display Figure 9-12 OB measurement touch screen System Preset 9-23...
Page 428 General ❚ • OB Type: Select an OB type (USA, Europe, Tokyo, Osaka or ASUM) from the drop-down list for the measurement and calculation. The default measurement list may differ depending on the selected OB type. • Default US Age Type(Hadlock): Select CUA (Composite Ultrasound Age) or AUA (Average Ultrasound Age).
Page 429 To add additional line, click Insert. To delete a line, click Delete. To clear all values, click Clear All. When you have finished, click OK and then Yes to save your changes. NOTE You can import an OB table template as an Excel file which is created by PC. Table Registration_Editing an OB table ❚...
Page 430 Table Registration_Editing OB equation ❚ Once you have created your own equation, you can edit the equation by selecting Edit Equation. The editing equation procedure is the same as New Equation. Available operators for equation ❚ The following table shows available operators for using equation. Table 9-2 Equation operator Operator Definition...
Page 431 Advanced MEAS. The Advanced MEAS. menu allows you to define application parameters, especially the Doppler measurement. Measurement Application ❚ Select an application to be defined. Application Settings ❚ • HR Cycle: Select a heart rate cycle (1-10). • HR Method(ECG): Select HR Method (Manual or Automatic). •...
Page 432 Report The Report menu allows you to specify report and report print preset. Print Print Logo ❚ Change the logo image when you print the report. Print Section ❚ Set the print section for each application. Print Header & Footer ❚...
Page 433 User Defined Key The User Defined Key menu allows you to specify user-defined keys. To assign functions onto numeric keys (0-9), select the Enable Hot Key check box and assign a key function. The following table shows the functions that you can assign for available keys. Table 9-3 User-defined key User key (1–3) Numeric key (0–9)
Page 434 User key (1–3) Numeric key (0–9) Function Key Rec/Pause Cube Strain™ data Storage Eject Cube View™ Elasto StressEcho Cube Strain™ Full Screen Mode NOTE *Power Preset allows you to quickly change the transducer and its preset. 9-30 Preset...
Page 435 Print/Foot Switch The Print/Foot Switch menu allows you to define the optional footswitch and the print keys. To assign print keys, Select a print key (P1, P2, P3, User(P4), or User(P5)) on the upper side of the display. Select the device you want to add under the device category on the left side of the page. Click >>...
Page 436 Footswitch functions ❚ To assign functions for the each pedal of the footswitch, select a function from the corresponding list (Right, Center, Left). The following functions are available: • Freeze • M Mode • P1 • PW Mode • P2 •...
Page 437 Connectivity The Connectivity preset allows you to configure the network connection and DICOM protocols. DICOM is an abbreviation of Digital Imaging and Communications in Medicine. This is a standard protocol for handling, storing, printing, and transmitting information in medical imaging. Using the DICOM option, you can send or print images after connecting the system and PACS.
Page 438 Network The Network menu allows you to set up Internet protocol. You need a separate IP address for your system. NOTE To set up Internet Protocol, contact your hospital’s network administrator. Local Area ❚ Specify the following IP address settings: •...
Page 439 Commonly used service parameters There are certain parameters that may need to be set up for each service. The parameters are described on the following service. NOTE • DICOM is an optional service. To use this service, you need DICOM installation. •...
Page 440 Storage The Storage menu allows you to send images with DICOM standard format to view or interpret in PACS. In this menu, you can add, edit, and remove a DICOM storage service and configure the service properties. To add a DICOM storage device, Click New.
Page 441 Network Storage The Network Storage menu allows you to customize options for sending backup data to Shared directory. You can add and edit a network storage device. To enter the Network Storage menu, – Go to General menu and click Network Storage on the bottom right of the display. To add a network storage device, Click New.
Page 442 Cube View™ The Cube View™ menu allows you to set up the network options for accessing to the Cube View Control Server. You can add and edit a Cube View Control server device. To enter the Cube View™ menu, – Go to General menu and click Cube View™ on the bottom right of the display. To add a Control Server device, Click New.
