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Mindray Consona N9 Operator's Manual

Diagnostic ultrasound system

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Consona N9/Consona N9 Pro/Consona

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Diagnostic Ultrasound System

Operator's Manual

[Basic Volume]

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Summary of Contents for Mindray Consona N9

Page 1 Consona N9/Consona N9 Pro/Consona N9 Super/Consona Nova/Consona N9S/ Consona N9T/Consona NI/Consona NT/ Nuewa N9/Recho N9/Consona N9 Exp/ Consona N9 Elite/Resona N9 Diagnostic Ultrasound System Operator’s Manual [Basic Volume]...
Page 3: Intellectual Property Statement
Contents of this manual are subject to change without prior notice. All information contained in this manual is believed to be correct. Mindray shall not be liable for errors contained herein or for incidental or consequential damages in connection with the furnishing, performance, or use of this manual.
Page 4: Warranty
FITNESS FOR ANY PARTICULAR PURPOSE. Exemptions Mindray's obligation or liability under this warranty does not include any transportation or other charges or liability for direct, indirect or consequential damages or delay resulting from the improper use or application of the product or the use of parts or accessories not approved by Mindray or repairs by people other than Mindray authorized personnel.
Page 5: About This Manual
• Important data must be backed up on external memory media. • Mindray shall not be liable for loss of data stored in the memory of this system caused by operator error or accidents. • This manual contains warnings regarding foreseeable potential dangers, but you shall also be continuously alert to dangers other than those indicated.
Page 6 Signal word Meaning Indicates a potentially hazardous situation that, if not avoided, may CAUTION result in minor or moderate injury. Indicates a potentially hazardous situation that, if not avoided, may NOTE result in property damage. Important information that helps you to use the system more effectively. Operator’s Manuals You may obtain multi-language manuals from the system help document or paper.
Page 7 • [Items in menu] > [Items in submenu]: select a submenu item following the path.
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Page 9: Table Of Contents
Contents Intellectual Property Statement ....................I Responsibility on the Manufacturer Party ................I Warranty ..........................II Important Information ......................II About This Manual ........................ III 1 Safety Precautions ....................1 - 1 1.1 Meaning of Safety Symbols ................... 1 - 1 1.2 Safety Precautions ......................
Page 10 Contents 3.2.1 Connecting Power ....................3 - 2 3.2.2 Powered by Batteries ................... 3 - 2 3.2.3 Equipotential Terminal ..................3 - 3 3.3 Power ON/OFF ......................3 - 4 3.3.1 Check before Powering ON ................. 3 - 4 3.3.2 Power the System ON ..................3 - 4 3.3.3 Checking After Powering On ................
Page 11 Contents 4.4.2 Comment Group Define ..................4 - 26 4.5 iWorks Preset ....................... 4 - 26 4.5.1 Protocol Management ..................4 - 26 4.5.2 View Management .................... 4 - 26 4.5.3 Create a New Protocol ..................4 - 27 4.6 Stress Echo Preset ......................4 - 27 4.6.1 Protocol Edit ......................
Page 12 Contents 6.1.1 Image Adjustment ....................6 - 1 6.1.2 Quickly Saving Image Settings ................6 - 3 6.2 B Mode ........................... 6 - 4 6.2.1 B-mode Image Scanning ..................6 - 4 6.2.2 B-mode Image Parameters ................... 6 - 5 6.3 Color Mode ........................
Page 13 Contents 6.16 iWorks (Auto Workflow Protocol) ................6 - 38 6.16.1 Screen Display ....................6 - 38 6.16.2 View Operation ....................6 - 39 6.16.3 Manual Examination ..................6 - 39 6.16.4 Insert ........................ 6 - 40 6.16.5 Create ......................6 - 40 7 3D/4D ........................7 - 1 7.1 Overview ........................
Page 14 Contents 7.15.3 Other Operations ....................7 - 37 7.16 Smart FLC (Smart Follicles Calculation) ..............7 - 38 7.16.1 Basic Procedures for Smart FLC ..............7 - 38 7.16.2 Operation Controls ................... 7 - 39 7.17 Smart Face ........................7 - 39 7.17.1 Parameter adjusting ..................
Page 15 Contents 12.1 Two Dimensional Image .................... 12 - 1 12.2 3D/4D image data ...................... 12 - 2 13 Display & Cine Review ...................13 - 1 13.1 Splitting Display ......................13 - 1 13.2 Image Magnification ....................13 - 1 13.2.1 Res Zoom ......................13 - 1 13.2.2 Pan Zoom ......................
Page 16 Contents 15.1.3 To send images to storage after an exam ends ..........15 - 2 15.1.4 Structured Report (SR) ..................15 - 2 15.1.5 Encapsulate PDF ....................15 - 3 15.1.6 Unload DCM file ..................... 15 - 3 15.2 DICOM Print ......................15 - 3 15.2.1 Print images on iStation/Review/Main screens ..........
Page 17 Contents 17.1 Probes ......................... 17 - 1 17.1.1 Probe Functions by Part ................. 17 - 3 17.1.2 Orientation of the Ultrasound Image and the Probe ........17 - 4 17.1.3 Procedures for Operating ................. 17 - 4 17.1.4 Wearing the Probe Sheath ................17 - 6 17.1.5 Probes Cleaning and Disinfection/Sterilization ..........
Page 18 Contents B Wireless LAN ..................... B - 1 B.1 Use the Wireless Feature ....................B - 2 B.2 IP Configure ......................... B - 2 B.3 EAP Network ........................ B - 3 C iScanHelper ......................C - 1 C.1 Use iScanHelper for Reference ..................C - 1 C.2 Use iScanHelper for Learning or Training ..............
Page 19 Contents H List of Vocal Commands ...................H - 1 I Ultrasound Gel Heater ..................I - 1 I.1 Structure ........................... I - 1 I.2 Specifications ........................I - 1 I.3 Function and Requirement ....................I - 2 I.4 Install the Heater ......................I - 2 J Software and Hardware Specification ...............J - 1 J.1 Operating Environment ....................J - 1 J.2 Off-the-Shelf Software ....................J - 1...
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Page 21: Safety Precautions
Safety Precautions Meaning of Safety Symbols Symbol Description Type-BF applied part The ultrasound probes connected to this system are type-BF applied parts. The PCG leads within this system is type-BF applied part. Defibrillation-proof type CF applied part The ECG leads within this system is Defibrillation-proof type CF applied part.
Page 22: Safety Precautions
• DO NOT use a probe that has a damaged, scratched surface, or exposed wiring of any kind. Immediately stop using the probe and contact Mindray Customer Service Department or sales representative. There is risk of electric shock if using a damaged or scratched transducer.
Page 23 1 Safety Precautions • Only use the ECG leads provided with the physiology module; otherwise, electric shock may be resulted. • When moving the system, you should hold the handle; otherwise, damage may be resulted by abnormal force. Do not push the system from the left/ right side, otherwise, it may be toppled over.
Page 24 If the circuit protector is tripped, it indicates that the system or a peripheral device was improperly shut down and the system is unstable. You cannot repair the system under this circumstance and must call the Mindray Customer Service Department or sales representative.
Page 25 1 Safety Precautions • Do not use a USB memory device (e.g., a USB flash drive, removable hard disk) which has unsafe data. Otherwise, system damage may result. • It is recommended to only use the video devices specified in this manual. •...
Page 26 If the system is used in a small room, the room temperature may rise. Please provide proper ventilation and free air exchange. • To dispose of the system or any part, contact Mindray Customer Service Department or sales representative. Mindray is not responsible for any system content or accessories that have been discarded improperly.
Page 27 • Please use the disinfection or sterilization solution recommended in this operator's manual; otherwise Mindray will not be liable for damage caused by other solutions. If you have any questions, please contact Mindray Customer Service Department or sales representative.
Page 28: Latex Alert
1 Safety Precautions – Heat generators • Repeated disinfection will eventually damage the probe, please check the probe performance periodically. Latex Alert When choosing a probe sheath, it is recommended that you directly contact CIVCO for obtaining information regarding probe sheaths, pricing, samples and local distribution. For CIVCO information, please contact the following: CIVCO Medical Instruments Tel: 1-800-445-6741...
Page 29: System Overview
Thoracic/Pleural, cardiac adult, cardiac pediatric, Trans-esoph., peripheral vessel and urology exams. Consona N9 series Diagnostic Ultrasound System Modes of operation include: B, M, PWD, CWD, Color Doppler, Amplitude Doppler, Combined mode(B+M, PW+B, Color+B, Power+B, PW+Color+B, Power+PW+B), Tissue Harmonic Imaging, Smart 3D, 4D(Real-time 3D), iScape View, TDI, Color M, Strain Elastography, STE, STQ, Contrast imaging (Contrast agent for LVO), Contrast imaging (Contrast agent for Liver).
Page 30: Product Specifications
2 System Overview • Does the equipment has any defibrillation-proof applied parts: ECG is equipped with the applied part of defibrillation protection. • Permanently installed equipment or non-permanently installed equipment: Non-permanently installed equipment Product Specifications NOTE: The functions described in the operator’s manual may vary depending on the specific system purchased.
Page 31: Product Differences
B-Hist Profile Cross Double (Ellipse) (Trace) (Spline) (Rectangle) dist Consona N9 √ √ √ √ √ √ √ Consona N9 Pro × √ √ √ √ √ √ Consona N9 √ × √ √ √ √ √ Super Consona Nova √...
Page 32: Options
2 System Overview 2.6.3 Options Item Remarks Multilingual control panel overlay Ultrasound gel Saddle basket kit Store something temporarily. Probe dust-proof cover QWERTY keyboard Keyboard protective film QWERTY keyboard should be configured. Built-in batteries Multi-function hardware Use for supporting CW, 4D and TEE probes. module CW, 4D, P7-3Ts, P8-2Ts, or P8-3Ts should be configured.
Page 33 2 System Overview Item Remarks Free Xros M Free Xros CM Tissue Doppler Imaging Cardiology Package should be configured. TDI QA Tissue Doppler Imaging should be configured. Contrast imaging Contrast Imaging QA Contrast Imaging should be configured. Cardiology Package should be configured. Strain Elastography Sound Touch Elastography drive Module should be configured.
Page 34 2 System Overview Item Remarks Nerve Package Emergency&Critical Package Smart Pelvic Gynecology Package should be configured. Smart OB Obstetrics Package should be configured. Smart NT Smart Fetal HR Obstetrics package should be configured. Smart FLC Gynecology Package should be configured. Gynecology Package should be configured.
Page 35: Peripherals Supported
2 System Overview 2.6.4 Peripherals Supported Item Model Graph/text printer CANON TS708 Epson L130 Black/white video printer (digital) MITSUBISHI P95DW-N SONY UP-D898MD Black/white video printer (Digital SONY UP-X898MD & Analog) Digital color video printer SONY UP-D25MD iVocal Microphone SAMSON XPD2 DVDRW DVDRW HP GP70 Barcode reader...
Page 36: Introduction Of Each Unit
2 System Overview Introduction of Each Unit 2 - 8 Operator’s Manual...
Page 37 2 System Overview Item Description Monitor Displays the images and parameters during scanning. Encircling storage bin Store something temporarily. Ultrasound gel warmer Used for heating the ultrasound gel. Power button/Power Used for turning on/ off the power. indicator The indicator lights up when the system is powered on. Speaker Outputs the audio.
Page 38: Power Supply Panel
2 System Overview Item Description Handle Used for pushing and moving the system. Control panel adjusting lever Used for lifting or swiveling the control panel. Front I/O panel Probe port, ECG/PCG Input and Output, Pencil probe port. The front I/O panel cover can be removed. Dust-proof cover Prevent dust, particles and sundries from entering the system.
Page 39: I/O Panel
2 System Overview Name Function Alternative current Supply power for optional peripheral devices. auxiliary output AC power inlet AC power inlet Equipotential Used for equipotential connection, that balances the protective terminal earth potentials between the system and other electrical equipment. I/O Panel 2.9.1 Front I/O Panel Name...
Page 40: Back I/O Panel
2 System Overview 2.9.2 Back I/O Panel Name Function HDMI port High definition multimedia interface. Used for connecting TV, projector, ultrasound workstation video capture card, etc. VGA port VGA signal output. Used for connecting TV, Projector, ultrasound workstation video capture card, etc. Remote port Used for providing the control interface of analog video printer.
Page 41: Control Panel
2 System Overview 2.10 Control Panel 19 20 21 22 Name Description Power button/ Power button: Turn on/turn off the system. Indicator Indicator: • AC (Alternating current). It turns on at AC supply. • Standby. It blinks in orange in standby status. •...
Page 42 2 System Overview Name Description Dual-split • In non-dual split mode, press to enter the dual split window key mode. • In dual split mode, press to switch the active window. iHelper iHelper • Press to enter or exit iHelper. •...
Page 43: Keyboard
2 System Overview Name Description Confirm key Press to confirm the operation. (right<Set>key) Freeze key Press to freeze/defreeze the image. Save key Save images in a preset way. Trackball • Move the trackball to change the cursor position or replay multi-frame image. •...
Page 44: Basic Screen & Operation
2 System Overview Functions of the Keys F The F keys on the keyboard can be defined according to user needs and habits. For details, see “4.1.7 Key Board”. Functions of key combination The system supports multi-language input; you can use the key combinations. The key combinations include <Shift>, <Fn>, <Ctrl>...
Page 45 2 System Overview Item Description System Information Displays the manufacturer’s logo and product model. Area Parameters Area/Menu • Displays the image parameters for the active window. If there are more than one imaging modes, the parameters are displayed by each mode. •...
Page 46: Dialog Box
2 System Overview 2.12.2 Dialog Box A dialog box screen consists of title, page tabs, contents and buttons, etc. Item Description Title bar The title bar is used to give a description for the content and function of the screen. Page Tab For some screens, contents are distributed into several pages.
Page 47: Touch Screen
2 System Overview Menus of different modes display in real-time at the upper left corner of the screen. Menu title Menu item Operate the menu by the trackball and left/right <Set> key. Press <Cursor> to show the cursor. Roll the trackball to locate the cursor onto the item to be adjusted. –...
Page 48 2 System Overview Operation area Operations The mapping menu, and toolbar are displayed. It is available to perform the image adjustment, measures, image review, etc. Under mapping or non-mapping mode, you can do fast operation using the two-finger gesture according to the gesture hints on the bottom-left of the screen.