Page 443 Print The Print menu provides an ability to send and receive ultrasound image data via DICOM printers. Properties ❚ • Format: Select a printing format that determines the number of images to be printed out in one page. • Priority: Select the printing job priority (HIGH, MED, or LOW). •...
Page 444 Worklist The Worklist menu provides a list of patients sorted by query parameters. The Search Criteria menu allows you to define specific search parameters for the system to use when querying the patient archive. To add a worklist, Click New. Enter a name of the DICOM storage device in the Destination Name field.
Page 445 Administration The Administration menu contains the following submenus: • Service • Users • Options • System Info • Patient Data Service To activate the service browser, click Service Station. The Windows login screen appears. For more information, see the Service Manual. Users The Users menu allows you to define the user settings.
Page 446 To change the password, Select a user ID from the user list by using [Trackball]. Click Password. Enter the current password in the Old Password field. Enter a new password in the New Password field. Enter the new password again in the Confirm field. Click OK to save the changes.
Page 447 To save images permanently, avoid using the local hard disk. Regularly back up the image archive to a storage media. CAUTION Follow the suggested backup procedure in the manual. ALPINION MEDICAL SYSTEMS does not have the responsibility for data loss caused by the user’s carelessness. User Backup You can use a CD, DVD, and USB flash drive for user preset backup.
Page 448 To restore the user preset data, NOTE Make sure that the software version of the data is the same as the system’s software version. If NOT, you may not perform the restoration. Insert a media on your system. Select the user preset(s) you want to restore. If your media is USB flash drive, select the user preset(s) you want to restore from the backup list.
Page 449 To back up Image Archive, Configure Media. Configure Image Archive Option. Prepare unformatted CD(s). Click Backup to start backup Image archive. The media formatting starts and the instructional message appears. You can view and import backup media via E-View menu. To view the backup images, Insert your media.
Page 450 Advanced Cardiac Protocol Editor The Protocol Editor menu allows you to manage protocols to be used for Stress Echo. You can add, copy, and delete protocols, stages, and views. Adding a new protocol ❚ From the Protocols category, click Add. Enter a new protocol name and select OK.
Page 451: Image Preset
Image Preset To enter the Image Preset menu, press the [Image Preset] key on the control panel. To exit from the Image Preset menu, click Save & Exit or Exit. You can also press the [Image Preset], [Exit], or [2D] key on the control panel. General workflow To use Image preset function, Press the [Image Preset] key on the control panel.
Page 452 To overwrite an existing preset, Adjust the image parameter settings as you want, and then press the [F7] key on the QWERTY keyboard. Select the application that you want from the Application list. Select the preset that you want to overwrite from the Preset Name list. To show the automatic preset selection when you change the transducer, select the Automatic Preset selection when changes the transducer check box.
Page 453: Care And Maintenance
Care and Maintenance This chapter describes care and mainteance of the system, transducers and biopsies. System Care and Maintenance ................10-2 Battery Care and Maintenance ................10-6 Transducer Care and Maintenance ..............10-7...
Page 454: System Care And Maintenance
System Care and Maintenance It is the responsibility of the user to verify that the ultrasound system is safe for diagnostic operation on a daily basis. Each day, prior to using the system, perform each of the steps in the daily checklist. All exterior parts of the system, including the control panel, keyboard, and transducers, should be cleaned and/or disinfected as necessary or between uses.
Page 455 Daily checklist Perform the following each day before using the ultrasound system: • Visually inspect all transducers. Do not use a transducer which has a cracked, punctured, or discolored casing or frayed cable. • Visually inspect all power cords. Do not turn on the power if a cord is frayed or split, or shows signs of wear.
Page 456 Cleaning the system Prior to cleaning any part of the system: – Turn off the system power. If possible, disconnect the power cord. Cleaning the surface of the ultrasound system CAUTION Do not spray any liquid directly into the unit when cleaning the system. Use a clean gauze pad or lint-free cloth, lightly moistened with a mild detergent, to wipe the surface of the ultrasound system.
Page 457 Cleaning the monitor face Use a soft, folded cloth and a glass cleaner solution. Apply the glass cleaner to the cloth. Gently wipe the monitor face. Do NOT use a glass cleaner that has a hydrocarbon base (such as Benzene, Methyl Alcohol or Methyl Ethyl Ketone) on monitors with the filter (anti-glare shield).
Page 458: Battery Care And Maintenance
The battery is a consumable item. The battery will gradually lose its capacity for charging after repeated use and after time has passed. Alpinion Medical Systems recommends that you replace the battery once in one year or after 500 recharging cycles, whichever comes first.
Page 459: Transducer Care And Maintenance
Transducer Care and Maintenance It is the responsibility of the user to verify that the transducer is safe for diagnostic operation. After each use, inspect the transducer's lens, cable, and casing. Look for any damage that would allow liquid to enter the transducer.
Page 460 Transducer handling and infection control This information is intended to increase user awareness of the risks of disease transmission associated with using this equipment and provide guidance in making decisions directly affecting the safety of the patient as well as the equipment user. Diagnostic ultrasound systems utilize ultrasound energy that must be coupled to the patient by direct physical contact.
Page 461 Cleaning the transducer Cleaning is an important procedure that is carried out before disinfecting the transducer. The transducer must be cleaned after each use. Disconnect the transducer from the system. Moisten a clean gauze pad with purified water and wipe the transducer to remove any gel or particles remaining on the transducer.
Page 462 Disinfecting the transducer WARNING • If a pre-mixed solution is used, be sure to observe the solution expiration date. • The type of tissue it will contact during use dictates the level of disinfection required for a device. Ensure that the solution strength and duration of contact are appropriate for disinfection. CAUTION •...
Page 463 Transducer Immersion Level CAUTION • Make sure not to immerse the transducer into any liquid beyond the immersion level specified for that transducer. • Do not immerse the transducer connector and cable in liquid. SC1-4H C1-6CT C5-8NT SC1-6H IO3-12 IO8-17T L3-12H L3-12H L8-17H...
Page 464 List of Compatible Disinfectants and Cleaning Solutions ALPINION MEDICAL SYSTEMS routinely reviews new cleaning and disinfection solutions for compatibility with the materials used in the transducer housing, cable and lens in order to provide users with options in choosing a cleaning or disinfection solution. Refer to Download Center on website (http://www.
Page 465 Disinfectant (2) Level L/ILD FDA Approval TYPE C1-6CT Δ Δ Δ Δ Δ Δ Δ Δ SC1-4HS Δ Δ Δ SC1-4H Δ Δ Δ SC1-6H Δ Δ Δ L3-12T Δ Δ Δ L3-12H Δ Δ Δ L3-12H Δ Δ Δ L8-17H Δ...
Page 466 Disinfectant (3) Level L/ILD FDA Approval TYPE C1-6CT Δ Δ Δ Δ Δ Δ Δ Δ SC1-4HS SC1-4H SC1-6H L3-12T L3-12H L3-12H L8-17H P1-5CT VC1-6T Δ Δ E3-10 Δ Δ Δ Δ Δ Δ Δ Δ Δ Δ Δ Δ Δ...
Page 467 Pre-Cleaner Level FDA Approval TYPE C1-6CT Δ Δ Δ Δ Δ Δ Δ Δ Δ Δ SC1-4HS Δ Δ Δ Δ Δ Δ Δ Δ SC1-4H Δ Δ Δ Δ Δ Δ Δ Δ SC1-6H Δ Δ Δ Δ Δ Δ...
Page 468 Solution Level FDA Approval TYPE C1-6CT Δ Δ SC1-4HS SC1-4H SC1-6H L3-12T L3-12H L3-12H L8-17H P1-5CT VC1-6T Δ E3-10 Δ Δ Δ EV3-10T EC3-10T IO3-12 CW2.0 Δ Δ Δ CW5.0 Δ Δ Δ VE3-10H Δ C5-8NT SP3-8T Δ Δ Δ IO8-17T NOTE Slight discoloration of parts of the transducer such as housing and cable can occur when disinfecting the...
Page 469 Cable handling Take the following precautions with transducer cables: • Keep free from wheels • Do not bend the cable acutely • Avoid crossing cables between transducers Planned maintenance The following maintenance schedule is suggested for the transducer to ensure the optimum operation and safety.