Page 49: Warning Labels
2 System Overview Tap and hold the screen to enter control editing stage. Function Operations Adding a control to select a button to add. Add a user-defined In comment and body mark editing status, tap and then tap control [Custom] to bring out the dialogue box for adding user-defined controls.
Page 50: Symbols
2 System Overview The general meaning assigned to geometric shapes, safety colors and contrast colors for safety signs are as follows: Geometric Meaning Safety color Contrast color Graphical shape symbol color Prohibition White Black Mandatory action Blue White White Warning Yellow Black Black...
Page 51 2 System Overview Symbol Description Harddisk indicator Battery indicator Unlock position Lock position Atmospheric pressure limitation Humidity limitation Temperature limit Equipotentiality Product serial number Manufacture date Manufacturer Federal law restricts this device to sale by or on the order of a licensed healthcare practitioner (USA).
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Page 53: System Preparation
• When using peripherals not powered by the auxiliary output of the ultrasound system, or using peripherals other than permitted by Mindray, make sure the overall leakage current of peripherals and the ultrasound system meets the requirement of the local medical device electrical regulation (like enclosure leakage current should be no more than 500uA of IEC60601-1), and the responsibility is held by the user.
Page 54: Connecting The Power Cord
WARNING • The battery is inside the machine; only technical professionals from Mindray or engineers authorized by Mindray after training can perform battery installation and uninstallation. • If you need to change the battery or buy a new one, please contact your sales representative.
Page 55: Equipotential Terminal
: Indicates the battery is charging. • : Indicates the battery is not installed. • : Indicates the battery cannot be used. Please contact the Mindray service engineer. 3.2.3 Equipotential Terminal The symbol represents the equipotential terminal that is used for balancing the protective earth potentials between the system and other electrical equipment.
Page 56: Power On/Off
If the system begins to function improperly, immediately stop scanning. If the system continues to function improperly, fully shut down the system and contact the Mindray Customer Service Department or a sales representative. If you use the system in a persistent improperly functioning state, you may harm the patient or damage the equipment.
Page 57: Checking After Powering On
If you find anything not functioning properly, this may indicate that the system is defective. In this case, shut down the system immediately and contact Mindray Customer Service Department or sales representative. 3.3.4 Power the System Off You must follow the correct procedures to power the system off. Also, after you upgrade the software or when the system is down, you need to power off and restart it.
Page 58: Standby
3 System Preparation NOTE: • DO NOT rush shutdown the system. It may make the data corrupted. • If you will not use the system for a long period of time, you should disconnect the mains power, and turn off the power to all peripherals connected to the system. To power off your system normally.
Page 59: Height And Displacement Adjustment
3 System Preparation 3.4.1 Height and Displacement Adjustment Move the monitor support arm up or down to adjust the height, back and forth to adjust the displacement. 350mm NOTE: Take care not to trap your hands when adjusting the monitor up and down. Operator’s Manual 3 - 7...
Page 60: Rotate The Monitor
3 System Preparation 3.4.2 Rotate the Monitor The monitor can be rotated 90° to the left and 180° to the right along with the supporting arm. 180° 90° 3.4.3 Tilt the Monitor When positioned vertically, the monitor can be tilted 20° backward and can be tilted forward to a horizontal position.
Page 61: Monitor Brightness/Contrast Adjustment
3 System Preparation monitor can be locked. For more details, please refer to the operation diagram that is attached to the supporting arm. Monitor Brightness/Contrast Adjustment Monitoring the brightness and contrast adjustment is one of the most important factors for proper image qualities.
Page 62: Connecting/Disconnecting A Probe
Hang the probe cable to the hanger located under the control panel to avoid excessively bending and damaging the cable. • Only use the probes provided by Mindray. Aftermarket probes may result in damage or cause a fire. NOTE: If a probe port is not used for a long period of time, use the dustproof cover to protect the probe port from dust.
Page 63: Disconnecting A Probe
3 System Preparation 3.7.2 Disconnecting a Probe Perform the following procedure: Turn the locking switch 90° counterclockwise to the vertical position. Pull the probe connector straight out vertically. 3.7.3 Probe Adapter Installation Perform the following procedure: Align the probe adapter with the probe socket and carefully push it into place. Rotate the lock switch clockwise 90 °...
Page 64: Connecting A Graph/Text Printer
3 System Preparation The system supports USB port-type footswitches. Directly insert the USB port of the footswitch to the system applicable USB ports. Function Setting: The function of the foot switch can be preset. 3.8.3 Connecting a Graph/Text Printer NOTE: •...
Page 65: Connecting A Wireless Printer
3 System Preparation The digital video printers that system supports consist of the B/W printers and color printers. Perform the following procedure: Connect the data cable to USB port of the ultrasound device. Power on the system and the printer. Add a print service: In B mode, click >...
Page 66 3 System Preparation Description Click to open the Setup menu. Setup Select to enter the iVocal Setup menu. • Add: Select [Add] to enter the Adding New Command menu, Select [Function Description] to select the desired function, enter the user-defined command in the [Command] text box, and then select OK.
Page 67: Setup
CD/DVD or USB memory device. CAUTION When the preset data is changed, be sure to save the preset data according to the methods described in this chapter. Mindray is not responsible for the loss of preset data. •...
Page 68: Region
4 Setup Item Description Access Control To set the user account control relevant information. Scan Code To set the code parameters for barcode reader. Workstation To set the Workstation quick key. 4.1.1 Region Set the hospital name, language, time zone, time format and system date/time. Item Description Hospital...
Page 69 SAVER • After enabling the screen saver, check “Select Picture- Mindray” to select the image from the system. Or click [Preview] to select the image on your own; you can set the interval time for the screen saver slideshow in the drop- down list beside “Interval”.
Page 70: Image Preset
4 Setup Type Item Description Keyboard Keyboard sound Turn on/off the keyboard sound. Sound enabled 4.1.3 Image Preset Type Item Description Reset Config Probe To set the default probe model for the system from the drop- down list. The default parameters are applied to the new probe if checking “Use the default setting when start a new exam.”...
Page 71: Application
4 Setup Type Item Description Tissue Segment Model To set the cardiac segment model: 16 or 17. Tracking QA Image Image Parameter To select the parameters under each mode to be displayed in Parameter Display the real-time imaging screen. Display ZoneVue ZoneVue Turn on/off ZoneVue.
Page 72 4 Setup Follicle Set the method for calculating the follicle. PW Measure PW measure velocity displays absolute value. All measurement results in PW mode are absolute values based on the unit of velocity after checking this item. Intelligent Input Set to enable the Input Method Association. ICA/CCA &&...
Page 73 4 Setup Select the data file to load or export, click [OK] to confirm. The imported user-defined table for FG and GA must be a *.csv file. The format of the *.csv file is described as follows: • FG table Table Type Author Name SD Type...
Page 74: Console&Footswitch
4 Setup • GA value, Minimum value, Measurement value, Maximum value: enter the number of days without the unit. • Measurement value, Standard deviation (-), GA value, Standard deviation (+): enter the number of days without the unit. User-defined OB Items NOTE: The calculation results of the user-defined OB formulae are used for reference rather than clinical diagnosis.
Page 75: Key Board
4 Setup Other Settings Item Description Control Panel To set the brightness for control panel key. Brightness Trackball Speed To set the speed of the trackball when moving the trackball. Key Volume To set the key volume at 3 levels, 0 means no sound. Touch Screen Volume To set the touch screen volume at 3 levels.
Page 76: Access Control
4 Setup Type Item Description DVR Output Output Size: Select the output size: Full Screen, Standard or Image. Max Frame Rate Standard Frame Rate or High Frame Rate. 4.1.10 Access Control The system supports two types of users: administrator and operator. •...
Page 77 4 Setup Select or deselect the check box from the privilege list. Click [OK] to confirm the editing and exit the dialog box. The edited privileges will appear in the User List. Modify Passwords NOTE: The account password needs to be changed every 3 months. The system administrator can modify all user passwords.
Page 78 4 Setup Item Description Remark Enable strong Enable strong password to improve security. password • If the strong password is enabled and you log in to the system with the account that is added before the strong password is enabled, the system prompts a warning message to inform you whether your password conforms to the password policy.
Page 79: Scan Code Preset
4 Setup Auto Lock Machine To set the waiting time before the system enters locked status in the drop-down list beside “Wait”. The system will be locked automatically if the system waiting time exceeds the duration already set. 4.1.11 Scan Code Preset Set the code parameters for barcode reader.
Page 80 For example, if the default item is set to “Patient ID”, and both the 2D and 1D barcodes fail to be matched, the obtained data is displayed in the “Patient ID” item in Patient page automatically. Import/Export Set the barcode by importing/exporting configure file. You can contact mindray service engineer also. 4 - 14...
Page 81: Workstation
4 Setup Worklist Options • Select “Worklist Server” from the drop-down list, and the system searches the Worklist server according to the scanned data. • Select “No” from the drop-down list, and the system creates a new exam in the Patient page according to the scanned data.
Page 82: General Measurement Preset
4 Setup Measurement Results of measurements are directly obtained via the measurement tools, which are indicated by “ ” in the preset screen. For example, “Distance” in the 2D general measurement or “HC” in the OB measurement. On the touch screen, measurement tools are displayed using square button. Calculation Results of calculations are automatically derived by the system using other measured or calculated values as parameters, they are indicated by “...
Page 83: Application Measurement Preset
4 Setup The following takes Auto Trace as an example to show how to set the properties of a measurement tool. Select the [Doppler] tab to go to the corresponding preset menu. Select [Auto Trace] from the [Selected Items] and click [Property] to bring up the following dialog box.
Page 84 4 Setup You may configure more than one measurement package for current exam mode. Under actual measurement status, select [Library] on the touch screen if necessary. Click [Advanced] on the [Measure] page to enter the “Add New Package” page. • [Available Items]: shows application packages configured in the system but not yet assigned to the current mode.
Page 85 4 Setup The “Measurement Custom Wizard” dialog box appears. Enter the Name in the “Measurement Custom Wizard” dialog box, select “Add Meas”, then select [Next]. Select the [Tool Type], [App Region] and the Measurement Result. Descriptions of the attributes in the dialog box are shown in the following table. Attributes Descriptions App Region...
Page 86 Report template. If the item is completed in an exam, the results will be displayed in the report. User-defined Calculations NOTE: • Please ensure the correctness and validity of the defined formula, otherwise Mindray will not be liable for damage caused by improper definition of the formula. • Trigonometric functions are in degrees, not radians.
Page 87 4 Setup Select the [App Region] and edit the formula. Descriptions of the attributes in the dialog box are shown in the following table. Attributes Descriptions Formula Displays the user-defined formula. Verify Used to verify if the formula is valid. App Region Select the application region for the user-defined item.
Page 88 4 Setup Function Method Number of Parameters Function Description tan(a) Tangent (the ratio of the opposite to the adjacent) atan atan(a) Arctangent (the result is expressed in radian.) min(a,b,...) ≥2 Minimum max(a,b,...) ≥2 Maximum sqrt sqrt(a) Square root pow(a,b) Calculate b power of a exp(a) Exponential function with natural constant e as the base...
Page 89: Report Preset
4 Setup In the meantime, the user-defined calculation item will be added automatically to the “Selected Items” in the Report template. If the item is completed in an exam, the results will be displayed in the report. Add a Study You can add or remove user-defined study items in the [Selected Items] column.
Page 90 4 Setup Enter the name for the user-defined report template in the box after “Report Template Name”. Click [Measurement] to select measurement results to be displayed in the report: Select an application category from the drop-down list beside “Available Items”. Select Measurement, Calculate, Study or All from the drop-down list beside “Available Items”.
Page 91: Comment Preset
4 Setup Select the template to be modified from the list. Select [Edit] to enter the report editing page. Click [OK] to confirm the settings. Setting Default Templates Perform the following procedure: Select the [Report] on the [Measure] page. Select a report template from the list. Click [Default].
Page 92: Comment Group Define
4 Setup 4.4.2 Comment Group Define You can add user-defined comment group for current exam mode. The groups in the library are provided by the system or user-defined ones. NOTE: You can rename, delete, add comment to, delete comment from, or change position of the selected items in the user-defined groups, while system standard groups cannot be modified.
Page 93: Create A New Protocol
4 Setup 4.5.3 Create a New Protocol You can create user-defined protocols and customize the automated procedure. Perform the following procedure: In the iWorks preset screen, click [Add Protocol] to create a new protocol. Or, select an existing protocol and click [Copy] to customize the protocol based on the previous template.
Page 94: Maintenance
4 Setup Select [New Stage] in the Stage list. Enter a phase name. – Select [Auto Select:], the system jumps to Select Mode after retrospective acquisition. – Select the required option from the Clip Capture drop-down list. – Select the number of loops to acquire (per view in the selected phase) in the Loops list (for non-continuous stages).
Page 95 4 Setup • The device name is random. If the server name is same with that in the DICOM server list, the information “the server added already exits”, click [OK] to retype the name. • 4001, 6000, 3001, 6555 cannot be set as the port. •...
Page 96: Dicom Service Preset
4 Setup Set DICOM Strategy NOTE: • The DICOM strategy must be configured by qualified personnel with good knowledge of DICOM standards. • The qualified personnel must ensure the validity of the DICOM strategy. Perform the following procedure: Click [Set DICOM Strategy]. Edit the DICOM strategy: –...
Page 97 4 Setup – Select an item in the service list, change the parameters in the above area, and click [Update] to update the item in the service list. – Click to delete the selected service in the service list. – Select an item in the service list, click [Default] and you can see “Y”...
Page 98 4 Setup Item Description 3D/4D Set the 3D/4D image transfer mode. Set the transfer mode for the 3D/4D cine sending. • Normal: use the way that 2D image adopts to send; • Volume: use Enhanced US Volume Storage IOD to send; •...
Page 99 4 Setup Item Description AE Title Application Entity title, here, it should be consistent with that of the print server. Port DICOM communication port, 104 is default. Here, the port should be consistent with that of the print server port. Maximum Retries It starts retrying if it fails to send DICOM task to the server.
Page 100 4 Setup Worklist Setting DICOM service setting for Worklist is described as follows: Item Description Device After you set the server (s) in DICOM Server Setting screen, the name (s) will appear in the drop-down list, select the name of the Worklist server.
Page 101 4 Setup Storage Commitment Setting DICOM storage commitment setting items are described as follows: Name NOTE Device After you set the server (s) in DICOM Server Setting, the name (s) will appear in the drop-down list, select the name of the storage commitment server.
Page 102: Network Preset
4 Setup HL7 service setting for Worklist is described as follows: Item Description Device After you set the server (s) in DICOM Server Setting screen, the name (s) will appear in the drop-down list, select the name of the Worklist server. Service Name Default is server-HL7Query, and it can be modified.
Page 103: Medsight Preset
4 Setup You can see properties in the Configure Service area. Modify the parameters and click [Update] to update the setting. 4.8.2 MedSight Preset You can set environment for MedSight here and then use the MedSight function by mobile phone or tablet computers.
Page 104: Router Setting
4 Setup Item Description Load Factory Restores the worksheet template to the default state. Perform the following procedure: Select “Enable Q-Path”. Enter the website, account and password of the target service. Select user type: Personal User or Default User. – Personal User: the personal user needs to enter the user name and password in every-time login.
Page 105: Image Settings
The system enters the Option page after entering the Maintenance screen. In the Option list, the system lists all the system-supported options and their installation status (not installed or installed). Please contact the Mindray Customer Service Department or a sales representative for details. 4.10.2 Exporting Setup Data This function is used to write all setup data of the system into a disk for backup.
Page 106: Load Factory
4 Setup Click [OK], a progress bar will appear and the setup data is imported to the specified path. 4.10.4 Load Factory To restore the factory setup data, click [Load Factory] on the right side of the screen. 4.10.5 Probe Check This function enables users to check if a transducer element is in malfunction, so as to evaluate the transducer performance.
Page 107: Anti-Virus
4 Setup Click [Wipe] and operate according to the screen prompts to clear patient data. Select [User Define] again, and click [Confirm]. Input the password and click [Confirm] to finish the password setting. NOTE: • If you want to switch to Factory Default, perform steps above again. The password is the same as that of the User Define.
Page 108: System Information
4 Setup 4.12 System Information Click [About] on the Setup menu to enter the system information screen. This screen displays the system software version and other versions of devices. You cannot edit the information, only view them. The information varies depending on the system configurations and version.
Page 109: Exam Preparation
Exam Preparation You can start a patient exam in the following situations: • New patient information: to start a new patient exam, patient information must first be entered. • New exam: to start a new exam for patient who is already registered, the recorded information can be obtained through either iStation or Worklist.
Page 110: Retrieve Patient Information
5 Exam Preparation NOTE: • BSA body surface area: After the height and weight are inputted, the system will automatically calculate the BSA and BMI (Body Mass Index) based on the formula. • ALT: Alanine transaminase. • Gravida: times of pregnancy •...
Page 111: Select Exam Mode And Probe
5 Exam Preparation Search for patient information. Select [Search Options] to set up search options. The search options include Search Field, Exam Date, Exam Type, Gender, and DOB. Enter the keyword corresponding to the search type in the search box. The system will display all exam records immediately.
Page 112: Dual-Probe Switch
5 Exam Preparation 5.2.1 Dual-probe Switch A user-defined key for dual-probe switch can be defined in preset, by which you can fast switch the probe under B/Color/Power mode. NOTE: This function applies only to probes with the same exam modes. Scan to obtain the image by current probe.
Page 113: End An Exam
5 Exam Preparation Tap [Info] on the touch screen to enter the patient information page. Click [Pause Exam]. If the system is powered off during scanning, the exam status turns “paused” after the system restart. When an exam is paused, the system will: –...
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Page 115: Image Acquisition
WARNING • The images displayed in this system are only reference for diagnosis. Mindray is not responsible for the correctness of diagnostic results. • In Dual-B imaging mode, the measurement results of the merged image may be inaccurate. Therefore, the results are provided for reference only, not for confirming a diagnosis.
Page 116 6 Image Acquisition Item Description Parameter Displays the parameters in the current imaging mode or function. selection area • Parameter magnitude setting: Click to increase/ decrease the value. • ON/OFF setting: some of the parameters only can be set at ON or OFF, ON is to activate the function, and when the function is activated, the key is highlighted.
Page 117: Quickly Saving Image Settings
6 Image Acquisition Touch screen displays (image mapping mode) Enter the mapping mode to open the mapping menu. Tap the menus to operate. Item Description Menu title Displays the current image mode. Click the expand button to show the image modes. Select the image mode if necessary. Other application Displays the available application modes related, click to enter the mode entrance...
Page 118: B Mode
6 Image Acquisition • Click [Advanced]. The value to TIC/TIB/TIS can be set. • Click [Advanced], and then enable [Sampling Line Displaying]. The sampling line always appears after being set when entering PW/M/TVM mode for once. Press <PW>/<M>to enter the corresponding mode one time. 3D4D Preset Manager Click [3D4D Preset Manager].
Page 119: B-Mode Image Parameters
6 Image Acquisition 6.2.2 B-mode Image Parameters In B Mode scan, the image parameter area on the left part of the screen will display the real-time parameters: Items Remark Frequency Depth Gain Frame Rate B Dynamic Range Tissue characteristics Items Remark iClear Display when the function is activated.
Page 120 6 Image Acquisition Acoustic Power (A.Power) Refers to the power of ultrasonic wave transmitted by the probe, the real-time value of which is displayed in the upper left corner of the screen. NOTE: You should perform exams according to actual situation and follow the ALARA Principle. Scan range and FOV position More information can be obtained without moving the probe or changing the sampling position.
Page 121 6 Image Acquisition Rotation/Flip This function provides a better observation for image display. • Invert: To invert the image horizontally or vertically. Tap [U/D] or [L/R] on the touch screen to adjust the parameters. • Rotation: Image can be rotated by the manners in angle of 0°, 90°, 180°, 270°. The “M”...
Page 122 6 Image Acquisition Press <iTouch > on the control panel to turn on the function. The symbol of iTouch will be displayed in the image parameter area. Long press or double press <iTouch > to exit the function. H Scale Display or hide the width scale (horizontal scale).
Page 123: Color Mode
6 Image Acquisition TIP: Only linear probes support this function. Extend Image (Extlmage) This function is to extend image area and hide menu area and thumbnails. ZoneVue Image within the zone range is clearer. Color Mode The Color mode is used to detect color flow, and the color is designed to judge the direction and speed of blood flow.
Page 124 6 Image Acquisition • When the ROI box is dotted line, roll the trackball to change the size. • Press <Set> to switch between the solid line and the dotted line status. The larger the ROI box is, the lower the frame rate becomes, and the lower the resolution and color sensitivity will be.
Page 125 6 Image Acquisition Smooth This feature is used to reject the noise and smooth the image. The bigger the value is, the higher the smooth becomes. Scale This function is used to adjust the speed range of color flow, which is adjusted through PRF in the system.
Page 126: Power Mode
6 Image Acquisition HR Flow Enhance tiny vessel display to analyze the blood supply of the vessel in pathological organ. ART Flow Enhance the blood sensitivity and penetrability in time period. ART Flow Duration appears at the right bottom of the screen after the function is enabled. The penetrability of color image is enhanced during this time period.
Page 127: Power Mode Image Parameters
6 Image Acquisition 6.4.2 Power Mode Image Parameters In Power mode scan, the image parameter area on the left side of the screen displays the real-time parameter values as follows: Items Meaning Frequency Color Gain Color Wall Filter Pulse Repetition Frequency PRF Because both are based on Doppler color imaging, the adjustments of Power mode are same with these of Color mode’s.
Page 128: M Mode Image Parameters
6 Image Acquisition Press <M> on the control panel, and use the trackball to adjust the sampling line. Press <M> on the control panel again or <Update> to enter M mode, and then you can observe the tissue motion along with anatomical images of B mode. During the scanning process, you can also adjust the sampling line accordingly when necessary.
Page 129: Color M Mode (Cm)
6 Image Acquisition Dynamic Range (Dyn Ra.) Adjusts contrast resolution of an image, compresses or expands gray display range. The real-time dynamic range value will be displayed on the image parameter area. The more the dynamic range is, the more specified the information appears. M Soften This feature is used to process the scan lines of M images to reject noise, making the image details to be clearer.
Page 130: Anatomical M Mode
6 Image Acquisition Anatomical M Mode For an image in the traditional M mode, the M-mark line goes along the beams transmitted from the probe. Thus it is difficult to obtain a good plane for difficult-to-image patients who cannot be moved easily.
Page 131: Anatomical M Mode Parameters
6 Image Acquisition NOTE: Only phased probe supports Free Xros CM. Perform the following procedure: In real-time 2D mode, adjust the probe and image to obtain the desired plane. Tap [TDI] on the touch screen or the user-defined TDI key to obtain the image. Tap [Free Xros CM] on the touch screen or the user-defined key to enter the mode.
Page 132: Pw/Cw Mode Image Scanning
6 Image Acquisition • In PW/CW mode, acoustic power of the transducer is synchronous with that of B mode. 6.8.1 PW/CW Mode Image Scanning Perform the following procedure: Select a premium image during B mode or B+ Color (Power) scan, and adjust to place the area of interest in the center of the image.
Page 133 6 Image Acquisition CW Focus Position To adjust the focus position of CW mode. The real-time focus position value is displayed on the image parameter area in SVD. Image Quality Refers to the transmitting frequency in Doppler mode of the probe, the real-time value of which is displayed in the image parameter area.
Page 134 6 Image Acquisition WF (Wall Filter) To display the image accurately, it adjusts the cut-off used in the wall filter, and filters out the flow noise which is produced by vessel wall vibration. The real-time value is displayed in the image parameter area.
Page 135: Tdi
6 Image Acquisition Steer Adjusts the scan angle in PW mode, so as to change the angle between the transmitting beam and flow direction. Obtain more information with immobility of the probe. Values of steer angles vary with the probe. NOTE: Steer is available only for linear probes.
Page 136: Tdi Quantitative Analysis
6 Image Acquisition • TVI/TEI Items Meaning Frequency Gain Color Wall Filter Pulse Repetition Frequency PRF • Items Meaning Frequency Gain WF (Wall Filter) Pulse Repetition Frequency PRF SV depth SV Size Angle Angle • Image parameters combine the parameters of TVI mode and M mode. In each TDI mode, the parameters that can be adjusted are similar to those in the color flow modes (Color, PW, and Power).
Page 137 6 Image Acquisition – Strain rate: speed of the deformation, as myocardial variability will result in velocity gradient, strain rate is used commonly to evaluate how fast the tissue is deforming. TDI review Sampling area: indicates the sampling position of the curve. The sampling lines are marked with color numbers.
Page 138 6 Image Acquisition • Only after the user chooses the image review, the quantitative analysis is available. If the user chooses the static image (only one frame), the quantitative analysis is not available. Tap [TDI QA] or press the user-defined key for “TDI QA” to enable the function. Mark the interested myocardium area.
Page 139: Iscape View
6 Image Acquisition – Analysis parameter. Tap [Exit] to exit the quantitative analysis. 6.10 iScape View The iScape panoramic imaging feature extends your field of view by piecing together multiple B images into a single, extended B image. Use this feature, for example, to view a complete hand or thyroid.
Page 140: Image Review
6 Image Acquisition In the capture preparation status, tap [B] ([Power]/[Color]) page tab to go for the B mode image optimization. Do measurement or add comment/bodymark to the image if needed. Tap [Start Capture] or press <Update> on the control panel to begin the capture. Scan slowly to obtain a single extended field of view image.
Page 141: Cine Review
6 Image Acquisition – There are no large black areas in the image. 6.10.4 Cine Review Tap [Review Cine] on the touch screen in panoramic image viewing status to enter cine reviewing mode. In cine reviewing mode, a frame marker indicates the sequence of the currently reviewed images in the panoramic image on the left-hand side of screen.
Page 142: Smart B-Line
6 Image Acquisition 6 R-VQS (RF-data based quantification on arterial stiffness) values (6 cardiac cycles are calculated in total), standard deviation SD and ROI length will be displayed in the result window on the left. Adjust parameters. – Speed: Adjust refresh speed of vessel wall motion curve. –...
Page 143: Basic Procedures For Smart B-Line
6 Image Acquisition NOTE: • Smart B-line is only available in Single B imaging mode. • It supports single-frame and multi-frame image file detection in B mode. 6.12.1 Basic Procedures for Smart B-line Perform the following procedure: Select an appropriate probe and exam mode. The system enters the B mode by default. Adjust the image parameters to obtain optimized images.
Page 144: Overview
6 Image Acquisition the lung consolidation and pleural effusion occur at the same time, it is marked as C/P in the brackets and the score is 3. – Dist n (B Line distance): indicates the distance between the 2 neighboring lines and is measured in the pleura line area, among which, n corresponds to the number between the 2 B lines.
Page 145: Tissue Tracking Quantitative Analysis
6 Image Acquisition Tap [RIMT] to activate the function. Use [Side] to select left or right carotid. Use the trackball to locate ROI over the target area. The dotted line of the ROI is in the middle of the blood vessel. Press <Set> to confirm the position and size of the ROI. Tap [Start Calc] to measure RIMT of left carotid and right carotid.
Page 146 6 Image Acquisition Tap [Tissue Tracking QA] or press the user-defined key to activate the function: – You can determine the image of interest by previewing the image. – Use [Cycle] to select and find the image of interest. Select the corresponding section name and locate one frame image with good image effect by cine play.
Page 147: Screen Display Of Tissue Tracking Qa
6 Image Acquisition 6.14.2 Screen Display of Tissue Tracking QA Displays image used to generate trace curve Displays corresponding time of AVO (aortic valve open)/AVC (aortic valve close)/MVO (mitral valve open)/MVC (mitral valve close). Display curve: Velocity/ Each curve on the image is matched with a certain segment Displacement/Strain/Strain Rate.
Page 148: Select Image And Cardiac Cycle
6 Image Acquisition Displays measurement and • EDV: Maximum value of the end diastolic volume calculation results during the trace. • EDA: Maximum value of the end diastolic area (Left Ventricular) during the trace. • ESV: Maximum value of the end systolic volume (Left Ventricular) during the trace.