Page 471: Safety And Regulatory Information
Safety and Regulatory Information This chapter describes the safety and regulatory information relevant for operating this ultrasound system. Safety Summary ....................11-2 Equipment Safety Information ................11-3 Patient Safety Information .................. 11-4 Anti-Virus Program ....................11-5 Electrical Safety Information ................11-6 Transducer Safety Information ................
Page 472: Safety Summary
E-CUBE 8 ultrasound system. If you fail to comply with these safety precautions or specific warnings in this manual, you violate safety standards in terms of design, manufacture, and intended use of this system. ALPINION MEDICAL SYSTEMS Co., LTD. does not have liability for your failure to comply with these requirements.
Page 473: Equipment Safety Information
Equipment Safety Information • Installing the system yourself may cause damage to the system or electrical shock. WARNING To avoid damage to the system and avoid electrical shock, only qualified ALPINION service engineer must install the system. • Do not remove the covers of a system yourself to avoid damage to the system and unexpected electrical shock.
Page 474: Patient Safety Information
Patient Safety Information • When you enter patient data, always make sure that you enter correct identification WARNING with the patient data. • Do not use the system until you become familiar with the system operation. • To avoid the transducer from overheating, you must freeze the system when imaging is not performed.
Page 475: Anti-Virus Program
• The "auto run" feature is disabled on the system. For example, when a DVD or USB memory stick that contains a program that runs automatically is connected,the system will not open or run the program. ALPINION MEDICAL SYSTEMS Co., LTD do not use Anti-Virus software for several reasons. The main reasons for not doing so: •...
Page 476: Electrical Safety Information
Electrical Safety Information • Do not clean or disinfect a system before turning off and unplug the system from the WARNING power outlet. Otherwise, it could result in electrical shock and damage to the system. • Do not place water or liquids on the system. Dripping water or liquids into the system may cause electrical shock and damage to the system.
Page 477: Transducer Safety Information
Transducer Safety Information Damaged transducers or improper use and manipulation of the transducer may result in injury or increase the risk of infection. Never use excessive force when manipulating intracavity transducers. Become familiar with all instructions and precautions provided with the special purpose transducers. The use of damaged transducers can result in injury or increase the risk of infection.
Page 478 IPX8 immersion levels CAUTION To avoid damage to the transducer, observe the immersion levels indicated for each transducer type. Transducers meet Ingress Protection IPX8 of EN 60529 and IEC 60529 to the depth of the immersion line shown in the illustration only for transducers with the “IPX8” symbol on the connector of the transducer. NOTE Test Standard of IPX8: Immersion for 90 minutes at a depth of 1 meter.
Page 479: Biopsy Safety Information
Biopsy Safety Information Precautions concerning the use of biopsy procedure • Do not freeze the image during a biopsy procedure. The image must be live to avoid WARNING a positioning error. Biopsy guidezones are intended to assist the user in determining optimal transducer placement and approximate the needle path.
Page 480: System Symbols And Labels
System Symbols and Labels The following is a list of system symbols and labels for safety. They indicate that you must refer to the manual for specific information to avoid personal injury or damage to the product. Safety symbols/ Labels Location Explanation On the power button of the control...
Page 481 Safety symbols/ Labels Location Explanation Adjacent to the AC power Equipotentiality Adjacent to the DVD-RW Universal Serial Bus On the system rating label for Date of manufacture overseas and transducer label See ISO 8601 for date format Symbol for manufacturer On the system rating label for This symbol shall be accompanied overseas and transducer label...
Page 482 Safety symbols/ Labels Location Explanation Rear of the system body Multi-caution label Right cover of the system body No gender detection label Top (or side panel) of the system Safety working load label body Bottom of the control panel System rating label for overseas Bottom of the control panel System rating label for domestics On the cable port of the gel warmer Gel warmer voltage label...
Page 483 Safety symbols/ Labels Location Explanation Transducer name, Serial, IPX Rating, Transducer Caution mark Name of transducer manufacturer, Transducer WEEE symbol, indicating separate collection, Certification mark Transducer name, Serial, IPX Rating, Transducer Caution mark System Symbols and Labels 11-13...