Page 149: Basic Operations Of Ttqa
6 Image Acquisition • Manual trace method Press <Set> and move the cursor by using the trackball along the boundary to add the trace points gradually, after trace is finished, press <Set> twice to finish tracing. NOTE: At least 6 points should be determined by you before the system generates automated trace. Press <Set>...
Page 150 6 Image Acquisition • [A4C]: apical four chamber. • [A2C]: apical two chamber. • [ALAX]: apical long-axis view, also called 3-chamber view. • [PSAXB]: short axis view of base section, short axis view of mitral valve. • [PSAXM]: short axis view of base section, short axis view of papillary muscle. •...
Page 151: Bulleye
6 Image Acquisition – Circumferential Rotation curve: The X-axis represents time (s); the Y-axis represents rotation of the tissue (Deg). – Circumferential Rotation Rate curve: The X-axis represents time (s); the Y-axis represents rotation by time (Deg/s). Torsion & Torsion Rate Curve The system provides left ventricular torsion data based on short axis sections of PSAX AP and PSAX B.
Page 152: Iworks (Auto Workflow Protocol)
6 Image Acquisition Perform the following procedure: Perform B-mode scanning under Fetal Echo (High Flow), OB1 Fetal Echo, Fetal Echo (Low Flow) exam mode. Tap [Smart FHR], and the button is highlighted. Press <M> on the control panel, and the system acquires M-mode image automatically. The M mode image and the sampling line are displayed on the screen.
Page 153: View Operation
6 Image Acquisition Displays the protocol name, and the number of views contained. Displays the view steps in the protocol. The current active view with a solid frame around the image. 6.16.2 View Operation In iWorks status, you can perform view selection, repeat, replacement and delete operations using the touch screen.
Page 154: Insert
6 Image Acquisition • Start manual examination: tap [Suspend] to pause the current iWorks protocol. The system enters manual examination status. • Return to iWorks: tap [Resume iWorks] to return to automated status. You can continue the previous iWorks scan. 6.16.4 Insert Insert is a specialized protocol event within iWorks and iWorks OB.
Page 155: Overview
3D/4D NOTE: 3D/4D imaging is largely environment-dependent, so the images obtained are provided for reference only, not for confirming a diagnosis. Overview The ordinary 2D imaging has the limitations on viewing the overall structure and different planes of the target. However, 3D imaging can obtain the reference information by overall observation. 7.1.1 Terms View point •...
Page 156: Roi And Voi
7 3D/4D • ROI (Region of Interest): a volume box used to determine the height and width of scanning volume. • VOI (Volume of Interest): a volume box used to display 3D image (VR) by adjusting interesting region in MPR. 7.1.2 ROI and VOI After the system enters 3D/4D imaging, a B image with ROI displays on the screen.
Page 157: About The Probes
7 3D/4D 7.1.3 About the probes A 2D imaging probe can be applied for Smart 3D imaging, however, to realize Static 3D imaging, 4D imaging, STIC, iPage, SCV, CMPR, Color 3D or Niche, a volume probe should be selected. 7.1.4 MPR MPR represents three different views of 3D image.
Page 158: Free View
7 3D/4D • Section C: it is the coronal section in fetal face up posture, as shown in the figure C above. The upper part of the 3D image in the 3D window is corresponding to the orientation mark on the probe, if the fetal posture is head down (orientating the mother’s feet), and the orientation mark is orientating the mother’s head, then the fetus posture is head down in the 3D image, you can make the fetus head up by rotating the 3D image by taping [180°] on the touch screen.
Page 159 7 3D/4D Fetal Condition • Gestational age Fetuses of 24~30 weeks old are the most appropriate to 3D imaging. • Fetal body posture Recommended: Cephalic face up (figure a) or face aside (figure b); NOT recommended: Cephalic face down (figure c). •...
Page 160: Static 3D
7 3D/4D Move the probe across the surface. – Rocked scanning Rotate the probe once from the left to the right side (or from the right to the left) to include the entire desired region. • Scanning plane and probe movement Move the probe across the body surface.
Page 161 7 3D/4D Select the proper probe and exam mode; make sure there is sufficient gel on the probe for scanning. Obtain a 2D image, and optimize the image if necessary. Tap [3D] or press the user-defined <3D> key to enter Static 3D mode, and define the ROI and curved VOI.
Page 162: Static 3D Acquisition Preparation
7 3D/4D Press <Update> to start capturing 3D. During the acquisition, a progress bar is displayed to indicate the acquisition progress. The system enters into 3D image review status when the acquisition is completed. In image review status, you can perform operations like VOI setting, parameter adjustment, comments, image saving, image cutting, etc.
Page 163 7 3D/4D Activate MPR On the [VR] subtab, tap [A], [B], [C] or [VR] to activate sectional plane image (MPR) or 3D image (VR). MPR Viewing In actual display, different colors of the window box and the section line are used to identify the section A, B and C.
Page 164 7 3D/4D The system supports the observation of 3D/4D image from 6 directions. a Up/Down b Down/Up c Left/Right d Right/Left e Front/Back f Back/Front Select [Up/Down], [Left/Right] or [Front/Back] on the [Adv.] subtab to select the direction of the figure a, c and e.
Page 165 7 3D/4D The adjustment of Rendering Parameters In image viewing status, you can render the image by adjusting the relevant parameters. Tap [VR] or [MPR] on the touch screen to select the VR parameter or MPR parameter. • Tap the [VR] subtab, adjust parameters of 3D image (VR). •...
Page 166 7 3D/4D Parameter Description VR Refine Optimize the signal-noise ratio and the contrast of VR image. MagiClean Reduce the noise and keep the boundary of the image more clearly. Available only in Surface rendering mode. Depth VR Superimpose the tint map basic on the VR image to improve the stereoscopic sensation and the contrast of the image.
Page 167 7 3D/4D iLive Add the light rendering effect based on the general rendering effect. iLive cannot be selected as sub render mode. When it is set as main render mode, the sub render mode is disabled. Rotate the Image NOTE: You can view the back of the VR by rotating it 180°.
Page 168 7 3D/4D When the level is higher than 0 and [Move Light] is highlighted, image close to the light source is clearer, and image away from the light source is darker. Move the light This function is to adjust the position of the light source as VR is considered. The image becomes clearer as keeping closer to the light.
Page 169: Color 3D
7 3D/4D – Rubber: Press <Set> to position the start point and roll the trackball to select the region. Press <Set> when ends are required. You can repeat the step to erase all parts blocking the interesting region. You can select [Eraser Diam.] to adjust the eraser diameter. To undo one operational step, tap [Undo] on the touch screen and to undo all operational steps, tap [Undo All] and start a new editing operation.
Page 170: Procedures
7 3D/4D Threshold To eliminate color noise and motion artifacts. Affects MPR as well as VR. Opacity To set the transparency value for VR rendering. Smooth To smooth the Color image and erase artifacts by time averaging. To adjust mix percentage of gray scale information and color information. When display format is 2D&C, you can adjust this parameter.
Page 171: Acquisition Preparation
7 3D/4D NOTE: To define a ROI, please try to cut the useless data as to reduce the time for image storing, processing and reconstruction. Select the render mode, and set the quality and angle parameter. Press <Update> to enter the 4D real-time imaging status. Press <Freeze>...
Page 172: Smart 3D Procedures
7 3D/4D NOTE: • 4D probe does not support Smart 3D imaging. • In Smart 3D image scanning, if the probe orientation mark is oriented to the operator’s finger, perform the scan from right to left in linear scan, or rotate the probe from left to right in rocked scanning.
Page 173: Stic (Spatio-Temporal Image Correlation)
7 3D/4D STIC (Spatio-Temporal Image Correlation) WARNING Diagnoses made only by assessing this 3D/4D acquisition are not permitted. Every diagnostic finding has to be evaluated in 2D as well. STIC function provides sectional images of high spatial resolution as well as good time resolution, which is mainly used in fetal heart observation and cardiac hemodynamic exams.
Page 174: Ilive
7 3D/4D NOTE: The system also supports color STIC 3D flow image function. Perform the following procedure: Obtain a feasible 2D image (fetus heart). To observe a small structure, zoom in the interested part (Usually Res Zooming is applied for good image quality).
Page 175 7 3D/4D NOTE: iLive is available under Smart 3D, Static 3D and 4D modes. To use the iLive function, you must configure the Smart 3D module or the 4D. To Activate iLive Perform the following procedure: Enter 3D/4D image viewing status, or double-click the saved 3D/4D cine file in the iStation or Review screen.
Page 176: Layout
7 3D/4D Operation Controls for Lighting Mode Settings Parameter Description VL Sat. Adjust the saturation for light 1/2/3. VL Hue Adjust the color for light 1/2/3. VL Dis. Adjust the distance for light 1/2/3 when the light source is set to torch or point.
Page 177: Print
7 3D/4D Select the [VR] > [3D Ref] tab on the touch screen. Tap [Input] on the touch screen, and a green cross mark appears on the screen. Move the mark to the desired point and press the <Set> key to set the reference point. You can move the cursor onto the reference point and use the trackball and the <Set>...
Page 178: Smart Volume
7 3D/4D NOTE: • If you want to view the 3D print files on the mobile phone, please download and install “EMB3D” application program first. • The Windows 10 computers supports to view 3D print files directly (except files in off format). 7.12 Smart Volume CAUTION The Smart Volume result is provided for reference only, not for confirming...
Page 179 7 3D/4D – There are yellow solid curves enclosing target region on each MPR image (A, B, C) window. – 3D image (VR) displays image of the target region in red; – The calculation result is displayed on the lower left part of the screen. Modify the contour of the calculated area and recalculate its volume, if necessary.
Page 180: Result Display
7 3D/4D Auto calculation is finished: – There are yellow solid curves enclosing target region on each MPR image (A, B, C) window. – 3D image (VR) displays image of the target region in red; – The calculation result is displayed on the lower left part of the screen. Modify the contour of the calculated area and recalculate its volume, if necessary.
Page 181 7 3D/4D Trace Mode • Trace Tap [Trace Mode] to select [Trace]. Rotate the trackball to place the cursor and press right <Set> key to fix the starting point, move the cursor along the target to trace the outline, and press right <Set> twice to finish tracing.
Page 182: Ipage
7 3D/4D 7.13 iPage iPage is iPage+SCV function. iPage (Multi-Slice Imaging) is a “Visualization” mode for displaying sectional images. The data is presented as slices through the data set, which are parallel to each other. When SCV (Slice Contrast View) function is turned on, the system expands the parallel section images into a slice region with a specified thickness, and draws this region with 3D rendering effect to enhance the image.
Page 183: Basic Screen & Operation
7 3D/4D 7.13.2 Basic Screen & Operation A plane (the current B plane C plane reference image) Central slice line Slice line Space between two (Current active slice) slice lines Y-axis X-axis Slice position (to the central slice) Slice order number Central slice mark Active slice be highlighted in green...
Page 184 7 3D/4D • Coordinate axis: indicated on the A, B, C three reference images, match together with the central slice line, and will move accordingly with the central slice line. Slice shifting When on the bottom of the main screen is highlighted, rotate the trackball, the section image is fixed and you can move the section line left and right or up and down.
Page 185: Scv
7 3D/4D After Hide/show reference image The system displays 3 standard sectional images (A plane, B plane, C plane) on the left side indicating the position of the slice lines; tap to hide the 3 reference images, and then slices are displayed on the whole image area. Quick switch to single display Select a certain slice, double click <Set>...
Page 186: Operation Controls
7 3D/4D Tap [Thickness] on the touch screen, and then rotate <Angle> to adjust imaging thickness. Save images as necessary. SCV+CMPR operation Perform the following procedure: Enter SCV Tap [A], [B] or [C] to select current window. Tap [CMPR] to turn on the CMPR function. Window A on main screen displays the current window and three other windows are blank.
Page 187 7 3D/4D Perform the following procedure: Tap [Line] on the touch screen. Rotate the trackball to place the cursor and press right <Set> key to fix the starting point, rotate the trackball to extend the line and press right <Set> key again to finish drawing; or you can press left <Set>...
Page 188: Smart Planes Cns
7 3D/4D 7.15 Smart Planes CNS The doctor finds fetus’s sagittal view by judgments on image features, and then makes an observation. The fetus’s s sagittal view is hard to be detected or cannot be detected sometimes because of the fetus's move inside. Taking the key anatomical tissues and organs’...
Page 189 7 3D/4D Rotate A, B or C plane respectively. NOTE: To ensure the correctness of the result, please make sure the cerebral midline on the anatomical plane is displayed clearly and ROI enclose the whole cranial region. Tap [Accept] to accept the edit to the MSP. The system recalculates the TCP, TTP and TVP according to MSP’s position.
Page 190: Smart Icv
7 3D/4D • The automatic measurement results appear only for these having the same characteristics on the planes. • Once the automatic measurements are completed, the operations to axial rotation, reference line rotation, parameter adjustment, MSP editing, zooming/panning, dual/ quad-split display will remove the measurement results. Tap [Edit] to modify the measurements.
Page 191: Other Operations
7 3D/4D NOTE: To ensure the accuracy of the result, please make sure that the traced contour has entirely enclosed the target and is approximate to the target before using the Smart ICV function. Perform the following procedure: Acquire necessary 3D/4D data. Tap [Smart ICV] to enter Smart ICV interface, and the system measures the volume of fetal cerebral automatically.
Page 192: Smart Flc (Smart Follicles Calculation)
7 3D/4D – Tap [Current Plane] to reset the plane. The position of the current plane returns to the initial condition. The angle of the current plane returns to 0°. – Tap [Current Plane] to reset the current plane. The position and the angle to the current plane returns to the last MSP condition.
Page 193: Operation Controls
7 3D/4D 7.16.2 Operation Controls Edit ROI Same as the operation in ROI editing in Smart-V. Edit/ Undo Select the button in the [Edit] area to turn on the editing function. It supports dividing, merging, adding and deleting of the follicle. Tap [Undo], [Redo] or [Undo All] to undo, redo or cancel previous editing.
Page 194: Smart Scene 3D
7 3D/4D Tap [Face+] to select the levels between 0-3. Eraser NOTE: This function is available only under “Surface” mode. Clearing effect in the center of the eraser sphere is strongest, and this effect weakens along the sphere center to the edge. Tap [For-Rubber] to erase existing data on the screen.
Page 195: Elastography
Elastography CAUTION It is provided for reference, not for confirming a diagnosis. Strain Elastography It is produced based on the slight manual-pressure or human respiration in 2D real-time mode. The tissue hardness of the mass can be determined by the image color and brightness. Besides, the relative tissue hardness is displayed in quantitative manners.
Page 196: Mass Measurement
8 Elastography Invert Invert the E color bar and therefore invert the colors of benign and malignant tissue. Display Format Adjust the display format of ultrasound image and the Elasto image. The system provides 3 types of display format: • H 1:1: Right and left display (the real-time ultrasound image appears on the left, and the elasto image appears on the right);...
Page 197: Basic Procedures For Ste Imaging
8 Elastography hardness is displayed in quantitative manners. STE imaging provides you real elasto modulus for quantification analysis. NOTE: STE imaging is not supported when the system is powered by battery. 8.2.1 Basic Procedures for STE Imaging Select a proper probe. Perform 2D scan to locate the region. Tap [STE] on the touch screen.
Page 198 8 Elastography The current elastic modulus or the shear wave velocity (including the unit) appears on the top of the color bar. Scale Used to change the maximum scale to make the map related to the color at the top of the bar. Optimize the elasto modulus, or mirror the elasto wave velocity to the map.
Page 199: Measuring
8 Elastography M-STB Index/Sensi. The STE imaging can easily be affected by respiration, pulse of the main artery, or transducer movement, which may cause uncertainty and unreliability. The M-STB Index helps users judge whether the current elasto image is captured in stable state. Based on the judgment, capturing method, capturing part, and patient cooperation can be adjusted accordingly.
Page 200: Cine Review
8 Elastography Press <Measure> to enter application measurement. You can perform measurements on Isthmus and Mass, etc. For details, see "Advanced Volume". 8.2.4 Cine Review Press <Freeze> to freeze the image and enter cine review state. Or, click the cine to enter the cine review state. STQ Imaging (Sound Touch Quantification) NOTE: STQ imaging is not supported when the system is powered by battery.
Page 201 8 Elastography E Avg Used to optimize the measurement result via equalizing the elasto metric of the current frames and the previous frames. Decrease the image noise. Off represents the E Avg is disabled. The larger the scale is, the more the frames of the elasto metric are equalized.
Page 202 8 Elastography The bigger the value is, the higher the frame optimization effect achieves. The persistence function can remove image noise and optimize image effect to gain a more detailed image. Map Position This feature is used to adjust the up/down position of the map. Lesion It is used to distinguish elastography data of the different lesion region.
Page 203: Contrast Imaging
Contrast Imaging The contrast imaging is used in conjunction with ultrasound contrast agents to enhance imaging of blood flow and microcirculation. Injected contrast agents re-emit incident acoustic energy at a harmonic frequency much more efficient than the surrounding tissue. Blood containing the contrast agent stands out brightly against a dark background of normal tissue.
Page 204: Left Ventricular Opacification
9 Contrast Imaging Press <B> button to return to B mode. Left Ventricular Opacification Perform the following procedure: Acquire ECG signal. Select an appropriate probe and LVO exam mode. Workflow of LVO is similar to abdomen contrast imaging, see “9.1 Basic Procedures for Contrast Imaging”.
Page 205 9 Contrast Imaging After the image is frozen, Timer 1 is still timing, and after unfreezing the image, the corresponding time can be seen. Timer 2 stops timing when one contrast exam is frozen, and after unfreezing the image, the Timer 2 is off.
Page 206: Contrast Imaging Qa
9 Contrast Imaging Contrast Imaging QA CAUTION Contrast Imaging QA images are provided for reference only, not for confirming a diagnosis. NOTE: • In case of inaccuracy of the data, do not adjust the depth and the pan-zoom when saving the cine.
Page 207 9 Contrast Imaging Perform image scanning, freeze the image and select a range of images for analysis; or select a desired cine loop from the stored images. The system set the starting time and ending time of the cine to be first frame and last frame of QA analysis range.
Page 208 9 Contrast Imaging – Tap [Table display] to check parameters: Item Description GOF (Goodness of Fit) Calculate the fit degree of the curve; range: 0-1, where 1 means the fit curve fits the raw curve perfectly. BI (Base Intensity) Basic intensity of no contrast agent perfusion status. AT (Arrival Time) Time point where contrast intensity appears, generally, the actual time value is 110% higher than the base intensity.
Page 209: Physiological Unit Signal
Physiological Unit Signal The physiological unit signal waveform is used for checking ultrasound image in ultrasound exam (cardiac exam mainly). Support ECG and external ECG. WARNING • Do not use the physiological traces for diagnosis and monitoring. • To avoid electric shock, the following checks shall be performed prior to an operation: –...
Page 210: Ecg
10 Physiological Unit Signal • Defibrillation-proof recovery time: Baseline recovery time < 10 s. 10.1 ECG Perform the following procedure: Connect the device and place ECG electrodes. Turn off the power supply of the system, and connect the ECG module to the system. Connect the ECG cable to the ECG module.
Page 211: Ecg Review
10 Physiological Unit Signal • Triggering function is unavailable if the ECG trace is disappeared. Only the live 2D image can be triggered. • No delay time or time interval shall be less than the time required to scan a single image. •...
Page 212: Pcg
10 Physiological Unit Signal Adjust [Speed], [RESP Gain], [Position] and [Invert]. Exit Respiratory display mode, and remove ECG electrodes from the patient. Tap [Physio] or press the user-defined <Physio> key to exit physio mode. 10.3 PCG NOTE: • Check PCG each time before use.If there are any cracks or scratch, please contact the sales representative.
Page 213: Pcg Sensor Cleaning
10 Physiological Unit Signal Tap [Physio] or press the user-defined <Physio> key. Tap [PCG] on. The PCG wave appears. Press the different mode buttons to change the imaging mode. Adjust the parameter to obtain the optimized image. Adjust [PCG Gain] and [PCG Smooth]. Freeze the image and the curve, and then review them.
Page 214 10 Physiological Unit Signal Type Parameter Description Control the display of PCG trace. parameter PCG gain Set the amplitude of PCG trace. PCG smooth Smoothen PCG trace. 10 - 6 Operator’s Manual...
Page 215: Stress Echo
Stress Echo Only the phased probes support stress echo function under the cardiac mode. CAUTION Stress echo data are provided for reference only, not for confirming diagnoses. The Stress Echo feature allows you to capture and review cardiac loops for multiple-phase (multiple-stage) Stress Echo protocols.
Page 216: Selecting Preferred Stress Echo Loops (Select Mode)
11 Stress Echo When you confirm the ROI size by pressing <Update>, you cannot adjust the ROI size during acquisition. You can only adjust the ROI position using the trackball. Press <Save+> to start acquisition. The system displays the Protocol window on the screen, listing the phases for the selected protocol along with the first phase views (phases are stages).
Page 217 11 Stress Echo In Select Mode, you can select the representative loop (“preferred” loop) for each view. To select “preferred” loops: Use the <Update> key according to tips in the trackball hint area or select [Select] to enter the Select Mode, or the system enters the Select Mode directly after the acquisition is finished. Select the loop.
Page 218: Review/Wms Mode
11 Stress Echo Selection Description Delete Unselected Delete clips that are not selected. If selected, the system will delete all clips that are not selected after the exam is ended. Suspend Exam Pauses the stress echo exam but does not end the stress echo exam. When a stress echo exam is suspended, the user can perform image acquisition of all other imaging modes, or perform operations such as measurement.
Page 219: Wall Motion Scoring
11 Stress Echo Description of review/WMS mode keys (keys with the same function as in select mode are not described below): Item Description Review/WMS Perform side-by-side comparison of the same views at different stages (PLAX, PSAX, A4C, A2C at “Rest” compared to PLAX, PSAX, A4C, A2C “Post-Exercise”).
Page 220: Saving Stress Echo Data
11 Stress Echo Repeat step 2 to perform value assign for all segments. – To assign a normal wall motion score (WMS) to all currently displayed views: Select [Set All Normal] on the touch screen. – To assign a normal wall motion score (WMS) to the currently selected view: Select [Set Current Normal] on the touch screen.
Page 221: Smart Pelvic
Smart Pelvic The Smart Pelvic function is used to measure distances and angles of anterior, central and posterior compartments according to the feature point inputs on 2D images of rest and stress, and then calculate BND and URA; Automatically measure the size of levator hiatus etc. according to the axial plane automatically obtained from volume data;...
Page 222: 4D Image Data
12 Smart Pelvic 12.2 3D/4D image data VR Mode Perform the following procedure: Select probe and GYN/ pelvic floor exam mode. Enter 3D/4D preparation status, and then acquire 3D/4D image to enter Smart Pelvic. Auto: Select [Pelvic] under the [Smart Scene 3D] scenario, and then press <Update>. The system enters [Smart Pelvic] tab automatically.
Page 223: Display & Cine Review
Display & Cine Review 13.1 Splitting Display The system supports dual-split and quad-split display format. However, only one window is active. The multi-window display can complete the image and multi-frame image comparison. Dual-split Press <Dual> on the control panel to enter the dual-split mode, and use <Dual> / <Update> key to switch between the two images;...
Page 224: Pan Zoom
13 Display & Cine Review 13.2.2 Pan Zoom Perform the following procedure: Use the [Pan Zoom] on the touch screen, or freeze the image and rotate <Depth/Zoom> knob to enter the pan zoom status. Image-in-image is displayed. The image magnification factor value will display in real time in the image parameter area. For example, “Z 1.40”...
Page 225: Cine Review
13 Display & Cine Review 13.4 Cine Review The system allows you to review and edit the images prior to the image frozen. This function is called as cine review. The magnified images can also be reviewed, and the operating method is the same.
Page 226: Cine Review In M/Pw/Cw/Tvd Mode
13 Display & Cine Review Total frames Auto Review Region Reviewing all of Auto Review Perform the following procedure: In the manual cine review status, use the [Auto Play] to set the review speed to activate auto cine review. Exit: Tap [Auto Play] on the touch screen, or use the trackball, the auto review state becomes manual cine review.
Page 227: Linked Cine Review
13 Display & Cine Review The cine progress bar at the bottom of the screen (as shown in the figure below): Start mark Playback mark End mark Time played Total time Auto Review Region Cine review operations are the same as these of 2D mode. NOTE: There is no audio when the spectrum is reviewed in manual status but audio synchronization can be realized in auto review status with speed of ×1.
Page 228: Frame Compare
13 Display & Cine Review Perform the following procedure: Tap [Compare] on iStation screen or Review screen. Select the images for comparison. Click to select the image, and the icon appears on the image, which indicates the image is to be compared. If select the wrong image, click the image again to cancel the selection.
Page 229: Icompare
13 Display & Cine Review 13.5.3 iCompare NOTE: iCompare can only be performed on B, Color, Power, PW, CW, or M mode for FRM/CIN/PNG/ DCM files. Perform the following procedure: Set the user-defined key to enter iCompare. In live mode or freeze mode, press the user-defined key for iCompare. Select a single-frame image, multi-frame image, or screenshot in the iStation screen (press <iStation>...
Page 230: Setting Cine Length
13 Display & Cine Review 13.7 Setting Cine Length NOTE: The system ends up saving if the cine length goes beyond the maximum value. 13.7.1 Live capture Prospective Cine Length Prospective cine duration: set the time that the user taps [Prospective] as the start time. The system proceeds saving the cine.
Page 231: Measurement, Comments And Body Mark
Measurement, Comments and Body Mark 14.1 Measurement There are general measurements and application measurement. You can perform measurements on a zoomed image, cine reviewing image, real-time image, or frozen image. For measurement details, please refer to the “Advanced Volume”. WARNING •...
Page 232 14 Measurement, Comments and Body Mark Parameter Value Range Error Distance Full screen Within ±5% (for linear, wide-convex, and (iScape) phased probes) Full screen Within ±10% (for micro-convex probes) • Error of 3D Images Parameter Value Range Error Distance A/B/C sectional plane image (MPR), Within ±5%.
Page 233: Comments
14 Measurement, Comments and Body Mark Measurement Item Error Smart Hip Within ±20% Smart HRI Within ±5% Smart B-line Within ±20% AutoEF Within ±10% RIMT Within ±10% Within ±10% Smart Trace Within ±20% Smart Fetal HR Within ±10% Smart Calc Within ±10% Smart Planes CNS Within ±20%...
Page 234: Adding Comments
14 Measurement, Comments and Body Mark – Change active text color/fix text color: select a desired color block to change the active text color or fix text color. The default active text color is green and fix text color is yellow.
Page 235: Moving Comments
14 Measurement, Comments and Body Mark Using the control panel: Use the trackball to move the cursor to a desired position, and press <Set> to confirm the start point. Use the trackball to move the cursor along the edge of the desired region and trace the outline of the region.
Page 236: Deleting Comments
14 Measurement, Comments and Body Mark Move the cursor on the arrow that needs to be modified. After the cursor becomes , press <Set>. There is a frame around the arrow, indicating the arrow can be edited. Move the cursor to change the arrow position.
Page 237: Voice Comment Panel
14 Measurement, Comments and Body Mark 14.3.1 Voice Comment Panel After the system enters the voice comment status, the voice comment panel will be displayed on the lower right corner of the screen. Recording Start Play Start/Stop Recording Duration 14.3.2 Adding Voice Comments NOTE: •...
Page 238: Adding Body Mark
14 Measurement, Comments and Body Mark Library Tap [Library] to select the body mark library, the corresponding body marks are shown on the left. Page-turning If there is more than one page, slide the touch screen to turn the page. Save Probe Under the condition that the probe mark direction and position is determined for the current adding body mark, tap [Save Probe] to save the current direction and position for the probe mark of the...
Page 239: Dicom/Hl7
DICOM/HL7 NOTE: • Before using DICOM, please read the electronic file DICOM CONFORMANCE STATEMENT along with the device. • The DICOM package is optional, so the description here is only applicable for the system configured with the DICOM package. The chapter is confined to the preset, connection verification and DICOM services of the DICOM- configured ultrasound machine, not including SCP configurations like PACS/RIS/HIS.
Page 240: Dicom Storage
15 DICOM/HL7 15.1 DICOM Storage DICOM Storage is used to send images (single-frame or multi-frame) or structured report to the DICOM storage server for storage. 15.1.1 Send images on iStation/Review/Main screens Perform the following procedure: Do one of the following to select images: –...