Page 484: Regulatory Information
Regulatory Information The E-CUBE 8 ultrasound system conforms to the following classifications, in accordance with the IEC/EN 60601-1:6.8.1: Classifications: • Type of protection against electrical shock: Class I • Degree of protection against electrical shock (Patient connection): Type BF equipment •...
Page 485 • MEDDEV 2.12/2 Rev.2 • MEDDEV 2.7.1 Rev.4 • NEMA UD2:2004 (R2009) • Normativas sobre dispositivos médicos (SOR/98-282) • 의료기기법, 의료기기법 시행령, 의료기기법 시행규칙 Regulatory Information 11-15...
Page 486 Manufacturer: Name: Alpinion Medical Systems Co., LTD. Address: 4F, 15, Magokjungang 14-ro, Gangseo-gu, Seoul, 07789, Republic of Korea Phone: +82 (2) 3777 8500 Authorized EU Representative: Name: Alpinion Medical Deutschland GmbH Address: Alpinion Medical Deutschland GmbH Lilienthalstrasse 17a 85399 Hallbergmoos Germany...
Page 487: Electromagnetic Compatibility (Emc)
Electromagnetic Compatibility (EMC) This equipment generates, uses, and can radiate radio frequency energy. The equipment may cause radio frequency interference to other medical and non-medical devices and radio communications. To provide reasonable protection against such interference, this product complies with emissions limits for a Group 1, Class Medical Devices Regulation as stated in EN 60601-1-2.
Page 488 Electromagnetic emissions This system is suitable for use in the following environment. The user must assure that it is used only in the electromagnetic environment as specified. Guidance and manufacturer’s declaration–electromagnetic emissions Emissions test Compliance Electromagnetic environment - guidance The E-CUBE 8 uses RF energy only for its RF emissions internal function.
Page 489 Electromagnetic immunity This system is suitable for use in the following environment. The user must assure that the system is used according to the specified guidance and only in the electromagnetic environment listed. Guidance and manufacturer’s declaration-electromagnetic immunity Electromagnetic environment Immunity test IEC 60601 Test level Compliance level...
Page 490 Guidance and manufacturer’s declaration-electromagnetic immunity IEC 60601 test Compliance Immunity test Electromagnetic environment -guidance level level Portable mobile RF communications equipment should be used no closer to any part of the E-CUBE 8, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter.
Page 491 Minimum distances The E-CUBE 8 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the E-CUBE 8 can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the E-CUBE 8 as recommended below, according to the maximum output power of the communications equipment.
Page 492: Diagnostic Ultrasound Indications For Use Format
Diagnostic Ultrasound Indications for Use Format E-CUBE 8 Ultrasound System Indications for Use (Describe) The device is intended for use by a qualified physician for the evaluation of soft tissue and blood flow in the clinical applications; Fetal, Abdominal (renal & GYN/pelvic), Pediatric, Small Organ (breast, testes, thyroid), Neonatal Cephalic, Adult Cephalic, Trans-rectal, Trans-vaginal, Musculo-skeletal (Conventional), Musculo-skeletal (Superficial), Cardiac (adult&...
Page 493 E-CUBE 8 with C1-6CT Transducer Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Mode of Operation Tissue Clinical Application Color Power Combined* Other** Harmonic Doppler Doppler (Specify) (Specify) Imaging Ophthalmic Fetal Abdominal Intra-operative (Specify) Intra-operative (Neuro) Laparoscopic Pediatric...
Page 494 E-CUBE 8 with C5-8NT Transducer Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Mode of Operation Tissue Clinical Application Color Power Combined* Other** Harmonic Doppler Doppler (Specify) (Specify) Imaging Ophthalmic Fetal Abdominal Intra-operative (Specify) Intra-operative (Neuro) Laparoscopic Pediatric...
Page 495 E-CUBE 8 with SC1-4H Transducer Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Mode of Operation Tissue Clinical Application Color Power Combined* Other** Harmonic Doppler Doppler (Specify) (Specify) Imaging Ophthalmic Fetal Abdominal Intra-operative (Specify) Intra-operative (Neuro) Laparoscopic Pediatric...
Page 496 E-CUBE 8 with SC1-4HS Transducer Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Mode of Operation Tissue Clinical Application Color Power Combined* Other** Harmonic Doppler Doppler (Specify) (Specify) Imaging Ophthalmic Fetal Abdominal Intra-operative (Specify) Intra-operative (Neuro) Laparoscopic Pediatric...
Page 497 E-CUBE 8 with SC1-6H Transducer Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Mode of Operation Tissue Clinical Application Color Power Combined* Other** Harmonic Doppler Doppler (Specify) (Specify) Imaging Ophthalmic Fetal Abdominal Intra-operative (Specify) Intra-operative (Neuro) Laparoscopic Pediatric...
Page 498 E-CUBE 8 with L3-12T Transducer Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Mode of Operation Tissue Clinical Application Color Power Combined* Other** Harmonic Doppler Doppler (Specify) (Specify) Imaging Ophthalmic Fetal Abdominal Intra-operative (Specify) Intra-operative (Neuro) Laparoscopic Pediatric...
Page 499 E-CUBE 8 with L3-12H Transducer Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Mode of Operation Tissue Clinical Application Color Power Combined* Other** Harmonic Doppler Doppler (Specify) (Specify) Imaging Ophthalmic Fetal Abdominal Intra-operative (Specify) Intra-operative (Neuro) Laparoscopic Pediatric...
Page 500 E-CUBE 8 with L3-12H Transducer Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Mode of Operation Tissue Clinical Application Color Power Combined* Other** Harmonic Doppler Doppler (Specify) (Specify) Imaging Ophthalmic Fetal Abdominal Intra-operative (Specify) Intra-operative (Neuro) Laparoscopic Pediatric...
Page 501 E-CUBE 8 with L8-17H Transducer Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Mode of Operation Tissue Clinical Application Color Power Combined* Other** Harmonic Doppler Doppler (Specify) (Specify) Imaging Ophthalmic Fetal Abdominal Intra-operative (Specify) Intra-operative (Neuro) Laparoscopic Pediatric...
Page 502 E-CUBE 8 with IO3-12 Transducer Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Mode of Operation Tissue Clinical Application Color Power Combined* Other** Harmonic Doppler Doppler (Specify) (Specify) Imaging Ophthalmic Fetal Abdominal Intra-operative (Specify) Intra-operative (Neuro) Laparoscopic Pediatric...
Page 503 E-CUBE 8 with IO8-17T Transducer Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Mode of Operation Tissue Clinical Application Color Power Combined* Other** Harmonic Doppler Doppler (Specify) (Specify) Imaging Ophthalmic Fetal Abdominal Intra-operative (Specify) Intra-operative (Neuro) Laparoscopic Pediatric...
Page 504 E-CUBE 8 with SP3-8T Transducer Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Mode of Operation Tissue Clinical Application Color Power Combined* Other** Harmonic Doppler Doppler (Specify) (Specify) Imaging Ophthalmic Fetal Abdominal Intra-operative (Specify) Intra-operative (Neuro) Laparoscopic Pediatric...
Page 505 E-CUBE 8 with P1-5CT Transducer Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Mode of Operation Tissue Clinical Application Color Power Combined* Other** Harmonic Doppler Doppler (Specify) (Specify) Imaging Ophthalmic Fetal Abdominal Intra-operative (Specify) Intra-operative (Neuro) Laparoscopic Pediatric...
Page 506 E-CUBE 8 with VC1-6T Transducer Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Mode of Operation Tissue Clinical Application Color Power Combined* Other** Harmonic Doppler Doppler (Specify) (Specify) Imaging Ophthalmic Fetal Abdominal Intra-operative (Specify) Intra-operative (Neuro) Laparoscopic Pediatric...
Page 507 E-CUBE 8 with VE3-10H Transducer Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Mode of Operation Tissue Clinical Application Color Power Combined* Other** Harmonic Doppler Doppler (Specify) (Specify) Imaging Ophthalmic Fetal Abdominal Intra-operative (Specify) Intra-operative (Neuro) Laparoscopic Pediatric...