Page 241: Encapsulate Pdf
15 DICOM/HL7 Send SR on iStation. Choose the storage option to Attach SR When Store Images, or Only Store SR. Create new patient information or load the patient information. Perform obstetric (gynecology, cardiac, Abdomen, Small Parts, breast or vascular) measurements: Save the image or the cine.
Page 242: To Send Images Using A Shortcut Key
15 DICOM/HL7 Click to select “DICOM” in the Target box on the left side, then select the DICOM print server on the right side, and click [OK]. 15.2.2 To send images using a shortcut key You can send single-frame images to a DICOM print server while saving to hard drive using a shortcut key.
Page 243: Mpps
15 DICOM/HL7 – DICOM server: Search via patient ID, accession #, key words, AE title, worklist server or exam date. – Select HL7 server: Search via patient ID, patient name. Click [Query]. The scheduled patients, which meet the criteria, are displayed in the lower part of the screen.
Page 244: To Send Storage Commitment Automatically After An Exam Ends
15 DICOM/HL7 The system will send all the images stored in the exam record to the storage server. Meanwhile, it will send storage commitment to the storage commitment server. 15.5.2 To send storage commitment automatically after an exam ends NOTE: •...
Page 245: Dicom Media Storage (Dicomdir Review)
15 DICOM/HL7 15.7 DICOM Media Storage (DICOMDIR Review) Patient data in the ultrasound system can be saved on external media in DCM format, while DCM files can be accessed in the ultrasound system. DICOM media storage and DICOMDUR review should meet the following conditions: •...
Page 246 15 DICOM/HL7 In iStation, review the data stored on the external media. Select the data to be restored in iStation. Click [Restore Exam] on the iStation screen. 15 - 8 Operator’s Manual...
Page 247: Patient Data Management
Compression type for image compression and storage may cause loss of image data. • Mindray is not responsible for lost data if you DO NOT follow suggested backup procedures. 16.1 Image File Management You can store the image files either in the patient database in the system, or to external memory devices.
Page 248: Image Storage Setting
16 Patient Data Management PC-compatible formats • Screen file (BMP) Single-frame file format, used to save the current screen, non-compressed format; • JPG: Single frame export format. • TIFF: Single frame export format • Multi-medium files: Multi-frame export format. • DICOM files DICOM standard files format, single-frame or multi-frame format, used to record patient information and images;...
Page 249: Thumbnails
16 Patient Data Management defined key is pressed, the ultrasound system can perform multiple operations one by one as per the preset. Save the single-frame image: • Send image to DICOM Storage • Send image to DICOM Printer • Send image to USB Disk •...
Page 250 16 Patient Data Management To enter image review • Tap [Review] to enter review page. Images of the current exam and the current patient are displayed. • During mapping mode, slide to left or right on the touch screen to review the image. •...
Page 251: Image Analysis
16 Patient Data Management 16.1.10Image Analysis In the image analysis status, you can view, zoom, perform post processing and measurements, add comments and perform cine review for a stored image (FRM or CIN format). The operation steps are the same as those for real-time scanning; please refer to relevant sections for details. To enter image analysis •...
Page 252: Report Management
16 Patient Data Management NOTE: • If the transferred AVI file cannot be played normally on PC, please try to transfer the multi-frame cine file in MP4 format and try Send To function again, or use a VLC media player. •...
Page 253: Patient Data Management (Istation)
16 Patient Data Management – Custom Info: the system prompts a message requiring you to input the customed patient name, which will be displayed after backup. Click [OK] to confirm. The size of the report can be set, see “4.9 Print Preset”. 16.3 Patient Data Management (iStation) The patient data include basic patient information, exam information, image files and reports.You can search, view, backup, send, restore, delete or export patient data in iStation.
Page 254: Recycle Bin
16 Patient Data Management Item Description Backup Exam You can back up the selected patient data to the system-supported media in order to view it on PC, or restore the patient data to the system from an external media. The exam after being backed up can be restored to the system for another review. Click to back up the selected patient data to the system-supported media.
Page 255: Istorage
NOTE: To use iStorage function, you need UltraAssist software in 2.0 version (with V1.0 network protocol); consult Mindray service engineer for details. Network storage is used to save image files and measurement reports to the remote PC server. For network storage setting, see “4.8.1 iStorage Preset”.
Page 256: Image Print
16 Patient Data Management 16.7.1 Image Print For DICOM image printing, refer to relevant chapters. Video printer is applied in image print service. Perform the following procedure: Select the desired image in iStation or Review screen. Click icon on the upper right side of the image, and select the printer in the popped up dialog box.
Page 257: Q-Path
16 Patient Data Management DICOM Print Task Displays the DICOM print task. Media Storage Task • DICOM media storage task (including disc and USB devices): In iStation screen, select the target exam and click [Send Exam], then click DICOMDIR in the menu which appears. •...
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Page 259: Probes And Biopsy
Probes and Biopsy 17.1 Probes NOTE: For details of probe P8-2Ts/P7-3Ts/P8-3Ts, refer to TEE Ultrasonic Transducer manual. C5-1 V10-4B SC5-1N 6CV1 C6-2 ELC10-4 3C5A 6LE7 C11-3 DE11-3 Operator’s Manual 17 - 1...
Page 260 17 Probes and Biopsy C6-1 SD8-1 L13-3N D7-2 L13-3 D6-2B 7L4B CW5s L9-3 CW2s L14-3W P7-3Ts 7LT4 P8-2Ts 17 - 2 Operator’s Manual...
Page 261: Probe Functions By Part
17 Probes and Biopsy L20-5s P8-3Ts L16-4Hs V11-3H SP5-1N V11-3HB P4-2 V11-3 P8-2 V11-3B P10-4 V10-4 17.1.1 Probe Functions by Part The basic structures and corresponding functions of probes are basically the same; take the following probe as an example. Item Description Probe lock switch...
Page 262: Orientation Of The Ultrasound Image And The Probe
17 Probes and Biopsy Item Description Probe head Converts the electrical signal into an ultrasonic signal, focusing the sound beams in a given direction; meanwhile, it receives the reflected ultrasonic signal and converts it into an electrical signal for transmission over the cable. The lens on the surface is the acoustic lens.
Page 263 17 Probes and Biopsy The proper clinical technique to be This section describes general procedures for operating the probe. used for operating the probe should be selected on the basis of specialized training and clinical experience. Procedures for operating (with biopsy function) Inspection before examination Connection to the system Examinations...
Page 264: Wearing The Probe Sheath
17 Probes and Biopsy Procedures for operating (with no biopsy function) Inspection before examination Connection to the system Examinations Disconnection to the system Wiping off the ultrasound gel Thoroughly cleaning the probe Drying the probe Disinfecting the probe Rinsing the probe Drying the probe Inspection after use Storage...
Page 265: Probes Cleaning And Disinfection/Sterilization
17 Probes and Biopsy A legally marketed probe sheath must be installed over the probe before performing intra-cavitary and intra-operative examination. Protective barriers may be required to minimize disease transmission. Probe sheaths are available for use with all clinical situations where infection is a concern.
Page 266 17 Probes and Biopsy bracket. Fail to do so may result in the probe and the needle-guided bracket to becoming sources of infection. Please follow the instructions in the manual for cleaning. WARNING Never immerse the probe connector into liquid such as water or disinfectant. Immersion may cause electrical shock or malfunction.
Page 267 Check whether the probe has defects such as peeling, rifts, bumps, cracks, or liquid spill. If such defects exist, the probe has reached the end of its service life. In this case, stop using it and contact the Mindray service department. Operator’s Manual...
Page 268 In this case, stop using it and contact the Mindray service department. Store the probe in a cool, clean and dry environment. And repeat the cleaning and disinfection process before the next use.
Page 269 In this case, stop using it and contact the Mindray service department. Store the probe in a cool, clean and dry environment. And repeat the cleaning and disinfection process before the next use.
Page 270: Cleaning The Probe Cable And Connector
Store the probe in a cool, clean and dry environment. And repeat the cleaning and sterilization process before the next use. Compatible Cleaners and Disinfectants For the detailed information about cleaners and disinfectants, see Mindray Transducer Disinfectant Recommendation. For details of the P7-3Ts, P8-2Ts and P8-3Ts probes, refer to TEE Ultrasonic Transducer manual.
Page 271: Probe Environmental Conditions
17 Probes and Biopsy 17.1.7 Probe Environmental Conditions Probe Conditions Ambient Relative humidity Atmospheric Model temperature (no condensation) pressure C5-1 Operating 0℃-40℃ 30%-85%RH 700 hPa-1060 hPa Storage and -20℃-55℃ 30%-95%RH 700 hPa-1060 hPa transportation SC5-1N Operating 0℃-40℃ 20%-85%RH 700 hPa-1060 hPa Storage and -20℃-55℃...
Page 272 17 Probes and Biopsy Probe Conditions Ambient Relative humidity Atmospheric Model temperature (no condensation) pressure L20-5s Operating 0℃-35℃ 15%-80%RH 700 hPa-1060 hPa Storage and -20℃-60℃ 15%-90%RH 500 hPa-1060 hPa transportation L16-4Hs Operating 10℃-40℃ 30%-85%RH 700 hPa-1060 hPa Storage and 0℃-60℃ 30%-95%RH 700 hPa-1060 hPa transportation...
Page 273: Storage And Transportation
17 Probes and Biopsy Probe Conditions Ambient Relative humidity Atmospheric Model temperature (no condensation) pressure ELC10-4 Operating 0℃-40℃ 30%-85%RH 700 hPa-1060 hPa Storage and -20℃-55℃ 30%-95%RH 700 hPa-1060 hPa transportation 6LE7 Operating 0℃-40℃ 30%-85%RH 700 hPa-1060 hPa Storage and -20℃-55℃ 30%-95%RH 700 hPa-1060 hPa transportation...
Page 274: Biopsy Guide
Excessive vibration – Heat generators • When the probe is sent to MINDRAY Customer Service Department or sales representative for repair, be sure to disinfect it and keep it in the carrying case to prevent infection. 17.2 Biopsy Guide WARNING •...
Page 275 17 Probes and Biopsy • Adjust the needle mark before the biopsy procedure is performed. • When performing biopsy procedures, use only sterile ultrasound gel that is certified to be safe. And manage the ultrasound gel properly to ensure that it does not become a source of infection.
Page 276: Needle-Guided Brackets Available
17 Probes and Biopsy – Before performing the biopsy, evaluate the size of the object and confirm whether the biopsy can be carried out. 17.2.1 Needle-guided Brackets Available Some of the probes have matched needle-guided brackets for biopsy, the available probes and the corresponding needle-guided brackets are listed as follows.
Page 277: Needle-Guided Bracket Installation And Removal
C5-1, SC5-1N, C6-2 CIVCO 658-004 NOTE: Mindray does not offer the biopsy needle; please purchase it according to your own needs. 17.2.2 Needle-Guided Bracket Installation and Removal A needle-guided bracket is available for purchase as an optional accessory; it is used in combination with the probe.
Page 278 17 Probes and Biopsy • Select the proper needle according to the specification above, and adjust the needle shift to the same specification of the selected needle. NGB-004 Metal-needle undetachable needle-guided bracket Locating bulge Needle guide Locking nut Retaining clamp Probe Locating groove Perform the following procedure:...
Page 279 17 Probes and Biopsy Remove the needle-guided bracket: Hold the probe in your left hand. Unscrew the locking nut with your right hand to open the retaining clamp, then raise the needle-guided bracket to separate the locating bulge from the locating grooves.
Page 280 17 Probes and Biopsy Name Description Specification of Matched with the corresponding biopsy needle (14G). guiding block (14G) Guiding hole of the Used for installing the biopsy needle. biopsy needle Pinch nut of needle- Used for locking the needle-guided bracket and the probe. guided bracket Perform the following procedure: Install the needle-guided bracket:...
Page 281 17 Probes and Biopsy Screw out the nut on the guiding block to loose the guiding block and the needle-guided bracket. Take the guiding block away in the direction of the needle tail, and then separate the needle from the probe and the residual parts of the needle-guided bracket. Screw out the locking nut on the needle-guided bracket to loose the bracket with the probe.
Page 282 17 Probes and Biopsy Name Description Specification of Matched with the corresponding biopsy needle (13G). guiding block (13G) Guiding hole of the Used for installing the biopsy needle. biopsy needle Specification of angle The corresponding biopsy angle is 45°. block (45°) Perform the following procedure: Install the needle-guided bracket: Put on the sterile probe sheath.
Page 283 17 Probes and Biopsy Separate the residual part of the needle-guide bracket and the probe from the needle. Remove the support of needle-guided bracket from the probe. NGB-007 Metal/needle detachable needle-guided bracket Support for needle-guided bracket Tab and groove for the needle-guided bracket Angle-adjusting base Angle shift sign...
Page 284 17 Probes and Biopsy Hold the probe in one hand, select the correct needle-guided bracket and hold it with the other hand. Match the groove and tab with the tab and groove of the probe respectively. Mount the bracket onto the probe. Screw the pinch nut of the needle-guided bracket to ensure that the needle-guided bracket is properly installed on the probe.
Page 285 17 Probes and Biopsy Release the needle from the bracket: Screw the nut of the guiding block and remove the guiding block slightly along the direction of the needle’s tail. Separate the residual part of the needle-guide bracket and the probe from the needle. Remove the needle-guided bracket.
Page 286 17 Probes and Biopsy Guiding block Groove and tab of the needle-guided bracket Specification of guiding block Guiding hole of the biopsy needle Specification of angle block Perform the following procedure: Install the needle-guided bracket: Put on the sterile probe sheath. Hold the probe by one hand, select the proper needle-guided bracket, and hold it with the other hand.
Page 287 17 Probes and Biopsy Remove the guiding block slightly along the direction of the needle’s tail. Separate the residual part of the needle-guide bracket and the probe from the needle. Remove the needle-guided bracket: Remove the support of needle-guided bracket from the probe. NGB-009 Name Description...
Page 288 17 Probes and Biopsy Name Description Knob of fixing needle- Used for fixing the needle-guided bracket on the probe guided bracket Needle distance scales Indicate distance between needle and the probe head surface Guiding block Used for installing biopsy needle; there are five specifications of guiding blocks for different needles Knob of fixing the needle Used for fixing the needle Guiding hole of the...