Page 508 E-CUBE 8 with EV3-10T Transducer Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Mode of Operation Tissue Clinical Application Color Power Combined* Other** Harmonic Doppler Doppler (Specify) (Specify) Imaging Ophthalmic Fetal Abdominal Intra-operative (Specify) Intra-operative (Neuro) Laparoscopic Pediatric...
Page 509 E-CUBE 8 with EC3-10T Transducer Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Mode of Operation Tissue Clinical Application Color Power Combined* Other** Harmonic Doppler Doppler (Specify) (Specify) Imaging Ophthalmic Fetal Abdominal Intra-operative (Specify) Intra-operative (Neuro) Laparoscopic Pediatric...
Page 510 E-CUBE 8 with E3-10 Transducer Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Mode of Operation Tissue Clinical Application Color Power Combined* Other** Harmonic Doppler Doppler (Specify) (Specify) Imaging Ophthalmic Fetal Abdominal Intra-operative (Specify) Intra-operative (Neuro) Laparoscopic Pediatric...
Page 511 E-CUBE 8 with CW2.0 Transducer Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Mode of Operation Tissue Clinical Application Color Power Combined* Other** Harmonic Doppler Doppler (Specify) (Specify) Imaging Ophthalmic Fetal Abdominal Intra-operative (Specify) Intra-operative (Neuro) Laparoscopic Pediatric...
Page 512 E-CUBE 8 with CW5.0 Transducer Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Mode of Operation Tissue Clinical Application Color Power Combined* Other** Harmonic Doppler Doppler (Specify) (Specify) Imaging Ophthalmic Fetal Abdominal Intra-operative (Specify) Intra-operative (Neuro) Laparoscopic Pediatric...
Page 513: Acoustic Output
Acoustic Output The E-CUBE 8 ultrasound system shows the acoustic output display (e.g. Mechanical Index (MI), Thermal Index (TI)) on the upper right side of the screen. This acoustic output display allows you to monitor the acoustic levels generated by the system. Two standards for the acoustic output display are as follows: AIUM/NEMA UD3 Standards for Real-time Display of Thermal and Mechanical Acoustic Output Indices on Diagnostic Ultrasound equipment.
Page 514 Acoustic output display (Mechanical/Thermal indices) The E-CUBE 8 ultrasound system displays Mechanical index (MI) and Thermal index (TI) on the upper right side of the screen as shown below. The acoustic output display has three values as follows: • Mechanical Index (MI) •...
Page 515 Principle of ALARA The principle of ALARA, which stands for As Low As Reasonably Achievable, is to keep the radiation exposure at the minimum level necessary to obtain the diagnostic information. This principle is widely practiced in medical x-ray protection where exposure at any level is potentially harmful. Historically, ALARA was initiated as a cautious approach for dealing with uncertain hazards but has since become the principle method for reducing the risk of injury from hazards that do not have safe minimum threshold.
Page 517: Appendix
Appendix This chapter describes: Appendix A. Biopsy Guide ................... 12-2...
Page 518: Appendix A. Biopsy Guide
Appendix A. Biopsy Guide The system supports biopsy capability for the transducers listed in the table below. Biopsy Guide Transducer Type Dimension Manufacturer L3-12 Biopsy L3-12T, L3-12H Multi-angle 90.5(W)×48.3(D)×22.9(H) mm CIVCO Medical Solutions SC1-4HS Biopsy SC1-4HS Multi-angle 101.6(W)x56.6(D)x30.5(H) mm Aspen Surgical Products, Inc.
Page 519 Biopsy Starter Kit for Linear and Convex Transducers Convex and Linear transducers have an optional biopsy kit specific for each transducer. The biopsy kit consists of: • A reusable non-sterile bracket • Disposable sterile Ultra-Pro II™ Needle guide kits (CIVCO Medical Solutions) consisting of: –...
Page 521 USER MANUAL 70004854 Rev. 6 (ENG)

Alpinion Medical Systems E-CUBE 8 Diamond User Manual

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