Page 289 17 Probes and Biopsy Insert a biopsy needle with the same specification as that of the guiding block into the hole of the guiding block and turn tightly the knob of fixing the needle. Remove the needle-guided bracket: Turn on the knob of fixing the needle and separate the needle from the needle-guided bracket.
Page 290 17 Probes and Biopsy Hold the probe by one hand, select the proper needle-guided bracket, and hold it with the other hand. Match the groove of the bracket with the tab of the probe. Amount the bracket onto the probe. Hold the probe by one hand, select proper needle-guided bracket, and hold it with the other hand, and align the grooves of the needle-guided bracket with the tabs of the probe, then push the needle-guided bracket forward, making the grooves of the needle-guided...
Page 291 17 Probes and Biopsy Remove the guiding block slightly along the direction of the needle’s tail, and separate the residual part of the needle-guide bracket and the probe from the needle. Remove the support of needle-guided bracket from the probe. NGB-011 ...
Page 292 17 Probes and Biopsy NGB-018 Pinch nut of bracket Angle pinch nut Angle block Clamp Groove Angle-adjusting base Angle shift sign Guiding block specification Guiding block Needle guide hole Perform the following procedure: Install the needle-guided bracket: Put on the sterile probe sheath. Select a suitable needle-guided bracket and match the groove to the tab of the probe.
Page 293 17 Probes and Biopsy Select a suitable guiding block and push it into the groove above the angle block Screw the block's nut to secure the block. Insert a biopsy needle with the same specification as that of the guiding block into the guiding block hole.
Page 294 17 Probes and Biopsy Angle pinch nut Angle block Pinch nut Perform the following procedure: Install the needle-guided bracket: Put on the sterile probe sheath. Hold the probe by one hand, select the proper needle-guided bracket, and hold it with the other hand.
Page 295 17 Probes and Biopsy Remove the needle-guided bracket: Screw the pinch nut to release the needle-guided bracket. Separate the bracket and the probe. NGB-025 Pinch nut Intra-cavity probe Lower clamp Location hole Front slot Front clamp Location clamp Upper clamp Perform the following procedure: Install the needle-guided bracket: Put on the sterile probe sheath.
Page 296 17 Probes and Biopsy Push the biopsy forward (arrow’s direction) until the locating pole inserting into the location hole. Turn the lower clamp against the intra-cavity probe. Tighten the nut to lock the biopsy (arrow’s direction) Remove the needle-guided bracket: Hold the prober in the left hand;...
Page 297 17 Probes and Biopsy Front slot Positioning block Perform the following procedure: Install the needle-guided bracket: Put on the sterile probe sheath. Open the clamp. Insert the front clamp to the front groove. Align the front clamp with the front slot. Push the biopsy forward (arrow’s direction) until the locating pole inserting into the location hole.
Page 298 17 Probes and Biopsy NGB-034 Needle fixing nut Guiding groove Angle fixing nut Angle adjusting base Needle type dial scale Needle adjusting base V-shape cover Lock pin Needle guide hole V-shaped guiding block Clamp Perform the following procedure: Install the needle-guided bracket: Put on the sterile probe sheath.
Page 299 17 Probes and Biopsy Insert the biopsy needle: Adjust the dial scale to the required needle type shift. Pull the lock pin and close the V-shaped cover to fix the lock pin in the groove of the needle type adjusting base, so as to install the needle into the guiding hole. Release the needle from the bracket: Pull the lock pin out until the V-shaped cover can be turned and opened up.
Page 300 17 Probes and Biopsy NGB-039 Angle blocking nut Angle adjusting block Angle mark Angle adjusting base Clamp The clamping nut Groove Needle-guided bracket adjusting nut Needle clamping cover Needle guide hole The pressing block for separating V-shaped guiding block needle Perform the following procedure: Install the needle-guided bracket:...
Page 301 17 Probes and Biopsy Tighten the pinch nut of the needle-guided bracket to confirm that the needle-guided bracket is properly installed on the probe. Loosen the angle adjusting nut. Hold the probe and press the pressing block to separate V-shaped guiding block from the pressing block.
Page 302 17 Probes and Biopsy Remove the needle-guided bracket: Hold the probe and press the pressing block to separate V-shaped guiding block from the pressing block. Remove the needle. Rotate the clamping nut to separate the bracket from the probe. NGB-045 Needle exit Needle guide 17 - 44...
Page 303 17 Probes and Biopsy Needle entry Retaining clamp Locating bulges Perform the following procedure: Install the needle-guided bracket: Put on the sterile probe sheath. Align the needle-guided bracket with the probe to align the locating bulges on the needle guide with the locating grooves on the probe, then turn the retaining clamp to the correct position.
Page 304 17 Probes and Biopsy NGB-048 Separating button Needle guiding structure Clamp Probe fixing structure Perform the following procedure: Install the needle-guided bracket: Put on the sterile probe sheath. Hold the probe in one hand, select the correct needle-guided bracket and hold it with the other hand.
Page 305 17 Probes and Biopsy Arrange the probe sheath in order. Press the left and right clamps of the bracket to crosswise clamp the probe. Check if the bracket is properly installed to ensure that the it won’t come off. Hold the probe and insert the needle through the horn-shaped opening at the end of the bracket into needle guide.
Page 306 17 Probes and Biopsy Hold the clasp at the end of the bracket to separate the bracket from probe. NGB-052 Probe fixing structure Separating knob Needle guide structure Angle adjusting knob Clamp Locking knob Guiding block Perform the following procedure: Install the needle-guided bracket: Put on the sterile probe sheath.
Page 307 17 Probes and Biopsy Install guiding blocks (18G, 20G and 21G) to match the needle type, and then rotate the separating knob. Remove the needle-guided bracket: Hold the probe with your hand, rotate the separating knob, and remove the guiding block to separate the needle from the guiding structure.
Page 308 17 Probes and Biopsy Hold the probe, and release the pressure position of the needle. Adjust the needle-type adjusting nut manually. The needle moves smoothly at the vertical direction due to its gravity. Release the needle from the bracket: Hold the probe. Press the biopsy needle to separate the needle from pressure position of the needle.
Page 309 17 Probes and Biopsy right and left sides to fix the bracket and the probe. Rotate the needle-shaped adjusting nut to the ultimate position as shown in the figure. Hold the probe. Press the biopsy needle pressure position to separate it from the V-shaped guiding block.
Page 310: Verifying The Biopsy Guide Line
17 Probes and Biopsy Hold the probe. Press the biopsy needle pressure position to separate the biopsy needle from the pressure position. Separate the bracket and the probe from the needle. Rotate the locking nuts of the needle guided-bracket at the right and left sides (following the direction of the arrow).
Page 311: Starting The Biopsy Procedure
17 Probes and Biopsy – Select the biopsy bracket angle/guide line: If the needle-guided bracket supports more than one biopsy angle, select the angle/guideline by using [Biopsy Kit]. – Select the guide line dot size: Tap [Dot Size] to select the dot size. NOTE: •...
Page 312: Clean And Sterilize The Needle-Guided Bracket
If such defects exist, the bracket has reached the end of its service life. In this case, stop using it and contact the Mindray service department. • It is recommended to use immersion sterilization for plastic needle-guided brackets and high-pressure steam sterilization for metal needle-guided brackets.
Page 313 17 Probes and Biopsy Detach all the detachable parts of the needle-guided bracket and immerse the needle-guided bracket and all its parts fully in the cleaning solvent for at least 1 minute or a period specified by the manufacturer. Immerse the needle-guided bracket and all its parts fully in the cleaning solvent. Wipe and wash the surface and connecting parts of the needle-guided bracket gently by using a soft brush until no dirt is visible.
Page 314: Storage And Transportation
Between examinations, keep the needle-guided bracket in a sterile environment. • If the needle-guided bracket is sent to your MINDRAY representative for repair, be sure to disinfect or sterilize it and keep it in the carrying case to prevent infection.
Page 315: Dvr Recording
Mindray is not responsible for any data loss. The system provides built-in DVR recording function. You can use the DVR to record and replay videos and audios that can be stored in DVD disc or hard disc.
Page 316: Dvr Video Replay
18 DVR Recording Click [Rename] to rename the video file. Select the destination and the target file, click [Send] to send the file to the selected path. During sending progress, the icon displays as 18.3 DVR Video Replay You can replay the video and audio record. 18.3.1 Replay on PC Connect the USB disk or optical disk with the file to the PC, open the file directly.
Page 317: System Maintenance
The responsibility for maintenance and management of the product after delivery resides with the customer who has purchased the product. If you have any questions, please contact Mindray Customer Service Department or sales representative. WARNING •...
Page 318 19 System Maintenance Use soft brush to brush the dust inside probe connector gently. Remained stain or dust attached to surface of cable or surface of connector should be washed out by cloth with a little soapy water, and then air-dry. NOTE: Don’t use cloth with water to clean the probe connector.
Page 319 19 System Maintenance Cleaning the control panel NOTE: Clean the control panel and keyboard periodically (1 time per month); otherwise the dirt in the gaps between keys will jam the keys, causing long beeping of the buzzer and malfunction of keys. Tools: mild soapsuds, and dry soft cloth Use a dry soft cloth to wipe the dust from the surface of the control panel (including keys and encoder).
Page 320 19 System Maintenance Use a clean soft cloth or dry paper tissue to clean the two main shafts inside the trackball, bearings, plastic housing, and inner part of the pressure ring. Meanwhile, clean the ball. Installing: Put the ball in. Then, put the pressure ring in (the convex strip on the pressure ring is about 15 degrees from the horizontal), and rotate counterclockwise until the convex strip on the pressure ring is horizontal.
Page 321: Cleaning The Peripherals
19 System Maintenance Cleaning the Ultrasound gel heater NOTE: • Clean the bottom cover of the gel heater regularly. Reinstall it to the bottom of the gel heater after it becomes dry. • Do not use the acetone. Do not use sharp-edged material (like steel wool) to clean the gel heater.
Page 322: Common Inspections
19 System Maintenance Content Description Footswitch Use soft dry cloth with a little mild soap water to wipe off the dust or stain attached to the pedals or cable of foot switch. Barcode reader First use soft dry cloth to wipe off dust attached to glass panel of the reader, then the dust or strain attached to cable and bracket.
Page 323: Inspection Of Peripherals And Optional Functions
19 System Maintenance battery power by 1% should be < 5min; when the battery is greater than 90%, it takes more time to increase the battery power by 1%. • In standby state, after disconnecting the AC power supply, check whether the battery can maintain normal standby status based on the standby status indicator.
Page 324: Troubleshooting
19.3 Troubleshooting If any persistent system malfunction is experienced, e.g., an onscreen error message, blank imaging screen, absent menus, see the table below. If the failure cannot be resolved, contact the Mindray Customer Service Department or a sales representative. Failure...
Page 325 19 System Maintenance Failure Cause Measure The image quality is The exam mode is incorrect. Select an appropriate exam degraded mode. The image post-processing Adjust the image post-processing settings are incorrect. settings or reset post-processing to the default values. The image presets are Reset the factory default presets.
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Page 327 Barcode Reader The product supports logging data as patient ID by using barcode reader. For details of the JADAK or Honeywell barcode readers, please refer to the accompanying manuals. The laser transmitted by SYMBOL LS2208 is Class 2 laser. SYMBOL DS4608 is classified as “EXEMPT RISK GROUP” according to IEC 62471: 2006 and EN 62471: 2008.
Page 328: A Barcode Reader
A.1.2 Setting The reader has factory settings. For details, please see “A.4 Parameter Defaults”. The reader supports some user-defined functions as introduced below. For more details, please contact the SYMBOL reader agents or Mindray Customer Service Department. A - 2...
Page 329 A Barcode Reader Volume setting Scan the following barcode to set the volume parameter. • Low Volume: • Medium Volume: • High Volume: Code 93 and codebar scanning • To enable or disable Code 93, scan the appropriate barcode below. •...
Page 330: Scanning In Hand-Held Mode
A Barcode Reader Select this option to decode only I 2 of 5 symbols containing a selected length. Select the length using the numeric barcodes below. For example, to decode only I 2 of 5 symbols with 8 characters, scan I 2 of 5 - One Discrete Length, then scan 0 followed by 8. A.1.3 Scanning in Hand-Held Mode Perform the following procedure: Ensure all connections are secure.
Page 331: Scanning In Hands-Free Mode
A Barcode Reader decoding difficult. You can tilt the reader up to 55° forward or back and achieve a successful decode. A.1.4 Scanning in Hands-Free Mode Assembling the Intellistand One piece scanner “cup” with flexible Flat areas neck Stand base Wingnut Perform the following procedure: Unscrew the wingnut from the bottom of the one piece scanner “cup”.
Page 332 A Barcode Reader Mounting the Stand (optional) You can attach the base of the reader’s stand to a flat surface using two screws or double-sided tape (not provided). Two screw-mount holes For Screw Mount, follow the steps below: 1. Position the assembled base on a flat surface. 2.
Page 333: Barcode Reader (Take Ds4608 As An Example)
A Barcode Reader 2D Barcode Reader (Take DS4608 as an example) The 2-D barcode reader supports hand-held operation mode. Hand-held mode: press the trigger to decode. A.2.1 Overview • Green: A barcode was successfully decoded. • Red: A data transmission error or reader malfunction occurred. Scan window Scan the barcode.
Page 334: Setting
A.2.3 Setting The reader has factory settings, for details see “A.4 Parameter Defaults”. The reader supports some user-defined functions as introduced below. For more details, please contact the SYMBOL reader agents or Mindray Customer Service Department. Volume setting Scan the following barcode to set the volume parameter.
Page 335: Scanning In Hand-Held Mode
A Barcode Reader Code 93 and codabar setting • To enable Code 93, scan the appropriate barcode below. • To enable Codabar, scan the appropriate barcode below Code 39 full ASCII setting Code 39 Full ASCII is a variant of Code 39 which pairs characters to encode the full ASCII character set.
Page 336 A Barcode Reader Aim the digital imager reader at the barcode. When the digital imager reader senses movement, in its default Auto Aim trigger mode, it projects a red LED dot which allows positioning the barcode within the field of view. If necessary, the digital imager reader turns on its red LEDs to illuminate the target barcode.
Page 337: Maintenance
A Barcode Reader Maintenance Cleaning the exit window is the only maintenance required. A dirty window can affect scanning accuracy. • Do not allow any abrasive material to touch the window. • Remove any dirt particles with a damp cloth. •...
Page 338 A Barcode Reader Parameter Defaults Parameter Defaults Code 39 Code 39 Enable Trioptic Code 39 Disable Convert Code 39 to Code 32 Disable (Italian Pharmacy Code) Code 32 Prefix Disable Set Length(s) for Code 39 2 to 55 Code 39 Check Digit Disable Verification Transmit Code 39 Check...
Page 339 Other non-medical devices in the same frequency band may cause interference, please be cautious. • Wireless network designing, deploying, debugging, and maintenance should be executed by Mindray service personnel or authorized technicians. • Always set the wireless network according to local wireless regulations. •...
Page 340: B Wireless Lan
B Wireless LAN • SSID > 80% with stable WLAN network. • Wireless router and the server are in the same network segment. • Router setting: – Wireless standard IEEE 802.11 ac/a/b/g/n. – Maximum transmission speed 300 Mbps. – Number of the devices connected to the same router ≤5. •...
Page 341: Eap Network
B Wireless LAN Click [OK] to save current setting. Click [Cancel] to exit. EAP Network For setting EAP network, contact Mindray Customer Service Department or the sales representatives. Operator’s Manual B - 3...
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Page 343: C Iscanhelper
iScanHelper By providing the referential information, such as, the ultrasonic image, the anatomic graphic, scanning pictures/other scanning tips or diagnosis comments, the system helps the doctors to operate the scanning by iScanHelper. Furthermore, it is a good platform for the self-learning and training of ultrasound scanning technique for doctors.
Page 344: Basic Screen And Operation
C iScanHelper Basic Screen and Operation Ultrasonic image It is used to compare with images scanned by the operator. Anatomic graphic Related anatomical tissue information are provided here. Scanning tips You can read tissue related anatomical information and adjacent tissue information here. Scanning picture Ordinary scanning tips can be observed here, including posture, probe mark, probe swing/sweep techniques.
Page 345: D Ivision
iVision The iVision function is used to demonstrate the stored images. Image files are played one by one according to file names (including system-relevant and PC-compatible format images). Perform the following procedure: Press the user-defined <iVision> key to enter the iVision screen. Add the contents to be played and select demo mode.
Page 346: Copy The File
D iVision Copy the File Transfer files between the mobile hard disk and the ultrasound system. Perform the following procedure: Plug the USB disk, and click [Copy File]. Select the path of the source file from the “Drive” and “File Name”. Click [Choose Catalog].
Page 347: E Acoustic Output
Acoustic Output This section of the operator’s manual applies to the overall system including the main unit, probes, accessories and peripherals. This section contains important safety information for operators of the device, pertaining to acoustic output and how to control patient exposure through use of the ALARA (as low as reasonably achievable) principle.
Page 348: Mi/Ti Explanation
E Acoustic Output Additional information regarding the concept of ALARA and the possible bioeffects of Ultrasound is “Medical available in a document from the AIUM (American Institute of Ultrasound Medicine) title Ultrasound Safety”. MI/TI Explanation E.4.1 Basic Knowledge of MI and TI Mechanical Bioeffect and Thermal Bioeffect The relationship of various ultrasound output parameters (frequency, acoustic pressure and intensity, etc.) to bioeffects is not fully understood presently.
Page 349: Mi/Ti Display
E Acoustic Output Although the output power is automatically controlled for the selected applications, high TI values should be kept to a minimum or avoided in obstetric applications. WFUMB (World Federation for Ultrasound in Medicine and Biology) guidelines: state that temperature increase of 4 degree C for 5 min or more should be considered as potentially hazardous to embryonic and fetal tissue.
Page 350: Acoustic Power Control
E Acoustic Output Following the ALARA restriction, you are allowed to increase the acoustic power under FDA 510 (k) Guidance-Track 3 limits and to set it in the image preset screen. The acoustic output of the system has been measured and calculated in accordance with IEC60601- 2-37: 2015, FDA 510(K) GUIDANCE, IEC 62359: 2017, Ultrasonics-Field characterization-Test methods for the deter mination of thermal and mechanical indices related to medical diagnostic ultrasonic fields.
Page 351: Limits Of Acoustic Output
E Acoustic Output Where I is the attenuated intensity, I is the intensity measured in a water tank (at distance atten water z), fc is the center frequency of the ultrasound wave (as measured in water), and z is the distance from the probe.
Page 352: Measurement Uncertainty
E Acoustic Output Measurement Uncertainty The total estimated measurement uncertainty (where the total uncertainty includes the uncertainties in hydrophone response, measurement, calculation, and positioning) are: Acoustic Quantities Total Uncertainties (Standard) Power 26.48% for non-scan modes; 6.03% for scan modes. Frequency 0.22% Pressure 13.01%...
Page 353 Electrical Safety Inspection The following electrical safety tests are recommended as part of a comprehensive preventive maintenance program. They are a proven means of detecting abnormalities that, if undetected, could prove dangerous to either the patient or the operator. Additional tests may be required according to local regulations.
Page 354: F Electrical Safety Inspection
F Electrical Safety Inspection Device Enclosure and Accessories F.2.1 Visual Inspection Test Item Acceptance Criteria The enclosure and No physical damage to the enclosure and accessories. accessories No physical damage to meters, switches, connectors, etc. No residue of fluid spillage (e.g., water, coffee, chemicals, etc.). No loose or missing parts (e.g., knobs, dials, terminals, etc.).
Page 355: Enclosure Leakage Test
F Electrical Safety Inspection • normal polarity with open neutral (Single Fault Condition). • reverse polarity with open neutral (Single Fault Condition). LIMITS • For UL 60601-1: – 300 μA in Normal Condition. – 1000 μA in Single Fault Condition. •...
Page 356: Mains On Applied Part Leakage
F Electrical Safety Inspection • For Defibrillation-proof type CF applied parts: – 10 μA in Normal Condition. – 50 μA in Single Fault Condition. Mains on Applied Part Leakage The Mains on Applied Part test applies a test voltage, which is 110% of the mains voltage using a limiting resistance, to selected applied part terminals.
Page 357 EMC information provided below. • Use of Consona N9 Series adjacent to or stacked with other equipment should be avoided because it could result in improper operation. If such use is necessary, Consona N9 Series and the other equipment should be observed to verify that they are operating normally.
Page 358: G Emc Guidance And Manufacturer's Declaration
The device can be used in portable exposure condition without restriction. If Consona N9 series is operated within the electromagnetic environment listed in Table G-3, Table G-4, Table G-5, Table G-6, and Table G-7, Consona N9 series will remain safe and will provide the following basic performances: •...
Page 359 Date/time information. Table G-1 GUIDANCE AND MINDRAY DECLARATION-ELECTROMAGNETIC EMISSIONS Consona N9 series is intended for use in the electromagnetic environment specified below. The customer or the user of system should assure that it is used in such an environment. EMISSIONS TEST COMPLIANCE ELECTROMAGNETIC ENVIROMENT –...
Page 360 G EMC Guidance and Manufacturer’s Declaration Table G-3 GUIDANCE AND MINDRAY DECLARATION-ELECTROMAGNETIC IMMUNITY Consona N9 series is intended for use in the electromagnetic environment specified below. The customer or the user of system should assure that it is used in such an environment. IMMUNITY TEST...
Page 361 G EMC Guidance and Manufacturer’s Declaration Table G-4 GUIDANCE AND MINDRAY DECLARATION-ELECTROMAGNETIC IMMUNITY Consona N9 series is intended for use in the electromagnetic environment specified below. The customer or the user of system should assure that it is used in such an environment. IMMUNITY...
Page 362 G EMC Guidance and Manufacturer’s Declaration Table G-4 GUIDANCE AND MINDRAY DECLARATION-ELECTROMAGNETIC IMMUNITY Consona N9 series is intended for use in the electromagnetic environment specified below. The customer or the user of system should assure that it is used in such an environment. IMMUNITY...
Page 363 Recommended separation distances between portable and mobile RF communications equipment and system Consona N9 series is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of system can help prevent electromagnetic interference by...
Page 364 RECOMMENDED SEPARATION DISTANCES BETWEEN PORTABLE AND MOBILE RF COMMUNICATION DEVICE AND THE SYSTEM Consona N9 series is intended for use in an electromagnetic environment in which radiated RF disturbance are controlled. The customer or the user of system can help prevent electromagnetic...
Page 365 G EMC Guidance and Manufacturer’s Declaration Radio Regulatory Compliance RF paramete r Features 2.4GHz 5GHz Frequency Rage 2412MHz - 2483.5MHz 5.15 - 5.25GHz 5.25 - 5.35GHz 5.47 - 5.725GHz 5.725 - 5.850GHz Modulation DSSS and OFDM OFDM Output Power ≤20dBm NOTE: Keep a distance of at least 20cm away from the monitor when Wi-Fi function is in use.
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Page 367: H List Of Vocal Commands
After the input command is recognized, the system automatically performs the corresponding operations. Vocal command Operation Hello Mindray Turn On Audio Control Bye Mindray Turn Off Audio Control...
Page 368 H List of Vocal Commands Vocal command Operation Open Smart Track Turn on Smart Track Mode Close Smart Track Turn off Smart Track Mode Sound Volume Up Turn Sound Volume Up Sound Volume Down Turn Sound Volume Down Angle More Angle More One Angle Less Angle Less One...
Page 369 H List of Vocal Commands Vocal command Operation Lower External Artery Switch Exam Mode to Lower Ext Artery Upper External Vein Switch Exam Mode to Upper Ext Vein Lower External Vein Switch Exam Mode to Lower Ext Vein Thyroid Switch Exam Mode to Thyroid Breast Switch Exam Mode to Breast Testicle...
Page 370 H List of Vocal Commands Vocal command Operation Close Preset Dialog Close Preset Dialog Smart B-lines Smart B-lines H - 4 Operator’s Manual...
Page 371: I Ultrasound Gel Heater
Ultrasound Gel Heater NOTE: • Ultrasound gel heater is a system option used for heating the ultrasound gel. • The gel heater cannot be used when the system is powered by battery. Structure Name Description Ultrasound gel box Used for placing the gel. Indicator •...
Page 372: Function And Requirement
I Ultrasound Gel Heater • Operating conditions – Ambient temperature: 0°C~40°C – Relative humidity: 20%~85% (no condensation) – Atmospheric pressure: 700hPa~1060hPa • Storage and transportation conditions – Ambient temperature: -20°C~55°C – Relative humidity: 20%~95% (no condensation) – Atmospheric pressure: 700hPa~1060hPa Function and Requirement NOTE: •...
Page 373: J Software And Hardware Specification
Software and Hardware Specification Operating Environment Hardware Configuration CPU: Intel Core i3-6100U Hard disk: 512G Monitor: LCD, main screen 23.8 inch, touch screen 15.6 inch. Software Environment Linux 5.2.21 Network Condition Cable network: 10M/100M/1000M adaption Wireless network: • Protocol compatible with IEEE 802.11 ac/a/b/g/n standard •...
Page 374: Electronic Interface
• The intended information flow is from the ultrasound system in the client site to the workstation server. S-Video 4-core 2-component separate video interface. • Mindray ECG interface, using USB communication, and complied with Mindray internal standard. • The timestamp is defined by the data packet. Remote Used for providing the control interface of analog video printer.
Page 375 J Software and Hardware Specification Item Specifications Vision Distance The ultrasound diagnostic system can be connected Communications within 3 meters of the wireless network, and the system can perform the following operations and realize its intended use: • Support DICOM transferring patient data through the wireless network (Wi-Fi).
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Page 377 Indications For Use N=new indication; P=previously cleared by FDA Additional comments: Combined modes--B+M, PW+B, Color + B, Power + B, PW +Color+ B, Power + PW +B. *Intraoperative includes abdominal, thoracic, and vascular. **Small organ-breast, thyroid, testes. ***Other use includes Urology. ****For detection of fluid and pleural motion/sliding.
Page 378: K Indications For Use
K Indications For Use System: Diagnostic Ultrasound System Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General(Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 379 K Indications For Use Transducer: C5-1 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 380 K Indications For Use Transducer: SC5-1N Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 381 K Indications For Use Transducer: C6-2 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 382 K Indications For Use Transducer: 3C5A Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 383 K Indications For Use Transducer: C11-3 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 384 K Indications For Use Transducer: C6-1 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 385 K Indications For Use Transducer: L13-3N Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 386 K Indications For Use Transducer: L13-3 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 387 K Indications For Use Transducer: 7L4B Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 388 K Indications For Use Transducer: L9-3 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 389 K Indications For Use Transducer: L14-3W Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 390 K Indications For Use Transducer: 7LT4 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 391 K Indications For Use Transducer: L20-5s Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 392 K Indications For Use Transducer: L16-4Hs Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 393 K Indications For Use Transducer: SP5-1N Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 394 K Indications For Use Transducer: P4-2 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 395 K Indications For Use Transducer: P8-2 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 396 K Indications For Use Transducer: P10-4 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 397 K Indications For Use Transducer: V11-3H Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 398 K Indications For Use Transducer: V11-3HB Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 399 K Indications For Use Transducer: V11-3 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 400 K Indications For Use Transducer: V11-3B Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 401 K Indications For Use Transducer: V10-4 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 402 K Indications For Use Transducer: V10-4B Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 403 K Indications For Use Transducer: 6CV1 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 404 K Indications For Use Transducer: ELC10-4 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 405 K Indications For Use Transducer: 6LE7 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 406 K Indications For Use Transducer: DE11-3 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 407 K Indications For Use Transducer: SD8-1 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 408 K Indications For Use Transducer: D7-2 Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 409 K Indications For Use Transducer: D6-2B Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 410 K Indications For Use Transducer: CW5s Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 411 K Indications For Use Transducer: CW2s Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 412 K Indications For Use Transducer: P7-3Ts Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 413 K Indications For Use Transducer: P8-2Ts Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 414 K Indications For Use Transducer: P8-3Ts Intended Use: Diagnostic ultrasound imaging or fluid flow analysis of the human body as follows: Clinical Application Mode of Operation General (Track 1 Specific (Track 1 & Color Amplitude Combined Other (Spe PWD CWD Only) Doppler Doppler...
Page 416 P/N: 046-024901-00 (7.0)

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